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The Occasional Podcast
Top 10 Integrated Amplifiers - Cheapest To Most Expensive

The Occasional Podcast

Play Episode Listen Later May 28, 2025 29:51


Our recommendations for the top 10 best sounding integrated amplifiers from the past 12 months. Marc and Brian run down their best amp picks from cheapest to most expensive. Released in conjunction with the pt.AUDIO Buyer's Guide Summer 2025. You can check out all the "best of" gear from every HiFi category here: https://pt.audio/category/audio-gear-reviews/buyers-guide/ Video coverage: https://www.youtube.com/@PT-Audio Season 12 Merch is now available! The pt.AUDIO Record Weight In Walnut : 230 Gram S12E7 Sponsors: ZMFHEADPHONESdotCOM - Traditional Craft, Modern Acoustics NORDOSTdotCOM - A Clear Choice For The Best Connection DEVOREFIDELITYdotCOM - Nothing Brings You Closer To The Music PTdotAUDIO - Great Sounds Meet Good Times

With Great Power
How a Colorado utility plans to generate 30 megawatts by 2030

With Great Power

Play Episode Listen Later May 27, 2025 17:32


A decade ago, Zach Borton had a lightbulb moment when studying energy economics at Ohio State University: the grid was trending toward decentralization. That realization set him on a path that would eventually lead him to Colorado, where he now serves as DER services manager at Platte River Power Authority.Platte River's 2024 integrated resource plan includes an ambitious goal: 30 megawatts of virtual power plant capacity by 2030. But building a VPP across multiple utility territories isn't just about technology -- it's about coordination, customer engagement, and breaking down organizational silos.This week on With Great Power, Zach explains the technical architecture behind Platte River's VPP strategy, which relies on two interconnected systems: grid derms and edge derms. He also discusses the challenges of aligning five different organizations, the importance of seamless customer enrollment, and why he believes curiosity-driven leadership is his superpower in the energy transition.With Great Power is a co-production of GridX and Latitude Studios.  Subscribe on Apple, Spotify, or anywhere you get podcasts. For more reporting on the companies featured in this podcast, subscribe to Latitude Media's newsletter.Credits: Hosted by Brad Langley. Produced by Erin Hardick and Mary Catherine O'Connor. Edited by Anne Bailey. Original music and engineering by Sean Marquand. Stephen Lacey is executive editor. The Grid X production team includes Jenni Barber, Samantha McCabe, and Brad Langley.TRANSCRIPT:Brad Langley: Back in the early 2010s, apps skyrocketed in popularity. Apple had just launched its famous "There's an app for that" commercial, and within a few years, more than a million apps were available for download in the app store.Commercial clips: Ever wish you could really read people's emotions? Well, now there's an app for that. Don't have a great voice or any real musical talent? Well, there's an app for that too. You want to get the potholes filled? Well, there's an app for that. There's an app for that...Brad Langley: Zach Borton's family was right there with the rest of America, feverishly downloading apps to manage finances or track the weather or achieve personal fitness goals.Zach Borton: Fitbits were becoming popular and my mom and dad would all compete against different steps, and we wanted to bring that kind of competitive element to the energy space.Brad Langley: At the time, Zach was studying business and sustainability at The Ohio State University.Zach Borton: Most of my classmates were going down the road of corporate social responsibility, sustainability reporting, but I took an energy economics course and that kind of shifted my path.Brad Langley: As part of that course, Zach was presented with some graphics of the power system. One showed the traditional energy value chain with big centralized generation. Another showed the declining cost of rooftop solar and an upward trend for installations.Zach Borton: I realized at that moment we're going from this horse and buggy to car event. Every few generations will have that shift, and I wanted to be a part of that shift.Brad Langley: After graduation, Zach and two friends decided to launch their own energy-focused app, the idea was to show people the impact of their environmentally focused investments.Zach Borton: What we were trying to build is a visualization tool to track environmental metrics such as carbon saved or trees planted, and also kind of that competitive nature of seeing what your friends were investing, what types of projects they were investing in, and then competing with your friends or tracking that with your friends to drive that competitiveness.Brad Langley: Unfortunately, for Zach and his friends, their app didn't make millions, but it did motivate Zach to keep working on some of the big complex problems unfolding in the power sector. So he took a job at American Municipal Power in Columbus, Ohio.Zach Borton: I was a power supply engineer. There was learning kind of the nuts and bolts on how to serve a community with generation, really how to stack those assets for energy, capacity, and transmission. But really despite everything I was learning, I kept going back to those two graphics from that energy economics course.Brad Langley: He just couldn't get one question out of his head. How would the legacy power system interact with all these new DERs? And he wasn't the only one thinking about it.Zach Borton: There was utility of the future white paper coming out of MIT, and so we were really going through that and understanding rather than a centralized approach from these large generators, how can we hedge against energy, capacity, and transmission from within the load?Brad Langley: Once Zach locked into this problem, he just couldn't let it go. So he headed west to Colorado where he now works at a public power utility helping build a virtual power plant.Zach Borton: My job is to take distributed energy resources and make use of them as we transition to a non-carbon grid.Brad Langley: This is With Great Power, a show about the people building the future grid, today. I'm Brad Langley. Some people say utilities are slow to change, that they don't innovate fast enough, and while it might not always seem like the most cutting edge industry, there are lots of really smart people working really hard to make the grid cleaner, more reliable and customer centric. This week I'm talking to Zach Borton, the DER service manager at Platte River Power Authority, a public power utility that serves the communities of Estes Park, Fort Collins, Longmont, and Loveland in Colorado. Platte River provides wholesale electricity generation and transmission for its member communities, each of which has its own local electric utility. So a major part of Zach's job is figuring out how to build a VPP across all of those different utilities.Zach Borton: So each have their own technology suite, which makes integrations maybe a little bit more difficult. So we're all at different paths in this integration and technology suite, but getting there is going to require more collaboration and breaking down those silos.Brad Langley: I wanted to dive into the mechanics of building this kind of VPP, but first I asked Zach how the initiative came about and how Platte River planned to break down those utility silos. So let's dig into your work at Platte River. Platte River's 2024 Integrated resource plan includes 32 megawatts of VPP by 2030, which is a significant amount. Tell us about that project. How did the initiative come about?Zach Borton: Yeah, so it can all kind of go back to the 2018 resource diversification policy. In that policy, there's a few things that line out how we can get to a non-carbon future, but it really suggests better integration and coordination across the systems from the generation transmission system down to the distribution. So senior managers, utility directors, and a few different public engagement sessions really sparked this vision and guiding principles for a DER strategy. Next came kind of a gap analysis, so we tried to understand what systems we have today and what we need, and so this really showed us where we need to go with how to make this technology work. Finally, we got to that potential study, which you saw in the 2024 IRP. This showed us kind of the market size and the potential and really gives us a goal to hit. It tells us what types of programs we should run and where we should head into that 2030 mark that you said, 30 megawatts.Brad Langley: And what is your role as DER services manager on the project? What are you specifically tasked with?Zach Borton: It's really trying to coordinate and develop these programs with our owner communities. We can think about our strategy in two different approaches. It's really that best thinking available today, which you can see in the SEPA article Decoding DERMS. It's going to require two different systems, and that's the grid DERMS and the edge DERMS. But really I want to circle back to VPP isn't just a piece of software, it's a utility strategy. It's a system level approach that brings together people, technology and data to orchestrate this cleaner and more flexible grid.Brad Langley: So we've established there's two main components to this. There's the grid DERMS and there's the edge DERMS. Talk me through specifically what the grid DERMS is doing as well as what the edge DERMS is doing.Zach Borton: Absolutely, yeah. So we can think about the grid DERMS as the brain of the future utility operation. It's going to hold our network model. It's going to monitor the state of the distribution in real time, say watching for those stress points and identifying where flexibility could be made available. Some of this technology is in place today, but a lot of this needs to be developed over the next several years, whereas the edge DERMS manages the customer side. It's going to help us enroll devices into the programs, optimize them, and then deliver those optimized energy shapes, load shapes or blocks into the grid DERMS as kind of like, here's a block at this hour. Here's the shape that you can use here for this stress point, and together these two systems kind of coordinate those individual devices into actionable blocks.Brad Langley: Can you go into more detail in terms of what those components are? I assume it's a mix of hardware and software, but any specific technologies you're able to call out.Zach Borton: When we think about our owner communities, they're kind of laying the foundation for the grid DERMS for that distribution system awareness, whether that's smart metering, switching, things like that. We need to build out that process with our owner communities to bring in those data points and make that distribution grid a little bit more intelligent. We can think about the future of advanced distribution management. When we think about the edge DERMS, there's a lot of processes and people involvement: enrolling customers and engaging with those customers. Obviously there's a lot of software optimization on the backend, but that's where we lean on our partners.Brad Langley: So two distinct yet connected systems for owner communities. What kind of challenges are you either experiencing or do you foresee in making this program a reality?Zach Borton: There's quite a bit of challenges. I'd say one of our biggest challenges is aligning across the five organizations. It's sometimes hard enough to break down the department silos, but then breaking down the five organization department silos is really complicated. So everyone might agree on this goal of a functional customer friendly VPP, but getting there in sync is the hard part, which kind of brings us to the next challenge, which is a unified vision and consistency. Like I said, we have incredibly talented people working on this from all sides, but aligning on a common path with consistency is critical. We may ask, why is that so important? Well, we risk confusing the customer if we're changing things as we go or sending mixed messages. So we need to really build that trust and participation with our customers and our own communities. That brings us kind of to the third point, which is the customer patience and experience.We're building something new and with that comes unavoidable, really growing pains. So making the enrollment and engagement process as smooth as possible in that first year is going to be so important for us to scale to that 2030, 30-megawatt goal. And that's the last piece is that OEM maturity and industry coordination. Like OEMs are learning how to build and design for flexibility, but it's a learning curve and everyone's taken their unique approach. Whereas the utilities, I can call up a utility that has a similar goal to us and they'll share the lessons learned where I feel like some of the OEMs aren't sharing those lessons learned with each other.Brad Langley: It's an interesting point. We're big believers in partnerships in this space. I think partnerships are super important. Are you encouraging the OEMs to talk to each other? Because it's tricky, they might be competitive, but they're implementing similar programs, so lessons shared can be important. How do you navigate that? Are you finding openness for OEMs to be more collaborative or is it kind of a walled garden so to speak?Zach Borton: It seems like a walled garden, but I would like for all of us utilities to try to break that down and share like, Hey, we're trying to get to this non-carbon future and open up all of these opportunities for flexibility. And so I think if a lot of us will say that to the OEMs, maybe they'll start listening. So I think if we can band together and really get the OEMs to listen, we can get to this non-carbon flexibility future.Brad Langley: You mentioned you'll start enrolling customers early next year. Does that mean the project is complete? What are some of those stages or milestones that kind of happen before or after that? Maybe give us the one to two year look into the various stages of the program following customer enrollment?Zach Borton: Yeah, so I mentioned the two types of DERMS and there's kind of different working paths for each of those, but I'll kind of talk about the edge DERMS really enrolling customers there early next year. So I think we're breaking this strategy out into three different years. First year we really want to boost up the enrollment and awareness of these programs. So enrolling customers, boosting up satisfaction and increasing that program awareness. It's going to take many actions to get there, like streamlining that DER onboarding process and establishing incentive structures and engagement methods with our customer base. That's going to be critical for scaling the VPP all testing in that first year dispatches with a small number of megawatts and devices. In that next year, we're really going to be looking for analytics and post-event insight, so leveraging event data to better understand how we're forecasting and modeling DR.So we're going to lay out the infrastructure needed to capture dispatch data and analyze that across the systems, whether it's on the distribution or the generation transmission system. And then that third year is going to be building out scale. To get to that 2030 goal in the third year, we're really going to be trying to grow those legs and pick up our speed, and it's all going to be about scalability of the dispatch and optimization. I think this is where the edge DERMS becomes integrated with the grid DERMS. So as the grid DERMS is getting intelligent and connecting to all of those devices in the field, we'll build out that integration to kind of build this full VPP fully integrated using those historical insights. And really in that year, we start to see the real time grid data and the integrations.Brad Langley: How did the customers react to the VPP announcement? Are they excited about the prospect of integrating this type of technology? What was their overall sentiment towards the program when it was announced?Zach Borton: Yeah, absolutely. There's a lot of excitement around this. When we think about our customer base, they love technology. We have a lot of EVs in our service territory. We have a lot of solar. We're starting to see that solar being paired with storage. So I think there's a lot of interest in helping us get to that non-carbon goal. And it's really the foundation we've built over the past 50 years, our community ownership, our collaborative mindset, and a long-term vision. We're not just building it alone, we're building it with our members, our partners, and every customer who chooses to be part of the solution. And it's really great to see a lot of those customers show up to the stakeholder meetings and suggest really great ideas to get to this VPP.Brad Langley: How many customers are you initially targeting and what's the scale of that look like over time?Zach Borton: Yeah, so the first few years, our big focus is on seamless integration, enrollment and engagement with those customers. We're going to most likely start within three different program groups, so EVs, batteries and thermostats and expand offerings from there. We hope to have roughly one megawatt in that first year, but again, I want to focus mostly on building out the seamless enrollment process and engagement. We can't build that 30 megawatts by 2030 without the customers and the devices, so having that poor engagement or poor enrollment process isn't going to help us scale. So we really need to build out the processes we have and kind of scale up to that 30 megawatt number by 2030.Brad Langley: Well, hey, we call this show With Great Power, which is a nod to the energy industry. It's also a famous Spider-Man quote. With great power comes great responsibility. So Zach, what superpower do you bring to the energy transition?Zach Borton: That's a really great question. I would say that curiosity-driven leadership. I'm highly adaptable and I have this ability to connect with all types of people, meet them where they're at, and build that real trust through kind of empathy, curiosity. I find common ground and help bring out the best in others, whether it's a technical person, strategic customer focus, I know how to relate and inspire those folks and share a sense of purpose. The ability to connect with folks is key when bringing together a diverse team with the single vision that we have.Brad Langley: And I'd add a great sense of fashion. I know our listeners can't see it, but I love the VPP hat you're rocking. It's right on point. So nicely done with that. Well, Zach, thank you so much for coming on the show and we wish you the best of luck with the program.Zach Borton: Yeah, thank you. I appreciate you having me, Brad.Brad Langley: Zach Borton is the DER service manager at Platte River Power Authority. With Great Power is produced by GridX in partnership with Latitude Studios. Delivering on our clean energy future is complex. GridX exists to simplify the journey. GridX is the enterprise rate platform that modern utilities rely on to usher in our clean energy future. We design and implement emerging rate structures and we increase consumer investment in clean energy all while managing the complex billing needs of a distributed grid. Our production team includes Erin Hardick and Mary Catherine O'Connor. Anne Bailey is our senior editor. Steven Lacey is our executive editor. Sean Marquand composed the original theme song and mixed the show. The GridX production team includes Jenni Barber, Samantha McCabe, and me, Brad Langley.If this show is providing value for you and we really hope it is, we'd love it if you could help us spread the word. You can rate or review us on Apple and Spotify, or you can share a link with a friend, colleague, or the energy nerd in your life. As always, we thank you for listening. I'm Brad Langley.

