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Madlik Podcast – Torah Thoughts on Judaism From a Post-Orthodox Jew
What if the Torah's strictest, most uncomfortable laws about perfection weren't actually meant to keep us out, but to give us permission to be broken? What does holiness look like… when life refuses to cooperate? In this episode of Madlik, we dive into one of the Torah's most uncomfortable passages—Parshat Emor—where the priestly caste is commanded to live a life untouched by death, imperfect relationships, and even physical blemish. No funerals. No complicated marriages. No broken bodies. It's a vision of holiness that feels… impossible. But what if we've been reading it wrong? Key Takeaways Holiness as Separation, Not Just Morality The priestly laws aren't random restrictions—they form a unified system built on distance from life's messiness: death, complicated relationships, and physical imperfection. Holiness here isn't about being good—it's about being set apart. 2. A Vision of Perfection… or a Problematic Ideal The Kohen represents an almost utopian human—untouched by loss, imperfection, or disruption. But that raises a tension: is this an aspirational model meant to uplift, or the creation of a spiritual hierarchy that excludes real human experience? 3. From "Disqualified" to "Permitted" The word ḥalal, usually translated as profane or disqualified, may actually point in a different direction. What if it means not rejected—but released? Not unholy—but free to live fully human lives, where imperfection isn't a flaw… but the norm. Timestamps [00:00] Holiness Without Cracks [01:40] Show Intro and Big Question [02:53] Priestly Mourning Limits [04:35] Marriage Rules and Separation [06:53] Rashi and Modern Practice [10:23] Talmud and Funeral Optics [13:52] Why These Marriage Bans [21:20] Physical Blemishes and Theater [27:00] Halal as Permission [29:57] Wrap Up and Shabbat Shalom Links & Learnings Sign up for free and get more from our weekly newsletter https://madlik.com/ Sefaria Source Sheet: https://voices.sefaria.org/sheets/722306 Transcript here: https://madlik.substack.com/
In this episode of The Ganjapreneur Podcast, host TG Branfalt speaks with Dr. Gil Fanciullo, a longtime physician specializing in pain management and palliative care, about his early experiences recommending cannabis to patients well before it was legally accepted. Drawing from decades in medicine, including his work at Dartmouth-Hitchcock Medical Center, Fanciullo reflects on the risks physicians once faced, the patient-driven origins of medical cannabis adoption, and how attitudes within the medical community have evolved over time. This interview explores the gaps that still exist in cannabis research, the complexities of cannabinoids and the so-called “entourage effect,” and the role cannabis could play in reducing reliance on pharmaceuticals like opioids. Fanciullo also discusses physician education, regulatory barriers, and what federal rescheduling could mean for both medical practice and the broader cannabis industry.
Shannon Sharpe and Chad "Ochocinco" Johnson bring you the Best of NFL on Nightcap, reacting to the shocking trade of Justin Fields from the Jets to the Chiefs. Unc and Ocho also sound off on DeAndre Hopkins throwing shade at the Ravens over his lack of production, while breaking down Maxx Crosby growing frustration and trust issues with the Raiders after a failed trade to Baltimore. Subscribe to Nightcap presented by PrizePicks so you don’t miss out on any new drops! Download the PrizePicks app today and use code SHANNON to get $50 in lineups after you play your first $5 lineup! Visit https://prizepicks.onelink.me/LME0/NI... 0:00 - Justin Fields traded to Chiefs14:47 - DeAndre Hopkins says he felt underutilized this season27:27 - Modern practice rules for rise in soft-tissue injuries47:32 - Seahawks DT Byron Murphy II with the Lombardi Trophy at his wedding (Timestamps may vary based on advertisements.) #ClubSee omnystudio.com/listener for privacy information.
The patient has changed — and in this episode, Leisa Krauss makes the case that most clinics haven't caught up yet. The patient of 2026 is researched, selective, and choosing deliberately. They're not walking in on a whim. They're comparing, evaluating, and committing only to the clinic that makes them feel most confident — which means the old advantages of location and reputation aren't the moat they used to be.Leisa breaks down five non-negotiables that today's patients expect before they'll book, convert, or stay loyal — from the proof of results they need to see, to the seamless digital experience they expect, to something newer and more psychological: confidence before they ever walk through the door. This episode is a field report from the front lines of a shifting industry, and a clear-eyed look at where growth actually lives in 2026.Full breakdown available inside the Scalpel of Truth Inner Circle.Not a member yet? No worries! Just head over to ScalpelOfTruth.com and sign up today! Get the full episodes in your own private, personal podcast feed all while ensuring this show continues to grow and thrive! Thank you!ScalpelOfTruth.com • Join Club Bitchacho for full episodes today!Check out our MedSpa Workshops and Trainings and schedule a discovery call today
About the Guest(s): Dr. Dustin Dillberg is a highly accomplished acupuncturist and practitioner of Chinese medicine based on the island of Kauai. He has been practicing for 18 years, with a background deeply rooted in the fusion of various healing methodologies, including acupuncture, chiropractic principles from his father, and other forms of traditional medicine. Dr. Dillberg is recognized for his innovative approach that combines the ancient wisdom of traditional Chinese medicine with cutting-edge technologies such as laser therapy. He has shared his expertise by speaking at numerous seminars and continues to teach and influence the integrative medicine community. Episode Summary: In this fascinating episode of "The Laser Light Show," Dr. Chad Woolner and Dr. Andrew Wells invite back their distinguished guest, Dr. Dustin Dillberg, for the fourth time. The discussion delves into the dynamic intersection of Eastern and Western medicines, particularly focusing on the integration of acupuncture and innovative laser therapies in modern healthcare practices. Broadcasting from the serene island of Kauai, Dr. Dillberg shares his unique insights and the remarkable outcomes he witnesses in his practice using Erchonia laser technology. This episode is a treasure trove of knowledge for practitioners looking to enrich their practices with integrative methods. Dr. Dillberg discusses the profound historical context and evolution of acupuncture and how these time-honored techniques intersect with groundbreaking treatments, such as transcranial laser therapy. He candidly explores the benefits of integrating laser technology into traditional Chinese medicine, emphasizing the symbiotic relationship between light therapy and herbal compounds. By recounting his personal journey in medicine, Dr. Dillberg underscores the transformative potential of blending ancient practices with modern innovations. Key Takeaways: Dr. Dillberg practice integrates acupuncture, functional neurology, posture therapy, and laser technology, creating a dynamic and holistic patient treatment approach. The seminar circuit finds Dr. Dillberg speaking at various events, aiming to broaden the understanding of integrative health practices among practitioners across the globe. Photodynamic therapy is discussed in detail, explaining how specific wavelengths of light can enhance the efficacy of herbal and nutritional compounds. Dr. Dillberg emphasizes the importance of organizing and communicating the effectiveness of Chinese medicine practices to become more mainstream in the Western world. The episode encourages practitioners to explore new dimensions in their treatments, similar to Dr. Dillberg methods that go beyond traditional acupuncture techniques. Notable Quotes: "What the body's capable of doing is so far past what most people will give it credit for or even imagine." "There's more referrals for acupuncture than I've ever seen before. We're seeing surgeons say, I don't think you need surgery; go try acupuncture at an unbelievable rate." "Light and laser therapy…have been used in Egyptian, Tibetan and Chinese medicine literally for thousands of years." "Our cutting edge science is proving that we are a conductive light system." "The new moxa is literally laser coherent energy free yang qi that you can stimulate the body's energetics." Resources: Dr. Dustin Dillberg speaking schedule can be found on the Erchonia website for those interested in attending his lectures and seminars. For listeners interested in diving deeper, this episode is a must. Tune in to discover how traditional and modern practices can create a powerful synergy that not only respects the wisdom of the past but also embraces the innovations of the future. Stay tuned for more episodes in "The Laser Light Show" that continue to illuminate the path of integrative medicine.
This episode features Dr. Kartik Jhaveri, Director of Abdominal MRI in the Joint Department of Medical Imaging (JDMI), the largest medical imaging department in Canada.We talk about how the MRI technology has evolved over the years, changes in scan times, access to MRI and the reasons behind longer waiting times, differences in magnets, the efficacy of full body MRI, and so much more!The content provided in this episode is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician with any questions you may have regarding a medical condition.Produced by The Levchuk Agency Inc.Thanks for listening! Watch Radiologists on YouTube hereFollow us on: XInstagramLinkedInVisit our website: imagingtoronto.com
Insights from TOACon 2025's tech stream: AI, cybersecurity, client experience, and building resilient firms with smarter systems, featuring Practice Protect, AccountKit, and more. Summary In the second of three instalments Heather Smith explores highlights from TOACon 2025. Recorded at the luxurious Shangri-La Boracay, this episode dives into practical tools and strategies reshaping the accounting landscape. Main Topics:
Today with us on the Incite Change Podcast, Coach Mauro sits down with Dr. Nadine P. Baldwin. Dr. Nadine P. Baldwin is a board-certified acupuncturist who earned her Doctor of Acupuncture (DAc) from the Pacific College of Health and Science in San Diego, CA. She is also Board Certified in Neuropathy (BCN) and holds advanced certification in Chinese Herbal Medicine (CCHM). Trained in criminology and public health, Dr. Baldwin spent 13 years in her field before earning her Doctor of Acupuncture degree. Today, she leads Arizona Valley Acupuncture, using precision therapies like Frequency Specific Microcurrent to treat chronic pain and trauma. Her practice emphasizes personalized treatment plans and aims to restore balance, reduce pain, and support overall wellness for patients Dr. Baldwin's work has gained recognition in both clinical and community settings for its integrative and patient-centred focus. Under her leadership, Arizona Valley Acupuncture continues to serve patients throughout the Phoenix metropolitan area, earning a reputation for compassionate care and therapeutic innovation. Episode Timestamps ● [01:17] Introduction ● [04:30] Entering the Healing Field ● [11:00] The Clinical Front Lines ● [18:45] Education, Training and Turning Points ● [26:20] Why is Acupuncture Misunderstood ● [33:10] Chronic Pain and the Nervous System ● [41:55] Precision in Modern Practice ● [49:30] Integration and Impact ● [58:35] Final Reflections Resources Mentioned ● Arizona Valley Acupuncture ● Connect with Dr. Baldwin ● Instagram: azvalleyacu Thanks so much for tuning in. Join us again next week for another episode! Contact us! If you would like to get in touch, leave us a comment! Visit our website - www.healthyincite.com Follow us on Instagram - https://www.instagram.com/incitecoaching/?hl=en Like us on Facebook - https://www.facebook.com/incitecoaching/
In this Tax Section Odyssey podcast episode, April Walker, CPA, CGMA, is joined by Adam Shay, CPA, a former firm owner turned business coach for accounting firm owners, to kick off a three-part series on reimagining firm ownership. The conversation explores the lifecycle of a modern accounting firm, focusing on building a sellable practice, developing future leaders and overcoming common challenges such as owner dependency and process bottlenecks. Hear insights on leveraging people, processes, pricing and technology to create a sustainable, scalable firm. What you'll learn from this episode: Practical strategies for delegation, leadership development and embracing innovation. Actionable advice for navigating growth, preparing for transition and fostering a culture of continuous improvement in today's rapidly evolving tax profession. How process documentation and technology adoption drive consistency in a firm. How to use a pricing model to reflect value provided to your clients. AICPA resources Engage365 Reimagining Your Tax Practice PCPS Transforming Your Business Model
What makes a truly great guide? In this episode, Nigel Pedlingham, founder of MAGUEY and Nina Badoux, founder of Nanacatl Healing, share their insights from decades of facilitating deep, transformative experiences. Together, they explore how to hold space for others with compassion, authenticity, and respect, while also caring for yourself as a practitioner.You can find show notes, resources and more at: https://tinyurl.com/ysdb8r6p Are you called to serve the healing of our world? Join our microdosing facilitator program! You'll learn everything you need to know to become a resourced, skilled, and confident microdosing guide.Visit microdosingforhealing.com/professionaltraining
Running a dental practice comes with endless challenges from insurance and billing headaches to patient confusion and team miscommunication. In this episode of The Dental Brief, host Patrick Chavoustie talks with Shelbey Arevalo of Elite Dental Systems about how dentists can streamline their operations and improve profitability. Shelbey shares practical strategies for optimizing financial systems, improving patient communication, and strengthening team collaboration. Discover how to prevent revenue leakage, reduce front desk errors, and implement tools that make your dental practice more efficient and successful.In this episode:Biggest Challenges Dentists Face TodayImproving Patient Communication & TransparencyFront Desk Mistakes That Cost Time and RevenueStrengthening Team Communication in Your PracticeMaximizing Revenue & Preventing Financial LeakageTools and Systems That Make Practices Thrive ***** SPONSOR: – Omni Premier Marketing: https://omnipremier.com/dental-marketing/ CONNECT: – Facebook: https://www.facebook.com/thedentalbrief/ – Instagram: https://www.instagram.com/thedentalbriefpodcast/ – LinkedIn: https://www.linkedin.com/in/dental-brief-podcast-564267217 – Patrick's LinkedIn: https://www.linkedin.com/in/pchavoustie/– Youtube: https://www.youtube.com/channel/UCd08JzybKfNH0v12Q9jf50w WEBSITE: – https://dentalbrief.com/
Send us a textNona Mileva is a seasoned yoga instructor with a deep-rooted passion for the Sanskrit language and its role in yoga practice. She serves as a dedicated teacher at the Native Yoga Center, offering classes in vinyasa flow and restorative yoga. With a background in psychology and somatic studies, Nona integrates her expansive knowledge into her teaching. She is actively involved in facilitating Sanskrit study groups and is a committed student of Sanskrit, guided by influential scholars and practitioners like Edwin Bryant and Antonia Ruppel.Visit Nona here: https://www.wellyoga.net/Key Takeaways:Sanskrit serves as a vital element in understanding and practicing yoga, offering a gateway to deeper spiritual and intellectual exploration.Nona's expertise as a yoga therapist and Sanskrit scholar bridges the gap between ancient language studies and contemporary therapeutic practices.Learning Sanskrit can enhance the understanding of yoga's philosophical roots, providing insight into texts and concepts that are often misunderstood in translation.Nona emphasizes the importance of proper pronunciation in Sanskrit, drawing a parallel to the precision required in yoga practice.Thanks for listening to this episode. Check out:
Send us a textDavid Garrigues is a highly respected Ashtanga Yoga teacher known for his deep commitment to practice and exploration of the ancient traditions of yoga. With a career spanning several decades, David began his journey into yoga at the age of 16, evolving from self-practice of sun salutations to studying under renowned teachers. He has trained with prominent figures like Pattabhi Jois, and he integrates unique insights into yoga's physical, spiritual, and historical aspects to create a comprehensive teaching methodology. As an innovative educator, David places a strong emphasis on safe practices and personalization in yoga.Visit David here: https://davidgarrigues.com/Key Takeaways:Personal Practice: David began practicing yoga at a young age, which set the foundation for his lifelong journey in Ashtanga Yoga.Transformation through Teaching: His experiences with influential teachers brought significant change and development in his practice and teaching style.Safety and Personalization: David emphasizes creating a safe and inclusive environment through personalized and step-by-step instruction.Artistic Expression in Yoga: His approach to yoga teaching integrates creativity, viewing it as an art form and a means of personal expression.Thanks for listening to this episode. Check out:
Get the "Weekend Dominator Strategy ( How to turn your schedule into your greatest marketing tool)" for FREE here!Discover how this dentist used high-tech innovation and low-overhead strategies—powered by his love for video games—to build his startup from the ground up!In this episode, Dr. Tej Shah invites us into his multifaceted world, sharing how his early love for gaming and programming evolved into a drive for innovation in dentistry. You'll hear about his journey from designing games and solving engineering puzzles at Lockheed Martin to navigating rigorous coursework at Carnegie Mellon and Tufts—all before taking the leap to open his own dental practice in Ashland, Massachusetts. Dr. Shah candidly shares what made him leave a secure tech path behind, and how seeing limitations in traditional dental software inspired him to develop his own Linux-based system tailored to real clinical needs.But that's just the start. Dr. Shah unpacks the creative marketing tactics—like hosting "Smash Bros" tournaments—and bold decisions, like offering dental care on weekends, that set his practice apart. He discusses the operational challenges, from wrestling with insurance claims to building a reliable team, all while keeping overhead surprisingly low. Through it all, Dr. Shah's commitment to innovation and genuine patient care anchors his advice for anyone blending technology and entrepreneurship: help people first, and the success will follow.What You'll Learn in This Episode:Why Dr. Shah traded a tech career for dentistry—and what fueled the transitionCreative strategies for attracting patients, beyond traditional marketingThe advantages of custom, open-source (Linux) dental software in running a modern practiceHow to balance practice ownership with independent software developmentPractical lessons in managing staff, insurance, and keeping costs downInsights on making your business stand out—like weekend hours and community eventsTune in now for an inspiring blend of tech ingenuity, creative grit, and real-world lessons in building a unique dental practice from scratch.Guest: Dr. Tej ShahPractice Name: Zen Family DentalCheck out Tej's Media:Website: zenfamily.dentalEmail: tshah.dental@gmail.comEmail: clear.dental.floss@proton.meReddit: reddit.com/user/DesiOtakuClear.Dental Software: clear.dentalHost: Michael AriasJoin my newsletter: https://thedentalmarketer.lpages.co/newsletter/Join this podcast's Facebook Group: The Dental Marketer SocietyLove the Podcast? Let Us Know How We're Doing on Apple Podcasts!
This week on A Little Bit Culty, we're getting a little mystical—with our eyes wide open. Historian and occult scholar Mitch Horowitz joins us to explore the space where spirituality meets personal growth, and how easily it can slip into culty territory. His latest book, Practical Magick: Ancient Tradition and Modern Practice, helps make sense of mystical ideas while encouraging intentional belief. We dig into the red flags to watch for on the seeker's path, from peer pressure and time abuse to isolation and guru worship. We also talk about money, emotion, and how performance culture can sneak into spiritual spaces. Mitch makes the case for private exploration, critical thinking, and walking away when something doesn't feel right. Whether you're deep into the woo or just woo-adjacent, this one's packed with insight on how to stay curious without giving your power away. For more of Mitch and his work, visit his website or follow him on Instagram @mitchhorowitz23 Also… let it be known that: The views and opinions expressed on A Little Bit Culty do not necessarily reflect the official policy or position of the podcast. Any content provided by our guests, bloggers, sponsors or authors are of their opinion and are not intended to malign any religion, group, club, organization, business individual, anyone or anything. Nobody's mad at you, just don't be a culty fuckwad. **PRE-ORDER Sarah and Nippy's newest book here Check out our lovely sponsors Join ‘A Little Bit Culty' on Patreon Get poppin' fresh ALBC Swag Support the pod and smash this link Cult awareness and recovery resources Watch Sarah's TEDTalk CREDITS: Executive Producers: Sarah Edmondson & Anthony Ames Production Partner: Amphibian.Media Co-Creator: Jess Tardy Writer: Kristen Reiter Associate producers: Amanda Zaremba and Matt Stroud of Amphibian.Media Audio production: Red Caiman Studios Theme Song: “Cultivated” by Jon Bryant co-written with Nygel Asselin
We are joined by Mitch Horowitz to discuss themes around UFOs, Magick, and his newest book - Practical Magick: Ancient Tradition and Modern Practice. Mitch threads a microcosmic tapestry weaving together UFOs, ESP, Extra-Physical Realities, and Retrocausality - What in the old days may have been considered Magick but is now the cutting-edge of science and the nature of reality. Mitch's Links - Practical Magick: Ancient Tradition and Modern Practice - https://a.co/d/dROUHDtWebsite: https://www.mitchhorowitz.com/Extraordinary Evidence: ESP Is Real Podcast Series - https://www.mitchhorowitz.com/extraordinaryevidence Gurdjieff Lecture by Mitch Horowitz: https://youtu.be/z_hC2j8dNzA?si=bCRbI4IFl3z6nOhpX(Twitter): https://x.com/MitchHorowitz?t=dkyrWfI4ezLuF9Q5TEA6QA&s=09Instagram: https://www.instagram.com/mitchhorowitz23?igsh=cDhjZzF4ajZxdWk4Engaging The Phenomenon Links - Clip from interview w/ Marc Gagnon on CAMP Gagnon - https://youtu.be/w0lUTSF8pfw?si=pZ6lNFYfY0PwOZqx Full CAMP Gagnon Interview w/ ETP: https://youtu.be/PZ6Nxtt4b0k?si=xP0GhQ03QxGfLx8t Matthew Cox True Crime Interviews ETP: https://youtu.be/0lODUE4Zmhs?si=qTqQ9jFQz17CmRrFFollow us on Twitter: https://twitter.com/EngagingThe?t=iEVw2QagEoCgZey4H_zT9Q&s=09Engaging The Phenomenon Podcast: https://anchor.fm/engagingthephenomenonSupport us on Patreon: https://www.patreon.com/Engagingthephenomenon Support us w/ Paypal: https://paypal.me/engagingthephenomeno?country.x=US&locale.x=en_USRead Our Articles on Medium: https://medium.com/@EngagingThePhenomenonGreatly appreciate all the support!! Another way to support the channel is to share the work on social media networks! Thanks for joining us! Support The Podcast: https://anchor.fm/engagingthephenomenon/supportEngaging The Phenomenon LinkTree(https://linktr.ee/EngagingThePhenomenon)We've created a Twitter account for our initiative! Follow us here to stay tuned! Inquire Anomalous YouTube: https://youtube.com/@inquireanomalousFollow Here: https://twitter.com/InquireAnomalus?t=PWi80yvgFpRVdflA_S242g&s=09..................
Send us a textRianna Banana is a seasoned practitioner and trainer in the realms of Thai massage, yoga, and holistic retreats. With a foundational background in hotel management, Rianna transitioned her career towards yoga and bodywork, obtaining her yoga teacher certification in Rishikesh in 2019. She has further specialized in Thai massage, having studied at ITM in Chiang Mai where she completed advanced courses and teacher training. Currently, she operates out of a retreat center in Portugal, where she leads yoga classes, offers Thai massage sessions, and co-hosts holistic retreats throughout the year.Visit Rianna here: https://www.riannabanana.com/Key Takeaways:Rianna's exploration of Thai massage began with an impactful first experience in Bangkok, which led her to study extensively at the ITM school in Chiang Mai.She emphasizes the importance of consistency and simplicity in massage, shared with love, as witnessed during her studies at ITM.Rianna's weaves perspectives on vinyasa flow, meditation, and the mental health benefits of integrating yoga retreats into your journey of self-care and self-love.Thanks for listening to this episode. Check out:
Mitch Horowitz is one of today's most literate voices of occultism, mysticism, and the unexplained. He has bylines in The New York Times, The Washington Post, Politico, Time, and The Wall Street Journal, and appearances in Sundance-premiering movies, popular TV docuseries, and award-winning documentaries, as well as on CBS Sunday Morning, Dateline NBC, NPR's All Things Considered, and other major media. Mitch also worked for many years in publishing, including as a vice president at Penguin Random House where he was editor-in-chief of Tarcher/Penguin, an imprint dedicated to metaphysics.He now hosts the Discovery/HBO Max TV series, Alien Encounters: Fact or Fiction, and he appears regularly on seasons one and two of History's The UnBelievable with Dan Ackroyd and in numerous docuseries including MGM+'s BEYOND: UFOs and the Unknown. He is also the host of the podcast series Extraordinary Evidence: ESP Is Real out from SpectreVision. Mitch also hosted, cowrote, and produced a feature documentary about the occult classic The Kybalion directed by Emmy-nominee Ronni Thomas and shot on location in Egypt.Mitch is a former writer-in-residence at the New York Public Library and the PEN Award-winning and wildly prolific author of many books including Occult America, One Simple Idea, The Miracle Club, Modern Occultism, and his newest offering, Practical Magick: Ancient Tradition and Modern Practice which is out on March 25th and available for preorder now.On this episode, Mitch discusses his dual roles as an occult historian and practitioner, why self-expression and true desire are the keys to effective spellcasting, and how his belief in “anarchic magick” has led him to a happier and more fulfilling life.Pam also talks about the magic of wishes, and answers a listener question about staying protected as a public witch.Check out the video of this episode over on YouTube (and please like and subscribe to the channel while you're at it!)Donate to Pam's fundraiser for The ACLU hereGet 20% off DeleteMe here (not an official sponsor, just a personal recommendation from Pam. Disclosure: Pam does get a small referral fee for each registration.) Our sponsors for this episode are The Witch Summit, Ritual + Shelter, Mithras Candle, BetterHelp, Black Phoenix Alchemy Lab, and The Alchemist and the Academic podcastWe also have print-on-demand merch like Witch Wave shirts, sweatshirts, totes, stickers, and mugs available now here, and all sorts of other bewitching goodies available in the Witch Wave shop.And if you want more Witch Wave, please consider supporting us on Patreon to get access to detailed show notes, bonus Witch Wave Plus episodes, Pam's monthly online rituals, and more! That's patreon.com/witchwave
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/KRC865. CME credit will be available until February 26, 2026.Modern Practice Principles in Lung Cancer—First Find the Targets, Then Treat With Precision: A Concise Guide for Biomarker Testing and EGFR-Targeted Therapy in NSCLC In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Janssen Biotech, Inc., administered by Janssen Scientific Affairs, LLC. Both are Johnson & Johnson companies.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/KRC865. CME credit will be available until February 26, 2026.Modern Practice Principles in Lung Cancer—First Find the Targets, Then Treat With Precision: A Concise Guide for Biomarker Testing and EGFR-Targeted Therapy in NSCLC In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Janssen Biotech, Inc., administered by Janssen Scientific Affairs, LLC. Both are Johnson & Johnson companies.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/KRC865. CME credit will be available until February 26, 2026.Modern Practice Principles in Lung Cancer—First Find the Targets, Then Treat With Precision: A Concise Guide for Biomarker Testing and EGFR-Targeted Therapy in NSCLC In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Janssen Biotech, Inc., administered by Janssen Scientific Affairs, LLC. Both are Johnson & Johnson companies.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/KRC865. CME credit will be available until February 26, 2026.Modern Practice Principles in Lung Cancer—First Find the Targets, Then Treat With Precision: A Concise Guide for Biomarker Testing and EGFR-Targeted Therapy in NSCLC In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Janssen Biotech, Inc., administered by Janssen Scientific Affairs, LLC. Both are Johnson & Johnson companies.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/KRC865. CME credit will be available until February 26, 2026.Modern Practice Principles in Lung Cancer—First Find the Targets, Then Treat With Precision: A Concise Guide for Biomarker Testing and EGFR-Targeted Therapy in NSCLC In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Janssen Biotech, Inc., administered by Janssen Scientific Affairs, LLC. Both are Johnson & Johnson companies.Disclosure information is available at the beginning of the video presentation.
This episode of our award-winning podcast concludes our discussion on a new approach for medical groups in this time of drastic change. Only those models undergoing change will succeed. Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient Guest: Michael Strilesky Senior Principal, Care Delivery Transformation Strategy Consulting Vizient Show Notes: [01:11] Academic medical centers and the need for innovation [02:46] Meeting the physician shortage challenge [04:51] Resistance to a new care model [06:23] Reimbursement, technology and consumer desires will drive the new model [07:06] The physician compensation factor in the new model Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Michael Strilesky's email: michael.strilesky@vizientinc.com “Grow hospital market share by integrating ambulatory care across acute service lines” (Vizient publication): Click here Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
All the drastic changes occurring in healthcare, particularly in the way it is delivered, necessitate corresponding changes in how we structure medical groups. This episode of our award-winning podcast continues the discussion on the need for a new strategy for medical groups, and an expert returns to consider what that strategy might be. Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient Guest: Michael Strilesky Senior Principal, Care Delivery Transformation Strategy Consulting Vizient Show Notes: [01:11] Academic medical centers and the need for innovation [02:46] Meeting the physician shortage challenge [04:51] Resistance to a new care model [06:23] Reimbursement, technology and consumer desires will drive the new model [07:06] The physician compensation factor in the new model Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Michael Strilesky's email: michael.strilesky@vizientinc.com “Grow hospital market share by integrating ambulatory care across acute service lines” (Vizient publication): Click here Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
The huge flurry of changes in how we deliver healthcare have brought into question the viability of the conventional medical group model, whether it's sustainable and gives us a competitive advantage or whether we need to invest in something else. On the next three episodes of this award-winning podcast, an expert joins Tomas to consider the future of medical group practices. Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient Guest: Michael Strilesky Senior Principal, Care Delivery Transformation Strategy Consulting Vizient Show Notes: [01:46] Current medical group model [02:58] Impact and role of medical groups [04:12] Drawbacks and limitations of current model [06:13] Different care and practice models emerging [07:49] The disruptors have been fantastic [09:47] Different approach for medical groups affiliated with academic medical centers Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Michael Strilesky's email: michael.strilesky@vizientinc.com “Grow hospital market share by integrating ambulatory care across acute service lines” (Vizient publication): Click here Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this final episode of a three-part series, Tomas finishes his discussion with two experts on high-reliability organizations who examine the crucial role of learning areas in the success of top performers. High-performing organizations take care of not only their patients but their staff and indeed enable staff to be at their best. Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient Guests: Suzanne Miller, MSN, RN Senior Consulting Director, Reliability and Management Systems Vizient Katerie Chapman, MHA Senior Principal, Safe and Reliable Healthcare Vizient Show Notes: [00:54] Need for change-ready units in the organization [01:32] Overcome the perception “this is one more thing” [03:17] Example: skeptical ICU nurse – “This is going to fail” [04:56] Taking a phased approach [05:37] Measuring success of learning areas: the benchmarks to use 06:22] Excited staff members Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Vizient Safe and Reliable Healthcare site: Click here Suzanne's email: suzanne.miller@vizientinc.com Katerie's email: katerie.chapman@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this episode, Tomas continues his discussion with two expert guests about learning areas and how they are proving effective and essential in developing high-reliability organizations. Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient Guests: Suzanne Miller, MSN, RN Senior Consulting Director, Reliability and Management Systems Vizient Katerie Chapman, MHA Senior Principal, Safe and Reliable Healthcare Vizient Show Notes: [00:41] Who engages in learning areas? [03:17] A flood of kudos in the ED – an example of lifting morale [05:10] Team participation in barcode scanning – an example of improving compliance [07:02] A resource for senior leaders [07:55] A safety concern that, once identified, was quickly corrected [08:44] Real-time nature of rounding and issue resolution Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Vizient Safe and Reliable Healthcare site: Click here Suzanne's email: suzanne.miller@vizientinc.com Katerie's email: katerie.chapman@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Learning areas have become an effective aspect of high-reliability organizations in healthcare. Employing floor or departmental huddles as the focal point for these learning areas, the experience of the huddles has been augmented and reinforced by bulletin boards and whiteboards. Even more effective is the newest wrinkle in the experience – LENS (Learning & Engagement System) boards, which are dynamic, digitally-based visual boards that can transmit messaging on a 24/7 basis in a designated learning area. On the next three episodes, Tomas discusses learning areas with two expert guests, who will share the rationale behind them and how to make them work for you. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guests: Suzanne Miller, MSN, RN Senior Consulting Director Reliability and Management Systems Vizient Katerie Chapman, MHA Senior Principal, Safe and Reliable Healthcare Vizient Show Notes: [01:58] Developing and sustaining learning areas [03:02] Elements employed in a learning area [05:00] The cornerstone of high reliability [06:07] The visual management role [07:37] Advantages of the LENS board [09:07] Selecting a unit to be a learning area Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Vizient Safe and Reliable Healthcare site: https://www.vizientinc.com/our-solutions/care-delivery-excellence/reliable-care-delivery Suzanne's email: suzanne.miller@vizientinc.com Katerie's email: katerie.chapman@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
The healthcare workforce is in a state of crisis: shortages of healthcare workers, rampant burnout, schedules in flux and outbreaks of violence in the workplace. On this episode, Tomas continues his discussion with a leading expert on the healthcare workforce on steps organizations can take to alleviate this crisis. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Eric Burch, MBA, RN, FACHE Executive Principal Operations and Workforce Services Vizient Show Notes: [00:32] Need for collecting and leveraging data [02:12] Reflecting the community in recruiting and retention [03:28] Addressing regulatory issues [06:10] Unions [07:06] Taking the pulse [07:35] Expanding the pipeline [09:23] Fostering wellness and resilience [10:52] Short- and long-term strategies Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Eric's email: eric.burch@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Before the Covid outbreak, the healthcare workforce was already in a state of crisis. Covid made it much worse. On this new series of our award-winning podcast, we examine the varied causes behind workforce challenges and shortages of nurses, physicians and other related disciplines. We'll also explore steps we can take to alleviate this crisis. Joining is us a leading workforce expert to provide an overview. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Eric Burch, MBA, RN, FACHE Executive Principal Operations and Workforce Services Vizient Show Notes: [01:21] The workforce issue and the pandemic [02:04] Drivers of the crisis [04:19] Changing the traditional model [05:48] Potential technology role in alleviating the crisis [08:47] Recruitment and retention approaches [11:22] Leadership and retention Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Eric's email: eric.burch@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this episode, Dr. Tomas Villanueva and a leading clinical documentation expert finish their discussion on the need to correctly document everything involving spial surgery. Spinal surgery represents a complex challenge for documentation specialists and clinicians alike, and this episode will clear up what is needed to be successful in coding and documenting these procedures. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director, Clinical Documentation Improvement Vizient Show Notes: [00:31] Query opportunities and low-hanging fruit [01:53] Blood loss and the whole clinical picture in querying [02:50] Using that “magic word” can make a difference – coding to an MCC [03:43] Other query opportunities [10:36] When the documentation is wrong [12:44] Reconciliation and feedback needed Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this episode, Dr. Tomas Villanueva continues his discussion with a leading clinical documentation expert on the need to correctly document everything involving spial surgery. Spinal surgery represents a complex challenge for documentation specialists and clinicians alike. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director, Clinical Documentation Improvement Vizient Show Notes: [00:41] Rise in spinal surgeries [01:23] Coding challenges and parameters [01:53] Predicaments for coding and CDI specialists [07:22] Common DRGs for spinal surgeries – the need to use the “magic words” Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Spinal surgery represents a complex challenge for clinical documentation. Difficult to code and representing query situations that can be demanding, this is the area of focus for this episode of Modern Practice. Joining Dr. Tomas Villanueva is a leading expert returning to the podcast to talk about the challenges of spinal surgery documentation. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient Show Notes: [01:26] Around 1.62 million procedures per year [02:22] Procedures on the increase (2.4 times the level of 15 years ago) [03:54] The most common spinal diagnoses [05:15] Often not caught by primary care [06:20 Less common reasons for spinal surgery [07:09] Reasons for planned surgeries—often a last resort [08:45] Risks for avoiding surgery Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Years of medical school, residency and fellowships have proven to do little in teaching physicians how to care for themselves. Physician burnout is at an all-time high. On this episode, a physician who is a leading expert on physician stress discusses how to improve mental fitness in those who've given their lives to the care of others. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Cecilia Cruz, MD, MPH, CPCC, ACC Founder and Chief Executive Officer Marpe, LLC Board-certified emergency medicine physician Former co-chair of Quality Division of Emergency Medicine NorthShore University HealthSystem Show Notes: [00:34] Physician suicide [02:44] Need connection [04:03] What organizations need to do [06:20] A learned skill and resource [06:37] Mental fitness [08:20] The Marpe approach Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Cruz's email: ceciliacruz@marpejourney.com Dr Cruz's Linkedin page: Cecilia Cruz - Founder and CEO - MARPE, LLC | LinkedIn MARPE, LLC website: https://www.marpejourney.com/ Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
This episode of our award-winning podcast continues the discussion on why mental fitness is so crucial for physicians and other clinicians today and yet is a concept that physicians still tend to avoid or downplay. Physician training and medical school have not helped. Join us for this gritty discussion. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Cecilia Cruz, MD, MPH, CPCC, ACC Founder and Chief Executive Officer Marpe, LLC Board-certified emergency medicine physician Former co-chair of Quality Division of Emergency Medicine NorthShore University HealthSystem Show Notes: [01:00] The in-box, EMR documentation and authorizations have only gotten worse [01:40] If we don't change, it's all going to fall apart [03:23] Examples from medical school and training—a lack of respect [06:45] The EMR and the need for a 27-hour day [08:05] Deficit of 40,000 primary care physicians by 2030 (AAMC) [08:30] Emerging mental health issues and workplace violence Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Cruz's email: ceciliacruz@marpejourney.com Dr Cruz's Linkedin page: Cecilia Cruz - Founder and CEO - MARPE, LLC | LinkedIn MARPE, LLC website: https://www.marpejourney.com/ Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Though physicians spend years in medical school, residency and fellowships to learn how to care for patients, they spend little time learning how to care for themselves. Physician burnout, leading to physician turnover, is skyrocketing. On this episode, a physician who is a leading expert on physician stress, having gone through that stress herself, discusses how to improve mental fitness in those who've given their lives to the care of others. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient Guest: Cecilia Cruz, MD, MPH, CPCC, ACC Founder and Chief Executive Officer Marpe, LLC Board-certified emergency medicine physician Former co-chair of Quality Division of Emergency Medicine NorthShore University HealthSystem Show Notes: [01:10] Physician heal thyself? Not happening! [02:35] Weakness means not being the best [03:31] An ingrained culture of perfectionism [04:20] The burnout crisis [06:40] Physician types affected the most [07:30] Bigger burden on specialists [09:13] Overcoming – awareness is only 20% of progress Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Cruz's email: ceciliacruz@marpejourney.com Dr Cruz's Linkedin page: Cecilia Cruz - Founder and CEO - MARPE, LLC | LinkedIn MARPE, LLC website: https://www.marpejourney.com/ Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this episode of our award-winning podcast, Dr. Tomas Villanueva concludes his discussion on how organizations can approach quality metrics today – what metrics to choose and how to apply them. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guest: Rick May, MD Senior Principal Consulting Solutions Vizient Show Notes: [00:38] The burden of reporting [02:09] Surgical quality and outcomes – technical vs. medical [03:41] A focus on the systems [05:00] Systems changes and results [05:42] Engaging the physicians Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. May's email: rick.may@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this episode of our award-winning podcast, Dr. Tomas Villanueva continues his discussion on how organizations can approach quality metrics today – what metrics to choose and how to apply them. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guest: Rick May, MD Senior Principal Consulting Solutions Vizient Show Notes: [00:54] Importance clinical documentation [02:40] Is it possible to eliminate all CLABSIs (or other infections)? [04:40] Length of stay as quality metric [05:10] Surgical complications and length of stay [05:55] Length of stay and complication rates [06:40] The most heavily weighted metric Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. May's email: rick.may@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Concerning quality measures in healthcare organizations, a common complaint is, “I've got so many people looking over my shoulder, pulling our data in, ranking me, rating me, everything else, and there is no way I can keep track of literally the hundreds of metrics for which we're accountable.” On this episode of our award-winning podcast, Dr. Tomas Villanueva welcomes back a leading quality expert to discuss how organizations can approach quality metrics today – what metrics to choose and how to apply them. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient Guest: Rick May, MD Senior Principal, Consulting Solutions Vizient Show Notes: [01:49] Why measuring quality is crucial [02:17] If you do quality well, financial success follows [02:57] Quality attracts staff [03:46] Has quality improved overall in healthcare? [04:42] Choosing the right metrics – 500 metrics exist overall [05:58] Mishmash in timing of measures – complex and “all over the map” [08:03] Realistic rate of improvement (hint: it's not 10%!) [08:53] Impact of under-capturing documentation Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. May's email: rick.may@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
This episode of the award-winning podcast examines the importance of risk adjustment. Dr. Tomas Villanueva leads the discussion on the impact of this crucial aspect of documentation that can affect hospital outcomes. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient Guest: Erica Braun, MS, RN, CCDS Senior Consulting Director, Clinical Documentation Improvement Vizient Show Notes: [01:29] Defining risk adjustment – maintaining an apples to apples comparison [02:41] Capturing comorbid conditions to the highest level of specificity [04:08] Capturing the low-hanging fruit [05:47] Case mix index issues [07:44] Severity of illness and risk of mortality [08:52] Addressing query fatigue Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Erica Braun's email: erica.braun@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Screening for colorectal cancer (CRC) has seen a lot of innovations, but there is still the conventional gold standard. On this episode of our award-winning podcast, Dr. Tomas Villanueva welcomes Dr. Aziz Aadam to discuss the need for early colorectal cancer (CRC) detection, and the options available to patients. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient Guest: Abdul Aziz Aadam, MD Interventional Gastroenterologist Director, Interventional Endoscopy Medical Director, International Patient Services Northwestern Medicine Show Notes: [01:05] CRC screening options [02:40] Colonoscopy advantages and disadvantages [03:35] Virtual colonoscopies [04:14] Artificial intelligence enhancement [04:54] Improvements in the future [07:10] No tests are foolproof [07:50] Need to improve access Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Aadam's email: abdul.aadam@northwestern.edu Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
In this episode of The Yoga Therapy Hour, host Amy Wheeler welcomes Bob Cirino, the Founder of Apple Tree and a dedicated practitioner and teacher at the Yoga Studies Institute. Bob shares his journey into yoga and meditation, emphasizing how ancient spiritual texts guide his work. As an exceptional communicator, Bob simplifies complex concepts, making them accessible and relatable.Bob delves into his transformation from a skeptic to a devoted yogi, exploring how yoga evolved from just a physical practice into a comprehensive lifestyle. He explains the profound connection between the mind, body, and subtle energies, drawing from his studies in Tibetan Yoga and the Pancha Kośa system. Bob also discusses the significance of the prāṇa, or subtle energy, as a bridge between the mental and physical realms, and how this understanding can lead to greater compassion and ethical living.The conversation also touches on modern neuroscience, the role of the vagus nerve, and how practices like Ujjayi breathing can shift the nervous system from fight-or-flight to rest-and-digest, promoting mental and physical well-being. Bob introduces the concept of "Navanga" or the "9th limb" of yoga, which he describes as compassionate wisdom—a crucial aspect that underlies all other yoga practices.Bob challenges the notion of privilege in yoga, asserting that practices like Ujjayi breathing can level the playing field, making yoga accessible to everyone, regardless of their circumstances. He also addresses the debate around enlightenment and ethics, providing insights into how an ethical life naturally emerges from dedicated yoga practice.Listeners are invited to explore these teachings further through Bob's work at the Yoga Studies Institute (www.YogaStudiesInstitute.org) and his platform, Spiritual Warrior (www.spiritualwarrior.life), where he helps individuals master their purpose and live fearlessly.Key Takeaways:The transition from physical yoga practice to a holistic lifestyle.The significance of connecting mind, body, and breath in yoga.How ancient spiritual texts inform modern yoga practices.The role of Ujjayi breathing in influencing the nervous system.The concept of "Navanga" and its importance in yoga practice.The intersection of privilege, accessibility, and ethics in yoga.Insights into the relationship between enlightenment and ethical living.Resources:Yoga Studies InstituteSpiritual WarriorInstagram: @bob.serinoJoin us for this enlightening conversation and explore how the ancient wisdom of yoga can be applied to modern life, fostering compassion, self-awareness, and a deeper understanding of the self.Additional Resources with Amy Wheeler:University of Minnesota Therapeutic Yoga SeriesPolyvagal Institute Mighty App7-Week Course on Yoga, Yoga Therapy & Polyvagal TheoryOptimal State Mobile AppOptimal State and Yoga Therapy Hour Patreon· Monday Night Yoga Therapy Clinic on www.TheOpimtalState.com· Join us for our Monday night Yoga Therapy Clinics, specially designed to address specific health and wellness topics. The sessions are held every Monday from 4:00-5:15 PM PST and are led by Amy Wheeler, a seasoned expert in yoga therapy. This clinic provides a supportive environment where participants can explore therapeutic yoga techniques to aid in addiction recovery and overall well-being.· For those seeking professional development, there is an option to stay longer after class and earn Continuing Education (CE) credits. This extended session offers in-depth training and valuable insights into integrating yoga therapy with addiction treatment.
In this episode of the award-winning podcast Dr. Tomas Villanueva welcomes Dr. Aziz Aadam to discuss the need for early colorectal cancer (CRC) detection, which drastically increases the rate of survival, and how improvements in CRC screening are giving patients better options. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Abdul Aziz Aadam, MD Interventional Gastroenterologist Director, Interventional Endoscopy Medical Director, International Patient Services Northwestern Medicine Show Notes: [01:11] Endoscopic submucosal dissection [02:10] Prevalence of colorectal cancer [02:38] Risk factors [05:10] Reason for the need of early detection [06:35] Challenges for screening [07:56] Rise in younger patients [09:11] Screening of the elderly [09:54] Increasing screening rates [11:09] Additional screening options Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Aadam's email: abdul.aadam@northwestern.edu Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this episode, we continue our discussion on preventing surgical smoke in the OR. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guest: Rachel Medina, BSBA Senior Category Manager Surgical Services Vizient Show Notes: [00:29] Regulation and legislation around surgical smoke [03:04] Best practices [04:09] Sustaining efforts on smoke prevention [05:01] Technological advances in prevention [06:15] Financial costs and learning curve – outweighed by benefits Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Medina's email: rachel.medina@vizientinc.com “As important as the air you breathe” (Vizient Tech Watch, p 38): Tech Watch Medical Device - Volume 2, 2022.pdf Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
The daily smoke produced in an operating room is the equivalent of 27-30 cigarettes, and the OR staff breathes this in five days a week. When tools in the OR cut and cauterize human tissue, they generate a plume of smoke containing toxic chemicals, carcinogens, malignant cells and viruses. Surgical smoke can cause a host of conditions, anything from headaches and sore throat to lung disease and lung cancer. On this episode, a Vizient expert discusses the ramifications of surgical smoke and how to begin preventing it. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guest: Rachel Medina, BSBA Senior Category Manager Surgical Services Vizient Show Notes: [01:27] Surgical smoke: a byproduct of surgical procedures [01:51] Health issues from surgical smoke [02:15] Not considered seriously over the decades [02:47] Lung disease in physicians and OR staff [03:34] Financial implications [04:47] Growing awareness and the role of AORN [06:33] Toxic materials and the effects of smoke plumes in the OR [08:30] Vizient platform developing on surgical smoke Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Medina's email: rachel.medina@vizientinc.com “As important as the air you breathe” (Vizient Tech Watch, p 38): Tech Watch Medical Device - Volume 2, 2022.pdf Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this episode of our award-winning podcast, we finish our feature on an organization that has made huge strides in reducing Patient Safety Indicators (PSIs) throughout health system. We will discuss the phenomenal results of the initiative so far and what is planned for the near future at Sanford Health. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Rachel Leyk, RN, CMSRN, CPHQ Improvement Advisor Quality and Safety – Fargo Sanford Health Devendranath (Dev) Mannuru, MD, CHCOM Internal Medicine Hospitalist CDI and Quality Physician Advisor Sanford Hospital – Fargo Khaled Zreik, MD Director, Critical Care Acute Care Surgeon Sanford Health Show Notes: [00:39] Use of data in managing PSI reduction [03:14] Results of a successful program [04:05] Lessons learned [08:15] Expanding and standardizing throughout the enterprise Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Leyk's email: rachel.leyk@sanfordhealth.org Dr. Mannuru's email: devendranath.mannuru@sanfordhealth.org Dr. Zreik's email: khaled.zreik@sanfordhealth.org PSI ACS Poster: PSI ACS Poster 2023 Quality and Safety Conference presentation: 2023 QSC presentation Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this episode of Modern Practice, we continue highlighting an organization that has made huge strides in reducing Patient Safety Indicators (PSIs) throughout health system. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Rachel Leyk, RN, CMSRN, CPHQ Improvement Advisor Quality and Safety – Fargo Sanford Health Devendranath (Dev) Mannuru, MD, CHCOM Internal Medicine Hospitalist CDI and Quality Physician Advisor Sanford Hospital – Fargo Khaled Zreik, MD Director, Critical Care Acute Care Surgeon Sanford Health Show Notes: [01:06] Managing PSI notifications to staff – keeping it non-punitive [03:46 Escalation process versus peer review – addressing practice variation [05:12] Keys to achieving collaboration Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Leyk's email: rachel.leyk@sanfordhealth.org Dr. Mannuru's email: devendranath.mannuru@sanfordhealth.org Dr. Zreik's email: khaled.zreik@sanfordhealth.org PSI ACS Poster: PSI ACS Poster Final.pdf 2023 Quality and Safety Conference presentation: 2023-qsc-ppt-final presentation.pptx Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
This episode of our award-winning podcast continues the success story of how Sanford Health has reduced PSIs through a concerted, multifaceted effort throughout the organization. Tomas interviews members of the clinical team that guided the way. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Rachel Leyk, RN, CMSRN, CPHQ Improvement Advisor Quality and Safety – Fargo Sanford Health Devendranath (Dev) Mannuru, MD, CHCOM Internal Medicine Hospitalist CDI and Quality Physician Advisor Sanford Hospital – Fargo Khaled Zreik, MD Director, Critical Care Acute Care Surgeon Sanford Health Show Notes: [00:34] Surgeon's perspective [02:04 Role of nurse reviewer [03:18] Necessities for success [04:05] Importance of executive leadership; need to be non-punitive (the “gold nugget”) [06:37] Reliable software and establishing the stop bill process [08:15] Involving HIM, coding and the CDI team [10:36] Engaging the clinical staff Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Leyk's email: rachel.leyk@sanfordhealth.org Dr. Mannuru's email: devendranath.mannuru@sanfordhealth.org Dr. Zreik's email: khaled.zreik@sanfordhealth.org PSI ACS Poster: PSI ACS Poster Final.pdf 2023 Quality and Safety Conference presentation: 2023-qsc-ppt-final presentation.pptx Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Developed by the Agency for Healthcare Research and Quality (AHRQ), Patient Safety Indicators, or PSIs, represent measurements of adverse events that enable healthcare organizations to gauge how they compare to others regarding patient safety. In addition, CMS looks at PSIs in scoring and penalizing organizations. In this series, Tomas talks with members of a clinical team that has seen great results in reducing PSIs throughout the organization. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Rachel Leyk, RN, CMSRN, CPHQ Improvement Advisor Quality and Safety – Fargo Sanford Health Devendranath (Dev) Mannuru, MD, CHCOM Internal Medicine Hospitalist CDI and Quality Physician Advisor Sanford Hospital – Fargo Khaled Zreik, MD Director, Critical Care Acute Care Surgeon Sanford Health Show Notes: [02:00] Patient Safety Indicators (PSIs) defined [02:46] PSI-90 and individual PSIs [03:43] Hospital Acquired Conditions Reduction Program (HACRP) [05:06] Documentation and the “dotted line” to quality [05:44] Benchmarking with the Vizient Clinical Data Base [06:23] Focused objectives for the PSI reduction program [07:34] Steps in building the program structure [09:35] Addressing gaps in education – once clinicians know what to do, they don't fail Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Leyk's email: rachel.leyk@sanfordhealth.org Dr. Mannuru's email: devendranath.mannuru@sanfordhealth.org Dr. Zreik's email: khaled.zreik@sanfordhealth.org PSI ACS Poster: PSI ACS Poster Final.pdf 2023 Quality and Safety Conference presentation: 2023-qsc-ppt-final presentation.pptx Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed