Podcasts about interim chief

Support your health journey with our private practice! Explore comprehensive lab testing, functional assessments, and expert guidance for your wellness journey. Find exclusive offers for podcast listeners at nutritionwithjudy.com/podcast. _____Steven and I dive into how mold detection dogs are transforming mold identification and remediation. We talk about how their superior sense of smell can detect both active and dormant mold, even when conventional testing fails. Steven shares how trained K9s can help you get remediation right the first time; saving time, money, and your health. Make sure to watch the full interview to learn more.Steven Antommarchi is a law enforcement professional, K9 detection trainer, and researcher whose work bridges environmental health, science, and service. With 16+ years in law enforcement, he's held roles from K9 Handler to Interim Chief of Police and now co-leads Mold Dog Knows, a company training dogs to detect mold in homes and buildings. He also trains and mentors over 150 K9 units globally and serves in roles at Florida International University, Texas State University, and the American Working Dog Association.We discuss the following:Steven's law enforcement and K9 training backgroundDog's olfactory system and its emotional detection capabilitiesHow dogs are profiled and trained to detect mold speciesReal-world deployment: HVAC, home inspections, and limitations of human testingDormant mold detectionCost of Mold Dog Detection ServiceMold Dog Certification and Identifying a legitimate mold detection dog companyProtecting dogs from mold exposure and developing mycotoxin detectionMore About Mold Dog Knows_____EPISODE RESOURCESWebsiteInstagramAmerican Working Dog AssociationCIRS ERMI Guide Bundle_____WEEKLY NEWSLETTER 

Mayor Brandon Johnson issued an executive order directing Chicago Police to investigate alleged crimes by federal immigration agents and refer them for potential prosecution. This is the mayor's most pointed order yet, but does it actually have any teeth? Host Jacoby Cochran and executive producer Simone Alicea dig into it. Plus, they talk about a new interview with CTA's interim chief and Chicago's snowplow naming contest.Make sure you take our audience survey — and be entered to win a $100 gift card!Want some more City Cast Chicago news? Then make sure to sign up for our Hey Chicago newsletter.Follow us @citycastchicagoYou can also text us or leave a voicemail at: 773 780-0246Learn more about the sponsors of this Feb. 3 episode: League of Chicago Theatres Chicago Restaurant Week Paramount Theatre Museum of Contemporary Photography Chicago Architecture Center Become a member of City Cast Chicago.Interested in advertising with City Cast? Find more info HERE

In this episode, we get an update about the last 12 months at the Planning Inspectorate from the Interim Chief Inspector, Rebecca Phillips. She also speaks of what's to come in 2026. This is a series of specials from the inaugural Have We Got Planning News For You Live Conference, which took place at The Honourable Society of the Inner Temple in London. We will have a new episode every weekday right up until the publication of the new revised NPPF (which may or may not release around the 18th of December...).Donate to the ⁠⁠⁠⁠⁠Child Poverty Action Group⁠⁠⁠⁠⁠.Conference resources can be found on our ⁠⁠⁠⁠⁠website here⁠⁠⁠⁠⁠.Have We Got Planning News for You is a light-hearted review of the month's latest developments by six barristers from across the Planning Bar: Paul Tucker KC, Thea Osmund-Smith, Sasha White KC, Charlie Banner KC, Victoria Hutton and Christopher Young KC.The views expressed by our guests are their own and do not necessarily represent the views of the panellists.#HWGPNFY #HWGPNFYlive25

It's YOUR time to #EdUp In this episode, sponsored by the 2026 InsightsEDU Conference in Fort Lauderdale, Florida, February 17-19,YOUR guest is Darren Cooke, Interim Chief Innovation & Entrepreneurship Officer, UC BerkeleyYOUR co-host is Brent Ramdin, CEO, EducationDynamicsYOUR host is Dr. Joe SallustioHow does a university with over 100 innovation & entrepreneurship organizations on campus coordinate them all to become #1 in the world for venture backed startups founded by undergraduate alumni, beating Stanford 3 years in a row?What happens when a university wins 4 Nobel prizes in 1 week & makes innovation & entrepreneurship activity count as a positive in faculty tenure evaluations?How does a public university leverage 600,000 living alumni & scale to 1,000X alumni engagement while maintaining its mission of providing long term societal benefits?Listen in to #EdUpThank YOU so much for tuning in. Join us on the next episode for YOUR time to EdUp!Connect with YOUR EdUp Team - ⁠⁠⁠⁠⁠ ⁠⁠⁠⁠Elvin Freytes⁠⁠⁠⁠⁠⁠⁠⁠⁠ & ⁠⁠⁠⁠⁠⁠⁠⁠⁠ Dr. Joe Sallustio⁠⁠⁠⁠● Join YOUR EdUp community at The EdUp ExperienceWe make education YOUR business!P.S. Want to get early, ad-free access & exclusive leadership content to help support the show? Then ⁠​subscribe today​⁠ to lock in YOUR $5.99/m lifetime supporters rate! This offer ends December 31, 2025!

Hawaii Foodbank CEO Amy Miller says her organization is working around the clock to get food to the 165,000 people in Hawaii who’ve lost their SNAP benefits. Lt. Gov. Sylvia Luke says the state is trying to fill in some of the gaps with $100 million in assistance to affected families starting Nov. 14. Meanwhile Honolulu’s interim police chief is hoping for the permanent position. Rade Vanic has held the interim post twice, and this time, he wants to stay.See omnystudio.com/listener for privacy information.

At a press conference, interim Honolulu police chief Rade Vanic elaborated on a deadly officer-involved shooting that took place outside Queen's Medical Center Thursday morning. Police responded to reports of a man with a firearm expressing suicidal thoughts. Vanic said when officers approached, the suspect pulled out a revolver and pointed at them.See omnystudio.com/listener for privacy information.

In this episode, Frances Monroe, Former Imterim Chief Administrative Officer at Triad HealthCare Network with Cone Health, shares her insights on improving access to care, supporting providers, integrating AI, and leading population health efforts. She also discusses her leadership philosophy, current healthcare trends, and her advice for emerging healthcare leaders.

Interim chief development officer at Oishei Children's Hospital, Andy Lashua on the Bills' Little People's impact on the hospital full 449 Sun, 03 Aug 2025 10:00:00 +0000 w8QFNIFT1IfbEICc80PDxaVnDRIFptrm buffalo bills,buffalo,news,wben,fisher price,oishei children's hospital,andy lashua WBEN Extras buffalo bills,buffalo,news,wben,fisher price,oishei children's hospital,andy lashua Interim chief development officer at Oishei Children's Hospital, Andy Lashua on the Bills' Little People's impact on the hospital Archive of various reports and news events 2024 © 2021 Audacy, Inc. News

Three bills were signed into law today to help city agencies crackdown on illegal game rooms. The Honolulu Police Department has a new Interim Chief. A free program at the YMCA teaches kids how to a survive a fall into the water. See omnystudio.com/listener for privacy information.

The Warehouse group is making a profit again, announcing its half-year results for the six months ending 26 January this year. But results did show a revenue drop of 1.6% for the first half of 2024. The Warehouse interim Chief Executive John Journee talks to Ryan Bridge about the results. LISTEN ABOVE.See omnystudio.com/listener for privacy information.

The Warehouse group is making a profit again, announcing its half-year results for the six months ending 26 January this year. But results did show a revenue drop of 1.6% for the first half of 2024. The Warehouse interim Chief Executive John Journee talks to Ryan Bridge about the results. LISTEN ABOVE.See omnystudio.com/listener for privacy information.

Send us a textOver the last 15 years, Steven Antommarchi has held the law enforcement titles of Patrol Officer, Canine Handler, Canine Supervisor, Canine Trainer, and Interim Chief of Police.His first encounter with a K-9 team was in New York City on September 11, 2001. He witnessed a search and rescue K-9 team fighting through horrible conditions, while overcoming serious injury for the sake of saving lives. That encounter made such a profound impression on him that he knew what he wanted to do for the rest of his life.15 years later, on July 7, 2016, in Dallas, Texas, K-9 Officer Antommarchi found himself in the middle of the deadliest attack on law enforcement since 9/11. Tasked with the responsibility of clearing the downtown area for improvised explosive devices, the reason he got into working K-9s came full circle.Being mentored by Tony Guzman and Robert “Bob” Suarez, Antommarchi is the Founder of Next Level K9 Texas, an Instructor for the Texas School Safety Center at Texas State University, and K-9 case study trainer for the Global Forensic Justice Center at Florida International University.Most recently, he became one of the lead trainers and co-designer of the training methodology for a scientific study on “Hemp vs Marijuana.” This study is to evaluate the ability for narcotic detector dogs to discriminate between the odor of marijuana and hemp. The study is being headed by Dr. Kelvin Frank of Florida International University and is in the process of being submitted for publication. Antommarchi is the K-9 trainer and consultant for dozens of law enforcement agencies across the United States and Africa. Conducting workshops and seminars focusing on K-9 aggression instincts, K9 scientific research, and operational readiness. He is also the Law Enforcement Secretary for the American Working DogWe are pleased to announce that Vested Interest in K9's has become our newest sponsor. Vested Interest in K9s, Inc. is a 501c(3) non-profit whose mission is to provide bullet and stab-protective vests and other assistance to dogs. Check it out www.vik9s.org. Please welcome Ray Allen Manufacturing as a sponsor to the podcast. Go to the most trusted name in industry for all of your k9 related equipment. For a 10% discount use the RAMWDDP10 discount code.Welcome our sponsor Gold Coast K9. Gold Coast K9 trains and deploys hand-selected service dogs for personal and family protection, police agencies, and school districts. Their training programs rank among the best and most trusted in the world. Follow Gold Coast k9 on all social media platforms. For 10% off merchandise use the GCK910 discount code on their website www.goldcoastk9.comHLTK9 Conference continues to be a supporter of the WDDP. They are gearing up for the next conference in Myrtle Beach SC. Plan ahead, the 2025 conference will be April 1,2,3, 2025. Register today at www.htlk9.com. Welcome out newest sponsor NCK9LLC. Located in Four Oaks NC, just east of Raleigh NC. Jim O'Brien and staff offer a variety of K9 services. Contact them at Phone : 919-353-7149 Email: jobrien@nck9.us

The interim Chief Medical Officer says artificial intelligence shouldn’t be automatically viewed as a threat, but says we need to be ready to adapt to its growing influence. Professor Mary Horgan, who is from Tralee, was appointed at the interim CMO in June of last year. She addressed the Cantillon 2025 conference in Tralee yesterday

 GUEST: James Lynch on the exit of SPD's Interim Chief //  Chinese chips & TikTok // Carol James, widow of legendary UW coach Don James passes away // SCENARIOS