GovCast
GovCast: How Integrated Analytics Can Break Federal Data Silos

GovCast

Play Episode Listen Later May 27, 2025 10:47


Government agencies collect vast amounts of data, but accessing and using that data effectively has long been a challenge. Ahu Yildirmaz and the team at the Coleridge Initiative are working to change that. By providing secure data-sharing platforms, advanced analytics training and tools for cross-agency collaboration, the organization is helping policymakers make more informed decisions. The Coleridge Initiative is addressing common obstacles like data silos, privacy concerns and limited technical resources. Yildirmaz also discusses the broader implications of modernizing government data, how better access and analysis can shape policy, improve public service and create a more transparent and efficient government.

ASCO Guidelines Podcast Series
Medically Integrated Dispensing Pharmacy: ASCO-NCODA Standards Update

ASCO Guidelines Podcast Series

Play Episode Listen Later May 27, 2025 25:05


Dr. Luis Raez and Michael Reff share the newest update to the medically integrated dispensing pharmacy standards from NCODA and ASCO. They review updates to domain one, on key patient-centered quality standards on health equity and social determinants of health, drug access, patient safety, education, and adherence to maximize treatment outcomes and domain two, on key operational quality standards on logistics, care coordination, and waste prevention. We also cover the impact of these updated standards for clinicians, oncology practices, and people receiving oral anti-cancer medications. Read the complete standards, “Medically Integrated Dispensing Pharmacy: ASCO-NCODA Standards.” Transcript These standards, clinical tools, and resources are available on ASCO.org.  Read the full text of the guideline and review authors' disclosures of potential conflicts of interest in the JCO Oncology Practice. Brittany Harvey: Hello, and welcome to the ASCO Guidelines podcast, one of ASCO's podcasts delivering timely information to keep you up to date on the latest changes, challenges, and advances in oncology. You can find all the shows, including this one, at asco.org/podcasts.  My name is Brittany Harvey, and today I'm interviewing Michael Reff from the Network of Collaborative Oncology Development and Advancement and Dr. Luis Raez from Memorial Cancer Institute and Florida Atlantic University, co-chairs on "Medically Integrated Dispensing Pharmacy: American Society of Clinical Oncology – Network of Collaborative Oncology Development and Advancement Association Standards Update." Thank you for being here, Michael and Dr. Raez. Dr. Luis Raez: Thanks for inviting us. Michael Reff: Thank you for having us. Brittany Harvey: Then, before we discuss these standards, I'd like to note that ASCO takes great care in the development of its standards and ensuring that the ASCO Conflict of Interest policy is followed for each guidance product. The disclosures of potential conflicts of interest for the expert panel, including Michael and Dr. Luis Raez who have joined us here today, are available online with the publication of the standards in JCO Oncology Practice, which is linked in the show notes. So then, to dive into the content here, Michael, I'd like to start with what prompted an update to these ASCO-NCODA standards and what is the scope of this update? Michael Reff: Thank you, Brittany. What led NCODA and ASCO to endeavor in this, and it started back in 2019 as the amount of oral anticancer medications became more and more prevalent in cancer treatment, we saw the need providing a blueprint for excellence in care for patients prescribed oral anticancer medications, specifically in the outpatient setting. And the update was driven by the rapid growth of these oral oncolytics starting back in the mid to late 2015 through 2019 or so, and then continued on into the 2020s where we are today. We saw the increase in the complexity of the management of these patients with these therapies basically outside the traditional clinical settings. And we wanted to make sure that with more cancer treatments that are taken at home than just at the clinic, like in the oral setting, new challenges had emerged around patient safety, access, adherence, and overall treatment success. The updates now address patient-centered and operational interventions designed to improve access, safety, quality, accountability, and outcomes of oral anticancer and other supportive care medications prescribed for the cancer patient. Dr. Luis Raez: As Mike said, these guidelines help improve patient care tremendously, but also help us a lot as an oncologist, you know, community oncologists that- now that we have opportunity to dispense these oral oncolytics, we need help to create our medical integrated pharmacies, and NCODA is providing here a way that, how to do this safely, efficaciously, good quality, you know? So that's why I think we always do everything for the patients, but also this helps a lot to the doctors. And there are a lot of what we call specialty pharmacies or medical integrated pharmacies now nationwide. Michael Reff: I'll build on what Dr. Raez had mentioned. This is the impetus. If you looked at the innovation that was coming from the pharmaceutical companies, many of it coming in the oral form for anticancer medications, and based on that, taking a look at the infrastructure that is in place in these practices, whether it's in the community or the IDN or health system settings, this amount of innovation that was coming needed to be addressed by taking a look at the medically integrated oncology team. And these standards address not just the pharmacy component, but also the whole continuum of care, starting with a medical oncologist or the hematologist, with the pharmacists, nurses, the pharmacy technicians, others that are involved in the care of the patient. And there were no standards involved. And when we approached ASCO back in 2018 to eventually publish the first version of these standards, the need was identified, and we worked collaboratively with ASCO to create the first set and then the revisions as we talked about. One thing to note regarding the revision plus the original standards, we had a cross-section of the care team on the committee, and we did that very purposefully. So, the ASCO-NCODA team curated a committee to help develop these original standards and the revision of these standards with medical oncologists both from community and health systems, pharmacists from both community and health systems, and also nurses. And we also included a patient that currently has and currently receives oral anticancer medication. And so NCODA and ASCO are very proud of the committee that we put together because of the experts in their field, but also extended the invitation to a current patient. And we embedded everybody's expertise in the curation of these standards. Brittany Harvey: Absolutely. I appreciate that background and context and how it's critical to improve patient care. And these standards really help oncologists, and we're looking across the continuum of care to provide optimal care for our patients. So then next, Dr. Raez, I'd like to review the key points of the revised standards for our listeners. So for Domain 1, what are the key patient-centered quality standards on health equity and social determinants of health, drug access, patient safety, education, and adherence to maximize treatment outcomes? Dr. Luis Raez: Yeah, this was a great effort, you know, at the multidisciplinary team. And as you can read in the standard, there were more than 240 publications reviewed; more than 55 of them are quoted here. And the standards are in two groups, as you said. With the group one, I'll briefly mention some of them. For example, SDOH, social determinants of health, is very important because as doctors, we prescribe, and sometimes patients don't get the medication, you know? And we prescribe assuming that 100% of the patients will get the medication. But something simple like the patient doesn't have insurance, the patient is underinsured. I have a patient that we didn't have an address to send the medication because he's homeless. Something that as a doctor you say, "Oh, oh my God, this is outside my realm," but it's not outside reality. So that's why, even if we don't think that this is part of our expertise dealing with social determinants of health, the fact that the patients have food insecurity, they don't have transportation, they don't have insurance, they don't have a caregiver, impact tremendously in the outcomes of the therapy. So that's why, basically, in this standard, we want to call attention that SDOH, social determinants of health, needs to be identified. There are in the literature countless examples of why this is important. For example, in the guidelines, we quote two or three examples of prostate cancer studies that, for example, we quote a study of 27,000 people with prostate cancer that were taking oral oncolytics, and how come the fact that the elderly, seniors, the fact that they have high prescription costs, and how all of this affected the adherence to the medication. And that's why it's important to identify the SDOH. And in other sections of the guidelines, we said how to address them, no? Another important thing in this domain is the cultural, you know, we need to be culturally sensitive and to take care of all of these social factors. For example, here in South Florida, we deal with the Haitian culture, Filipino culture, Latin culture, and American culture, and it's a blend, but it's not easy to go from one to the other. Another one is the fact that we have to include new technologies. A lot of patients, for example, we use EMR, EMR Epic, and now Epic has everything in the phone. The fact that we can have now the patient can see her prescription medication over the phone, the fact that they can use the phone to request from you a refill, and from your phone, you send the refill to the pharmacy, and you notify from your phone to the patient that the refill is sent, and the patient can check in his phone that the refill is ready. These things are amazing because that's why it's important that we incorporate these technologies to the patient care, and in this specific case, of dispensation of oral therapies, no? Another crucial point is education. You cannot be sending a patient a package of 300 pills without education. So that's why in our guidelines, mainly pharmacy, clinical pharmacies, or in some centers like mine, we have advanced practice providers, it's mandatory in our centers to have like a one hour of education before you send the prescription. So the patient is aware about side effects and contraindications, all of these things. They provide them also materials and also consent. You know, in the old times, you don't give chemo without a consent. Now, a lot of people say, "Oh, it's only a pill." There is a lot of benefits or side effects that can come from the pill, so you need to consent everybody, you know? So, another aspect is adherence. I already told about that, but we need to provide patients with a baseline assessment, no? So, you cannot send again the prescription and hope, "Oh, I'll figure it out what happened next month when the patient comes back." I tell you, the patient is homeless, where are you going to send it? If the patient is telling you, "I don't have insurance," what good is it for you to send a prescription? The patient will not get it. So that's why you need to do a baseline assessment of adherence. You need to do a calendar. You need to do electronic support, I mentioned already with the EMR and the phones. For example, my MIP, my specialty pharmacist, sends me a message in the EMR, "Dr. Raez, the insurance is not covering, the patient has a high copayment, we are going to delay the dispensation of the medication." So there needs to be a communication. Or sometimes there is a confusion with the insurance, and I cannot wait for the poor patient to call three, four weeks later, "Oh, I didn't get the medication," to know what happened, no? My MIP is very good. They send the clinical pharmacist a message, "Hey, you know, the insurance doesn't believe that the pill is adequate, or you need to provide more documentation. You need to prove the mutation, the genetic aberration." So if you provide us that, the insurance may approve. So that communication with the doctor is very important to improve adherence. And one important thing that we have in this one that we didn't have in the anterior is the tracking of outside medications. A lot of times you say, "Okay, the insurance allowed us to provide the medication it's 100% responsible." But then the insurance says, "Oh, no, no, don't worry. CVS will provide the medication." So it says, "Well, it's you know, it's not my responsibility. CVS will provide the medication, they have to take care." But we know that outside our specialty pharmacies or MIPs, the care is not very good. So that's why we are taking our ownership that, "Okay, the insurance said the patient will get the medication from some outside pharmacy." But our clinical pharmacists track that. What happened? Did the patient get it? The patient didn't get it. The copayment is still high. So even if you get the medication from somewhere else, if the copayment is high, we, our clinical pharmacists, help the patient to navigate and get the foundation or the copayment or finally the maker, the industry partner, provides the drug for free, but somebody needs to do the paperwork. And that's why this is very important. We cannot abort our responsibility because, "Oh, the insurance said somebody else will give it." I work for the public healthcare system, so my patients, some of them don't have insurance, they are underinsured. So we see these problems every day. And finally, the standards talk about the importance of safety, documentation, verification, monitoring, refills, you know, you need to keep track of refills. We already mentioned how important is the technology to facilitate the refills, and the quality. Brittany Harvey: Yes, thank you for touching on those highlights for Domain 1. It's important that all patients have access to care and these oral anticancer medications, and not only just access to care, but safe and effective care. It's really important, as you mentioned, Dr. Raez, to meet patients where they're at and incorporate technology. And I also want to note the coordination with external pharmacies that you mentioned in tracking outside medications as well. It's not only important for multidisciplinary care within the oncology practice itself, but also external to the oncology practice. That's why we put together this multidisciplinary panel to develop these standards. So then, expanding on that, Dr. Raez, for Domain 2, what are the key operational quality standards? Those on logistics, care coordination, and waste prevention. Dr. Luis Raez: Yeah, we have a lot of standards here, but maybe we can summarize in five or six points, no? For example, financial toxicity in cost and waste are very important because the patients, yeah, you put them on therapy, but as you can understand, if there is disease progression, the patient don't need the medications. And sometimes you get refills even if the patient has disease progression. If you do a dose reduction, the same problem. Or you discontinue medication and the patient keeps getting the drugs. So, you're talking about drugs that are between 20 and 30 thousand dollars per month. This is a lot of money. There are studies that we're quoting in the standards that the waste could be from 1 to 3 or 4 thousand per patient, no? Another aspect is dispensing. When you dispense the medication, this is not as easy as, "I'll ship to your house a bag of medications." You know, there needs to be a diagram, a decision tree. You need to train the staff to know what we're doing. There needs to be an auditing of the process. They need to be even packaging and shipping, you know? For example, I'm in Florida today and outside in summer it's going to be 95 degrees. So, everybody leaves the package outside your house, and sometimes you go the whole day until when you come at 6:00 p.m. There are medications that cannot be left outside there, you know? I don't know, it sounds like a joke, but I have a patient that the medication used to be stolen because people thought that that was something important, you know? And of course, it's important because it's a $20,000 medication. So, the poor patient, because he lives in an area that is not safe, has to come and pick up in person. All of these things sound very trivial, but that's real life that affects adherence. Another important thing is shortage. This is something that we just suffered two or three years ago, and we have to think about what happens in the next shortage. What happens if there's going to be a shortage? What do we do or how are we going to do that? Now we know it's something that is happening probably very soon again, and something that we have to consider. Another standard is the care coordination. You need to have probably, if it's possible, a coordinator. I know that for small practices it's very hard, but for big cancer centers, you should have a coordinator of this. I already mentioned before, the communication between the physicians and the doctors to coordinate the care, no? You need to write the prescription again, you need to provide more information, or to be notified, "Hey, you know, the patient is throwing up in the first week, you need to see the patient, please," no? So, this type of communication needs to exist so we can serve the patient better. It's also important, you know, we're improving quality and we're improving care. It's important to try to collect patient-reported outcomes. This is something that now we have the opportunity, if we do things well, to do it and show that we're providing a better care. The other thing is that we already mentioned SDOH in the other standard. In this standard, we mention mainly SDOH to partner. For example, we collect in my center SDOH, and I always get frustrated when the patient doesn't have transportation. But I didn't know that there are local institutions that provide free Uber rides, free Lyft rides. So that's why it's important to partner with these institutions. I have a local grocery chain that provides free food for the patients, and I didn't know that. It's important to be aware what the patient needs and what resources do you have to fulfill the SDOH. That's the part that we mention in here. So that's why, in summary, those are the six probably most important points here. I'll ask Mike for some comments. Michael Reff: Thank you, Dr. Raez. Brittany, to answer your question, and as was pointed out on logistics, care coordination, and prevention of waste, certainly that is an aspect that has changed in the revision that we're here to talk about. There's really two components to waste, and it's cost avoidance and then waste prevention. And as Dr. Raez mentioned several times, the importance of the medically integrated team and having the ability for that practice to fill that prescription internally and have robust documentation. Cost avoidance is a critical component that the medically integrated pharmacy, or the MIP, can help the total cost of care. And that is by preventing errant fills or waste that can occur by intervening in the care of the cancer patient, as we do every day. But when the practice has access to the medication and can fill that prescription in-house in the medically integrated pharmacy, that team, that care coordination that takes place, can prevent those errant fills or additional fills when there's dose reductions, there's holidays, there's things that happen in real time. And it's impossible for a mail-order pharmacy that's in another state that has lead times, when a prescription needs to be mailed 7 days or 10 days before the patient will run out of the medication, it's impossible for them to logistically coordinate that care like we can internally within the medically integrated pharmacy. So, we prevent waste and overall cost of care by cost avoidance and having that coordination or that continuity of care that we talk about. And we prevent waste from the mail-order pharmacies by taking that prescription internally and filling it, but also doing it in a way that's more sustainable and cost-effective for all stakeholders in the oncology ecosystem. Brittany Harvey: Absolutely. Thank you both for reviewing those key standards for Domain 2 and touching on the importance of distribution logistics and all the things that a medically integrated pharmacy needs to think through in getting oral anticancer agents to patients. Following that, Michael, we've touched on this a little bit earlier, but how will these updated standards impact clinicians and oncology practices? Michael Reff: Yes, and as Dr. Raez and I have discussed throughout this podcast, these additional standards are there to help support that continuity of care by educating the clinicians that are in the oral anticancer medication space to elevate their provision for these oral therapies. What I mean by that is the practice has to perform at a certain level in order for them to, as I call it, deserve the right to fill that prescription by having the processes and procedures in place. And these standards, these updated or revised standards, are the blueprint for better patient care and to help the practices execute on that journey of continuous improvement. Dr. Luis Raez: Yeah, I only want to add, we have practical examples in the guidelines. We quote a couple of studies that have been successful. And this year, for example, I am a lung cancer doctor, we are presenting in World Lung our standards of adherence to oral oncolytics for EGFR therapy, following the NCODA-ASCO standards. We're around 95% of adherence. We are a healthcare system that is public. We have people with no insurance and a lot of social determinants of health. We are trying to show that it's feasible, even in the most difficult circumstance, when you follow the standards, to be successful. Brittany Harvey: Definitely, these standards can help clinicians and oncology practices succeed in providing these medications. So then beyond that, and to wrap us up, Michael, what do these revised standards mean for patients who are receiving oral anticancer medications? Michael Reff: Yes, great point and question, Brittany, because we have covered the benefits to the clinicians and the practices themselves. But how is this going to support better patient care? And it does it in a whole host of ways. I'll cover just a few of them. What I'm about to share with you relates back to what we call at NCODA the "core claims." Like, what's the core claims of having a medically integrated pharmacy within the practice? And there are seven different core claims that we feel practices that are focused on the continuity of care can deliver better outcomes that are embedded in these standards. And it's talking about abandonment, adherence, access and affordability, speed to therapy or time to fill, as we call it, education, patient satisfaction, and cost avoidance that we covered earlier. So those are the core claims that a practice that follows these revised standards can help elevate. So, faster and more affordable access to the oral cancer medications; individualized support to address barriers like transportation, finance, language, or health literacy, and so on; clear, patient-friendly education; something that is near and dear to all clinicians' hearts, and of course, the patient that was on our panel or on our committee, to empower them to manage side effects and recognize when to seek help; and a stronger partnership with a care team, with regular follow-ups focused on their experience, challenges, and successes; and then, greater overall safety through proactive monitoring for medication errors or complications. So all of these aspects, or tenets, as I'll call them, are baked into these quality standards that are totally aligned with NCODA's core claims document that, again, talks about abandonment, adherence, access and affordability, speed to therapy, education, satisfaction for the patients, and also cost avoidance. Dr. Luis Raez: I only want to add and invite the community to adhere to these standards, to practice the standards. You will be providing the best patient care that we can nowadays. Brittany Harvey: Definitely. I think these standards are very important. And Michael, I thank you for touching on those key claims from NCODA. I think those, along with these updated standards, will improve outcomes for patients everywhere. So I want to thank you both so much for your work to update these standards and all the time you put into it. And thank you for your time today too, Michael and Dr. Raez. Michael Reff: I'd like to thank not only the committee, my esteemed committee that helped support the standards and the revision. Many of the original healthcare providers and patient that were on the first go of the standards were part of the second standards. We revised it, of course, and we got additional support from the new committee. And certainly ASCO and their partnership and collaboration with NCODA has been tremendous. And we look forward to the oncology community at large adopting these standards, again, to work together, we do become stronger, and it will improve cancer care for patients receiving oral anticancer medications. So thank you, Brittany. Dr. Luis Raez: I only want to say the same thing. Actually, there is probably more people in NCODA that is not in the publication that has helped. Same in ASCO. Also, we want to give thanks to Dr. Stephen Grubbs, our leader in quality. He's retiring. We're going to miss him, but he has been a key collaborator with Mike organizing these standards for the last five or six years. So, looking forward to these standards in practice. Brittany Harvey: Absolutely. A big thank you to the entire panel and everyone who contributed to this, and NCODA as well. And then finally, thank you to all of our listeners for tuning in to the ASCO Guidelines podcast. To read the complete standards, go to www.asco.org/standards. I also encourage you to check out the companion episode on these standards on the PQI podcast by NCODA, which you can find on Apple Podcasts and Spotify. You can also find many of our standards and interactive resources in the free ASCO Guidelines app, which is available in the Apple App Store or the Google Play Store. If you have enjoyed what you've heard today, please rate and review the podcast and be sure to subscribe so you never miss an episode.   The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.

The Baseball Hour with Tony Mazz
Will Things Get Better for the Red Sox? // Prospects Are Being Integrated Poorly in Boston // Red Sox vs Brewers - 5/27

The Baseball Hour with Tony Mazz

Play Episode Listen Later May 27, 2025 40:21


(0:00) Mazz kicks off the show by questioning whether things will get better for the Red Sox with JStew. (13:01) Conversation about the botched development for young players and caller reactions. (26:23) Trivia Tuesday and calls about everything Mazz has talked about and more. (36:21) Final thoughts from Mazz.

