Podcasts about operating room

Can D1 competitive mindset help you dominate the medical sales industry?In this episode of the Medical Sales U Podcast, I sit down with Justin Kershaw—former Michigan State player turned top-tier Spine Endoscopy Rep for Arthrex. Justin pulls back the curtain on how he transitioned from the locker room to the Operating Room, the reality of working for a $5B company like Arthrex, and why being a "Girl Dad" and a man of faith is what actually fuels his professional drive.In this episode, you'll learn: * The "3 Gatekeepers" you must win over to close deals in any hospital.* Why Arthrex uses an "Agency" model vs. traditional distributorships. * How to maintain high-level physical and spiritual discipline in a high-stress career. * Tactical advice for career pivots (how Dave broke into sales at age 35!).

In this episode of Wellness at the Speed of Light, Dr. Stefano Sinicropi sits down with Dr. Zachary Meade, an anesthesiology resident whose path to medicine began in one of the highest-pressure environments imaginable: the military bomb squad. Dr. Meade shares how years of explosive ordnance disposal shaped his ability to stay calm, think clearly, and make critical decisions when lives are on the line. The conversation explores how skills developed under extreme stress translate into the operating room, where precision, situational awareness, and emotional control are essential for patient safety. Together, they discuss the mindset required to perform in high-stakes medical environments, the importance of systems thinking in healthcare, and the role of purpose, resilience, and service in a medical career. Dr. Meade also reflects on his experience as a first-generation physician, a Pat Tillman Scholar, and a physician-influencer working to counter medical misinformation and promote evidence-based health education. This episode also addresses a growing challenge in modern healthcare: helping patients navigate conflicting health information, understand risk, and make informed decisions that combine sound medical care with thoughtful integrative approaches. This conversation is for healthcare professionals, patients, and anyone interested in leadership, mental resilience, evidence-based wellness, and the human side of modern medicine. Wellness at the Speed of Light delivers trusted insights on health, recovery, performance, and integrative care to help you make informed decisions for long-term wellbeing.

In this episode, the EBB Research Team is answering three questions we received from our Pro Members! We take a close look at the evidence behind doula presence in the operating room, the risk of experiencing another severe perineal tear after a previous injury, and what white coat hypertension in pregnancy can tell us about future risk. Each question reflects real situations birth workers are encountering in practice, where guidance is often inconsistent, policies vary widely, and the research can feel hard to translate into day-to-day care. We walk through what the studies show, where the evidence is limited, and how this information can be used to support informed, individualized decision-making. (06:15) Evidence on doulas in the operating room (12:53) Participant experiences with doulas in the OR (14:20) Risk of severe perineal tears in subsequent births (17:30) Clarifying repeat tear severity and rates (20:27) White coat hypertension vs. preeclampsia (27:02) How blood pressure should be taken correctly (31:10) Research on white coat hypertension and pregnancy outcomes (36:20) Global trends and rising rates of hypertensive disorders Resources See the full list of references: ebbirth.com/387 Learn more about the EBB Pro Membership: ebbirth.com/become-pro-member/ Get the Evidence on: Skin-To-Skin After Cesarean: ebbirth.com/the-evidence-for-skin-to-skin-care-after-a-cesarean/

In this episode of SurgOnc Today® Dr. Eyal Mor is joined by Dr. Myles Smith, Dr. Cornelius Thiels, Dr. Anai Kothari, and Dr. Heather Lyu to discuss Innovation in Surgical Oncology: Harnessing AI and AR in the Operating Room. Together, they explore how emerging technologies are transforming surgical planning, intraoperative navigation, and education — and how innovation can be integrated into everyday cancer care.

Jaimi Dowdell is Deputy Editor, Data Journalism with Reuters with Megan Lynch. AI is gaining a foothold in hospitals and operating rooms, have there been issues?

What if angels don't always look the way we expect—and what if love can transcend time, space, and even the operating room? In this episode of The Real Life Angel Encounters Podcast, host Christi Clemons Hoffman shares two extraordinary stories centered around grandmothers, healing, and unmistakable signs from the other side. First, Jamie recounts a deeply moving series of synchronicities following her grandmother's passing—including a favorite song, a mysterious letter, and a stunning sign that left no doubt her grandmother was at peace. Then, Laurice shares a breathtaking experience of astral projection in a hospital waiting room, where she found herself in the operating room with her grandmother, her late grandfather, and a massive, protective gargoyle-like angel standing guard. These true stories will leave you inspired, comforted, and reminded that we are never alone—and that our loved ones and angels are closer than we think. ✨ ✨ Real-Life Angel Encounters: Real People Share Real Stories of Miraculous Encounters is available wherever books are sold.

Can Therapists Start a Union? The Antitrust Trap, the Shadow Committee, and the Economic Strangulation of American Psychotherapy Analyzing America's Healthcare Regulations and Their Effect on Us: Why the Law Prevents Therapists from Organizing While Allowing a Private Committee to Fix Prices for the Entire Medical System https://gettherapybirmingham.com/can-therapists-start-a-union-spoiler-alert-they-cant/ The Monthly Rage Thread If you hang around therapist forums long enough, you will see it happen. It operates with the regularity of the tides. Someone posts a thread, usually after receiving a contract from an insurance company offering 1998 rates for 2025 work, and asks the obvious question: “We are the ones providing the care. The system collapses without us. Why don't we just all go on strike? Why don't we form a union and demand fair pay?” It is a logical question. In almost every other sector of the economy, workers who feel exploited band together to negotiate better terms. Screenwriters shut down Hollywood to get paid for streaming residuals. Auto workers walk off the line. Teachers fill the state capitol. Nurses at major hospital systems have successfully unionized and won significant concessions. So why, in the midst of a national mental health crisis, does the mental health workforce remain so politically impotent? The answer is not that we lack will. It is not that we lack organization. The answer is that for private practice therapists, forming a union is a federal crime. This is not a political manifesto. It is an analysis of the bizarre regulatory environment that governs American healthcare, a system of antitrust laws, shadow committees, and bureaucratic classifications that effectively strips clinicians of their bargaining power while empowering the corporations that pay them. If you want to understand why corporate tech monopolies are ruining therapy, or why the corporatization of healthcare feels so suffocating, you have to understand the legal straitjacket we are all wearing. And you have to understand the one group that is allowed to set prices, the one group exempt from the rules that bind the rest of us. Part I: You Are Not a Worker, You Are a Standard Oil Tycoon The primary reason therapists cannot unionize dates back to the era of oil barons and railroad tycoons. The Sherman Antitrust Act of 1890 was designed to prevent massive corporations like Standard Oil from colluding to fix prices and destroy the free market. It prohibits “every contract, combination… or conspiracy, in restraint of trade.” The law was a response to genuine abuses: companies buying up competitors, dividing territories, and coordinating prices to gouge consumers who had no alternatives. Here is the catch: In the eyes of the federal government, a private practice therapist is not a “worker.” You are a business entity. Even if you are a solo practitioner struggling to pay rent in a subleased office, seeing clients between crying in your car and eating lunch at your desk, the law views you as the CEO of a micro-corporation. You are classified as a 1099 independent contractor, not a W-2 employee, and that distinction makes all the difference in the world. If two workers at Starbucks talk about their wages and agree to ask for a raise, that is “collective bargaining,” which is protected by the National Labor Relations Act. But if two private practice therapists talk about their reimbursement rates and agree to ask Blue Cross for a raise, that is “price-fixing.” It is legally indistinguishable, in the eyes of the Federal Trade Commission, from gas stations conspiring to raise the price of unleaded. It sounds absurd, but the FTC takes it deadly seriously. When independent contractors organize to demand higher rates, when they share information about what they are being paid and coordinate their responses, they are engaging in horizontal price-fixing, one of the most serious violations of antitrust law. The Sherman Act provides for criminal penalties, including fines and imprisonment. The law that was meant to break up monopolies is now used to prevent social workers from asking for a cost-of-living adjustment. The irony is crushing. The same regulatory framework that prevents two therapists from discussing their rates allows massive insurance conglomerates to merge repeatedly, concentrating buyer power in fewer and fewer hands. UnitedHealth Group, for example, has acquired dozens of companies over the past two decades, becoming the largest healthcare company in the United States. When they offer a “take it or leave it” contract to providers, they do so with the full knowledge that fragmented, legally prohibited from organizing therapists have no counter-leverage. The antitrust laws, designed to prevent monopoly power, have created a system where sellers are atomized and buyers are consolidated. Economists call this “monopsony,” and it is precisely the market distortion the Sherman Act was supposed to prevent. Part II: The Day the “Learned Profession” Died For a long time, doctors and lawyers thought they were exempt from these laws. They argued that they were “learned professions,” not mere tradespeople, and therefore above the grubby laws of commerce. They believed that their ethical obligations to patients and clients set them apart from the rules that governed steel mills and meatpacking plants. Medicine was a calling, not a business, and surely the government would not regulate the sacred doctor-patient relationship as if it were a commercial transaction. That illusion was shattered in 1975 by the Supreme Court case Goldfarb v. Virginia State Bar. The case involved lawyers, not doctors, but its implications cascaded through every licensed profession in America. The Goldfarbs were purchasing a home and needed a title examination. The Virginia State Bar had established a minimum fee schedule for such services, and every lawyer they contacted quoted the exact same price. They sued, arguing that this fee schedule was illegal price-fixing. The Supreme Court agreed. In a unanimous decision, the Court ruled that professional services, including legal and medical advice, are “trade or commerce” subject to antitrust laws. The “learned profession” exemption, which had been assumed but never explicitly established in law, was declared a myth. “The nature of an occupation, standing alone,” the Court wrote, “does not provide sanctuary from the Sherman Act.” This ruling was intended to lower prices for consumers by preventing lawyers from setting minimum fees, and in that narrow sense it was a good thing. But in healthcare, it had a catastrophic side effect: it made it illegal for doctors and therapists to band together to resist the pricing power of insurance companies. The “learned profession” exemption is dead. We are now just businesses, and businesses are not allowed to hold hands. This creates the illusion of progress: we have “free market” competition among providers, but monopsony power among payers. It is a market where the sellers are forbidden from organizing, but the buyers are allowed to merge until they are too big to fail. The result is not a free market at all. It is a market designed to transfer wealth from one class (providers) to another (insurers and administrators), with the law itself serving as the enforcement mechanism. Part III: The Cartel in the Basement If therapists cannot collude to set prices, surely nobody else can, right? Wrong. There is one group in American healthcare that is allowed to meet in a room, decide what every doctor's time is worth, and set prices for the entire industry. It is called the RUC, the AMA/Specialty Society Relative Value Scale Update Committee. And understanding the RUC is the key to understanding why talk therapy is dying in the medical model, why psychiatrists abandoned the couch for the prescription pad, and why your insurance company offers you a ghost network of providers who never answer the phone. The Birth of a Shadow Government To comprehend the current crisis in mental health economics, one must excavate the foundations of the physician payment system. Prior to 1992, Medicare reimbursed physicians based on a system known as “Customary, Prevailing, and Reasonable” charges. Under this system, physicians were paid based on their historical billing charges. It was inherently inflationary; it rewarded those who raised their fees most aggressively and created wide geographic disparities for identical services. In response to spiraling costs, Congress passed the Omnibus Budget Reconciliation Act of 1989, mandating a transition to a fee schedule based on the resources required to provide a service. This birthed the Resource-Based Relative Value Scale. The intellectual architecture for this system was developed by a team of economists at Harvard University, led by William Hsiao. Hsiao's team sought to create a “unified theory” of medical value, attempting to quantify the “work” involved in disparate medical acts, comparing the cognitive intensity of a psychiatric evaluation with the technical skill of a hernia repair. The Harvard study was revolutionary. It promised to level the playing field, suggesting that cognitive services, the thinking and talking that comprises primary care and mental health, were vastly undervalued relative to surgical procedures. Had Hsiao's original recommendations been implemented purely, the income gap between generalists and specialists might have narrowed significantly. But the administrative complexity of assigning values to over 7,000 Current Procedural Terminology codes overwhelmed the Health Care Financing Administration. Into this administrative vacuum stepped the American Medical Association. The AMA, fearing that the government would unilaterally set prices, proposed a “partnership.” They would convene a committee of experts to maintain and update the relative values, providing this labor-intensive service to the government at no cost. The government accepted. Thus, in 1991, the RUC was born, not as a government agency, but as a private advisory body with unparalleled influence over public funds. The Architecture of Control The RUC's claim to legitimacy rests on its status as an “expert panel.” But a structural analysis of its composition reveals a profound bias that mimics the governance of a cartel designed to protect incumbent interests. The committee consists of 32 members, but power is concentrated in the 29 voting seats. Of these, 21 seats are appointed by major national medical specialty societies. The distribution is not proportional to the volume of services provided to Medicare beneficiaries, nor is it proportional to the physician workforce. Instead, it is frozen in a historical moment that favored high-technology specialties. Primary care physicians, who perform roughly 45 to 50 percent of Medicare work, hold approximately 4 to 5 seats, giving them about 17 percent of the vote. Procedural and surgical specialties, including surgery, radiology, and anesthesiology, hold 15 to 18 seats, giving them roughly 60 percent of the vote despite performing only 35 to 40 percent of Medicare work. The American Psychiatric Association holds a single seat. One seat. This lone representative must negotiate with a supermajority of specialists, neurosurgeons, cardiothoracic surgeons, radiologists, and ophthalmologists, whose financial interests are often diametrically opposed to the valuation of cognitive work. The cartel dynamic is enforced by a statutory requirement of budget neutrality. The Medicare Physician Fee Schedule is a zero-sum game. If the total relative value units projected for a given year exceed the budget, a “scaler” is applied to reduce the conversion factor, effectively cutting everyone's pay. Therefore, any proposal to increase the value of psychotherapy, which would increase the total RVU spend, effectively asks every surgeon in the room to take a pay cut to fund the raise for psychiatrists. Given that a two-thirds majority is required to pass a recommendation, the procedural bloc holds absolute veto power over any redistribution of wealth. The Secret Chamber A hallmark of cartel behavior is the restriction of information. For nearly two decades, the RUC operated in near-total secrecy. While recent years have seen minor concessions to transparency, such as the publication of vote totals, the core deliberative process remains opaque. RUC meetings are private. The public, the press, and even non-RUC physicians are largely barred from attending the deliberations where billions of tax dollars are allocated. Participants, including the specialty advisors who present data, must sign strict non-disclosure agreements. These agreements prevent them from discussing the specific tradeoffs, deals, or arguments made within the chamber. A former RUC participant described these agreements as “draconian,” designed to insulate the committee from public accountability. The Government Accountability Office and the Center for American Progress have noted the inherent conflict of interest. The individuals setting the prices are the same individuals who receive the payments. Unlike a regulatory agency, where officials are salaried and divested of industry assets, RUC members are practicing physicians whose personal incomes are directly tied to the decisions they make. This secrecy serves a functional purpose: it allows for “logrolling.” A representative from Orthopedics might support an inflated value for a Cardiology code in exchange for Cardiology's support on a Knee Replacement code. This “I'll scratch your back” dynamic creates an upward pressure on procedural values that excludes those outside the dominant coalition, specifically primary care and mental health. The Antitrust Shield Why has the Department of Justice not broken up this cartel? The legal shield is the Noerr-Pennington Doctrine. This Supreme Court doctrine establishes that private entities are immune from antitrust liability when they are petitioning the government. Because the RUC technically only “recommends” values to CMS (that is petitioning), and CMS “decides” (that is government action), the RUC is protected by the First Amendment right to petition. This legal loophole allows the RUC to operate with monopolistic characteristics without fear of prosecution, provided CMS continues to go through the motions of “reviewing” the recommendations. And CMS accepts those recommendations over 90 percent of the time. Because private insurance companies generally base their rates on Medicare, this private committee effectively sets the price of healthcare for the entire country. If independent therapists did this, if they gathered in a room and agreed on what their services should cost, they would face criminal prosecution. But because the RUC operates under the fiction of “advising” the government, it is protected. The same regulatory framework that criminalizes therapist solidarity provides cover for industry-wide price coordination by the most powerful medical specialties. Part IV: The Mechanics of Suppression To control a market, one must control its currency. In American medicine, that currency is the Relative Value Unit. Every medical service, from a 15-minute therapy session to a heart transplant, is assigned a total RVU value. This value is the sum of three components: the Work RVU, which accounts for physician time, technical skill, mental effort, and judgment; the Practice Expense RVU, which covers overhead costs like rent, staff, and equipment; and the Malpractice RVU, which reflects professional liability insurance costs. The Work RVU, which comprises roughly 50 to 55 percent of the total value, is determined by RUC surveys. When a code is flagged for review, the relevant specialty society distributes a survey to a sample of its members. These respondents are asked to estimate the time and intensity of the service compared to a “reference service.” This methodology violates several principles of statistical validity. The surveys are voluntary and distributed by the specialty societies themselves. The respondents are typically those most active in the society and most invested in maximizing reimbursement, advocates rather than neutral observers. The sample sizes are often shockingly small; RUC surveys frequently rely on fewer than 50 or 70 respondents to set the price for services performed millions of times annually. A sample of 30 orthopedic surgeons might determine the value of a procedure costing Medicare billions. The Time Arbitrage The most critical variable in the RUC equation is time. The Work RVU is conceptually derived from the formula: Work equals Time multiplied by Intensity. Therefore, inflating the time estimate is the most direct route to inflating the price. Independent studies by RAND and the Urban Institute, often using objective data like Operating Room logs, have consistently shown that the RUC overestimates the time required for surgical procedures. A procedure valued by the RUC as taking 60 minutes may, in reality, take 30 minutes. This creates an arbitrage opportunity. If a gastroenterologist can perform a “60-minute” colonoscopy in 20 minutes, they can effectively perform three procedures in the time allotted for one. They bill for three hours of work in one hour of real time. This “efficiency gain” is captured entirely by the physician as profit. Psychotherapy cannot utilize this arbitrage. CPT codes for psychotherapy are explicitly time-based in their definition. Code 90832 requires 16 to 37 minutes. Code 90834 requires 38 to 52 minutes. Code 90837 requires 53 minutes or more. A psychiatrist cannot perform a 60-minute therapy session in 20 minutes; doing so constitutes fraud. Therefore, the revenue of a psychotherapist is capped by the linear passage of time. They can sell, at maximum, roughly 8 to 10 units of labor per day. A proceduralist, aided by RUC-inflated time assumptions, can sell 20 or 30 units of “RUC time” in the same day. This structural discrepancy creates a widening income gap that no amount of “hard work” by the therapist can close. It is not a market failure. It is market design. The “Thinking” Penalty The RUC's bias is not merely structural; it is philosophical. The committee, dominated by surgeons and proceduralists, consistently values “doing things to people,” cutting, scanning, injecting, far more highly than “talking to people,” diagnosing, counseling, managing complex chronic conditions. This creates a regulatory environment that functions as a de facto wealth transfer from cognitive care to procedural care. In 2013, a major revision of psychiatry codes exposed this bias in stark relief. Previously, psychiatrists used codes that bundled the medical evaluation with the psychotherapy. The new system required psychiatrists to bill an E/M code for the medical management plus an “add-on” code for psychotherapy. While intended to improve transparency, this change exposed psychotherapy to the raw mechanics of the RUC's valuation bias. By isolating the “therapy” component, the committee could subject it to rigorous cross-specialty comparison. And the committee, dominated by surgeons, views “talking to a patient” as low-intensity work compared to “operating on a patient.” The economic signal was clear. This created the 15-minute med check culture not because psychiatrists stopped caring, but because the regulatory environment made relational care financial suicide. It effectively “illegalized” the practice of deep, slow psychiatry for anyone who wanted to take insurance. Part V: The “Messenger Model” and Other Legal Fictions When therapists ask about collective bargaining, lawyers will often point them to the only legal loophole available: the “Messenger Model.” In this model, a third party (the messenger) acts as an intermediary between a group of providers and an insurance company. The messenger takes the insurance company's offer and conveys it to each therapist individually. Each therapist must then make a unilateral, independent decision to accept or reject it. The messenger is strictly forbidden from negotiating. They cannot say, “The group rejects this.” They cannot say, “We want 10% more.” They cannot advise the therapists on what to do. They can only carry messages. This is why “Independent Practice Associations” are often toothless. In the 2008 case North Texas Specialty Physicians v. FTC, the Fifth Circuit Court of Appeals made clear that if an IPA actually tries to leverage its numbers to demand better rates, it violates antitrust laws. If it follows the messenger model, it has no leverage. It is a “heads I win, tails you lose” regulatory structure designed to protect payers, not providers. The only exception is “clinical integration,” where providers genuinely merge their practices, share infrastructure, and accept joint financial risk. But this requires substantial capital investment and essentially means ceasing to be an independent practitioner. It is a legal pathway available mainly to large physician groups and hospital systems, not to solo therapists working out of rented offices. Part VI: Market Distortions and the Flight to Cash When a cartel sets a price below the market equilibrium, suppliers exit the formal market. This is precisely what has happened in psychotherapy. Mental health providers generally have lower overhead than surgeons. They do not need MRI machines or sterile surgical suites. And they face high consumer demand; the national mental health crisis ensures a steady stream of people seeking services. This gives them an “exit option” that proceduralists do not have. They can refuse to accept insurance and operate as cash-only businesses. The statistics are stark. Nearly 50 percent of psychiatrists do not accept commercial insurance, compared to less than 10 percent of other specialists. A 2023 survey indicated that 64 percent of private practice therapists planned to increase their cash-pay rates. Research published in Health Affairs Scholar found that patients are 10.6 times more likely to go out-of-network for mental health care than for medical/surgical care. This mass exodus is a rational economic response to RUC-suppressed rates. If the RUC says an hour of therapy is worth $100 via the RVU-to-dollar conversion, but the market demand is willing to pay $250, the provider will leave the RUC-controlled sector. They are not abandoning their profession; they are abandoning a pricing regime that values their work at less than half its market rate. Ghost Networks The RUC's pricing failure creates “Ghost Networks,” directories filled with providers who are ostensibly “in-network” but are functionally inaccessible. They are either full, not accepting new patients, retired, have moved, or simply do not respond to inquiries from insurance-based patients because the administrative burden of prior authorizations and clawbacks outweighs the suppressed fee. This is not a “shortage” of providers in the absolute sense. There is no shortage of therapists in private practice. There is a shortage of therapists willing to work at the RUC-determined price point. The insurance directories are graveyards of phantom availability, creating the illusion of access where none exists. The Cost Paradox The central thesis of the RUC's defenders is that they “control costs.” By strictly managing RVUs, they claim to save taxpayer money. In psychotherapy, this logic backfires catastrophically. By suppressing reimbursement rates to a level that drives providers out of the network, the RUC forces patients into the cash market. The theoretical in-network cost might be a $20 copay with the insurer paying $100. The actual out-of-network cost is $250 cash out-of-pocket, paid in full by the patient. Thus, the “cost of therapy” for the consumer skyrockets. Therapy becomes a luxury good, accessible only to those with disposable income. For the poor and middle class, the “cost” is effectively infinite, because the service becomes inaccessible. The RUC's cost-control measure for the system becomes a cost-multiplier for the patient. It shifts the financial burden from the risk pool, where it belongs, to the individual, where it causes maximum harm. The Signal to Students The RUC sends powerful economic signals to medical students making career decisions. When a student observes that a dermatologist or radiologist can earn $500,000 working regular hours, while a psychiatrist earns $240,000 handling emotional trauma and on-call emergencies, while a primary care doctor earns even less, the choice is clear for those motivated by financial security. The undervaluation of cognitive codes discourages the best and brightest from entering mental health and primary care. The cartel's pricing structure creates a perpetual labor shortage in the fields most needed for public health, while creating a surplus in high-margin procedural specialties. We then wonder why there are not enough psychiatrists, why primary care is in crisis, why mental health access is collapsing. The answer is in the price signal, and the price signal is set by a committee of proceduralists meeting behind closed doors. The Hands Are Tied The question “Why can't therapists start a union?” is not just a labor question. It is a window into the broken soul of American healthcare. We have built a system where a secret committee of proceduralists can legally fix prices to favor surgery over therapy, but a group of social workers cannot band together to ask for a living wage. We have utilized laws meant to break up Standard Oil to break up the solidarity of caregivers. The same regulatory framework that criminalizes therapist coordination provides legal cover for industry-wide price coordination by the most powerful medical specialties. The result is a regulatory environment that drives doctors crazy, burns out therapists, and leaves patients navigating a fragmented, assembly-line system that was never designed to heal them. It was designed to process them. Until we confront the legal architecture of this system, the RUC, the Sherman Act, the 1099 trap, we will remain powerless to change it. And the reality of therapy is that quick fixes, whether in treatment or in policy, usually end up costing us more in the end. Some states are beginning to push back. New York and California have implemented strict network adequacy standards requiring mental health appointments within 10 business days. These regulations force insurers to expand their networks, which means they must attract providers, which means they must raise reimbursement rates above the RUC/Medicare floor. It is effectively a state-level override of the RUC cartel, forcing capital back into the mental health labor market. The Medicare Payment Advisory Commission has long advocated for stripping the RUC of its power, proposing the use of empirical data, tax returns, payroll records, practice invoices, to set values automatically. But these are patchwork solutions to a systemic problem. The fundamental issue remains: we have created a healthcare system that knows the price of everything and the value of nothing. We have engineered a system where the only way to survive is to stop acting like a healer and start acting like a factory. And we have wrapped this system in a legal framework that criminalizes resistance while protecting the status quo. The hands are tied. But at least now we can see the ropes. Bibliography For those interested in the primary sources and legal texts that underpin this analysis, the following external resources provide high-trust verification of the claims made above: Goldfarb v. Virginia State Bar, 421 U.S. 773 (1975): The Supreme Court decision that ended the “learned profession” exemption from antitrust laws. Read the Oyez Summary. The Sherman Antitrust Act (15 U.S.C. §§ 1–7): The foundational text of US antitrust law prohibiting restraint of trade. Read the Document at the National Archives. North Texas Specialty Physicians v. Federal Trade Commission (5th Cir. 2008): A key ruling establishing that independent physicians cannot collectively bargain on fees without financial integration. Read the Court Opinion. FTC/DOJ Statements of Antitrust Enforcement Policy in Health Care (1996): The federal guidelines explaining the “Messenger Model” and the narrow exceptions for clinical integration. Read the Guidelines (PDF). The RUC (AMA/Specialty Society RVS Update Committee): The AMA's own description of the committee structure and its role in valuing physician work. Visit the AMA RUC Page. “Special Deal” by Haley Sweetland Edwards (Washington Monthly, 2013): An investigative deep-dive into how the RUC operates and its impact on primary care vs. specialty pay. Read the Investigation. The National Labor Relations Act (NLRA): The law governing the right to unionize, which specifically excludes independent contractors. Read the NLRA. Laugesen, Miriam J. Fixing Medical Prices: How Physicians Are Paid. Harvard University Press, 2016. The definitive scholarly analysis of the RUC's history, structure, and influence on American healthcare pricing. Government Accountability Office. “Medicare Physician Payment Rates: Better Data and Greater Transparency Could Improve Accuracy.” 2015. GAO's critical analysis of RUC methodology and conflicts of interest. Center for American Progress. “Rethinking the RUC.” 2015. Policy analysis of the RUC's structural bias against primary care and cognitive services. Health Affairs Scholar. “Insurance Acceptance and Cash Pay Rates for Psychotherapy in the US.” 2023. Empirical research on out-of-network utilization in mental health care. Medicare Payment Advisory Commission (MedPAC). “Report to the Congress: Medicare and the Health Care Delivery System.” 2024. Annual policy recommendations including proposals for reforming physician fee schedule methodology. Joel Blackstock, LICSW-S, is the Clinical Director of Taproot Therapy Collective in Hoover, Alabama. He specializes in complex trauma treatment and writes at GetTherapyBirmingham.com.  