Comprehensive coverage of the day's news with a focus on war and peace; social, environmental and economic justice. Palestinian displaced persons inspect their tents, which are damaged by wind and rain after heavy rainfall in Deir al-Balah, central Gaza Strip, on November 25, 2024, amid the ongoing war between Israel and Hamas militants. (Photo by Majdi Fathi/NurPhoto via AP) President-elect Trump wants to take over Panama Canal, Canada and Greenland, and re-name the Gulf of Mexico as Gulf of America. A YOUNG PALESTINIAN MOTHER STRUGGLES WITH CANCER AND RAISING HER CHILDREN IN GAZA. W.H.O. ISSUES REPORT ABOUT GROWING INFECTIONS OF H.M.P.V. PATHOGEN. PRESIDENT BIDEN HONORS NATIVE AMERICANS WITH TRIBAL MONUMENTS IN CALIFORNIA. Scandal-plagued Antioch police get new interim chief in wake of racist texting controversy.   The post New national monuments honor California tribes; scandal-plagued Antioch Police pick interim chief – January 7, 2025 appeared first on KPFA.

Fresno Mayor Jerry Dyer and Interim Police Chief Mindy Casto says violent crime in Fresno is down and it's due to the hiring of more police officers. Please Like, Comment and Follow 'Broeske & Musson' on all platforms: --- The ‘Broeske & Musson Podcast’ is available on the KMJNOW app, Apple Podcasts, Spotify or wherever else you listen to podcasts. --- ‘Broeske & Musson' Weekdays 9-11 AM Pacific on News/Talk 580 AM & 105.9 FM KMJ | Facebook | Podcast| X | - Everything KMJ KMJNOW App | Podcasts | Facebook | X | Instagram See omnystudio.com/listener for privacy information.

New England native Din Jenkins worked for many years as a police sergeant and educated himself in several administrative functions of a law enforcement agency. He then took that knowledge and skills to the Boston Housing Authority where he rose to lead that specialized agency. Find out more about his journey in this episode.

October 28, 2024 ~ Todd Bettison, Deputy Mayor of Detroit was named interim Chief of Police after James White takes job with The Detroit Wayne Integrated Health Network.

Transporting New Zealand is in favour of boosting diesel reserves. Resource Minister Shane Jones is asking for feedback on increasing the minimum diesel stockholding obligation of 21 days - to 28. Transporting New Zealand interim chief executive, Dom Kalasih, says a strong diesel supply is an important thing to have. He explains more diesel will increase the resilience of our domestic supply chain. LISTEN ABOVESee omnystudio.com/listener for privacy information.

We discuss and debate Erica's in-depth interview with SPD's interim chief Sue Rahr. Plus, Kshama Sawant's campaign against Kamala Harris, and Erica's latest on the city budget. Our editor is Quinn Waller. Thanks to Uncle Ike's pot shop for sponsoring this week's episode! If you want to advertise please contact us at realseattlenice@gmail.comSend us a textThanks to Uncle Ike's pot shop for sponsoring this week's episode! If you want to advertise please contact us at realseattlenice@gmail.comSupport the showYour support on Patreon helps pay for editing, production, live events and the unique, hard-hitting local journalism and commentary you hear weekly on Seattle Nice.

LMPD Interim Chief Paul Humphrey and Sgt. Matt Sanders discussed the arrest of a man who was allegedly assaulting women in various sections of Downtown, the ongoing investigation into the street racing activity across the city, Louisville being a major pathway for drug passage, the new officers on the streets, and how to keep the public engaged in keeping the city safe...

In this episode, Gregory Huhn, MD, MPHTM, presents a case study of a person with a long HIV treatment history, exploring when and how to consider agents with novel mechanisms of action.Listen as he discusses:The importance of engaging with patients to understand their perspectives and improve their satisfaction with their HIV careOptions in people with multiclass resistanceStudies of agents with novel mechanisms of action:BRIGHTE (fostemsavir)TMB-301/-311 (ibalizumab)CAPELLA (lenacapavir) Faculty​​Gregory Huhn, MD, MPHTM,Interim Chief, Division of Infectious DiseasesSenior Director of HIV ServicesCook County HIV Integrated ProgramsInterim Medical Director, The RMR CORE CenterProfessor, Division of Infectious DiseasesRush University Medical CenterChicago, IllinoisFollow along with the slides.https://bit.ly/4fHmxg5Get access to all of our new podcast episodes. Subscribe to the CCO Infectious Disease podcast on Apple Podcasts, Google Podcasts, or Spotify.    

LMPD's Interim Chief Paul Humphrey discusses the advantage of being from the city and growing-up in the department, changes coming to the handling of sexual harassment claims, the need for more assests and officers, how to slow the violence in our community, and whether or not he wants to be Chief full-time...

Tune in to the latest episode of the Becker's Healthcare Podcast, recorded live at our 14th Annual Meeting, where we delve into insightful discussions with industry experts. Join Ellen Wiegand, SVP & CIO, Interim Chief Data & AI Officer at VCU Health, as they share invaluable insights on leadership, growth strategies, and navigating workforce challenges in healthcare. Gain actionable advice and best practices to elevate your organization's performance in today's dynamic landscape.

Police Positivity - Interim Chief Shawn McCleary - May 13, 2024 by Connect FM

In this episode, we meet with UCHealth Interim Chief Nursing Executive Tamera Dunseth Rosenbaum, DNP, RN, NE-BC, who shares her journey from a bedside nurse to her current role, discussing innovative strategies and opportunities along the way. 