Inspiring Human Potential
The trickery of the mind with ego narratives & self explained by science & clear to integrated minds

Inspiring Human Potential

Play Episode Listen Later May 24, 2025 26:33


This episode is also posted on the IPH YouTube podcast.IHP content is for people who are interested in topics, stories, & guidance for personal development, self-help, spirituality journey, the 5D mystic path, & enlightenment the human way. It's for people who choose the human love narrative, not the human suffering narrative. Don't tune in if you don't love life & humanity because this won't be for you. Don't tune in if you still believe in evil or the devil. Topic not ideal for ego-sensitive or emotionally sensitive people. Please don't tune in. Thank you! All IHP content resonates with people who want to achieve enlightenment the human way & are emotionally accountable. IHP podcast host Maria Florio shares voices, stories & perspectives from her 5D mystic enlightenment functional adult life to give examples of what it's like to know emotional self-regulation skills, experience secure attachment, have functional adult conversations & experiences & 5D relationships.Inspiring Human Potential Inner Growth 5D Self-Empowered Enlightened Expanding Consciousness Voices, Stories & Perspectives5D Mystic Enlightenment Functional Adult Relationships New Stories To Heal Trauma Together & Bring Forth Your Humanity5D collective are functional adults who unconditionally love with flaws & imperfections that want to bring forth the authentic self, the inner child adult, & use functional adult direct open-hearted communication.You find your authentic self with self-awareness of your inner & outer mental, emotional & physical well-being as you choose to expand consciousness through integration of the brain, learning to love yourself and other(s) unconditionally - family, community, society, & world.To be you means you're able to actively feel alive, energized & ready for life's adventures (thanks to engaging your mammalian social engagement system - the ventral vagal state). You're ready to bring forth the future with the 5D collective (mystics & educators, etc.) & support humanity to move into another day of life & beyond.With a twin flame there is no saga or obsession; just unconditional love with a deep knowing of one's bond, oversoul connection, lifetimes together.Bringing Together Human, Spiritual, & Spirituality Elements to Explore Human Evolution & ConsciousnessBringing together the human elements (existentialism, psychology, sociology, neuroscience, somatics informed, trauma informed, interpersonal neurobiology informed, etc.), spiritual elements (ascension, the four clairs, astrology, metastrology, metaphysics, 3D, 4D, 5D - dimensions, spiritual awakening, tarot, Akashic records, etc.), & spirituality elements to explore human evolution & consciousness.When we can unconditionally love with flaws & imperfections in all our relationships, we always grow & expand consciousness. We get to experience authentic & genuine aspects that go beyond what words can describe.All our relationships support our expansion of consciousness.We are fragments of each other.Relationships that are unconditionally loving with flaws & imperfections hold the opportunity to support learning how to express & be your true self & tap into your infinite higher human consciousness potential in this lifetime, not the next one.I am life.I am love.I am expanding consciousness.I am infinite higher human potential.I am you.Love, Maria ♾️

Inspiring Human Potential
Suffering isn't a part of the enlightening empowered integrated mind-body-self - 5D mystic stories

Inspiring Human Potential

Play Episode Listen Later May 23, 2025 27:02


This episode is also posted on the IPH YouTube podcast.IHP content is for people who are interested in topics, stories, & guidance for personal development, self-help, spirituality journey, the 5D mystic path, & enlightenment the human way. It's for people who choose the human love narrative, not the human suffering narrative. Don't tune in if you don't love life & humanity because this won't be for you. Don't tune in if you still believe in evil or the devil. Topic not ideal for ego-sensitive or emotionally sensitive people. Please don't tune in. Thank you! All IHP content resonates with people who want to achieve enlightenment the human way & are emotionally accountable. IHP podcast host Maria Florio shares voices, stories & perspectives from her 5D mystic enlightenment functional adult life to give examples of what it's like to know emotional self-regulation skills, experience secure attachment, have functional adult conversations & experiences & 5D relationships.Inspiring Human Potential Inner Growth 5D Self-Empowered Enlightened Expanding Consciousness Voices, Stories & Perspectives5D Mystic Enlightenment Functional Adult Relationships New Stories To Heal Trauma Together & Bring Forth Your Humanity5D collective are functional adults who unconditionally love with flaws & imperfections that want to bring forth the authentic self, the inner child adult, & use functional adult direct open-hearted communication.You find your authentic self with self-awareness of your inner & outer mental, emotional & physical well-being as you choose to expand consciousness through integration of the brain, learning to love yourself and other(s) unconditionally - family, community, society, & world.To be you means you're able to actively feel alive, energized & ready for life's adventures (thanks to engaging your mammalian social engagement system - the ventral vagal state). You're ready to bring forth the future with the 5D collective (mystics & educators, etc.) & support humanity to move into another day of life & beyond.With a twin flame there is no saga or obsession; just unconditional love with a deep knowing of one's bond, oversoul connection, lifetimes together.Bringing Together Human, Spiritual, & Spirituality Elements to Explore Human Evolution & ConsciousnessBringing together the human elements (existentialism, psychology, sociology, neuroscience, somatics informed, trauma informed, interpersonal neurobiology informed, etc.), spiritual elements (ascension, the four clairs, astrology, metastrology, metaphysics, 3D, 4D, 5D - dimensions, spiritual awakening, tarot, Akashic records, etc.), & spirituality elements to explore human evolution & consciousness.When we can unconditionally love with flaws & imperfections in all our relationships, we always grow & expand consciousness. We get to experience authentic & genuine aspects that go beyond what words can describe.All our relationships support our expansion of consciousness.We are fragments of each other.Relationships that are unconditionally loving with flaws & imperfections hold the opportunity to support learning how to express & be your true self & tap into your infinite higher human consciousness potential in this lifetime, not the next one.I am life.I am love.I am expanding consciousness.I am infinite higher human potential.I am you.Love, Maria ♾️

CodeCast | Medical Billing and Coding Insights
Did you know AI is integrated into EMRs?

CodeCast | Medical Billing and Coding Insights

Play Episode Listen Later May 20, 2025 16:00


With all of the AI implementation into EHR and EMR systems, there is concern about how providers rely on these AI shortcuts more than ever. Without proper safeguards, accountability, and compliance perimeters, relying on AI could be problematic. Terry discusses the red flags to look for and how to proceed with caution in this new […] The post Did you know AI is integrated into EMRs? appeared first on Terry Fletcher Consulting, Inc..

ai integrated emr ehr emrs terry fletcher consulting
Remarkable Marketing
Hades: B2B Marketing Lessons on Making Brave Creative Moves with Director, Content Marketing & Integrated Campaign Strategy at Sumo Logic, Zoe Hawkins

Remarkable Marketing

Play Episode Listen Later May 20, 2025 54:56


Escaping the underworld may not sound like a marketing strategy until you look at how Hades turned it into a blueprint for success.Developed by indie studio Supergiant Games, Hades isn't just a video game, it's a critically acclaimed masterpiece thanks to its iterative development, rich storytelling, and a fanbase that helped shape the game in real time. In this episode, we dive into the lessons marketers can learn from this roguelike phenomenon with special guest Zoe Hawkins, Director, Content Marketing & Integrated Campaign Strategy at Sumo Logic.Together, we explore what B2B marketers can learn from fearless experimentation, community co-creation, and crafting content your audience can't help but share.About our guest, Zoe HawkinsZoe Hawkins is a former video game and tech journalist turned content marketer. She has over a decade of professional experience turning technical understanding into fluent communication. Working with a range of B2B tech companies, Zoe has helped create value across marketing and strategy. She also serves as co-lead for Sumo Logic's sustainability-focused ERG, the Planeteers. When not working, Zoe is usually absorbed in speculative fiction – video games, books, or streaming media. She's a mom to two cats and a grade-school-aged daughter, living with her husband in perpetually sunny Arizona.What B2B Companies Can Learn From Hades:Experimentation is the only way forward. In Hades, dying isn't a setback; it's part of the process. Zoe says, “You keep experimenting and you're gonna fail. And that's okay... Each time you learn and you grow and you do it better.” For marketers, it's a reminder that campaigns don't need to be perfect out of the gate. Failure isn't fatal. Failure is how you find what works.Build content with your community, not just for them. Supergiant launched Hades in early access, inviting players to shape the game as it evolved. Zoe explains, “They give feedback. It's almost like a co-design, co-development process with your fans.” B2B marketers can do the same by involving their audience early, whether through feedback loops, pilots, or beta content. Let your audience help build what they want. It not only strengthens relationships, but it also keeps them excited about what's coming next.Create content that people want to share. Hades isn't just a game people play, it's one they rave about. Zoe asks, “How do you make it that people are actually happy to use your product and excited to use it… not just customer loyalty, but advocacy? They wanna tell other people, ‘you will not believe how cool this thing is'.” That's exactly what Hades achieves through intentional design, standout storytelling, and undeniable personality. Marketers should aim for the same. Treat your content the way Hades treats gameplay, and your audience won't just consume it, they'll spread it.Quotes*“ You keep experimenting, and you're gonna fail. And that's okay. If I think about it, you come into a new team or you come into a new product launch or you come into a new organization, whatever it might be. And you think you know how to play the game, you think you know what it takes to succeed, to beat the boss, whatever that is. And you do the run according to the way that you've done it, maybe in other roles or other companies, and you die, you fail. It doesn't necessarily go a hundred percent to plan, and that's okay. And then you get to restart with a new weapon, a new strategy, a new approach, whatever that might be, and pull it back together. Bring it back in to say, ‘okay, let's, let's try it again. Let's run it again and see if we're successful this time.' And that just feels so liberating and then each time you learn and you grow and you do it better.”*“ I love the idea that they only make one game at a time, that they're so focused, and it comes through in the work. It's so polished, it's so well made, and clearly made with love, that transfers to me. And I think if we tie it back to that B2B marketing, I think about working in tech, working in SaaS, how do you give that moment of delight where it's not just like, ‘oh my gosh, your company saved me this amount of money or whatever, or this tool is worthwhile for me.' But how do you make it that people are actually happy to use your product and excited to use it, or have that sense of not just customer loyalty, but advocacy. They wanna tell other people, ‘you will not believe how cool this thing is.'”*“ One of my favorite kinds of content to make is case studies because we get to make our customer shine and tell their story… I know our story backwards and forward. What's your story? Why are you winning with this? Why are you succeeding with this? And being able to tell something cool that they figured out, a way they're using our product that we didn't even think about that's interesting or cool.”*“ Not being afraid to experiment, not being afraid to fail, I think, is such an important marketing lesson, because you're gonna have some risks that are gonna be great, and you're gonna take some risks that are gonna just completely flop. And that's okay. That's how we learn. That's how we try new things.”Time Stamps[0:55] Meet Zoe Hawkins, Director, Content Marketing & Integrated Campaign Strategy at Sumo Logic[02:20] Why Hades?[03:08] The Role of Director of Content Marketing and Integrated Campaigns at Sumo Logic[03:54] Origins of Hades[15:29] B2B Marketing Lessons from Hades[44:32] Importance of Humor in Branding and Content Strategy[49:47] Versatility of Video Content[54:11] Final Thoughts and TakeawaysLinksConnect with Zoe on LinkedInLearn more about Sumo LogicAbout Remarkable!Remarkable! is created by the team at Caspian Studios, the premier B2B Podcast-as-a-Service company. Caspian creates both nonfiction and fiction series for B2B companies. If you want a fiction series check out our new offering - The Business Thriller - Hollywood style storytelling for B2B. Learn more at CaspianStudios.com. In today's episode, you heard from Ian Faison (CEO of Caspian Studios) and Meredith Gooderham (Head of Production). Remarkable was produced this week by Jess Avellino, mixed by Scott Goodrich, and our theme song is “Solomon” by FALAK. 

Real Estate Excellence
Why REAL Brokerage

Real Estate Excellence

Play Episode Listen Later May 16, 2025 74:27


Is your brokerage truly giving you freedom, flexibility, and financial growth? In this episode of the Real Estate Excellence Podcast, Tracy Hayes dives into the dynamic world of REAL Brokerage with guests Gigi Urbanski and Mike Rolewicz. Together, they explore how REAL is disrupting the traditional brokerage model by focusing on scalable support, tech-driven efficiency, and multiple income streams. From streamlined operations to a thriving agent community, REAL positions itself not as a destination, but a vehicle to entrepreneurial success. The conversation uncovers how REAL's powerful tech stack, AI tools like Leo Copilot, and agent-driven training platforms are empowering agents at all levels. Whether you're a new agent looking for structure or a seasoned professional craving freedom and ownership, REAL's transparent model offers simplicity, equity, and genuine collaboration that inspires agents to not only succeed but to build wealth with purpose. Ready to break away from the ordinary?   Highlights: 00:00 – 04:17 Introduction and REAL's Positioning REAL as a platform versus destination Movement-based culture and branding Sneaker culture and dress code ChatGPT used for show prep REAL's buzz compared to LPT 04:17 – 10:50 Tech Stack and Broker Efficiency App-based tools and transaction management Broker support through Leo and real-time calls Transparent commission preview and compliance AI Wallet integration and Visa payouts REAL's scalability in tech and communication 10:50 – 19:54 Community, Culture and Plug-in Potential Education via peer-contributed modules Local masterminds and “come as you are” vibe Relevant agents as trainers Personal stories of switching from other brokerages Adapting to solo, team, or boutique styles 19:54 – 35:21 Business Tools, Financial Planning and ROI Capping, post-cap structure, and stock incentives Integrated budgeting with accountability calls REAL-built one-page business plans Tools for boutique or indie brokers Ease of use and agent empowerment 35:21 – 44:14 Revenue Streams and Support Systems Breakdown of split models and fees REAL Academy and Elite Agent program Referral ecosystem and organic recruiting Agent wins and mentorship stories Collaboration without hard pitching 44:14 – 01:14:26 Leadership, Masterminds, and Events Coffee meetings and spontaneous conversions Mastermind access (Women of Real, Social Media Leaders) Eric Hatch's free coaching sessions RealX events and open-door policy Cross-brokerage collaboration and local engagement Conclusion   Quotes: "REAL is not the destination—it's the vehicle." – Mike Rolewicz "We're going to be doing this with or without you—it'd just be cool if you were with us." – Mike Rolewicz "You're with REAL, you don't have to wear heels anymore." – Gigi Urbanski "Agents aren't looking for another meeting, they're looking for a community." – Gigi Urbanski   To contact Angela “Gigi” Urbanski and Mike Rolewicz, learn more about their business, and make them a part of your network, make sure to follow them on Website, Instagram, Facebook, YouTube, and LinkedIn.   Connect with Angela “Gigi” Urbanski! Website: https://angelaurbanski.exprealty.com Instagram: https://www.instagram.com/gigiofjax/ Facebook: https://www.facebook.com/GiGiofJAXHomeSquad/ YouTube: https://www.youtube.com/channel/UCdor_3bwxhJ3HQ8dEU7iYag LinkedIn: https://www.linkedin.com/in/gigiyourhomegirl/   Connect with Mike Rolewicz! Website: https://www.904homeguide.com Instagram: https://www.instagram.com/904homeguide/ Facebook: https://www.facebook.com/904homeguide/ YouTube: https://www.youtube.com/@mikerolewicz904homeguide LinkedIn: https://www.linkedin.com/in/mike-rolewicz-b37135b   Connect with me! Website: toprealtorjacksonville.com   Website: toprealtorstaugustine.com    If you want to build your business and become more discoverable online, Streamlined Media has you covered. Check out how they can help you build an evergreen revenue generator all powered by content creation!   SUBSCRIBE & LEAVE A 5-STAR REVIEW as we discuss real estate excellence with the best of the best.   #RealBrokerage #RealEstateTech #AgentTools #BrokerageDisruption #StockAwards #RealEstateLife #CloudBrokerage #RealEstateMovement #RealTalk #RealAgents #RealResults #LeoCopilot #RealEstateCommunity #TeamLeaderLife #OpenHouseTips #LuxuryRealEstate #WomenInRealEstate #FinancialFreedom #AIinRealEstate #RealtorLife

Modern Chiropractic Marketing Show
The Integrated Practice with Jonathan Saigh DC

Modern Chiropractic Marketing Show

Play Episode Listen Later May 15, 2025 52:04


In this episode of Modern Chiropractic Mastery, Dr. Kevin Christie interviews Dr. Jonathan Saigh, an experienced chiropractor who has successfully built and integrated a large clinic in Wisconsin. The discussion covers the importance of having a vision for growth, the mental and financial rigors of establishing an integrated practice, and strategies for providing exceptional patient care. Saigh shares insights on managing a diverse team of medical professionals, the significance of delayed gratification, and the necessity of evolving in business. He also gives practical advice for chiropractors looking to start their own integrated clinics and emphasizes the value of a solid problem-solving system and strong team dynamics.

Up To Date
75 years after Truman integrated the military, Black veterans reflect on the 'freedom to serve'

Up To Date

Play Episode Listen Later May 15, 2025 28:09


In 1950, a special committee assembled by President Harry S. Truman delivered its groundbreaking report on desegregating the military. KCUR's Up To Date spoke with two Black veterans to discuss the legacy of Truman's decision and the battles that are still being fought to ensure the integration of the armed forces.

Adeptus Ridiculous
LOYALIST POWER ARMOR DEEP DIVE | Warhammer 40k Lore

Adeptus Ridiculous

Play Episode Listen Later May 14, 2025 103:30


https://www.patreon.com/AdeptusRidiculoushttps://www.adeptusridiculous.com/https://twitter.com/AdRidiculoushttps://shop.orchideight.com/collections/adeptus-ridiculousSpace Marine Power Armour is an extraordinarily sophisticated defensive system which combines huge resistance to physical damage with a sensory array and sealed environment which protects its wearer from the ravages of the void and alien atmospheres. Integrated with the armour are networks of electro-motivated fibre bundles which mimic and augment the muscular strength of the wearer, as well as connection cables which hook up to the Black Carapace implant of a Space Marine. The true genius of the design, however, lies in its close integration with the already superhuman physiology, senses and reflexes of the Space Marine within. Working in concert, armour and Astartes together become a weapon without equal.Support the show

Renewable Energy SmartPod
How Integrated EPC Teams Are Streamlining Renewables Projects

Renewable Energy SmartPod

Play Episode Listen Later May 14, 2025 26:20 Transcription Available


From project development and permitting to interconnection, construction and startup, the experience of a fully integrated engineer-procure-construct (EPC) team can be a crucial driver of results for renewables projects. With that in mind, two experts from Burns & McDonnell join the show to outline best practices for getting projects done amid all the uncertainty that is swirling around the industry. Cam Garner, section manager in the solar program, and Bob Fayard, solar preconstruction manager, share examples from the field and offer great tips that owners and developers can utilize at various stages of a project.More resources from Burns & McDonnell:Drive Predictable Results With an Integrated EPC TeamEarly Moves That Matter: Aligning Solar Project Teams From Day OneSign up for the Renewable Energy SmartBrief

JIMD Podcasts
IMD Research Round-Up: Methylmalonic Aciduria

JIMD Podcasts

Play Episode Listen Later May 13, 2025 34:17


Dr Sabine Fuchs, Professor of Metabolic diseases and innovative therapies at the UMC Utrecht, and Dr Sean Froese, a Principal Investigator in the Metabolism Division at University Children's Hospital Zürich, join Rodrigo and Silvia to discuss new insights and some of their favourite papers on Methylmalonic Aciduria. Authors opinions are their own and do not represent their institutions. Papers discussed include: Integrated multi-omics reveals anaplerotic rewiring in methylmalonyl-CoA mutase deficiency Forny et al Aberrant methylmalonylation underlies methylmalonic acidemia and is attenuated by an engineered sirtuin. Head et al Lipodystrophy in methylmalonic acidemia associated with elevated FGF21 and abnormal methylmalonylation. Manoli et al Prime editing for functional repair in patient-derived disease models Schene et al Mutation-specific reporter for optimization and enrichment of prime editing Schene et al Biomarkers to predict disease progression and therapeutic response in isolated methylmalonic acidemia. Manoli et al Fibroblast growth factor 21 as a biomarker for long-term complications in organic acidemias. Molema et al

JACC Speciality Journals
Brief Introduction - A New Benchmark for Modern Management of Valvular Heart Disease: The Whole-Life Cycle Management System | JACC: Asia

JACC Speciality Journals

Play Episode Listen Later May 13, 2025 1:37


Catholic Life Coach For Men
245 - Authentic Masculinity with Josh Tomeoni

Catholic Life Coach For Men

Play Episode Listen Later May 12, 2025 67:12


Have you ever noticed that sometimes what your wife says she wants isn't what she actually wants? While this is true for everyone, modern women are in a particular pinch about expressing what they want from a man. The truth is they simultaneously want a deep and powerful masculine presence from their man but are also scared of that masculinity. This can be a very confusing message to men - especially men who are not confident in their own masculinity. The solution is for you, the man, to both lean into authentic masculinity, but to do it in a way that remains true to you, and thus "safe." This is hard, and even scary, for us men to do! Join me in this episode as Joshn Tomeoni and I walk through this idea of authentic masculinity; how do we men find it and live it in a way that serves the women around us the best? Perhaps the most important word is "authentic" - it has to be really you. Nothing fake can endure long term. You can read more about Josh and his work with The Derelict podcast at https://www.instagram.com/joshthederelict/  

The Crackin' Backs Podcast
Are You Paying Attention? - HRV Is the Future of Health Tracking

The Crackin' Backs Podcast

Play Episode Listen Later May 12, 2025 69:48 Transcription Available


Unlocking the Power of HRV with Dr. David HopperHeart Rate Variability (HRV) is emerging as a critical health metric, yet many overlook its significance. Integrated into devices like the Apple Watch, Whoop, and Oura Ring, HRV can signal potential health issues before symptoms arise. In this episode of the Crackin' Backs Podcast, we welcome Dr. David Hopper, a chiropractor and HRV expert, who shares his personal journey into HRV research following his father's heart attack linked to undiagnosed sleep apnea.​Dr. Hopper discusses the development of an HRV tracking app and clinician dashboard designed to monitor patients' HRV remotely, bridging gaps in healthcare by enabling providers to track patient health between visits. He provides real-world examples of how HRV monitoring has led to early detection of health issues, allowing for timely interventions.​We also address common misconceptions about HRV, such as the belief that a higher HRV is always better, and offer guidance on interpreting HRV data from wearables. Dr. Hopper shares lifestyle strategies to improve HRV, emphasizing the roles of sleep quality, nutrition, hydration, stress management, and breathing practices.​Looking ahead, Dr. Hopper offers insights into the future of wearable health technology and HRV, including the potential for continuous 24/7 monitoring and real-time health coaching based on nervous system data.​Resources:Optimal HRV Device and App: https://www.optimalhrv.com/hrvmonitoringdeviceDr. Hopper's Online HRV Course: https://www.drdavidhopper.com/challengesChiropractic Products by Dr. Hopper: https://spinalmobilitymaster.comDr. David Hoppers Website: Click HERETune in to learn how HRV can be a game-changer in proactive health management.We are two sports chiropractors, seeking knowledge from some of the best resources in the world of health. From our perspective, health is more than just “Crackin Backs” but a deep dive into physical, mental, and nutritional well-being philosophies. Join us as we talk to some of the greatest minds and discover some of the most incredible gems you can use to maintain a higher level of health. Crackin Backs Podcast

ThePrint
CutTheClutter: India's multi-layered integrated air defence system, & how it's thwarting Pakistan's drone attacks

ThePrint

Play Episode Listen Later May 9, 2025 28:11


Three nights after Op Sindoor, the India-Pakistan air warfare continues in the north and the west of our country. In episode 1657 of #CutTheClutter, Editor-in-Chief Shekhar Gupta and Deputy Editor Snehesh Alex Philip discuss India's multi-layered integrated air defence system and how it is thwarting drone attacks by Pakistan.

Kottke Ride Home
Weird Wednesday: Bizarre Evolutionary Discovery, World's Largest Dog Meets World's Smallest & Seagull Boy Returns + TDIH: The First Integrated Circuit

Kottke Ride Home

Play Episode Listen Later May 7, 2025 20:53


Weird Wednesday brings us a strange evolutionary discovery, the world's largest dog meets the world's smallest (and it's hard not to smile), plus 'Seagull Boy' returns to defend his championship. On This Day in History, we look back at the world's first integrated circuit. The surprising evolution of the platypus and echidna, the weirdest animals on Earth | CNN -  In rare evolutionary event, weird platypus cousin evolved from living in water to living on land | Live Science Bone microstructure supports a Mesozoic origin for a semiaquatic burrowing lifestyle in monotremes (Mammalia) | PNAS A 3-foot difference didn't stop a horse-size Great Dane and tiny chihuahua from becoming friends | AP News Watch: World's tallest and shortest dogs have puppy playdate in Idaho - UPI.com Watch: British 'Seagull Boy' wins second consecutive gull screeching championship - UPI.com https://www.bbc.co.uk/newsround/articles/cy0y47zved2o Contact the show: coolstuffcommute@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

The Optometry Money Podcast
Creating a More Holistic Integrated Healthcare Patient Experience with Dr. Neda Gioia

The Optometry Money Podcast

Play Episode Listen Later May 7, 2025 42:30 Transcription Available


Questions? Thoughts? Send a Text to The Optometry Money Podcast!In this episode of the Optometry Money Podcast, Evon Mendrin talks with Dr. Neda Gioia, the owner of Integrative Vision. Dr. Gioia shares her journey into optometry, what led her to cold-start her own practice, and how a personal health crisis inspired her to adopt an integrative healthcare approach within optometry. She discusses how she blends traditional eye care with holistic health practices, addressing root causes of dysfunction rather than just treating symptoms.Dr. Gioia also dives into her transition from insurance-based to a concierge model of care, the challenges of integrating holistic healthcare into an optometry practice, and how she navigates patient education and staff training to make her practice unique and impactful.Key Takeaways:Integrative Healthcare in Optometry: Dr. Gioia explains how addressing root causes rather than just symptoms benefits patients holistically.Transition to a Concierge Model: She shares insights into moving away from insurance and creating a more personalized, patient-centered approach.Education and Patient Engagement: Learn how Dr. Gioia educates her staff and patients about the benefits of holistic health practices.Practice Management Tips: Practical advice on starting small, trial and error, and gradually building a holistic model within an optometry practice.Overcoming Challenges: Discover the biggest obstacles Dr. Gioia faced, from patient communication to system integration.Links and Resources Mentioned:Integrative Vision WebsiteDr. Neda Gioia's WebsiteAmerican Academy of Anti-Aging MedicineOcular Wellness and Nutrition SocietyAmerican Nutrition AssociationInstitute of Functional MedicineConnect with Us:Visit our WebsiteSend your questions to podcast@optometrywealth.comSubscribe & ShareIf you enjoyed this episode, please subscribe and leave a review. Share it with your colleagues!Thank you for listening! Stay tuned for more episodes of the Optometry Money Podcast.The Optometry Money Podcast is dedicated to helping optometrists make better decisions around their money, careers, and practices. The show is hosted by Evon Mendrin, CFP®, CSLP®, owner of Optometry Wealth Advisors, a financial planning firm just for optometrists nationwide.

2nd World Sepsis Congress (2nd WSC)
112: 5th WSC – Pathways for Sepsis Care – Integrated Emergency, Critical, and Operative Care (ECO)

2nd World Sepsis Congress (2nd WSC)

Play Episode Listen Later May 6, 2025 74:26


Session 6 ‘Pathways for Sepsis Care – Integrated Emergency, Critical, and Operative Care' from the 5th World Sepsis Congress. Featuring Krista Bracke, Tsion Firew, Ingrid Laerdal, Joe Bonney, Carolina Haylock-Loor, and Keith Martin as your moderator.

Federal Drive with Tom Temin
Experts back integrated State Department cyber bureau

Federal Drive with Tom Temin

Play Episode Listen Later May 5, 2025 8:15


Secretary of State Marco Rubio's sweeping reorganization plan would break up the Department's Bureau of cyberspace and digital policy, even though it has yet to celebrate its fourth birthday. Cyber policy experts, though, say the bureau should be retained as one integrated organization. Federal News Network's Justin Doubleday has more.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

With Bowl and Spoon
Nadia Sundlass, Integrated Dermatologist

With Bowl and Spoon

Play Episode Listen Later May 5, 2025 35:08


In this episode of With Bowl and Spoon, I chat with Dr. Nadia Sundlass, an integrative dermatologist with Forefront Dermatology. We dive into the fascinating connection between the gut microbiome and our skin, how fermented foods play a role, and why modern dermatology is expanding to include holistic practices like herbalism and Ayurvedic medicine. We also touch on the impact of microplastics, and why you should get that skin check—especially since May is Skin Cancer Awareness Month.https://forefrontdermatology.com/provider/nadia-sundlass-md-phd/This episode is sponsored by Terroir Designs, https://www.terroir-designs.com/

Blooming Curious
Integrated lesson planning with The Tiger Who Came to Tea

Blooming Curious

Play Episode Listen Later May 5, 2025 12:23 Transcription Available


Transform Your Teaching: Integrated Learning with Picture BooksThis episode addresses the common frustrations that educators face with lesson planning, and offers a solution through integrated learning using picture books. I share my personal experiences and insights from my teaching career, highlighting the effectiveness of using picture books to create comprehensive, hands-on lesson plans that cover multiple curriculum areas. In this episode I introduce you to a ready-made lesson plan designed to save you time and engage students with creative and interactive learning experiences. Additionally, if you purchase the lesson plan, you'll automatically be invited to join the Blooming Community for additional support and resources.

New Scientist Weekly
Is our understanding of light completely wrong? Two consciousness theories go head-to-head; decoding dolphin whistles

New Scientist Weekly

Play Episode Listen Later May 2, 2025 28:45


Episode 301 Our understanding of the nature of light might be completely wrong. The double-slit experiment is one of the most famous experiments in physics and is how we've understood light for over 200 years. But a team is now suggesting we've got the interpretation all wrong - that light is in fact not a wave and is only made up of particles. If true, this is major. The authors of this study were left scrambling as “all hell broke loose” when they made the discovery. And the best part? Dark photons may be involved. A 7 year study into the nature of consciousness has reached its conclusion - pitting two major theories against one another. Integrated information theory suggests levels of consciousness exist in any system, including rocks and fetuses. Global neuronal workspace theory claims specific brain regions are responsible for consciousness. After 256 brain scans - are we any closer to an answer? A decades-long study involving 170 wild dolphins has allowed biologists to decode their whistles. Hear dolphins recorded in the waters of Sarasota, Florida, which show how the animals communicate in various ways - and even give themselves names. Chapters: (00:45) Dark photons and our understanding of light (11:07) Major theories of consciousness go head-to-head (21:05) Decoding whale language Hosted by Rowan Hooper and Penny Sarchet, with guests Chelsea Whyte, Celso Villas-Boas, Gerhard Rempe, Christof Koch, Anil Seth and Laela Sayigh. To read more about these stories, visit https://www.newscientist.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

UBC News World
TUSK's Integrated Gippr AI Complements Online Search For Conservatives

UBC News World

Play Episode Listen Later May 2, 2025 2:06


Looking for the ultimate online search experience with built-in AI chat? TUSK is ideal - and you'll love diving into Gippr AI! Find out more at https://tuskbrowser.com/gippr/ TUSK City: Santa Barbara Address: 5383 Hollister Ave., Suite 120 Website: https://tuskbrowser.com/

Good Theological Thursday
Body, Soul, Spirit: Unpacking Biblical Anthropology

Good Theological Thursday

Play Episode Listen Later May 1, 2025 41:05


Send us a textW3: Our episode begins with a short discussion about the life and influence of Dallas Willard.Main Topic: In this thought-provoking episode, we dive into the fascinating world of biblical anthropology, exploring what Scripture reveals about the nature of humanity. Join us as we unpack the concepts of dichotomy, trichotomy, and wholeism, examining how these perspectives shape our understanding of the body, soul, and spirit. Through engaging discussion and biblical insights, we wrestle with the implications of these views for faith, identity, and the human experience. Whether you're a theologian or simply curious about what the Bible says about who we are, this episode offers a compelling and accessible journey into the heart of human nature.

The Vertical Space
#91 George Mattson, Wheels Up: The integrated customer experience

The Vertical Space

Play Episode Listen Later May 1, 2025 77:58 Transcription Available


In this episode, we sit down with George Mattson, CEO of Wheels Up, for a conversation about leading one of the most recognized brands in private aviation. George shares his perspective on building Wheels Up into an aviation solutions company and what sets their model apart in a competitive industry. With his background on the board of Delta Airlines, he offers a unique lens on integrating commercial and private aviation to create a seamless customer experience.We explore the current landscape of private aviation, its opportunities, headwinds, and the strategic thinking behind Wheels Up's direction. George also opens up about the realities of being a CEO in aviation: what a typical day looks like, how his expectations have evolved, and what leadership means in this fast-moving space. The conversation wraps with his outlook on the future of aviation, including thoughts on advanced air mobility and where innovation is headed.

Kolbecast
257 Integrated Catholic, Classical Education in Middle & High School

Kolbecast

Play Episode Listen Later Apr 30, 2025 45:56


AMDG. What do parents need to know before their children enter middle school or high school? Curriculum Director Maggie Hayden and Principal Nicole O'Connor are back once again to discuss classical education at the 6-12 grade level.   Maggie and Nicole share their years of expertise working with students, outlining what parents and students can expect both developmentally and academically as they transition from elementary school to middle school and from middle school to high school. The duo emphasizes the importance of exploration, curiosity, and integration; explains why literature and grammar are the focal point of the middle school years; and details why the Classical Composition course is so highly recommended through middle and high school. Next, Maggie and Nicole turn their attention to high school, discussing the methodology behind Kolbe's program, the “big questions” the program centers around, why “religion” becomes “theology” when studied in high school, and so much more.   Related links:  Summer Reading Program  How to Get Started at Kolbe  Kolbecast episodes mentioned & relevant  243 Drawing Distinctions – Classical Education, Liberal Arts, and Liberal Education  256 An Education That Reflects God's Beauty  61 Middle Ground with middle school teachers Alex Pischke & Amanda Hayes  203 Guided Freedom with Classical Composition teachers Sarah Foulkes & Grace Berg  14 We Don't Think Those Words Mean What You Think They Mean with Nicole O'Connor discussing the classical subjects of Logic & Rhetoric   Kolbecast Humanities series:   220 Decoding Mythology to Reveal Christianity   225 On the Same (Greco-Roman) Page   229 Take a Note from Homer   234 Adding Color to What Is Black & White   239 Divine Plot Twist  245 The Odyssey's Allegorical Outlook  Have questions or suggestions for future episodes or a story of your own experience that you'd like to share? We'd love to hear from you! Send your thoughts to podcast@kolbe.org and be a part of the Kolbecast odyssey.   We'd be grateful for your feedback! Please share your thoughts with us via this Kolbecast survey!  The Kolbecast is available on Apple Podcasts, Spotify, and most podcast apps. By leaving a rating and review in your podcast app of choice, you can help the Kolbecast reach more listeners. The Kolbecast is also on Kolbe's YouTube channel (audio only with subtitles).  Using the filters on our website, you can sort through the episodes to find just what you're looking for. However you listen, spread the word about the Kolbecast! 

Champion Hope with Lantz Howard
120 | Integrated Faith as an Entrepreneur and True Identity | Founder Andrew Clark of the Jeremiah Fund

Champion Hope with Lantz Howard

Play Episode Listen Later Apr 29, 2025 53:49


Andrew Clark shares insights on faith, marriage, and business, highlighting the importance of integrating Christian values into entrepreneurship. He reflects on 21 years of an intentional marriage, the origin of the Lion's Den investor network, and his journey from ministry to marketplace. Andrew discusses his investment philosophy through the Jeremiah Fund and the value of walking with founders in both business and spiritual growth. At the heart of the conversation is a call to find identity in Christ, live with purpose, and lead with a faith that goes beyond worldly success.Andrew Clark To receive coaching from Lantz Howard www.lantzhoward.comwww.leadwholeheartedly.com

The PRovoke Podcast
Building Out Golin's Vision To Be The First Fully AI-Integrated PR Agency

The PRovoke Podcast

Play Episode Listen Later Apr 28, 2025 27:16


Golin chief AI officer Jeff Beringer joins the PRovoke Media podcast to discuss his vision for being a fully AI-integrated PR agency. If all goes as planned, Golin by 2026 will be the first fully AI-integrated PR firm, transforming everything from workflow and jobs to the nature of client relationships. In this episode of the PRovoke Media podcast, Jeff Beringer, Golin's first chief AI officer, and PRovoke Media's Diana Marszalek discuss what being “fully AI-integrated” means in practical terms and how full-scale adoption of the technology will boost output and efficiency — all while keeping human relationships (and jobs) intact. Says Beringer, “We're  trying to equip people to do their best.”

Novonee - The Premier Dentrix Community
#156 The Eight Core Health Indicators for Integration

Novonee - The Premier Dentrix Community

Play Episode Listen Later Apr 26, 2025 24:00


Dayna Johnson discusses her interview with Dr. Ryan Hungate, Chief Strategy Officer for Henry Schein One, focusing on the collaboration between FDI and Henry Schein on a new electronic integrated health records project. The conversation highlights the importance of integrating oral health records with overall healthcare, emphasizing the need for better accessibility and collaboration among healthcare providers. Dayna outlines eight core oral health indicators for integration that will enhance patient care and documentation in dental practices. Takeaways ➡️FDI is the World Dental Federation focusing on global oral health advocacy. ➡️The collaboration between FDI and Henry Schein aims to improve electronic health records. ➡️Integrated health records can enhance patient care and coordination among providers. ➡️Dayna emphasizes the need for better access to patient records in dentistry. ➡️The electronic health records project has been in development for five years. ➡️There are eight core oral health indicators for integration in dental practices. ➡️Dayna plans to provide more resources and podcasts on these indicators. ➡️Improving health history documentation is crucial for patient safety. ➡️The new Dentrix Imaging Center will facilitate better sharing of diagnostic images. ➡️Collaboration in healthcare is essential for comprehensive patient care. Chapters 00:00 Introduction to the Interview with Dr. Ryan Hungate 07:09 The Importance of Integrated Health Records 20:51 Core Oral Health Indicators for Integration CLICK HERE to download the Consensus Statement launched from FDI: https://fdiworlddental.org/fdi-releases-consensus-paper-integration-oral-health-electronic-health-records Connect with Dayna: https://fdiworlddental.org/fdi-releases-consensus-paper-integration-oral-health-electronic-health-records

The Relationship School Podcast
Introducing: Integrated - Why Being a Team Is So Hard

The Relationship School Podcast

Play Episode Listen Later Apr 25, 2025 28:01


Jayson and Ellen have started a new podcast!Integrated is for entrepreneurial couples who want both a high-impact career and an exceptional partnership. Jayson and Ellen blend cutting-edge relationship science with decades of coaching experience to help you balance leadership at home and in business, fostering deeper connection and lasting success.Subscribe to Integrated here:SpotifyApple PodcastsIn this episode Jayson and Ellen talk about five reasons why being a team is so hard. How do culture and personal history impact teamwork? Is your sense of entitlement holding you back from effective collaboration? How can differences between people make for a stronger team? Find the answers to these questions and more in this episode!Timestamps:1:00 - 5 reasons why being a team is so hard1:47 - Cultural backdrop7:00 - Personal history11:49 - Your entitlement16:56 - Differences20:41 - Sharing leadership takes timeFollow Jayson and Ellen here:⁠⁠⁠⁠Ellen's Instagram⁠⁠⁠⁠⁠⁠⁠⁠Jayson's Instagram⁠⁠⁠⁠If you find this show valuable, please follow the show on your podcast platform of choice, give us a rating and tell your friends and family about Integrated!

Pediatric Meltdown
243. The Child Mental Health Podcast: Expert Insights from Child Psychiatry

Pediatric Meltdown

Play Episode Listen Later Apr 23, 2025 46:33


Are pediatricians prepared for the mental health crisis that's impacting so many of our children today?In this episode of Pediatric Meltdown, host Dr. Lia Gaggino sits down with nationally recognized child psychiatrist and podcast host Dr. Elise Fallucco to uncover the urgent realities facing pediatric practice. From understanding why a simple podcast name change can transform the reach of critical mental health education, to exploring the real-world, stepwise journey pediatricians navigate when facing complex child anxiety and medication management, this episode is a masterclass in practical empowerment. Listeners will discover actionable strategies for burnout, the evolving landscape of pediatric mental health treatment, and authentic stories of resilience, support, and resourcefulness. The stakes have never been higher—and the need to equip pediatric clinicians with the right knowledge and mindset is more critical than ever. Don't miss this invigorating roadmap for providing exceptional care in panicked times.[00:02 - 05:46] Branding, Access, and Reaching Pediatric CliniciansPediatric mental health education is increasingly being disseminated beyond in-person local trainings, leveraging digital platforms like podcasts to amplify access and reach.Clear, descriptive branding ensures the right clinicians can find mental health resources at the exact moment they need support in practice.The main driver in choosing content is what pediatricians most urgently seek: practical, actionable advice about managing medications for anxiety and ADHD.Making specialized knowledge accessible via on-demand, digestible podcast episodes empowers clinicians to feel less isolated and more competent.[05:47 - 13:30] The Ongoing Challenge of Anxiety, Burnout, and Self-CareAnxiety has emerged as the most common and burdensome mental health concern for children, exacerbated by societal stress and recent global events.Differentiating normal anxiety from clinical anxiety is crucial: functional impairment and life disruption are key markers for escalated intervention.Coping strategies for clinicians are vital; the “three pillars” are staying busy with purposeful activity, reaffirming personal/professional mission, and prioritizing self-care.Peer connection, exercise, and carving out time for meaningful relationships are highlighted as essential personal de-stressors.[13:31 - 25:00] Building Skill, Facing Complexity, and the Realities of CarePediatricians experience a four-stage progression from fear and avoidance to high-confidence care in managing pediatric mental health—each with unique challenges and rewards.Access limitations to child psychiatry have forced primary care clinicians to expand their skillsets and comfort zones, often out of necessity.Collaborative consultation programs, like psychiatric access hotlines, accelerate learning, build confidence, and foster an environment where sharing expertise is normalized.Developing fluency with diagnoses and medication management leads to more effective and streamlined care; “herd immunity” and practice culture shifts increase collective capacity.[25:01 - 36:05] Pain Points, Solutions, and Sustaining Progress in Pediatric Mental HealthBarriers to therapy—including logistics, family skepticism, and stigma—limit effective care, even as access improves; motivational interviewing is a partial solution but not a panacea.Integrated behavioral health models and school-based clinics offer promising solutions by reducing friction and meeting children and families where they are.Time constraints and misaligned incentives remain top frustrations; procedures are often reimbursed more than complex mental health care, despite the latter's intensity and impact.Empathy,...

Brain Inspired
BI 210 Dean Buonomano: Consciousness, Time, and Organotypic Dynamics

Brain Inspired

Play Episode Listen Later Apr 22, 2025 110:33


Dean Buonomano runs the Buonomano lab at UCLA. Dean was a guest on Brain Inspired way back on episode 18, where we talked about his book Your Brain is a Time Machine: The Neuroscience and Physics of Time, which details much of his thought and research about how centrally important time is for virtually everything we do, different conceptions of time in philosophy, and how how brains might tell time. That was almost 7 years ago, and his work on time and dynamics in computational neuroscience continues. One thing we discuss today, later in the episode, is his recent work using organotypic brain slices to test the idea that cortical circuits implement timing as a computational primitive it's something they do by they're very nature. Organotypic brain slices are between what I think of as traditional brain slices and full on organoids. Brain slices are extracted from an organism, and maintained in a brain-like fluid while you perform experiments on them. Organoids start with a small amount of cells that you the culture, and let them divide and grow and specialize, until you have a mass of cells that have grown into an organ of some sort, to then perform experiments on. Organotypic brain slices are extracted from an organism, like brain slices, but then also cultured for some time to let them settle back into some sort of near-homeostatic point - to them as close as you can to what they're like in the intact brain... then perform experiments on them. Dean and his colleagues use optigenetics to train their brain slices to predict the timing of the stimuli, and they find the populations of neurons do indeed learn to predict the timing of the stimuli, and that they exhibit replaying of those sequences similar to the replay seen in brain areas like the hippocampus. But, we begin our conversation talking about Dean's recent piece in The Transmitter, that I'll point to in the show notes, called The brain holds no exclusive rights on how to create intelligence. There he argues that modern AI is likely to continue its recent successes despite the ongoing divergence between AI and neuroscience. This is in contrast to what folks in NeuroAI believe. We then talk about his recent chapter with physicist Carlo Rovelli, titled Bridging the neuroscience and physics of time, in which Dean and Carlo examine where neuroscience and physics disagree and where they agree about the nature of time. Finally, we discuss Dean's thoughts on the integrated information theory of consciousness, or IIT. IIT has see a little controversy lately. Over 100 scientists, a large part of that group calling themselves IIT-Concerned, have expressed concern that IIT is actually unscientific. This has cause backlash and anti-backlash, and all sorts of fun expression from many interested people. Dean explains his own views about why he thinks IIT is not in the purview of science - namely that it doesn't play well with the existing ontology of what physics says about science. What I just said doesn't do justice to his arguments, which he articulates much better. Buonomano lab. Related papers The brain holds no exclusive rights on how to create intelligence. What makes a theory of consciousness unscientific? Ex vivo cortical circuits learn to predict and spontaneously replay temporal patterns. Bridging the neuroscience and physics of time. 0:00 - Intro 8:49 - AI doesn't need biology 17:52 - Time in physics and in neuroscience 34:04 - Integrated information theory 1:01:34 - Global neuronal workspace theory 1:07:46 - Organotypic slices and predictive processing 1:26:07 - Do brains actually measure time? David Robbe

Skincare Confidential
Revolutionizing Laser Surgery: Insights from Dr. Jill Waibel

Skincare Confidential

Play Episode Listen Later Apr 22, 2025 19:06


In this episode of Skincare Confidential, Dr. Patti Farris and Dr. Jill Waibel discuss the advancements in laser surgery and dermatology, focusing on the importance of post-procedure care and innovative skincare products. They delve into the RG-6 study, which highlights the integration of genomics and AI in skincare formulation, and the significance of using scientifically-backed products for optimal skin health. The conversation emphasizes the evolution of skincare practices and the future of integrated skincare in dermatology. A big thanks to our sponsor Skinceuticals. Takeaways: Post-procedure care is crucial for successful laser treatment outcomes.Using the right products post-laser can prevent complications.The RG-6 study showcases innovative skincare formulation using AI.SkinCeuticals is recognized for its scientific approach to skincare.Integrated skincare combines procedures with effective products for better results.The future of dermatology lies in preventive care and advanced treatments.Patients are increasingly aware of the importance of skincare science.Dermatologists must rely on studies to recommend products.The conversation around skincare is evolving with new scientific insights. Disclaimer: This podcast is not intended to provide diagnosis, treatment, or medical advice. Content provided in this podcast is for educational purposes only. Please consult with a physician regarding any health-related diagnosis or treatment. See omnystudio.com/listener for privacy information.

Unpacking the Digital Shelf
The Coalition of the Willing, with Heather Campain, VP, CPG Integrated Go-to-Market Strategy at Epsilon

Unpacking the Digital Shelf

Play Episode Listen Later Apr 21, 2025 39:29


So when Lauren invited Heather Campain, VP, CPG Integrated Go-to-Market Strategy at Epsilon, onto the podcast I immediately went to her LinkedIn, and here's what I saw below her name: Unified Commerce Leader | Silo Slayer | Possibilist | Omni Integration | eComm| Marketing | Retail Media | Joint Value Realization | JBP | Product Dev | Data+Analytics | Transformation. That plus 10 years at JnJ, Head of Strategy for the Walmart Business at Pepsico, and now at Epsilon. I thought “this is going to be good.” And it was.

Somatic Primer Podcast
Penelope Easten: Integrated Movement

Somatic Primer Podcast

Play Episode Listen Later Apr 21, 2025 75:14


On today's episode I had the pleasure to speak with Alexander Teacher Penelope Easten Penelope has been teaching the Alexander Technique since 1989. She also trained in Reiki, nutrition, and craniosacral therapy. Her book “Twelve Fundamentals of Integrated Movement” offers a theoretical framework of how integrated movement occurs. In this episode we discuss her studies with Margaret Goldie, an original student of F.M Alexander, and what made Miss Goldie such an impressive teacher. We also discuss how Iain McGilchrist's work on the Left & Right brain hemispheres pertains to the Alexander Technique an much morePenelope has a Book Study Club starting in May for her book Twelve Fundamentals of Integrated Movement. Find out more at her website: https://alexandertechniqueinfo.orgTo find our more about Somatic Primer please visit us at:https://Somaticprimer.comhttps://Vidyamethod.comOur Online Learning Platform Somatic Primer on PatreonPlease consider supporting the show with a monthly donation.Support the show

Novonee - The Premier Dentrix Community
#155 Interview with Ryan Hungate FDI Integrated Electronic Health Records Project

Novonee - The Premier Dentrix Community

Play Episode Listen Later Apr 21, 2025 15:18


In this episode of the High Performing Dental Team podcast, Dayna Johnson interviews Dr. Ryan Hungate at the International Dental Show in Cologne, Germany. They discuss the collaboration between FDI and Henry Schein on integrating electronic health records in dentistry, the importance of universal data platforms, and the potential for reimbursement changes in dental practices. The conversation highlights the need for seamless communication between dental and medical professionals to improve patient care. Takeaways ➡The International Dental Show is a significant event for dental professionals. ➡Dr. Ryan Hungate has transitioned from practicing orthodontics to focusing on strategic roles in dental technology. ➡The collaboration between FDI and Henry Schein aims to integrate health records across dental and medical fields. ➡Eight core health indicators are being developed to enhance patient care. ➡The Universal Data Platform allows for better data sharing between dental practices and medical professionals. ➡Payers may reimburse for new health indicators and tests that improve patient outcomes. ➡Integrating health records can streamline workflows in dental practices. ➡Dental professionals are encouraged to adapt to new technologies without extensive retraining. ➡The importance of collaboration in the dental industry is emphasized. ➡Innovative solutions are needed to incorporate health screenings into regular dental visits. Chapters 00:00 Introduction to the High Performing Dental Team Podcast 04:48 The Collaboration Between FDI and Henry Schein 09:51 Integrating Health Records in Dentistry 13:43 The Role of Universal Data Platform Click here to download the Consensus Statement: https://fdiworlddental.org/consensus-statement-integrated-electronic-health-records Please rate, review and share this episode with your colleagues. Book a call with Dayna: https://calendly.com/dayna-johnson/discovery-call

Holistic Health Matters
180: The Power of Natural Therapies in Cancer Treatment

Holistic Health Matters

Play Episode Listen Later Apr 16, 2025 30:51 Transcription Available


Description: In this episode, David Sandstrom interviews Dr. Nathan Goodyear, a medical doctor and director of Brio Medical, focusing on holistic and integrative cancer care. They discuss the importance of a natural approach to health, the coexistence of conventional and holistic medicine, and various therapies used in cancer treatment, including vitamin C, insulin potentiated therapy, and ozone therapy. The conversation emphasizes the need for a paradigm shift in cancer treatment, advocating for a more integrated approach that supports the immune system and overall health. Time Stamps: 08:15 Medicine has lost its way 10:10 Integrated cancer therapy 19:09 Targeted therapies 22:10 Going to war on the body 29:30 Christian Healthy Lifestyle Community Links: Christian Healthy Lifestyle Community Sign Up Full Show Notes Page More episodes: Podcast Hompage For a Copy of David's Book: The Christian's Guide to Holistic Health Ask David a question to be answered on an upcoming episode: Ask Me Anything Would you like to be on the Show? Schedule a Lifestyle Audit Twitter X Youtube

The Holistic Counseling Podcast
231 How Trauma-Informed Yoga Can Be Integrated Ethically & Effectively: Coaching Episode With Kelly Henry

The Holistic Counseling Podcast

Play Episode Listen Later Apr 16, 2025 23:20 Transcription Available


In this coaching episode of the Yoga in the Therapy Room podcast, we explore the ethical and trauma-informed integration of yoga into therapy sessions. Joined by Kelly Henry, the episode explores the ethics of using yoga for emotional regulation and body-based trauma processing in clinical settings. They discuss practical tips and challenges therapists face when incorporating yoga into their practice, focusing on maintaining ethical guidelines and client autonomy. The episode also highlights the importance of informed consent, co-regulation, and the integration of yoga with other therapeutic modalities.MEET Kelly HenryKelly Henry, a Licensed Independent Social Worker-Supervisor (LISW-S) and Licensed Independent Chemical Dependency Counselor, YTT, is the proud owner and operator of Sol Therapy LLC. With a rich background spanning over two decades, Kelly has dedicated her career to delivering comprehensive mental health and substance abuse services. Her expertise encompasses various settings, including community mental health, inpatient and outpatient behavioral health facilities, substance abuse treatment centers, and Day Treatment programs. Kelly's core philosophy revolves around self-empowerment, firmly believing that everyone is entitled to the highest quality of life. Complementing her established practices, Kelly recently obtained certification in yoga, with the aim of integrating mindfulness and meditation techniques into her conventional psychotherapeutic approaches. Through her unwavering commitment, Kelly instills hope and provides invaluable support to all individuals under her care.Find out more at Sol Therapy and connect with Kelly on FacebookPractical Tips for Integrating Yoga into TherapyEthical Considerations and Client AutonomyCombining Yoga with Counseling TheoriesConnect With Me Instagram: @chris_mcdonald58Facebook: Yoga In The Therapy PodcastJoin the private Facebook Group: Bringing Yoga Into the Therapy RoomTikTok: @YogaChris58Rate, review, and subscribe to this podcast on Apple Podcasts, TuneIn, and SpotifyHow To Build Competence and Confidence in Integrating Yoga Into the Therapy RoomHolistic Mindful Check-Ins by Chris McDonald, LCMHCSSelf-Care for the Counselor: A Companion Workbook: An Easy to Use Workbook to Support you on Your Holistic Healing and Counselor Self-Care Journey ... A...

Adafruit Industries
JP's Product Pick of the Week 4/15/25 RECAPNeoPixel Jewel 7 x 5050 RGB LED w Integrated Drivers

Adafruit Industries

Play Episode Listen Later Apr 16, 2025 1:00


JP's Product Pick of the Week 4/15/25 RECAP NeoPixel Jewel 7 x 5050 RGB LED w Integrated Drivers https://www.adafruit.com/product/2226 Visit the Adafruit shop online - http://www.adafruit.com ----------------------------------------- LIVE CHAT IS HERE! http://adafru.it/discord Subscribe to Adafruit on YouTube: http://adafru.it/subscribe New tutorials on the Adafruit Learning System: http://learn.adafruit.com/ -----------------------------------------

GEORGE FOX TALKS
Intel's Former CEO Reveals Why Faith and Tech Must be Integrated

GEORGE FOX TALKS

Play Episode Listen Later Apr 15, 2025 30:59


Former CEO of Intel Pat Gelsinger and Professor Brian Doak talk about our current technological moment. How does the advancement of generative AI compare to the arrival of the internet? What brand new possibilities does quantum computing unlock? Are Christians meeting the challenge of shaping these developments—as forces for good?Check out Gloo.If you enjoy listening to the George Fox Talks podcast and would like to watch, too, check out our channel on YouTube! We also have a web page that features all of our podcasts, a sign-up for our weekly email update, and publications from the George Fox University community.

The EBFC Show
How to Scale Target Value Delivery for Any Project: Part 1

The EBFC Show

Play Episode Listen Later Apr 14, 2025 55:52


The Perception & Action Podcast
533 – The Integrated Anatomy of Pitching, Randy Sullivan

The Perception & Action Podcast

Play Episode Listen Later Apr 8, 2025 60:21


An interview with Randy Sullivan and Frans Bosch to discuss Randy's new book “The Integrated Anatomy Pitching”. The science of movement variability, motor control, and injury prevention like never before. Links: https://floridabaseballarmory.com/product/integrated-anatomy-of-pitching-hardcover-edition/ https://www.amazon.com/Integrated-Anatomy-Pitching-Randy-Sullivan-ebook/dp/B0DVC5VGYS http://perceptionaction.com/ My Research Gate Page (pdfs of my articles) My ASU Web page Podcast Facebook page (videos, pics, etc)   Subscribe in iOS/Apple Subscribe in Anroid/Google   Support the podcast and receive bonus content   Credits: The Flamin' Groovies – ShakeSome Action Mark Lanegan - Saint Louis Elegy via freemusicarchive.org and jamendo.com

Transformative Principal
School Improvement Through Integrated Special Education with Dr. Kate Anderson Foley

Transformative Principal

Play Episode Listen Later Apr 8, 2025 26:39 Transcription Available


In this episode, Jethro Jones interviews Dr. Kate Anderson Foley, founder and CEO of the Education Policy and Practice Group. They discuss the integral role of special education in school improvement, the double helix approach to support systems, and the importance of tailoring instruction to student needs. Dr. Foley shares insights on the necessity of breaking down silos in education and promoting a student-centered approach that prepares learners for adult life.Tight instruction specifically for special education students. Double HelixDesigning lessons that are comprehensively situating the adults and students.Almost half a million students are identified as special education. Ban the Tiers! Nimble and responsive instruction. Not working in isolation anymore. Double Helix as a replacement for the RTI/MTSSStrength-based system - foundation of school improvement process. High expectations of staff. Accountability is measured by evidence of impact. Data that is used to inform and adjust. Shared accountability. Collaboratively working on improvement. Discussion about explicit instruction vs. non-explicit instruction. Blooms and scaffolding. The scaffolding needs to be doneHow do we scaffold that skill so they demonstrate it in novel ways? Explicit instruction is 15 minutes and then you transfer that skill. Understand the concept of AM & PM. About Dr. Foley:Kate Anderson Foley, Ph.D.Founder & CEO of the Education Policy & Practice Group, International Keynote, McLean Affiliate of Harvard Medical School Institute of Coaching Fellow, Thought Partner, Author. Kate Anderson Foley is a transformational leader with significant experience leading public school districts and states toward equitable and integrated services for all learners. Her work has been grounded in social justice and breaking down barriers for children who have historically been marginalized. She has led organizational change utilizing a strategic framework that ensured guaranteed and rigorous learning leading to college and career readiness for all students.Kate began her career as a special education teacher pioneering inclusive practices for students at risk and with disabilities. Her work focused on creating conditions that fostered high expectations of adults for students and innovation which catalyzed equitable opportunities for each learner. Kate's deep commitment to creating nimble and responsive systems that supported the whole child led her into administration where she advocated for local, state, and federal reform. That experience with large-scale reform led to improved academic and social-emotional outcomes for students, fair funding models, innovative healthcare models, and efficient operations. As a senior educational leader for the State of Illinois, Kate's vision of fulfilling the promise of the Individuals with Disabilities Education Act was nested within the Every Student Succeeds Act. She was an expert contributor to the State Plan where the deficit-based system was interrupted and a preventative and nimble system was created that intentionally addressed opportunity gaps of all learners, regardless of background or circumstance. Her deep understanding of equity-based school funding also contributed to a legislative reform model for the state of Illinois. As the founder and CEO of The Education Policy & Practice Group, Kate partners with local, state, national, and international organizations, education agencies, and various industries providing her expertise with the improvement process, professional learning communities, strategic planning, asset-based education policies and practices, special education, coaching, and consulting. Kate is a Roslyn Wolf Lecturer with the Levin College of Public Affairs in Urban Education. Kate teaches a graduate-level Special Education Law course to aspiring superintendents and principals. Kate works closely with senior leadership across various sectors providing executive coaching aimed at creating growth-minded organizational cultures (www.edpolicyconsulting.com). Kate is the author of numerous articles and books including Ida Finds Her Voice and Fearless Coaching. Kate's new book, Radically Excellent School Improvement: Keeping Students at the Center of it All presents a model for ambitious improvement and tireless focus that ensures every student grows, thrives, and achieves to their fullest potential. It provides district and school leaders with a bold blueprint for designing,implementing, and monitoring a comprehensive school improvement process for radical excellence (https://us.corwin.com/books/radical-excellence-289045).

Sean Carroll's Mindscape: Science, Society, Philosophy, Culture, Arts, and Ideas
309 | Christof Koch on Consciousness and Integrated Information

Sean Carroll's Mindscape: Science, Society, Philosophy, Culture, Arts, and Ideas

Play Episode Listen Later Mar 24, 2025 80:46


Consciousness is easier to possess than to define. One thing we can do is to look into the brain and see what lights up when conscious awareness is taking place. A complete understanding of this would be known as the "neural correlates of consciousness." Once we have that, we could hopefully make progress on developing a theoretical picture of what consciousness is and why it happens. Today's guest, Christof Koch, is a leader in the search for neural correlates and an advocate of a particular approach to consciousness, Integrated Information Theory.Blog post with transcript: https://www.preposterousuniverse.com/podcast/2025/03/24/309-christof-koch-on-consciousness-and-integrated-information/Support Mindscape on Patreon.Christof Koch was awarded a Ph.D. from the Max Planck Institute for Biological Cybernetics. He is currently a Meritorious Investigator at the Allen Institute for Brain Science, where he was formerly president and chief scientist, and Chief Scientist at the Tiny Blue Dot Foundation. He is the author of several books, most recently Then I Am Myself the World - What Consciousness Is and How to Expand It.Web siteAllen Center web pageGoogle Scholar publicationsAmazon author pageWikipediaSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.