Podcasts about otolaryngologist

Is your thyroid really to blame for weight gain?

Even though they are trained in slightly different disciplines, Rapid City father and son practitioners, Vaughan Bowen, M.D., Otolaryngologist, and Logan Bowen, Au.D, Audiology, often work as a team. In this episode of Doc Talk, they explain the differences between their specific jobs, discuss how the human ear works and drill down on the vexatious hearing condition, tinnitus, which Dr. Bowen calls “brain noise.” Dr. Bowen and Logan address the different manifestations of tinnitus, how to overcome symptoms, and why tinnitus is not always a sign of hearing loss. Hosted on Acast. See acast.com/privacy for more information.

Send us a textLearning practical skills such as surgery is challenging. In this episode of Doctors at Work, Brian Westerberg tells me about mental imagery. This is a technique that he has found through his elite sport contacts. It helps him anticipate and "practice" surgical steps, and is a way to train new surgeons too. We also talk about mindfulness, exercise, the importance of having non-judgemental support.You might also like episodes 56, 80, 82, 108 on performance psychology, and episode 98 on the impostor syndrome.Dr. Brian Westerberg, an Otolaryngologist specializing in Otology and Neurotology is based at the B.C. Rotary Hearing and Balance Centre at St. Paul's Hospital in Vancouver British Columbia. Dr. Westerberg graduated from Queen's University Faculty of Medicine in 1989, completed two years of Residency training in General Surgery at Queen's before transferring to University of British Columbia to complete further training in Otolaryngology-Head and Neck Surgery.  He subsequently completed a Fellowship in Otology and Neurotology at the California Ear Institute at Stanford University in 1996 and a Master degree in Health Care and Epidemiology at UBC in May 1999. He is currently a Clinical Professor in the Department of Surgery. Dr. Westerberg has served the Royal College of Physicians and Surgeons of Canada as a Program Director at UBC, as a member of the Examination Committee, and as Vice-Chair and Chair of the Specialty Committee for his specialty. In addition, he has been a member of the Residency Accreditation Committee and a member of the International Residency Program Review and Accreditation Committee. He has supervised numerous Master and PhD candidates, and Clinical and Research Fellows. His interest in global surgery is apparent in his involvement in Zimbabwe and Uganda Hearing Health Care Programs, and local outreach to improve access to care for patients in rural and remote communities within British Columbia. As former Medical Director of the Branch for Global Surgical Care, he has been instrumental in improving education within the field of global surgical care through approval for and subsequent development of a Master degree program in Global Surgical Care at UBC.​ As an amateur athlete and as an academic surgeon, he has always been interested in the influence of our mental state on physical performance.Listen at https://matdaniel.net/podcast/; https://open.spotify.com/show/1j8uLaUU1g5bYTRVuwUX7j?si=672ec26a73164d7f; https://podcasts.apple.com/gb/podcast/doctors-at-work/id1701284564; or watch on www.youtube.com/@dr-coach/videos. Production: Shot by Polachek You can find out more about Mat's coaching to help doctors create successful and meaningful careers at www.MatDaniel.net. 

Living the nightmare; hungering for a normal life. In 25 parts, edited from the works of FinalStand. Listen and subscribe to the ► Podcast at Connected.. “If your heart starts the fight, you can lose without regret.”  (Thursday Night) It was well past the descent of Night's veil when the Havenstone jet landed outside of New York City. Naomi and team gathered us up and led us to the main building downtown. An unlooked for conflict developed. Naomi's team was there to present me to Hayden. Rachel's team was still focused on securing my wellbeing and they didn't like the attitude Naomi's squad was giving off. With Buffy (Helena was in a different car), there was no concealing Rachel's hostility toward the latest group of SD ladies. The new group was treating me like a 'package', not a Head of House, and that infuriated my First too. All of that ill-will simmered as we made our way to Havenstone. The situation was compounded by the elevator ride. Naomi, her team, Buffy, Rachel and I went into the first elevator. By the time we made it to the top few floors, it was clear that the rest were not immediately following along. The situation ratcheted up to nasty when Naomi demanded Buffy's firearm. Buffy looked ready to use it. "Buffy; gun," I held out my hand, palm up. Buffy reluctantly handed it over. I walked over to the nearest trash can, dropped out the clip, chambered out the first round then dumped the entirety into the trash receptacle. "If they touched it, the weapon would be fouled and not fit for a true Amazon," I explained to Buffy. "Best to save your noble tool the indignity and dispense with it instead." Buffy snorted with amusement, Naomi's crew pretended not to care while Rachel was deeply disturbed. It took a perfunctory gesture to stop Buffy outside Hayden's office. In I went to face Hayden, Katrina, Saint Marie and Troika of House Šauška alone. Šauška was the 'sister goddess' of Ishara; together they formed Ishtar in later incarnations. I didn't believe Troika was here for any sister solidarity this time around. "Why did you do this? Start a war; is this your hatred of Amazon culture shining through, trying to get us all killed in some global struggle against the other Secret Societies?" Hayden opened up with in an even tone. "No," I kept it succinct. They waited for more of an explanation. "Do you have anything you can say to defend your actions?" Troika glared. "I don't need to defend my actions," I regarded her as if she was of alien origin. "The actions speak for themselves." "Why don't you explain it to us, Ishara?" Saint Marie rumbled. Insulted yet again. As an equal, I warranted the use of my first name. "Do I have your permission to fully and completely lay out my reasoning without everyone closing in like a pack of hyenas on a leopard?" I looked to Hayden; not happy. She gave a curt nod. It wasn't like running away would get me far. "I will speak slowly because all of you appear to have become incredibly stupid," I started. "My parent and carrier of my Amazon ancestor's genetic heritage was murdered. The leader of the Amazon Security Detail identified herself, Then they were fired upon. Somehow you do not see those actions as Casus Belli. [cause for war] There are three possible reasons for your blindness: you are all cowards who bully behind closed doors, but fold up like gutless wonders when a true challenge presents itself. Or, the male penis renders you incapable of intelligent thought and induces irrational and unsustainable hostile deductions in your though processes. Or, you want me and the line of Ishara dead and are willing to accept any accident of fate that will render us so," I laid things out for them. "Or, you were in pain over your father's loss and used Havenstone as a tool to lash out at your perceived foes without concern for what price the other houses would have to pay for your personal vendetta," Hayden suggested. "Your gender bias is appalling, High Priestess  Saint James," I shook my head. "Have I been such an out of control, emotional male that yours is the logical assumption for how events unfolded?" I smirked. "Except for the meeting where I learned your secret; only Katrina caught that. I've risked death three times for Amazons; yet I hate all of you enough to kill those people and myself. Besides,  Saint James, your opinion has been rendered irrelevant." "You will call me Hayden," Hayden simmered. "I will when you and your lackeys get around to calling me Cáel," I countered. "I don't like being insulted any more than you do. I could keep up this childishness forever, but, as I was pointing out, we don't have forever. War is coming. Between my father's murder and my threats to the Condotteiri and Seven Pillars' emissaries, I've guaranteed that. Apologizing won't do any good. They won't believe you. Offering me up won't do any good. They think you hold male life to be worthless; the truth of which I am personally witnessing here and now. They are coming for you no matter what you wish. The best chance for an alliance rests with me. I can establish truly good will with the Nine Clans, Illuminati and the Earth  and  Sky. Without me, they don't trust you enough to do any good. I'm sure only Katrina believes this; I did all that alliance-building for Havenstone. I am House Ishara and the fate of the Amazons is my fate. Yet here I am, being insulted, being treated like a traitor; an infantile traitor at that, and being informed you will not honor your oaths and obligations to me," I shook my head. "Are there any other issues to discuss, or can I go home now? I'm beat." "You will be housed downstairs for your own safety," Hayden informed me. "Unless you arrest me, I'm going home," I shrugged. "Not only do I not want your protection, I have ceased to trust you. You do not treat me like a sister. Instead you accuse me of atrocities against MY people and layer on the petty insults. Goodnight." I made to leave so Saint Marie interposed herself. "That wasn't a request, Ishara," Hayden murmured with menace. "Beat me up," I chuckled, "and you will be more screwed than you know." The Golden Mare and I locked gazes. I tried to move around her so she put a hand on my chest. "Welcome to the consequences of being known liars and bigots, ladies." "I am tiring of your insolence," Saint Marie growled. "Runners'," Katrina sighed with melancholy amusement. "What about them?" Troika mocked. "The majority of the 'Runners' aren't going to see this as the Council punishing Cáel for starting the upcoming conflict," Katrina chided her cohorts. "They are going to see the Full-blooded shutting down the Only House letting them in. Going to war? They are willing to fight and die for our cause. They assume we are too," Katrina regaled her unwilling audience. "Pleased with yourself, Ish; Cáel," Hayden's eyes narrowed. "He has almost nothing to do with it, Sisters," Katrina chortled. "We were the ones who promised to let the 'Runners' join the houses then reneged on that promise. The worst you can say about Cáel was that only after we picked out, loaded and handed him the gun, did he use it for what it was intended for." "We are not punishing him for this 'Runner' insult," Troika spat. She meant my 'hasty' inductions. "Then why are we punishing him; and thank you for making Cáel's point for him; 'Runner' insult indeed. Since your disgraceful attitude is overwhelmingly common, the 'Runners' are not going to believe your excuse for dealing with Cáel." "Katrina," Hayden cautioned. "Hayden, as your 'First Bearer of the Sun Spear through the Halls of Night and Death', I am required to give you this news," Katrina bowed her head in reverence. "I tell you Cáel's actions have been a lightning rod for the 'Runners'. He gives them hope where there was none. Putting Cáel down will have repercussions you do not understand. They will then 'Know' for a certainty we look down on them and treat them little better than slaves; which is the truth," Katrina responded to the others. "Not only are we going to war, we are successfully convincing half our population that they Cannot trust the Council to spend their lives wisely." "How dare you?" Saint Marie seethed at me. "Are you seriously blaming me for keeping the oaths the rest of you made in my name; while Ishara was dead to the Council?" I laughed. "The 'Runners' are your idea, Saint Marie, not mine. You promised to bring them into the Houses ; and didn't. You lied and I chose to not perpetuate that lie, thus honoring my ancestors, my founder and my Goddess." "Do I need to remind you who Ishara is? The Goddess of Oaths; particularly military oaths," I added. "In case you missed it, I am implying that you have failed your ancestors;” and I went flying. Damn, Saint Marie was fast. I rolled as best as I could, ending bumping into Hayden's desk. No one said a word which I found tragically consistent. My follow-up pain wasn't 'Mare' induced. Spiritual flames consumed me internal organs, causing me to cry out in torment and vomit copious amounts of something. I was cradled inside a horror film as first my esophagus, then stomach and finally my intestines seemed to flush forth from my lips. The stench was beyond horrid; putrid and corrupt combined with the atrocious odor of bloated flesh left to rot in the Sun for weeks. Considering the minimal amount I had eaten on the flight home, I was even more baffled by what felt like 100 liter quantity of discharge. When the ordeal eventually ended, I half-rose then flopped backwards into darkness. I hurt. I hurt in the same way you have 'pins and needles', except mine were industrial capacity and giving it 110%. My head was resting at a slight incline and someone was flipping a lock of my bangs on and off my forehead. I opened my eyes into infinity; seriously worse agony consumed my brain pan. "That is too much for you to know, Cáel," she murmured. Those eyes had been feminine, just not in a human way and definitely filled with more joy and suffering than could be granted by a thousand lifetimes. The pain faded, so I tried the whole eye thing again. At the top of the lap that cradled my head was a really nice pair of boobs clothed in thin wool; lush, mature, yet firm like a young virgin's. "Thank you," she lilted. Mind-reading? "Do I want to know what has happened to me?" I groaned. I reached for a boob because if it was a toxin-induced delusion, what was the worst that can happen? "Careful, I haven't been with a male in 1800 years, my Preciously Odd Amazon," she laughed. "I like challenges," I bantered with my mental conjuration. Definitely mind-reading. "I am not the creation of your fevered dreams, my Cáel," she flicked my nose. "I have pushed you near death to place a curse on the Host. As a side benefit, I am able to have metaphysical contact with you." "To date you, I have to have a near-death experience? I don't know if I should admire 1800 years of male common sense, or that last guy who risked everything for one night with you," I shrugged. "So much compassion; and so little fear," she petted my scalp. "Since you clearly aren't getting into the name game and I am more than happy to doubt everything I've experienced in the past five minutes," I smiled at her, "what am I supposed to do?" "You know," she smiled back. "No, I don't," I insisted. "Something extra-concise that doesn't come from a fortune cookie." "I've always wanted to eat a fortune cookie," she looked away. "I'll start walking around with one in my pocket so next time you nearly kill me, you can indulge," I offered. "Save my people, Cáel," she placed her hand over my eyes. "Save their spirits." "A bit of help would be nice," I pressed forward blindly. "I've given you help," she whispered on my lips. Since I didn't consider that to be helpful, I opted to give a gentle twist to her nipple. Either something was really going on inside my head, acting as a conduit between me and something else, or I was experiencing a psychotic break with reality. If it was the former, I was a Class-A idiot. If it was the latter, it was me being me, rolling the dice with the pretty girl. "I wanted you to be brave," she laughed melodically, the echo of every woman I'd ever given a reason to sing out with joy, "yet now I find myself wishing you would expend a tiny bit more caution on my behalf." Sensing my dissatisfaction, she added "I cannot give you 'the' truth, so I will give you 'a' truth. Nothing is set in the future while much is foreseen." "As long as you know I've disappointed every women I've ever been with," I reminded her, my eyes still shielded and her lips tantalizingly close to mine. "Oh, you like to think you are selfish, Cáel Nyilas of Vranus and Ishara, but you justifiably take pride in the sensuality you bring to so many women's lives," she pointed out. "Many lovers are far more truthful yet far less giving," she said. "Pain heals while an education is forever," I countered. Another joyous note. "It is time for you to wake up, my Cáel," she sighed. "Go now." Wakefulness required a return to the putrid qualities of my current surroundings. I forced myself to my knees. No one did anything; no reaction, or assistance, so it fell to me to save myself. "What; what was that?" Troika nearly retched at the stench. Katrina stood, visibly pale and shaken. "Hayden?" Katrina requested of her leader. "Cáel, what have you done?" Hayden snapped. She also stood up so she could look down at me from her desk. I mumbled something. Even I wasn't sure what I was trying to say. The last touch of a lady far chillier than the one in Chicago caressed me and I knew the gist of what had happened. Why was I the one suffering at the hands of my Goddess? I was the easiest to get at because I was already devoted to her, her chosen children and I was Patron and Head of the house dedicated to her honor. The forecasted ass-kicking wasn't aimed at me, though. I was the necromantic shotgun barrel into this reality. Too many bitches had spat on me, her hand-picked patsy and punching bag, and her temper was beyond sending some vague signs and portents to the Host. I didn't know the particulars of this curse, yet I didn't doubt for a second it was both fiendishly evil and well-deserved. My jacket, shirt and tie were goners. The lower part of my tie which had been thoroughly drenched in my vomit was already decaying into filth, soon passing into nothingness. I tried speaking again. "Having exhibited no faith in me, you have committed apostasy to Ishara," issued the words from my acid-scared throat. "You are condemned to live with that choice. Good night." I fumbled and stumbled to Hayden's door, weakly opened one of the two double doors and left. The confrontation I had departed outside remained in force; Naomi and detail versus Rachel and Buffy. Helena, and a former 'Runner' named Madori who worked at Havenstone HQ with us, had not been sent up. "I am going home," I rasped. With no orders to keep me there, Naomi let me pass. Rachel and Buffy closed in. "Boss, you smell like;” Buffy searched for words. "A red tide," Rachel said. "All those dead fish floating on the water for days and days; it is that level of horrible smell." "Rachel," I stated as we got on the elevator, "thank you for the loyalty, intelligence and understanding you have given me in this trying time." "I am a member of the Host, Ishara. I would do no less for Hayden herself; but you are welcome," she sighed. "How about we postpone our date night until I've cleared up a few things with the Council and Ishara?" I suggested. Rachel nodded. I briefly talked to Helena over the phone, went with Buffy to the basement where she checked out a car then sat back as she drove me home. I must have looked like a disaster because Buffy didn't give me an ounce of grief. Home was home now. There was a house with my name on it now, but it wasn't my hearth; this mid-town, 'just above the poverty line' apartment was definitely home now. I would suspect that business travel was like a clothes dryer; you mystically pulled out less clothes than you put in. I was coming back with twice the amount of luggage I had departed with Odette would be home in an hour, so it was me and Timothy for a bit. "Hey Bro," Timothy greeted me. He set down one of those fanciful Asian vegetable mish-mashes that he liked from time to time, stood up and gave me a hug. "How bad was it?" "Let's just say I finished it up this evening by vomiting all over the Big Boss's rug, and that was the highlight of the trip," I mumbled. "That would explain your bare-chested look," Timothy snorted. I had been so out of it, I had spaced on the need to put on clothes like a normal human being. "Something to eat?" "Nah, my insides were spewed forth, so I'm foregoing food for a while," I mumbled. That reminded me. I went to the bathroom and gargled repeatedly with mouthwash. I could still smell the aromatic abomination, but at least I couldn't taste it anymore. "Do we want to go down the lists of women who have called you?" Timothy was trying to cheer me up. I wanted to be cheered up so I told him to go right ahead. Brooke and Libra; an immediate call back with the briefest of details; no weekend date for Brooke and I yet. Jason, the bar-back I had met chasing down Katy Lee, had called. I dialed his number and we had a short chat. He and his buddies were coming along well, I was invited back any time, and the Latin Kings had gotten the message because they hadn't been around since. I requested he and his friends keep their eyes open just in case and I'd be around for another pick-up game soon enough. Since most of those LK's were dead and the remainder scattered, I wasn't worried about Jason. Nikita; I called and she 'agreed' to come over. I was too fatigued to fight her off. Ulyssa called and I had to inform her that this weekend didn't look good for me; funeral and all. I initiated contact with Nicole. She was still wrapping up some of my business in Chicago and would be gone until Saturday morning. Timothy crashed for the evening, I was nibbling on some of his fodder and the doorbell rang. A check at the peephole revealed Nikita. She came in, hugged and I could sense something was definitely wrong. We were back to first date material. We hadn't been separated long enough; crap. I gave us space on the sofa. "That was incredibly fast," I groaned. "What tipped them off?" "What do you mean?" Nikita tried to scoot down the sofa to me. I held her off with one hand. "I am hardly one to uphold honesty in a relationship, but I normally consider it a selfish endeavor and not done for the benefit of a third, unrelated party," I sadly met her eyes. "Cáel, what do you?" Nikita stammered. "You are not a very good liar," I pointed out. "You are wearing a wire of some kind?" "Have you done something wrong?" Nikita evaded. "My loss," I moped. "All I wanted was the semblance of a normal life and now that's gone down the tubes." "Nikita, what do you want to drink?" I restarted the whole fiasco. Drinks were served and we kept to our separate ends of the sofa talking about mindless shit until Odette showed up. Then I could politely show Nikita the door and be with someone who did care about me. We made slow, passionate love. I gave her orgasms and giggles with the added benefit I felt more human when we finally fell asleep. (Friday) The morning started out with the same routine. I pulled up various routes for my bike ride into work, chose none of them and off I went in the pre-dawn dark blue/grey sky. I came within 20 seconds of my best time, so I was feeling pretty positive about what lay ahead. Security was a full 180 from their normally sour selves. "Good morning, Cáel Ishara," the security team (not Security Detail) leader greeted me. That was part 'thanks for letting my sister 'Runners' into a house' and 'maybe pick me next time.' "Good morning, Wilma Draper," I nodded back. I went to the counter and leaned in. I needed to fortify my supportive base and I knew how to do it. "You do realize I don't choose who joins House Ishara, don't you?" I addressed her softly yet loud enough for the two closest security women to hear. "You do not?" the woman appeared perplexed. "No," I shook my head in the negative. At that moment she wondered if this was a trick of the Council. Good girl. "The senior Amazons of House Ishara chose the next candidates. I make the ritual appeal to Ishara, of course. Selection remains in the hands of former 'Runners' who nominate the 'Runners' who have proven themselves. I was inspired to initiate Buffy and Helena because I had enough faith in them to believe they knew Havenstone and what House Ishara needed. The Amazons in the second ritual were all Buffy and Helena's choices. I think those two and the latest group Ishara has approved of, will make the perfect judges for picking future 'Runners' of accomplishment and worth; not only for House Ishara, but for the new Amazons who have risked everything for our People," I piled on the propaganda. She nodded. The two closest security guards nodded as well. Off I went to the gun range. With less than a minute worth of words, I had reinforced my perfection. I wasn't a male. I was a male with a passel of hardcore, praiseworthy Amazons working around me, insulating me from committing any errors and making all the important decisions while I behaved like a bobble-headed doll. The range was back to 'normal' except I could smell the chemicals this time out. Whatever concrete and surface coating substances they had used to repair my grenade-inspired damage left my nose with a terrible itch. I had a gun selection today. I had no instructor yet was hopeful. I packed up my 40 caliber, my back-up 3 80, the combat shotgun and my Personal Defense weapon then headed out. I patiently waited behind one of the stations, soaking up the view of medium gray yoga pants worn by a woman who presented a meticulously crafted, awesome bubble-butt to the world. After she finished off one magazine, the Amazons looked over her shoulder at me. Horn-dog time. The woman smiled as she motioned me forward. We put my weapons on the stand and prepared for school. "I am Wiesława of House Živa," she smirked playfully. By the Almighty, she had a thick Polish accent, rich lips, russet hair and 'come hither' eyes. I was prepping for some early 'nookie' time. "Hello, I am Ash Ketchum and I have an unhealthy relationship with free-roaming, anthropomorphic creatures," I replied as we clasped forearms Amazon-style. As Wiesława was trying to puzzle that out, an Amazon from an adjoining booth came over and punched me in the arm. I couldn't even recall this one's name though I knew that face and physique. "Stop that, Cáel," the woman chastised me. "She's new here." "I thought he was bringing me more weapons to use. Was this male being insolent?" Wiesława tried to put things in their proper place. "Should he be disciplined?" At least she wasn't taking me being beaten as her Goddess-given right. "No, Wiesława. This is Cáel Ishara, Head of House Ishara, he brought those weapons for His use and most likely came to your station looking for instruction," the unnamed Amazon stated. "Does this mean we are passed that whole 'grenade launcher' thing?" I inquired of the women. "We are not sure. For now we have decided to not pre-judge you since you remain consistently combative no matter what. Constanza is recovering," she tacked on. "Good," I grinned. "How soon can she return to duty? I imagine she makes a lousy patient." Pause. The 'Constanza' bit had been a test. I had a feeling that my emotional tendency to spare lives and show mercy was getting around. It wasn't the Amazon way, though it did mean Constanza would remain alive for a while longer when it was generally accepted she should not. "She will have to retrain her vision. Her doctors are hopeful," the woman responded. "That is for the best. I do hope there are no ill intentions toward Pamela," I warned her. "Such a vengeance would be personal and I would feel no obligation to treat those criminals as I would my fellow Amazons; are we clear?" "It has been made expressly clear that this issue is at an end," she bowed slightly. "Let us commit this to the 'nothingness'," was my suggestion. The two Amazons twitched. That was a phrase straight out of their cultural playbook. Both nodded, the familiar Amazon left and I turned back to Wiesława. "Do you still want a go at training me?" I asked the Pole. "Yes; yes, I would like that," she gave me a bright, toothy white smile. "I find you interesting." Off I went again. Wiesława was diligent and definitely 'hands-on'. Twenty minutes into the training one of my familiar SD firing partners showed up. "Don't let him take his clothes off," Felicité teased me. Her Congolese French contrasted erotically with Wiesława's Polish. "His clothes come off?" Wiesława seemed puzzled. "How is that accomplished?" "A deeply scientific, psychological process," Felicité teased my latest friend/fish in the barrel. "Cáel, take off your clothes," she commanded me. I gave her a haughty, condescending glare. "Please." My biking shirt came off first then my biking slippers and finally the shorts. "Your turn," I regarded Wiesława. She shot a look to Felicité. Her sports bra was millimeters from exposing her goodies when my Congolese tormentor stepped in. "You don't have to take off your clothes for him," she intervened. "But I like seeing you ladies naked," I protested. Felicité patted my package. "We like seeing you naked too. Now put on your pants before a hot shell casing creates yet another incident," Felicité teased me again. A great chasm of misunderstanding had been bridged since Friday. The grenade-launcher was part of it, yet I think Rachel and Velma were far more constructive than I could have been. Velma had seen me in crisis mode. I hadn't panicked. I had seen to my partner (though she was an inconsequential female) and been cool throughout the process in Katrina's office as Velma and her four team members had overheard. Rachel, Charlotte, Mona and Tiger Lily had probably given a different story; less professional and more human. That must have worked in my favor. A stone-cold bad-ass would have been more worrisome; a challenge. No, I had been shaken, irrational, brave and grieving. I had fought an assassin of the Nine Clans and not lost (thus not an embarrassment to a culture I didn't really belong to; until that moment). I had insulted the Condotteiri and the Seven Pillars, who were universally hated. I had been nice to the Earth  and  Sky and Illuminati, who they didn't like much, but could be handy if a war did break out. I had been 'friendly' to the Egyptians and Nine Clans, who the Amazon rank and file did approve of. The SD had no doubts; they were looking at a war. Unlike their leadership, the Security Detail was anticipating this, even anxious for the test. Fighting is what they spent their whole lives training for. Thirty years had passed since the last major clash between Havenstone and the others. For the youngest, this was the ultimate chance to prove their training had been perfect. For the oldest members of the SD, this was the culmination of a lifetime's devotion. 'Take themselves to the cliffs'? Not now. Now came the chance to make every burn, bullet hole, stab wound and piece of shrapnel worth it. Their Host lavished care and resources on the Security Detail; their Warrior Elite; and they were about to reward that glorification with a fervor only female's with 3000 years of martial tradition could match. Like me? Allowable yet not required. Respect me? Constanza was their lesson on respect. Obedience? No. Rachel had most assuredly related my contact with the 'Runners' and Buffy, so they could hit me like they could no other Head of Household; as long as it was 'appropriate'. Since they were not forced to give me full equality, they could stomach my 'almost' equality. Think of it as being able to punch your manager at work in the arm whenever you thought they were doing something stupid. Imagine how much worker morale would benefit. By stepping up and taking a punch, or two, I bought myself and House Ishara much more respect than a snippy insistence on etiquette would have ever done. Bringing 'Runners' into a First House? The SD wasn't jumping for joy. Here, the SD's sense of superiority worked in Ishara's favor. What did it matter to them that a few 'Runners' had been exalted to Full-blooded status? SD was the best of the best. That they were the best of the 'best available until now' hadn't occurred to them yet. All that circled back to Felicité playing with me, no one taking exception to me making a play for Wiesława and the return of the firing range to an educational platform for me. As I had told Oneida, 'defeat starts in the mind'. Along with that came 'Victory starts with a plan', and 'seize the moment'. I was aiming for seizing victory in the flesh. I bent over to put my pants back on. Since Felicité was departing for jobs-unknown, I ran the pants, and my hand, along Wiesława's inner right thigh. By the look in her eyes when I was finished, she didn't mind in the slightest. At the end of my allotted time period, my marksmanship had improved and Wiesława was mine for the taking. What bothered me was that it felt too easy somehow. Weird huh; that 'easy' would bother me. "You don't hang around men much?" I questioned the Pole as the weapons were being put away. "No," she sighed. "The last male in my hold died eight years ago. That is one reason I was re-assigned here," she informed me. "What department are you with?" I asked as we waited on the elevator. "Security Detail," she answered. "Fantastic," I murmured. "Elsa is a great boss. The two of us get along great." "Really? That is good news," Wiesława sounded upbeat. "How close are you?" Hint, hint. "Like the Cobra and the Mongoose," I grinned. Into the elevator we went. "I'll let you figure out which is which." "You are the Cobra," she patted my thinly covered cock. Yay! No personal boundaries. Less I forget I was still on the list of approved prey animals the door opened on the first floor and Brielle, her buddy, and Oneida stepped onboard. I had no clue where Wiesława was supposed to go. I guessed she was along for the ride. "Good morning, Cáel," Brielle greeted me before licking my left nipple. Wiesława was confused; could she have been licking me, and getting licked by me, half an hour ago? "What are you doing?" Oneida squawked. "Yum; someone has been to the gun range this morning," Brielle smiled at me. "Oh, and; sorry about your paternal person," she hastily added. "They are called Fathers," I sighed. To defuse Oneida, I slipped a hand to the small over her back then wiggled three fingers between the top of her skirt and panties. It was 'dangerous' enough to give her pause before going after the other women. "It is good to see your new, exalted status hasn't gone to your head, Cáel Ishara," Brielle looked very naughty. "Sisters first, last and always," I responded. "I'm not going to take credit for my ancestors being kick ass." "They must have been very courageous women," Wiesława stated. I snorted. "Wiesława, my Ishara lineage goes down the male side of the family, so those lethal ancestors were all male," I chided her. "When the Dacian-Thracians moved into the region, they joined with those tribes fighting the Celts. Later, they joined with the Dacian kings and fought against the Romans. Germans, Avars, Bulgars and finally the Magyars came their way; my ancestors impressed them all enough to be accepted. I know this because my Father's name was Nyilas, which means Archer in the Magyar tongue. We were fighters under the Arpad dynasty the same way we had gone to war with our Amazon War leaders thousands of years earlier. I also know this because of my bloodline; if the female folk had been raped, the bloodline would have perished," I explained. "Where exactly was your family from?" Wiesława inquired. "My grandfather said we Nyilas' were from Székelys Lands in Northern Romania," I replied. "My great-grandfather grew up under the Romanian King, hated it and died fighting as a Hungarian soldier against the Soviets in World War II," I continued. "That is why my great-grandmother took her children and came to America. They had lost their homeland in her opinion. Dad said she was bitter until the day she died," I sighed over my forerunners intransience. "She even wanted to be buried at her home town of Szászrégen," I let them know. "That never happened." The elevator door opened, I waved good-bye to friends new and old then raced to Katrina's bathroom. Katrina was at her desk, working away. "Cáel," Katrina acknowledged my passage with a wave of her hand. "Hayden and I have been examining a list of possible; " "That boat has sailed, Katrina," I cut her off. "I'll take care of my business without Hayden's help, thank you very much. I know you tried to warn her. I should have known there was no use dealing with the Council in any way, shape, or form. There isn't." I paused. "Tell your allies that there will be many in House Ishara and Warrior-Fathers too." "Aren't you worried in the least?" Katrina requested. "We both know that some of these bitches want to face their end like the lead characters in a Wagnerian opera. All we can do is remind them they are traitors to their Race, not patriots to some modern day concoction of a cult of gender blood purity," I stated, "as we work to save our people." "Those 'Old Guard' broads have forgotten what an Amazon is supposed to be," I explained. "And a man is going to show us the way?" Katrina studied me with emotionless intent. "Yes," I muttered. "A man who prefers love over hate and counts his worth by the lives he saves, not the one's he takes." "Do you ever fear this 'softness' will weaken your masculinity?" Katrina mused. That hurt; not because of her words, which could be true for any man. It hurt because the bastion against such thinking had just died. "My only fear is that I won't live up to my father's example," I responded. "Not only as a man and a father in my time, but as a human being," I delved into the wounded portion of my soul. "He never went to college, served in the military, or even got into a fight until that last minute of his life. He covered for co-workers with family issues, never failed to answer a call out to work in inclement weather, and did all that normal boring shit few here even understand. He let me be weak and let me be strong. His greatest lesson was that no matter where my life led, I had to take responsibility for it. The strong ask for help. The weak ask for someone to do the task for them. Love is not a word. Love is the star you chart your life by. The worst weakness is letting fear stop you from pursuing what you want. That is what I have to measure up to," I finished. In the interim, several of the new hires showed up and were observing the spiel. "I would think he would be happy if you measured up to what you wanted out of life," Katrina said. "I aim to do both," I grinned. I went to the bathroom and quickly changed into my work attire. The meeting started on time with the additional of a gnat-bite; Dora was two minutes late. At the time, nothing seemed out of sorts to me. It was a day on the job with Rosette. Around 3:30 pm, Pamela stopped our knife training (her with her wand and me with my weighted, wooden blade). She went to the corner of the room, ran her finger along the central point and drew back a finger with dust on it. She raised the finger so I could clearly see it. "It's dust?" I shrugged. "Normally they do a much better job," Pamela noted and back to training we went. The nightmare became real with one phrase in common usage: 'I'll get to it when I can', one Runner told Desiree when Desiree gave her a task. One of the most fascinating things in my book about Havenstone was that it hummed along like a well-oiled, organic machine. Tasks were completed, back-ups were always on call, and promptness wasn't a virtue; I was the absolutely expected. "What did you say?" Desiree asked for confirmation. "I said I'll get right on it," the woman sighed. I caught the look in Desiree's eyes. Something was wrong, but she couldn't put a name to it. Oaths and obligations; the lubricant for patently lethal Amazon society. Those words tossed out without too much consideration were now fraying around the edges. This wasn't the Plague, boils, lesions, leprosy, rickets, or the Home Loan bubble bursting. Those you could fight. How did you counter the devaluation of someone's word? Ishara's curse was crawling toward a very bad end unless I did something, but what? Personal respect would remain. Hierarchy? Amazons would begin to question why they were prioritizing their lives around someone they didn't know, or knew and didn't like. We weren't at that final destination, yet it was coming, and best of all, every woman in the company had a weapon, or quick access to one. A phone call grabbed me before I went in for the 'end of day' meeting. It was Brooke. "Christopher Cáel-umbos," I murmured. "Economy Class Oriental tours. How may I help you?" Laughter; and more than Brooke's. "Libra and I were getting ready to head out to the Hamptons and wanted to give you one last chance to come along," Brooke pleaded. An impressive dicking indeed. Thousands of reasons not to go; safety, responsibility, risk for other; "Sure, I'd love to come along. Can you pick me up at Havenstone at 6:10 pm? We'll make a quick run to my place to pick up some stuff and then head out, unless that's too late?" I offered. "See you then, Cáel," Brooke purred. "See you," Libra called out as well. It was a loathsome indicator of how out of control my life was ;  that me, a working class kid, was going on a romp with two rich, high society girls to some mansion for a weekend of hedonistic fun; because that was more 'normal' than my week had been. I entered the meeting, took my teasing and made for the gym. This hour was devoted to a hardcore workout and nothing but. Rapid repetitions, quick shifts, rolling through the muscle groups. Even a few of the dedicated lifters gave me appreciative looks. I didn't have the time today. I hit the showers and made the doors before I hit a snag. Security held me up yet again. They seemed nervous, so I asked and got a bottled water and made some jokes. These ladies were going to be my allies, damn it, before I was done. Troika caught up with me a minute later. She extended a handful of round, brownish-yellow balls in a necklace. Each ball had a symbol inscribed on it. "We received this and a message this morning," she snapped. "We have decided to reject it." "It is horse-hoof," Pamela whispered in my ear. The gears went spinning. There was one person I knew who would send me keratin scrimshaw jewelry. Those nasty bitches were piling on the stupid. I looked it over; it was old, maybe going as far back as Timur aka Tamerlane to the English-speaking world. The 'cord' was made of hair; probably horse tail hair. I had no reciprocal gift to offer; absolutely nothing this valuable. But wait, I did! Somewhere there was a Havenstone bureau, department, or office that hung on to the artifacts ALL the Houses had accumulated over the passage of years. Some of that shit was mine; Ishara's. Our house had expired before the colonies became states. That still equated to a long period of pack-ratting. I'd put a minion on it right away! I'd pray that they didn't have plans for the weekend; later. "It arrived this morning and you are only giving it to me now?" I grumbled. "That message was meant for me, not for any of the rest of you. Where is the rest of it? Oh, and you're on the list." "It was consumed in its examination," Troika blatantly lied. "You have a visual copy," Pamela sounded bored. "Give it to him." "I do not carry such things around on a handheld device," Troika parried. "Ah; that's theft," Pamela gave a slender grin. "Just so we are clear." "If Cáel Ishara wished to put forth such an accusation to Hayden, I will be prepared to defend my actions," Troika gave a hostile glare right back. "That won't be necessary," I snorted. "I'm good. Pamela, I'm out for the weekend. Have fun." I turned and walked away. "Count the days, Troika," Pamela menaced. "I'm not afraid," she countered. "I don't care, but in 21 days, Cáel's ban on internal conflict will be at an end. Like me, he will not go to a corrupted Hayden for justice. We will be exacting it in our own way and in our own time. That you should worry about," Pamela gave a tilt of the head, a feral grin and joined me in departing. In Hittite, she said;  "A matron, 21 Runners and one archaic mistake," Troika joked. In Hittite, she said; "But how many more 'Runners' can he recruit between now and then?" one of Troika's bodyguards worried. "More than enough to raise your daughters after you are all gone and forgotten," Pamela shouted over her shoulder. (Starting Friday Evening in the Wrong Damn Place) Waiting outside for me were two beauties and a small car. I hefted my bike, detached the front wheel for easier storage and climbed into the Lilliputian backseat. "Sorry," Libra in the passenger seat sounded embarrassed. "I'm not sure Brooke and I thought this through. Do you have a seat belt?" She was referring to the rear-mounted cup holder I was sitting in. "This is not rated for human occupation," I grinned back. What that really meant was there were three conflicting emotions pulling events along. Wanting me to fuck them; the easy one. Loyalty to your social/sorority sister; the relationship under stress. Me being a 'suitable' human being; the one that they were both stumbling toward which made the second emotional force such a problem. Had I solely been a fuck toy for either one, the other could have gracefully exited the field (with the occasional sharing). I was far from 'husband' material yet I was closing in on being the 'crossing a crowded club to greet me' kind of guy; already passed the 'not embarrassed to introduce me to their friends' phase. "You can sit in my lap," Brooke offered. With her driving and our height differential; we'd be lucky to be pulled by the PD before we wrecked. "How about you drive, I sit in Libra's seat and she sits in my lap?" I offered. "That's no fun," Brooke shot me a pout. "It sounds like fun for me," Libra giggled. "Now Libra remember, for the seat belt to be effective, you will have to sit facing me;” I sighed. "Facing you?" she winked. "Yes; facing me naked," I assured her. "Hey!" Brooke protested. "How come she gets to be naked in your lap?" "Otherwise me being naked would be pretty pointless," I explained. "Libra," Brooke demanded, "you get to drive." Petty arguments and playful exchanges followed. I left a message for Timothy and Odette, letting them know I was heading out to some address on the far end of Long Island. I even shot myself in the foot with the Nerf gun and told Timothy so he'd feel better. Brooke and Libra were dressed similarly. Red and khaki almost 'short-shorts', white/yellow bikini tops under white wife-beaters covered with a denim shirt (sleeves rolled up) and white cargo short-sleeved shirt, tennis socks and canvas shoes. In a way, I was a victim of my own success. Both ladies wanted to fuck me bad, but their desire to prove to me I was more than a fuck toy meant I didn't get sex at my place. If you are a girl, that will make much more sense. The car ride out was an issue. If I drove, Brooke and Libra promised to put on a Sapphic display for the ages. If Libra drove, I promised to publically molest Brooke at every stop. The reverse went for Brooke driving. The solution was that the girls would take turns driving and I would be a truly diligent cunnilinguist, with a strong background as an anatomically astute Braille harpsichord player. Our destination turned out to be the hamlet of Sagaponack, aka the most expensive place to live in the United States. Why was I doing this to myself? For starters, Brooke thought our host, Brennan Sulkanen, lived in one of those $50+ million homes; funny, I thought those were called estates. The girls laughed when I told them that. My utter lack of forethought, underutilized intelligence gathering capabilities, and even not acting my age were coming back to chew a huge hunk off my heine now. Brennan was a fraternity brother of Trent; warning indicator #1. Brennan didn't actually do anything, but his father was loaded; situation getting worse. Brennan was the youngest of the three sons from the first marriage with three other children from two other marriages waiting in the wings. A quick search revealed that the third and current Mrs. Sulkanen, was very elegant for a thirty-two year old lady. His current Mom being the same age as his oldest brother could be an issue. I was living proof how good parenting could help build up a child. Improper parenting; could do the opposite. Nothing was guaranteed though. "So, why are we going to Brennan's?" I hazarded to inquire as we cruised down Highway 27 through East Patchogue. In the back of my mind, I realized I was due south of scenic Doebridge and their frisky policewomen/Stasi law enforcers. "Oh, we met in college when I came up for one of Trent's; that loser; frat functions," she told us. "He was very drunk and tried to hit on me," the tale continued. "How and where did he 'hit' on you?" I prodded. "He stumbled into the Ladies' room, knocked my drink over and tried to give me his, but I was insulted by his inebriated pawing and left," Brooke said. Lone drunk men DO stumble into Ladies' rooms; usually to vomit. Frat brothers hit on each other's girls; men are pigs. Greeks are pigs with tie pins and secret handshakes. Drunk people do not demolish another person's drink then offer up their own. The spilling of alcohol is a drink-worthy event which you can't do if you have given your drink away. Man math: Brennan stalked Brooke, ambushed her in the bathroom and tried to roofie her with his drink because our host was a dirt bag and a total ass-bandit. How had I failed to do some basic 4 1 1 on this bastard? Oh yeah, brought an extinct First House to life, multiple threats to my well-being, treated like crap by most of my co-workers and then my father was murdered. "I repeat; why are we going to this guy's house?" I asked. "He's been persistent ever since Trent bailed and he sounds so worried about me," she answered. "Oh, I don't want you to think I'm using you as Brennan-deterrent, Cáel," she added. "I wanted to get out of the city and be with you; and Libra." I was more than Brennan-deterrent alright. I was a 'Highway Closed Indefinitely' sign for his edification. This was okay with Brooke (and me) because of all the sex we were going to have. "Thanks," Libra teased her pal. My dilemma was that despite all the positive emotions wafting my way, I wasn't one of 'them' yet. I couldn't simply say 'this dude is a scumbag. Let's go somewhere else.' This was going to take some tact and pretty much annihilated my hopes for a weekend to unwind. I had to play nice and at the first opportunity pull our host aside and politely inform him that I was going to floss his teeth with his still functioning intestines if any of us partook of something we hadn't asked for, ended up in some spot we hadn't wanted to go to, and/or doing something we didn't want to do. My diplomatic approach was from some movie that was way before CGI. It was ('you' meaning 'me': 'I want you to be nice; until it is time; to not be nice.') I was going to give Brennan's survival instincts the benefit of the doubt. I felt certain he wasn't enchanted with the idea of personal pain and I was going to let him know there wasn't a bank account deep enough to protect him from my wrath. If there was ever any doubt; I'm an idiot. We pulled up to the gate right before eight. Yes; one of those nice wrought-iron, automatic opening double gates. Brooke answered the security screen and in we went. Two people, definitely staff, met us as we parked. There was six cars present already, all variations of the high-performance, turbo-charged, 'Daddy/Mommy don't love me so they gave me this deathtrap instead' ideal. Cargo space? Fuel efficiency? Excessive safety features? Not a concern for this crowd. There was a momentary bout of confusion as the male staffer came for my baggage. I thanked him. He looked at me funny. Brooke insisted the female staffer give directions to where her/Libra's luggage was going so I did the same with the guy. My stuff was not only not heading to Brooke's room, I was being banished to another branch of this sprawling villa. "Take my stuff to their room," I directed the man. "Sir, a different room has been set aside for the gentleman," he insisted. "Oh; okay," I nodded. I took my bags from him, much to his surprise, and followed the 'maid'. Brooke and Libra laughed at my obstinacy and tagged along. Our introduction to the 'pack' was delayed and, by his look, Brennan wasn't happy with my detour. I wasn't happy either, but for a different reason. "Brooke; Libra, right? Cecil?" he clearly was disrespecting me straight out of the gates. Brooke and Libra said 'hi'. I was a little less diplomatic and I was staring down the barrels of a serious crimp in my main battle plan. There were two dissipated young ladies, three men of the same caliber and two guys I identified hangers-on. Most likely rich; just not rich enough to be treated as equals by the majority. Then there was this one girl who was certainly the unsuspecting party favor. You can learn all kinds of thing about the darker side of male-female relationships at Spring Break if you pay attention. The vacation can be wonderful, but seeing fuck-head bottom-feeders getting girls wasted for the eternal glory of Girls Gone Wild and the ability to stick their prick into someplace it doesn't belong, and they haven't earned the right to be in, truly sucks. For the moment, I had to look past her. The focus of my anxiety was a couple, both African-American and from a different mold than everyone else there. I knew the guy because he was somewhat famous. "Hey Bitch," I replied in an off-handed manner. "What?" Brennan hammed up his confusion. The 'Home Alone' gasp. What had he done wrong? "What?" I responded. "Did you just call me a 'bitch'?" he clarified. "No," I lied. "I didn't even know you were talking to me. Hi, I'm Cáel Nyilas. Who are you again?" "I think you called me a bitch," Brennan watched his whole weekend plan to dispose of me coming gift wrapped here in the opening round. He looked to the 'famous' guy. I am an idiot. "Well, with your family money, I'm sure you can hire top notch Otolaryngologist to handle that hearing problem of yours," I grinned. "Orlando, what do you think Kibble here said?" Brennan indicated the guy. "Orlando Keyes," I smiled. "Man, you are one mean son of a bitch. That fighter from Ecuador; missed his name; you broke his left cheek with one hit during that MMA bout in New Orleans last Thanksgiving. The only thing almost as impressive was that guy managed to stand up afterwards." No, I wasn't buttering this guy up. There was no point. I only knew about him because the whole 'martial ardor' doesn't have to be yours to get some tail. Girls who like watching physical combat; MMA, Kick-boxing, Boxing, and the NHL (WWE if they are somewhat gullible); will jump on your bones at the completion of that match. "I think this cunt called you his bitch," Orlando came my way. I gently pushed Brooke and Libra aside to give me space. "You are mistaken," I kept smiling at Orlando. "I was calling that lady over there," I pointed at the lady he had been talking to, "my bitch for tonight. The acoustics in this place must suck." Outdoor pool; the Atlantic Ocean crashing less than 100 meters away; this place rocked. "You are going to die," Brennan laughed at me. Keyes kept coming. "Right, or left?" I asked him in a pleasant tone. He glared yet hesitated. "What does it matter?" Orlando studied me. He had stopped being a hired thug and returned to being a modern day gladiator. "I'm packing so I wanted to know which knee you can live without," I stated. "He's got a gun?" one of the other males mumbled. "Gun?" Orlando's eyes narrowed. "Knife," I corrected. At this point, everyone but Orlando and I felt better. In that snippet, Orlando and I exchanged a vital piece of information; I was going to hurt him. No matter what he did, I was going to put a knife into him. How did he know? I had warned him and I laughed at Death. I wasn't bluffing and Orlando made his life's work piercing his opponent's deceptions. "That's my fiancé," Orlando grumbled. I extended my hand. "I apologize then," I said as he shook my hand. "That was rude of me and uncalled for. Not only is she one of the classiest ladies here, she was hanging out with you, a man not known for accepting anything short of the perfect match. Besides," I whispered, "we both know who I was truly talking about." Orlando wasn't happy with me, or forgiven me. What he did accept was that I'd given him an out. I had backed down and apologized. Brennan was frowning. Orlando and I didn't care; we were both fighters and we'd both ponied up on the promise of pain. If there was to be a conflict, he wasn't going to do it for Brennan. He was going to do it because he always wanted to know how tough the other guy really was. Names floated around. The only people that mattered to me were Anima and Casper. Anima was Brennan's 'girlfriend' which I translated as a debauchery enabler. She was under the delusion that life was boring and pointless, so she should punish the world for her ennui. Her life's cup had been emptied at twenty-three? Bitch, I worked with real women who couldn't even consider such nonsense. Casper; Casper was going to be a problem. For starters, Anima had taken Casper under her wing; was going to show Casper the 'ropes'. Casper proudly proclaimed that. Casper was also not as rich as the 'in crowd' and not a hanger-on; she was the weekend's amusement, or would have been if Brooke hadn't shown up. And, of course, she couldn't see the danger, she was so eager to be with the super-rich. After the name game came the initial party shuffle. Who was aiming for whose bedroom tonight and how would they get what they wanted. Brennan sent two backup boys cruising for Libra while he angled in for Brooke. Anima and Casper were supposed to keep me busy. Libra promptly showed she'd thumbed through my Book of Social Fugliness. "I only date real men," she shredded the 'second-stringers' to pieces. The blast socially staggered them. "If you have to think about it, boys, you are not a man. Don't strain yourself trying to be something you can't even comprehend. Now one of you go get me a drink while I think about what Cáel and I are going to do to Brooke tonight." In social parlance, that was shooting someone with both barrels of a shotgun then using the stock to tenderize the remains. That was one flank secure. Next, Casper and Anima. Anima had the feeling I didn't like her; good for her. "Would you really have cut Orlando?" Casper asked me softly while she ran a fingernail over my right forearm. "Casper, to begin with, call him Mr. Keyes. There will come a time when you can freely use his first name, but you ain't there yet," I cautioned her. "To answer your question: yes, I would have sliced down and across, cutting his right hamstring." Keyes heard me, as I had intended. "Brennan says you are a co-worker of Trent," Anima cooed. "Kind of," I shrugged. "Trent is a big-shot with the Far East Unit while I remain in Personnel in the city (Manhattan)." They both looked disappointed then Casper handed me a plum. She wasn't stupid, just willfully blind. "Where did you learn to use a knife then?" Casper tried to 'salvage' me. She was doing herself a favor by trying to make me look better to the rest; doing me a favor. Nice. "I'm with the Records Redaction Unit of Havenstone's Executive Services," I lied. Blink. "That doesn't make any sense," Casper's brow furrowed. "You delete records?" "No Casper," I returned her arm rub, "someone creates a list with names on it. I am part of the team that reduces the number of those names on that list to zero." Blink. "You fire people?" she remained uncertain. She had to believe I was playing with her, which I was. "No," I shook my head. "That implies extra paperwork. We take a more ergonomic approach. No termination rigmarole; no traceable termination at all." "That sounds vaguely like you murder people," Anima murmured. "Murder is a crime. Converting all the data of a given person into one, misplaced file is a way of circumventing the whole 'exit interview/providing references for other jobs/pension' process." If you believed that this nation, nay, the whole world, was run by soulless corporate monsters that made scary sense. "What do you do with the people?" Anime was showing the tiniest bit of enthusiasm for this conversation. "What people? People have names," I smiled. "Bodies with no records are normally handled as John and Jane Does and are buried in Potter's Field, or used at medical schools." "Do you enjoy sex with multiple partners?" Anima smiled; veering the conversation off in a different dir

Cáel's tombstone: For the love of women, women put him here.In 25 parts, edited from the works of FinalStand.Listen and subscribe to the ► Podcast at Connected..

In the first episode of season 3, May Wang joins Dr. Renee Michelle Banakis Hartl, an otolaryngologist and Assistant Professor at the University of Michigan Medical School. Dr. Banakis Hartl sheds light on the pivotal moments that influenced her unique career journey, starting with her earlier experiences that inspired her to study speech-language pathology in university and become an audiologist, followed by her decision to pursue a career in medicine as an otolaryngologist. Dr. Banakis Hartl shares some of the highlights and challenges she encountered during the career transition, and also provides insightful advice to aspiring audiology and medical students. 

Dr. Gibbs is a board-certified Otolaryngologist, thyroid surgeon, and founder of Consultants in Metabolism, a practice focused on the medical treatment of Hashimoto's disease and other complex thyroid-related illnesses and chronic fatigue. She helps patients who have not responded to Levothyroxine, or who were not offered treatment due to normal TSH, regain their energy and vitality.In this episode, Dr. Amigues and Dr. Gibbs discuss the intricate relationship between stress and thyroid health. They explore how chronic stress can lead to thyroid dysfunction, the symptoms of hypothyroidism, and the importance of understanding thyroid hormone testing. Dr. Gibbs emphasizes the need to address both stress and thyroid health holistically, incorporating lifestyle changes and mindset shifts to improve overall well-being.Find Dr. Dana Gibbs here: www.danagibbsmd.comAnd be sure to follow her on social media:Instagram: @danagibbsmd Facebook: @consultantsinmetabolismYouTube: @danagibbsmd8190_____________________________________________________________________________________Join the community and follow UnabridgedMD on social media!Instagram: @unabridgedmdFacebook: @UnabridgedMDTiktok: @unabridgedmdIf you live in Colorado and are looking for a rheumatologist to help you achieve disease remission, email or contact us at UnabridgedMD.com. We are the first direct care rheumatology in Colorado and can see you within a week!Click here to get in touch: https://www.unabridgedmd.comOr give us a call: 303-731-4006

Dr. Gibbs is a board-certified Otolaryngologist, thyroid surgeon, and founder of Consultants in Metabolism, a practice focused on treating Hashimoto's disease and other complex thyroid-related illnesses and chronic fatigue. She helps patients who have not responded to Levothyroxine or were not offered treatment due to normal TSH regain their energy and vitality.   Socials: Podcast: Beyond the Thyroid https://open.spotify.com/show/71lbRQFtZ9zySuNXEKgM3n Website: https://www.danagibbsmd.com/ Facebook: https://www.facebook.com/consultantsinmetabolism Instagram: https://www.instagram.com/danagibbsmd/ YouTube: https://www.youtube.com/@danagibbsmd8190 TikTok: https://www.tiktok.com/@dana.gibbs.md LinkedIn: https://www.linkedin.com/in/danagibbsmd/ New boost

In this week's episode of Promising Young Surgeon, we explore the fascinating and multifaceted career of Dr. Anthony Chin-quee. From his beginnings as an otolaryngologist to his current roles as a television writer and memoir author, Dr. Chin-quee shares his unique journey and the lessons learned along the way. We discuss his work on shows like Grey's Anatomy and The Resident, the challenges of medical residency, and his critically acclaimed memoir, "I Can't Save You." Join us for an enlightening conversation about resilience, creativity, and the power of storytelling.ResourcesI Can't Save You: A Memoirhttps://www.amazon.com/I-Cant-Save-You-Memoir/dp/0593418883 Xhttps://x.com/cq__md?lang=en Instagramhttps://www.instagram.com/wheyouat/?hl=en 00:00 – Cold Open00:34 – Intro to Anthony Chin-quee04:25 – Why Medicine?17:00 – The Conveyor Belt46:50 – Writing for Television56:14 – Do You Believe in Karma?56:56 – Where to Find Anthony Interact with the podcast! Email me at pys@heyinfluent.com to ask questions. We would love to hear from the Promising Young Surgeon audience.Promising Young Surgeon is sponsored by Pattern. Discover why more than 20,000 doctors trust Pattern to shop for disability insurance. Request free quotes in 5 minutes. Compare policies with an expert. Buy with confidence. LINK: https://www.patternlife.com/promising-young-surgeon?campid=349433Subscribe, tune in, and join the conversation as Dr. Hardin and her guests tackle the pressing issues facing today's medical professionals and ponder how to nurture a more compassionate and sustainable healthcare environment. Connect with Frances Mei:https://linktr.ee/francesmei.md https://rethinkingresidency.com/about/Find More info on this series and other podcasts on the Influent Network at HeyInfluent.comFollow the Influent Network on Social Media:LinkedIn | Twitter (X) | YouTube | TikTok | Instagram | Facebook The Influent Network is where emerging healthcare professionals and esteemed medical experts converge. Our platform is a straightforward resource for career development, financial planning, practice management, and investment insights, designed to foster strong professional connections. Powered by Hurrdat MediaSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dr Peter Friedland, Otolaryngologist and friend of Nelson Mandela speaks to Bongani Bingwa about the relationship that developed between himself and the former president.See omnystudio.com/listener for privacy information.

Are you a medical professional looking to secure your financial future? Ever wondered how to make your money work for you? In this episode, Dr. Joseph Ryan, Smolarz, a full-time Otolaryngologist and founder of STOR, shares his journey from being financially unaware to becoming a successful real estate investor. Dr. Ryan discusses the importance of financial literacy for medical professionals and how investing in self-storage facilities has provided him with financial security and peace of mind. He emphasizes the significance of understanding depreciation, leveraging partnerships, and starting small to build a robust investment portfolio. Tune in to learn how you can navigate the world of investing and make work optional. Key Takeaways: 03:42-  Dr. Ryan Smolarz Background Full-time Otolaryngologist turned investor after realizing he was financially unaware. Enrolled in an MBA program to gain financial knowledge. 08:42-  Focus on Stable Asset Classes Investing in self-storage facilities as a hedge against economic downturns and a way to achieve financial freedom. 12:15- Strategies for Medical Professionals Leveraging depreciation and forming partnerships to minimize risk and maximize returns. 17:39- The Challenge for Medical Professionals Overcoming the fear of investing and understanding the long-term benefits of real estate investments. 20:40- The Medicine and Money Show Educating medical professionals on investing fundamentals and building trust with ethical sponsors. Are you ready to take control of your financial future but don't know where to start?  Contact Dr. Ryan Smolarz today to learn how you can leverage real estate investing to make your money work for you instead of being at the mercy of shifts in your medical career. Connect with Dr. Ryan@: Website: https://storpartners.com/ YouTube: https://www.youtube.com/@medicineandmoneyshow Linkedin: https://www.linkedin.com/in/joseph-ryan-smolarz-4803a81/ Connect with Corwyn@: Contact Number: 843-619-3005 Instagram:⁠ https://www.instagram.com/exitstrategiesradioshow/⁠ FB Page:⁠ https://www.facebook.com/exitstrategiessc/⁠ Youtube:⁠ https://www.youtube.com/channel/UCxoSuynJd5c4qQ_eDXLJaZA⁠ Website:⁠ https://www.exitstrategiesradioshow.com⁠ Linkedin:⁠ https://www.linkedin.com/in/cmelette/⁠ Shoutout to our Sponsor: EXIT Realty Lowcountry Group Do you want something more? More Meaningful Moments opportunities, deeper relationships and memorable experiences? Do you want to make a difference? If you say YES, a career and real estate could be the opportunity you're looking for guiding people to one of the most important decisions they ever made, the purchase or sale of their home can be both rewarding and lucrative.  EXIT Realty has a revolutionary compensation model training and technology that provides you with the tools you need to start and build your successful real estate career. Call EXIT Realty Lowcountry group today at 843-619-3005 that is 843-619-3005 or visit https://exitlowcountry.com/joinexit and make your Exit today. Key Takeaways: --- Support this podcast: https://podcasters.spotify.com/pod/show/corwyn-j-melette/support

This month we're joined on the TrainSmart Podcast by Dr. Melynda Barnes. As a a double board-certified Facial Plastic and Reconstructive Surgeon and Otolaryngologist and Chief Medical Officer at Ro, Dr. Barnes brings a wealth of perspective on physician training, how to best coach physician faculty, and the value of a medical device rep. Tune in for great insight, encouragement, and inspiration for working with physicians! Related Resources: Dr. Barnes is a double board-certified Facial Plastic and Reconstructive Surgeon and Otolaryngologist. Previously, she was an Assistant Professor at Yale-New Haven Hospital and Yale School of Medicine and also served on the board of directors for Yale Medical Group. She earned her BAS from Stanford and her medical degree from the Mount Sinai School of Medicine. Connect with us on LinkedIn:   ⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠Cumby Consulting⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠Rachel Medeiros⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Liz Cumby⁠⁠⁠⁠⁠About Cumby Consulting:   Cumby Consulting's team of professionals deliver innovative MedTech training services for physicians, sales representatives, teaching faculty, key opinion leaders and clinical development teams. Whether you need a complete training system developed to deliver revenue sooner or a discrete training program for a specific meeting, Cumby Consulting will deliver highly strategic, efficient programs with uncompromising standards of quality.

In this episode of Run with Fitpage, we host Dr Kevin Smith, who is an Otolaryngologist, and a facial plastic surgeon with expertise in sinusitis and migraines. Dr Smith discusses about managing sinus allergies and deviated septum in the case of runners, with our host Vikas Singh.Dr. Kevin Smith is a renowned facial plastic surgeon and ENT specialist with dual board certifications from the American Board of Otolaryngology and the American Board of Facial Plastic and Reconstructive Surgery. Over his distinguished career, Dr. Smith has performed thousands of facial plastic surgeries, including facelifts, eyelid surgeries, and rhinoplasties. As an Assistant Clinical Faculty Member at the University of Texas Medical School at Houston for nearly two decades, he has made significant contributions to medical education and training. Dr. Smith's expertise extends to the management of sinus allergies, deviated septum issues, and migraines. His innovative approach to treating migraines, often linked to nasal structural problems, has achieved a remarkable success rate of nearly 90%, establishing him as a pioneer in this field.In addition to his surgical practice, Dr. Smith has made groundbreaking strides in the treatment of migraines through his specialized technique that addresses underlying causes such as deviated septum and bone spurs. His findings, based on treating over 2,000 patients, are detailed in his book, *The Migraine Imposter*. Dr. Smith's dedication to improving patient outcomes has earned him recognition as a leading authority in both facial plastic surgery and migraine treatment. His contributions have been acknowledged by prestigious appointments, including being a Fellow of the American College of Surgeons and a member of the Texas Medical Board, appointed by former Governor George W. Bush.Know more about Dr Smith: kevinsmithmd.comAbout Vikas Singh:Vikas Singh, an MBA from Chicago Booth, worked at Goldman Sachs, Morgan Stanley, APGlobale, and Reliance before coming up with the idea of democratizing fitness knowledge and helping beginners get on a fitness journey. Vikas is an avid long-distance runner, building fitpage to help people learn, train, and move better.For more information on Vikas, or to leave any feedback and requests, you can reach out to him via the channels below:Instagram: @vikas_singhhLinkedIn: Vikas SinghTwitter: @vikashsingh101Subscribe To Our Newsletter For Weekly Nuggets of Knowledge!

An Elder Rights Lawyers Fight Against For-Profit Homes is the subject of new Doc "Stolen Time" Elder rights lawyer and advocate Melissa Miller is the subject of a new documentary

Prof Tshifularo joins Clement, and they speak about Professor's upbringing, his profession as an Otolaryngologist. He also speaks about being a Pastor and his spiritual walk.See omnystudio.com/listener for privacy information.

Why do you need an otolaryngologist also known as an ear, nose and throat doctor? Do you have sleep apnea? Do you have chronic ear infections? Learn more about treatments and surgery options.

Siva Murugappan, MD, General Surgeon, Chatham-Kent Health Alliance, Ontario, Canada, shares his own experiences as a patient recovering from an ischemic stroke. He is joined by his wife and caregiver, Dr. Prema Samy, Otolaryngologist, Chatham-Kent Health Alliance, Ontario, Canada, as they both discuss their transition from physician, to their respective roles as patient and caregiver in the recovery journey. 

"The Mid-Career Female Otolaryngologist: Past Perspectives and Future Challenges," is second in a series presented by the Section for Women in Otolaryngology (WIO), and features Sarah K. Rapoport, MD, Minka L. Schofield, MD, Priya D. Krishna, MD, and Margo M. McKenna, MD. Hear women in mid-career discuss their accomplishments, challenges, and their direction for the future.

In this episode of BackTable ENT, Dr. Gopi Shah sits down with pediatric Otolaryngologist, Dr. Erynne Faucett at the University California Davis-Sacramento to discuss diversity, equity, and inclusion (DEI) in the field in Otolaryngology and its importance. --- SHOW NOTES The episode begins with Erynne breaking down what DEI means to her. She mentions how there is a misconception in grouping diversity, equity, and inclusion all together but instead needing to look at each element individually for what they mean, instead of just “checking off a check box.” Connecting to this, Erynne brings up the importance of DEI efforts in the field of Otolaryngology as it reflects the importance of patient care, in a population that is constantly evolving in diversity, and it emphasizes the role of diversifying the field to match the patient population. Focusing on DEI efforts, at UCSD-Sacramento where Erynne practices, she mentions the DEI efforts that her department has made in recruiting diverse residents and attendings. She emphasizes to continue to push the narrative for why it is important within the field and further, how it impacts patient care. Erynne then delves into DEI initiatives within the Otolaryngology workforce from her perspective of being a part of the Academy of Otolaryngology DEI committee and mentions her work in building curriculum teaching DEI for residents and the challenges that comes with it. Gopi and Erynne then end the episode talking about efforts in delivering equitable care, health equity research and recent legislative actions in certain areas of the U.S that have restricted DEI efforts. Erynne emphasizes that even in areas across the country with bans against DEI initiatives, it is still important to speak up about these issues, to continue to teach and educate policy makers to see the impact of these bans on marginalized communities and that DEI efforts aren't political but instead a human rights initiative. --- RESOURCES American Academy of Otolaryngology Advocacy: https://www.entnet.org/advocacy/ --- The BackTable ENT Podcast is a resource for otolaryngologists to learn tips, techniques, and practical advice on all things ear, nose, and throat. Tune in to the BackTable ENT Podcast every week for candid conversations about rhinology, laryngology, otology, and head and neck surgery. Get notified when new episodes drop! Subscribe to the BackTable ENT Podcast on your go-to podcast platform, and follow us on your social media platform of choice for regular otolaryngology updates. Apple ► https://podcasts.apple.com/us/podcast/backtable-ent/id1531545163 Spotify ► https://open.spotify.com/show/37rFUMANPeGURdmNkn2Vi7 YouTube ► https://www.youtube.com/channel/UCoI12lCyYggbdB-OC68wGlg?sub_confirmation=1 Twitter ► https://twitter.com/_backtableENT​ LinkedIn ► https://www.linkedin.com/company/backtable-ent/ Instagram ► https://www.instagram.com/_backtableent/ Newsletter ► https://www.backtable.com/shows/ent/subscribe

Many people do not seek treatment for hearing loss and that can actually have negative impacts on mental health, according to Jack Wazen, MD, an otolaryngologist at Sarasota Memorial. However, in this episode of HealthCasts, he discusses the numerous treatment options available depending on a patient's needs.You can also watch the video recording on our Vimeo channel here.For more health tips & news you can use from experts you trust, sign up for Sarasota Memorial's monthly digital newsletter, Healthe-Matters.

Welcome to the premiere of Extra Shot with Alisha Fernandez Miranda. This interview with Tony Chin-Quee - board-certified Otolaryngologist (try saying that five times fast. Or one time.), retired surgeon, screen writer, Grey's Anatomy guest star, acapella superstar and author of the searing memoir I CAN'T SAVE YOU - is guaranteed to have you in stitches. The good kind.Buy I CAN'T SAVE YOU here. Hosted on Acast. See acast.com/privacy for more information.

Have you ever been unable to breathe through your nose?Isn't it THE WORST?? We've talked on this podcast with other experts (including Dr. Dave Stukus, pediatric allergist about seasonal allergies and our beloved pharmacist Greg Castelli about OTC meds to try for cold symptoms)- but what do you do when you've tried the “regular” stuff to unclog your nose, and IT'S NOT WORKING???According to University of Michigan Medicine, nasal and sinus disease affects 31 million Americans, and accounts for 16 million outpatient visits annually in the US. The obstruction of airflow can come from a variety of sources, and the common factor is usually inflammation and swelling of the mucosal lining of the nasal and sinus passages. Sometimes other things can physically obstruct the flow of air, like polyps, or a deviated septum, or sometimes, (if you're Julie's big sister and its the mid-1980s) a Mike and Ike. So what should we do if we find ourselves mouth-breathing?? What if the neti-pot is a NETI-NOT? (and you're full of NETI-SNOT??)Welcome to our esteemed guest, Otolaryngologist, Dr. Michelle Fisher!Dr. Fisher is a board certified Adult and Pediatric Otolaryngologist who practices near Tampa, FL at Florida ENT and Allergy. She studied at Emory for UG, Rush for med school (with Julie!) and did residency at Medical College of Georgia. She has authored several publications in the field of Otolaryngology - Head and Neck Surgery and has lectured at conferences and national meetings. She is also an all-around badass and lovely human being :)Key topics in this episode include:What are the main root causes of nasal passage obstruction?What kinds of physical obstructions get in the way of keeping the nasal passages open?What are nasal polyps? Why do they occur?How much does inflammation come into play? How can we treat it/prevent it?What is chronic sinusitis? Who gets it? What are the risk factors?What causes it? Bacteria? Viruses? Fungi?Does sinusitis always need antibiotics?How can we treat it? When is surgery indicated?What is a deviated septum? Why does this happen? How can it be treated?What are some of the simple, in-the-office treatments/procedures that ENTs (Otolaryngologists) can do to treat these issues?Learn more about Dr. Fisher on her profile, HERE. Dr Fisher recommends checking out the American Academy of Otoloaryngology - Head and Neck Surgery website for great resources. For more episodes, limited edition merch, or to become a Friend of Your Doctor Friends (and more), follow this link!Also, CHECK OUT AMAZING HEALTH PODCASTS on The Health Podcast Network Find us at:Website: yourdoctorfriendspodcast.com Email: yourdoctorfriendspodcast@gmail.com Call the DOCLINE on 312-380-5005 and leave us a message. We will listen and maybe even respond/play it on the show! (Disclaimer: we will not answer specific medical questions or offer medical advice. Consult your healthcare professional with any and all personal health questions.) Connect with us:@your_doctor_friends (IG)@yourdoctorfriendspodcast1013 (

In this episode Maxwell Cooper, M.D. interviews Eric Gantwerker, M.D., pediatric otolaryngologist and VP, Medical Director at Level Ex, a company developing video games for medical education. He is also a Co-Host of the Backtable Innovation Podcast. Dr.. Gantwerker gives the listeners an overview of his practice as a pediatric otolaryngologist and how he balances his clinical work with his endeavors in medical education and entrepreneurship. Dr. Gantwerker gives an overview of Level Ex, a video game studio company developing games to educate physicians and healthcare workers. Dr. Gantwerker oversees all the medical and educational functions of the company and discusses how video games have been shown to be effective learning tools for knowledge retention and development of skills. He discusses the business model of Level Ex consisting of allowing the games to be played for free on any device and partnering with healthcare companies looking to have their products or services featured in Level Ex's games. Lastly, Dr. Gantwerker discusses Level Ex's acquisition by BrainLab and what Level Ex is developing in the near future. *Views expressed in this podcast are those of the individuals, not their respective institutions   Thank you to our sponsor Doc2Doc Lending, the Personal Lending platform designed for Doctors, by Doctors. Check out https://doc2doclending.com/davinci to learn more today.   Level Ex Website: https://www.levelex.com/ Eric Gantwerker, MD LinkedIn: https://www.linkedin.com/in/drericgant/   The DaVinci Hour Podcast Website: https://www.dviacademy.com/the-davinci-hour LinkedIn: https://www.linkedin.com/company/the-davinci-hour/ DaVinci MedTech YouTube: https://www.youtube.com/@davincimedtech Instagram: https://www.instagram.com/davincimedtech/ Twitter: https://twitter.com/DavinciMedtech Website: https://www.dviacademy.com/

Physician Lead at March Fourth and Otolaryngologist at North Shore Ear, Nose and Throat Associates Dr. Elliot Lieberman joins Jon Hansen, filling in for Lisa Dent, to highlight the one year anniversary of the Highland Park shooting. He later discusses what the organization March Fourth has been doing to convince lawmakers to focus on gun […]

In this episode, discover expert insights on treating nasal and sinus disorders related to sleep-disordered breathing and sleep apnea with Dr. Keith Matheny.Uncover the potential risks and severity of untreated sleep-disordered breathing and the importance of taking a comprehensive approach to address it.In addition, learn about Sleep Vigil technology, a pioneer in remote patient monitoring (RPM) for sleep apnea, and explore how it can empower patients to manage their sleep-disordered breathing through personalized care and monitoring.Take advantage of this fascinating conversation that will leave you informed, inspired, and ready to take charge of your well-being. Tune in now!BIO:Dr. Keith Matheny is a Vanderbilt-trained Otolaryngologist in community practice in North Dallas, emphasizing Rhinology & Sleep in adults and children. He has a passion for the business aspects of Otolaryngology, as well as new technology, pharmacotherapy & procedures in ENT. Dr. Matheny holds numerous patents & patents-pending on bioabsorbable, local drug-delivery implants for use in sinus and ear surgery, founding two device companies around these technologies, Septum Solutions & Otologic Solutions. He is also the Founder/Chairman/CEO of US ENT Partners, an ENT-focused Group Purchasing Organization bringing savings of 20% or more on the high cost supplies that ENT physicians use in their office daily, as well as a Co-Founder of Sleep Vigil, a company pioneering the concept of Remote Patient Monitoring (RPM) for sleep apnea. Dr. Matheny has numerous journal publications and has given numerous presentations on his clinical research & on various topics related to the business of medicine over the last few decades. As a creative outlet, Dr. Matheny makes custom, 3D-printed jewelry within his company Tuff-Links. He volunteers in his community providing charity clinics for multiple school districts around his practice, serving on the local YMCA Board, and as the otolaryngologist for the Dallas Cowboys.SHOW NOTES: