Podcasts about mcv

In this episode of the Longevity Podcast, host Nathalie Niddam welcomes Dr. Jess Peatross, a former hospitalist turned functional medicine expert, to delve into the intricacies of nervous system regulation and terrain theory.   What we discuss: Themes of Terrain Theory and Germ Theory ... 00:07 Impact of Trauma on Health ... 00:10 Dr. Jess's Personal Health Journey ... 00:14 Meditation and Mindset Practices ... 00:22 Explanation of MCV and Its Importance ... 00:26 The Role of the Heart Center ... 00:31 Nervous System Regulation Tools ... 00:50 Mind and Body Coherence ... 00:54 Conclusion and Positive Message ... 01:00 Where to Find Dr. Jessica Petros ... 01:01   Our Amazing Sponsors: Young Goose L.A.D.R. Serum -  Powered by light-activated DNA repair enzymes, NAD+, and collagen peptides, it reverses damage while you go about your life. Sunlight? Red light therapy? It all helps this serum work smarter, not harder. Visit YoungGoose.com—use code NAT10 to get started, or 5NAT if you're an existing customer.   Qualia - NAD+ This vital molecule powers cellular energy, supports DNA health, aids detox, and helps keep your body remain youthful. Visit qualialife.com/nathalie to try Qualia NAD+, backed by a 100-day money-back guarantee, and use promo code NATHALIE for 15% off! Quantum Upgrade Imagine plugging yourself into a limitless power source. It's been rigorously tested and shown to improve blood flow, reduce stress, and even boost cellular energy by up to 29%. Go to quantumupgrade.io/NAT and start running life, instead of life running you. Use code NAT10 to get a 15-day free trial on the All-in-One Frequency Bundle. Good through June 1st, 2025.   Nat's Links: YouTube Channel Join My Membership Community Sign up for My Newsletter  Instagram  Facebook Group

Der MCV präsentiert Jubiläumsedition des Zugplakettchens, Sanierungsstand im Mainzer Taubertsbergbad und neue Richtlinie für Altkleider ab 2025. Das und mehr hören Sie heute im Podcast. Hier gibt es alle Links und Hintergründe: https://www.allgemeine-zeitung.de/lokales/mainz/stadt-mainz/foerderprogramm-fuer-neue-photovoltaik-batteriespeicher-4225861 https://www.allgemeine-zeitung.de/lokales/kreis-alzey-worms/verbandsgemeinde-woellstein/vg-woellstein/vg-woellstein-fehlen-noch-immer-fast-30-jahresabschluesse-4244319 https://www.allgemeine-zeitung.de/lokales/mainz/stadt-mainz/hommage-an-das-erste-zugplakettchen-von-1950-4258552 https://www.allgemeine-zeitung.de/lokales/mainz/stadt-mainz/neue-attraktionen-so-sieht-es-im-mainzer-taubertsbergbad-aus-4234356 https://www.allgemeine-zeitung.de/sport/fussball/fussball-bundesliga/union-berlin-entlaesst-ex-mainz-05-trainer-bo-svensson-4257422 https://www.allgemeine-zeitung.de/politik/politik-rheinland-pfalz/neue-richtlinie-ab-2025-restmuell-verbot-fuer-altkleider-4256627 Ein Angebot der VRM.

Avioanele de lux îl așază pe Ciolacu lângă Iohannis, cel mai nepopular om politic al momentului. Cu ce consecințe? (SpotMedia) - Program de președinte | Cum arată Justiția din proiectele și vorbele prezidențiabililor (Europa Liberă) - Fața mai puțin văzută a alegerilor. Trei voluntari explică de ce e important să fii observator la urne (HotNews) Analiză: Ciolacu, "premierul Nordis" - singur şi temător? (DW)Premierul Marcel Ciolacu, 56 de ani, a consumat multă energie de un an și jumătate încoace de când este prim-ministru pentru a-și ascunde carențele, înainte de a recunoaște că ia meditații la economie și la engleză.La dezbaterile Antenei 3 dedicate prezidențiabililor cu șanse, Ciolacu a fost singurul care nu a adus pe cineva din familie sau măcar un prieten să vorbească despre el. A preferat, în schimb, să pună un clip publicitar și ne-a arătat imaginea unui om izolat, care încearcă să ascundă detaliile care îl incomodează. Ar fi putut să vorbească de adolescentul leneș, care a reușit să ajungă șeful celui mai mare partid autohton, dar a preferat să-și ascundă diploma de Bacalaureat, afișând pe site-ul guvernamental un CV baroc plin de cursuri, un master la SNSPA și o facultate făcută la o universitate privată modestă. E un politician versat, până în 2012 a făcut politică locală la Buzău.După 2012, Marcel Ciolacu intră în parlament și își începe ascensiunea prin pendulări succesive în jurul liderilor partidului.Între timp, Marcel Ciolacu este pentru mulți alegători premierul care a mărit pensiile și care le va aduce aderarea la Schengen. Pentru alții, însă, candidatul PSD este doar un nou lider acuzat de corupție,  împotriva căruia, procurorii anti-corupție nu fac nimic.Creșterea pensiilor îi asigură popularitatea, dar deocamdată se află mult sub scorul partidului. Articolul Sabinei Fati face parte dintr-o serie de portrete ale principalilor candidați la alegerile prezidențiale de duminică.Integral pe pagina DW. Avioanele de lux îl așază pe Ciolacu lângă Iohannis, cel mai nepopular om politic al momentului. Cu ce consecințe? (SpotMedia)Pe măsură ce campania electorală din România se apropie de sfârșit, liderul PSD se confruntă cu provocări tot mai mari în tentativa sa de a ajunge președintele țării.Asocierea cu Nordis și stilul de viață luxos provoacă reacții negative similare celor care au dus la erodarea imaginii lui Klaus Iohannis.Marcel Ciolacu devine ținta criticilor din partea contracandidaților săi și a unei părți din electorat.În același timp, strategii politici încearcă să limiteze daunele de imagine, luând decizii controversate, precum evitarea dezbaterilor publice.O serie de scandaluri, dar mai ales asocierea sa cu Nordis, prin avocata Laura Vicol, parlamentar PSD, fosta șefă a Comisiei Juridice din Camera Deputaților, indică faptul că drumul său spre Palatul Cotroceni se îngustează.Toate sondajele de opinie îl dau pe liderul PSD în finala prezidențială, dar tot mai puține sugerează vreo șansă a acestuia de a câștiga în fața oricărui contracandidat, scrie jurnalistul SpotMedia Emilian Isăilă. Program de președinte | Cum arată Justiția din proiectele și vorbele prezidențiabililor (Europa Liberă)După ce a fost ani la rând vedeta alegerilor prezidențiale, justiția a dispărut de pe radarul unora dintre candidații la președinție. În programele politice apare mai la coadă, iar în declarații, candidații spun generalități. Pentru români, însă, corupția rămâne o problemă esențială.Europa Liberă ne arată cum se raportează candidații la problema justiției.În proiectul politic al candidatului PSD, intitulat „Calea sigură pentru România”, Justiția nu are dedicat nici măcar un singur rând din cele 49 de pagini.Nu e clar de ce Marcel Ciolacu consideră că justiția merge bine – chiar dacă România a scăpat de MCV în 15 septembrie 2023, există critici în Raportul din 2024 al Comisiei Europene privind statul de drept.Și pentru candidatul PNL Nicolae Ciucă Justiția e o chestiune care poate fi stânjenitoare în contextul acuzelor despre plagiatul din teza sa de doctorat și al piruetelor juridice care au blocat procesele în instanță.În programul său politic, statul de drept are un capitol dedicat, dar apar generalități de genul „avem nevoie de o justiție liberă de interferențe politice”, „lupta împotriva corupției trebuie să continue”, „ sistemul judiciar trebuie să fie mai eficient și mai rapid”.Candidatul AUR nu are propriu-zis un program politic, ci un plan, așa numitul „Plan Simion”, care însă nu conține nimic despre justiție.Justiția se regăsește însă în Programul de Guvernare AUR și în diversele declarații ale lui George Simion, care întăresc ce scrie acolo.Astfel, AUR vrea să limiteze „influența factorului politic în justiție prin alegerea direct de către populație a judecătorilor Curții Constituționale, a conducerii Parchetelor și a conducerii Înaltei Curți de Casație și Justiție”.AUR mai propune organizarea de curți cu jurați, „formate din cetățeni români majori și cu capacitate deplină de exercițiu, care să soluționeze cazurile penale grave și procesele colective sau de clasă”, un fel de Tribunale ale Poporului.Elena Lasconi e de părere că anticorupția trebuie să continue.Candidata USR are un capitol amplu dedicat justiției în proiectul său politic numit „O Românie pentru toți, nu doar pentru unii”, în care avansează multe schimbări.De pildă, Lasconi vrea întărirea și extinderea competențelor DNA și asupra magistraților – în fapt, o revenire la formula de dinaintea înființării controversatei Secții Speciale, dar și asupra faptelor de delapidare și deturnare de fonduri. Fața mai puțin văzută a alegerilor. Trei voluntari explică de ce e important să fii observator la urne: De la ziua de muncă maraton de 18 ore, la faptul că „nu ești poliția alegerilor” (HotNews)„Ești acolo să vezi exact cum se transformă voturile în rezultate și să te asiguri că totul merge conform regulilor”, explică președinta uneia dintre asociațiile care pregătesc observatorii independenți pentru zilele-maraton ale celor trei runde de alegeri care încep duminica aceasta. Rolul observatorului este să documenteze, nu să „salveze alegerile”, nu dă sfaturi comisiei și nu se atinge de buletinele de vot. „Nu faci politică, ești acolo strict ca cetățean independent”, explică, pentru HotNews.ro, Elena Calistru, preşedinte şi co-fondator al Funky Citizens.Asociația este una dintre platformele pe care orice cetățean cu vârsta peste 18 ani care nu este membrul unui partid politic se poate înscrie pentru a fi observator la cele trei scrutine care urmează: cele două tururi ale alegerilor prezidențiale și alegerile parlamentare. Continuarea pe HotNews.ro.

Mainzer Gewerbesteuer wird trotz zusätzlicher Millionen erhöht, Unruhe bei DB Cargo und Neues vom XXL-Rechenzentrum im Niersteiner Rhein-Selz-Park. Das und mehr hören Sie heute im Podcast. Alle Hintergründe zu den Nachrichten finden Sie hier: https://www.allgemeine-zeitung.de/lokales/mainz/stadt-mainz/mainzer-gewerbesteuer-trotz-zusaetzlicher-millionen-erhoeht-4018295 https://www.allgemeine-zeitung.de/lokales/mainz/stadt-mainz/das-ist-der-neue-chef-wagenbauer-des-mcv-4018344 https://www.allgemeine-zeitung.de/lokales/rheinhessen/rhein-selz-park-investor-ntt-data-plant-info-abend-4022053 https://www.wormser-zeitung.de/lokales/worms/stadt-worms/warum-die-wormser-haushaltslage-schon-wieder-schlechter-wird-4020368 https://www.allgemeine-zeitung.de/wirtschaft/wirtschaft-hessen-und-rheinland-pfalz/db-cargo-mitarbeiter-verlassen-zentrale-mainz-in-scharen-4021835 Ein Angebot der VRM.

Neste episódio do Product Guru's, Paulo Chiodi e seus convidados, Rodrigo Yoshima e Pablo Silva, exploram temas profundos sobre o mercado de tecnologia, gestão ágil e produtos no Brasil. Rodrigo Yoshima, uma das maiores referências em agilidade, compartilha sua visão sobre o cenário atual, discutindo a crise da agilidade, a falta de objetividade nas métricas e a necessidade de as empresas apresentarem resultados claros. Ele aborda também a mudança no mercado global, desde a abundância econômica dos últimos anos até o recente enxugamento de liquidez, destacando como a transformação ágil se tornou uma despesa "cortável" nas empresas. O episódio também analisa a importância de uma gestão orientada a resultados e a cultura empresarial que pode ser essencial para a sobrevivência em tempos de crise. /// Onde encontrar os convidados: Rodrigo Yoshima | CEO, Trainer & Coach @ Aspercom https://www.linkedin.com/in/rodrigoy/ Pablo Silva | Head de Produto e Engenharia - Plataformas de E-Commerce e Fraude @ Ifood https://www.linkedin.com/in/souopablosilva //// Conteúdos mencionados no episódio: Cursos de Produtos da Aspercom: DCV: https://aspercom.com.br/treinamentos/dcv/ MCV: https://aspercom.com.br/treinamentos/mcv/ Livro: https://aspercom.com.br/gpia Don Reinertsen: https://www.amazon.com.br/Principles-Product-Development-Flow-Generation-ebook/dp/B00K7OWG7O Livro da 37Signals: https://basecamp.com/gettingreal Steve Blank: https://www.amazon.com.br/Do-Sonho-Realiza%C3%A7%C3%A3o-Passos-Estrat%C3%A9gias/dp/8550810770/ /// Nesse episódio abordamos: • Rodrigo Yoshima critica a falta de objetividade nas métricas ágeis. • A crise de liquidez global impactou diretamente o mercado de agilidade. • Muitas empresas reduziram cargos ágeis por considerarem-nos despesas não essenciais. • Rodrigo acredita que a agilidade precisa demonstrar resultados mais palpáveis. • O excesso de modelos ágeis pode se tornar uma barreira ao sucesso organizacional. • A maturidade organizacional é fundamental para a implementação eficaz da agilidade. • O mercado atual exige uma abordagem mais pragmática para metodologias ágeis. • A cultura do "oba-oba" em agilidade está sendo desafiada por demandas de resultados reais. • Soluções locais e inovadoras podem ser mais eficazes do que copiar modelos globais. • O futuro da agilidade depende da sua capacidade de se adaptar às novas condições econômicas. /// Capítulos 00:00 Introdução 01:02 Apresentação dos convidados 02:53 Recados 03:41 Agilidade no mercado 06:36 O impacto da abundância econômica na agilidade 07:49 Crise na agilidade e transformação digital 10:22 A mudança de perspectiva dos executivos sobre agilidade 13:02 O futuro da agilidade e cenários possíveis 15:03 Discussão sobre a relevância da agilidade nas empresas 17:29 Relato de executivos sobre resultados insuficientes 19:58 Desafios da comunicação entre times ágeis e executivos 21:26 Dogmas e excessos na cultura ágil 24:24 Caso prático: Produto de sucesso no Brasil sem adoção de modelos globais 29:02 Comparação com empresas de grande porte como Google e Apple 32:01 Gestão de produtos e expectativas em tempos de crise 36:02 O papel da agilidade no crescimento sustentável 41:27 Reflexões finais sobre a evolução da agilidade 46:00 Crítica ao uso excessivo de metodologias ágeis sem resultados claros 52:59 Considerações sobre o futuro da gestão ágil e tendências emergentes 1:03:12 Maturidade organizacional e impacto na agilidade 1:12:02 Perguntas da audiência sobre agilidade 1:24:08 Encerramento /// Oferecimento Tera — Um novo futuro para sua carreira. Acesse: ⁠⁠⁠https://somostera.com/#cursos⁠⁠⁠ use o cupom de desconto PRODUCT_GURUS para desconto exclusivo. Amplitude — A maior plataforma de Product Analytics do mundo. Ebook sobre Product Analytics: ⁠⁠⁠https://www.productminds.io/resources/product-analytics-for-dummies

Episode 175: Alcohol Use Disorder Basics   Future Dr. Sangha explains the clinical presentation, diagnosis, and fundamentals of the treatment of alcohol use disorder (AUD). Dr. Arreaza offers insights about the human aspect of the treatment of AUD.    Written by Darshpreet Sangha, MS4, Ross University School of Medicine. Editing and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.What is Alcohol Use Disorder?AUD is characterized as the inability to stop or control alcohol use despite adverse physical, social and occupational consequences. According to DSM-5, it is a pattern of alcohol use that, over 12 months, results in at least two of the following symptoms, indicating clinically substantial impairment or distress: Alcohol is frequently used in higher quantities or for longer periods than planned.There is a persistent desire or unsuccessful attempt to reduce or manage alcohol use.Activities that are required to get alcohol, consume alcohol, or recuperate from its effects take up a lot of time.A strong need or desire to consume alcohol—a craving.A pattern of drinking alcohol that prevents one from carrying out important responsibilities at work, school, or home.Sustained alcohol consumption despite ongoing or recurring interpersonal or social issues brought on by or made worse by alcohol's effects.Alcohol usage results in the reduction or cessation of important social, professional, or leisure activities.Frequent consumption of alcohol under risky physical circumstances.Continuing to drink even when one is aware of a chronic or recurrent health or psychological issue that may have been brought on by or made worse by alcoholTolerance: requiring significantly higher alcohol intake to produce the same intended effect. Withdrawal: Characterized by the typical withdrawal symptoms or a noticing relief after taking alcohol or a closely related substance, such as benzodiazepine.How can we determine the severity of AUD? Mild: 2–3 symptomsModerate: 4–5 symptomsSevere: >/= 6 symptomsWho is at risk for AUD?Note: Ancestry offers a DNA analysis to find out about your heritage. You can also send that DNA to a third party to learn about your risks for diseases and conditions (for example, Prometheus.) Anyone can find out about their risk for alcoholism by doing a DNA test. The risk factors for AUD are: Male genderAges 18-29Native American and White ethnicitiesHaving Significant disabilityHaving other substance use disorderMood disorder (MDD, Bipolar)Personality disorder (borderline, antisocial personality)What is heavy drinking?According to the National Institute of Alcohol Abuse and Alcoholism (NIAAA), heavy alcohol use is characterized as: Males who drink > 4 drinks daily or > 14 drinks per week Females who drink > 3 drinks on any given day or > 7 drinks per weekPathophysiology of AUD.The pathogenesis of AUD is not well understood, but factors that may play a role are genetics, environmental influences, personality traits, and cognitive functioning. Also, genetic factors may decrease the risk of AUD, i.e., the flushing reaction, seen in individuals who are homozygous for the gene that encodes for aldehyde dehydrogenase, which breaks down acetaldehyde. Who should be screened?A person with AUD may not be easy to diagnose in a simple office visit, but some clues may point you in that direction. First of all, patients with AUD may present to you during their sober state, that´s why ALL adults (including pregnant patients) must be screened for AUD in primary care )Grade B recommendation). The frequency has not been determined but as a general rule, at least in Clinica Sierra Vista, we screen once a year. The USPSTF has concluded that there is insufficient evidence to recommend screening adolescents between 12-17 years old. What are the clinical manifestations of AUD?Some symptoms may be subtle, including sleep disturbance, GERD, HTN, but some may be obvious, such as signs of advanced liver disease (ascites, jaundice, bleeding disorders, etc.)If you draw routine labs, you may find abnormal LFTs (AST:ALT ratio >2:1), macrocytic anemia (MCV >100 fL), and elevated Gamma-glutamyl transferase (GGT). All these findings are highly suggestive of AUD. Patients with AUD may present in either an intoxication or withdrawal state. Signs and symptoms of acute intoxication may include “slurred speech, nystagmus, disinhibited behavior, incoordination, unsteady gait, hypotension, tachycardia, memory impairment, stupor, or coma.” Signs and symptoms of withdrawal range from tremulousness to hallucinations, seizures, and death. They are seen between 4 and 72 hours after the last drink, peaking at 48 hours, and can last up to 5 days. Alcohol withdrawal is one of the few fatal withdrawal syndromes that we know in medicine, and the symptoms can be assessed using a CIWA assessment. Treatment of AUD.There are factors to consider before starting treatment: Evaluating the severity of AUD Establishing clear treatment goals is associated with better treatment outcomesAssessing readiness to change: It can be done by motivational interviewing and using the stages of change model, which are, Pre-contemplation, contemplation, preparation, action, maintenance, and relapse.Discussing treatment of withdrawal.Treatment may be done as outpatient or it may require hospitalization. Dr. Beare sent an email with this information: “The approach to treating patients with AUD can be broken into two parts - the first is withdrawal management and the second is the long-term maintenance part. You MUST have a good plan for withdrawal treatment as it can be fatal if it's not addressed properly.” “Patients with any history of seizures due to withdrawal or a history of delirium tremens need inpatient management. If their withdrawal symptoms are typically mild (agitation, tremors, sleeplessness, anxiety) then outpatient management may be appropriate, typically with a long-acting benzodiazepine such as Librium or Ativan.”According to Dr. Beare, “the human aspect isa key element in treating alcohol use disorder. These patients arrive with tremendous amounts of suffering, shame, guilt, and fear. The relationship between the patient and provider needs to be built with compassion and understanding that this disease is horrible from the patient's perspective and using an algorithmic and calculated approach can cause significant harm to the rapport-building process, leading to lower success rates.”Treatment requires a lot of motivation and willpower. Hopefully, we can use some tools to assist our patients to be successful.-For mild disorder, Psychosocial interventions like motivational interviewing and mutual help groups like AA meetings may be enough to help our patient quit drinking.-For moderate or severe disorder: 1st line treatment is Meditation and structured, evidence-based psychosocial interventions (CBT, 12-step facilitation); which leads to better outcomesFor patients who lack motivation, motivational interviewing can be a useful initial interventionFor motivated patients: medical management, combined behavioral intervention, or a combination of both can be utilizedFor patients with limited cognitive abilities, 12-step facilitation, or contingency management can be helpful For patients who have an involved partner: Behavioral couples therapy can be utilizedMedications for AUD.The first-line pharmacological treatment is Naltrexone. It is given as a daily single dose and can be started while the patient is still actively drinking. There is a monthly dose of long-acting injectable naltrexone as well. Naltrexone is contraindicated in individuals taking opioids, and patients with acute hepatitis or hepatic failure. Alternative 1st line treatment is Acamprosate which can be used in people with contraindications to Naltrexone.AUD is a chronic problem and requires a close follow-up to evaluate response to treatment and complications. Medications need to be used along with psychotherapy and support, and medications may need to be changed or adjusted depending on the patient. It is an individualized therapy that requires full engagement of the doctor, the patient, and their families or social support. In conclusion, I would just like to add that, be compassionate because AUD is not a choice. AUD is a chronic problem like diabetes and HTN and may require a long road to recovery. Treatment includes psychotherapy, medications, and regular follow-up.Thank you for listening!Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Risky drinking and alcohol use disorder: Epidemiology, clinical features, adverse consequences, screening, and assessment, https://www.uptodate.com/contents/risky-drinking-and-alcohol-use-disorder-epidemiology-clinical-features-adverse-consequences-screening-and-assessment, accessed on August 18, 2024.Hasin DS, Stinson FS, Ogburn E, Grant BF. Prevalence, correlates, disability, and comorbidity of DSM-IV alcohol abuse and dependence in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Arch Gen Psychiatry, Accessed on August 18, 2024.Alcohol use disorder: Treatment overview, https://www.uptodate.com/contents/alcohol-use-disorder-treatment-overview, assessed on August 18, 2024. Royalty-free music used for this episode, Grande Hip-Hop by Gushito, downloaded on Nov 06, 2023, from https://www.videvo.net

The First Principles of Anemia from the beginning: erythropoiesis, the components of a full blood count, and the general approach to the MCV. Dive into the world of hypersegmented neutrophils and hyperdynamic states – it's a hyper episode you won't want to miss. === Other Links === Check out our new website ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠1pm.wiki⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for the ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Notion document⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, free Anki flashcards, and podcast episodes. Check out our Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/firstprinciplesofmedicine/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Recorded 4 July 2023. Host: ⁠JT Yeung⁠⁠⁠⁠. Guests: Sachin Boniface, Sarah Mullne, & Jason D'Silva. Produced by ⁠⁠⁠⁠JT Yeung. If you have any ideas or feedback, comment on this Notion document, or shoot us an email at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠hello@1pm.wiki⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ *** We're really excited to be collaborating with Becky from Becky's notes, a UK based resource, to produce infographics for our visual learners out there. Becky's notes brings together all the key topics medical students need to know in a readily available place, reviewed by specialists in the field. These visually striking notes are a refreshing change from all the boring textbooks. You can check her out on Instagram at @beckysnotes01 and get her books at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://linktr.ee/Beckysnotes⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

The First Principles of Anemia from the beginning: erythropoiesis, the components of a full blood count, and the general approach to the MCV. Dive into the world of hypersegmented neutrophils and hyperdynamic states – it's a hyper episode you won't want to miss. === Other Links === Check out our new website ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠1pm.wiki⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for the ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Notion document⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, free Anki flashcards, and podcast episodes. Check out our Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/firstprinciplesofmedicine/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Recorded 4 July 2023. Host: JT Yeung⁠⁠⁠. Guests: Sachin Boniface, Sarah Mullne, & Jason D'Silva. Produced by ⁠⁠JT Yeung. If you have any ideas or feedback, comment on this Notion document, or shoot us an email at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠hello@1pm.wiki⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ *** We're really excited to be collaborating with Becky from Becky's notes, a UK based resource, to produce infographics for our visual learners out there. Becky's notes brings together all the key topics medical students need to know in a readily available place, reviewed by specialists in the field. These visually striking notes are a refreshing change from all the boring textbooks. You can check her out on Instagram at @beckysnotes01 and get her books at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://linktr.ee/Beckysnotes⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Send us a Text Message.Meet Matthew Villard, the passionate owner and winemaker behind MCV. He is on a mission to create a name for Petite Sirah wines, and doing a great job at it!  His love for wine blossomed around the family dinner table, fostered by his European-minded parents' perspective on alcohol. Matt pursued his wine education at the University of California, Davis.This is truly a family affair, Mathew, along with his wife, Teresa and his sons, are often times found in the tasting room in Paso.  Make sure to check in to their wine club as they host some great events, with pairing unusual menus with his unique wines.  His passion for the Petite Sirah grape is evident, infusing each bottle with his unwavering commitment to quality.From vine to glass, Matt's dedication shines through in every sip of MCV wine.www.mcvwines.comInsta:  @mcv_winesCheers! Please like, follow, subscribe and rate us! We LOVE to hear your comments! Reach out to us on our social media: Facebook and Instagram @insidethebungholeTwitter @bungholepodcastOur webpage is insidethebunghole.buzzsprout.comOR email us at insidethebunghole@gmail.com

In today's episode we're talking about elevated MCV (mean corpuscular volume) and why it can cause fatigue. MCV is an indication of impaired oxygen delivery. This can result in symptoms of fatigue, weakness, shortness of breath and decreased life performance. When red blood cells are small it often associated with low iron but when they are big nutritionally it is usually related to low B12, folate, thiamine, and B6. Recognize if oxygen delivery is impaired then it is really challenging for healing to occur. The next time you get a CBC check your MCV level. The goal is to have it around 88-90. We don't want it too low either as that also impairs oxygen delivery.   -------- ➡️ Get Dr. Matt's free guide to overcoming iron deficiency https://optimizeiron.com/guide/ ➡️ Schedule an iron consultation https://calendly.com/ironconsultation/60min Ask your lifestyle health questions on social media, tag @drwholeness and use #accumulatehealth. -------- Connect with Dr. Matt online:

Audio content is in with readers and that means that audiobooks are now expected from authors, not just recommended. David Wolf, Founder and CEO of Audivita, answers some commonly asked questions including the who, what, when, where, and why of audiobooks in this episode of Smith Publicity's All Things Book Marketing. David Wolf spent years serving as a music composer and producer of audio content for radio, TV, film, podcasts, audiobooks and multimedia. His previous company, Crywolf Productions, Inc. (1985-1999) and its recording studios provided music, sound design and production services for advertising and also studios such as Amblin, Discovery Channel, NBC Universal and Disney and for many well-known brands such as Southwest Airlines, Miller Brewing, Embassy Suites, Procter & Gamble, Texas Instruments, Brock Hotel Corporation and many more. David founded Audivita Studios in 2016 to apply his experience and the talents, skills  and expertise of his creative team to help companies, publishers, entrepreneurs, influencers and thought leaders grow their brands and businesses with podcasts and audiobooks. In 2024, Wolf is on a course to expand the core production business into related industry verticals with the creation of Media Capital Ventures, leveraging his experience in business building and operating experience in production and media. Concurrently, he co-founded 1125 Studios with Christian Bruun to develop and produce original series podcasts, film and television series. MCV has recently added Stock Day Media to its portfolio of companies to leverage the production team at Audivita Studios specifically for the OTC markets. Learn more at audivita.com and follow them on Facebook, X, and LinkedIn @audivitastudios.Discover more about Smith Publicity at www.smithpublicity.com and follow us on Facebook, Instagram, Threads, YouTube, & LinkedIn.

 A 60 year old man presents with a chief complaint of a 6 month history of increasing fatigue despite adequate rest and sleep. He denies chest pain or difficulty breathing, and reports he is a non smoker. Concurrent history includes a 25 year history of alcohol used disorder, with daily intake of 5-7, occasionally more, 1.5 oz shots of whiskey, and chronic poor nutrition, reporting, “I eat chips and crackers a lot, I do not have the time to make a meal and I cannot afford to eat out. He is currently employed as a warehouse working, and states, “I get to work every day. The booze is really not  problem.”  On physical exam, mild pharyngeal redness without exudate, conjunctival pallor, and epigastric tenderness are present. The following lab results are noted.Hgb = 9 g/dL (normal 14 to 16 g/dL)Hct = 28.5% (normal 42% to 48%)RBC = 3.4 million mm3 (normal 4.7 to 6.1 million mm3)MCV = 108 fL (normal 81 to 96 fL)MCHC = 33.2 g/dL (normal 31 to 37 g/dL)RDW = 18.4% (normal 11-15%) These findings are most likely caused by:A. iron deficiency anemiaB. Vitamin B12 deficiency anemiaC. Folic acid deficiency anemiaD. Anemia of chronic disease.Visit fhea.com to learn more!

