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As I watch Chris Hipkins, presumably gleefully, mess about with the India Free Trade deal, I'm reminded this is not the Labour Party that did the FTA with China. Hipkins is no Helen Clark and in that is a great sadness. For all those who occasionally contact me and ask of the possibility of a so-called “grand coalition” —a relationship between the Labour and National parties— before you ask, next time look at the way Hipkins plays these games and there is your answer. Even in areas of broad agreement, they still can't act like grownups. It's also a lesson in name vs substance. The Labour Party of the past few years is nothing like Labour of the late 90's and early 2000's. That was a centrist version. Yes, they still handed out free money to people like students to bribe them in election year. But the rest of the time they actually ran the economy in growth. Compared to Barbara Edmonds, Michael Cullen was a conservative. In the early parts of 1984 Labour, with David Lange, was similar, and here is your irony that Hipkins fails to recognise: when Labour are, broadly speaking, middle of the road they are actually popular. Ask Bob Hawke or Paul Keating or Tony Blair – centrist Labour is successful Labour. By the time you take modern Labour with Hipkins and Sepuloni, and add the Greens in the mix, you are seeing the left wing “group think” that not only keeps them out of office, but leads to the sort of game playing we have with an FTA. Yes, the Government probably shouldn't have to rely on them and for all the games Labour plays, New Zealand First is just as bad with their xenophobic nonsense. But Labour once had a global view. It's not like the Chinese weren't thought of with great suspicion prior to 2008. But the bigger picture was at play. The realisation that large countries and their economies could be good for everyone was a driving force. What Labour would do well to do is put this country first. Not score points, not look like children, and not pretend they actually had anything to do with negotiating this thing at all. FTAs are big picture, not a three-year electoral cycle game. I don't think I'm alone in wishing there were more adults in the room. Labour 1999-2008 put the current lot to shame. See omnystudio.com/listener for privacy information.
A sci-fi writer inherits her mother's legendary series and faces the impossible expectations that come with carrying a beloved story forward. Written by Hunter Nelson, directed and Sound designed by Jonathan Mitchell. Performed by Liz Leimkuhler as Laika , Michael Cullen as George, Jacob Williams as Jack, Hunter Nelson as Dan, Brian Morabito as Lincoln Server, Danielle Delgado as Louella Torvesson, Autumn Gomez-Tagle as Nicole, Louis Kornfeld as the Moderator, and David Bluvband and Mary McDonnell as the Fans. Support The Truth by subscribing to our ad-free feed. It's $5, or $50 a year. You'll get every story without interruption, but more than that, you'll be supporting the survival of our show. Go to: thetruthpodcast.supportingcast.fm Follow us on... INSTAGRAM BLUESKY THREADS REDDIT To learn more about our show, go to our website: thetruthpodcast.com Learn more about your ad choices. Visit megaphone.fm/adchoices
Oliver is joined by one of Ireland's most seasoned quiz masters, Michael Cullen.
Updated Guidelines for Perioperative Cardiovascular Management for Noncardiac Surgery Guest: Michael Cullen, M.D. Host: Kyle Klarich, M.D. This episode of Mayo Clinic's “Interviews With the Experts” reviews the assessment of patients with known or suspected cardiovascular disease undergoing noncardiac surgery. Dr. Michael Cullen discusses recommendations from 2024 ACC/AHA perioperative guidelines regarding medication management before and after noncardiac surgery, including recommendations for antiplatelet therapy and bridging anticoagulation. Finally, he highlights new recommendations in the recent 2024 ACC/AHA perioperative guidelines and compare these guidelines to the 2022 European Society of Cardiology perioperative guidelines. Topics Discussed: How should clinicians approach the assessment of a patient prior to noncardiac surgery? How should physicians and APPs manage cardiac medications around the time of noncardiac surgery? What are some of the new recommendations in the 2024 ACC/AHA guidelines for perioperative management prior to noncardiac surgery? How do the 2024 ACC/AHA perioperative guidelines differ from the 2022 ESC noncardiac surgery guidelines? Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here.
Fill in host Monroe County Clark Jamie Romeo talks to Michael Cullen of the ATF about Project Exile, Project Tips and gun safety.
1971 schrieb Michael Cullen dem Künstler Christo einen Brief, ob er nicht das Reichstagsgebäude verpacken wolle. 24 Jahre später wurde die "Schnapsidee" realisiert.
Encounters with wildlife, labour struggles in Italy and remarkable island architecture, with Michael Cullen, William Wall, Nollaig Rowan, Michael Hilliard Mulcahy, Kevin Connolly and Moya Cannon
Three prizes for three good calls this week by the Government. 1) Financial literacy coming to a school near you in 2027, and not a day too soon. In many respects it's the more valuable end of the education spectrum. It's education you can actually use. 2) Nicola Willis and her cutting of the operating allowance from $2.4b to $1.3b. The $2.4b number already had headlines for being skinny, or unrealistic. $1.3b is rabbit out of a hat material. I assume she is telling the truth when she says she has found billions in savings, because you can't run a country on thin air. 3) David Seymour, with more reality check reminders that we have too much Government. In his speech he alerted us to just how much - 82 portfolios, 41 departments and 28 ministers. If ever you wanted an example of bloat, there it is. The portfolio joke is about appeasing people. There isn't an issue or pressure group you can't appease by inventing a label. The real issue is ministers. The good news currently, as Audrey Young in the Herald pointed out this week in her famous marking of ministers annual outing, is most of them are getting good scores and most of them are decent operators. But it is not always the case and too often, with the last Government being your classic example, portfolios are used and/or invented to reward loyalty and/or give people pay rises. Whether you can do the job is secondary. Good governments are run by a handful of talent. In David Lange's day it was the Prime Minister, Roger Douglas, Richard Prebble and David Caygill. With Helen Clark it was the Prime Minister, Michael Cullen, Phil Goff and Annette King. With John Key it was Key, Bill English and Steven Joyce. This time its Christopher Luxon, Chris Bishop, Nicola Willis and Simeon Brown - multiple portfolios at the heavyweight end of the index. Unlike the real world, you will note Cabinet and Government never downsize. The public service can be downsized, but the Government never is. Sadly for Seymour, unlike the other two ideas this week, his isn't real. Financial literacy will materially improve our kids' future. Willis and her austerity will materially improve our economy. If Seymour somehow trims a single minister or ministry, it won't be an idea - it will be a miracle. See omnystudio.com/listener for privacy information.
Dr. Amit Goyal, along with episode chair Dr. Dinu Balanescu (Mayo Clinic, Rochester), and FIT leads Dr. Sonu Abraham (University of Kentucky) and Dr. Natasha Vedage (MGH), dive into the fascinating topic of channelopathies with Dr. Michael Ackerman, a genetic cardiologist and professor of medicine, pediatrics, and pharmacology at Mayo Clinic, Rochester, Minnesota. Using a case-based approach, they review the nuances of diagnosis and treatment of channelopathies, including Brugada syndrome, catecholaminergic polymorphic ventricular tachycardia (CPVT), and long QT syndrome. Dr. Sonu Abraham drafted show notes. Audio engineering for this episode was expertly handled by CardioNerds intern, Christiana Dangas. The CardioNerds Beyond the Boards Series was inspired by the Mayo Clinic Cardiovascular Board Review Course and designed in collaboration with the course directors Dr. Amy Pollak, Dr. Jeffrey Geske, and Dr. Michael Cullen. CardioNerds Beyond the Boards SeriesCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes - Channelopathies One cannot equate the presence of type 1 Brugada ECG pattern to the diagnosis of Brugada syndrome. Clinical history, family history, and/or genetic testing results are required to make a definitive diagnosis. The loss-of-function variants in the SCN5A gene, which encodes for the α-subunit of the NaV1.5 sodium channel, is the only Brugada susceptibility gene with sufficient evidence supporting pathogenicity. Exertional syncope is an “alarm” symptom that demands a comprehensive evaluation with 4 diagnostic tests: ECG, echocardiography, exercise treadmill test, and Holter monitor. Think of catecholaminergic polymorphic ventricular tachycardia (CPVT) in a patient with exertional syncope and normal EKG! ICD therapy is never prescribed as monotherapy in patients with CPVT. Medical therapy with a combination of nadolol plus flecainide is the current standard of care. Long QT syndrome is one of the few clinical scenarios where genetic testing clearly guides management, particularly with respect to variability in beta-blocker responsiveness. Notes - Channelopathies 1. What are the diagnostic criteria for Brugada syndrome (BrS)? Three repolarization patterns are associated with Brugada syndrome in the right precordial leads (V1-V2): Type 1: Prominent coved ST-segment elevation displaying J-point amplitude or ST-segment elevation ≥2 mm, followed by a negative T wave. Type 2/3: Saddleback ST-segment configuration with variable levels of ST-segment elevation. It is important to note that only a type 1 pattern is diagnostic for Brugada syndrome, whereas patients with type 2/3 patterns may benefit from further testing. The Shanghai score acknowledges that relying solely on induced type 1 ECG changes has limitations. Therefore, one cannot equate the presence of a type 1 Brugada ECG pattern alone to the diagnosis of Brugada syndrome. The score suggests incorporating additional information—such as clinical history, family history, and/or genetic testing results—to achieve a definitive diagnosis. 2. What is the significance of genetic testing in Brugada syndrome? There are 23 alleged Brugada syndrome susceptibility genes published with varying levels of evidence. However, only one gene mutation, the loss-of-function variants in the SCN5A gene encoding for the α-subunit of the NaV1.5 sodium channel, is considered to have sufficient evidence. The overall yield of BrS genetic testing is 20%. The presence of PR prolongation (>200 ms) along with type I EKG pattern increases the yield to 40%. On the contrary, in the presence of a normal PR interval, the likelihood of SCN5A positivity drops to
As the boys venture off the list, we present to you a new sub-series: THE DOGS OF WAR... for... you know... bad war movies. This week on Dogs of War: the kitchen is heating up as Jason and Brendan go to pawn their DVD player for a copy of 2012's Iron Sky on DVD. The problem becomes obvious when they get home and Brendan's VHS player won't accept the disc; this means war. Jason has dug a trench and erected many machine guns around Brendan's home as Brendan prepares to send his tiny doggy, Max, to the moon in a homemade rocket to establish a beachhead for his family's new life. Eventually they watch the movie on the internet and talk about it on Skype. Next week: back to one of the worst German dudes. Questions? Comments? Suggestions? You can always shoot us an e-mail at forscreenandcountry@gmail.com Full List: https://www.pastemagazine.com/movies/war-movies/the-100-greatest-war-movies-of-all-time Facebook: https://www.facebook.com/forscreenandcountry Twitter: https://www.twitter.com/fsacpod Our logo was designed by the wonderful Mariah Lirette (https://instagram.com/its.mariah.xo) Iron Sky stars Julia Dietze, Götz Otto, Christopher Kirby, Tilo Prückner, Peta Sergeant, Stephanie Paul, Michael Cullen and Udo Kier; directed by Timo Vuorensola. Learn more about your ad choices. Visit megaphone.fm/adchoices
CardioNerds (Drs. Teodora Donisan, Jenna Skowronski, and Johnny Hourmozdi) discuss Cardiomyopathies with Dr. Steve Ommen. Through a case-based discussion, we review the diagnostic evaluation of suspected restrictive cardiomyopathy, and Dr. Ommen shares his expertise in the nuances of caring for patients with hypertrophic cardiomyopathy, from counseling to pharmacologic, device, and septal reduction therapies. We cover the foundations of diagnosis and management that will be helpful to CardioNerds preparing to encounter hypertrophic cardiomyopathy on the boards or on the wards. Dr. Johnny Hourmozdi drafted notes. The audio was engineered by Dr. Atefeh Ghorbanzadeh. The CardioNerds Beyond the Boards Series was inspired by the Mayo Clinic Cardiovascular Board Review Course and designed in collaboration with the course directors Dr. Amy Pollak, Dr. Jeffrey Geske, and Dr. Michael Cullen. CardioNerds Beyond the Boards SeriesCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes - Cardiomyopathies The presence of an S4 and a rapid y-descent in the jugular venous pulsation on exam should clue you to the presence of a restrictive filling pattern. Restrictive filling doesn't necessarily mean restrictive cardiomyopathy and is more commonly due to dilated or ischemic cardiomyopathy. The five main topics of counseling that every hypertrophic cardiomyopathy (HCM) patient should understand: (1) Prognosis, (2) Family Screening, (3) Risk of Sudden Death, (4) Treatments, and (5) Physical Activity. Remember 1/3: In clinical trials of cardiac myosin inhibitors for HCM (mavacamten), about a third of patients had a tremendous improvement in symptoms, another third had some improvement, and the final third had no improvement or had to discontinue the drug due to negative inotropy. When counseling patients about septal reduction therapy, consider the patient's age. For younger patients, surgical myectomy at an experienced center offers a higher success rate and greater durability with lower rates of pacemaker placement when compared to alcohol septal ablation. Historically, the conclusion that it was higher risk to be an athlete with HCM was unfortunately generalized to mean that it was high risk to exercise for patients with HCM. “And we turned a generation of HCM patients into HCM cardiometabolic syndrome patients, which is actually a worse combination.” Notes - Cardiomyopathies What is the initial approach to evaluating a patient with new or suspected cardiomyopathy, including hypertrophic cardiomyopathy (HCM)? A history and physical exam, including a thorough past medical and family history, is always the first step and helps determine the patient's risk for potential underlying etiologies, including genetic cardiomyopathies, hypertrophic cardiomyopathy, or those related to treatments of previous cancer. In terms of ECG findings, pay attention to QRS voltage (high or low) and the presence of any arrhythmias. TTE should be obtained in all patients and is often sufficient to diagnose many underlying cardiomyopathies, including HCM. Cardiac MRI (CMR) is helpful as an adjunct when TTE alone is inconclusive or imaging quality is poor. CMR can help provide a better idea of chamber sizes and wall thickness, and late gadolinium contrast enhancement (LGE) can also be helpful if present in a specific pattern, though often HCM patients may have non-specific patterns of LGE. Invasive hemodynamics assessment is reserved for patients with discordance between non-invasive testing and the clinical impression. It can also be useful to guide the management of heart failure, especially in advanced disease. How do you treat patients with hypertrophic obstructive cardiomyopathy (HOCM)? In patients with HCM and LVOT obstruction (defined a...
Tighten those laces and grab your adventure gear because we're headed to The City of Trees, Boise, to chat with Michael Cullen, Assistant Director of Marketing & Brand Development at ExtraMile Arena. Michael guides us through his adventure as well as fun facts and tips about all things Boise and Idaho. Whether it's late nights organizing merch at the arena or working large events at Boise State's iconic blue-turfed stadium, there's never a dull day. From digital, graphic design, and grassroots marketing to merchandising, we hear about a day in the life of Michael and ExtraMile Arena, which recently celebrated its 40th anniversary. Hear some great advice from Michael for people wanting to enter the industry and make the most of their college experience. From growing up a festival junkie to guiding people at a local festival – Michael talks about his love of music and how a visit to Sasquatch Music Festival changed his life and music tastes. Enjoy this fun, inspiring episode with “Adventures In Venueland's #1 Fan,” which may inspire you to try something new, listen to a new band, or look up flights to check out Treefort Music Fest. Just remember, as Jewel's The Boise Song reminds us, “there's no Z in Boise.”Michael Cullen: LinkedIn | EmailExtraMile Arena: Facebook | X/Twitter | Instagram ––––––ADVENTURES IN VENUELANDFollow on Instagram, LinkedIn, Facebook, or X/TwitterLearn more about Event & Venue Marketing ConferenceMeet our team:Paul Hooper | Co-host, Booking, Branding & MarketingDave Redelberger | Co-host & Guest ResearchMegan Ebeck | Marketing, Design & Digital AdvertisingSamantha Marker | Marketing, Copywriting & PublicityCamille Faulkner | Audio Editing & MixingHave a suggestion for a guest or bonus episode? We'd love to hear it! Send us an email.
CardioNerds (Amit Goyal and Dan Ambinder), Dr. Jaya Kanduri, and Dr. Jason Feinman discuss foundations of cardiovascular prevention with Dr. Stephen Kopecky. In this episode, the CardioNerds and topic expert Dr. Stephen Kopecky tackle cardiovascular prevention. They focus on how to identify patients at risk for cardiovascular disease by using the pooled cohort equation and discuss how to incorporate additional risk-enhancing factors in risk estimation. Later, they discuss the role of non-invasive imaging and testing for further patient risk stratification. Last, they discuss the appropriate pharmacologic interventions for patient care, how to determine what LDL-c to target for each patient, and how to modify your treatment modalities in response to side effects or the need for further lipid-lowering therapies. Notes were drafted by Dr. Jason Feinman. Audio was engineered by CardioNerds Intern Christiana Dangas. The CardioNerds Beyond the Boards Series was inspired by the Mayo Clinic Cardiovascular Board Review Course and designed in collaboration with the course directors Dr. Amy Pollak, Dr. Jeffrey Geske, and Dr. Michael Cullen. CardioNerds Beyond the Boards SeriesCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes - Foundations of Cardiovascular Prevention The 2018 cardiovascular prevention guidelines indicate that a single equation, like the pooled risk equation, does not fit everyone. There are additional risk enhancers that are not factored into the pooled risk equation that can impact an individual's risk These factors are often conditions that increase inflammation but can also include family history, ethnicity, chronic kidney disease, metabolic syndrome, premature menopause or gestational diabetes, and rheumatologic conditions Data from Get With The Guidelines demonstrates that the average LDL at the time of the first myocardial infarction is 105 mg/dL. Coronary artery calcium scores or a carotid ultrasound can be used to further risk stratify patients. However, CAC is likely to be negative in young women. A CAC of zero can be used to “de-risk” some patients but should not be used to guide therapy in the setting of tobacco usage, diabetes mellitus, or familial hypercholesterolemia. Strategies to mitigate risk include healthy lifestyle habits and selectively targeting key risk factors including LDL, hypertriglyceridemia, inflammation, and the GLP1-pathway. Upcoming medications may address elevated Lp(a). Notes - Foundations of Cardiovascular Prevention Notes: Notes drafted by Dr. Jason Feinman. How do you assess an individual's risk for cardiovascular disease? The paramount role of primary prevention is the assessment and mitigation of an individual's risk for ASCVD event.1 The 10-year ASCVD risk calculator is a commonly used tool to assess an individual's risk and to guide shared decision-making conversations and recommendations.2 Individuals can be characterized as having low (less than 5%), borderline (5%-7.5%), intermediate (7.5%-20%), or high (greater than 20%) risk.2 The 10-year ASCVD risk calculator has varying validation in ethnic minorities, and other risk calculators, such as the Framingham CVD risk score, may be considered in those groups.3-5 Additional risk enhancers may be used to guide recommendations for individuals at borderline or intermediate risk.1 What additional imaging testing may be beneficial in the assessment of an individual's risk? Individuals with intermediate or borderline risk may benefit from further non-invasive imaging to help guide therapeutic recommendations.2 Coronary artery calcification is a marker of underlying atherosclerosis, which can help to reclassify patients to be at higher risk for ASCVD events and support interventions to help lower t...
Mining is on the way back. That's the message today from Regional Development and Resources Minister Shane Jones who is on the West coast to announce the Government's proposal to double mining exports (which are already worth $1 billion) by allowing mining in some conservation areas - not just for coal, but other minerals too. The Government says one of the big selling points is the number of jobs it would create. About 2,000 new jobs it reckons. And not just on the Coast, either. Because the Government thinks there are opportunities here in Canterbury too, as well as Marlborough. Not that the protesters, who are going to be all over this today, are buying that. They don't want a bar of it. Which is the challenge we're always going to have with something like this, isn't it? Cover your ears, no-no-no, not interested, mining is bad, blah blah blah. But I tell you what, I'm willing to hear the Government out on this one. It's not like Shane Jones is going to be telling us that it's all-go from tomorrow, that he'll be sending the trucks in at dawn. What he is saying is let's have a look at this and see if we can make it work. Let's investigate what we've got under the ground and work out if we can make a go of it. And he'll get no opposition from me on that. Not that a few protesters will be an issue for this particular minister. Shane Jones being Shane Jones, he'll probably be right up for a bit of korero with the anti-mining crew. He might even trot out that line he used recently when he said (quote): “If there is a mining opportunity and it's impeded by a blind frog, then goodbye, Freddie.” So, what this is all about today isn't just coal and gold. It's about all the other minerals under the ground on the Coast, in Canterbury and in Marlborough, that the Government reckons could be a goldmine for the New Zealand economy. But, of course, what today will inevitably lead to is a battle of ideologies. It's probably underway already, actually, which doesn't help anyone. And it's something I've seen before. I remember in 1999 and 2000 when I was working as a journalist and spending a lot of my time on the West Coast reporting on the stoush over the then-Labour government's move to end native logging on Crown-owned land. The people on the Coast went berserk because they saw jobs and businesses going at the expense of Labour's ideology which said taking trees away was bad. Which also put a lot of the locals up against the environmental crowd, who thought no tree should be touched. What kind of got lost in that row was the fact that the trees weren't being felled with chainsaws, they were being pulled out of the ground using helicopters in a way designed to let new trees grow and to allow the forests to keep regenerating. But Helen Clark and Michael Cullen got their way and the native logging on Crown land came to a halt. What I learned from that experience is how limiting ideologies can be and I hope we don't repeat the same mistake this time around. Because I say ‘let's take a look, let's see if we can get a slice of the minerals pie that Shane Jones is talking about'. Because who wants to be saying coulda, woulda, shoulda in a few years time about another billion dollars in earnings for our mining sector? I don't. Do you? See omnystudio.com/listener for privacy information.
The Marks are back for the latest episode of Making Tracks as they walk the halls of the NEC in Birmingham for Megacon and chew through the latest galactic happenings. They look at the latest news from The Acolyte including the return of the Sith, mark the passing of Bill Hargreaves, Mark Dodson and Michael Culver, look at Patty Jenkins continuing her work on Rogue Squadron, the recent update on Jake Lloyd and welcome two guests to the show, the new UK Garrison CO Michael Cullen and Star Wars audiobook legend Marc Thompson. It's busier than a Corellian spaceport on episode 188 of Making Tracks. Remember to tune in to Good Morning Tatooine, LIVE Sunday evenings at 9.00pm UK, 4.00pm Eastern and 1.00pm Pacific on Facebook, YouTube, X, Instagram and Twitch and check out our Fantha Tracks Radio Friday Night Rotation every Friday at 7.00pm UK for new episodes of The Fantha From Down Under, Planet Leia, Desert Planet Discs, Start Your Engines, Collecting Tracks, Canon Fodder and special episodes of Making Tracks, and every Tuesday at 7.00pm UK time for your weekly episode of Making Tracks. You can contact any of our shows and send in your listeners questions by emailing radio@fanthatracks.com or comment on our social media feeds: https://www.youtube.com/@FanthaTracksTV/ https://links.fanthatracks.com/ www.instagram.com/fanthatracks www.facebook.com/FanthaTracks www.twitter.com/FanthaTracks www.pinterest.co.uk/fanthatracks/ www.fanthatracks.tumblr.com/ www.tiktok.com/@fanthatracks www.twitch.tv/fanthatracks www.threads.net/@FanthaTracks
CardioNerds (Drs. Amit Goyal, Jason Feinman, and Tiffany Dong) discuss Beyond the Boards: Diseases of the Peripheral Arteries with Dr. Amy Pollak. We review common presentations of peripheral vascular disease, ranging from aortic disease to the more distal vessels in an engaging case-based discussion. Dr. Pollack talks us through these cases, including the diagnosis and management of peripheral vascular diseases. Show notes were drafted by Dr. Matt Delfiner and episode audio was edited by student doctor Tina Reddy. The CardioNerds Beyond the Boards Series was inspired by the Mayo Clinic Cardiovascular Board Review Course and designed in collaboration with the course directors Dr. Amy Pollak, Dr. Jeffrey Geske, and Dr. Michael Cullen. CardioNerds Beyond the Boards SeriesCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes - Disease of the Peripheral Arteries Risk factors for abdominal aortic aneurysm include traditional atherosclerotic risk factors such as age, hypertension, hyperlipidemia, and tobacco use. Screening for AAA should be for men over the age of 65 years with a history of tobacco use. If present, medical management includes blood pressure and lipid lowering therapies to decrease the risk of expansion. Decision for surgical intervention relies on size and rate of growth of AAA, with clear indications if it grows> 10 mm in a year or diameter of 5.5 cm in men and 5.0 cm in women. When diagnosis of PAD is not straightforward (presence of symptoms but ABI is normal), an exercise ankle-brachial index (ABI) test can be useful. An exercise-induced decrease in ABI by 20% or in ankle pressure by 30 mmHg is consistent with PAD. For PAD, treatment with low dose rivaroxaban and aspirin yields lower event rates than with antiplatelet therapy alone. This in combination with lifestyle therapies (diet + exercise) and risk factor management (hypertension and hyperlipidemia) are the cornerstones of therapy. Revascularization is indicated for continued PAD symptoms despite conservative therapy. Acute limb ischemia is an “acute leg attack” and is a life-threatening emergency. Common symptoms include pain, pallor, pulselesess, parasthesias, cold temperature (poikilothermia), and paralysis. Restoration of blood flow is paramount, and emergent or urgent revascularization is the first line therapy for those with symptoms < 2 weeks. Notes - Disease of the Peripheral Arteries Learning Objectives: Describe screening and therapeutic strategy for AAA management. Understand the risk factors and diagnosis of peripheral arterial disease. Compare different management approaches for PAD. Be able to recognize acute limb ischemia. Describe the overall treatment strategy for acute limb ischemia. Abdominal Aortic Aneurysms Abdominal aortic aneurysms are a source of high morbidity and mortality. The US Preventative Services Task Force recommends one time screening ultrasound for AAA in men older than 65 years of age with a tobacco use history. Risk factors include age, hypertension, hyperlipidemia, and tobacco use. Patients with AAA between 3-3.9 mm should be monitored every 2-3 years. Sizes 4-5 cm should be re-imaged every 6-12 months. Additional screening can be done for individuals < 65 years who have a first degree relative with AAA. Women are more likely to have aortic dissection at smaller diameters than men, which is why intervention (open vs endovascular repair) is recommended at 5 cm diameter for women versus at 5.5 cm for men. Additionally, repair is also warranted if a AAA grows more than 5 mm in 6 months or 10 mm in one year. Risk factor management is key with AAA, including blood pressure, glucose, and lipid targeting. The presence of an AAA should be treated as secondary ASCVD prevention like coronary a...
CardioNerds (Drs. Amit Goyal, Matthew Delfiner, and Tiffany Dong) discuss infective endocarditis with distinguished clinician-educator Dr. Michael Cullen. We dive into the nuances of infective endocarditis, including native valve endocarditis, prosthetic valve endocarditis, and right-sided endocarditis. Notes were drafted by Dr. Tiffany Dong, and audio editing was performed by student Dr. Adriana Mares. The CardioNerds Beyond the Boards Series was inspired by the Mayo Clinic Cardiovascular Board Review Course and designed in collaboration with the course directors Dr. Amy Pollak, Dr. Jeffrey Geske, and Dr. Michael Cullen. CardioNerds Beyond the Boards SeriesCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes The physical exam is crucial in the evaluation of infective endocarditis and includes cardiac auscultation and a search for sequelae of endocarditis, such as immunologic and embolic phenomena. The modified Duke Criteria categorizes the diagnosis of infective endocarditis into four different buckets: definite endocarditis by pathology, definite endocarditis by clinical criteria, possible endocarditis, and rejected. The diagnosis of endocarditis may involve several different imaging modalities, including transthoracic echocardiogram, transesophageal echocardiogram, 4D CT, and nuclear imaging. For left-sided endocarditis, indications to operate include endocarditis due to S. aureus or fungi, heart failure, evidence of perivalvular complications, persistent bacteremia, and large vegetations. The management of endocarditis often involves multiple teams, including cardiology, infectious disease, addiction medicine, neurology, anesthesiology, and cardiothoracic surgery. Notes What signs/complications of endocarditis are apparent on physical exam and labs? A new or worsening cardiac murmur with possible signs of volume overload. Vascular phenomena encompass splinter hemorrhages, conjunctival hemorrhages, Janeway lesions, mycotic aneurysms, and TIA/strokes. Immunologic phenomena include glomerulonephritis, Roth spots, and Osler nodes. Positive blood cultures with 2-3 samples collected. Elevated inflammatory markers. How does the modified Duke criteria assist in the diagnosis of infective endocarditis? The modified Duke criteria separate the diagnosis of endocarditis into four categories: definite endocarditis by pathology, definite endocarditis by clinical criteria, possible endocarditis, and rejected endocarditis. Definitive endocarditis by pathology requires pathologic confirmation of “bugs under the microscope.” Definitive endocarditis by clinical criteria requires two major criteria, one major and two minor criteria, or all five minor criteria. Possible endocarditis requires one major and one minor or three minor criteria. Major criteria:Positive blood culture for typical organism Evidence of endocardial involvement (e.g., vegetation on echo) Minor CriteriaPredisposing clinical factors (e.g., intravenous drug use, known valvulopathy)FeverImmunologic phenomenaVascular phenomena Blood culture for atypical organism What is the role of TTE compared to TEE in endocarditis? TTE and TEE both have their roles in the workup for endocarditis. TTE can provide a baseline screen and yield a better understanding of ventricular size and function than transesophageal. The strength of TEE is the ability to visualize smaller vegetations along with perivalvular complications that may be missed on TTE. If clinical suspicion is high for endocarditis, repeat echocardiography is warranted. What are other tools to evaluate for endocarditis in prosthetic valves? TTE and TEE remain important and should be commonly utilized for the diagnosis of endocarditis.
CardioNerds co-founder Dr. Amit Goyal and episode leads Dr. Jaya Kanduri (FIT Ambassador from Cornell University) and Dr. Jenna Skowronski (FIT Ambassador from UPMC) discuss Complications of acute myocardial infarction with expert faculty Dr. Jeffrey Geske. They discuss various complications of acute MI such as cardiogenic shock, bradyarrythmias, left ventricular outflow tract obstruction, ruptures (papillary muscle rupture, VSD, free wall rupture), and more. Show notes were drafted by Dr. Jaya Kanduri. Audio editing by CardioNerds Academy Intern, student doctor Tina Reddy. The CardioNerds Beyond the Boards Series was inspired by the Mayo Clinic Cardiovascular Board Review Course and designed in collaboration with the course directors Dr. Amy Pollak, Dr. Jeffrey Geske, and Dr. Michael Cullen. CardioNerds Beyond the Boards SeriesCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes - Complications of Acute Myocardial Infarction Sinus tachycardia is a “harbinger of doom”! The triad for RV infarction includes hypotension, elevated JVP, and clear lungs. These patients are preload dependent and may need fluid resuscitation despite having an elevated JVP. Bradyarrythmias in inferior MIs are frequently vagally mediated. The focus should be on medical management before committing to a temporary transvenous pacemaker, such as reperfusion, maintaining RV preload and inotropy, avoiding hypoxia, and considering RV-specific mechanical circulator support (MCS). Worsening hypotension with inotropic agents (e.g., dobutamine, epinephrine, dopamine, norepinephrine) after a large anterior-apical MI should raise suspicion for dynamic left ventricular outflow tract obstruction due to compensatory hyperdynamic basal segments. The myocardium after a late presentation MI is as “mushy as mashed potatoes”! Need to look out for papillary muscle rupture, VSD, and free wall rupture as potential complications. Papillary muscle rupture can occur with non-transmural infarcts, and often presents with flash pulmonary edema. VSDs will have a harsh systolic murmur and are less likely to present with pulmonary congestion. Free wall rupture can present as a PEA arrest. All of these complications require urgent confirmation on imaging and early involvement of surgical teams. Notes - Complications of Acute Myocardial Infarction How should we approach cardiogenic shock (CS) in acute myocardial infarction (AMI)? Only 10% of AMI patients present with CS, but CS accounts for up to 70-80% of mortality associated with AMI, usually due to extensive LV infarction with ensuing pump failure. Physical examSinus tachycardia is considered a “harbinger of doom”, when the body compensates for low cardiac output by ramping up the heart rateThe presence of sinus tachycardia and low pulse and/or blood pressure in a patient with a large anterior MI should raise suspicion for cardiogenic shockBe wary of giving IV beta blockers in this situation as negative inotropes can precipitate cardiogenic shock (Commit Trial) When interpreting a patient's blood pressure in the acute setting, it is helpful to know their baseline blood pressure and if they have a significant history of hypertension. Patients
Michael Cullen would be turning in his grave if he knew about the National Party's plan to let people dip into their KiwiSaver to pay for the bond on a flat. Under a National-led government, anyone under-30 moving into a rental property will be able to do just that. Apparently, the idea came from the Young Nationals and, according to National's housing spokesperson Chris Bishop, they did quite a bit of consultation on it before deciding to run with it. Which surprises me, given National touts itself as the party that knows all about money and what we should be doing with it, and spreads the gospel of compound interest. Compound interest being that magic thing that allows us to make more the longer we keep our money in the bank or in an investment like KiwiSaver. And especially things like KiwiSaver, because not only do we put some of our own money in there - a lot of us get top ups from our employers and things like that, as well. Which is why KiwiSaver is an absolute no-brainer. Especially for those lucky enough to have age on their side and who get a major head start on the road to retirement savings. Unlike people like me - and maybe you too - who feel like we're playing constant catch-up. Because there was no KiwiSaver when we started working and, while we might've had the option of getting involved in a superannuation scheme of some sort, a lot of us just didn't because retirement was something that only “old people” had to think about. So I look at my kids now and think they are very lucky that KiwiSaver exists and that, even while they were at school and while they're at university doing part-time work, they've already had money going into their KiwiSaver accounts. Which is why I think this idea of letting people use their KiwiSaver money to pay for the bond on a rental property is just stupid. Because the longer it stays there, the better-off a person is. Yes, I can see why it made sense to loosen things a bit so that people could use their savings to help get a deposit together on a first home. Because, generally, buying property is a good investment. It's not always - but, if gains are made, then you keep them. And it's not just the homeowner who benefits. If someone buys a place and does it up or adds-on a room, all the tradies and suppliers benefit too. But the bond on a flat is just dead money. It goes into the Tenancy Services bank account and doesn't come out until the tenant moves out. And not necessarily all of it, either. Because, if you've been a tenant or if you've been a landlord, you will know that - if there's damage that needs to be repaired - that's paid for out of the bond. So let's say there is damage and the person doesn't get all of their bond money back - not only have they missed out on the compound interest in their KiwiSaver account; they've also lost some of the money that was there in the first place because it's gone on repairs to the carpet or the walls or whatever. It's been a while since I paid the bond on a rental property. It'd be more than 20 years, easily. And I know back then that it felt like a truckload of money to come up with. I checked earlier this morning and I see that a landlord these days can set a bond up to the equivalent of four weeks' rent. So a lot of money. But, as we did back then and as people do now, you find the money. It might be a loan from a family member or assistance from the government if you don't have the means, and yes, it can be a real hurdle. But I cannot accept that the best solution is to let people dip into their KiwiSaver. It's a stupid idea. It's shortsighted. And it flies completely in the face of what KiwiSaver was all about when it began 16 years ago, in July 2007. Since then some changes have been made. There's the ability for first-time home buyers to use their KiwiSaver money on a house deposit, that I've already mentioned. There's also the lesser-used option for KiwiSaver money to be used in cases of significant financial hardship. But, I'm afraid, I don't consider a person who has to front-up with the bond on a rental property being in significant financial hardship. And I think it would be a very bad thing for tenants under-30 to be able to use their KiwiSaver money to get into a flat.See omnystudio.com/listener for privacy information.
En esta edición, los invitamos a escuchar por medio del siguiente panel, el análisis sobre tendencias y desafíos para expertos en Forensics, por parte de Karyl Van Tassel, Senior Managing Director y N.A. Global Investigations Practice Lead en J.S. Held LLC; Amanda Rigby, Vice President en Charles River Associates; Drew Costello, Partner en Forensic Risk Alliance; Michael Cullen, Head of Global Risk and Investigations en Latin America FTI Consulting y Geert Aalbers, Chief Strategy Officer en Control Risks. El siguiente diálogo, hablado en inglés, formó parte de la 6ta Conferencia Internacional de Compliance, Anticorrupción e Investigaciones que organizó Marval O'Farrell Mairal.
A mechanic with a gambling problem has a chance to get out of debt by restoring his bookie's vintage car. But first he has to deal with Ro. Written by Louis Kornfeld Performed by Jamie Rivera, Phoebe Tyers, Michael Cullen, Louis Kornfeld, and Hunter Nelson. Find The Truth at thetruthpodcast.com and @thetruthfiction on Twitter and Instagram.
Michael Cullen is a soon to be qualified psychologist, who was inspired to pursue a career in the field after spending months in a mental health facility at a time when he didn't see any future for himself. Michael was faced with intense racial abuse from a very young age, something that continued into adulthood; causing him to hide his Aboriginality... He never met his father and had no examples of healthy relationships growing up, leaving him with no idea how to develop his own. It's hard to fathom the pain Michael's been through and harder still to believe that despite it all, he's become the man he is today - but here he is. --------------------- Looking for a simple way to take care of your gut? Athletic Greens can help! Check out the special offer for podcast listeners at athleticgreens.com/youngblood --------------------- You can find all Young Blood - Men's Mental Health podcasts here: https://linktr.ee/youngbloodmmh Join our movement on socials! IG: @youngbloodmensmentalhealth TikTok: @youngbloodmentalhealth FB: Young Blood - Men's Mental Health
In this podcast episode, we hear from three passionate coaches from across the AC's global community. Our host, Rob Lawrence, is joined by Sarah Tennyson, AC Regional Chair USA, East Coast; Michael Cullen, AC Regional Co-Chair Canada and Oliver Johnston, who was the AC Inaugural Chair of Ireland and is a member of the Global Advisory Board as well an AC Ireland lifelong honorary member. In this enlivening conversation, our guests discuss what makes the AC different from other coaching professional bodies. Learn about their personal journeys with coaching, what they love about both the AC and coaching, and why accreditation is such a deep and valuable learning experience. Building on previous conversations, they examine the importance of coaching supervision, the challenges coaching faces today, and what they see in the future of coaching. “I'd encourage organizations to get accredited coaches. Make sure they can do the job.” For the episode resources and guest bio, please visit: https://www.associationforcoaching.com/page/AC20series_Coaching_Professionalism_Passion_Purpose
Long-running late-night talk show “Still On” just got a new host. He's young, innovative… and cursed. Written by Hunter Nelson Performed by Molly Thomas, Ed Herbstman, Jamie Newell, Louis Kornfeld, Kelsey Bailey, Hunter Nelson, Brandon Zelman, Michael Cullen, Bill Rohlfing, Thomas Whittington, and Mary McDonnell. Find The Truth at thetruthpodcast.com and @thetruthfiction on Twitter and Instagram.
Waubonsie Valley principal Jason Stipp talks Warrior soccer with Tate Deasy, Michael Spano and Michael Cullen. a WVTV production ©2022
Paying international vendors and employees in multiple currencies is a significant challenge for most businesses and was made even more challenging during the 2020 pandemic. Join us for this episode on SAP Concur Conversations as we sit down with Michael Cullen, Vice President of Sales at TransferMate, to discuss how the company became instrumental in the international payments space, providing businesses with the ability to make and receive payments anywhere in the world, in any currency, at any time – with utmost security and cost efficiency. Our GDPR privacy policy was updated on August 8, 2022. Visit acast.com/privacy for more information.
It's not easy being a perfect dad. Especially when your son has some notes about the performance. Written by Louis Kornfeld. Performed by Tim Platt, Michael Cullen, Alex Dickson, Tanyika Carey, Dennis Pacheco and Tom Ligon.
It's not easy being a perfect dad. Especially when your son has some notes about the performance. Written by Louis Kornfeld. Performed by Tim Platt, Michael Cullen, Alex Dickson, Tanyika Carey, Dennis Pacheco and Tom Ligon.
John Shennan talks to Peter Harris about Michael Cullen
It's 1978, and the world's most famous magician wants to show you the true wonders of the universe. Written by Jonathan Mitchell. This story was inspired by the life and work of magician Doug Henning, and uses material that borrows heavily from his act. If you would like to learn more about Henning and his work, we have put a list of links on our website to books and videos used to research this story. Our story was performed by Billy Griffin, Jr., Amy Warren, Stephanie Rey, Michael Cumpsty, Adrián Burke, T.J. Mannix, Reza Nasooti, Louis Kornfeld, Michael Cullen, Rachel Botchan, Stefan Schuette, Mary McDonnell, Chris Kipiniak, Bill Rohlfing, and Eli James.
It's 1978, and the world's most famous magician wants to show you the true wonders of the universe. Written by Jonathan Mitchell. This story was inspired by the life and work of magician Doug Henning, and uses material that borrows heavily from his act. If you would like to learn more about Henning and his work, we have put a list of links on our website to books and videos used to research this story. Our story was performed by Billy Griffin, Jr., Amy Warren, Stephanie Rey, Michael Cumpsty, Adrián Burke, T.J. Mannix, Reza Nasooti, Louis Kornfeld, Michael Cullen, Rachel Botchan, Stefan Schuette, Mary McDonnell, Chris Kipiniak, Bill Rohlfing, and Eli James.
A celebrity look-alike is trying to break away from his famous face and be taken seriously on his own. But it isn't easy when the world only sees another Clooney. Written by Louis Kornfeld. Performed by Peter McNerney, Margo Seibert, Will Jacobs, Michael Cullen, Ashley Siflinger, Jon Bander, Chris Kipiniak, Joseph Medeiros, Thomas Whittington, Sophie Yalkezian, and Louis Kornfeld.
A celebrity look-alike is trying to break away from his famous face and be taken seriously on his own. But it isn't easy when the world only sees another Clooney. Written by Louis Kornfeld. Performed by Peter McNerney, Margo Seibert, Will Jacobs, Michael Cullen, Ashley Siflinger, Jon Bander, Chris Kipiniak, Joseph Medeiros, Thomas Whittington, Sophie Yalkezian, and Louis Kornfeld.
It's official!Even if it comes as the least surprising news to anyone. Auckland's $785m proposed cycleway across the harbour has been scrapped and the money allocated elsewhere.I say it's unsurprising because from what I could tell, almost no one thought the standalone cycle bridge was a good idea. $785m! Even in the age of cheap money and rock-bottom interest rates, that's a massive chunk of change. These sorts of projects never stay on budget.A few weeks after it was announced, I asked the late Michael Cullen for his thoughts.‘Folly!' the former Finance Minister replied.‘The sooner they scrap it, the better.'One of the curious footnotes in the cycle bridge's brief history is even most cyclists didn't think it was a good idea. They actually hadn't been asking for a standalone structure. Indeed, in conspiratorial circles, some felt that maybe the government had backed the idea as a way of fostering resentment against cyclists. A Newshub Reid Research poll in August found only 12% of respondents actively supported the idea. I wonder if even those people misunderstood the queston.Transport Minister Michael Wood has acknowledged there wasn't the public support for the project to continue. Good on him for not trying to spin. I imagine it's been a bit of a harsh political lesson, but I just hope the experience doesn't put him off finding some cheaper pragmatic alternatives for helping cyclists get across the harbour.Because when you pause and think about it for a moment, it's absolutely ridiculous that in 2021, cyclists and pedestrians can't easily cross from the North Shore to the City and back again. At its closest, the gap is only a few hundred metres! You can swim it, for goodness' sake! At a point in time when our roads are clogged, and we should be doing everything in possible to promote cleaner forms of transport, there's no straight-forward option for cyclists to skip across the Waitematā.This solution was not the answer, but the core problem still exists and it's more acute than ever.It's a great shame that for some reason the debate over cycling infrastructure has become a mini culture war. Compared to roads, we spend embarassingly little on cycle lanes and dedicated infrastructure. After all, every person you get on a bike is a car you get off a clogged street, and emissions out of the atmosphere. It's in motorists' personal interests for more people to ride bikes!One of the silver linings of this lockdown is that in riding my bike around the city, I've felt safer than ever on the road. I pedal up Maungawhau Mt Eden for a bit of exercise. I head West for a few kilometres on the North West bike path, and I ride my bike to work. I won't miss the cycle bridge, but whether it's a dedicated ferry, a bike bus, or a roped-off lane over the current bridge on weekends, I'm looking forward to the day I can finally take my bike an explore the North Shore.
A trip on Lady Min, a restored classic racing yacht restored by Simon O'Keefe. Noel Sweeney is in Union Hall as fishermen have catch weighed by the SFPA under controversial new regulations. And we hear from Michael Cullen in Tramore about the Metal Man, the iconic navigation aid in Waterford and we hear Michael's song The Ballad of the Metal Man.
Former FAI and Basketball Ireland CEO Bernard O'Byrne has now turned his attention to GAA and its history in Athboy. Live from Tokyo, Golden Girl Eve McCrystal was naturally on a high with two medals in the can and one event remaining at the Paralympics. Michael Cullen has published his late Dad's memoir and its really enchanting! Chloe O'Neill made an impassioned plea for support for Bellewstown woman Lorraine Molloy. Daithi Kearney told of the coming together in Dunleer to make music and Gerry's feature on Oasis rolled on... See acast.com/privacy for privacy and opt-out information.
What is 'Activist Advertisement' and how can companies navigate their way through it in a digital economy? This is what Gavin McLoughlin asked Michael Cullen the Editor of Marketing.ie Taking Stock with on Apple Podcasts, Google Podcasts and Spotify. Download, listen and subscribe on the Newstalk App. You can also listen to Newstalk live on newstalk.com or on Alexa, by adding the Newstalk skill and asking: 'Alexa, play Newstalk'.
I can't remember exactly what the date it was when I last saw Michael Cullen. But I think it was not long before his lung cancer diagnosis. So maybe just a bit before March last year. We were at the airport, saw him in the Koru Club.And so we all grabbed a bite to eat together. And I was telling Michael that I was just finishing renovations in Wellington. And he told me he'd also once renovated a house himself - I think he said it was his first house. And we so complained to each other about how hard it is to lift GIB sheets up to the ceiling to screw them in.After that, I remember thinking about what an interesting person he is.Smart enough to get a doctorate, brilliant as a Finance Minister, rose to the heights of Government and would've been fully aware that he was more than ordinary. And yet so normal that he'd – just like the rest of us – picked up the hammers and saws and done up his own house. I think that's part of what made him so good as a Finance Minister. He understood what it meant to be a normal Kiwi. He'd been working-class like so many Kiwis. Today we've lost a huge figure of our time.Michael Cullen was the second-best Finance Minister of modern times. He only comes in behind Roger Douglas, the reformist of our time. Sometimes we called him Scrooge because he was so tight he thought he could get away with delivering the chewing gum tax cuts — remember that? But that's how he paid down debt and got us to 5.4 percent debt to GDP. Compare that to the 33 percent plus we've got now to understand what an incredible achievement that was. He and Helen Clark have a long list of things that they should be proud of achieving: The Super Fund, establishing the Supreme Court, refusing to join the US invasion of Iraq. But the thing he should be remembered for, above all of that, is KiwiSaver. That's going to save so many elderly from retirement poverty, which will only get worse with rising rents.So next time you check your KiwiSaver balance, thank Sir Michael Cullen.
The former Labour finance minister and deputy Prime Minister Sir Michael Cullen, has died aged 76 in Whakatāne. Sir Michael Cullen had a long and distinguished career in academia, politics and business governance. He is best known for introducing the New Zealand Superannuation Fund, also known as the Cullen Fund; Kiwi Saver and the Working for Families package. He was diagnosed with advanced lung cancer early last year. Susie speaks with the current finance Minister Grant Robertson
So Winston's back for another crack. I never doubted it. The man's constitution and energy are only matched by his ego. And he's a worker. I've always liked Winston and New Zealand First and always been surprised at how misunderstood his party is by so many New Zealanders. He's a conservative with a small c from an earlier age in New Zealand where egalitarianism was strong. It's one for all and all for one and no-one is your master and no-one you're inferior. He may be a lawyer but he's really just working class. There's One New Zealand and everyone keeps New Zealand First. It's in the name. New Zealand First was socialism-lite without the virtue signalling that the new breed of middle class Labour supporters embrace. He's always had more in common with a Helen Clark or a Michael Cullen than he ever had with John Key or Bill English. Somehow I think many National supporters thought that New Zealand First was a National lite because that's where Winston first made his name. But there was always a reason Winston parted with National. So when he went with Labour in 2017 those National party supporters were truly shocked and branded him untrustworthy. But I never felt that way. Throughout the election he campaigned hard to oust the National government and that's exactly what he did. He never pulled the wool over your eyes. You were just too blind to see. He brought with him some solid hard working MPs. I had no problem with Ron Mark and Tracey Marting and Jenny Marcroft. Shane Jones was another thing but he is not working class at all and would be far more at home in Labour Now Winston's back and he knows that the Labour Party of the 2020s is not the Labour Party of old, but a pimply faced crew of social justice warriors, so he's here keep them honest. But once again to get the cut through he's returned to what I call the Winston whistles. Winnie whistles are knee jerk hot takes and reckons that resonate with the grumpy. So yesterday he went at like the warhorse of old. First he thrashed Labour, then National, then the media, then the Greens, then the Maori Party, then the cyclists, then te reo in public life – particularly the phrase Aotearoa and then cancel culture. It was like he's spent the last 18 months in limbo listening to talkback radio and taking notes. If he had also got stuck into gender politics he would have completely sounded like your Uncle Colin on Christmas Day after five whiskies. Irrelevant worry lines. Nothing on housing or post Covid recoveries or mental health and income inequalities that are the real worry for real New Zealanders.
Liz can work a crowd. But can she read the room? Written by Chris Kipiniak. Performed by Sue Galloway, Sarah Mollo-Christensen, Brian Miskell, Alex Song-Xia, Michael Cullen, Neil Tyrone Pritchard, Patrick Noth, Erica Schroeder, Jake Hart, and Chris Kipiniak The Truth Instagram Twitter
Liz can work a crowd. But can she read the room? Written by Chris Kipiniak. Performed by Sue Galloway, Sarah Mollo-Christensen, Brian Miskell, Alex Song-Xia, Michael Cullen, Neil Tyrone Pritchard, Patrick Noth, Erica Schroeder, Jake Hart, and Chris Kipiniak The Truth Instagram Twitter
Liz can work a crowd. But can she read the room? Written by Chris Kipiniak. Performed by Sue Galloway, Sarah Mollo-Christensen, Brian Miskell, Alex Song-Xia, Michael Cullen, Neil Tyrone Pritchard, Patrick Noth, Erica Schroeder, Jake Hart, and Chris Kipiniak The Truth Instagram Twitter
There are split reactions from commentators about Budget 2021. Director of Council for International Development Josie Pagani told Heather du Plessis-Allan it's not a drastic change for beneficiaries, it's a start.She compared it to budgets under former Labour PM Helen Clark and Michael Cullen."I mean they lifted 75,000 kids out of poverty in one budget. It hasn't done that, but it has done what they were elected to do, and that's deal with some of the inequality." However, Infometrics Senior Economist Brad Olsen says his first impression is the Budget is underwhelming - and he can't see any provision for economic growth. "There's just no real firm plan underneath all of this to put New Zealand forward."It helps with distribution, it doesn't necessarily help with a path forward."LISTEN ABOVE
Unless you've been living under a rock you will have heard that the Beacon Hospital gave "excess" vaccines to the teachers of a private school that just happens to be attended by that same hospital's CEO's Michael Cullen's children. So we were delighted to be joined in the tortoise shack by the journalist who broke the story, Political Correspondent with the Irish Daily Mail, Craig Hughes, to tell us all about it. You might remember Craig for his work in exposing the disaster that was the Dáil printer. He explains the process of getting the story over the line and the difficulties Ireland's defamation laws pose. Please do support journalism. Obviously we'd love you to support us. Why not visit patreon.com/tortoiseshack and see if there's a way you can help?
Tika Tirka means to stay and learn in Kaurna language, and that's exactly what Indigenous students from regional communities are able to do when they move into the student accommodation.Based in Adelaide's CBD, Tika Tirka provides students aged 18 to 26 with an affordable, safe and culturally appropriate home away from home while they study in Adelaide.We speak with State Manager for Aboriginal Community Housing, Wayne Gibbings, about the services provided; Ngarrindjeri and Narrunga university student, Michael Cullen, talks about his experience living at the facility; and Housing Officer, Ronald Rankine, promotes Indigenous students having a space where they are the majority.
In this episode of DS30, our host, data science instructor Michael Cullen is joined by Rohan Singh, a senior data scientist for Headspace, to discuss suggestion models and how Headspace leverages them. Rohan also details his journey into data science and how he arrived in his present role.
The hardest thing about living in a post-apocalypse is the loneliness. But what you do to cope could make things worse. This story is the third in the “Hum” series. If you haven’t heard them already, please go listen to After the Hum and Into the Hum first. Written by Chris Kipiniak. Performed by James Dwyer, Michael Cullen, Chris Kipiniak, Jessica Morgan, Marisa Brau, Suzanne Toren, and Russell G. Jones. The Truth Instagram Twitter
The hardest thing about living in a post-apocalypse is the loneliness. But what you do to cope could make things worse. This story is the third in the “Hum” series. If you haven’t heard them already, please go listen to After the Hum and Into the Hum first. Written by Chris Kipiniak. Performed by James Dwyer, Michael Cullen, Chris Kipiniak, Jessica Morgan, Marisa Brau, Suzanne Toren, and Russell G. Jones. The Truth Instagram Twitter
The hardest thing about living in a post-apocalypse is the loneliness. But what you do to cope could make things worse. This story is the third in the “Hum” series. If you haven’t heard them already, please go listen to After the Hum and Into the Hum first. Written by Chris Kipiniak. Performed by James Dwyer, Michael Cullen, Chris Kipiniak, Jessica Morgan, Marisa Brau, Suzanne Toren, and Russell G. Jones. The Truth Instagram Twitter