Podcasts about Kittleson

This episode covers: Cardiology This Week: A concise summary of recent studies Dual antiplatelet therapy in 2025 Optimal communication with patients Snapshots Host: Emer Joyce  Guests: Carlos Aguiar, Michelle Kittleson, Gilles Montalescot Want to watch that episode? Go to: https://esc365.escardio.org/event/1798   Disclaimer ESC TV Today is supported by Bristol Myers Squibb. This scientific content and opinions expressed in the programme have not been influenced in any way by its sponsor. This programme is intended for health care professionals only and is to be used for educational purposes. The European Society of Cardiology (ESC) does not aim to promote medicinal products nor devices. Any views or opinions expressed are the presenters' own and do not reflect the views of the ESC.   Declarations of interests Stephan Achenbach, Emer Joyce, Michelle Kittleson and Nicolle Kraenkel have declared to have no potential conflicts of interest to report. Carlos Aguiar has declared to have potential conflicts of interest to report: personal fees for consultancy and/or speaker fees from Abbott, AbbVie, Alnylam, Amgen, AstraZeneca, Bayer, BiAL, Boehringer-Ingelheim, Daiichi-Sankyo, Ferrer, Gilead, GSK, Lilly, Novartis, Pfizer, Sanofi, Servier, Takeda, Tecnimede. Davide Capodanno has declared to have potential conflicts of interest to report: Bristol Myers Squibb, Daiichi Sankyo, Sanofi Aventis, Novo Nordisk, Terumo. Gilles Montalescot has declared to have potential conflicts of interest to report: research funds for Action Groupe or honoraria from Abbott, Amgen, AstraZeneca, Bayer, BMS, Boehringer-Ingelheim, Celecor, CSL Behring, Hexacath, Idorsia, Lilly, Novo Nordisk, Pfizer, SMT, Terumo. Steffen Petersen has declared to have potential conflicts of interest to report: consultancy for Circle Cardiovascular Imaging Inc. Calgary, Alberta, Canada. Emma Svennberg has declared to have potential conflicts of interest to report: Abbott, Astra Zeneca, Bayer, Bristol-Myers, Squibb-Pfizer, Johnson & Johnson.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/NCPD/CPE information, and to apply for credit, please visit us at PeerView.com/QTM865. CME/NCPD/CPE credit will be available until January 22, 2026.Don't Fail Them Now: Bridging Diagnostic and Treatment Gaps in Transthyretin Cardiac Amyloidosis[JAC_Logo] In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from BridgeBio Pharma, Inc.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/NCPD/CPE information, and to apply for credit, please visit us at PeerView.com/QTM865. CME/NCPD/CPE credit will be available until January 22, 2026.Don't Fail Them Now: Bridging Diagnostic and Treatment Gaps in Transthyretin Cardiac Amyloidosis[JAC_Logo] In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from BridgeBio Pharma, Inc.Disclosure information is available at the beginning of the video presentation.

For more information regarding this CME/CE activity and to complete the CME/CE requirements and claim credit for this activity, visit:https://www.mycme.com/courses/management-of-amyloid-cardiomyopathy-and-polyneuropathy-9813SummaryIn this CME/CE podcast episode, Cardiologist Dr. Michelle Kittleson and Neurologist Dr. Chafic Karam discuss the multidisciplinary management of transthyretin amyloidosis (ATTR). They explore how ATTR affects both the heart and the nervous system, focusing on recognizing symptoms, diagnosing the disease, and managing treatment. Dr. Karam shares insights on peripheral neuropathy caused by amyloidosis, including clues that suggest amyloidosis over more common neuropathies. Dr. Kittleson highlights how cardiologists assess and manage TTR cardiomyopathy, emphasizing the importance of early diagnosis and the evolving therapeutic landscape. Together, they discuss the collaborative nature of care, the impact of new therapies on clinical outcomes, and the importance of raising awareness for ATTR.Learning ObjectivesDescribe the correct diagnostic algorithm for suspected ATTR, including interpretation of the monoclonal protein screen and indications for biopsy and genetic testingInitiate appropriate management, including disease-directed therapy and appropriate cardiac care, or referral when indicatedThis activity is accredited for CME/CE CreditAssociation of Black Cardiologists, Inc. (ABC) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.Association of Black Cardiologists, Inc. designates this enduring material for a maximum of 0.25 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.This activity has been planned and implemented in accordance with the Accreditation Standards of the American Association of Nurse Practitioners® (AANP) through the joint providership of the National Association for Continuing Education (NACE) and ABC. NACE is accredited by the AANP as an approved provider of nurse practitioner continuing education. Provider number 121222. This activity is approved for 0.25 contact hours (which does not include hours of pharmacology).For additional information about the accreditation of this program, please contact NACE at info@naceonline.com.Summary of Individual DisclosuresPlease review faculty and planner disclosures here.Disclosure of Commercial SupportThis educational activity is supported by an educational grant from Alnylam Pharmaceuticals Inc., and an educational grant from AstraZeneca Pharmaceuticals.Please visit http://naceonline.com to engage in more live and on demand CME/CE content.

Chet Kittleson, Co-founder and CEO of Far Homes, shares how the company is simplifying international home buying. Born from the pandemic's remote work trend, Far Homes helps people buy and sell homes abroad, starting with Mexico. They offer a thorough real estate search platform, connect buyers with local agents, and focus on high-demand markets like Cancun and the Riviera Maya. Far Homes aims to be the go-to for global cross-border purchase financing, with tools like the Financing Finder making the process easier. One thing Chet points out is that despite all the possibilities with technology, agents remain a vital part of the equation when it comes to buying real estate both abroad and domestically.More about Chet and Far HomesFar Homes is a real estate company that is making it easier to find and buy homes in international destinations in a world where more and more people can live and work anywhere. Founded by real estate industry veterans in 2022, the company is working to simplify the international home-buying and selling experience through a technology-powered marketplace. Far Homes has built a database of pre and new-construction, and existing homes for sale making it easy to find the home you want. The company has a bilingual customer service team who respond quickly, and a network of local, multi-lingual partner agents with experience helping buyers from outside the country navigate the home buying and selling process.Far Homes has raised more than $2 million from PSL Ventures, Redfin CEO Glenn Kelman, and DoorDash co-founder Evan Moore, among others.Chet is the CEO of Far Homes, a US-based real estate start-up focused on simplifying the international home-buying experience. Chet started Far Homes in 2022 when the rise of remote work gave more people than ever the opportunity to live and work anywhere in the world, dramatically increasing the need for support in finding and buying a home in another country. Prior to starting Far Homes, Chet spent 6 years at Redfin where he first led New Ventures, building off his strong background in partnerships to create millions of dollars in high-margin revenue before becoming the GM of Marketplaces. Connect with ChetFollow Far Homes on TwitterCheck out Far Homes

Why are many of the most successful real estate agents true entrepreneurs at heart? How is Redfin able to focus on solving the core issues of the real estate agent and in turn solve problems for the homebuying consumer? What has been the driver of more and more homebuyers looking to purchase real estate properties outside the US? Why is purchasing real estate internationally such a black box? What are the primary differences between purchasing a home in the US and purchasing a home in Mexico? Why is working with a real estate agent in Mexico as important for home purchases as it is in the US? Why aren't cross border mortgage products more readily available to international homebuyers? How do marketplace business models make or break growth dynamics for early stage tech businesses? Why are the best real estate agents so relationship focused? What telephony challenges for international real estate transactions has Far Homes needed to build technology to help solve? Why has technology for the real estate agents in Mexico not achieved the adoption levels of their US counterparts? How do you solve for listing aggregation when there is no MS equivalent in international markets? What are the profile types of US buyers purchasing internationally? Are there opportunities to create deeper technological innovation within cross-border home buying?Chet Kittleson - co-founder and CEO of Far Homes, joins Proptech Espresso to answer these questions and discuss how watching the personal struggles and triumphs of his real estate agent mother created a love of home ownership and a deep entrepreneurial drive from these deeply impactful childhood experiences. 

