POPULARITY
Categories
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!
In this episode Gino, Pete, and Em discuss Death's Door! We discuss what genre we think the game fits in, the game's excellent action, and it's beautiful music. We then list our favorite Zelda items and discuss whether there are many new item types to make in games like this. If you've been enjoying the podcast, please consider supporting us at https://www.patreon.com/DeepListens If you like our new art and want to commission some of your own, reach out to Tyler at tylerorbin.net
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.
A loving husband and father stays behind while his family goes on vacation and he's visited by two young women at night, who are stranded in the rain. After showing them kindness and letting them in, the night turns deadly.Knock Knock is next for Home Invasion month and while we don't think this movie is very good, we fully acknowledge how fun it is. Keanu Reeves, Lorenza Izzo, and Ana de Armas star in this cat and mouse movie directed by Eli Roth. This film takes a loving family man's loyalty to his wife and kids to the brink as two young women drastically attempt to seduce and blackmail him. While this movie struggles with purpose and any sense of reality, it's a fun and wild movie to watch at least to see Reeves scream for most of the runtime. Watch the movie and catch our review.YouTube | The Final PodcastFacebook | The Final PodcastInstagram | thefinalpodcastMusic Credit: Karl Casey @ White Bat Audiohttps://www.youtube.com/whitebataudioWhat should we review next? Toss us a vibe and send over a recommendation!
What if the prayers we've been offering aren't being answered because we've misunderstood the very nature of prayer itself? This exploration of Matthew 7:7-11 challenges us to move beyond one-time requests and embrace the radical persistence Jesus commands. The Greek verbs 'ask, seek, knock' aren't casual suggestions—they're active imperatives calling us to continual, escalating pursuit of God. Like a child who first calls out, then searches the house, then knocks on the closed door, we're invited into an increasingly intimate quest. But here's where it gets uncomfortable: Jesus illustrates this persistence through stories of shameless begging and relentless badgering. These aren't flattering portraits, yet they reveal a profound truth—God isn't annoyed by our persistence; He's honored by it. The sermon unpacks six potential barriers to answered prayer: unconfessed sin, unforgiveness, dishonoring our spouse, failing to actually pray, praying with wrong motives, and missing that God might have something better planned. Each barrier invites honest self-examination. Are we quick to confess? Do we harbor bitterness? Do we honor our spouse as a co-heir of grace? Most challenging is recognizing that sometimes our unanswered prayers aren't rejections but redirections toward something greater than we could imagine. This isn't about formulas or spiritual hacks—it's about knowing the Father's heart so deeply that we can't help but run to Him, again and again, with everything we carry.
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
Send us a text or a voicemailAlpha, a troubled 13-year-old lives with her single mom. Their world collapses the day she returns from school with a tattoo of her favorite podcast on her arm. On Episode 718 of Trick or Treat Radio our feature film discussion is Alpha, from director Julia Ducournau! We also talk about National Alien Day, highly dramatic body horror films, and we react to trailers for the following upcoming films; Zach Cregger's Resident Evil, Verity, and Saccharine. So grab your Red Wind repellent, throw out all the dirty needles in your house, and strap on for the world's most dangerous podcast!Stuff we talk about: National Alien Day, Spirit Halloween, live aliens in a jar, Xenomorphs, Halloween III: Season of the Witch, Mandalorian and Grogu, Michael, Neverland Ranch, spider bites and caterpillars, the Thriller Chiller, Fear the Walking Dead, Dead City, Colman Domingo, IMAX, Antoine Fuqua, The Equalizer the Prequelizer and the Sequelizer, Antoine Fuqua, Superman, Masters of the Universe, Happy May Day, Canon Films, Vinegar Syndrome, RIP Roger Sweet, RIP Gerry Conway, Justice League, The Avengers, Fantastic Four, The Death of Gwen Stacy, Street Fighter, Courtney Cox, Cocktober, I Walked With a Zombie, Sherlock Holmes in Washington, Vampire Circus, David Prowse, Begotten, Idle Hands, Man-thing, Nightmare on Elm St., The Resort, Ana de Armas, Knives Out, Knock Knock, I Know What You Did Last Summer, Empire Records, Perry King, The Clairvoyant, Burt Young, Amityville II: The Possession, Carnival of Blood, Cloris Leachman, Young Frankenstein, Fade to Black, The Munsters, Lost in Space, Black Cat, James Remar, Karl Urban, Dredd, Resident Evil 2026, Zach Cregger, Weapons, Barbarian, Verity, Anne Hathaway, Dakota Johnson, Michael Ian Black, Michael Showalter, Saccharine, Dumplings, Bai Ling, The Three Extremes, Alpha, Julia Ducournau, Raw, Titane, Rachel from Zombie Grrlz, dystopian films, Red Wind, The Substance, what's a meta-for?, Nick Cave and the Bad Seeds, Portishead, The AIDS epidemic, Revenge, Coralie Fargeat, Why Don't You Just Die!, They Will Kill You, Andy Muschietti, Zazie Beetz, Mary Shelley, Betwixt and Between John Wicks, and Tetanus 2: The Return.Support us on Patreon: https://www.patreon.com/trickortreatradioJoin our Discord Community: discord.trickortreatradio.comSend Email/Voicemail: mailto:podcast@trickortreatradio.comVisit our website: http://trickortreatradio.comStart your own podcast: https://www.buzzsprout.com/?referrer_id=386Use our Amazon link: http://amzn.to/2CTdZzKFB Group: http://www.facebook.com/groups/trickortreatradioTwitter: http://twitter.com/TrickTreatRadioFacebook: http://facebook.com/TrickOrTreatRadioYouTube: http://youtube.com/TrickOrTreatRadioInstagram: http://instagram.com/TrickorTreatRadioSupport the show
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
每次看到天灾人祸相关的新闻,你是否也会陷入同样的困境:捐多少?捐给谁?捐出去的钱真的有用吗? 1972 年,哲学家彼得·辛格(Peter Singer)提出了一个思想实验:如果你路过一个浅水池,看到一个孩子溺水,你会不会下去救他?几乎所有人的答案是会。那么远方正在挨饿的那些孩子与眼前这个落水的孩子,有什么本质区别?这个追问,似乎让「公益捐赠」从一件可做可不做的好事,变成了一种道德义务。由此出发,一场席卷硅谷和华尔街的「有效利他(Effective Altruism)」思潮诞生了—— 然后经历了它的兴盛、争议与不同路径的变化。 这一期节目,我们邀请到益盒的联合创始人兼 CEO 李治霖,聊聊这个思想实验的来龙去脉,它在现实中如何落地,又在哪里走偏,以及普通人可以如何更好地做公益。 本期人物 李治霖,「益盒 Charity Box」联合创始人、CEO,播客「脆弱世界」主播 *益盒 Charity Box 是一家专注于公益研究与捐赠咨询的社会企业,由奇绩创坛、清华大学 X-Lab 于 2020 年孵化创立 徐涛,声动活泼联合创始人 主要话题 [05:10] 浅水池里的溺水孩子:彼得·辛格的思想实验 [09:22] 捐赠从「好事」变成「义务」:一个哲学家如何重新定义道德责任 [18:27] 用投资的思路做公益:「有效利他」思潮的诞生 [32:40] 人口伦理学的迷思:未出生的生命应该如何考量?人类群体的幸福要如何去计算? [39:17] 理想主义的 N 种失败?不道德的资产与被低估的人性 [01:00:54] 捐多少?捐哪个公益项目?两个不存在绝对正确答案的问题 延伸阅读 益盒 Charity Box 是一家专注于公益研究与捐赠咨询的社会企业,由奇绩创坛、清华大学 X-Lab 于 2020 年孵化创立。 益盒致力于带动更多人有效地参与公益,用捐赠支持扎实、透明、有影响力的公益项目,并为国家卫健委、字节跳动公益、盖茨基金会等有影响力的机构和个人提供专业的慈善顾问与资金管理服务,助力善意带来更大改变。 有效利他主义(Effective Altruism, EA) 是一种结合了理性证据与道德义务的哲学和社会思潮。它强调使用可靠的证据和理性分析,寻找改善世界最有效的方法,将有限的资源(金钱、时间)投入到影响力最大的慈善事业或行动中,而非仅凭同情心盲目行善。 播客中提到的哲学家 彼得·辛格(Peter Singer) 威廉·麦卡斯基尔(William MacAskill) 托比·奥德(Toby Ord) 德里克·帕菲特(Derek Parfit) 尼克·博斯特罗姆(Nick Bostrom) 播客中提到的书籍和文章 《饥荒、富裕与道德》Famine, Affluence, and Morality 《动物解放》Animal Liberation 《如果有人建造它,所有人都会死》If Anyone Builds It, Everyone Dies 《理与人》Reasons and Persons 《论重要之事》On What Matters 《超级智能》Superintelligence 《无限之路》Going Infinite 《危崖》The Precipice 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」 现代科技如何让一座建造了132年才完成不到一半的建筑,在短短12年内几乎建完?点此收听https://sourl.co/pGtWPj 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: 李治霖.
On this week's Talkhouse Podcast, we've got an interesting pairing—two guys that hadn't met before, and who come from different parts of the arts world, and who are both pretty damn great at their jobs. It's Bill Callahan and Michael Imperioli. Bill Callahan made music under the name Smog for about 15 years, releasing an incredible catalog of gorgeous, mostly minimal, often wandering songs delivered in his unmistakable baritone. He's one of the most profound lyricists of the past 30 years, crafting careful little worlds that are often funny and heartbreaking at the same time. In 2005, he dropped the Smog moniker and started releasing records under his own name, but there's no obvious break in the continuity. It's a fantastic body of work and you can start almost anywhere: I'd recommend 1999's Knock Knock as an entry point, or maybe 2007's A River Ain't Too Much Too Love, which comes up in this chat. But you could just as easily jump in with Callahan's fantastic new one, My Days of 58, which was finished after a scary cancer battle. In spite of that—or maybe because of it—it's one of Callahan's most relaxed and charming ever. Check out “Why Do Men Sing” right here. Today's other guest is instantly recognizable to fans of The Sopranos as Christopher Moltisanti, the tragic character that surely wouldn't have been nearly as indelible without Michael Imperioli's genius-level portrayal. You've seen him in a million other things, too, from Goodfellas to Summer of Sam—which he also co-wrote—to The White Lotus. What perhaps you didn't know about Imperioli is that he's also a musician. He's the singer/guitarist in a band called ZOPA, which plays catchy, straight-ahead rock that sounds deeply rooted in New York City, which Imperioli still calls home. He also wrote a novel, which comes up in this chat with Callahan, and he's a practicing Buddhist, another topic of conversation. Even though Callahan and Imperioli didn't know each other, they were clearly fans of each other's work. In this chill chat, Michael tells Bill about the exact moment he first heard one of his songs. They also get into Bill's health scare and how it inspired his new record, Michael's kids and what they're up to, and there's a lot of talk about Lou Reed—a guy that inspired them both. Enjoy. 0:00 — Intro 2:35 — Living in Austin & New York 3:34 — On Bill's new record and discovering Smog's past work 5:03 — On birthdays and the Chinese Zodiac 6:34 — On cancer and writing the new album, My Days of 58 8:33 — On Michael's novel, fiction, and inspiration 10:47 — On practicing Buddhism, reincarnation, and monks 16:03 — On raising kids and their musical talents 19:07 — On AI and why human emotion matters in art and work 25:10 — On playing instruments and recording musicians 29:08 — On knowing Lou Reed, and his inspirations 34:35 — On Bill's upcoming tour, and favorite guitars Thanks for listening to the Talkhouse Podcast and thanks to Bill Callahan and Michael Imperioli for chatting. If you liked what you heard, please follow Talkhouse on your favorite podcasting platform and check out all the great stuff we've got going at Talkhouse.com. This episode was produced by Myron Kaplan, and the Talkhouse theme is composed and performed by the Range. See you next time! Find more illuminating podcasts on the Talkhouse Podcast Network. Visit talkhouse.com to read essays, reviews, and more. Follow @talkhouse on Instagram, Bluesky, Twitter (X), Threads, and Facebook.
刚刚结束的 Google Cloud Next 大会创下历届新高,这期节目,我们也带着第一手的现场观察回来:Google Cloud CEO Thomas Kurian 在 Keynote 上说出 「the era of the pilot is over, the era of the agent is here」。我们今年最强烈的感受之一就是「One Google」的战略,在其它厂商都在拼模型的时候,Google 几乎没怎么聊模型,而是在传达自己整合底层算力到上层应用野心。 大会的另一个主题是「落地」:当模型的能力早已远远跑在企业实际能用上的能力前面,落地的瓶颈不在技术,而是要克服将 AI 嵌入到现有工作流中的挑战与摩擦。自动化的 Multi-agent 系统已经在哪些场景落地?Agent 落地的安全问题要如何解决?当大厂把全栈一层层往上吃,创业公司还有没有机会?我们今天的节目就带来来自拉斯维加斯的一手观察。 本期人物 丁教 Diane,「声动活泼」联合创始人、「科技早知道」主播 Yaxian,「科技早知道」主播 主要话题 [00:00] 32000 人挤爆拉斯维加斯:Google Cloud Next 已经不是 ToB 大会了 [02:47] 去年大家在问 「怎样打造一个 agent」,今年已经在做 agent 的系统化管理 [04:48] One Google:从算力到应用打通的全栈策略 [10:33] TPU 第一次拆分训练和推理:AI 工作负载已经精细到这种程度 [13:25] 「Pilot 时代结束了,Agent时代真正到来」,Google 内部 75% 的新代码已由 AI 生成 [17:07] 「Problem First 」mindset:从写代码到描述问题,开发者的工作变了 [22:54] 落地比技术更难:Capability overhang 才是今年行业的真问题 [28:20] Agentic Defense 与 「龙虾热」:Agent 的安全困局 [30:31] 全栈是双刃剑:什么都做的反面是什么都不深 [32:00] 创业公司的出路:Service as a software,Day one 全球化收费 [38:00] 李飞飞:不要老问AI 来了人的瓶颈是什么,多聊聊人的机会是什么 「Knock Knock 世界」 英国国防部门请「科幻作家」来写小说,这背后是什么原因?收听链接
Hoai-Tran and Jacob enter a "Vortex" of clues about Odo's origin in this episode of Star Trek: Deep Space Nine. And "Knock Knock"? Who's there? Another welcome haunted house episode of Doctor Who! Doctor Who: Knock Knock - 1:07 Star Trek: Deep Space Nine: Vortex - 38:12 Episode Rankings - 1:05:05 Logo by David Scaliatine. Send all questions, comments, concerns, suggestions, and complaints to trekkingtimepodcast@gmail.com Support us on Patreon for early access to new episodes, weekly bonus episodes, and more.
You're not ending up in the wrong places because you want to...you're ending up there because you're listening to the wrong voice.In John 10, Jesus makes a bold claim:
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
Put down the study guides for a second because I'm taking you back 20 years to my own medical school application, back when the MCAT was still paper and pencil. I'm breaking down my 4.0 GPA, my "31S" test score, and why I spent my interviews pretending to be passionate about the phylogenetics of North American fruit bats just to check a box. We're also diving into the high-stakes Department of Justice investigation into diversity initiatives at major med schools and why turning admissions into a "pure numbers game" is a massive mistake for the future of compassionate medicine. After the break, we're back with Thing I Love, Thing I Hate. I'll explain why I'm obsessed with OCT imaging, technology that lets us see all nine layers of the retina at a microscopic level. Then, we tackle the "Thing I Hate": the history of "Radial Keratotomy" (RK). It was the precursor to LASIK that involved cutting 80% through the cornea with a knife, and it serves as a cautionary tale for why I'm a "slow adopter" of the latest, most expensive surgical fads today. Takeaways: The Sliding Doors of Dartmouth: How a last-minute application and a persistent string of update letters changed Will's life and eventually saved it. The Wealth Gap in Admissions: Why expensive prep courses and the ability to study without working are creating a homogenous group of doctors that doesn't reflect America. Retinal Micromapping: A look at Optical Coherence Tomography (OCT) and how imaging a 500-micron tissue allows us to prevent blindness before it starts. The RK Mistake: Why a surgery that seemed like a "miracle" for myopia in the short term ended up destabilizing corneas for thousands of patients years later. The "Wait and See" Philosophy: Why Will chooses to avoid being an early adopter of $5,000 "light-adjustable" lenses until the long-term data is undeniable. 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
In this episode, Dustin's pick returns to the topic of Eli Roth as we discuss another film from his body of work. No, it's not an alternate universe John Wick movie, but if you squint hard enough, we understand. Join us as we check out Roth's modernized remake of 70's classic Death Game: Knock Knock from 2015. But is this a rightly maligned career low point or a misunderstood masterpiece? We get into it and, of course, have a lengthy discussion about the concept of free pizza. But before all that, Jason talks some Animal Attack subgenre while Dustin polishes off his revisit of Fulci's Gates of Hell trilogy as he once again tries re-evaluating its final entry. And so much more! Part of the Prescribed Films Podcast Network (www.thepfpn.com) What We've Been Watching: -Jason: Primate (2026) -Dustin: The Beyond (1981) & The House by the Cemetery (1981) Show Notes: -Knock Knock Trailer -Go check out all the other fine shows on the Prescribed Films Podcast Network -Related Film: The Green Inferno -Related Film: The Witch -Related Series: The Haunted Museum -Related Film: Borderlands -Related Film: Thanksgiving -Related Short: Thanksgiving Grindhouse Trailer -Related Series: The Traitors -Related Film: Resident Evil: Welcome to Raccoon City -Related Film: 47 Meters Down -Related Film: The Strangers: Prey at Night -Related Film: V/H/S/99 -Related Film: Cujo -Related Film: Freddy vs Jason -Related Film: Monkey Shines -Related Film: Jaws -Related Film: Primal Rage -Related Film: City of the Living Dead -Related Film: Death Game -Related Film: Hostel -Related Film: Once Upon A Time in Hollywood -Related Film: The House With Clocks in Its Walls -Related Film: Hellraiser -Related Topic: Boom Studios -Related Film: John Wick -Related Film: From the World of John Wick: Ballerina -Related Film: No Time to Die -Related Film: John Wick 2 -Related Film: Hard Candy -Related Film: Psycho (1998) -Related Film: Come Out and Play -Related Film: Hostel Part II -Related Film: Cabin Fever (2002) -Related Film: Cabin Fever (2016) -Related Film: Death Wish (2018) -Related Film: Melancholie der Engel Next Time: Who Can Kill a Child? (1976)
We need to talk about the "Doomsday Scenario" currently haunting the radiology department. A prominent CEO of a major public health system recently went on record saying he is ready to replace radiologists with AI "at this moment". As someone who spent my pre-med days doom-scrolling on StudentDoctor.net twenty years ago hearing these same rumors, I can tell you the fear is real, but the reality is much more complicated. We're diving into why the tech world's view of radiology as simple "pattern recognition" is dangerously reductive. A radiologist doesn't just look at a picture; they synthesize a patient's entire clinical history, prior surgeries, and complex diagnoses. I'm breaking down the terrifying shift in liability that could happen if hospital administrators get their way: a future where a tiny handful of "safety check" physicians are on the hook for thousands of AI-generated reports just to keep the throughput moving Takeaways: The Reductive Trap: Why viewing radiology as mere "image interpretation" ignores the vital clinical synthesis that AI currently can't replicate. The Liability Weasel: How AI companies and hospital systems might dodge the legal "hook" for missed cancers and strokes. The 20-Year Echo: A look back at the original AI panic of 2006 and why today's momentum feels different to the medical community. Skeleton Crew Medicine: The pessimistic future where a few radiologists are forced to sign off on an exponential number of studies they didn't actually read. The Standard of Care Question: Why the medical community is still waiting for a high-quality, head-to-head study that proves AI is an adequate substitute for a physician. 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
Today, I'm putting on my "career counselor" hat to address the latest medical social media drama: a spine surgeon who decided to take a break from clinical practice just six months in to become a full-time content creator. While the internet is full of opinions, I'm sharing why I choose to stay in the game, even when YouTube decides to reclassify my skits and slash my ad revenue. For all you med students and residents watching, I'm breaking down why medicine is the ultimate "safety net" that gives you the freedom to create without the pressure of the algorithm. After the break, we're starting a new series called "Thing I Love, Thing I Hate." I'll tell you why a simple stool in the OR convinced me to become an ophthalmologist and why cataract surgery remains the most rewarding 10 minutes of my day. Then, we'll dive into the "Thing I Hate": Neurotrophic Keratitis. It's a degenerative disease where your eye loses the ability to feel pain, which sounds like a superpower, but is actually a dangerous nightmare that can lead to permanent damage. Takeaways: The Illusion of Digital Freedom: Why relying on "owning" an audience on TikTok or YouTube is a risky bet compared to the stability of a medical degree. The "Sitting Down" Advantage: How a single stool during a med school rotation can change the entire course of your career. The 50+ LASIK Trap: Why you should be wary of "LASIK mills" and why cataract technology can actually do more for older patients than laser surgery. The Danger of Comfortable Eyes: Why a lack of pain during a corneal infection is actually a red flag for a "sensitive" organ like the eye. Cutting-Edge Nerve Repairs: How surgeons are experimenting with transplanting leg nerves into the eye to restore vision and feeling. 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
Vibe coding 火了,open source agent 爆了,「一人公司」的概念开始被认真讨论。这一切发生在 2026 年初的几个月里 —— AI 正在改变的,究竟是写代码这件事,还是我们理解工作本身的方式? 这不只是程序员的问题。当 AI 开始承接越来越多的执行性工作,每一个岗位都在被重新定义 —— 什么样的能力变得更稀缺,什么样的工作方式已经过时,组织的形态又将走向何方? 这一期节目,我们邀请到豌豆荚联合创始人 Junyu 和大厂资深工程师、《枫言枫语》的主播 Justin,从各自截然不同的实践出发,聊一聊 AI 正在如何重塑我们工作和创造的方式,以及普通人当下还能做些什么。 本期人物 Junyu,豌豆荚联合创始人,连续创业者 Justin,《枫言枫语》主播,大厂资深工程师 徐涛,声动活泼联合创始人 主要话题 [03:47] 从代码补全到 vibe coding:AI 如何改变了写代码这件事 [10:20]「龙虾」如何惊艳到我们?它又真的有那么神吗? [27:08] vibe coding 给我们的自由,是哪种形态、由谁需要的自由 [39:35] 公司的组织形态会因此发生怎样的改变 [59:11] 机遇与挑战并存:这一代年轻人该怎么办 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 「声东击西」用户调查问卷 「声东击西」正在进行用户调研,希望可以更好地了解正在收听我们节目的你是谁,喜欢什么样的内容。 你的回答对我们来说很有帮助,期待你的参与! 参与问卷填写有机会获得来自节目组的小礼物一份~ 来填写问卷吧
Usually, I'm teaching you about the finer points of ophthalmology, but today we're looking at a real-world case study in "how to tank a hospital's morale". We are heading to my home state of Oregon to discuss the PeaceHealth system and their decision to fire a group of 41 local emergency physicians who have served the community for 35 years. I'm breaking down why this isn't about money or performance, since the CEO admits those are fine, but looks a lot like retaliation for doctors who dared to speak up for their patients. We'll look at the "contract management groups" moving in, why they smell a lot like private equity, and how the Oregon Corporate Practice of Medicine Act might be the only thing standing in their way. After we finish our lesson on hospital politics, we'll move to the clinic for a new series: "Eye Conditions I Hate". First up is Pseudoexfoliation Syndrome, a "snow globe" disease that turns a standard cataract surgery into a high-stakes obstacle course. Takeaways: The Retaliation Curriculum: Why a 98% "no confidence" vote from nursing staff is the ultimate red flag for hospital leadership. Decoding the "Med-Corp" Loophole: How out-of-state companies use "dummy corporations" to bypass local regulations and push out local doctors. The Oregon Precedent: Why a 2025 state law might be the secret weapon doctors across the country need to fight corporate takeovers. The "Snow Globe" Anatomy: A look at the fibrillar white flakes of Pseudoexfoliation and why they make your eye's drainage system fail. Pseudo vs. True Exfoliation: The rare history of "glassblower's eye" and why we gave a common age-related disease such a confusing name. 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
This week on Knock Knock, Hi, Will and Kristin stumble into one of the more unexpected parenting moments yet: discovering their teenager might want to become an astronaut. That leads to a surprisingly deep dive into what it actually takes to make it to space and the answer is… a lot. Think extreme environments, elite training, and possibly even medical school. Naturally, Will immediately begins researching astronaut pathways while Kristin begins quietly calculating the odds. Then the conversation pivots to something even stranger: the science of smell. Researchers are now experimenting with devices that could restore the sense of smell using electrical stimulation in the nose. Yes, that means scientists are literally shocking people's noses in the name of research. The idea is to help people who lost their sense of smell from head injuries, infections, or COVID. Along the way, Will explains how smell actually works, why losing it is more serious than most people realize, and why scientists are now trying to build the sensory equivalent of a cochlear implant… but for your nose. Takeaways: Astronaut training is even more intense than you think and there are surprisingly few paths that actually get you there. Losing your sense of smell can dramatically affect quality of life, including mental health. Scientists are experimenting with artificial smell technology, using electrical signals to help people detect odors again. Some medical devices sound brilliant on paper… and very uncomfortable in real life. Sometimes the most interesting conversations happen when kids start asking big questions about their future. — 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
What would you do if you heard knocking on the fishing hut you were in - during a snowstorm? Five miles from anyone else? What if you heard strange noises in the basement of the psychiatric hospital you started working at? In this week's episode, Gary D from Ontario is back with more wild stories! If you have any stories you'd like to share on the show, send them in an email to story@storieswithsapphire.com Ch 1 - Knock knock Ch 2 - Psychiatric cellar Learn more about your ad choices. Visit podcastchoices.com/adchoices