POPULARITY
Categories
The description is in the title. Catch our drift?https://linktr.ee/jadeandxd
Darlene's childhood dream was to join the military. She didn't imagine she'd also be raising three children solo. Tune in to hear what it's like to be pregnant, breastfeed, and raise kids on your own in the Army. And to get shot in the back. Twice. ⭐️ This episode originally ran on March 7, 2016 and is a favorite from the archives. We hope you enjoy, and we'll be back next week with a brand new episode. … Recommendations from the archive #19 The Mortality of Motherhood … • Join LST+ for community and access to You Know What, another show in the Longest Shortest universe! • Follow us on Instagram • Sign up for our newsletter, where we recommend other parenting + reproductive health media • Buy books by LST guests (your purchase supports the show!) • Website: longestshortesttime.com Learn more about your ad choices. Visit megaphone.fm/adchoices
Imagine being told you have a terminal illness. Would it change the way you approach each day? Two years ago, Thad Reichley went to the doctor because he had the flu. When initial attempts to address his symptoms were unsuccessful, additional procedures revealed the presence of three dozen tumors in the lining around his lungs. He was diagnosed with stage 4 metastatic melanoma. There is no known cure for the disease. A father, husband, educator, and pro-level endurance athlete, Thad's “job” over the past 24 months has been to fight cancer and stay alive. In addition to his treatments' side effects (fever, vomiting, inflammation of the eyes, and savage bouts of colitis), Thad has learned to navigate the negative “you are not enough" voices in his head. He's also come to change his expectations about what makes a good day. “Sometimes” he says, that while trying to carpe every diem, “just walking the dog has to be enough.” Thad and I know each other through his wife, Leigh, who was my colleague on the sales team at Facebook in LA. She's a very funny, very committed person who, as you will hear, is no stranger to cancer. I am grateful to Thad for sharing his story and hope it inspires YOU to go to the doctor if you haven't been in a while. As importantly, I hope that it reminds you to cherish and protect your health and loved ones for as long as you have them. Here's how Thad sums it all up: 1. Go to the doctor 2. Listen to your wife 3. Hug your kids, and 4. Tell the people in your life you love them. Prior to his diagnosis, Thad spent two decades as an educator, both as a teacher and an administrator at well-known schools like Crossroads in Santa Monica and Mark Day School in Marin County. He earned his BA at the University of Washington, Master's degrees from both UCLA and Brown University, and his doctorate from the University of Southern California. ✍️Please rate and review Reasonably Happy (https://ratethispodcast.com/paulopod) ✍️
Salman Rushdie is one of the world's most acclaimed, award-winning contemporary authors. Translated into over forty languages, his sixteen works of fiction include Midnight's Children – for which he won the Booker Prize in 1981, the Booker of Bookers on the 25th anniversary of the prize and Best of the Booker on the 40th anniversary – Shame, The Satanic Verses, Quichotte and Victory City. His latest non-fiction book, Knife: Meditations After an Attempted Murder was a number one Sunday Times bestseller. A former president of PEN American Center, Rushdie was knighted in 2007 for services to literature and was made a Companion of Honour in the Queen's last Birthday Honours list in 2022. In this episode, Rushdie sits down with broadcaster and journalist Kavita Puri to discuss his reflections on legacy, mortality, and returning to fiction in his new short story collection The Eleventh Hour. The stories in The Eleventh Hour span the three countries that Rushdie has called home – India, England and America – and explore what it means to approach the eleventh hour of life. If you'd like to become a Member and get access to all our full conversations, plus all of our Members-only content, just visit intelligencesquared.com/membership to find out more. For £4.99 per month you'll also receive: - Full-length and ad-free Intelligence Squared episodes, wherever you get your podcasts - Bonus Intelligence Squared podcasts, curated feeds and members exclusive series - 15% discount on livestreams and in-person tickets for all Intelligence Squared events ... Or Subscribe on Apple for £4.99: - Full-length and ad-free Intelligence Squared podcasts - Bonus Intelligence Squared podcasts, curated feeds and members exclusive series … Already a subscriber? Thank you for supporting our mission to foster honest debate and compelling conversations! Visit intelligencesquared.com to explore all your benefits including ad-free podcasts, exclusive bonus content and early access. … Subscribe to our newsletter here to hear about our latest events, discounts and much more. https://www.intelligencesquared.com/newsletter-signup/ Learn more about your ad choices. Visit podcastchoices.com/adchoices/ Learn more about your ad choices. Visit podcastchoices.com/adchoices
ASGA's Policy Director Tony Friedrich is joined by Dr. Michael Wilberg of the University of Maryland Center for Environmental Science. The two discuss new research that explores the natural mortality of striped bass.
In this episode of the Society of Actuaries Research Insights Podcast, host Kara Clark, Senior Research Actuary at the SOA Research Institute, is joined by Al Klein, Principal and Consulting Actuary at Milliman, and Erik Pickett, Actuary and Chief Content Officer at Club Vita. Together, they discuss Chapter 10: Catastrophes from the paper Long-Term Drivers of Future Mortality, authored by Yair Babad and Al Klein for the 2023 Living to 100 Symposium. This episode dives into the complex and varied effects that catastrophes—natural, man-made, and biological—have on mortality. Topics include wildfires, droughts, war, terrorism, pandemics, and the challenges actuaries face when modeling these unpredictable yet impactful events. This is the final chapter in the podcast series based on this important research paper. To explore the full series and access the original report, visit the landing page: https://www.soa.org/resources/research-reports/2025/longterm-drivers-futuremort-podseries/
Guitarist, composer and educator Rez Abbasi joins T L Mazumdar for a conversation that begins with music but doesn't end there. Born in Karachi and raised in California, NYC-based guitarist Rez Abbasi has long been a bridge between worlds: jazz, South Asian and urban traditions, intellect and instinct, virtuosic precision and play. A teacher at the New School in New York, apart from being a touring and recording artist, he is known for a sound that is as fearless as it is fluid, garnering him a brand of quiet, irrefutable respect amongst peers and audiences alike that is rare in the current music industry. His latest album Sound Remains, dedicated to his late mother, becomes the quiet centrepiece of this exchange. We talk about what happens when music begins to outgrow technique and extrinsic goals, when surrender starts to feel more powerful than control. We touch on how ‘jazz', in its modern form, has grown increasingly slick, and how that polish both reveals and conceals something about the times we live in. Mentoring comes up as well. Not as a profession, but as a practice in awareness, a way of transmitting freedom rather than formulas. As the dialogue deepens, it becomes less about the conventional mechanics of music and more about what keeps us playing at all. Rez speaks of loss and of finding presence inside it. I share how the the loss of my father last year, and recent health-scare of my mother, peeled away my tolerance for pretense in an industry and lifestyle in a world where so many of us still feel pressured to play along with very questionable rules. What emerges is not grief alone, but a quiet clarity about why we keep returning to sound after the noise fades. (This is the official edited release of our exchange. The uncut version lives inside the community.) Complete Episode https://www.reztone.com/ https://findtl.com Join the first cohort of my Artist Mastermind and get your first month free. https://holisticmusicianacademy.com/page/group-coaching Courses: https://holisticmusicianacademy.com/page/courses 1:1 Mentoring: https://holisticmusicianacademy.com/page/1-on-1-mentorship Music and Audio Production: www.everynowheremusic.com Episode Notes / Text : www.tlwrites.com
Contributor: Travis Barlock, MD Educational Pearls: Quick Statistics on Electrical Burns: Electrical burns compose roughly 2 to 9% of all burns that come into emergency departments. The majority of patients who receive electrical burns are male, typically aged 20's to 30's, accounting for 80 to 90% of all electrical burn victims. The majority of burns are linked to occupational exposure. The upper extremities are more commonly impacted by electrical burns, accounting for 70 to 90% of entry points into the body during an exposure. What are some of the key considerations in electrical burns? Unlike chemical or fire/heat related burns, electrical burns have the potential to cause significant internal damage that may not be physically appreciated externally. This damage can include, but is not limited to: Cardiac dysthymias (PVCs, SVT, AV block, to more serious ventricular dysrhythmias such as ventricular fibrillation or ventricular tachycardia). Deep tissue injury resulting in rhabdomyolysis from the initial surge of electricity Rare cases of compartment syndrome What are the treatment considerations for patients who suffer electrical burns? Remembering that cutaneous findings associated with burns may underestimate the severity of the injury, with deeper structures being more likely to be involved as the voltage of the burn injury is directly correlated to severity. Manage the patient's airway, breathing, and circulation as always, and conduct further workup into potential cardiac involvement with EKGs, as well as analysis of the extremities where entry occurred for muscle breakdown and compartment syndrome. Clinical Pearl on Voltage and Current: Voltage can be thought of being equivalent to pressure in a fluid/liquid system. Higher voltages are equivalent to higher pressures, but the ultimate damage delivered to the system is from the rate of delivery/speed of the electrical energy surging (current) through the body. Current is dependent on the tissue it is travelling through, with different tissues having differing electrical resistances. Tissues like the stratum corneum of the skin and the human bone confer the most resistance (thus lower current) whereas skeletal muscle confers lower electrical resistance (thus higher current) due to water and electrolyte content, which is why injuries like rhabdomyolysis are possible and increase with increasing voltage. References Khor D, AlQasas T, Galet C, et al. Electrical injuries and outcomes: A retrospective review. Burns. 2023;49(7):1739-1744. doi:10.1016/j.burns.2023.03.015 Durdu T, Ozensoy HS, Erturk N, Yılmaz YB. Impact of Voltage Level on Hospitalization and Mortality in Electrical Injury Cases: A Retrospective Analysis from a Turkish Emergency Department. Med Sci Monit. 2025;31:e947675. doi:10.12659/MSM.947675 Karray R, Chakroun-Walha O, Mechri F, et al. Outcomes of electrical injuries in the emergency department: epidemiology, severity predictors, and chronic sequelae. Eur J Trauma Emerg Surg. 2025;51(1):85. doi:10.1007/s00068-025-02766-1 Faes TJ, van der Meij HA, de Munck JC, Heethaar RM. The electric resistivity of human tissues (100 Hz-10 MHz): a meta-analysis of review studies. Physiol Meas. 1999;20(4):R1-10. doi:10.1088/0967-3334/20/4/201 Summarized by Dan Orbidan, OMS2 | Edited by Dan Orbidan and Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate
Send us a textTweet me @realdrhamrahIG @drhamrah
Shaurya Taran, MD, joins CHEST® Journal Podcast Moderator Alice Gallo De Moraes, MD, FCCP, to discuss his research into the association between low-tidal-volume ventilation and mortality in patients with acute brain injuries receiving mechanical ventilation. DOI: 10.1016/j.chest.2025.06.042 Disclaimer: The purpose of this activity is to expand the reach of CHEST content through awareness, critique, and discussion. All articles have undergone peer review for methodologic rigor and audience relevance. Any views asserted are those of the speakers and are not endorsed by CHEST. Listeners should be aware that speakers' opinions may vary and are advised to read the full corresponding journal article(s) for complete context. This content should not be used as a basis for medical advice or treatment, nor should it substitute the judgment used by clinicians in the practice of evidence-based medicine.
Dr. Lara Coughlin (University of Michigan, Ann Arbor) joins AJP Audio to discuss a study looking the impact of contingency management on all cause mortality in patients with stimulant use disorder. Afterwards, AJP Editor-in-Chief Dr. Ned Kalin discusses the rest of the November issue of the Journal. 01:09 Coughlin interview 02:05 Stimulant use disorder and contingency management 04:37 Mortality 05:12 Contingency management and "moral hazard" 08:30 Clinical uptake of contingency management 09:28 Broader applicability to psychiatric conditions 10:31 Limitations 11:39 Further research 12:32 Kalin interview 12:49 Coughlin et al. 16:41 Yalcinbas et al. 22:22 Na et al. Transcript Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Spotify, or wherever you listen to it. Subscribe to the podcast here. Listen to other podcasts produced by the American Psychiatric Association. Browse articles online. How authors may submit their work. Follow the journals of APA Publishing on Twitter. E-mail us at ajp@psych.org
In this episode—Tears of the Vanishing Life—we follow the next tear on the Map of Tears to Psalm 39 : 12, where David weeps not from sickness or sin, but from the awareness that life itself is fading.
Dan Houser is co-founder of Rockstar Games and is a legendary creative mind behind Grand Theft Auto (GTA) and Red Dead Redemption series of video games. Thank you for listening ❤ Check out our sponsors: https://lexfridman.com/sponsors/ep484-sc See below for timestamps, transcript, and to give feedback, submit questions, contact Lex, etc. Transcript: https://lexfridman.com/dan-houser-transcript CONTACT LEX: Feedback - give feedback to Lex: https://lexfridman.com/survey AMA - submit questions, videos or call-in: https://lexfridman.com/ama Hiring - join our team: https://lexfridman.com/hiring Other - other ways to get in touch: https://lexfridman.com/contact EPISODE LINKS: Absurd Adventures: https://absurdventures.com A Better Paradise: https://www.amazon.com/exec/obidos/ASIN/B0FCYSK8VD American Caper: https://absurdventures.com/americancaper SPONSORS: To support this podcast, check out our sponsors & get discounts: Box: Intelligent content management platform. Go to https://box.com/ai UPLIFT Desk: Standing desks and office ergonomics. Go to https://upliftdesk.com/lex CodeRabbit: AI-powered code reviews. Go to https://coderabbit.ai/lex Miro: Online collaborative whiteboard platform. Go to https://miro.com/ Lindy: No-code AI agent builder. Go to https://go.lindy.ai/lex Shopify: Sell stuff online. Go to https://shopify.com/lex LMNT: Zero-sugar electrolyte drink mix. Go to https://drinkLMNT.com/lex OUTLINE: (00:00) - Introduction (01:29) - Sponsors, Comments, and Reflections (11:32) - Greatest films of all time (23:45) - Making video games (26:36) - GTA 3 (29:55) - Open world video games (32:42) - Character creation (36:09) - Superintelligent AI in A Better Paradise (45:21) - Can LLMs write video games? (49:41) - Creating GTA 4 and GTA 5 (1:01:16) - Hard work and Rockstar's culture of excellence (1:04:56) - GTA 6 (1:21:46) - Red Dead Redemption 2 (2:01:39) - DLCs for GTA and Red Dead Redemption (2:07:58) - Leaving Rockstar Games (2:17:22) - Greatest game of all time (2:22:10) - Life lessons from father (2:24:29) - Mortality (2:41:47) - Advice for young people (2:47:49) - Future of video games PODCAST LINKS: - Podcast Website: https://lexfridman.com/podcast - Apple Podcasts: https://apple.co/2lwqZIr - Spotify: https://spoti.fi/2nEwCF8 - RSS: https://lexfridman.com/feed/podcast/ - Podcast Playlist: https://www.youtube.com/playlist?list=PLrAXtmErZgOdP_8GztsuKi9nrraNbKKp4 - Clips Channel: https://www.youtube.com/lexclips
There's an established playbook for getting one's affairs in order before death—create a will, name legal guardians, and so on. But there's also a newer consideration: what will happen to our digital presences, like social media accounts, files, photos, videos, and more. So how do we manage them, and make sure we're not turned into AI chatbots without permission? (It does happen.) Information scientist Jed Brubaker studies digital afterlives, and joins Host Flora Lichtman to discuss how we can manage our digital legacies. Guest: Jed Brubaker is an information scientist and head of the Digital Legacy Clinic at the University of Colorado, Boulder.Transcripts for each episode are available within 1-3 days at sciencefriday.com. Subscribe to this podcast. Plus, to stay updated on all things science, sign up for Science Friday's newsletters.
Interview with Yiwen Zhang, PhD, and Edward L. Giovannucci, MD, ScD, authors of Consistent Adherence to Physical Activity Guidelines and Digestive System Cancer Risk and Mortality. Hosted by Vivek Subbiah, MD. Related Content: Consistent Adherence to Physical Activity Guidelines and Digestive System Cancer Risk and Mortality Long-Term Physical Activity for Prevention of Digestive System Cancers—Consistency Is Key
Women will die at disproportionately higher rates as the US rolls back access to public insurance programs (like medicaid). Also, AI tools like ChatGPT change how honest we are... and not in a good way.
Interview with Yiwen Zhang, PhD, and Edward L. Giovannucci, MD, ScD, authors of Consistent Adherence to Physical Activity Guidelines and Digestive System Cancer Risk and Mortality. Hosted by Vivek Subbiah, MD. Related Content: Consistent Adherence to Physical Activity Guidelines and Digestive System Cancer Risk and Mortality Long-Term Physical Activity for Prevention of Digestive System Cancers—Consistency Is Key
Every other week, we focus on a Marvel series that sits on the fringes of mainstream Marvel continuity. The first episode of every new series that we cover is available on the public feed. The rest of the episodes are exclusive to our Patreon supporters.Not a Patron yet? Support us at patreon.com/marvelbythemonth for just $5 a month to get instant access to our bonus feed of over 180 extended and exclusive episodes! Stories Covered in this Episode: "War is Hell!" - War Is Hell #9, written by Chris Claremont with plotting by Jenny Blake Isabella and Roy Thomas, art by Dick Ayers and Frank Springer, letters by Charlotte Jetter, colors by Phil Rachelson, edited by Roy Thomas, ©1974 Marvel Comics"The Corridor" - War Is Hell #10, written by Chris Claremont with plotting by Jenny Blake Isabella, art by Dick Ayers and Frank Springer, letters by Dave Hunt, colors by Petra Goldberg, edited by Roy Thomas, ©1974 Marvel Comics"Winter Kill!" - War Is Hell #11, written by Chris Claremont, art by Don Perlin with Sal Trapani, letters by Artie Simek, colors by Phil Rachelson, edited by Len Wein, ©1974 Marvel Comics "MORTALITY by the Month" theme written and performed by Robb Milne. All incidental music by Robb Milne.Visit us on the internet (and buy some stuff) at marvelbythemonth.com, follow us on Bluesky at @marvelbythemonth.com and Instagram (for now) at @marvelbythemonth, and support us on Patreon at patreon.com/marvelbythemonth.Much of our historical context information comes from Wikipedia. Please join us in supporting them at wikimediafoundation.org. And many thanks to Mike's Amazing World of Comics, an invaluable resource for release dates and issue information. (RIP Mike.)
Drs Harrington, Rodriguez, and Ridker discuss the changing field of cardiac prevention, where imaging fits in, and the new concept of standard modifiable risk factor-less patients. This podcast is intended for healthcare professionals only. To read a transcript or to comment, visit https://www.medscape.com/author/bob-harrington Life's Essential 8: Updating and Enhancing the American Heart Association's Construct of Cardiovascular Health: A Presidential Advisory From the American Heart Association https://doi.org/10.1161/CIR.0000000000001078 Development and Validation of the American Heart Association's PREVENT Equations https://doi.org/10.1161/CIRCULATIONAHA.123.067626 C-Reactive Protein and Cardiovascular Risk Among Women With No Standard Modifiable Risk Factors: Evaluating the 'Smurf-Less but Inflamed' https://doi.org/10.1093/eurheartj/ehaf658 Mortality in STEMI Patients Without Standard Modifiable Risk Factors: A Sex-Disaggregated Analysis of SWEDEHEART Registry Data https://doi.org/10.1016/S0140-6736(21)00272-5 Inflammation, Cholesterol, Lipoprotein(a), and 30-Year Cardiovascular Outcomes in Women https://www.nejm.org/doi/10.1056/NEJMoa2405182 Statins for the 'SMuRFLess But Inflamed': Silent Vascular Inflammation and the Challenge of Translational Science https://doi.org/10.1016/j.jacbts.2025.101318 VERVE-101: A Promising CRISPR-Based Gene Editing Therapy That Reduces LDL-C and PCSK9 Levels in HeFH Patients https://academic.oup.com/ehjcvp/article/10/2/89/7492807 You may also like: Hear John Mandrola, MD, give a summary and his perspective on the top cardiology news each week, on This Week in Cardiology https://www.medscape.com/twic Questions or feedback, please contact news@medscape.net
As gambling becomes easier and more accessible, so does cheating. It's just a fact of life. Players are losing millions to tables equipped with x-ray machines and opponents with bionic eyes. On the other side, apparently you can have your entire skeleton shattered and still play if that's what you want. Or more accurately, if that's what your coach wants. On the show:TomKathrynAndyCostaki EconomopoulosKristyn BurttBob SansevereTopics covered:Potentially gay celebritiesGambling scandalHalf time shows of a certain ageCelebrities debasing themselvesMinnesota sportsSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
In episode 610, Jamie and James chat with Jennifer Young about yet another Vitamin D Tools for Practice. We look at what happens to mortality, CVD and cancer when Vitamin D supplements are compared to placebo. The results may surprise you – or maybe not if you have listened to previous BS Medicine Podcasts on […]
Gail Rubin, Certified Thanatologist and The Doyenne of Death®, is a pioneering death educator who uses humor, film clips, and outside-the-box activities to teach about end-of-life topics and planning ahead. An award-winning speaker, she "knocked 'em dead" at TEDxABQ with her talk, “A Good Goodbye.” She's also an informed advocate for planning ahead and a Certified Funeral Celebrant. The Association for Death Education and Counseling recognized her work with their 2024 Community Educator Award.She's the author of three books on end-of-life issues: A Good Goodbye: Funeral Planning for Those Who Don't Plan to Die, Hail and Farewell: Cremation Ceremonies, Templates and Tips, and KICKING THE BUCKET LIST: 100 Downsizing and Organizing Things to Do Before You Die. She is also one of the first people to hold a Death Café in the United States and has held the annual Before I Die New Mexico Festival since 2017.Become a supporter of this podcast: https://www.spreaker.com/podcast/the-x-zone-radio-tv-show--1078348/support.Please note that all XZBN radio and/or television shows are Copyright © REL-MAR McConnell Meda Company, Niagara, Ontario, Canada – www.rel-mar.com. For more Episodes of this show and all shows produced, broadcasted and syndicated from REL-MAR McConell Media Company and The 'X' Zone Broadcast Network and the 'X' Zone TV Channell, visit www.xzbn.net. For programming, distribution, and syndication inquiries, email programming@xzbn.net.We are proud to announce the we have launched TWATNews.com, launched in August 2025.TWATNews.com is an independent online news platform dedicated to uncovering the truth about Donald Trump and his ongoing influence in politics, business, and society. Unlike mainstream outlets that often sanitize, soften, or ignore stories that challenge Trump and his allies, TWATNews digs deeper to deliver hard-hitting articles, investigative features, and sharp commentary that mainstream media won't touch.These are stories and articles that you will not read anywhere else.Our mission is simple: to expose corruption, lies, and authoritarian tendencies while giving voice to the perspectives and evidence that are often marginalized or buried by corporate-controlled media
Light your candles and brace yourself for over seven haunting hours of Halloween horror stories—a monumental celebration of spooky season and the chilling genius of Edgar Allan Poe.Poe's most scary stories and spooky tales of madness, obsession, and death, all steeped in gothic atmosphere and mature themes. Perfect for Halloween night, a dark autumn drive, or those long October evenings when you crave horror stories that still send shivers down the spine nearly two centuries later.Perfect for long autumn nights, Halloween parties, or sleepless souls craving timeless horror storytelling. Whether you're a lifelong Poe admirer or discovering him for the first time, this massive compilation will pull you deep into the shadows of the human mind.Inside this sprawling tribute, you'll experience: The Tell-Tale Heart — A murderer's guilt echoes louder than any heartbeat.The Fall of the House of Usher — Decay, death, and a family curse sealed in stone.The Raven — A grief-stricken soul haunted by the relentless voice of memory.The Black Cat — Cruelty, conscience, and the beast that will not stay buried.The Pit and the Pendulum — A captive's slow descent into mechanical terror.The Masque of the Red Death — A masquerade where no one can hide from fate.The Cask of Amontillado — Revenge sealed behind a wall of wine and fear.Ligeia — The haunting persistence of love beyond death.The Murders in the Rue Morgue — A shocking mystery that birthed detective fiction.Annabel Lee — A love story that refuses to stay buried beneath the sea.…and many more sinister treasures from the master of macabre literature.This Halloween, step into the mind of Edgar Allan Poe and lose yourself in the candlelit gloom of gothic horror at its finest.
The U.S. has a physician shortage, created in part by a century-old reform that shut down bad medical schools. But why haven't we filled the gap? Why are some physicians so unhappy? And which is worse: a bad doctor or no doctor at all? SOURCES:Karen Clay, professor of economics and public policy at Carnegie Mellon University.Rochelle Walensky, physician-scientist and former director of the CDC. RESOURCES:"Medical School Closures, Market Adjustment, and Mortality in the Flexner Report Era," by Karen Clay, Grant Miller, Margarita Portnykh, and Ethan Schmick (National Bureau of Economic Research, 2025)."Application Overload — A Call to Reduce the Burden of Applying to Medical School," by Rochelle Walensky and Loren Walensky (New England Journal of Medicine, 2025)."Challenges to the Future of a Robust Physician Workforce in the United States," by Rochelle Walensky and Nicole McCann (New England Journal of Medicine, 2025)."The first step to addressing the physician shortage," by Rochelle Walensky and Nicole McCann (STAT, 2025)."Physician Workforce: Projections, 2022-2037," (National Center for Health Workforce Analysis, 2024).“Projected Estimates of African American Medical Graduates of Closed Historically Black Medical Schools,” by Kendall Campbell, Irma Corral, Jhojana Infante Linares, and Dmitry Tumin (JAMA Network, 2020)."Medical Education in the United States and Canada," by Abraham Flexner (The Carnegie Foundation for the Advancement of Teaching, 1910). EXTRAS:"Is the Air Traffic Control System Broken?" series by Freakonomics Radio (2025)."Are You Ready for the Elder Swell?" by Freakonomics Radio (2025)."Are Private Equity Firms Plundering the U.S. Economy?" by Freakonomics Radio (2023). Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
In this episode of The Free Lawyer podcast, host Gary interviews Jessie Brown, a former attorney turned career and executive coach. Jessie shares her journey from big law to coaching, discussing her experiences with burnout and how she found balance by aligning her work with her values. The conversation explores redefining success, managing stress, and practical strategies like energy audits, mindfulness, and setting boundaries. Jesse offers insights on overcoming financial fears, reconnecting with authenticity, and prioritizing well-being, providing valuable guidance for lawyers seeking fulfillment and sustainable careers without burnout.Jessie Brown practiced law for 15 years, primarily in Big Law, before becoming a career and executive coach for lawyers. She specializes in helping attorneys navigate career decisions and transitions and learn how to succeed on their own terms without burnout. Before becoming a coach, Jessie navigated balancing a demanding career as a litigator while raising young kids. She created the balance she sought as a Senior Counsel in Big Law, while working a reduced billable hour schedule, before deciding to resign from the law to focus exclusively on coaching. Jessie also leads transformational women's retreats and is a certified meditation teacher and forest bathing guide and has a deep love for nature, reading, and spirituality. Jessie's Legal Background & Strengths Assessment (00:01:11) Transitioning Legal Practice Areas (00:04:27)Hospice Work & Mentoring Associates (00:06:25) Becoming a Career Coach (00:07:56) Recognizing and Experiencing Burnout (00:08:47) Finding Balance & Reducing Hours (00:09:53) JFinancial Fears & Career Transition Fund (00:10:50) Aligning Work with Values (00:12:28) Energy Audit & Burnout Prevention (00:13:43) Impact of Early Loss & Mortality Perspective (00:15:20) Mortality in Coaching & Future Visualization (00:16:51) Defining Success Beyond External Metrics (00:18:18) Rediscovering Authenticity (00:22:23) Mindfulness & Forest Bathing Explained (00:24:28) Practical Self-Care for Burned-Out Lawyers (00:28:04) Work-Life Balance & Boundaries (00:30:10) Creating Personal Freedom & Focus (00:32:57) Advice to Her Younger Self (00:35:15) Would you like to learn what it looks like to become a truly Free Lawyer? You can schedule a courtesy call here: https://calendly.com/garymiles-successcoach/one-one-discovery-callWould you like to learn more about Breaking Free or order your copy? https://www.garymiles.net/break-free
What do you do when your worst nightmare comes true? For Emma Heming Willis, wife of Bruce Willis, that moment came when she realized something was deeply wrong. Her once-perfect love story was about to change forever. In this powerful, raw, and emotional episode, Emma opens up about the early signs that something was off, how she learned to trust her gut, and what it really takes to stand by the person you love through illness, grief, and uncertainty. This is not a story about tragedy. It's about love, resilience, and the courage to rise even when life knocks you to your knees. Here's exactly what we dive into: When Everything Changes: The Moment Emma Knew Something Was Wrong Meeting Bruce Willis & Building a Foundation of Love Green Flags That Defined Their Relationship The First Signs of Change: When Bruce Started to Slip Away Acting on Instinct: Getting Answers When No One Listens Choosing Strength Over Despair: The Pivot Point The Hidden Emotions of Caregiving: Anger, Guilt & Resentment Grieving Someone Who's Still Here: The Pain of Ambiguous Loss Redefining “Self-Care” & Making Time Without Guilt Stay Here, Don't Go There: How to Ground Yourself in the Moment Caregiving, Mortality & The Power of Asking for Help Follow Emma Heming Willis: Website: https://emmahemingwillis.com Instagram: https://www.instagram.com/emmahemingwillis/ Check out our sponsors: Vital Proteins: Get 20% off by going to https://www.vitalproteins.com and entering promo code WOI at check out. Macy's: Upgrade your glam at https://macys.com OneSkin: 15% off code LISA at https://oneskin.co True Classic: Upgrade your wardrobe at https://trueclassic.com/impact FOLLOW LISA:Instagram: https://www.instagram.com/lisabilyeu/YouTube: https://www.youtube.com/womenofimpactTik Tok: https://www.tiktok.com/@lisa_bilyeu?lang=enFacebook: https://www.facebook.com/lisabilyeu Learn more about your ad choices. Visit megaphone.fm/adchoices
“So the two sisters sent a message to Jesus telling him, ‘Lord, your dear friend is very sick.’” (John 11:3 NLT) In our next series of devotions, we’re going to talk about hope for people in difficult circumstances. And we’re going to start with hope for people who have lost loved ones. What I’m going to share doesn’t come from an ivory tower of theory. It comes from the valley of the shadow of death, where I’ve personally found the hope promised to us in Scripture. Psalm 119:114 says, “You are my refuge and my shield; your word is my source of hope” (NLT). Romans 15:4 says, “Such things were written in the Scriptures long ago to teach us. And the Scriptures give us hope and encouragement as we wait patiently for God’s promises to be fulfilled” (NLT). It’s been said that man can live forty days without food, three days without water, eight minutes without air, and about one second without hope. We all need hope in life to get through. To have hope doesn’t mean that you have a smile permanently plastered on your face. Nor does it mean that you’ve had some kind of spiritual lobotomy so that you don’t feel what other people feel. Nor does it mean that you have a naive expectation that things will get better. The grim reality is that things can get worse. Our hope is not in circumstances but in God. Jeremiah 29:11 says, “‘For I know the plans I have for you,’ says the Lord. ‘They are plans for good and not for disaster, to give you a future and a hope’” (NLT). In other words, there will be an outcome, a completion in your life. God will tie up the loose ends—if not in this world, then in the next. John 11 tells the story of people who had lost hope after the death of a loved one. Mary, Martha, and Lazarus were siblings and friends of Jesus. When Lazarus got deathly ill, Mary and Martha sent a message to Jesus: “Lord, your dear friend is very sick” (John 11:3 NLT). We’ll be looking at lessons from this story in the next few devotions, but I want to start with the obvious one. Life involves pain, sorrow, and death. Some people try to convince themselves that they’re going to make it through life unscathed, without experiencing a major devastation or illness and without losing a loved one. The Bible suggests otherwise. The apostle Peter wrote, “Dear friends, don’t be surprised at the fiery trials you are going through, as if something strange were happening to you” (1 Peter 4:12 NLT). Don’t be surprised. It happens to everyone, and it’s going to happen to you. Jesus said, “Here on earth you will have many trials and sorrows” (John 16:33 NLT). Mortality will rear its head. It may start with the death of your grandparents. And then your parents. And so on. Through it all, though, you have hope—if your hope is in God. He promises Heaven, where there are no trials or sorrows. Reflection question: What does hope in God look like in your life? Discuss Today's Devo in Harvest Discipleship! — The audio production of the podcast "Daily Devotions from Greg Laurie" utilizes Generative AI technology. This allows us to deliver consistent, high-quality content while preserving Harvest's mission to "know God and make Him known."All devotional content is written and owned by Pastor Greg Laurie. Listen to the Greg Laurie Podcast Become a Harvest PartnerSupport the show: https://harvest.org/supportSee omnystudio.com/listener for privacy information.
In this episode with Karen Salmonsohn, discover how thinking about death can be your greatest inspiration for living a purposeful, to-die-for life. “Your To-Die-For Life” flips the script on death, showing how embracing mortality turns every day into an urgent call to action—ditch regrets, seize your bucket list, and put meaning first. Death isn't just an end; it's a catalyst for bold choices, authentic relationships, and a legacy that matters. Learn practical, research-backed tools to let death fuel your courage, passion, and authentic self-expression. If you want to move from living on autopilot to a life that thrills you, tune in and let death motivate you to live fully now.Chapters:00:00 - Introduction00:16 - The Stories We Leave Behind00:36 - Introducing Karen Solomonson and Her Insights01:39 - Grounding Practice: Centering Ourselves02:33 - Contemplating Mortality for Value-Based Decisions03:11 - Aristotle's Wisdom: Starting with the End in Mind04:06 - Learning Lessons for Personal Growth05:09 - The Importance of Core Values05:51 - Legacy: How We Show Up in Life06:48 - The Impact of Feelings on Memory07:30 - Living Authentically vs. Seeking External Validation08:01 - Writing Your Eulogy: A Path to Clarity08:13 - The Power of Mortality Awareness09:05 - Identity-Based Habits: Who Do You Need to Become?10:30 - Creating Identity-Based Statements12:05 - Finding Core Values: A Practical Approach14:07 - The Seven Core Values to Avoid Regrets15:14 - Authenticity: The Key to True Expression16:07 - Bravery: Stepping Out of Your Comfort Zone16:47 - Curiosity: The Path to Growth18:23 - Discernment: Prioritizing What Matters19:24 - Empathic Love: Building Meaningful Connections20:55 - Fun: The Importance of Enjoying Life23:53 - Gratitude: Appreciating What You Have25:14 - The Role of Mortality in Urgency and Action26:28 - Living with Intention: Making Every Day Count30:23 - Breaking Free from Negative Narratives32:33 - The Lab of Life: Embracing Growth34:00 - The Struggle for Fulfillment: Eudaimonia vs. Hedonia36:40 - Reawakening Your Identity: The Power of Self-Reflection42:11 - Surrounding Yourself with Supportive People45:03 - The Importance of Positive InfluencesFeeling stuck? If you need help getting out of your rut, Will can help - head to willnotfear.com to learn more about his coaching to get you off the hamster wheel. More from MTM at: https://mentalkingmindfulness.com/Hosted by Ausha. See ausha.co/privacy-policy for more information.
In this episode, we dive into the charged world of Morbidity and Mortality conferences—where good intentions can collide with fear, shame, and silence. We've all felt that jolt of adrenaline sitting in the audience—or worse, standing at the podium. Our guest expert, Dr. Jaymin Patel, helps us unpack why the traditional M&M model no longer works and how we can rebuild it into something better: a space that turns mistakes into meaningful learning, supports both patient and provider healing, and helps us face our ghosts without fear. How do you think we can improve M&M? Share your ideas with us on social media @empulsepodcast or connect with us on ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guest: Dr. Jaymin Patel, Assistant Professor of Emergency Medicine and Assistant Residency Program Director at UC Davis Resources: ALiEM: The M&M Shame Game; Case by Dr. Tamara McColl Nussenbaum B, Chole RA. Rethinking Morbidity and Mortality Conference. Otolaryngol Clin North Am. 2019 Feb;52(1):47-53. doi: 10.1016/j.otc.2018.08.007. Epub 2018 Oct 5. PMID: 30297182. Wittels K, Aaronson E, Dwyer R, Nadel E, Gallahue F, Fee C, Tubbs R, Schuur J; EM M&M Culture of Safety Research Team. Emergency Medicine Morbidity and Mortality Conference and Culture of Safety: The Resident Perspective. AEM Educ Train. 2017 May 4;1(3):191-199. doi: 10.1002/aet2.10033. PMID: 30051034; PMCID: PMC6001737. *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.
Jesus raised the dead son of a widow so a watching world would know that He alone can and will conquer the great enemy of death.
Jesus raised the dead son of a widow so a watching world would know that He alone can and will conquer the great enemy of death.
From cattle expansion to succession planning and the future of the beef business — this week we dig into the big picture of where our industry stands. Industry consultant Dr. Nevil Speer is our guest as we discuss what current cow numbers are telling us, why some producers may be choosing to retire, and how a lack of succession planning continues to erode family ranches across the country. And in the midst of it all, Speer reminds us why there's still plenty of reason for optimism — and why there's never been a better time to be in the cattle business. #workingranchmagazine #ranchlife #ranching #dayweather #weather #agweather #beef #cows #livestock #cattle #Allflex #Neogen #IngentyBeef #TankToad #WorkingRanchRadio #BeefCattle #CowCalf #RanchEconomics #RanchProfitability #CattleManagement #SuccessionPlanning #EstatePlanning #CattleMarket #BeefIndustry #DrNevilSpeer #AgPodcast #RuralAmerica
We examine the study linking private equity takeovers to higher patient mortality, hear from Neil Aquino on local/national unrest, and challenge David Brooks's startling ‘not a liberal' defense. Subscribe to our Newsletter:https://politicsdoneright.com/newsletterPurchase our Books: As I See It: https://amzn.to/3XpvW5o How To Make AmericaUtopia: https://amzn.to/3VKVFnG It's Worth It: https://amzn.to/3VFByXP Lose Weight And BeFit Now: https://amzn.to/3xiQK3K Tribulations of anAfro-Latino Caribbean man: https://amzn.to/4c09rbE
The conversation delves into the complex relationship between ego, mortality, and the human struggle for meaning in life. It explores how individuals confront their own mortality and the implications of their ego in the face of death.In 1939, a year marked by the looming shadows of global conflict, a unique story unfolded beneath the ocean's surface. This tale, not for the faint-hearted, invites listeners to journey into the depths of the sea, where light fades and eternal night reigns.The Descent: As the Bathysphere descends, the world above becomes a distant memory. The ocean's hues shift from green to a deep, impenetrable blue, enveloping the explorers in a silence that speaks volumes. Communication with the surface is their lifeline, a reminder of the world they left behind.Voices from the Deep: The dialogue between the explorers reveals a tension that mirrors the pressure of the ocean around them. Questions of survival, the unknown, and the human spirit's resilience echo through the Bathysphere's walls. "What the fuck is that?" one asks, capturing the raw emotion of facing the abyss.A Record-Breaking Dive: The journey is not just a physical descent but a metaphorical one, exploring the depths of human courage and fear. As they break records, the explorers confront their own limits and the vast, uncharted territories of the human psyche.This story is a testament to the indomitable human spirit, a reminder that even in the darkest depths, there is light. As the Bathysphere ascends, the explorers return not just with tales of the deep but with a renewed understanding of themselves and the world.Subscribe Now: Join us as we continue to explore the stories that shape our world. Subscribe for more tales of adventure and discovery.TakeawaysEgo often overshadows the acceptance of mortality.People may prioritize their ego over the fear of death.The struggle for existence is deeply tied to personal meaning.Understanding one's purpose can alleviate existential fears.Confronting death can lead to profound self-reflection.The question of 'why' drives human behavior and choices.Mortality can be a catalyst for personal growth.Ego can distort our perception of reality and priorities.The fight for survival often reveals true character.Philosophical inquiries into life and death are essential for understanding existence.ego, mortality, existence, meaning, death, struggle, life, philosophy
From her deathbed, Linda-Marie calls to share words of comfort and peace. Call 1-800-DR-LAURA / 1-800-375-2872 or make an appointment at DrLaura.comFollow me on social media:Facebook.com/DrLauraInstagram.com/DrLauraProgramYouTube.com/DrLauraJoin My Family!!Receive my Weekly Newsletter + 20% off my Marriage 101 course & 25% off Merch! Sign up now, it's FREE!Each week you'll get new articles, featured emails from listeners, special event invitations, early access to my Dr. Laura Designs Store benefiting Children of Fallen Patriots, and MORE! Sign up at DrLaura.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Thank you Sandra D, ITS Never Happening…, Steven Rosenzweig, Marg KJ, Lynette, and many others for tuning into my live video! Join me for my next live video in the app.* Study – Less staff, greater mortality in private equity hospital emergency departments: Staff and salary levels go down, but patient mortality goes up, in emergency departments (EDs) and intensive care units (ICUs) when ho… To hear more, visit egberto.substack.com
As a massive fan of this band for years, it was a dream come true to speak to Joakim Broden, singer of Swedish power metal titans Sabaton on Psychic Warfare this week. Sabaton's new album Legends is out now, and Joakim spoke with me about what it means to be a legend, shared the most spiritually powerful historical battlefield he's ever visited, spoke about recognizing his own mortality, and much more in this episode. A huge thanks to Joakim for coming on, and a reminder to everyone to check out Legends, which is out now wherever you find your music. Psychic Warfare is now a part of the NOIZZE Podcast Network Subscribe to the podcast on Spotify, Apple Podcasts, or your other platform of choice Be sure to follow both Psychic Warfare and NOIZZE at: Instagram: @noizzepodcastnetwork @noizzeuk @psychicwarfarepodcast Twitter: @psywarpod @noizzeuk Facebook: @psychicwarfarepodcast @noizzeuk Bluesky: @noizzeuk
In this episode, Antonia and Andrew discuss the October 15, 2025 issue of JBJS, along with an added dose of entertainment and pop culture. Listen at the gym, on your commute, or whenever your case is on hold! Link: JBJS website: https://jbjs.org/issue.php Sponsor: This episode is brought to you by JBJS Clinical Classroom. Subspecialties: Trauma, Orthopaedic Essentials, Knee, Infection, Foot & Ankle, Spine, Shoulder, Elbow, Hip, Education & Training, Ethics Chapters (00:00:03) - Your Cases on Hold(00:01:28) - Top of the pile(00:02:35) - Pediatric Spine Frailty Index(00:04:03) - Pediatric Spine Frailty Index(00:11:54) - Symptoms of pediatric frailty(00:14:03) - Heart disease after total knee arthroplasty in Korea(00:21:16) - Total Knee Replacement, Revision for Infection (PGI)(00:26:24) - Knee arthroplasties 15 year mortality risk study(00:28:38) - Honorary Mention
It's time for horror stories! When the clock forgets your name, my dear, the night remembers. In this episode of Unknown Broadcast, we summon six chilling old-time radio horror stories—tales of cursed strangers, haunted houses, ghost makers, and books that bleed. These macabre fictions echo the golden age of radio—dark, vintage, and unforgettable.
What if the common advice to wait until age 70 for Social Security isn't always the best move? Could claiming earlier actually give you more freedom and peace of mind in retirement? In this episode, we discuss: Risks of “blanketed” Social Security advice Determining your expected value vs. expected utility Mortality, sequence of returns, and policy risks Pinpointing your “personalized discount rate” Today's article is from the Kitces.com blog titled, Why Delaying Social Security Benefits Isn't Always The Best Decision. Listen in as Founder and CEO of Howard Bailey Financial, Casey Weade, breaks down the article and provides thoughtful insights and advice on how it applies to your unique financial situation. Show Notes: HowardBailey.com/526
SEASON 4 EPISODE 23: COUNTDOWN WITH KEITH OLBERMANN A-Block (2:30) SPECIAL COMMENT: Here we go again. Trump is talking about his own mortality or career mortality or heaven or all of the above… AGAIN at the same time he’s talking about declaring insurrections and jailing more political opponents, like Mayor Johnson and Governor Pritzker and any one of a dozen judges including at least one he appointed – not prosecuting them, just jailing them - and, as if it could GET any worse, he specifically segued from the issue of wanting to prove to God that he’s been good to how great all those weapons are at his naval base. The missiles are flying, hallelujah, hallelujah. Plus he's written: “Chicago Mayor should be in jail for failing to protect Ice Officers! Governor Pritzker also." Look, you and I know it should be TRUMP in jail because he’s not only broken laws, he’s nearly COLLECTED THE COMPLETE SET of broken laws. But the process of convincing Trump that he's not crazy, that his predictions are coming true, that Portland is ablaze, is how Stephen Miller and the others manipulate him into eroding American democracy a little more every damn day. And this has worked since at least 2016 and I was told about it by Ed Rollins in 2017. It's the Trump personal feedback loop. And when the interruptors in that loop get in the way, they get bought out and destroyed. CNN first, The Washington Post, and now CBS News and the "B" stands for "Bari Weiss" who once told The Federalist Society that it was ok if it didn't believe her and her wife's marriage was legal because they all shared what really mattered: a desire for lower taxes. Let me expand upon the death of CBS News and her disastrous debut at its helm by retelling the story of the miniature version enacted at the CBS flagship station in LA when I worked there in 1991: The Mystery Of The Broken Number 3 CBS Pencils. B-Block (37:00) THE WORST PERSONS IN THE WORLD: What is wrong with these dweeb MAGAs? Ken Paxton can't keep his pants on, every other day there's some new story causing his wife to again decide to divorce him, and he's just announced "undercover operations" against leftists. Hey, Pal, if you did anything BESIDES undercover operations you wouldn't be dismissed as a sex pest. Poor Derrick Van Orden continues his descent: now he's yelling at people for not learning how the Senate votes the way he learned about it in the 4th Grade (all of what he learned was wrong). And the Bad Bunny Super Bowl blowback reaches Marjorie Taylor Greene who demands a law making English the official language which is going to be trouble for her since she doesn't speak it. C-Block (45:00) THURSDAYS WITH THURBER: It's one of those weeks, plus my back is gone, one of my eyes is fighting me: it's time to bring back the first Thurber story I ever read aloud to an audience, the oddly soothing "A Box To Hide In."See omnystudio.com/listener for privacy information.
Karen Salmansohn is a best-selling author and self-help innovator with over 2 million books sold worldwide. Known for her unique blend of science-backed strategies, humor, and eye-catching design, Karen has redefined personal development for the modern era. She began her career in advertising—rising to senior VP, creative director—before making a bold pivot to write books that inspire, entertain, and genuinely help people. Her numerous works include “How to Be Happy, Dammit,” and “How to Succeed in Business Without a Penis,” empowering readers around the globe to pursue happiness, resilience, and authenticity. Takeaways: Embrace Self-Love and Boundaries: Karen believes the key to a fulfilling life and career is learning to love yourself, be your own best friend, and set boundaries that affirm your self-worth. Mortality Awareness Fuels Fulfillment: By thinking about what truly matters at the end of life (“to die lists”), you can reverse engineer a meaningful present. Mortality awareness isn't morbid—it's motivating. Take Bold, Ballsy Action: Whether in business or life, “being ballsy”—taking risks and going beyond the minimal effort—opens up greater opportunities, especially for women seeking to break the mold. Sound Bytes: “Stop staring at what could go wrong and start focusing on what could go right.” “Mortality awareness gives you urgency. Life is short, it's fleeting, and that inspires action.” “Be your own best friend—what you believe you deserve, you create around you.” Connect & Discover Karen: Instagram: https://www.instagram.com/notsalmon/ YouTube Channel: https://www.youtube.com/user/NotsalmonTV Webiste: https://www.notsalmon.com/ Facebook: https://www.facebook.com/Notsalmon/ Book: Your To-Die-For Life
Across the South, asylums were built with the promise of healing — but inside their walls, countless lives were marked by fear, neglect, and cruelty. In this episode of Southern Mysteries, explore the haunting history of institutions like Broughton Hospital, Cherry Hospital, Central State, and Bryce. From mysterious deaths and forced sterilizations to the tragedy of the Eller twins and the lifetime confinement of Junius Wilson, these are the real horrors that gave rise to Southern asylum ghost stories — and the suffering that still echoes through their halls. Join the Community on Patreon: Want more Southern Mysteries? You can hear the Southern Mysteries show archive of 60+ episodes along with Patron exclusive podcast, Audacious: Tales of American Crime and more when you become a patron of the show. You can immediately access exclusive content now at patreon.com/southernmysteries
RFK Jr posted a seven-minute video earlier this week that assures us that vaccines aren't all that great, actually. Derek reads the studies Kennedy references as proof. You might be surprised to learn the HHS Secretary has very selective reading. Show Notes Annual Summary of Vital Statistics: Trends in the Health of Americans During the 20th Century The Questionable Contribution of Medical Measures to the Decline of Mortality in the United States in the Twentieth Century Infectious Diseases and Social Change Learn more about your ad choices. Visit megaphone.fm/adchoices
“It's 5pm and your Consultant (attending) has headed off home. A patient arrives in the resuscitation room blood spurting from a stab wound in the armpit. Join Roisin – a junior Major Trauma fellow, Prash – a surgical trainee, Max – a senior trauma surgery fellow, and Chris – a Consultant trauma surgeon, as we talk through decision making from point of injury to aftercare in this challenging trauma surgical case”. • Hosts: Bulleted list of host names, including title, institution, & social media handles if indicated 1. Mr Prashanth Ramaraj. General Surgery trainee, Edinburgh rotation. @LonTraumaSchool 2. Dr Roisin Kelly. Major Trauma Junior Clinical Fellow, Royal London Hospital. 3. Mr Max Marsden. Resuscitative Major Trauma Fellow, Royal London Hospital. @maxmarsden83 4. Mr Christopher Aylwin. Consultant Trauma & Vascular Surgeon and Co-Programme Director MSc Trauma Sciences at Queen Mary University of London. @cjaylwin • Learning objectives: Bulleted list of learning objectives. A) To become familiar with prehospital methods of haemorrhage control in penetrating junctional injuries. B) To recognise the benefits of prehospital blood product resuscitation in some trauma patients. C) To follow the nuanced decision making in decision for CT scan in a patient with a penetrating junctional injury. D) To describe the possible approaches to the axillary artery in the context of resuscitative trauma surgery. E) To become familiar with decision making around intraoperative systemic anticoagulation in the trauma patient. F) To become familiar with decision making on type of repair and graft material in vascular trauma. G) To recognise the team approach in holistic trauma care through the continuum of trauma care. • References: Bulleted list of references with PubMed links. 1. Perkins Z. et al., 2012. Epidemiology and Outcome of Vascular Trauma at a British Major Trauma Centre. EJVES. https://www.ejves.com/article/S1078-5884(12)00337-1/fulltext 2. Ramaraj P., et al. 2025. The anatomical distribution of penetrating junctional injuries and their resource implications: A retrospective cohort study. Injury. https://www.injuryjournal.com/article/S0020-1383(24)00771-X/ 3. Smith, S., et al. 2019. The effectiveness of junctional tourniquets: A systematic review and meta-analysis. J Trauma Acute Care Surg. https://journals.lww.com/jtrauma/abstract/2019/03000/the_effectiveness_of_junctional_tourniquets__a.20.aspx 4. Rijnhout TWH, et al. 2019. Is prehospital blood transfusion effective and safe in haemorrhagic trauma patients? A systematic review and meta-analysis. Injury. https://www.injuryjournal.com/article/S0020-1383(19)30133-0/ 5. Davenport R, et al. 2023. Prehospital blood transfusion: Can we agree on a standardised approach? Injury. https://www.injuryjournal.com/article/S0020-1383(22)00915-9. 6. Borgman MA., et al. 2007. The Ratio of Blood Products Transfused Affects Mortality in Patients Receiving Massive Transfusions at a Combat Support Hospital. J Trauma Acute Care Surg. https://journals.lww.com/jtrauma/fulltext/2007/10000/the_ratio_of_blood_products_transfused_affects.13.aspx 7. Holcomb JB., et al. 2013. The Prospective, Observational, Multicenter, Major Trauma Transfusion (PROMMTT) Study. Comparative Effectiveness of a Time-Varying Treatment With Competing Risks. JAMA Surgery. https://jamanetwork.com/journals/jamasurgery/fullarticle/1379768 8. Holcomb JB, et al. 2015. Transfusion of Plasma, Platelets, and Red Blood Cells in a 1:1:1 vs a 1:1:2 Ratio and Mortality in Patients With Severe Trauma. The PROPPR Randomized Clinical Trial. JAMA. https://jamanetwork.com/journals/jama/fullarticle/2107789 9. Davenport R., et al. 2023. Early and Empirical High-Dose Cryoprecipitate for Hemorrhage After Traumatic Injury. The CRYOSTAT-2 Randomized Clinical Trial. JAMA. https://jamanetwork.com/journals/jama/fullarticle/2810756 10. Baksaas-Aasen K., et al. 2020. Viscoelastic haemostatic assay augmented protocols for major trauma haemorrhage (ITACTIC): a randomized, controlled trial. ICM. https://link.springer.com/article/10.1007/s00134-020-06266-1 11. Wahlgren CM., et al. 2025. European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Vascular Trauma. EJVES. https://esvs.org/wp-content/uploads/2025/01/2025-Vascular-Trauma-Guidelines.pdf 12. Khan S., et al. 2020. A meta-analysis on anticoagulation after vascular trauma. Eur J Traum Emerg Surg. https://link.springer.com/article/10.1007/s00068-020-01321-4 13. Stonko DP., et al. 2022. Postoperative antiplatelet and/or anticoagulation use does not impact complication or reintervention rates after vein repair of arterial injury: A PROOVIT study. Vascular. https://journals.sagepub.com/doi/10.1177/17085381221082371?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
A caller makes us all feel like idiots. Bobby had a realization about his death over the weekend and shared it with us. Raymundo tells us about how he got to meet Johnny Manziel over the weekend. Scuba Steve shares his big news on how he is moving on up. We talked about the country music couple who broke up right after one of them made a heartfelt Instagram post. Caller David has advice for Lunchbox on how to get on the Price Is Right after he makes it on the show and won big money! Caller Wes told us about a scam where a Pizza guy showed up to his house with food claiming they ordered and wanted them to pay for it.See omnystudio.com/listener for privacy information.