Podcasts about Mayo

Welcome back to the club!There are…a lot of reasons to feel overwhelmed right now. Probably least of which is the boatload of demos that were available during this summer's Steam Next Fest. With over 2000 demos, it can be hard to know which games are worth being hype for, but that's why you're here! This week, Jesse Guarascia and Dominic Tarason join the show to discuss the overwhelming nature of Steam Next Fest and point out some of our favorite games from the show. We have musical brawlers, turn-based dice games, and cursed antiques, so listen and fill that wishlist!Also, in the Whatcha Playin? Segment, Dominic talks about his time with Broken Arrow and The Hundred Line, Jessie talks about his time with The Alters, and Emmett talks about his time with Jump the Track and Resistance: Fall of Man.Timestamps:-Start: 00:00-TotS: Steam Next Fest June 2025    00:02:28:00                              -Dice Gambit    00:12:10:00                              -Strange Antiquities    00:20:29:00                              -Dead as Disco    00:28:45:15                              -Absolum    00:38:01:00                              -Consume Me    00:51:36:15                              -Usual June    00:59:26:00                              -Jail Dice    01:08:00:15                              -Letters to Arralla    01:17:07:15                              -Gear Grit    01:21:19:00                              -Whatcha Playin?    01:27:58:00                              -The Alters    01:28:26:05                             -Broken Arrow    01:36:25:00                             -The Hundred Line    01:42:59:00                              -Jump the Track    01:51:14:15                              -Resistance: Fall of Man    01:54:52:00                              -Housekeeping    01:59:52:00Housekeeping:-VGU Test Drive -The Allure of the MomoCon Courtyard-Emmett Plays Resistance: Fall of Man Part 1-30 for 30 Platinum Marathon Stream P1: My Name is Mayo 3, Shadow Warrior 3, and more!-how does an indie game get made?-4 Fantastic Steam Games with Fewer than 100 Reviews-[Free games spreadsheet, Dom's]Check out YouTube Channel here!⁠⁠Follow us on Bluesky, @vgu.bsky.social!⁠⁠Like us on Facebook!⁠⁠Follow us on Instagram!

Three Point Stance Hart: Silver lining for the Red Sox is the fact that they care. They compete every night. They are aggressive on the base paths, they try too hard sometimes. I wish they were better. Fitzy: Stef Diggs is recovering well from ACL surgery, and is committed 100% to the Patriots. Pats fans have bigger things to worry about. Ted: The Celtics have to get younger and more athletic so they can compete for a championship in the future. It brings energy and athleticism. Robert Kraft speaks on the last two seasons of the Patriots. He is very disappointed. Ted asks about where on earth Jerod Mayo is. Is there an NDA? Fitzy does not think so. No surprise that RKK said the past two seasons were the worst. Ted would not have taken the job like Mayo did. It was embarrassing. He did not seem ready to be an NFL coach. Even at the beginning. He is no longer a coach... telling. Mike Vrabel. Will the Dolphins have a better season than the Patriots? Are the Patriots closer to being a playoff team or in the basement.

Robert Kraft speaks on the last two seasons of the Patriots. He is very disappointed. Ted asks about where on earth Jerod Mayo is. Is there an NDA? Fitzy does not think so. No surprise that RKK said the past two seasons were the worst. Ted would not have taken the job like Mayo did. It was embarrassing. He did not seem ready to be an NFL coach. Even at the beginning. He is no longer a coach... telling.

Ger Gilroy, Colm Boohig and Dara Smith-Naughton brought you all this morning's sports news on Thursday Off The Ball Breakfast. Right as the lads came on air this morning, Andy Farrell named his Lions XV for their opening game in Australia against the Western Force - we brought you all the instant reaction. Following on from that, the lads reflected on the news that Mayo have parted company with manager Kevin McStay, and all of the morning's other major talking points. Off The Ball Breakfast w/ UPMC Ireland | #GetBackInAction Catch The Off The Ball Breakfast show LIVE weekday mornings from 7:30am or just search for Off The Ball Breakfast and get the podcast on the Off The Ball app.SUBSCRIBE at OffTheBall.com/joinOff The Ball Breakfast is live weekday mornings from 7:30am across Off The Ball

Presented by Sanders Ground Essentials

Mayo GAA has come under criticism for the tone and way they parted ways with manager Kevin McStay. Last night, the County Board released a statement saying they 'made the decision to relieve Kevin McStay and his management team from their roles with the Mayo Senior Football Team with immediate effect'. Former Mayo footballer David Brady discusses.

For the first time ever, Sadie's sister, Bella Robertson Mayo, is getting real about her infertility journey. She opens up about the loneliness that's come with it, the complicated feelings when friends announce pregnancies, and how she and her husband, Jacob, have been walking through years of unknowns together. Bella shares how this season has actually made their marriage stronger and how her faith in God has only grown deeper. She talks honestly about the grief that shows up often — and how scrolling through social media can sometimes feel like a punch to the gut. But even without all the answers yet, she's found real strength in the Lord. https://activeskinrepair.com — Get 20% off your order when you use code WHOA at checkout! https://covenanteyes.com/sadie — Visit the website to learn more and start your journey toward a healthier, stronger marriage today. https://sadiepens.com — Stock up on Mr. Pen Bible journaling supplies today! - Learn more about your ad choices. Visit megaphone.fm/adchoices

Brandon says that sauce is one of his major food groups. His wife, Jacqueline says the sauces take up too much fridge space! She wants to put away groceries without playing fridge Tetris. But Brandon just loves sauce! Who's right? Please consider donating to Al Otro Lado. Al Otro Lado provides legal assistance and humanitarian aid to refugees, deportees, and other migrants trapped at the US-MX border. Donate at alotrolado.org/letsdosomething.We are on TikTok and YouTube! Follow us on both @judgejohnhodgmanpod! Follow us on Instagram @judgejohnhodgman!Thanks to reddit user u/jiminycricket81 for naming this week's case! To suggest a title for a future episode, keep an eye on the Maximum Fun subreddit at reddit.com/r/maximumfun! Judge John Hodgman is member-supported! Join at $5 a month at maximumfun.org/join!

Something's cooking! Comedian Owen Colgan joined Dave for a chat about life in Mayo, Marathon training and he has some cool Hardy Bucks news.

Épisode 1339 : Il est loin le temps des Metaverse. EN 2023, c'était le buzz world du moment. Une promesse de monde 100% virtuelles qui allaient prendre le dessus sur ses bons vieux réseaux sociaux. Certains y croyait tellement qu'ils ont changé leur nom de boite passante de Facebook Group à Meta.Roblox est particulièrement populaire auprès des enfants et adolescents, avec plus de 88 millions d'utilisateurs actifs quotidiens en 2024—Roblox permet de créer et partager ses propres jeux… les marques adorentRoblox offre à tous ses utilisateurs la possibilité de créer, publier et partager leurs propres jeux grâce à un outil dédié appelé Roblox Studio. Les créateurs peuvent intégrer des achats intégrés (objets, avantages, accès premium) via la monnaie virtuelle Robux. Une part des revenus générés est reversée au créateur.—Nouveaux modèles commerciaux pour Roblox : Roblox vient d'officialiser un partenariat avec Shopify, les marques peuvent désormais vendre des produits physiques directement dans Roblox, tout en offrant des objets numériques exclusifs liés à ces achats. Fenty Beauty : La marque de cosmétiques de Rihanna est l'une des premières à proposer un produit physique exclusif sur Roblox. Les utilisateurs peuvent acheter un gloss à lèvres “Grape Splash” directement dans une expérience Roblox, avec la possibilité de recevoir à la fois un produit réel et un accessoire numérique pour leur avatar-Nouveaux formats publicitaires sur RobloxDepuis 2024, Roblox a franchi une étape majeure en ouvrant son inventaire publicitaire à la publicité programmatique, notamment avec le lancement de la publicité vidéo immersive. Comme par exemple des vidéos immersives jusqu'à 30 secondes, affichées sur des panneaux virtuels dans les expériences Roblox.—Gucci x Vans: la fusion de deux univers mode et durabilitéGucci et Vans ont uni leurs mondes virtuels sur Roblox, Town et Vans World via des portails spéciauxChipotle transforme ses ingrédients en quête immersive sur Roblox5 mai 2025, à 15h (PT) dans l'univers Burrito Builder sur RobloxÀ l'occasion du Cinco de Mayo 2025, Chipotle a lancé une nouvelle activation dans son univers virtuel : Burrito Builder. Baptisée Ingredient Quest, cette campagne mise sur le principe du jeu de collection et le grand retour des cartes numériques pour capter l'attention de la Gen Z.Roblox et les écoles de mode : quand la formation rencontre le métaversRoblox ne se contente plus d'attirer des marques ou des joueurs : la plateforme se positionne aussi comme un terrain d'apprentissage et de professionnalisation pour la mode numérique. Deux initiatives phares incarnent cette ambition : l'une à New York, l'autre à Tokyo.Retrouvez toutes les notes de l'épisode sur www.lesuperdaily.com ! . . . Le Super Daily est le podcast quotidien sur les réseaux sociaux. Il est fabriqué avec une pluie d'amour par les équipes de Supernatifs. Nous sommes une agence social media basée à Lyon : https://supernatifs.com. Ensemble, nous aidons les entreprises à créer des relations durables et rentables avec leurs audiences. Ensemble, nous inventons, produisons et diffusons des contenus qui engagent vos collaborateurs, vos prospects et vos consommateurs. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

El Tribunal Supremo restringe los derechos de los menores transexuales   Cristina Fernández de Kirchner en arresto domiciliario La matanza de la Plaza de Mayo en el recuerdo La Estatua de la Libertad sigue iluminando el mundo Una estafa vacuna 

This week join Jesus, The Mayo and Gunny, as we discuss the latest and greatest Video Games, such as Expeition 33, Until We Die, The Alters, new gadgets ,plus regular life stuff and so much more! Does anybody read this? Join Our Discord with the link below..We appreciate you!       Join us in our group on Facebook -https://www.facebook.com/HorribleGamers Like our Page -https://www.facebook.com/HorribleGamers/ Follow us on Twitter -https://twitter.com/_Horriblegamers Discord -https://discord.gg/8bsaxmD If you like the show..Share, Rate and Review It!

In this episode, Kelsey sits down with Martha from The Next Chapter Travel, a company that curates small luxury trips for women. Martha shares all the details of their unforgettable 5-star journey across Ireland — from spa treatments to falconry, fine dining to pub hopping, castle stays and countryside views in October 2024,Their itinerary highlights include Adare, Killarney, Kenmare, Cork, and Dublin, with overnight stays at some of Ireland's most celebrated properties: Adare Manor, The Park Hotel, and Hayfield Manor. You'll hear about tastings at Jameson and Guinness, views of the iconic cliffs, and how this luxurious, all-female escape delivered the perfect blend of pampering, culture, and connection.This episode is presented by The Next Chapter Travel.Trip Tales listeners can get $100 OFF a trip curated by The Next Chapter Travel by using code TNCT100 at booking.Buy Me a CoffeeMentioned in this episode:- ADARE: Adare Manor, Calendar House, falconry, The Oak Room, Cliffs of Moher, Doolin, Gus O'Connor's Pub- KILLARNEY: Killarney National Park, Ring of Kerry, Ross Castle- KENMARE: Park Hotel, SAMAS Spa, tea at Sheen Falls Lodge, Cromwell's Bridge, fairy tree, Kenmare Stone Circle, The Quiet Man movie- CORK: Jameson Midleton Distillery Tour, Hayfield Manor Hotel, Blarney Castle and the Blarney Stone, Saint Fin Barre's Cathedral, The Cork English Market, The Rock of Cashel, The Cashel Palace Hotel, Irish National Stud & Gardens- DUBLIN: EPIC The Irish Emigration Museum, The Shelbourne Hotel, St. Stephen's Green, Trinity College, The Book of Kells Experience, The Long Room at The Library of Trinity College Dublin, St. Patrick's Cathedral, The Church Cafe Bar- Ashford Castle in Mayo, Ireland- Dromoland Castle Hotel in Country Clare, Ireland- The K Club

Practiqué lo que prediqué y me fui a disfrutar del fin del mes de Mayo, explorando las maravillas de la primavera en el Norte de California. Hallé alimento para la mente, el cuerpo y el alma. Aprendí que la Bahía Este es un mundo perdido que está en constante movimiento, tectónica y morfológicamente. El Jardín de Rosas de Berkeley ofrece una visita exploratoria que deleita los sentidos con más de 250 variedades de rosas, y pude seguir las huellas del Hombre y la Mujer Verde en su diseño y sus tesoros botánicos. Luego, hallé los equivalentes humanos de la entrega a la vida y sus poderosas corrientes en el Parque Histórico Jack London, donde el legado de las vidas de Jack y Charmian London sugiere poderosas preguntas: ¿Qué significa ser valiente y atrevido hoy? ¿Cómo vives tu propia historia? ¿Qué te hace sentir como un capullo en pleno florecimiento? ¡Disfrútalo!

IMSS reporta caída de empleos formales en mayo  La Canacine piden regular IA en cine y publicidad  Papa León XIV alerta que la IA podría afectar el desarrollo de niños y jóvenes  Más información en nuestro podcast

Pat Mayo, Geoff Fienberg, Garion Thorne, Rob Pizzola, Cam Stewart & Tim Andercust gathered in front of a live crowd for the 53rd installment of… CUST CORNER!!!!!!!Record In front of a LIVE studio audience: June 7, 2025 Use code “MAYO” at underdog for a deposit match up to $1000Win a golf trip to Cabot Links at Coolbet: https://shorturl.at/4Ckgd. “SPORTS200” to get a bonus $200 too. Subscribe, Rate and Review to The PME AudioApple: http://bit.ly/PMEiTunesSpotify: https://goo.gl/VboemH Subscribe to the Cust Corner Audio PodcastsApple: https://apple.co/2YulN8cSpotify: https://spoti.fi/32jEMmR Travelers Championship — For tickets and information visit TravelersChampionship.com. The Travelers Championship, there is only one! June 18th through the 22ndOMAHA STEAKS — Go to https://www.OmahaSteaks.com to get 50% off sitewide during their Fourth of July Sale. And use Promo Code MAYO at checkout for an extra $45 off. Minimum purchase may apply. See site for details. A big thanks to our advertiser, Omaha Steaks!CARGURUS — Buy or sell your next car today with Car Gurus at cargurus.com FOLLOW MAYO MEDIA NETWORKNewsletter: https://mayomedia.substack.com/Instagram: https://www.instagram.com/mayomedianetwork/TIK TOK: https://www.tiktok.com/discover/mayo-media-networkYOUTUBE:  https://bit.ly/YTMMN SHOW INDEX 00:00 - Intro4:30 - Youtube skip button9:28 - Cust “Experience” camps14:13 - Make your own drinks24:41 - Rock Climbing26:10 - The Jets/ Tim's Laundry Habits37:14 - Pizzola and Cam56:58 - Geoff and Pizzola57:28 - Life At Fantasy Sports Network1:01:00 - Ranking the Best Parents1:04:35 - Fixing Transportation1:14:02 - Cam Returns1:22:40 - Tim Gets Presents1:27:04 - Stefan Joins The Show1:35:30 - Movie Trailers/Driving with Geoff1:42:03 - Q&A Message and data rates apply. Must be 18+ (21+MA & AZ, 19+ AL, NE) and present in a state where Underdog Fantasy operates. Terms apply. Concerned with your play? Call 1-800-GAMBLER or visit www.ncpgambling.org; AZ: 1-800-NEXT-STEP (1-800-639-8783) or text NEXT-STEP to 53342; NY: Call the 24/7 HOPEline at 1-877-8-HOPENY or Text HOPENY (467369)

Melinda Mayo joins Morning Mayhem thanks to Sanders Ground Essentials

En Argentina, decenas de miles de personas se manifestaron a favor de Cristina Fernández de Kirchner, que vio ratificada su condena a 6 años de prisión domiciliaria y inhabilitación de por vida, por el caso de corrupción conocido como Causa Vialidad.  Los simpatizantes de la expresidenta se concentraron en la Plaza de Mayo y las calles aledañas de Buenos Aires, con tambores y banderas nacionales.  A pesar de una condena de seis años por corrupción y su actual arresto domiciliario, la influencia de la expresidenta argentina Cristina Fernández de Kirchner recibe el apoyo de una parte de los argentinos. Una masiva manifestación en la emblemática Plaza de Mayo de Buenos Aires ha dejado claro que su capital político no se ha extinguido, abriendo un intenso debate sobre el futuro del Kirchnerismo y quién podría tomar las riendas del movimiento. "¡Te amamos, Cristina!", "¡Vas a volver, Cristina!", gritaban la víspera simpatizantes de Cristina Fernández de Kirchner al pie de su balcón. El martes, la ex presidenta de Argentina comenzó a cumplir una condena de seis años de prisión domiciliaria por corrupción.  Leer tambiénCristina Fernández cumplirá su condena por corrupción en prisión domiciliaria Para sus partidarios, la causa judicial no es más que una excusa. Como explica la abogada y periodista Lourdes Marchesse, la propia expresidenta enmarcó su situación ante la multitud como un intento de proscripción. "Ella misma planteó que no la quieren en las elecciones y que por eso la sacan de la cancha con esta condena", señala Marchesse, quien recuerda que, más allá de las percepciones políticas, el caso judicial fue un proceso extenso que duró 17 años. La gran pregunta que surge es si, a pesar del arresto domiciliario, Cristina Kirchner podrá seguir ejerciendo su liderazgo. La respuesta parece ser un rotundo sí, aunque de una manera diferente. "Primero y principal, Cristina ya no puede ejercer ningún cargo público", aclara Marchesse. "Ella puede ejercer un liderazgo desde atrás". Este poder intangible se fundamenta en una carrera política que la consolidó como una figura central en la historia reciente de Argentina. "Cristina te puede gustar o no como política, pero nadie puede negar que ella es una líder", afirma Marchesse. "Fue dos veces presidenta de la nación, antes había sido senadora, fue diputada. Entonces, tiene un gran liderazgo". ¿Quién Tomará las Riendas del Kirchnerismo? Con la líder principal legalmente inhabilitada para ocupar cargos, la mirada se dirige a sus posibles herederos políticos. El periodista y analista argentino Eduardo Aulicino destaca dos nombres que suenan con fuerza para tomar el control del movimiento: su hijo, Máximo Kirchner, y el exministro de Economía y actual gobernador de Buenos Aires, Axel Kicillof. Sin embargo, para Aulicino, las balanzas se inclinan claramente hacia uno de ellos. "Yo creo que, por lo menos en esta primera etapa, Axel Kicillof por ahora asoma como el único integrante del Kirchnerismo con vocación de tener un proyecto presidencial dentro de dos años", analiza. En contraste, el rol de Máximo Kirchner parece estar más limitado al círculo interno del poder. "Máximo puede aparecer como principal operador, incluso ahora como voz autorizada de Cristina detenida, pero no tiene ascendentes fuera de la estructura kirchnerista", explica Aulicino. Agrega un dato contundente: "Es más, todos los estudios de opinión dicen que tiene una imagen muy, muy mala". En el caso Vialidad, Cristina Fernández fue declarada culpable por conceder de manera irregular medio centenar de obras públicas a un empresario amigo durante su presidencia.

¡Únase y crezcamos juntos! ➡️ Si recibiste a Jesús por primera vez, envíe un email a tabernaculoadp@gmail.com con la palabra 'VIDA' para que podamos conectarnos contigo. ➡️ Síguenos en las REDES - www.instagram.com/tabernaculoadp www.facebook.com/tabernaculoadp ➡️ VISÍTANOS en línea www.mitabernaculo.com ➡️ DA UNA OFRENDA para que podamos seguir expandiendo el reino de Dios en la tierra con mensajes como este visitando: DAR AQUI o envíe un mensaje de texto con la palabra 'ELTABERNACULO' con cualquier monto al (833)-245-7556

"Vamos a volver con más sabiduría", dijo la expresidenta argentina Cristina Kirchner en un discurso grabado desde su prisión domiciliaria. Miles de personas confluyeron en la tarde de ayer hasta llenar por completo la Plaza de Mayo de Buenos Aires, en un acto organizado por varias vertientes del peronismo, además de organizaciones sociales, sindicales y estudiantiles, en apoyo a la expresidenta argentina. La movilización en un inicio fue pensada para acompañar la comparecencia de la ex mandataria ante Tribunales, para que fuera notificada de su pena con prisión domicialiaria. No obstante, la Justicia se adelantó y le comunicó directamente el martes a la líder justicialista, tal como había solicitado su defensa, que podrá cumplir su pena en el régimen de prisión domiciliaria, en el apartamento que tiene en la calle San José, en el barrio Constitución de la ciudad de Buenos Aires. A pesar de no poder dirigirse a los manifestantes de forma presencial, envió un discurso emitido en mensaje de audio que pudieron escuchar los presentes en la plaza. "Quiero contarles que lo que más me gustó fue escucharlos cantar otra vez “vamos a volver”. No lo hacíamos desde hacía muchísimo tiempo, demasiado tal vez. Y me gusta ese vamos a volver porque revela una voluntad, la de volver a tener un país donde los pibes puedan comer cuatro veces al día y en el colegio libros y computadoras. Que los laburantes lleguen a fin de mes y puedan ahorrar para comprarse un autito, una casita, un terrenito, algo que sea de ellos". La dos veces presidenta (2007-2015) y una vez vicepresidenta (2019-2023) fue condenada por administración fraudulenta en contratos de obras públicas en la provincia de Santa Cruz (sur), en una decisión judicial sostenida el martes pasado por la Corte Suprema. La exmandataria, la figura más fuerte de la oposición argentina, denunció parcialidad de los jueces y acusó a los miembros de la Corte Suprema de ser "monigotes" del poder económico. Podrá recibir visitas de su grupo familiar, abogados defensores y médicos, pero deberá pedir permiso a la Justicia para recibir a otras personas. Debe además "abstenerse de adoptar comportamientos que puedan perturbar la tranquilidad del vecindario y/o alterar la convivencia pacífica de sus habitantes", agregó el fallo. En las puertas de su casa, la presencia de seguidores es permanente desde hace una semana pese a las bajas temperaturas del invierno austral, y las paredes del edificio donde reside están tapizadas de cartas y mensajes de apoyo. Esta resolución de la Justicia argentina tuvo repercusiones en Uruguay. Cuando se dio a conocer la condena, los partidos Comunista y Socialista emitieron distintos comunicados advirtiendo por la “crisis institucional” en el vecino país y criticando la “judicialización de la política”. Por su parte, el senador frenteamplista Felipe Carballo utilizó la media hora previa de la sesión del Senado para pedirle al gobierno de Yamandú Orsi “un rechazo contundente a este oscuro capítulo de la democracia latinoamericana”. Carballo consideró que los senadores uruguayos no pueden “permanecer indiferentes ante estos hechos”. ¿Cómo puede repercutir la condena de Kirchner en la política regional?

Pat Mayo  and Tyler Tamboline discuss their favorite 2025 Travelers Championship Bets, DFS picks, debate the best roster construction for the week and project ownership for DFS guaranteed prize pools (GPPs). Plus, they review the DFS Ownership and pivot plays. Use code “MAYO” at underdog for a deposit match up to $1000:Get 20% off https://www.fantasynational.com/mayo with code “MAYO”Win a golf trip to Cabot Links at Coolbet: https://shorturl.at/4Ckgd. “SPORTS200” to get a bonus $200 too.DEGEN75 GO FUND ME : https://x.com/ToeTagginTambo/status/1927471560866054146 Travelers Championship — For tickets and information visit TravelersChampionship.com. The Travelers Championship, there is only one! June 18th through the 22ndOMAHA STEAKS — Go to https://www.OmahaSteaks.com to get 50% off sitewide during their Fourth of July Sale. And use Promo Code MAYOat checkout for an extra $45 off. Minimum purchase may apply. See site for details. A big thanks to our advertiser, Omaha Steaks!CARGURUS — Buy or sell your next car today with Car Gurus at cargurus.comTOUR STRIKER - Head to tourstriker.com/TSGA and use the code MAYO to get your first month of the Tour Striker Golf Academy Online free, plus instant access to two bonus courses—'The Recipe for Better Golf' and 'Bombs: How to Consistently Smash the Driver,' a $194 value. Subscribe, Rate and ReviewApple: http://bit.ly/PMEiTunesSpotify: https://goo.gl/VboemH FOLLOW MAYO MEDIA NETWORKNewsletter: https://mayomedia.substack.com/Instagram: https://www.instagram.com/mayomedianetwork/TIK TOK: https://www.tiktok.com/discover/mayo-media-networkYOUTUBE: https://bit.ly/YTMMN SHOW INDEX00:00 Intro00:56 US Open DK Recap16:34 Slate Overview21:14  Bets31:09 OAD42:01 Underdog/Weather52:03  DK Lineups1:12:19 Q&A Message and data rates apply. Must be 18+ (21+MA & AZ, 19+ AL, NE) and present in a state where Underdog Fantasy operates. Terms apply. Concerned with your play? Call 1-800-GAMBLER or visit www.ncpgambling.org; AZ: 1-800-NEXT-STEP (1-800-639-8783) or text NEXT-STEP to 53342; NY: Call the 24/7 HOPEline at 1-877-8-HOPENY or Text HOPENY (467369)

Byron Lindeque previews the course and runs through all of the odds while making his 2025 TRAVELERS CHAMPIONSHIP picks. @TheModelManiac provides his Fantasy Golf picks and best bets for the event at the TPC RIVER HIGHLANDS Episode “144” | THE TIME TRAVELER! Play ProphetX: https://www.prophetx.co/golf/rbc-heritage/outright/top-5-(ties-included)-1500002818?currency=cash Use code “TRAV50” for 50% off the Model Maniac Patreon: www.patreon.com/TheModelManiac Winners of the LIVE give away can enter the “Model Maniac Discord” HERE: https://discord.gg/gzUZPjgFGY Sign up with “MAYO” to claim your Special Pick + First Time Deposit offer up to $1000 in bonus cash!: https://play.underdogfantasy.com/p-pat-mayo FOLLOW THE MAYO MEDIA NETWORK Newsletter: https://mayomedia.substack.com/ Instagram: https://www.instagram.com/mayomedianetwork/ TIK TOK: https://www.tiktok.com/discover/mayo-media-network YOUTUBE: https://bit.ly/YTMMN __________________________ Sub to the Mayo Media Network: https://bit.ly/YTMMN Get 20% off https://www.fantasynational.com/FGD Video: https://bit.ly/YTMMN Apple: https://podcasts.apple.com/us/podcast/back-9-bets-golf-podcast/id1645139358 Spotify: https://open.spotify.com/show/6LNdTyFP83g0DZLqo2VgC5?si=735b6748f34f4cf6 Google: https://bit.ly/FGDGoogle Stitcher: https://bit.ly/FGDStitch Byron Lindeque Twitter: https://twitter.com/TheModelManiac Fantasy Golf Degenerates Twitter: https://twitter.com/FGDegenerates Message and data rates apply. Must be 18+ (21+MA & AZ, 19+ AL, NE) and present in a state where Underdog Fantasy operates. Terms apply. Concerned with your play? Call 1-800-GAMBLER or visit www.ncpgambling.org; AZ: 1-800-NEXT-STEP (1-800-639-8783) or text NEXT-STEP to 53342; NY: Call the 24/7 HOPEline at 1-877-8-HOPENY or Text HOPENY (467369)

On October 6, 1978, Patricia Roisinblit — a young Jewish medical student and leftist activist — was abducted by Argentina's military junta while eight months pregnant. She was never seen again. But her mother, Rosa, refused to let her story end there.In this deeply moving episode, we speak with journalist and author Haley Cohen Gilliland about her extraordinary new book, A Flower Traveled in My Blood — a powerful narrative of dictatorship, resistance, and the decades-long search for justice led by the Abuelas de Plaza de Mayo, Argentina's Grandmothers of the Disappeared.Gilliland, a former Economist correspondent in Buenos Aires, chronicles the brutal history of Argentina's military regime and the courageous women who defied it. We follow the personal and political story of the Roisinblit family — from Patricia's disappearance, to the state-sanctioned abduction of her son Guillermo, to Rosa's decades-long fight to find the truth and reunite her family.We discuss the role of antisemitism in Argentina's Dirty War, the use of genetic testing to identify stolen children, and the uncomfortable legacy of silence, complicity, and denial in Argentine society. With chilling parallels to today's global political climate, this conversation is a haunting and hopeful reflection on what happens when ordinary people refuse to forget.Published by Simon & Schuster (July 15, 2025), A Flower Traveled in My Blood is already hailed as one of the most important nonfiction books of the year.*****STOP PRESS*****I only ever talk about history on this podcast but I also have another life, yes, that of aspirant fantasy author and if that's your thing you can get a copy of my debut novel The Blood of Tharta, right here:Help the podcast to continue bringing you history each weekIf you enjoy the Explaining History podcast and its many years of content and would like to help the show continue, please consider supporting it in the following ways:If you want to go ad-free, you can take out a membership hereOrYou can support the podcast via Patreon hereOr you can just say some nice things about it here Become a member at https://plus.acast.com/s/explaininghistory. Hosted on Acast. See acast.com/privacy for more information.

The new Rumps & Bumps jersey just dropped! Check out afterpartyinc.com. Peep the brand new episode featuring the one and only El Paso Foos! As he comes on reveals the face behind the instagram account and we chop it up and get to know him. He tells us about his early success in the music scene and his transition to talent management plus he names some of the best artists in the Sun City. Follow us on social media @AaronScenesAfterParty

Violence appears to be on the rise in Dublin city centre. Mick is not happy about the disabled parking bays in Westport, Co. Mayo. Small business owners are frustrated with the high costs they are facing. Listeners share their stories of organ donation following new legislation coming into effect this week.

Resumen de noticias de la mañana de LA NACION del 18 de junio de 2025 

Pat Mayo and Pete Overzet catch up on all things NFL: Aaron Rodgers signing with the Pittsburgh Steelers, Flag Football in the Olympics, AI stealing the jobs of sports writers, and the Boston sports Nadir of Stefon Diggs, Patriots, Bill Belichick, Devers, and Tatum. Use code “MAYO” at underdog for a deposit match up to $1000Get 20% off https://www.fantasynational.com/mayo with code “MAYO”Win a golf trip to Cabot Links at Coolbet: https://shorturl.at/4Ckgd. “SPORTS200” to get a bonus $200 too. Subscribe, Rate and ReviewApple: http://bit.ly/PMEiTunesSpotify: https://goo.gl/VboemH Travelers Championship — For tickets and information visit TravelersChampionship.com. The Travelers Championship, there is only one! June 18th through the 22ndOMAHA STEAKS — Go to https://www.OmahaSteaks.com to get 50% off sitewide during their Fourth of July Sale. And use Promo Code MAYOat checkout for an extra $45 off. Minimum purchase may apply. See site for details. A big thanks to our advertiser, Omaha Steaks!CARGURUS — Buy or sell your next car today with Car Gurus at cargurus.com FOLLOW MAYO MEDIA NETWORKNewsletter: https://mayomedia.substack.com/Instagram: https://www.instagram.com/mayomedianetwork/TIK TOK: https://www.tiktok.com/discover/mayo-media-networkYOUTUBE:  https://bit.ly/YTMMN__________________________SHOW INDEX 00:00 Intro2:13 Rodgers to PIT14:55 Diggs28:51 Boston sports Nadir31:22 Bill Belichick35:16 Flag Football in the Olympics45:36 Poker/Ganbling/Scandals52:05 AI Sports Articles/Yahoo Message and data rates apply. Must be 18+ (21+MA & AZ, 19+ AL, NE) and present in a state where Underdog Fantasy operates. Terms apply. Concerned with your play? Call 1-800-GAMBLER or visit www.ncpgambling.org; AZ: 1-800-NEXT-STEP (1-800-639-8783) or text NEXT-STEP to 53342; NY: Call the 24/7 HOPEline at 1-877-8-HOPENY or Text HOPENY (467369)

This week we dive into why we're digging the Switch 2 so much and circling back to some gems from the Switch 1 like Splatoon 3 and Paper Mario, Mike talks about slicing and dicing his way through Sekiro, Grubb's lackluster time in MindsEye, and all of us climbing together in PEAK. We also chat about Microsoft's new deal with AMD, rumors of a PlayStation 6 on the horizon, a Golden Tee remaster, and even more news to catch up on!

Best Ball Breakfast returns for 4 more drafts in the Best Ball Mania 6 contest on Underdog Fantasy. We begin with a solo draft, bring back the usual guests of Pat Kerrane and Mike Leone, then conclude with special guest Pat Mayo. Topics discussed: grinding our way out of a WR avalanche on a DHenry valuehound start, drafting a Sidekick-ass team with Kerrane, galaxy-braining opposing QBs in the same week 17 game with Leone, just drafting good players with Pat Mayo.⁠☕ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Become a "Best Ball Value Hound" Youtube member⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ to get access to Best Ball After Dark interviews.

The world is moving closer to annihilation and still people beat the drumbeats for war.On Free State today, Joe and Dion look at how Israel's attack on Iran is a case of history repeating itself. Iran is the bogey man that allows warmongering to prosper and no matter how many times this has happened before, the noises are still the same and as bloodthirsty.Joe also explains why Mayo footballers aren't serious people after their defeat to Donegal. Hosted on Acast. See acast.com/privacy for more information.

Pat Mayo and Geoff Fienberg preview the course and run through the odds while making their Travelers Championship 2025 Picks, Bets, One and Done selections. Plus, a recap of the US Open, Updated Ryder Cup Standings, Jay Monahan OUT as PGA Commissioner in the future, and a commercial at Geoff's House. Use code “MAYO” at underdog for a deposit match up to $1000:Get 20% off https://www.fantasynational.com/mayo with code “MAYO”Win a golf trip to Cabot Links at Coolbet: https://www.coolbet.com/ca/cabot-25. “SPORTS200” to get a bonus $200 too. Travelers Championship — For tickets and information visit TravelersChampionship.com. The Travelers Championship, there is only one! June 18th through the 22ndOMAHA STEAKS — Go tohttps://www.OmahaSteaks.comto get 50% off sitewide during their Fourth of July Sale. And use Promo Code MAYOat checkout for an extra $45 off. Minimum purchase may apply. See site for details. A big thanks to our advertiser, Omaha Steaks!CARGURUS — Buy or sell your next car today with Car Gurus at cargurus.com Subscribe, Rate and ReviewApple: http://bit.ly/PMEiTunesSpotify: https://goo.gl/VboemH FOLLOW MAYO MEDIA NETWORKNewsletter: https://mayomedia.substack.com/Instagram: https://www.instagram.com/mayomedianetwork/TIK TOK: https://www.tiktok.com/discover/mayo-media-networkYOUTUBE: https://bit.ly/YTMMN SHOW INDEX00:00 Intro1:09 US Open46:15 JJ Spaun50:02 Scottie/Tiger58:45 Ryder Cup1:11:51 Jay Monahan OUT1:14:06 Commercial at Geoff's House1:19:57 Travelers Top Odds1:27:10 30-1001:33:05 100+1:37:05 Quick Picks/One and Done 3-MAN One and DoneMayo: ThomasGeoff: GriffinCust: English Message and data rates apply. Must be 18+ (21+MA & AZ, 19+ AL, NE) and present in a state where Underdog Fantasy operates. Terms apply. Concerned with your play? Call 1-800-GAMBLER or visit www.ncpgambling.org; AZ: 1-800-NEXT-STEP (1-800-639-8783) or text NEXT-STEP to 53342; NY: Call the 24/7 HOPEline at 1-877-8-HOPENY or Text HOPENY (467369)

La información con Enrique Quintana, Dir. general editorial de El Financiero

Tommy, James and Paddy are back for The Football Pod after another riveting weekend of Gaelic Football - and for perhaps the very first time in five seasons, there's a bit of friction between the lads - it may have a little bit of something to do with Meath.(00:30) - Weekend Winners & the losers: Derry, Mayo, Clare, Rossies.(11:00) - Wicklow beat Westmeath and shock everybody but Paddy.(16:00) - Meath beat Kerry - softness, respect, injuries - an edge on the pod.(32:00) - Galway survive, what can they do? (38:00) - Dublin's power players shine through.(48:00) - Conor Meyler's return, Stars of the weekend, Best two-pointers.(58:00) - All-Ireland preliminary quarter-finals: McGuinness' Donegal crusade.We've got a Members Football Pod coming for you later this week too where we'll look ahead to another quality weekend of action. Become an Off The Ball member, or download the Off The Ball app to get three free listens per month and get our two episodes per-week throughout the intercounty season.The Football Pod Club is brought to you every week by AIB. Proud sponsors of the All-Ireland Senior Football Championship. Check out #TheToughest for more.

Colm, John & Arthur running through a busy Performance Rankings, as the lads touch on the weekend's Gaelic football, the URC final & more.Off The Ball Breakfast w/ UPMC Ireland | #GetBackInAction Catch The Off The Ball Breakfast show LIVE weekday mornings from 7:30am or just search for Off The Ball Breakfast and get the podcast on the Off The Ball app.SUBSCRIBE at OffTheBall.com/joinOff The Ball Breakfast is live weekday mornings from 7:30am across Off The Ball

Tommy, James and Paddy are back for The Football Pod after another riveting weekend of Gaelic Football - and for perhaps the very first time in five seasons, there's a bit of friction between the lads - it may have a little bit of something to do with Meath.(00:30) - Weekend Winners & the losers: Derry, Mayo, Clare, Rossies.(11:00) - Wicklow beat Westmeath and shock everybody but Paddy.(16:00) - Meath beat Kerry - softness, respect, injuries - an edge on the pod.(32:00) - Galway survive, what can they do? (38:00) - Dublin's power players shine through.(48:00) - Conor Meyler's return, Stars of the weekend, Best two-pointers.(58:00) - All-Ireland preliminary quarter-finals: McGuinness' Donegal crusade.We've got a Members Football Pod coming for you later this week too where we'll look ahead to another quality weekend of action. Become an Off The Ball member, or download the Off The Ball app to get three free listens per month and get our two episodes per-week throughout the intercounty season.The Football Pod Club is brought to you every week by AIB. Proud sponsors of the All-Ireland Senior Football Championship. Check out #TheToughest for more.

The third annual Microsoft Dream Space Showcase brought together students from across Ireland to demonstrate how their STEM and AI skills developed during the programme can tackle real-world challenges. Held over three days at Microsoft's Dublin campus, and supported by three additional regional showcase events, the initiative saw more than 800 students present over 110 innovative projects, providing inspiring solutions to many of today's environmental, health, wellbeing, and accessibility challenges. From earthquake sensors and plant health monitors to food waste trackers and inclusive communication tools, the projects reflect a wide range of creative, impactful ideas developed by the next generation of STEM leaders. Launched in 2018, Microsoft Dream Space was designed to provide young people with an opportunity to participate in immersive, research-based STEM experiences to enhance their STEM skills and shift their perceptions about the role technology can play in their future careers. Delivered through a mix of in-person, virtual, on-demand, and community-based programmes, today, Microsoft Dream Space is providing every primary and post-primary student, as well as their teachers, across the island of Ireland with the opportunity to engage in STEM and AI learning experiences that will equip them with the skills that are required to fully participate in the era of AI. The Microsoft Dream Space Showcase was launched three years ago with the objective of extending access to the programme's learning content and supports to students and their teachers in rural communities in collaboration with the Department of Rural and Community Development and local county councils. Since the first event in 2023, student participation in the Microsoft Dream Space Showcase has grown significantly, with a near 200% increase in project submissions highlighting the growing enthusiasm among this young cohort to apply their STEM and AI knowledge in creative and impactful ways. Students and teachers from communities in Longford, Cork, Mayo, Tipperary, Monaghan and Waterford have been the most engaged in the initiative, with the number of communities involved continuing to grow each year. As part of the initiative, students embark on a year-long learning journey that combines in-class activities, digital resources, and in-person programme engagement. Using content from three Dream Space TV series - Full STEAM Ahead, Code Green, and brAIn_waves - students develop skills in coding, computational thinking, sustainability, and AI, laying the groundwork for their participation in the Showcase. The learning journey culminates in the Microsoft Dream Space Showcase, where students travel to One Microsoft Place to demonstrate the many ways in which their newly developed STEM skills can help solve real-world problems. From climate action to inclusive design, the projects presented at the Showcase address key challenges linked to the UN Global Goals, demonstrating how technology and creativity can come together to drive positive change. This year, Microsoft is celebrating its 40th year of innovating and investing in Ireland. To mark this milestone, the company gave a special 'NextGen 40' award at the Microsoft Dream Space Showcase to 6th class students from St Marys National School in Edgeworthstown, County Longford for their inspiring project, 'The Eco-town'. Building on the knowledge and skills that the students developed over the past year, the students created multiple micro:bit devices through coding to transform Edgeworthstown into an eco-town. They focused on key areas such as safety, recycling, and solar energy. As part of the project, the students built a prototype of their local town to demonstrate how their micro:bits would function, offering a clear vision of how technology can enhance sustainability in their community and empower them to achieve more. James O'Connor, Microsoft Ireland Site Leader and Corporate Vice President Microsoft Global Oper...

Pat Mayo takes a deep dive into tournament and player stats at Fantasy National making his early 2025 Travelers Championship Picks.Use code “MAYO” at underdog for a deposit match up to $1000Get 20% off https://www.fantasynational.com/mayo with code “MAYO”Win a golf trip to Cabot Links at Coolbet: https://shorturl.at/4Ckgd. “SPORTS200” to get a bonus $200 too. Subscribe, Rate and ReviewApple: http://bit.ly/PMEiTunesSpotify: https://goo.gl/VboemHTravelers Championship — For tickets and information visit TravelersChampionship.com. The Travelers Championship, there is only one! June 18th through the 22ndOMAHA STEAKS — Go to  https://OmahaSteaks.comto shop delicious Father's Day gift packages. And use Promo Code MAYO at checkout for an extra $35 off. Minimum purchase may apply. See site for details. A big thanks to our advertiser, Omaha Steaks!CARGURUS — Buy or sell your next car today with Car Gurus at cargurus.com FOLLOW MAYO MEDIA NETWORKNewsletter: https://mayomedia.substack.com/Instagram: https://www.instagram.com/mayomedianetwork/TIK TOK: https://www.tiktok.com/discover/mayo-media-networkYOUTUBE:  https://bit.ly/YTMMN__________________________ SHOW INDEX00:00 Intro/Quick Info2:45 Course Info/Flyover6:53 Course Stats/Past winners25:26 Travelers Championship Stat Research & Model Message and data rates apply. Must be 18+ (21+MA & AZ, 19+ AL, NE) and present in a state where Underdog Fantasy operates. Terms apply. Concerned with your play? Call 1-800-GAMBLER or visit www.ncpgambling.org; AZ: 1-800-NEXT-STEP (1-800-639-8783) or text NEXT-STEP to 53342; NY: Call the 24/7 HOPEline at 1-877-8-HOPENY or Text HOPENY (467369)

Situación en Colombia.

Presented by Sanders Ground Essentials

Pat Mayo and Tyler Tamboline discuss their favorite 2025 US Open Golf Bets, DFS picks, debate the best roster construction for the week and project ownership for DFS guaranteed prize pools (GPPs). Plus, they review the DFS Ownership and pivot plays. Use code “MAYO” at underdog for a deposit match up to $1000:Get 20% off https://www.fantasynational.com/mayo with code “MAYO” Win a golf trip to Cabot Links at Coolbet: https://shorturl.at/4Ckgd. “SPORTS200” to get a bonus $200 tooDEGEN75 GO FUND ME : https://x.com/ToeTagginTambo/status/1927471560866054146 Travelers Championship — For tickets and information visit TravelersChampionship.com. The Travelers Championship, there is only one! June 18th through the 22ndOMAHA STEAKS — Go to  https://OmahaSteaks.com to shop delicious Father's Day gift packages. And use Promo Code MAYO at checkout for an extra $35 off. Minimum purchase may apply. See site for details. A big thanks to our advertiser, Omaha Steaks!HELIX - Go to helixsleep.com/MAYO for 20% OFF SitewideSKIMS — Shop SKIMS Mens at https://www.skims.com/patmayo #skimspartnerCORNBREAD HEMP — save 30% on their first order! Just head to cornbreadhemp.com/PATMAYO and use code PATMAYO at checkout.PXG — Head over to PXG.com/patmayo to save up to 20% on your entire order. Subscribe, Rate and ReviewApple: http://bit.ly/PMEiTunesSpotify: https://goo.gl/VboemH FOLLOW MAYO MEDIA NETWORKNewsletter: https://mayomedia.substack.com/Instagram: https://www.instagram.com/mayomedianetwork/TIK TOK: https://www.tiktok.com/discover/mayo-media-networkYOUTUBE: https://bit.ly/YTMMN SHOW INDEX00:00 Intro3:41 Slate Overview9:27 Weather15:26 Bets45:01 OAD51:22 Underdog1:00:02 DK Ownership1:12:51 DK Lineups1:34:02 Q&A Message and data rates apply. Must be 18+ (21+MA & AZ, 19+ AL, NE) and present in a state where Underdog Fantasy operates. Terms apply. Concerned with your play? Call 1-800-GAMBLER or visit www.ncpgambling.org; AZ: 1-800-NEXT-STEP (1-800-639-8783) or text NEXT-STEP to 53342; NY: Call the 24/7 HOPEline at 1-877-8-HOPENY or Text HOPENY (467369)

Byron Lindeque previews the course and runs through all of the odds while making his 2025 RBC U.S. OPEN picks. @TheModelManiac provides his Fantasy Golf picks and best bets for the event at the Oakmon Country Clubt Episode “143” | PEW, PEW, PEW! Play ProphetX: https://www.prophetx.co/golf/rbc-heritage/outright/top-5-(ties-included)-1500002818?currency=cash Use code “PEW25” for 25% off the Model Maniac Patreon: www.patreon.com/TheModelManiac Winners of the LIVE give away can enter the “Model Maniac Discord” HERE: https://discord.gg/gzUZPjgFGY Sign up with “MAYO” to claim your Special Pick + First Time Deposit offer up to $1000 in bonus cash!: https://play.underdogfantasy.com/p-pat-mayo FOLLOW THE MAYO MEDIA NETWORK Newsletter: https://mayomedia.substack.com/ Instagram: https://www.instagram.com/mayomedianetwork/ TIK TOK: https://www.tiktok.com/discover/mayo-media-network YOUTUBE: https://bit.ly/YTMMN __________________________ Sub to the Mayo Media Network: https://bit.ly/YTMMN Get 20% off https://www.fantasynational.com/FGD Video: https://bit.ly/YTMMN Apple: https://podcasts.apple.com/us/podcast/back-9-bets-golf-podcast/id1645139358 Spotify: https://open.spotify.com/show/6LNdTyFP83g0DZLqo2VgC5?si=735b6748f34f4cf6 Google: https://bit.ly/FGDGoogle Stitcher: https://bit.ly/FGDStitch Byron Lindeque Twitter: https://twitter.com/TheModelManiac Fantasy Golf Degenerates Twitter: https://twitter.com/FGDegenerates Message and data rates apply. Must be 18+ (21+MA & AZ, 19+ AL, NE) and present in a state where Underdog Fantasy operates. Terms apply. Concerned with your play? Call 1-800-GAMBLER or visit www.ncpgambling.org; AZ: 1-800-NEXT-STEP (1-800-639-8783) or text NEXT-STEP to 53342; NY: Call the 24/7 HOPEline at 1-877-8-HOPENY or Text HOPENY (467369)

The new Rumps & Bumps jersey just dropped! Check out afterpartyinc.com. The boyz are back with another episode! And on this one we feature the return of Louyah! Who comes on talks about his first time in Mexico, his latest Dive Bar Tour run and new projects he's been working on. Plus his tour manager comes on and gives him hell and he shares some crazy stories from his tour! Follow us on social media @AaronScenesAfterParty

Recently, sophisticated myelographic techniques to precisely subtype and localize CSF leaks have been developed and refined. These techniques improve the detection of various types of CSF leaks thereby enabling targeted therapies. In this episode, Katie Grouse, MD, FAAN, speaks with Ajay A. Madhavan, MD, author of the article “Radiographic Evaluation of Spontaneous Intracranial Hypotension” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Grouse is a Continuum® Audio interviewer and a clinical assistant professor at the University of California San Francisco in San Francisco, California. Dr. Madhavan is assistant professor of radiology at the Mayo Clinic in Rochester, Minnesota. Additional Resources Read the article: Radiographic Evaluation of Spontaneous Intracranial Hypotension Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Full episode transcript available here Dr Jones:  This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Grouse:  This is Dr Katie Grouse. Today I'm interviewing Dr Ajay Madhavan about his article on Radiographic Evaluation of Spontaneous Intracranial Hypotension, which he wrote with Dr Levi Chazen. This article appears in the June 2025 Continuum issue on disorders of CSF dynamics. Welcome to the podcast, and please introduce yourself to our audience. Dr Madhavan:  Hi, thanks a lot, Katie. Yeah, so I'm Ajay Madhaven. I'm a neuroradiologist at the Mayo Clinic in Rochester, Minnesota. I did all my training here, so, I've been here for a long time. And I have a lot of interest in spinal CSF leaks, and I do a lot of that work. And so I'm really excited to be talking about this article with you. Dr Grouse:  I'm really excited too. And in fact, it's such a pleasure to have you here talking today on this topic. I know a lot's changed in this field, and I'm sure many of our listeners are really interested in learning about the developments and imaging techniques to improve detection and treatment of CSF leaks, especially since maybe we've learned about this in training. I want to start by asking you what you think is the most important takeaway from your article. Dr Madhavan:  Yeah, that's a great question. I think---and you kind of already alluded to it---I think the main thing is, I hope people recognize that this field has really changed a lot in the last five to ten years, through a lot of multi-institutional collaboration and also collaboration between different specialties. We've learned a lot about different types of spinal CSF leaks, how we can recognize the disease, particularly the types of myelography that we need to be using to accurately localize and treat these leaks. Those are the things that have really evolved in the last five to ten years, and they've really helped us improve these patients' lives. Dr Grouse:  Can you remind us of the different common types of spinal leaks that can cause spontaneous intracranial hypotension? Dr Madhavan:  Yeah, so there are a number of different spinal CSF leaks, types, and I would say the three most common ones that really most people should try to be aware of and cognizant of are: first, ventral dural tears. So those are, like, just physical holes in the dura. And they're usually caused by little bone spurs that come from the vertebral columns. So, they're often patients who have some degenerative changes in their spine. And those are really very common. Another type of spinal CSF leak that we commonly see is a lateral dural tear. So that's like the same thing in a slightly different location. So instead of being in the front, it's off to the side of the dura laterally. And so, it's also just a hole in the dura. And then the third and most recently discovered type of spinal CSF leak is a CSF-venous fistula. So those are direct connections between the subarachnoid space and little paraspinal vein. And it took us a long time to even realize that this was a real pathology. But now that it's been recognized, we've found that this is actually quite common. So those three types of leaks are probably the three most common that we see. And there's certainly others out there, but I would say over 90% of them fall into one of those three categories. Dr Grouse:  That's a great review, thank you. Just as another quick review, as we talk more about this topic, can you remind us of some of the most common or typical brain imaging findings that you'll see in cases of spontaneous intracranial hypotension? Dr Madhavan:  Yeah, absolutely. So, when you do a brain MRI in a patient who has spontaneous intracranial hypotension, you will usually, though not always, see typical brain MRI abnormalities. And I kind of think of those as falling into three different categories. So, the first one I think of is dural enhancement or thickening. So that's enlargement or engorgement of the dura, the pachymeninges, and enhancement on postgadolinium imaging. So, that's kind of the first category. The second is that, when you lose spinal fluid volume, other things often expand to take up the space. So, for example, you can get distension or enlargement of the dural venous sinuses, and sometimes you can also get subdural food collections or hematomas. They can arise spontaneously. And I kind of think of those as, you know, you, you've lost the cerebrospinal fluid volume and something else is kind of filling up the space. And then the third category is called brain sagging. And that's a constellation of findings where the posterior fossa structures and the pituitary gland in the cell have become abnormal because you've lost the fluid that normally cushions those structures and causes them to float up. For example, the brain stem will sag down, the distance between the mammillary body and the ponds may become reduced. The suprasellar cistern space may be reduced such that the optic chiasm becomes very close to the pituitary gland, and the prepontine cistern may also become reduced in size. And there are various measurements that can be used to determine whether something is subtly abnormal. But just generally speaking, those are really the three categories of brain MRI abnormalities you'll see. Dr Grouse:  That was a great review. And of course, I think in many times when we are thinking about or suspecting this diagnosis, we may be lucky to find those imaging findings to reinforce a diagnosis. Because as it turns out, after reading your article, I was really surprised to find out that in as many as 19% of cases we actually see normal brain imaging, which really was a surprise to me, I have to say. And I think that this really encompasses why spontaneous intercranial hypotension is such a difficult diagnosis to make. I think a lot of us struggle with how far to take the workup when, you know, spontaneous intercranial hypotension is clinically suspected, but multiple imaging studies are normal. Do you have any guidance on how to approach these more difficult cases? Dr Madhavan:  So, that's a really good question. And you know, it's- as you can imagine, that's a topic that comes up in most meetings where people discuss this, and it's been a continued challenge. And so, like you said, about 19 or 20% of patients who have this disease can have a, a normal brain MRI. And we've tried to do some work to figure out why that is and how we can identify patients who still have the disease. And I can just provide, I guess, some tips that have helped me in my clinical practice. One thing is, if I ever see a patient with a normal brain MRI where this disease is clinically suspected---for example, maybe they have orthostatic headaches or other very typical symptoms and we don't know why, but their brain MRI is normal---the first thing I do is I try to look back at their old imaging. So many times, these patients who present to us at Mayo, who, when we do their MRI scan here, their brain MRI looks normal… if you really look back at imaging that they've had done elsewhere---maybe even two to three years prior---at the time their symptoms started, they actually had some abnormalities. So, I might see that a patient, two years ago, had dural enhancement that spontaneously resolved; but now they still have symptoms of SIH and they may still have a CSF leak that we can find and treat, but their brain MRI has, for whatever reason, normalized. So, I always start by looking back at old imaging, and I found that to be very helpful. The other thing is, if you see a patient with a normal brain MRI, it's also important to look at their spine MRI because that can provide clues that might suggest that they could still have a spinal CSF leak. And the two things I look for on the spine MRI: one, if there's any extradural CSF. So, spinal fluid outside of where it's supposed to be within the confines of the subarachnoid space. And you know, really, if you see extradural CSF, you know they probably have a spinal fluid leak somewhere. Even if their brain MRI is normal, that just gives you the information that there is a dural tear probably somewhere. And so, in those patients we'll definitely still proceed to myelography or other testing, even if they have a normal brain MRI. And then the last thing I look for is whether or not they have prominent meningeal diverticula. Patients with CSF venous fistulas almost always have one or more prominent diverticula on their spine along the nerve root sleeves. And that's probably because most of these fistulas come from nerve root sleeve diverticula. We don't completely understand the pathogenesis of CSF venous fistulas, but they're clearly associated with meningeal diverticula. So, if I see a patient who has a normal brain MRI, but I see on their spine MRI that they have many meningeal diverticula that are relatively prominent, that makes me more inclined to be a little bit more aggressive in doing myelography to find a CSF leak. And then I look at other demographic features, too. So, for example, elevated BMI and older age are associated with CSF venous fistulas. So, that can help you determine whether or not it's warranted to go on to more advanced imaging, too. So those are all just a variety of different things that we've used to help us. Dr Grouse:  Thank you for sharing that. I wanted to go on to say that, you know, reading your article, of course, as you mentioned, you alluded to the fact there's lots of new imaging modalities out there. It was very illuminating and just an excellent resource for the options that exist and when they're useful. You did a great job summarizing it. And I encourage our readers to check out your article, to refresh themselves, update themselves on what's happened in this space. And of course, we can't summarize them all today, but I was wondering if you could possibly walk us through a hypothetical case of a patient who comes in with a history very suspicious for SIH? How would you approach this patient? Say you have gotten imaging that suggested that there is a spinal fluid leak and now you have to figure out where it is. Dr Madhavan:  Yeah. So, you know, I think the most typical scenario it'll be a patient who has been seen by one of my excellent neurology colleagues and they've done a brain MRI and they've made the diagnosis through a combination of clinical information and brain MRI finding. And then the next thing we'll do always is, we'll obtain a spine MRI. So, I think of the purpose of the spine MRI as to determine what type of spinal fluid leak they have. On the spine MRI, if you see extradural CSF, those patients essentially always will have a dural tear. And it may be a ventral dural tear or a lateral dural tear. But if you see extradural CSF, that is pretty much what they have. And conversely, if you don't see extradural CSF---if you just see, for example, many meningeal diverticula, but you don't see anything else particularly abnormal---most of those patients have a CSF venous fistula, just common things being common. So I use the spine MRI to determine what type of leak they have. And then the next thing I think about is, okay, I'm going to do a myelogram on this patient. How do I want to position them? Because it turns out that positioning is probably the most important factor for finding these spinal fluid leaks. You have to have the patient positioned correctly to find the leak that you're trying to localize. And so, if I suspect they have a ventral dural tear, I will always position those patients prone for their myelogram. And I might do one of many different types of myelograms. And, you know, the article talks about things like digital subtraction myelography and dynamic CT myelography. And you can find any of these leaks with any of those techniques, but you just have to have the patient positioned correctly. So, if I think I have a ventral dural tear, I'll put them prone for the myelogram. If I think they have a lateral dural tear, I'll put them in the cubitus position for the myelogram. And also, if they- if I think they have a CSF-venous fistula, I'll also put them in the decubitus position. Obviously if you're putting them in the decubitus position, you have to decide whether it's going to be left or right side down. So that may require a two-day exam. Sometimes you don't have to; in many cases, we're able to just do everything in one day. But those are all the different factors I think about when I'm trying to determine how I'm going to work those patients up further. So, I really use the spine MRI chiefly to think about what type of leak they're going to have and how I'm going to plan the myelogram. Dr Grouse:  That's really great. And it's, I think, really nice to emphasize how much the positioning matters in all this, which I think is not something we've been classically taught as far as the diagnosis of spinal leaks. Another thing I'm really interested in your opinion on is, you talked a lot about how to optimize and what can make you successful at diagnosis. I'm curious what you think one of the easiest mistakes to make or, you know, that we should hopefully avoid when treating patients with this disease. Dr Madhavan:  Yeah. And I think, you know, one other thing that's been discussed a lot in this topic… you know, we've talked about the patients with a normal brain MRI. Another barrier or challenge particularly with CSF-venous fistulas is, sometimes they can be very subtle on imaging. So, it's not always you see it very definitive CSF-venous fistula where you can say, like, there's no question, that's a fistula. There are many times where we do a good-quality myelogram and we see something that looks, like, possible for a CSF venous fistula, or probable. If I had to put a number on it, maybe there's a 50 to 70% chance of real. So, in those cases, we end up wondering, like, should we treat this suspected leak? And I think one common mistake  or one thing that needs to be looked at further is, how do we handle these patients where we don't know whether the fistula is real or not? That's usually something where I will have a discussion with the patient, and I'm usually just very upfront with him about my interpretation of the imaging. I'll just tell them, we did a good-quality myelogram. You did a great job. We got good images. I don't see anything definitive, but I see this thing that I think has maybe a 60% chance of being real. And then I'll confer with one of my neurology colleagues and we'll decide whether it's worth treating that or not. And we'll just be very upfront with a patient about whether- about the likelihood of its success and what their long-term prognosis is. And oftentimes we let them make the decision. But I think that remains to be one of the big challenges is, how do we treat these patients who have suspected leaks that are not definitive on imaging. Dr Grouse:  That sounds absolutely like an important area where there can be problems, so I appreciate that insight. I'm interested what you think in your article would come as the biggest surprise to our listeners who may not have kept up as much with all of the changes that have happened in recent years? Dr Madhavan:  One of the things that was certainly, at least, a surprise to me as I was going through my training and learning about this topic is how diverse myelography has really become. You know, when I was a radiology resident, I learned about myelography as this thing that we've been doing for 30 to 40 years. And historically we've used myelograms just to look for degenerative changes: disc bulges, you know, disc herniations and things like that. Now that MRI is more prevalent, we don't use it as much, but it has turned out that it has a very big role in patients with spinal fluid leaks. Furthermore, something that I've learned is just how diverse these different types of myelograms have become. It used to kind of be just that a myelogram is a myelogram is a myelogram, but now we have different types of positioning, different types of equipment that we use. We vary the timing between contrast injection and imaging to optimize success for finding spinal fluid leaks. So, I think many times I talk to people who may not be as familiar with this field and they're surprised at just how diverse that has become and how sophisticated some of the various myelographic techniques have become and how much that really makes a difference in being able to accurately diagnose these patients. Dr Grouse:  Well, I can say it was a surprise to me. Even as someone who does treat quite a few patients with this condition, I was surprised to see the breadth of different options that have become available. And then kind of a follow-up to that, what do you think the current area of controversy is in this area of diagnosis and treatment? Dr Madhavan:  The biggest ones are ones you've sort of already alluded to. So, one big one is, how far do we go in patients who have a normal brain MRI who still have a clinical suspicion of the disease? And sometimes it's really hard, because sometimes you will find patients who clinically have a very strong case for having spontaneous intracranial hypotension. You look at them, they have very acute-onset orthostatic headaches. There's no better explanation for their symptoms that we know of. And it's hard to know what to do with those patients, because some of them want to continue to undergo diagnostic workup, but you can only do so many myelograms and you can only do so much with this diagnostic workup that requires some radiation dose before it becomes very challenging. That's a major point of just, I guess, ongoing research as to what can we do better for that subset of patients. Fortunately, it's not all of them, it's a subset of them, but I think we could help those patients better in the future as we learn more about the disease. So that's one. And the other one is treating these equivocal findings, like I discussed.  And where should our threshold be to treat a patient, and what type of treatment should we do in patients where we don't know whether a leak is real? Should we just do a very noninvasive- relatively noninvasive blood patch? Do we do an embolization where we're leaving a foreign body there? Is it worth sending those patients to surgery? Those are all unanswered questions and things that continue to spark ongoing debate. Dr Grouse:  Do you think that there's going to be any new big breakthroughs, or even, do you know of any big developments on the horizon that we should be keeping our eyes out for? Dr Madhavan:  You know, I think for me the biggest thing is, imaging is dramatically improving. We talked a little bit about photon counting detector CT in our article, and that's one of the newest and best techniques for imaging these patients because it has very, very high resolution, it has a lower radiation dose, it has allowed us to find leaks that we were not able to find before. And there are other high-resolution modalities that are emerging and becoming more accessible to things like cone beam CT which we do in addition to digital subtraction myelography. And on top of that, we've started to use AI-based tools to make images look a lot better. So, there are various AI algorithms that have come out that allow us to remove artifacts from imaging. They help us image patients with a bigger body habitus better without running into a lot of imaging artifacts. They help us reduce noise in imaging. They can just give us better-quality images and aid us in the diagnosis. For me as a radiologist, those are some of the most exciting things. We're finding less invasive ways with less radiation to better diagnose these patients with just better-quality imaging. Dr Grouse:  Well, that is definitely something to be excited about. So, I just want to thank you so much for talking with us today. It's been such an interesting, informative discussion and a real privilege to talk with you about this important topic. Dr Madhavan:  Yeah, thanks so much. I really appreciate the time to talk with you, and I look forward to seeing the article out there and hopefully getting some interesting questions. Dr Grouse:  Again, today I've been interviewing Dr Ajay Madhavan about his article on Radiographic Evaluation of Spontaneous Intracranial Hypotension, which he wrote with Dr Levi Chasen. This article appears in the most recent issue of Continuum on disorders of CSF dynamics. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

