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On Labor Day in 1990, 65-year old Betty Jones answered a knock at the door, and a killer walked in. He left behind two murders and a mystery that would haunt a small Mississippi town for decades to come. But while most people considered the case unsolvable, a podcaster and a detective would bring it back to life. "48 Hours" correspondent Richard Schlesinger reports. This classic "48 Hours" episode last aired on 6/29/2019. Watch all-new episodes of “48 Hours” on Saturdays and stream on demand on Paramount+.
So last episode I made the case that medical student research should be banned, and I clearly touched a nerve. I got flooded with angry messages arguing against me, and honestly, I expected some backlash since it was a genuinely spicy take. But I want to be clear, I was being facetious, obviously nobody's going to actually ban med student research. What I actually want to unpack this episode is why this topic clearly struck such a nerve, and what's really driving the explosion in med student publications. I walk through some new data, including a study that found roughly a quarter of recent ophthalmology journal articles may contain AI-generated text, and another from Yale showing a real gap between the publications applicants claim on their residency applications and what's actually verifiable in PubMed. I also get into Goodhart's Law, the idea that when a measure becomes a target, it stops being a good measure, and how that applies perfectly to what's happened since Step One went pass-fail. I share some thoughts on what might actually help, including capping how many publications students can list, and I make it clear I'm not trying to lead some crusade here, I just think this conversation needed to happen. Takeaways: Since Step One became pass-fail, medical students have shifted their focus to research output as a differentiator, and reported publication numbers have risen sharply as a result. A recent study found that roughly 26% of ophthalmology journal abstracts and 22% of commentaries screened in 2025 scored as likely containing AI-generated text. A Yale-affiliated study found that applicants to ophthalmology residency claimed an average of 4.9 publications, while only 2.4 were actually verifiable in PubMed. Goodhart's Law suggests that once a measure like publication count becomes a target used for residency selection, it stops accurately reflecting research quality or applicant ability. Starting with the 2027 application cycle, the AAMC is renaming the ERAS publications field to "scholarly works" in an attempt to shift emphasis from quantity to quality. To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 As a proud FIGS Ambassador, visit https://WearFIGS.com and use code DrGFIRSTFIGS to shop, stay updated on new launches, and learn more about FIGS advocacy projects. Check out FIGS on social platforms: @wearfigs -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Head to http://www.cozyearth.com and use my code KNOCKKNOCK for an exclusive 20% off. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
This week we start by discussing our daughter's summer geometry crash course, and I forgot how much I hate proofs. I also tell the story of getting stuck at the Salt Lake airport with the Portland Thorns professional soccer team, which hit me with a wave of nostalgia for my old Ultimate Frisbee team days, followed by Kristin's late-night ladder saga trying to fix a chirping smoke detector on our vaulted ceiling while I was useless from the airport. Then we get into something a little more serious: the whole Hank Green AI situation, where he admitted to using ChatGPT to help write video scripts and got a wave of backlash from his own audience. I get into my personal line in the sand with AI, which is that I don't want it anywhere near my creative work, and we touch on something Hank said that I hadn't really considered before: that interacting with LLMs might be giving people unhealthy dopamine hits. We talk about where this all might be headed, why creativity feels different from other tech advancements, and why I think this whole AI conversation deserves more nuance than a 60-second hot take. Takeaways: Interacting with LLMs may trigger dopamine responses similar to social interaction, which could make them more habit-forming than people realize. AI tools can be genuinely useful for research and administrative tasks, but using them to generate creative content removes the human decision-making that gives creative work its meaning. The backlash Hank Green received for using AI in his video scripts sparked a broader conversation about where the line should be drawn between helpful tool and creative shortcut. Historically, people have expressed similar fears and backlash toward new technologies, from the printing press to photography to typing, though AI raises unique concerns around creative authorship. AI models are trained on human-created content, so widespread reliance on AI to create that content going forward could gradually dilute the human originality models depend on. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 As a proud FIGS Ambassador, visit https://WearFIGS.com and use code DrGFIRSTFIGS to shop, stay updated on new launches, and learn more about FIGS advocacy projects. Check out FIGS on social platforms: @wearfigs -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Head to http://www.cozyearth.com and use my code KNOCKKNOCK for an exclusive 20% off. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
I just wrapped my second call week of the year, and honestly, getting older has made overnight pages so much harder than they used to be. At 30 I could wake up from a dead sleep and immediately have a coherent medical conversation, and now, ten years later, I basically have to be walked through who I am and what hospital I'm even at before I can function. I also tell the story of getting completely lost in a big Portland hospital after hours, which honestly just confirms the stereotype that ophthalmologists get lost in hospitals. Then I get into something a lot more serious: my latest deep dive into hospital administrations behaving badly, this time at Asante Rogue Regional Medical Center in Medford, Oregon. Nine neonatologists, an incredibly stable, highly skilled group who'd been building this NICU program for two decades, were told in January they were being let go, with shifting and frankly contradictory explanations from the hospital. I walk through the timeline, including the hospital's decision to bring in a private equity-backed locums staffing company, a VP's misleading public comments about the firing, and the deleted panel video that followed once I called it out. I explain why I keep making these videos, even when people ask what the point is, because these decisions affect real patients, and communities deserve to know why their care is changing. Takeaways: Turns out being a doctor and getting woken up at 3 AM hits different in your 40s than it did in your 30s. Asante Rogue Regional Medical Center fired all nine of its neonatologists in January despite the group having no departures since 2021 and meeting national quality benchmarks. The hospital's stated reasons for the firings shifted over time and were contradicted by a hospital VP's own public comments about ongoing retirements. Locum staffing companies are typically meant to bridge short-term staffing gaps, not replace an entire well-functioning department, and often cost hospitals significantly more per hour than the doctors they're replacing. Physicians who raise patient safety concerns internally can face professional and legal pressure that discourages them from speaking publicly, even after losing their jobs. To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 As a proud FIGS Ambassador, visit https://WearFIGS.com and use code DrGFIRSTFIGS to shop, stay updated on new launches, and learn more about FIGS advocacy projects. Check out FIGS on social platforms: @wearfigs -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Head to http://www.cozyearth.com and use my code KNOCKKNOCK for an exclusive 20% off. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
I gave three talks in three groups on three consecutive days this week, and in the last one I made an announcement I need to make here too: Systems in Session is no longer Dubsado-or-HoneyBook-pick-your-poison.I'll now build your client experience inside any of the five CRMs I actually recommend — Dubsado, HoneyBook, 17hats, Sprout Studio, or VSCO Workspace (formerly Táve). Because you were never paying me to teach you how to push buttons in a tool. You're paying me for reviews, referrals, and repeat clients.Also in this one: what's changed at all five CRMs recently, why I'll look at an all-in-one built on a real CRM but not at gallery software cosplaying as one, three weeks into my Systems Professor app build, and Knock Knock — the personal video tool I built this week because I got tired of the workarounds.Want to see Knock Knock in action? Go to https://coliejames.com/systems and click the bubble in the bottom right. Send me one while you're there — I have 10 seats left in Systems in Session for the rest of 2026.Best CRMs for PhotographersLatest episode with Kara
I've got a love-hate relationship with research, and this week I finally get into why. I'll read a study, I'll watch a talk, I genuinely enjoy learning about it, but performing research myself has never been my thing, and I get into the whole story of how I ended up doing it in med school anyway purely to check a box. Then I break down the newest NRMP match data, and the numbers are insane. We're talking applicants matching into ortho and neurosurgery with over a hundred research experiences and dozens of publications, and I explain why I think this whole system has turned into a predatory arms race that has very little to do with becoming a good doctor. After that, I get back to some actual eyeball content. I dig into a fascinating study out of Portugal on wind instrument musicians and their eye pressure, and it turns out playing high-resistance instruments like trumpet, oboe, and French horn can cause real spikes in intraocular pressure, potentially even mimicking a condition called normal pressure glaucoma. I walk through some of the older research on this topic too, and honestly, it's the first time in ten years of practicing ophthalmology that I've even heard about it. If you're a serious wind player, this one's worth a listen. Takeaways: The number of research experiences, abstracts, and publications reported by matched medical residency applicants has climbed to levels that go far beyond what's needed to become a good clinician. Doing research as a medical student is not a requirement for becoming a skilled doctor. Wind instrument players, especially those using high-resistance instruments like trumpet, oboe, and French horn, can experience measurable spikes in intraocular pressure while playing. Chronic pressure spikes in musicians could potentially be misdiagnosed as normal pressure glaucoma if a patient's musical background isn't factored into their history. Professional musicians who play high-resistance instruments at a high level may benefit from routine glaucoma screening. To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 As a proud FIGS Ambassador, visit https://WearFIGS.com and use code DrGFIRSTFIGS to shop, stay updated on new launches, and learn more about FIGS advocacy projects. Check out FIGS on social platforms: @wearfigs -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
This week Kristin and I start off with something I've been wanting to work on for a while, my medical Spanish, because we're opening up a new location and I want to actually be able to communicate with my Spanish-speaking patients. Kristin was a Spanish major, so she helps me practice phrases sent in by a Spanish-speaking listener named Gabe, and let's just say it does not go great. Then I give Kristin a real update on my acting class, which has become my midlife crisis hobby of choice after bouldering nearly took out my elbow and beekeeping felt like too much commitment (and too much risk of me acidentally killing a bunch of bees). What I didn't expect going in was how much I needed something that has absolutely nothing to do with healthcare. Something else I really wasn't expecting: making actual friends who have nothing to do with our kids, which apparently is possible even after 30. If you're looking for a sign to take that random class you've been thinking about, this is it. Takeaways: Trying a hobby that's completely unrelated to your career, especially in healthcare, gives you a real mental break and can be genuinely good for your well-being. It is possible to make genuine new friendships after 30, even ones that have nothing to do with your kids' friends' parents. Learning common medical Spanish phrases, even imperfectly, can help doctors better communicate with and care for their Spanish-speaking patients. Learning a brand-new skill later in life, and simply being bad at it for a while, can be a rewarding experience on its own. Shared proximity and shared experience, like being in a class together, are two of the biggest drivers of forming new friendships as an adult. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 As a proud FIGS Ambassador, visit https://WearFIGS.com and use code DrGFIRSTFIGS to shop, stay updated on new launches, and learn more about FIGS advocacy projects. Check out FIGS on social platforms: @wearfigs -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Head to http://www.cozyearth.com and use my code KNOCKKNOCK for an exclusive 20% off. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
I wanted to start this one off talking about Sydney Towle, a 26 year old TikToker who documented her stage four cholangiocarcinoma diagnosis with so much humor and honesty that it genuinely impacted me, even though I never knew her in real life. Her passing hit hard, and it brought back a lot of what I went through with my own testicular cancer diagnoses at 26 and again at 31. I talk about how isolating it is to get a cancer diagnosis as a young adult, how most of the research and attention goes to kids and older adults, and how organizations like First Descents helped me find my people when I needed them most. Then I get into some actual eyeball stuff, because that's still what this show is for. I break down a fascinating case out of Ireland, the country's first ever transorbital neuroendoscopic surgery, where surgeons went through the eye socket to remove a meningioma pressing on the orbit. I get into how that surgery works, why the orbit is basically an obstacle course of tiny structures, and why neurosurgery always takes precedence when ophthalmology, ENT, and neurosurgery are all in the room together. I also can't resist going down a history rabbit hole on ice pick lobotomies, which were done through the eye socket, and I even throw in a random fact about the Bayeux Tapestry and a king who allegedly took an arrow straight to the eye. Takeaways: Young adult cancer patients often feel isolated because most cancer research and support resources target children or older adults. Organizations like First Descents and Stupid Cancer exist specifically to connect young adults facing cancer with a supportive community. Ireland's first transorbital neuroendoscopic surgery used the eye socket as a pathway to remove a brain tumor pressing on the orbit. Neurosurgery typically takes precedence in multidisciplinary trauma cases because saving a patient's life comes before preserving their vision. Ice pick lobotomies, performed through the eye socket, were still being done as recently as 1960. To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Head to http://www.cozyearth.com and use my code KNOCKKNOCK for an exclusive 20% off. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
Filmmaker Eli Roth (CABIN FEVER, HOSTEL, THANKSGIVING, THE GREEN INFERNO, KNOCK KNOCK, THE HOUSE WITH A CLOCK IN ITS WALLS) joins Adam Green and Joe Lynch to discuss the making of his latest horror splatterfest ICE CREAM MAN - in theaters now!
I've got something serious to get off my chest this week. It's about how Kristin gets treated in the comments section of our own YouTube clips. A recent clip from our episode with Rana Awdish set me off; Kristin talked about the "God complex" in medicine and what happens when patients don't fit neatly into the box the system has for them. The response from some corners of the internet was exactly the kind of misogynistic, dismissive nonsense that proves her point. So I'm laying out two things I will not tolerate: comments about her appearance or her right to be here, and anyone downplaying her experience as my wife, my business partner, and a co-survivor of my own medical trauma. Kristin has been by my side through two cancer diagnoses and a cardiac arrest. She did the compressions that kept me alive. She's lived the healthcare system from the outside in a way I never could from the inside, and that perspective matters. I explain in this episode why Glaucomflecken couldn't exist without her. Takeaways: I will not tolerate misogynistic comments or attacks on Kristin's appearance in our comments section. Kristin is an equal part of Glaucomflecken, not someone riding my coattails. Kristin's view of medicine's "God complex" comes directly from real experiences, including being barred from information and support during my hospitalizations. Medical trauma affects family members and caregivers, not just patients, which is the core of the co-survivorship conversation. I'd rather lose viewers who disrespect Kristin than keep an audience that won't respect her. To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
Two weeks ago I found out I have Stage 4 pancreatic cancer
Dr. Oz's proposed 2027 CMS rules dropped, and I've been waiting all week to get into them. The push toward value-based care and Accountable Care Organizations continues, but the headline for anyone in private practice is the multiple procedure cut: if you bill an E&M code and a procedure on the same day, Medicare now pays 100% for the more expensive service and only 50% for the other, regardless of modifiers, regardless of whether they're for two totally separate problems. That is a direct assault on independent practices, and every commercial insurer will follow Medicare's lead. There's one small win. Mandating real-time electronic prior authorization across Medicare Advantage, Medicaid, and ACA marketplace plans One head-scratcher...Medicaid work requirements of 80 hours per month starting January 2027, which I suspect will land squarely on physicians' documentation burden. Also, everyone say it with me: physician compensation is 10% of U.S. healthcare expenditure. After the break, medical malpractice for ophthalmologists. A colleague just came out of a settlement, and it got me looking at the top drivers of ophthalmology lawsuits: cataract surgery complications, missed or delayed retinal detachments, glaucoma management failures, and post-op infections. The uncomfortable truth: the only way to avoid surgical complications is to not operate, and sometimes even perfect communication and documentation don't stop a lawsuit. But they help. Takeaways: The proposed 2027 CMS rules would pay only 50% for a second same-day service when an E&M visit is billed alongside a procedure, regardless of modifier, effectively a major reimbursement cut that will hit independent private practices hardest and be adopted by commercial insurers Physician compensation accounts for just 10% of total U.S. healthcare expenditure, yet Medicare physician reimbursement is cut nearly every year while hospital and insurer reimbursement continues to rise The 2027 rules push physicians further toward Accountable Care Organizations and value-based care, favoring large health systems and insurers over independent physician-owned practices, with one bright spot: mandatory real-time electronic prior authorization across Medicare Advantage, Medicaid, and ACA plans The top ophthalmology malpractice risks are cataract surgery complications (posterior capsule tears, retained lens fragments, unfulfilled patient expectations), missed or delayed retinal detachment diagnosis, glaucoma management failures (insufficient IOP monitoring), and post-op infections Per OMIC, the three biggest drivers of ophthalmology claims are documentation deficiencies, communication gaps, and technical performance, about 60% of claims involve surgical execution errors, and diligent documentation, brutally honest informed consent, and strong physician-patient rapport are the biggest mitigators To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
This week on the Erotic Thriller Club a father's day threesome sends Keanu Reeves into full on Nic Cage performance. Join us in finding out if there really is such thing as free pizza...
2026 年 7 月的世界人工智能大会 (WAIC) 现场,上海 40 度的高温里,跟天气一样热的,还有国产算力「超节点」。自从去年华为第一个推出 CloudMatrix 384 超节点后,今年就有超过 10 家厂商跟进——华为昇腾、阿里云磐久、百度智能云天池,国产 AI 芯片「四小龙」也都把超节点机柜摆上了展位最显眼的位置。券商把 2026 年叫作「国产超节点元年」。单颗芯片算力追不上英伟达,把几百甚至上千颗芯片堆在一起做成超节点,就能在系统层面弯道超车吗? 这期节目我们请来前芯片行业从业者张海军和我们一起聊聊 WAIC 现场,并且深度的从硬件架构到商业格局逐层拆解超节点。我们一起聊了聊从去年到今年超节技术方案都有哪些进展;国产超节点的性能能否真正超越英伟达--差距和机会分别在哪;当所有人都冲进同一条赛道,谁能在硬件产能和软件生态的夹击下活到最后。 本期人物 Yaxian,「科技早知道」主播 张海军,前新思科技高级工程师、半导体公众号「傅里叶的猫」主理人 时间轴 [01:44] 逛展观察:FOMO 蔓延,超节点成了展商标配 人流量远超去年,同类产品扎堆,同质化竞争严重 国产超节点数量远超预期,连 OEM 厂商都推自己的方案 [06:10] 从 8 卡机到机柜:超节点要拆的是“通信墙” 传统 8 卡机时代,AI 芯片大量时间不在计算,而在等数据传输 超节点用低延时高带宽网络把几十到上千颗芯片组成 Scale-up 域 [08:30] Scale-up 与 Scale-out:两者的边界逐渐模糊 华为 16 个机柜 384 卡也算 Scale-up,阿里磐久单柜内分上下两半 新定义:软件能把一整片区域当做“巨型 GPU”跑集合通信,就是 Scale-up [11:43] 单芯片追不上,系统层面补 国产单芯片制程落后,短时间难弥补,从系统层面提升是务实选择 Kimi K3 总参数 2.8T、896 个专家,官方建议 64 卡以上超节点推理 海外 NV、谷歌、AMD 单芯片提升也遇瓶颈,互联技术成熟让超节点产品化成为可能 [15:21] 割裂的 Scale-up 生态:UALink 松散,私有协议割据 海外 UALink 联盟看似豪华,实际只有 AMD 一家在推,博通已退出自搞 国内华为 UB、阿里、壁仞、摩尔线程、沐曦各有私有协议,互不兼容 华为 UB 的独特优势:NPU、CPU、SSD 全用同一协议, NV 的 NVLink 和 InfiniBand 则分属两个团队 [21:35] 标杆对比:NVL72 与 CloudMatrix 384,功耗换算力的取舍 NVL72 单柜 72 颗 B200,功耗超 120 千瓦 CloudMatrix 384 单卡算力仅 B200 的约 30%,总算力却是 NVL72 的 1.7 倍 铜缆 vs 光纤、延时 vs 算力的多重折中 [27:01] 整机厂商不甘只做组装:中兴自研交换芯片,曦智押注光互连 中兴推出自研 OLink 交换芯片 曦智科技刚 IPO,定位超节点里的光通信和光交换模块供应商 [32:50] 国产超节点能超英伟达吗? 系统层面参数确实超过 NVL72,但“堆料强”不等于“超 NV” 参数赢了,CUDA 还没破 [37:03] 产能才是真瓶颈:年底拿不到大单,后面就难了 芯片种类多但产能小,卡点在量产而非方案设计 软件生态各异,互联网大厂不可能适配太多家,洗牌比自动驾驶来得更快 [42:42] 超节点的连锁反应:800V 供电、液冷渗透、国产交换芯片 供电:NV 推 800V 高压直流,电源也要上液冷 液冷:谷歌预计 2027 年液冷需求价值量是今年的 4 倍 网络:国产交换芯片已能跟博通相媲美,Scale-out 域开始国产替代 「Knock Knock 世界」 春晚耍刀弄剑的人形机器人,真能走进我们的日常生活了吗?https://sourl.co/QQAdZr 在「Knock Knock 世界」里,听到全球新鲜事,还能成为「全球观察员」,报选题、参加选题会。2026 年的节目正在持续更新,有4期免费试听,苹果播客上还可以还【按月】随时订阅节目。 幕后制作 监制:Yaxian 后期:迪卡 运营:George 设计:饭团 商业合作 声动活泼商业化小队,点击链接直达声动商务会客厅,也可发送邮件至 business@shengfm.cn 联系我们。 加入声动活泼 声动活泼正在招聘全职商务运营经理、早咖啡内容实习生和社群实习生,如果你也对播客行业的内容制作感兴趣,欢迎点击招聘入口 关于声动活泼 「用声音碰撞世界」,声动活泼致力于为人们提供源源不断的思考养料。 我们还有这些播客:声动早咖啡、声东击西、吃喝玩乐了不起、反潮流俱乐部、泡腾 VC、商业WHY酱、跳进兔子洞 、不止金钱 欢迎在即刻、微博等社交媒体上与我们互动,搜索 声动活泼 即可找到我们。 期待你给我们写邮件,邮箱地址是:ting@sheng.fm 欢迎扫码添加声小音,在节目之外和我们保持联系。Special Guest: 张海军.
This week's episode is about my experiences and lessons around death this year. In February I had to put my cat, Viracocha, down, and in June my father ended up in a coma and eventually passed away. Both experiences have come with their own stories and lessons, which I've been digesting as life keeps moving forward.As my life's story typically unfolds, working with plant allies such as Iboga, Mapacho, Cacao, Ayahuasca, and a new wild card called "KnockKnock" has enabled me to travel deeper into these lessons.Aaaand right when I thought things had settled, I got hit with a wild turn of events after getting my DNA results back.These deaths have taught me about what is real and true in this world, and how I choose to live within it.HighlightsI walk you through finding out my cat had lung cancer, the day of her death, and the iboga ceremony the next dayMusings on grief and death as a fact all humans shareThe story of finding out about my dad's fall, the moment I found out he died, and how optional the suffering around both deaths turned out to beProcessing the inevitability of my own death while working with Mapacho and CacaoThe DNA results that turned me for a loopShow Notes: Journey of Souls by Michael Newton Destiny of Souls by Michael Newton Only Love is Real by Brian WeissProof of Heaven by Eben Alexander, MDNo Self, No Problem: How Neuropsychology Is Catching Up to Buddhism by Chris Niebauer, Ph.DLearn more about the School of Whispers: www.schoolofwhispers.comIf you'd like to learn more about working with me, click here. Sign up for the monthly newsletter to receive a free e-book on the Five Element Theory and to stay up to date on podcasts, retreats, workshops, and more. Contact me hereConnect:Instagram- @schoolofwhispersInstagram (personal)- @__steef___Facebook YoutubeDISCLAIMER: This podcast is presented for educational and exploratory purposes only. Published content is not intended to be used for diagnosing or treating any illness. Those responsible for this show disclaim responsibility for any possible adverse effects from the use of information presented by Stephanie or her guests.
Pastor Will continues our sermon series "Revaluation." In this sermon, Will says that Jesus is not an accessory, Jesus is not a salesman, and Jesus is king. Listen in to hear and understand what these points mean!
Adventure Koala - Short Animal Stories for Kids! - Children’s Stories for Sleep
It's market day in Adventure Town, and something precious has quietly gone missing right off the bakery wagon — something the whole town has been keeping alive for a hundred and fifty years!
Two topics today. First, unionization, which is having a real moment in healthcare. Banner Health's hospitalists just formed the largest physician union in Arizona. The Brigham and Women's nurses recently held the largest one-day strike in Massachusetts history. I get into why physicians are so far behind on this, historically we've been independent, and you can't unionize as a practice owner or contractor, and why we're catching up now that companies like Apollo MD, Sound Physicians, SCP Health, and even Optum are employing us. After the break, another eye drop recall. This one is a big one. 2.5 million bottles of prednisolone from Lupin Pharmaceuticals recalled after a foreign substance was found. Prednisolone is one of the most commonly prescribed drops in ophthalmology and standard after cataract surgery, so this one is going to be felt. Takeaways: Physician unionization is accelerating: Banner Health's hospitalists just formed Arizona's largest physician union, and the Brigham and Women's nurses recently held the largest one-day strike in Massachusetts history Physicians have lagged nurses on unionization because they were historically independent, practice owners and contractors can't unionize, but as more doctors become W2 employees of health systems, private equity groups, and corporations like UnitedHealthcare (the country's largest employer of physicians), unions become both viable and appealing SCP Health's move to hire displaced Valley Health emergency physicians as 1099 contractors has multiple downstream effects, no benefits obligations for the company, and no legal path to unionization for those doctors Lupin Pharmaceuticals is recalling 2.5 million bottles of generic prednisolone eye drops after a foreign substance was found; prednisolone is one of the most commonly prescribed post-cataract drops in ophthalmology, so a shortage could disrupt post-op inflammation control Instead of intra-healthcare-worker infighting, Will's ask is radical transparency from hospitals, actual prices, actual reimbursement rates, actual margins, actual payer contracts, so everyone can see where the money is really going before accepting the argument that one group's raise costs another its own To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Head to http://www.cozyearth.com and use my code KNOCKKNOCK for an exclusive 20% off. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
Sharon McMahon, America's government teacher, author of the number one New York Times bestseller The Small and the Mighty, and one of the most effective science communicators working right now, just on the government side joins us today. She makes the case for what types of people should run for office. The bulk of our conversation is about something I see constantly in healthcare comments: learned helplessness, the feeling that the system is too broken and too big and too entrenched to ever get better. Sharon's reframe is the one I needed to hear, this is not a volcano, it's a human-constructed system, and the abolitionists and the suffragists and the civil rights organizers all felt exactly as hopeless as we do, and they kept working anyway. We get into the Overton window, the range of what's currently politically possible, and why universal healthcare isn't in it federally right now, but state-by-state Medicaid expansion absolutely is, and why states function as "democracy laboratories" that can shift the national window over time. Sharon walks me through how to actually get a meeting with your representative, why joining your state medical society or specialty organization matters more than being one annoyed person on the internet, and how Emily Calandrelli got a federal law passed protecting nursing mothers at airport security just by having a big platform and a specific senator. We also cover the filibuster, the Electoral College (winner-take-all was never in the Constitution), the National Popular Vote Interstate Compact, gerrymandering's embarrassing etymological origin, and Great Lakes shipping facts that Sharon would absolutely use to fill 24 hours on the Senate floor. My government teacher was a football coach. I am now remediated. Takeaways: Learned helplessness is the biggest obstacle to healthcare reform. The Overton window explains why federal universal healthcare feels impossible right now, but state-level progress doesn't . The most effective way to get a meeting with your representative is to call their district office, not their DC office. Joining a professional advocacy organization multiplies your impact dramatically. The filibuster is a Senate-only procedural rule that started as an accident. — Want more Sharon McMahon? @sharonsaysso http://www.thepreamble.com http://www.sharonmcmahon.com To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Head to http://www.cozyearth.com and use my code KNOCKKNOCK for an exclusive 20% off. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
I almost finished my July 4th call week. Good news! Portland did not blow its face off this year. No open globes, no eyelid lacerations, no thermal injuries, no sclopetaria. Bad news: a Friday holiday means every unanswered call from every patient at every one of our offices lands on the on-call doctor, and I earned every one of them. I walk through three cases. First, a cataract surgery my partner had to abort mid-procedure because the patient had six clock hours of zonule laxity. I explain what zonules actually do, why pseudoexfoliation ruins your day, and how a viscoelastic-driven pressure spike at 1 AM sent me to clinic to "burp the wound" instead of shipping the patient to the ED. Second, an inpatient consult for suspected optic disc swelling, and why nobody outside ophthalmology reliably examines an optic nerve. Third, the classic infectious disease vs. ophthalmology debate: does every asymptomatic patient with candidemia need a dilated eye exam? IDSA 2016 says yes. The American Academy of Ophthalmology says no. I'll tell you where I actually land and why I still show up anyway. Also: my full case for licensing fireworks rather than banning them, and a little pushback on the once-a-year concern for veterans and dogs. Live shows coming up in Boston and at the Lebanon Opera House in September. Takeaways: Zonule laxity, loose or broken suspensory fibers that hold the natural lens in place, can force a cataract surgeon to abort mid-procedure and refer to a retina specialist for a safer staged approach; pseudoexfoliation is one of the most common causes The viscoelastic gels used during cataract surgery can plug the eye's drainage system and cause an IOP spike that lasts up to 72 hours; oral Diamox is standard, but if the patient can't keep it down, options are IV Diamox in the ED or manually burping the wound in clinic Ophthalmologists are effectively the only clinicians reliably trained and equipped to examine the optic nerve, which is why hospitalist consults for suspected disc swelling should be treated as a normal part of the job, not an imposition The IDSA (2016) recommends dilated exams for all non-neutropenic candidemia patients within one week of diagnosis; the American Academy of Ophthalmology recommends against routine screening in asymptomatic patients. Practical approach for 2026: consult ophthalmology for any candidemia patient with visual symptoms (floaters, blurriness, pain, flashes) or who can't reliably report symptoms (intubated, delirious); asymptomatic reliable patients likely don't need routine screening To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
What's the best part about being single? According to one study, it may actually help you live longer!Anna has been getting ads for “Culturally 30+ bars”. A dream for women who are too old to party with those in their 20s. Producer Sophia discusses the ways she knows she is in a cultural 30+ club. Ravens wife, Alicia, was very embarrassed he had a book overdo at the local library. He is currently being shamed for it. Anna and Raven discuss what embarrassing things their significant others do. What does yours do that mortifies you? When micro-management follows you home! What are the dumb rules you've dealt with due to being a part of an HOA?IS ANNA ZAP OUT OF LINE? Her husband Paul was being blocked in to a parking spot by a car that was running with the doors open! Her husband Paul claimed he could move the car. Anna thinks he was insane for that. He was dead serious. When someone knocks on the bathroom door, and you're using it, how do you respond? It happened to Anna the other day, and she was so surprised that she yelled out something completely ridiculous!After more than years of marriage, Anna's husband rarely does anything that surprises her. But after finding something in his Chinese takeout, Anna couldn't believe his reaction! Couples Court: Paul's mother struggles financially and for the third time this year has asked to “borrow” a thousand dollars. Jessica says that every time they give to her mother-in-law, she never pays it back and it's coming directly out of their savings account. She says it's time to tell her that this is the last time they can bail her out financially, but her husband says that his mom has always been there for him. She was a single mom, and they need to do everything in their power to continue helping her for as long as they can. Whose side are you on?
Chris and acclaimed horror director Eli Roth (Hostel, Thanksgiving, Knock Knock) discuss the new wave of horror directors, adapting to the changing filmmaking landscape, how kids make the scariest monsters, and the only critic who truly matters. Eli's new film "Ice Cream Man" is in theaters August 7th! Learn more about your ad choices. Visit podcastchoices.com/adchoices
Today's main event: how a physician-owned practice negotiates with UnitedHealthcare. UHC is notorious for raising premiums 20 to 30% while offering physician reimbursement bumps of about 1%. I walk through exactly how we push back at Eye Health Northwest, phone messages that spell out the math, letters to patients, and yes, taking the contract to the brink when we have to. This works because we're large and physician-owned, which is why I make the case for other independents to consider joining forces locally instead of selling to private equity or chasing the Sound Physicians model. After the break, a quick "don't do that" tip, and some actual advice for the residents and interns who just started on July 1. Takeaways: UnitedHealthcare consistently reimburses below other commercial payers, often raising premiums 20 to 30% while offering physician reimbursement increases as low as 1%, the ability to push back depends heavily on practice size and market share Eye Health Northwest formed 40 years ago when three independent practices merged, creating the scale needed to stay physician-owned, avoid private equity, and negotiate meaningfully with big insurers, a model Will recommends for other independents willing to stay local The most effective renegotiation tactic is patient transparency: phone messages, letters, and clear math about premium hikes versus reimbursement stagnation motivate patients to pressure the payer directly, which is what ultimately gets big insurers to blink Covering an entire long-weekend call solo across all practice sites is a very different animal than typical private-practice call, Will openly acknowledges that private-practice ophthalmologists have lost perspective compared to residency call at a level one trauma center Advice for new residents: check vision before consulting ophthalmology, stay humble, listen to patients before the system beats it out of you, protect a few minutes a week for something completely outside medicine, and invest heavily in your co-residents — no one else will fully understand what you're going through To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Head to http://www.cozyearth.com and use my code KNOCKKNOCK for an exclusive 20% off. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
This week we're joined by Kendra Cunningham and Kayla Messana, sisters and co-hosts of the podcast Flatlined and Fine, and their stories are almost impossible to believe. Kayla was 31, healthy, three kids, husband just back from deployment, when she woke him up with agonal breathing in the middle of the night. He dragged her to the floor, did CPR for 10 minutes, and she was shocked twice by an AED before going on to have cardiac arrest approximately eight more times in the next 24 hours. Four years later, she's been shocked by her ICD three additional times and still has no clear diagnosis. Then, a few years after Kayla's event, Kendra had her own cardiac arrest while awake and feeding her newborn twins, told her husband she was about to faint, and was gone within seconds, saved by a man whose only CPR training was a few American Heart Association videos he'd watched before their first child was born. Kristin and I swap notes with them on everything: what it's like to wake up in an ICU with no memory of what happened, how you explain cardiac arrest to kids who are five, six, and eight years old, the psychological weight of an idiopathic diagnosis that gives you no answers and no closure, and the very real experience of being a 31-year-old in a cardiology waiting room surrounded by people forty years older than you. We also get into the insurance disaster of a $15,000 whole exome sequencing test that Blue Cross Anthem denied, why Kendra couldn't pick up her newborn twins for months after her ICD surgery, and why I was cleared to perform eye surgery but not allowed to drive for six months. I also get publicly shamed for not having plugged in my ICD data transmitter in two years. It's earned. Takeaways: Cardiac arrest in young, healthy adults often has no identifiable cause. CPR saves lives even when the person doing it is terrified and untrained. The co-survivor experience is its own separate, underserved story. Young cardiac arrest survivors often get inadequate guidance from the healthcare system. Being shocked by an ICD is traumatic and disruptive in ways that don't get talked about enough. — Want more Kendra Cunningham and Kayla Messana? @flatlined.and.fine on Instagram Flatlined and Fine on Spotify: https://open.spotify.com/show/2nRXIK5OvgAv2CXKvCwrQu?si=eHV4s_CZTQyLAXLvf7A14A&nd=1&dlsi=359ec698e7c64c90 To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Head to http://www.cozyearth.com and use my code KNOCKKNOCK for an exclusive 20% off. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
I'm on call July 4th for the first time in what feels like forever, and I have fully lost perspective on what call should feel like. 2018 me, fresh out of an Iowa trauma center, would be horrified at how nervous private practice me has gotten about it. I'll report back after the holiday. Today's main event is World Cup eye injuries. Every professional sport needs an ophthalmologist on the sideline, soccer included, and I walk through three I'd be ready for. First, a 50 MPH ball off Erling Haaland the Viking's foot straight to the face, hyphema, open globe risk at the equator and limbus, retinal dialysis in young patients. Second, a player smashing their face on a goalpost, orbital floor fractures, the workup for extra-ocular muscle entrapment, and a full breakdown of eyelid laceration repair: above brow, below brow, eyelid margin, and canalicular. Third, the soccer flop, where grass exposure can deliver a corneal abrasion or an allergic reaction, and the drops I reach for. I've got more on deck if the tournament keeps giving me material. Takeaways: A high-velocity soccer ball to the face can cause hyphema (sheared vessels in the anterior chamber), an open globe at one of the eye's two weak points (the equator behind the extra-ocular muscles and the limbus at the edge of the cornea), or a retinal dialysis, especially in younger patients Hyphema management is driven by eye pressure: normal pressure means strict couch-potato rest until the blood clears, because a second bleed is always worse than the first; very high pressure may require surgical evacuation A face-into-goalpost impact most commonly causes an orbital floor fracture; suspected extraocular muscle entrapment is a PANTS patient, the ophthalmologist comes in, the orbit gets scanned, and forced duction testing rules entrapment in or out Eyelid laceration repair depends on location: above the brow is straightforward, below the brow uses skin-only sutures because there's an eyeball underneath, eyelid margin lacerations require specialized technique, and canalicular lacerations need temporary tube placement Even a soccer flop can cause real eye injury, grass exposure can lead to corneal abrasion or an allergic reaction in the fornix, treated first-line with antihistamine drops like Patanol, Pataday, or Zaditor, with short-course topical steroids for severe cases To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
Knock knock knock! What is that? It's Brittany and Jenna here to talk about the Great Amherst Mystery! Sources: https://circulatingnow.nlm.nih.gov/2021/10/28/the-great-amherst-mystery-1888/https://www.youtube.com/watch?v=3Iz2_7_XSoEhttps://www.youtube.com/watch?v=in5j7m-BHzQMusic by Alena Smirnova: https://open.spotify.com/track/2qFfB2WYgJNvsTVLoo3ngF?si=305f46c547734686
A few things on the agenda today. First, RFK Jr. and the MAHA crew want medical schools to dedicate around 40 hours, roughly 20% of preclinical training, to nutrition education. I have some thoughts. We already have dietitians, med school is already a fire hydrant, and the Krebs cycle had it coming, but this isn't the way. Then a Mark Cuban appreciation segment, because he's out there on X dragging the entire healthcare system toward transparency. His latest pitch: someone buy a hospital, charge Medicare rates for every single thing, expose every dollar in and out, and prove whether Medicare for All can actually work. In theory, I'm in. In practice, you can't slash physician pay without first addressing the $500,000 in debt that gets people into the door. The Australian model, a real public safety net coexisting with a private system, makes more sense to me, but only if we fix the training pipeline first. After the break, ophthalmology. A young man got a bamboo shoot to the eye six months ago. Healed up fine. Now he's waking up at 2 AM in excruciating pain, no trauma involved. That's a recurrent corneal erosion. I walk through why it happens, why CPAP can make it worse, and the whole treatment ladder, ointment, bandage contact lenses, superficial keratectomy, corneal micropuncture. Also: don't let your cornea melt. That's the headline. Takeaways: RFK Jr. and MAHA are pushing medical schools to dedicate around 40 hours, or 20%, of preclinical training to nutrition, a shift that ignores the existence of dietitians and would crowd out essential physiology and disease education Mark Cuban has floated a real-world test case for Medicare for All: buy a hospital, charge only Medicare rates, and operate with complete financial transparency to show whether the model is sustainable Any serious move toward Medicare for All or an Australian-style public-private hybrid will require addressing the roughly $500K in training debt physicians carry; otherwise the math doesn't work and recruitment collapses Recurrent corneal erosion happens when an old abrasion never fully reattaches to the underlying stroma, patients typically wake up in severe pain because the eyelid scrapes loose epithelium across a dry cornea overnight, and CPAP without a good seal makes it worse Treatment escalates from aggressive nighttime lubrication (erythromycin ointment, Genteal gel) to a bandage contact lens, and in stubborn cases to a superficial keratectomy or corneal micropuncture to create a smoother, more firmly attached corneal surface To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
June 24, 2026 ~ Chris Renwick and Lloyd Jackson spoke with Brent Yax, CEO of Awecomm, about AI threats. Advanced AI will breach security in months, not years. All businesses are targets. Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.
I just watched The Backrooms and now I can't stop thinking about hospital liminal spaces. The basement. The pathology lab. The OR at 2 AM when you're going in for an open globe. We start there. Then a great Spotify question pulls me into ophthalmology boards, what the written test is like, the oral exam I took inside an examiner's actual hotel room (with their luggage in the corner) during a hotel workers' strike in San Francisco, the $2,000 fee, and why the whole recertification industry feels like a money grab. Also a quick rant about why physicians start their careers $400K in the hole and a decade behind everyone else. The main event is a tale of two health systems. You already know PeaceHealth in Eugene, where the emergency physicians fought back, used Oregon's corporate practice of medicine law, and took it to court. Now meet Valley Health in Virginia's Shenandoah Valley, where CEO Mark Nance just cancelled the contract for EMBER (Emergency Medicine of Blue Ridge) and handed it to SCP Healthm a private equity outfit backed by Canada's Onex Corporation. Same Apollo MD playbook. Same damage. But Virginia has no corporate practice of medicine law, no physician union, and no nurses' union, and Valley Health is flush with cash while blaming Medicaid cuts. I'm fed up, and I'm going to keep making this content as long as people keep sending it to me. Takeaways: Valley Health in Virginia's Shenandoah Valley cancelled its 20-plus-year contract with EMBER (Emergency Medicine of Blue Ridge) and handed it to SCP Health, a private equity-backed corporation owned by Canada's Onex Corporation, mirroring the Apollo MD/PeaceHealth situation in Eugene Despite blaming Medicaid cuts from the "Big Beautiful Bill," Valley Health holds over $1 billion in assets, $700 million in cash reserves, and reported $100 million in net profit in 2024 and continues to build new facilities Valley Health has also forced out Front Royal Family Practice under CEO Mark Nance, revealing a broader pattern of consolidating independent groups and eliminating physician autonomy Virginia has no corporate practice of medicine law, no physician union, and no nurses' union, leaving healthcare workers without the legal and organizational protections that allowed the Eugene physicians to fight back successfully Ophthalmology board recertification, board exam fees, and roughly $400K in training debt mean most physicians don't start meaningful earnings until age 31 or later, a financial reality often missing from broader debates about physician pay To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
A devoted husband and father helps two stranded girls who knock on his door, but his kind gesture turns into a dangerous seduction and a game of cat and mouse. On this week's episode… Join the Straight Chilling Crew as we discuss Keanu Reeves' acting range, Ana de Armas' first English language film, and Eli Roth's ultimate Father's Day movie, Knock Knock (2015). Show Notes: Housekeeping (4:45) Back of the Box/Recommendations (10:15) Spoiler Warning/Full Review (14:25) Rotten Tomatoes (1:00:36) Cooter of the Week (1:07:50) What We've Been Watching (1:12:48) Connect with us: Support us on Patreon Website Instagram YouTube Shop E-mail: straightchillingpodcast@gmail.com Voicemail: 904-638-3231
Who is there? Two sexay ladies. It's Knock Knock (2015)! Support us on Patreon! www.patreon.com/nosuchthingasabadmovie Email us at nosuchthingasabadmovie@gmail.com Follow us on Instagram! @nosuchthingpod Bluesky us! @NoSuchThingPod @apriletmanski @Sgtzima @DeclouxJ
Our guest this week is Mark Kerstens, a PhD student at OSU, who studies black-backed woodpeckers with the hope of improving forest management before and after wildfires. Black-backed woodpeckers are ecosystem engineers, creating habitat for many other forest-dwelling species, and Mark's work is helping to inform natural resource managers about what these charasmatic birds may be doing.
Victor Wembanyama, the 7'5" alien playing for the Spurs, apparently refuses to look at blue light after 9pm, which allows me to get into my love-hate relationship with blue light glasses, the misinformation campaign that has them treating everything from dry eye to macular degeneration, and the one claim that actually holds up: sleep and circadian rhythm. Then a great Patreon question drops me into retinopathy of prematurity. What it is, why preemies are vulnerable, and how oxygen, vascularization, and laser treatment all fit together. From there, the bigger problem: 90% of U.S. counties don't have a single pediatric eye specialist. Four states, New Mexico, North Dakota, South Dakota, Vermont, have zero pediatric ophthalmologists. And surprise, this comes right back to private equity, because every Knock Knock Eye episode does. Takeaways: Blue light blocking glasses have one evidence-based benefit: improving sleep by helping regulate circadian rhythm. Claims about reducing dry eye, eye strain, or preventing macular degeneration are not supported by the data. Retinopathy of prematurity is caused by a mismatch between an underdeveloped retina and the oxygen exposure premature infants receive — too much supplemental oxygen damages fragile capillaries and can lead to neovascularization, retinal detachment, and blindness. 90% of U.S. counties have no pediatric eye specialist, and New Mexico, North Dakota, South Dakota, and Vermont have zero pediatric ophthalmologists at all, driven by low reimbursement rates and consolidation that deprioritizes the subspecialty. Private equity-owned ophthalmology practices aren't expanding into pediatric care because it isn't profitable, kids need Medicaid coverage, not cataracts and LASIK, leaving rural and Medicaid families with the fewest options. A 2025 JAMA Ophthalmology study on AI screening for ROP found the model was sensitive but not specific, it can flag disease, but it still can't determine which babies actually need laser treatment, so human ophthalmologists remain essential. To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
6 月,美伊战争进入新一轮谈判,和平似有一线希望。但与此同时,海湾地区一对曾经的兄弟国家——沙特与阿联酋——却似乎渐行渐远,这一切究竟是怎么发生的? 4 月 28 日,阿联酋宣布退出由沙特主导的 OPEC(欧佩克),这场看似突然的分手,背后却是一场 50 余年的关系演变:他们曾以小弟与大哥的姿态相处,曾在战场上并肩出兵,但近十年来,经济上的竞争、外交上的分歧、甚至军事上的正面对抗,已经让这对盟友走到了完全不同的方向上。 这一期节目,我们从两国的国情背景说起,聊聊阿联酋与沙特是如何在过去的 50 多年中一步步走近,又一步步分道扬镳,以及这种国与国间的博弈对未来的世界可能又意味着什么。 本期人物 徐涛,声动活泼联合创始人 赛德,「声东击西」后期制作人 可宣,「声东击西」监制 主要话题 [01:10] 阿联酋与沙特,一个先富裕起来的大国和一个后起直追的务实小国 [13:56] 从霍梅尼到阿拉伯之春:共同的危机如何让两个国家走到了一起 [17:23] 两个穆罕默德,一段「导师与学徒」式的同盟 [27:12] 也门战场:共同出兵,各有算盘 [33:12] 当学生开始追赶老师:Vision 2030 与沙特的转型野心 [44:28] 分裂的朋友圈:两个国家如何寻找各自的新盟友 [52:54] 当中东开始重新洗牌:阿联酋退出欧佩克的那一天 延伸阅读 Mohammed bin Zayed's Dark Vision of the Middle East's Future 加入我们 声动活泼团队目前正在招聘内容监制、商业运营经理、商业发展经理和部分实习生,如果你也对播客行业的内容制作和商务运营感兴趣,欢迎投递! 到详情点击招聘入口:加入声动活泼(在招职位速览) 给声东击西投稿 声东击西正在密切关注中东战局及其带来的影响,所以如果你所在的行业或公司,正在受到霍尔木兹海峡封锁的影响,欢迎向我们投稿,你的声音对我们非常重要。 投稿入口 你也可以直接通过邮箱直接联系节目组:kexuan@shengfm.cn 「Knock Knock 世界」 科技发达的今天,严重的山西煤矿事故为什么还会发生?https://sourl.co/74gY8M 在「Knock Knock 世界」里,听到全球新鲜事,还能成为「全球观察员」,报选题、参加选题会。2026 年的节目正在持续更新。 幕后制作 监制:可宣 后期:赛德 运营:George 设计:饭团 实习生:Jean 商务合作 声动活泼商业化小队,点击链接可直达商务会客厅(商务会客厅链接:https://sourl.cn/QDhnEc ),也可发送邮件至 business@shengfm.cn 联系我们。 关于声动活泼 「用声音碰撞世界」,声动活泼致力于为人们提供源源不断的思考养料。 我们还有这些播客:不止金钱、跳进兔子洞第三季、声东击西、声动早咖啡、What's Next|科技早知道、反潮流俱乐部、泡腾 VC、商业WHY酱 欢迎在即刻、微博等社交媒体上与我们互动,搜索 声动活泼 即可找到我们。 也欢迎你写邮件和我们联系,邮箱地址是:ting@sheng.fm 获取更多和声动活泼有关的讯息,你也可以扫码添加声小音,在节目之外和我们保持联系! Special Guest: 赛德.
I'm stepping away from the slit lamp this week to talk about a different kind of eye emergency. The ones happening on the front lines of protests across the country. I've been seeing way too many videos of people losing their vision to "non-lethal" force, so I invited Adam Rose, the Deputy Director of Advocacy for the Freedom of the Press Foundation, to help us navigate this. Adam has 20 years of journalism under his belt and spends his time making sure the people documenting history don't end up as patients in my clinic. Whether you're a journalist, a protester, or just a citizen with a smartphone, this episode is a crash course in exercising your First Amendment rights without losing an eyeball. Takeaways: Why a build-up of food gases in an old Thermos can pop a lid with enough force to cause a "ruptured globe" injury. The difference between a "Democratic physician-owned group" and a "Contract Management Group" staffing your local hospital. How a doctor living in Illinois can technically "own" an emergency practice in Oregon through a legal loophole. Why Will thinks "home call" in residency is just a clever way to skirt work-hour restrictions. The "Glock Flecking Fodder Ability Scale" for determining which medical specialties are the easiest to make fun of. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Head to cozyearth.com and use my code KNOCKKNOCK for up to 30% off — but only for a limited time. This exclusive offer runs from May 18th through June 1st only, so don't wait. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
I'm not in a great mood and I'll tell you why. A mini fridge in our family room sprang a slow leak, and before I knew it I was $5,000 deep in a restoration black box with no idea whether any of those numbers were real. Which, of course, got me thinking about healthcare cost transparency, because everything eventually does. From there I get into Oregon's SB 951, the strongest corporate practice of medicine law in the country, and what it might mean in 2029 for the private equity firms (and one suspiciously friendly-sounding Canadian pension fund) currently buying up ophthalmology. After the break I cross over into veterinary land to talk about the cow eye dissection I ran with about 50 middle schoolers at my kids' school. The tapetum lucidum, the onion-layered lens, why goats have rectangle pupils, and the brand-new respect I now have for teachers. We finish up in the animal vision spectrum, where the mantis shrimp absolutely embarrasses the rest of us. Takeaways: Oregon's SB 951 requires all medical practices in the state to be physician-owned and free of outside investor influence by 2029, a potential turning point for private equity in ophthalmology NVISION Eye Centers is majority-owned by Ontario Teachers' Pension Plan Board, a $250 billion Canadian fund that functions, in effect, like a private equity firm The Central Africa Ebola outbreak is unlikely to become a pandemic, but reduced WHO funding after the U.S. withdrawal weakens global surveillance and rapid response The tapetum lucidum is a reflective layer behind the retina in cows, dogs, cats, and many other mammals that bounces light back through the photoreceptors, dramatically improving night vision and explains the glowing-eyes phenomenon Humans have three color cones; mantis shrimp have 12 to 16 plus UV, infrared, and polarized light detection; dogs and cats see dichromatic blues and yellows; whales and dolphins see only in monochrome To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
这是一场全世界都关注的最高礼仪的会面,每个动作和肢体语言都被媒体所解读。 过去 9 年,中美之间鲜有如此规格的元首互访,双边关系长期在技术遏制与战略竞争的语境中艰难拉扯。在这样的背景下,这次特朗普为何接受了中国提出的「建设性战略稳定关系」这一关系框架;这体现了哪些变化正在发生,我们又可以如何理解这样的变化。 这一期节目,我们邀请了老朋友达巍教授,从一位国际关系学者的角度出发来进行解读。 本期人物 达巍,清华大学战略与安全研究中心主任、国际关系学系教授 徐涛,「声动活泼」联合创始人 主要话题 [04:52] 为什么说离开了元首外交,中美关系就容易「漂流」? [10:32] 如何理解这一次提出的「建设性战略稳定」 [16:46] 从官员到百姓:由国事访问带来的多边交流 [34:26] 第二任期,特朗普的对华态度改变了吗 [45:36] 「有限的软化」—— 关税政策与出口管制的变化 [57:07] 这次访问产出了哪些成果 延伸阅读 提到「建设性战略稳定」的白宫文件:Fact Sheet: President Donald J. Trump Secures Historic Deals with China, Delivering for American Workers, Farmers, and Industry 给声东击西投稿 声东击西正在密切关注中东战局及其带来的影响,所以如果你所在的行业或公司,正在受到霍尔木兹海峡封锁的影响,欢迎向我们投稿,你的声音对我们非常重要。 投稿入口 你也可以直接通过邮箱直接联系节目组:kexuan@shengfm.cn 「Knock Knock 世界」 163|特朗普此次访华,为什么是外交最高规格的「国事访问」?点此收听:https://sourl.co/QJJFur 在「Knock Knock 世界」里,听到全球新鲜事,还能成为「全球观察员」,报选题、参加选题会。2026 年的节目正在持续更新,有 4 期节目可免费试听。 加入我们 声动活泼团队目前正在招聘内容监制、商业运营经理、商业发展经理和部分实习生,如果你也对播客行业的内容制作和商务运营感兴趣,欢迎投递! 到详情点击招聘入口:加入声动活泼(在招职位速览) 幕后制作 监制:可宣 后期:赛德 运营:George 设计:饭团 实习生:Jean 商务合作 声动活泼商业化小队,点击链接可直达商务会客厅(商务会客厅链接:https://sourl.cn/QDhnEc ),也可发送邮件至 business@shengfm.cn 联系我们。 关于声动活泼 「用声音碰撞世界」,声动活泼致力于为人们提供源源不断的思考养料。 我们还有这些播客:不止金钱、跳进兔子洞第三季、声东击西、声动早咖啡、What's Next|科技早知道、反潮流俱乐部、泡腾 VC、商业WHY酱 欢迎在即刻、微博等社交媒体上与我们互动,搜索 声动活泼 即可找到我们。 也欢迎你写邮件和我们联系,邮箱地址是:ting@sheng.fm 获取更多和声动活泼有关的讯息,你也可以扫码添加声小音,在节目之外和我们保持联系! Special Guest: 达巍.
Today is a day for celebration and a little bit of "I told you so." We finally have a resolution in the saga of the Eugene Emergency Physicians (EEP). Just as final arguments were about to begin, PeaceHealth completely rescinded its contract with Apollo MD and restored it to the local doctors who have served the community for 35 years. I'm breaking down the federal judge's scathing remarks, including some casual accusations of perjury against corporate leadership, and why this victory proves that Oregon's new corporate practice of medicine law actually works. Later, I'm putting on my clinical hat to give you the "Glaucomflecken Dry Eye Regimen." I'm talking to you like a patient who's tired of blurry vision and gritty eyes: we're cutting through the marketing noise to discuss why hot compresses and baby shampoo are often better than expensive in-office procedures. We'll cover the new drops on the market, the danger of generic recalls, and why you should steer clear of anything labeled "homeopathic." Takeaways: The EEP Victory: How a courageous group of local doctors defeated a corporate giant and what this means for physician autonomy nationwide. The Perjury Warning: Why a federal judge suggested that corporate executives were "clearly lying under oath" during the PeaceHealth trial. The 2029 Deadline: Why every medical practice in Oregon must be 100% physician-owned within three years or face legal oblivion. MGD vs. Tears: Understanding the difference between oil gland dysfunction and aqueous deficiency, and why no single drop can fix both. The Generic Risk: Why Will recommends sticking to brand-name lubricants for your eyes to avoid the history of contamination seen in some generic and homeopathic brands. To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Go to Cozy Earth now for a Buy One Get One Free Pajama Offer from 1/25-2/8! Yes, go to cozyearth.com they are doing a BOGO pajama promo. Just use my Code: KNOCKKNOCKBOGO Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
本月,执掌美联储八年的鲍威尔卸任,特朗普支持的沃什接棒;世界各国银行也在近期纷纷表示对美元的担忧:美元正在失去它的货币霸权地位吗?新一轮的货币替代会发生吗? 过去 500 年,世界货币霸权先后在荷兰、英国、美国间流转,每一次交替,都伴随着战争、财政危机与信用崩塌。今天,美国国债占 GDP 已经高达 100%,各国央行的美元储备持续减少,全球的非美元结算却在逐步提升…… 这一期节目,我们邀请到美国凯洛格商学院金融学副教授、IMF 经济政策顾问蒋正阳,从货币霸权的历史演变出发,聊一聊美元在今天正在面临着怎样的结构性压力,以及这对世界的未来可能意味着什么。 本期人物 蒋正阳,西北大学凯洛格商学院金融学副教授,国际货币基金组织经济政策顾问 徐涛,声动活泼联合创始人 主要话题 [04:12] 特朗普和鲍威尔为什么彼此不对付? [08:20] 货币霸权 500 年,荷兰、英国、美国如何先后坐庄 [20:31] 从西方到东方,美国如何有意识地把美元推上霸主之位 [36:07] 美元潮汐:美联储的货币政策如何对大洋彼岸的市场产生影响 [50:27] 如果美元走弱,接棒者可能是谁 延伸阅读 蒋正阳老师的新书:《货币霸权》 澳大利亚联邦银行在最新播客中特别强调,"对美联储独立性的日益不安"是美元储备货币地位面临质疑的关键驱动因素,尤其是特朗普持续公开施压要求降息。 《财富》的文章:‘Different from anything in the past 80 years of dollar dominance': U.S. sanctions spur a ‘paradox' pushing allies away from American currency 《纽约时报》的文章:How the U.S. Is Trying to Ensure the Dollar's Dominance During Economic Turmoil 给声东击西投稿 声东击西正在密切关注中东战局及其带来的影响,所以如果你所在的行业或公司,正在受到霍尔木兹海峡封锁的影响,欢迎向我们投稿,你的声音对我们非常重要。 投稿入口 你也可以直接通过邮箱直接联系节目组:kexuan@shengfm.cn 「Knock Knock 世界」 「汉坦病毒」是什么,「邮轮」又为什么更容易爆发疫情?点此收听(https://sourl.co/StGDWJ ) 在「Knock Knock 世界」里,听到全球新鲜事,还能成为「全球观察员」,报选题、参加选题会。2026 年的节目正在持续更新 加入我们 声动活泼团队目前正在招聘内容监制、商业运营经理、商业发展经理和部分实习生,如果你也对播客行业的内容制作和商务运营感兴趣,欢迎投递! 到详情点击招聘入口:加入声动活泼(在招职位速览) 幕后制作 监制:可宣 后期:赛德 运营:George 设计:饭团 实习生:Jean 商务合作 声动活泼商业化小队,点击链接可直达商务会客厅(商务会客厅链接:https://sourl.cn/QDhnEc ),也可发送邮件至 business@shengfm.cn 联系我们。 关于声动活泼 「用声音碰撞世界」,声动活泼致力于为人们提供源源不断的思考养料。 我们还有这些播客:不止金钱、跳进兔子洞第三季、声东击西、声动早咖啡、What's Next|科技早知道、反潮流俱乐部、泡腾 VC、商业WHY酱 欢迎在即刻、微博等社交媒体上与我们互动,搜索 声动活泼 即可找到我们。 也欢迎你写邮件和我们联系,邮箱地址是:ting@sheng.fm 获取更多和声动活泼有关的讯息,你也可以扫码添加声小音,在节目之外和我们保持联系!