How do you go from managing a gym to managing trauma cases in the Operating Room?In this episode, we sit down with Roo Cotter, a former personal trainer who made the incredible leap into the high-stakes world of medical device sales. Roo shares her journey of getting recruited by a gym member to work for Stryker Trauma, navigating the chaos of 14-hour days in the O.R., and her recent pivot into the innovative field of cancer diagnostics with Exact Sciences.If you are an athlete, a trainer, or someone looking to break into medical sales but don't know where to start, this conversation is for you. Roo breaks down how she used grit, networking, and the Medical Sales U program to land her dream job in under two months.IN THIS EPISODE, YOU WILL LEARN:- The unlikely path: How working hard at a gym led to a "lucky" break in MedTech.- The reality of Trauma: What it's really like to be on call 24/7 (and why it teaches you resilience).- Ortho vs. Diagnostics: Why Roo transitioned from the "meathead" world of orthopedics to early cancer detection.- Networking Hacks: How to get internal referrals and skip the "ghosting" phase of job applications.- Mental Toughness: Balancing a high-pressure career with the "1000 Hours Outside" challenge.CHAPTERS:0:00 - Intro: From Personal Trainer to the O.R. 1:55 - Why a Finance Major chose Fitness2:45 - Building relationships with doctors at the gym5:40 - Getting scouted: The Story of landing the Stryker job8:37 - The harsh reality of Trauma Sales (and 14-hour days)13:25 - Transitioning to Neuromodulation (Nalu Medical)16:00 - The Pivot to Diagnostics: Joining Exact Sciences19:15 - How Medical Sales U helped speed up the process24:00 - Avoiding Burnout: The "1000 Hours Outside" ChallengeREADY TO BREAK INTO MEDICAL SALES? If you want to fast-track your career like Roo did, check out our program. We help professionals transition into top-tier medical sales roles: medicalsalesu.com/About the Guest: Roo Cotter is a Medical Sales Professional with experience in Trauma, Neuromodulation, and Diagnostics. A Miami University graduate, she combines her background in finance and fitness to bring a unique, disciplined approach to the O.R.#MedicalSales #Stryker #CareerPivot #PersonalTrainer #MedicalDeviceSales #ExactSciences #SalesCoaching #CareerAdvice #OrthoDisclaimer: The views expressed in this video are those of the participants and do not necessarily reflect the official policy or position of any other agency, organization, employer, or company.

What does a canceled flight have in common with a canceled surgical case? More than you might think. In today's article, Lindsay Joyce, MSN, RN, CNOR shares a personal travel story that unexpectedly reframed how she thinks about case cancellations by seeing them through the patient's perspective. Through delays, rebookings, confusion, and loss of control, she draws a powerful parallel between airline disruptions and the very real emotional, financial, and logistical impact a canceled case can have on patients and their families. This article is a timely reminder that while a cancellation may feel like a brief pause or even a coffee break for staff, it can be a major disruption for the patient. Clear communication, empathy, and transparency matter more than we sometimes realize. ------- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #FirstCase #Podcast #OperatingRoom #Surgery #ArticlesOnTheGo #ornurse #scrubtech 

Through the development of guidelines and education, AORN helps advance the science of sterile processing and promote it as an integral part of the surgical continuum. One way AORN works toward meeting that goal is through the activities of the Sterile Processing & Supply Chain Specialty Assembly. In episode 141, host Casey Czarnowski speaks with Julie Gorog, a long-time member of the Specialty Assembly who also serves as a Clinical Education Consultant with ASP. She discusses how AORN intersects with Sterile Processing (SP), explains the type of work in which the Specialty Assembly is involved throughout the year, and shares how SP professionals can get involved. ABOUT OUR GUEST Julie Gorog Clinical Education Consultant ASP Julie Gorog, RN, BSN, CNOR, has 28 years of combined clinical and supply chain experience, beginning as a perioperative nurse in 1997. In 2016, she joined Advanced Sterilization Products as a clinical education consultant, providing clinical expertise in sterilization and high-level disinfection. She provides education on best practices at AORN, APIC and HSPA conferences, as well as to staff in Operating Room, Sterile Processing and Endoscopy departments. She has held the following positions within AORN of San Diego County: Chapter President, Board Member, and Chair of the Ways and Means and Research Committees. She currently serves as Council Chair of AORN’s Sterilization and Supply Chain Specialty Assembly. Gorog earned her Bachelor of Science in Nursing from the University of Alaska Anchorage and is a Registered Nurse in California. Earn CE Now

Orthopedics is one of the busiest, and most equipment-intensive, service lines in health care. In this First Case Articles on the Go episode, Lindsay Joyce and Melanie Perry break down the Top 10 (plus one) foundational things every perioperative professional should know about working in orthopedic surgery. From nerve blocks and imaging to implants, positioning, labs, and dressings, this episode focuses on the universal essentials that set teams up for safe, efficient, and successful orthopedic cases.

A Spine Surgeon's Journey: Seeing the Operating Room From Both SidesWhat happens when a spine surgeon becomes a patient?In this powerful episode of Get Back To It, Dr. David Polly shares his deeply personal journey of moving from the surgeon's chair to the patient's bed. After years of treating complex spine conditions, Dr. Polly experienced firsthand what it's like to navigate pain, uncertainty, and recovery from the other side of the operating room.Through honest reflection, he explores how this experience reshaped his understanding of healing, empathy, and patient care—and how it continues to influence the way he practices medicine today. This conversation offers valuable insight for patients, caregivers, and medical professionals alike, reminding us that recovery is not just physical, but profoundly human.

Are you trying to break into medical sales but stuck deciding between Pharmaceutical and Medical Device? Or maybe you're curious about the high-growth world of Diagnostics and Genomics?Today, we discuss the differences in pay, lifestyle, and entry-level requirements for each path. Whether you want the adrenaline of the Operating Room or the stability of a $130k+ base salary in Pharma, this episode covers the 12 key distinctions you need to know before applying. IN THIS EPISODE YOU WILL LEARN:The Personality Test: Why "Engineers" love Device and "Scientists" love Pharma.The Paycheck: Real breakdown of base salaries vs. uncapped commissions.The Hidden Third Option: Why Oncology Diagnostics/Genomics might be the "Goldilocks" career path.Work-Life Balance: The reality of on-call surgical hours vs. the 9-to-5 pharma life.Success Stories: How a nurse (Sydney) and an immigrant (Kanika) broke in with $150k-$200k packages.READY TO BREAK IN? If you are struggling to get offers or don't know where to start, we help people from all backgrounds (nurses, coaches, teachers) launch their medical sales careers.Apply to Medical Sales U at medicalsalesu.com/TIMESTAMPS:00:00 - Intro: The common dilemma (O.R. vs. Samples).01:06 - The 3 Paths: Pharma, Device, and Diagnostics.02:15 - Science vs. Engineering: Which fits your brain?04:35 - Salary Reveal: Entry-level Pharma Pay ($95k-$135k base).06:10 - The "Associate" Role: Why Device base pay starts lower.07:40 - The Top 1%: Earning potential ($300k - $750k).09:15 - Diagnostics Pay: The sweet spot?10:30 - The Sales Process: Who are you actually selling to?13:50 - Lifestyle Check: Early mornings vs. Family flexibility.17:15 - Career Advancement: From Rep to Regional Director.22:15 - Student Success: From $68k to $200k total comp.ABOUT MEDICAL SALES U: Medical Sales U is the premier training program for professionals looking to break into high-paying careers in Medical Device, Pharmaceutical, and Genetic Testing sales. We turn "outsiders" into top 1% candidates.CONNECT WITH US:Learn more about coaching and career support at medicalsalesu.com/#MedicalSales #PharmaceuticalSales #MedDevice #SalesCareer #DaveSterritt #CareerAdvice #HighPayingJobs #SalesTips

It's hard to believe that Thanksgiving is next week! As we head into the holiday, it's a good time to reflect on the many things we're grateful for, both personally and professionally. In the latest First Case Articles on the Go, Melanie highlights a thoughtful (and relatable) Top 10 list of things we appreciate most about working in the operating room. 

“Hard things are worth doing.”In this powerful episode of the Special 2025 Healthcare in the Age of Personalization Series, pediatric neurosurgeon Dr. Amanda Saratsis shares why purpose, grit, and leadership are essential to reclaiming dignity in healthcare — especially for our most vulnerable patients.Here's what Dr. Saratsis reveals:• Why surgical precision and musical discipline go hand-in-hand• How physician burnout is tied to standardized systems that dehumanize care• Why pediatric cancer is rising — and what needs to change fast• How technology and personalization are reshaping trust at the bedsideIt's an urgent call for healthcare leaders to lead with empathy, act faster, and never forget who they're here to serve.---------------------------------------------------------------------------------------------------------------------------

In this episode of What Happens in Vagus, Dr. Stephanie Canestraro sits down with Dr. Kendal Stewart, a board-certified neurotologist who made the remarkable transition from neurosurgery to functional medicine. Together, they unpack how understanding root causes, not just symptoms, can transform patient outcomes. Dr. Stewart dives deep into the lasting neurological effects of COVID, explaining how inflammation and immune activation can alter the brain and body. The two explore the critical connection between genetics, immune response, and hormonal balance, especially when it comes to mast cell activation in women.Listeners will also learn why turning off inflammation is key to recovery, how insulin resistance quietly impacts overall health, and the promising role of peptides and exosomes in immune and neurological repair. Dr. Stewart shares how personalized medicine, nutrigenomics, and genetic testing allow practitioners to tailor treatments that target inflammation, neurotransmitter imbalances, and gut dysfunction at their source. This conversation is a must-listen for anyone interested in the intersection of genetics, functional medicine, and cutting-edge approaches to healing from the inside out.More on Dr. Stewart: As a board-certified neurotologist with advanced training in both surgery and cellular science, Dr. Kendal Stewart has dedicated his life's work to uncovering root causes and tailoring individualized solutions through genetic testing, functional medicine, and integrative care. His approach emphasizes prevention as much as treatment, using lifestyle, nutrition, and nervous system support as daily fuel for better brain function. A nationally recognized expert in neuroimmune disorders— including genetic abnormalities, chronic pain, ADD/ADHD and autism spectrum conditions, he provides practical tools to regulate stress, stabilize energy, boost mental clarity, and gain overall wellness. Dr. Stewart brings not only clinical authority but also an empowering, real-world lens—helping families, patients, and professionals better understand and improve the nervous system and immune function.Tune into Coffee with Dr. Stewart hereFollow him on Instagram hereKeywords: functional medicine, neurotology, inflammation, genetics, immune system, COVID-19, mast cell activation, insulin resistance, peptides, neurotransmitters, personalized medicine, plasmapheresis, exosomes, gut health, nutritionLet us know your thoughts on this episode here

When was the last time you stepped outside your service line?  In this week's Articles on the Go, Lindsey Joyce, MSN, RN, CNOR, shares her story of working outside her cardiac specialty, and the unexpected lessons that came with it. From scrubbing a gallbladder case to circulating a robotic procedure, Lindsey reminds us that staying well-rounded isn't just good for our patients, it's essential for our careers. Working in the operating room is full of surprises. Keeping your skills sharp across specialties helps you stay flexible, confident, and ready for whatever comes next.

The blog postIn this episode, Mark Graban shares a powerful story from an operating room that highlights the importance of culture, leadership, and psychological safety in healthcare. A nurse noticed a small break in sterility, spoke up, and apologized. The surgeon's response? “Don't be sorry, you're being safe.”That short exchange changed the tone of the entire room. Instead of discouraging or shaming, the surgeon encouraged and reinforced the nurse's action — preserving not only sterility, but also trust.Mark unpacks why moments like this matter so much, how leaders' real-time reactions shape culture, and why “you're being safe” should be the norm in every hospital. He connects the story to key themes from The Mistakes That Make Us and Lean Hospitals, emphasizing that safety and respect for people aren't abstract ideals — they're daily practices that save lives and build better systems.Whether you work in healthcare, manufacturing, or any high-stakes environment, this episode challenges you to reflect: How do you respond when someone speaks up? Do you reward their courage — or risk silencing it?

Surgeons are often seen as unshakable figures in the OR, but behind the scalpel lies a human story of triumphs, challenges, and compassion. In today's Articles on the Go, Lindsay Joyce, MSN, RN, CNOR, reviews Brain and Heart: The Triumphs and Struggles of a Pediatric Neurosurgeon by Dr. David Sandberg. From high-stakes neurosurgeries to medical mission trips, this memoir offers an inspiring look into the realities of pediatric surgery—and the humanity that drives it. ----- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #operatingroom #ornurse #scrubtech #surgery #perioperative

Your doctors might be prioritizing the climate agenda above your wellbeing. In this episode of Created to Reign, Dr. David Legates discusses the latest casualties in the "green" crusade. Visit our podcast resource page: https://cornwallalliance.org/listen%20to%20our%20podcast%20created%20to%20reign/Our work is entirely supported by donations from people like you. If you benefit from our work and would like to partner with us, please visit www.cornwallalliance.org/donate.

Welcome to another episode of the Legal Nurse Podcast, hosted by Pat Iyer. In today's episode, Pat brings on Karen Vacca, a highly experienced operating room nurse and perioperative expert witness, to pull back the curtain on what really happens in the OR when it comes to skin integrity and patient safety. From her extensive background assisting in complex surgeries like open-heart and neurosurgery, Karen shares her valuable insights on the critical processes that prevent injury, particularly focusing on pressure injuries, proper patient positioning, and the importance of team collaboration in maintaining skin health during long, intricate procedures. Together, Pat and Karen delve into the legal and clinical challenges surrounding OR skin injuries—exploring scenarios that can lead to litigation, the documentation legal nurse consultants should look for, and real-world protocols put in place to minimize risk. They discuss the essential roles and responsibilities of each surgical team member, highlight the importance of pre- and post-operative skin assessments, and address high-risk patient populations as well as technological advancements in OR surfaces and mattresses. But the conversation doesn't stop at pressure and positioning injuries—in a riveting segment, Karen and Pat also tackle the sobering risk of operating room fires, investigating the fire triangle, prepping solutions, and how production pressures can sometimes jeopardize patient safety. This episode offers in-depth commentary, expert tips, and a behind-the-scenes look into a world that's as fascinating as it is essential. What you'll learn in this episode on Legal Risks and Nurse Responsibilities Here are 5 questions that this podcast answers: What are the key responsibilities of the OR (operating room) team in preventing skin integrity issues such as pressure injuries during surgery? Who is accountable for correct patient positioning and padding in the operating room—and how should this be documented? What risk factors make certain patients more susceptible to skin breakdown and pressure injuries during surgical procedures? How do fires occur in the operating room, and what steps can OR staff take to reduce or prevent these dangerous events? What should legal nurse consultants look for in medical records when investigating cases involving pressure injuries or operating room fires? Listen to our podcasts or watch them using our app, Expert.edu, available at legalnursebusiness.com/expertedu. Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. Grow Your LNC Business 12th LNC SUCCESS® ONLINE CONFERENCE November 13, 14 & 15, 2025 https://www.youtube.com/watch?v=8peerVDfDM4 https://www.youtube.com/watch?v=V4IRhuuO6Bo https://www.youtube.com/watch?v=wqv8dbibTLM Gain Specialized Skills That Attorneys Value Learn advanced techniques in deposition analysis, case screening, and report writing to provide high-impact services that attorneys need and trust. Stay Competitive with Cutting-Edge Strategies Discover how AI tools, LinkedIn marketing, and expert insights can help you streamline your workflow, attract more clients, and position yourself as a top-tier LNC. Build Meaningful Connections with Experts & Peers Network with experienced LNCs, attorneys, and industry leaders who can provide guidance, referrals, and opportunities to grow your legal nurse consulting business. Register now- Limited spots available Your Presenters for Operating Room Skin Integrity: Legal Risks and Nurse Responsibilities Pat Iyer Pat Iyer is a seasoned legal nurse consultant and business coach renowned for her expertise in guiding new legal nurse consultants to successfully break into the field. As the host of the Legal Nurse Podcast,

On the show this week: Dustin Vaughan, VP of R&D for Robotics at Ascensus, discusses the strategic direction and priorities of his team, focusing on the development of the Luna platform. Vaughan highlights the importance of performance-guided surgery and the integration of augmented intelligence to enhance clinical support systems. Vaughan also addresses the challenges of navigating regulatory landscapes and cybersecurity concerns while emphasizing the potential of robotics and automation in the medical field. He expresses optimism about the future of surgical robotics, particularly in pediatric care, and the role of AI in improving surgical outcomes. The conversation underscores the commitment to delivering innovative, cost-effective solutions that enhance patient care and operational efficiency in the operating room. Also featured during the news section is Anders Beck, VP of Technology, Universal Robots, with a manufacturer's perspective on the new collaborative robotics standards changes.

09-15-25 - BR - MON - New Trend Of Credit Card Machines At Weddings - Routine Drug Incineration Sends Employees To Hospital - Doctor Fined For Leaving Surgery To Have Sex w/Nurse In Another Operating RoomSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

09-15-25 - BR - MON - New Trend Of Credit Card Machines At Weddings - Routine Drug Incineration Sends Employees To Hospital - Doctor Fined For Leaving Surgery To Have Sex w/Nurse In Another Operating RoomSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

What if humanity's most terrifying alien abduction stories aren't from outer space at all, but from something much closer—the forgotten memories of surgery gone wrong? A disturbing medical theory suggests that thousands of people claiming extraterrestrial encounters may actually be remembering moments of accidental consciousness in the operating room, where masked surgeons become gray aliens and surgical lights become UFOs.Join the DARKNESS SYNDICATE for the ad-free version: https://weirddarkness.com/syndicateTake the WEIRD DARKNESS LISTENER SURVEY and help mold the future of the podcast: https://weirddarkness.com/surveyIN THIS EPISODE: What if humanity's most terrifying alien abduction stories aren't from outer space at all, but from something much closer—the forgotten memories of surgery gone wrong? A disturbing medical theory suggests that thousands of people claiming extraterrestrial encounters may actually be remembering moments of accidental consciousness in the operating room, where masked surgeons become gray aliens and surgical lights become UFOs.SOURCES AND RESOURCES FROM THE EPISODE…https://weirddarkness.com/alien-abductions-operating-room-theory/=====(Over time links may become invalid, disappear, or have different content. I always make sure to give authors credit for the material I use whenever possible. If I somehow overlooked doing so for a story, or if a credit is incorrect, please let me know and I will rectify it in these show notes immediately. Some links included above may benefit me financially through qualifying purchases.)= = = = ="I have come into the world as a light, so that no one who believes in me should stay in darkness." — John 12:46= = = = =WeirdDarkness® is a registered trademark. Copyright ©2025, Weird Darkness.=====Originally aired: September 09, 2025EPISODE PAGE at WeirdDarkness.com (includes list of sources):ABOUT WEIRD DARKNESS: Weird Darkness is a true crime and paranormal podcast narrated by professional award-winning voice actor, Darren Marlar. Seven days per week, Weird Darkness focuses on all thing strange and macabre such as haunted locations, unsolved mysteries, true ghost stories, supernatural manifestations, urban legends, unsolved or cold case murders, conspiracy theories, and more. On Thursdays, this scary stories podcast features horror fiction along with the occasional creepypasta. Weird Darkness has been named one of the “Best 20 Storytellers in Podcasting” by Podcast Business Journal. Listeners have described the show as a cross between “Coast to Coast” with Art Bell, “The Twilight Zone” with Rod Serling, “Unsolved Mysteries” with Robert Stack, and “In Search Of” with Leonard Nimoy.DISCLAIMER: Ads heard during the podcast that are not in my voice are placed by third party agencies outside of my control and should not imply an endorsement by Weird Darkness or myself. *** Stories and content in Weird Darkness can be disturbing for some listeners and intended for mature audiences only. Parental discretion is strongly advised.NOTE: Some of this content may have been created with assistance from AI tools, but it has been reviewed, edited, narrated, produced, and approved by Darren Marlar, creator and host of Weird Darkness — who, despite popular conspiracy theories, is NOT an AI voice.#AlienAbduction, #UFOEncounters, #UnexplainedMysteries, #SurgicalAwareness, #TrueCreepy

In 2011, an EF5 tornado ripped through Joplin, Missouri, destroying St. John's Regional Medical Center and claiming 158 lives. Lindsey Joyce narrowly missed being there that day, and now she's sharing her story, along with five critical tornado preparedness tips every OR team should know. ----- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #operatingroom #ornurse #scrubtech #surgery #perioperative  

Bill Gruber, Medical Device Executive and Author, shares a client horror story that starts off puzzling—but ends with a powerful lesson in emotional intelligence and professionalism.   The story dates back 20 years, when Bill was head of sales and marketing for a spinal products company. His team was preparing to launch a new device and had secured a respected surgeon to perform the first-ever procedure on a human patient. Everything seemed on track—until they entered the operating room. The once upbeat, easygoing doctor suddenly turned volatile—screaming at nurses, cursing at the team, and even causing the patient to slide on the table. Then, just as abruptly, he returned to his cheerful self after the procedure.   It wasn't until later that Bill learned the doctor was in the middle of a brutal divorce—and the anesthesiologist in the room was his soon-to-be ex-brother-in-law.   This eye-opening episode is a masterclass in understanding how personal issues can spill into professional settings. Don't miss it—you'll never look at “doctor demeanor” the same way again.   Morgan Friedman Bill's Website Bill's LinkedIn Bill's Instagram Bill's Facebook

Psychic Julie Ryan details what really happens when a person crosses over. We discuss angels, spirit guide, psychic abilities and so much more in this episode.Get Julie Ryans Book Absolutely FREE Work At https://www.AskJulieRyan.com Get 50% off the Magic Mind offer here: https://magicmind.com/TS50 . #magicmind #mentalwealth #mentalperformance

What do therapy dogs and data-driven strategies have in common? They're both helping to move the needle on patient safety. In this APIC 2025 Annual Conference recap, hosts Kelly Holmes and Lerenza Howard spotlight two infection prevention pros. Maria Vacca shares how her hospital centralized high-level disinfection to boost safety and efficiency. Later in the episode, Rachel Hyatt unveils a heartwarming initiative that taps into the charm of therapy dogs to revolutionize hand hygiene compliance. Hosted by: Kelly Holmes, MS, CIC, FAPIC and Lerenza L. Howard, MHA, CIC, LSSGB About our Guests: Maria Vacca Maria earned her BSN and Masters of Science in Nursing from Drexel University, graduating Summa cum Laude for both degrees. She began her nursing career in Critical Care and transitioned to the Infection Control Department in 2004 when Infection Prevention and Control quickly became her passion. Over the course of her career, she's had the opportunity to provide oversight and obtain experience in numerous Infection Control roles including High Level Disinfection and Sterilization, Infection Prevention oversight of Ambulatory Practices and Regulatory Compliance Coordinator. Maria's Lean Six Sigma training helped her lead numerous successful performance improvement projects for which her teams have won several awards, presentations and publications. She was the principle investigator for a Covid-19 research study that was published in the June 2022 issue of AJIC. Maria received recognition as a APIC Fellow (FAPIC) in 2022. Maria and colleagues successfully submitted a poster presentation to APIC's 2025 Annual conference titled “From Decentralized to Centralized: Successfully Transforming High-Level Disinfection Practices in the Operating Room of a Large Academic Hospital." Rachel Hyatt Rachel Hyatt is a Community Health Specialist with a Masters in Business Administration. She driven by a passion for innovation and process improvement. As an Administrative Assistant with Infection Prevention for over two years, Rachel coordinated large-scale initiatives, from accreditation surveys to system-wide health campaigns. Her diverse experience in customer service, animal control, and zookeeping has given her a unique lens on behavior, shaping her approach to public education and engagement. Her ability to merge strategic planning with creativity fuels her mission to develop engaging, effective solutions in healthcare and community wellness. She is passionate about leveraging innovative ideas and interactive outreach to inspire lasting, positive change. Rachel successfully submitted an oral abstract presentation to APIC's 2025 Annual conference titled “Wash Your Paws: Using Creative Canine Marketing and Therapy Dogs to Promote Hand Hygiene Compliance.”

Who is Howard?Howard Polansky is a pragmatic individual who navigates life's financial intricacies with a focus on strategic decision-making. Recognizing common defaults in financial practices, he often critiques the conventional 30-year mortgage system prevalent in the United States. Polansky understands that while many opt to pay extra on their monthly mortgage to reduce the term, the fixed nature of the monthly payment remains unchanged, a topic he frequently discusses. His insights reflect a deep understanding of financial commitments, emphasizing the impact of additional payments and highlighting the etymology of "mortgage" as a lasting "death pledge." Through his observations, Polansky shares his wisdom on making informed financial choices.Key Takeaways00:00 "Cash Flow Chat with Howard"06:03 Pay Yourself First, Always08:01 "Ebook Insights on Home Equity"12:40 "Prepare Financially During Success"16:21 "Key Unasked Question"19:32 "Motivating Business Financial Freedom"_________________________________________________________________________________________________Subscribe to our newsletter and get details of when we are doing these interviews live at https://systemise.me/newsletterFind out more about being a guest at : link.thecompleteapproach.co.uk/beaguestSubscribe to the podcast at https://link.thecompleteapproach.co.uk/podcastHelp us get this podcast in front of as many people as possible. Leave a nice five-star review at apple podcasts : https://link.thecompleteapproach.co.uk/apple-podcasts and on YouTube : https://link.thecompleteapproach.co.uk/Itsnotrocketscienceatyt!Here's how you can bring your business to THE next level:If you are a business owner currently turning over £/$10K - £/$50K per month and want to grow to £/$100K - £/$500k per month download my free resource on everything you need to grow your business on a single page :systemise.meIt's a detailed breakdown of how you can grow your business to 7-figures in a smart and sustainable way————————————————————————————————————————————-TranscriptNote, this was transcribed using a transcription software and may not reflect the exact words used in the podcast)SUMMARY KEYWORDSCash flow, cash flow coach, financially led, debt management, high debt professions, medical debt, student loan debt, mortgage payments, fixed debt payments, paying off debt, interest reduction, offset mortgage, home equity line of credit, business owners, business cash flow, paying yourself first, tax payments, IRS, emergency fund, financial planning, risk management, business continuity, business loans, personal finance education, burnout, work-life balance, entrepreneur finances, insurance planning, financial ebook, income preservationSPEAKERSHoward Polansky, Stuart WebbStuart Webb [00:00:33]:Hi, and welcome back to It's Not Rocket Science, five questions over coffee. I haven't actually got a coffee in front of you at the moment. This is actually fruit tea, because if I drink too much coffee, after lunchtime, I start to go to sleep. And I don't wanna go to sleep right at the moment because I'm really interested in speaking with Howard Polanski. Howard is a he's a cash flow coach, who doesn't need to speak to one of those nowadays. Howard is the cash flow coach at Financially Led, and we're we're gonna get into what that means at the moment. But who doesn't wanna spend some time thinking about cash flow and how to preserve it in these days? So, Howard, welcome to It's Not Rocket Science, five questions over coffee, and I trust you're ready to take us through cash flow and financially led.Howard Polansky [00:01:26]:Thank you, Stuart. Thank you for the opportunity.Stuart Webb [00:01:30]:It's It's terrific. So let's start with, let's just start. You're you're you're a former dentist, so we'll get into how you ended up in this situation. But who is it you're trying to help with your advice on on cash flow and and financial matters overall?Howard Polansky [00:01:47]:Those that don't like being in debt. And if we're talking about people let me just use The US since that's where I'm based. Those professions that are high debt type of professions, medical doctors, dentists, chiropractors, optometrists, lawyers, where they just have these massive fixed payments that they're trying to navigate around. And sometimes it feels like all I'm doing is going to work to literally pay off these debts. When do I get to enjoy my life?Stuart Webb [00:02:25]:Yeah.Howard Polansky [00:02:25]:And and I'm not saying that there's not other industries that face that challenge, but those are the obvious ones that if there is a way for us to minimize the impact of those fixed debt payments, get them out of our lives sooner, pay less interest. Now all of a sudden, you have more money freed up at the end of each month.Stuart Webb [00:02:47]:And and and, Howard, I'm I'm sure you can you can sort of, you can help us to understand this, but was that a situation that you were in as a dentist? Did you find yourself wondering every day, why am I doing this? There must be an easier way to make a loss, and that's what you led you to where you are?Howard Polansky [00:03:05]:Well, I didn't know if that was gonna be the question now or it was gonna be question number five in terms of how I got into this. If you wanna wait until then, we can, or you want me to go through the story now, I will.Stuart Webb [00:03:16]:Yeah. I'll put it I'll put it to you as question five. Let's just talk a little bit more about how you, what you the the sort of things that the the people you've helped have got into the sort of trouble they have, and what are they trying to do to get out of it? What is it what is it you see when you sort of they they eventually engage an expert like you and you start dealing with them? So they they recognize eventually they they have a problem and they need to do something about it.Howard Polansky [00:03:42]:Yeah. So, I mean, one of the I hate to call it a mistake, but one of the ways that people are doing it just because it's either it's by default or by design. And so by default, they're like, I've got this mortgage. Let's just say that. And in The US it's a thirty, traditionally a thirty year mortgage. Well, I don't wanna pay on this for thirty years, so let me throw a little bit of additional money against this. So if I've got a $2,000 mortgage, let me put 2,200 and I know that's going to save me some time. The problem is, what's your payment the next month? It's still the $2,000 It does not change when you put extra money against the mortgage because the more mortgage is two French words put together, which literally means death pledge.Howard Polansky [00:04:39]:So the system is set up for you to make payments until the day you die or you're gonna die trying. This allows you and, again, you're we're over on different sides of the pond, so I'm not gonna keep this a secret. Over in The UK and Australia, they're known as offset mortgages. So the open ended mortgages where all of the money can go in to lower the overall balance of the debt. When you lower the overall balance of the debt, you're lowering the amount of interest you pay on a daily basis. And then when the expenses come due, you just take that much out, but you've got the excess now attacking the entirety of the debt versus the way that it's set up in The US. They have a one way street known as your house in front of you. You only make the minimum payment because you're like, if I put more money in, I can't get the money back out.Howard Polansky [00:05:42]:And when we don't have access to money, that's when people don't sleep very well. So that's the common mistake is how I'm just putting more money into this loan, but then if something happens, I get disabled, I get fired, I still have this fixed payment in front of me, and now I have no wiggle room.Stuart Webb [00:06:03]:Yeah. I I'm always very aware that a lot of business owners, disobey, for want of a better word, one of the golden rules which which I think is is something I hope you'll you'll agree with, which is they forget that they need to pay themselves first out of the income into their business. They're putting it against all sorts of other things, and then eventually they realize that there isn't anything left for them. And they they're left in a situation like you've just said where suddenly they are unable to pay the bills that have come in for their family, and they then have to get back on the treadmill and work even harder because they've now forgotten that they've got a life. And and I just think it's it's it's often this the the the the the golden rules of, you know, thinking about your cash flow and how you allocate it are so difficult for many business owners for for reasons because often we are not taught. We are not given the instruction early enough in our lives about how to manage money.Howard Polansky [00:07:04]:What's even worse than not paying yourself first is not only do you pay yourself, you take the money from the IRS that you have to pay them and use that on your expenses too. I've seen that situation happen also. That's never a good situation that I wanna be involved in.Stuart Webb [00:07:23]:Now if there's one thing you should definitely be very aware of is the tax man will find you and will hunt you down if you are if you are diligent in, not diligent in playing that that money off. Howard, look. The the the these must be times at the moment. People are are listening to you and thinking, I think I hear myself in this. This might be me. What valuable piece of advice or or or free free offer can you sort of help people with? And, and how would you sort of, you know, give them that that allow them to sort of access you?Howard Polansky [00:08:01]:Yeah. The probably the easiest way to understand a little bit more of the concept behind this is my ebook. So financiallyled.com, so that's just LEDfinanciallyled.com/ebook. It'll take you maybe about twenty minutes to go through and start to understand the three lessons on how and why this works. The second, if I'm okay if it's okay for me to get a second piece of advice, Stuart, is if you have lived in let's just keep it on the personal side for now. If you've lived in your residence for a number of years now, whether it's in overseas or in The US, it doesn't matter, Your house is probably appreciated substantially, and there is equity. There is cash literally trapped in the bricks. While you're employed, while business looks good, go get a home equity line of credit.Howard Polansky [00:09:08]:Have access to the cash because you just never know what's gonna happen in life. I mean, here's a perfect example. One of my clients is a dentist. She texts me back in November saying, guess what happened to me two months ago? I'm like, this is just out of the blue. I'm like, I don't know. COVID? It's like, no. Two ruptured aneurysms and a mini stroke. Mhmm.Howard Polansky [00:09:34]:Mhmm. She's 40 she's 46 years old, Stuart. I don't think this was in her life plan in terms of, oh, I'm gonna go I wanna be in the ICU and have brain surgery for three weeks sitting in a hospital. If it wasn't for having the business line of credit set up twelve to eighteen months ago, her business would be toast. That buffer of cash is what allowed her to keep paying the bills. Even though there was no money coming in, it was the access to cash that allowed her to pay her team, pay the bills so that she could get back to still having a a functioning business.Stuart Webb [00:10:19]:I've just put a link, on the the screen in front of you, Howard. I'm gonna put that story and the link to your ebook into our vault. Our vault, if you if it listen, guys, it if you're listening to this and you go, I need to do that. If you didn't capture what Howard just said, go to, Systemize, and that's the word systemize, but it's spelled with an s, not a zed, systemize slash free hyphen stuff. There's a vault there with with and and we'll put Howard's link, and we'll put that story in order for you to be able to sort of capture that and come back to it again and again and again because that is really valuable advice. I think that's a truth that everybody should be trying to do, Howard. It's not just dentists that have aneurysms. Anybody can have one of those.Stuart Webb [00:11:03]:You know, I I have a a a a friend who went on a very nice holiday, fell over, skiing, and they were in a similar situation. They were suddenly unable to work. And if they hadn't set up the right systems in place in in his case, it was the fact that his business carried on because he had set up teams that were working. But he had to you have to think ahead, don't you? You have to you do have to do exactly what you said. This might not be in the plan, but there is a risk that this could happen. So, therefore, I need to sort of deal with the risk before it happens, not as it happens because it takes time. These things take time to set up. They don't happen overnight.Stuart Webb [00:11:46]:You have to plan it. You have to think about it. You have to put that into your thinking, don't you?Howard Polansky [00:11:51]:Absolutely. And and look, you know as well as I do, when are banks gonna gonna be most, when are they gonna be most appreciative of giving you money? When you don't need it.Stuart Webb [00:12:06]:When you've got it.Howard Polansky [00:12:08]:That's exactly as soon as you're in distress, they're the last people that wanna help you. So get this set up while things are going goodStuart Webb [00:12:18]:Yeah.Howard Polansky [00:12:19]:And just have it there just in case because stuff happens. I mean, we're live, so I definitely don't wanna say what I normally say, but stuff happens. And it's just far easier to have this all in place before any of this stuff happens because we know it's happened to everyone. It's a it's part of life.Stuart Webb [00:12:40]:It is. And, you know, there's an old there's an old story about a man walking down the road, it's pouring with rain, and he sees a farmer digging a well. And he turned around and said, why are you digging the well when it's raining? And he said, because now the ground is soft and the digging is easy. The last thing you wanna be doing is digging a well when there is no water and the ground is hard. So if you're in a situation at the moment where your business is still doing well, I know we're going into some, economically interesting times at the moment, but if you've got a business that's doing well, now's the time to be digging that well ready for when, perhaps the the ground hardens and it's not quite as easy digging. Howard, I'm I'm I'm gonna gonna, gonna get on with this because otherwise, I think we'll be here for many, many hours talking about this. So was there a sort of we we sort of talked about the the the origin of your sort of, a realization that financially led was the way that you wanted to go. Was there a a books, a course, something that led you from from where you are as a dentist now to being, the guy that tries to advise other people that, they need to think about their cash flow?Howard Polansky [00:13:50]:Yeah. The the one book which really helped in terms of solidifying this whole concept, the author's name is Harsh Gill, h a r j is the first name, g I l l. And it's the book is something like pay off your debt sooner. That was the first time I ever heard in terms of this offset mortgage, they call it the Australian mortgage or whatever. And I was like, oh my god. This is the most logical way I've ever seen in terms of being able to pay off debt. It doesn't have to be a house. It can be student loans.Howard Polansky [00:14:29]:It can be cars. It can be business loans, whatever it is. I just realized that once I was able to utilize this for myself and I got my I got down to a $24 house payment, which might be about £20 for you. I shared that with another dentist and he could not believe what he was seeing and is like, can you help me? And I'm like, I think so. And he ended up paying off his house in eight months instead of thirty years. Wow. Wow. And and that and that's when it really the light bulb went off.Howard Polansky [00:15:07]:And then later on, I was like, wait. I think I can help apply this idea to businesses because if the business has more cash flow, where's it gonna spill over? It's gonna spill over to that owner's personal life, which is where I was trying to make the impact anyway. And the answer is, yeah, it works beautifully, for the average business owner, the cash flow improvements been over $65,000 in year one. SoStuart Webb [00:15:39]:But again, notHoward Polansky [00:15:41]:doing anything crazy.Stuart Webb [00:15:43]:For those that want a personal testimony, I had an offset mortgage. We became mortgage free quite a while ago, and, I'm very grateful for the fact that I found it. So, Howard, perhaps perhaps if I'd got this advice from you many years ago, I'd I'd have to but but I found it myself. So they're a great thing. They're a great thing.Howard Polansky [00:16:03]:For the right person, if you're gonna go and just, you know, spend on Louis Vuitton and Lamborghinis and and trips around the world and you don't have the cash flow to back that up, please don't do this. You are going to get yourself in trouble.Stuart Webb [00:16:21]:I will I will not I will not immediately go out and buy a Lamborghini then. I will I will keep that. I'll keep what I've got at the moment because, clearly, that would be the wrong wrong thing for me. So, Howard, let let me let me let me sort of, help you get back out to helping people do this rather than talking about it. Is there a question that you think I should have asked you in these questions? Is there one thing that you're thinking? I wish you'd hurry up and get to the really important question. And, obviously, once you've posed the question, you need to answer it because I don't know what the question is at the moment.Howard Polansky [00:16:55]:We've kinda hinted at it before. How the heck does someone go from being a dentist to doing this?Stuart Webb [00:17:02]:Let's talk about it.Howard Polansky [00:17:04]:Yeah. So I tell people now sometimes life leaves you little clues and other times life hits you with a two by four. My two by four moment was Sunday morning, Memorial Day weekend twenty eighteen. Jaden, my older son, is 12 years old. I'm sitting next to his bed. He realizes I'm there and he says, Dad. His voice is barely above a whisper. Yeah, buddy.Howard Polansky [00:17:30]:I lean over the bed, I put my ear over his mouth to make sure I can hear him, and he says three words I'll never forget. Am I dying? Oh. Twelve days earlier, Jaden came home with a stomachache. Three days after the stomachache were in the ICU at the Children's Hospital having emergency surgery. Woah. It was a it was appendicitis that turned septic, twenty nine days in the hospital, 19 of them in the ICU, eight straight days of sedation because he went to the Operating Room 5 times. After they take the tube out of his throat, they give him methadone and morphine to bring him down from the drugs he was on. So my 12 year old son looks like a heroin addict coming down from a high, and the very first question he will only ask me are those three little words, am I dying? My first breath was, did I hear him correctly? My second breath was, do not lose it right now.Howard Polansky [00:18:34]:I look him in the eyes, and I tell him, no. You're not dying. You've had prayers from thousands of people all around the world, and you're gonna be just fine. He looks at me, he knows I'm telling him the truth. He closes his eyes to get more rest. I walk outside the room and then I broke. I was already miserable. I was burnt out from sixteen years of dentistry.Howard Polansky [00:18:57]:And one thought seared into my mind, if life is this fragile and I'm unhappy with the path that I'm on, burn the ships, it's over. That's what I did. I sold my practice September 2018, just walked away. And if I didn't make the bold move of walking away from dentistry, I would have never had this $24 house payment and never took the shot to open open a new business and do this. So that's that's the one question, Stuart.Stuart Webb [00:19:32]:Howard, if if if that is the story that motivates people to get and think about their cash flow situation, to manage their business in such a way that they turn it from being a millstone around their neck to something which is actually an asset and something which brings them the financial freedom that you got from making that decision. I trust and pray nobody has to go through what you went through to make that decision, But we can all learn from the fact that you cannot regulate, cannot plan for life to continue being the joy that it is. So if it is currently raining in your business and the ground is soft and you are not currently digging the well and taking advice from people like Howard, I would encourage you, please go and find that stuff in the in what we've said with that, Howard. Get that ebook and get on and listen to some of the brilliant advice. Howard, listen. That is a hugely, humbling story for me to have listened to, and I'm grateful for the fact that you spent just a few minutes with us giving us that story. Let me just let me just be slightly flippant now and just say please come subscribe to our newsletter list because I would love you listening to us now to to be able to get and hear people like Howard talk about these stories and really motivate you to make your business better. If you go to www.systemize.me/subscribe, there's a simple form.Stuart Webb [00:21:06]:It just asks for your first name, your email address, and that's all I want from you. Just so I can send you an email once a week saying we've got this really great guest coming up tomorrow. Come listen to some of the stuff they do, and you can listen to some real truth bombs, like Howard's given us today. Howard, that is a powerful way to end. I'm not really wanting to say very much more other than thank you very, very much for coming on and motivating us to get control of our finances and our cash flow. And and and thank you for taking the steps that you've taken in order to be that, that cash flow coach.Howard Polansky [00:21:41]:Stuart, thank you for the opportunity.Stuart Webb [00:21:44]:It's been brilliant. Thank you. Get full access to It's Not Rocket Science! at thecompleteapproach.substack.com/subscribe

Surgery shouldn't be a gateway to opioid addiction. In this First Case Articles on the Go episode, we explore how regional anesthesia and nerve blocks are transforming pain management, reducing opioid use, and improving surgical recovery. Listen now and find out why perioperative blocks are so important and how they're improving patient care. ----- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #operatingroom #ornurse #scrubtech #surgery #perioperative #PerioperativeNursing #RegionalAnesthesia #OpioidSparing #PatientSafety 

A man dies during routine eye surgery after doctors miss critical alarms monitoring life signs while playing a "music bingo" game. President Trump calls for an end to cashless bail, saying it puts dangerous criminals back on the street and puts police at risk. Drew Nelson reports.See omnystudio.com/listener for privacy information.

Cardiac arrest in the operating room presents unique challenges that standard Advanced Cardiovascular Life Support (ACLS) protocols simply were not designed to address. This eye-opening exploration with APSF author, Zachary Smith, reveals why traditional resuscitation guidelines fall short when emergencies strike during surgery and anesthesia care.The dynamics of cardiac arrest differ dramatically in the perioperative environment. While out-of-hospital arrests typically stem from arrhythmic events, OR emergencies often result from hemorrhage, embolism, hypoxemia, or critical drug reactions like malignant hyperthermia or local anesthetic toxicity. These scenarios demand immediate, specialized interventions beyond standard ACLS algorithms.Physical constraints further complicate matters. What happens when cardiac arrest occurs while a patient is positioned prone, lateral, or in steep Trendelenburg? Traditional compressions become impossible, and emerging research suggests prone CPR might actually be superior in some scenarios. Moreover, the advanced monitoring capabilities in the OR – arterial lines, central venous pressure readings, and echocardiography – provide critical data not incorporated into standard protocols.The American Society of Anesthesiologists has responded with their Perioperative Resuscitation and Life Support Certificate program, addressing these gaps through specialized training that combines ACLS principles with OR-specific knowledge.  Ready to enhance your skills beyond basic ACLS? Explore the ASA's certificate program to earn patient safety CME credits while gaining life-saving expertise tailored to the unique challenges of the operating room. Your specialized knowledge could make all the difference when seconds count.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/264-rethinking-resuscitation-in-the-operating-room-beyond-acls/© 2025, The Anesthesia Patient Safety Foundation

Dr. Gabriel Wallace, Vascular Surgeon and Clinical Assistant Professor of Surgery at the Northwestern Feinberg School of Medicine, joins Jon Hansen, in for Dean Richards, for this week's health update. He discusses Northwestern Medicine Palos Hospital launching a new vascular operating room and the future of vascular surgery.

We revisit the journey of young Lucy, who was born with a critical kidney condition. She rejoins the show with her mom and her donor, and they talk about how their lives have changed for the better.

In this week's Article On-the-Go, Lindsey Joyce, MSN, RN, CNOR, shares a humorous glimpse into her experiences as a nurse on call in the CVOR. Known among her colleagues for her “black cloud” reputation, Lindsey recounts rushing into ECMO emergencies in the middle of the night, sometimes in pajamas or flip flops, with no time to spare and lives on the line. She captures the organized chaos of setting up lifesaving procedures outside the OR, the importance of rapid teamwork, and the reality that in moments like these, appearance and routine take a back seat to the urgency of patient care. ----- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #operatingroom #ornurse #scrubtech #surgery #perioperative

June 26, 2025: Michael Han, MD, Enterprise CMIO and VP of MultiCare Health System, discusses his transition from the operating room to the boardroom. He argues that the path forward isn't through automating clinical decisions, but through revolutionizing call centers, scheduling, prior authorizations, and referrals. Michael reveals how ambient clinical documentation must evolve beyond simple note-taking into a treasure trove of unstructured data that can drive actions across the entire care continuum—from pre-visit chart preparation to post-visit care coordination. The conversation explores how leaders establish credibility as they transition from the operating room to the boardroom. Key Points: 02:43 Impact of Ambient Clinical Documentation 05:51 AI and Large Language Models in Healthcare 10:27 The Role of CMIO in Digital Transformation 15:05 Leadership and Credibility in Healthcare 24:51 Speed Round: Personal Insights X: This Week Health LinkedIn: This Week Health Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

In this week's edition of Articles on the Go,  Chris Blevins, CST, FAST, draws a creative parallel between the strategic world of football and the high-stakes environment of the operating room. Just like a zone defense on the field, infection prevention in surgery relies on teamwork, precision, communication, and adaptability. From the offensive line to the surgical team, every player has a critical role in preventing complications and protecting the “end zone” — patient safety.  ----- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #operatingroom #ornurse #scrubtech #infectionprevention #surgery

In this episode of Mission Matters, host Adam Torres interviews Michael Norton, President & Founder of Access Instruments, about his patented device that's changing the way surgeons approach laparoscopic procedures. Michael shares the story behind the innovation, the investment opportunity, and how it all began with a challenge to do better. Recorded live at the Newport Beach Investor Conference. Big thanks to our sponsor ⁠Brad Turner⁠ and ⁠⁠www.longevityshopping.com Follow Adam on Instagram at ⁠⁠https://www.instagram.com/askadamtorres/⁠⁠ for up to date information on book releases and tour schedule. Apply to be a guest on our podcast: ⁠⁠https://missionmatters.lpages.co/podcastguest/⁠⁠ Visit our website: ⁠⁠https://missionmatters.com/⁠⁠ More FREE content from Mission Matters here: ⁠⁠https://linktr.ee/missionmattersmedia⁠ Learn more about your ad choices. Visit podcastchoices.com/adchoices

Surgical smoke isn't just unpleasant—it's dangerous. In our latest First Case: Articles on the Go episode, we shed light on the harmful particles released during common surgical procedures—and the risks they pose to perioperative professionals. Despite decades of research confirming the presence of carcinogens, mutagens, and infectious material in surgical smoke, consistent regulation and protection remain lacking in many ORs. This episode explores: The health hazards associated with surgical smoke exposure The importance of smoke evacuation systems Legislative progress across the U.S. How perioperative professionals can educate, advocate, and drive change Listen now! ----- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional! #operatingroom #perioperativenurse #firesafety #fireprevention #surgery #scrubtech #surgicaltechnology

Today, host Dr. Robert J. Marks continues his conversation with neurosurgeon Dr. Michael Egnor about his new book The Immortal Mind: A Neurosurgeon’s Case for the Existence of the Soul. In this segment, Dr. Egnor describes how a crisis involving his infant son’s potential autism led him to have a profound spiritual experience in a hospital chapel, causing him to embrace Read More › Source

Ever wonder what's really happening in the operating room once you're asleep on the table?In this jaw-dropping episode of Plastic Surgery Uncensored, Dr. Rady Rahban is joined by Paula, a seasoned nurse practitioner who has worked in more than 40 operating rooms—mostly in the heart of Beverly Hills. Together, they pull back the surgical curtain to expose shocking truths about what actually happens during surgery… and it's not always what patients think. From surgeons leaving the room during closures, to techs performing tasks they legally shouldn't, and anesthesiologists cutting corners to keep peace—this episode dives into the dark side of convenience and efficiency in the world of cosmetic surgery.Whether you're considering surgery or know someone who is, this episode is a must-listen. It's not about fear—it's about empowerment. 

Surgical fires remain a serious—yet preventable—risk in the operating room. One critical safety measure? Adhering to the recommended dry times for alcohol-based prep solutions. In this episode of First Case: Articles on the Go, we examine the evidence behind dry time protocols, their role in preventing OR fires and surgical site infections, and the importance of following manufacturer guidelines. ----- Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional!   #operatingroom #perioperativenurse #firesafety #fireprevention #surgery #scrubtech #surgicaltechnology

In this episode, we dive into the rapidly evolving world of ambient listening AI in healthcare. From outpatient clinics to inpatient wards and operating rooms, this technology is reshaping how care is delivered, documented, and experienced. We explore how ambient listening AI is improving clinic flow by streamlining documentation and reducing interruptions, allowing clinicians to stay more present with their patients. The technology is increasingly adaptive to individual provider styles, learning preferences and workflows to deliver more personalized support. Plus, we share practical tips for new users to get the most out of their ambient listening AI systems from day one. Join us as we hear from experts on the front lines and debate the future of ambient listening AI in medicine—where the walls really do have ears, but for all the right reasons. Host:  - Nicole Petcka, MD – General Surgery Resident, Emory University, @npetcka2022 Guests:  - Samuel R. Torres Landa Fernández, MD – Minimally Invasive Surgery Fellow, Emory University  - Anastasios Nikolaos (Nick​) Panagopoulos, MD – Internal Medicine Resident, Emory University  - Joe Sharma, MD - McGarity Chair in Endocrine Surgery and Professor of Surgery, Vice-chair for Patient Safety, Quality and Innovation, Emory University  Resources:  Enhancing Accuracy of Operative Reports with Automated Artificial Intelligence Analysis of Surgical Video Khanna A, Wolf T, Frank I, Krueger A, Shah P, Sharma V, Gettman MT, Boorjian SA, Asselmann D, Tollefson MK. Enhancing Accuracy of Operative Reports with Automated Artificial Intelligence Analysis of Surgical Video. J Am Coll Surg. 2025 May 1;240(5):739-746. doi: 10.1097/XCS.0000000000001352. Epub 2025 Apr 16. PMID: 39918224. https://pubmed.ncbi.nlm.nih.gov/39918224/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Send us a textMy guest this week is Yasmin Sharifi, an operating room nurse with many decades of experience. She's here to give us a glimpse into, as she says, “what really goes on behind that red line.”Yasmin didn't initially set out to be an OR nurse. She started her career in med-surg but quickly encountered burnout due to a nursing shortage and inadequate patient-to-nurse ratios, often sharing 35 patients with another nurse. Realizing this was not sustainable, she transitioned to the PACU. When she was offered a chance to move into the operating room, she embraced the opportunity and discovered her true passion.Yasmin pointed out that in 1990, there were no formal orientation programs for OR nurses. However, resourcefulness is a nurse's superpower. She joined the professional organization AORN, purchased relevant books, and trained herself to adapt to the role.Fortunately, those days are behind us. Nurses entering the operating room today receive a comprehensive education and an orientation period that lasts nearly a year. And if you think being an OR nurse means you won't have to interact with patients and their families, Yasmin dispels that myth completely.We discussed the dynamics among the operating room team members, the egos involved, and the common goal that brings them all together: the patient. I'm confident you'll enjoy and learn from our discussion.After being in charge for almost her entire career, Yasmin has now taken charge of her own business, OR RN Mentor. Here, she provides expert insights, practical tips, and real-world experiences designed to help others thrive in the OR. Now that's what I call giving back.In the five-minute snippet: it's 80's rock for the win. For Yasmin's bio, visit my website (link below) and check out my CE library to see if you can earn CE's just for listening!CNOR Certified Perioperative NurseAORN Association of Perioperative Registered NursesIFPN International Federation of Perioperative NursesContact The Conversing Nurse podcastInstagram: https://www.instagram.com/theconversingnursepodcast/Website: https://theconversingnursepodcast.comYour review is so important to this Indie podcaster! You can leave one here! https://theconversingnursepodcast.com/leave-me-a-reviewWould you like to be a guest on my podcast? Pitch me! https://theconversingnursepodcast.com/intake-formCheck out my guests' book recommendations! https://bookshop.org/shop/theconversingnursepodcast I've partnered with RNegade.pro! You can earn CE's just by listening to my podcast episodes! Check out my CE library here: https://rnegade.thinkific.com/collections/conversing-nurse-podcast Thanks for listening!

Navigating Medicine with Dr. Celeste Royce: Mentorship, Motherhood, and AdvocacyIn this episode of The Girl Doc Survival Guide, Dr. Celeste Royce, a Harvard Medical School OB/GYN educator with over 35 years of experience, shares insights from her comprehensive career. Dr. Royce discusses her journey from initial medical school fears to her love for OB/GYN, shaped by camaraderie and a pivotal surgery block experience. She reflects on her challenges as a female physician, including balancing motherhood and her profession in a male-dominated field. Dr. Royce highlights the significance of mentorship, equitable access to hidden medical curriculum knowledge, and advocating for academic freedom. The episode also delves into her personal experiences with maternity leave, the importance of choosing the right time to have children, and the pivotal role support systems play. Furthermore, Dr. Royce discusses her advocacy work, particularly a legal challenge with the ACLU over censorship of her gender-inclusive research on endometriosis. She emphasizes the importance of speaking out, mentorship, and understanding that life's different phases dictate the focus and balance in one's career and personal life.00:00 Introduction to Dr. Celeste Royce00:59 Dr. Royce's Journey into OB/GYN02:22 Mentorship and Leadership in Medicine04:27 Balancing Motherhood and a Medical Career08:37 Advice for Aspiring Physicians15:35 Advocating for Academic Freedom19:19 Final Thoughts and Reflections

From Brain Tumor to Bold Faith: Karen's Journey Through Surgery, Glioblastoma & God's Grace In this moving episode of the Fast to Faith Podcast, Karen Bartram shares her unbelievable story—from a small limp and fine motor issues to a devastating diagnosis of a grade 4 glioblastoma. What began as a suspicion of a pinched nerve turned into an emergency room visit, brain surgery, and a life-changing faith journey.Karen walks us through her awake craniotomy, the moments of fear and surrender, and how years of prioritizing her health and spiritual growth prepared her for this unexpected battle. She opens up about combining conventional treatment with holistic healing, and the role prayer, perseverance, and community have played in her resilience. If you've ever wondered where God is in your pain, Karen's story is proof He's been preparing you all along.If you liked this episode, watch it on YouTube!

In this piece we discuss sustainability in healthcare with Eugenie Kayak, an anaesthetist from Melbourne, Australia, and Dan Lazzari, an anaesthetist from Cairns, Australia. The episode delves into Eugenie's journey with Doctors for the Environment Australia and her work as an educator in sustainability. We discuss national and international solutions, and local initiatives by Dan and his colleagues to improve sustainability and reduce operating room waste in Cairns. Presented by Andy Cumpstey and Kate Leslie on location at the Annual Scientific Meeting of the Australian and New Zealand College of Anaesthetists and Faculty of Pain Medicine in Cairns, Australia, with their guests, Professor Eugenie Kayak, Enterprise Professor in Sustainable Healthcare, University of Melbourne, and Dr Daniele Lazzari, Consultant Anaesthetist, Cairns Hospital, Australia.

   Unlock the secrets of military medicine with COL(R) Carl Savory, MD, as he takes us from the gritty battlegrounds of Vietnam to the cutting-edge operating rooms that revolutionized care for our armed forces. Discover the pivotal moments that steered Dr. Savory from infantry officer to a pioneering figure in orthopedic surgery, leading to his transformative role at Fort Bragg and the Letterman Army Medical Center. Experience the thrill and challenges of serving as the first Delta Force surgeon, where Dr. Savory's forward-thinking contributions laid the groundwork for the innovative forward surgical team concept, now standard in military medical support.     This episode isn't just about battlefield triumphs but also dives into the profound humanitarian endeavors that followed Savory's storied military career. Uncover the stories behind the Iranian hostage rescue mission preparations, the tragic Beirut bombing's medical aftermath, and the unexpected humanitarian projects with General John William “Jack” Vessey that helped heal scars from the Vietnam War. With insights into building trust, fostering relationships, and driving historical change, this conversation reveals how one man's dedication to medicine and service made a lasting impact on military and diplomatic fronts. Join us as we unravel the threads of Dr. Carl Savory's multifaceted career, rich with lessons in leadership, resilience, and the power of human connection.     Chapters: (00:03) Colonel Carl Savory's Military Medicine Journey (14:55) Historical Account of Medical Innovation (28:56) Military Service and Medical Contributions   Chapter Summaries: (00:03) Colonel Carl Savory's Military Medicine Journey      Colonel Retired Carl Savory's military and medical career, from infantry in Vietnam to pioneering orthopedic surgery, with insights from Letterman Army Medical Center and Fort Bragg.   (14:55) Historical Account of Medical Innovation      Delta Force's failed hostage rescue mission in Tehran led to the development of forward surgical teams and insights into special operations medical support.   (28:56) Military Service and Medical Contributions     Military investigation, mass casualties, humanitarian efforts, and diplomatic outcomes through trust and credibility in professional relationships.   Take Home Messages: Innovative Military Medicine: This episode highlights the transformative journey from battlefield experiences to advancements in military medicine, showcasing how pioneering efforts in surgical support have set new standards for medical care in high-stakes environments. The Power of Relationships: The conversation underscores the importance of trust and credibility in building impactful professional relationships, illustrating how these elements are crucial for driving innovation and progress in both military and humanitarian efforts. Learning from Historical Operations: Through reflections on significant military operations, listeners gain insights into the challenges and lessons learned, particularly from events like the Iranian hostage crisis and the Beirut barracks bombing, emphasizing the need for preparedness and adaptability. Humanitarian Impact Beyond Service: The episode explores the guest's post-military humanitarian efforts, focusing on reconciliation and support for amputees in Vietnam, which highlights a commitment to service and diplomacy that extends beyond traditional military roles. Evolution of Forward Surgical Teams: The discussion sheds light on the development and implementation of forward surgical teams, a concept that has become integral to military medical support, demonstrating how initial innovative ideas can evolve into essential practices within the armed forces. Episode Keywords: Military Medicine, Colonel Carl Savory, Battlefield to Operating Room, Orthopedic Surgery, Delta Force Surgeon, Forward Surgical Team, Military Healthcare, Humanitarian Efforts, Vietnam War, Iranian Hostage Crisis, Beirut Barracks Bombing, Medical Innovation, Reconciliation with Vietnam, Military History, Healthcare Revolution, Special Operations, War Docs Podcast, Military Diplomacy, Legacy of Healing Hashtags: #MilitaryMedicine #BattlefieldToOperatingRoom #CarlSavoryLegacy #WarToPeace #OrthopedicPioneer #DeltaForceSurgeon #HumanitarianEfforts #MedicalInnovation #MilitaryHistory #HealthcareRevolution   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield,demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

Dr. Kyle Stephenson is a Sports Medicine Orthopedic Surgeon, real estate investor, and host of the Assets and Orthopedics Podcast, where he helps physicians and high-income professionals build legacy-driven wealth through strategic investing and tax optimization. A former Assistant Team Doctor for the Boston Celtics, he has unique insights into the financial challenges of high-performance individuals. Based in Indianapolis, Dr. Stephenson has a diverse real estate portfolio in multifamily housing, hospitality, and self-storage. He joined Rod's Warrior Group in August 2023 and also founded LegacyRx mentorship, inspiring others to build purpose-driven legacies focused on faith, fitness, family, and finances.   Here's some of the topics we covered:   From the Operating Room to Owning Extended Stay Hotels How COVID Transformed Kyle's Entire Mindset The Power of Bold Declarations and Unstoppable Determination Behind the Scenes with Kyle's High-Performing Warrior Teams Kyle's First Extended Stay Hotel Deal Kyle's Second Extended Stay Hotel Success Why People Fail In The Real Estate Business Unlocking Massive Potential by Embracing the Right Team Achievement vs. Fulfillment Success Tip   If you'd like to apply to the warrior program and do deals with other rockstars in this business: Text crush to 72345 and we'll be speaking soon.   For more about Rod and his real estate investing journey go to www.rodkhleif.com