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Tiff and Britt dive into the nitty-gritty details of turning all that CE energy you have into an implementable system in your practice. They give insight on establishing a point person, training the team, identifying patients, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:01) Hello, Dental A Team listeners. Thank you for being back here with me and I have Miss Brittany Stone. What is it? No BS Brit. Miss BS Brit. I don't remember what Carrie calls you. This is one of them, right? One of them. But also soon to be Grand Canyon champion. If you didn't listen to our case acceptance one, go listen and hopefully soon we will have some results from Brit killing it. Yeah, you will be a survivor.   Britt (00:10) What fun of them!   Winner survivor. One of the two. At least one.   The Dental A Team (00:29) but then I wanna know how much you sleep on Saturday when you're done. So that'll be the big question. Exactly, yeah, how long does it take for you to get back on the bike once you're done? But thank you for being here with us today, Britt. I think we've gotten, I love podcasting with you, your hygiene brain, like Dana's hygiene brain, you guys just kind of come at it from a different angle. I know the rest of us all have dental assisting backgrounds and.   Britt (00:32) Yeah, like that. I if I can reach my legs or not.   The Dental A Team (00:55) you know, hygiene assisting, but that hygienist brain just shares a different section. ⁓ And I think you do really well relating with the doctors and kind of that support team space like we spoke to on the case acceptance one. So I'm excited for today, Brett. Thank you for being here. ⁓ You've got the Grand Canyon, but like, gosh, what else is what else is new and exciting? You just went to one of our favorite Mexican restaurants not too long ago. So that's true.   Britt (01:21) conferences, I went to PNDC, that   was a good time. Luckily it was gorgeous weather there. mean, podcasting today is special. I wear my tooth earrings for us today since we're podcasting, know, just lots of fun things.   The Dental A Team (01:35) Getting a little fancy. I like it. And you guys, so you just went to that conference, you went to the Arizona Dental Convention that was in March, right? I think that one's always March for like the last, I don't know, 50 years. It's always been in March. ⁓ And then you just went to the other one and then you're heading out again in a couple weeks to dentist advisors. Yeah.   Britt (01:55) Yeah, Dentist Money Summit   is by Dentist Advisors, which will be in gorgeous Park City, Utah. So, you know, it's a rough life over here.   The Dental A Team (02:01) Yeah, I   know, right? And actually it's perfect timing because they, I think we've all like our, our seasons were a little bit off this year. So we are barely getting hot, which normally we're at like 110 already, um, which has been fantastic in Arizona, but that meant that Nevada and, um, Salt Lake area, both Reno and Salt Lake area have had snow longer. So I think you're going to hit Salt Lake for Dentist Money Summit right as the like peak.   summer season starts. So you're gonna get some beautiful weather and I'm a little jealous. I will be in California or something like that. But anyways, somewhere.   Britt (02:36) somewhere else. It'll be great.   And my second, my nephew, second of my nieces and nephews graduate. So I won't go to graduation, but I'll get to go. I'm like, I'll be coming like a couple weeks later to see you. So I'll go get to see them while I'm up there too.   The Dental A Team (02:50) Okay.   Okay, good, good. I was like, wait a second, how do we get you there? That's good.   Britt (02:55) I'm not fighting the crowd up there for graduation,   which he's like, mom, everybody graduates. I'm like, no, it's still a big deal. We'll just celebrate when I come see you on my own instead of along with everybody else.   The Dental A Team (03:06) gosh,   that's funny. I was just talking over the weekend, we had a graduation party that we had to drop in on yesterday. So was like, gosh, I'm gonna have to, which is, I don't like thinking about it, but I have to start thinking about it that Brody's in a year. So was like, Aaron's like, is he gonna want a party? And he, said, no, he's gonna be the kid that's like, everybody graduates. It's fine. Like it's no big deal. But it is a big deal. same, Exactly.   Britt (03:26) But they still want it, even though you know it, even though they're like, they're   disappointed, it's like, oh, come on. But like, they want it.   The Dental A Team (03:33) Exactly. It's like my birthday where I was like, it's fine. Like just a dinner, but like, had they not done a big deal for my 40th, I probably would have, you know, been in shambles. So when it comes, he's surely going to want it, but graduation season is upon us and it's wild that we are in the space of life that we're experiencing it with them. think that's crazy. And anyways, you've got some fun travels. if you guys aren't heading CE events, make sure that you do and make sure that you check out.   a lot of RCE events. So if you're a listener, if you're a client, whatever, you're a listener and a client, like whatever you guys want, we have, what is it? Every third Wednesday, we have a CE webinar. We've got a really cool webinar coming up in August that we do. ⁓ Every year the content shifts and changes, but.   Britt (04:20) to like check out our Instagram if you don't follow us. If I'm there, come find me. Let me know, message us. I got at PNUC to see a few clients which is really fun. It's always nice when we get to meet up in person. So, whether you're a client or just a listener, come find me.   The Dental A Team (04:22) Yeah.   Yeah.   Yeah,   especially in Brits position because you have a handful of your own clients, but you oversee a lot of the company. So you know all of the client names, but you don't get to see them and meet them. So I know I have a few clients that are asking if I was going to be there and I'm not. I was like, you got to go find, seek out Brit, like go meet Brit. So definitely, definitely follow the Instagram, make sure that you reach out to Brit.   If you're there, look for her, say hello, take a little picture with her, and then make sure you're hitting those CEs and make sure you're hitting all the free ones, you guys. We put out a ton of free CE and why not? Because I know you need to stack those hygienists and doctors. You guys need to stack those CE credits. So do it for free wherever you can. And then, like I tell one of my prized clients, set up a CE bucket so that you're saving money for the CE that's not free. And on that note...   I think, ⁓ we were actually just talking and I think it's funny because I do think this was like super high thing and right now it's like, I think it's kind of stabilized. It's not quite as sought after as heavily as it was, but for the clients that are doing it or still trying to implement it, there are still some really great CE avenues out there. Today we wanted to talk a little bit on the sleep apnea avenue, systems wise, not to sleep apnea. That's not our genre. You can go take CE for that, Britt can probably tell you a ton.   medically, but you know, that's not our genre, but our genre, our space, our niche is the systems behind it. And so on the note of CE and implementing, do think even if you're not doing sleep apnea, or you're not considering sleep apnea, a lot of what we talk about today is copy pasteable, like systems are systems, you guys, and we we overcomplicate it in life. And what we say for one thing can easily be duplicated and slightly altered for something else. So if there's CE that you're doing, which doctors we love you.   so much. And when you go to CE, you come back just like ecstatic. And if you didn't take team with you, you're the only one. And it's so hard sometimes to get that generating. Typically, it's that there's not, it's just all a fun idea. There's not a really good system behind it to get that momentum. So taking these systems, even what we talked about for sleep apnea, whatever CE you do, apply it to that. And like you said with the sleep apnea, if they're not taking team members, like it can be really hard to implement. And that's a space too.   if you can bring team members to any of that CE or sign them up for the webinar and get them included in it, I think that's a great space too. anyhow, sleep apnea side and system side, Britt, you've worked out the hygienist. So I know that this is some of the stuff like the questionnaire style and that stuff. Like what do you see and what you've actually helped practices implement the systems for sleep apnea. So what do you see as?   Britt (07:10) Thank   The Dental A Team (07:24) the biggest ticket items of implementing sleep apnea or just CE style in general that is easy, that's duplicatable like that.   Britt (07:34) And I think sleep and my yo that's coming in pretty strong for a lot of people too. I think you can similar areas when it comes to looking to implement something successfully. I think that you would look for. So if you're doing one or the other, ⁓ number one, I think is making sure that our team knows what it is. Like Tiff said, doc, you can go to a CE and you get all excited and you understand all the things behind it to see all the dots connect and why this is so important.   because it is, but the team often is behind. So whenever you're looking to do something, you might just take a course as like an exploratory, right? And then you're like, no, this is something I really want to do. When you start to get into that phase of like, no, I really want to work on implementing this. I want you to look for things that are going to help train your team because your team is going to be needing to have 90 % of these conversations with patients and you're going to   Goal is for you not to have all of the conversations with all of the patients. The goal is for the team to be able to help support you, identify patients and start to educate patients and warm them up to the idea. Because just like for your team, it's kind of a newer thing or a different thing or something they don't know all the details about, it doesn't come easily to them. Patients even more so. So that's why our team needs to be really confident in knowing what it is, the reasons why, and being able to talk about it.   I think is number one place to start. Along with that, would say have someone call it your champion, call it your lead of that thing, whatever title you want to give them of someone who is going to be that person who is going to make sure the team has all the things. We educate the team on all the things and they're going to be the one to really ⁓ kind of take point on implementation and keeping this going and getting it to where it becomes a program that's ingrained within our practice.   we need someone to be that person. So from the get-go, education, someone who's gonna be a point person before we even start on implementing anything with our patients. So that would be my number one thing, Tiff, to start with is education and identify as someone who's gonna be the point person, because they're gonna start thinking of implementation, what are all the things we need in our practice to get this program going.   The Dental A Team (09:54) Yeah, and even like ortho, I have like the same I'm thinking the same thought process because anything that you're trying to grow that doesn't you don't put attention on isn't going to grow. So to your champion conversation there, whether it's sleep, my ortho implants, like anything that's not crowns, fillings, bridges, you know, and even I do have a lot of practices that even do it for crowns, whatever that champion making sure there's a   Britt (09:57) Hmm. Yeah.   The Dental A Team (10:22) a job description. And I love that you said the education piece because that I think even when I've seen practices implement the champion space, it's still the education piece falls back to the doctor. But putting that I think that's brilliant putting that on the champion of scheduling out the lunch and learns making sure that they're doing the role playing with the with the team and that they're having these meetings with the team on the education and the why behind it, so that they can take that information and   and tackle it with the patients. And then it made me think too, like KPI is their key performance indicator. So that champion is responsible for seeing, how many times, how many patients do we need to talk to about this to get our case acceptance where we want it or to get that many cases? I know like for ortho, we might do, we want five starts this month or 10 starts this month. So then you look at how many patients do we need to talk to about ortho in order to get.   that because your case acceptance might be like 25%. So you're doing the math for that. then, Brett, I'm thinking that champion is then responsible for collecting the data from the team on how many patients do we talk to, how many patients signed up, and kind of championing all of the results and then looking at how do I control and manipulate the results based on the education implementations, all of those pieces.   Britt (11:46) agreed and that's I think probably you Tiff right with clients. Like you said, the new thing, right? Name the new thing that we're doing within the office and you know, they want to do more of that thing and I'm like, alright, well, what's going on? Why aren't we even getting it presented to patients? What's happening? Well, we're just not talking about it, right? Like it really comes back to that. That's one of the biggest hurdles to get over is just talking about it and making sure patients know what it is.   The Dental A Team (12:05) Yeah.   Britt (12:16) what benefit it would be to them if they're a candidate, if this is something that they need. So that's why I say, make sure we've got that foundation first. And then we go into, okay, we've got a team more comfortable talking about it. How do we identify opportunities with patients? And then that's where we move into what kind of screening do we want for this specific treatment for sleep apnea? Then all right, what kind of screening do we wanna incorporate?   across the board. So it's not reliant on a human thinking, this one would be a candidate. Like, no, what are you screening to where we know when these things are checked or we get this answer to this question, they are someone then that we are going to talk to about a sleep appliance or sleep apnea, we're working on getting them tested, whatever it may be.   The Dental A Team (13:01) Yeah. And within that, asking those leading questions so that the patient starts thinking, because I think like back to, I think a lot of people do ortho. So back to ortho, you come in and you're hot and heavy. Like I got to get, I'm getting ortho cases and the patient has not had any like leading questions to make them start thinking that there's a problem or a solution needed for a problem. And then you come in and you're like, have you ever thought about ortho? And they're like, no, I haven't.   Right? Because we didn't make them think about ortho kind of the same. Like, do you, you know, ⁓ I hear you might be a snorer, right? Or just coming in and being like, Hey, you've got these weird scallops on your tongue and I think you might need this. And then we just go on this tangent of sleep apnea and they're like, I have no issue sleeping. But if we start asking those leading questions of, do you find yourself tired in the middle of the day? does your partner, you know, do you wake your partner up a lot? Do you toss and turn a lot?   night? Like, are you getting up to use the restroom a lot at night? Like different things that are preheating and leading into there might be something going on there, I think is a space that we kind of overlook sometimes. And we just jump into this is the solution. And it kind of gets lost in translation. And then right on to like layering on top of that, you've got your questionnaire, you've got your team, they're ready to go. You've got all of these pieces.   there, you know what your lead and lag measures are, then you set like identifying the patients, we're identifying the patients and then that layer, like it never stops, there's always the next layer. And that next layer is okay, if we can identify the patients, now we get to track and see, are we getting those patients? So then we say, okay, well, most of my patient base is 18 to 26 years old.   might not be getting like that might not be the patient base you need for sleep apnea or for implants or whatever it is that you want to specialize in. then you've got to look and see, do I need to determine something different in my patient avatar to fit what I'm trying to implement what I'm trying to get because there's only so much you can do with the patients that you're getting in. So it just like keeps layering but comes down to I love like step one it feels like Brit from what you're saying is   Find that champion and make sure that champion is thoroughly educated in what their job is and what the procedure is so then they can, step two, help you to train the team, get the team on board, figure out the why. Step three, find the patients. Step four, how do we get more of those patients?   Britt (15:42) Yeah, which I think then plays into marketing, right? Marketing at the end of the day is the number of times of exposure. So, right, when it comes down to it, then what are we putting out there? What do we have around our office? What, even if it's peripherally, are our patients seeing to know that this is a thing and that it exists? Because then it won't be as much of a surprise to them when we have a conversation or they're like, well, why aren't you know, I don't even know what that is. They at least, oh, I've seen XYZ about that.   thing in your office or on the TV out in the waiting room, whatever it may be, to start warming them up to it as well. And then depending on how much you want to grow that and be known for that thing, mean, Tiff is the marketing queen. Then there's like a lot more marketing that goes behind it.   The Dental A Team (16:29) Yeah, I do love marketing. don't know why, but I really do. ⁓ But you're making me think of, because it's subliminal. I think that's why I love it. Because it's like, what can I do to make someone think this way, right? Like I love, I love the way the brain works. I love communication. That's why. So I'm thinking as you're speaking to that, like you're saying like have it off to the side and have it on a TV like 100 % because most of the time we're just being again, preheated.   to the possibility of needing something. So if you think of like a Doritos commercial, right? Like they don't just in the beginning come out with the, like they're not like Doritos, right? It's like, hey, we're grabbing some Doritos out of a chip bowl and all of the like tortilla chips, the unnamed tortilla chips over there is full, but the Doritos are like empty, but we're having conversation, we're having fun, we're in a party because now you're thinking about Doritos associated to fun. So that's how marketing works. It's like little snippets of   this thing and how it's going to benefit your life. Not just like, hey, have some Doritos. Because if somebody came by and they're like, hey, Doritos are amazing, have Doritos. They're just, they're so tasty, you're gonna love them. You're like, I'm okay actually, like, I don't need a Dorito, right? But if they're like, hey, like, let's have fun, let's have a party, let's get people talking, it's gonna be so amazing and you can have these Doritos over here that's gonna, everybody's gonna stand around the bowl and they're gonna socialize.   then you're like, yeah, let me try these Doritos. So it's kind of that same thing. Like how is this thing, this sleep apnea, this ortho, this Botox, these injectors, the fillables, how is this going to benefit the patient's life and speak to the benefits and the problem, not the solution? Because being like, Botox, Botox, Botox, Botox, right? Like Botox is cool, but like why do I want Botox? Because I wanna look 30 when I'm 45.   That's why I Botox. And when do I need to start? When I'm 28. Like, how do we get this subliminal messaging into different aspects of our practice and our speaking? And then what it also does is gets your team speaking that language too, because they're constantly seeing it. So they're constantly being reminded. And as you guys are checking on...   Britt (18:23) Perfect.   The Dental A Team (18:44) KPI is and how is it working and how is it growing? We're constantly coming back to this space that you're trying to implement and grow. Caveat of one at a time. Botox and color is fine. Sleep apnea.   Britt (18:56) I was thinking the same exact thing.   The Dental A Team (19:01) you can't come home and be like we're doing sleep apnea we're gonna ramp up our ortho and guess what guys I need five more implants and it's like I don't know which one to focus on so one major change at a time and let it sit let it ruminate and see how it goes I like six months at least for like a big implementation like that ⁓ but   Britt (19:22) Be   good at that thing, right? I think that's when we do too much at once. You and your team, right? And the bigger the team, the more people you're trying to move. You're not gonna get good at it. And then let's be honest, if I'm not good at it, I'm not gonna do it as much. Let's just welcome to human nature again. Like it's a harder thing to do. It takes more effort. But if we focus on one and that one thing we get really good at and it becomes really easy, then that will stick and then we can move on to the next thing.   The Dental A Team (19:52) Yep. Yep. And always come back again to everything else too, because I've had clients that I've done, you know, let's focus in on implants. we're getting we're talking about it this many times, we're getting this many, we're looking for this many, you know, whatever all the pieces so   we're speaking to implants, we get really good at that. And they're like, cool, like, I want to do more ortho. It's like, okay, well, now we're laying on ortho. But then they're like, hey, wait, I haven't done an implant. I'm like, well, why? Because you lost focus on the implants, because you're so focused on the ortho. So you've got to just layer it in there and be like, on top of like being good at this, we also need to become good at this. So don't lose sight of it or stop tracking the one because you layered on something else, you literally just layering another level to it. And now you're doing both because   honestly, just those two, right? Implants and ortho go hand in hand, you know, do ortho before you place the implants or do ortho so that you can place an implant because the space is too small. Like how are you, how can your team help layer those together and support you in getting those things done? And firstly, Baphne, it's exactly the same. How can your team support you in getting it done? Because you've got what? 1500 to 3000 patients. You've got a team of five to   25 30 you cannot do it all you've got to have at least one champion who is helping you and when you do have those spaces to Britt's point of not doing too many and losing sight if you have a champion of each your phone you they are focused on that thing and so they're ensuring their thing their needle is moving so you've got your   champion of sleep apnea that's like, hey guys, nope, we lost focus, don't forget. And you got your champion of ortho that's like, cool, I've got my metrics over here and making sure that those are staying in line.   Britt (21:41) And I think once you start doing some cases, especially things where there's more of a knowledge gap, even in Visalign, right? Make sure you're getting results. So like you're getting testimonials, you're getting pictures at the end. Whenever there's a big investment, people want to know like what that means for them. Like what can that be for me? And so that's where   Having something to look at to see before and after and having testimonials for people goes a long ways, especially on things where there's more of a knowledge gap like sleep apnea. Because those patients are gonna really highlight what is important to them, which then is gonna be most likely what's important to all of your people that are in their same seat.   The Dental A Team (22:22) Yeah, I love it. love it. one, step one, figure out what you're going to do. If it's sleep apnea, it's sleep apnea. One thing, choose the one that you're gonna focus on right now. Step two, figure out what your champion's position looks like or lead or whatever you wanna call it. Quarterback, I don't care what you call it. That position, what's that job description? What are the metrics? Like what does that person need to do? So step one, figure out what you're gonna do. Step two, find your champion.   Britt (22:26) One thing, one thing.   The Dental A Team (22:52) figure out what that champion's gonna do. Step three, train your team. Step four, do the thing and track the results every time. I think really easy duplicatable systems that we tagged here as like Sleepapnea, Myo, whatever you wanna focus it on, but literally this system can be duplicated for any major change you're trying to make in procedures within your practice. And then I think the last layer is   within your metrics, watch your marketing and figure out what needs to shift and change there. Brit, brilliant. Brilliant Brit. That's the one. Brilliant Brit. Brilliant Brit.   Britt (23:27) That's the one I like   more. That's the better one.   The Dental A Team (23:32) one   I'm gonna use. Brilliant Brit. ⁓ thank you or brainy Brit right but anyways thank you ⁓ for being here with me today for doing this. I knew ⁓ with the implementations you've done before with Sleep Apnea and Mayo you've worked with the you've worked with that before so I knew that you would have some great ideas so thank you so much for being here. I can't wait to hear from you on Saturday that you survived the Grand Canyon Rim to Rim happily and you're still smiling and you're just sleeping.   Britt (24:02) Maybe I'll stream my before and after. We'll see. Maybe even with Dental A Team. We'll see. It depends on how bad it is afterwards.   The Dental A Team (24:08) Yeah.   Oh my gosh, that's fair. Yeah, that's fair. You can at least share with me and then we can decide. everyone, go find your thing. What's your one thing right now? What are you going to put? This is something I've been living by. You guys, we can talk about the book. can Hello@TheDentalATeam.com and ask me for it. But what are you putting a 10x effort into? What's your 10x problem that you're putting 10x effort into? Choose that thing. Focus there. Go do it. Duplicate.   create a system that can be duplicated and have so much fun doing it. Again, if you need help with it, you have questions, you want recommendations, Hello@TheDentalATeam.com. We are all here to help. We all help answer those questions. So reach out and as always drop us a five star review below. We love to hear that this was implementable for you, that it was helpful and any ideas you guys have for future ones, we're always open to those. So Britt, thank you for being here. Listeners, thank you for being here and we'll catch you next time.

Pat Mayo and Geoff Fienberg preview the course and run through the odds while making their US Open Golf 2025 Picks, Bets, One and Done selections. Plus, Cust joins the show to recap the PME Live show and give his picks for 2025 US Open. Use code “MAYO” at underdog for a deposit match up to $1000:Get 20% off https://www.fantasynational.com/mayo with code “MAYO”Win a golf trip to Cabot Links at Coolbet: https://www.coolbet.com/ca/cabot-25. “SPORTS200” to get a bonus $200 too. Travelers Championship — For tickets and information visit TravelersChampionship.com. The Travelers Championship, there is only one! June 18th through the 22ndOMAHA STEAKS — Go to  https://OmahaSteaks.com to shop delicious Father's Day gift packages. And use Promo Code MAYO at checkout for an extra $35 off. Minimum purchase may apply. See site for details. A big thanks to our advertiser, Omaha Steaks!HELIX - Go to helixsleep.com/MAYO for 20% OFF SitewideKIMS — Shop SKIMS Mens at https://www.skims.com/patmayo #skimspartnerCORNBREAD HEMP — save 30% on their first order! Just head to cornbreadhemp.com/PATMAYO and use code PATMAYO at checkout.PXG — Head over to PXG.com/patmayo to save up to 20% on your entire order. Subscribe, Rate and ReviewApple: http://bit.ly/PMEiTunesSpotify: https://goo.gl/VboemH FOLLOW MAYO MEDIA NETWORKNewsletter: https://mayomedia.substack.com/Instagram: https://www.instagram.com/mayomedianetwork/TIK TOK: https://www.tiktok.com/discover/mayo-media-networkYOUTUBE: https://bit.ly/YTMMN SHOW INDEX00:00 Intro1:09 Can Open Recap/Early thoughts14:01 PME RECAP26:12 MOST CURSED33:14 CANT WIN46:04 Scottie/Rory/Bryson/Top Odds1:11:38 30-501:27:15 50+1:42:28 Quick Picks/One and Done 3-MAN One and DoneMayo: StrakaGeoff: SchefflerCust: Finau Message and data rates apply. Must be 18+ (21+MA & AZ, 19+ AL, NE) and present in a state where Underdog Fantasy operates. Terms apply. Concerned with your play? Call 1-800-GAMBLER or visit www.ncpgambling.org; AZ: 1-800-NEXT-STEP (1-800-639-8783) or text NEXT-STEP to 53342; NY: Call the 24/7 HOPEline at 1-877-8-HOPENY or Text HOPENY (467369)

Pat Mayo joins Davis Mattek on the Taekcast to run through a series of topics in a wide-ranging chat including: Marketplace for AI Generated Content,  Reasons Hockey Isn't More Popular, DFS  Golf Tournament, and More Use code “MAYO” at underdog for a deposit match up to $1000Get 20% off https://www.fantasynational.com/mayo with code “MAYO”Win a golf trip to Cabot Links at Coolbet: https://shorturl.at/4Ckgd. “SPORTS200” to get a bonus $200 too. Subscribe, Rate and ReviewApple: http://bit.ly/PMEiTunesSpotify: https://goo.gl/VboemH Travelers Championship — For tickets and information visit TravelersChampionship.com. The Travelers Championship, there is only one! June 18th through the 22ndOMAHA STEAKS — Go to  https://OmahaSteaks.comto shop delicious Father's Day gift packages. And use Promo Code MAYO at checkout for an extra $35 off. Minimum purchase may apply. See site for details. A big thanks to our advertiser, Omaha Steaks!HELIX - Go to helixsleep.com/MAYO for 20% OFF SitewideSKIMS — Shop SKIMS Mens at https://www.skims.com/patmayo #skimspartnerCORNBREAD HEMP — save 30% on their first order! Just head to cornbreadhemp.com/PATMAYO and use code PATMAYO at checkout.PXG — Head over to PXG.com/patmayo to save up to 20% on your entire order.FOLLOW MAYO MEDIA NETWORKNewsletter: https://mayomedia.substack.com/Instagram: https://www.instagram.com/mayomedianetwork/TIK TOK: https://www.tiktok.com/discover/mayo-media-networkINDEX00:00 Intro00:53 Would you listen to AI Generated content?10:02 THE PME LIVE SHOW22:32 The DFS Content Creator Classic?25:05 Davis and Pat Speak in french29:10 Canadian Politics Corner41:06 American Politics Corner50:33 Why is hockey not more popular in the United States?1:02:35 Mayo's Golf Game Message and data rates apply. Must be 18+ (21+MA & AZ, 19+ AL, NE) and present in a state where Underdog Fantasy operates. Terms apply. Concerned with your play? Call 1-800-GAMBLER or visit www.ncpgambling.org; AZ: 1-800-NEXT-STEP (1-800-639-8783) or text NEXT-STEP to 53342; NY: Call the 24/7 HOPEline at 1-877-8-HOPENY or Text HOPENY (467369)

Pat Mayo and Neal Ryan play each hole at OAKMONT CC to preview the 2025 US Open in preparation for the year's third Major Championship. They talk through scorable holes, shot selections, strategy, and which players suit the demands of the year's toughest course.VIDEO VERSION: https://youtu.be/5nRkXbLepkAUse code “MAYO” at underdog for a deposit match up to $1000Get 20% off https://www.fantasynational.com/mayo with code “MAYO”Win a golf trip to Cabot Links at Coolbet: https://shorturl.at/4Ckgd. “SPORTS200” to get a bonus $200 too. Subscribe, Rate and ReviewApple: http://bit.ly/PMEiTunesSpotify: https://goo.gl/VboemH Travelers Championship — For tickets and information visit TravelersChampionship.com. The Travelers Championship, there is only one! June 18th through the 22ndOMAHA STEAKS — Go to  https://OmahaSteaks.comto shop delicious Father's Day gift packages. And use Promo Code MAYO at checkout for an extra $35 off. Minimum purchase may apply. See site for details. A big thanks to our advertiser, Omaha Steaks!HELIX - Go to helixsleep.com/MAYO for 20% OFF SitewideSKIMS — Shop SKIMS Mens at https://www.skims.com/patmayo #skimspartnerCORNBREAD HEMP — save 30% on their first order! Just head to cornbreadhemp.com/PATMAYO and use code PATMAYO at checkout.PXG — Head over to PXG.com/patmayo to save up to 20% on your entire order. FOLLOW MAYO MEDIA NETWORKNewsletter: https://mayomedia.substack.com/Instagram: https://www.instagram.com/mayomedianetwork/TIK TOK: https://www.tiktok.com/discover/mayo-media-networkYOUTUBE:  https://bit.ly/YTMMN__________________________SHOW INDEX00:00 Intro1:55 Hole 18:54 Hole 214:58 Hole 322:19 Hole 436:01 Hole 541:54 Hole 645:28 Hole 750:12 Hole 852:58 Hole 957:41 Hole 101:02:57 Hole 111:10:50 Hole 121:15:49 Hole 131:18:19 Hole 141:22:03 Hole 151:28:30 Hole 161:31:20 Hole 171:35:11 Hole 18 Message and data rates apply. Must be 18+ (21+MA & AZ, 19+ AL, NE) and present in a state where Underdog Fantasy operates. Terms apply. Concerned with your play? Call 1-800-GAMBLER or visit www.ncpgambling.org; AZ: 1-800-NEXT-STEP (1-800-639-8783) or text NEXT-STEP to 53342; NY: Call the 24/7 HOPEline at 1-877-8-HOPENY or Text HOPENY (467369)

No bueno, en el programa de hoy voló la mie.... como nunca. Entre Anaya, Noroña y los demás diputados y senadores el programa se puso cag$%#ísimo. Además, en pleno mes del orgullo, Eduardo Iniesta nos cuenta que sufre de TDH (Trastorno de heterosexualidad). ¿Neymar al Pachuca? Les contamos cuánto piden por ser refuerzo. Y las riquísimas galletas que hizo Mayo, Mayito.