Today on AirTalk, a Texas immigration law has been blocked hours after the Supreme Court allowed the strict immigration law to take effect. Also on the show, LAPD interim Chief Dominic Choi talks with Larry; Why people are turning to smaller community banks; A look into a new course on ‘Culinary Medicine” for patient care; and more. Federal Appeals Court blocks Texas immigration law — again (00:17) Larry interviews LAPD Interim Chief Choi (9:28) Should CA public schools offer Personal Finance Education? (33:26) Why people are making the switch to hometown banks (43:19) A new course examines ‘Culinary Medicine' for patient care (55:33

KFI's Steve Greogry joins Gary and Shannon to talk about Mayor Bass appointing a new LAPD Chief. California is dealing with a shortage of 9-1-1 operators. #TerrorInSkies

In a rare opportunity to look both backwards and into the future of policing in Los Angeles, KNX In Depth talked with outgoing LAPD Chief Michel Moore and incoming Interim Chief Dominic Choi. With Interim Chief Choi taking himself out of the running for consideration as the next LAPD Chief, the city embarks on a comprehensive search effort that will include both internal and external candidates--and, according to Chief Moore, could include a current police chief in a foreign country. From the struggles of reforming LAPD practices over decades to discussing how the Department might receive a fresh face coming in from outside of Los Angeles, KNX gets rarely heard perspectives from the two men tasked with running the third largest police force in the United States.  

In this episode of the Product Thinking podcast, host Melissa Perri is joined by Leah Tharin, Interim Chief Product and Growth Officer, GotPhoto. Join them as they explore the different types of growth strategies and when to use them, as well as the importance of aligning sales and product teams. Leah also talks about the power of data-driven strategies in bridging sales and product teams and how aligning with customer success fuels product-led growth.

Do you live in a state where marijuana is still illegal? If yes, you NEED to listen to this episode. ⁣ ⁣ Disclaimer: They want us to let all of you know that this study will come out after it is peer reviewed the 23rd of February.⁣ ⁣ Episode 207:⁣ Scientifically Speaking, Hemp VS Marijuana⁣ Your Working Dog Radio hosts, Eric @vanessk9 & Ted @ted_summers, sit down with⁣ Steven Antommarchi of @nextlevelk9texas⁣ about a huge K9 study that aimed to see if marijuana trained dogs would hit on hemp (spoiler alert: yes!) The gents also delve a bit into the mitigation piece of the research as well, so don't panic! You'll want to listen to the episode NOW, and then get your paws on the study after it's peer review later this month.⁣ ⁣ ⁣ Over the last 15 years, Antommarchi has held the law enforcement titles of Patrol Officer, Canine Handler, Canine Supervisor, Canine Trainer and Interim Chief of Police.⁣ ⁣ His first encounter with a K9 team was in New York City on September 11, 2001. He witnessed a SAR team fighting through horrible conditions, while overcoming serious injury for the sake of saving lives. That encounter made such a profound impression on him that he knew what he wanted to do for the rest of his life. 15 years later, on July 7, 2016, in Dallas, Texas, K9 Officer Antommarchi found himself in the middle of the deadliest attack on law enforcement since 9/11. Tasked with the responsibility of clearing the downtown area for improvised explosive devices, the reason he got into working K9s came full circle.⁣ ⁣ Being mentored by Tony Guzman and Robert “Bob” Suarez, Antommarchi is the Founder of Next Level K9 Texas, an Instructor for the Texas School Safety Center at Texas State University and K9 case study trainer for the Global Forensic Justice Center at Florida International University.⁣ ⁣ Most recently, he became one of the lead trainers and co-designer of the training methodology for a scientific study on “Hemp vs Marijuana.” This study is to evaluate the ability for narcotic detector dogs to discriminate between the odor of marijuana and hemp. The study is being headed by Dr. Kelvin Frank of Florida International University and is in the process of being submitted for publication.⁣ ⁣ Make sure you give him a follow below.⁣ Personal ⁣ @stevenanto on Facebook ⁣ Work⁣ @nextlevelk9texas on IG and Facebook Join us on our member platform through our youtube channel to get access to perks: https://www.youtube.com/channel/UC8D9WOH6ny8eoiTCxFNpBtQ/join

Take a listen to the latest edition of the Austin Police Association podcast. Interim Chief of Police Robin Henderson sat down with Senior Police Officer Jessica Garner to discuss the current state of APD and how Chief Henderson plans to lead APD into the future. They also highlight the 30x30 initiative and how people can join APD.

The Asheville Police Department hasn't had a homegrown chief in 20 years. Local native Mike Lamb hopes that soon changes. Lamb grew up in Asheville and has been on the force since 1997. In December, city officials named him the interim chief with the sudden retirement of Chief David Zack. This is the second half of my conversation with Interim Chief Lamb. Part One posted January 10. Today, we bore into the often-stated statistic that Asheville Police is down 40 percent of its budgeted officers. We talk about elements of the job Lamb says don't get the attention they should. I ask him about how he and his officers can change a perception many hold, that police come into situations with an adversarial mindset and often use unnecessary force. And Chief Lamb details his own traumatic experience on the job and how he worked through it.Get five news headlines from around Asheville in your morning inbox. No ads, no spam—simple as that. Subscribe for free to the First Look newsletter from The Overlook. Support The Overlook by joining our Patreon campaign!Advertise your event on The Overlook.Instagram: AVLoverlook | Facebook: AVLoverlook | Twitter: AVLoverlookListen and Subscribe: All episodes of The OverlookThe Overlook theme song, "Maker's Song," comes courtesy of the Asheville band The Resonant Rogues.Podcast Asheville © 2023