就在 4 月底,谷歌、微软、亚马逊、Meta 这四家科技巨头几乎同时发布了第一季度财报。营收数字都很漂亮,同比增长都在两位数以上,但股价反应却天差地别——谷歌单日暴涨 7%,市值激增 2500 亿美元;而 Meta 虽然净利润同比增长 61%,股价却暴跌 7%,随后两周继续下挫。 财报中最让人震惊的是这些公司公布的资本支出(Capex)数字。四家公司合计宣布,2026 年全年资本支出预计将达到 7000 亿美元。换算成人民币,这是 5 万亿,相当于把腾讯和阿里两家公司都买下来,还有富余。那这些钱几乎全部投向了同一个方向:AI 基础设施——数据中心、GPU 芯片、算力网络。 一边是史无前例的疯狂扩张,另一边则是资本市场越来越焦虑的情绪。以英伟达和 OpenAI 为中心的「循环投资」还在持续,资本市场关于「AI 泡沫」的讨论不断发酵。我们今天的节目请来二级市场投资人 Aaron 一起来聊聊如何看待美国科技大厂的疯狂投资,「循环投资」是正常的商业生态,还是击鼓传花的庞氏游戏;同样是科技大厂,为什么美国公司越投资本市场越兴奋,中国大厂却越投越跌。 本期人物 Yaxian,「科技早知道」主播 周玖洲 Aaron, 十年中金、华夏基金等顶级投资机构工作经验,「不止金钱」主播 时间轴 [02:34] 泡沫存不存在不用讨论了,问题是三年内能不能看到回报 四家 Hyperscaler 合计 CAPEX 约 7000 亿美元,股价反应却天差地别 核心分歧:投入能否在有效商业周期内转化成收入 判断标准不是"有没有泡沫",而是能不能找到明线或暗线 [06:16] 明线和暗线:谷歌为什么涨,Meta 为什么跌 明线是财报里可量化的 AI 增量,暗线是公司声称 AI 提升效率但无法核实 Meta 大幅上调 CAPEX 触发了最简单的负反馈 [11:41] 不是信心,是逼上梁山:CAPEX 军备竞赛的真实逻辑 AI 早期是供给约束市场,芯片有限,不买就被卡脖子 苹果没跟进、美团说不做 Token 工厂——产业链基因不同,选择自然不同 [24:30] AI 基建是新的 Dotcom Bubble 吗? 三个像:基建先行、提前押注、产业链内部闭环融资 三个不像:今天买方现金充裕不靠举债;AI 已有真实收入;芯片供给约束远强于当年光纤 [34:42] 泡沫对社会有用,对股东不一定有用 Dotcom 的光纤沉寂多年,最终成了移动互联网的底层基础设施 泡沫是中性词,关键是需求能不能在有限商业周期内真实兑现 [35:49] 循环投资:什么时候是生态,什么时候是庞氏 CoreWeave-英伟达-OpenAI 的闭环本身不是问题,问题是圈外有没有独立买家 苹果-富士康成立,因为最终有消费者买单;没有真实终端需求,闭环就变庞氏 [43:47] 镜像 FOMO:美国拼命买入,中国拼命卖出 同样的 AI 投入,美国"先相信再质疑",中国"先质疑再相信" 中国科技内部冰火两重天:大厂暴跌,小模型公司 PS 估值破百倍——资本对行业不悲观,只对特定公司悲观 [47:51] 拐点在 1 月中:是自作孽,不是行业问题 某大厂宣布"不计成本拿外卖绝对第一",随后用 AI 补贴奶茶,情绪急转直下 营收放缓是旧闻;真正超预期的是把该投 AI 云的资源烧进了最大短板,烧到现金流转负 [52:57] 公司治理的本质是纠错能力 阿里云增速其实不错,但资源错配让市场对其能否专注 AI 产生质疑 治理结构差,董事会形同虚设,管理层犯错也没有机制纠偏 [53:16] 收尾:两个市场都有泡沫,厚薄不同 美股:少数巨头权重过大,一旦波动带动整个市场 中国:小模型公司百倍 PS 和大厂跌穿底裤同时并存,判断窗口在 2026 年底到 2027 年初 以英伟达和 OpenAI 为核心的循环投资网络 「Knock Knock 世界」 半程马拉松、运动会,为什么要办「机器人」体育比赛?点此收听(https://sourl.co/6m7x44) 在「Knock Knock 世界」里,听到全球新鲜事,还能成为「全球观察员」,报选题、参加选题会。2026 年的节目正在持续更新。 幕后制作 监制:Yaxian 后期:迪卡 运营:George 设计:饭团 商业合作 声动活泼商业化小队,点击链接直达声动商务会客厅(https://sourl.cn/9h28kj ),也可发送邮件至 business@shengfm.cn 联系我们。 加入声动活泼 声动活泼正在招聘全职商务运营经理、早咖啡内容实习生和社群实习生,如果你也对播客行业的内容制作感兴趣,欢迎点击招聘入口 关于声动活泼 「用声音碰撞世界」,声动活泼致力于为人们提供源源不断的思考养料。 我们还有这些播客:声动早咖啡、声东击西、吃喝玩乐了不起、反潮流俱乐部、泡腾 VC、商业WHY酱、跳进兔子洞 、不止金钱 欢迎在即刻、微博等社交媒体上与我们互动,搜索 声动活泼 即可找到我们。 期待你给我们写邮件,邮箱地址是:ting@sheng.fm 欢迎扫码添加声小音,在节目之外和我们保持联系。Special Guest: Aaron.
I'm opening up this week with a bit of a public service announcement: please stop pointing stuck containers at your face. We're diving into a bizarre and honestly terrifying recall of 8 million Thermos bottles that have been essentially turning into high-pressure gas bombs in people's kitchens, causing some devastating eye injuries. I try to explain "blunt force blindness" to Kristin, who, like many medical spouses, is mostly just trying to find a way to tune out the gross ophthalmology details. The main event this week is a deep dive into why "Corporate Medicine" is currently on trial, well, a federal hearing, anyway. I'm obsessively following a courtroom drama in Oregon where a local, physician-owned emergency group is fighting back against a giant corporate firm from Atlanta that's trying to take over their contract. We break down the confusing world of "Management Service Organizations" and how private equity is trying to find loopholes in brand-new state laws designed to protect patient care from out-of-state corporate interests. Takeaways: Why a build-up of food gases in an old Thermos can pop a lid with enough force to cause a "ruptured globe" injury. The difference between a "Democratic physician-owned group" and a "Contract Management Group" staffing your local hospital. How a doctor living in Illinois can technically "own" an emergency practice in Oregon through a legal loophole. Why Will thinks "home call" in residency is just a clever way to skirt work-hour restrictions. The "Glock Flecking Fodder Ability Scale" for determining which medical specialties are the easiest to make fun of. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Head to cozyearth.com and use my code KNOCKKNOCK for up to 30% off — but only for a limited time. This exclusive offer runs from May 18th through June 1st only, so don't wait. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
Obedience comes before freedom. In “KNOCK KNOCK,” Pastor Steven Furtick of Elevation Church shows how God often answers our prayers in unexpected ways, and reminds us that breakthrough begins when we stop waiting for everything to change and start taking the step He’s already placed in front of us.See omnystudio.com/listener for privacy information.
Put down the "Standard of Care" manual for a second, this week I'm talking to you like a med student watching a corporate train wreck in slow motion as we break down the "rigged" request for proposals (RFP) process. I'll show you how a local group with 35 years of perfect staffing was given a "0.1" score for call coverage just so a corporate giant could swoop in. We'll also discuss a federal judge's incredible "low-wattage" insult and why two Apollo MD doctors are now facing accusations of lying under oath. After we finish our lesson on corporate retaliation, we're pivoting to some "legitimate" science that sounds like a skit: Pig Semen Eye Drops. I'll explain a recent study, yes, in an actual scientific journal, about using exomes from pig semen to shrink retinoblastoma tumors in mice by 98%. It's a perfect confluence of my two professional loves: medicine and comedy. Takeaways: The "Rigged" Scorecard: How Eugene Emergency Physicians were given a near-zero score for "transition planning" despite already being the ones doing the job. The MSO Loophole: Why companies like Apollo MD create "shell" clinical entities to circumvent state laws meant to protect local medicine. The Judge's Admonishment: Why "evasive" testimony and "obfuscation" led a federal judge to suggest that corporate executives were lying under oath. The "Rodent" Breakthrough: How a basic science study used pig semen to reduce rare childhood eye tumors to just 2% of their original size. Aged Urine vs. Science: Why the new retinoblastoma research is a major step up from the "aged urine" eye drop groups Will fought as a resident. To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
铁路、钢铁、石油 —— 150年前,一批工业大亨用这些东西重塑了美国。今天,换成了算法、平台和 AI,历史的剧情,是否真的在重演? 19 世纪末,跨大陆铁路的出现彻底改变了美国:统一的市场、标准时区、现代公司制度、金融市场的崛起,还有财富向少数人的剧烈集中。那是一个被称为「镀金时代」的年代 —— 表面金光闪闪,内里却也有赤裸裸的政商勾连、劳工剥削,以及一场迟来的社会反弹。它最终推动了反垄断立法、参议员直选,乃至整个现代民主制度的修正。 这一期节目,我们邀请到老朋友马啸老师返场,从铁路出发,聊一聊镀金时代究竟发生了什么,那段历史与今天的 AI 时代有哪些惊人的相似,又在哪里出现了新的变量。 本期人物 马啸,北京大学政府管理学院长聘副教授、博士生导师 徐涛,声动活泼联合创始人 主要话题 [08:03] 铁路如何重塑美国:从标准时区的发明到现代公司制度的诞生 [18:09] 政府赠地、土地财政与一哄而上的铁路泡沫 [23:04] 由铁路拉来的新国家想象与民族自豪感 [33:48] 铁路公司为什么要雇佣西点军校的毕业生 [39:28] 美国的早期游说:铁路大亨如何用免费乘车券贿赂政治家 [45:57] 扒粪运动与制度反弹:镀金时代后期美国的渐进式改革 [54:46] 从铁路大亨到硅谷巨头,历史正在再一次重演吗 延伸阅读 Richard White 的相关文章: 《The Gilded Age holds lessons for today, says Richard White》 《If 19th-century plutocrats are dinosaurs, we're now in Jurassic Park》 康内留斯·范德比尔特(Cornelius Vanderbilt,1794—1877) 一位出身纽约、有着荷兰血统的工业家、慈善家,他依靠内陆水运贸易致富,并逐步取得优势地位,随后大力投资美国快速发展的铁路产业,进而显著改变了美国的地理格局。范德比尔特是美国镀金时代工商业狂飙突进的象征,同时也常被描绘为「强盗男爵」的代表人物。 科利斯·波特·亨廷顿(Collis Potter Huntington ,1821-1900) 一位美国实业家和铁路大亨。他是西部铁路四大巨头之一,他们投资了西奥多·朱达的构想,修建了中央太平洋铁路 ,这是美国第一条横贯大陆铁路的一部分。 卡耐基(Andrew Carnegie,1835-1919) 苏格兰裔美国钢铁大亨,镀金时代最具代表性的财富人物之一。他创建的卡耐基钢铁公司垄断了美国钢铁市场,后以约 4.8 亿美元出售给 JP 摩根,成为当时历史上最大的商业交易。晚年将大部分财富捐出,资助兴建了遍布全美的公共图书馆和卡耐基音乐厅,提出「在巨富中死去是一种耻辱」的著名论断。 洛克菲勒(John D. Rockefeller,1839-1937) 美国石油大亨,标准石油公司创始人。通过垄断炼油、管道和铁路运输,一度控制美国 90%以上的石油市场。1911年,标准石油公司被美国最高法院以违反反垄断法为由强制拆分,成为美国反垄断历史上的标志性案例。他也是现代慈善事业的奠基人之一,创立了洛克菲勒基金会。 马克斯·韦伯(Max Weber,1864-1920) 德国社会学家,现代社会科学的奠基人之一。