Younger generations are facing higher cancer risk due to accelerated biologic aging, new study finds. Support your Intermittent Fasting lifestyle with the Berberine Fasting Accelerator by MYOXCIENCE: bit.ly/berberine-fasting-accelerator Use code podcast at checkout to save Link to Show Notes: https://bit.ly/3UUQVvb Key Timestamps: 0:00 Intro 0:07 The rise in cancer 1:13 Cancer and Biologic aging 1:47 High profile cancer case in young people 2:12 Biomarkers that predict cancer 2:49 Berberine for food cravings 3:49 New Study 5:02 Low Albumin 6:00 Creatinine 7:04 Glucose 8:16 MCV and MCH 8:50 Inflammation and high WBC 11:11 Preventing cancer 12:30 Metabolic Health        

Neuer Betreiber fürs Capitol in Mainz, Spectaculum in Worms startet und Friedenstaube vom Rosenmontagszug vor dem Mainzer Staatstheater. Das und mehr heute für sie im Podcast. Das und mehr in unserem Podcast am Morgen. Alle Hintergründe zu den Nachrichten des Tages finden Sie hier: https://www.allgemeine-zeitung.de/lokales/mainz/stadt-mainz/gruene-wollen-kulturbaeckerei-nur-noch-mit-200000-euro-foerdern-3550885 https://www.wormser-zeitung.de/lokales/worms/stadt-worms/spectaculum-worms-das-muessen-besucher-wissen-3548248 https://www.allgemeine-zeitung.de/lokales/mainz/stadt-mainz/neuer-betreiber-fuer-mainzer-capitol-programmkino-steht-fest-3552238 https://www.allgemeine-zeitung.de/lokales/mainz/stadt-mainz/friedenstaube-in-der-mainzer-innenstadt-3552773 https://www.allgemeine-zeitung.de/lokales/rhein-main/geruch-an-bord-lufthansa-maschine-dreht-auf-flug-um-3554901 Ein Angebot der VRM!

Tödlicher Unfall auf der A60, Umzug des Gutenberg-Museums verzögert sich und der MCV sucht Ideen für die nächste Kampagne. Das und mehr gibt es heute im Podcast. : Alle Hintergründe zu den Nachrichten des Tages finden Sie hier: https://www.allgemeine-zeitung.de/lokales/mainz/stadt-mainz/mainzer-piraten-kandidieren-nicht-mehr-fuer-den-stadtrat-3476027 https://www.allgemeine-zeitung.de/lokales/mainz/stadt-mainz/umzug-des-mainzer-gutenberg-museums-wird-verschoben-3480591 https://www.allgemeine-zeitung.de/lokales/mainz/stadt-mainz/mainzer-fastnachtsmotto-fuer-2025-gesucht-3481184 https://www.allgemeine-zeitung.de/lokales/wiesbaden/stadt-wiesbaden/kasteler-start-up-begibt-sich-in-die-hoehle-der-loewen-3478841 https://www.allgemeine-zeitung.de/politik/politik-rheinland-pfalz/rechtsextremismus-ermittlungen-gegen-sechs-polizisten-3465964 https://www.allgemeine-zeitung.de/lokales/mainz/stadt-mainz/stau-nach-unfall-auf-der-a60-bei-mainz-3482553 Ein Angebot der VRM

Der Mainzer Carneval Verein hat einen neuen Chef-Wagenbauer auf Probezeit, das Innenministerium hat seine Mitarbeiter zu gut bezahlt und die beliebtesten Restaurants in Ingelheim. Das und mehr heute im Podcast. Alle Hintergründe zu den Themen finden Sie hier: https://www.allgemeine-zeitung.de/lokales/mainz/stadt-mainz/potenzieller-chef-wagenbauer-macht-schnupperjahr-beim-mcv-3330757 https://www.allgemeine-zeitung.de/politik/politik-rheinland-pfalz/innenministerium-hat-mitarbeiter-zu-gut-bezahlt-3317503 https://www.allgemeine-zeitung.de/wirtschaft/wirtschaft-hessen-und-rheinland-pfalz/erneuter-streik-bei-lufthansa-das-kommt-auf-fluggaeste-zu-3330082 https://www.allgemeine-zeitung.de/sport/fussball/fussball-bundesliga/mainz-05-verteidiger-hanche-olsen-faellt-verletzt-aus-3330533 https://www.allgemeine-zeitung.de/lokales/kreis-mainz-bingen/ingelheim/ingelheimer-restaurants-google-bewertungen-im-check-3330385 Ein Angebot der VRM.

Der Rosenmontagszug in Mainz ist einer der Höhepunkte der Fastnacht. Mehr als eine halbe Million Menschen standen in Mainz an den Straßen und bewunderten die 155 Motivwagen, die unter anderem Figuren aus Politik und Kultur zeigten und sie in satirischer Weise auf die Schippe nahmen. Viele dieser Wagen wurden vom Mainzer Carneval–Verein MCV gebaut. Der 84–jährige Dieter Wenger ist seit 62 Jahren beim Wagenbau dabei. Als Kind Figuren geschnitzt und bemalt Dieter Wenger kam 1940 zur Welt, die Eltern starben beide im Krieg, er wuchs bei den Großeltern auf. Der Großvater war Holzbildhauer, schnitzte Figuren und brachte das Handwerk auch dem kleinen Jungen bei. „Später habe ich dann auch Bühnenbilder gemacht und bin irgendwann zu MCV gekommen und habe gefragt, wie sieht es aus mit Wagenbau?“ Satirische Wagenmotive provozierten Beschwerden Die Karikaturen von Politikern auf den Wagen waren oft pointiert und böse. Kritik gab es vor allem von Seiten der Kirche. „Ich sage immer, mit dem Papst kann ich machen, was ich will, aber wenn es um regionale kirchliche Themen geht, ist man sehr empfindlich“, sagt Wenger Aus Ärger wurde ein Motivwagen sogar angezündet. Nachfolger gesucht Nach 62 Jahren will der 84–Jährige jetzt mit dem Wagenbau aufhören. Leider sei jedoch noch kein Nachfolger gefunden. Wenger vermutet, dass die meisten vor der Arbeit zurückschrecken: „Wir bauen ja nicht nur Wagen, wir haben auch den Bauwagen für Peter Lustig gebaut, Bühnenbilder und das Herz–Kreislauf–Modell an der Mainzer Uniklinik.“

Les maladies cardiovasculaires (MCV) représentent la 2e cause de mortalité au pays. Plusieurs facteurs de risque associés aux MCV sont modifiables. En ce mois de la santé du cœur, Isabelle Huot vous livre 6 stratégies pour réduire votre taux de cholestérol sanguin. La rencontre Huot - Durocher avec Isabelle Huot, docteure en nutrition.Pour de l'information concernant l'utilisation de vos données personnelles - https://omnystudio.com/policies/listener/fr

Les maladies cardiovasculaires (MCV) représentent la 2e cause de mortalité au pays. Plusieurs facteurs de risque associés aux MCV sont modifiables. En ce mois de la santé du cœur, Isabelle Huot vous livre 6 stratégies pour réduire votre taux de cholestérol sanguin. La rencontre Huot - Durocher avec Isabelle Huot, docteure en nutrition.Pour de l'information concernant l'utilisation de vos données personnelles - https://omnystudio.com/policies/listener/fr

Die Suche nach einem neuen Capitol-Betreiber startet. Klimaaktivist für Blockade in Binger Straße verurteilt. Und weshalb es in Deutschland immer mehr Drogentote gibt. Dies und mehr, hören Sie heute im Podcast. Alle Hintergründe zu den Themen finden Sie hier: https://www.allgemeine-zeitung.de/lokales/rheinland-pfalz/mcv-praesident-sehr-erfreut-ueber-geld-fuer-rosenmontagszug-3270505 https://www.allgemeine-zeitung.de/lokales/mainz/stadt-mainz/mainzer-capitol-kino-suche-nach-neuen-betreibern-startet-3266958 https://www.allgemeine-zeitung.de/lokales/mainz/stadt-mainz/klimaaktivist-raul-semmler-fuer-blockade-verurteilt-3270474 https://www.allgemeine-zeitung.de/panorama/aus-aller-welt/deshalb-gibt-es-in-deutschland-immer-mehr-drogentote-3243077 https://www.allgemeine-zeitung.de/panorama/aus-aller-welt/ukraine-blog-franzosen-durch-russischen-beschuss-getoetet-2068906 Ein Angebot der VRM.

Los últimos resultados económicos son engañosos, son positivos frente a la pandemia, pero en realidad la situación económica mexicana se parece más a la de 2016, nos dice Adriana García, coordinadora de análisis del colectivo de economistas ¿México, cómo vamos (MCV)? Sobre cómo inicia el sexto año de gobierno de AMLO, los puntos a destacar son: la herencia que deja en la desigualdad de oportunidades, las mujeres dedican 42 horas semanales a labores del hogar y de cuidados, los hombres solo 19 horas y el 37.3% de la población del país NO puede adquirir la canasta básica.En Chiapas, Guerrero, Oaxaca y Veracruz más de la mitad de su población se encuentra en pobreza laboral en el tercer trimestre de este año, Guerrero es la entidad con mayor rezago en progreso social en 2022, incluso antes del impacto del huracán Otis.Visita la sección de Finanzas de El Sol de México para estar al día del contexto económico. Hosted on Acast. See acast.com/privacy for more information.

Dr. Robert Hedaya discusses Integrative Psychiatry with Dr. Ben Weitz. [If you enjoy this podcast, please give us a rating and review on Apple Podcasts, so more people will find The Rational Wellness Podcast. Also check out the video version on my WeitzChiro YouTube page.]    Podcast Highlights 1:38  Dr. Hedaya noted that from his time in medical school he was always oriented towards getting to the root cause of things. After writing his first book, he was on the edge of chronic fatigue and he dove into the metabolic medicine approach of Dr. Jeffrey Bland, which later was changed to Functional Medicine. Dr. Hedaya was a neuropharmacologist trained in cognitive behavioral therapy and after bringing Functional Medicine into the mix he found that he was no longer doing this medication merry-go-round and most of his patients were now getting better. Dr. Hedaya explained that after writing his second book, he hired a statistician to assess the patients he had treated for treatment-resistant depression.  All 23 of these patients when they started had a mean Beck Depression inventory of 34, which is in the severe range, and by about 10 months everyone was normalized with only one change in medication but also adding the Functional Medicine approach.  4:18  Insights into a Functional Medicine approach to psychiatry.  The key to using a Functional Medicine approach is to be a medical detective and to also understand that psychiatric problems are not primarily psychological, but more related to physiology and infections and hormonal problems and genetics and epigenetics and gastrointestinal things, etc..  The mental realm is directly part of the physical realm.  If your physical health is lacking, if you're lacking in nutrients, if you're having toxins and infections and other things that are affecting your physiology, that's also going to affect your mind.  Dr. Hedaya recalled his first patient from 1984 who was a 50 yr old woman with panic disorders and she did not have a great marriage and had bunch of things going on, but she didn't get better despite psychotherapy and medications.  He determined that she had a vitamin B12 deficiency and after her first injection, her panic went away and that's when he realized how powerful the Functional Medicine model could be.  When assessing B12 status, if your serum B12 is low normal, you probably have a B12 deficiency. But you can also look at the size of the red blood cells, the MCV, on the CBC. If you are B12 deficient, your red blood cells will get larger because they hang around longer--macrocytic anemia.   If you are iron deficient, your red blood cells will be smaller--microcytic anemia.   But you could have normal size red blood cells if you have both iron and B12 deficiency, because they will offset the effects on the red blood cell size.  We should also look at methylmalonic acid (MMC) and homocysteine as measures of B12 status, though MMC only accounts for 17% of B12 status.  You also need to look at medications that interfere with B12 status and if they are older they tend not to absorb as much B12 because of reduced HCL production. 10:57  Iron.  Dr. Hedaya looks at serum iron and TIBC (total iron binding capacity) and also the CBC. And he will also look at ferritin levels.  11:29  Other nutrients.  Fish oil is a very important preventative for depression as is vitamin D status.  Zinc is also a very important nutrient and this needs to be balanced with copper levels. It is also very important to make sure the patient is eating and digesting enough protein, since these amino acids are necessary for neurotransmitter production. 12:12  Thyroid adrenal axis.  Another clinical pearl is the thyroid adrenal axis.  We need to do a thorough physical exam and look for evidence of adrenal insufficiency and low thyroid.  The mean TSH in the US population based off the NIH study is about 1.5, though the upper limit of most labs is 4.5.

On this episode, we go over a pharmacotherapy plan for a patient with sickle cell disease, HFrEF, DM2, dyslipidemia, hypertension, POAG, dry eye disease, constipation, GERD, and OSA. Episode 227 Patient Case Information 57-year-old male with sickle cell disease, HFrEF, DM2, dyslipidemia, hypertension, POAG, dry eye disease, constipation, GERD, and OSA comes to your clinic to establish care. His primary concern is the number of sickle cell crisis he has been experiencing (3 ER visits in the last 5 months). He is having significant constipation daily due to his maintenance opioid regimen.  He also reports difficulty controlling his blood glucose. He has experienced 6 hypoglycemic events (BG range between 65 and as low as 42) and is confused as to what he is doing wrong with managing his diabetes. He is also concerned because he is having vivid nightmares almost every night. He also asks about the best artificial tears to get OTC because his Refresh Optive (carboxymethylcellulose) doesn't seem to be working anymore. Medication List: Losartan 100 mg daily, atenolol 50 mg daily, torsemide 20mg – 4 tabs daily, metolazone 2.5 mg 2 times per week, amlodipine 5 mg daily, simvastatin 40 mg daily, fenofibrate 160 mg daily, lantus 40 units twice daily, humalog 5 units with meals if his pre-meal BG is > 150 mg/dL, metformin ER 500 mg twice daily, hydroxyurea 500 mg – two capsules daily (admits to limited adherence), latanoprost 0.005% nightly, esomeprazole 40 mg twice daily, famotidine 40 mg daily, MiraLax 17 grams daily, and bisacodyl 5 mg daily He has a CPAP at home but admits to using it very infrequently. BMP BP – 165/89 HR – 82 Na – 137 K – 3.6 Cl – 102 CO2 – 26 Glucose – 253 eGFR – 95 mL/min Ca – 8.9 Mg – 1.9 Lipid Profile Chol – 162 LDL-C – 99 HDL-C – 49 Triglycerides  - 242 Echo with EF – 32% B-Type Natriuretic Peptide – 56.2 Vitamin B12 – 367 Hemoglobin – 7.2 Hematocrit – 20.8 MCV – 98.6 Ferritin – 1491.6 (received blood transfusion 2 weeks ago) Thanks for listening! If you want to support the podcast, check out our Patreon account. Subscribers will have access to all previous and new pharmacotherapy lectures as well as downloadable PowerPoint slides for each lecture. You can find our account at the website below:  www.patreon.com/corconsultrx If you have any questions for Cole or me, reach out to us on any of the following: Text - 415-943-6116 Mike - mcorvino@corconsultrx.com Cole - cswanson@corconsultrx.com Instagram and other social media platforms - @corconsultrx                  

Sarah is a 75 year-old woman with a 40 year history of HTN and a 30 year history of T2DM and dyslipidemia who was recently diagnosed with stage 4 chronic kidney disease (CKD). Given this history, which of the following hemograms would be expected? A. Hb = 9.7 g/dL (12 to 14 g/dL); MCV = 69 fL (80 to 96 fL); RDW=18% (11.5-15%)B. Hb = 7.2 g/dL (12 to 14 g/dL); MCV = 122 fL (80 to 96 fL); RDW= 18.1% (11.5-15%)C. Hb = 9.4 g/dL (12 to 14 g/dL); MCV = 83 fL (80 to 96 fL);  RDW= 13% (11.5-15%)D. Hb = 10.4 g/dL (12 to 14 g/dL); MCV = 82 fL (80 to 96 fL); RDW= 18% (11.5-15%)---YouTube: https://www.youtube.com/watch?v=-UP92_9MHc8&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=21Visit fhea.com to learn more!