Your day ahead forecast, Chris Bailey named interim IMPD Chief, Fentanyl death rates leveling out, nearly $2 billion Cummins settlement finalized, and more...See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Mike Lamb grew up in Asheville and joined the city's police department in 1998. Over the years, he worked under six different chiefs until last month, when he was named the interim chief with the sudden and surprise retirement of David Zack.Today, I begin a two-part conversation with Interim Chief Mike Lamb. He tells us about his path to law enforcement and what he believes he brings to leadership atop the Asheville Police Department. We also talk about how a carousel of leadership has affected the department, how Chief Lamb views his department's partnership with Buncombe County Sherriffs and the other partnerships he believes is critical to policing a community marked with visible levels of addiction and homelessness.Get five news headlines from around Asheville in your morning inbox. No ads, no spam—simple as that. Subscribe for free to the First Look newsletter from The Overlook. Support The Overlook by joining our Patreon campaign!Advertise your event on The Overlook.Instagram: AVLoverlook | Facebook: AVLoverlook | Twitter: AVLoverlookListen and Subscribe: All episodes of The OverlookThe Overlook theme song, "Maker's Song," comes courtesy of the Asheville band The Resonant Rogues.Podcast Asheville © 2023

Recently, at the American Society of Hematology (ASH) Annual Meeting, Amer Zeidan, MBBS, MHS, the Interim Chief of Hematologic Malignancies Division at the Yale Cancer Center, presented his abstract regarding an investigation of oral decitabine and cedazuridine versus intravenous/subcutaneous hypomethylating agents (HMA) for patients with myelodysplastic syndromes (MDS). In this interview, Dr. Zeidan further delves into his research and what it could mean for the future treatment landscape of MDS.

Battle Ground City Manager Erin Erdman has appointed Michael McCabe to serve in the role of interim police chief following the retirement of former Chief Mike Fort earlier this month. http://tinyurl.com/3ytsukz8 #BattleGround #BattleGroundPoliceDepartment #InterimChiefMichaelMcCabe #ClarkCountySheriffsOffice #SheriffJohnHorch #LawEnforcement #InterlocalAgreement #FormerChiefMikeFort #CityManagerErinErdman #VancouverWa #ClarkCountyWa #ClarkCountyNews #ClarkCountyToday

Recorded live at the 11th Annual Becker's Healthcare CEO + CFO Roundtable, this episode features Niobis Queiro, Interim Chief Revenue Cycle Officer at Nashville General Hospital. Here, she discusses how her organization is approaching payer interactions, the recent increase in denials and slow down in payment times, and more.This episode is brought to you by R1 RCM, a leading provider of technology-driven solutions that transform the financial performance of hospitals, health systems, and medical groups. R1 delivers proven, scalable operating models that power sustainable improvements to net patient revenue, while reducing operating costs. To learn how you can build a future-ready revenue cycle today, visit us at www.r1rcm.com/beckers 

Semaglutide can't fix everything… Recommend lifestyle interventions for weight management with Dr. Will Yancy, Director of the Duke Lifestyle and Weight Management Center and Interim Chief of Division of General Internal Medicine at Duke (@DrWillYancy).  Learn about the ketogenic diet, lower carbohydrate diets, and exercise, and their impacts on your patients.   Claim free CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Credits Producer and writer: Fatima Syed, MD, MSc, FACP Show Notes, Infographic, and Cover Art: Fatima Syed, MD, MSc, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Emi Okamoto, MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Will Yancy, MD Sponsor: Babbel Get 55% off at Babbel.com/CURB Sponsor: Locumstory  Visit locumstory.com to learn more more about all things locum tenens. Sponsor: Pathway  Download the Pathway app today, 100% free for Curbsiders listeners Full Transcript available HERE

The following question refers to Section 7.3 of the 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure. The question is asked by Palisades Medical Center medicine resident & CardioNerds Academy Fellow Dr. Maryam Barkhordarian, answered first by Hopkins Bayview medicine resident & CardioNerds Academy Faculty Dr. Ty Sweeny, and then by expert faculty Dr. Gregg Fonarow. Dr. Fonarow is the Professor of Medicine and Interim Chief of UCLA's Division of Cardiology, Director of the Ahmanson-UCLA Cardiomyopathy Center, and Co-director of UCLA's Preventative Cardiology Program. The Decipher the Guidelines: 2022 AHA / ACC / HFSA Guideline for The Management of Heart Failure series was developed by the CardioNerds and created in collaboration with the American Heart Association and the Heart Failure Society of America. It was created by 30 trainees spanning college through advanced fellowship under the leadership of CardioNerds Cofounders Dr. Amit Goyal and Dr. Dan Ambinder, with mentorship from Dr. Anu Lala, Dr. Robert Mentz, and Dr. Nancy Sweitzer. We thank Dr. Judy Bezanson and Dr. Elliott Antman for tremendous guidance. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. Question #28 Mr. Gene D'aMeTi, a 53-year-old African American man with ischemic cardiomyopathy and heart failure with reduced ejection fraction (LVEF 30-35%), is recently admitted with acutely decompensated heart failure and acute kidney injury on chronic kidney disease stage III. His outpatient regiment includes sacubitril-valsartan 97-103mg BID, carvedilol 25mg BID, and hydralazine 50mg TID. Sacubitril-valsartan was held because of worsening renal function. Despite symptomatic improvement with diuresis, his renal function continues to decline. He is otherwise well perfused & with preservation of other end organ function.   Throughout this hospitalization, he has steadily become more hypertensive with blood pressures persisting in the 170s/90s mmHg. What would be an appropriate adjustment to his medication regimen at this time? A Resume Losartan only B Start Amlodipine C Increase current Hydralazine dose D Start Isosorbide dinitrate therapy E Both C & D Answer #28 ExplanationThe correct answer is E – both increasing the current hydralazine dose (C) and starting isosorbide dinitrate therapy (D). Although ACEI/ARB therapy (choice A) has shown a mortality and morbidity benefit in HFrEF, caution should be used in patients with renal insufficiency. In this patient with ongoing decline in renal function, RAAS-inhibiting therapies (ACEi, ARB, ARNI, MRA) should be avoided. In this case, as his RAAS-I has been stopped, it would be reasonable to increase current therapies to target doses (or nearest dose tolerated), as these demonstrated both safety and efficacy in trials (Class 1, LOE A). Considering that his high dose ARNI was stopped, it is unlikely that either hydralazine or isosorbide dinitrate alone, even at maximal doses, would be sufficient to control his blood pressure (Options C and D, respectively). Interestingly, in the original study by Massie et. Al (1977), the decision was made to combine these therapies as the result was thought to be superior to either medication alone. ISDN would provide preload reduction, while Hydralazine would decrease afterload. Consequently, we do not have data looking at the individual benefit of either medication in isolation. In self-identified African Americans with NYHA class III or IV HFrEF already on optimal GDMT, the addition of hydralazine & isosorbide dinitrate is recommended to improve symptoms and reduce mortality and morbidity (Class 1, LOE A). In this case, as the patient has evidence of progressive renal disfunction, we are limited in using traditional RAAS-I, such as ACEI, ARB, or ARNI.

This was a joint episode with the guys from the Dogs of War Podcast. The DOW podcast just celebrated its third year. Steven "Sway" Hueston was instrumental in helping us get our podcast off the ground. In this episode we talk about moral, social media, podcast growth, and creative venues for expanding your dog training  business. Additionally, Steven Antommarchi shared some new regarding a study he has been involved in over the past three years. In a nut shell, the study involved the training of dogs to discriminate between hemp and marijuana. Below is Steven's biography:Over the last 15 years, Steven Antommarchi has held the law enforcement titles of Patrol Officer, Canine Handler, Canine Supervisor, Canine Trainer, and Interim Chief of Police.His first encounter with a K-9 team was in New York City on September 11, 2001. He witnessed a search and rescue K-9 team fighting through horrible conditions, while overcoming serious injury for the sake of saving lives. That encounter made such a profound impression on him that he knew what he wanted to do for the rest of his life.15 years later, on July 7, 2016, in Dallas, Texas, K-9 Officer Antommarchi found himself in the middle of the deadliest attack on law enforcement since 9/11. Tasked with the responsibility of clearing the downtown area for improvised explosive devices, the reason he got into working K-9s came full circle.Being mentored by Tony Guzman and Robert “Bob” Suarez, Antommarchi is the Founder of Next Level K9 Texas, an Instructor for the Texas School Safety Center at Texas State University, and K-9 case study trainer for the Global Forensic Justice Center at Florida International University.Most recently, he became one of the lead trainers and co-designer of the training methodology for a scientific study on “Hemp vs Marijuana.” This study is to evaluate the ability for narcotic detector dogs to discriminate between the odor of marijuana and hemp. The study is being headed by Dr. Kelvin Frank of Florida International University and is in the process of being submitted for publication. Antommarchi is the K-9 trainer and consultant for dozens of law enforcement agencies across the United States and Africa. Conducting workshops and seminars focusing on K-9 aggression instincts, K9 scientific research, and operational readiness. He is also the Law Enforcement Secretary for the American Working Dog Association (AWDA) for the disciplines of Narcotics, Patrol, Person Borne IED, Electronic Storage Device detection, Tracking, Trailing, Explosives, Accelerant detection and Personal Protection.We are pleased to have Hold The Line K9 Conference htlk9.com as a sponsor of the The Working Dog Depot Podcast. Joe Lutkowski and his staff are currently securing vendors and presenters for the 2024 conference. The Hold The Line K9 Conference will be in a brand new location. The dates and location are April 9, 10, and 11 in Myrtle Beach South Carolina. There's nothing finer than to be in Carolina in the Spring time. Additional information will be forthcoming. www.htlk9.com We are taking reservations for the Pro Series. If you want Rich and Howard to come to your location we can make it happen. They have come together to provide workshops on any K9 related topic you like. Open to law enforcement and civilian attendees. Contact Howard at hjyk91@gmail.com or 704-473-9885.

The chief joined Mike to discuss topics of the day, recruiting efforts and the DOJ investigation.See omnystudio.com/listener for privacy information.

Laurel Lyckholm, MD, is a Professor of Hematology/Oncology at the West Virginia University Cancer Institute. She also serves as the Interim Chief of the Department of Hematology/Oncology. She is actively involved with the American Society of Clinical Oncology. Dr. Lyckholm is the recipient of a number of awards, including the Leonard Tow Gold Humanism in Medicine Award and several others for exceptional teaching and mentorship. Every self-improvement, motivational, and leadership literature highlights the inextricable nature of listening with being a high-value professional. “Patients really notice when physicians listen, and you have to listen with your heart as well as your head,” says Dr. Laurel Lyckholm. Join us for another episode of The Medicine Mentors as we discuss implementing listening as a habit in our practice, looking inward when moving past emotional barriers, and using the correct metrics to assess the efficacy of our mentoring relationships with Dr. Laurel Lyckholm. Pearls of Wisdom:   1. Matching is important in mentorship. It's okay to reevaluate mentoring relationships if it's not working out and moving on from them 2. Listening makes the best physician, somebody who is conscious about the listening-to-talking ratio in their meetings with the patients. 3. We should look outward instead of inward. If someone has upset us, maybe they have projected hurt or pain that they are suffering. It's best to move on. 

Dan kicked off the show with an examination and exploration of today's top stories with various experts and reporters. Joining the program was attorney Phil Tracy, WBZ Traffic Reporter Dan Mazella, Debra Poutsiaka, Interim Chief of the Division of Geographic Medicine and Infectious Diseases at Tufts Medical Center, and WBZ Radio Anchor Nichole Davis.

Linda Vahdat, MD, MBA, is a breast cancer medical oncologist. She serves as the Deputy Cancer Center Director, Section Chief of Medical Oncology, and Interim Chief of Hematology at Dartmouth Cancer Center. She is a leading breast cancer researcher with special interests in drug development. She has led three separate drug-development efforts that led to FDA approval of three drugs active in metastatic breast cancer. She founded the Triple Negative Breast Cancer Clinic, the second only in the entire country. Mentorship need not be limited to the confines of medical institutions.“Looking back and thinking about all the people I felt really helped me develop into who I am today, there's actually quite a list because everybody brings something different to the party.” And she ascertains the fact that many of her mentors were outside of medicine. Tune into another insightful conversation on The Medicine Mentors as we discuss building long-term relationships to be conducive to growth and seeking mentors outside of medicine that can supplement our medical practice with Dr. Linda Vahdat. Pearls of Wisdom:   1.  The most successful leaders have high EQs and having a high EQ makes a huge difference. It is a skill that can be learned through different outlets—online courses, specialists, podcasts—where we can begin to understand the underpinnings of EQ. 2. We should ensure that we match properly, either as a mentor or as a mentee, with the other person, and re-evaluate that relationship, that it is not a waste of time for either parties, and communicating if that is so to act as a frequent check of the relationship as well as of goals and objectives that we have set up. 3. A good mentor is someone who listens, creates opportunities, and helps balance life. As mentees, we should follow up and close the loop with our mentors because we have to be respectful of the mentor's time, as well. 4. Mentorship doesn't have to be restricted to just medicine. It is more about learning the approach from individuals not just in medicine but also outside of it. It is important to go out of the box and look for mentors who can help you with a mentorship map.

The following question refers to Section 7.3 of the 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure. The question is asked by Palisades Medical Center medicine resident & CardioNerds Intern Dr. Maryam Barkhordarian, answered first by MedStar Washington Hospital Center cardiology hospitalist & CardioNerds Academy Graduate Dr. Luis Calderon, and then by expert faculty Dr. Gregg Fonarow.Dr. Fonarow is the Professor of Medicine and Interim Chief of UCLA's Division of Cardiology, Director of the Ahmanson-UCLA Cardiomyopathy Center, and Co-director of UCLA's Preventative Cardiology Program.The Decipher the Guidelines: 2022 AHA / ACC / HFSA Guideline for The Management of Heart Failure series was developed by the CardioNerds and created in collaboration with the American Heart Association and the Heart Failure Society of America. It was created by 30 trainees spanning college through advanced fellowship under the leadership of CardioNerds Cofounders Dr. Amit Goyal and Dr. Dan Ambinder, with mentorship from Dr. Anu Lala, Dr. Robert Mentz, and Dr. Nancy Sweitzer. We thank Dr. Judy Bezanson and Dr. Elliott Antman for tremendous guidance.Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. Question #8 Ms. Flo Zinn is a 60-year-old woman seen in cardiology clinic for follow up of her chronic HFrEF management. She has a history of stable coronary artery disease, hypertension, hypothyroidism, and recurrent urinary tract infections. She does not have a history of diabetes and recent hemoglobin A1c is 5.0%. Her current medications include carvedilol, sacubitril-valsartan, eplerenone, and atorvastatin. Her friend was recently placed on an SGLT2 inhibitor and asks if she should be considered for one as well. Which of the following is the most important consideration when deciding to start this patient on an SGLT2 inhibitor? A The patient does not have a history of type 2 diabetes and so does not qualify for SGLT2 inhibitor therapy B While SGLT2 inhibitors improve hospitalization rates for HFrEF, there is no evidence that they improve cardiovascular mortality C Patients taking SGLT2 inhibitors tend to suffer a more rapid decline in renal function than patients not taking SGLT2 inhibitor therapy D Patients may be at a higher risk for genitourinary infections if an SGLT2 inhibitor is started Answer #8 Explanation   The correct answer is D – SGLT2 inhibitors have been associated with increased risk of genitourinary infections. Sodium-glucose co-transporter protein 2 (SGLT2) inhibitors have gathered a lot of press recently as the new kid on the block with respect to heart failure management. While they were initially developed as antihyperglycemic medications for treating diabetes, early cardiovascular outcomes trials showed reduced rates of heart failure hospitalization amongst study participants independent of glucose-lowering effects and irrespective of baseline heart failure status – only 10-14% of patients carried a heart failure diagnosis at baseline. This prompted trials to study the effects of SGLT2 inhibitors in patients with symptomatic chronic HFrEF who were already on guideline directed medical therapy irrespective of the presence of type 2 diabetes mellitus. The DAPA-HF and EMPEROR-Reduced trials showed that dapagliflozin and empagliflozin, respectively, both conferred statistically significant improvements in a composite of heart failure hospitalizations and cardiovascular death (Option B). Most interestingly, these effects were seen irrespective of diabetes history. In light of these findings, the 2022 HF guidelines recommend SGLT2 inhibitors in patients with chronic, symptomatic HFrEF with or without diabetes to reduce hospitalization for HF and cardiovascular mortality (Class I, LOE A). The benefits of SGLT2 inhibitors extend beyond cardiovascular health.

Jamanda Haddock, MA, MRCP, FRCR, Interim Chief of Staff and Chair of Hospital Services at Cleveland Clinic London, joins host Brian Bolwell, MD, to discuss creating teams, setting the emotional tone as a leader, and keeping it fair.

Spasticity is one of the most common symptoms of MS, impacting up to 80% of the people living with MS. It can feel like mild muscle tightness that you wish would just go away or it can be so painful and debilitating that it keeps you from moving. Dr. Michelle Cameron joins me in this episode to discuss what spasticity is and how to best manage it. Dr. Cameron is a neurologist and physical therapist, a professor in the Department of Neurology at Oregon Health & Science University, Interim Chief of Neurology at the VA Portland Healthcare System, and Co-Director of the VA MS Center of Excellence West. We're also talking about a new framework for thinking and talking about MS that's been proposed by an international panel of MS experts. We'll tell you about a study that looked at polypharmacy and MS (Of course, we'll also tell you what polypharmacy is and why you should be aware of it!) We'll share the details around the discovery of human antibodies that have been shown to prevent Epstein-Barr infection (And we'll explain why this could be incredibly important) If you're an MS caregiver, or you know one, I'm asking for just 5 minutes of your time. We're celebrating National Caregivers Month by breaking down the details of the National Family Caregiving Strategy that was recently submitted to Congress. And we're celebrating the indomitable quality of the human spirit by sharing the story of Eric Domingo Roldan and his mom, Sylvia. We have a lot to talk about! Are you ready for RealTalk MS??! Thanksgiving is two days away!  :22 This Week: Managing Spasticity  1:02 Experts propose a new framework for thinking about and talking about MS  2:07 Polypharmacy and MS  5:55 Researchers identify antibodies that prevent Epstein-Barr Virus infection  9:02 If you're an MS caregiver, or you know one, can I have 5 minutes of your time?  11:30 The 2022 National Family Caregivig Strategy   13:55 Eric Domingo Roldan and his mom, Sylvia, make it into the Guinness Book of World Records  16:34 Dr. Michelle Cameron discusses spasticity and MS 18:40 Share this episode  33:55 SHARE THIS EPISODE OF REALTALK MS Just copy this link & paste it into your text or email: https://realtalkms.com/273 ADD YOUR VOICE TO THE CONVERSATION I've always thought about the RealTalk MS podcast as a conversation. And this is your opportunity to join the conversation by sharing your feedback, questions, and suggestions for topics that we can discuss in future podcast episodes. Please shoot me an email or call the RealTalk MS Listener Hotline and share your thoughts! Email: jon@realtalkms.com Phone: (310) 526-2283 And don't forget to join us in the RealTalk MS Facebook group! LINKS If your podcast app doesn't allow you to click on these links, you'll find them in the show notes in the RealTalk MS app or at www.RealTalkMS.com Multiple Sclerosis Progression: Time for a New Mechanism-Driven Frameworkhttps://www.thelancet.com/journals/laneur/article/PIIS1474-4422(22)00289-7/fulltext Tremlett's MS Research Explained: Polypharmacy and Multiple Sclerosis: A Population-Based Study https://tremlettsmsresearchexplained.wordpress.com/2022/10/27/polypharmacy-and-multiple-sclerosis-a-population-based-study/ STUDY: Polypharmacy and Multiple Sclerosis: A Population-Based Study https://journals.sagepub.com/doi/full/10.1177/13524585221122207 RealTalk MS Episode 229: Evidence Shows MS Is Triggered by the Epstein-Barr Virus with Dr. Kassandra Munger and Dr. AJ Joshi https://realtalkms.com/229 RealTalk MS Episode 231: Evidence Shows EBV Triggers MS: Understanding the Impact of this Breakthrough Research with Dr. Bruce Bebo https://realtalkms.com/231 STUDY: Epstein-Barr Virus gH/gL Has Multiple Sites of Vulnerability for Virus Neutralization and Fusion Inhibition https://cell.com/immunity/fulltext/S1074-7613(22)00544-1 Take the iConquer MS Caregiver Survey https://realtalkms.com/caregiver 2022 National Strategy to Support Family Caregivers https://acl.gov/sites/default/files/RAISE_SGRG/NatlStrategyToSupportFamilyCaregivers.pdf Eric Domingo Roldan's Instagram Handle @eeRiicbcn Join the RealTalk MS Facebook Group https://facebook.com/groups/realtalkms Download the RealTalk MS App for iOS Devices https://itunes.apple.com/us/app/realtalk-ms/id1436917200 Download the RealTalk MS App for Android Deviceshttps://play.google.com/store/apps/details?id=tv.wizzard.android.realtalk Give RealTalk MS a rating and review http://www.realtalkms.com/review Follow RealTalk MS on Twitter, @RealTalkMS_jon, and subscribe to our newsletter at our website, RealTalkMS.com. RealTalk MS Episode 273 Guest: Dr. Michelle Cameron Tags: MS, MultipleSclerosis, MSResearch, MSSociety, RealTalkMS Privacy Policy