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Doug and Will (filling in for Robbie) chat with Jason Hicks with United Patriots Bodies for Memorial Day.See omnystudio.com/listener for privacy information.
The Coffee Club from Friday May 16th, 2025. Guests include Jason Hicks of the FM Memorial Honor Guard and your calls and emails.
This week J. Jason Hicks shares insights into battling resistance, the importance of daily writing practice, and the influence of authors like Steven Pressfield. Marcus and Hicks discuss how adversity can shape our paths, the significance of authentic partnerships, and practical advice for aspiring writers. Hicks also highlights his upcoming projects and how he integrates his life experiences into his work. Episode Highlights: 09:22 The Writing Process 27:31 Overcoming Adversity and Finding Purpose 34:55 Creating Your Universe 36:50 The Power of Daily Writing 46:07 Advice for Aspiring Authors 49:33 The Importance of a Supportive Partner Jason Hicks studied English Literature, Political Science, and World Religions with a focus on classic literature at the University of Wisconsin Oshkosh. Ruinwaster’s Bane: The Annals of the Last Emissary is his debut novel. He lives in Tucson, Arizona with his wife and his dog. A one-eyed Boxer named Drake. Learn more at: www.jjasonhicks.com Get Jason’s book at: https://a.co/d/3FKu9m9 Learn more about the gift of Adversity and my mission to help my fellow humans create a better world by heading to www.marcusaureliusanderson.com. There you can take action by joining my ANV inner circle to get exclusive content and information.See omnystudio.com/listener for privacy information.
The Jay Thomas Show from Thursday February 13th, 2025. Guests include Jason Hicks, Cody Cashman, Jill Devries and so many others.
The Coffee Club from Wednesday February 12th, 2025. Guests include Sheriff Jesse Jahner, Jeff "Crash" Thoemke and Jason Hicks.
The Coffee Club from Friday January 17th, 2025. Guests include Jason Hicks from the FM Memorial Honor Guard and Christine Conrad.
Jason Hicks joins guest host Rob Kupec on Afternoons Live to discuss the need for updated facilities at The Fargo National Cemetery.See omnystudio.com/listener for privacy information.
The Coffee Club from Friday October 11th, 2024. Guests include Alana Christianson and Jason Hicks plus your calls and emails.
In this final podcast of the Ridgeview CME Podcast Series [sigh], Dr. Dennis Mohling, an obstetrician/gynecologist with Western OB/GYN, a Division of Ridgeview Clinics, along with one of his patients, Abie Rosckes discuss a special case around a improbable postpartum event and the decisions that were made. *Disclosure note: None of the speakers or planners for this education activity have relevant financial relationships to disclose with any inelgible company - who's primary business is producing marketing, selling, re-selling, or distributin healthcare products used by or on patients. Enjoy the podcast. Objectives:Upon completion of this podcast, participants should be able to: Explain the presentation of late postpartum hemorrhage (PPH). Distinguish the need for rapid evaluation and treatment of late postpartum hemorrhage (PPH). Summarize the team members and resources needed (and available) to ensure rapid delivery of treatment in a patient experiencing postpartum hemorrhage. This activity has been planned and implemented in accordance with the accreditation criteria, standards and policies of the Minnesota Medical Association (MMA). Ridgeview is accredited by the Minnesota Medical Association (MMA) to provide continuing medical education for physicians. CME credit is only offered to Ridgeview Providers & Allied Health staff for this podcast activity. After listening to the podcast, complete and submit the online evaluation form. Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within approximately 2 weeks. You may contact the accredited provider with questions regarding this program at Education@ridgeviewmedical.org. Click the link below, to complete the activity's evaluation. CME Evaluation (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.) DISCLOSURE ANNOUNCEMENT The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition; and are property/rights of Ridgeview. Any re-reproduction of any of the materials presented would be infringement of copyright laws. It is Ridgeview's intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker's outside interest may reflect a possible bias, either the exposition or the conclusions presented. None of Ridgeview's CME planning committee members have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All of the relevant financial relationships for the individuals listed above have been mitigated. Thank-you for listening to the podcast. Thanks to Dr. Dennis Mohling and Abbie Roskes for their expert knowlege and contribution to this podcast. Also a special thanks to Jason Hicks and Fred DeMeuse for their contribution to all the Ridgeview CME Podcasts the past 6 seasons, as they made the educational podcasts fun and entertaining.
The Jay Thomas Show from Thursday May 23rd, 2024. Guests include Marty Johnson, Jason Hicks and your calls and emails.
In this podcast, Dr. Chris Solie, an emergency physician, along with Jason Hicks, Fred DeMeuse, Greta Sowels (physician assistants), working for Emergency Medicine Physicians and Consultants (EMPAC) who review journals and papers around emergency medicine. *Disclosure note: None of the speakers or planners for this education activity have relevant financial relationships to disclose with any inelgible company - who's primary business is producing marketing, selling, re-selling, or distributin healthcare products used by or on patients. Enjoy the podcast. Objectives:Upon completion of this podcast, participants should be able to: Identify emergency medicine journal articles that may be potentially practice changing. Differentiate between using a HEAR score versus a HEART score when assessing patients coming into the ED with chest pain. Restate whether vaccination during pregnancy could reduce the burden of respiratory syncytial virus (RSV) - associated lower respiratory tract illness in newborns and infants. Discuss the rate of wound infection from suturing with sterile gloves, dressings, drapes, etc. versus non-sterile gloves, dressings in emergency department. Discuss the risk-benefit of using tranexamic acid (TXA) in the treatment of gastrointestional bleeds. Identify interventions designed to reduce fatigue among emergency department physicians. Determine whether a direct oral penicillin challenge is noninferior to the standard of care of penicillin skin testing followed by an oral challenge in patients with a low-risk pencillin allergy. This activity has been planned and implemented in accordance with the accreditation criteria, standards and policies of the Minnesota Medical Association (MMA). Ridgeview is accredited by the Minnesota Medical Association (MMA) to provide continuing medical education for physicians. CME credit is only offered to Ridgeview Providers & Allied Health staff for this podcast activity. After listening to the podcast, complete and submit the online evaluation form. Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within approximately 2 weeks. You may contact the accredited provider with questions regarding this program at Education@ridgeviewmedical.org. Click the link below, to complete the activity's evaluation. CME Evaluation (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.) DISCLOSURE ANNOUNCEMENT The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition; and are property/rights of Ridgeview. Any re-reproduction of any of the materials presented would be infringement of copyright laws. It is Ridgeview's intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker's outside interest may reflect a possible bias, either the exposition or the conclusions presented. None of Ridgeview's CME planning committee members have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All of the relevant financial relationships for the individuals listed above have been mitigated. RESOURCES Article 1: O'Rielly, C.M., Andruchow, J.E., McRae, A.D. et al. External validation of a low HEAR score to identify emergency department chest pain patients at very low risk of major adverse cardiac events without troponin testing. Can J Emerg Med 24, 68–74 (2022). https://doi.org/10.1007/s43678-021-00159-y Article 2: Kampmann B, Madhi SA, Munjal I, et al. Bivalent Prefusion F Vaccine in Pregnancy to Prevent RSV Illness in Infants. N Engl J Med. 2023;388(16):1451-1464. doi:10.1056/NEJMoa2216480 Article 3: Zwaans JJM, Raven W, Rosendaal AV, et al. Non-sterile gloves and dressing versus sterile gloves, dressings and drapes for suturing of traumatic wounds in the emergency department: a non-inferiority multicentre randomised controlled trial. Emerg Med J. 2022;39(9):650-654. doi:10.1136/emermed-2021-211540 Article 4: HALT-IT Trial Collaborators. Effects of a high-dose 24-h infusion of tranexamic acid on death and thromboembolic events in patients with acute gastrointestinal bleeding (HALT-IT): an international randomised, double-blind, placebo-controlled trial. Lancet. 2020;395(10241):1927-1936. doi:10.1016/S0140-6736(20)30848-5 Article 5: Fowler LA, Hirsh EL, Klinefelter Z, Sulzbach M, Britt TW. Objective assessment of sleep and fatigue risk in emergency medicine physicians. Acad Emerg Med. 2023;30(3):166-171. doi:10.1111/acem.14606 Article 6: Copaescu AM, Vogrin S, James F, et al. Efficacy of a Clinical Decision Rule to Enable Direct Oral Challenge in Patients With Low-Risk Penicillin Allergy: The PALACE Randomized Clinical Trial. JAMA Intern Med. 2023;183(9):944-952. doi:10.1001/jamainternmed.2023.2986 Thank-you for listening to the podcast. Thanks to Dr. Chris Solie, Jason Hicks, Fred DeMeuse and Greta Sowels for their expert knowledge and contribution to this podcast.