他提出的「官僚制」概念,描述了以专业分工、层级管理、规章流程为核心的现代组织形态——而铁路公司正是他眼中这种理性化官僚制的最佳范本。他的思想至今仍是理解现代国家与企业组织的重要框架。 镀金时代(Gilded Age) 指美国内战结束后约1870至1890年代的历史时期,由作家马克·吐温命名。「镀金」暗指这个时代表面光鲜,内里问题重重——工业化与铁路扩张带来了空前的财富积累,却也伴随着严重的贫富分化、政商勾连与劳工剥削。这一时期美国超越欧洲成为世界第一大经济体,也为此后的反垄断运动和制度改革埋下了伏笔。 太平洋铁路法案(Pacific Railway Act,1862) 美国内战期间由林肯总统签署的联邦立法,授权修建横贯北美大陆的跨洲铁路,并向铁路公司提供大规模土地赠送和政府债券担保。这部法案正式开启了美国西部大开发的序幕,也催生了镀金时代的铁路热潮与随之而来的金融泡沫。 扒粪运动(Muckraking) 19世纪末20世纪初兴起于美国的调查性新闻运动。一批记者和作家通过深度报道,揭露铁路大亨、石油巨头对政治的操控以及恶劣的劳工条件,引发广泛的社会反响。这场运动直接推动了多项重要改革立法,也奠定了现代调查新闻学的传统。「扒粪」一词来自西奥多·罗斯福总统对这批记者的戏称。 托拉斯(Trust) 镀金时代企业垄断的核心组织形式。由于当时美国各州法律限制外州公司在本州经营,铁路和石油公司发展出「信托」这一法律结构——将不同州的公司股权集中交由同一批受托人控制,从而绕开州际限制实现跨地域垄断。托拉斯的泛滥最终引发了公众对垄断的强烈反弹,推动了1890年《谢尔曼反垄断法》的出台,也是今天「反垄断」概念的历史起点。 给声东击西投稿 声东击西正在密切关注中东战局及其带来的影响,所以如果你所在的行业或公司,正在受到霍尔木兹海峡封锁的影响,欢迎向我们投稿,你的声音对我们非常重要。 投稿入口 你也可以直接通过邮箱直接联系节目组:kexuan@shengfm.cn 「Knock Knock 世界」 小白鼠、猴子......曾经必做的动物实验,在发生哪些变化?https://sourl.co/sTmsee 在「Knock Knock 世界」里,听到全球新鲜事,还能成为「全球观察员」,报选题、参加选题会。2026 年的节目正在持续更新。 加入我们 声动活泼团队目前正在招聘内容监制、商业运营经理、商业发展经理和部分实习生,如果你也对播客行业的内容制作和商务运营感兴趣,欢迎投递! 到详情点击招聘入口:加入声动活泼(在招职位速览) 幕后制作 监制:可宣 后期:赛德 运营:George 设计:饭团 实习生:Jean 商务合作 声动活泼商业化小队,点击链接可直达商务会客厅(商务会客厅链接:https://sourl.cn/QDhnEc ),也可发送邮件至 business@shengfm.cn 联系我们。 关于声动活泼 「用声音碰撞世界」,声动活泼致力于为人们提供源源不断的思考养料。 我们还有这些播客:不止金钱、跳进兔子洞第三季、声东击西、声动早咖啡、What's Next|科技早知道、反潮流俱乐部、泡腾 VC、商业WHY酱 欢迎在即刻、微博等社交媒体上与我们互动,搜索 声动活泼 即可找到我们。 也欢迎你写邮件和我们联系,邮箱地址是:ting@sheng.fm 获取更多和声动活泼有关的讯息,你也可以扫码添加声小音,在节目之外和我们保持联系! Special Guest: 马啸.
Put down the hospital cafeteria coffee because today I am diving into a "barbaric" problem in American hospitals that I can't believe I haven't addressed yet: ED Boarding. I'm talking to you like a med student in the trenches to explain why patients are stacking up in hallways for days and why it's not because we've run out of beds, but because the incentives of hospital administration and insurance companies are fundamentally broken. Later, we're tackling the new Netflix documentary Caterpillar about eye color change surgery. I'll break down the "laser-guided" sales pitch for keratopigmentation and why injecting ink into your clear cornea is an ethical nightmare that can lead to permanent inflammation, infections, and "unnatural" results. We wrap up with a terrifying masquerade syndrome: a cancer that looks exactly like a common stye until it starts making your eyelashes fall out. Takeaways: The Boarding Crisis: Why hospitals "concentrate the unhappy" in the ER to keep their inpatient satisfaction scores high elsewhere. The Profit Filter: How the aging Medicare population is treated as a "non-profitable" nuisance compared to high-margin outpatient surgeries. Iris Implants vs. Tattoos: The mechanical reason silicone discs are failing and why "eye tattoos" are actually just a layer of ink trapped in your cornea. The "Spontaneous" Color Myth: Why you should be wary of any surgeon claiming they can "naturally" change your eye color. The Masquerade Cancer: How Sebaceous Cell Carcinoma fools doctors for years by pretending to be a run-of-the-mill eyelid bump. To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Go to Cozy Earth now for a Buy One Get One Free Pajama Offer from 1/25-2/8! Yes, go to cozyearth.com they are doing a BOGO pajama promo. Just use my Code: KNOCKKNOCKBOGO Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
…”Who's there?” Debra with her impossible knocking noise, that's who. All we know is that it isn't coming from the engine compartment. Wild guessing ensues on this episode of the Best of Car Talk.See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.NPR Privacy Policy
I'm feeling a little run down today—it's peak "conference season," and I've been bouncing between recording studios and speaking gigs. But I couldn't wait to give you an update on the situation in Eugene. We've moved past simple contract disputes and into "administrative meddling," with leaked emails showing a hospital CEO attempting to influence clinical decisions in real time without a license to practice. I'm breaking down the retaliation claims, the latest administrative leave, and why I'm heading to a fundraiser to support the local physicians fighting this corporate takeover. Later, we have a fascinating mystery case involving a 55-year-old man who lost his ability to see the moment the sun went down. It wasn't cataracts or inherited genetics; it was a rare side effect of a prior bowel surgery that turned his eyes into a diagnostic puzzle. We wrap up with Thing I Love, Thing I Hate, featuring the miracle of "chemotherapy for the eye" and my legendary soapbox rant about why vision insurance shouldn't even exist Takeaways: The CEO's Electronic Eye: How leaked emails revealed a hospital administrator "monitoring" orders and questioning doctors on why they weren't discharging patients. The Rod vs. Cone Mystery: Why a 55-year-old with 20/20 daytime vision needed an ERG to prove his "rod" photoreceptors were failing. The 10th-Century Deficiency: Why we're still seeing Vitamin A deficiency in the US, and how a month of oral supplements can restore vision that seemed permanently gone. The Anti-VEGF Revolution: How an injection originally designed for chemotherapy totally changed the game for wet Macular Degeneration. The Vision Insurance Trap: Why being 70 years old with "vision insurance" is a recipe for confusion when you actually have medical cataracts. To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
I just got back from Puerto Rico, where I attended my very first gynecology oncology conference. It turns out that even though we're at opposite ends of the body, ophthalmologists and gynecologists actually share a lot, mostly a love for speculums and organs that dilate. I'm also diving into the terrifying news of a Florida surgeon recently indicted on manslaughter charges after removing a patient's liver instead of their spleen. We'll discuss why this level of negligence is so rare and why it often stems from a "Dr. Death" style failure in the medical training system. After the break, we return to our Thing I Love, Thing I Hate series. I'll explain why I'm a sucker for toddlers in massive "coke bottle" glasses and how those lenses are actually straightening their eyes and training their brains to see. Then, we move to the "Thing I Hate": Giant Cell Arteritis. It's a terrifying vascular disease that has been haunting patients since the 10th century, and I'll explain why a five-minute "blackout" in vision is the ultimate red flag for ophthalmologists. Takeaways: One Degree of Separation: How Will found connections between ophthalmology and everything from gynecology to orthopedic bone fractures. The Manslaughter Precedent: A look at the "egregious" negligence of the Florida spleen-vs-liver case and why criminal charges for doctors remain so rare. Hyperopic Cutness: Why the "massive eyes" look in kids' glasses is actually a sign of corrective refractive power helping an eye that is too small. The Amaurosis Red Flag: How a very specific three-to-five-minute "gray out" of vision can signal a stroke or systemic inflammation. The Steroid Buzz and Burn: Why treating Giant Cell Arteritis requires a brutal, long-term steroid taper that can wreak havoc on a patient's life for years. To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Go to Cozy Earth now for a Buy One Get One Free Pajama Offer from 1/25-2/8! Yes, go to cozyearth.com they are doing a BOGO pajama promo. Just use my Code: KNOCKKNOCKBOGO Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices