Podcasts about outcomes

Physical therapists Ziya Altug and Shirish Sachdeva discuss their article "Why your clinic waiting room may affect patient outcomes." Ziya and Shirish explore how the ambiance of a medical office significantly impacts patient anxiety and emotional well-being before treatment even begins. They examine evidence-based strategies to transform functional spaces into healing environments using calming music, nature-inspired art, and ergonomic furniture design. The conversation highlights specific needs for pediatric patients and how transparency through technology can build trust between patients and health care providers. Understanding these environmental factors allows clinics to foster a sense of safety and improve the overall care experience through intentional design interventions. Discover how simple changes to a waiting area can set a positive tone for recovery and comfort. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Can one surgical approach reduce postoperative bleeding, shorten recovery, and save hundreds of dollars per case? In this episode of the BackTable ENT Podcast, Dr. Stephen Chorney, pediatric otolaryngologist at the University of Texas Southwestern Medical Center, joins hosts Dr. Ashley Agan and Dr. Gopi Shah to discuss the benefits and techniques of coblation intracapsular tonsillectomy. Drawing from his extensive clinical experience and findings from his recent Triological thesis, Dr. Chorney reviews the cost effectiveness of coblation intracapsular tonsillectomy compared to traditional extracapsular approaches. --- This podcast is supported by: Smith+Nephew https://www.smith-nephew.com/en-us/health-care-professionals/products/ear-nose-and-throat/coblation-technology-for-adenotonsillectomy#overview --- SYNPOSIS The conversation highlights key advantages of coblation intracapsular tonsillectomy, including lower postoperative bleeding rates, reduced pain, faster recovery, and meaningful economic benefits. Dr. Chorney also shares practical pearls on surgical technique with coblation, equipment settings, and postoperative care, making this episode a valuable resource for surgeons considering or already performing intracapsular tonsillectomy. --- TIMESTAMPS 00:00 - Introduction03:34 - Intracapsular Tonsillectomy: Training and Adoption08:46 - Patient Selection and Surgical Techniques15:50 - Postoperative Care and Pain Management37:26 - Understanding Post-Workout Pain and Recovery38:13 - Comparing Surgical Tools: Microdebrider vs. Coblator38:54 - Visual Cues and Techniques in Tonsillectomy39:22 - Challenges and Solutions in Tonsillectomy Procedures46:37 - Case Studies and Video Demonstrations56:12 - Cost-Effectiveness of Intracapsular Tonsillectomy01:07:19 - Conclusion and Final Thoughts --- RESOURCES Dr. Stephen Chorney https://utswmed.org/doctors/stephen-chorney/ Trio Thesis https://onlinelibrary.wiley.com/doi/full/10.1002/lary.32448

Host Michael Blankstein, MD chats with paper authors Wayne Hoskins, PhD, MBBS (Hons) about the findings of their research: "How Important Is Fracture Stability in 'Fix and Replace' for Acute Acetabular Fractures? A Comparison of Outcomes in an International Multicenter Study" in the first part of the episode. In the second part, Dr. Blankstein discusses the study findings with paper author William T. Obremskey, MD, MPH from the paper entitled: "A Prospective Randomized Trial to Assess Early versus Delayed Weight Bearing Following Operatively Treated Ankle Fractures in the United States." Live from the 2025 OTA Annual Meeting. For additional educational resources visit OTA.org

Dr. Read Montague, PhD, is a professor and director of the Center for Human Neuroscience Research at Virginia Tech and an expert in how dopamine and serotonin shape human learning, motivation and decision-making. We discuss how they impact focused effort in the context of short- and long-term goals of all kinds. Also, how SSRIs and low-effort, high-engagement activities reduce the rewarding properties of dopamine, and how AI algorithms are revolutionizing understanding of the brain. Episode show notes are available at hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman David: https://davidprotein.com/huberman Joovv: https://joovv.com/huberman Function: https://functionhealth.com/huberman LMNT: https://drinklmnt.com/huberman Timestamps (00:00:00) Read Montague (00:02:54) Dopamine, Motivation & Learning (00:08:49) Reward Prediction Error, Expectations (00:12:24) Sponsors: David & Joovv (00:14:54) Foraging, Dating, Expectations vs Outcomes; AI (00:23:36) Dopamine, Expectation, Motivation; Forward Drive; Dopamine "Hits" (00:29:58) Baseline Dopamine & Fluctuations; Parkinson's Disease (00:34:36) Movement, Urgency; ADHD, Bee's Dance, Explorer vs Focus Mode (00:42:29) Sponsor: AG1 (00:43:40) Social Media, ADHD; Explorers vs Task-Based, Combat (00:50:54) Effort, Learning; Social Media & Phones, Resisting Behaviors (01:01:36) Serotonin & Dopamine, Opponency, SSRIs (01:11:21) Hunger, Dopamine; Negative Feedback, Learning, Trauma; Torture (01:18:34) Drugs of Abuse & High Dopamine (01:19:48) Sponsor: Function (01:21:35) Trauma & Dopamine Adaptation (01:27:34) SSRIs, Dopamine, Positive Experiences (01:29:50) Deep Brain Stimulation; Measuring Dopamine & Serotonin in Humans (01:36:16) Sleep; Divorce; Science is a Contact Sport (01:45:14) Long-Term Motivation, Learning How to Fail, Tool: Kids & Sports (01:54:14) Sponsor: LMNT (01:55:34) Meditation, Breathing, Learning; Dopamine as a Currency (02:04:38) Function of Sleep, Motivation; Time Perception & Dopamine, Tracking Time (02:13:18) LLMs, AI, Uses & Problem Solving (02:18:33) Future Projects, Commercial Brain-Machine Interfaces; Concentration (02:25:57) Dopamine "Hits"?; Depression & Schizophrenia; Quitting (02:30:17) Dopamine & Serotonin Misunderstandings; Internal Satisfaction; Motivation (02:35:58) Serotonin Syndrome; Acknowledgements (02:38:31) Zero-Cost Support, YouTube, Spotify & Apple Follow, Reviews & Feedback, Sponsors, Protocols Book, Social Media, Neural Network Newsletter Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices

 I'm delighted to have Dr. Lee Hullender Rubin join me today to talk about all things acupuncture - including her recent publication in Reproductive Biomedicine Online on the effect of acupuncture on IVF related anxiety. She's going to share the 5 ways that acupuncture helps with fertility treatment, and so much more! Dr. Lee is an award-winning doctor of acupuncture and the founder of Rosefinch Health, where she blends compassionate care with over two decades of clinical experience specializing in fertility, IVF support, pelvic and vulvovaginal pain, and cancer-related support. Read the full show notes on my website.   In addition to her work as a clinician, Dr. Lee is also an accomplished teacher and researcher of acupuncture and integrative East Asian Medicine, having authored more than 30 publications during her career. She recently founded Rosefinch Academy, a continuing education hub for acupuncturists to learn how acupuncture and integrative medicine can support fertility. Thank you for joining me, Dr. Lee! You can learn more about Dr. Lee here: https://www.rosefinchhealth.com/ Do you have questions about IVF? Join Dr. Aimee for The IVF Class at The Egg Whisperer School. The next live class call is on Monday, February 9, 2026 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom. Subscribe to my YouTube channel for more fertility tips!Subscribe to the newsletter to get updates Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

Identity congruence means every part of who I am is in alignment, and in this episode, I explain why that matters. When my thoughts, words, actions, and image don't match, it creates friction and confusion for me and everyone around me. Most people think they lack skill or knowledge, but the real problem is internal and external signals being out of sync. When everything lines up, trust, power, and presence show up naturally. Congruence focuses your energy in one direction instead of leaking it everywhere. Show Notes: [03:48]#1 Your thoughts. [06:59]#2 Your image. [12:46]#3 Your words. [15:24]#4 Your actions [17:14]#5 Outcomes.  [20:29] Recap Episodes Mentioned: 2245: What's Up With The Business Suits? 3015: How To Be In Integrity With Yourself Next Steps: --- Power Presence is not taught. It is enforced. If you are operating in environments where hesitation costs money, authority, or leverage, the Power Presence Mastermind exists as a controlled setting for discipline, execution, and consequence-based decision-making. Details live here: http://PowerPresenceProtocol.com/Mastermind  This Masterclass is the public record of standards. Private enforcement happens elsewhere. All episodes and the complete archive: → WorkOnYourGamePodcast.com 

Audible Bleeding editor Wen Kawaji (@WenKawaji) is joined by integrated vascular surgery resident Falen Demsas, JVS editor Dr. Duncan (@ADuncanVasc), JVS-VI editor-in-chief Dr. Dua (@AnahitaDua) to discuss some of our favorite articles in the JVS family of journals. This episode hosts Dr. Huber, Dr. Fassler, Nishanth Konduru (@n_konduru), and Dr. Rao.   Articles:   Outcomes of open bypass and superior mesenteric artery endarterectomy for patients with chronic mesenteric ischemia resulting from long-segment superior mesenteric artery occlusive disease Retrograde tibiopedal access as an alternative procedural technique for genicular artery embolization    Show Guests  Dr. Huber Former Division Chief (served as Chief for 13 years) of Vascular Surgery at the University of Florida and the Edward R. Woodward Professor of Surgery at the University of Florida College of Medicine. He was also the chair of the writing committee for the SVS Guidelines on Chronic Mesenteric Ischemia. Dr. Fassler PGY-4 General Surgery resident at the University of Florida.  Nishanth Konduru Fourth year undergraduate at the University of North Carolina Chapel Hill Dr. Rao Interventional cardiologist with Vascular Solutions of North Carolina.   Founder of Rao Clinic https://www.raoclinic.org/ Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.   *Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device.  

5 Outcomes of Tithing Faithfully | Pastor Joshua Redding by Highlight Church

Send us a textWhen you hear the word success, what do you think of?Most people think of results. Wins. Outcomes. Money. Titles. Validation.Very few people think of peace of mind.In this episode, I challenge that definition—and honestly, I challenge myself. Because tying success to results is one of the fastest ways to lose control, stay unsettled, and carry unnecessary weight from the past.Here's the reframe: Success isn't a result. Success is peace of mind.I break down the three disruptors that quietly steal that peace—the past, your current positioning, and your phobias (fear)—and why obsessing over outcomes keeps you stuck. You'll hear why you can do everything “right” and still lose… or do everything “wrong” and still win… and why that alone proves results can't be the scorecard.This episode is about effort over outcomes, becoming over arriving, and learning how to end the day with self-satisfaction—knowing you made the effort, regardless of how it turned out.If you've been restless, unsettled, or measuring yourself by wins and losses alone, this is a reset.Success is peace of mind. The question is: do you have it?Support the show

In Episode 428 of Devolution Power Hour, hosts Jon Herold and Chris Paul continue their disciplined examination of process, jurisdiction, and timing as pressure builds across political and institutional systems. The conversation focuses on why expectations of instant results often clash with how accountability actually unfolds, particularly within legal and governmental frameworks. Jon and Chris break down recent developments, emphasizing the difference between visible action and meaningful movement behind the scenes. They revisit recurring themes of patience, structure, and information discipline, warning against emotional reactions driven by speculation or incomplete data. Throughout the episode, the hosts stress the importance of understanding authority, sequencing, and lawful process rather than chasing headlines or symbolic moments. Episode 428 reinforces the show's core message: progress is often quiet, uneven, and misunderstood in real time, but pressure applied correctly and consistently still produces results.

Hey lady! If you believe that the children are the future then this week’s episode is for you. Drs. Ann Ishimaru and Decoteau J. Irby are two dynamic scholars who join Dr. Dom and Terri to lay out a purposeful perspective that can help you gain clarity in your plans for creating equitable outcomes for all children. This episode isn’t just for parents. This episode is for anyone who knows that the strength of the community includes all of its citizens, especially children. Drs. Ishimaru and Irby are educators and scholars who are passionate about creating a path forward despite the clear signs of society regressing. The two offer views into what themes they are seeing across schools, districts, and communities, and why this moment is both new and completely different. In their book Doing the Work of Equity Leadership for Justice and Systems Change the scholars offer clear foundational elements to building a more equitable future for our young people. They also lay out small but powerful actions parents can take to be in a healthy and engaged relationship with the educators of their community. Tune in for the specific questions that they provide parents and community members to use in their daily lives. Lady, by now it’s clear. We’re all in this together. Let’s get excited about our work to build the world we wish to leave our children. Tap in and holla at us in our Patreon community about how you plan to build a table where our children are welcome. Quote of the Day: "Equality is the goal, equity is the mechanism or process we will use to get there.” – Dr. Tyrone Howard Today’s sponsor is VB Health, known for science-backed, third-party tested supplements made in the USA. Try Drive Boost for libido support. Many people report noticing benefits within 1–2 weeks of daily use. Visit this link and use code HerSpace for 10% off: https://bit.ly/VBhealthherspace. Goal Mapping Starter Guide Cultivating H.E.R. Space Sanctuary Where to find Dr. Ann Ishimaru: Website: Dr. Ann Ishimaru Book: Doing the Work of Equity Leadership for Justice and Systems Change IG: @annishmaru LinkedIn: Dr. Ann Ishimaru Where to find Dr. Decoteau J. Irby: Website: Dr. Decoteau J. Irby Book: Doing the Work of Equity Leadership for Justice and Systems Change Bandcamp: Decoteau Black IG: @decoteaublack Twitter (X): @DecoteauIrby LinkedIn: Dr. Decoteau J. Irby YouTube: Decoteau Black Spotify: Decoteau Black Facebook: Decoteau Irby Resources: Dr. Dom’s Therapy Practice Get That Pitch Workshop: Turn your story and expertise into speaking gigs, media features, and collaborations, without a publicist. Visit GetThatPitch.com and Use code HERSPACE for a special listener discount. Branding with Terri Melanin and Mental Health Therapy for Black Girls Psychology Today Therapy for QPOC Therapy Fund Foundation Where to find us: Twitter: @HERspacepodcast Instagram: @herspacepodcast Facebook: @herspacepodcast Website: cultivatingherspace.comSee omnystudio.com/listener for privacy information.

Hamidreza Azizi joins the pod for an emergency episode on the current state of Iran amidst escalating tensions with the United States. Azizi examines the potential for conflict between the two and and offers insights into Iran's internal politics, the role of the IRGC, and the possible repercussions of a U.S. attack. --Timestamps:(00:00) - Introduction(01:46) - Iran's Domestic Situation(02:44) - US-Iran Tensions and Military Movements(04:08) - Iran's Response and Internal Dynamics(09:41) - Potential Scenarios and Outcomes(28:31) - Iran's Military Capabilities and Strategies(41:16) - Regional Implications and Global Reactions(54:33) - Conclusion and Final Thoughts--Referenced in the Show:Hamidreza's Substack - https://www.irananalytica.org/Middle East Council - https://mecouncil.org/experts_members/hamidreza-azizi/--Jacob Shapiro Site: jacobshapiro.comJacob Shapiro LinkedIn: linkedin.com/in/jacob-l-s-a9337416Jacob Twitter: x.com/JacobShapJacob Shapiro Substack: jashap.substack.com/subscribe --The Jacob Shapiro Show is produced and edited by Audiographies LLC. More information at audiographies.com--Jacob Shapiro is a speaker, consultant, author, and researcher covering global politics and affairs, economics, markets, technology, history, and culture. He speaks to audiences of all sizes around the world, helps global multinationals make strategic decisions about political risks and opportunities, and works directly with investors to grow and protect their assets in today's volatile global environment. His insights help audiences across industries like finance, agriculture, and energy make sense of the world.--

We share a simple image—a half-full cup held at arm's length—to show how small problems grow heavy when we grip them too long. Using the acronym P.R.O.B.L.E.M.S., we reframe stress into strategy, turn setbacks into lessons, and practice letting go instead of wearing out.• Problems as predictors of success based on response• Life is difficult as progressive overload for the mind• Reframing problems as opportunities to act• Noticing blessings that often arrive in disguise• Extracting lessons to grow, not just survive• Accepting problems are everywhere and relative• Reading the messages inside setbacks• Believing everything is solvable with time and helpIf you need anything or have any thoughts or comments, just text me or let me knowhttps://aarondegler.com/

This week on Energy Transition Today, we unpack the rapid shift in the French battery storage market as it moves from a merchant niche to core energy infrastructure, driven by larger projects, longer durations and a coming overhaul of the capacity mechanism. We also cover outcomes from the North Sea Summit, including plans for multipurpose interconnectors and a 300GW regional offshore wind target, alongside UK transmission cost challenges, fresh onshore and BESS deal flow in Poland, Germany and Romania, and major portfolio financings shaping the European energy transition. Hosts: Maya Chavvakula, Mathilde Dorbessan, Leonard MüllerEdit: Leonard Müller Reach out to us at: podcasts@inspiratia.comFind all of our latest news and analysis by subscribing to inspiratia For tickets to our events email conferences@inspiratia.com or buy them directly on our website. Listen to all our episodes on Apple Podcasts, Spotify, and other providers. Music credit: NDA/Show You instrumental/Tribe of Noise©2025 inspiratia. All rights reserved.This content is protected by copyright. Please respect the author's rights and do not copy or reproduce it without permission.

Psychogenic nonepileptic seizures (PNES) are common, often misunderstood, and increasingly encountered in pediatric emergency care. These events closely resemble epileptic seizures but arise from abnormal brain network functioning rather than epileptiform activity. In this episode of PEM Currents, we review the epidemiology, pathophysiology, and clinical features of PNES in children and adolescents, with a practical focus on Emergency Department recognition, diagnostic strategy, and management. Particular emphasis is placed on seizure semiology, avoiding iatrogenic harm, communicating the diagnosis compassionately, and understanding how early identification and referral to cognitive behavioral therapy can dramatically improve long-term outcomes. Learning Objectives Identify key epidemiologic trends, risk factors, and semiological features that help differentiate psychogenic nonepileptic seizures from epileptic seizures in pediatric patients presenting to the Emergency Department. Apply an evidence-based Emergency Department approach to the evaluation and initial management of suspected PNES, including strategies to avoid unnecessary escalation of care and medication exposure. Demonstrate effective, patient- and family-centered communication techniques for explaining the diagnosis of PNES and facilitating timely referral to appropriate outpatient therapy. References Sawchuk T, Buchhalter J, Senft B. Psychogenic Nonepileptic Seizures in Children-Prospective Validation of a Clinical Care Pathway & Risk Factors for Treatment Outcome. Epilepsy & Behavior. 2020;105:106971. (PMID: 32126506) Fredwall M, Terry D, Enciso L, et al. Outcomes of Children and Adolescents 1 Year After Being Seen in a Multidisciplinary Psychogenic Nonepileptic Seizures Clinic. Epilepsia. 2021;62(10):2528-2538. (PMID: 34339046) Sawchuk T, Buchhalter J. Psychogenic Nonepileptic Seizures in Children - Psychological Presentation, Treatment, and Short-Term Outcomes. Epilepsy & Behavior. 2015;52(Pt A):49-56. (PMID: 26409129) Labudda K, Frauenheim M, Miller I, et al. Outcome of CBT-based Multimodal Psychotherapy in Patients With Psychogenic Nonepileptic Seizures: A Prospective Naturalistic Study. Epilepsy & Behavior. 2020;106:107029. (PMID: 32213454) Transcript This transcript was generated using Descript automated transcription software and has been reviewed and edited for accuracy by the episode's author. Edits were limited to correcting names, titles, medical terminology, and transcription errors. The content reflects the original spoken audio and was not substantively altered. Welcome to PEM Currents: The Pediatric Emergency Medicine Podcast. As always, I'm your host, Brad Sobolewski, and today we are talking about psychogenic non-epileptic seizures, or PNES. Now, this is a diagnosis that often creates a lot of uncertainty in the Emergency Department. These episodes can be very scary for families and caregivers and schools. And if we mishandle the diagnosis, it can lead to unnecessary testing, medication exposure, ICU admissions, and long-term harm. This episode's gonna focus on how to recognize PNES in pediatric patients, how we make the diagnosis, what the evidence says about management and outcomes, and how what we do and what we say in the Emergency Department directly affects patients, families, and prognosis. Psychogenic non-epileptic seizures are paroxysmal events that resemble epileptic seizures but occur without epileptiform EEG activity. They're now best understood as a subtype of functional neurological symptom disorder, specifically functional or dissociative seizures. Historically, these events were commonly referred to as pseudo-seizures, and that term still comes up frequently in the ED, in documentation, and sometimes from families themselves. The problem is that pseudo implies false, fake, or voluntary, and that implication is incorrect and harmful. These episodes are real, involuntary, and distressing, even though they're not epileptic. Preferred terminology includes psychogenic non-epileptic seizures, or PNES, functional seizures, or dissociative seizures. And PNES is not a diagnosis of exclusion, and it does not require identification of psychological trauma or psychiatric disease. The diagnosis is based on positive clinical features, ideally supported by video-EEG, and management begins with clear, compassionate communication. The overall incidence of PNES shows a clear increase over time, particularly from the late 1990s through the mid-2010s. This probably reflects improved recognition and access to diagnostic services, though a true increase in occurrence can't be excluded. Comorbidity with epilepsy is really common and clinically important. Fourteen to forty-six percent of pediatric patients with PNES also have epilepsy, which frequently complicates diagnosis and contributes to diagnostic delay. Teenagers account for the highest proportion of patients with PNES, especially 15- to 19-year-olds. Surprisingly, kids under six are about one fourth of all cases, so it's not just teenagers. We often make the diagnosis of PNES in epilepsy monitoring units. So among children undergoing video-EEG, about 15 to 19 percent may ultimately be diagnosed with PNES. And paroxysmal non-epileptic events in tertiary epilepsy monitoring units account for about 15 percent of all monitored patients. Okay, but what is PNES? Well, it's best understood as a disorder of abnormal brain network functioning. It's not structural disease. The core mechanisms at play include altered attention and expectation, impaired integration of motor control and awareness, and dissociation during events. So the patients are not necessarily aware that this is happening. Psychological and psychosocial features are common but not required for diagnosis and may be less prevalent in pediatric populations as compared with adults. So PNES is a brain-based disorder. It's not conscious behavior, it's not malingering, and it's not under voluntary control. Children and adolescents with PNES have much higher rates of psychiatric comorbidities and psychosocial stressors compared to both healthy controls and children with epilepsy alone. Psychiatric disorders are present in about 40 percent of pediatric PNES patients, both before and after the diagnosis. Anxiety is seen in 58 percent, depression in 31 percent, and ADHD in 35 percent. Compared to kids with epilepsy, the risk of psychiatric disorders in PNES is nearly double. Compared to healthy controls, it is up to eight times higher. And there's a distinct somatopsychiatric profile that strongly predicts diagnosis of PNES. This includes multiple medical complaints, psychiatric symptoms, high anxiety sensitivity, and solitary emotional coping. This profile, if you've got all four of them, carries an odds ratio of 15 for PNES. Comorbid epilepsy occurs in 14 to 23 percent of pediatric PNES cases, and it's associated with intellectual disability and prolonged diagnostic delay. And finally, across all demographic strata, anxiety is the most consistent predictor of PNES. Making the diagnosis is really hard. It really depends on a careful history and detailed analysis of the events. There's no single feature that helps us make the diagnosis. So some of the features of the spells or events that have high specificity for PNES include long duration, so typically greater than three minutes, fluctuating or asynchronous limb movements, pelvic thrusting or side-to-side head movements, ictal eye closure, often with resisted eyelid opening, ictal crying or vocalization, recall of ictal events, and rare association with injury. Younger children often present with unresponsiveness. Adolescents more commonly demonstrate prominent motor symptoms. In pediatric cohorts, we most frequently see rhythmic motor activity in about 27 percent, and complex motor movements and dialeptic events in approximately 18 percent each. Features that argue against PNES include sustained cyanosis with hypoxia, true lateral tongue biting, stereotyped events that are identical each time, clear postictal confusion or lethargy, and obviously epileptic EEG changes during the events themselves. Now there are some additional historical and contextual clues that can help us make the diagnosis as well. If the events occur in the presence of others, if they occur during stressful situations, if there are psychosocial stressors or trauma history, a lack of response to antiepileptic drugs, or the absence of postictal confusion, this may suggest PNES. Lower socioeconomic status, Medicaid insurance, homelessness, and substance use are also associated with PNES risk. While some of these features increase suspicion, again, video-EEG remains the diagnostic gold standard. We do not have video-EEG in the ED. But during monitoring, typical events are ideally captured and epileptiform activity is not seen on the EEG recording. Video-EEG is not feasible for every single diagnosis. You can make a probable PNES diagnosis with a very accurate clinical history, a vivid description of the signs and appearance of the events, and reassuring interictal EEG findings. Normal labs and normal imaging do not make the diagnosis. Psychiatric comorbidities are not required. The diagnosis, again, rests on positive clinical features. If the patient can't be placed on video-EEG in a monitoring unit, and if they have an EEG in between events and it's normal, that can be supportive as well. So what if you have a patient with PNES in the Emergency Department? Step one, stabilize airway, breathing, circulation. Take care of the patient in front of you and keep them safe. Use seizure pads and precautions and keep them from falling off the bed or accidentally injuring themselves. A family member or another team member can help with this. Avoid reflexively escalating. If you are witnessing a PNES event in front of you, and if they're protecting their airway, oxygenating, and hemodynamically stable, avoid repeated benzodiazepines. Avoid intubating them unless clearly indicated, and avoid reflexively loading them with antiseizure medications such as levetiracetam or valproic acid. Take a focused history. You've gotta find out if they have a prior epilepsy diagnosis. Have they had EEGs before? What triggered today's event? Do they have a psychiatric history? Does the patient have school stressors or family conflict? And then is there any recent illness or injury? Only order labs and imaging when clinically indicated. EEG is not widely available in the Emergency Department. We definitely shouldn't say things like, “this isn't a real seizure,” or use outdated terms like pseudo-seizure. Don't say it's all psychological, and please do not imply that the patient is faking. If you see a patient and you think it's PNES, you're smart, you're probably right, but don't promise diagnostic certainty at first presentation. Remember, a sizable proportion of these patients actually do have epilepsy, and referring them to neurology and getting definitive testing can really help clarify the diagnosis. Communication errors, especially early on, worsen outcomes. One of the most difficult things is actually explaining what's going on to families and caregivers. So here's a suggestion. You could say something like: “What your child is experiencing looks like a seizure, but it's not caused by abnormal electrical activity in the brain. Instead, it's what we call a functional seizure, where the brain temporarily loses control of movement and awareness. These episodes are real and involuntary. The good news is that this condition is treatable, especially when we address it early.” The core treatment of PNES is CBT-based psychotherapy, or cognitive behavioral therapy. That's the standard of care. Typical treatment involves 12 to 14 sessions focused on identifying triggers, modifying maladaptive cognitions, and building coping strategies. Almost two thirds of patients achieve full remission with treatment. About a quarter achieve partial remission. Combined improvement rates reach up to 90 percent at 12 months. Additional issues that neurologists, psychologists, and psychiatrists often face include safe tapering of antiseizure medications when epilepsy has been excluded, treatment of comorbid anxiety or depression, coordinating care between neurology and mental health professionals, and providing education for schools on event management. Schools often witness these events and call prehospital professionals who want to keep patients safe. Benzodiazepines are sometimes given, exposing patients to additional risk. This requires health system-level and outpatient collaboration. Overall, early diagnosis and treatment of PNES is critical. Connection to counseling within one month of diagnosis is the strongest predictor of remission. PNES duration longer than 12 months before treatment significantly reduces the likelihood of remission. Video-EEG confirmation alone does not predict positive outcomes. Not every patient needs admission to a video-EEG unit. Quality of communication and speed of treatment, especially CBT-based therapy, matter the most. Overall, the prognosis for most patients with PNES is actually quite favorable. There are sustained reductions in events along with improvements in mental health comorbidities. Quality of life and psychosocial functioning improve, and patients use healthcare services less frequently. So here are some take-home points about psychogenic non-epileptic seizures, or PNES. Pseudo-seizure and similar terms are outdated and misleading. Do not use them. PNES are real, involuntary, brain-based events. Diagnosis relies on positive clinical features, what the events look like and when they happen, not normal lab tests or CT scans. Early recognition and diagnosis, and rapid referral to cognitive behavioral therapy, change patients' lives. If you suspect PNES, get neurology and mental health professionals involved as soon as possible. Alright, that's all I've got for this episode. I hope you found it educational. Having seen these events many times over the years, I recognize how scary they can be for families, schools, and our prehospital colleagues. It's up to us to think in advance about how we're going to talk to patients and families and develop strategies to help children who are suffering from PNES events. If you've got feedback about this episode, send it my way. Likewise, like, rate, and review, as my teenagers would say, and share this episode with a colleague if you think it would be beneficial. For PEM Currents: The Pediatric Emergency Medicine Podcast, this has been Brad Sobolewski. See you next time.

Carrie Ducote is a nonprofit executive, strategist, and animal-welfare leader with over 15 years of experience helping shelters transform their operations, culture, and community impact. In this episode, Carrie shares her journey from volunteering at a small rural shelter to leading national animal welfare initiatives and founding her consulting company, Shelter Savvy.We talk candidly about what really happens inside animal shelters, why euthanasia is often misunderstood, and how community-centered solutions can dramatically reduce suffering for both animals and staff. Carrie explains the difference between municipal and nonprofit shelters, why staff morale is the backbone of lifesaving work, and how access, not apathy, is often the biggest barrier to spay and neuter services.This conversation is eye-opening, compassionate, and practical, offering listeners a deeper understanding of animal welfare and clear ways they can make a difference in their own communities.In this episode, we discuss:*Carrie's path into animal welfare and shelter leadership*What shelter assessments actually evaluate*The emotional toll on frontline shelter staff*Why euthanasia is a systems problem, not an individual failure*The importance of community outreach and support*Why spay and neuter access matters more than blame*How fostering, volunteering, and adopting adult dogs saves livesTo find out more about Shelter Savvy, visit https://www.animalsheltersavvy.com/Want to be a guest on Life Stories Podcast? Send Shara Goswick a message on PodMatch, here: https://www.podmatch.com/hostdetailpreview/1718977880777072342a16683

Greg DuPont is an estate planning attorney, comprehensive financial advisor, and entrepreneur dedicated to helping families protect what matters most—while making confident, informed decisions about their future.As the founder of DuPont Law Group and a leader behind The Wealth Solutions Network and Advocate Wealth Solutions, Greg works with individuals and families who want more than documents or disconnected financial advice. His work focuses on clarity, protection, and long-term stewardship—helping clients reduce financial loss, avoid unnecessary conflict, and align their wealth with the lives they actually want to live.Greg is known for taking complex legal and financial topics and translating them into clear, practical guidance. His approach is intentionally different: instead of selling products or pushing pre-packaged solutions, he leads with education, diagnosis, and trust. Clients often describe him as calm, strategic, and deeply invested in helping them think clearly before acting.Over the course of his career, Greg has advised thousands of families on estate planning, wealth protection, retirement strategy, and legacy design. His work emphasizes proactive planning—addressing risks before they become crises—and helping clients make decisions today that still make sense decades from now.At the center of Greg's philosophy is a simple belief: good planning isn't about money—it's about people, responsibility, and peace of mind. Whether working with young families, business owners, or retirees, his goal is the same: to replace uncertainty with confidence and help families move forward with intention.Greg lives and works by a mission to impact one million families by protecting legacies, reducing avoidable financial loss, and elevating the way people experience planning. When he's not working with clients or building new initiatives, he is focused on teaching, mentoring advisors, and creating systems that make high-quality planning more accessible and human.Learn more: https://www.advocatewealthsolutions.com/The information provided by Greg DuPont is intended for general informational and educational purposes only and does not constitute legal, tax, investment, or financial advice. Nothing discussed should be relied upon as a substitute for individualized advice from qualified legal, tax, or financial professionals. All planning strategies and concepts are general in nature and may not be suitable for every individual or situation. Any references to financial strategies, investments, or planning concepts are not intended as a recommendation, solicitation, or offer to buy or sell any securities or financial products. Advisory services are offered only pursuant to an advisory agreement and where permitted by law. Past performance is not indicative of future results. Participation in this content does not create an attorney-client or advisor-client relationship. Outcomes depend on individual circumstances, applicable laws, and market conditions, which are subject to change.Influential Entrepreneurs with Mike Saundershttps://businessinnovatorsradio.com/influential-entrepreneurs-with-mike-saunders/Source: https://businessinnovatorsradio.com/interview-with-greg-dupont-founder-of-advocate-wealth-solutions-discussing-making-informed-financial-decisions

Greg DuPont is an estate planning attorney, comprehensive financial advisor, and entrepreneur dedicated to helping families protect what matters most—while making confident, informed decisions about their future.As the founder of DuPont Law Group and a leader behind The Wealth Solutions Network and Advocate Wealth Solutions, Greg works with individuals and families who want more than documents or disconnected financial advice. His work focuses on clarity, protection, and long-term stewardship—helping clients reduce financial loss, avoid unnecessary conflict, and align their wealth with the lives they actually want to live.Greg is known for taking complex legal and financial topics and translating them into clear, practical guidance. His approach is intentionally different: instead of selling products or pushing pre-packaged solutions, he leads with education, diagnosis, and trust. Clients often describe him as calm, strategic, and deeply invested in helping them think clearly before acting.Over the course of his career, Greg has advised thousands of families on estate planning, wealth protection, retirement strategy, and legacy design. His work emphasizes proactive planning—addressing risks before they become crises—and helping clients make decisions today that still make sense decades from now.At the center of Greg's philosophy is a simple belief: good planning isn't about money—it's about people, responsibility, and peace of mind. Whether working with young families, business owners, or retirees, his goal is the same: to replace uncertainty with confidence and help families move forward with intention.Greg lives and works by a mission to impact one million families by protecting legacies, reducing avoidable financial loss, and elevating the way people experience planning. When he's not working with clients or building new initiatives, he is focused on teaching, mentoring advisors, and creating systems that make high-quality planning more accessible and human.Learn more: https://www.advocatewealthsolutions.com/The information provided by Greg DuPont is intended for general informational and educational purposes only and does not constitute legal, tax, investment, or financial advice. Nothing discussed should be relied upon as a substitute for individualized advice from qualified legal, tax, or financial professionals. All planning strategies and concepts are general in nature and may not be suitable for every individual or situation. Any references to financial strategies, investments, or planning concepts are not intended as a recommendation, solicitation, or offer to buy or sell any securities or financial products. Advisory services are offered only pursuant to an advisory agreement and where permitted by law. Past performance is not indicative of future results. Participation in this content does not create an attorney-client or advisor-client relationship. Outcomes depend on individual circumstances, applicable laws, and market conditions, which are subject to change.Influential Entrepreneurs with Mike Saundershttps://businessinnovatorsradio.com/influential-entrepreneurs-with-mike-saunders/Source: https://businessinnovatorsradio.com/interview-with-greg-dupont-founder-of-advocate-wealth-solutions-discussing-making-informed-financial-decisions

Don Witt of the Channel Daily News, a TR publication, interviews Kevin Nethercott, CEO of Tresic, to discuss the company’s focus on bringing intelligence to the mid-market through CSP partners. Kevin Nethercott Kevin explains Tresic’s mission to leverage AI for conversational intelligence, offering products like After Call and First Alert that provide automated transcription, to-do item tracking, and keyword alerts for businesses. Kevin highlights Tresic’s partnership with service providers like NetSapiens and their ability to quickly deploy solutions for mid-market companies. Kevin also shared his background in communications technology and expressed excitement about Tresic's potential to transform business operations through AI.   Mid-Market AI Solutions for Frontline Workers Kevin explains Tresic’s focus on mid-market businesses, which represent 60% of US businesses and a larger percentage globally. He emphasizes that mid-market companies need easy-to-use AI solutions to help frontline workers improve customer interactions and competitiveness. Before: missed moments. After: action is already done. Promises, risks, and buying signals show up in conversations. Most of that intelligence disappears into notes and follow-up gaps. Tresic makes it usable – and immediate! For more information, go to: Tresic

The American Revolution wasn't just a colonial rebellion; it was a global conflict shaped by European rivalries and high-stakes diplomacy. Without the help of foreign allies like France and Spain, the United States might never have won its independence. Historian John Ferling joins us to explore the international dimensions of the Revolutionary War. Drawing from his new book Shots Heard Round the World, Ferling reveals how secret aid, political gambles, and naval power from Europe (especially France) influenced the outcome of the war, and nearly derailed it. John's Website | Book |Show Notes: https://www.benfranklinsworld.com/432 EPISODE OUTLINE00:01:06  Introduction00:01:52 Why European Powers Intervened00:08:02 International Interest in the American Revolution00:14:20 French Reaction to the Outbreak of War00:19:28 Initiation of Foreign Aid00:23:46 British Expectations of a Quick Victory00:25:35 Saratoga as a Turning Point00:31:46 French Naval and Military Support00:37:36 Spain's Ambitions and Entry into the War00:42:55 Britain's War Fatigue and Missed Opportunities00:51:31 Outcomes for France and Spain00:54:53 Time Warp00:59:20 ConclusionRECOMMENDED NEXT EPISODES

Welcome to Season 2 of the Orthobullets Podcast. Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Dr. Lee Rubin is titled⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ "⁠Anterior Hip Hemiarthroplasty in 2025: Technique and Outcomes⁠.⁠⁠"⁠Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Twitter⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube

In Part Two of this special ViVE series, the conversation moves from why ViVE exists to how leaders and solution partners actually extract value from it. Eric Glazer continues the discussion with Rich Scarfo, President of HLTH/ViVE, and Russ Branzell, President & CEO of CHIME, focusing on how different audiences experience ViVE and what separates attendees who walk away with clarity and momentum from those who don't. Rich and Russ share practical perspectives on how senior healthcare leaders should navigate ViVE, how to balance content sessions with curated meetings, and what intentional preparation looks like before, during, and after the event. They also discuss what "showing up the right way" means for solution partners, what makes a partner conversation valuable from an executive standpoint, and how to build trust that extends beyond the conference. If you're attending ViVE 2026, or deciding how to approach large industry convenings more strategically, this episode offers concrete guidance on how to turn time spent onsite into outcomes that last well beyond the event. Resources: Take a look at what's in store at ViVE 2026, taking place Feb. 22-25 in Los Angeles - https://hlth.com/events/vive Attend ViVE using discount code V26BSV for $250 off the General Attendee ticket - https://hlth.com/events/vive/register   About Rich Scrafo and Russ Branzell:  Rich Scarfo - https://hyve.group/about/meet-our-leaders Russ Branzell - https://www.linkedin.com/in/russ-branzell-2888aa108   Partner with Bright Spots Ventures: If you are interested in speaking with the Bright Spots Ventures team to brainstorm how we can help you grow your business via content and relationships, email hkrish@brightspotsventures.com  About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare—proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com. Visit our website:  www.brightspotsinhealthcare.com. Follow Bright Spots in Healthcare: https://www.linkedin.com/company/shared-purpose-connect/

This episode features the 2025 ASHP Best Practice Award winning team at New York Presbyterian Hospital, recognized for their program focusing on ambulatory care pharmacist embedded in clinics improved access to patient care. Listeners will learn how ambulatory care pharmacists created a critical role in promoting equitable, patient-centered care, and how they improved care outcomes among underserved populations.  The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

This edWeb podcast is sponsored by Wayground (formerly Quizizz).The edLeader Panel recording can be accessed here.As spring testing approaches, school and district leaders face increasing pressure to ensure students are truly prepared for state assessments—without relying on last-minute test prep or disconnected instructional strategies. This edWeb podcast focuses on what actually works to improve state test readiness through intentional, data-driven, system-level leadership.The goal of this session is to help leaders build a cohesive approach to state test readiness that connects daily instruction, real-time data, and targeted supports—so teachers can make informed adjustments before gaps show up on test day.The panelists share how effective schools leverage ongoing assessment signals to identify trends, anticipate student needs, and guide instructional decisions at the classroom and schoolwide levels. Listeners learn how data can move beyond static reports to become a daily tool that empowers teachers and supports every learner.Listeners learn how to:Use real-time and predictive data to inform instructional decisions and improve readinessIdentify early indicators of risk and provide timely, targeted supportAlign state test readiness efforts with formative assessment practicesSupport diverse student populations in demonstrating growth and achievementListeners leave with practical strategies to turn data into action and strengthen student outcomes on state assessments. This edWeb podcast is of interest to K-12 school and district leaders.Wayground (formerly Quizizz)Bridge classroom realities and curriculum expectations with an AI-supported, teacher-first platform.Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Learn more about viewing live edWeb presentations and on-demand recordings, earning CE certificates, and using accessibility features.

Listen to my Morning Monologue: I'm sharing my take on pressing issues, enlightening research on human behavior, answering questions I get by email, and my favorite, most instructive interactions with callers. Everything you'll hear is designed to help you become a better spouse, parent, family member, co-worker, friend, and human being. It's the free therapy you need! Call 1-800-DR-LAURA / 1-800-375-2872, email drlaura@drlaura.com, or make an appointment at DrLaura.comFollow me on social media:Facebook.com/DrLauraInstagram.com/DrLauraProgramYouTube.com/DrLauraJoin My Family!!Receive my Weekly Newsletter + 20% off my Marriage 101 course & 25% off Merch! Sign up now, it's FREE!Each week you'll get new articles, featured emails from listeners, special event invitations, early access to my Dr. Laura Designs Store benefiting Children of Fallen Patriots, and MORE! Sign up at DrLaura.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Heart disease is the number one killer of people in the United States, and the leading cause of death globally....[…]

Welcome to Overtime with the Sports Docs. On each of these mini episodes, we chat about a new article or new surgical technique in the field of sports medicine. We'll give you our quick take on the most recent data and howthis data will impact our practice.Today, we're talking about one of the hottest topics in sports medicine — platelet rich plasma for lateral epicondylitis. If you've ever wondered why PRP seems to work great for some patients… and not at all for others — this paper gives us a compelling answer.We're reviewing an article from the January 2025 issue of AJSM titled “Platelet Concentration Explains Variability in Outcomes of Platelet-Rich Plasma for Lateral Epicondylitis.” The key takeaway from the systematic review and meta-analysis is that PRP isn't one standard treatment. The dose matters and platelet concentration may explain most of the conflicting data we've seen over the years.

Ever wonder how a single song can spark a movement? We sit down with Uncle Dave—educator, musician, and community builder—to explore how Menehune Beach Bum Boogie led to a purpose bigger than charts or gigs. He shares a candid journey from Pololo Valley to 34 years in the classroom, working with at‑risk students and discovering that Aloha becomes powerful only when it moves from slogan to practice.We break down ALOHA in full: Akahai (kindness with tenderness), Lokahi (unity with harmony), Oluolu (agreeable with pleasantness), Haahaa (humility with modesty), and Ahonui (patience with perseverance). Then we go deeper with teachings passed through Aunty Pilahi Paki and Pono Shim—grace and mercy, unbroken covenant, gentleness as strength under control, the empty cup ready to learn, and active waiting that chooses response over reaction. Through vivid stories—a traffic merge without expecting a shaka, a stallion's power guided by a bridle, a classroom growing taproots—Dave shows how to turn values into habits.We also talk strategy: the Aloha Roots Program uses music as curriculum, aligning social‑emotional learning with a clear why before the how and what. Outcomes are fruit; processes are branches; Aloha is the root. Community efforts like Tools for Schools and Valley to Valley put these principles into action, proving that culture shifts when we model it consistently. If you've ever felt Aloha was vague or overused, this conversation gives you a practical map—and a reason to start at home, at school, and on the road.Listen, share with someone who lives Aloha, and help us grow taproots. If this moved you, subscribe, leave a review, and pass it on so more people can practice kindness, unity, humility, gentleness, and patient perseverance every day.

Reality comes from expectations and follow-through. Don't be afraid to aim for the stars but don't be disappointed if you fall short. It may just be the answer you have been needing. Watch the video: https://youtu.be/lXGDvz1U-68

There's a difference between running hard enough to stay afloat and actually creating sustainable progress. This week, we sit down with the incomparable Kelly Kline of Western Workouts to talk about the moment you stop outrunning your own life, the practice of active surrender, and why micromanaging your process might be the most liberating thing you'll do this year.Kelly returns to Cowgirls Over Coffee for a conversation that refuses to stay surface-level. What begins as a besties catching up for the new year quickly transforms into an honest excavation of what happens when striving stops working, when coping mechanisms reach their expiration date, and when you're finally ready to build the bridge instead of just skimming across the water. This conversation is just two women sharing what they've earned through failure, reflection, and the audacity to start again.The conversation moves through the cost of control, the paradox of surrender that requires action, and the particular kind of exhaustion that comes from trying to manage outcomes instead of mastering process. Kelly notes the concept of active surrender as something that isn't simple passive resignation but a deliberate practice of discernment, energy management, and trust. Meanwhile, Thea unpacks her pivot away from outcome-based goals toward process-obsessed discipline, revealing what it looks like to move from running on fumes to nurturing from the ground up all over again.But perhaps most importantly, this episode makes the case that conversation itself is leverage. That authentic friendship isn't a nice-to-have luxury but a strategic necessity for anyone in pursuit of a better-than-typical life. This conversation is community executed in real time proving that real connection dissolves comparison and creates space for the kind of growth that can only happen when someone sees you clearly and loves you anyway.Listen In For...Why authentic friendship functions as a competitive advantage.The distinction between having boundaries and accidentally constructing a life that doesn't require them.What it means to move from coping strategies to sustainable routines.Thea's 2026 shift: abandoning outcome-based goals in favor of process-obsessed discipline.Kelly's framework for active surrender: why letting go requires more action than holding on.The cost of being ten steps ahead at all times, and what opportunities control strangles before they can breathe.How to stop leaking energy into battles that don't serve you.The practice of micromanaging your process instead of your outcomes.Why discernment is the muscle that makes surrender active rather than passive.What happens when you choose to disengage instead of oppose.TL;DR (Minute by Minute)00:00 Opening: Conversation as leverage and the January tradition.01:21 On curating genuine humans and the gift of authentic friendship.

Heart disease is the number one killer of people in the United States, and the leading cause of death globally....

In this solo episode of Building Better, I explore a pattern I see everywhere. In engineering, in leadership, and in life.Most systems are built sequentially. One decision at a time. One optimization at a time. One fix after another. That approach works. It is safe. It prevents disasters.But it rarely produces truly great outcomes.Using product development and APQP as a starting point, I contrast sequential design with parallel processing. Learning late versus pulling understanding forward. Optimizing parts versus optimizing the system.I then zoom out beyond engineering to show how the same pattern shows up in home projects, health, parenting, and how we design our lives and organizations.This episode is about capability, foresight, and the difference between reacting your way to “good enough” and designing for something better from the start.Music creditSlow Burn by Kevin MacLeod

Listener feedback, the value of procedural volume for TAVR and MTEER, ventricular arrhythmia in older athletes, and the Goldilocks time horizon for predicting and modifying CV risk are the topics John Mandrola, MD, discusses in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I Procedural Volume and Outcomes for TAVI and M-TEER Operator Procedural Volumes and Outcomes for TAVR and MTEER https://jamanetwork.com/journals/jamacardiology/fullarticle/2843740 II Ventricular Arrhythmia in Older Male Endurance Athletes Myocardial Fibrosis May Raise Arrhythmia Risk in Older Male Endurance Athletes https://www.medscape.com/viewarticle/myocardial-fibrosis-may-raise-arrhythmia-risk-older-male-2026a10001y0 Timing and Relationship of VA With Exercise Patterns in Older Male Endurance Athletes https://doi.org/10.1093/eurjpc/zwag021 III Predicting Cardiac Risk and Statin Use 30-Year ASCVD Risk Among US Adults Aged 30-59 https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.125.012348 You may also like: The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net

Cristina Cranga: Coaching Product Owners From Output Obsession to Value Conversations Read the full Show Notes and search through the world's largest audio library on Agile and Scrum directly on the Scrum Master Toolbox Podcast website: http://bit.ly/SMTP_ShowNotes.   In this episode, we refer to the work of Esko Kilpi on conversations and episodes on Nonviolent Communication (NVC) on the podcast. The Great Product Owner: A People Person Who Clarifies Before Deciding   "He was comfortable saying 'I don't know yet. What do you think?' It was a bi-directional conversation, not just one-way." - Cristina Cranga   The best Product Owner Cristina worked with was fundamentally a people person and a leader—human skills, not just hard skills. What made him exceptional was his approach to conversation: he started by clarifying the problem first, then decided. By doing this, he separated requests from decisions and made trade-offs explicit.  He was comfortable admitting uncertainty, asking "What do you think?" and engaging the team in co-creation rather than issuing directives. Cristina emphasizes that between the PO and Scrum Master, there's a special bond—a strong leadership partnership that teams look to as a reference. She highlights the concept of "ask more, say less": when you ask questions, you collect information that leads to better, more validated decisions.  The communication process, as outlined in Nonviolent Communication by Marshall Rosenberg, has four components: observation, feelings, needs, and requests. Great POs embody this by treating uncertainty as part of their job, engaging teams more deeply, and connecting work to value rather than just output.   Self-reflection Question: How often does your Product Owner ask "What do you think?" and what would change if they separated requests from decisions more explicitly? The Bad Product Owner: Output Obsession and the Velocity Trap "Success is measured by how much is delivered, not what changes. Teams get faster, but not smarter." - Cristina Cranga   The worst Product Owner anti-pattern Cristina has witnessed is output obsession—measuring success by how much is delivered rather than what actually changes for users or the business. When velocity replaces outcomes as the primary metric, teams get faster but not smarter. Faster doesn't equal smarter. This anti-pattern is particularly dangerous in an AI-accelerated environment where delivery speed is no longer a constraint. The challenge for practitioners is shifting this mindset. The strongest POs make different choices: they own their decisions at the team level, make decisions explicit, treat uncertainty as part of the job, and connect work to value. When POs break free from output obsession, the results are powerful: faster alignment, no decision hallucinations, more engaged teams willing to experiment, and genuine connection between work and value.   In this segment, we refer to Nonviolent Communication by Marshall Rosenberg.   Self-reflection Question: If you removed velocity from your team's dashboard tomorrow, what conversations would emerge about actual value delivered?   [The Scrum Master Toolbox Podcast Recommends]

Leadership today is no longer about commanding the ship. It is about setting the right outcomes, assembling the right teams, and trusting decision-making where the work actually happens.In this episode, we unpack a fundamental shift in how high-performing organizations should operate in a world that changes every ninety days. The leader's job is not to make sixty percent of the decisions. The leader's job is to define the outcome, create psychological safety, and architect teams that can execute with speed, ownership, and accountability.We explore why command-and-control leadership breaks under modern complexity, how ninety-day outcome-based pods create clarity and momentum, and why dynamic shared ownership allows organizations to move faster without sacrificing trust or alignment.Drawing inspiration from leaders like Jason Fried, this conversation reframes leadership as orchestration, not domination—outcomes over hierarchy. Trust over control. Teams that draft around capability, not title.This is not about soft leadership. It is about disciplined clarity, radical transparency, and building systems that enable people to make the right decisions at the right time.This is the Business of Alignment.

Questions? Thoughts? Send a Text to The Optometry Money Podcast! We'll answer your question on the show.Tax filing season is here, and for married optometrists planning toward student loan forgiveness, how you file your taxes can save you thousands of dollars per year. In this episode, we break down how tax filing status impacts your income-driven repayment calculations and when filing separately makes financial sense.Key Takeaways:The three core student loan strategies for optometrists: paying off like any other debt, pursuing forgiveness through income-driven repayment plans, or using a hybrid approach for specific cash flow goalsHow filing married jointly includes both spouses' income in the student loan calculation, even if only one spouse has loansFiling married separately allows you to exclude your spouse's income from the calculation, often resulting in dramatically lower monthly paymentsHow community property states offer even more student loan planning opportunities for optometristsThe additional tax costs of filing separately and how to compare them against student loan savings to make the right decisionCritical timing considerations for filing your tax return and student loansWhy filing an extension may make sense if you're unsure about your strategyChapters:00:00 Introduction 01:00 The Core Student Loan Strategies Optometrists Should Consider 03:50 Income is the Most Important Planning Lever for Income-Driven Repayment Plans 05:05 Filing Taxes Married Jointly Includes Both Spouse's Income in the Student Loan Calculation 06:00 How Filing Taxes Married Separately Allows for Better Student Loan Planning for Optometrists 07:00 Example of How Filing Separately Can Improve Optometrists' Student Loan Calculations 08:45 How Community Property States Magnify the Student Loan Planning Opportunities for Optometrists 12:00 Additional Tax Costs to Consider When Filing Taxes Separately 15:00 The Math - Compare the Student Loan Savings vs. Higher Tax Costs When Filing Separately 16:00 Next Steps for OptometristsResources mentioned:Click Here to Download Your Free 2025 Tax Filing Guide for OptometristsReady to work with a financial advisor who understands student loan and tax planning for optometrists? Click Here to Schedule a conversation.The Optometry Money Podcast is dedicated to helping optometrists make better decisions around their money, careers, and practices. The show is hosted by Evon Mendrin, CFP®, CSLP®, owner of Optometry Wealth Advisors, a financial planning firm just for optometrists nationwide.

What if financial planning were approached the same way engineers design aircraft, medical treatments, or complex systems—with clearly defined objectives, constraints, and rigorous trade-off analysis? In this episode, Benjamin Felix is joined by Braden Warwick for a deep dive into what it means to engineer financial outcomes. Drawing on Braden's background as a PhD-trained mechanical engineer and his work building financial planning software at PWL Capital, the conversation reframes financial planning as a design problem rather than a speculative exercise. They explore the critical distinction between a financial plan and a financial projection, why uncertainty does not invalidate good planning, and how professional communication under uncertainty can build trust with clients—especially those from technical backgrounds. The discussion highlights the importance of goals-based planning, sensitivity analysis, and explicitly quantifying trade-offs when clients have multiple competing objectives. Key Points From This Episode: (0:00:04) Introduction to Episode 393 and the return of Braden Warwick (0:02:50) Braden's role at PWL and his experience deploying Conquest Planning software (0:05:46) The tension between low industry entry barriers and professional standards in financial planning (0:07:54) Braden's background in mechanical engineering and academia 0:09:33) Financial plans vs. financial projections: why uncertainty doesn't make a plan "wrong" (0:12:59) Lessons from medicine and engineering on communicating decisions under uncertainty (0:15:15) An engineering framework for financial planning: objectives first, then solutions (0:18:42) Why surface-level goals like "minimize tax" or "maximize returns" often miss what really matters (0:21:19) Evaluating plans against goals using projections, scenario analysis, and sensitivity analysis (0:24:28) Why sensitivity analysis helps planners focus on what actually drives outcomes (0:29:27) Handling multiple competing goals using trade-off analysis and Pareto frontiers (0:36:46) Practical ways planners can present trade-offs without complex math (0:39:25) Case study setup: professional financial planning with corporate clients (0:40:20) Salary vs. dividends for business owners when optimizing for legacy goals (0:44:26) Why financial planning software outputs can be misleading without context (0:48:23) The importance of understanding how planning software calculates key metrics (0:50:22) Using PWL's free retirement tool to analyze CPP and OAS timing decisions (0:53:44) Approximating Monte Carlo outcomes using standard error of the mean (0:56:16) Linking "bad" and "terrible" outcomes to plan success probabilities (0:58:44) How CPP and OAS deferral affects sustainable spending and downside protection (1:02:46) What makes PWL's CPP calculator different from typical break-even tools (1:05:15) Why wage inflation assumptions materially affect CPP deferral decisions (1:07:46) Closing framework: goals, constraints, sensitivity analysis, and quantified trade-offs (1:09:36) Financial planning as an emerging discipline rooted in engineering-style thinking Links From Today's Episode: Meet with PWL Capital: https://calendly.com/d/3vm-t2j-h3p Rational Reminder on iTunes — https://itunes.apple.com/ca/podcast/the-rational-reminder-podcast/id1426530582. Rational Reminder on Instagram — https://www.instagram.com/rationalreminder/ Rational Reminder on YouTube — https://www.youtube.com/channel/ Benjamin Felix — https://pwlcapital.com/our-team/ Benjamin on X — https://x.com/benjaminwfelix Benjamin on LinkedIn — https://www.linkedin.com/in/benjaminwfelix/ Editing and post-production work for this episode was provided by The Podcast Consultant (https://thepodcastconsultant.com)

​ @O.G.Rose.Michelle.and.Daniel  on  @WhiteStoneName  Is Pluralism Actually Possible? https://www.youtube.com/live/azyvgOUxt-8?si=s07eBf5iiVnwTa4O  @VanderKlips  O.G. Rose on Pluralism from Luke Livestream https://youtu.be/poPO4C7zaJw?si=muRJ9nBQJOgXqRWT PVK Randos Archives 2018 to 2023 https://www.youtube.com/live/1ZAZME_cP1Q?si=WuJ1rIhe8W3-v8DW Spirits, Programs, Parts, Through, Above and Within. IFS and Theological Anthropology https://youtu.be/KRfxWhyJNow?si=0jYQKvO_zaj0oO-f Why the Jordan Peterson Biblical Earthquake? Sedimentary Collective Biblical Relevance Realization https://youtu.be/g2Voo1EYREE?si=Gs6dMjKKJfN0wSnv    https://www.livingstonescrc.com/give Register for the Estuary/Cleanup Weekend https://lscrc.elvanto.net/form/94f5e542-facc-4764-9883-442f982df447 Paul Vander Klay clips channel https://www.youtube.com/channel/UCX0jIcadtoxELSwehCh5QTg https://www.meetup.com/sacramento-estuary/ My Substack https://paulvanderklay.substack.com/ Bridges of meaning https://discord.gg/VPaK2vCX Estuary Hub Link https://www.estuaryhub.com/ There is a video version of this podcast on YouTube at http://www.youtube.com/paulvanderklay To listen to this on ITunes https://itunes.apple.com/us/podcast/paul-vanderklays-podcast/id1394314333  If you need the RSS feed for your podcast player https://paulvanderklay.podbean.com/feed/  All Amazon links here are part of the Amazon Affiliate Program. Amazon pays me a small commission at no additional cost to you if you buy through one of the product links here. This is is one (free to you) way to support my videos.  https://paypal.me/paulvanderklay Blockchain backup on Lbry https://odysee.com/@paulvanderklay https://www.patreon.com/paulvanderklay Paul's Church Content at Living Stones Channel https://www.youtube.com/channel/UCh7bdktIALZ9Nq41oVCvW-A To support Paul's work by supporting his church give here. https://tithe.ly/give?c=2160640 https://www.livingstonescrc.com/give

What if the pressure to be “special” is actually what's keeping you stuck? In this episode, I sit down with bestselling author Mark Manson to talk about why success doesn't cure anxiety, how your ego fights change, and why transformation feels long before it feels empowering. Mark shares the thinking behind The Subtle Art of Not Giving an F-bomb documentary, the personal stories that shaped it, and why realizing you're not unique in your struggles is actually liberating. Get ready to stop chasing perfection, release the pressure to be extraordinary, and find freedom in being human. In This Episode You Will Learn Why realizing you're NOT SPECIAL can actually set you FREE. Why GROWTH feels UNCOMFORTABLE and why that's a GOOD sign. How to stop tying your WORTH to OUTCOMES. How to break PATTERNS that keep repeating in relationships and work. How to LET GO of labels that trap your identity. Why AVOIDING PAIN creates more PROBLEMS than it solves. How to stop chasing PERFECT and start living with PURPOSE. Why confronting MORTALITY clarifies what actually matters. Check Out Our Sponsors: Shopify - Sign up for a one-dollar-per-month trial period at shopify.com/monahan Quince - Step into the holiday season with layers made to feel good and last from Quince. Go to quince.com/confidence Timeline - Get 10% off your first Mitopure order at timeline.com/CONFIDENCE. Northwest Registered Agent - protect your privacy, build your brand and get your complete business identity in just 10 clicks and 10 minutes! Visit https://www.northwestregisteredagent.com/confidencefree Resources + Links Get your copy of The Subtle Art of Not Giving an F*ck by Mark Manson HERE Call my digital clone at 201-897-2553!  Visit heathermonahan.com Sign up for my mailing list: heathermonahan.com/mailing-list/  Overcome Your Villains is Available NOW! Order here: https://overcomeyourvillains.com  If you haven't yet, get my first book Confidence Creator Follow Heather on Instagram & LinkedIn Mark on Instagram & LinkedIn

The biggest risk investors face right now isn't just climate change, geopolitics, or emerging-market volatility. The real threat in impact investing is inertia. Capital stays in familiar places because big asset owners can get satisfactory returns elsewhere. So, unless incentives and information change, inertia wins.This episode is about why social investment keeps getting stuck, even when good people across government, finance, and communities are trying to do the right thing – and what actually has to change for money to start moving.It focuses on where incentives misfire and how to scale impact investing and social investment beyond pilot projects. I'm joined by Nick Hurd, former UK minister and now Chair of GSG Impact. Nick has worked across government, finance, and civil society. He helped build the UK's social investment market, pioneered early social impact bonds, and later stepped away from politics after deciding markets offered more leverage than ministries.We talk about:how outcome-based finance works in practicehow social investment moves risk off taxpayerswhere social impact bonds work (and where not)why climate finance must account for communities, not just emissionsFeatured guest: Nick Hurd, Chair & Senior Adviser at GSG Impact Listen Next: Conversation with Sir Ronald Cohen Conversation with Nick O'DonohoeDiscover More from SRI360°:Explore all episodes of the SRI360° Podcast Sign up for the free weekly email update

Ever felt like you're not living your true self? In this episode of the Happy Hustle Podcast, I sit down with Graham Cochrane – a seven-figure entrepreneur, TEDx and keynote speaker, bestselling author, and the mastermind behind the globally acclaimed Graham Cochrane Show. With over 14 years of online coaching experience and 700,000+ YouTube subscribers, Graham's insights are a goldmine for anyone looking to create more money, margin, and meaning in their lives.Graham shares profound insights from his new book "Rebel," exploring how dreams are like giant clues revealing our true values. He discusses how to resolve the inevitable conflicts that arise between our dreams and our relationships, emphasizing the importance of compromise and alignment. We also explore how rebellion and true alignment can help you create more money, margin, and meaning in your life. Whether you're looking to resolve conflicts between your dreams and relationships or want to live intentionally aligned with your personal values, Graham's got the wisdom you need.Ready to rebel and align with your true self? Tune in to this episode and let's make it happen together. In this episode, we cover: 00:00 Introduction to Rebellion and Alignment03:11 The Rebel Framework: Resolving to Dream Again09:02 Navigating Dreams and Relationships: The Art of Compromise29:08 Breaking Free: Embracing New Thoughts and Habits33:48 Letting Go: Finding Peace in Outcome Independence52:21 Happy Hustle Hacks [Health, Money, Entrepreneurship, Spirituality]01:06:34 Rapid-fire questionsWhat does Happy Hustlin mean to you? Graham says it means living a fulfilled life because it's the one that I chose to live and I don't feel like I'm shooting all over myself as they say.Connect with Grahamhttps://www.instagram.com/thegrahamcochrane/https://www.facebook.com/thegrahamcochrane/https://www.linkedin.com/in/cochranegchttps://www.youtube.com/grahamcochraneFind Graham on his website: https://www.grahamcochrane.com/Connect with Cary!https://www.instagram.com/cary__jack/https://www.facebook.com/SirCaryJackhttps://www.linkedin.com/in/cary-jack-kendzior/https://twitter.com/thehappyhustlehttps://www.youtube.com/channel/UCFDNsD59tLxv2JfEuSsNMOQ/featured Get a free copy of his new book, The Happy Hustle, 10 Alignments to Avoid Burnout & Achieve Blissful Balance (https://www.thehappyhustlebook.com/)Sign up for The Journey: 10 Days To Become a Happy Hustler Online Course (http://www.thehappyhustle.com/Journey)Apply to the Montana Mastermind Epic Camping Adventure (https://caryjack.com/montana)“It's time to Happy Hustle, a blissfully balanced life you love, full of passion, purpose, and positive impact!”Episode sponsor BIOptimizers Magnesium Breakthrough (https://magbreakthrough.com/vip?gl=65132c943f5d60f00f8b4567&coupon=hustle)This stuff is a game-changer! Magnesium Breakthrough packs all 7 forms of magnesium, designed to support stress management, promote muscle relaxation, regulate the nervous system, control stress hormones, boost brain function, increase energy, and enhance sleep.I take 2 capsules before bedtime, and it's been a game-changer for me. The best part is, BIOptimizers offer a risk-free.

Drs. Kat Talcott and Nita Valikodath join for a journal club episode discussion of three recent publications:‍ ‍ ‍ ‍Racial/Ethnic Disparities and Diabetic Retinopathy (https://www.ajo.com/article/S0002-9394(25)00593-8/abstract)‍ ‍Physician Age and Quality Outcomes (https://www.aaojournal.org/article/S0161-6420(25)00524-X/fulltext)‍ ‍IRIS Registry IOFB Study (https://www.ophthalmologyretina.org/article/S2468-6530(25)00508-1/fulltext)‍ ‍

How cultural awareness improves estate planning outcomes, with insights on the racial wealth gap and strategies for more effective, inclusive client guidance. The American College of Trust and Estate Counsel, ACTEC, is a professional society of peer-elected trust and estate lawyers in the United States and around the globe. This series offers professionals best practice advice, insights, and commentary on subjects that affect the profession and clients. Learn more in this podcast.

Join Apostle Jim Raley as he explores the theme of 'Divine Order, Divine Outcomes' in this spiritual teaching. Through passages from Deuteronomy and Matthew, Apostle Raley emphasizes the importance of putting God first to achieve divine outcomes in life. This sermon encourages believers to align their lives with divine principles through prayer, fasting, and giving, promising blessings and supernatural favor. It's a powerful message for those seeking spiritual growth and divine intervention in 2026.

After Dark with Hosts Rob & Andrew – A fatal ICE shooting in Minneapolis ignites nationwide outrage as conflicting accounts emerge over compliance, force, and federal authority. Video footage, eyewitness claims, and official statements collide, raising urgent questions about immigration enforcement, protest risks, and the human cost when encounters between activists and agents escalate into deadly violence...

Health care executive Dave Wessinger discusses their article "How to adopt AI in health care responsibly." Dave explains why organizations must move beyond the hype of artificial intelligence to focus on measurable goals like driving growth and improving quality. The conversation highlights specific high-value applications in documentation and patient intake while emphasizing the critical need for a clinician in the loop approach to ensure patient safety. By prioritizing administrative automation over clinical decision-making initially, leaders can build trust and avoid the risks associated with imperfect technology. This episode explores how to shape AI as a practical tool that enhances rather than replaces human judgment. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

-Jake and Nick's trip to Evanston is right around the corner..-And, ROLL CALL (sponsored by Madsen's Bowling & Billiards): where are Breakers listening from today?Our Sponsors:* Check out Aura.com: https://aura.com/remove* Check out BetterHelp: https://www.betterhelp.com* Check out Progressive: https://www.progressive.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Most PTs were taught to treat in 60-minute chunks. But what if the real value isn't in the time... but the outcome?In this episode, Jimmy sits down with Tony Maritato and Dave Kittle to unpack how physical therapists can stop marketing “minutes” and start delivering results. They dive into shorter sessions, clinic models, live selling, CEU partnerships, and the massive potential of selling outcomes over time.Plus: a brainstorm on flipping leftover clinic time into high-converting, half-off offers. Think Groupon, but smarter — and built for PT.If you're a clinic owner, cash-based therapist, or entrepreneurial rehab pro… this is your roadmap to thinking like a modern healthcare business.

Steve Young (@steveyoung) is a Hall of Fame NFL quarterback who played more than 15 seasons, primarily with the San Francisco 49ers. Steve co-founded HGGC, which manages more than $6.9B in capital commitments. He's also the founder and current chair of the Forever Young Foundation, which supports children's charities globally. He is the author of QB: My Life Behind the Spiral and The Law of Love.This episode is brought to you by:Cresset family office services for CEOs, founders, and entrepreneurs: CressetCapital.com/TimAG1 all-in-one nutritional supplement: DrinkAG1.com/TimWealthfront high-yield cash account: Wealthfront.com/TimNew clients get 3.25% base APY from program banks + additional 0.65% boost for 3 months on your uninvested cash (max $150k balance). Terms and conditions apply. The Cash Account offered by Wealthfront Brokerage LLC (“WFB”) member FINRA/SIPC, not a bank. The base APY as of 12/19/25 is representative, can change, and requires no minimum. Tim Ferriss, a non-client, receives compensation from WFB for advertising and holds a non-controlling equity interest in the corporate parent of WFB, which creates a conflict of interest. Experiences will vary. Outcomes not guaranteed. Instant withdrawals may be limited by your receiving firm and other factors. Investment advisory services provided by Wealthfront Advisers LLC, an SEC-registered investment adviser. Securities investments: not bank deposits, not bank-guaranteed or FDIC-insured, and may lose value.*For show notes and past guests on The Tim Ferriss Show, please visit tim.blog/podcast.For deals from sponsors of The Tim Ferriss Show, please visit tim.blog/podcast-sponsorsSign up for Tim's email newsletter (5-Bullet Friday) at tim.blog/friday.For transcripts of episodes, go to tim.blog/transcripts.Discover Tim's books: tim.blog/books.Follow Tim:Twitter: twitter.com/tferriss Instagram: instagram.com/timferrissYouTube: youtube.com/timferrissFacebook: facebook.com/timferriss LinkedIn: linkedin.com/in/timferrissSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.