Question: How do I fix low blood sugar on vegan keto? Short Answer: Consider how important it is for your ketones to be elevated. Most likely you need to eat more protein, which will lower your ketones. I would aim for a minimum of 0.8 grams per kilogram of ideal bodyweight and consider using 1.2 grams per kilogram of ideal bodyweight. If this does not work, consider all of the nutrients involved in energy metabolism — all of the B vitamins, iron, copper, sulfur, magnesium, potassium — but especially biotin and B6 for their disproportionate role in gluconeogenesis. If the protein you need to normalize your blood sugar does reduce your ketones to a level that are not giving you the benefits you are looking for, you could consider raising them with exogenous ketones. This is a clip from a live Q&A session open to CMJ Masterpass members. In addition to this episode, you can access two other free samples using this link: https://chrismasterjohnphd.substack.com/p/questions-on-questions-on-supplements In that batch of free episodes you will also find the answers to these questions: Brain Fog on Calcium, Vitamin D, or K2 Raising Ceruloplasmin When Copper Won't Do It If you want to become a Masterpass member so you can participate in the next live Q&A, or so you can have access to the complete recording and transcript of each Q&A session, you can save 10% off the subscription price for as long as you remain a member by using this link to sign up: https://chrismasterjohnphd.substack.com/qanda Learn more about the Masterpass here: https://chrismasterjohnphd.substack.com/about This snippet is from the November 19, 2022 AMA. The full recording and transcript is reserved for Masterpass members. Here is a preview of what's included: Brain Fog on Calcium, Vitamin D, or K2 How Do I Increase My ATP? Nutrition for Recovery from Alcoholism How to decrease MCV after chemo? What happened to vitamin B4? Should I eat foods specifically for their antioxidant status? How do I get my ceruloplasmin up if copper doesn't raise it? Why would bovine serum immunoglobulins help gut health? Nicotinamide Riboside and Cancer If I need lecithin for gut health, should I worry about its omega-6? What do I think of patented Sucrosomial magnesium and zinc? Is my problem magnesium transport or magnesium excretion? What to do about severe osteoarthritis and muscle stiffness? Should I worry if 5 mg P5P raises my plasma B6 above normal? Is nascent iodine safe when weaning off of thyroid hormone? How to avoid false zeros in Cronometer? What does it mean if I have more energy when taking CoQ10? If NADPH oxidase is unregulated to fight pathogens, is taking antioxidants good or bad? What if my needs for vitamin A and zinc are higher than the tolerable upper intake levels? How accurate are vitamin E tests? Quick redux on muscle stiffness How do I handle my first emergence from lockdown if I am worried about being relatively immunosuppressed? If I supplement with iodine, do I need to supplement with selenium? Should I worry about the beta-carotene in my multivitamin? Why do I wake up tense and with a headache to my alarm clock? Why does starch make me wake up in the middle of the night with increased respiration? What causes crusty eyes? Which nutrients need to be spread out across the day? What are nutritional causes of hypnic jerks? To replicate Weston Price's reversal of tooth decay, do I need dairy? Why would I have a bad reaction to milk thistle? Here's a link to the full AMA: https://chrismasterjohnphd.substack.com/p/recording-and-transcript-of-the-november Access the show notes, transcript, and comments here.

Timing of release isn't just a catch phrase, it's the MOST important part of deciding when to have a tongue tie release.  Katie Oshita and Dr Gary Myers discuss how he started doing releases (spoiler alert: he was pushed into this space by Jennifer Tow), how his practice grew (crunchy mom referrals at first then eventually got some Pediatrician referrals).  Dr Gary talks about what he usually sees with clients, how different babies are from adults and how there isn't 1 right way for everyone.  Dr Gary also focuses on what he calls the 3 T's:Tethers- anatomy- his jobTension- bodywork spaceTechnique- Lactation spaceListen here for all the details from Katie and Dr Gary.Podcast Guest: Dr. Gary Myers is a pediatric dentist in the Jacksonville, FL area. He graduated residency in 2001 from MCV in Richmond, VA.  He currently lives in Middleburg, FL with his wife, 5 kids, and 2 dogs.  He was introduced, recruited, and educated to the world of helping babies achieve proper latch and functional breastfeeding in 2012 by one of the most wonderful IBCLC's around, Jennifer Tow.  This was back when the Tongue Tie Support Group on FB had less than 1000 members!  He is holistic minded and always looking for novel ways to improve the oral and overall health of his patients and their families.Podcast host: Katie Oshita, RN, BSN, IBCLC has over 22 years of experience working in Maternal-Infant Medicine.  Katie is a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com

Today Gregory is joined on the podcast by Tim Rann, Managing Partner at Mercy Corps Ventures (MCV). MCV is an early-stage impact VC that backs startups increasing the resilience of underserved individuals and communities in emerging markets. Follow MCV on Twitter @MCSocialVenture. Tim brings 15+ years of experience as a founder/operator and fund manager across Asia, Africa and LatAm, along with extensive experience in AgTech, Web3, Climate Finance and ClimateTech. He sits on the boards of multiple MCV portfolio companies, and is an advisor to Goldfinch, MightyAlly, and [Empowa.io](http://empowa.io/). When not running MCV, he's chasing around after his two small kids or rock climbing. Find Tim on Twitter @timrann.

Question: Why would vitamin D, vitamin K2, and calcium give me brain fog? Short Answer: Most likely by decreasing serum phosphorus. The solution is to balance these nutrients with vitamin A and phosphorus. This is a clip from a live Q&A session open to CMJ Masterpass members. In addition to this episode, you can access two other free samples using this link: https://chrismasterjohnphd.substack.com/p/questions-on-questions-on-supplements In that batch of free episodes you will also find the answers to these questions: Low Blood Sugar on Vegan Keto Raising Ceruloplasmin When Copper Won't Do It If you want to become a Masterpass member so you can participate in the next live Q&A, or so you can have access to the complete recording and transcript of each Q&A session, you can save 10% off the subscription price for as long as you remain a member by using this link to sign up: https://chrismasterjohnphd.substack.com/qanda Learn more about the Masterpass here: https://chrismasterjohnphd.substack.com/about This snippet is from the November 19, 2022 AMA. The full recording and transcript is reserved for Masterpass members. Here is a preview of what's included: Low Blood Sugar on Vegan Keto How Do I Increase My ATP? Nutrition for Recovery from Alcoholism How to decrease MCV after chemo? What happened to vitamin B4? Should I eat foods specifically for their antioxidant status? How do I get my ceruloplasmin up if copper doesn't raise it? Why would bovine serum immunoglobulins help gut health? Nicotinamide Riboside and Cancer If I need lecithin for gut health, should I worry about its omega-6? What do I think of patented Sucrosomial magnesium and zinc? Is my problem magnesium transport or magnesium excretion? What to do about severe osteoarthritis and muscle stiffness? Should I worry if 5 mg P5P raises my plasma B6 above normal? Is nascent iodine safe when weaning off of thyroid hormone? How to avoid false zeros in Cronometer? What does it mean if I have more energy when taking CoQ10? If NADPH oxidase is unregulated to fight pathogens, is taking antioxidants good or bad? What if my needs for vitamin A and zinc are higher than the tolerable upper intake levels? How accurate are vitamin E tests? Quick redux on muscle stiffness How do I handle my first emergence from lockdown if I am worried about being relatively immunosuppressed? If I supplement with iodine, do I need to supplement with selenium? Should I worry about the beta-carotene in my multivitamin? Why do I wake up tense and with a headache to my alarm clock? Why does starch make me wake up in the middle of the night with increased respiration? What causes crusty eyes? Which nutrients need to be spread out across the day? What are nutritional causes of hypnic jerks? To replicate Weston Price's reversal of tooth decay, do I need dairy? Why would I have a bad reaction to milk thistle? Here's a link to the full AMA: https://chrismasterjohnphd.substack.com/p/recording-and-transcript-of-the-november Access the show notes, transcript, and comments here.

In episode 050, we sit down with Tim Rann, Managing Partner at Mercy Corps Ventures, and dig in to his background building businesses across Afghanistan, Cambodia, and other locales, and how he's applying his insights in development finance to impact investing at MCV. We cover the opportunities for uniting impact with digital product design, how Tim and the team are thinking of impact with respect to climate and financial resilience, and how LPs are thinking about crypto projects and impact. This is a great episode for founders and LPs curious about the investment opportunity in open source protocols built with the developing world in mind.

[Transcript included at the end of these show notes] Fleetwood Mac's "Everywhere" is one of the greatest pop songs ever. Although forged in tumultuous times, "Everywhere" sounds like it comes straight from heaven.  Thanks for spending your time with us! Follows, ratings, and recommendations are always appreciated! Helpful links mentioned in the episode: Our mixtape The demo That awful video You can find us on Instagram, Facebook, Twitter, Masadon, and our website. You can email us at BandFGuiltFree@gmail.com, too. Here is our Spotify playlist featuring every song we've featured. Our theme music is by the incredibly talented Ian McGlynn. Transcript (easier to read on our website) Bill: [0:07] Let me set the stage for you, Frank. It's 2011. Frank: [0:11] Okay, like now or then? Gotcha. Bill: [0:13] Then, so bring yourself back to 2011. Frank: [0:19] 34 years old? Oh, what was I doing? Bill: [0:23] I know what I was doing. Frank: [0:25] Oh, yeah, that's right. Bill: [0:26] I was pining. So it's somewhere in March and I'm wondering if things are going to work out with me and, Ashley because we're not back together yet. It's been this seven year stretch and things look like they're promising but there are no kind of guarantees. Frank: [0:44] Yeah. Bill: [0:52] She's actually living in France. dating somebody else. Frank: [0:58] So there's a lot of obstacles stacked up against you. Bill: [1:03] Yeah, I got some, I got a bit of faith. [1:09] And that's, that's what I had going for me. Gumption. Frank: [1:12] Yeah engumption yes. Bill: [1:16] Yeah, that's right. I had gumption. So it's my like week off from school and our great friend of the podcast, our mentor, Chris Newkirk, says to me, hey, I got to go back to the States. Do you want to drive with me? I got to go for the week. It's your holiday. Why don't we drive down and you can do we road trip it? Frank: [1:38] And just road trip it. Yeah, nice. Bill: [1:40] So I went with on this road trip with Chris Newkirk. And at one point we're doing a drive from New Jersey to Pennsylvania. And he said, you know what? I have an iPod. He had an actual one of those old iPods, not even a phone, just iPod full of music. Frank: [1:58] Yeah, yeah, yeah. I had one of those up until about two years ago when it was stolen out of my car. Bill: [1:59] Because when we play a game. [2:03] That's right. Frank: [2:04] Just so you know. Bill: [2:05] Yeah, that's right. No, of course not. So he said, why don't we play three songs each? Frank: [2:06] It's not that old. It's not that uncommon, Bill. Bill: [2:11] You pick three songs and you could set it up in queue and then he'd pick three songs in queue and so that would be our way to kind of get things moving on our journey. And so I'm looking through his music which of course is way cooler than mine so I'm like I don't know this Smith song, I don't know this Pure song. So I'm desperately trying to find a song that I could put on also to impress him because we're always kind of trying to impress him. And then I see this song, Fleetwood Max everywhere. And I think to myself, oh, I remember this song. I was a kid, I loved this song. So I put it on the queue and then those opening notes come out or what would we call it? Opening beats. Frank: [2:55] Notes. I think you were right the first time. Bill: [2:56] Notes. Notes. I think you were right the first time. Okay. And suddenly everything is right in the world. And I say to him, everything about this song, is what makes life beautiful, something like that. I had this like profound moment that everything is gonna be okay. This is the most joy I have felt. And suddenly when I heard this song, it brought back feelings of being a kid and full of wonder. And it brought back sort of memories of just straight up hopefulness. And then I knew things would be okay. And so within the week, things are looking good. I'm engaged to Ashley by June, we're married. And then flash forward 11 years later, you're sitting amongst a ton of toys and blocks. And I apologize, there was a diaper right at your feet. We couldn't figure out why this place smelled like sewage. My apologies, but this is the life. This is everywhere to me. Frank: [3:57] In your defense, you didn't smell it because you're nose-blind. But no, this is a good place to be, and I'm glad that we can do this podcast everywhere. Bill: [4:12] Christine McVie just passed away recently. So people have been commenting on social media and in the news about how she really was. Frank: [4:14] Yeah, yeah. Bill: [4:24] One of the great songwriters of the past 40 years in a sense. And with Fleetwood Mac, we love to talk about, the Buckingham Knicks thing, the kind of craziness surrounding their albums, but she was the sort of steady hand in terms of making consistently great songs. Frank: [4:44] Yeah, so after her passing, I found I was listening to the radio and they did this little thing talking about Christine McVie and how she joined the band. So I don't know if you if you heard this necessarily. So she she's married to the bass player John McVie, but she has her own solo thing going on. But the tensions of like, two artists, you know, separately on the road doing different things. She kind of took a backseat and decided like, you know, I'm gonna give up my solo career and, I'm gonna be a wife. I'm gonna try and like that this marriage is too important like I'm gonna make the sacrifice and and just like I'll give up music as my career and, Then I can't remember which album it was but they're in this cabin and they're, No, no, sorry. It was it was for a tour, tour. They're in this cabin and they're just kind of rehearsing and performing and all this. And she's sitting there just on the sidelines. She knows all the songs because she's been with the band for as long as they've been together at this cabin rehearsing, getting ready for this tour. And then at the last minute, it was just like, hey, do you want, Wanna just join the band? Bill: [5:58] And so that's 1970. She joins Fleetwood back in 1970. By 1971, she's writing and singing in Fleetwood Mac. And she stays right through, you know, you have Buckingham Nicks joining, right through this album, Tango in the Night. And then there was still behind the mask and time, albums in the 90s, she was still there. And still writing actually pretty good music for albums that were not strong. She still was the sort of steady hand. And then she was there for the reunion, retired, but then came back around, I think it was around 2014 or something like that. So she's back in the band and still playing up until recently. And so she's had an incredible career, and still released a pretty good album with Lindsay Buckingham a few years ago called Christine McVee, Lindsay Buckingham, although Buckingham McVee would have sounded way cooler. Frank: [6:52] Yeah, a little bit on the nose with the title of the album, right? Yeah. But yeah, to say that Fleetwood Mac's history of personality is tumultuous, I think is a slight understatement. Bill: [7:05] Oh my goodness. So, I mean, I dove deep for the last few days into the history of Fleetwood Mac and you can find it. You can find all these stories and it is a tale of massive excess. It's just insane. All the things I was warned about with heavy metal groups, I didn't realize Fleetwood Mac was way, oh man, it is insane. It's just insane. Just reading about the amount of drugs consumed and the amount of money spent and wasted is crazy. So we all know that, or if you don't know that, you can just look into it. so we won't dive into it. Frank: [7:44] Yeah, just just Google Fleetwood Mac Gong show and then it's something you'll get the whole history. Bill: [7:51] So Tango in the Night, which is this album, this was originally supposed to be Lindsey Buckingham's third solo album. He's working on it. He has three songs that are decent songs, Big Love, Caroline, and I think maybe Tango in the Night. I think that those are three songs he's already working on. And they ask him to come back and do a Fleetwood Mac album. So this is, I think, the record company. So his solo career is not taking off like Stevie Nicks and Christine McVie had a great album in the eighties. You really got a hold on me. Do you remember that song? Frank: [8:29] Oh, yeah, yeah, yeah, big. Bill: [8:30] So good. So good. She's just so steady. And Lindsay Buckingham, I think might have produced it. Either way, Buckingham's just like, okay, I'll put my solo aspirations on hold for the sake of the band. And because he's Lindsay Buckingham, He just can't go in there and play his music. He needs to kind of take over. So whoever was producing, they just ended up saying, okay, why don't you leave? Lindsay Buckingham, Richard Dashett will come in. They're gonna produce. And so there's these stories about it. And basically it's just super depressing, how much work they put in. They put in 18 months of nonstop work. It's insane. And Lindsay Buckingham is a perfectionist, but he's also experimenting with some synthesizers. the Fairlight program we've talked about, he's experimenting with that. He's doing so much. And so every song he'd spend weeks and weeks and weeks on. [9:27] So let's head into the backstory. They ended up recording at his house a lot of the time. And that wasn't good for Stevie Nicks, who was coming out of, who just came out of rehab, she wouldn't have gone in during it. And going to her ex-boyfriend's house to record didn't make her feel well. And he's, I don't think he has like a great bedside manner anyways, Mick Fleetwood and the others ended up renting an RV and stationing it in the driveway so they could go out of his house and do whatever it is they're doing. Like it sounded just like a mess. Often they would talk about how you have the sixties and they're doing all the experimenting. And then the seventies is a lot of cocaine. And the eighties, the drugs aren't working and that cocaine's now controlling the people more than they're using it to make their music. And this is what's going on. Like it's just a mess. And Buckingham talks about how they're all at their worst point when they're recording this album. I don't know much about Christine McVie in terms of this, but she brought these songs that are wonderful to this album. Frank: [10:33] She wrote some great songs for the album. Like there's this song in Little Lies, which is... Bill: [10:38] Which are the two greatest songs on the album to me. Frank: [10:40] Yeah, yeah, yeah. Absolutely there. Bill: [10:43] The amazing thing is her two songs that she brought, Little Lies and Everywhere are the third and fourth singles. You'd think they would be the lead singles. So, yeah. So the first two singles are Big Love and Seven Wonders, which are good. Frank: [10:49] They're so good. [10:51] Yeah. Well, I know, right? They're so good. Bill: [10:59] It's just so weird. whole time is weird because they those songs didn't stand the test of time in In terms of us, I like them. I like them all. I really like this album. Frank: [11:07] Well, in the context of those songs, like I don't or barely remember them. But Little Eyes and Everywhere, yeah, in a heartbeat. say Everywhere Fleetwood Mac? Yeah, I know exactly the song you're talking about and I know that it's awesome. Same with Little Lies. Bill: [11:24] Yeah. So whatever went on in production, they don't have like an interview where they talk about this. But there's a demo, which wasn't released on the deluxe edition, but I found it on YouTube. Frank: [11:30] Yeah. Bill: [11:37] So I'm assuming the demo was done by Buckingham and McVie. She brings it. He does some things to, it, but he hasn't done the full Buckingham to it. So I'm gonna play this for you. He hasn't bucking. Frank: [11:49] Yeah. He hasn't Buckinghammed it. Bill: [11:51] Their new verb. Okay. I'm going to play a little bit of it for you. So you can hear the beginnings of it, but it doesn't have that special quality. Frank: [12:02] It's really quite raw. It's missing a lot of the final touches, but you can feel hints of them. So when we played this song, it sounds magical. It sounds like a fantasy. Bill: [12:15] Yeah. Well, this is it. This is why the song is so perfect. is it creates this sort of fairy-like world where people, you can almost just see fireflies around you while the song is going on. So Richard Dashett, who is the co-producer, by co-producer, he was the encourager of Buckingham. Like he's really good about this when he talks about it. He said, I know my role. There's gonna be, Buckingham is the guy. So I'm there to support him and to kind of listen and do it. He said that the beginning that we always talk about is a half speed acoustic guitar and an electric guitar combined. And then, yeah, McV said, Buckingham slowed the tape down really slowly. So they did this all over the album, slows it down and played the part slowly. Then when it came to the right speed, it sounded bloody amazing. So whatever he was doing, he was playing with both acoustic and electric over top of each other and altering the speeds. Frank: [13:10] Mm-hmm. Yeah, okay. Yeah. Bill: [13:12] And so he does this actually with like voices too. Sometimes he uses his voice to become a female voice. Yeah, there's all these things going on. So even the voices in this song, I'm not sure who they are. And so, but apparently it is Stevie Nicks because she got into a big fight with him because she thought that he took her vocals off of this song. Stevie Nicks only showed up for two weeks to do any recording of this 18 month process. So just to put that out there, so Stevie Nicks is kind of to say the least. Frank: [13:36] Oh, tumultuous. Bill: [13:42] But anyways, we got everywhere out of this time and everywhere is perfect. Frank: [13:47] Yeah, yeah if it took 18 months to get everywhere I'm okay with that. Bill: [13:52] All right, so the opener, we got that already down. This is magical, this is perfect. Frank: [13:57] Yeah, because it's a song about those first sort of throws of being in love. Bill: [13:58] And so this is one of those things where the lyrics, they're just pretty straightforward, which she does well, but she also is able to kind of take in these sort of, the emotions of love. And she's really good at singing about this feeling in love. Frank: [14:20] And that really giddy sort of euphoric feeling you feel. And it's childlike and fun and everything's great and fantastic and the world could be crumbling around you but you're in love. So you're smiling and you're happy. Bill: [14:35] And what she say here, she says, Can you hear me calling out your name? You know that I'm falling and I don't know what to say. I'll speak a little louder. I'll even shout. You know that I'm proud and I can't get the words out. So, okay. Basically, when you're feeling this, everything seems right to say, or you have nothing to say. That sound makes sense? I'm trying to find the words myself and I can't find them. Frank: [14:59] Yeah. I can't mark. Just going through those lyrics. But like I immediately went back. There's that scene in Anchorman when Ron Burgundy is falling in love. It's like, I'm in love with Veronica Corningstone and I don't care who knows it. It's just like, did I say that loudly? It's like, yeah, Ron, you pretty much shouted it. That's that feeling, right? Like you don't care who knows. Yeah. Bill: [15:20] I think that does speak of my 2011. Like I was just so, it just set everything in motion. And then it leads to that chorus with all those voices. Frank: [15:30] Yeah. [15:31] And it's layered, right? Bill: [15:32] Yeah. Frank: [15:34] And it's soft and it's not saying a whole lot. It's just repeating the same line twice, but it's so effective and you can feel it. Bill: [15:47] I can't say this enough about how his instincts as a producer are right on the money. So he'll make his songs kind of complicated or difficult at times to listen to. They're not that difficult, but he knows that there is this sort of pure beauty to what she's doing. And he just highlights it and adds to it and does creative things, but they're all about this dreamlike feel, which he does in Little Eyes as well. It's just so incredible. And I don't know how many times he's layering voices what he's doing but I can guess just from the sounds of it. It's so pleasing to our ears but, it might have been a month of a nightmare for these other co-producers and engineers who are, just watching him. That's right the one producer used the following two words to describe the. Frank: [16:34] If they have to suffer for my pleasure, I'm okay with that. Bill: [16:41] Experience trauma. Still thank you it was worth it. The only other verse really because then they. Frank: [16:44] Yeah, exactly. Yeah. Bill: [16:52] Start repeating things but something's happening, happening to me, my friend's saying I'm acting peculiarly. Come on baby. Did I say peculiarly right? Sure. Okay. I'm gonna say yes. Come on baby. Frank: [17:02] Line, the Pekirulu. Bill: [17:06] We better make a start. You better make it soon before you break my heart. Frank: [17:10] That you said, Pekirulu, that's a good one. Bill: [17:16] Yeah. Frank: [17:17] That P word that you said, peculiar. Oh my goodness. Bill: [17:22] Peq- Oh, how did she say it? Peq-ular-ly. Yeah. Frank: [17:25] Yeah, yeah. But it's, my friends have me saying, I'm acting this way. And that's like, when you're kind of, again, giddy in love. I feel like I should write a song called Giddy in Love. It'll be like the spiritual sister to Crazy in Love by Beyonce. Anyways, when you're giddy in love, yeah, you're acting a little bit different. Like, you know, you're happy, you're bouncy, you're kind of doing goofy things, I find. Like, I know that's the way I've been, like when I'm kind of really into someone and they're into me and things are going good, before everything just falls apart. Bill: [18:07] Yeah, then it's a different song. I think that song you're looking for is Nowhere. Frank: [18:11] Yeah. That song's like every other song we've done on the podcast. Bill: [18:18] That's right. [18:19] This is a brief moment of levity. Frank: [18:20] I know, right? Yeah, so, you know, we'll do a breakup song again pretty quick, I'm sure. Bill: [18:21] I know. Thank you for bringing it back down. [18:26] Oh yeah, no question. She did co-write this with Jonas David Kroeper. I'm giving his full name just because it's on my songwriting sheet here. but that was her husband at the time. So this is about their love and their early love, so much joy and... Frank: [18:41] Yeah, yeah, he was he was also a keyboard player, right? Bill: [18:44] Okay, well then that, maybe that explains... Frank: [18:46] Because I think they married shortly after the recording of this album. Bill: [18:50] Okay, right, so they're already in this sort of love. Frank: [18:52] Yeah, this this giddy stage. Bill: [18:54] She has a tendency to do that with certain songs. By tendency, I mean she wrote one other song like that. So rumors she wrote, you make love and fun, which was about her affair or relationship, with the lighting guy in Fleetwood Mac. But she told John McVie it was about her dog so that he wouldn't get suspicious or angry. Oh man, so everywhere it was not about her dog. This is about this happy new relationship, and this marriage that was coming. The power beyond those lyrics, of course, is just the sounds. It's what Buckingham is doing with those sounds. Frank: [19:31] I read a quote saying that it's a bulletproof pop song, which I will not disagree with. The song's, what, 87 it came out, so we're 36 years after this song comes out, and it still plays, and it's still bouncy and fun and poppy and great. It's not contemporary to in 2022, but it still plays. Bill: [19:55] It not only still plays, Like it shows up in commercials in the UK and then re charts at like got to number 15 recently. Frank: [20:02] Yeah, it was used for a Chevrolet electric vehicle commercial recently. Bill: [20:09] And there are a lot of bands that have kind of, arisen in the last decade, like Vampire Weekend, there's been more than a decade I know. Paramore, there's a bunch of other bands too, who've looked towards Tango in the Night as their inspiration. They talk about it and everywhere is covered by Vampire Weekend and Perron More. Frank: [20:27] Yeah, and Paramore, yeah. Bill: [20:29] So I think it is getting its due. And when you see like the top 50 songs, or Rolling Stone did the top 50 songs of Fleetwood Mac, this was number five. So I think it's not an unsung hero. People are realizing how incredible it is. It's still incredible to me that this is the fourth single. So if I had to choose between these two, I would put this ahead of Little Lies. I like Little Lies, but everywhere is the one. I can't believe this wasn't the lead-off single. Frank: [20:56] Yeah, oh I know. And it charted relatively well. It was 14 on the US Billboard Top 100. But I mean, ultimately, the Bill and Frank's guilt-free pleasure, the only chart we really care about is the adult contemporary chart, right? Bill: [21:14] Straight to number one, baby. So, and we brought this up before, even though I charted 14, whatever was number one that week. Frank: [21:16] Straight to number one. [21:24] I don't even know. Bill: [21:24] I know I don't even care because this is the one. Frank: [21:25] I don't care! Bill: [21:28] That endures, because it was played all the time. Frank: [21:30] I don't want to, you know, jump the gun here, but this is a roller rink song. Bill: [21:30] At least when I was a kid, I remember it. And so just hearing the, oh my goodness, there's so many bits and pieces to that song. [21:44] Yeah. Oh yeah. This is perfect. Roller rinks still around late 80s? Okay. Would you put, would you roller skate to this at Prudhommes Landing? Did you ever roller skate at Prudhams? Frank: [21:46] I think so. Yeah, I roller skated in the early 90s even. I mean, I would if I was cool enough to roller skate at Prudhommes Landing. No, no. Bill: [22:05] Oh man, this is a call back to our Prudhommes Landing episode. Just songs that remind you of. Frank: [22:11] If you don't know what you're talking about, just listen to all of our previous. Bill: [22:15] Yeah. Frank: [22:15] Episodes and eventually you'll get get the reference. No, no, no, no, don't tell them I'm trying to get listens here. Bill: [22:18] So in Gloria Stefan's bad boy, it's a, Oh, well we can get them straight to bad boy and we can see the, okay. Frank: [22:25] But I'm trying to get them to listen to everything. Bill: [22:27] Either way, if you don't know Prudhommes Landing, well, you'll know this is the summer song, not to jump into a category. We are there for jumping into these categories. Frank: [22:35] We're jumping into categories. Bill: [22:36] So, all right. I see this as a perfect breezy summer day. Frank: [22:44] Yes, absolutely. Bill: [22:46] Also, I could see this as snow falling close to Christmas. This could be like a Christmas song. Frank: [22:52] It's an all-season song. Bill: [22:53] It is because it just will make whatever situation you're in brighter. Now, I'll tell you what's not bright is the music video. Frank: [23:04] Yeah, it's... not good. Bill: [23:06] Yeah, apparently there was two. I can't find this other version that is with Fleetwood, McV and McV. Because by the time Everywhere comes out, this is depressing, but Buckingham has left the band. So he had done all this work on the album And then it came down to them planning their tour. And he just said, I can't do it. And basically saying, I can't be around you guys. You guys are destructive. You're gonna die. I don't wanna die. And then Stevie Nicks lunged at him while they're in Christine McVie's mansion. And then he got so angry that he chased her. And she talked about, this is Stevie Nicks saying, she was running through the halls of this sort of house that was almost like, it feels like they're in some sort, of maze and he's chasing her and they're end up on the street, he's still chasing her and she's afraid for her life. Frank: [24:05] Oh, jeez! Oh! Bill: [24:06] And he throws her against a car and then she threatens to have him killed by her family. It's just awful. And this of course is bringing over their relationship from a decade earlier and it's awful. I imagine Christine McVie just sitting still there in the house and it's- Frank: [24:17] Yeah. Oh my goodness. [24:22] I just want to sing everywhere on stage. Bill: [24:24] I know, so he's already gone, he's left the band. And so by the time this video comes out, they film it without any members of the band. And they think, oh, everywhere, why don't we do like something that's like a ghost story, and we do the highway man as a music video. Now the highway man is that old poem, and you can watch the music video and it kind of just follows the story of it. But this does not work with the song at all, because there's like... Frank: [24:53] Not at all. It's not, it's a song about falling in love and being in love early on and when everything's good and fantastic and fun. Bill: [25:04] It's not about getting kidnapped, killed and then getting revenge and then being a ghost. Oh, that's insane. The only time I want to hear the Highwayman is from Anne Shirley when she's. Frank: [25:08] Yeah, by redcoats! Bill: [25:15] Doing her speech competition and Anna Green Gables. That's the most powerful version of the Highwayman. Everything else doesn't matter. Oh, I'm sure he is. Megan Follows, best Highwayman. Frank: [25:25] Is Gilbert in the audience watching? Bill: [25:31] And rendition, that might've occurred at the same time. Cause standing green gables I think came around then. Sorry, Fleetwood Mac, bad choice. Frank: [25:35] Yeah, yeah, yeah. Bad choice, yeah. Bill: [25:39] Now, if you look at the cover of the single, this cover of the single has this sort of picture of someone whose arms are kind of open up to the world. Frank: [25:47] Oh, okay. Bill: [25:48] There's a planets star. It looks like the person who did the artwork for the little prince did the artwork for everywhere. It's perfect. It works exactly as it should. And that's what it should have been. Frank: [26:02] Yeah. [26:02] The video doesn't, yeah, it doesn't work. And if we're going to be critical of the video, so I watched it just once. And there's a bunch of scenes where like these British redcoats are running inside this cottage house or whatever it is. They're going up the stairs and it's clearly animated shadows on- so there's all these animated pieces that just like- it's like was your shadow guy on vacation? that's why you couldn't get the lighting right? I don't know. No, no, no, no, no. Bill: [26:31] It's not worthy of the song. The record company spent a boatload of money on producing this album, just like they've spent it on Tusk and other things. When oh, this is awful. This is side note, but when they would go to hotels in like the early 80s, they'd have them like bring in a grand piano. And if they couldn't get it through the doors, I don't know how you get through a hotel door, they have to like break open windows to get it in. They'd force them to repaint the walls white. so that they'd have white rooms like they were just the excess was ridiculous. That's crazy. But they didn't put any of that into this music video. No. No. No. No. How dare they? Okay. Frank: [27:08] No, no, no, no, no. How dare they? I mean, you know me, it's the chorus, right? But it's the opening of the chorus, the oh, like, I love that sustained. I right. I love that. And then I want to be with you everywhere. It's just so fun. I love it. Bill: [27:13] What's your favorite part of the song? [27:34] So that's what you're singing to in the car. Oh yeah. And you know me, I like doing backing vocals to the song so I'm doing whatever's going on in the background and trying to make those vocalizations. Frank: [27:36] Oh yeah, absolutely. [27:46] Well at the end of the chorus where it's like, I want to be with you everywhere. And then there's the sort of follow up, want to be with you everywhere. Bill: [27:53] Want to be with you everywhere. Yeah. Oh my goodness. Even thinking about that. Frank: [27:55] Yeah, yeah, yeah. Bill: [28:00] How could I pick a favorite part? Everything's perfect. Everything's great. Bulletproof. And the ending of the sort of vocals going back and forth. It's bubbly. It literally sounds like they're making bubbles to me. And it's just like, oh my goodness. Yeah. This is where. Frank: [28:02] Oh, I know. Proof Pop song. [28:14] Yeah, magical bubbles. Bill: [28:19] You go to dreamland. There's a picture of some sort of heaven where you have like grass just blowing in the wind, bubbles in the air, fairies dancing. Frank: [28:30] Yeah, people dancing with ribbons. Bill: [28:32] Yeah. [28:33] Yes. This is it. That leads us to a category pretty naturally. So for the talent show, you're going to be doing a floor routine. Frank: [28:41] Yeah. [28:41] Gymnastics floor routine with ribbons. Bill: [28:42] Yeah, gymnastics floor. Yeah, with the ribbons. Yeah. Yeah, that's that. This is easy. Frank: [28:44] Yeah. Yeah. Bill: [28:46] So there you go. Category check. Frank: [28:48] Check. Would you sing this at karaoke? Bill: [28:52] No, I don't think I could do it. It's so good that it demands this sort of perfection that I don't think I could even come near it. Frank: [28:57] I think the only way it could be done is if there's got to be someone taking the lead, but you need someone to harmonize on those choruses. Bill: [29:08] You better have someone incredible. Frank: [29:09] Yeah. I think Stevie Nicks would do karaoke with me, right? Bill: [29:14] Maybe but she might only show up for a few minutes like she did for this album. Frank: [29:19] Yeah. She showed up for enough for this album. Bill: [29:21] Oh, yeah. Okay. Hallmark movie. I have written here, no way. This needs to be a mainstream movie, not something on Hallmark TV, but this is a song that should. Frank: [29:28] Yeah? [29:28] Well, it has that, well, the opening magical like sort of dreamy sequence, right? Bill: [29:32] Be sort of like this heads in a mixtape territory. Remember when they'd play Dreams by Cranberries all the time to sort of set the stage? Forget Dreams. Play everywhere. Frank: [29:48] Well, Dreams had it too and it kind of had to because it was in the name, But also linger same same sort of a feel so I'm sure we'll do a cranberry song at some point too, but. Bill: [29:56] Our usual category, we, it keeps altering in different ways. Can Michael Bolton sing this song? Frank: [30:08] I think he can but I don't want to hear it. Bill: [30:10] No. What would Mariah Carey do to it? She would Mariah Carey it it would suck. Frank: [30:13] She would destroy this, Yeah, yeah, she I don't think she has the self-control not to go full Mariah on it. Bill: [30:23] Yeah, Celine Dion also I can't think of of anyone who could do it off the top of my head. Frank: [30:31] Also yeah. [30:32] There's a subtlety about the way that Christine McVie sings the vocals. Like she doesn't go over the top. She's a little bit reserved, like as much as it is like a fun happy song about being in love, she's reserved and conservative with it. Bill: [30:49] She does have a very British way of being, if I could say that. Yeah. She did also the song. Do you remember song, Songbird from Rumors? Frank: [30:52] Yeah. Stiff upper lip. Bill: [31:01] They closed every concert with it. So Eva Cassidy, if you remember Eva Cassidy. Frank: [31:03] Uh, yes. Yeah. Bill: [31:06] She did a version of Songbird, which is near perfect. It probably is perfect. I still don't know if Eva Cassidy could have done everywhere because there needs to be a bounciness that I, I never pictured with her, but maybe she could have done it. But there is something special about Christine McVie is both unassuming, but also is in these grand songs because she can go along with Buckingham. They always got along. So Buckingham, notoriously difficult to get along with, but he never had a bad thing to say about McVie and vice versa. They could do albums together. They understood each other. And she wasn't into all the drama. I mean, she partied hard, but compared to the rest of Fleetwood Mac, I think she's a girl guide. Frank: [31:45] Yeah, the rest of them. Yeah, she was... Yeah. Bill: [31:48] And she was also with Dennis Wilson from, um, the beach boys for a while. Yeah. There's a whole, she's got her own backstory and sadness too, right? Frank: [31:52] Oh, really? Okay. Bill: [31:56] About all that stuff. Mix tape. Frank: [31:59] You're just going to name Ashley's album? Bill: [32:01] You want me to go first? So I decided in honor of the person who was the catalyst for this song, kind of coming back to my life and then defining my 2011. Frank: [32:16] You're just gonna name Ashley's album? Bill: [32:18] You're just. Oh yeah. Well, we love you too, Ashley. But I'm thinking of Chris Newkirk. I'm dedicating this to Chris Newkirk. Frank: [32:20] Oh, that's fantastic. Bill: [32:26] Sorry, Ashley. So. She'll never listen to this. She'll never listen to this. So these are songs that I heard while hanging out with Chris Newkirk in 2011. Frank: [32:31] She'll never listen to it. Bill: [32:40] Not all of them actually, but they made me think about Chris Newkirk and his love of this sort of big dreamy sort of pop song. Okay, so everywhere we'll open it of course. Frank: [32:52] I'm sorry. Bill: [32:56] There's a song called I L U by the school of seven bells. It is insane. And the woman who sings lead also passed away few years ago, but in her 30s, I think. Frank: [33:08] Okay, oh. [33:09] Yeah, so Bill just played the song for me and it'll be in the show notes, but my goodness they gave me goosebumps bumps it's it's ethereal and and and dreamy and oh man that's good. Bill: [33:21] I heard that also on that same drive. Chris Newkirk. Wow. Great taste in music. And so also on the drive, we heard cloud busting by Kate Bush. I'm pretty sure that's like just so good. So hands of love from Kate Bush also inspired the production of Tango in the Night. So Kate Bush's style and her relentless drive was where Lindsay Buckingham was was looking towards for making this. Also, I don't think I'll ever be able to pronounce this right, but one more Chris Newkirk, number three. Hoppipolla, Hoppipolla. Frank: [34:02] Happy pool! That doesn't sound at all at least. Bill: [34:05] Yeah, that doesn't sound at all like Sigur Ross, but it is. And it's a Sigur Ross, like the major song, which played when Chris and Jade, I think we're walking down the aisle after their wedding. Frank: [34:09] That's like a new song. [34:15] Oh really? Oh nice. Bill: [34:16] So incredible song. So we were just discussing this as I was playing it, but cinematic in scope as is all these songs, as as is everywhere. Okay, and then I threw a couple more in, Fleet Fox's Can I Believe You? And one more song, Everywhere by Brandvan 3000, which I love. Frank: [34:42] Was that on that trip too or no? Bill: [34:45] No, but I just think I should have played it on the trip. I don't know if he would have liked it. Do you remember everywhere? Yes. Oh, I don't know if it fits. However, you know, those first three were something else. Frank: [34:51] Yeah, yeah, yeah, yeah. [34:57] Mix tapes are allowed to have an outlier, right? Bill: [35:01] Yeah, and maybe it transitions into yours. Frank: [35:03] All right. So my mixtape is, I tried to keep it like happy songs, like giddy songs, fun songs about falling in love. So Walking on Sunshine by Katrina and the Waves. Butterflies by Kacey Musgraves. Bill: [35:13] Okay, oh good. [35:20] Okay not crazy town. Frank: [35:22] No, surprisingly not. Bill: [35:25] No, okay, great. Frank: [35:26] He just threw me right off there. Bill: [35:31] Yeah, sorry about that. Frank: [35:33] The way you are by Bruno Mars. Love is in the Air by John Paul Young and then we finish it off with Sunshine Lollipops and Rainbows by Leslie Gore. Sunshine lollipops and rainbows everywhere that's how I feel when I feel that we're, together that's a and then finishing it off with the sunshine lollipops and. Bill: [36:00] Got it okay perfect well this mixtape just good thing i put in brandman 3000 it's just a transition straight to walking on sunshine oh good. Frank: [36:14] Rainbows. Bill: [36:15] Yeah, yeah. future I'm sure it's a future episode. Frank: [36:18] Well I'm sure yes so I before we before we came to record this song I was talking to my friend Becca and saying, oh, we got to go. I got to go and record this podcast. And he's asking, what song are you doing? I said, Everywhere by Fleetwood Mac. And she said, I love that song. When her and her partner were in New Zealand, they had this this, crappy garbage car and that had a tape deck. So her and Blake went to a thrift store to buy tapes just to play. and they bought Tango in the Night and just listened to that on repeat and this was far and away their favorite song on the album. I told Becca just like, all right I'm gonna tell that story if you're okay with it and well here it is it might actually make the cut. Bill: [37:06] I will and you know what? We don't often do these call-outs. I try to listen to other podcasts because often they're like, hey here's the name of our show which we... do we even say what we're called? Yes you did once but you have to be an astute listener but of course you also have been. Frank: [37:18] Great. Bill: [37:22] An astute enough person that if you're listening to our podcast you're looking at it and the name of our podcast is right in front of you. So we really are glad you're listening to Bill and Frank's. Frank: [37:28] Yeah, exactly. Bill: [37:31] Skill-free pleasures we don't have patreon right now for you to give us money or anything like that but what we would like is to hear your story about Fleetwood Max everywhere tell us how this song, has made your life brighter. Frank: [37:48] And also you can just mail cash to us to our addresses. Bill: [37:51] It's right. Frank: [37:52] We'll put those in the show notes. Bill: [37:53] That's right. Frank: [37:56] It's been a fun and fantastic experience putting this podcast out every week. And this song is coming out at the beginning of 2023. And we just want to thank everyone for listening to us and being with us and downloading and taking this on your drives, on your walks, wherever you listen to it. I listen to podcasts at work all the time instead of working. Bill and I would like to say we want to be with you everywhere. Bill: [38:25] Boop-a-doo-doo-doo.

Charlie from Positive Life NSW joins us to talk about HIV, the future of prevention, living well with HIV and ruminating on 40 years of HIV and AIDS. Hailing from Aotearoa, Charlie was the first openly HIV positive Mr Gay NZ and has an illustrious community advocacy history - with roles at body positive organisations across Australia, Aotearoa and globally. Michael's other program on JOY, Well Well Well will have a sensational interview with living legend David Menadue, airing on World AIDS Day, Thursday on JOY @ 10pm with Caleb and Rachel Some great HIV resources World AIDS Day: http://www.worldaidsday.org.au/ has information about gettin involved with World AIDS Day in your area HIV organisations in australia The National Association of People with HIV Australia (NAPWHA) https://napwha.org.au Victoria https://livingpositivevictoria.org.au South Australia https://positivelifesa.org.au  Western Australia http://positivewa.org Northern Territory AIDS and Hepatitis Council https://www.ntahc.org.au Queensland Positive People https://www.qpp.org.au HIV and the Law https://halc.org.au/publications/guides-to-hiv-and-the-law/ Quality of Life: https://goodqualityoflife.com.au/ Positive Living: https://napwha.org.au/positive-living/ This weeks podcast image is a photo of Ruby-Jane Stormer a member of the Caviar Club collective in the 1980s who was active with ACT UP, as published in 'Art in the time of HIV/AIDS', MCV by Rachel Cook. We pay thanks to all the women in the early response to HIV in Australia. Find other JOY podcasts at joy.org.au Hide and Seek is produced on the lands of the Yalukut Weelam Clan of the Boon Wurrung peoples 

Comisia Europeana considera ca mecanismul de cooperare si verificare – MCV- poate fi oprit, iar monitorizarea poate continua în cadrul mecanismului privind statul de drept.  Imediat ne explica Mihaela Gherghisan, in direct de la Bruxelles... citiţi mai departe

CardioNerds Cofounder Dr. Amit Goyal is joined by an esteemed group of UCLA cardiology fellows – Dr. Patrick Zakka (CardioNerds Academy Chief), Dr. Negeen Shehandeh (Chief Fellow), and Dr. Adrian Castillo – to discuss a case of primary cardiac angiosarcoma. An expert commentary is provided by Dr. Eric Yang, beloved educator, associate clinical professor of medicine, assistant fellowship program director, and founder of the Cardio-Oncology program at UCLA.   Case synopsis: A female in her 40s presents to the ED for fatigue that had been ongoing for approximately 1 month. She also developed night sweats and diffuse joint pains, for which she has been taking NSAIDs. She was seen by her PCP and after bloodwork was done, was told she had iron deficiency so was on iron replacement therapy. Vital signs were within normal limits. She was in no acute distress. Her pulmonary and cardiac exams were unremarkable. Her lab studies showed a Hb of 6.6 (MCV 59) and platelet count of 686k. CXR was without significant abnormality, and EKG showed normal sinus rhythm. She was admitted to medicine and received IV iron (had not consented to receiving RBC transfusion). GI was consulted for anemia work-up. Meanwhile, she developed a new-onset atrial fibrillation with rapid ventricular response seen on telemetry, for which Cardiology was consulted. A TTE was ordered in part of her evaluation, and surprisingly noted a moderate pericardial effusion circumferential to the heart. Within the pericardial space, posterior to the heart and abutting the RA/RV was a large mass measuring approximately 5.5x5.9 cm. After further imaging work-up with CMR and PET-CT, the mass was surgically resected, and patient established care with outpatient oncology for chemotherapy.  CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Case Media - primary cardiac angiosarcoma Episode Schematics & Teaching Pearls – primary cardiac angiosarcoma The pericardium is composed of an outer fibrous sac, and an inner serous sac with visceral and parietal layers.   Pericardial masses can be primary (benign or malignant) or metastatic. There are other miscellaneous pericardial masses.  Imaging modalities for the pericardium include echocardiography, cardiac CT and cardiac MRI. There is also role for PET-CT in pericardial imaging for further characterization of pericardial masses.   Cardiac angiosarcomas are extremely rare but are the most common cardiac primary malignant tumors.  Evidence-based management if lacking because of paucity of clinical data given the rarity of cardiac angiosarcomas. Surgery is the mainstay of therapy. Radiotherapy and chemotherapy are often used as well.  Notes – primary cardiac angiosarcoma Pericardial Anatomy  The pericardium is a fibroelastic sac composed of two layers.   Outer layer: fibrous pericardium (

PODCAST HIGHLIGHTS: 03:19 Simple Lab Testing 04:18 Ideal Functional Ranges 07:20 White Blood Cells 10:25 Hemoglobin 12:06 RDW 14:17 MCV 15:13 Platelets 20:05 hs-CRP 20:55 Homocysteine 21:19 D-Dimer 23:25 Fibrinogen 24:09 GGT  24:48 Ferritin 25:49 Can high platelets lead to menstrual cramps https://youtu.be/6V3L-DhKLEs Transcript from Webinar: Welcome to another edition of "Ask Dr. Neiters" here...... Continue Reading →

Dr. Carole Keim MD takes listeners through vaccines in today's episode. She explains everything from how vaccines are created to common myths and misconceptions about them. She then details each baby and childhood vaccine, and what disease each prevents.Dr. Keim breaks down how vaccines work and what criteria they must meet in disease to be effective. She explains the four main types of vaccines and lays each vaccination out in a clear manner, covering what age your baby or child will be when they receive the vaccine and how the immune response works. These vaccines are proven to protect your baby against everything from tetanus to mumps to pertussis and more.This episode will cover: How vaccines workCriteria to create a vaccineThe 4 different types of vaccinesCommon myths or misconceptions about vaccinesSpecific vaccines (all routine childhood vaccines)Total number of vaccinesCommon side effects and red flags, how to treat How vaccines work: 00:44The purpose of vaccines is to trigger an immune response faster and with less harm than the original disease.The immune system is a lot like a microscopic team of superheroes, made up of white blood cells, antibodies, the complement system, and a few others.  These superheroes fight villains such as bacteria, viruses, and other pathogens.  If they cannot fight them fast enough, the villains will multiply and cause symptoms of disease.  Vaccines give your superhero team information about what the villains look like, so they can recognize them as soon as they enter the body, and fight them off quicker and easier.Vaccine criteria: 01:26In order to make a vaccine, certain conditions must be metIt has to be effective.  We must be able to become immune to the pathogen; diseases like RSV and HFM are ones we can catch multiple times.  Chickenpox is one that you become immune to after catching it once.The pathogen must not be able to mutate faster than the vaccine can be given - we do flu boosters annually because the flu virus mutates about that often.  HIV and common cold mutate too fast for a vaccine to be developed.The vaccine must be cost-effective; it has to be cheaper to prevent the disease than to treat itThere are 4 main types of vaccines: 02:31Inactivated (killed pathogens)Live attenuated (weakened pathogens)Toxoid (a piece of what's inside the pathogen)mRNA vaccines Inactivated vaccines 03:44Most common typeThe bacteria or viruses in the vaccine are killed, so your immune system can safely learn to recognize the pathogen that it is trying to fight off.  These vaccines do not have the potential to cause actual disease.  What they do is cause the immune system superheroes to practice fighting the villains, kind of like practicing on dummies, which may cause mild signs of illness - fever, sore muscles, crankiness, or other symptoms.  Examples: IPV (polio), HPV (human papillomavirus), HiB (Haemophilus influenzae B), pneumococcus (Streptococcus pneumoniae), meningococcus (Neisseria meningitidis), and Hepatitis A and B vaccines.Live attenuated vaccines 04:02Made from bacteria or viruses that have been exposed to chemicals that make them weaker than the natural or “wild type” bacteria or virus.  Since these pathogens are not killed completely, your superheroes aren't just practicing on dummies, they are actually fighting the weakened villains.  So it is possible to have symptoms of the disease, but milder.  Some people with weakened immune systems may not be able to fight them off, and can get the actual disease.  People taking steroid medications or immune suppressants, or who have HIV or other immune deficiencies should consult a doctor about whether it is safe to receive these vaccines.  Examples: oral polio vaccine, MMR (measles, mumps, and rubella), Varicella zoster (chickenpox), and rotavirus vaccines.Toxoid vaccines 04:55Made from just part of the pathogen, and protect against the kinds of bacteria that cause symptoms after the toxins inside them are released.  These toxin-carrying bacteria are like villains carrying around a bottle of poison, and the toxoid vaccine gives the superheroes the poison to sample and build up resistance to it.  Example: DTaP (diphtheria, tetanus, and acellular pertussis).MRNA vaccines 05:23Newest typemRNA is like a copy of instructions. These give your immune system something like a sewing pattern to print out and make the dummies for your body to fightExample: some COVID vaccinesMyths and misconceptions about vaccines: 05:45Many parents have concerns about vaccinating their children.  It only takes one serious reaction to call into question the safety of vaccines.  And it has been so long since the vaccine-preventable diseases have run rampant that we in the United States don't fully understand the scope of what is being prevented.  Here are some of the top concerns that I have heard from parents, and the truth behind them.Aluminum.  There is aluminum in vaccines, but the amount is far less than babies get from other sources.  The total amount of aluminum that babies get from vaccines in the first 6 months is 4.4mg.  Breastfed babies consume 7mg, formula-fed babies consume 38mg, and babies on soy formula consume 114mg of aluminum in the first 6 months of life.  Consuming aluminum vs. having it injected in a vaccine looks the same to the body, so the tiny amount of aluminum in vaccines will not harm your babyAntigens.  An antigen is any microscopic substance that has the possibility to elicit an immune response.  Babies are exposed to over a trillion antigens in the first year that naturally occur in the environment.  The entire vaccine series that children receive today contains just over 150 antigens.  A young baby's immune system can easily recognize these few antigens and make antibodies to the diseases without getting sick.Autism.  It has been proven that vaccines do NOT cause autism.  The age that children first start showing signs and can be tested for autism is 15-24 months.  This is the same age that children receive booster vaccines, so it is understandable that some parents think they are related. Long-term protection.  Vaccines will protect a person for just as long as if they got the original disease.  So a person who had chickenpox as a child is just as protected from getting it again as a person who has received the chickenpox vaccine.  Some people do not seroconvert (develop antibodies to that disease) - that depends on their immune system and is not a failure of the vaccine itself.Mercury.  There used to be a preservative called thimerosal in vaccines.  That preservative (which contains mercury) has been removed from all vaccines in the US that children receive.  The only vaccine that still contains thimerosal is the adult flu vaccine.Unnatural exposure.  Some people worry that getting exposed to a disease through an injection is not the same as getting it “naturally” by being exposed to a sick person.  This is not true; any disease will get into your bloodstream, which is where it is recognized by the body, and once in there the body has no idea how it got in.  So getting an injection looks exactly the same to your immune system as getting the disease from a sick person.Doctors DO NOT get paid to vaccinate childrenVaccines are NOT a punishment for children who are behaving badlySpecific vaccines: 10:47Hep B - 0, 2, 6 mos.  Hepatitis B is a viral infection that can be passed from mom to baby through the placenta or during delivery.  90% of babies born with HepB will develop chronic infection and are at risk of liver cancer later in life.DTaP - 2, 4, 6, 15 mos, 4 years.  Tdap - age 11, every 10 years.  DTaP has more diphtheria, Tdap has more tetanus. Bacterial infections.  Diphtheria causes severe sore throat and enlarged tonsils, and can block the airway from swelling/tonsils being so enlarged.  Tetanus makes spores that live in soil; any penetrating wound could have tetanus in it (nail/thumbtack, dog or cat bite) and tetanus is not killed by antibiotics so it must be prevented.  Pertussis is whooping cough and causes babies less than a year old to stop breathing.  Everyone who takes care of the baby should be current on their TDaP (within 10 years).  Polio - 2, 4, 6 mos, 4 years.  Polio is a virus that attacks nerves and causes paralysis.  Sometimes it's minor, and sometimes it's the diaphragm that's affected and they stop  breathing.  There is no specific treatment for polio.HiB - 2, 4, 6, 12-18 mos.  HiB (haemophilus influenzae B) bacterial infection that affects children less than 5 years, and especially those under 1 year of age.  It used to cause severe infections like epiglottitis, sepsis, pneumonia, and meningitis.  PCV - 2, 4, 6, 12-18 mos.  PCV = pneumococcal conjugate vaccine, pneumococcus is another name for streptococcus pneumonia, which is a kind of strep that gets into the bloodstream and causes sepsis, pneumonia, and meningitis.  PCV has 13 strains of strep in it right now.Rotavirus - 2, 4, 6 mos. Viral infection that causes severe diarrhea and dehydration in babies. Hep A - 12 and 18 mos. Hep A is a type of food poisoning, there's no specific treatment.  MMR - 1 and 4 years.  Measles causes high fever, rash, and can cause brain damage, hearing loss, and death.  Mumps causes parotitis (infection of salivary glands), but in boys also causes orchitis (inflammation of testicles) and can lead to sterility.  Rubella is a fever and rash; more dangerous to unborn babies, causes miscarriages and birth defects.VZV - 1 and 4 years.  Varicella Zoster virus (chickenpox) causes cold symptoms, fever, and an itchy and painful rash in children, and shingles in adults.  VZV in pregnancy causes miscarriages and birth defects.MCV - 11 and 16 years.  Meningitis A, C, W, Y are viruses that cause inflammation around the brain that develops quickly and can be fatal.  HPV - 11 years.  Human papilloma virus causes warts and dysplasia and can lead to cancer of the mouth, throat, anus, cervix, and penis.  Currently 9 strains of HPV in the vaccine.  Flu: recommended annually COVID: recommendations are still evolvingVaccines that are available but not given routinely: MenB, PPSV23, Dengue, Typhoid, japanese encephalitis, yellow fever, rabiesTotal numbers of vaccines: 22:351 at birth (Hep B)2 mos: DTaP, polio, HiB, Hep B, PCV, rotavirus - 1 or 2 combo vaccines, PCV and rota = 2 or 3 shots plus an oral vaccine4 mos: DTaP, polio, HiB, PCV, rotavirus - 1 combo plus PCV and rota = 2 shots and one oral6 mos: DTaP, polio, HiB, Hep B, PCV, rotavirus - 1 or 2 combo vaccines, PCV and rota = 2 or 3 shots plus an oral vaccine6+ mos: flu vaccine annually12-18 mos: 2 doses Hep A, 1 of DTaP, HiB, PCV, MMR, VZV.  5-7 shots depending on combos.4-6 years: DTaP, polio, MMR, VZV, typically given as 2 combo vaccines11 years: Tdap, MCV, 2 doses HPV16 years: MCV21+ years: Tdap every 10 years; booster if you have a wound and it's been less than 5 years, booster while pregnant9 shots and 3 oral before 1 year of age, 5-7 shots from age 1-2, 2 shots age 4-6, 4 at age 11, 1 at age 16 = 21-23 total shots before adulthood.  18 flu shots.  Common vaccine reactions: 23:53Birth: nothing; sometimes redness/swelling2-6 mos: redness and swelling (local reaction), can be as much as the entire thigh and still be considered normal.  Low grade fevers.12-18 mos and 4-6 years: muscle soreness, MMR and VZV cause fevers, VZV sometimes causes rash, other vaccines can cause local reactions11yrs: muscle soreness, local reaction with Tdap and MCV, fainting with HPV16 yrs: local reaction from MCVTdap boosters: muscle sorenessFlu, COVID: flu-like symptomsIt is NOT normal to have a body rash or vomiting after vaccines; those are signs of allergyLarge local reactions and muscle soreness can be treated with cool compresses (wet washcloth) and/or acetaminophen or ibuprofen.  Fever or flu-like symptoms: acetaminophen or ibuprofenI DON'T recommend pre-medicating your child before vaccinesIf your child has an adverse reaction to a vaccine, you should report it to VAERS (vaccine adverse event reporting system).  Remember that VAERS is like Yelp for vaccines, so take that about as seriously as you would a Yelp review.All of this information is also in The Baby Manual book, which is available for purchase. Remember it is always okay to call your doctor or emergency services if you have concerns about your baby's health.  Resources discussed in this episode:The Baby Manual - Available on AmazonVAERS--Dr. Carole Keim MD: linktree | tiktok | instagram

This week we remember the devastating Joplin tornado which happened 11 years ago today. There's been a lot of hailers in the past couple of weeks and some interesting things like a MCV (listen to the pod to find out what that is!) Pollen is still out there but the predominant ones have changed. We brought back the Tropics at least for this week due to a disturbance in the North-Central Gulf. This week's Weather School is about the Climate Prediction Center. Corey and Rando have a bunch of "in other news" tidbits and Shera has a something special for her segment! She also gives us the Weather Word of the Week! ~~~~~~~~~~ Check out our website at: stormdarweather.com Support us on Patreon at: patreon.com/stormdarweather Follow us on Instagram at: instagram.com/stormdarweathermedia

Welcome to PICU Doc On Call, A Podcast Dedicated to Current and Aspiring Intensivists. I'm Pradip Kamat I'm Rahul Damania, a third-year PICU fellow. I'm Kate Phelps, a second-year PICU fellow and we are all coming to you from Children's Healthcare of Atlanta - Emory University School of Medicine, joining Pradip and Rahul today. Welcome to our episode, where will be discussing gastrointestinal bleeding. Kate: Let's start with a case: A 4-year-old, previously healthy male presents to the emergency room after a large, bloody stool at home. He notably had an episode of dark emesis and an episode of blood-tinged emesis on the day prior. In triage, he is altered and unable to answer questions coherently. Initial vital signs are temperature 36.1 C, RR 24, HR 146, BP 110/54. Point-of-care labs show hemoglobin to be 5.1 with hematocrit 15. His venous blood gas is reassuring against respiratory disease, and he is in no respiratory distress. Further labs are sent and a massive transfusion protocol is initiated before transfer to the PICU. Before arrival in the PICU, he receives two aliquots of RBCs, 1 aliquot of FFP, and 1 aliquot of platelets. Additional labs are sent from the PICU, post-transfusion. His post-transfusion hemoglobin is 8.8. Other labs are notable for normal MCV, elevated total bilirubin to 4.1 (with direct component 3.4), and elevated AST and ALT to 309 and 495 respectively. Rahul: To summarize key elements from this case, this patient has: An undifferentiated gastrointestinal bleed with both hematemesis and hematochezia. He has symptomatic anemia, as evidenced by tachycardia Altered mental status. He is initially stabilized via transfusion of several blood products and liver function labs are shown to be very abnormal — which we will get more into later! PK: Let's get into important parts of the history and physical. Kate, can you tell me what some key history items in this patient are — and what are some areas to make sure to touch on when a patient has a GI bleed? Kate: Yeah! I'd love to. First - in our patient, some important elements are his rather acute onset. His parents mention he has had one day of bleeding symptoms - first with emesis yesterday, with components of old, partially digested blood, as well as some fresh blood. Second, he has a frankly bloody stool at home. Given his clinical instability, history taking was probably limited at first, so it's important to ask follow-up questions and really dig into the case after stabilization! I like to put my questions about gastrointestinal bleeding into buckets based on the questions I need to answer. I need to answer: is this active bleeding or old blood? Is this slow, insidious bleeding or fast, life-threatening bleeding? Is this an upper GI bleed or a lower GI bleed? Bright red blood in emesis tells us that bleeding is active, whereas coffee-ground or dark emesis tells us that, while recent, the blood has been partially digested in the stomach and may not be ongoing. Similarly, melena (dark, tarry stool), tells us blood has come through the colon. While coffee-ground emesis and melena don't rule out an active bleed, they do tell us the bleeding may be slower, as large volume, active bleedy is irritating to the stomach and gastrointestinal tracks and moves through the system quickly. The next question I want to answer is: what is the cause of this bleed? Easy bruising, petechiae and mucosal bleeding may point to a coagulation disorder. Abdominal cramping, frequent stooling, and weight loss may point to inflammatory bowel disease. Past medical history, family history, and a thorough review of systems are key here. Rahul: Yeah, that's great! Let's talk about your question of upper GI vs lower GI bleed. First, a definition: an upper GI bleed is bleeding that occurs above the ligament of Treitz — which is ligamentous tissue that supports the end of the duodenum and beginning of the jejunum at their junction. While not 100% specific, some...

We all have had this scenario...a patient comes to the ED or is getting admitted for a medical complaint...and you notice a few findings on their lab tests that make you wonder if they have an alcohol use disorder. An elevated MCV. An elevated AST. Have you ever asked yourself - how accurate are these tests are detecting and diagnosing an alcohol use disorder? Or on the flip side - how often do we see a patient presents to the ED requesting help with alcohol after years of heavy drinking and has essentially normal labs? In this episode we dig into the limited literature on this topic and try to answer the question - how accurate are lab tests in determining if a person is consuming alcohol, and if so how much?

Podcast Highlights: 01:31:03 – Hypertension and polymorphisms of the Sammi people 10:12:06 – I have a MCV on my blood test of 101, what does that mean? 27:29:18 – What are your thoughts about using mushrooms as an alternative to caffeine or espressos? 30:25:19 – What’s can I put in a protein shakes for my [...]Read More »

Welcome to PICU Doc On Call, A Podcast Dedicated to Current and Aspiring Intensivists. I'm Pradip Kamat and I'm Rahul Damania. We are coming to you from Children's Healthcare of Atlanta - Emory University School of Medicine. Welcome to our Episode a 2-year-old with severe pallor and O2 desaturation. Here's the case presented by Rahul: A two-year-old presents to the PICU with severe pallor + O2 requirement. The patient went for a routine check with her primary care who noted the patient appeared severely pale. He sent the patient to the ED. An initial Hgb check revealed a Hgb of 1.5gm/dL. Per mother, she is otherwise healthy but a very picky eater. She also reports the patient drinks milk as a soothing adjunct at night, consuming between 12 - 36oz a day. No family h/o of anemia or any other blood disorders. No h/o recent illness. Mother had a normal spontaneous full-term delivery. The patient is up to date on her immunizations. Per mother, developmental milestones are normal. The mother also denies any history of decreased activity in the child. Given the low Hgb, the patient was admitted to the PICU. Let's transition into some history and physical exam components of this case? What are key history features in this child? Severe pallor in a 2-year-old H/o being a picky eater H/o excessive milk consumption Pertinent negatives include: No obvious blood loss, No petechia, bruising, or jaundice What did the physical exam show? The patient was hypertensive, tachycardic to the 140s, and 10th% weight for growth percentiles On physical exam, the patient was in no acute distress. Her lips, gums, and conjunctiva were pale. She had a systolic ejection murmur. As a pertinent negative, she had no hepatosplenomegaly. She also has no rash, bruising, or petechiae. The lack of hepatosplenomegaly may indicate that the patient has no signs of extramedullary hematopoiesis. Patients with hemolytic processes resulting in anemia may present with signs of scleral icterus, jaundice, and hepatosplenomegaly resulting from increased red cell destruction. In fact, in an emergency department setting, the clinical detection of jaundice was found to have sensitivity and specificity of only approximately 70 percent. To continue with our case, then what were the patient's labs consistent with: Initial CBC showed: WBC 8.5K, RBC 1.14 (L), Hgb 1.5gm/dL; Hct 6.1, MCV 53.5, and an elevated RDW 37.7. Initial platelet count was 50K, reticulocyte count 1.1% Peripheral smear revealed no blasts, thrombocytopenia - with occasional medium-sized platelets - ghost cells and anisocytosis/poikilocytosis- which appears most consistent with iron deficiency. It was interesting that the patient had thrombocytopenia Absolutely, typically with Iron deficiency, there is thrombocytosis (erythropoietin is increased which closely mimics thrombopoietin stimulates platelets). In fact, both act via the non-TK, JAK-STAT pathway. OK, to summarize, we have: Two year old with severe anemia most likely secondary to iron deficiency. As you think about our case, what would be your differential? For any patient with acute severe anemia presenting to the PICU- One has to think in terms of blood loss, decreased or impaired production (i.e bone marrow failure), or peripheral blood destruction (i.e hemolysis). Here would be the organizations: Blood loss Decreased or impaired production Increased destruction Let's go into detail for each: Blood loss can be internal or external (due to trauma, excessive blood draws, due to surgery)-typically gives rise to normochromic normocytic anemia. Decreased or impaired production: Deficiency of substances needed for Hgb & RBC production such as iron Vit B12 etc. Depression of BM due to infection (parvo B), chemicals, pharmacologic agents or immune mechanisms. Bone marrow aplasia can be idiopathic with or without congenital anomalies. Infiltration of BM due to malignancies such as leukemia, Hodgkin disease,...

This week on The Game Dev Show we are joined by the (reluctantly titled) veteran industry journalist and Editor-in-Chief at Gamesindustry.biz, James Batchelor. James takes us through his 15 years in games journalism, and how games coverage has changed during that time. We chat about his industry beginnings as an Intern at PC Gamer, his time at MCV and Develop, all the way up to his current role at Gamesindustry.biz. With the ever-changing face of games coverage, James discusses journalistic neutrality, what Dungeons and Dragons alignment Journalists take, and the morals of game coverage. We also discuss the unique challenges of industry journalism, censorship, user reviews, and terrible game ideas..

Q: if someone has FOLR variants and the MCV and MCH are high even though a small amount of b12/folate (lozenge) is taken, would it be a good idea to use methylation assist liquescence?

An internist is often faced with the task of Working up a patient with an elevated MCV. A broad range of conditions can be responsible for this lab findings. Today we go through some of the common etiologies of elevated MCV and the approach to a patient who is otherwise asymptomatic.

Rich Janssen, the Head of Natural Resources for the Confederated Salish and Kootenai Tribes, joins MCVcast this week to discuss the tribes' new management of the National Bison Range. Whitney Tawney, Jake Brown and Aaron Murphy welcome the newest member of the MCV team to the podcast. Congressman Matt Rosendale lands in controversy for opposing a historic cabinet nominee, we break down Governor Greg Gianforte's State of the State address, and a jobs threat from the ban on oil and gas leasing in Montana? Not so fast… LINKS: * Judge Brian Morris throws out Trump anti-science rule: http://wapo.st/2MSd6l1 * E&E: Mass exodus of BLM employees after HQ move: http://bit.ly/3oJIbo9 * Rosendale letter opposing Deb Haaland: https://bit.ly/3oHAeju * Rosendale Twitter video about border wall: https://bit.ly/3pSyGVk * Rocky Mountain Wild Leasing Report: http://bit.ly/36Gt6Of * Rocky Mountain Wild interactive federal leasing map: http://bit.ly/3pJeYLv * Montana FWP State Parks 2020 visitation report: https://bit.ly/3jjHMbe * Montana lawmakers refuse marijuana funding request: http://bit.ly/2MSe68L * Gianforte's State of the State Speech & Bishop's Rebuttal: http://bit.ly/39Lf8fS * Meet CSKT's Rich Janssen: http://bit.ly/2MV6qTm * High Country News: Reclaiming the National Bison Range: http://bit.ly/3rqrtMf * HR1: “The For the People Act” by Rep. John Sarbanes: https://bit.ly/2YLmGJ6 * Tester letter in support of KXL: https://bit.ly/3tq67R6 * MTN's Mike Dennison reports on KXL (feat. Whitney Tawney): https://bit.ly/3rhfAYY

Keaton Sunchild, the political director of Western Native Voice, joins MCVcast to discuss the latest attack on voting rights in Montana. Plus Whitney Tawney, Jake Brown and Aaron Murphy round up the other concerning bills in the Montana Legislature, and look at “the biggest day for climate action in more than a decade” at the White House. LINKS: * Biden remarks on Jan. 27 climate, jobs and conservation executive orders: https://bit.ly/2Yj8bMi * Factsheet on Biden's Jan. 27 executive orders on climate and conservation: http://bit.ly/3a89kft * MCV's statement on Biden's executive orders: http://bit.ly/3op6Deg * MCV's fact-check on Daines & LWCF funding: http://bit.ly/2M1qnrD * BIllings Gazette: Montana oil and gas production “sputtering”: http://bit.ly/36hOhpn * Text of SB 92 (requiring elections of elections officials): https://bit.ly/39olHF6 * Text of SB 93 (allowing poll-watchers at ballot dropoff sites): https://bit.ly/2Ymldss * Text of HB 176 (ending same-day voter registration): https://bit.ly/2YkR6lu * Text of SB 115 (requiring Land Board approval of state acquisitions): https://bit.ly/3t3hRZt * Meet Keaton Sunchild: http://bit.ly/2KRw36G * Text of SB 98 (making it easier to kill grizzlies): https://bit.ly/3cgdBQp * Yellowstone's oldest bear: http://bit.ly/3a6wmTX * Pete Buttigieg on NPR: https://n.pr/3ciDNtV

Season 4 of MCVcast kicks off with Livingston small business owner and former Montana Wildlife Commissioner Dan Vermillion and a conversation about Montana's new elected leaders. Plus Whitney Tawney, Jake Brown and Aaron Murphy cover the inauguration and new cabinet of Governor Greg Gianforte, the armed terrorist insurrection of the US Capitol, a new MCV effort to hold all elected leaders accountable, and more public land in Montana. LINKS: * Gianforte's Cabinet: http://bit.ly/399dZgB * Gianforte's 1st Executive Order: https://bit.ly/2XkuLUt * MCV's Letter in Support of Somers Beach State Park: https://bit.ly/3bw0WZB * Billings Gazette Jan 3 Editorial: https://bit.ly/2Lw3jR6 * Billings Gazette Jan 6 Editorial: http://bit.ly/38mgRr8 * MCV's MontanaPushback.org: https://www.montanapushback.org/ * Dan Vermillion's business: http://www.sweetwatertravel.com/ * Tester Secures New USFS Acquisition: https://bit.ly/3hRQmNv

Martha Williams, the outgoing director of the Montana Department of Fish, Wildlife and Parks joins our final MCVcast episode of 2020 to reflect on her agency's challenges and opportunities in the future. Aaron Murphy, Whitney Tawney and Jake Brown report on the newest names rounding out the incoming Gianforte Administration, a new threatened species in Montana, and a climate solution for… cow belches. LINKS: * Contribute to MCV: https://mtvoters.org/donate * All previous episodes of MCVcast: https://mvoters.org/podcast * MCV is hiring a Program Director: https://bit.ly/3mG83kD * Anita Milanovich taped as Gianforte's General Counsel: https://bit.ly/39CVvqE * White Bark Pines now a threatened species: https://bit.ly/2Jp5ANl * Trump Administration plans to auction drilling leases in ANWR in January: https://n.pr/3ommWJw * 2020 inductees into the Montana Outdoor Hall of Fame: https://mtoutdoorhalloffame.org/ * Study: Seaweed cuts cow methane emissions: https://bit.ly/33HMjxi MCV will return in January of 2020! Thank you for listening!

Outside Magazine columnist Wes Siler joins MCVcast from Bozeman for a chat about Montana's anti-public lands politicians. Plus Aaron Murphy, Whitney Tawney, Jake Brown and Clara Stein dive into this week's PSC debate, new “leadership” legislation from Senator Jon Tester, and a fight over public land access in Attorney General candidate Austin Knudsen's hometown. LINKS: * NPR: Trump's public lands chief hasn't left despite judge's order: https://n.pr/2Tkj7Xz * Senator Tester introduces bill to block Pendley's “illegal leadership:” https://bit.ly/2HxxMfi * Whitney Tawney's op-ed: “Can Steve Daines please stand up?” https://bit.ly/3jn2TI3 * Raph Graybill: Austin Knudsen blocking vets from access: https://bit.ly/2TftAUn * Judge Morris denies tribes' bid to block KXL construction: https://bit.ly/34j1AFF * Montana Public Radio's Sally Mauk interviews former Missoulian editor Gwen Florio: https://bit.ly/3mqhIvp * Missoula City Club PSC debate between Jennifer Fielder and Monica Tranel: https://bit.ly/35pIzAD * Outside Magazine: “In Montana, Stream Access is on the Ballot,” by Wes Siler: https://bit.ly/2IPIcHW * Legislative rule to protect Lake Koocanusca clears hurdle: https://bit.ly/3ojqCMD * Link to MCV's Facebook version of Public Trust: http://bit.ly/MCVPublicTrust (password: montana)

This week MCVcast goes to Helena for a deep dive into why Montana's biggest public lands organizations are throwing their support behind I-190 and CI-118. Plus Aaron Murphy, Whitney Tawney, Jake Brown, and the newest member of the MCVcast crew, Clara Stein, show us Gov. Bullock's latest volley in the fight against unlawful bureaucrat William Perry Pendley, and recap a pair of gubernatorial debates. LINKS: * AP: Bullock asks court to block actions by Pendley: https://bit.ly/3jA7J5s * Letter from MCV and others to Bernhardt re: Pendley: https://bit.ly/33ANhvM * MTN Gubernatorial Debate (10-3): https://bit.ly/3jxp92C * MontanaPBS Gubernatorial Debate (10-6): https://bit.ly/2Ff34qQ * Montana Forest Action Plan, comments due by 10-23: https://bit.ly/3jMq2Vm * MTN Story About CI-118 & I-190 News Conference: https://bit.ly/36CFeQY * Public Lands Coalition for 118 & 190: publiclandsformontana.org/ * Full video of MCV's 2020 gala: https://bit.ly/mcv2020gala * MCV's endorsements: https://mtvoters.org/endorsements * Shane Morigeau's new TV ad: https://bit.ly/33ATGXO

In this bonus episode, MCVcast goes to Helena for a deep dive into why Montana's biggest public lands organizations are throwing their support behind I-190 and CI-118. Montana voters will get to weigh in on this public lands effort on the ballot. MCV's Aaron Murphy joined the Montana Wildlife Federation's Nick Gevock, Wild Montana Action Fund's Dr. Kayje Booker, and the Trust for Public Land's David Weinstein for an event at Spring Meadow Lake State Park on October 5. LINKS: * Public Lands Coalition for 118 & 190: publiclandsformontana.org/ * MTN news story about CI-118 & I-190 news conference: https://bit.ly/36CFeQY * Montana Conservation Voters: https://mtvoters.org * Montana Wildlife Federation: https://montanawildlife.org * Wild Montana Action Fund: https://wildmontanaaction.org * Trust for Public Land: https://www.tpl.org/our-work/montana * Subscribe to MCVcast, MCV's weekly podcast: https://mtvoters.org/podcast