Podcasts about outcomes

Practice success doesn't always equal personal life happiness. Kiera talks about the Yes Success Model, and how to align your business goals with your personal life goals, because they're allowed to complement each other (and should, frankly). She asks probing questions that'll get you thinking about alignment and finding the right motivating factors to keep going. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript:   Kiera (00:01) Hello, Dental A Team listeners. This is Kiera. And I am so excited because I love today's topic. And I hope that it just gives you a filtering and a process of how do I like actually make like growth decisions and life goals and like what is that long-term vision clarity? Like to me, it's such an empowering topic for you. And I'm so excited because I think that so many practice owners, when I meet them or we work with them, is they actually build a successful practice that they don't want. I've done it. I built a business that I didn't freaking want to work in. And I've said, like, hey, if I   If I actually like didn't have to work here and I didn't own this, would I keep working here? And if I can't say yes, then we might want to rework this. and honestly, growth without direction can leave you with more stress, more responsibility, and less freedom. And so today I just want to work on like sometimes bigger isn't always better. Sometimes like we just need to be better aligned is better. So bigger isn't always better. Doesn't mean bigger is wrong, but better aligned is where we're actually trying to go. So I want you guys just to know like a lot of owners feel stuck.   Even after they hit success. Like I had a podcast a while of like the empty millionaire. Like I thought like if I hit a million, everybody says this and I was like, Yeah, right, I'm not gonna be that person. No, I remember being like, So this is it, huh? Like, all right, we've hit a million.   Cool. Do I love my life? No. Like it was this wild thing. And so, like, why do we still feel stuck after hitting success? And how to create this vision that guides a lot of your decisions to where you have a filtering process of yes or no? Like I think about Willy Wonka and the golden egg, like yes, no, good, bad, like giving you kind of that framework to know. And then like what are some questions you should be asking before your next big move? So I think it's really fascinating because when we work with a client and we get on our first call, I'm not here to say like, what do you, what do you want to produce?   we call it the yes success model and the why stands for you. The number one thing I want to know is like what what's the life that you're trying to build? I say it often I will say it here. Your business should serve your life, not the other way around. And I've gotten it wrong for so many years where I've given up so much of my life to serve the business. I remember being like, I think back to when I first started the company and Jason and I would be hanging out and we were literally floating down the river. I kid you not, like we're rafting tubing, and I'm on my phone answering emails. And that was an aha moment for me of like here, I think you're doing this wrong.   Like you need to freaking shut it off and like be present. And I'm building like that's not the life I want. I don't want to be working seven days a week. I don't want to be psycho. I don't want to be stressed out of my mind. So like I think it's really powerful. Like I call it the yes success model. You are number one pillar. Then it's earnings and then it's systems and team development, not the other way around. If I mess up on you and your life and we are building a practice and you're not fulfilled at the end, we have failed. And that is my definition of it. So I don't want you guys chasing someone else's version of success.   I don't want you chasing more locations or operatories or production. I want you doing this because this lights you up and this is your vision and that not because you feel like that's what you should be doing. We're gonna stop shooting on ourselves. I have a practice, they produce about four million a year. They're at a 35% overhead, they work four days a week. People are like, you need another practice, and they're like, we don't want to. This is the life we want. And I think sometimes being that stalwart in your vision is really, really critical and pivotal. So today I just want you to like.   realize that vision planning, like I talk to offices all the time, if your team's not following, it's because you don't have a strong enough vision. If you're not happy in your life, it's because you don't have a strong enough vision of where you actually want to go. So I want you to really have these growth decisions that move you closer to the life you actually want, not further and further away from that. So number one, what are we gonna do? Hi, we're Dental A Team. I'm obsessed with you. I'm here to help you have the dreamiest life you could ever imagine. I love, love, love helping dentists and teams come together to live their best life.   And I really want to empower you, CEO dentist out there, the dentist who is the CEO of their life and their practice. I call it life and business on purpose. Like let's GSD together. So step one is let's define success beyond production. And for me, this is really hard. I remember there was a dentist I was talking to, and he's like, But Kiera, production is the only thing we can compare against. It's the only actual number. You're right. There is no number of like, what's my fulfillment measure today? Am I like 10%, 20%? There's nothing in there.   So it's really, really hard because sometimes we're like, well, my production number is the only thing that I compare with all the other dentists. But I have a dentist who's making a million a year, like he's producing a million a year, works three days a week, and loves his life. There is no way for me to say, like, what's his success measure? I can know what his production is and like, hey, I got an office over here doing 29 million. But we got to define our success beyond production. So production's a result, it's not a vision. So I really want you to have like   it's hard because like setting revenue goals without lifestyle goals is a miss. Saying yes to every opportunity is another miss. Feeling successful on paper but exhausted in reality, that's another miss. So we pivot it and sometimes I feel like this is the time where like pretend I'm your fairy godmother and I'm just gonna wave my magic wand for you. Like if you had no stressors, you didn't feel like anybody was judging you, no parents, no spouse, no family, no friends, no no, I don't know, like mean girl or mean guy sitting on your shoulder, how many days do you actually want to work?   What kind of dentistry do I actually love doing? When do I want to retire? Or like maybe scale back a few days? What about my family to look like? How much freedom do I actually want? Notice I didn't put in there any dollars in there because if we can focus on vision first, dollars come second. If I know what your vision is and what your life is, fantastic. We can go build. You guys, dentistry is untapped. It's freaking awesome. Like, so let's just build. Like, what does that look like? And you might realize, like, I don't know, Kiera. And so I was actually working with a friend this last weekend.   And he's like, Kiera, what do you do when you don't know where you want to go? And I was like, Well, step one is we got to have a little guiding star. Like, let's just do five or 10 years from today. What's your age and what do you want that to look like? You could go further and you could say, when I'm 90, what do I think I'd want to be doing right now? Like when Kiera's reliving her life at 90, sitting on her rocking chair with hot pink hair, like it's actually cutting candy. Pink, you're welcome. for that visual, like, what do I want my life to look like? So, whichever one's gonna work for you.   Sometimes a tenure for me, I just need like a little glowing light up on the hill. That's written in pencil. It doesn't have to be permanent. But what do I want that life to look like? And most people usually do it based on one of three things. It's either going to be a dollar amount, which is totally fine. It's going to be on a fulfillment, like what's going to drive you, or it's going to be on a purpose. So, like for me, massive impact. I drive so hard because I want to impact and serve every dang dentist out there. So share this podcast with somebody. Help me on my goal. Like, I'm obsessed with helping dentists have their best lives.   And so like that drives me literally in the middle of every vision board, unintentionally, it says massive impact. Like, what can I do that's gonna leave a stamp and a mark on so many people's lives? And so I built the podcast for free because it was a way for us to reach more people. I hope we brighten your day. You're welcome. Go leave us a review for it and tell more people about it so more people we can serve. Like genuinely, that's what it was. But that's like in the middle of my goal board. So for me, it's impact. Like numbers are super fun and numbers drive me hard. And I'm not here to say like numbers are wrong. I am highly numbers driven.   But like, what's the impact? That's gonna motivate me so much more. Like serving 500 dentists and then serving a thousand dentists. Like that to me is something of like a churn. I want to make 40 millionaires in my next lifetime. Like, how do I do that? Like the next decade of my life. So, like, I look at this, but also like, what is the life that I want? What's the trade-off? They can be hand in hand. So I really want you to look at like what is it? I told you about that office that I've got this 3.5, 35% overhead.   They don't want another practice. They literally want to live. They don't want another associate. They have great, it's all the systems are done. They don't want to deal with the headache of that. And I'm like, fantastic. You want fewer clinical days. I've got another doctor. He's like, Kiera, I want to go play a pickleball. I used to like have a lake house and all these other things. Like, I want it simple. I want to play pickleball. And I want to be able to hang out with my family. Your lighthouse of 10 years or your motivator, it can be a little fuzzy up there. It doesn't have to be perfect.   But getting that vision out of you is something I'm obsessed with because your practice should support your life and not the other way around. And once you get your identity outside of success, you're gonna realize like, and hey, guess what? If that practice goes away tomorrow, are you still a human? Are you still happy? If not, we've got to figure out because you need to be a full, complete person and not just a dentist producing. So I don't want you building a practice that you want to eventually escape. I want you building a practice.   Of what like I'm so excited and like I love that part of my life. and it doesn't mean we have to have every day great, but we want to love this part of it. So I'd really love for you to write down what success looks like for your life first and then your practice. Also be careful because I found like for me, I used to have a definition of success that was really hard to achieve. Tony Robbins said it really well. He says, We make it really easy to feel bad about ourselves and really hard to feel good. So like for success, you might be like,   Have to make a million every year and I have to drive this kind of car and I have to live at this type of house and I have to do this and this and this and this and this and this and this. Well, you're never gonna hit that. You made it so impossible for you to ever feel happy and successful. And I'm not here to say like lower your goals and dreams, but like, is a million really gonna make you happy? Is living in that house really gonna drive you for your happiness and your thing, or is that just something you feel like you should do because that's what people do? Just a question to ask. I want you to write down what success looks like for you, and I want you to make it easy for you to hit success.   It's not your production. Success for your life. What does that look like 90 years, 10 years from now? Whatever it is, but let's write that down and let's get that going. Okay. Number two, I want you to filter every opportunity now through this vision. So this hurts. This is hard. This is the discipline side. Not every opportunity is right or a good opportunity. This year, gosh, I don't have my bracelets on. I usually wear bracelets. this year I actually have a bracelet that says no.   To remind myself that saying no is equally as important as saying yes. Does that actually fit and fulfill the life I'm building? Or does it not? I have a sign pointing right over here. It says she designed a life she loved. And that's the ultimate goal is we need to be designing, creating, not managing, a life we are freaking obsessed with. So when I look at this, like buying another practice because it's available, if that doesn't fit into your life vision and what you want to do and less this, like I remember I had a doctor, he would set up.   Everything was done. We checked every box, every tea. I was like, all right, guys, we're wrapping up. Like, I don't know what else to consult you on. Like, truly what we set out to do, we've accomplished. Like, let's let's go. And now I we have another practice. And I was like, okay, so you have a college-age student. Like just imagine like your child is college age now, like they're out of the house, they're done, and you're about to bring on a screaming baby. Are you sure you want to buy this practice? And this doctor was like, Kiera, I do.   Like I really am excited for the grind and the drive and the like thrill of building something else. And they've done an amazing job. It's been three years. They took them from 500,000 to 2.5 million, like crushed it. I'm so proud of them. But it wasn't just because it became available. It fit. And so really checking to make sure, like, does this fit my life? Adding services in because everyone else does. Just because everyone does implants doesn't mean you need to. It's got to fit what you love. Hiring because you're busy instead of because it's strategic. Like, why am I hiring? Why are we doing these things? So   I want you to like start to filter through. You got your vision, you got your 10-year plan. Like, what does your life look like? Next step is like, does this move me towards my vision or away from it? And don't be careful where I can justify my life away. Like I can justify the shenanigans out of a lot of decisions. Will this improve that my quality of life? And will this make the practice stronger or just bigger? So those are some good filtering questions for you. And so, like I said, a lot of these, like when we choose to make decisions, like maybe we're gonna have a bigger leadership team or I'm gonna improve systems or   We're gonna go hunker down and like focus on profitability. My doctor who wants to like got rid of the lighthouse. We simplified so much. They're like, it's profit and like less stress is what I want. But I want you to know that just because you write this vision today does not mean it's permanent. It's like very much in pencil. You're allowed to rewrite this as much as you want because when you hit this, I want you to feel fulfilled and not empty at the end of it. So looking to see how is this helping me have more freedom, have more life. Like I said, I got a doctor who's working.   three days a week making a million and so happy. Like sometimes I look at him and I'm like, I am jealous and so happy of your life. I've got another doctor who works six days a week and they're producing like five, six, seven million. Success comes in all shapes and sizes. And this is actually why I love bringing our doctors together. there was one doctor and she told me she's like, Kiera, I really don't like coming to the mastermind because I compare. And I was like, gosh darn, like you missed it, honey. Like there is no space that you have to compare. It's like hey I'm gonna rip off their ideas that are great ideas.   And I'm also going to be so proud of who I am and so confident. And that to me is when you have a very solid vision. You can walk into a room and you can hear a lot of people, but you don't walk out there feeling any less because you're like, this is my life that I'm creating. I am designing a life I'm obsessed with. And when you can say that, it just makes your decision making easier. But I would say have that locked, have it up on a board to where you're constantly focused on that, saying no, not saying yes to every opportunity just because it's there, but truly this is gonna help your decision making process become so much easier.   If it doesn't fit the vision, it's a distraction. And it's a no. So just say no and move on. That way you are obsessed with creating your life rather than managing it. So I want you to think about your next major decision and ask, does it support the future I'm trying to build? And if it does, rock on. If it doesn't, rock on. We just want to make sure that we're driving you forward. And then my next step is like revisit this vision every year at a minimum. I like to do my like, gosh. Are you ready to meet Kiera for real? I have been using the passion planner. Thank you, Monica. I know you listen to the podcast. This is a shout out to   I use the passion planner. It literally at the end of every month has reflection questions for me. It says, What was a memorable part of this past month? Describe it. What were three lessons you learned this past month? Review your planner for the past month and assess your priorities. Are you happy with how you spent your time? If not, what steps can you take next month to adjust them? What did you accomplish this past month? What are you proud of? How are you different between this past month and the month before it? What or who are you especially grateful for this past month? Name three ways you can grow this upcoming month. What concrete actions can you take to work towards these?   From one to one to ten, how do you feel overall about this past month? And this is supposed to you can take those same questions. I write my vision out. And a lot of times I use that reflection to also ask myself, am I getting closer or further away from the vision I set for myself? Every quarter I revisit our company's vision and my personal vision. Am I closer or further away? And what do need to do to course correct? At the end of every single year, kid you not, I literally write it. It says 2026. Like, let me just pull it up right now so you guys know.   That I'm not there. So 2026, my word this year is happy. and it's outcomes over so 2026, the year of happy. Kiera's the happiest version of herself. She does things that light her up. Outcomes over activity say no. This is my dream of a life that I am creating daily. And I have my purpose, I have what my goals are, I have my things on there, I have my mission statement, I have my personal important goals this year.   And I have my consulting goals for our company of what I want. And then I break it down into quarters of what needs to happen. And I review this monthly and I review this quarterly and I review it at the end of the year. My goal is like, what do I need to do and how do I need to drive towards this? So really it's a like review it every year at a minimum. I have a goal board. I put mine out on Canvas so I don't forget about it. To me, if it's if I'm creating my life rather than just managing it, I better be actively working towards that rather than just stumbling and hoping I make it.   So I want you to like when I get doctors and teams aligned on their one year, their three year, their ten year, thank you, traction for that model. They're able to all row. I have a doctor that we're working with right now. They're about a five million dollar practice. And they like we started out, we like got all the leadership team aligned about almost two months ago now. And they've been running their meetings. And today we got on our call and they were like, Kiera, we actually are rowing like.   The leadership highlight was we're all having better communication. We're all focusing on the same thing and we're all headed in the same direction. And to me, that lights me up because that team's lit up. But what's even cooler is on the backside of it, that doctor has their personal life goals that they're working towards in conjunction with their business goals. This doctor has never been happier. And I think about that. To me, that is the freaking success of what we're aiming for. So I encourage you, like have an annual vision day or put it in there monthly of like review my vision and see.   Get a passion planner. I know it sounds so silly, but like this forces me not to forget. And to me, my vision is the most important thing. Secondary is executing on it and not just having it as a hope and a wish, but something I know I'm confident I will actually have. So for you, quick wrap up on this. I hope you loved it today, is divine divine your success beyond just production. Like, what is that? And make it easier to feel good and harder to feel bad. Filter our decisions through that vision. We do the same thing for teams. If it's not aligned with our vision, we don't do it now.   And then revisit that vision every single month, every single year, every single quarter, whatever's right for you. Because I really want you to know that the best life and the best practice are built on purpose, not by accident. You truly are intentional by this. Like I want you to be designing a life you love, not just managing one that's given to you. When your vision is crystal clear, your decisions become much easier. So if you feel like you're being pulled in a bajillion directions, like it might be that you're not doing too much, it might just be that we don't have a clear vision of where you need to go.   So let's define that up. Let's help you. This is something we do with all of our offices, your personal life and your business. And they need to be married together and they need to be serving you. Life and business on purpose. You're worth it. You deserve it. You went and took the risk of becoming a business owner. Now let's reap the rewards of that. Success has two sides of the coin, the hard side and the great side. Let's get more of that great side. So that way when you reach these successful milestones, you feel freaking lit up, fulfilled, and so happy that you are actually living your dream of a life and not just managing what's coming your way. So reach out.   Hello@TheDentalATeam.com. Go live your best life. Do not make this just a hope and a wish. I used to write on my mirror when I was little. I said, don't just dream, do. And I encourage you to do the same. And with that, thank you guys so much for listening, and I'll catch you next time on the Dental A Team podcast.  

In this episode, I'm joined by Vincent Cyr, team lead at Real Brokerage, to discuss how he's integrating AI into every stage of the client journey, from listing presentations and pricing strategies to AI search optimization and custom-built workflows. We explore why human judgment still matters, how specialized AI skills create better client experiences, and practical ways agents can build repeatable systems that save time while improving the quality of their advice. If you're looking to move beyond experimenting with AI and start using it to create better outcomes for your clients, this conversation is full of practical ideas you can apply to your business. Guest: Vincent Cyr The Cyr Team - https://www.thecyrteam.com Inherited Property (situation-specific) - https://thecyrteam.com/your-situation/inherited-property/ Downsizing (situation-specific) - https://thecyrteam.com/your-situation/downsizing/ Chadds Ford / Distinctive Homes (location + service) - https://thecyrteam.com/chadds-ford-pa/distinctive-homes/   Books Mentioned:  Unabridged: https://www.amazon.com/Miserables-Signet-Classics-Victor-Hugo/dp/045141943X Streamlined: https://www.amazon.com/Miserables-Penguin-Classics-Victor-Hugo/dp/0140444300   Host: Rajeev Sajja Website: http://www.realestateaiflash.com Facebook: https://www.facebook.com/rsajja Instagram: http://www.instagram.com/rajeev_sajja LinkedIn: http://www.linkedIn.com/in/rsajja Join our Instagram Real Estate AI Insiders Channel - https://ig.me/j/AbZCJG37DqBPPtxi/ Get a 14-day Wispro Flow Pro Free Trial - https://ref.wisprflow.ai/rajeev-sajja  Subscribe to our weekly AI Newsletter: https://realestateai-flash.beehiiv.com/subscribe  ChatGPT Claude Conversion Guide - https://switch-ai-field-guide.rajeevsajja.chatgpt.site  

Today we go over academic papers that have researched the relationship between SES and adolescent development and learning incomes. I didn't mention in the episode that of course, correlation does NOT equal causation, so these are simply observed parallels moreso than defining factors. Ultimately, focus should remain on intervention and preventative measures based on biomarkers and classroom behaviors.

In this episode of BattlePlan Dr. Charli talks about one family in Missouri that they were going to stake God's word in land where there was legal injustice. Listen to learn their amazing story! Active-Faith.org charli@active-faith.com

We dig into how good stories and elegant mechanisms can seduce clinicians into using fertility and surgical “add-ons” long before the evidence is ready. We also connect policy, access, and misinformation to a disturbing rise in ectopic pregnancy deaths, then end with what better studies should look like when patient safety is on the line. • why low-dose naltrexone becomes a fertility add-on despite unclear mechanisms • biologic plausibility versus proof, and why theory cannot replace trials • what the available LDN data looks like, including weak endpoints and missing live birth outcomes • practice inertia, file drawer bias, and when a therapy belongs in routine care • ProPublica's ectopic pregnancy mortality signal and how to interpret CDC WONDER data • COVID-era care disruptions, hospital closures, and delayed early pregnancy evaluation • Dobbs-era legal ambiguity, chilling effects, and implications for methotrexate timing • a new Nature Medicine finding on ISM2 as an early biomarker for preeclampsia and fetal growth restriction • V-NOTES versus vaginal hysterectomy trial design problems, including power, exclusions, and comparators • conflicts of interest, blinding failures, and how low-quality studies pollute meta-analyses Everybody remember to get your ABOG stuff done in the next month or so. Be sure to check out thinkingaboutobgyn.com for more information and be sure to follow us on Instagram. 0:34 Low-Dose Naltrexone For Fertility8:38 Evidence Gaps And Practice Inertia17:14 Ectopic Pregnancy Deaths Are Rising22:00 Access Problems And Social Media Misinformation24:15 Abortion Bans And Delayed Ectopic Care29:32 ISM2 Biomarker For Preeclampsia Risk32:31 V-Notes Versus Vaginal Hysterectomy Study41:40 Power, Outcomes, And Unfair Comparisons47:50 Conflict Of Interest And Broken Blinding55:09 Where V-Notes Came From1:01:31 Skills, Tradeoffs, And Final RemindersFollow us on Instagram @thinkingaboutobgyn.

It is important to manage our emotions and perceptions of other reactions during high-pressure situations. If we make a mistake or fail to deliver as we thought we should, we need to focus on what we can control in the moment - our emotional state, mental state, and immediate reaction.Key TakeawaysOur feelings and perceptions during high-pressure situations are often more negative than reality warrants.Focusing on what we can control — our own performance and adjustments — is essential to maintaining confidence.Practice is not about achieving perfection; it is about learning how to adapt and adjust in the moment.Presentations, speeches, and athletic performances will never be 100% perfect, and that is normal and acceptable.Redirecting attention from uncontrollable external factors to internal capabilities leads to better outcomes. Visit ConfidenceThroughHealth.com to find discounts to some of our favorite products.Follow me via All In Health and Wellness on Facebook or Instagram.Find my books on Amazon: No More Sugar Coating: Finding Your Happiness in a Crowded World and Confidence Through Health: Live the Healthy Lifestyle God DesignedProduction credit: Social Media Cowboys

Adrian Mendes, Chief Executive Officer at Perimeter Medical,  has developed a platform that uses AI and optical coherence tormography (OCT) imaging to provide surgeons with real-time visualization of tumor margins during breast cancer surgery.  By scanning while the patient is still in the operating room the platform enables surgeons to identify cancerous cells at the margins and remove addiional tissue, eliminating the need for delayed pathology review and possible additional surgery. This technology benefits all stakeholders- the patients avoid repeat surgery, surgeons see a higher success rate, hospitals optimize operating room utilization, and payers have reduced costs.  Adrian explains, "So fundamentally, the challenge that we see out there in cancer surgery, and specifically in breast cancer surgery, is that there's a very high rate of patients who have to come back in for a second surgery. For breast cancer, it's about one in every four to one in every five patients who go through breast cancer surgery who have to come back again because a surgeon unfortunately wasn't able to remove all the cancer. And so we help them with that." "What we do is we have a product that has an imaging system in it that uses a unique modality type of imaging that has very high resolution. And with that, the surgeons can, in real time, look within the margin of the tumor and inspect it and then make a decision on whether they need to take more tissue right there in that first surgery because they see some cancerous cells in that margin or not." "Fundamentally, the goal of a surgery, a cancer surgery, the way it's judged as being successful or not, is if they're able to remove the tumor and have a few millimeters thick of clean margin, no cancerous cells within that two-millimeter margin, and then that would be considered a successful surgery. And it's very hard to do. And not being able to do that is what leads to that very high re-operation rate." #PerimeterMedical #BreastCancer #Healthcare #ArtificialIntelligence #AIinHealthcare #DigitalHealth #MedTech #CancerCare #MedicalImaging #BreastCancerSurgery #SurgicalOncology #AIinMedicine #MedTech #ORInnovation #HealthcareAI #FDAApproved #PatientOutcomes perimetermed.com Download the transcript here

Adrian Mendes, Chief Executive Officer at Perimeter Medical,  has developed a platform that uses AI and optical coherence tormography (OCT) imaging to provide surgeons with real-time visualization of tumor margins during breast cancer surgery.  By scanning while the patient is still in the operating room the platform enables surgeons to identify cancerous cells at the margins and remove addiional tissue, eliminating the need for delayed pathology review and possible additional surgery. This technology benefits all stakeholders- the patients avoid repeat surgery, surgeons see a higher success rate, hospitals optimize operating room utilization, and payers have reduced costs.  Adrian explains, "So fundamentally, the challenge that we see out there in cancer surgery, and specifically in breast cancer surgery, is that there's a very high rate of patients who have to come back in for a second surgery. For breast cancer, it's about one in every four to one in every five patients who go through breast cancer surgery who have to come back again because a surgeon unfortunately wasn't able to remove all the cancer. And so we help them with that." "What we do is we have a product that has an imaging system in it that uses a unique modality type of imaging that has very high resolution. And with that, the surgeons can, in real time, look within the margin of the tumor and inspect it and then make a decision on whether they need to take more tissue right there in that first surgery because they see some cancerous cells in that margin or not." "Fundamentally, the goal of a surgery, a cancer surgery, the way it's judged as being successful or not, is if they're able to remove the tumor and have a few millimeters thick of clean margin, no cancerous cells within that two-millimeter margin, and then that would be considered a successful surgery. And it's very hard to do. And not being able to do that is what leads to that very high re-operation rate." #PerimeterMedical #BreastCancer #Healthcare #ArtificialIntelligence #AIinHealthcare #DigitalHealth #MedTech #CancerCare #MedicalImaging #BreastCancerSurgery #SurgicalOncology #AIinMedicine #MedTech #ORInnovation #HealthcareAI #FDAApproved #PatientOutcomes perimetermed.com  Listen to the podcast here

NB. Moderate post processing was applied to this episodes recording due to higher than usual ambient noise.Home & Community Walking Activity: Power Training with Interval Treadmill Training (PT3) and Short-Burst Interval Treadmill Training in Cerebral Palsy: Parent Reported Outcomes

By Doug Green “The most important thing in a services business is the people.” In this Technology Reseller News podcast recorded at MSP Summit, Jonathan Bohrer, Global President of Abacus, discusses the changing MSP mergers and acquisitions market, what makes an acquisition work and why culture remains as important as financial performance. Abacus is an MSP focused on highly regulated industries, particularly financial services and healthcare. Its services span core IT and infrastructure, cybersecurity, penetration testing, incident response, vulnerability assessment and AI enablement and governance. Bohrer brings an unusual perspective to M&A. He was an early employee at Abacus when the company was much smaller, has experienced selling a business himself and is now on the other side of the table acquiring MSPs. Abacus has completed 15 acquisitions over roughly 15 years and has grown to nearly 1,000 employees. For Bohrer, successful acquisitions start with culture. “When I'm sitting down with a seller and the first thing they ask is, ‘What happens to my people?' that tells me something,” he says. “If the second question is about the customers, I know we probably have something good.” Abacus follows a full post-merger integration model. Rather than maintaining a collection of separate MSP brands, acquired companies become part of one Abacus organization. Bohrer says that gives employees greater access to opportunities across the business while allowing the company to share best practices more effectively. He argues that good financial performance and strong culture are also closely connected. Employee engagement affects customer experience. Customer experience affects retention. And retention ultimately shows up in the same financial metrics buyers examine during an acquisition. Bohrer is also optimistic about AI. Rather than viewing it as a threat to MSPs, he sees it as another technology shift that can help providers deliver better customer outcomes with greater speed and efficiency. “AI is an opportunity,” Bohrer says. “It allows us to do what we already do better, faster and more accurately.” His message to MSP owners considering an eventual sale is that valuation may start with numbers, but the quality of the business still comes down to its people, customers and culture. Visit AbacusTechnology.com to learn more.  

Jeff Mains sits down with Carl Lenocker, a 30-year enterprise software veteran who started in Silicon Valley in the '80s, survived the dot-com bust, and now consults founders on what actually creates durable companies. Carl delivers a sobering assessment: more than 90% of the AI companies being built today could be reproduced by a larger competitor in six months or less. The conversation covers why distribution matters more than product, why "get acquired" is a hope masquerading as a plan, the disappearing apprenticeship pipeline and what it quietly breaks inside organizations, how AI "second brains" may replace tribal knowledge transfer, and what software might look like in 10 years when bespoke AI-generated tools could replace the SaaS model entirely. Carl also shares lessons from his book Success Plan for Life, his contrarian investment philosophy, and why he'd rather put money in apartment complexes than most small AI startups right now.Key Takeaways[4:18] — 90%+ of AI companies being built today could be reproduced by a larger competitor in about six months.[7:08] — Distribution matters 100x more than the product when anyone can build something.[8:35] — Rumors of SaaS being dead are completely overblown — AI is amplifying software roles, not eliminating them.[11:41] — Entry-level jobs have fallen off a cliff, and the loss of mentorship-style apprenticeships may cost companies in 5–10 years.[16:44] — Enterprise clients are greenlighting 8–10 AI platforms but expect to consolidate to 1–2 by 2027 — value and outcomes will decide who survives.[19:13] — Carl would rather invest in apartment complexes right now than small AI software companies, because most lack a defensible moat.[22:35] — Fundamentals matter: companies without a path to profitability, like pets.com, fail regardless of the hype surrounding them.[24:40] — Executive presence without a successful product is putting the cart before the horse — build the business first, hire the presence later.[30:49] — "Get acquired" is not a plan; most founders don't respect how hard acquisition actually is.[34:57] — Splunk's T-shirt marketing campaign is a masterclass in creative distribution and brand-building.[37:19] — Human-to-human relationships and sales skills are the most AI-proof skills you can invest in right now.[39:13] — In 5–10 years, software could become bespoke — AI agents building custom, self-maintaining solutions tailored to each company.Tweetable Quotes[7:02] Carl Lenocker: "If you could vibe code it in your basement, a major firm could probably have what you've built in six months."[7:28] Jeff Mains: "Distribution mattered way more than the product, and I think that is 100 times more true today than it's ever been."[8:35] Carl Lenocker: "The rumors of SaaS being dead are completely overblown."[19:13] Jeff Mains: "You'd rather put money in apartment complexes right now than a small AI software company."[26:08] Carl Lenocker: "People who put executive presence in front of having a successful product and a path to profitability are putting the cart before the horse."[32:25] Carl Lenocker: "Getting acquired is hard, and most people do not give it the respect it's due."[37:25] Carl Lenocker: "Everything good in my life came from having a plan. Second to that, everything good came from relationships."[37:55] Carl Lenocker: "If you're young and want to prevent your job from being taken by AI, invest in relationship building and sales skills."SaaS Leadership Lessons1. Distribution is the real moat. When anyone can build a product — and AI makes that faster every day — the companies that win are the ones that own distribution. Carl notes he could build a million-dollar company with one good SDR, one closer, and a product person, regardless of what the product actually is. If your go-to-market strategy is an afterthought, your company will be too.2. Tie every customer investment to a measurable outcome. Carl's 15+ years in customer success taught him that renewals live or die on value realization. Whether a client is writing a $50 million check or a $50,000 check, the question is always the same: did they see 2x, 3x, 4x the value of what they're paying? In the AI gold rush, companies theorizing future value will eventually have to prove it — and the ones who can't will be cut.3. Build a path to profitability from day one. The pets.com cautionary tale still applies. Hype without fundamentals is a time bomb. Carl's contrast between pets.com (no shipping infrastructure, no plan to ever make money) and Amazon (Bezos building distribution centers while everyone laughed) is the exact lens founders should use on their own AI startups today. Growth at all costs is no longer a viable strategy.4. "Get acquired" is not a plan — build like you're running it for a decade. Doug Merritt, former CEO of Splunk, said it best: people don't understand how hard it is to get acquired. Many founders take VC money, face mounting dilution, miss their growth apex, and end up sold to a hedge fund that fires 80% of employees. Build a company you'd want to run for 10–20 years. If someone wants to acquire it anyway, that's a bonus — not a strategy.5. Executive presence is hireable; product and revenue are not. Don't put charisma in front of fundamentals. Alex Karp at Palantir isn't charming — but he has a product that works and investors trust the results. Steve Jobs was known to be difficult. Bill Gates, same. Elizabeth Holmes had the presence but not the product. You can always hire a seasoned executive to sit across from clients. You can't hire your way out of a product nobody wants.6. Invest in human relationships — your most AI-proof skill. As AI writes emails, sends IMs, and soon handles calls, the ability to take someone to dinner, build genuine trust, and navigate a human-to-human conversation toward business outcomes becomes increasingly rare and valuable. Carl's advice to young professionals: relationship building and sales skills are where you should invest, because AI can fake empathy but it can't build real trust. Everything good in his career came from having a plan and, second to that, from relationships.Guest Resourcescarl.lenocker@gmail.comSuccessPlanforLife.comRockstarCSM.cominstagram.com/SuccessPlanforLifeEpisode SponsorThe Futureproof Series - https://www.youtube.com/playlist?list=PLfkXKUPZ5xuOqMPR7_gzGybncTtavyR1NThe Captain's KeysSmall Fish, Big Pond – https://smallfishbigpond.com/ Use the promo code ‘SaaSFuel'Champion Leadership Group – https://championleadership.com/https://jeffmains.com/books/SaaS Fuel ResourcesWebsite - https://championleadership.com/Jeff Mains on LinkedIn - https://www.linkedin.com/in/jeffkmains/Twitter - https://twitter.com/jeffkmainsFacebook - https://www.facebook.com/thesaasguy/Instagram - https://instagram.com/jeffkmains

Financial advisors are losing hours every week to fragmented technology. Jumping between platforms, reconciling account data, and managing compliance documentation are consuming time that should be going to clients. For advisory firms, this is no longer just an operational frustration — it is a business risk. The wealth management industry is at an inflection point, and the firms that modernize their technology infrastructure now are the ones that will attract and retain the advisors and clients of the next decade. In this InvestmentNews podcast episode, Sol Gindi, Head of Wells Fargo Advisors, shares the story behind Advisor Gateway, the platform Wells Fargo Advisors built from the ground up to operate around a single client relationship. Gindi explains how the firm structured advisor involvement at every phase of development, why everyday automation is already shifting how advisors spend their time, and what the firm's approach to artificial intelligence means for advisors who are cautious about adoption. This is a candid conversation about building technology that actually works for the people using it. By tuning in, you will get: • Wells Fargo Advisors rebuilt its technology foundation and launched Advisor Gateway, a platform where every function connects back to a single client relationship rather than isolated transactions • Advisor input shaped the entire development process through a two-tier feedback system combining a strategy design task force and a real-world first-adopter group • Everyday automation of tasks like compliance notes and account performance consolidation is already freeing advisors from administrative work and returning time to client interactions • Wells Fargo Advisors is taking a deliberate approach to AI adoption, focused on helping advisors build confidence with the tools rather than simply rolling them out • Gindi shares his roadmap outlook and what advisors can realistically expect from the platform over the next several years Listen now and hear how Wells Fargo Advisors is redefining what advisor technology can look like.

One CPA firm owner received 11 offers and chose the buyer he liked best. That buyer paid above asking price even after learning the firm's cash flow was lower than reported. Outcomes like that happen when sellers have leverage. In this episode of The Accountant's Flight Plan, Brannon Poe and Morry Brown, Poe Group Advisors' Regional Market Leader for California, look at what matters after price in accounting firm M&A: buyer fit, leverage, and control of the timeline.About a third of CPA firm owners on Poe Group Advisors webinars say they have received an unsolicited letter of intent. Morry explains why LOI terms are almost always the best they will be, why diligence tends to lower them, and why the exclusivity clause is usually the only binding part of a non-binding LOI. One seller spent six figures in attorney fees on a one-on-one deal that fell apart at the last minute.A structured process with multiple buyers changes those dynamics. When a buyer backed out of a San Francisco deal in early January, Poe Group Advisors brought in a backup buyer and closed in two weeks, before tax season began. That firm sold for a 10x multiple with 90% cash at close. Brannon and Morry also cover partner alignment, how to define success a year after closing, and why the selling season for CPA firms runs from June through December.The Conversation Covers:Why LOI terms are usually the best they will be, and how diligence tends to lower themWhy the exclusivity clause is the one binding part of a non-binding LOIHow a backup buyer closed a San Francisco deal in two weeks after the first buyer backed outHow a seller with 11 offers got his preferred buyer to pay above askWhy defining success a year after closing helps CPA firm owners choose the right buyerHow clustering buyer conversations creates real momentum and stronger termsPrice matters in any accounting practice sale. But for most CPA firm owners, the deal they feel good about a year later is the one where the buyer fits their clients, their team, and their goals.This Episode Is For...This episode is for CPA firm owners who have received an unsolicited offer and are wondering how to evaluate it, partners ready to align on goals before exploring firm succession, and public accounting leaders curious about how multiple buyers change leverage in an accounting firm M&A process. It is also for owners who care deeply about their clients and staff and want a buyer who will take care of both.Timestamps: 00:00 - The Price Is Right. But Is the Buyer Right?01:30 - Morry Brown's background in equity research and private capital03:00 - Why a third of CPA firm owners have received an unsolicited LOI06:30 - Why most Accounting firm owners care about clients and staff as much as price09:30 - Why LOI terms almost always get negotiated down in diligence10:45 - Six figures in attorney fees on a one-on-one deal that fell apart12:30 - The due diligence deadline red flag in a CPA firm sale14:30 - A lower offer right before Christmas and the sunk cost trap17:00 - How a backup buyer closed a San Francisco CPA firm deal in two weeks22:30 - The exclusivity clause: the binding part of a non-binding LOI27:30 - Aligning partners and defining success before a firm succession process32:00 - A Nashville Accounting practice buyer with a bigger vision36:30 - Why time kills deals and how clustering buyer conversations helps40:30 - 11 offers and a buyer who paid above ask for a Texas cloud firm44:30 - How seller mindset helped drive a 10x multiple with 90% cash at close47:00 - Why August and the June to December window matter for CPA Firm sales50:30 - Separating business risk from legal risk in the purchase agreementDownload Now: https://poegroupadvisors.com/accounting-practice-academy/increase-letter/Price increases are nothing to fear. The real challenge is effectively informing clients of these changes. Our templates will help you demonstrate your value and help clients understand the increases necessary to keep your firm afloat.*Download now and receive:*- (1) Major Fee Increase Letter Template- (1) 20% Fee Increase Letter Template

Frame Running Training For Youth with Cerebral Palsy and Similar Neurodisabilities: A Multicentre Randomized, Waitlist Controlled Trial of Fitness, Fatigue and Mobility Outcomes.Gayle G. Arnold Award Finalist

In part two of this conversation, Travis Chappell and producer Eric Skwarczynski unpack the tension between ambition and skepticism. They explore how to pursue meaningful work, build a comfortable business, and learn from successful people without blindly buying into anyone's “secret formula.” The conversation moves from creative comparison and coaching to the value of timeless principles, healthy discernment, and keeping enough belief to take action. On this episode we talk about: Why becoming more self-aware can sometimes make it harder to act with bold conviction How to learn from successful people without treating them like infallible gurus The difference between timeless principles and step-by-step formulas that promise identical results Why comparison can make creators and entrepreneurs question whether their work is worth pursuing How coaching, masterminds, and the right rooms can create unexpected breakthroughs Whether a comfortable, diversified business can be a better goal than building a massive “unicorn” company Finding the balance between realistic skepticism and the optimism required to take meaningful action Top 3 Takeaways You do not need to fully endorse someone to learn from them. Take the useful insight, leave what does not fit, and apply ideas within your own context. Be wary of anyone who promises that copying their exact routine, strategy, or formula will produce their exact results. Outcomes are shaped by timing, circumstance, opportunity, execution, and countless variables beyond a checklist. Ambition does not have to mean betting everything on one huge outcome. Building several profitable, aligned ventures that support a great life can be a meaningful version of success. Notable Quotes “Just because I like something that somebody said does not mean that I have to endorse everything that they say.” “The people who I think have helped me do the things that have really blown up in big ways… [are] the people who are always going, ‘Just do things, find the things that are working and do more of those things.'” “Money only solves your money problems, but it's easier to solve the rest of your problems with money in the bank.” Connect with Travis Chappell: LinkedIn: https://www.linkedin.com/in/travischappell/ Instagram: https://www.instagram.com/travischappell/ Other: Travis Makes Money Podcast | Travis Chappell Website A Word from Our Sponsors: - The most successful business owners don't do it all themselves — they delegate. Upwork lets you build a team of highly skilled specialists for every function your business needs, so you can focus on what you do best and let experts handle the rest. Visit Upwork.com right now and post your job for free! - Scribe captures workflows as work happens and automatically generates step-by-step guides with screenshots and instructions, so no one has to sit down and write documentation from scratch. Learn more at scribe.how/tmm and mention Travis Makes Money for your first month of Scribe Capture free on select plans. Learn more about your ad choices. Visit megaphone.fm/adchoices

Trigger Warning: Guest clicks his pen throughout. It was his first podcast interview, it is a good interview/discussion about AI, and I do apologize for the clicking.In this episode, BT brings on author Robert Howell, to discuss the future and reality of artificial intelligence. They talk about some of the nuances within the world today, and the need to understand that there are two very different paths one can take into the future as it relates to AI and large language models, LLM's (ChatGPT, Grok etc.)Robert Howling, Novels & StoriesAmazon.com: Robert Howling: books, biography, latest updateAmazon.com: Alternative Futures: A Collection of 12 Short Stories eBook : Howling, Robert: Kindle StoreAmazon.com: Dystopias (Almost) Everywhere: Eleven Short Stories eBook : Howling, Robert: Kindle StoreRevenge of A Duster: HowlingThe order of the world has changed - reversed! Because of climate change, the developed world has been almost abandone, Robert: 9798992471922: Amazon.com: Books

Dr Richard Stevenson: Nutrition and growth in CPDr Richard Stevenson kicked off the conference with his impressive and thought provoking Presidential Lecture titled "Growth of Children with CP and Health Outcomes: CP Growth Charts and Beyond." Nutrition is an important topic for children and young people with CP. Right now, we know that children with CP grow differently than their peersand whilst no single measure is an adequate indicator of nutritional status, CP growth charts can help.Be sure to add this to your download list to hear from Dr Stevenson and his insights and research in this area. Recorded LIVE at AACPDM 2026 Philadelphia

On this episode of PopHealth Week on Healthcare NOW Radio, Fred Goldstein engages Chris Caramanico, Chief Executive Officer of Elligint Health, for a wide-ranging conversation about the evolving role of data, analytics, artificial intelligence, and workflow automation in population health management. Caramanico draws on three decades of healthcare IT experience to make the case that the industry has finally crossed a threshold - where data infrastructure is mature enough, and AI capable enough, to fundamentally change how health plans, care managers, and utilization management teams operate. The discussion covers everything from the long arc of interoperability reform and the implications of the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F), to ambient listening, AI agent deployment in member engagement, and the strategic choices payers face as they attempt to scale without proportionally scaling headcount. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

President Xi Jinping and his US counterpart, Donald Trump, have reached a consensus on eight outcomes, according to a release made public after Xi wrapped up his US visit on Friday.The two leaders have agreed to build a constructive China-US relationship of strategic stability based on respect, fairness and reciprocity, said the release.They also agreed to support each other as China will host the 2026 APEC Economic Leaders' Meeting in November and the United States will host the G20 Leaders' Summit in December, expressing intention that they will attend each other's event.On Iran, Xi and Trump have agreed that Tehran should fulfill its commitment not to develop nuclear weapons. No country or institution shall charge transit fees for passage through international waterways, they said.Xi paid a state visit to the United States from Wednesday to Friday, during which he had an in-depth exchange of views with Trump on bilateral relations as well as major international and regional issues.The release noted that the two leaders recalled that China and the United States were allies during World War II, and fought side by side to win the war.Ahead of Xi's state visit, Chinese and US economic and trade teams concluded their latest round of consultation in New York.The two leaders acknowledged the positive role of the China-US economic and trade consultation mechanism, and recognized the outcomes achieved by their respective economic and trade teams, namely the establishment and advancement of such mechanisms as a trade council, a $30 billion reciprocal tariff reduction arrangement, and an extension of what have been achieved in the Kuala Lumpur consultation.They instructed that those outcomes be implemented.On bilateral counternarcotics law enforcement cooperation, Xi and Trump commended the tangible results. The release said recently, the two sides have worked closely to jointly crack multiple cases involving new psychoactive substances and precursor chemicals, and arrest dozens of suspects in both countries.As to artificial intelligence (AI), they agreed to establish China-US AI dialogue to exchange views on AI-related risks and benefits, with the next round to be held in November. A communication channel for AI-related incidents will also be set up.The US side welcomes the upcoming arrival of two giant pandas leased by China to Zoo Atlanta, according to the release.In addition to the eight outcomes, the Chinese and US militaries agreed to sign a memorandum of understanding as soon as possible on strengthening crisis communication and prevention.The two militaries will continue cooperation on searching for the remains of US soldiers in China, said the release.

Shoulder Instability: Who Needs Surgery, and Why Remplissage Is Now StandardOn an academic Friday, Dr. Brian Feeley and Dr. Drew Lansdown talk about shoulder instability. It comes up a lot in the fall, when football and high school sports start, and again in winter with snowboarding and skiing. They cover which first-time dislocators should think about surgery, how stabilization surgery has changed over the past decade, and when athletes can realistically return to play.In this episode:What "academic days" are. Why protected time for research, education and department work matters for surgeons whose operating schedules are unpredictable.Dislocation vs. separation. A glenohumeral dislocation (the ball comes out of the socket) compared with an AC joint "shoulder separation" (where the collarbone meets the shoulder blade).Who gets surgery. The main factors are how many times it has happened, age (under 21 carries a high risk of it happening again) and activity. Surfers and rock climbers may be offered surgery even after a first dislocation.Instability, not pain. Patients often feel fine between episodes, which makes the decision to operate less obvious.Physical therapy vs. surgery. PT strengthens the rotator cuff, which holds the ball in place. Surgery repairs the labrum and tightens the capsule.Remplissage explained. It means "to fill in" in French. The surgeon fills the Hill-Sachs lesion with the posterior capsule and infraspinatus tendon so the dent in the ball can't catch on the socket.Outcomes over time. In older series, about 1 in 5 young patients dislocated again after repair. UCSF's recurrence rate with modern technique is now about 3–5%. The biggest improvement is fewer subluxations, the feeling that the shoulder is about to slip out.Measuring the Hill-Sachs lesion. Width vs. craniocaudal (north-south) length vs. location, and why the threshold for adding remplissage keeps dropping.The billing problem. Remplissage has become close to standard of care, but there's no billing code for it.Return to sport. Plan on about 6 months, and base the decision on function (range of motion, strength, confidence), not just the calendar.Coming up: Latarjet and patellar instability.Hosts: Brian Feeley, MD, and Drew Lansdown, MD (UCSF)References discussed:MacDonald P, et al. Arthroscopic Bankart repair with and without arthroscopic infraspinatus remplissage in anterior shoulder instability with a Hill-Sachs defect: a randomized controlled trial. J Shoulder Elbow Surg. 2021.Woodmass JM, et al. Arthroscopic Bankart repair with remplissage in anterior shoulder instability results in fewer redislocations than Bankart repair alone at medium-term follow-up of a randomized controlled trial. Am J Sports Med. 2024.Arthroscopic Bankart repair with and without remplissage in longer inferior craniocaudal Hill-Sachs extensions: secondary analysis of a randomized clinical trial. (PubMed 40744323)Cong T, …, Lin A. Defining critical humeral bone loss: inferior craniocaudal Hill-Sachs extension as predictor of recurrent instability after primary arthroscopic Bankart repair. Am J Sports Med. 2024.Subscribe to 6 to 8 Weeks: Perspectives in Sports Medicine on YouTube, Spotify, Apple Podcasts or wherever you listen.This podcast is for educational purposes and is not medical advice. Please subscribe to our podcast at Apple PodcastsCheck out our website on Simplecast

Over the last 3 decades, I have studied the behavior of individuals, communities, and systems. I have observed our world as it becomes more transactional and less connected. This trend is impacting our work, our health, and our communities. My career is now focused on reversing trends that negatively impact humans. Better behaviors of individuals, communities, and systems lead to best-in-class outcomes, not to mention happier people and a better society.

Real talk today, girl — no sugarcoating, no empty platitudes. If you're in the thick of it, the messy middle, exhausted from fighting the same battles in your head day after day, this one's for you. I've been right where you are, wondering if recovery was even worth the fight. So let's get honest about the way through. Here's the truth: when you're in a hard season, there are only three possible outcomes. Understanding them changes everything about how you show up. In this episode: Outcome #1: You quit. Not always quitting recovery altogether — often it's quitting on yourself in the moment. Choosing restriction over nourishment because it feels safer. Skipping meals after a bad body image day. Here's the hard truth: quitting doesn't make the hard end — it makes it last longer. When you stop moving forward, you just stay in the hard. Outcome #2: It gets better. The one we all want — the situation improves, the trigger passes, the holiday ends. And sometimes it does. But if the circumstances change and you don't, you're just waiting for the next hard season. You'll always be one comment, one bad body image day, one curveball away from spiraling. Getting better on its own isn't enough. Outcome #3: You get better. This is where your power lives. Not it — you. When you get better, you have tools for the triggers. You show yourself compassion instead of punishment. You stop waiting for life to be easy and start building the resilience to handle it as it comes. The hard times don't disappear — but they hit differently. They stop controlling you. The truth you need to hear: Hard times end — but only when you decide they end. Not when it's easy, not when the kids are grown, not when there's more in the bank. When you refuse to move through it, the hard season becomes your identity instead of something you're moving through. And the belief that "this is just how it'll always be"? That's a lie from the enemy. That's the disorder talking. Your decision today: Wherever you are right now — in your car, on a walk, lying in bed — make a choice. Quit, wait, or get better? Because you have what it takes to choose door number three. Staying stuck is the harder thing. Waking up a year, five years, ten years from now still fighting the same battle — that's the hardest of all. "The hard time you're in right now isn't forever. It's not your ending. It's just a chapter — and you get to write what comes next." Ready to choose "get better" with someone in your corner? This is exactly the work I do. If you're ready to go deep with personalized one-on-one support, apply at www.herbestself.co and we'll see if it's the right fit. And come check out the Recovery Collective — an intimate group of women doing the work and life together through recovery. You get live coaching with me, a community choosing to get better alongside you, and the tools and frameworks to move through the hard times instead of staying stuck. Join us at www.herbestself.co/recoverycollective      You don't have to figure this out alone. If this episode spoke to you, follow the show, leave a rating and review, and share it with a woman who needs to hear it today. Keep showing up, keep putting in the reps, keep choosing you — the woman you're becoming is worth every hard step.

Move beyond supportive care with targeted therapies for immunoglobulin A nephropathy (IgAN) management. Credit available for this activity expires: 09/24/2027 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/patient-journeys-iga-nephropathy-optimizing-outcomes-patient-2026a1000xq5?ecd=bdc_podcast_libsyn_mscpedu

Have you ever made a decision that didn't achieve the outcome you intended? So often leaders make decisions with goals in mind, but their outcomes fall far short of anything close to success. In this episode, Kelley Fox and Rev. Terry Williams take listeners on a tour of bad policy decisions in Ohio that are getting outcomes nobody wants. Beginning with the economic impact of a proposed gas tax suspension, Kelley and Rev. Terry connect Ohio's fiscal and social policies with reproductive justice, evaluating outcomes through the lens of impact instead of intent. Listen in for some real talk about how systems can stop policies that don't work, try something new, and create better outcomes for all. Links to discussed content: Ohio to Temporarily Suspend Gas Tax: https://ohiocapitaljournal.com/2026/09/23/ohio-candidates-for-governor-want-to-suspend-the-gas-tax/ Ohio Tax Shift Explained: https://policymattersohio.org/research/the-great-ohio-tax-shift-2022/ Walkability in Low-Income Communities: https://nlihc.org/resource/study-examines-neighborhood-walkability-and-quality-hud-assisted-housing Food Deserts in the U.S.: https://www.ers.usda.gov/amber-waves/2011/december/data-feature-mapping-food-deserts-in-the-u-s Food Deserts in Ohio: https://ohiocapitaljournal.com/2026/02/09/food-deserts-are-growing-in-ohio-and-other-states-see-where-they-are/ Abortion Clinic Closures and effects on distance to drive for abortion: www.npr.org/sections/health-shots/2023/06/21/1183248911/abortion-access-distance-to-care-travel-miles Recidivism: https://nij.ojp.gov/topics/corrections/recidivism Why Prisons Fail to Rehabilitate People: https://prisonjournalismproject.org/2023/06/22/why-prisons-fail-to-rehabilitate-people/ Black Infant Mortality: https://childrenandyouth.ohio.gov/for-providers/infant-mortality-taskforce Music by Korbin Jones

Most companies think of customer success as a support function that ships software. The real shift is treating it as a co-build practice that ships outcomes.In this episode of the [Un]Churned Podcast, Josh Schachter sits down with Christina Parra, Ariel Risman, and Kellie Woodin, three members of Notion's Outcomes Architecture team, to unpack how Notion rebuilt its entire customer success motion around AI, workshops, and shared commercial ownership.Christina, Ariel, and Kellie share how their roles evolved from traditional CSM to "Outcomes Architect," why they stopped selling software and started selling work, and how an AI maturity model now shapes everything from onboarding workshops to renewal conversations.They also dive into:The shift from customer success manager to outcomes architect and what it actually means to "co-build" with a customerHow workshops (some with 180+ attendees) replace one-to-many trainingsProving ROI in a consumption-based pricing model, credit by creditWhy CS teams are absorbing commercial ownership and what that's taught them about creative expansion leversNotion's internal multi-agent feature-request pipeline, and why they see AI as abundance, not scarcityIf you're rethinking what customer success looks like in an agentic AI world, or figuring out how to prove ROI on usage-based pricing, this episode is a blueprint for turning your CS team into co-build architects.Want the playbook, not just the conversation? Subscribe for deep-dive, actionable breakdowns from every episode at unchurned.substack.com.Chapters00:00 – Intro & Guest Backgrounds01:36 – What Is Notion?04:25 – From Customer Success to Outcomes Architecture08:51 – Ariel's Book: Deep Discovery & the Workshop Format15:10 – The AI Maturity Model21:37 – From Success Plans to AI Transformation Plans23:14 – Benchmarking, ROI & Proving Value in Consumption-Based Pricing28:01 – Becoming Strategic Partners: CS Owns Commercials32:50 – Lessons From Owning Renewals & Hiring for Curiosity37:30 – The Feature Request Pipeline & AI as AbundanceJosh is writing a book on building customer relationships. Follow his journey and insights at www.joshschachter.comWhere to Find the Guests:Christina Parra's LinkedIn: https://www.linkedin.com/in/christina-wills/Ariel Risman's LinkedIn: https://www.linkedin.com/in/ariel-risman/Kellie Woodin's LinkedIn: https://www.linkedin.com/in/kelliewoodin/Where to Find the Hosts:Josh's LinkedIn: https://www.linkedin.com/in/jschachter/[Un]churned Substack: https://unchurned.substack.com

Aging Together: Why Age-Friendly Care Is Everyone's FutureAs the U.S. population ages, healthcare organizations and health plans are facing an increasingly important question: How do we make sure care is designed around what older adults actually need—and what matters most to them?In this episode of Quality Matters, host Daniela Lawton explores the Age-Friendly Health Systems movement and its 4Ms framework: What Matters, Medication, Mentation and Mobility. She is joined by Rani Snyder and Eric Cahow for a conversation about how age-friendly care has evolved, what it looks like in practice and how Medicare Advantage plans can help make it a standard part of care.Rani Snyder discusses the origins of the Age-Friendly Health Systems movement, launched in 2016 through The John A. Hartford Foundation and the Institute for Healthcare Improvement, and its growth to more than 6,900 recognized sites. As the movement enters a new phase, the focus is increasingly on reliable implementation, measurable outcomes and demonstrating the impact of age-friendly practices.Eric Cahow explores what age-friendly care means for Medicare Advantage, including the need to prepare for different generations of older adults, align quality measures and financial incentives and build partnerships across the healthcare system. The panel discusses evidence showing improvements such as reduced readmissions, fewer falls and reductions in inappropriate medication use, while also considering the challenges of scaling these approaches and demonstrating return on investment.The conversation also addresses Reframing Aging, an effort to challenge ageism and change the way society talks about aging.Then, in The Patient Voice, Dave White shares his personal journey with kidney disease and the importance of being heard by his care team. His experience reinforces a central message of age-friendly care: understanding what matters to the person receiving care is essential to making care better.Because when it comes to age-friendly care, every touch matters.Key Quote“Every touch matters. Every member of the medical team is equally important when it comes to patient care. One bad interaction at any point can ruin the experience for people living with serious illnesses.”— Dave WhiteWhat You'll HearHow the Age-Friendly Health Systems movement began and evolvedThe 4Ms framework: What Matters, Medication, Mentation and MobilityWhy age-friendly care is increasingly important as the U.S. population agesHow Medicare Advantage can help scale age-friendly practicesWhy aligned quality measures and financial incentives matterEvidence connecting age-friendly care with outcomes such as fewer readmissions, falls and inappropriate medicationsThe challenges of demonstrating ROI and creating reliable implementation at scaleHow Reframing Aging can help address ageism in healthcare and societyDave White's experience navigating kidney disease and the importance of being heardWhy shared planning and understanding the patient's goals are essential to quality careTime Stamps00:00 — Why Aging Matters01:47 — Meet Rani Snyder and Eric Cahow05:44 — How Age-Friendly Health Systems Began09:51 — Medicare Advantage Readiness11:49 — What Age-Friendly Care Looks Like in Practice14:37 — The Role of Health Plans and Incentives17:24 — Proof Points and Payment Reform20:55 — Scaling Challenges and ROI25:36 — Measuring What Matters28:27 — Reframing Aging and Key Takeaways31:08 — The Patient Voice: Dave White41:30 — Closing Summary and Next StepsLinks & ResourcesThe John A. Hartford Foundation | Improving Care for Older AdultsIndependence Blue CrossNCQA's Person-Centered Outcome Measures National Center to Reframe AgingAge-Friendly Health Systems | Institute for Healthcare ImprovementThe Age-Friendly Health System ImperativeDeveloping an NCQA Age-Friendly Medicare Advantage Health Plan Program to Distinguish High PerformersThe 4Ms of Age-Friendly CarePatient Outcomes Associated With a Composite Measure of 4Ms Care Adherence in the Inpatient Setting - Rosner - Journal of the American Geriatrics Society - Wiley Online LibraryStrengthening the National Research Infrastructure for Age-Friendly Health Systems EvidenceAge-Friendly Health Systems Join the Movement | Institute for Healthcare ImprovementAge-Friendly Health Systems | Center | AHAAHA Age-Friendly Healthcare Impact Award | AHAStay Connected | Subscribe to JAHF E-NewsAbout the GuestsRani Snyder, President of The John A. Hartford Foundation, is part of the leadership behind the Age-Friendly Health Systems movement and its efforts to make evidence-based, age-friendly care more reliable across healthcare organizations. In this conversation, she discusses the movement's origins, its expansion across the country and the next phase of focusing on measurable outcomes.Eric Cahow, Vice President of Government Markets Performance at Independence Blue Cross, brings a Medicare Advantage perspective to the conversation, exploring how health plans can prepare for an aging and increasingly diverse population, align incentives and measures and work with partners across the healthcare system to advance age-friendly care.Dave White is featured in The Patient Voice, sharing his experience navigating kidney disease and the healthcare system. His story highlights the importance of listening to patients, incorporating their priorities into care planning and recognizing that every interaction can shape a patient's experience.Key TakeawaysAge-friendly care starts with What Matters.The 4Ms framework puts the patient's goals and priorities alongside medication, mentation and mobility as core elements of quality care.The movement is shifting from adoption to reliability.With thousands of recognized sites, the focus is increasingly on making age-friendly practices consistent, measurable and sustainable.Health plans have an important role to play.Medicare Advantage plans can help drive adoption through quality measurement, incentives, partnerships and alignment with broader healthcare goals.Outcomes matter.The conversation points to improvements associated with age-friendly approaches, including reductions in readmissions, falls and potentially inappropriate medications.Changing how we talk about aging matters, too.Reframing Aging challenges assumptions and stereotypes about older adults and encourages a more accurate, respectful understanding of aging.The patient's voice belongs at the center.Dave White's story demonstrates why patients need to be heard and involved in decisions about their care. Understanding the person behind the condition can change the care experience–and potentially the care itself.The Patient VoiceAt 31:08, Daniela Lawton speaks with Dave White about his experience living with kidney disease.Dave's story brings the themes of the episode down to the individual level: quality isn't only about measures, programs or systems. It is also about whether a person feels heard, whether their priorities are understood and whether their care team works with them to plan what comes next.His experience offers a powerful reminder that every touch matters. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

IQVIA Digital's Justin Rosen reveals how addressable TV and CTV targeting are evolving beyond basic reach to demand high-fidelity data, rigorous privacy compliance, and proven closed-loop measurement.From identity resolution to the trap of the AI doom loop, discover how top media professionals connect upper-funnel audience quality directly to real-world business results.Key Highlights

AdTechGod joins Alistair Hill, CEO and Co-Founder of OnDevice, to explore how advertising measurement has evolved beyond clicks. They discuss brand lift, data quality, incrementality, survey fraud, AI's growing role in measurement, and why measurement should help improve the next campaign instead of simply reporting what happened. Takeaways: Clicks don't tell the full story of brand advertising effectiveness. Reliable brand lift depends on accurate exposure data and comparable audience groups. Data quality is increasingly important as fraud affects survey-based measurement. AI can turn brand lift data into smarter campaign planning and optimization. Measurement should be the starting point for improving the next campaign, not just a post-campaign report. Chapters:00:00 Introduction00:13 Meet Alistair Hill, CEO & Co-Founder of OnDevice01:21 How Alistair Got Into Advertising and Measurement02:11 Why Clicks Were Never Enough04:32 What OnDevice Is Solving in Brand Lift06:12 The Problem With Misleading Measurement Metrics09:59 Has Advertising Measurement Become Too Complicated?11:16 What Good Brand Lift Measurement Looks Like12:20 Data Quality, Survey Fraud and Real Audiences14:40 AI and Machine Learning in Measurement16:52 The Biggest Measurement Challenge Today18:48 The Future of Brand Lift, Outcomes and AI20:54 Why Log-Level Data Matters21:27 Alistair's Unexpected Excel Love Story22:05 Closing Guests: AdTech God Learn more about your ad choices. Visit megaphone.fm/adchoices

This episode has been funded by AstraZeneca and is intended for healthcare professionals. All content has been developed independently by AMJ, and AstraZeneca has had no influence over the content of this podcast. The views expressed are those of the participating experts and do not necessarily reflect the views of AMJ or AstraZeneca. This material is intended for educational and scientific exchange purposes only. Thoracic medical oncologist Julia Rotow and neuro-oncologist David O. Kamson discuss how they manage central nervous system metastases in EGFR-mutated advanced non-small cell lung cancer. They begin with brain metastases found at diagnosis, and how the current frontline regimens have changed the decision between systemic therapy with MRI surveillance, upfront stereotactic radiosurgery, and, for some patients, both. They also explain where whole brain radiotherapy now sits in their own practice. The speakers then discuss leptomeningeal disease: why it is often recognized late, what they add to the standard workup, and the symptoms that make them worry about hydrocephalus and cauda equina involvement. They review systemic and local options after progression on a third-generation tyrosine kinase inhibitor, and close with where they each see the biggest gap in current central nervous system management. Speakers David O. Kamson, Johns Hopkins University, Baltimore, Maryland, USA Julia Rotow, Dana-Farber Cancer Institute, Boston, Massachusetts, USA

Matt Jones and Drew Franklin look at the surprising outcomes in Week 2 leaving several teams thought to be contenders without a win. The Chiefs looked solid, but what was it about the Colts that left an impression? Could Caleb Williams end up missing time for the Bears? One team has Matt excited for what's to come this season. Drew has changed his opinion on the Titans' season. After a road win, how will Browns fans welcome Deshaun Watson in Cleveland? Bengals fans should be excited, but how surprised are you about the 0-2 Texans? Matt gives thoughts on the Broncos offense. With an 0-2 start, how does the next month look for the Chargers? Matt expresses concern for Jayden Daniels longterm future. NFL Cover Zero is part of the NFL Podcast Network See omnystudio.com/listener for privacy information.

What happens when good people work inside a system that rewards the wrong behavior? In this episode of The CJ Moneyway Show(TM), CJ sits down with Jon Read, a two-time healthcare technology founder whose work connects entrepreneurship, product design, behavioral health, and human outcomes. Jon shares how moving repeatedly as a child taught him to enter unfamiliar environments, build relationships, and create games people wanted to play together. The conversation follows Jon to Brazil, where a motorcycle accident shattered his collarbone and left him vulnerable far from home. A stranger helped him return safely, a landlord drove him hours to a hospital, and a chance connection later opened an investor relationship. During rehabilitation, Jon built a simple tool to keep himself accountable to physical therapy. That tool became the seed of Keet Health. Jon also speaks candidly about the emotional reality of selling a company. The exit created freedom, but the building was the meaningful part. That realization, combined with the loss of friends to mental-health and substance-use struggles, helped move him toward Confidant Health and a more difficult mission. The episode's defining leadership lesson is simple: incentives reveal what an organization truly values. When volume is rewarded more than connection or outcomes, work becomes a math problem instead of a human experience. Jon and CJ explore how leaders can understand constraints, remove administrative friction, recognize quality, build guardrails, and design systems that teach the right behavior.CJ MONEYWAY MEDIA(TM) | PODCAST EDITORIAL INTELLIGENCE The supplied transcript ends at 30:00 during Jon's answer about recognition. The final mastered episode may contain additional discussion, including AI in clinical care, that must be reviewed before the release copy is expanded. Episode Key Takeaways Frequent change can become training in relationship-building and adaptability. A personal problem can expose a scalable opportunity when the founder observes the system around it. Authentic, unconventional tactics can open doors that standard playbooks miss. An exit can provide freedom without providing purpose; the journey may have been the real reward. Personal grief can become responsibility when it is converted into better access and better systems. People optimize around the incentives, metrics, and recognition an organization makes real. Leaders should test incentives for unintended consequences and gaming before scaling them. Not all recognition is financial; identity, peer respect, and proof of impact can shape performance. Guest Links and CTA Confidant Health: https://www.confidanthealth.com/ Provider network: https://www.confidanthealth.com/for-providers Jon Read on LinkedIn: https://www.linkedin.com/in/jonread Keet Health legacy site: https://www.keethealth.com/ Guest must confirm the preferred primary CTA, current title, tagged accounts, approved biography, and whether the audience CTA should serve patients, providers, partners, or employers. CJ Moneyway Audience CTA If this conversation made you question what your organization is really rewarding, share it with a leader who can redesign the system. Follow and subscribe to The CJ Moneyway Show(TM) for more purpose- driven conversations that build people, relationships, systems, and legacies brick by brick. CJ Moneyway Partner CTA Ready to strengthen your brand visibility, audience engagement, or media strategy? Connect with The Seidel Agency through the CJ Moneyway referral portal: http://theseidelagency.com/Referral Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Program notes:0:37 New stroke therapy1:37 Use of IV for 10 days after stroke2:37 Present late after a stroke3:39 Long term outcomes of top-down therapy in Crohn's4:40 Outcomes up to five years5:40 Early TNF use from diagnosis improves outcomes6:42 No real downside7:38 How much oxygen for 32–35-week neonates?8:34 Ongoing respiratory support needed?9:34 Not hypoxic to begin with9:50 Feeding eggs and peanuts during pregnancy10:50 Did not impact risk for infant allergy11:50 One third dropped out13:03 End

Justin, Rob, and JKM are back with another edition of Group Chat and take a deep dive into the mess that was ClippersGate and the funniest moments of the whole scandal. Did this ultimately just become a pissing contest between Steve Ballmer and the NBA? Plus, there are some intriguing training camp battles to look forward to in the next couple of weeks. Which veteran signings could become starters for their new teams? 05:26 - Kawhi finally returns to Toronto and leaves the Clippers in the dust 21:18 - The misreporting of the scandal 42:50 - Intriguing training camp battles and starting lineups: Knicks, Lakers, Heat, Wizards, and Mavericks The Ringer is committed to responsible gaming. Please visit https://fanduel.com/playwithaplan to learn more about the resources and helplines. Hosts: Justin Verrier, Rob Mahoney, and Kyle Mann Producers: Victoria Valencia, Liz Jerry, and Clifford Augustin Additional Production Support: Ben Cruz and Conor Nevins Learn more about your ad choices. Visit podcastchoices.com/adchoices

Online Instruction That Actually Works: Outcomes, Evidence, and What It Looks Like | Lindamood-Bell  What does effective online instruction really look like? In this webinar, learn how Lindamood-Bell's live, one-to-one online instruction keeps students engaged while providing individualized support for reading, comprehension, and math. We share what real online sessions look like, outcomes from students receiving online instruction, and research behind our approach, including Stanford University research published in Nature Communications. You'll also hear directly from families and see clips from real instructional sessions. At Lindamood-Bell, we develop the imagery-language foundation for reading, spelling, language comprehension, math, memory, and critical thinking.  

How can you transform your end-of-year meeting from a forgettable event into a catalyst for meaningful action?A successful gathering should do more than entertain people or fill an agenda. With intentional end of year meeting design, you can strengthen teamwork, clarify priorities, gather valuable ideas, and inspire action that continues after everyone returns to work.After listening, you'll be equipped to:Design meaningful experiences that build connection and reinforce your organization's purpose.Clarify the most important message and connect it to each team's daily work.Transform employee ideas and event energy into practical, repeatable leadership habits.Play the episode to discover how leadership meeting design can move your team from temporary inspiration to meaningful action.02:35 – Plan the outcome before the agenda.Start by deciding what you want people to discuss, remember, and do differently after the event. This question helps every activity serve a clear purpose.07:54 – Give your meeting one clear priority.Identify the most important thing people need to understand, believe, or do. Then use that focus to shape presentations, conversations, recognition, and next steps.12:29 – Put your team's collective wisdom to work.Replace broad requests for ideas with a specific question tied to a real strategic challenge. You'll generate more useful insights and show employees where their expertise can make a difference.18:41 – Turn inspiration into a 30-day experiment.Choose one action that feels simple, measurable, and slightly uncomfortable. This approach converts event energy into a practical leadership habit you can sustain at work.Leadership Without Using Your Soul podcast offers insightful discussions on leadership and management, focusing on essential communication skills, productivity, teamwork, delegation, and feedback to help leaders navigate various leadership styles, management styles, conflict resolution, time management, and active listening while addressing challenges like overwhelm, burnout, work-life balance, and problem-solving in both online and in-person teams, all aimed at cultivating human-centered leadership qualities that promote growth and success

This episode is part of our comprehensive Decipher the Guidelines Series covering the 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes.  The following question refers to Section 3.2 of the 2025 ACS Guidelines. The question is asked by Thomas Jefferson medical student and CardioNerds Academy Intern Dr. Grace Qiu, answered first by Cleveland Clinic interventional and structural cardiology fellow and member of the CardioNerds Interventional Cardiology Council Dr. Eunice Dugan, and then by expert faculty Dr. Binita Shah. Dr. Binita Shah is an associate professor of medicine, interventional cardiologist, Director for research in Interventional Cardiology, and Director of the Department of Medicine Clinical Investigator Track at NYU. She is also an associate director of interventional cardiology and director of the transcatheter valve program at the VA New York Harbor Healthcare System. She was a member of the 2025 ACS Guidelines writing committee. Question #3 A 55-year-old woman is brought to the Emergency Department after an out-of-hospital cardiac arrest. She had a witnessed collapse with an initial shockable rhythm. Return of Spontaneous Circulation (ROSC) was achieved after 15 minutes of Advanced Cardiac Life Support (ACLS). Her post-resuscitation ECG shows diffuse ST-segment depression but no ST-segment elevation. She remains comatose. Which of the following is the most appropriate next step in her management regarding coronary angiography? A Immediate emergency coronary angiography (within 2 hours) should be performed. B Routine emergency coronary angiography is not recommended in the absence of ST-segment elevation or hemodynamic instability. C Coronary angiography should be delayed for at least 72 hours to allow for neurological recovery. D Fibrinolytic therapy should be administered immediately if the patient cannot reach a cath lab within 90 minutes. Answer #3 Explanation The correct answer is B. In resuscitated patients who are comatose after cardiac arrest, electrically and hemodynamically stable, and without evidence of STEMI, immediate angiography is not recommended due to lack of benefit (Class 3: No Benefit; LOE A) Patients who have been resuscitated after cardiac arrest and are noncomatose or who are comatose with favorable prognostic features and with evidence of STEMI, should undergo PPCI to improve survival. (Class 1; LOE B-NR). For patients such as this one, a delayed or selective approach should be taken once the patient is stabilized. Early angiography should not be denied solely based on a comatose state, but it should be deferred if there are clear non-cardiac causes for the arrest or if the patient’s overall prognosis is futile. A is incorrect because recent evidence shows no benefit to “emergency” PPCI for stable patients without ST-elevation. C is incorrect because while we wait for stability, we don’t necessarily have a fixed 72-hour “mandatory” delay for the heart if ischemia is suspected. D is incorrect, as fibrinolysis is generally not indicated for post-arrest patients without clear STEMI and carries risks in a post-CPR setting due to potential trauma. The MIRACLE2 Score is a tool for neuroprognostication. It helps clinicians estimate the likelihood of a poor neurological outcome at 6 months. A high score suggests that the benefit of an invasive procedure may be outweighed by the severity of the brain injury. Components of MIRACLE2: M – Missed (unwitnessed) arrest I – Initial non-shockable rhythm R – Reactive pupils at ROSC A – Age (points increase significantly at >60 and >80) C – Rhythm change (e.g., VF to PEA) L – Low pH (pH < 7.20) E – Epinephrine (any dose given) Clinical Threshold: A score of >5 indicates a high risk of poor neurological recovery, which may lead a Heart Team to favor stabilization over immediate emergency angiography in patients without ST-elevation. Early recognition of STEMI in resuscitated patients and direct transfer to a PCI-capable center is associated with improved survival. Survival-to-hospital discharge in the patient who is comatose with out-of-hospital cardiac arrest is

When families have support, children and youth do better at home, in school and in their communities. Yet many conversations about “student success” focus narrowly on classrooms and test scores, overlooking the pregnancy, early childhood, housing, mental health, special‑needs and basic‑needs supports that shape whether children can show up ready to learn in the first place. This program will explore how family resource centers and other family support services operate in San Francisco, drawing on the experiences of community leaders and parents who know these systems firsthand. Through stories from their work and lives, the panel will highlight how family support helps families navigate complex systems, build stability, and prevent crises before they escalate. The conversation will also consider what we can all do to support cradle‑to‑career supports for families, so that all San Francisco children and youth can thrive.About the Speakers Our moderator will be Kula Koenig, the chief policy officer at Safe & Sound, where she leads policy, advocacy and strategic partnerships to strengthen child abuse prevention through upstream investment, cross-sector collaboration, and systems change that centers families most impacted by inequities. She directly oversees Safe & Sound's role as the backbone organization of the Family Services Alliance, working to make San Francisco a place where all children, youth, and families can thrive. Kula grounds her leadership in the belief that prevention and civic engagement must be inclusive, accessible and healing. She brings more than 15 years of leadership experience at the intersection of public health, early childhood, and racial equity, including senior roles at Public Health Advocates, United Way, and the American Heart Association. She is also the founder and executive director of Social Justice PolitiCorps. Kula holds a B.A. from UCLA and an MBA from The George Washington University. Gloria Tan has been the executive director of the San Francisco nonprofit Gum Moon since 1986. Gum Moon operates a residence hall in Chinatown for survivors of domestic violence and human trafficking. In addition, Gum Moon has 3 family resource centers in the Chinatown, Richmond and Sunset neighborhoods. The FRC's are all funded through the San Francisco Department of Early Childhood's Family Resource Center Initiative. Originally from Singapore, Gloria came to the United States for college and earned a Business Administration degree from the University of San Francisco. In 2020, the Chinese Culture Center of San Francisco honored her with its Lifetime Achievement Award in Community Building for her decades-long community leadership. In May 2026, the San Francisco Human Rights Commission recognized her contributions on behalf of women, children, immigrant families and underserved communities across the city. She is also an active member of the Family Services Alliance. Vicente Milan is a proud San Franciscan, born and raised. A former U.S. Army Specialist who deployed to Iraq, Vicente later worked in landscaping before stepping into his most important role: primary caregiver to three young boys in a blended family. Vicente and his family have turned to Compass Family Services' Family Resource Center for parenting support, help with one of his children's special needs, and housing stability services.  He now serves as a parent leader in Compass's “Repeat and Repair” group and brings to this panel the perspective of a father who has seen how family resource centers can strengthen families and improve children's outcomes. He loves taking his kids to museums and connecting with other parents.  A Social Impact Member-led Forum program. Forums at the Club are organized and run by volunteer programmers who are members of The Commonwealth Club, and they cover a diverse range of topics. Learn more about our Forums. ORGANIZER Virginia Cheung Learn more about your ad choices. Visit megaphone.fm/adchoices

Send us Fan MailIn this episode of the B2B Go-To-Market Leaders Podcast, Vijay Damojipurapu sits down with Guy Galon, Chief Customer Success Officer at Obrela, to explore the role customer success plays across the entire go-to-market motion—and why making value visible is especially critical when customers can't always see the outcomes they're paying for.Drawing from more than 25 years across software engineering, professional services, program management, enterprise technology, cybersecurity startups, and customer success, Guy shares how his career shaped his approach to customer relationships, retention, and cross-functional GTM leadership.For Guy, go-to-market is a system that makes customer value visible at every stage—from sales and onboarding through adoption, retention, and expansion.They dive into:Why customer success can act as an orchestrator across sales, marketing, product, partners, and the customer.How selling cybersecurity managed services changes GTM when the best outcome is often one the customer never actually sees.Why strong retention comes from combining trusted relationships with a clear understanding of the outcomes customers expect.How customer success and sales can share responsibility for expansion while keeping retention firmly centered on customer success.Why CS teams should identify, qualify, and track expansion opportunities instead of leaving commercial conversations entirely to sales.How case studies, customer referrals, events, and partner enablement connect customer success directly to growth.Why continuous feedback loops between CS, sales, and product help companies understand both pre-sale expectations and post-sale realities.How Guy approaches high-touch relationships with strategic enterprise accounts while using signals and customer health data across smaller accounts.A GTM success story where early collaboration between partners, sales, finance, and CS enabled a complex enterprise customer to onboard in just six weeks.Why vendors need to clearly communicate customer responsibilities during onboarding instead of assuming buyers understand what implementation requires.How an earlier program failure taught Guy to escalate risks, challenge assumptions, and encourage his teams to speak up before problems become crises.Why curiosity, resilience, and deliberately stepping outside your comfort zone are essential for long-term GTM leadership.Guy's core perspective is simple: customer success isn't just about keeping customers—it's about understanding what success means to them, making that value visible, and aligning the organization around delivering it.Connect with Vijay Damojipurapu on LinkedInConnect with Guy GalonBrought to you by: stratyve.com

In this episode, we will discuss critical wandering and missing persons incidents in dementia care. We delve into the risk factors, common scenarios, and outcomes of such incidents, emphasizing the importance of immediate action and preparedness.‍This episode will cover:— Definition and importance of understanding critical wandering.— Risk factors that increase the likelihood of wandering.— Common scenarios where wandering occurs.— Immediate steps to take if a person with dementia goes missing. — Case study highlighting a missing person incident.— Where people with dementia are often found, both alive and deceased.— Who often finds missing people with dementia.‍MedicAlert | https://www.medicalert.org/medical-conditions/alzheimers/REFERENCES: Rowe, M. A., Feinglass, N. G., & Wiss, M. E. (2004). Persons with dementia who become lost in the community: a case study, current research, and recommendations. Mayo Clinic proceedings, 79(11), 1417–1422. https://doi.org/10.4065/79.11.1417‍Alzheimer's Association. (2023). Wandering and getting lost: Who's at risk and how to be prepared. https://www.alz.org/media/documents/alzheimers-dementia-wandering-behavior-ts.pdf‍Rowe, M.A., Vandeveer, S.S., Greenblum, C.A. et al. Persons with dementia missing in the community: Is it wandering or something unique?. BMC Geriatr 11, 28 (2011). https://doi.org/10.1186/1471-2318-11-28‍Miguel-Cruz A, Perez H, Choi Y, Rutledge E, Daum C, Liu LThe Prevalence of Missing Incidents and Their Antecedents Among Older Adult MedicAlert Subscribers: Retrospective Descriptive StudyJMIR Aging 2024;7:e58205URL: https://aging.jmir.org/2024/1/e58205 DOI: 10.2196/58205CONNECT, GET RESOURCES, LEARN MORE, + SIMPLIFY YOUR CARE JOURNEY:LinkTree | ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.letsbambu.com/b/linktree⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠MUSIC CREDIT: Listen To SpillageVillage - Tropical Landing Pop Songs At Looperman.com DISCLAIMER: The information contained in Bambu Care LLC's website, blog, emails, programs, services and/or products is for educational and informational purposes only. While we draw on our prior professional expertise and background in other areas, you acknowledge that we are supporting you in our role exclusively as a Dementia Care Consultant. By participating in Bambu Care, LLC's website, blog, emails, programs, services and/or products, you acknowledge that we are not a licensed psychologist, professional counselor, or medical doctor. We in no way, diagnose, treat, or cure any illnesses or diseases. Dementia Care Consulting is in no way to be construed or substituted as psychological counseling or any other type of therapy or medical advice. The information provided by Bambu Care, LLC also does not constitute legal or financial advice nor is intended to be. Dementia Care Consulting is not a substitute for the services of a CPA or attorney.

Host Rex Lutz, DO Guest interviewee  Reza Jazayeri, MD, FAAOS, discussing his research article, "Nutritional Optimization in Spine Surgery: A Review of Its Implications for Postoperative Recovery and Outcomes" from the September 15, 2026 issue (https://journals.lww.com/Jaaos/toc/2026/09150) Article summarized from the September 1, 2026 issue (https://journals.lww.com/Jaaos/toc/2026/09010) o    Research article "Dementia as a Marker of Poor Outcome After Hip Hemiarthroplasty" Article summarized from the September 15, 2026 issue (https://journals.lww.com/Jaaos/toc/2026/09150) o    Research article "Factors Associated With Readmission to the Hospital Within 90-Days Following Elective Lumbar Fusion Surgery" Follow this link to download these and other articles from the September 1, 2026 issue of JAAOS (https://journals.lww.com/Jaaos/toc/2026/09010) and the September 15, 2026 issue of JAAOS (https://journals.lww.com/Jaaos/toc/2026/09150). The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly. The opinions expressed in the podcast are those of the speakers and not necessarily those of AAOS. The opinions, information, and discussions presented in the podcast are for general informational and educational purposes only.  The podcast is not intended to provide legal advice as each case and jurisdiction will vary.  Medical professionals should consult with their own attorney or an attorney involved in the claims process to address questions or concerns about any legal aspects associated with the patient evaluation.

In this episode, Ayesha and Andrew discuss the September 16, 2026 issue of JBJS, along with an added dose of entertainment and pop culture. Listen at the gym, on your commute, or whenever your case is on hold! Link: JBJS website: https://jbjs.org/issue.php Sponsor: This episode is brought to you by JBJS Clinical Classroom. Subspecialties: Knee, Spine, Hip, Oncology, Infection, Basic Science, Orthopaedic Essentials, Trauma, Pain Management Chapters (00:00:02) - Intro and Episode Overview(00:01:28) - Table of Contents Headlines(00:02:28) - SI Joint Fusion Sham Trial Overview(00:05:31) - Sham Surgery Design and Crossover Issues(00:07:29) - Outcomes and Statistical Interpretation(00:10:26) - Critique of SI Fusion Trial Conclusions(00:14:30) - Osteosarcoma Machine Learning Prediction Study(00:16:04) - Study Methodology and Data Sets(00:19:37) - Model Performance Results(00:21:24) - Critique of Machine Learning Study Limitations(00:26:26) - Surgeon Communication Burden Study Intro(00:28:25) - Touchpoint Study Methods and Data(00:30:17) - Touchpoint Increase Findings(00:32:20) - Discussion on Resource Allocation Implications(00:34:46) - Historical Perspective on Patient Communication(00:37:59) - Reimbursement and Policy Reflections(00:42:08) - MCL and PCL Avulsion Fracture Study(00:43:16) - Vertebral Body Tethering Outcomes Study(00:45:39) - Closing Remarks

For founders who built a software company without big venture rounds, the exit playbook looks different. Raising little or nothing keeps your options open, but it also means you have to build a company worth buying without the fuel VC-backed peers spend on sales, marketing, and product. In this episode, Mike Lyon sits down with Greg Head, founder of Practical Founders, to discuss how bootstrapped SaaS founders keep their optionality, why AI is shifting the calculus for smaller and middle-market software companies, and the specific steps to prepare for a transaction on your own terms.Vista Point Advisors is a boutique sell-side investment bank providing unconflicted M&A and capital raising advice to founder-led software, AI, and internet businesses. We partner with entrepreneurs of growing businesses to help them understand their options in the marketplace so they can maximize business value, leverage their options, and realize their ideal outcomes. Securities offered through Vista Point Advisors, member FINRA/SIPC. This has been provided for informational purposes only and should not be considered as investment advice or a recommendation. It is not intended to address all circumstances that might arise. The views expressed herein may change at any time subsequent to the date of issue. Opinions contained herein should not be interpreted as a guarantee of future results. Outcomes will vary depending on individual circumstances. Any examples used in this material are generic, hypothetical and for illustration purposes only. Testimonials from past clients may not be representative of the experience of other clients and there is no guarantee of future performance or success. Clients are not compensated for their comments. 

In this live podcast episode recorded at Sol/Con 2026, Rew Dickinson, CEO and founder of Alpha Go-To-Market, joins co-hosts Jack Cochran and Matthew James to present a framework of four core skills that drive sales outcomes for solutions engineers.    Follow Us Connect with Jack Cochran: https://www.linkedin.com/in/jackcochran/  Connect with Matthew James: https://www.linkedin.com/in/matthewyoungjames/  Connect with Rew Dickinson: https://www.linkedin.com/in/rewdickinson/    Key Topics Covered The SE Talk-Time Problem: How Gong call analysis reveals SEs dominating conversations with product talk instead of listening The Starbucks Story: Rew's revelation that SEs are often the most influential person in the sales cycle Knowledge Layer: Why SEs must understand how prospect companies make money before demos Storytelling for Pre-Sales: Shifting from product-centric to prospect-focused narratives The iPhone Value Exercise: Live demonstration showing value exists in the gap between current and desired state Discovery Beyond Requirements: Creating vision with questions like "If I shadowed your team for a week, what would I see slowing them down?" Leadership and Taking a Stance: Why SEs need to be prescriptive ("you should") instead of offering endless options ("you could") The Tenure Gap: SEs average 7 years versus sales reps at 2 years—and why SEs should leverage this expertise advantage  

10am hour of The K&C Masterpiece!

In Jimmy Rogers' first Cy-Hawk game, there are four outcomes: Iowa wins in a blowout, Iowa wins comfortably, Iowa wins a close game OR Iowa State pulls off the upset. Jake Brend lays out what would need to happen for all four of those scenarios. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Dr. Rebecca Dekker and Dr. Sara Ailshire examine the available evidence on planned unassisted birth, also known as freebirth, defined as intentionally giving birth without a qualified midwife or physician present.   They explore why some people choose a planned unassisted birth, including previous trauma, distrust of the medical system, barriers to preferred care, and a desire for greater autonomy. Dr. Dekker and Dr. Ailshire also explain how freebirth differs from midwife-attended home birth, what research shows about planned community birth, and the safeguards a trained birth attendant can provide during pregnancy, labor, birth, and the newborn period. Finally, they discuss investigative reporting concerning the Free Birth Society, including allegations of misinformation and preventable harm associated with its community.   Content Note: This episode includes discussions of stillbirth, maternal death, newborn death, birth trauma, and serious complications related to planned unassisted birth.   (00:03:20) What Is Freebirth? (00:07:41) Prenatal Care, Wild Pregnancy, and Freebirth (00:10:30) How Common Is Freebirth? (00:14:27) The History and Origins of Freebirth (00:22:16) Why Do Some People Choose Freebirth? (00:26:14) What Do We Know About the Risks of Freebirth? (00:34:42) The Role of Skilled Midwives in Home Birth Safety (00:42:28) Free Birth Society Controversy (00:53:49) Lessons from the Free Birth Society (00:55:44) Warning Signs of Controlling Group Dynamics and Influencer Manipulation (01:01:50) Final Takeaways on Freebirth, Safety, and Informed Decision-Making   View the full transcript for this episode at evidencebasedbirth.com.   ResourcesEBB 23 – Home Birth Midwives EBB 110 – Inside an Unplanned, Unassisted Home Birth with Parent Sabrina Tran EBB 122 – Home birth during the pandemic with Vicki Penwell EBB 292 – Confronting the Unknowns in Childbirth with Liesel Teen of the Mommy Labor Nurse EBB 130 – Home Birth in the Black Community with Isis Rose Count the Kicks: https://countthekicks.org/ PUSH Pregnancy: https://www.pushpregnancy.org/ Star Legacy Foundation: https://starlegacyfoundation.org/ Healthy Birth Day: https://healthybirthday.org/ CDC Stillbirth resources: https://www.cdc.gov/stillbirth/communication-resources/index.html Share Pregnancy and Infant Loss Support: https://nationalshare.org/ Stillbirth and infant loss support communities: https://postpartum.net/group/stillbirth-and-infant-loss-support-for-parents/   Works Cited Birthplace in England Collaborative Group (BECG). (2011). "Perinatal and maternal outcomes by planned place of birth for healthy women with low risk pregnancies: the Birthplace in England national prospective cohort study." BMJ 343: d7400. https://pubmed.ncbi.nlm.nih.gov/22117057/ Biesele, M. (1997). "An Ideal of Unassisted Birth: Hunting, Healing, and Transformation among the Kalahari Ju/'hoansi." In Childbirth and Authoritative Knowledge. Cross-Cultural Perspectives. Davis-Floyd, R. & C.F. Sargent (eds), Childbirth and Authoritative Knowledge. Cross-Cultural Perspectives, Berkeley: University of California Press, pp. 474-92. Bjellmo, S. & Iversen, J. K. (2025). "Unassisted home births in Norway: A growing concern." Acta Obstet Gynecol Scand 104(8): 1418-1419. https://pubmed.ncbi.nlm.nih.gov/40536244/ Boodman, S. G. (2007). "Do-it-yourself Delivery." The Washington Post. July 31. https://www.washingtonpost.com/wp-dyn/content/article/2007/07/27/AR2007072702164.html Bovbjerg, M. L., Cheyney, M., Hoehn-Velasco, L., et al. (2024). "Planned Home Births in the United States Have Outcomes Comparable to Planned Birth Center Births for Low-Risk Birthing Individuals." Med Care 62(12): 820-829. https://pubmed.ncbi.nlm.nih.gov/39514513/ Boushra, M., Stone, A., & Rathbun, K. M. (2023). "Umbilical Cord Prolapse." In StatPearls. Treasure Island: StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK542241/ Brandt, J. S. & Ananth, C. V. (2023). "Placental abruption at near-term and term gestations: pathophysiology, epidemiology, diagnosis, and management." Am J Obstet Gynecol 228(5S): S1313-S1329. https://pmc.ncbi.nlm.nih.gov/articles/PMC10176440/ Carlson, K. & Vadakekut, E. S. (2026). "Amniotic Fluid Embolism." In StatPearls. Treasure Island: StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK559107/ Centers for Disease Control and Prevention, National Center for Health Statistics. National Vital Statistics System, Natality on CDC WONDER Online Database. (2026). Data are from the Natality Records 2016-2024, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. Accessed at http://wonder.cdc.gov/natality-expanded-current.html on Jul 29, 2026. Cheyney, M., Bovbjerg, M., Everson, C., et al. (2014). "Outcomes of care for 16,924 planned home births in the United States: the Midwives Alliance of North America Statistics Project, 2004 to 2009." J Midwifery Womens Health 59(1): 17-27. https://pubmed.ncbi.nlm.nih.gov/24479690/ Dahlen, H., Kumar-Hazard, B., & Schmied, V. (2020). Birthing Outside the System: The Canary in the Coal Mine. Edited Volume. London: Routledge. Dahlen, H. G., Jackson, M., & Stevens, J. (2011). "Homebirth, freebirth and doulas: casualty and consequences of a broken maternity system." Women Birth 24(1): 47-50. https://pubmed.ncbi.nlm.nih.gov/21163719/ Davey, M. (2026). "Stacey Warnecke died after choosing a birth free of all medical help. An inquest wants to know why." The Guardian. June 19. https://www.theguardian.com/australia-news/2026/jun/20/stacey-warnecke-melbourne-influencer-died-freebirth-inquest-ntwnfb Davis-Floyd, R. & Cheyney, M. (2019). Birth in Eight Cultures. Edited Volume. Waveland Press. Einerson, B. D., Gilner, J. B., & Zuckerwise, L. C. (2023). "Placenta Accreta Spectrum." Obstet Gynecol 142(1): 31-50.https://pmc.ncbi.nlm.nih.gov/articles/PMC10491415/ Feeley, C. & Thomson, G. (2016). "Tensions and conflicts in 'choice': Womens' experiences of freebirthing in the UK." Midwifery 41: 16-21. https://pubmed.ncbi.nlm.nih.gov/27498184/ Feeley, C. & Thomson, G. (2016). "Why do some women choose to freebirth in the UK? An interpretative phenomenological study." BMC Pregnancy Childbirth 16: 59. https://pubmed.ncbi.nlm.nih.gov/27000100/ Greenfield, M., Payne-Gifford, S., McKenzie, G. (2021). "Between a Rock and a Hard Place: Considering "Freebirth" During Covid-19." Front Glob Womens Health 2: 603744. https://pubmed.ncbi.nlm.nih.gov/34816178/ Hutton, E. K., Cappelletti, A., Reitsma, A. H., et al. (2016). "Outcomes associated with planned place of birth among women with low-risk pregnancies." CMAJ 188(5): E80-E90. https://pubmed.ncbi.nlm.nih.gov/26696622/ Iceland Monitor. (2024). "How do you know this woman had this child." Iceland Monitor. May 9. https://icelandmonitor.mbl.is/news/news/2024/05/09/how_do_you_know_this_woman_had_this_child/ Johansson, M., Jansson, O., Lilja, F., et al. (2023). "Freebirth, the only option for women who do not fit into common practice- A Swedish national interview study." Sex Reprod Healthc 37: 100866. https://pubmed.ncbi.nlm.nih.gov/37295181/ Johnston, K. & MacDougall, C. (2026). "Toward Conceptual Clarity: Out-of-Hospital Birth Practices and Freebirth Entrepreneurialism." Atlantis: Critical Studies in Gender, Culture, & Social Justice. 47(1): 44–57. https://atlantisjournal.ca/atlantis/en/article/view/5920 Kale, S. & Osborne, L. (2025). "Influencers made millions pushing 'wild' births – now the Free Birth Society is linked to baby deaths around the world." The Guardian. November 22. https://www.theguardian.com/world/ng-interactive/2025/nov/22/free-birth-society-linked-to-babies-deaths-investigation Kale, S. & Davey, M. (2026). "A US champion of 'freebirthing' always claimed there had been no maternal deaths linked to the movement. Is Stacey Warnecke the first?" The Guardian. June 29. https://www.theguardian.com/world/2026/jun/30/freebirth-wellness-influencer-stacey-warnecke-death-ntwnfb Lou, S., Dahlen, H. G., Gefke Hansen, S., et al. (2022). "Why freebirth in a maternity system with free midwifery care? A qualitative study of Danish women's motivations and preparations for freebirth." Sex Reprod Healthc 34: 100789. https://pubmed.ncbi.nlm.nih.gov/36332498/ Mackeen, D. (2026). "She wanted a `free birth.' It put her and her baby in grave danger." The New York Times. April 22. https://www.nytimes.com/2026/04/22/science/free-birth-wild-pregancy-risks-home-birth.html McKenzie, G., Robert, G., & Montgomery, E. (2020). "Exploring the conceptualisation and study of freebirthing as a historical and social phenomenon: a meta-narrative review of diverse research traditions." Med Humanit 46(4): 512-524. https://pubmed.ncbi.nlm.nih.gov/32361690/ Miller, J. F. (2020). "Solitary and Kin-Assisted Rarámuri Birth: Ideals and realities." In Birthing Models on the Human Rights Frontier. Daviss, B. & Davis-Floyd, R., eds. Routledge: London. Payne, E. (2025). "Officials 'strongly advise' against freebirths after cluster of stillbirths in Ontario." Ottawa Citizen. January 15. https://ottawacitizen.com/news/local-news/officials-advise-against-freebirths-after-stillbirths-ontario Pillai, S., Cheyney, M., Everson, C. L., et al. (2020). "Fetal macrosomia in home and birth center births in the United States: Maternal, fetal, and newborn outcomes." Birth 47(4):409-417. https://pmc.ncbi.nlm.nih.gov/articles/PMC8923081/ Rosenberg, K. & Trevathan, W. (1995). " Bipedalism and human birth: The obstetrical dilemma revisited." Evolutionary Anthropology 4(5): 161-168. https://doi.org/10.1002/evan.1360040506Sargent, C. (1982). "The Implications of Role Expectations for Birth Assistance among Bariba." Soc Sci Med 16(16): 1483-1489. https://pubmed.ncbi.nlm.nih.gov/7135022/ Shorey, S., Jarašiūnaitė-Fedosejeva, G., Akik, B. K., et al. (2023). "Trends and motivations for freebirth: A scoping review." Birth 50(1): 16-31. https://pubmed.ncbi.nlm.nih.gov/36598288/ Shostak, M. (1981). Nisa: The Life and Words of a !Kung Woman. Cambridge: Harvard University Press. Snowden, J. M., Tilden, E. L., Snyder, J., et al. (2015). "Planned Out-of-Hospital Birth and Birth Outcomes." N Engl J Med 373(27): 2642-2653. https://pubmed.ncbi.nlm.nih.gov/26716916/ Sperlich, M. & Gabriel, C. (2022). ""I got to catch my own baby": a qualitative study of out of hospital birth." Reprod Health 19(1): 43. https://pubmed.ncbi.nlm.nih.gov/35164785/ Togioka, B. M. & Tonismae, T. (2023). "Uterine Rupture." In StatPearls. Treasure Island: StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK559209/ Uda, E. (2026). "Facing rural realities and mistrust in hospitals, these women turned to home births." CBC Radio. April 26. https://www.cbc.ca/radio/thecurrent/freebirthing-rural-maternal-medicine-9.7172199

Link Up w/The Morning Sickness Digitally All Over:Instagram: @hms_98_official, @bosskupd, @bretvesely, @dickToledoX/Twitter: @HMSon98, @DickToledo, @bretveselyFacebook: @HMSKUPDYouTube: @hmspodcast9320, @98kupdRequest/Call in/Wakeup Song line:(IN AZ) 602.585.9800More HMS: www.holmbergpodcast.com, www.98kupd.comEmail: dtoledo@98kupd.com, bvesely@98kupd.com, bbogen@98kupd.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.