Podcasts about mri

In this episode of Knock Knock Eye, I start by breaking down Elon Musk's latest medical hot take. The idea that everyone should get a yearly full-body MRI interpreted by AI. Then I talk about why I finally said screw it and paid cash for my own medical care after insurance insisted my testicles might have magically regenerated. And finally, a mystery case that starts as blurry vision and floaters and ends with one of the rarest eye cancers we see: primary vitreoretinal lymphoma. It's a diagnosis so uncommon that even ophthalmologists joke it's a unicorn, but this patient had the real thing, and the outcome might surprise you. Takeaways: Why Elon's “everyone needs an annual full-body MRI” idea collapses the moment you ask, “Okay… and then what?” How insurance companies can deny treatment you've been on for years and why cash pay sometimes feels like freedom. The subtle signs that blurred vision and floaters might be something far more serious than posterior uveitis. Why diagnosing primary vitreoretinal lymphoma requires suspicion, surgery, and a pathologist who knows what they're looking for. How aggressive treatment, including injecting chemotherapy directly into the eye, salvaged this patient's vision and kept cancer from spreading. To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ http://www.patreon.com/glaucomflecken⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  Also, be sure to check out the newsletter: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://glaucomflecken.com/glauc-to-me/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you are interested in buying a book from one of our guests, check them all out here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.amazon.com/shop/dr.glaucomflecken⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://anatomywarehouse.com/?aff=14⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for more information.  Produced by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Human Content⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Quah (Q & A), Sal, Adam & Justin coach four Pump Heads via Zoom. Mind Pump Fit Tip: Become a Bodybuilder AND Run a Marathon! Here is How. (3:05) Red-light therapy for muscle gains! (26:48) Bathroom habits. (31:28) Daycare fraud. (34:12) ADHD drugs don't work the way we thought. (37:22) Video games and technology, the ultimate babysitter. (40:28) A not-so-known supplement for heart health. (45:23) Full-body MRI scan results. (46:25) #ListenerCoaching call #1 – Looking for training and diet advice going into the New Year. (54:42) #ListenerCoaching call #2 – What does long term "maintenance" look like? (1:03:46) #ListenerCoaching call #3 – Wanting to find a balance between gaining strength, building my endurance, and losing stubborn belly fat. (1:19:32) #ListenerCoaching call #4 – Needing some guidance and help on breaking an exercise addiction and overeating fear. (1:39:09) Related Links/Products Mentioned Get Coached by Mind Pump, live! Visit https://www.mplivecaller.com  Visit Butcher Box for this month's exclusive Mind Pump offer!  ** New users receive their choice of NY Strip, Ribeye, or Filet Mignon in every box for a year. ** Visit Joovv for an exclusive offer for Mind Pump listeners! ** Code MINDPUMP to get $50 off your first purchase. 0% financing available! ** January Promotion: Code NEWYEAR50 at checkout for 50% off the following programs: MAPS Starter, Transform, Anabolic, and Performance! Mind Pump Store Mind Pump #2585: How to Become the Ultimate Hybrid Athlete Effects of Light-Emitting Diode Therapy on Muscle Hypertrophy, Gene Expression, Performance, Damage, and Delayed-Onset Muscle Soreness Case-control Study with a Pair of Identical Twins What the MN Star Tribune found at day cares in viral video ADHD drugs don't work the way we thought | ScienceDaily Irresistible: The Rise of Addictive Technology and the Business of Keeping Us Hooked – Book by Adam Alter TikTok, Instagram Reels, And Shorts May Be Rewiring Your Brain, Study Warns New Study Reveals: High-Dose Supplement Shrinks Arterial Plaque by 36% Nattokinase benefits, dosage, and side effects - Examine Visit Seed for an exclusive offer for Mind Pump listeners! ** Code 20MINDPUMP for 20% off your first month of Seed's DS-01® Daily Synbiotic. ** Mind Pump #2763: Eat as Much as You Want, but Don't Get Fat (JUST follow these 2 rules) Mind Pump #1435: How to Kick Your Sugar Addiction in 5 Simple Steps Mind Pump #2652: How Undereating is Making You Fat & Unhealthy 7-Day Overtraining Rescue Guide | Free by Mind Pump Media Mind Pump Podcast – YouTube Mind Pump Free Resources  

In this episode of the JIMD Podcast, we explore manganese transporter disorders with Dr Karin Tuschl, Dr Suvasini Sharma and Prof John Spencer, covering clinical red flags, MRI clues, EDTA chelation, and the urgent search for safer, oral treatments for hypermanganesemia with dystonia. Consensus of Expert Opinion for the Diagnosis and Management of Hypermanganesaemia With Dystonia 1 and 2 Sherry Fang, et al https://doi.org/10.1002/jimd.70031 Removal of Toxic Metabolites—Chelation: Manganese Disorders Hendrik Vogt, et al https://doi.org/10.1002/jimd.70107

Global Practices in Cardiac Imaging for Cardiac Sarcoidosis   Guest: Tahir Kafil, M.D. Host: Sharonne Hayes, M.D.   Cardiac imaging is a cornerstone in the diagnostic work-up and management of cardiac sarcoidosis. However, indications and use of advanced cardiac imaging vary from institution to institution, and even between providers at the same institution. We conducted an international Delphi consensus study of 89 global experts in cardiac sarcoidosis to evaluate real-world clinical practices and use of advanced cardiac imaging. We developed consensus for use of advanced cardiac imaging in cardiac sarcoidosis. Areas lacking consensus were noted as priority areas for research.   Topics Discussed: From a big picture perspective, how is cardiac sarcoidosis generally diagnosed? What exactly is the Delphi methodology your team used to build consensus?  The suggested algorithm for imaging in suspected cardiac sarcoidosis uses pretest probability, how was that defined? Was cardiac MRI superior to PET in your study? Does one have to be first? How do experts decide how often to do follow up PET imaging in established cardiac sarcoidosis? What were areas of priority research that were identified? The research study cited by Dr. Kafil was published on June 2, 2025. Click the following link to view the paper: https://www.jacc.org/doi/full/10.1016/j.jcmg.2025.02.010   Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode.   Podcast episode transcript found here.

-- On the Show -- Donald Trump orders a U.S. military operation that captures Nicolás Maduro and Cilia Flores in Venezuela and brings them to New York despite lacking clear legal authority -- Reporting says Donald Trump escalates to military action after Nicolás Maduro dances on Venezuelan state television and aides treat it as personal mockery -- Donald Trump bets the Maduro seizure will unlock Venezuela's oil, but allies, businesses, and markets resist a plan with no clear political transition -- Donald Trump gives rambling, conflicting answers about Venezuela, oil, and military escalation that raise questions about his decision making -- Donald Trump admits he did not brief Congress yet says he spoke with oil companies and calls the Maduro seizure a kidnapping -- The Wall Street Journal reports Donald Trump shows visible signs of decline, disputes doctors, and mislabels a CT scan as an MRI while aides manage optics -- The Wall Street Journal says Donald Trump takes more aspirin than doctors recommend and blames bruising on superstition instead of updated medical guidance -- Marco Rubio tells Kristen Welker the United States is running Venezuela but cannot explain elections, governance, or the legal rationale in real time -- Marco Rubio and Lindsey Graham indicate Cuba is a likely next target after Venezuela, signaling escalation rather than containment -- On the Bonus Show: Oil markets steady after Trump's Venezuela strike shocks the world, speculation grows that Donald Trump Jr. is being groomed for a 2028 run amid tension with J.D. Vance, and Minnesota politics take a twist as Governor Tim Walz looks ready to exit and Amy Klobuchar eyes a comeback. ⚠️ Ground News: Get 40% OFF their unlimited access Vantage plan at https://ground.news/pakman

This interview,Live from LEAD-26 in Zurich, links real leadership lessons to lived experience. Fabian, a CIO and ultra runner, talks limits, psychological safety, and practical steps. He also shares a clear, cautious view on generative AI and a smart fast follower strategy for regulated organizations. Key Learnings: Admit leadership limits: Openly share small, real limits with your team to build reflection and performance. Psychological safety matters: Create a safe team space so people speak up and help cover leadership gaps. Use smart fast follower: Experiment early, then buy enterprise-ready solutions to avoid costly long-term build and maintenance.   Summary:  Fabian Ringwald is the CIO of a Swiss health insurance company. He says they have the most satisfied customers in the industry. He is also a board member at lead 26 and helps shape conference content and speaker selection. Outside work he runs ultra trails. He runs over 100 kilometers and gains more than 6,000 meters of altitude. These runs can take more than 20 hours and include day and night. Night is more challenging. The long runs teach self-leadership and a clear view of personal limits. Fabian argues that every leader has limits. He says hiding limits wastes energy because close colleagues already see them. He encourages leaders to share limits openly with their teams. Open discussion builds self-reflection and helps form a high performance team. Teams can then help fill leadership gaps. He highlights psychological safety as the key trait that separates good leaders from great leaders. He recommends starting small when opening up. Share a minor limitation first, set an example, and scale openness gradually over time. Fabian says AI is not the solution for everything. He explains generative AI is a statistical tool and is not suited for fully deterministic tasks. He sees strong potential in areas like detecting anomalies on MRI or CT images, but he warns against using generative AI for direct medical advice. His company follows a smart fast follower strategy: experiment early with startups, then adopt enterprise-ready solutions rather than build long-lived custom systems. To keep agility, get top-down alignment with the board and enable bottom-up experiments with LLMs or ChatGPT for hands-on learning.   About Fabian Ringwald: CIO of SWICA - the leading Swiss health insurer with the most happy customers Prior: digital transformation in several different industries from freight railway (SBB Cargo), energy trading (BKW), consulting (Logica) to inustrial manufacturing (Siemens) and Ravensburger, the well known jigsaw puzzle company. Chapters: 0:00 - Intro 0:35 - CIO's Role in Health Insurance 1:12 - Leadership Lessons from Ultra Running 3:06 - Identifying Leadership Limits 4:21 - Creating Psychological Safety in Teams 5:37 - Taking Small Steps Towards Openness 7:40 - Insights from Conference Speakers 9:13 - Evaluating AI Applications in Leadership Resources  Fabian Rinwald Linkedin: https://www.linkedin.com/in/fabianringwald/ Please, hit the follow button and leave your feedback: Apple Podcast: https://www.cxgoalkeeper.com/apple Spotify: https://www.cxgoalkeeper.com/spotify About the host:  Gregorio Uglioni is a seasoned transformation leader with over 15 years of experience shaping business and digital change, consistently delivering service excellence and measurable impact. As an Associate Partner at Forward, he is recognized for his strategic vision, operational expertise, and ability to drive sustainable growth. A respected keynote speaker and host of the well-known global podcast Business Transformation Pitch with the CX Goalkeeper, Gregorio energizes and inspires organizations worldwide with his customer-centric approach to innovation. Follow Gregorio Uglioni on Linkedin: https://www.linkedin.com/in/gregorio-uglioni/  

Hollywood, we need to talk. If one more movie shows an eyeball dangling from someone's cheek, I might start mailing anatomy textbooks to Los Angeles. And while we're at it, can we please stop calling every wandering eye a “lazy eye”? After a quick rant about my personal ophthalmology pet peeves, I dive into one of the strangest mystery cases I've ever seen: a 47-year-old with sudden, complete ophthalmoplegia and normal imaging. Negative myasthenia testing, normal pupils, normal MRI, nothing made sense until one very specific antibody came back positive. Takeaways: Why “lazy eye” rarely means what people think it means and what the term actually refers to. The Hollywood eyeball trope that needs to be banned forever (optical nerves are short, folks). How a patient with zero eye movement and a normal MRI sent us searching for rare neuro clues. Why myasthenia gravis seemed like the obvious answer until every serology test came back negative. The surprising role a GI infection can play in triggering Miller Fisher syndrome, the rare Guillain-Barré variant that ultimately cracked the case. To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ http://www.patreon.com/glaucomflecken⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  Also, be sure to check out the newsletter: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://glaucomflecken.com/glauc-to-me/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you are interested in buying a book from one of our guests, check them all out here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.amazon.com/shop/dr.glaucomflecken⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://anatomywarehouse.com/?aff=14⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for more information.  Today's episode is brought to you by Microsoft Dragon Copilot. Dragon Copilot is an AI clinical assistant that streamlines documentation, surfaces critical information, and automates routine tasks — empowering healthcare teams to focus more on patients and less on administrative work. Learn more at ⁠⁠⁠⁠https://glau.cc/Dragon⁠⁠⁠⁠ Go to http//www.cozyearth.com and use code KNOCKKNOCK for 40% off best-selling temperature-regulating sheets, apparel, and more. Trust me—you'll feel the difference the very first night. Produced by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Human Content⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

A fire at a crowded bar in the Swiss Alps during New Year's Eve celebrations killed about 40 people and left 115 injured, many of them seriously, police said Thursday. Zohran Mamdani was publicly sworn in today as the 112th mayor of New York City. President Trump says he underwent a CT scan, rather than an MRI, during his October examination at Walter Reed National Military Medical Center. In a new interview, he also says it would have been better if he hadn't undergone the scan at all. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

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Episode Summary: In this episode, Jimmy is joined by Tony Maritato and Dave Kittle to talk about how physical therapists can rethink pricing, marketing, and content creation. From charging what you're worth to repackaging accountability, they break down tactical strategies clinic owners can use right now.What You'll Learn:How to leverage content and podcasting like a proWhy "selling sessions" is outdated (and what to do instead)What PTs can learn from influencers, MRI clinics, and barbershopsHow to avoid the insurance trap and build premium offeringsGuest Links:Tony Maritato: https://www.youtube.com/c/MedicareBillingDave Kittle: https://www.youtube.com/@thedavekittleshow/featuredSponsor Mentions:Pre-Roll: Brooks IHL — https://www.brooksihl.orgMid-Roll: Empower EMR — https://www.empoweremr.comPre-Parting Shot: US Physical Therapy — https://www.usph.comPSA Feature:Wounded Warrior Project — helping post-9/11 veterans and their families with rehab, mental health, and support???? Subscribe: https://www.ptpintcast.com/

You're Good at Your Job. That's No Longer Enough.A wake-up call for radiologic technologists and medical imaging professionals who feel stuck, burned out, or invisible in their careers.Here's why:You can be excellent at your job and still quietly disappear from your profession.In this solo episode of A Couple of Rad Techs, we're talking directly to radiologic technologists and medical imaging professionals who are skilled, dependable, and tired—but starting to feel stuck, overlooked, or disconnected.This is not a motivational episode.It's a career reality check.Being good at your job used to be enough. In today's medical imaging landscape, it isn't.Technology is accelerating. Scope pressure is real. Decisions about radiology and radiation therapy are being made every day—and many working technologists are not in the room when they happen.In this episode, we cover:The silent career mistake many technologists make without realizing itWhy professional isolation feels safe at first—and costly laterWhat technologists actually lose when they disengage from the professionThe difference between being employed and being connectedWhy burnout grows faster in isolationWhat ASRT and professional societies really provide beyond CEUsWhy visibility—not just competence—is becoming the dividing lineThis conversation is for medical imaging technologists who:Are good at what they doCare about the professionFeel tired, skeptical, or burned outHaven't fully stepped away—but haven't fully stepped in eitherYou don't need to do everything.You do need to stop standing on the sidelines of your own profession.Key TakeawaysCompetence alone no longer protects your careerProfessional isolation is still a decision—even when it feels passiveYou can't negotiate, pivot, or prepare for changes you don't know aboutConnection creates visibility, leverage, and optionsProfessional societies function as career infrastructure—not extrasIf this episode hit, don't brush it off.Take one step that reconnects you to the profession.Visit asrt.orgReview the salary dataReconnect with your state societyYou don't need to do everything.You just need to stop being invisible.About the ShowA Couple of Rad Techs is a podcast for radiologic technologists, MRI techs, CT techs, radiation...

Allen and Joel are joined by Jeremy Heinks of CICNDT to discuss the critical need for pre-installation blade inspections, especially as safe-harbored blades from years past are rushed into service. They cover advanced NDT technologies including robotic CT scanning, blade bolt inspection for cracking issues, and how operators can extend turbine life beyond the typical 10-year repower cycle. Sign up now for Uptime Tech News, our weekly email update on all things wind technology. This episode is sponsored by Weather Guard Lightning Tech. Learn more about Weather Guard’s StrikeTape Wind Turbine LPS retrofit. Follow the show on Facebook, YouTube, Twitter, Linkedin and visit Weather Guard on the web. And subscribe to Rosemary Barnes’ YouTube channel here. Have a question we can answer on the show? Email us! Welcome to Uptime Spotlight, shining Light on Wind. Energy’s brightest innovators. This is the Progress Powering Tomorrow. Allen Hall: Jeremy, welcome back to the show. Thanks for having me. Well, the recent changes in the IRA bill are. Pushing a lot of projects forward very quickly at the moment, and as we’re learning, there’s a number of safe harbor blades sitting in yards and a rush to manufacture blades to get them up and meet the, uh, treasury department’s criteria for, for being started, whatever that means. At the moment, I think we’re gonna see a big question about the quality of the blades, and it seems to me. The cheapest time to quickly [00:01:00] look at your blaze before you start to hang them is while they’re still on the ground. And to get some n DT experience out there to make sure that what you’re hanging is appropriate. Are you starting to see that push quite yet? No, not not at Jeremy Heinks: the level we’d like to see it. Um, as far as getting the inspections in, yeah, we have been seeing the push to get the, get these blades out. Uh, but, uh, the, the, the few that we have been able to get our eyes on aren’t looking good. The quality definitely down. And we’ve just had a customer site come back with some, some findings that were surprising for a brand new blade that hasn’t been the up tower yet and in use. So, um, it is much easier for us to get the, uh, technology and the personnel to a blade that’s on the ground. It’s cheaper, it’s quicker. We can go through many, many more blades, uh, with inspections. Uh, it’s just access is just easier. Always comes down to access. Joel Saxum: That customer that you had there, like what was their [00:02:00]driver? Right? Did they feel the pain at some point in time? Did they, did they have suspicions of something not right? New factory? Like, I don’t know. Why would some, why is someone picking that over someone? Not because like you said, overwhelmingly. The industry doesn’t really do this. You know, even just getting visual inspections of blades on the ground before they get hung is tough sometimes with construction schedules and all these different things, moving parts. So you had someone that actually said, Hey, we want to NDT these blades. What was their driver behind that? Jeremy Heinks: So we, uh, we had done a previous, uh, route of inspections on some older ative of theirs that were, Speaker 5: um, Jeremy Heinks: getting. Kinda along in the tooth, if you will. Uh, so they’ve added some experience. They saw what we could bring to the table as far as results and, and, and information and data on those blades. Uh, and it all turned out to be, um, pretty reliable. So, um, you know, we educated them on, you know, if you have new blades coming in or even use the blades coming in for replacement, that it’s not a bad idea to get at least a, a sample it. And, uh, [00:03:00] basically that’s what they call us in to do. They had some brand new blades come in. For some new turbines they’re putting up. And, uh, they wanted the sampling. We did a sampling and the sample showed that, uh, they have an issue of these, these brand new blades. Joel Saxum: So, okay, so what happens then? Right? Because I’ve been a part of some of these factory audits and stuff, and when you catch these things in the factory, you’re like, Hey, where we got these 30 defects? And then the factory goes back against their form, their form, you know, their forms and they go, okay, material checklist is a, we’ll fix 24 of ’em. The other six are on you or whatever that may be. What happens when you find these things in the field at a construction site right? Then does that kick off a battle between the, the new operator and that OEM or, or what’s the action there? Jeremy Heinks: Yeah, so we’ve been on the OEM side and been through what you just explained, um, multiple times and helped a bunch of the OEMs on that stuff, that stuff. But unfortunately, when you’re in the field and you find the same thing, it’s, it’s a whole different ball game. Um, they typically. We won’t see any of that. We don’t, we won’t be able to [00:04:00] see what the OEM actually does unless we have informa, you know, information or channels that, that are a little bit different, uh, than normal to, uh, get that information. So, um, but yeah, so we, we’ll give this information over to the customer. Uh, they’ll go to their supplier and then that’ll turn into a. To a dance and, uh, where everybody’s trying to pass the buck, basically, right? So, um, unfortunately that’s the way it’s been. We will see how this one turns out. It, it all depends on, on the relationship between that OEM and the customer and the end user. Joel Saxum: So, so this is my, my last question about this and, and then I want to, of course, jump topics we have a lot of talk about here today. But the question being, okay, so say they do repairs. Is it then a good idea to bring you guys back in after those repairs are done to say NDT? Everything looks good here. Um, basically clear to fly. Jeremy Heinks: Yeah. [00:05:00] So, uh, post inspection on repairs is always a good idea. Um, the aviation side is, it’s commonplace to, uh, post in inspect repair. So yeah, definitely, uh, we’d wanna come back. Um, you know, and that’s something we’re working on too in-house as a, uh, working on a new training. Syllabus to where we can give some of the basic NDT tools to, uh, end users so that if a repair company would come in, they would be able to have their technicians do a quick, you know, quick test. Uh, it’s what we used to call like an operator level inspection. And then if they saw some of the stuff we trained ’em to that we could come back and, and bring in a level three or a level two and look at their information and then maybe do a reinspection if they thought they saw something that was bad. Allen Hall 2025: Joel, you and I had discussed a couple of months ago with an operator in the United States and the Midwest that was gonna be building a repowering, a wind farm with turbines, uh, that were a couple of years old. Remember that discussion about what version of [00:06:00] the blade are those? And it was an early version. I was surprised how long those blades had been sitting in the yard, and we said, well, it’s gonna have a B and C problem. You need to get somebody out there to inspect those blades before you hang them. That’s the perfect case for NDT to get out there and look because it wasn’t like every blade had a serial defect. It was just kind of a random thing that was happening. Do you remember that situation? Joel Saxum: Yeah, and it was really interesting too because you know, we’re on like that specific blade. We’re on like version nine of it out in the field right now. But since I think those were like in 20 19, 20 20, they had been safe harbored from they, those blades have the advantage of now having 3, 4, 5, 6 years of. History within the market of all of the issues that pop up. So we were able to tell that operator, Hey, since these things haven’t flown yet, we know it’s this, this, this, and this. You should have NDT come out here and do this. You should do this. This basically preemptive repair, this proactive measure before you fly these [00:07:00] things. Um, and I think what we see right now, Alan, like you said, just to open the episode with IRA bill changes and. And these new legislation coming up, there’s a lot of stuff coming out of Safe Harbor that’s gonna get flown. Allen Hall 2025: Oh, it’s gonna have a huge, uh, amount of blades that have been sitting there for a couple of years. And, but if you, the operator haven’t used those blades or don’t know the service history of those blades, it’s kind of a mystery and you better be calling other operators that are using them. But ultimately, when it gets down to it, before you hang those blades, and I know everybody’s in a rush to hang blades. You better take a look at ’em with NDT, especially if there are known issues with those blades. And the the problem is you can’t just do a walk down, which is what I think a lot of operators are doing right now. Send a technician down to make a look. Make sure the blade’s all in one piece, like I guess that’s where they’re at. Or we’ll walk inside and kick the tires and make sure all the bond lines are there. It’s a lot more complicated than that, and particularly if you know there’s a source of problem on a particular [00:08:00] blade, you can’t see it. It can be buried deep inside. How are you gonna know without having somebody with NDT experience? Joel Saxum: This is the interesting thing too, here with that specific case that that developer will call ’em. They said, I talked with the OEM. They said there’s nothing wrong with these blades. And they like, that was like, they’re like, they’re like, yeah, we checked with them. They said, there’s no issues. I said, you must have been talking to a sales guy because anybody from that engineering team is gonna tell you that. Or maybe they don’t want to, right? They, of course they don’t want to come clean with this, but that’s why we, that’s why we have the, like the uptime network and people that you can talk to and things of these sort out there and experts like Jeremy, right? The C-I-C-N-D-T guys, because they’ve seen the worst of the worst, Jeremy Heinks: right? We typically only get called in when it’s the worst of the worst, but to, uh, toss ’em with more wrinkle. Toss one more wrinkle into the whole storage thing. Uh, we got a project a few years back where the storage site, like, ’cause the blades had been stored for like 15 years, like seven years prior. The storage [00:09:00]site was underwater for like three weeks, like 20 feet. Like it was a massive flood, 20 feet of water or 10 feet of water, whatever it was. So the, it was a lot of water anyway. The bottom two thirds of these blades were. Rotted because of water logs being sitting in the water. And of course over the last seven years they got cleaned up. They looked good ’cause of the rain and everything and it looked bad. So we get out there, we’re scanning laminates and you get like halfway down the blade and it just with the, you know, terrible signal. And so we look back on the history and sure enough there was floods in the area. So those are things you gotta look at too. These blades are coming out of these long-term storage. I mean, how were they stored? How what has gone, what weather has been through that storage area in the last whatever years? Uh, because all that affects these blades when they’re on the ground. I mean, they’re, they’re, they’re fairly secure when they’re up tur up turbine and they’re meant to be in that environment. They’re not really meant to be getting just hit hard with weather when they’re on the ground. ’cause they’re [00:10:00] not sealed up. They’re not, you know, you know, a lot of different things there. Joel Saxum: Another ground issue, and I, I’ve, I’ve heard of this one through my insurance connections and stuff like that, is, um, when blades are on the ground, there’s, this is not an abnormal thing. It happens quite regularly that it shouldn’t, but it does. That heavy, strong winds will come through and can blow the blades over when they’re sitting in their chairs, right at the, or they’ll start, yeah, they’ll start fluttering in ways that they’re not designed to flutter. Right? They’re designed to take the gravity loads and take the force loads the way they are up tower when they’re sitting on the ground, it’s a completely different game. So if they’ve been there, if they’ve experienced an extreme weather event or something of that sort, NDT is the only way you’re gonna figure out if something is really wrong with ’em. Jeremy Heinks: Right. And that rolls into handling as well. So shipping, handling at the plant, handling from, you know, in between. Different movements. Uh, like you said, they, they’re designed to be in an environment that’s hung from a turbine and, uh, get those types of, you know, elements and the winds and everything on. That’s not everything we do to when on [00:11:00] the ground. So Allen Hall 2025: turbines, a lot of times, even at the blades are in storage. They get moved around a good bit. And what we’re finding, talking to operators is that a lot of the damage we’re seeing later on in some of these blades. Was most likely due to transportation. So maybe it was on the ship on the way over, or maybe when they got trucked to the, uh, storage site or they got bumped into. It does seem to be a lot more of that. And the lift points seem to be another area where, you know, you know, I think there’s some, uh, need to be taken a deeper look at. Obviously the root bushings are a problem area for almost everybody at the moment, but also further out on the blade. There seems to be. Uh, repeatable damage areas that you see that you wouldn’t be able to detect until you got the blade spin. And, and then you see these cracks develop. But a lot of that can be sussed out on the ground, especially with knowledgeable people. Jeremy Heinks: Yeah. So that’s just another reason for, you know, pre-installation inspection. Um, you know, a lot [00:12:00] of places you’ve got experts moving these things, you know, experts lifting ’em, whatnot. But when they’re in a, they’re on a ship or they’re in a yard. A lot of times the guys that are professionals at moving them aren’t there. So it’s gonna get moved by somebody and they’re not gonna know exactly what they’re doing, even if they’re trying their best to be, make sure they’re following procedure or whatnot. But, um, you never know who’s moving on, who’s, you know, what, what, what kind of skills or the experience they have. Joel Saxum: So, so that brings me into another question here, Jeremy. Right? We’re talking about skills and tools and these kind of things in the industry. When we say NDT, I would like everybody listening to know that when we say NDT, we’re talking about a wide gamut of technologies, of solutions, of products, of, uh, you know, methodologies for inspection here. NDT is just a broad scheme for non-destructive testing. We wanna see inside of something without cutting it, breaking it, whatever we have to do. [00:13:00]So, can you, can you walk us through the approach that kind of CIC will use? So, hey, customer comes to me, we have this issue. Okay. You guys have, I don’t know, 20, 30, 40, 50 different ways of doing things. Um, but how does that conversation usually start? What does that process look like for an operation? Jeremy Heinks: So it, I mean, it all depends on it’s case by case with what kind of issue they’re looking for. But, uh, we recently had our. Our, our lab opened up in, in Ogden, Utah, where we’ve got, um, a lot of in-house technologies now, like robotic ct, uh, laser ultrasound, um, and then urography, all the normal stuff. We typically throw out these things, but deposit focus, but we’re able to do just about anything. A lot of advanced materials, and of course a lot of that came from us servicing the DOD, the defense and the, the aviation, it’s space side of the house. But now that we have them all in one place. If a wind customer has an, let’s say they have, um, a root issue or they have a bottom line issue, or they’ve got, um, you know, or these, uh, carbon fiber [00:14:00] main spars, you know, you’ve got some new types of defects to out of these. Typically what would happen was you cut into these things to see what’s wrong. And of course, we’ve all seen what cutting composites does it, you know, it can be kind of messy and it can damage a defect that’s existing so you don’t have a good look at it. With these technologies we have in house now, especially with the CT part of it, we can do a inspection. We can see everything of a area that is unmolested, right? So we can, let’s say you find something and you’re scanning, let’s say you are an OEM and you’re doing ultrasonic inspection or thermography, and you find something in house, well, you can cut around that, send it to us, we can scan it and get a 3D image, you know, of the full material thickness. Really break that down without having the damage, the defect. Uh, and this is stuff that hasn’t been really gone into on the wind side yet. We do it on aviation and space all the time, um, for defect characterization. And then, you know, we have a really good picture of what’s going on there. [00:15:00] Uh, we characterize defects that way and we can also come up with better inspection solutions that way. Allen Hall 2025: Well, that’s interesting because I’ve seen it in aviation all the time. I assume they were doing it in wind. You have to have a way to understand what the defects are and when you see one, or especially if you don’t understand what is causing it, you just can’t cross section that you want to take a large section out and then scan it. Understand what is likely the source of that problem that’s not being done. And when, too much at the moment, I think it is, but it’s, Jeremy Heinks: it’s finally getting cheap enough that, uh, it’s. It’s an option, right? So it’s, it’s always been kind of expensive, but the equipment has come, is coming down in cost and we have a very unique system in-house. It’s not typical to your normal CT system. So we use, uh, a robotic system, a cobots, so we can, we do very large, very large parts, uh, and, uh, composites of course are typically lower energy. So [00:16:00] it’s, um, pretty much tailored for that type of part. Where other CT systems may, might be tailored to other, other types of parts. Allen Hall 2025: So then you can actually take some significantly large size pieces. Then what’s the, what’s the biggest size part you can take and, and get some data out of? Jeremy Heinks: I mean, again, comes outta the time and money. Uh, right now our largest piece is probably, um. Probably like a 10 foot by six foot section. Allen Hall 2025: Whoa. Jeremy Heinks: I mean, in theory we could do a, we could do a whole wing in theory, you know, um, which could be a, you know, a decent sized blade even. But, uh, that would require specialized bay, um, and some extra tooling. But, uh, right now in-house, yeah, we could do, uh, fairly large sample. Joel Saxum: The first time I ran into you, uh, Jeremy in the wind industry was probably three, four years ago. I think, and you may not even have known this, but it was on an, it was on an RCA case for an insurance company, and they’re like, we, [00:17:00] we did the, our, our initial, where the team I was with at the time, our initial RFI, Hey, we need this data, this data, this data. And they sent, they sent us this just library of stuff and they were like. Can you use this? What is this? And it was all NDT data from, from the issue that we were inspecting. It was like, this is the most amazing batch of data we have ever received on an RCA. Who are these people? Where did this come from? Um, and I think that, that, that was my first, ’cause, you know, from the oil and gas side, NDT, that’s just regular. You’re doing it all offshore platforms, like you’re always doing NDT. It’s just, it’s just an accepted thing. Uh, you know, and the, the, of course the offshore technicians for NDT, the, the rates are a lot different. Um, and so I was like, okay, yeah, we we’re using nd this is when I first was really getting going and win. I was like, oh, great, we’re using NDT and Win. But since then, it’s still, it’s been. Very specialized use, you know, RCAs or like a special repair or something like that. You just don’t see it very widespread. And, and it’s, it’s frustrating because, you know, from, I guess from my past, like you can see the value of this [00:18:00] tool and you see some tertiary kind of things out there where people are doing little NDT with robotics and this and that, but like, it’s like the industry hasn’t grasped onto it. Like, I don’t know if the engineers just don’t, just don’t know that it’s available or know the value of it or why they’re missing it. Because you go back to the idea of, um. You go to your general practitioner or the doctor and say like, okay, yeah, you got your knee hurts. Okay. Yeah. Shake it around a little bit. Like, okay, we’re gonna, we need to prob maybe do surgery here and before we do that, let’s go get an X-ray or a MRI. So we know exactly what we’re supposed to do. When we get in there, we make it efficient. We make bang, bang, bang, clean cut and all, and we’re done. That’s the same thing as like, uh, to me, a really deep lightning repair. You know what I mean? We hear these war stories all the time of people saying like, oh yeah, they quoted us 20,000. And this team quoted us 50,000, and then the $20,000 team, we gave the project to them, they got in there and it ended up being a hundred thousand. Well, if you would’ve spent 15 grand or 10 grand, or five grand or whatever it may be to get some NDT work done on this thing before [00:19:00] you opened it all up, you might know what you were getting into and be more efficient. Come with the right kit, less standby time, the right technicians on the job, all this stuff, just like your surgery on your knee. I mean, have you seen anybody picking up that idea in the wind industry? Jeremy Heinks: Not as, not as much as I’d like. Um, there’s been a coup, there’s some of the OEMs have tried to automate, tried to bring it in. Um, most of ’em do some inspection. Um, and it really is the plant by plant, depending on what kind of support they have. We all know whenever things are times are tight or, uh, or you need to have the cycle time as the most important thing. You know, quality is the first one to get cut. So, you know, that’s, that makes it a tough. A tough sell in a lot of people’s books ’cause we add cycle time and we add costs, uh, at the manufacturer. Um, but, um, you know, the other thing I’ve seen is, you know, when they do try and implement something where, let’s say some automation where they could do this stuff quickly and, [00:20:00] you know, over the mass produced parts that they have, um, you know, they, they go to an automation company that doesn’t know much about NDT. If they do know about NDT, it’s, it’s not wind. NDT. So. Um, you know, the, they would be better off if they would contact, you know, a company like ours or there’s a few of us out there where all we, like a majority of our work is in the wind industry. Um, there’s a, there’s a couple in Europe, there’s a couple over here. Get those guys in first. It doesn’t have to be us. Um, but get somebody with practical Yeah. You know, experience and that practical part is the most important part, and have them help you with a practical approach. To the inspection with automation. I mean, that’s, there’s simple and easy ways to do this that just haven’t been done yet. Allen Hall 2025: Um, Jeremy Heinks: not gonna say it’s gonna be cheap, but it should be, um, usable. It’s not gonna end up on a shelf. Like I always keep telling everybody, all these systems, just they, I’ve seen millions of dollars spent and it just sits on a shelf [00:21:00] collecting dust. Happens all the time. Um, and that’s in the field as well. Uh, we see a lot of really cool robotics sink coming out. A lot of, uh, drone. Interior drone stuff, exterior, drone stuff, uh, and just looking for a practical approach. You know, these guys, a lot of ’em come at it with, um, really good intentions, but, uh, they don’t have the experience needed to, uh, know what they’re gonna run into when they do these, these types of applications and therefore, kind of missed the mark. Allen Hall 2025: Jeremy, I’ve been to a site recently and noticed up on the whiteboard. Blade bolts were their particular issue. And I saw a couple of the blade bolts sitting in the shop there and they had cracks, big cracks and broken blade bolts. And I thought, man, that’s a huge problem. And the number of turbines that were listed was incredible. It’s not technicians and mechanics are out there all day fixing these blade bolts ’cause there’s so many bolts per blade. You just multiply the numbers like wow, they have a huge [00:22:00] problem. The issue is you can’t really tell which Blade Bolt has a crack in it while it’s installed, unless it falls out, and they were having that problem too. How can you attack that problem from an NDT standpoint? Can you suss out what bolts are likely to fail or, or in the process of failing? Jeremy Heinks: Yeah, so in bolt inspection is isn’t new. Um, it’s gonna, sounds kind of new to the wind industry, but uh, oil and gas aviation. We’ve all done, we’ve been doing bolt inspection on those for quite a long time. So even in, uh, on marine with the, you know, sail sailing vessels with the mask bolts. Uh, so, uh, these are things that we can do ultrasonically, um, you know, whether it’s stalled and look for cracks at different, uh, lengths. Um, of course we need a little bit of information about the bolt itself, the material, um, design length, all that stuff. But, uh, no, we can definitely do a, a, uh, inspection. Whether it installed or not installed on the bolts? Uh, you mean it wouldn’t even be a [00:23:00] bad idea to get the bolts inspected before they get used for installation? You know, that could be done with, uh, a few different methods that are pretty quick. Uh, but, uh, the other thing we’re working on, uh, actively is a monitoring system also where, uh, we’ll be able to attach the sensors to the end of the bolt and, uh, it’ll be able to, uh. Monitor the, the health of the individual bolts over time. Allen Hall 2025: Can you see inclusions, or what is the defect that’s causing these bolts to start to crack? Is it something in the casting of the bolts themselves or the machining? Are they overheating them when they’re getting machined or not tempering them correctly? All the Jeremy Heinks: above. So we can definitely see that, um, you know, on new bolts you’ll, you’ll be able to see if there’s manufacturing defects or if there’s material defects, um, that maybe didn’t get caught during manufacturing. Or, um, you know, receiving inspection. Allen Hall 2025: I have one of these bolts that’s like two and a half feet long you can actually see inside and tell me where that defect lies. ’cause you cannot see it on the outside when they’re all [00:24:00] finished. Jeremy Heinks: Right. Typically we use ultrasound, uh, for, uh, quick inspection on that. Um, I mean, if it’s out of the, the turbine, you know, first year x-ray and make particle, that kind of trend, you know, everything gets your to outta, but the ut seems to be pretty, pretty straightforward on those. We’d even signed the cracks that are in the threads if we had the right, um, bit jangle to the, uh, the beam. Allen Hall 2025: Okay. So if you just received a whole truckload of these bolts, which is sort of the quality that you’re coming in right now, you could ut inspect each one of those before you took ’em up tower and, and spent all the money to install ’em and make sure that the manufacturer actually is delivering a proper product. Are Joel Saxum: they doing that at the factory? Why are they not doing that at the factory? Jeremy Heinks: Because Allen Hall 2025: they’re told they’re Jeremy Heinks: good when they get ’em from a supplier. Allen Hall 2025: That seems like a huge, if I’m the attorney at Blade Bulk Company, China Limited, I would want to make sure that I won’t gonna kill somebody because, ’cause those things are falling out and they’re just gonna [00:25:00] lawn daughter it underneath the turbine. Joel Saxum: And a hard hat’s not gonna save you from a bolt coming down. Allen Hall 2025: Well, you could tell by the number of problems that they were having that they had replaced some of these bolts. The new bolts had also had problems. So as a, a sequence of replacements, at some point you have to stop that process. You have to validate the part. You’re putting in the turbine is correct, right? I mean, when you have to do that Jeremy Heinks: on my side, you, you get what you pay for. And if you’re gonna go for cheap, you should probably spend a little bit to make sure what you’re getting is Allen Hall 2025: somewhat decent. So how, what would that entail to check them in the o and m building and say, you got a hundred bolts show up on site. What are we talking about in terms of time to make sure that at least the, the sanity check is being done before you spend the money to install these bolts? I mean, if we put together something, it could be done a few minutes per bolt. Throw me a, throw me a time and a dollar amount. Are we talking about millions of dollars or thousands of dollars for this? Thousands of dollars [00:26:00] Strong. Jeremy Heinks: We could probably get a system together that would be extremely cheap and effective. So I mean, if there’s, if that’s something that needs to exist in the industry, then we can definitely put together something that we can sell. Allen Hall 2025: I think people don’t realize that that is a thing. They don’t know that that’s possible. You can’t go to Amazon and buy a blade, bolt checker that’s not there. You can buy a lot of things on Joel Saxum: Amazon though. Allen Hall 2025: Let me ask you about the thing. I’ve seen the sort of the unscientific blade bolt check. Where they, have you seen this Jeremy, where they hang the bolt on one end and they tap it in the other and it, and it rings right? It makes this kind of a bell noise and they think they can hear if there’s a defect inside of there. Can you hear if there’s an inclusion or some sort of crystalline defect inside this blade bolt by tapping it? That’s, it’s a resonance test and Jeremy Heinks: I, I think you could definitely tell, you can definitely tell if there’s something going on. I think you would have to have a good control though. So if you, you have to have, you’d have to have one bid [00:27:00] vote. To balance against, I would imagine, and someone with good hearing. Yeah, I, it’s tap testing with anything is always subject to so many things. So it’s, uh, it’s better than, Allen Hall 2025: better than nothing probably. But, uh, how much better than nothing? Is it just slightly better or is it like, well you get, at least you’re getting the worst ones out of the lot. Uh, would it even do that? Unless I had it announced to, to try it, um, I would wanna. Say either way, but you see the little tap hammers, I’ve been on site and seen the little tap hammers sitting on guys’ desks that are the, you know, the, uh, calibrated tap test tool to see for DAS, that is not an easy tool to use. And it’s not even right for all the applications because it only, it’ll see something on the surface, but where, what can’t it see? Jeremy Heinks: So there is a regulated. Way to do tap tests. There’s, [00:28:00]it’s, as you have a certified tap test that you have to have, uh, noise levels and the environment have to be at below a certain amount, your, your guy doing, the person doing the test has to have a hearing check annually, and it has to be at a certain level. Um, the tap hammer has to be, is proportional to the thickness of material you’re looking at. ’cause if you’re looking at some, I mean, it’s only good for so, so thick. Like if you’re looking at. 10 millimeters, 15 millimeters fine. But once you get past 20, you’re gonna use a heavy hammer. And I’ve seen hammers in some plants that were probably causing damage, you know, ’cause they were so heavy, like, and they’re just, it was a piece of rebar with a ball bearing welded on the end of it, and they’re just hammering away. And it was so loud in the bay that even when they got lucky, when it crossed the dry glass area, they didn’t hear it. They just kept on rolling. Joel Saxum: Man, I thought, I thought a tap test was literally like a technician with a, with a, like a one euro coin in their hand or something. Just like ding ding [00:29:00] d ding, ding, ding. Like, that’s my tap test. Like you got a quarter. Jeremy Heinks: I have done a lot of tap tests, but it was like on radars where you had like two layers of carbon fiber and it was super thin and you could really hear, it works sometimes, but you just have, it’s got limitations just like any other method of inspection. So, and if people just. Allen Hall 2025: Don’t abide Jeremy Heinks: by Allen Hall 2025: this. If you have a technician roll into the o and m building, listen to Def Leppard on 11, then you’re probably not picking the right guy to do the tap test because it does take a lot of sensitivity to hear these minor changes. It’s not easy. Or the Lake Green, Ozzy Osborne. Yeah, right. If you see a, an Ozzy sticker on the guy’s pickup truck, probably not the right choice for the uh, tap test expert. The funniest thing ever. Jeremy Heinks: On the aviation side, we’ve gone to so many aviation or space group areas that use tap test and it’s always the oldest guy that has the hardest hearing, that’s doing the test every time, every Allen Hall 2025: time [00:30:00] they pass the most stuff. That’s why production doesn’t slow down. You said it, not me. I wanna expand the scope just for a minute. Uh, there’s gonna be a lot of, a lot of sites right now because of the changes in the IRA bill that are not going to be able to. Uh, get their next round of production tax credits and reapply because they’re gonna miss this window, right? So you have blades that are seven and eight years old, or turbines eight, seven, or eight years old. You’re not gonna be in that window of opportunity pretty much depending on what happens with the treasury rules. That thing is like it’s going to force operators into taking a deeper look at the health status of their turbines, maybe more than they have in the past to know, am I good for another 10 years, or if I do a little bit of preemptive maintenance on my existing fleet, can I get ’em 10 years, maybe 15 years? That’s the look I think that everybody’s trying to evaluate right now, and I think the [00:31:00] key to all of that is to actually have some NDT data. To actually look inside and to see, do I have a blade root issue that’s still early, that it’s gonna pop up at year 12? Do I have a cracking issue that I need to go take a look at? How does that factor into the planning over the next year, 18 months? For me, it was a little eyeopening when we went Jeremy Heinks: down that and visited our friends in Australia, and that’s kind of how they live, right? With their, their wind farms. They, they have to make ’em last. And it was, it was eye-opening and I, I just had a conversation with one last week. One of the people we met down there and they were looking into, uh, main bearings, a pitch bearing, and they’re cracking, right? So these are things that can be inspected with ultrasound or other things, and we can find these cracks internally. Like this is stuff that we don’t get to see much in the US or, or, you know, markets like ours because they get replaced, right? Everything gets just, we have a throwaway attitude when it comes to blades because of, you know, repowering and other things. Um, [00:32:00] where. Places like Australia or like in the islands where we’ve got a customer, that’s not how they look at it. These things have to last 30 years, you know, or longer, you know. So, uh, inspection and preventive maintenance is, is is, uh, the way to look, way to go. It. I mean, again, oil and gas, the stuff they have has to last a long damn time. A lot. You know, they do preventative maintenance. They have repair schedules or replacement schedules, all this stuff. And maybe we gotta start looking at that stuff a little more smartly on our side. Um, and, uh, budget for more inspection on these things that we know will go bad over time. And it’s not necessarily just the blade, but other parts of the turbine as well. You know, we’ve got a a yup. Bearing we’re looking at too. And that’s, that’s a pretty large. Part you have a crack in it, but Joel Saxum: ha bearing. Jeremy Heinks: Yeah. So these are things that didn’t crack. So we’re looking at, uh, with different inspection methods as well. [00:33:00] So, Allen Hall 2025: so do you think the roles of reversing that the Australian European methodology to keep turbines up and running is going to be applied to the states, and how is that going to transfer that knowledge transfer gonna work because it. The staffs in. A lot of us operators are set up for that 10 year period. Like they, they don’t really think about year 11 anymore. They haven’t for a number of years. How do they get spooled up on that and what resources are they going to need to get to year 15 and 20? If I was them, I would be reaching out to Jeremy Heinks: our partners in Australia or Europe and ask those questions. And a lot of these comp, a lot of these large energy companies are not just us. They’re. Multiple, you know, areas of the world that they, they brought in. So they have, they should have the knowledge and the leverage in house. They’re just gonna have to connect those people or, you know, people, people, people like you guys are gonna be able to, you know, bring that knowledge and connect those people. ’cause I mean, you guys are great at connecting people for [00:34:00] sure. Joel Saxum: That’s what we, we try to say that to everybody though, too. Every time we go to, like, Hamburg is next year, right? The, the Hamburg is to me is the best wind show in the world. Hamburgers next year. Wind Europe is coming up. Like if you’re a US operator, if you, if you’re, you name it, one of the big conglomerates that has people on both sides of the pond. Yeah. Connect up internally. Come on. Get your act together. But the other side of it is, is there’s a lot of people here that aren’t, they just don’t know. You know, there’s a lot of operators that are very large here. They don’t have anything else anywhere else. Go to Hamburg, go to Wind Europe, go, go over there, just go to the conference, see the technology, see the innovations, talk to the people, have some conversations because it will be eye-opening and you know, and, and there is another one too that I think is a very important, um, there’s some ISPs that go across the pond, back and forth, and some of these good ISPs have a lot of really good knowledge about what goes on back and forth because there’s a different operating model over there as well. There’s a lot of the. Financial asset owners that [00:35:00] just have the plants and they entrust someone later on in life to manage it for ’em. Where these ISPs have 20 vestas engineers and 20 Siemens engineers and 20 SGRE engineer or you know, all these people there. So there’s, there is a way to get this information back and forth, but you’re a hundred percent correct here in this conversation. I guess the, all the three of us here. We’re staring at, uh, a cliff that we need to figure out how to get wings on before we, we don’t want it to be like the red, the red Bull thing, where every, just into the water. We don’t wanna do that. We wanna fly up the cliff. Jeremy Heinks: But we’ve seen, we’ve seen this too, at some of the, the o and m focused, you know, show or conferences or gatherings. The ISPs aren’t, aren’t brought in ’cause they’re scared. It turns into a sales pitch. Um, but again, I like the one we had in Australia last year. That was great. It was, hey. This isn’t a sales pitch, just tell ’em. I mean, most of us know, I mean, I, I’m gonna be up there speaking. I’m not, I don’t have to do a sales pitch. If I, if what I’m saying is valuable to somebody, they’re gonna come find me, [00:36:00] which is what happened after that. You know, people reach out, you know that they’re gonna be like, oh, that I have that issue. I’m gonna go talk to this guy. You don’t have to do a sales pitch, just say, Hey, this is what we, what we found. These are the things we ran into as we do these things. And just keep it about the, uh, about the, about the problems. That we’re facing? Allen Hall 2025: Well, yeah, that’s gonna be the key for the next couple of years, just because a lot of the engineers and staff on the United States, uh, have not been to a lot of conferences and talk to technical people because they haven’t needed to. It’s more of, Hey, I need to keep the blade running a couple more months and then we’re gonna move on to the next project. We got a Repowering project going on. It’s been in that sort of build mode for a number of years, and that whole. Logistics, uh, internal workflow is going to change where they need to be bringing outside resources in to help them understand what they’re missing or what key components do they have over in Denmark or Germany or France that we don’t have on staff at the minute, and why do [00:37:00] they have it? One of those is going to be NDT and a lot of it, I think just because of the age of the turbines and the. I would say the era in which they were built, it’s gonna lead themselves into more inspection. That’s, I think, an avenue for C-I-C-N-D-T to explore, obviously. But I think the key is to get the engineers and the sort of the maintenance staff out into the world again, and to come to some of these conferences. Like j when Jeremy speaks, you should be there listening because he’s gonna give you all the answers in about 30 minutes of what you need to go do. That’s the key. Right? Jeremy Heinks: Right, right. And I mean, not just myself, but anybody in a position where you’ve got knowledge and experience that would benefit the whole industry, um, you know, certain volunteering, get, get out there and uh, and pass the, you know, pass the word out. You know, it’s like, you know, we had this thing in the NDT industry where. A certain generation of the, the older guys that had all this experience, all our senior level threes, you know, back then it was, you [00:38:00] wanted to hold everything in because that was your key, that was your ticket to getting a payday. Right. But ended up is when those feasible people all retired or, or worse. Um, then though that knowledge got passed down and uh, it was all kept up. And you look at, look at the aviation industry, the fumbles they’ve had lately with quality. And that’s because of that. ’cause they don’t talk to each other, none of that. They, they this year, all these problems they’re having right now in aviation stuff that they took care of in the fifties, right. And they just forgot. So now we get, have a chance to try and not do that in the wind industry. Um, you know, if you’re an expert in something, get out there. And, I mean, it’s tough. Like I don’t like talking in front of big crowds or anything, but. It’s, uh, once you get rolling and people get engaged and with guys like you to help out, you know, it’s, it’s not a bad type. Just set the ball in the tee and let you take a whack at it. But you could be in the difference between somebody having a whole farm, uh, a wind farm, go, go down, or they have a, like we’ve come across people that have had [00:39:00] blades or turbines offline for weeks, if not months, because they have an issue they don’t know they can do anything about. And then they bring us in and like, Hey, we did the inspection. This is repairable. Or we did the inspection. You should just get rid of this blade or, or whatever. It’s just they’ve been paralyzed and that, I don’t think that’s, you know, something that needs to happen Allen Hall 2025: either. Well, they shouldn’t be paralyzed. They should be calling C-I-C-N-D-T or going to the website, cic ndt.com. Get ahold of Jeremy, get ahold of the staff because they have a, a tremendous amount of knowledge about blades, about how to inspect them and how to keep the turbines running. Quickly, yes, it costs a little bit of money, but it’s well worth it when you have these turbines down for months on end, and I’ve seen that this year. It’s insane. They should have called. C-I-C-N-D-T and gotten their turbines back up and running. Jeremy, how can people reach you directly? Can they get ahold of you on LinkedIn? Jeremy Heinks: Yeah, get on uh LinkedIn and just search Jeremy Hikes or you can go to our website, uh, ct.com and [00:40:00] we’ve Allen Hall 2025: got links to uh, get ahold of us there and go to some of the wind conferences because Jeremy’s gonna be there laying down the knowledge on NDT and you won’t want to miss it. So, Jeremy, thank you so much for being on the podcast. We love having you. Thanks for having me.

Send us a textWe map a practical path from “is this dangerous?” to “what actually helps." We also talk about some specific headache types such as:  IIH, medication overuse, trigeminal neuralgia as well as the rise of CGRP therapies.• separating primary from secondary headache with SNOOP4• recognizing thunderclap, GCA, IIH, and low-pressure patterns• uncovering hidden chronic headache burden and medication overuse• exam essentials including fundoscopy and neck palpation• trigeminal neuralgia in MS and targeted MRI protocols• rescue strategy with effective OTC dosing and triptan timing• antiemetic choices matched to daily function• preventives matched to sleep, anxiety, weight, and goals• carbamazepine and oxcarbazepine for trigeminal neuralgia• role of acetazolamide and topiramate in pressure states• CGRP therapies, access hurdles, and practical selection• empowering patients with education, logs, and portable plansSupport the show Check out our website at www.theneurotransmitters.com to sign up for emails, classes, and quizzes! Would you like to be a guest or suggest a topic? Email us at contact@theneurotransmitters.com Follow our podcast channel on

0:00 - Good news! Or at least, good news considering the situation. Nikola Jokic's MRI confirmed that he suffered no structural damage to his knee. He hyperextended it, and will be re-evaluated in 4 weeks. So the Nuggets will be Jokic-less for at least a month. 17:33 - Vic Lombardi from the morning show joins the PHD boys to weigh in on the Jokic situation. Vic's also the reason we aren't airing the Independence Bowl today. Sorry, Costal Carolina fans. 37:40 - Stefon Diggs is facing some pretty serious charges stemming from an incident earlier this month. Will this derail the Patriots' playoff aspirations? How big are distractions like this in the locker room?

A 2025 analysis of over 13,500 knee MRI scans revealed that men have more anterior cruciate ligament (ACL) tears overall, including ACL plus meniscus combinations, contrary to earlier data focused on female athletes Men under 40 were more likely to have trauma-driven medial collateral ligament (MCL) and meniscus injuries, while women over 40 had a higher rate of degenerative MCL and meniscus damage These patterns suggest trauma dominates in male injuries, while age-linked tissue breakdown plays a bigger role in older female patients These results can aid clinicians and radiologists in recognizing patterns of injury so they can tailor imaging protocols, risk assessments, and early intervention strategies for patients Researchers say these gender-specific patterns may change the screening, prevention, and rehabilitation for knee injury across lifespans

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While endometriosis is highly associated with Chronic Pelvic Pian (CPP), some women may suffer from a different primary or coexistent secondary etiology: pelvic vascular congestion, called vascular origin (VO)- CPP. Although controversial as an entity, there have been diagnostic algorithms published (via pelvic ultrasound. MRI, or venography) for this condition. Approximately 10-40% of chronic pelvic pain cases may be attributed to pelvic vascular congestion (now termed pelvic venous disorder), though estimates vary considerably depending on the population studied and diagnostic criteria used. In premenopausal women specifically, the prevalence appears higher. One study found that 8% of all premenopausal women had documented chronic pelvic pain of unclear etiology along with dilated ovarian and pelvic veins on cross-sectional imaging. Therapies for this have been limited. Flavonoids are abundant in a colorful diet of fruits, vegetables, tea, and wine, with common sources including citrus fruits (flavanones), berries, apples, grapes (flavan-3-ols/anthocyanins), onions, kale, broccoli (flavonols), and tea, cocoa, red wine (flavan-3-ols), plus soybeans (isoflavones), all providing antioxidants and potential health benefits like better heart and brain health. On Dec. 23, 2025, in the journal Phlebology, researchers published a systematic review on the potential benefits of specific flavonoid mixtures which may provide relief to VO-CPP. Listen in for insights and details.1. Gloviczki ML, Demetres MR, Salazar G, Khilnani NM. Venoactive drugs for venous origin chronic pelvic pain in women: A systematic review. Phlebology. 2025 Dec 23:2683555251411027. doi: 10.1177/02683555251411027. Epub ahead of print. PMID: 41432346.2. Knuttinen MG, Machan L, Khilnani NM, Louie M, Caridi TM, Gupta R, Winokur RS. Diagnosis and Management of Pelvic Venous Disorders: AJR Expert Panel Narrative Review. AJR Am J Roentgenol. 2023 Nov;221(5):565-574. doi: 10.2214/AJR.22.28796. Epub 2023 Apr 5. PMID: 37095667.

President's Day Weekend 2025 started like any other legendary Colorado ski day: fresh “pow,” bluebird vibes, and me—Skier Sof—feeling like the queen of Tucker Mountain. Copper locals know Tucker used to be snowcat- and hike-only, which gave it this mysterious backcountry allure. Now it's still expert terrain, but with lift access…and on Presidents Day, that means crowded.But hey, what's a little crowd when you're vibing on run #5, skiing powder next to Valentine's and Boulderado with a good friend, and life feels like a Patagonia commercial?Spoiler: It all goes downhill. Literally. And painfully.  The Scene: Fresh Powder, Bad Visibility, and One Very Unpredictable Skier (and no, the unpredictable skier was not me)My friend Ryan and I were shredding through some fantastic powder. We reached the bottom of Boulderado, where you have to cut hard left through a tree trail to avoid looping all the way back to the chair.Only two sketchy paths go through these trees. You need to keep up the speed, loosen your legs, and blast through bouncing along till you get to the chair. One dude was sitting in the absolute worst possible spot. Not moving. Not looking around. Not reading the room!I told Ryan, “Follow me, I'm going now!”And that's when the guy—out of nowhere—decides to stand up and slowly drift right into my line without looking uphill.PSA: ALWAYS look uphill before you move. Don't be a “Jerry.” Yield to the above skiers. These things matter.I tried to change my line to the lower track, but visibility was trash: I had my sun lenses on when I should have swapped to snow lenses (don't get lazy, ladies and gents!). I caught the top of a massive mogul, went flying, landed, but my feet were suddenly two feet apart—never a good sign when skiing trees.Then came mogul #2.The left leg slid down it.The right leg stayed at the top.My legs did a pretty epic split that nobody asked for.Cue: the pop of my ACL Fired off like a gunshot (I have the video to prove it). A full tear. I also partially tore my right MCL and my meniscus (just for funsies).  The Fall, the Flailing, and the Insta360 That Captured It AllI twisted, flew over the “do not cross” rope (10/10 do not recommend), and slammed into soft powder at the base of a tree. My left ski did NOT release—because my bindings weren't adjusted after losing weight—and my leg twisted way farther than human legs should.I screamed like an angry man who just lost a Mill in the stock market. It was not cute.Ryan came over the hill, saw me lying up with my heat against a tree, panicked, thinking I broke my neck or something like that, whipped off his snowboard, climbed down into the powder, and dug my buried leg out like a heroic golden retriever. “My Hero.” No, seriously, this guy is a great friend, especially since I just ruined his epic ski day. As I writhed in pain, I told him, “Find the camera,” because naturally that matters more… He found the Insta360.Another skier—who had literally followed my line earlier went to call ski patrol.Ski irony is alive and well.  Ski Patrol to the Rescue (Eventually)There's a patrol hut at the top of Tucker, but storms were rolling in, and it took about 45 minutes before they reached me. By then, I'd somehow crawled out of the trees (pain makes you feral) and tried to stand on that leg—nope.Once the full patrol team arrived, they loaded me into the rescue sled for the hour-long journey to Copper Mountain's Center Village. There were blizzard-like snow conditions that covered my face in about 5 minutes. It was about 15 degrees Fahrenheit. A full team of 5 was needed to get me out of the trees. They snowmobiled me up Copper Bowl and skied me down the front face of the mountain. At least I finally got to go snowmobiling!Crowds gasped like I was being transported post-avalanche. I could see nothing, and hear a whole lot, so I was desperately hoping no one T-boned the sled while the patrol kept yelling, “MOVE! LOOK UP! ON YOUR LEFT! YIELD!”It was like being royalty—if royalty were frozen, freaking out, and strapped to a tiny snow coffin. At least the ski patrol guy even kept checking on me to make sure I was still alive.  Diagnosis: Basically… Everything ToreUrgent Care X-rays said: “Good news, no broken bones!”MRI later said: “Bad news…everything else is broken.”Final injury roster:Full ACL tearPartial right MCL tearTorn meniscusMassive bone bruise on the left side of my kneeA whole lot of regret I stayed in Colorado for a month doing PT and trying to maintain dignity and not slip on the ice with crutches. Eventually, I flew home, got an MRI, and scheduled surgery for April 24.  ACL Surgery & the Recovery GrindSurgery went great, but recovery? OOF.Two weeks of sleeping in the braceCrutches for two monthsPT bending (which basically felt like they were breaking), my knee twice a weekPain meds (which my body hated), but I so needed because the pain was astronomicalAlmost fainted in PT twice because of the drugs and physical exhaustionI learned Advil was my friend after the first few weeks and ditched the nasty hydrocodoneLots of tears, lots of naps, lots of gratitude when I could A) not be in so much pain, B) get off the meds, C) walk again without crutches! By week six, pain finally chilled out, and the muscle-rebuilding process started. Every tiny improvement felt like winning Olympic gold. Its the little things in life.  What This Injury Taught Me (AKA: The Travel Brats Safety Sermon)1. People on the mountain are unpredictable.Even on expert runs, don't assume anyone knows what they're doing, or where they are going. And most likely they do not care about YIELDING!2. Altitude is no joke.Hydrate, acclimate, and don't push your body if you've been traveling or skiing hard and are feeling the fatigue from it.3. Train before ski trips.Strong quads save knees. Don't skip leg day. I repeat: don't skip leg day.4. Pace yourself.Take breaks. Take a day off on long trips. Ski easier runs when fatigue kicks in.5. Gear matters.Helmet alwaysProper lenses for conditionsRegular ski tuningCheck your bindings if your weight changes! 6. Ski with a buddy.Especially in trees, bowls, or sketchy conditions. My friend being there changed everything.7. Stay positive.This injury was rough. But it could've been so much worse. I'm grateful, healing, and counting the days until I'm back on snow—stronger, smarter, and maybe a little sassier.  Final Thoughts: Misadventure or Badge of Honor?At The Travel Brats, we believe travel isn't just beaches and cocktails—it's wipeouts, lessons learned, and stories that make you laugh later (like… much later).My ACL tear was painful, expensive, and humbling. But it taught me how resilient the human body (and spirit!) can be. And when I finally click back into my skis, I'll be ready—with sharpened edges, proper goggles, adjusted bindings, and a whole lot more patience for the unpredictable humans around me.Until then…Stay safe, stay adventurous, and ski smart, Brats. ❄️❤️⛷️

0:00 - Last night, Nikola Jokic left the game with an apparent knee injury he suffered in the 2nd quarter. Hopefully, it's nothing structural and he just suffered a bone bruise. We won't know anything until Joker undergoes a full evaluation with an MRI. As we await the results...we imagine/try not to imagine a world without Jokic on the court.16:35 - Yesterday, Jim Harbaugh announced that he will rest Justin Herbert and other starters TBD vs the Broncos on Sunday. The AFC #1 seed is now on a SILVER PLATTER for Denver. All they have to do is beat the JV San Diego Superchargers of Los Angeles AT HOME, and the crown is theirs.34:09 - The Avs grinded out another grimy win vs the LA Kings last night. They're continuing to prove they can win all sorts of games, including gross ones where they power past mistakes. Speaking of power past mistakes, Bednar said he's concerned with the lack of production on the power play.

0:00 - We can speculate all we want about how good or bad Jokic's injury is. But none of it matters until we get the MRI results back. The rumors are just that: rumors.14:43 - FINALLY! MRI confirmed no structural damage to Jokic's left knee. It was a hyperextension injury. He'll be re-evaluated in 4 weeks. That doesn't mean he'll be back in 4 weeks. He'll be re-evaluated. So the Nuggets will be without him for at least a month, maybe more. Still, that's really good news considering how bad his injury looked yesterday.31:45 - 4 weeks minimum without Nikola Jokic. The Nuggets will need to adapt and re-invent themselves. David Adelman, time to earn your stripes as a coach. Show us how deep the playbook goes. 

A diagnosis should bring clarity, not confusion or fear. Yet for decades, men have been handed a Gleason score and told it defines their future. In this episode, Dr. Stephen Petteruti challenges the long-standing reliance on Gleason scores and explains why they fail to measure what matters most: cancer behavior over time. He breaks down how the score originated as a visual estimate and why interpretations vary widely between pathologists.Dr. Stephen explains the difference between static labels and dynamic assessment, showing why sequential PSA trends and modern prostate MRI offer more meaningful insight than a single biopsy result. He also addresses the real risks of biopsy itself, including disruption of tissue, while drawing parallels to outdated medical practices.Question assumptions and take part in a new way of thinking that prioritizes outcomes. Watch the full episode of Why The Gleason Scores Fail Men.Enjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms.Dr. Stephen Petteruti is a leading Functional Medicine Physician dedicated to enhancing vitality by addressing health at a cellular level. Combining the best of conventional medicine with advancements in cellular biology, he offers a patient-centered approach through his practice, Intellectual Medicine 120. A seasoned speaker and educator, he has lectured at prestigious conferences like A4M and ACAM, sharing his expertise on anti-aging. His innovative methods include concierge medicine and non-invasive anti-aging treatments, empowering patients to live longer, healthier lives.Website: www.intellectualmedicine.com Website: https://www.theprostateprotocol.com/ YouTube: https://www.youtube.com/@intellectualmedicine LinkedIn: https://www.linkedin.com/in/drstephenpetteruti/ Instagram: instagram.com/intellectualmedine Consultation: https://www.theprostateprotocol.com/book-a-consultation Store: https://www.theprostateprotocol.com/store Community: https://www.theprostateprotocol.com/products/communities/v2/fightcancerlikeaman/home    Disclaimer:  The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan.Produced by https://www.BroadcastYourAuthority.com 

Ever wonder what happens in those first few moments after you tear your ACL? What is the exam happening on the field? Should I get a MRI right away? What is optimal surgical timing? When is the best time to get surgery? Listen to our latest podcast for the answers!

The Personal Battle (How I Combat It) You might look at my frameworks or my career and think I've got it all figured out. But let me take you back to 2020. I was sitting in a doctor's office, looking at an MRI of my brain showing 40 lesions. In that moment, the ultimate 'Imposter' voice spoke up. It said: 'Winston, you are a fifty-plus-year-old man, an immigrant, and now a patient with progressive MS. You are broken. You can't lead. You can't be productive.' If I had accepted that role as a 'character' in my story, I would have retreated. But I used the concept of Narrative Identity. I realized I wasn't the character; I was the Author. And the Author gets to decide that the diagnosis wasn't the end—it was just a 'line of demarcation'. I combat Imposter Syndrome by looking at the evidence rather than the emotion. When I feel like a fraud, I open my 'Second Brain'. I look at the logs. I look at the history of what I have Created, Attacked, and Maintained. Facts are the antidote to feelings.

In this My DPC Story Patreon episode, Dr. Ashlee Hendry of Mid South DPC in Petal, Mississippi, for an inspiring update on her Direct Primary Care journey. Nearly four years after her clinic's rapid growth, Dr. Ashlee Hendry discusses the evolution of healthcare access in her community, the power of patient advocacy, and the impact of price transparency. She shares invaluable business tips on scaling her practice, hiring staff, and navigating financial decisions like raising membership fees. Listeners will hear how social media - especially a viral TikTok on MRI and maternity cash pricing - has recently helped expand awareness (and in some cases enrollment!) of DPC nationwide. Dr. Ashlee Hendry also opens up about balancing motherhood with entrepreneurship and details her vision for a direct imaging center to further disrupt traditional healthcare barriers. Tune in for actionable advice on starting, growing, and marketing a DPC clinic, plus insights for medical students, residents, and physicians seeking burnout relief and sustainable careers in direct care. Whether you're opening your first practice or expanding, this episode is full of practical wisdom, business strategies, and motivation for the future of primary care.VOTE HERE for My DPC Story in as many categories in the Doctor Podcast Awards! Vote HERE for My DPC Story in as many categories as you want today!Support the showVOTE FOR MY DPC STORY! Help My DPC Story and DPC get more visibility by voting for My DPC Story in the Doctor Podcast Awards (voting closes Dec 29th)! Become A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

December 26, 2025 In this episode, Scott, Mark, and Ray Painter answer listener questions about the new 2026 prostate biopsy CPT codes. They clarify global periods, explain the differences between transrectal and transperineal approaches, and tackle the nuances of coding for MRI-guided procedures—especially when using systems like Promaxo. They also break down the use of 55715 for additional targeted lesions, when modifiers like 52 may apply, and how payers might interpret these new codes differently. The team emphasizes caution, payer communication, and the evolving nature of both coding and coverage guidance.Urology Advanced Coding and Reimbursement SeminarInformation and RegistrationPRS Coding and Reimbursement HubAccess the HubFree Kidney Stone Coding CalculatorDownload NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and AdminsPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a Quote Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.         https://www.prsnetwork.com/joinuptp

You hurt your knee, got an MRI, and the doc says surgery might help. What to do? How Marcus assessed Mark's situation, and what he recommended instead. Sponsor: LMNT drinklmnt.com/marcusfilly Look good, move well - try Functional Bodybuilding free with a 2 week trial of my Persist training program: https://functional-bodybuilding.com/persist/

Most health insurance is designed to treat disease after it shows up, not to keep you truly healthy or extend your life. In this video, we explain how longevity medicine and preventive screening can help reduce your risk of heart attacks, cancer, dementia, and other predictable causes of death. We walk through a practical “pyramid” of health: starting with foundations like exercise, VO₂ max, strength, sleep, stress management, and nutrition. From there, we move into regenerative medicine tools such as hormone replacement therapy, testosterone support for men, joint and arthritis treatment, metabolic weight-loss programs, venous circulation care, and sleep apnea treatment. Then we explore advanced preventive screening that goes beyond basic labs, coronary calcium scores, CIMT, full-body MRI, and neuro-quantitative brain scans that can reveal problems years before symptoms appear. Our goal with longevity medicine and preventive screening is not just to add years to your life, but to add quality to those years. We want you to understand your real risks early and know what options exist before a major event occurs.Timestamps:00:00 — Why Health Insurance Doesn't Create Longevity02:10 — Phase 1: Fitness, VO₂ Max & Lifestyle Foundations03:35 — Why Being Fit Makes You Harder to Kill04:15 — Phase 2: Regenerative Medicine & Hormone Therapy06:30 — Weight Loss, Metabolic Health & Lifespan07:30 — Sleep Apnea and 3x Higher Mortality Risk08:15 — Phase 3: Preventing Predictable Causes of Death08:40 — Advanced Heart Screening Beyond Standard Labs09:40 — Full-Body MRI, Cancer Screening & Early Detection10:20 — Brain Imaging and Early Dementia Risk11:55 — Biological Age vs Chronological Age12:30 — Reversing Heart Disease Risk with Data13:10 — Why Knowing Your Risk Early Changes EverythingLearn More: https://www.alluremedical.com/Books & Research: https://www.alluremedical.com/books/Follow Dr. Charles Mok & Allure Medical: LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedicalAmazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQInner Circle Membership: https://www.alluremedical.com/inner-circle-membership/Subscribe to the show & leave a 5-star review!#insidethecure

Broncos vs. Chiefs. What do we expect from this game? Is this the worst year to have an Olympic hockey break for the Avs? Four down territory: More Avs and Nuggets discussion. Cam Johnson hurt his knee and left last night's game and will undergo an MRI today to determine the extent of the injury. A look at the AFC playoff picture as well as the NFC playoff picture. What is the most likely Super Bowl matchup? 

Send us a textMerry Christma-Kwanza-Kah! In this special holiday "spectacular," Matt, Dan, and Jeremy are joined by Joe (briefly!) and a surprise appearance by Greenley to talk through the latest chaos in the world of professional golf and some major personal news. The guys dive deep into the massive rumors surrounding Brooks Koepka potentially leaving LIV Golf, the financial hurdles of a $100 million sign-on bonus, and what it could mean for the PGA Tour. They also discuss the recent retirements of Mito Pereira and Henrik Stenson, questioning if the "generational wealth" of LIV is losing its luster compared to playing in front of real crowds. On a more personal note, Matt reveals the results of his MRI: it turns out he's been playing with a "massive" Baker's cyst and a knee that is officially "bone-to-bone." He shares the plan for a full knee replacement and his goal to be back on the course in under three months—hopefully with a "Japanese forged" bionic knee. Also in this episode:New Gear Talk: Early impressions of the Callaway Quantum and TaylorMade Qi10 drivers. The Heartland Tournament: What we know (and don't know) about the Landmand qualifying lottery and representing your state. Holiday Wishlists: From new rangefinders to "non-poor people" Vanquish shafts. New York Christmas: Matt's upcoming trip to the Big Apple and the search for the best bagel (shoutout to Pop-Up Bagel and Russ & Daughters). Happy Holidays from the Chasing Daylight crew! We'll see you in 2026Connect with the Show:Website: ChasingDaylightPodcast.com Grips: Use code daylight15 at Garson Golf for 15% offSupport: If you enjoyed the show, please hit the "+" or "Follow" button on Apple Podcasts and leave us a thumbs up on YouTube! Support the showSpecial thank goes out to our show sponsors:

0:00 - Chiefs color commentator and former player Danan Hughes joins Vic, Mose, and Mat Smith to talk Chiefs-Broncos, what's next for the Chiefs as Mahomes is sidelined with a torn ACL, if this might be Travis Kelce's last dance, and more.15:03 - Mat Smith has some hot stove topics he wants to run by Vic and Mose before the end of the show, that includes a famous motorcyclist becoming offensive coordinator over at North Carolina, ASU head coach Kenny Dillingham throwing the gauntlet down for boosters, some choice Broncos quotes from yesterday, and more!32:44 - Tough loss for the Nuggets last night as Vic, Mose, and Mat unpack what could be even tougher news as they await updates on Cam Johnson's MRI. If he's out for an extended period of time...that's three total Nuggets starters down for the count going into Christmas night with the Timberwolves.

Explore a complex case of Thoracic Outlet Syndrome, double crush, & triple crush injuries. Learn about diagnosis, treatment, & patient support. Q: Overview of Neck, Nerve, or Both? A: My wife experienced numbness in her upper extremities. As an athletic trainer (AT), I initially suspected Thoracic Outlet Syndrome (TOS). She eventually sought medical attention and was diagnosed with TOS. Conservative treatment, including medication and a home exercise program, was recommended. However, therapy seemed to worsen her symptoms. An MRI of the vascular system came back normal, except for a benign thyroid mass. A cervical MRI revealed stenosis in C5, C6, and C7, which, when combined with her other symptoms, provided clarity. I consulted a spine surgeon, who advised exhausting conservative options before considering surgery for insurance coverage. My wife, who has a fear of anesthesia, opted for pain management and received injections. An EMG to rule out carpal tunnel syndrome indicated 70% carpal tunnel involvement. An upper extremity specialist diagnosed a double crush injury, meaning nerve compression at two sites. She underwent left-side carpal and cubital tunnel release, followed by a two-level cervical fusion. Post-surgery, she regained sensation in her pinkies. The right side was subsequently treated. She experienced relief for about a year before numbness recurred. Another round of CT, MRI, and EMG scans returned normal. Pain management suggested a shoulder issue, leading to an MRI of the shoulder. While the report mentioned a slight rotator cuff tear, a physician who reviewed the scans deemed her shoulder pristine. This doctor’s examination of her neck, however, exacerbated her symptoms, leading to a diagnosis of lower brachial plexus TOS. Despite my initial concern about the previous treatments, the doctor affirmed that the cervical fusion was necessary. A C8 nerve block did not provide relief but offered further diagnostic information. We were then referred to a specialist in Dallas, where a diagnostic nerve block in the scalenes provided immediate relief. Months later, Botox injections were administered for extended relief. The doctor’s words, “How does it feel to not be crazy?” significantly validated her experience. She then underwent a first rib removal on the left side, which resulted in an 11-day hospital stay with complications including two chest tubes, a needle aspiration, and 100cc of fluid in the pleural cavity. Upon returning home, she began physical therapy but developed shortness of breath with deep breaths due to a costochondral fracture, likely from the chest tube or aspiration. She is currently awaiting a consultation for ultrasound injections to address this. The journey continues. Q: What inspired you to share this story? A: The primary motivation was to share the complex journey and its takeaways. This case involved a “triple crush” — compression at the first rib, cubital tunnel, and carpal tunnel. A key takeaway is the importance of acknowledging when you “don’t know, but know the next step.” In healthcare, we often focus on obvious issues, but a broader perspective is often needed before returning to specific concerns. It’s also crucial to acknowledge the psychological toll on patients without answers, highlighting the profound impact of chronic pain. Q: You mentioned how emotionally draining the journey was. What advice do you have for clinicians to support patients? A: Remind patients that recovery is an “ultramarathon, not a sprint.” Reinforce this message, as other healthcare professionals will likely echo it. Sometimes, when my wife is in pain, she doesn’t want to discuss it, and that’s acceptable as long as I am there to support her. The doctor’s validation, “How’s it feel to not be crazy?” significantly improved her emotional well-being. Supporting patients in seeking further opinions is also vital. Q: Overlapping issue on a personal level, how did you navigate the multiple diagnoses? A: My ability to navigate this well stems from my access to top medical professionals through my profession. My connections as an athletic trainer allowed me to consult doctors and seek referrals. While they may not know specific TOS treatments, they can guide us to the appropriate specialists. Q: Any difficulties separating the Athletic Trainer (AT) role from the husband role? A: There were no difficulties in separating the AT from the husband role. My wife knew me as both from the beginning of our relationship, so there was no separation or conflict. Contact Us Jeremy Jackson Benjamin Stephenson Layci Harrison Mark Knoblauch Ashlyne Elliott Leslie Bennett Sponsor List Frio Hydration – Superior Hydration products. Xothrm – Best heating pad available – Use “SMB” or email info@xothrm.com and mention the Sports Medicine Broadcast. Donate and get some swag (like Patreon but for the school) HOIST – No matter your reason for dehydration, DRINK HOIST MedBridge Education – Use “TheSMB” to save some money, be entered in a drawing for a second year free, and support the podcast. Marc Pro – Use “THESMB” to recover better. Athletic Dry Needling – Save up to $100 when registering through our link.

Dr. Deb 0:01When your body speaks but no one listens, when your pain is dismissed as all in your head, when you’re told it’s just stress for the fifth time while your health deteriorates, you’re not crazy. You’re being medically gaslit. Did you know women in America are up to 30% more likely to be misdiagnosed than men? Or that when experiencing a heart attack, women are seven times more likely to be sent home from the ER? This isn’t just about feeling heard, it’s about survival. Dr. Deb 0:56And what if I told you that mysterious symptoms you’ve been battling for  years have real physical causes, and that you’ve been overlooked because of your gender?  But I’m pulling back the curtain on one of the most dangerous epidemics in healthcare,  the systemic dismissal of women’s health concerns,  and what you can do to finally be seen, supported, and strong. Welcome back to Let’s Talk Wellness Now, the show where we uncover the root causes of chronic  illness, explore cutting-edge regenerative medicine, and empower you with the tools to heal.  I’m Dr. Deb, and today I’m diving into medical gaslighting and the epidemic of misdiagnosis that affects millions of women. Dr. Deb 1:41If you or someone you have been diagnosed with that you love with a chronic condition or are struggling with unexplained neurological symptoms like fatigue, brain fog, numbness, or chronic pain, this episode is for you. So grab a cup of coffee, tea, or whatever helps you unwind and settle in. Let’s get started on your journey to deeper healing. Dr. Deb 2:03So today’s episode, Silence and Dismissed, Breaking Free from Medical Gaslighting in Women’s Healthcare. What if your symptoms aren’t your true diagnosis? Today, I’m exploring how women’s health concerns are systemically dismissed, misdiagnosed, or undertreated in our current healthcare system. I’ll reveal the shocking statistics and historical biases that have created a dangerous epidemic of medical gaslighting. Dr. Deb 2:36Many of you know, three years ago, I found myself on the other side of the exam table. After experiencing troubling neurological symptoms, I was diagnosed with MS. And for three years, I lived with that diagnosis, constantly wondering about my future. But recently, in June of 2024, a new MRI revealed something different. Dr. Deb 3:06My brain wasn’t showing the progressive lesions typically of MS. Instead, my neurologist now believes I experienced post-COVID peripheral neuropathy. Crazy ride, isn’t it? I have lesions in my brain. They’re not progressing like MS, but they created some damage in my brain. Dr. Deb 3:30In October of 2024, I did a brain MRI with a researcher, Dr. Goodenow, who you guys have heard me talk about before. And after being on a protocol that he and I developed together to help my condition, my brain lesions have not only not progressed, but I have increased or grown my gray matter of my brain by 1.4, 1.5. Sorry, I got to give that little extra point in there. This is amazing because as we age, we lose gray matter. Dr. Deb 4:01We know that. And up until now, there’s really been no way for us to show or even know if we’ve improved brain health or not. Well, this new MRI technology that he’s utilizing has been able to document the protocol that we’re doing is actually working and it is growing my brain instead of allowing my brain to shrink with age, which would typically happen. Dr. Deb 4:30We are stopping those lesions from progressing. MS or post-COVID peripheral neuropathy, it doesn’t really matter what the name of this problem is. The lesions are there. Dr. Deb 4:43They’re affecting my prefrontal lobe. And I am trying to prevent any consequences or any symptoms that could result of that. So what this journey has taught me is essentially the truth that I share with my patients. Dr. Deb 4:57True health lies not in chasing a diagnosis, but in pursuing wellness itself. You know, the statistics around women’s healthcare are truly alarming. When a woman enters an emergency room with severe abdominal pain, she’ll wait 33% longer than a man with identical symptoms. Dr. Deb 5:20Approximately 66% of women report receiving a misdiagnosis in the last two years. Think about that. Two thirds of women are being told that they have conditions they don’t actually have. Dr. Deb 5:35While their real health issues remain untreated, and the condition that they were told they had either isn’t treated at all, or they’re given the wrong medication because it’s the wrong diagnosis. This is not about incompetent doctors. It’s about a system built on incomplete science. Dr. Deb 5:57Did you know until the 1990s, women were routinely excluded from medical research and clinical trials? The assumption was that the male body was representative of the human species. So why study women separately? You know, women are not small men. Their bodies function differently at a cellular level. Dr. Deb 6:20And even today, this knowledge gap persists. Medical textbooks still primarily focus on how diseases present in men, while women often experience entirely different symptoms. Take heart attacks. Dr. Deb 6:34Men typically feel crushing chest pain, while women more commonly experience fatigue and shortness of breath, or pain in the jaw, the neck, the back. And when women feel symptoms that don’t match the classic male pattern, they’re dismissed, as you’ve guessed it, anxiety or stress. You’re just too overwhelmed with raising your children. Dr. Deb 6:56You’re burning the candle at both ends. And while some of that may be true, that is not the reason for your symptoms. This misdiagnosis epidemic isn’t just frustrating, it’s deadly. Dr. Deb 7:11It leads to delayed treatments, worsening conditions, unnecessary procedures, and preventable deaths. And for conditions like endometriosis, did you know the average delay in diagnosis is 7 to 10 years? Not months, years. For autoimmune diseases, which affect women at rates up to three times higher than men, that diagnostic journey can span a decade or more. Dr. Deb 7:42Now we’re going to take a break here and have a word from our sponsor, and we’re going to be right back to talk more about medical gaslighting and its roots. Welcome back, everybody. What is medical gaslighting anyway? Well, this happens when health care providers dismiss, minimize, or psychologize physical symptoms. Dr. Deb 8:09It’s when you’re told your debilitating fatigue is just depression, your crushing chest pain is just anxiety, or you’re disabling pain. It’s got to be all in your head. According to recent surveys, about 72% of the millennial women report experiencing medical gaslighting. Dr. Deb 8:35And for women of color, the statistics are even more alarming. While research showing they face compounded biases at every level of care. But why does this happen? The roots run deep, all the way back to ancient Greece, when Hippocrates first used hysteria as a formal diagnosis. Dr. Deb 8:58And throughout history, women’s bodies have been viewed as mysterious, unpredictable, and fundamentally flawed versions of the male body. What a crock. This bias isn’t always conscious. Dr. Deb 9:16Even well-meaning doctors operate within a system that has trained them to view women’s symptoms through a skeptical lens. And the problem is compounded by several factors. First, there’s the knowledge gap. Dr. Deb 9:30As Dr. Mark Gordon, a leading expert in neuroinflammation has demonstrated, male and female brains respond differently to identical triggers. The same is true for hormonal systems, immune responses, and even drug metabolism. Yet most medical protocols don’t account for these differences. Dr. Deb 9:53Second, there’s time pressure. The average primary care visit lasts a little longer than you probably think, but just 17 minutes. Barely enough time to address one concern, let alone a complex constellation of symptoms that don’t fit neatly into a diagnostic category. Dr. Deb 10:15When I see clients for the first time, we’re spending well over an hour just having a conversation, and another hour in doing diagnostics in my office, so that we can understand individually what’s happening with each client that we see, male or female. A far difference from the 17 minutes. Did you know that practitioners are taught that if someone complains of more than two symptoms, it must be depression or anxiety? That’s how our medical system is training these days. Dr. Deb 10:54When I was training, it was completely different, and I was blessed to be trained by a pioneer in medicine who was trained even differently than I was, and trained at a time where we didn’t have a lot of medications, we didn’t have a lot of testing options, so your conversation, your history, your exam had to tell you what was going on with that client. It makes a huge difference today. This is just, I don’t know, it’s craziness to me at this point. Dr. Deb 11:25Thirdly, there’s implicit biases. Studies show that healthcare providers of all genders consistently rate women’s pain as less severe than men’s, even when the reported pain levels are identical. Women are twice as likely to be diagnosed with mental health conditions when presenting with symptoms that suggest a physical cause. Dr. Deb 11:53This kind of gaslighting creates a vicious cycle. Women begin to doubt their own experiences, become hesitant to seek care, and lose trust in the medical system. They may stop advocating for themselves, or conversely become labeled as difficult patients when they push for answers, and oftentimes these women then are dismissed from the practice because they’re thought of as being non-compliant. Dr. Deb 12:23My own journey through the healthcare maze taught me lessons I now use to help thousands of women reclaim their health. When my brain scan first showed lesions, I was quickly diagnosed with MS, but unlike many women, I didn’t just accept that diagnosis and the treatment plan that came with it. As both a patient and a practitioner, I knew that healing requires looking at the whole picture, not just at a label. Dr. Deb 12:52I investigated every possibility that could explain my symptoms. Mold exposure, chronic infection, hormonal collapse, mitochondrial dysfunction, and I focused on healing while continuing to seek answers, and today my brain is actually reversing in age with improving gray matter and a clear sign that my approach is working. Take Maria, a 42-year-old executive who came to me after seeing eight different doctors for crushing fatigue, brain fog, and weight gain. Dr. Deb 13:26She’d been told she had depression, prescribed antidepressants, and when those didn’t work, she was told to reduce her stress level. By the time she found me, her thyroid was barely functioning. She had significant adrenal dysfunction, and testing revealed multiple chronic infections. Dr. Deb 13:46Stories like Maria’s and mine repeat themselves daily in my practice, and women struggling with the autoimmune conditions, inexplicable pain, and debilitating fatigue, or mysterious neurological symptoms who’ve been told repeatedly that their labs are quote-unquote normal, and they should just learn to live with it. But here’s what I’ve learned. When we truly listen to women, when we respect their intuitive knowledge of their own bodies, when we investigate deeply enough, we almost always find answers, and with those answers come solutions, healing, and hope. Dr. Deb 14:30So what’s the solution to this systemic problem? It requires change at multiple levels, but it begins with empowering women to advocate for themselves effectively. First, trust your body. Your symptoms are real, and you deserve care that acknowledges that reality. Dr. Deb 14:51As Dr. Daniel Amen has demonstrated through thousands of brain scans, your mental and physical symptoms have psychological origins that can be identified and treated when we look deeply enough. Second, become your own health advocate. Track your symptoms meticulously, noting patterns and triggers, and the specific impact on your daily functioning. Dr. Deb 15:17When you visit a healthcare practitioner, bring this data with you. It’s harder to dismiss documented patterns than general complaints. Third, don’t go alone if possible. Dr. Deb 15:30Studies show that having an advocate present during medical appointments significantly increases the likelihood of being taken seriously, and this person can take notes, ask follow-up questions, and provide confirmation of your experiences. Fourth, be prepared to be persistent. If you’re not getting answers, seek second, third, or even fourth opinions, and look for practitioners who specialize in functional medicine, integrative approaches, or women’s health specifically. Dr. Deb 16:05Fifth, know that you have options beyond conventional medicine. While I believe in working with traditional healthcare when appropriate, complementary approaches like functional medicine can offer solutions where conventional approaches have failed. At my practice, I see women daily who’ve been medically gaslit for years before finding us. Dr. Deb 16:22Our approach begins with comprehensive testing, not just the standard panels that only flag disease once it’s advanced, but functional testing that can identify patterns of dysfunction before they become pathological. I look at the whole picture, hormones, micronutrients, toxin exposure, gut health, inflammation markers, genetic predispositions, and more. My team and I understand the symptoms in one system often originate in another, and that healing requires addressing root causes rather than merely suppressing symptoms, and oftentimes it requires a team of experts to look at your case. Dr. Deb 17:09The future I envision is one where women don’t have to fight to be believed, where their symptoms are investigated with the same rigor as men’s, and where their intuitive knowledge about their own bodies is respected rather than dismissed. This isn’t just about fairness. It’s about saving lives. Dr. Deb 17:26It’s about preventing the needless suffering that occurs when diagnosis comes too late. It’s about creating a healthcare system that serves everyone equally. It’s about bringing women back to the bargaining table, about having a say in how they feel. Dr. Deb 17:43It’s about partnering with women to get the best out of their healthcare that they possibly can. It’s about providing a system of medicine that works for all of us, not for one of us. Thank you for joining me today on Let’s Talk Wellness Now. Dr. Deb 18:02If this episode resonated with you, share it with someone who could benefit from learning about medically gaslighting and how to advocate for better healthcare. Remember, wellness isn’t just about feeling good. It’s about thriving in every area of your life. Dr. Deb 18:19If you’re ready to explore how functional medicine and root cause healing can help you overcome challenges of misdiagnosis, visit us at serenityhealthcarecenter.com or reach out to me through our social media channels. Until next time, I’m Dr. Deb reminding you to take care of your body, mind and spirit. Be well and I’ll see you on the next episode. Dr. Deb 18:44And do me one favor. If this episode resonates with you or you know somebody that’s being medically gaslit, please share it, like and subscribe to our channel. It really helps us grow and spread the word of integrative medicine and root cause medicine. Dr. Deb 19:04Thank you for sharing your time with me today. As always, we’ll see you and be well.The post Episode 249 – SILENCED & DISMISSED: Breaking Free from Medical Gaslighting in Women's Healthcare first appeared on Let's Talk Wellness Now.

✅ Watch the NEW FREE TRAINING on Low Back Pain & Sciatica:https://visit.shapeshiftwellness.com/beyondpaintraining.If I woke up tomorrow with back pain or sciatica, and my goal was to calm the pain, stop the flare-up, and get back to normal life and exercise as fast as possible, this is exactly what I would do.In this video, I walk you step-by-step through a research-based, non-scary plan for acute back pain and sciatica flare-ups—the same framework I personally use and teach to people dealing with both new injuries and long-term chronic pain.This is not about fixing posture, correcting alignment, or chasing MRI findings. It's about calming your nervous system, reducing fear, restoring safe movement, and rebuilding confidence in your body.In this video, you'll learn: • What to do immediately when back pain or sciatica flares up • Why fight-or-flight makes pain worse (and how to shut it down fast) • Why hurt does NOT equal harm, even with disc bulges or degeneration • The best short-term pain relief options (and why none of them “fix” you) • How to figure out why the flare-up happened in the first place • Why MRI findings like disc herniations are often normal and not dangerous • How visualization and mindset affect pain recovery (without woo-woo nonsense) • When and how to safely start exercising again • Why graded exposure to real-life movement beats “perfect rehab exercises” • How to stay mentally healthy while recovering from back pain or sciaticaThis approach applies whether: • Your pain just started yesterday • You've been dealing with chronic low back pain for years • You have sciatica, disc herniations, degeneration, or stenosis • You're afraid to move because you don't want to “make it worse”I've personally lived with chronic pain for over a decade, and I've worked with people who've recovered after 10, 20, even 30+ years of back pain and sciatica. There is always a path forward...✅ Watch the NEW FREE TRAINING on Low Back Pain & Sciatica:https://visit.shapeshiftwellness.com/beyondpaintraining.#lowbackpain #lowbackpainrelief#lowbackpainexercises #discherniation #sciaticarelief#sciatica #sciaticatreatment

Brett and Christina host an OG episode. Christina talks about her upcoming spinal surgery and navigating insurance hassles. Brett talks about his sleep issues, project progress, and coding routines. They dive into the complexities of USB-C cables, from volts to data rates. And TV’s just ‘okay’ now, except for some softcore gay porn. Kagi search saves the day. Happy holidays — and get some sleep. Sponsor Copilot Money can help you take control of your finances. Get a fresh start with your money for 2026 with 26% off when you visit try.copilot.money/overtired and use code OVERTIRED. Shopify is the commerce platform behind 10% of all eCommerce in the US, from household names like Mattel and Gymshark, to brands just getting started. Get started today at shopify.com/overtired. Show Links CaberQu BLE cable tester Umami Analytics Plausible Analytics Kagi The Comfortable Problem of Mid TV – The New York Times Fallout Heated Rivalry (TV Series 2025– ) – IMDb Chapters 00:00 Introduction and Greetings 00:40 Christina’s Health Update 05:05 Brett’s Sleep and Work Routine 12:19 USB-C Cable Confusion 22:03 Sponsor Break: Shopify 24:26 Sponsor Break: Copilot Money 26:57 Exploring Rocket Money and Web Interfaces 27:21 Discovering Umami Analytics 28:06 Nostalgia for Mint and Fever 28:44 The Decline of RSS and Google Reader 31:45 Switching to Kagi Search Engine 32:33 The Rise of AI-Generated Content 40:46 TV Shows: Is TV Just Okay Now? 47:24 The Cultural Phenomenon of Heated Rivalry 52:50 Wrapping Up and Holiday Wishes Join the Conversation Merch Come chat on Discord! Twitter/ovrtrd Instagram/ovrtrd Youtube Get the Newsletter Thanks! You’re downloading today’s show from CacheFly’s network BackBeat Media Podcast Network Check out more episodes at overtiredpod.com and subscribe on Apple Podcasts, Spotify, or your favorite podcast app. Find Brett as @ttscoff, Christina as @film_girl, Jeff as @jsguntzel, and follow Overtired at @ovrtrd on Twitter. Transcript Universal Serial Bitching Introduction and Greetings [00:00:00] Brett: Hey, you’re listening to Overtired. I am Brett Terpstra, and it’s just me and Christina Warren this morning. How you doing, Christina? Christina: Doing pretty good. Doing pretty good. Yeah. This is the, this is the OG Overtired configuration. Brett: right back to basics. Um, Christina: We do miss you Jeff, though. Ho, ho, ho. Hope that Jeff is having a great holiday with his family. Brett: we’ll have to have some, uh, gratuitous Wiki K hole that you go down just to, to commemorate the olden days. Um, so yeah, let’s, uh, let’s, let’s do a quick check-in. Christina’s Health Update Brett: Um, I’m curious about your health and all of the wildness that’s going on with your spine and whatnot. Christina: Yeah. Yeah. Um, same. I wanna hear about you too. Um, so, uh, Christina’s cervical spine update, as it were. Um, I am [00:01:00] still waiting to, as we’re recording this, which is like. Uh, three days before Christmas, uh, I’m still waiting to hear from the, uh, hospital to see if I can, when I can get scheduled. Um, insurance has sort of been a pain in the ass, so when I talked to them last week, they were like, we sent them some paperwork. We’re still waiting for some things back then. I called the insurance company and the, the, uh, like my insurance is like, has like an intermediary service that is supposed to contact the insurance company on your behalf and that person, but like, I can’t contact them directly. And then that person was like, oh, you don’t need pre-authorization. Go ahead and schedule the surgery. And I’m like, this doesn’t feel right. Um, so, but, but we, we went ahead and we called back the, you know, the, the surgeon, um, his office and they were very nice and we were like. They say that we can get on the books. So I don’t know when that will be. I’m hoping that it will be, you know, like the first week of January, um, or, or, or thereabouts. Um, but I don’t know. Um, [00:02:00] so I am still kind of in this like limbo stage where I don’t know exactly when I’m gonna have the surgery, except hopefully soon. And, um, and, and for anyone who hasn’t caught up, I, uh, I have a bulging disc on C seven on my cervical spine, and I’m going to get a, um, artificial disc replacement. Um, so they’re gonna take out the, you know, bulging bone and all that and put in, uh, some synthetic piece and then hopefully that will immediately relieve the, the pain that has been primarily through the left side of, uh, my arm and my shoulder, um, uh, down through my fingers. But it’s been on my right side a little bit too. So hopefully when that is done, it’ll be a relatively short recovery. Um, I’ll have an early scar and um, I will be, you know, not. Uh, the pain right now, like the levels aren’t terrible, but I’m pretty numb, uh, on my, my, my left arm, my, my right arm, um, uh, or right fingers I guess too, but, but really it’s, it’s, uh, the, the, the left side [00:03:00] that’s the worst. And traveling. Um, I’m, I’m in Atlanta with my family right now and, you know, kind of doing other things is just not, it’s not great. So, um, hopefully I’ll be getting surgery sooner rather than later. But obviously all that stuff does impact your mental health too, when you’re in pain and, and you, you know, are freaked out too about, you know, like, even though like they do, you know, it, it’s not an uncommon surgery and, and it, and it should be fine, but you know, there’s always these things in the back of your mind. You’re like, okay, well what if something goes wrong or whatever. So I’m just, I’m looking forward to, um, you know, light at the end of the tunnel, but um, still kind of in a holding pattern with that. So Brett: Wow. So that scar’s, that scar’s gonna be on your throat. Christina: Yeah, Brett: Wow. Christina: yeah. Like probably like. No, not really. I’m, I mean, I’m hoping that it’ll be, uh, like no, it really won’t be at all. Brett: I, I, I would like to have it. I can understand why you wouldn’t. Christina: yeah, I mean, you know, I will obviously, you know, uh, hopefully it’ll be like low enough to be [00:04:00] primarily covered by shirts or other things, although, who knows? ’cause I do like to wear like, lower cut things sometimes. I don’t know. It, it’ll hopefully, you Brett: I heard chokers are coming back. Christina: Yeah, I don’t, unfortunately. I think it’s gonna be too, uh, low for that. Brett: Okay. Christina: uh, like, it, it’s gonna be, I think like it might hit against my laryn is, is what they say. That’s the other thing too. I might have, you know, some hoarseness after, won’t we permanent? Um, you know, knock on wood. Um, Brett: go on Etsy, you can get, um, they’re for BDSM, they’re like neck, uh, they hold your chin up. They’re like posture enhancers. Uh, but they sell them within leather with like corset straps. ’cause they’re like A-B-D-S-M accessory. That would work. Christina: No, no. Not even once. Uh, not even once. I mean, look, a good group of people who wanna do that, uh, I I will not be wearing a collar of any sort of that sort of thing. Uh, I, I, I don’t, I don’t really wanna, wanna be part [00:05:00] of, uh, one of that, those types of, you know, uh, Harlequin romance novels. , Brett’s Sleep and Work Routine Brett: All right, well, I will go ahead and check in. Um, I, I’m sleeping really well for like two days at a time, and then I’ll have. A string of like five or six hours of sleep, which isn’t nothing. Um, but it’s not quite enough for me to not feel tired all the time. And two nights of sleep is not enough for me to catch up on sleep. And, um, so I’m kind of, this has been going on for like a year though, so it’s, I’m just kind of, I’m used to it and I’ve learned to operate pretty well on six or seven hours of sleep, even though historically like I need eight and a half. Um, but I’m doing okay and I get up about four every morning and I start coding and I usually code from like four to noon, so an eight [00:06:00] hour workday, uh, with a breakfast somewhere in there. And, um, I’ve made really good progress. Marked is, as far as I can tell, ready to go wide with the beta. Um. I think I’ve solved every bug that’s been reported so far. I only have about a hundred testers right now, um, but I’m gonna open it up, uh, try to get maybe a thousand testers for a couple weeks and then go for a live release. The biggest thing that I’m running into is problems with getting the, like free trial and the purchase mechanisms working, which is the exact same thing that’s holding up NV Ultra right now. Um, so if I can figure it out for Mark, I can port it to NV Ultra. I can have two apps out there making money, hopefully never have to get a job again. Um, I’m teamed up right now with Dan Peterson, formerly of One Password. Um, and we’re [00:07:00] working on some iOS apps and. And, uh, apex. My, my, all my Universal markdown processor is, it’s coming along really well. I’ve, I’ve put it out there. Um, I’ve talked to John Gruber a little bit about it. He’s gonna give it more of a workout and get back to me. Um, but I think, I think it’s getting to a point where I would be comfortable integrating it into Mark and even talking to some other, uh, apps about using it as their default processor, um, and kind of alleviating some of the issues people run into with, uh, differences in syntax. Um, I. I, I, I talked to Devon, think, uh, Eric from Devon think about using it. ’cause they use multi markdown right now, uh, which has a lot of cool features, but is not [00:08:00] really in sync with what most of the web is using these days. Um, so I talked to them about it and they’re like, oh, we had the exact same idea and we’re almost done with our own universal processor. Um, and theirs is gonna output like RTF and things that I don’t need apex to do. ’cause you can just pipe apex into panoc and do everything you need. So anyway, I’m, I’m tired. I’m, I’m in good spirits. I. I’m dealing fine with winter. My, I’m alone on Christmas, which is gonna be weird. Um, my family’s outta town. Elle is house sitting I’ll, I’ll go visit Elle, but most of the day I’m gonna be like by myself on Christmas and I don’t drink anymore. And I, I don’t, I don’t know how that’s gonna go yet. Um, initially I thought, oh, that’s fine. I like being alone. But then, [00:09:00] then the idea of like, not having anyone to talk to you on Christmas day started to feel a little depressing. Christina: Yeah. Yeah. Um, but, um, hopefully, um, when, when will, uh, when will I’ll be back from, from house sitting. How long is, uh, are, are they going to be Brett: I think. I think the people, the, the house owners come back Thursday or Friday. Christina: Okay. Brett: Then we’re gonna take off and go up to Minneapolis to hang out with her family for a weekend. So, I don’t know. It’ll, it’s gonna be fine. It’s gonna be fine. We’re gonna like cook on Christmas Eve and, and have leftovers on Christmas day. It’ll be fine. Christina: Yeah, yeah. Well, but, but it, but, but that is weird. Like, I’m sure like to be, you know, not, not, not, not with like your usual crew, but, um, [00:10:00] especially without the alcohol there. But that’s probably a good thing too. Brett: Yeah, I guess. Um, I will have all the cats. I’ll be fine. I have to take care of the dog too. Christina: Have, have you heard any updates, like, um, I guess, um, about when you were, you know, you were in the hospital a few times over the last year with, with various things. Did you ever get any definitive update on what that was? Brett: On which one? I have so many symptoms. Which one are we talking about? Christina: Well, I guess I, I guess when you, you know, you’ve had to be like hospitalized or Brett: The pancreatitis. Christina: had the pancreatitis. Brett: the, the fact that it hasn’t happened again since I stopped drinking, um, really does indicate that it was entirely alcohol that was causing the problem. Um, so yeah, I’m just, I’m never gonna drink again. That’s fine. It’s, it’s all fine. Um, I did, I did get approved to get back on Medicaid. Um, so [00:11:00] yeah, I haven’t gotten the paperwork in the mail yet. Uh, but my old card should just start working and I’ll be able to, my, my new doctor wants a whole bunch more tests, including an MRI of my pituitary gland. Um. Like testosterone tests and stuff that I guess is more specific to what she thinks might be going on with me. Um, but now I can, I can actually get those tests That would’ve been just a huge out-of-pocket expense over the last couple months. So I’m excited. I’m excited to be back on Medicaid. I wish everyone could have Medicaid. Christina: Yeah, that would be really nice. That would be really nice if, if, if we had systems like that available, um, for everyone. Um, but. Instead, you know, if they’re, like, if you have really great health, I mean, you, you pointed those out. Like you have really great health insurance if you [00:12:00] can prove that you, you know, make absolutely no money. Um, but, but that opens up so many other, you know, issues that most people aren’t lucky enough to be able Brett: right. Yeah, totally. Christina: right. Brett: All right, well do you, okay, first topic. USB-C Cable Confusion Brett: How much do you know about USBC cables and the various specs? Christina: Uh, Brett: you know a shit ton. Christina: I do, unfortunately, I know a lot. Brett: So I, I had been operating under the assumption that there were basically, you had like data USBC cables, you had, uh, thunderbolt USBC cables and you had like, power only USPC cables. It turns out there’s like 18 different varieties of different, uh, like vol, uh, voltage, uh, amperage, uh, levels, like total wattage basically. And, um, and transfer speeds. And, [00:13:00] um, and there’s like maximum links for different types of cable. And it, it, I started to understand why like. One device would charge with one cable and another device would not charge with the same cable, even though they all have the same connector. Christina: Yeah. Yeah. I mean, I think this is, this is why, um, some of us have been really like eye rolly at the EU for their pronouncements about certain things, because simply mandating a connector type doesn’t actually solve the problem. Brett: No, it actually confuses it a little bit Christina: I think Yeah, I was going to say exactly. I think in some cases it makes it worse. Right? And, and then you have different, like, and, and then getting SB four into it, uh, uh, versus like, like, like, like various Thunderbolt versions. Like that adds complications too, because technically SB four and Thunderbolt four should basically be the same, but they’re not really, there are a couple of things that Thunderbolt might have that [00:14:00] USB four doesn’t necessarily have to have, although for all intents and purposes they might be the same. And then of course, thunderbolts five is its own thing too. So like I bought off of Kickstarter, I got like this, you know, like a cable charger, basically like, like a connector thing. It was like $120. For this, this, this thing that basically you can plug a cable into and you can see its voltage and um, or not voltage, I guess it’s uh, you know, amperage or whatever. And you can see like, it, it, it’s transfer speed and you can basically like check that on like a little display, which is useful, but the fact that like, you have to buy that sometimes. So like figure out, well, okay, well which cable is this? Right? And then, uh, to your point about lengths, right? So like, okay, so you want something that’s going to be fast charging but also high speed data transfer. Alright, well that means that you, the cable’s gonna have to be stiff. It’s not gonna be able to be something that’s really bendable. Um, which of course is what most people are going to want. So like you can get a fast charge, like a 240 wat or a hundred and, you know, 20 wat or, or [00:15:00] whatever, um, like a USB 2.0 transfer speed cable. But if you want one that’s, uh, going to be, you know, fast charging and. Fast data transfer, then like that’s a different type. And they have like limited lengths, which again, can also be associated with like Thunderbolt or Thunderbolt. You know, cables are much more expensive. Um, and, uh, uh, you know, the, the, the, but their, their lengths are limited. Um, yeah. Uh, it’s very confusing. Brett: Did you know that in rare circumstances there are even devices that will only charge with an A to C cable. Christina: Yes, Brett: That’s so insane. Christina: yeah, no, I’ve run into that myself and then that’s a weird thing and I don’t even know how that should work. ’cause it’s, it’s, it’s a bizarre thing. You’re like, okay, well I thought this was just like a, you know, maybe like a dumb end, but it’s like, no, there’s like, you know, basically a microchip Brett: Like a two pin to two pin. Christina: at this point. Brett: Like two pen to two pen, no pd like you would think that would work with C to C, [00:16:00] but somehow it has to be A to c. I am getting one of those cable testers. I asked for one for Christmas so I could figure out this pile of cables I have and like my Sonos Ace headphones are very particular about which cables and what, um, charging hub I hooked them up to Christina: Right. Oh, yeah, hubs. I was gonna say, hubs introduce a whole other complication into this too, because depending on what hub you’re using, if you’re using a USB hub, it may or may not have certain things versus a Thunderbolt hub versus something else, versus just like, um, you know, a power brick. Like, yeah. Brett: Yeah. It’s fun stuff you. Christina: Yeah. No, it’s annoying. And, um, like, and what, what’s frustrating about this is like some of the cables that they’re better, like you can look at the, you know, the bottoms of them and you can see like they will have like the USB like four, or they might have 3.2, or they might have, you know, like the thunderbolt, you know, um, uh, icon [00:17:00] with, with, with its version. So you can figure out is this 20 gigabits, is this 40, is this 80? Um, but um. That’s not a guaranteed thing, and that also doesn’t guarantee authenticity of stuff, right? So a lot of the cables, you know, you buy off the internet can be, you know, and they might be, or even at stores, right? Like you’re, you’re not buying something from, even if you get things from Belkin or whoever, like, those things can have issues too. Um, although they at least tend to have better warranties. I bought a Balkan, um. Uh, like a, a, a PD cable, like a two 40 cable that I think it was like, you know, uh, 10 feet longer something. It was supposed to have some sort of long warranty and, and because the, the, you know, um, faster transfer ones, um, are, even though it was braided, you know, it stiff and it, it broke, like there was, uh, the, like the, you know, the connect with the part of the, the, the cable near the, the end, um, did that thing that typically apple cables do, where like, it, it sort of [00:18:00] fraying and you started like seeing the exposed wires and then like, you start to like, feel like, you know, like an electric charge, like Brett: A little tingle. Christina: you’re Yeah. And you’re like, okay, this isn’t good. Um, and so I at least had my Amazon receipt, so I was able to like. Get them to mail me a new one relatively easily. And like Anchor has an okay warranty too. But it’s one of those things you’re like, okay, when did I buy this? I was like, I didn’t even buy this a year ago, and this thing already crapped out. Um, versus, you know, you can get some really nice braided cables that are flexible, but they’re just gonna be 2.0 speeds. Um, and, and then if you buy, you know, you just buy like some random cable, you know, like at the airport or whatever. You’re like, all right, well, I don’t even know Brett: Great. Christina: anything about this. Uh, yeah, Brett: I have heard good things. I’ve heard good things about the company. Cable Matters. Christina: Yeah. Yeah. They make good stuff. They make good stuff. But again, at least the cables matters, cables that I have have been primarily stiffer cables because they tend to be like the, the higher transfer [00:19:00] speeds. So, um, like I have a cable, cable matters Thunderbolt cable, and I have like a USB four cable, I think. Um, but like, these are cables that like. I don’t, I mean, I, I have one that I, I kind of travel with, but I don’t, um, either keeping it as little cable matters, uh, uh, plastic, um. Like, so they come in like these, these case, uh, not these cases. Uh, they come in like these, uh, almost like Ziploc bag type of things. Um, which is a great way to ship cables honestly, you know, rather than using a box and, and like I, and I might toss one of those in a suitcase or a backpack, um, rather than having like the cable just out there loose. But I do that primarily because again, like they’re stiff and they’re not the sorts of things that I necessarily want, like in the bottom of my bag, you know, potentially getting broken and, and, and, and twisted and all of that. Um, they are overpriced for what they are and they are definitely not like, they’re not a high transfer cable, but if you can find ’em on sale, the beats, cables, the, the, the, the, the, the branded Beats cables, I actually like them better [00:20:00] than the apple cables that are the same thing, because they are, they’re longer, uh, by, you know, um, a, a few inches than, um, the, the Apple ones. But they’re still braided and they’re nice. And I was able to get, I dunno, this was a, this was not even Black Friday, but this was. Um, you know, sometime in like early November, I think, um, or maybe it was like late October. It might’ve been a Prime Day thing, I don’t know, but they were like eight or $9 a piece, and so I bought like five or six of them. Um, and they are, you know, uh, uh, PD and like, like, like fast charging peoples, they might not be 240, but I think they’re, they’re, they were like a hundred and you know, like 20 watts or whatever. But, um, you know, not high transfer speeds, but if you’re wanting to just quickly charge something and have it, you know, be a, a decent length and be like flexible. Those I don’t, those I don’t hate. Um, anchor makes pretty good cables. You green seems to be the company that’s sponsoring everyone now for various things. [00:21:00] But, um, I don’t know. I’ve started using MagSafe more and more, uh, like wireless charging when I can for some things, at least for phones, Brett: yeah. I actually have some U green wireless charging solutions that are really good. Christina: Yeah. Yeah. I just got one of their, uh, their 10,000 million pair battery fast charging battery things because now the MagSafe, uh, can be like up to, you know, 30 watts or whatever, or 25 watts or, or, or, or whatever it is. Like it’s, um, a lot more, um, usable than, you know, when it was like 10 or, or, or even 15. You’re like, okay, this, this is actually not going to be like the, the slowest, you know, charging thing known to man. But of course, obviously it’s like you can use it with your phone and with your AirPods, but the rest of the things out there don’t, don’t all support shi too, so, Brett: Right. Christina: yeah. Brett: All right. So, um, I want to talk about TV a little bit. Christina: Yeah. I think before we do that though, we should probably Brett: oh, we should, we [00:22:00] have two sponsors to fit in Jesus. I should get on that. Sponsor Break: Shopify Brett: Um, let’s start with, uh, let’s start with Shopify. This episode is brought to you by Shopify. Have you been dreaming of owning your own business? In addition to having something to sell, you’ll need a website, a payment system, a logo, a way to advertise to new customers, et cetera, et cetera. It can all be overwhelming and confusing, but that’s where today’s sponsor, Shopify comes in. Shopify is the commerce platform behind millions of businesses around the world, and 10% of all e-commerce in the us From household names like Mattel and Gym Shark to brands. Just getting started, get started with your own design studio with hundreds of ready to use templates. Shopify helps you build beautiful online store to match your brand style, accelerate your content creation. Shopify is packed with helpful AI tools that write product descriptions, page headlines, and even enhance your product photography.[00:23:00] Get the word out like you have a marketing team behind you. Easily create email and social media campaigns wherever your customers are scrolling or strolling. And best yet, Shopify is your commerce expert with world-class expertise and everything from managing inventory to international shipping, to processing returns and beyond. If you’re ready to sell, you’re ready for Shopify. Turn your big business idea into with Shopify on your side. Sign up for your $1 per month trial and start selling today@shopify.com slash Overtired. Go to shopify.com/ Overtired. That is shopify.com/ Overtired. Thanks Shopify. Christina: Thank you Shopify. Brett: It’ll be, it’ll be just tight as hell by the time people hear it. But that was rough. I, that, that, that, that read, you just heard I [00:24:00] edited like six places. ’cause I kept, I, I don’t know. I’m tired. I’ve been up since, I’ve been up since two today. Christina: Yeah. Shit, man. That’s, yeah, you again, like you’ve been having like sleep issues. It’s, it’s, Brett: Maybe, maybe I shouldn’t be doing sponsor reads. Christina: No, no, no, no, no. Uh, no. We definitely wanna talk about tv. Do you wanna do, do we wanna do our second, um, uh, uh, ad break Brett: let’s do a block. Let’s make it a Christina: Let’s do it. Block. Alright, fantastic. Sponsor Break: Copilot Money Christina: Alright, well, since we are about to go into 2026, this is a great time to, uh, think about your finances. So are you ready to take control of your finances? Well meet copilot money. This is the personal finance app that makes your money feel clear and calm with a beautiful design. Smart automation copilot money brings all of your spending, saving and investment accounts into one place. It’s available on iOS, Mac, iPad, and now on the web, which is really great, uh, because I know, uh, for me anyway, that’s one of my one kind of things [00:25:00] about some of these like tools like this is that there’s not a web app. I’m really bothered by it. This is, you know, it’s a frustration that like the Apple card, for a long time, you know, you couldn’t really access things on, on the web. Even now it’s still kind of messy, like being able to handle things on the web. But as we enter 2026, it is time for a fresh start. And so with the, uh, mint shutdown and rising financial uncertainty, consumers are seeking clarity and control. And this is where copilot money comes in. So copilot money can help you track your budgets, your savings goals, and your net worth seamlessly. Plus, with the the new, um, web launch, you can enjoy a sudden experience on any device, which is really good. And guess what? For a limited time, you can get 26% off your first year when you sign up through the web app. New Year’s only don’t miss out on the chance to start the new year with confidence. There are features like automatic subscription tracking, so you’ll never miss upcoming charges again. Copilot money’s privacy first approach ensures that your data is secure and their team is dedicated to helping you stress less [00:26:00] about money. So whether you’re a finance pro or just starting out, copilot money is there to help you make better decisions. Visit, try dot copilot money slash Overtired and use the code Overtired to sign up for your one month free trial and embrace financial clarity. That’s try.copilot.money/ Overtired. Use the coupon Overtired. And again, that is 26% off for your first year. So thank you copilot money for, uh, sponsoring this week’s, uh, uh, episode. Oh, one other note about copilot money. They were, um, an apple, uh, design award finalist. So it’s a really well designed app and, um, we love to see, um, apps like this available on, on the web as well as iOS and, and MAC os. Brett: I have started using it very much because of the web version, and it is, it is really good. Christina: yeah, yeah. No, yeah. For, yeah, for me, that is like a, an actual like. Concrete requirement. Exploring Rocket Money and Web Interfaces Christina: Any money Brett: Like I’ve, I’ve [00:27:00] paid, I have about eight months left. I paid for a year of, of Rocket Money or whatever it’s called now. Um, and I’ve always loved that app, but yeah, it does not have a web interface. And once I started trying copilot out, I realized how much I really did want a web interface for that stuff, you know? What else have you seen? Discovering Umami Analytics Brett: Umami the analytics platform. Christina: Yes. Brett: It is so good. And it’s, it’s open source and you can self-host. And it is like, I, I’ve been using Fathom Analytics for a long time and I like Fathom, but Umami is, it has like all of the, uh, advanced stuff you would get with Google Analytics, but with like way more privacy focus and you’re not giving information to Google for one. Um, and the interface is beautiful. I love that. It’s so good. Christina: Yeah. Um, umami is really good. I think, uh, there’s another one, I’m [00:28:00] trying to think of what it was called. There are a number of these various, um, analytics, uh, hosted things, but no, umami is definitely a really good one. Nostalgia for Mint and Fever Christina: And I like, um, it reminds me, um, it was, what was it? It was Mint. It was Mint, Sean Edmond’s Mint. Which Brett: I was just gonna ask you if you remembered that. Christina: yeah, which was, which was one of the, uh, plausible analytics. It’s another one too. Um, which is also like, um, they, they have a hosted version, but you can also self-host. Um, and then that’s also a, a, a, another, uh, good one. But yeah. Um, was like my, my all time favorites, uh, you know, app. I, I, I loved that. Brett: Um, what was his RSS one? Uh, fever? Fever. Christina: was, was the best fever, was the best. The Decline of RSS and Google Reader Christina: And it was funny, like I, I think I’ve talked about this before, I was more insulated and like less upset than some people by the, the Google reader death because I had a, a, I’d been using Fever for so long, and then obviously, you know, stuff being updated and doesn’t really work [00:29:00] super well with like, the latest versions of PHP and things like that. But, you know, a lot of people were really, understandably and, and still more than a decade on, you know, very upset by the death of, um, Google reader. But I think because I, I had paid for and used, you know, my own, um, self-hosted fever installation, and then there were apps that people used for, you know, APIs and whatnot to build, you know, Macs or iOS apps or, or whatever. Like, I, I was obviously upset about Google Reader being shut down, but I was like, okay, you know, I, I can just, you know, move on to something else. And, um, and I’ve used, uh, feeder, um, not, not, not feeder, um, Brett: Reader Christina: is. No, no. Maybe, uh, it’s, uh, not Feed Demon. Um, that was like the OG one. Um, it’ll come to me, um, because I, I, yes. Thank you. Feed Ben. Thank you, thank you. One of the ones that’s still around, uh, from like the, of the, you know, various Google reader alternatives, like many of them. You know, closed up shop.[00:30:00] Brett: Yeah. Christina: if they kind of realized, you know, by Google reader, like this is the, unfortunately a niche market. Um, now that didn’t help the fact that like, you know, when people, when web browsers Safari, I think started at first and then Firefox did, and then, you know, uh, Chrome was, was fairly early too. Like when all the web browsers took away like RSS buttons to make it easy to subscribe to feeds or to auto discover feeds, and you had to like install like a, an extension or whatever to do that. Like, that all helped with the, the demise of RSS in a lot of ways. And of course, people moving everything into closed platforms and, and social networks and stuff that, you Brett: In, in the tech world though. So I have, my blog gets about 20,000 visits a week, but it gets 30,000 RSS downloads, like, uh, like daily, 30,000 readers are, are, are pulling my site. Um, so RSS is far from dead in the tech world. Christina: Right. Well, [00:31:00] well, I think, I think in a certain demographic, right? I think if you were to ask like a new, like college grads, I don’t think that any of them are using RSS at least not actively, right? Like, I mean, you might have a few, but like it’s, it’s just not gonna be like a thing where they’re gonna be, act like they might be using some apps that do similar types of things and might even pull in feed sources maybe. But it, it’s, it’s just not like a, like when, when I was graduating from college or in college, like everybody had, you know, RSS clients and that was just kind of a, a known thing. Brett: Yeah. So speaking of traffic, um, I don’t, did I mention that I got delisted on Bing and Christina: You did, Brett: I am, I’m back Christina: figure that out? You’re back now. Okay. Brett: I’m back now. Switching to Kagi Search Engine Brett: And, um, I have switched to using Kaji, um, as my primary search engine and they replicate all of duck duck go’s bang searches. Christina: Yes. Brett: So I Christina: one of the things I love about them. [00:32:00] Yes. Brett: I was pleased to see there’s a Bang Turp search on Kaji. Um, I actually use Christina: or is it kgi? Because I think I’ve always called it kgi. Yeah, it’s KA, it’s K, it’s KAGI. For anybody who’s who’s, uh, I don’t know how to, how, how, if it’s kgi, kgi, um, uh, you know, Kaji, whatever, Brett: It’ll be in the show notes. What the fuck ever, we’ll just call it KGI. Um, and yeah, so like I was super happy ’cause I used the Bang Turp to search my own site. I just got used to doing that. The Rise of AI-Generated Content Brett: Um, and, but it is like you can, the reason I switched to said web, uh, search engine is um, because you can report sites that are just AI slop and they will verify those reports and remove or flag slop sites in your search results. ’cause I was getting sick, even with DuckDuckGo, like five out [00:33:00] of 10 results were always, I’d get in, I’d get there, I’d get one, maybe two paragraphs into, uh, an article and realize, oh, someone just typed in my search term into chat GPT and then Christina: Oh yeah. Brett: automated it. Christina: Oh, I was gonna say there, there it is. Automated at this point. And, and like, to be clear, like a lot of search results, even before like the rise of like genre of AI were a variant of this, where you would see like people like buying older domain names that expired. Well, yeah, but even before that happened mean that, that obviously when, when, when the Christina Warren and Brett Terpstra and then they, they changed your name. Um, I Brett: know, like Jason Turra or Christina: Or something like that. Yeah, it was, it was, it was, it was weird. Um, I mean, you know, um, does that site, did, did have they given up the ghost on that? I’m curious. Um, yeah. Wow. Okay. They are still, well, no, they haven’t published anything since November 30th. So something has happened where they, uh, are [00:34:00] they, they’re definitely cutting down on, on various things. Um, oh no. Paul Terpstra. Oh my God. Paul Terpstra. You are still, Brett: Yeah. Christina: you were like the one author there that I see on this website. Um, now what was, what was messed up about, about this? Um, although no. Okay. Their homepage, the last one they say is like, OCT is like, uh, November, um, uh, 30th. But if you click on the, the Paul trips to handle, then like you see, um, December 22nd, uh, which is, which is today as we’re recording this, Brett: Wow, I didn’t even realize. Christina: Yeah. So, alright. So that is still, somehow that grift is still going on. But yeah, I mean, even before the rise of those things, you would see, you know, sites that would either buy up dead domains and then like, have like very similar looking content, but slightly different maybe, you know, like, uh, you know, injected with a bunch of, you know. Links or whatever, or you would see people who would, you know, do very clearly SEO written and, and probably, you know, [00:35:00] like, again, pre generative ai, but, you know, assisted slop content. But yeah, now it’s, it’s just, it’s crazy. Like, and it doesn’t help that, like the AI summaries, which can be useful, but, um, and they’re getting better, which is good only because they’re so prominent. Like, I’m not a fan of them. But if you’re not using an alternative search engine, like, you know, you see these AI summaries and like if they’re bad and sometimes they are then. Brett: Often Christina: You know, well, they’re, they’ve gotten better, uh, is the only thing I would say. I, I still wouldn’t rely on them, but I’ve, I’ve noticed a, like, I’ve noticed a, a genuine, like uptick in like, improvements and in like, how awful they are probably in like the last six weeks, which is damning with faint praise. I’m not at all saying it’s good. I am simply saying, it’s like, I’m primarily thinking for like, people who are like, like less tech savvy relatives who are going to just go to, you know, bing.com or, or google.com and then see those sorts of things. Right. Um, and, uh, you know, we’re not gonna be able to convince them to go to a, a, a third [00:36:00] party search engine. Um, although, you know, some people, like, I think my mom was using Duck to Go for a while as like her default on her iPhone, um, which I was, I was like proud of her about, but I was also kind of like, uh, that’s got its own issues. But no, I, I like ka a lot. Um, I, I’ve Brett: Well, and it’s so keyboard driven, like DuckDuckGo has good keyboard shortcuts. KAGY slash Kaji has even better keyboard shortcuts. Like you can navigate and control everything with, uh, like Gmail style, single key keyboard shortcuts, which I really like. Christina: Yeah. Yeah, I like that too. And then they, they, of course, they make like a, a web kit, um, like a browser, um, that, that has, they’ve back ported, um, you know, a lot of chrome extensions too. I personally don’t see the point in that. Um, I, I think that if you’re going to be like that committed to, like, using like the, you know, the web extension format and like using like more popular extensions, you might as well [00:37:00] just use a Chrome fork if you don’t wanna use Chrome, which is fine, but like, you could use a browser like Helium, which, which we talked about last show, which has, um, the, the, the hash bangs kind of integrated in, or you could use, you know, if you wanted to use, um, um, you know, the, the, the, the Brett: o is Orion, is Orion the one you’re talking about that? Yeah. Christina: that, that, yeah, that, that, that, that, that, that’s Katy’s thing. And that was actually originally how I heard about them was because it was like, oh, this is interesting. Um, you know, this is a kind of an interesting, you know, kind of alternative browser. And then it turned out that that was just kind of a, in some ways, kind of a front to promote the, the search engine, which is the real, you know, thing. Um, which is fine, right? I mean, that, that was Google’s model. Um, Brett: Well, and we should mention for anyone who hasn’t tried it, it is a paid service. Um, and you are getting search results with no ads and, and spam, uh, ai, slot protection and all of the benefits you would expect from a paid service. So [00:38:00] I think, like for me, five bucks a month gets me, I think 300 searches, which is. Plenty for me, like, I guess I, I’m still waiting to see, I’ve never counted how many searches I do a month, Christina: Yeah, Brett: you know, like three searches a day, uh, would come out to like 90 searches a month and I have 300 available, so I think I’ll be fine. Christina: yeah, yeah. I mean, yeah, basically being able to get to do 10 a day, which in most cases is fine. What I’ve done is I’m on, like, they have a, a, a family plan, um, and they don’t care. They even, I think in their documentation, or at least they did, they do not care if you are like actually in a family with the people that you are on or not. So if you, you know, find some folks that you wanna kind of sync up with, you can like, you know, be on a family plan together and you can save money, um, on, uh, whatever their, uh, um, their pricing [00:39:00] stuff is. So, um, so me, me and Justin Williams are, uh, in a, uh, Brett: Justin Williams, I haven’t heard that name in forever. Christina: Yeah. Yeah. We went to C Oasis together. We went both nights in Los Angeles, um, in August. Yeah. Um, or September rather. Um, yeah, so, okay, so this is how this works. They have, their starter plan is, is $5 a month, which includes, and they do have an AI assistant too. So it was funny, they had the AI slot protection, but they also have like an AI assistant that you can use and like an AI summarizer and whatnot. Um, that’s $5 a month. And then there’s the professional plan, which is, so that’s for 300 searches a month for the standard AI for starter $5 a month. The professional plan is unlimited searches and standard ai, that’s $10 a month. And then the ultimate is, um. Uh, everything in professional plus you get like premium model access, which, okay, but the family plan, um, is, is the, so you can do one of two things. You have a duo [00:40:00] plan, which is two professional accounts for a couple, which is $14 a month plus sales tax. So it’s, uh, you know, average of $7 per person, which I think is what Justin and I are on. And then there’s a family plan with up to six family members. And again, they don’t care if you are actually in a family or not, and that’s $20 a month. So the real thing to do if you’re wanting to like, you know, save on this is like find five friends, Brett: Yeah. Christina: get on the $20 a month, you know, family plan thing. Spread the, spread the cost, and that way you can get the, you know, professional plan for, for, for less. But to your Brett: All right. Christina: most people, it’s probably $300, 300 searches a month is probably plenty. And if you search a lot like we do, I, I think it is worth paying for. Brett: yeah, yeah. All right. TV Shows: Is TV Just Okay Now? Christina: anyway, but we wanted to talk about tv, so let’s Brett: Well do, we’re, we’re at 50 minutes already, so I think we need to choose whether we do TV or gratitude. What Christina: do you have a [00:41:00] gude, like a good one? Brett: I, I, no, I have a, I have a throwaway one. Christina: Okay. Brett: I, it was one of those, like, I looked at my doc and I was like, oh, I don’t think I’ve talked about that even though I probably have, um, yeah, let’s just talk about tv. So I, I have been noting, and my question in the show notes was, is TV just okay now? Because I’ve been watching, I watched Stranger Things, pluribus Down, cemetery Road, platonic, and all of it was, it was entertaining, but it wasn’t like, must watch tv. None of it was like, none of it was as good as like Modern Family. Modern Family was fucking good. Tv, like family friendly and just like I’ve, I’ve been through that series so many times and it’s always fun and it’s always better than like pluribus. I like the, I like the concept kind of, it’s not. not all that, um, engaging, I guess.[00:42:00] Christina: I like it. But, Brett: Yeah. I don’t hate it like I do, I do like it, but it’s not like, I don’t, I don’t count the days until the next episode comes out and I miss, I miss things being really good. So you had a couple responses to that though. Christina: Well, I mean, I tend to agree with you. So first of all, there, I put in the, in the show notes, um, there’s a link to a thing that, uh, that James and Pozak wrote for the, the New York Times, uh, God a year and a half ago now called, um, the Comfortable Problem of Mid tv. And he said it, it, it’s got a great cast, it looks cinematic, it’s, um, fine and is everywhere. And kind of talking about like, you know, we went from like the era of like peak TV to now being, um. You know what, what he’s dubbed like mid tv and I think that there’s, there’s some truth to that. Um, and, and, and he even says at the beginning, let me say up front, this is not an essay about how bad TV is today, just the opposite. There’s, um, little truly bad high profile television made anymore, um, is it’s more talking about, um, like [00:43:00] what we have instead Today is something less awful, but in a way more sad, the willingness to retreat, to settle to trade, the ambitious for the defendable. And I think that there’s some truth to that. Um, I think that we see this movies now too, and with movies it’s actually much more of a problem. Like there’s some really high highs. Um, but because the movie industry is in such a bad place, um, it, it’s that much more notable when like, you don’t have like a big strong slate of, of things. And so, you know, it, it, it’s more of a problem. TV for, for better or worse, has become the dominant entertainment form. And yeah, I think that it, it, it’s fine. Uh, but there are very few things that I’m like, oh, wow, yeah, that, that’s like, you know, the wire. Um, not that anything is, but you know what I mean? But is, but even like, you know, pluribus, which I really like. I actually think that’s, um, my, my favorite show of, of, um, 2025, um, at least new show. Um, well, maybe the studio. The studio. I might have, I, I, I might put, Brett: That was pretty Christina: above that. But, but, but, but [00:44:00] like, it’s one of those things where I’m like, okay, you know, um, it’s not breaking bad, right? Like, if we’re gonna be comparing Vince Gilligan shows, and maybe that’s unfair, but, you know, it just, but, but still, like, you know, you’re gonna be compared to your last hit. And, and, and, and that is what it is. Um, I will say though, like, I haven’t watched Stranger Things in years, and I don’t, I don’t, I don’t think I can force myself to like, care about that again, but I’ve heard kind of mixed Brett: That’s where L is too, L doesn’t care. And, and then there’s the whole like two cast members being Zionists kind of turned a whole bunch of people off and Christina: Well, and well, David Harbor, David Harbor’s whole Lily Allen thing. Are you, are you, are you familiar with this floor at all? Brett: No. Christina: Okay. You know who Lily Allen is? Brett: Yes. Christina: Okay. So she and David Harbor were married and, um, she wrote an album called, uh, uh, west End Girl that, that came out, uh, like in November, which is actually a really good album, [00:45:00] which is like White Girl Lemonade, where she just basically reads him to filth for being an absolute piece of shit. Like, apparently like, you know, they were together, they were married or whatever. She goes off to London to perform in a play and he’s like. Oh, we’re gonna be away for months. I, I wanna sleep with other people. And so they kind of like, she kind of accepts getting into an open relationship with him, even though she didn’t really want to be, which look that her, that’s her bad, whatever. But then he proceeds to like, do things that was not what they’d agreed upon on, upon the parameters of their, of their relationship. And then she’s just like brutally honest about the entire thing. And so as you’re listening to this album, you’re just learning more and more about like, David Harbor’s like sex life and, um, and stuff. And, and like, it’s just on blast. It’s incredible. Um, but, uh, yeah, so there’s, there’s some of that stuff. There’s, I, I don’t know, like I don’t, I don’t really follow the rest of the cast stuff except that, uh, the girl who plays, um, 11 like. Frequently want to smack because just the most annoying [00:46:00] celebrity in on the planet. But like, putting that aside, um, I just, I stopped caring. It took them too long between seasons and the, and, and, and the budget for that show was also so insane. I’m like, you, you cost more than strain than thinking of Thrones. Game of Thrones is, was even at its worst, was a better show than Stranger Things. So like it, yeah. But but that goes to your point. Like, it’s like, it’s okay. Brett: Yeah. Yeah, Christina: Um, I will say the new season of Fallout just, um, premiered and so far I I’m still really enjoying that. Um, Brett: yet to see it. Christina: you should, you should definitely watch the Brett: What is it on? Christina: uh, Amazon Brett: Okay. Christina: and, uh, and it’s, and it’s really, really good. Um. And this year they are doing the episodic, um, not episodic, the weekly drop, right. Rather than the binge thing. So the first season, uh, they dropped it all at once and um, and I was a little bit worried. I was like, fuck, does that mean they don’t [00:47:00] believe in this? What are they going to do? Wound up being like Amazon’s biggest hit after their Lord of the Rings, um, you know, thing. And so it was immediately kind of picked up for a second season and it was picked up for a third season before the second season even, uh, premiered. Um, and uh, and that might be the final one. Um, they’re saying, but, but, but, but who knows? But, but so far anyway, like they’ve only, there’s only been one episode, but it’s, it’s been good so far. The Cultural Phenomenon of Heated Rivalry Christina: Um, but, but what I was gonna talk to you about is the gay hockey show. Brett: Which is. Christina: It’s called Heated rivalry. It’s on HBO Max. It was originally just supposed to be on, uh, a Canadian streamer called Crave. And um, then at the, like, the, the like 11th hour, HBO Max picked it up and was like, okay, we’ll play this in, um, some of our territories and other things. And I wanna be very clear, this is not high art at all. This is like, no way. Like this actually in some ways it, it personifies [00:48:00] the TV is just okay now thing, but in other ways it’s actually a little bit more interesting just because the cultural phenomenon that has happened around it in like the last, like, like it hasn’t even been out a month and it’s only six episodes, although they are also going to be getting a second season. Um, it’s sort of wild how, like I went from, I’d seen a trailer for it and I was like, okay, whatever. And like it came out, I think like right after Thanksgiving. Then like within like two or three weeks, like literally I wasn’t following anything around it, but my Instagram, my TikTok, Twitter, everything that I was seeing was just all about the discourse around the show. And it’s like a bunch of us all seem to have to have discovered it. Like one weekend where we were like, okay, we’re gonna actually sit down and watch the gay hockey show. Um, and this is exactly what it is. It is a gay hockey show. So it is based on, there was a series of books that this, uh, female, uh, writer Rachel Reed wrote, um, uh, about like, uh, I think like they were like eBooks, types of thing. Um, uh, I think although there, there is now I [00:49:00] think like a, a hard cover release because they’ve been so popular and they’re just, it’s just ero, it’s just smut, right? It’s basically fanfic dressed up in something else. And the idea was like, okay, you have like these, you know, male like hockey players who are closeted and kind of have like this, this romance that, that starts from like 2008, um, through like, I dunno, like, like 2017 or 2018. And there are a number of different. Books or stories in the universe. But the one that people liked the most was the, the second book, which is called Heed Rivalry. You don’t really need to know any about that. The big thing about the show is that it is essentially like soft core gay porn. Um, but yet it’s like weirdly compelling in a way. Like, it, it is very, like, there’s, there’s some sweet aspects to it. Like you were before the, the show, you were saying, oh, it’s kinda like Heart Stopper could not be further from Heart Stopper. ’cause Heart Stopper is very sweet and twee and kind of like loving and like whatnot. This is like. You know, like guys in their twenties with amazing asses, [00:50:00] you know, like doing things to one another kind of an in secret. And, and the, the thing is, there’s not a whole lot of plot. Like the plot is the porn. Because, because the whole thing is, is that like they don’t spend, they don’t have a time to spend a lot of time together because they’re, they’re closeted and their rivals. Oh, that’s the whole conceit. It’s like they’re these two great hockey players and they, they, they, um, you know, um, play for opposing teams and they’re like, each other’s biggest rivals, but like, they’re, they’re fucking, um, and uh, it, it’s, uh, again, it’s not high art at all, but Brett: the target audience for this? Christina: And here’s the interesting thing. So the books are almost entirely read by women, um, and which, which makes sense. There’s, there’s a lot of like, you know, like, male, male, like, um, like the history of slash fiction goes back to like, like Fanfic in general, like goes back to like women writing, like Spock and, and, uh, um, what’s the space together? Kirk Together. Yeah. Um, and so the books are almost entirely, uh, consumed by, by women and probably straight women, although probably some queer women too. Um, but the [00:51:00] show seems to be a mix of gay men, straight women, all, although I’ve seen a lot of lesbians. As well. Um, yeah, yeah, because again, like the discourse is just kind of ridiculous and, and the memes are fun. Um, the guy who created it, he’s gay or created the, the, the television adaptation. He’s gay and, uh, I think he’s done a, a, a pretty good job with it. The, the leads are the thing that’s like incredible, like the, especially the guy who plays the, the Russian character, Ilya, uh, that actor is really, really good and he’s Texan, and yet he does like a great Russian accent and, um. And, and he’s very attractive. And like I, I, I can see like why a lot of people are into it, but it’s funny ’cause like New York Magazine, like they weren’t even covering the show, which, why would you, it was like some Canadian kind of, you know, you know, thing that barely gets picked by HBO. Then it takes off and now like they’re covering it. The, the last time I remember New York Magazine covering a show like this, like Vociferously was Gossip Girl, like 18 years ago. Um, [00:52:00] and it kind of reminds me of that, where like everybody woke up one day when they’re like, oh, this is like a cultural moment now. So again, not good television, probably not gonna necessarily be for everyone, but, but it’s a moment. And like, I kept seeing edits, I kept seeing Mo, I kept seeing edits on TikTok and stuff and I was like, okay, do I have to watch the gay hockey show? All right, I have to watch the gay hockey show so that it’s, we might be at the point where like TV is just okay, but at least there are some good like moments about, whereas the culture, we can all like agree. Okay, we’re all gonna be talking about this one thing. Brett: That sounds like what I’ll be doing on Christmas Day. Christina: Oh my God. Actually that would be a great thing to watch on Christmas. And I think that the final episode is gonna come out like the day after Christmas, so there you go. Brett: Done Deal. Cool. Wrapping Up and Holiday Wishes Brett: All right, well thanks for, we’re recording this the same morning. The show’s supposed to come out, so I gotta do some editing, but uh, but [00:53:00] thanks for showing up while you’re in Atlanta and yeah, this has been a classic, a fun classic Overtired. Christina: absolutely. Well, um, get some sleep, uh, take care of yourself. Um, happy holidays. Um, uh, hope that a, a Christmas isn’t too weird for you. And, um, and happy New Year. Brett: you too. Get some sleep.

In this high-octane clip, Marc "Moose" Malusis takes a detour from the Giants and Jets disaster zones to break down the brutal beauty of Saratoga and Lake Placid in the dead of winter. After a caller paints a picture of zero-degree nights and picturesque downtowns, Moose fires back with his own legendary—and painful—Upstate history. From the Olympic Oval to a concussion-inducing toboggan ride that landed him in an MRI machine at Mount Sinai, Malusis delivers a "fiery" warning to anyone headed north: pack the Under Armour, watch out for the ice, and get ready for a winter that's as tough as New York football.

Thank you for joining us for our 2nd Cabral HouseCall of the weekend!   I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Sophie:  Hi Stephen, I really appreciate all that you do and I was hoping you would be able to give me some much needed guidance. I was diagnosed with ventricular tachycardia last year and the only explanation the consultant could provide was it was due to a tiny scar on my heart. I had a ultrasound & an MRI and the results were fine, and my heart was structurally sound. I have taken the big 5 and nothing was out of the ordinary apart from high cortisol at night and candida. I consequently completed the CBO last year. I am currently on beta blockers to control the fast/erratic heartbeats. These do not work all the time. The consultant said my only other option is for them to preform an AF abrasion. What are your thoughts on this procedure, as I really want to get off the beta Blockers and find a natural alternative to fixing my heart. I have heard you talk about how Enzymes are good for the heart, is there one in particular that would help or anything else I can try? I really do not want to have the abrasion or carry on with the BB and am desperate to find a natural solution to fixing my symptoms. I am taking omega 3, magnesium-complex, VD + K2, vitamin c, b-complex, hawthorn, zinc, coq10 & taurine, is there anything else I should be taking to help. When my symptoms are at there worst, I get a big rush to the head and black out for a few seconds, whilst shaking. I have a clean diet, and do not smoke and have cut out alcohol, coffee & sugar, as I find any stimulant does not help, including over exercising. Please help, any advise would be greatly appreciated.                                                                                                                                                                                Anonymous: Hi Dr. Cabral! Over the last year my cycle has gone from 28 days to 23–24 days, and my PMS symptoms have gotten extreme—like night sweats, heavy emotions, breast tenderness, and migraines right before my period. I'm only 34, so perimenopause feels early. Could this be stress-related, estrogen dominance, or something deeper? Thank you for all you do!                                                                                                                                                                                                   Sarah: Hello dr C! Curious if you're familiar with the eating disorder Avoidant Restrictive Food Intake Disorder (ARFID)? I suffered with it from the age of 2 until 20 - eating nothing other than 2 "safe" foods which were very processed. I'm now 29 and can happily say I no longer suffer with this ED after years of work and eat ALL the foods (all healthy, organic, wholefoods). I'm worried if having this ED for this length of time and during my developing years has permanently impacted my health, specifically my digestion and my gut microbiome. I've drastically changed my life around, have done a bunch of your testing and protocols but still dealing with some issues and curious if my past means i'll never be able to reach optimal health? How resilient is the body?                                                                          David: Hello Dr. Cabral, appreciate your work and dedication. I've been experiencing persistent muscle twitches throughout my body for about six months. My doctor says magnesium levels look "normal," but I know that doesn't always tell the full story. Could this be related to electrolytes, stress, or a nervous system imbalance? Any suggestions on testing or protocols to help calm the twitches would be appreciated.     Tommy: Hi Dr. C, I'm so frustrated. I had a gut issue for a long time and only the healthy belly product kept it at bay. Stool test showed citrabacter Freudi which I ran before I had the digestive issues. I did 2 para protocols, then the CBO, and dealt with frequent urination all the way through. By week 8, my bowells were much better and things had improved, however, I had to stop the protocol there as I couldn't handle the supplements at a lower dose. 2 weeks later I picked up a stomach bug, and since then I'm back to square one. I'm working on CBT because I have a lot of trauma and I believe that's why I've been so succeptible to stomach issues. I'm considering another stool test but the only issue is, what can I do about the result if I can't handle so many herbs and supplements I feel stuc   Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right!   - - - Show Notes and Resources: StephenCabral.com/3607 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? 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Dr. Zohaib Siddiqi talks with Dr. Catarina Bernardes about a case involving a 35-year-old woman presenting with personality changes and gait impairment.  Show citation:  Bernardes C, Lemos JM, Santo GC. Clinical Reasoning: A 35-Year-Old Woman With Personality Change and Gait Impairment. Neurology. 2025;104(2):e210252. doi:10.1212/WNL.0000000000210252  Show transcript:  Dr. Zohaib Siddiqi: Hi, everyone. My name is Zohaib Siddiqi and I'm a fifth-year neurology resident and a part of the Neurology® Resident and Fellow Section Editorial Board. I just finished interviewing Catarina Bernardes about her article, Clinical Reasoning: A 35-year-old Woman with Personality Change and Gait Impairment. Catarina, can you tell us the main points of the article? Dr. Catarina Bernardes: So in this article, we discussed the case of a 35-year-old woman who presented with a three-year history of walking difficulties. On examination, she had signs of a frontal temporal dysfunction, a dorsal lateral myelopathy, optic atrophy, and pes cavus. Her brain and spinal cord MRI was completely normal, but her son's brain MRI was being studied for spastic paraparesis showed signs of hypomyelination involving the subcortical U fibers. Given the suggestive inheritance pattern, we considered an X-linked leukoencephalopathy and central nervous system hypomyelination points to Pelizaeus-Merzbacher disease. Important learning points. When differentiating leukoencephalopathies, remember that hypomyelinating disorders often have less pronounced hypointensity on T2 and hypointensity on T1, and in demyelinating disorders, there is very prominent hyperintensity on T2 and hypointensity on T1. Also, Pelizaeus-Merzbacher is a hypomyelinating disorder affecting the subcortical U fibers, while X-linked adrenoleukodystrophy presents a demyelinating pattern sparing the subcortical U fibers and involving mainly the parietooccipital regions. Dr. Zohaib Siddiqi: Thanks so much for that summary, Catarina. A lot of learning points there. For those of you who want to learn more about the case, you can listen to the full-length podcast available now on all streaming platforms and find the article titled, Clinical Reasoning: A 35-year-old Woman with Personality Change and Gait Impairment on the Neurology® Resident Fellow Website. Thanks so much for joining today, and see you next time. 

In this episode, Dr. Rena Malik, MD is joined by Dr. Matthew Davenport to explore the true value and risks of whole body MRI scans and other imaging tests. Together, they address widespread misconceptions about early cancer detection, the potential for overdiagnosis, unnecessary invasive procedures, and the psychological harms incidental findings can cause. Listeners will learn how to make informed, evidence-based decisions about medical imaging, prioritize lasting health habits, and understand the evolving role of new technologies like artificial intelligence in radiology. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00:00 Introduction 00:00:43 Full Body MRI Scans Explained 00:03:12 Overdiagnosis and Incidental Findings 00:06:14 Cancer Detection Myths 00:10:33 Physical and Psychological Harms 00:18:29 Real Patient Case: Imaging Gone Wrong 00:24:17 Spending for Health: Better Alternatives 00:30:59 Imaging Advances and AI 00:53:12 Prostate MRI Screening 01:17:05 Lessons, Value, and Personal Insights Go to https://www.cozyearth.com and use coupon code RENA to get up to 40% off! Stay connected with Dr. Matthew Davenport on social media for daily insights and updates. Don't miss out—follow him now and check out these links! LinkedIn profile: https://www.linkedin.com/in/matthew-davenport-md-mba-037184286 Work profile: https://medschool.umich.edu/profile/2315/matthew-s-davenport Most relevant article: https://www.ajronline.org/doi/10.2214/AJR.22.28926 Next event is grand rounds speaker at Stanford: https://med.stanford.edu/radiology/education/grandrounds/2025-26.html#january Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices

On this episode of the Sports Medicine Primer Series, host Dr. Zainab Shirazi, MD, continues the conversation with Dr. Adam Tenforde, MD, discussing how to manage a case of hip pain in a 25-year-old recreational weightlifter. The goal of this ongoing series is to provide an audio study aid for anyone pursuing a career as a sports medicine physician and to prepare them for a sports medicine fellowship. Dr. Tenforde is an assistant professor in the Department of Physical Medicine and Rehabilitation at Harvard Medical School. He is a sports medicine physician at the Spaulding National Running Center – one of the only centers in the United States exclusively dedicated to the diagnosis and treatment of running-related injuries. He has the unique perspective of being both a doctor and a former professional runner who was an All-American at Stanford University, where he contributed to three NCAA National Team Championships and later qualified for the Olympic trials. Dr. Shirazi is an Attending Physician at Women's Health, Sports & Performance (WHSP) Medical in Brighton, MA, and a dual board-certified physician in Sports Medicine and Physical Medicine & Rehabilitation. She has a passion for advancing the health and performance of female athletes and specializes in the non-operative management of musculoskeletal and sports-related injuries, providing comprehensive care for athletes of all ages and abilities.   Resources Mountjoy M, Ackerman KE, Bailey DM, et al. 2023 International Olympic Committee's (IOC) consensus statement on Relative Energy Deficiency in Sport (REDs). Br J Sports Med. 2023;57(17):1073-1097. doi:1136/bjsports-2023-106994 Kraus E, Tenforde AS, Nattiv A, et al. Bone stress injuries in male distance runners: higher modified Female Athlete Triad Cumulative Risk Assessment scores predict increased rates of injury. Br J Sports Med. 2019;53(4):237-242. doi:1136/bjsports-2018-099861 Hoenig T, Ackerman KE, Beck BR, et al. Bone stress injuries. Nat Rev Dis Primers. 2022;8(1):26. doi:1038/s41572-022-00352-y Nattiv A, Kennedy G, Barrack MT, et al. Correlation of MRI grading of bone stress injuries with clinical risk factors and return to play: a 5-year prospective study in collegiate track and field athletes. Am J Sports Med. 2013;41(8):1930-1941. doi:1177/0363546513490645 Hoenig T, Tenforde AS, Strahl A, Rolvien T, Hollander K. Does Magnetic Resonance Imaging Grading Correlate With Return to Sports After Bone Stress Injuries? A Systematic Review and Meta- analysis. Am J Sports Med. 2022;50(3):834-844. doi:1177/0363546521993807 Barrack MT, Fredericson M, Tenforde AS, Nattiv A. Evidence of a cumulative effect for risk factors predicting low bone mass among male adolescent athletes. Br J Sports Med. 2017;51(3):200-205. doi:1136/bjsports-2016-096698 Robertson GA, Wood AM. Femoral Neck Stress Fractures in Sport: A Current Concepts Review. Sports Med Int Open. 2017;1(2):E58-E68. doi:1055/s-0043-103946 Fredericson M, Roche M, Barrack MT, et al. Healthy Runner Project: a 7-year, multisite nutrition education intervention to reduce bone stress injury incidence in collegiate distance runners. BMJ Open Sport Exerc Med. 2023;9(2):e001545. doi:1136/bmjsem-2023-001545 Roche M, Nattiv A, Sainani K, et al. Higher Triad Risk Scores Are Associated With Increased Risk for Trabecular-Rich Bone Stress Injuries in Female Runners. Clin J Sport Med. 2023;33(6):631-637. doi:1097/JSM.0000000000001180 Burke LM, Ackerman KE, Heikura IA, Hackney AC, Stellingwerff T. Mapping the complexities of Relative Energy Deficiency in Sport (REDs): development of a physiological model by a subgroup of the International Olympic Committee (IOC) Consensus on REDs. Br J Sports Med. 2023;57(17):1098-1108. doi:1136/bjsports-2023-107335 Tenforde AS, Barrack MT, Nattiv A, Fredericson M. Parallels with the Female Athlete Triad in Male Athletes. Sports Med. 2016;46(2):171-182. doi:1007/s40279-015-0411-y Hoenig T, Eissele J, Strahl A, et al. Return to sport following low-risk and high-risk bone stress injuries: a systematic review and meta-analysis. Br J Sports Med. 2023;57(7):427-432. doi:1136/bjsports-2022-106328 Nattiv A. Stress fractures and bone health in track and field athletes. J Sci Med Sport. 2000;3(3):268-279. doi:1016/s1440-2440(00)80036-5 Nattiv A, Armsey TDJ. Stress injury to bone in the female athlete. Clin Sports Med. 1997;16(2):197-224. doi:1016/s0278-5919(05)70017-x Nattiv A, De Souza MJ, Koltun KJ, et al. The Male Athlete Triad-A Consensus Statement From the Female and Male Athlete Triad Coalition Part 1: Definition and Scientific Basis. Clin J Sport Med. 2021;31(4):335-348. doi:1097/JSM.0000000000000946 Fredericson M, Kussman A, Misra M, et al. The Male Athlete Triad-A Consensus Statement From the Female and Male Athlete Triad Coalition Part II: Diagnosis, Treatment, and Return-To-Play. Clin J Sport Med. 2021;31(4):349-366. doi:1097/JSM.0000000000000948

Ryan Sternagel—co-founder of The Stern Method, Going Integrative Plus (GIP+), and Our Health Naturally—joins Dr. Karlfeldt to share the real story behind his family's mission: in 2014, Ryan and his wife Teddy learned their son Ryder had stage four neuroblastoma just eleven days before his first birthday. What followed was a crash course in advocacy, research, and resilience—plus a decades-worth of integrative insights earned the hard way. If you've ever felt overwhelmed by a diagnosis, pressured into one path, or unsure how to “do everything” without losing your mind, this conversation is for you.In this episode, Ryan walks through the moment they knew something was wrong, the medical runaround that nearly delayed answers, and how they learned to push for imaging, ask better questions, and make decisions strategically—especially when facing institutional pressure. They discuss the chess match many families experience in pediatric oncology, including navigating treatment expectations, scan decisions, and the importance of building a supportive plan that addresses nutrition, environment, and mindset alongside medical care. Ryan also shares the evolution from documenting their journey online to creating a searchable library of expert integrative oncology guidance through GIP+—so families can learn directly from top holistic cancer doctors and “test-drive” approaches that resonate.You'll also hear Ryan's perspective on “cake vs. frosting”: why foundational daily practices (circadian rhythm, nature time, reducing toxic load, nervous system regulation, and belief/mindset work) often matter more than any shiny new therapy—yet how select advanced tools may fit into a larger integrative strategy. This is a grounded, motivating listen for patients, caregivers, and practitioners who want a more empowered, organized way forward.Key Topics CoveredRyder's stage 4 neuroblastoma diagnosis and the early warning signs that were missedSelf-advocacy in pediatrics: pushing for ultrasound/MRI and trusting intuitionNavigating hospital systems, treatment escalation, and the realities of compliance pressureBuilding an “integrative support stack”: nutrition, juicing, supplements, IV vitamin C, and lifestyleThe importance of organization and implementation: turning information into a workable scheduleNon-toxic living and environmental control (EMFs, chemicals, lighting, plastics, circadian rhythm)Mindset as medicine: trauma work, belief systems, meditation/breathwork, and daily centering practices“Cake vs. frosting”: foundational habits vs. advanced/experimental therapiesRyan's “talent scout” approach: finding top integrative cancer doctors and filtering conflicting infoGIP+ as a model for weekly expert access, Q&A, and a searchable archive of integrative guidanceTo learn more about Ryan and Teddy's work, explore The Stern Method, their step-by-step framework for implementing integrative cancer support in real life, at https://thesternmethod.com/ Listeners can also check out OUR 7, their comprehensive epigenetic nutrient blend from Our Health Naturally, available at https://ourhealthnaturally.com/ use the discount code KARLFELDT20 to receive 20% off from December 16–31, 2025, and KARLFELDT for 10% off ongoing orders after that.For those seeking direct access to top integrative cancer doctors, weekly guidance, and a searchable archive of expert insights, join Going Integrative Plus (GIP+) at https://goingintegrativeplus.com/and use the code KARLFELDT50 for 50% off your first month subscription. -----------------------------------------------A Better Way to Treat Cancer: A Comprehensive Guide to Understanding, Preventing and Most Effectively Treating Our Biggest Health ThreatGrab my book here: https://www.amazon.com/dp/B0CM1KKD9X?ref_=pe_3052080_397514860 Unleashing 10X Power: A Revolutionary Approach to Conquering CancerGet it here: https://store.thekarlfeldtcenter.com/products/unleashing-10x-powerPrice: $24.99100% Off Discount Code: CANCERPODCAST1 Healing Within: Unraveling the Emotional Roots of CancerGet it here: https://store.thekarlfeldtcenter.com/products/healing-withinPrice: $24.99100% Off Discount Code: CANCERPODCAST2-----------------------------------------------Integrative Cancer Solutions was created to instill hope and empowerment. Other people have been where you are right now and have already done the research for you. Listen to their stories and journeys and apply what they learned to achieve similar outcomes as they have, cancer remission and an even more fullness of life than before the diagnosis. Guests will discuss what therapies, supplements, and practitioners they relied on to beat cancer. Once diagnosed, time is of the essence. This podcast will dramatically reduce your learning curve as you search for your own solution to cancer. To learn more about the cutting-edge integrative cancer therapies Dr. Karlfeldt offer at his center, please visit www.TheKarlfeldtCenter.com

In this episode of Tiny Show and Tell Us, we read an email from “baby sis” aka Binky aka Sam's younger sister Caroline who writes in about an alarming pregnancy test that predates today's at-home tests. Then we talk about a fascinating study that found a dead salmon showed brain activity in an MRI machine. Spoiler: It wasn't actually alive, scientists just really needed to rethink MRI analysis. We need your stories — they're what make these bonus episodes possible! Write in to tinymatters@acs.org *or fill out this form* with your favorite science fact or science news story for a chance to be featured.A transcript and references for this episode can be found at acs.org/tinymatters.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

People with both gum disease and cavities have nearly double the risk of suffering an ischemic stroke compared to those with healthy teeth and gums Chronic oral inflammation allows harmful bacteria and toxins to enter your bloodstream, damaging arteries and increasing blood clot formation that blocks blood flow to your brain MRI brain scans show that gum disease alone causes silent brain injuries known as white matter lesions, which are early signs of stroke and cognitive decline Regular cleanings, good oral hygiene, and biological dental care dramatically reduce stroke risk by preventing infection, lowering inflammation, and protecting the health of blood vessels Healing your mouth through better nutrition, natural oral care, and toxin-free dentistry strengthens your gums, restores circulation, and supports long-term brain and heart health

Michael Bernstein has spent his entire career solving problems most people never see.As a college student given only $1,000 to last four years, Michael had no safety net and no days off. To survive, he built a sweater business from scratch, negotiating directly with his uncle, who owned one of the largest U.S. sweater mills. With no family discounts and a one-time credit, Michael would buy closeouts at full price and resell them on campus. He struck a deal with the Dean for premium selling space, expanded to 20 colleges across the East Coast, and became the mill's largest buyer—all while attending classes. By senior year, he had generated more than a million dollars in sales and graduated able to buy his first car in cash. That relentless resourcefulness carried into his career, where he rose to senior roles in a $2.5B apparel company and later invented the MRI-safe, metal-free plastic snap that transformed hospital gowns and has now been used in over 30 million gowns worldwide.Early on, he developed a small but revolutionary innovation in healthcare: an MRI-safe, metal-free plastic snap for hospital gowns. It seems like a minor detail — until you learn it's now been used in over 30 million gowns worldwide, changing how hospitals think about safety, laundering, and patient dignity. That experience taught him something essential: the right material, used in the right place, can disrupt an entire institution.Years later, while touring a sustainable brewery, Michael noticed something that didn't match the marketing. Beneath all the environmentally friendly messaging sat hundreds of virgin-wood pallets — the backbone of the operation and a major driver of deforestation. At that moment, the problem crystallized: sustainability messaging meant nothing if the infrastructure underneath it was still destroying forests.This sparked a new question:What if the materials we throw away could replace the materials we're overusing?That insight led Michael to apparel waste — a global problem he knew intimately from decades in the textile industry. Denim scraps, cotton remnants, and discarded clothing are burned or buried by the millions of tons each year. If textile waste could be re-engineered into a strong, injection-molded material, it could become the base of products that currently rely on wood or virgin plastic.This wasn't recycling.This was redesigning waste into something new.More Info: Bernastic.comSponsors: Become a Guest on Master Leadership Podcast: Book HereAgency Sponsorships: Book GuestsMaster Your Podcast Course: MasterYourSwagFree Coaching Session: Master Leadership 360 CoachingSupport this show http://supporter.acast.com/masterleadership. Hosted on Acast. See acast.com/privacy for more information.

View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter In this "Ask Me Anything" (AMA) episode, Peter tackles a wide-ranging set of listener questions spanning lifespan interventions, exercise, cardiovascular risk reduction, time-restricted eating, blood pressure management, hormone therapy, diagnostics, and more. Peter reveals the single most important lever for extending healthspan and lifespan, and explains how he motivates midlife patients using the Centenarian Decathlon framework. He discusses the importance of addressing high apoB and cholesterol even in metabolically healthy individuals with calcium scores of zero, how to manage high blood pressure, and how to accurately evaluate metabolic health beyond HbA1c. Additional topics include time-restricted eating, practical considerations around ultra-processed foods, nuanced approaches to HRT for women and TRT for men, and why early and expanded screening for chronic disease—colonoscopy, PSA, coronary imaging, low-dose CT—can be lifesaving. He also offers insights into treating prediabetes, crafting exercise programs for those short on time, and safely incorporating high-intensity training in older adults. If you're not a subscriber and are listening on a podcast player, you'll only be able to hear a preview of the AMA. If you're a subscriber, you can now listen to this full episode on your private RSS feed or our website at the AMA #78 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here. We discuss: Introducing a wide-ranging AMA: practical perspectives on lifespan interventions, metabolic health, diet, hormones, diagnostics, and more [2:45]; Why exercise is the most powerful single intervention for lifespan and healthspan [4:15]; How Peter motivates midlife patients to prioritize exercise [6:00]; Why lifespan and healthspan should not be treated as competing priorities and how choosing sustainable interventions benefits both [9:30]; Why high apoB deserves treatment even in a metabolically healthy patient with a CAC score of zero [14:00]; Managing hypertension: ideal targets for blood pressure, lifestyle levers, and why early pharmacology matters [18:15]; Assessing metabolic health beyond HbA1c: fasting insulin, triglycerides, lactate, zone 2, and more [23:30]; How to avoid common self-sabotaging patterns by choosing sustainable habits over extreme health interventions [26:00]; Time-restricted eating: minimal effect beyond calorie control, implications for protein intake, and practical considerations for implementing it [28:00]; Ultra-processed foods: definitions, real-world risks, and practical guidelines for smarter consumption [30:30]; How women should prepare for menopause and think about hormone replacement therapy: early planning, symptom awareness, and guidance on HRT [36:45]; Testosterone replacement for aging men: indications, benefits, and safe clinical management [39:45]; Why Peter recommends earlier and more aggressive screening tests than guidelines suggest: colonoscopies, coronary imaging, PSA, Lp(a), and low-dose CT scans, and more [43:30]; Full-body MRI screening: benefits, limitations, potential false positives, and the importance of physician oversight [47:15]; Prediabetes: individualized treatment strategies using tailored combinations of nutrition, sleep, and training interventions [51:00]; Time-efficient training plans for people with only 30 minutes per day to exercise [53:00]; How to safely introduce high-intensity exercise for older adults [55:00]; Timed dead hangs and ripping phone books: a playful look at Peter's early attempts to impress his wife [57:15]; Peter's carve out: The Four Kings documentary about a golden era of boxing [1:01:15]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

Sonia Z and Miguel Silva join Zac Amico and they discuss Zac's new look, an update on Tara Reid's hotel bar incident, the voice of Frosty The Snowman having secret families, the Batman effect, the woman who gave birth in a clothing store, the son who stabbed his parents in a Long Island deli, what not to wear while riding a motorcycle, MRI nightmares, how to make yourself poop in the morning and so much more! (Air Date: December 8th, 2025)Support our sponsors!SmallBatchCigar.com - Use promo code: GAS10 for 10% off plus 5% bonus points!YoKratom.com - Check out Yo Kratom (the home of the $60 kilo) for all your kratom needs!IndaCloud - If you're 21 or older, get 40% OFF your first order + free shipping @IndaCloud with promo code ZOO at https://inda.shop/ZOO #indacloudpodZac Amico's Morning Zoo plug music can be found here: https://www.youtube.com/watch?v=oMgQJEcVToY&list=PLzjkiYUjXuevVG0fTOX4GCTzbU0ooHQ-O&ab_channel=BulbyTo advertise your product or service on GaS Digital podcasts please go to TheADSide.com and click on "Advertisers" for more information!Submit your artwork via postal mail to:GaS Digital Networkc/o Zac's Morning Zoo151 1st Ave, #311New York, NY 10003You can sign up at GaSDigital.com with promo code: ZOO for a discount of $1.50 on your subscription and access to every Zac Amico's Morning Zoo show ever recorded! On top of that you'll also have the same access to ALL the shows that GaS Digital Network has to offer!Follow the whole show on social media!Sonia ZWebsite: https://ThatChickSonia.comInstagram: https://instagram.com/ThatChickSoniaMiguel SilvaInstagram: https://instagram.com/likekoolaidDork Court Instagram: https://instagram.com/DorkCourtZac AmicoTwitter: https://twitter.com/ZASpookShowInstagram: https://instagram.com/zacisnotfunnyDates: https://punchup.live/ZacAmicoSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This week, I'm diving into one of the weirdest modern medical questions: what actually makes a “top doctor” in the age of TikTok? After an Allure article exposed the rise, and sometimes fall, of social-media-famous plastic surgeons, I have thoughts. Many thoughts. Mostly about ethics, entertainment, and why the operating room should never be a live-streaming studio. Then we shift into something much more fun: a full mystery case. A patient with double vision, oscillopsia, lower-extremity weakness, and a history of gastric bypass walks into my exam room… and everything looks normal except the motility. So what do you do when both eyes refuse to abduct and the MRI shows a thalamic signal? You follow the clues to a diagnosis most clinicians never see coming. Takeaways: Why plastic surgery thrives on social media and where ethical lines are getting dangerously blurry. The subtle difference between educating the public… and turning patient care into spectacle. How a patient with bilateral abduction deficits and upbeat nystagmus led to a surprising diagnosis. Why thiamine deficiency after bariatric surgery can masquerade as a neurologic emergency. The importance of physicians setting their own social media guidelines before someone else does it for them. To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ http://www.patreon.com/glaucomflecken⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  Also, be sure to check out the newsletter: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://glaucomflecken.com/glauc-to-me/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you are interested in buying a book from one of our guests, check them all out here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.amazon.com/shop/dr.glaucomflecken⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://anatomywarehouse.com/?aff=14⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for more information.  Today's episode is brought to you by Microsoft Dragon Copilot. Dragon Copilot is an AI clinical assistant that streamlines documentation, surfaces critical information, and automates routine tasks — empowering healthcare teams to focus more on patients and less on administrative work. Learn more at ⁠https://glau.cc/Dragon⁠ Go to http//www.cozyearth.com and use code KNOCKKNOCK for 40% off best-selling temperature-regulating sheets, apparel, and more. Trust me—you'll feel the difference the very first night. Produced by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices

Tony opens the show by talking about Philip Rivers coming out of retirement to sign with the Colts, and he also talks about a friend who stopped by on his drive to North Carolina from Long Island, and about getting an MRI. Chuck Todd calls in to talk about Miami getting into the College Football playoffs, and he also picks NFL games against Reginald the Monkey. Mark Feinsand calls in from baseball's winter meetings in Orlando to talk about the big moves made so far and what's still to come, and Tony closes out the show by opening up the Mailbag. Songs : Caleb Mitchell “Blue” ; Timmie Metz “Christmas 2” To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

Costco sues the Trump administration, seeking a refund of tariffs FBI paid nearly $1M in overtime to redact Epstein files, documents show | Snopes.com Epstein Survivors Believe DOJ Is 'Intentionally' Exposing Their Names In The Files: Lawyers | HuffPost Latest News Trump said he was 'sharper than I was 25 years ago.' Then he spent an hour appearing to doze off – again | CNN Politics Doctor says Trump had preventative screening MRI on heart, abdomen with 'perfectly normal' results What the law says about killing survivors of a boat strike, according to experts | PBS News Trump says he's canceling all Biden orders that were signed using an autopen - CBS News Trump Launches Into Massive, Unhinged Late Night Posting Spree | HuffPost Latest News Justice Department weighs charging James Comey again, without Lindsey Halligan as main prosecutor Suspect in D.C. shooting of National Guard members pleads not guilty to murder

The Barefoot Contessa herself, Ina Garten, joins Hysteria to give some holiday and hosting advice, including potluck wisdom, host gift etiquette, and the best topics for dinner party discussion. Erin and Alyssa also get into some petty news stories, including Trump's mystery MRI, Karoline Leavitt's nasty Thanksgiving feast, and the University of Oklahoma student who flunked a paper after including questionable bible citations. They finished up with a discussion of Wicked: For Good, blind items, and Mormon Wife Whitney Leavitt's upcoming Broadway debut. For a closed-captioned version of this episode, click here. For a transcript of this episode, please email transcripts@crooked.com and include the name of the podcast.Trump says he'll release MRI results but doesn't know what part of his body was scanned (AP News 12/1)OU student claims bad grade is an attack on her faith (Salon 11/30)Melania Trump Announces Muse Films Production Company (The Hollywood Reporter 11/28) Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.