This week on Laughing Liberally Milwaukee, comedian Michael Kittelson joins host Matthew Filipowicz to discuss how tennis balls will be banned from the RNC security footprint, but guns will not.

Dr Michelle Kittleson is Professor of Medicine at Cedars-Sinai and Director of Education in Heart Failure and Transplantation at the Smidt Heart Institute. She graduated from Harvard College and received her medical degree from Yale University. She completed residency training at Brigham and Women's Hospital and cardiology fellowship at Johns Hopkins, where she also received a PhD in Clinical Investigation. Watch the complete webinar here: https://www.radcliffecardiology.com/webinars/latest-clinical-trial-updates-attr-cm-and-al-cm

The clinical picture of an underrecognized disease Amyloidosis demystified. Learn the clinical clues that suggest possible amyloidosis and how to order the correct tests to diagnose this disease. We are joined by Dr. Michelle Kittleson who shows us the ropes of treating fibril accumulation, @MKittlesonMD (Cedars Sinai).  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Introduction Case Presentation: Mr. Smith Differential Diagnosis of Heart Failure with Preserved Ejection Fraction Understanding Amyloidosis Clinical Clues and Red Flags for Amyloidosis Physical Examination Findings Workup for Amyloidosis Treatment Options AL Amyloidosis and Hematologist's Role ATTR Amyloidosis and Cardiologist's Role Other Therapies for TTR Amyloidosis Therapy on the Horizon Cost and Access to Tafamidis Alternative Therapies and Supplements Monitoring and Side Effects of Tafamidis Symptomatic Management and Anticoagulation Take Home Points Credits Written and Produced by; Deborah Gorth, MD, PhD Infographic and Cover Art: Meryl Gorth, RD, MPH and Deborah Gorth, MD, PhD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Sai S. Achi MD MBA Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Michelle Kittleson, MD, PhD Sponsor: Panacea  Visit panaceafinancial.com today to open your free account. Sponsor: Grammarly  Make a bigger impact at work with Grammarly. Sign up and download for FREE at grammarly.com/PODCAST Sponsor: Rocket Money  Stop wasting money on things you don't use. Cancel your unwanted subscriptions by going to RocketMoney.com/CURB.

Dr. Michelle Kittleson is the Director of Postgraduate Education in Heart Failure and Transplantation, Director of Heart Failure Research, and Professor of Medicine at the Smidt Heart Institute at Cedars-Sinai. She received her MD at Yale University School of Medicine followed by a residency in Internal Medicine at Brigham and Women's Hospital, and a fellowship in Cardiology at John Hopkins, where she also received a PhD in clinical investigation from the Johns Hopkins Bloomberg School of Public Health. Dr. Kittleson is also a guideline author: she was the chair of the writing group for the 2020 American Heart Association Scientific Statement on Cardiac Amyloidosis; she also co-authored the American College of Cardiology's 2020 Hypertrophic Cardiomyopathy Guidelines and the American Heart Association's 2022 Heart Failure Guidelines. Learning Objectives:By the end of this podcast, listeners should be able to:Describe goals for rounds on a busy inpatient service. Critique the common methods for priming trainees for optimal rounds.Develop a technique for working with trainees at different levels of patient ownership, including the toddler, the waiter, and the captain. Discuss the best times to add teaching points on roundsDiscuss the different ways to structure feedback on a busy inpatient team.Dr. Kittleson's Textbook on patient care:Mastering the Art of Patient Care 1st Edition. 2022. (Amazon Link)How to support PedsCrit:Please rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.To help improve the podcast, please complete our Listener Feedback Survey (< 5 minutes)!Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.Support the show

The following question refers to Section 7.8 of the 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure.The question is asked by Stony Brook University Hospital medicine resident and CardioNerds Intern Dr. Chelsea Tweneboah, answered first by Mayo Clinic Cardiology Fellow and CardioNerds Academy Chief Dr. Teodora Donisan, and then by expert faculty Dr. Michelle Kittleson.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 #29 A 69-year-old man was referred to the cardiology clinic after being found to have a reduced left ventricular ejection fraction and left ventricular hypertrophy. For the last several months he has been experiencing progressively worsening fatigue and shortness of breath while getting to the 2nd floor in his house. He has a history of bilateral carpal tunnel syndrome and chronic low back pain. He takes no medications. On exam, his heart rate is 82 bpm, blood pressure is 86/60 mmHg, O2 saturation is 97% breathing ambient air, and BMI is 29 kg/m2. He has a regular rate and rhythm with normal S1 and S2, bibasilar pulmonary rales, and 1+ pitting edema in both legs. EKG shows normal sinus rhythm with a first-degree AV delay and low voltages. Transthoracic echocardiogram shows a moderately depressed LVEF of 35-39%, severe concentric hypertrophy with a left ventricular posterior wall thickness of 1.5 cm and strain imaging showing globally reduced longitudinal strain with apical sparring. There is also biatrial enlargement and a small pericardial effusion. A pharmacologic nuclear stress test did not reveal any perfusion defects. A gammopathy panel including SPEP, UPEP, serum and urine immunofixation studies, and serum free light chains are unrevealing. A 99mTc-Pyrophosphate scan was positive with grade 3 uptake. In addition to starting diuretics, what is the next most appropriate step for managing for this patient? A Start metoprolol succinate B Start sacubitril/valsartan C Perform genetic sequencing of the TTR gene D Perform endomyocardial biopsy Answer #29 Explanation The correct answer is C – perform genetic sequencing of the TTR gene.   This patient has findings which raise suspicion for cardiac amyloidosis. There are both cardiac (low voltages on EKG and echocardiogram showing marked LVH with biatrial enlargement and small pericardial effusion as well as a characteristic strain pattern) and extra-cardiac (bilateral carpal tunnel syndrome and low back pain) features to suggest amyloidosis. The diagnosis of cardiac amyloidosis requires a high index of suspicion and most commonly occurs due to a deposition of monoclonal immunoglobulin light chains (AL-CM) or transthyretin (ATTR-CM). ATTR may cause cardiac amyloidosis as either a pathogenic variant (ATTRv) or as a wild-type protein (ATTRwt).   Patients for whom there is a clinical suspicion for cardiac amyloidosis should have screening for serum and urine monoclonal light chains with serum and urine immunofixation electrophoresis and serum free light chains (Class 1, LOE B-NR). Immunofixation electrophoresis (IFE) is preferred because serum or urine plasma electrophoresis (SPEP or UPEP) are less sensitive. Together, measurement of serum IFE, urine IFE, and serum FLC is >99% sensitive for AL amyloidosis.

In this episode, Dr. Gurleen Kaur (medicine resident at Brigham and Women's Hospital and Director of CardioNerds Internship) and CardioNerds Academy interns Dr. Akiva Rosenzveig (medicine intern at Cleveland Clinic), Dr. Chelsea Tweneboah (medicine intern at Stonybrook University), student doctor Shivani Reddy (medical student at Western Michigan University), student doctor Diane Masket (medical student at Rowan School of Osteopathic Medicine), and student doctor Tina Reddy (medical student at Tulane University School of Medicine) discuss with Dr. Michelle Kittleson (Director of Education in Heart Failure and Transplantation, Director of HF Research, and Professor of Medicine at Cedars Sinai) about Mastering the Art of Patient Care. Dr. Kittleson shares pearls of wisdom from her book on topics including career transitions, mentorship, dealing with uncertainty, learning from mistakes, delivering difficult news, and being a woman and parent in medicine.   This episode was planned by Dr. Gurleen Kaur and episode audio was edited by student doctor Tina Reddy. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron!

On this week's episode of GOLF's Subpar, Drew Kittleson joins former PGA Tour pro Colt Knost and jicky jack legend Drew Stoltz to recap Team Drew's second consecutive trip to the USGA Four Ball finals. -- Thanks to our official sponsor FanDuel.  Step up to the tee and take a swing at betting the PGA TOUR on FanDuel. Right now, new customers can get a NO SWEAT BET up to ONE THOUSAND DOLLARS back in BONUS BETS. Go to FanDuel.com/SUBPAR and sign up. That's FanDuel.com/SUBPAR to get a NO SWEAT FIRST BET up to ONE THOUSAND DOLLARS! FanDuel, ​​Official Betting Operator of the PGA TOUR. Disclaimer: 21+ in select states. First online real money wager only. $10 Deposit req. Refund issued as non-withdrawable bonus bets that expire in 14 days. Restrictions apply. See full terms at fanduel.com/sportsbook. Gambling Problem? Call 1-800-GAMBLER or visit FanDuel.com/RG (CO, IA, MI, NJ, OH, PA, IL, TN, VA), 1-800-NEXT-STEP or text NEXTSTEP to 53342 (AZ), 1-888-789-7777 or visit ccpg.org/chat (CT), 1-800-9-WITH-IT (IN), 1-800-522-4700 or visit ksgamblinghelp.com (KS), 1-877-770-STOP (LA), visit www.mdgamblinghelp.org (MD), 1-877-8-HOPENY or text HOPENY (467369) (NY), 1-800-522-4700 (WY), or visit www.1800gambler.net (WV).  

Michelle Kittleson, MD (@MKittlesonMD) drops pearls from her new book, Mastering the Art of Patient Care, around how to be a leader and navigate transitions in health profession education.  She shares relatable anecdotes and valuable tips on how to prepare for leadership, navigate uncertainty, and build your mentor cabinet.  Claim free CME for this episode at curbsiders.vcuhealth.org! Website | Instagram | Twitter | Subscribe | Patreon | Free CME!| Youtube Dr Michelle Kittleson is Professor of Medicine at Cedars-Sinai and Director of Education in Heart Failure and Transplantation at the Smidt Heart Institute. Dr. Kittleson is Deputy Editor of the Journal of Heart and Lung Transplantation, on writing committees for the 2020 Hypertrophic Cardiomyopathy Guidelines and the 2022 HF Guidelines, and on the Board of Directors for the Heart Failure Society of America. Her essays have appeared in the New England Journal of Medicine, Annals of Internal Medicine, and JAMA Cardiology and poems in JAMA and Annals of Internal Medicine. Her book, Mastering the Art of Patient Care, is available from Springer publishing. Show Segments Intro, disclaimer, guest bio Guest one-liner/ Best piece of advice Picks of the Week Case from Kashlak Leadership development in medicine Senior Resident Transition Kittleson's Rounds Encouraging Healthy Debate Kindness as a Leader Mentor Support Dealing with Uncertainty Tips to reduce micromanaging Take home Points Outro Credits Writer: John Ong, DO CME: John Ong, DO Infographic: Charlotte Chaiklin, MD Cover Art: Charlotte Chaiklin, MD Hosts: Era Kryzhanovskaya MD; Molly Heublein MD; John Ong DO   Show Notes: John Ong DO; Era Kryzhanovskaya MD Editor: (audio) podpaste (written materials) Molly Heublein MD Guest: Michelle Kittleson MD

S2 EP #2: MedCircle host, Kyle Kittleson, was diagnosed with Depression at nine years old and was immediately entered into treatment. Not long after Kyle sought treatment for his Depression, he realized that he was a gay man and tried to cover it up for over a decade. In this conversation, Kyle shares how he felt living with Depression at a much younger age than normally diagnosed, owning his sexuality and how he maintains his mental health today. Produced by MedCircle. Subscribe to our email list so that you never miss an episode: https://medcircle.com/podcast/ Watch this episode on YouTube: https://youtu.be/fDCOFxiQqmk

The following question refers to Section 7.7 of the 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure.  The question is asked by St. George's University medical student and CardioNerds Intern Chelsea Tweneboah, answered first by Baylor College of Medicine Cardiology Fellow and CardioNerds Ambassador Dr. Jamal Mahar, and then by expert faculty Dr. Michelle Kittleson. Dr. Kittleson is Director of Education in Heart Failure and Transplantation, Director of Heart Failure Research, and Professor of Medicine at the Smidt Heart Institute, Cedars-Sinai. She is Deputy Editor of the Journal of Heart and Lung Transplantation, on Guideline Writing Committees for the American College of Cardiology (ACC)/American Heart Association, is the Co Editor-in-Chief for the ACC Heart Failure Self-Assessment Program, and on the Board of Directors for the Heart Failure Society of America. Her Clinician's Guide to the 2022 Heart Failure guidelines, published in the Journal of Cardiac Failure, are a must-read for everyone! 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 #10 Ms. Heffpefner is a 54-year-old woman who comes to your office for a routine visit. She does report increased fatigue and dyspnea on exertion without new orthopnea or extremity edema. She was previously diagnosed with type 2 diabetes, morbid obesity, obstructive sleep apnea, and TIA. She is currently prescribed metformin 1000mg twice daily, aspirin 81mg daily, rosuvastatin 40mg nightly, and furosemide 40mg daily. In clinic, her BP is 140/85 mmHg, HR is 110/min (rhythm irregularly irregular, found to be atrial fibrillation on ECG), and BMI is 43 kg/m2. Transthoracic echo shows an LVEF of 60%, moderate LV hypertrophy, moderate LA enlargement, and grade 2 diastolic dysfunction with no significant valvulopathy. What is the best next step? A Provide reassurance B Refer for gastric bypass C Refer for atrial fibrillation ablation D Start metoprolol and apixaban Answer #10 Explanation The correct answer is D – start metoprolol and apixaban. Ms. Hefpeffner has a new diagnosis of atrial fibrillation (AF) and has a significantly elevated risk for embolic stroke based on her CHA2DS2-VASc score of 6 (hypertension, diabetes, heart failure, prior TIA, and female sex). The relationship between AF and HF is complex and they the presence of either worsens the status of the other. Managing AF in patients with HFpEF can lead to symptom improvement (Class 2a, LOR C-EO). However, large, randomized trial data are unavailable to specifically guide therapy in patients with AF and HFpEF. Generally, management of AF involves stroke prevention, rate and/or rhythm control, and lifestyle / risk-factor modification. With regards to stroke prevention, patients with chronic HF with permanent-persistent-paroxysmal AF and a CHA2DS2-VASc score of ≥2 (for men) and ≥3 (for women) should receive chronic anticoagulant therapy (Class 1, LOE A). When anticoagulation is used in chronic HF patients with AF, DOAC is recommended over warfarin in eligible patients (Class 1, LOE A). The decision for rate versus rhythm control should be individualized and reflects both patient symptoms and the likelihood of better ventricular function with sinus rhythm. For patients with HF and symptoms caused by AF, AF ablation is reasonable to improve symptoms and QOL (Class 2a,

“Medical school cannot, and should not, feel easy—but it should feel worthwhile” – these are the opening words of Dr Kittleson's book, Mastering the Art of Patient Care. Dr Kittleson's book is not only a great resource for patient care, but a heartful companion to early career faculty as well. Dr Kalra's guest on Parallax this week is Dr Michelle Kittleson, Professor of Medicine at Cedars-Sinai, Director of Education in Heart Failure and Transplantation and Director of Heart Failure Research at the Smidt Heart Institute. Coming from generations of doctors, Dr Kittleson describes herself first and foremost a dedicated clinician. With her new book, Dr Kittleson offers her mentorship and shares her advice on how to make patient care fulfilling for both clinicians and patients. In this rich and insightful discussion, Dr Kittleson talks about the origins of famous #kittlesonrules, a collection of tips for doctors shared on Twitter, and her thoughts on mentorship. We learn more about Mastering the Art of Patient Care. Dr Kalra and Dr Kittleson discuss strategies for managing difficult situations in patient care. You can find out more about Mastering the Art of Patient Care here: https://t.co/zdJT2MWl6J How do you pick a medical programme? How can you define your medical style? What can you learn from Mastering the Art of Patient Care? Questions and comments can be sent to “podcast@radcliffe-group.com” and may be answered by Ankur in the next episode. Guest: @MKIttlesonMD, host: @AnkurKalraMD and produced by: @RadcliffeCARDIO.

Today on the podcast we have Dr. Michelle Kittleson MD PhD. Dr. Kittleson is a Cardiologist, Director of Post Graduate Medical Education and Heart Failure and Transplantation, and a Professor of Medicine at Cedars – Sinai California Heart Center. Dr. Kittleson attended both Harvard and Yale Medical Schools. She then completed her Residency at Brigham and Women's Hospital, a fellowship at Johns Hopkins Bloomberg School of Public Health and a fellowship at Johns Hopkins Hospital. In this podcast, Dr. Kittleson talks about many of her past mentors and the benefits of having a mentor, the future of heart failure transplant cardiology, teamwork in medicine, and more. White Coat Story is a podcast series for school students to gain first-person insights into the practice of medicine, and what it takes to get there.

In Episode 3.9, Lauren and JJ investigate a case of dyspnea in a cat patient. This episode includes a complete review of hypertrophic cardiomyopathy in the cat. References: (1) Lake-Bakaar, G. & Kittleson, M. D. (2017). Cardiomyopathy, hypertrophic (feline). VINcyclopedia. www.vin.com (2) Stern, J. (2019). Hypertrophic cardiomyopathy and co-managing hypertension or hyperthyroidism. American Association of Feline Practitioners Conference Proceedings. (3) Kittleson, M. D. (2021). The feline cardiomyopathies: 2. Hypertrophic cardiomyopathy. Journal of Feline Medicine and Surgery, 23(11), pp 1028-1051. (4) Pereira, Y. M. (2018). Approach to the dyspnoeic cat. British Small Animal Veterinary Conference Proceedings. (5) Rothrock, K. & Shell, L. (2021). Pulmonary edema (feline). VINcyclopedia. www.vin.com (6) Rishniw, M. (2017). Feline heart size and hypertrophy. VIN Medical FAQs. www.vin.com (7) Lisciandro, G. R. (2015). Lung ultrasound in small animals: The vet blue. American College of Veterinary Internal Medicine Conference Proceedings. (8) Brister, J. (2018). Heart failure, left-sided (feline). VINcyclopedia. www.vin.com (9) Rishniw, M. (2017). Furosemide trial. VIN Medical FAQs. www.vin.com (10) Rishniw, M. (2017). Feline murmurs and gallop sounds: A quick primer. VIN Medical FAQs. www.vin.com (11) Campbell, F. E. (2013). Cardiac disease and examination. World Small Animal Veterinary Association World Congress Proceedings.

Today I get to sit down with Kyle Kittleson, former marine mammal trainer and current host of MedCircle. Kyle shares openly and honestly about his time working with marine mammals, both the ups and the downs, and why he chose to ultimately leave the industry. He discusses mental health, the difficult conversations that ultimately need to be had, and the benefits of MedCirle's services. Enjoy!   Find his book 'Wear a Wetsuit at Work' HERE: https://www.amazon.com/Wear-Wetsuit-Work-Become-Trainer/dp/1520608004/ref=sr_1_1?crid=2AD5168SODP57&keywords=wear+a+wetsuit+at+work+book&qid=1655813974&sprefix=wear+a+wetsuit+at+work+book%2Caps%2C134&sr=8-1   MedCircle: https://medcircle.com/   https://kylekittleson.com/

On this week's episode of GOLF's Subpar, USGA Four Ball runner-ups Drew Kittleson and Drew Stoltz join former PGA Tour pro Colt Knost for an exclusive, in-studio, interview. Team Drew talks their journey from last minute alternates to a playoff for the championship, the reaction of PGA Tour players to their run and how they managed to keep their glasses full throughout the week.

CardioNerds Rounds Co-Chair, Dr. Karan Desai, joins Dr. Michelle Kittleson (Director of Postgraduate Education in Heart Failure and Transplantation, Director of Heart Failure Research, and Professor of Medicine at the Smidt Heart Institute at Cedars-Sinai) to discuss challenging cases of hypertrophic cardiomyopathy. As a guideline author on the 2020 ACC/AHA Hypertrophic Cardiomyopathy Guidelines, Dr. Kittleson shows us how the latest evidence informs our management of HCM patients, while sharing many #Kittlesonrules and pearls on clinical care. Come round with us today by listening to the episodes now and joining future sessions of #CardsRounds! This episode is supported with unrestricted funding from Zoll LifeVest. A special thank you to Mitzy Applegate and Ivan Chevere for their production skills that help make CardioNerds Rounds such an amazing success. All CardioNerds content is planned, produced, and reviewed solely by CardioNerds. Case details are altered to protect patient health information. CardioNerds Rounds is co-chaired by Dr. Karan Desai and Dr. Natalie Stokes.  Speaker disclosures: None Cases discussed and Show Notes • References • Production Team CardioNerds Rounds PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Show notes - Hypertrophic Cardiomyopaty Cases Case #1 Synopsis: Two non-white brothers in their early 20s come to clinic to establish care. They have no cardiopulmonary symptoms, normal EKGs and normal echos, but there was a possible family history of HCM. Their mother had LV hypertrophy and underwent septal myectomy, but she could not afford genetic testing and was no longer in the patients' lives. The path report suggested “myocyte hypertrophy without disarray or bundles of myocytes.” How would you advise these patients regarding screening and surveillance? Listen to #CardsRounds for the full details!  Quotes from Case #1: “Let's take a walk down memory lane and let's get to our evolution of understanding hypertrophic cardiomyopathy… [our understanding] follows the parable of the six blind men and the elephant. Each of the six blind man approached it from different angles, its tusk, its ear, its tail, and they all try to convince each other what an elephant is … because none of them can see the big picture.” Dr. Kittleson on the history of HCM and coming to a unifying diagnosis  “The next time you are sitting there mashing your teeth because you have to memorize what the HCM murmur does squat to stand, Valsalva, or handgrip … remember you are standing on the shoulder of Giants. They [Drs. Braunwald and Morrow] pioneered surgical myectomy based on physical exam and cath lab findings” Dr. Kittleson on the physical exam guiding HCM management Takeaways from Case #1 Before we round, we think it is important to get on the same page regarding the nomenclature around HCM. Since the original characterization of hypertrophic cardiomyopathy (HCM) more than 60 years ago (see the Braunwald Chronicles for the origin stories!), different terms have been used to describe the disease. These include idiopathic hypertrophic subaortic stenosis, hypertrophic obstructive cardiomyopathy (HoCM), and “burnt out HCM” when heart failure develops.The 2020 guideline committee recommended a common language to avoid confusion: since left ventricular (LV) outflow tract obstruction (LVOTO) occurs in >60% of patients over time, but one-third remain non-obstructive, the recommendation is t0 call the disease state HCM with or without outflow tract obstruction.Dr. Kittleson added that when heart failure develops we should characterize the pathology as HCM with heart failure rather than “burnt out HCM.”  Do we use HCM to describe any LV that has thick walls? Some clinicians will use HCM to describe all disease states that can...

H&LD E53 w/ Trevor Kittleson: Coach Kittleson talks about the decision to take the head coach position at University of Wisconsin-Platteville. He talks through the process of getting to know the team and getting ready for the upcoming season. Assistant coach Dan Olsen will be competing at the World Team Trials along with another athlete at Platteville this weekend. The team will be working in the dark. There's no better team mantra for Coach K than Swing the Axe!Go follow Trevor Kittleson and Platteville Wrestling:Instagram: @trevorkittleson @uwplattevillewrestlingTwitter: @t_kittleson @UWPlattWRSTLSend me your suggestions for upcoming guests and any other feedback you have to my socialInstagram: @headlock4funTwitter: @headlock4funiTunes users give the show a review and rating!

Does the thought of managing acute decompensated heart failure (ADHF) give you paroxysmal nocturnal dyspnea?  Recline for a bit while Dr. Michelle Kittleson MD, PhD @MKittlesonMD (Cedars Sinai) takes us through the Zen of jugular venous pressure (JVP) exams, how to approach diuresis, and the fine points of hospital discharge. This knowledge food is easier to swallow than an oral potassium replacement. Enjoy this Curbsiders classic and stay tuned this Wednesday, September 1, 2021 for a brand new CHF Triple Distilled episode. Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com Credits Written and Produced by: Deborah Gorth ScM Cover Art and Infographic by: Edison Jyang Hosts: Matthew Watto MD, FACP and Paul Williams MD, FACP    Editor: Cyrus Askin MD (written materials); Clair Morgan of nodderly.com Guest: Michelle Kittleson MD, PhD Sponsor: Ten Thousand tenthousand.cc Head to tenthousand.cc and enter our code CURB at checkout to save 15%.  Sponsor: BetterHelp betterhelp.com/curb ​​Special offer for Curbsiders listeners: get 10% off your first month at betterhelp.com/curb     Time Stamps* Time Stamps refer to ad-free version 00:00 Intro, disclaimer, guest bio 02:40 Guest one-liner; Picks of the Week 08:33 Case from Kashlak part 1, Definition of acute decompensated heart failure (ADHF), Factors that lead to ADHF (FAILURE mnemonic) 13:39 Historical clues for ADHF; Is salt restriction needed? Fluid restriction? 20:42 More on History and Physical exam for ADHF; JVP exam in detail; Crackles are worthless?! 28:36 Labs to trend during an ADHF admission 33:15 Recap of history, physical exam, and initial approach; Initiating diuresis; Goal urine output; Diuresis in HFrEF vs HFpEF phenotypes 45:32 Diuretic resistance and when to use a drip, metolazone; Do K and Mg need to be 4 and 2? 49:05 When to hold guideline directed medical therapy (Beta blockers, ARNI, ACEI/ARB) 56:05 Who needs a right heart cath? 59:30 Endpoints for discharge; Switch to PO diuretics; Approach to discharge and transitions of care 64:04 SGLT2i in heart failure
 68:15 Take home points and outro


Al-Monitor columnist Shelly Kittleson shares observations from her reporting in Afghanistan and Iraq, including the Taliban's relations with Iran and ISIS; what the Taliban takeover of Afghanistan might mean for ISIS in Iraq; her experiences as a woman journalist covering conflict; and her advice for journalists starting a career in international reporting.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This week (7/2 & 7/4) on ART ON THE AIR features mosaic glass artist Robin Kittleson who creates her work using a classic Venetian technique. Next we have new media artist Eric Souther who uses a multiplicity of disciplines plus develops video instruments for his video, interactive installation, projection mapping, print, virtual reality, and audiovisual performance. Our Spotlight with IU Northwest's Exhibition and Project Coordinator Cathy Feeman discussing the School of the Arts Summer teacher residency and High School Art Exhibition. Tune in on Friday at 11am for our hour long conversation with our special guests or listen on the web at WVLP.org Listen to past ART ON THE AIR shows at brech.com/aota. Rebroadcast on WVLP - Monday at 5pm and Sunday (7/4) on 7pm on Lakeshore Public Radio89.1FM or lakeshorepublicradio.org/programs/art-air Please have your friends send show feedback to Lakeshore at: radiofeedback@lakeshorepublicmedia.org Send your questions about our show to AOTA@brech.com LIKE us on Facebook.com/artonthairwvlp to keep up to date about art issues in the Region. New and encore episodes also heard as podcasts on: anchor, NPR ONE, Spotify Tune IN, Amazon Music, Apple and Google Podcasts, plus many other podcast platforms. Larry A Brechner & Ester Golden hosts of ART ON THE AIR. https://www.lakeshorepublicradio.org/post/art-air-july-4-2021

We sit down with Dr. Michelle Kittleson, an adult heart failure specialist at Cedars-Sinai, to discuss how to REALLY present a patient, from organizing your HPI to avoiding "waitress mode." 

Hi there! Welcome to the Night Bite! We are staying close to home and chatting with Madison, Wisconsin's very own Adam Kittleson! Adam is a great muti-species angler by boat and by land! Adam also devotes a massive amount of time to minimalist camping, back country tips, and helping with one of the greatest fishing groups on and off Facebook - Ice Junkies Outdoors! This is going to be a great episode that you don't want to miss! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/crappiejunction/support

ABOUT THE EPISODE New University-Wisconsin Platteville Head Coach Trevor Kittleson joined the show. Coach Kittleson just wrapped up an impressive run with the Loras College Duhawks, he was the Associate Head Coach the last two seasons and was a part of the program for the last five seasons. He helped T.J Miller build the Loras program into a national powerhouse and capped off his tenure with 9 NWCA All-Americans and 2 National Champions in 2021. Kittleson wrestled at Northern Iowa and was a DI NCAA Qualifier in 2009 and was a 1A State Champion for St. Ansgar High School in Iowa. We discuss his move to UW-Platteville, his progression through the Iowa wrestling circuit, his time at Loras College, and more! FOLLOW THE PODCAST https://anchor.fm/coachbonx2 | Twitter - @D3NationPodcast ABOUT THE PODCAST Hosted by Anthony and Gennaro Bonaventura, former DIII wrestlers at Waynesburg University and current DIII Assistant Coaches (Stevens Institute of Technology & Waynesburg). The D3 Nation podcast mission is to provide DIII wrestling news and updates throughout the year. We also look forward to delivering episodes featuring DIII coaches and wrestlers as special guests to share their stories. We are both passionate about DIII wrestling and want to use this platform to keep the wrestling community educated on what is happening in DIII plus raise awareness of the amazing stories in DIII Wrestling.

Why do athletes die suddenly? Dr. Alain Bouchard is joined by Dr. Michelle Kittleson in a discussion of hypertrophic cardiomyopathy, from detection to genetic testing to prognoses.About the HostDr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at St. Vincent’s Health System, Ascension.Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast!If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk.The Podcast and the Content are provided on an “as is” basis.

H&LD E19 - Big 12 box scores (00:01:07). Bears over Cowboys (00:03:30). The current tentative schedules for Air Force, UNC and Wyoming (00:08:40). Spartan Combat and Flo card predictions (00:11:40). Taz is a demolition man (00:19:10). Loras College Associate Head Coach Trevor Kittleson started by following his dad into St. Ansger High room (00:19:55). Finding a way to wrestle while being a four-sport athlete in high school (00:22:44). Coach Kittleson wrestled for his father and speaks to that experience (00:25:20). Talks through his recruiting process and how he became a Panther (00:29:00). The fight with injuries to finding ways to learn and grow (00:30:45). Bringing his passion to Perry High and how it prepared him for coaching at college level (00:37:05). Living with no regrets lead Kittleson to Loras College (00:43:25). Finding his WHY in building relationships (00:50:35). Wrestlers be aware of your brand (01:03:02). Perry High students bring KTOW to life (01:05:35). Dealing with the wounds of the cancellation of nationals (01:11:40). Hustling over embracing the grind (01:24:16). No athletic scholarships, D3 says no problem (01:31:15). The difference between the D3 environment and other divisions (01:34:00). Advice Time! Finding your Why to chase your passions and coaches serve your athletes (01:38:20).

Kyle and Judy talk an all-too-common silent killer: depression. A leading cause of death, rates of depression have skyrocketed during the pandemic, yet it is still difficult for people to talk about openly. This especially impacts men, many of whom have been taught from a young age to tough out difficult situations by sheer willpower and to not talk about their feelings and keep things close to the chest. Kyle was diagnosed with depression at the age of 9 and it took him decades before he advocated for himself to become educated in the condition, to receive effective treatment continuously, and to help empower others to do the same. In this candid conversation, Kyle talks about the stigma facing men who suffer from mental health conditions, and how that kept him stuck until he connected with MedCircle, where he is now the on-camera host of their educational programs as well as a content strategist. Kyle and Judy dissect some recent research that shows some valuable secrets to getting better care for any physical or mental health condition you have, and why self-advocacy and self-compassion go hand in hand to help people find hope again and recover from difficult circumstances.  If you or a loved one is struggling with depression or anxiety, or if you are someone who works with people dealing with mental health symptoms; this episode is for you. You’ll learn the secrets to getting rock solid education so that you can make the best health decisions for yourself and your family, and Kyle and MedCircle have a phenomenal giveaway that you don’t want to miss which is going to a game changer in developing iron-clad mental health resiliency. In this episode, we discuss: 1.  The stigma facing men and mental health (1:20) 2.  Kyle’s unique journey to MedCircle (4:48) 3.  The transformative impact of online education (7:00) 4.  Why some men don’t talk about their feelings (10:30) 5.  Misconceptions about psychotherapy (14:50) 6.  The crucial missing piece in mental health treatment (23:10) 7.  Depression and identity: Why we define ourselves by our symptoms (28:20) 8.  The secret to depression recovery (30:50) 9.  What self-care isn’t (36:00) 10. Another reason to love animals and your pets: Link to mental health (38:15) 11. What to say to a loved one suffering with mental health symptoms (39:50) 12. SuperCharged Tips of the Day: Self-Advocacy for Better Health and Mental Health (43:00) 13. The MedCircle Giveaway You Don’t Want to Miss (47:30) https://www.drjudyho.com/ https://www.instagram.com/drjudyho/ https://twitter.com/drjudyho             https://www.facebook.com/doctorjudyho   https://www.instagram.com/stage29podcasts https://twitter.com/stage29podcasts https://www.facebook.com/Stage29Podcasts/   https://kylekittleson.com https://medcircle.com https://www.youtube.com/medcircle https://podcasts.apple.com/us/podcast/the-pet-collective-podcast/id1522579858 https://www.drjudyho.com/medcirclegiveaway Learn more about your ad choices. Visit megaphone.fm/adchoices

Does the thought of managing acute decompensated heart failure (ADHF) give you paroxysmal nocturnal dyspnea?  Recline for a bit while Dr. Michelle Kittleson MD, PhD @MKittlesonMD (Cedars Sinai) takes us through the Zen of jugular venous pressure (JVP) exams, how to approach diuresis, and the fine points of hospital discharge. This knowledge food is easier to swallow than an oral potassium replacement.    Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).    Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!   Credits Written and Produced by: Deborah Gorth ScM Cover Art and Infographic by: Edison Jyang Hosts: Matthew Watto MD, FACP and Paul Williams MD, FACP    Editor: Cyrus Askin MD (written materials); Clair Morgan of nodderly.com Guest: Michelle Kittleson MD, PhD   Sponsor - VCU Health CE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.   Time Stamps 00:00 Sponsor - VCU Health CE; Intro, disclaimer, guest bio 02:40 Guest one-liner; Picks of the Week 08:33 Case from Kashlak part 1, Definition of acute decompensated heart failure (ADHF), Factors that lead to ADHF (FAILURE mnemonic) 13:39 Historical clues for ADHF; Is salt restriction needed? Fluid restriction? 20:42 More on History and Physical exam for ADHF; JVP exam in detail; Crackles are worthless?! 28:36 Labs to trend during an ADHF admission 33:15 Recap of history, physical exam, and initial approach; Initiating diuresis; Goal urine output; Diuresis in HFrEF vs HFpEF phenotypes 45:32 Diuretic resistance and when to use a drip, metolazone; Do K and Mg need to be 4 and 2? 49:05 When to hold guideline directed medical therapy (Beta blockers, ARNI, ACEI/ARB) 56:05 Who needs a right heart cath? 59:30 Endpoints for discharge; Switch to PO diuretics; Approach to discharge and transitions of care 64:04 SGLT2i in heart failure
 68:15 Take home points and outro
 Sponsor - VCU Health CE   Links* Dr. Kittleson’s go-to brownie recipe My Own Country: A Doctor’s Story by Abraham Verghese The new Run the Jewels album RTJ4 #KittlesonRules  Practice Tests for Jeopardy  Core IM podcast about Salt Restriction in Heart Failure    *The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.   Goal Listeners will learn how to manage acute decompensated heart failure.    Learning objectives After listening to this episode listeners will… Learn the basic pathophysiology of acute decompensated heart failure (ADHF) Develop a framework for the approach to diuretic therapy  Gain the tools to effectively monitor the progress of diuresis Develop strategies to approach diuretic resistance  Establish criteria for discharge and strategies to reduce readmission Know which drugs reduce mortality for heart failure with reduced ejection fraction (HFrEF)   Disclosures Dr Kittleson reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.    Citation Kittleson MM, Gorth DJ, Williams PN, Watto MF. “#230 Kittleson Rules Heart Failure”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Final publishing date August 17, 2020.

This week on @MedTwitThisWeek, I am joined by Dr. Michelle Kittleson (@MKIttlesonMD) as we discuss her philosophy on communication with patients and trainees as well as her favorite #TipsForNewAttendings #KittlesonRules #MedTTW Published June 26, 2020 Host: Chris "The Chiu Man" Chiu Guest: Michelle Kittleson MD PhD My pick of the week is @MKIttlesonMD #kittlesonrules on #TipsForNewAttendings: https://twitter.com/MKIttlesonMD/status/1275028715664109569?s=20 Also referenced is @PaulNWilliamz's recent thread on “How to round with Paul Williams”... https://twitter.com/PaulNWilliamz/status/1275258456539377664?s=20 Onto my picks, first is @CPSolvers' recent #Juneteenth Episode with @gradydoctor and her father! https://twitter.com/CPSolvers/status/1274137119867277319?s=20 @choo_ek's history lesson on the impact of the Flexner report and Black doctors: https://twitter.com/choo_ek/status/1274011977719992320?s=20 @VPrasadMDMPH's tips on how to decrease the Toxicity of Twitter.... https://twitter.com/VPrasadMDMPH/status/1273698429332361216?s=20 @AdamRodmanMD's thread discussing his recent article with @ShreyaTrivediMD in the special issue of Seminars in Nephrology discussed last week. https://twitter.com/AdamRodmanMD/status/1273611219283443712?s=20 Looking for #MedTTW on other platforms? YouTube: https://www.youtube.com/channel/UCzqsMnQAkVCTd0I5DuUzTfA Facebook: https://www.facebook.com/101300171577512/ Twitter: https://twitter.com/MedTwitThisWeek Podcast Links: https://anchor.fm/MedTTW Apple Podcast: https://podcasts.apple.com/us/podcast/med-twitter-this-week/id1516685985?uo=4

Dr. Kittleson has a heart for hearts! What makes life so exciting for this advanced heart failure and cardiac transplantation specialist and GME program director?

In this episode I visit with Dr. Michelle Kittleson (@MKIttlesonMD) of Cedars-Sinai to discuss evaluation and management of patients admitted with acute decompensated heart failure. We review the etiologies for decompensation, what to do with beta-blockers or RAS inhibitors and how to setup the patient for a successful discharge. Links to papers: Effects of Beta-blocker … Continue reading Decompensated heart failure with Dr. Kittleson →

Kendall sits down with Laurel Kittleson, Vice President of Artist Development and A&R to talk about her journey in the music industry and life lessons. Support the show (https://www.warrented.com/music)

On this edition of In The Circle, Michael Kyllo-Kittleson joins the show from California where she recaps the first of the PGF Championships and looks ahead to week two. Kittleson highlights some of the teams and players that have made a great impression. Also on this episode, Eric Lopez talks with Justin Mcleod of Justin's World about the week he spent with Team USA. We discuss some questions with the roster as they head out to the Pan Am Games. Who are some names that may get an invite to the final tryouts in October?

I sat down with artist Jon Kittleson. We discussed Jon's art and his journey, including a life-altering injury in his youth and being diagnosed with Rapid Onset Dystonia Parkinsonism. Jon shares a message of overcoming adversity and staying positive through challenges. For more on Jon and his artwork, head to jonkittleson.com.

To find out what the bigger picture looks like you often have to use a microscope. Sounds counterintuitive doesn't it? Much like looking at a tiny dot in the sky with a huge telescope. I wanted to get a closer look at college softball. Afterall, Florida State, is the current owner of the NCAA WCWS Championship. At the same time the ACC as a conference, other than the Seminoles, is woefully absent in preseason softball polls. What gives? To find out I reached out to Fastpitch News' Michael Kyllo-Kittleson. As you'll find out in this special podcast, she pulled out her microscope to help me see the big picture. Needless to say, if you're into softball, especially the college side of the sport you'll find Fastpitch News a great 'go to' for what's happening. I encourage you to check out the site and follow them on social media. During our interview Kyllo-Kittleson broke down some the preseason poll and gave us teams to keep an eye on. Then, she takes a closer look at teams in a number of conferences. The Big Ten, Big 12, Pac 12 and the AAC are just a few that present potential. The impact of new coaches in the ACC cannot be overlooked this season. Some insight into who will make a difference in moving programs forward and why. Thoughts on Shannon Doepking at Syracuse, Jodi Hermanek at Pitt, Holly Aprile at Louisville and Pete D'Amour at Virginia Tech. Find out what these coaches bring to the table. College Softball Why is the ACC, when compared to other conferences, coming up short in softball? Is that coming to an end with the aforementioned coaches in place? Is this the year that the conference begins making a shift toward becoming more competitive on the national stage? A newly minted program kicks off at Clemson in 2020 with John Rittman at the helm. Kyllo-Kittleson has good things to say about Rittman and why fans of the Tigers should be excited. She also says Duke is a program to watch. Hear her analysis of the ACC/Big Ten Softball Challenge in the podcast. Top 10 program Michigan heads to Chapel Hill to face North Carolina and Louisville. What to expect. Could it be an ideal opportunity for ACC teams to score an upset? College Softball The Seminoles are asking Meghan King to carry a lot of water this season. Is she up to the task? What does Florida State's Meghan King bring to the mound? Kyllo-Kittleson projects 9 teams that she thinks will be in postseason play and could make it to the WCWS. We'll have her back to see how those projections played out. Duke and Notre Dame are enjoying warmer weather in Puerto Vallarta, Mexico as they kick off the ACC softball schedule on Thursday, February 7. Overall, opening weekend features 11 matchups between ACC teams and Top 25 ranked opponents. On that list are Oklahoma, Florida, Washington, Arizona, Georgia, Michigan, Texas and South Carolina. Our thanks to Michael Kyllo-Kittleson for taking time out of her busy schedule to share thoughts on college softball. A Journalism and Sports Management graduate of the University of Minnesota Kyllo-Kittleson is an Editor for Fastpitch News, an emerging force in the growing world of softball. She brings with her first hand knowledge of the college softball scene as the former Director of Operations for the Gophers. College Softball

Pr. Riley and Pr. Gillespie free range graze on James Kittleson's "Luther the Reformer." Copyright Higher Things®, Higher Things - Dare to be Lutheran. Support the work of Higher Things.

Negotiations are a crucial part of all real estate transactions. Improving your skills in negotiating is the topic for better serving your clients this month. Darren Kittleson joins Monica to define what a win-win transaction is, and how to achieve one. As a real estate agent, it’s important to react professionally during a transaction, so your clients are put in the best situation. They will discuss creative ways to negotiate more effectively, so in the end, there is a favorable outcome for your client. We negotiate far more often in our lives than we realize. As kids, this is something many people do naturally, but somewhere along the line we lose that natural ability. Approaching negotiation with the attitude of a child may lead to surprising outcomes, and allows you to hone your skills as a professional negotiator. Just ask — the worst thing that can happen is someone says no. Darren suggests negotiating on a daily basis to practice the skill, so it’s there when you need it in a real estate transaction. In almost every culture in the world, there is a negotiation expectation that is unique to that culture and in the United States, it is not a familiar place. From a real estate perspective, taking the time to learn strategies for negotiation is one of the value proposition items that can increase your worth as an agent.  Your negotiating skills could potentially yield a better transaction position on behalf of your client, and this can really help to set you apart in your market.  There are a number of places in a real estate transaction — as well as in the relationships between an agent and a client — that provide an opportunity for negotiation. Some of these places include: during the interview to be a client’s listing agent, negotiating the listing price, negotiating the contract and finding out the client’s motivation. Ideally there’s negotiation happening at almost every step of the transaction. Negotiations are not always about the price. There are other terms and conditions that can be negotiated to get the best outcome for your client. Some of these include the timing of the sale, and making sure the right offer will close or appraise. Darren refers to these as strategies of the transaction — and urges you to make sure that, as a REALTOR®,  you consider all the factors that could help your client. Most people want to have a win-win situation in real estate transactions. While there are some agents that think they have to have a win-lose outcome, everyone will benefit for future transactions by striving for a win-win. This starts by setting expectations with the client — letting them know that your goal is to negotiate a win-win so they understand your discussions and the decisions you make together. One of the best strategies that an agent has is to get in touch with the agent on the other side before the transaction gets started; they may be able to provide information or terms and conditions that would be helpful to know up front. Communicating voice-to-voice will be more effective in setting up the relationship for a win-win transaction. Knowing everyone’s key terms up front is helpful, because while they could be a non-issue on your side, they could be the selling point that makes it a win for the other side. One of the keys in negotiating is to recognize that everybody will have their own perception coming into it, and that is their reality. As an agent, you have to work in the realm of what they believe to be true. There has to be an understanding that as an agent you will advocate for your client, but still be friendly with the other party. Operating like this leads to better outcomes for everyone. When it comes to emotion, you need to stay level-headed during negotiations, though it may be an emotional experience for your clients. Don’t let negative emotions take over and become a factor. Monica works to recognize the personality types of the parties involved, and tries to come up with a decision that is acceptable to all. As a consumer, if you express your motivation to the agent, that helps the agent guide the transaction to get what you are looking for. As an agent, you have to ask the right questions to figure out what is important to the client. It has likely been several years since they were last having this conversation, and leading questions help agents get the desired terms. We do the customer a disservice if we don’t dig deep and figure out what’s really important to them. Revisit motivation each time there is a conversation about the sale, to keep up with any changes that might affect the timeline. How does technology play into real estate transactions? Darren discusses the effectiveness in communication methods.  He references a study that showed that the greatest effectiveness in expression of feeling and intent comes from body language and tonality — aspects you can only gauge in a face-to-face or voice-to-voice interaction. With text or email, there is an archive of what was said or what exchanges were made. This can be a benefit or a disadvantage depending on the situation. With access to only the words, you may not get the full meaning behind the message. As agents it’s important to be involved with other agents in your market. Building connections and rapport with other real estate agents can help get better outcomes for both sets of clients. Monica talks about the book Getting to Yes. This book recommends that in order to resolve differences, you have to separate the people from the problem. This goes back to recognizing who the professionals are in the transaction, and removing the emotion.  When agents are driven by emotion, the problem and the people get intertwined. From the beginning of the transaction, it has to be about the issues rather than the emotion — both when communicating with the other side, and with your own client. Educate your clients right from the start! Proactively setting the stage for  negotiations from the beginning can make a transaction much smoother, because people will know what to expect. The education process should continue throughout the transaction, and it’s important to take the opportunity to have teachable moments. As agents, you can be more effective if your client is educated and aware of what is going on in the negotiation. This can help grow your own business, if your clients refer you to their friends or family. Think outside the box for creative negotiations. Monica describes a situation in which creative concessions were made to improve the value of the house. If you can’t bring the buyer and seller to an agreement on one aspect, it’s important for agents to think about alternatives that could solve the problems to get everyone to agree. This makes for a better emotional experience for the client, and could potentially lead to greater earnings or savings, depending on the situation. Darren teaches a class called The Real Estate Negotiation Expert that is a certification created back in 2016 by the Real Estate Business Institute. It seeks to fill the gap in the skillset around negotiations. This two-day certification course teaches strategies, techniques, and planning, and also provides opportunities to try these out in different negotiation situations. By improving this skillset, you increase the opportunity to better serve your client as well as grow your business. Darren’s final thoughts: For real estate agents - your becoming a better negotiator really is an opportunity to increase revenue for your business. For consumers - a skilled negotiator in your corner will probably help you get more money (or the terms and conditions you want) out of a deal, as well. Guest Links: Darren’s Website: DarrenKittleson.com Education Resources: Training4RE.com Center for Real Estate Development online learning: onlinelearning.REALTOR® Getting to Yes, a book by Fisher, Ury and Patton Host Information: Monica Neubauer Speaker/Podcaster/Realtor Monica@MonicaNeubauer.com FuntentionalLiving.com FranklinTNBlog.com

Passion. Flair. Instinct. Improvisation. As the World Cup advances to the knockout stage, you’ll hear these terms associated with the football styles of Brazil, Argentina, and Mexico rather than those of Belgium and Germany. As historians Roger Kittleson and Joshua Nadel explain, the soccer cultures of Brazil and other countries of Latin America have long been bound in such stereotypes. Their new books–Kittleson’s The Country of Football: Soccer and the Making of Modern Brazil (University of California Press, 2014) and Nadel’s Futbol! Why Soccer Matters in Latin America (University Press of Florida, 2014)–take these narratives apart, revealing that they often run counter to evidence from the past. Take, for instance, this matter of a Latin American playing style. As the sport gained popularity across the region in the early 20th century, so-called national styles were a matter of heated debate among journalists, coaches, and even academics. Rarely were national sides as purely “Latin” in style as is typically believed. Indeed, Brazil’s first World Cup victory in 1958 was more the product of rigorous training and advanced research in sports science than some improvisational style of play. Roger and Josh do give plenty of attention to what happened on the field in the last century of Latin American football. The classic matches, the legendary teams, and the great players are all featured. But they are more interested in what football reveals about the region’s history, a story marked as much by booming development and far-sighted leadership as military rule and lagging economies. This special joint interview touches on only a few of the topics they discuss in their books. As you’ll hear, their work is complementary. Both books–well-researched, wide-ranging, and engagingly written–deserve a spot on the fan’s shelf. Learn more about your ad choices. Visit megaphone.fm/adchoices

Passion. Flair. Instinct. Improvisation. As the World Cup advances to the knockout stage, you’ll hear these terms associated with the football styles of Brazil, Argentina, and Mexico rather than those of Belgium and Germany. As historians Roger Kittleson and Joshua Nadel explain, the soccer cultures of Brazil and other countries of Latin America have long been bound in such stereotypes. Their new books–Kittleson’s The Country of Football: Soccer and the Making of Modern Brazil (University of California Press, 2014) and Nadel’s Futbol! Why Soccer Matters in Latin America (University Press of Florida, 2014)–take these narratives apart, revealing that they often run counter to evidence from the past. Take, for instance, this matter of a Latin American playing style. As the sport gained popularity across the region in the early 20th century, so-called national styles were a matter of heated debate among journalists, coaches, and even academics. Rarely were national sides as purely “Latin” in style as is typically believed. Indeed, Brazil’s first World Cup victory in 1958 was more the product of rigorous training and advanced research in sports science than some improvisational style of play. Roger and Josh do give plenty of attention to what happened on the field in the last century of Latin American football. The classic matches, the legendary teams, and the great players are all featured. But they are more interested in what football reveals about the region’s history, a story marked as much by booming development and far-sighted leadership as military rule and lagging economies. This special joint interview touches on only a few of the topics they discuss in their books. As you’ll hear, their work is complementary. Both books–well-researched, wide-ranging, and engagingly written–deserve a spot on the fan’s shelf. Learn more about your ad choices. Visit megaphone.fm/adchoices

Passion. Flair. Instinct. Improvisation. As the World Cup advances to the knockout stage, you’ll hear these terms associated with the football styles of Brazil, Argentina, and Mexico rather than those of Belgium and Germany. As historians Roger Kittleson and Joshua Nadel explain, the soccer cultures of Brazil and other countries of Latin America have long been bound in such stereotypes. Their new books–Kittleson’s The Country of Football: Soccer and the Making of Modern Brazil (University of California Press, 2014) and Nadel’s Futbol! Why Soccer Matters in Latin America (University Press of Florida, 2014)–take these narratives apart, revealing that they often run counter to evidence from the past. Take, for instance, this matter of a Latin American playing style. As the sport gained popularity across the region in the early 20th century, so-called national styles were a matter of heated debate among journalists, coaches, and even academics. Rarely were national sides as purely “Latin” in style as is typically believed. Indeed, Brazil’s first World Cup victory in 1958 was more the product of rigorous training and advanced research in sports science than some improvisational style of play. Roger and Josh do give plenty of attention to what happened on the field in the last century of Latin American football. The classic matches, the legendary teams, and the great players are all featured. But they are more interested in what football reveals about the region’s history, a story marked as much by booming development and far-sighted leadership as military rule and lagging economies. This special joint interview touches on only a few of the topics they discuss in their books. As you’ll hear, their work is complementary. Both books–well-researched, wide-ranging, and engagingly written–deserve a spot on the fan’s shelf. Learn more about your ad choices. Visit megaphone.fm/adchoices

quarta puntata | bonus track

quinta puntata

terza puntata | bonus track

seconda puntata

prima puntata

The driver with the familiar Bob Steele Chevrolet sponsorship prepares for the big show at Memphis in the Nationwide Series. Travis talks about the challenge of making it in the NASCAR ranks. The former Roush "Gong Show" finalist is till plugging away at getting that big break that could give him his shot in Cup racing.

Show #62 - Oct. 21, 2008 Travis Kittleson prepares for Nationwide Series race in Memphis and talks about his drive to succeed in NASCAR. Shan Smith, on a recent roll in Florida dirt late models, shares his excitement finally getting a win at the "Clay by the Bay". ASA drivers Stephen Nasse, David O'dell and Patrick Staropoli review the past weekend's event at Charlotte County. Reverend Larry Miller was the Faster Pastor at Ocala on Friday, his first time racing. Marty Little previews the upcoming Marion Edwards Memorial, a famous Florida race being brought back to life at Orlando Speedworld on October 24.

The popular driver of Late Models, Craftsman Trucks & Busch Seriesthis year moving to the ProCup Series. Sponsored for many years by Bob Steele Chevrolet, Travis now resides in North Carolina but still has his roots in Florida. One of the best interviews you'll hear with Travis Kittleson.

The popular driver of Late Models, Craftsman Trucks & Busch Seriesthis year moving to the ProCup Series. Sponsored for many years by Bob Steele Chevrolet, Travis now resides in North Carolina but still has his roots in Florida. One of the best interviews you'll hear with Travis Kittleson.

The Mortgage Guys continue their series on For Sale By Owner selling - called FSBO RADIO - with some input on how to price and market your home. Darren Kittleson of Keller-Williams knows how to sell homes. He also knows the Wisconsin real estate market. So If YOU want to sell your FSBO, listen to the Best of the Best in this live simulcast interview. Bill Quigley and Art Blanchet can be heard on Madison1670 Saturdays or at www.yourhome-yourmoney.com/archives. Don't miss out.