The Coffee Club from Wednesday March 27th, 2024. Guests include Jesse Jahner, Cody Beilke, Jason Hicks and your calls and emails.
The Jay Thomas Show from Thursday February 22nd, 2024. Guests include, Caryn Olson from SCHEELS, Don Kinsler, Jason Hicks, KIMBER Firearms Reps and your calls and emails. https://www.scheels.com/p/kimber-micro-9-rapide-pistol/1412-3300230.html
The Coffee Club from Tuesday February 13th, 2024. Guests include Mark Johnson, Jason Hicks, Jessica Kinzler and John Clark. You can register here for tomorrow"s Blood Drive at St Anne's and Jochim Church NOW! https://www.vitalant.org/?utm_medium=organic&utm_source=GMB&utm_campaign...
Jason Hicks Commander Patriot Bodies discusses his family's military history and how we can help area soldiers, families, and organizations.See omnystudio.com/listener for privacy information.
15:24 - Jason Hicks - United Patriotic Bodies 1:18:30 - Steve Moore - Economist 1:51:32 - Senator John Hoeven What's on your mind? We want to know! Email us at StudioFlagFamily [dot] com Subscribe on Spotify, Apple, & Google
The Coffee Club from Tuesday May 24th, 2023. Guests include Heather Clyde from Homeward Animal Shelter and Jason Hicks from United Patriotic Bodies plus your calls and emails.
20:11 - Jason Hicks - United Patriotic Bodies 52:25 - Walter Hudson - Minnesota State Legislature 1:41:38 - Congressman Kelly Armstrong What's on your mind? We want to know! Email us at StudioFlagFamily [dot] com Subscribe on Spotify, Apple, & Google
On Episode 20 of the TID Water & Power Podcast we sit down with TID's Jason Hicks to discuss the District's safety, security, and emergency preparedness efforts.One of TID's core values is Safety – ensuring a safe environment for customers and employees. Leading this charge at the District is the Security and Emergency Preparedness Department. In recent years, historic rain events, fires in our service territory, and global pandemics, have illustrated the value of the work of the Department.On this episode we discuss the importance of safety and security, how TID prepares for emergencies, and the role of the District when responding to an incident. Let's get social! Facebook: @TurlockIDInstagram: @TurlockIDTwitter: @TurlockIDLinkedIn: /company/turlockid Find out more about TID at https://www.TID.org/podcast.
In today's Podcast, we Have Jason Hicks, Field CISO at Coalfire. Jason Hicks has worked on the Technical and Business side at CISO. Mr. Hicks helps people transition from being a technical CISO to being a business leader with skills he has learned and delivers business strategies back to his community and other businesses. Enjoy today's Podcast of New Cyber Frontier. Visit our sponsors: BlockFrame Inc. IEEE Digital Privacy Murray Security Services
Jason Hicks is a formerly served in the military before starting his business OsteoStrong in Clayton. Listen as we talk to Jason about OsteoStrong, the impact it is having in lives in St. Louis, along with his views on leadership. We also talk to Jason about starting a business, the challenges that came with it and how he was able to overcome those challenges and push through to create a successful small business here in St. Louis.
Today Patrick hears the story of the Fargo Memorial Honor Guard from Commander Jason Hicks. Fargo Memorial Honor Guard is a registered 501(c)(3) non-profit that is comprised of local Veterans organizations through out Cass and Clay Counties. The provide salutes and honor those military veterans being buried at local cemeteries. Learn More About Fargo Memorial Honor Guard: https://fargomemorialhonorguard.org/Donate to Fargo Memorial Honor Guard: https://donorbox.org/building-fund-48 Support This Podcast! Make a quick and easy donation here:https://www.patreon.com/dogoodbetterSpecial THANK YOU to our sponsors:Donor Dock - The best CRM system for your small to medium sized nonprofit, hands down! Visit www.DonorDock.com and use the Promo Code DOGOODBETTER for a FREE month!Brady Martz - The Nonprofit Audit Specialists! Visit www.BradyMartz.com to connect with folks to make your fiscal life a heckuvalot easier!About The Official Do Good Better Podcast:Each episode features (fundraising expert, speaker, event creator and author) Patrick Kirby interviewing leaders and champions of small & medium nonprofits to share their successes, their impact, and what makes them a unicorn in a field of horses. Patrick answers fundraising questions and (most importantly) showcases how you can support these small nonprofits doing great big things!iTunes: https://apple.co/3a3XenfSpotify: https://spoti.fi/2PlqRXsYouTube: https://bit.ly/3kaWYanTunein: http://tun.in/pjIVtStitcher: https://bit.ly/3i8jfDRFollow On Facebook: https://www.facebook.com/DoGoodBetterPodcast/Follow On Twitter: @consulting_do #fundraising #fundraiser #charity #nonprofit #donate #dogood #dogoodBETTER #fargo #fundraisingdadAbout Host Patrick Kirby:Email: Patrick@dogoodbetterconsulting.comLinkedIN: https://www.linkedin.com/in/fundraisingdad/Want more great advice? Buy Patrick's book! Now also available as an e-book!Fundraise Awesomer! A Practical Guide to Staying Sane While Doing GoodAvailable through Amazon Here: https://www.amazon.com/dp/1072070359
Jason Hicks, who recently joined Coalfire as a Field CISO and cybersecurity executive advisor, sat down with the Technado team to talk about his new role. He also shared his predictions for the AppSec industry in 2022. Then, the guys discussed last week's AWS US-EAST-1 outage, mouse movers for sneaky remote workers, SIP phones adding Microsoft Teams support, and the Log4j Log4Shell zero-day. Finally, in WTF, they talked about the racist blockchain record tied to McDonald's McRib NFT.
Jason Hicks, who recently joined Coalfire as a Field CISO and cybersecurity executive advisor, sat down with the Technado team to talk about his new role. He also shared his predictions for the AppSec industry in 2022. Then, the guys discussed last week's AWS US-EAST-1 outage, mouse movers for sneaky remote workers, SIP phones adding Microsoft Teams support, and the Log4j Log4Shell zero-day. Finally, in WTF, they talked about the racist blockchain record tied to 'McDonalds McRib NFT.
The last of our "What do you want to be when you grow up?" series and after chatting with all of the Robinvale College year 12 class of 2020 the defence force was a common thread.So I thought we'd tap into a valuable and local resource, albeit, he's on the otherside of the planet right now, but he did all of his schooling in Robinvale and is now a Warrant Officer with the Royal Australian Navy.Jason Hicks has been a guest with us before but now we have our summer intern so we ask him all about joining the ADF from a year 12's perspective and we give him the tough questions that only someone high ranking in the military would know,.Are UFO's real?Did the moon landing really happen?Are all weird objects in the sky weather balloons?
Bonnie and Doug visit with Jason Hicks, Commander of United Patriotic Bodies, about his service as well as Veterans Day events. Some events have been cancelled or adjusted this year due to Covid, but other events are being held as they have been in previous years. This podcast is brought to you by One Oak Place, a 55 and better living community which is all about resident choice. (Listen to Bonnie and Doug every Monday through Friday from 5-8 am on the “KFGO Morning Crew” and be part of our morning show by getting involved in our "Question of the Day" or by calling in weather and traffic information. Also make sure you like our KFGO Morning Crew Facebook page). See omnystudio.com/listener for privacy information.
This extra-special, bonus episode of Opera Central is a real, uncut conversation between Music Director John Baril, Orchestra Personnel Manager and Violist Brian Cook, Mezzo-Soprano Megan Marino and Baritone Michael Mayes over a couple of beers. The two couples chatted about life and art during the time of COVID outside of the historic Penrose House Complex in Central City after Meg and Mike performed in the Garden for the CCO Al Fresco series. Covering topics like how their lives have changed since the pandemic, how watering flowers and maintaining historic properties have inspired John and Brian to live in the moment, and the ways Meg and Mike envision American opera changing for the better, you'll feel like you're right there among the elements with these four friends. Since the interview had to be recorded outside for safety purposes, you'll hear wind, motor noise, bird calls, the occasional dog barking, and even the famous Central City Wild West Shootout in the background. That's summer life outside in Central City! You'll hear Mike speak first, then John, Brian, and finally Meg. Enjoy! Megan and Michael's "opera meets bluegrass" #CCOAlFresco concert is available online starting August 26 at centralcityopera.org/ccoalfresco. Along with being Central City Opera's Orchestra Personnel Manager, Brian Cook is a music educator, chef, massage therapist and more! Learn more about him at cookwithcook.com. John and Brian reference "working for (Director of Historic Properties) Eric Chinn" throughout the episode. If you'd like to volunteer to help maintain Central City Opera's historic properties and garden, email us at marketing@centralcityopera.org. Megan and Michael talk about connecting more deeply with their neighbors and making music on their front porches during this prolonged period at home during the pandemic. Jason Hicks, their neighbor/the front man of the acclaimed Blue Canyon Boys, even joined them as a featured artist on our #CCOAlFresco concert series! Read more about Jason and the Blue Canyon Boys at bluecayonboys.com. **Easter egg alert!** Check out a secret performance of Megan Marino's French opera/"Pure Imagination" mashup referenced in the interview here. All four of these guests have appeared on the podcast in the past. Check out John's episodes (Season 4, Episode 3 - BILLY BUDD; Season 3, Episode 5 - IL TROVATORE; Season 2, Episode 8 - COSI FAN TUTTE; and Season 1, Episode 2 - TOSCA). Find Brian's past episode here (Season 1, Episode 19), Megan's past episode here (Season 2, Episode 13 - COSI FAN TUTTE) and Michael's past episodes here (Season 2, Episode 12 - CARMEN and Season 1, Episode 7 - TOSCA).
A politician, a paramedic, a Naval officer and a farmer sat down for a chat...Sound like the beginning of a joke doesn't it? It's not, it's this week's podcast! And just a word of warning, the language is a little loose in this one so parental guidance is recommended for those under the age of 15.This is our 50th weekly episode! Hooray and given that 80% of Australian podcasts don't go over 10 episodes, we're incredibly proud to reach 50 already!However, community broadcasting is more critical than ever, as is fact finding and conversations, so we will keep pushing onward and upward from here.We had to catch up with Ali to answer some more questions about the border closures and use of the Sturt Highway and Donny gets all fired up about his ol' mate Daniel Andrews!Jason Hicks, Colin's eldest child and if you ask Tracey or Sam they will say the favourite child, has been deployed to Dubai on a 6 month mission so we wanted to find out what on earth is going on in the Middle East to warrant calling a Warrant officer back OS. He wouldn't tell us and that's fine. I don't think we need anything else to worry about, but we did have a good catch up with Jason and will do again before he gets home.Anita from RDHS is in again to let us know that face masks are now mandatory within RDHS and we're more than happy to live with that.Then we talk about taking some mental health leave and coming for a run with us this weekend.It's full! FULL I tells ya, but we did have a laugh and that is all we can ask for at the moment.You can hear the full 30 min+ interview with Ali & see the Zoom chat with Jason if you're a VIP now on your Patreon feed. If you're not a VIP, you can become one here: patreon.com/thevalepodcast
St. Louis Digital Marketing and Business Profiles from INSITE ADVICE
The OsteoStrong St. Louis program is like no other. It is specially designed to safely strengthen the foundation of your body, your skeletal system. It does this using a process called osteogenic loading. In only 10 minutes, once a week, you develop strength, improved bone density, better posture, balance, and athletic performance, with reduced joint and back pain. Our owner Jason Hicks believes that everyone deserves to live a healthy and vibrant life, regardless of age. He also believes that the purpose of his life is to leave people better than he found them. The most exciting part of OsteoStrong® for him is the potential he has to fulfill this purpose with regards to playing a role in helping others attain new levels of personal freedom by unleashing significant increases in functional strength and performance, decrease pain, or both. This is why he joined the OsteoStrong® family, and why he sincerely looks forward to sharing it with you and the effectiveness of Osteostrong.OsteoStrong St. Louis-Clayton8201 Maryland Ave, Clayton, MO 63105(314) 541-5661Support the show (https://www.google.com/maps?cid=9522497556608756916)
Jenna has entrepreneur, owner of GRN TEA magazine Jason Hicks @jhicks1124 on today's episode. They talk weirdest COVID updates they've seen, how COVID testing is actually performed, and dating while quarantined... Jenna has a new snack alert of course and this one is sweet! Powered by @topcutfarms Remember 18+ ONLY! EP 37 Don't forget to SUBSCRIBE!
The Future of Security Leadership Jason Hicks, Global CISO at Kudelski Security, joins the podcast to talk about the future of security leadership. He covers the challenges of managing a security team, communication skills for technical leaders, coping with scope creep, and the rise of the branded CISO. You can find the Kudelski report co-authored […]
In this Live Friday CME recap podcast, Dr. Santiago Garcia, a cardiologist with Minneapolis Heart Institute, provides an overview of percutaneous mitral valve repair; specifically the MitraClip. Objectives: Upon completion of this podcast, participants should be able to: Recognize that mitral valve regurgitation is highly prevalent and detrimental to the quality of life and survival. Select the differences between functional and degenerative mitral regurgitation. Describe the mechanism of action of percutaneous repair and clinical data to support its clinical use. Identify indications for the determination of surgical mitral valve repair and replacement. CME credit is only offered to Ridgeview Providers for this podcast activity. Complete and submit the online evaluation form, after viewing the activity. Upon successful completion of the evaluation, you will be e-mailed a certificate of completion honoring you 1 CME/CEU credit in approximately 2 weeks. You may contact the accredited provider with questions regarding this program at rmccredentialing@ridgeviewmedical.org. Click on the following link for your CME credit: CME Evaluation: "Percutaneous Mitral Valve Repair" - CME Internet Enduring Activity (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.) The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition.” ----- FACULTY DISCLOSURE ANNOUNCEMENT It is our intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented. Santiago Garcia, MD has received honoraria from Abbott Vascular. An independent review of his presentation confirms he is following EBM guidelines, as MitraClip is the only trans-catheter mitral valve repair (TMVr) therapy that delivers a treatment option for patients with significant symptomatic mitral regurgitation. Santiago Garcia, MD works with Abbott Vascular engineers and provides feedback on new MitraClip designs, and does not endorse Abbott Vascular. There is NO commercial tie to Abbott Vascular products, and NO impact on this specific Ridgeview CME presentation/podcast. Santiago Garcia, MD has received honoraria from Medtronic. An independent review of his presentation confirms he is following EBM guidelines. Santiago Garcia, MD provides training and consultation for chronic total occlusion devices (stents). He does NOT endorse Medtronic products and NO commercial tie to Medtronic products, therefore has NO impact on his Ridgeview Medical Center CME presentation. Santiago Garcia, MD has received honoraria from Edwards Lifesciences. An independent review of his presentation confirms he is following EBM guidelines. Santiago Garcia, MD is a speaker and proctor for Edwards Lifesciences. He does NOT endorse Edwards Lifesciences products. There is NO commercial tie to Edwards Lifesciences products, therefore there is NO impact on this CME presentation. All other planning committee members and presenters have disclosed they have no significant financial relationship with any cardiovascular device companies that have been disclosed and the NO conflict of interest exists with Santiago Garcia, MD’s presentation/educational event. ----- SHOW NOTES: Welcome back everyone to Ridgeview Podcast: CME Series! It's Live Friday CME recaps. Jason Hicks here, and it's my pleasure to host this episode. Thanks for joining us on this lovely fall day. In this episode, we are joined by Dr. Santiago Garcia, staff interventional cardiologist with Minneapolis Heart Institute. He is going to enlighten us on some of the particulars of percutaneous mitral valve repair. Most specifically, the Mitraclip, which is effectively the mitral clip procedure for the indication of mitral regurgitation. So pour a cup of coffee, and chill out on the porch; and get ready to take in some cutting edge cardiology here on Ridgeview Podcast CME Series with Dr. Santiago Garcia. CHAPTER 1: Alright all you stellar continuing educationalists. Yep, that's a real word. It's time to digest some of this excellent info. According to the study out of Mayo Clinic that Dr. Garcia discusses, the prevalence of mitral valve disease (MVD) is actually higher than aortic valve disease (AVD). Both increase with age. But by the age of 75, 1 in 10 will have MVD, and it is higher than AVD. About 4 million in the U.S. have mitral regurgitation (MR), and about half are eligible for therapy. However, there are a relatively small number that actually go on to get mitral valve surgical therapy, due to the fact that the guidelines are fairly stringent for this. Asymptomatic, severe mitral regurgitation, as well as patients with symptoms can benefit greatly by surgical therapy. Some definitions and quick discussion though, regarding mitral regurgitation. What is it? Mitral regurgitation is just that. Regurgitation through the mitral valve into the left atrium during systole. It results in a systolic murmur. Standard diagnosis is made by echocardiogram, usually transthoracic echo (TTE). This will tell us about the severity of the MR. Also, remember that many people are asymptomatic with this, even in the setting sometimes of severe MR. The guidelines for mitral valve open surgery are sort of complicated, but Dr. Garcia summarizes as follows: Primary, also known as degenerative mitral regurgitation (DMR) and secondary MR. Primary (or DMR) deals with pathology of the leaflets. Leaflets are attached to the muscle of the heart. These patients in general have more tissue than what they actually need. Secondary MR is, most commonly, due to previous MI. The scar on the wall of the heart pulls on the valve and the leaflet are therefore pulled down. Functional MR is also a form of secondary MR and has to do with LV dysfunction and no actual valve structure abnormality. There tends to be a different treatment algorithm for each type of MR. There is no class, one indication for surgery for secondary MR. A large randomized trial concluded there was no benefit in surgery in patients also undergoing CABG. With primary MR, surgery has a class 1 indication, as long as there are symptoms and a EF of at least 30%. In asymptomatic patients, repair is recommended if A-fib is present, pulmonary hypertension, and a very experienced surgeon. There are only a few such surgeons in the country. The likelihood of surgical success must be >95% in order to proceed with surgical correction. Mitral valve (MV) surgical repair is the overall standard of care. The most pathology site is the P2 scallops, with excessive tissue and a flail posterior leaflet, as mentioned by Dr. Garcia. A resection and then reapproximation of this tissue is performed. A valve ring is often placed as well. About 50% of patients who may qualify for percutaneous therapy. Coming up next, Dr. Garcia will go into the background and some of the intricacies of the MitraClip procedure. CHAPTER 2: The MitraClip device is the only commercial available device in the United States for primary or degenerative MR. The guidelines give percutaneous therapy a class 2B indication. These are high risk patients, who typically have had previous sternotomy or are older than 80. FMR (functional mitral regurgitation), which is discussed and defined in Cardiology Review, 2010, by Schmitto et.al, "as a systolic retrograde flow from the left ventricle into the left atrium due to reduction and/or elimination of the normal systolic coaptation of the mitral valve leaflets." The valve structure is essentially normal, but the function of the valves during systole is not, and therefore results in regurgitation. FMR did not previously have an indication for surgery until the COAPT, which was recently published in the New England Journal of Medicine, resulted in FDA approval. This trial took over a decade to perform, and the results were impressive, but another trial would be needed to have a class 1 indication. EVEREST 2 was another trial that helped lead to approval of the device. So, how are mitral regurgitation patients approached in general? A TEE (transesophageal echocardiogram) is performed. There are separate criteria for FMR and DMR. These criteria were used in the clinical trial mentioned. However, some of these criteria are now obsolete, given there are other devices, for instance the XTr, that can now be used, and more of these patients could now potentially be treated with percutaneous therapy. In addition, if the mitral valve area is small, this therapy can lead to iatrogenic mitral valve stenosis. Is this useful for CHF patients? Well, in the COAPT and EVEREST 2 trials, patients needed to be on optimal medical therapy. If patients' MR improved significantly with medical therapy alone, then they would not be procedural candidates. If their MR was no better in the setting of optimal medical therapy, then they would be candidates for the procedure. How is this procedure done? First, venous access is obtained; then the left atrium is accessed from the right atrium. The left atrium in navigated. With the clip opened, the catheter/device enters the left ventricle, then grabs valve tissue. The clip is closed and then the device is deployed. Basically, the device truly clips together the leaflets of the mitral valve in order to close the gap that results in severe regurgitation. This is obviously very visual, so please check out the presentation slides to Dr. Garcia's presentation. The posterior, superior quadrant of the atrial septum is where the puncture will take place. This allows for maneuverability down toward the ventricle. This is all done under TEE guidance. Therefore it is done under general anesthesia. The clip is best situated in A2 P2 (the anterior and posterior 2nd scallops of the valve). There are long and short clip arm device options, and the size of the leaflets and their degree of retraction will dictate which device is used. The leaflets are basically clipped together, creating two orifices from the original one. A +2 mitral regurg indicates good success post-procedure. And the goal is also not to cause mitral stenosis. Left atrial pressure reduction is also a goal here; such as a reduction of 10mmHg, as mentioned by Dr. Garcia. Stay tuned for the next segment where Dr. Garcia discusses the COAPT trial, and some of the other studies that led to approval of this innovative procedure. CHAPTER 3: COAPT was the pivotal trial for patients with FMR for a mitral clip device. Again, this is a class 2B indication for the procedure. It was hypothesized that by impacting mitral regurgitation, we could decrease preload and CHF readmissions. It (COAPT) compared to 300 pts in each study are, one with medical therapy and one with medical therapy and the clip. There was almost a 50% reduction in admissions. The NNT (number needed to treat) to prevent one hospital admission was 3. In addition, a mortality reduction of 40% was seen, with an NNT of 6. Overall, to prevent 1 event, either heart failure admission or death, the NNT is 4. This is unprecedented in terms of a device trial. The COAPT showed a complication rate of
In our inaugural episode we talk with Jason Hicks, founder of Niyakko Rush Soccer Club, and Goshen Carmel, Filmmaker and Niyakko Alum. Niyakko Rush was started when Jason found a group of refugee children playing soccer in a dirt lot at their apartment complex. The kids didn't have proper grass or footwear, but the soccer would not be stopped. Conflict in their native countries brought them to Colorado but football brought these kids together. Not speaking the same language or sharing the same culture, they found a common bond in soccer and they found a team with Jason Hicks. This is the first episode of Footylosopher; a podcast meant to show you all the ways soccer explains life. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/footylosopher/message
THERE IS A DIRECT LINK BETWEEN great leadership and emotional intelligence, or EQ. In this ClarkMorgan Insights video, Jason Hicks, a trainer and coach, explains the importance of ‘self-regulation’ – one of the first proponents of EQ, Daniel Goldman’s, five components. Jason shares two cases of leaders who wanted to be respected, but by demanding… The post Respect Can't be Demanded – Jason Hicks appeared first on ClarkMorgan.
Cask beer is demystified this week on Beer Sessions Radio! Jimmy Carbone and summer co-host Ben Keene are joined by Jason Hicks, chef at The Shakespeare and Jones Wood Foundry, Alex Hall of Cask Marque and Dave Lopez of Gun Hill Brewery. Tune in to hear what works and doesn’t when it comes to cask conditioned beer and what it takes to do it the right way! This program was brought to you by Union Beer Distributors. “The difference between having cask beer in a bar or not is the ability for it to turn over in 3-4 days.” [29:00] –Alex Hall on Beer Sessions Radio “If you find yourself at a beer that has cask on tap – ask questions, give it a try and learn something. There can be delicious results.” [44:00] –Jason Hicks on Beer Sessions Radio
Joan Zen and Jason Hicks talk about music, inspiration, the new album they’re working on, and life in the Bitterroot Valley, in western Montana. Music by Joan Zen, Karrin Allyson, and The McCoy Tyner Trio with Michael Brecker. Photo: Ken Stolz … More ... The post Joan Zen: Musicians appeared first on Paradigms Podcast.
Cathy Sultan, Tom Chisholm & Jason Hicks were recently part of a delegation to Israel/Palestine sponsored by the Interfaith Peace-Builders, witnessing first-hand the suffering and aspirations of the people both sides of the wall.