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Play Episode Listen Later Jul 19, 2026 107:52

Send us Fan MailLive from Ransom's in Desloge. Jason and Mark talk to Tom Burcham and Kevin Engler, Donna Hickman and Sarah Politte. Plus news, events and more. Time Marks00:22:40-News00:27:07-Events00:31:41-Sports00:35:46-Tom Burcham and Kevin Engler Interview00:55:02-Donna Hickman Interview01:08:55-Sarah Politte Interview01:24:14-Birthdays01:40:45-Music and MoviesHome - Parkland PharmacyExplore Farmington, Missouri - Discover Farmingtonsubway.comFirst State Community Bank | Helping Communities ThriveFarmington Water Park & The River's Edge Splash Pad www.BetterHelp.com/TheBarnhttp://www.betterhelp.com/TheBarn http://www.betterhelp.com/TheBarnThis episode is sponsored by www.betterhelp.com/TheBarn and brought to you as always by The Barn Media Group. YOUTUBE https://www.youtube.com/@TheBarnPodcastNetworkSPOTIFY https://open.spotify.com/show/09neXeCS8I0U8OZJroUGd4?si=2f9b8dfa5d2c4504APPLE https://podcasts.apple.com/podcast/id1625411141I HEART RADIO https://www.iheart.com/podcast/97160034/AMAZON https://music.amazon.com/podcasts/7aff7d00-c41b-4154-94cf-221a808e3595/the-barn

Lessons from the Links: From Golf Pro to $5B Family Office Partner

Mindy Diamond on Independence: A Podcast for Financial Advisors Considering Change

Play Episode Listen Later Jul 16, 2026 43:02

With Constantine Hatzivassiliou—Partner, Certuity Golf taught Constantine Hatzivassiliou how to perform under pressure. Building a nearly $5B multi-family office taught him that the best advisors become the first call when life, not just the markets, gets complicated. In Summary Many advisors spend years mastering investments, but for affluent families, portfolio management is often just the starting point. Jason Diamond welcomes Constantine Hatzivassiliou, Partner at Certuity, to discuss how his journey from aspiring professional golfer to leader of a nearly $5B multi-family office shaped his approach to client service. Their conversation explores why trust is earned long before a crisis, how family office services evolve naturally from client needs, and why the advisor's role increasingly resembles that of a quarterback coordinating every aspect of a family's financial life. The discussion also examines organic growth, referrals, fiduciary advice, private equity's impact on the RIA landscape, and the qualities that allow advisors to become indispensable over decades—not just market cycles. The Storyline Many advisors spend years perfecting investment management. But as clients become more successful, the job changes. The questions become bigger than portfolio construction. A business is being sold. A family dynamic shifts. A tax issue emerges. An estate plan needs updating. Suddenly, the advisor isn't simply managing assets—they're coordinating decisions, relationships, and emotions. For Constantine, that broader role was shaped long before he entered wealth management. As an aspiring professional golfer, he learned lessons about discipline, preparation, and performing under pressure that continue to influence how he serves clients today. Jason and Constantine explore how Certuity grew from approximately $210 million in assets to nearly $5B, not through acquisitions but through referrals and a service model built on becoming indispensable to the families they advise. Constantine explains why he believes the best advisors function more like quarterbacks than portfolio managers, orchestrating the many moving pieces that come with significant wealth. The conversation also examines the evolution of the multi-family office model, the role of fiduciary advice, the impact of private equity on the advisory landscape, and why experience, judgment, and trust remain the qualities clients value most. Ultimately, this episode is about what it takes to become the first call when life – not just the markets – becomes complicated. Topics Covered Lessons from professional golf that translate to wealth management Building Certuity from $210mm to nearly $5B in assets What distinguishes a multi-family office from a traditional RIA Why referrals fuel long-term organic growth Becoming the “first call” for affluent families Fiduciary advice and the evolution of the advisory profession Family office services beyond investment management Private equity and M&A in the RIA space Developing the next generation of advisors Trust, relationships, and lifetime client service > Download a transcript of this episode… Listen and Learn Highlights for Advisors How did professional golf prepare Constantine for advising wealthy families? (3:45) Constantine explains why competing under pressure taught him discipline, emotional control, and process—qualities that now guide every client relationship. How did Certuity grow from $210 million to nearly $5 billion? (8:00) He shares why nearly all of the firm's growth has come organically through client referrals rather than acquisitions or aggressive recruiting. What separates a multi-family office from a traditional advisory firm? (11:45) The conversation explores how expanding into trust, estate, tax, and family office services became a response to client needs—not a business strategy. Why should advisors think of themselves as quarterbacks? (20:00) Constantine recounts a client business sale that fell apart at the closing table and explains why advisors often become the person holding everything together. How does Certuity view private equity and acquisitions? (36:20) Jason and Constantine discuss when outside capital can make sense—and why Certuity has chosen a different path centered on client alignment. Why do wisdom and experience still matter in an AI-driven world? (29:30) Despite advances in technology, Constantine argues that judgment, trust, and perspective remain the qualities affluent families value most. Key Takeaways High-net-worth clients increasingly value coordination, judgment, and perspective over investment selection alone. Family office services often evolve naturally as advisors respond to increasingly complex client needs. Sustainable organic growth is rooted in trust, which explains why referrals account for the overwhelming majority of Certuity's new business. Golf and wealth management share the same disciplines: preparation, emotional control, patience, and executing under pressure. The most valuable advisors become trusted partners during life's defining moments—not simply portfolio managers. Technology continues to reshape wealth management, but experience and wisdom remain difficult to replicate. Building a lasting advisory business requires investing in culture, succession, and the next generation of talent. https://youtu.be/m72Hq6bMTo4 Quotable Moments “The best advisors aren't simply managing portfolios. They're the first person clients call when life gets complicated.” “A bad shot in golf is the equivalent of a bad day in the market. You can't let one dictate everything that comes next.” “More often than not, we're not just financial advisors—we're financial therapists.” “Growth gets the headlines. Trust is what makes it possible.” FAQs What is a multi-family office? A multi-family office delivers integrated services beyond investment management, often coordinating tax, estate planning, philanthropy, business planning, and other complex financial matters for affluent families. Why has Certuity grown primarily through referrals? Constantine attributes the firm's growth to deep client relationships, a collaborative service model, and becoming the trusted advisor clients recommend to others. How does golf relate to wealth management? Golf reinforces discipline, emotional control, preparation, and performing under pressure—all qualities Constantine believes are essential for effective advisors. What is Constantine's perspective on private equity in wealth management? While he understands why many firms pursue private equity, he believes every strategic decision should ultimately be measured against what best serves clients. What qualities distinguish exceptional advisors today? According to Constantine, exceptional advisors become trusted coordinators of a client's financial life—bringing together specialists, solving problems, and providing perspective during life's most important moments. A multi-family office delivers integrated services beyond investment management, often coordinating tax, estate planning, philanthropy, business planning, and other complex financial matters for affluent families. Constantine attributes the firm's growth to deep client relationships, a collaborative service model, and becoming the trusted advisor clients recommend to others. Golf reinforces discipline, emotional control, preparation, and performing under pressure—all qualities Constantine believes are essential for effective advisors. While he understands why many firms pursue private equity, he believes every strategic decision should ultimately be measured against what best serves clients. According to Constantine, exceptional advisors become trusted coordinators of a client's financial life—bringing together specialists, solving problems, and providing perspective during life's most important moments. Related Resources Emotional Intelligence: The “Untouchable” Differentiator in an AI World Intentional Growth: How Top Advisors Build Businesses That Last The 10 Characteristics of the Most Successful Teams Constantine HatzivassiliouPartner Constantine Hatzivassiliou is a Partner at Certuity, a nationally recognized multi-family office serving affluent families, entrepreneurs, executives, foundations, and endowments. He advises clients on the complex financial, tax, estate, and business planning decisions that accompany significant wealth, helping families coordinate all aspects of their financial lives through a comprehensive family office approach. Drawing on more than two decades of experience, Constantine works closely with successful business owners, corporate executives, and multi-generational families to simplify financial complexity and align investment management, tax planning, estate planning, philanthropy, and family governance strategies. As a Certified Exit Planning Advisor (CEPA®), he frequently assists entrepreneurs in preparing for liquidity events, business transitions, and the long-term stewardship of family wealth. His clients often view him as a trusted advisor and strategic sounding board, helping them navigate important financial decisions with the perspective of both a family office professional and a coach. Prior to joining Certuity, Constantine held advisory and banking positions with The Bank of New York Mellon, Bernstein Global Wealth Management, and Pacific Mercantile Bank. Before entering the financial services industry, he was a Golf Professional and member of the PGA of America, experiences that continue to shape his disciplined, competitive, and relationship-focused approach to advising clients. Outside of his professional responsibilities, Constantine is passionate about mentoring young athletes and strengthening the communities in which he lives and works. He serves as a Board Member of Coerfontaine Football Club (CFC), a premier youth soccer organization focused on developing young athletes and helping them pursue collegiate and professional opportunities while fostering leadership, discipline, and character. He also serves as Chair of the Safety and Security Committee for Parkland, where he works alongside community leadership to enhance resident safety, security, and quality of life. In addition, Constantine is a Founding Board Member of The Boardroom, a private membership organization focused on fostering meaningful relationships among business leaders, entrepreneurs, and professionals through networking, education, and philanthropy. Born in Greece, Constantine spent his childhood in Montreal before relocating to South Florida. He attended the University of Florida before earning a Bachelor of Arts in Economics from Florida Atlantic University, where he graduated with honors. He holds the Certified Exit Planning Advisor (CEPA®) designation. A lifelong student of the game, Constantine remains active in golf and is a member of Muirfield Village Golf Club, founded by his longtime hero and mentor, Jack Nicklaus, as well as Parkland Golf & Country Club. Constantine resides in Parkland, Florida, with his wife, Stephanie, and their two children, Nicholas and Olivia. NOTE: The views and opinions expressed by the guests on this podcast are their own and do not necessarily reflect the views and opinions of Diamond Consultants. Neither Diamond Consultants nor the guests on this podcast are compensated in any way for their participation. Episode Transcript Lessons from the Links: From Golf Pro to $5B Family Office Partner A conversation with Jason Diamond and Constantine Hatzivassiliou, Partner at Certuity. Jason Diamond: Welcome to the latest episode of our podcast series for financial advisors. Today’s episode is Lessons from the Links: From Golf Pro to $5B Family Office Partner. It’s a conversation with Constantine Hatzivassiliou, partner at Certuity. I’m Jason Diamond and this is the Diamond Podcast for Financial Advisors. Mindy Diamond: At Diamond Consultants, we help elite advisors identify the right environment for their businesses to thrive whether that’s at a wirehouse, boutique or independent firm. With nearly three decades of experience, we’ve guided thousands of advisors and represented more than a quarter of a trillion dollars in assets transitioned and, each year, one in four advisors managing $1 billion or more who change firms are our clients. Our process is education-driven and based on building relationships starting as your strategic partner well before you’re even thinking of a move. To schedule a confidential conversation, call us at (908) 879-1002. Wondering why advisors change firms and where they’re headed? Are transition deals going up or down? Those very questions and more inspired us to create our annual advisor transition report, it’s the award-winning data-driven resource designed for advisors that connects the dots between the motivations around movement and the firm’s appetite for top talent. Arm yourself with the knowledge you need to make smart decisions, download your copy at diamond-consultants.com/transitionreport. Jason Diamond: Golf is a way of exposing who you really are, there are no teammates to blame, no clock to run out and no hiding from a bad decision. Every shot demands discipline, patience and the ability to stay focused when the pressure is highest, my guest today knows that firsthand. Before becoming a partner at Certuity, a multifamily office approaching five billion in assets, Constantine Hatzivassiliou was pursuing a career as a professional golfer. An injury ultimately redirected his path towards wealth management but many of the lessons he learned on the course still shaped the way he serves clients today. Certuity has grown from roughly 210 million in assets to nearly five billion, that’s impressive on its own but the more interesting story is how they’ve done it. The firm has grown largely through referrals built around a multifamily office model and focused on becoming far more than an investment advisor to the families it serves. In Constantine’s view, the best advisors aren’t simply managing portfolios, they’re the first person clients call when a business is being sold, a family issue becomes complicated or a major decision carries consequences well beyond the balance sheet. Constantine and I discuss the lessons golf teaches about handling pressure then we dive into the evolution from the traditional wealth management world to the multifamily office model, why referrals drive nearly all of Certuity’s growth, how he thinks about private equity’s influence on the advisory business and what it takes to become the first call for the wealthy families they serve and perhaps, most importantly, why the same qualities that help someone succeed on a golf course may be surprisingly relevant to building trust over a lifetime. It’s a great conversation so let’s dive in. Constantine, thank you so much for joining, thrilled to have you here. Constantine Hatzivassiliou: Thank you for having me, excited to be here. Jason Diamond: Yeah, absolutely. So, you had an unconventional path to wealth management, you started as a professional golfer, I think that’s a first for us on this show, before ultimately transitioning into this world. Can you tell us a little bit about the journey and what brought you here? Constantine Hatzivassiliou: Yeah, I never thought I’d be here, my parents were certainly shocked that I got here path wise. Growing up, immigrants from Greece, you settle into Florida the traditional way where you either go down the diner route or the gas station route in mechanics which my father was the latter and school and education was never priority, it was always about supporting the family needs. So, next thing you know, sports are a critical part of any good household, that’s how I was raised and I played everything but golf. I grew up on a golf course because my parents believed that a location of a property was critical to long-term financial success. We lived on a golf course, it was in our backyard, we’d stare at it and we’d use it to play football or baseball or anything but actual golf. And my freshman year at the University of Florida, I started dating a girl on the golf team and she got me hooked to the point where, after four years of hitting balls with the women’s and men’s golf team at the University of Florida for six hours a day, we finished school and realized I’m actually pretty good at the game and, while I have a finance and economics background and degree, let’s try and pursue this for a living and I was blessed. I had a sponsor who helped me succeed at golf on a small scale, it was a humbling experience to say the least. I was competing and playing with Sean O’Hair, Ken Duke, guys who made it out on tour for a very long time, we had the same sponsor so we functioned as a team, it was a collegiate team effectively trying to make it out on tour. And, unfortunately, my second year of competing, I blew out my back doing heavy deadlifts which set me aside for 18 months. While I was recovering, my primary sponsor was in financial services and says, “Hey, you have a background in this, it’s killing you not being able to be on the golf course, why don’t you come work for me while you’re rehabbing so that, when you get back to playing golf, it’s easier for you to talk about our business as a sponsor to try and develop business to throw it to the financial services side?” And Jason, the reality is, after 18 months working there, I fell in love with it. I made way more money working in that environment than I ever would’ve made playing golf because, again, I came to the game late. I was decent but I was nowhere near the caliber of players that are succeeding now out on tour. So, I pivoted after having met my wife and decided to settle down into the wealth management space and, what is it now, 26 years later, going strong. So, it’s been a fun transition from golf into wealth management to say the least. Jason Diamond: Probably my favorite background … I watch a lot of golf, I should caveat that, probably my favorite origin story we’ve had, I’ll give you the Wanamaker trophy or whatever you get, first place. Let’s talk about the business now, so Certuity. For our audience who may not be familiar, tell us a little bit about the firm, what types of clients do you serve and any context you can provide on size as well. We’ll talk about how your firm got there but just give us where we are today to start with. Constantine Hatzivassiliou: So, goal by the end of the year is to have $5 billion in AUM, we’re just shy of that now. We currently service 428 families across the country. So, we’re boutiquey and nimble, we’re based in South Florida, we have offices in New York, San Fran and LA. I’m fortunate to be one of four partners at the firm supporting the growth and the direction of the company and it’s a fun endeavor in the sense that, when we first started, I was employee number four 16 years ago and, with 210 million in AUM at the time to grow it to where we are today, to learn all the things that we have over the years, the curve balls that were thrown at us because all of us came from massive institutional wealth management firms. So, we transitioned from the Bernsteins of the world, the BNY Mellons of the world into an RIA in the South Florida market, there was absolutely an entrepreneurial learning curve involved. Jason Diamond: I bet. And on follow-up question, 16 years ago, did you have a book of business, client business and do you still maintain a book of business today? Constantine Hatzivassiliou: I do. The four of us at the firm share in all of the clients, we work together. Being in the Southeast, I’m responsible for, let’s call it, the Southeast demographics of the US which is a large portion of Certuity’s book. I have a partner in Tennessee, I have a partner in LA and San Francisco and we divide and conquer across the country. But, yes, we came over with a small book, we’ve all grown it organically since then. So, we’ve been very effective in how we’ve grown. Jason Diamond: Just from adding new client money? Constantine Hatzivassiliou: Strictly through new clients referred to us by existing clients. Jason Diamond: Wow. I want to talk more about the growth because that’s remarkable. But before I do, can we double click on the service model? So, I would say the most typical we hear, I think more of our guests typically come from the wirehouse world where it’s I have my book, you have your book. What does your service model look like? So, is it truly, if it’s working well from the end client perspective, you should be interchangeable with your partners and it’s a true team approach? Constantine Hatzivassiliou: How we engage our clients, the theory should be I can get hit by a bus tomorrow and outside of the client not being able to speak to me directly, they will not have a hiccup in any way, shape or form. And when we’re dealing with families across multiple generations, the way we’ve built our platform, that continuity is critical in the engagement process for the clients hiring us to help them through all of the challenges that they face. Jason Diamond: What’s your sweet spot in terms of client size? Constantine Hatzivassiliou: Our average client size today has just shy of eight million AUM with us. We have some clients who have $1 million certainly but they’re strategic in that their friends, their family, they could be centers of influence who help send business our way because they value what it is that we do and there’s a strategic partnership because we might need them for their trust and estate services or their accounting work and they have clients who have a need and we’re on the short list of people they refer to. Jason Diamond: That they trust. Yeah, makes sense. So, I’ve seen this in the news and also even on your own internal materials, I’ve seen you described as both a modern multifamily office, you’ll also obviously hear the term RIA as well. Does that distinction matter at all? And maybe my second part of that question would be what is the distinction between that space, whatever you call it, and the more traditional firm world from a client service perspective? You mentioned that all of your partners from that world. Constantine Hatzivassiliou: I started in this industry truly at an institutional level at Bernstein in New York and, for anyone who knows Bernstein, they really do brainwash you on the fiduciary model and the values affiliated with that philosophy has translated through my career at BNY Mellon which has a very similar feel as Bernstein. And then, when we came here, we instilled that same core value principle of fiduciary responsibility for our clients so we are very different than a traditional wirehouse or brokerage house, it is why we’ve grown so successfully. I would never, one, work for an institution that did bide by those standards and, secondarily, I wished Congress and Senate would turn around and actually implement a mandatory fiduciary liability for all financial advisors because, far too often, we see prospective clients or families get taken advantage of because the individual sitting across from them giving them financial advice is not necessarily aligned with their goals and objectives. Jason Diamond: So, I take it you are fee only. Constantine Hatzivassiliou: We are fee only. Jason Diamond: Yeah. I don’t want to lose the thread on the first part of my question. Do you think there is a distinction between a multifamily office and an RIA? I don’t want to lead you here but to me it implies a different level or different caliber of service model that probably includes more of the ancillary trust and estate and CPA type stuff that higher network clients need but curious what your thoughts are. Constantine Hatzivassiliou: Our first seven years at the firm, we were strictly an RIA, we functioned as an advisory service provider to our clients. What attracted me and my partners to Certuity was the nimbleness of the firm. So, for instance, at BNY Mellon, we often deemed a change necessary as moving an aircraft carrier across the world but it was an impossible task to accomplish. But when you’re small and nimble and clients come to you with a need and you’re in the service, ultimately, first and foremost, it made sense for us to start building out family office services for our clients because they had a need and we found it as a way to centralize everything because, far too often, when the communication standards break down between all the individual parts, one, it’s more expensive for the clients and, two, the process isn’t efficient, things get missed. So, we tried, largely due to our growth, to bring everything in house and our clients appreciate that for it. Jason Diamond: So, this is not a chicken and egg situation, this is very much we had large clients, we were attracting large clients and, in order to service them optimally, here’s what we felt we needed to build. Is that fair? Constantine Hatzivassiliou: 100%. Jason Diamond: Let’s shift gears, I need to go deeper on the professional golf thread a little bit. I promise I won’t make the whole interview about your golf background. I’m curious if you feel like that experience or that, I don’t know, upbringing or, I guess, background laid any foundation for the way you engage with clients today or the way you operate as a business leader today. Constantine Hatzivassiliou: So, there’s a couple parts to that. The golf side, certainly, just from an engaging client perspective, 90% of our clients are golfers. Jason Diamond: It’s very true. Constantine Hatzivassiliou: Right. It just helps because of our background and certainly with some of the clients and partners that we have at the firm, golf is a critical thread in what we do. However, when it comes to golf, what I learned playing golf at a high level directly translates to how we manage money for clients and I’ll express it this way. There’s generally two types of golfers, there’s the artist, the Sergios of the world who don’t fundamentally function off of specific points in their swing or a very structured platform, they see something, their mind becomes creative and they execute on it. I was never that way, I am a numbers person, I think everything analytically, I break everything down to the minute, everything is strategized and organized, I was taught to practice that way by Coach Alexander at the University of Florida and that foundational element seemed easy, it worked. If you practice properly, you’ve succeeded. Under pressure, all those hours and hours of repetition translated to success more often than not. In our industry, it’s process-driven, it has to be unemotional. A bad shot in golf is the equivalent of a bad day in the market, you can’t let one bad day in the market influence everything you do for the next year. Same way on the golf course playing in a tournament, you can’t allow one golf shot to affect the rest of the round. We kid with our clients oftentimes that, while we are fundamentally their financial advisor, more often than not, we’re their financial therapist. We have to control their emotions and make sure they’re not making an irrational decision. For instance, a couple days ago we were out with a client the day that Iran shot down one of the US military helicopters and we’re sitting down at lunch and, all of a sudden, his phone starts blowing up because he’s getting all these Google alerts to the market heading in the wrong direction and he had to go do a life insurance test later on that afternoon. So, all week, he had prepped and he was calm and he was relaxed, he was really excited, he’s, “My wife is setting me up with a new insurance policy and I know it’s for her benefit but all my numbers look good, I’m going to ace this and my premiums will be really low because of it,” it was a $25 million policy. And as he’s looking at his phone and he sees the market collapsing in his mind, his blood pressure rose to no end, you could see that his anxiety level went through the roof and, had I not been there with him at the time to hold his hand through that process, his afternoon would’ve been shot. I would’ve got a phone call saying, “What are we doing to prevent 2% loss in my portfolio,” because that’s how he thinks and, in that moment, I was the therapist to talk him off a ledge. It’s so hard for individuals to manage the stress of the markets, that golfer mentality of, okay, just breathe, relax, let’s see what’s going on, let’s make an educated, confirmed decision, let’s circle back with our caddy if we’re on tour and competing and make a unified decision for the long-term success of the goal that we’re trying to achieve. And what we do every day is the same thing with our clients. Jason Diamond: It’s an incredibly thoughtful answer, I expected a version of the latter part of your answer. I appreciate that you added the part about just most clients like golf, enjoy talking about golf, enjoy playing golf and it’s an effective business development tool, there’s no question. Constantine Hatzivassiliou: So, I have two kids, a 12-year-old and an eight-year-old, my son who’s 12 who’s an exceptional soccer player and wants to, aspires to play professionally one day has now fallen in love with golf which I’m ecstatic about. I think golf and tennis, from a business development perspective- Jason Diamond: Yeah, lifelong sports. Constantine Hatzivassiliou: And I look at it now and my mentor when I started in the business was absolutely right. The fact that I could get a CEO of a Fortune 100 company to want to actively spend four hours with me where we could dive into the weeds about their personal life, their financial situation, their business, you could never get that time otherwise. I urge everyone who’s coming out of college or is going into college who wants to aspire to be in any type of sales related role, golf is a great venue to make long-term relationships. Jason Diamond: And importantly, tennis is not as good on the knees long-term or the back long-term. So, you stick to golf, you get a little more longevity out of it. Constantine Hatzivassiliou: It does help, yes. You’re right. Jason Diamond: My thought always goes to people call it the 15th club in golf, just this mental element of the game and to me it’s the clear moment in golf that always comes to mind for me is the 72nd hole. I don’t know if you just watched the US Women’s Open but Nelly Korda standing over a two-foot putt that I really thought she missed, is there an equivalent of that moment? Are you ever able to recreate that pressure in your current role or is that something that you miss? Constantine Hatzivassiliou: Jason, we have those moments weekly, countless stories. Here’s where I love my job. I’ve transitioned from being the guy behind the screen who is just trading accounts, that’s where we all start and you have to have that foundational perspective of what’s involved in trading an account on a daily basis. Not that we ever picked stocks to an extensive level, we were generally managing ETFs, mutual funds and strategies but I’ll give you an example. So, just last week, we had a family and this is where the family office side comes in more so than the financial advisory services come in. We had spent four months in helping a family sell their business, it was a life altering moment, the dad started the business, the dad had been independently successful, net worth of well into eight figures, was happy and content, brought his son into the business, son was brilliant, saw an opportunity within the business and grew the business by 4,000%. Jason Diamond: Literally? Constantine Hatzivassiliou: Yup. All because of this, the son saw a different direction and pivoted the business and grew it out and here he is, getting ready to have their first child and he gets approached by a firm to acquire his business. They’re ecstatic, the number was perfect, I thought it was overvalued, I was telling them that there’s no way they could turn it down because the number was too significant. Had they gone to the market, they would probably never achieve that level of return. And literally, the day of closing, as we’re expecting the wire to come through, the deal gets pulled. So, here you have the father who’s crushed because he was trying to provide something for his son, the son who’s just devastated because he now was preparing for the second stage of his life and you go through at that stage the classic stages of grief, it’s the cycle that goes through it. I was holding their hand through the three-month process up to there, every day, hourly calls, strategizing, building everything out, organizing the accounting team, organizing the attorneys, getting it all to work out. And here I am, father and son, unbelievably stressed, you have the wives in the background who can’t quite comprehend what’s going on, you have employees beneath them who are now confused as to there was a transition getting ready to take place and the only person who can step in under that critical moment to bring everybody back together was me. So, here I am thinking, 20 years ago, I’ll just pick stocks and bonds for individuals but now I’m in the middle of deal flow trying to help a family solve the issues that arise. So, those are hugely critical- Jason Diamond: Yeah, that’s right. Constantine Hatzivassiliou: …moments where, because our clients are our friends and family, we care for them like they’re our own, you become emotionally attached. And the same pressure that I felt when I won my first mini tour event after college, when I had to get up and down from the impossible bunker shot and I hit it to six feet and I made the crucial put to win my first $23,000 check which I thought was unbelievable, they gave you those big old-fashioned- Jason Diamond: The Happy Gilmore checks. Constantine Hatzivassiliou: Exactly, right? It was the greatest day at that time. The stress of being in that bunker trying to hit that shot is the same stress I felt having two phones ringing, one the father, one the son where we have to keep that situation separate. So, you’re diving into unbelievably stressful situations and the best part is, when we get it all solved and literally yesterday we solved the entire dynamic of the business, I get a text from the son saying that this was the most incredible rollercoaster experience he’s ever experienced, that he’s incredibly grateful for all that I did and our team did for him and that, for the rest of his life, we will always be the first person he calls to solve any of his problems. So, for us, that’s the recreation of that stressful moment and then the victory on the back end. Twenty-five years ago, I got the big Happy Gilmore check. Yesterday, I got that text which I’ve printed out and framed and have it in my office as a constant memory of why it is we do what we do. Jason Diamond: And I would bet that’s more impactful than the $23,000. It’s an incredible story and I’ll tell you why, you said it but it’s as far away from stocks and bonds as you could possibly get. But I think, most advisors, a story like that resonates much more. It leads into my next question. You intentionally choose to service a high net worth segment of the market and I would assume that number’s probably creeping up, not down over time in terms of who you service. My thought is that’s a very competitive segment of the market as well. Is this how you differentiate is just you make it about those types of human examples or is there more to it? Constantine Hatzivassiliou: I’m envious of the advisor who could walk into a room of 200 people and they become the central focal point of the room where they can walk up to every single person and fearlessly ask them incredibly personal information, I’m not wired that way. For me, I’m very much the individual that I will find the one person that I have common ground with, I will deepen that relationship and I will add value and, because of the value that I create, I become a critical component of that individual’s success. And that’s how we’ve grown our business holistically at the firm largely buy that extra layer of service. We’re a commodity business. Being in South Florida, the clubs that I belong to, 10 to 15% of the members feel like they’re financial advisors. You could throw a rock anywhere and find a financial advisor so how do I differentiate myself? The only way I can truly differentiate myself and my firm is the level of service we provide, to go that extra step. To where, when we’re calling a client, they know I’m calling them to support their needs not because I’m seeking something for any ulterior motive. Jason Diamond: But you don’t mention financial planning or investment management or asset custody. Is that because I assume just that’s table stakes? Of course we do that but … Okay, yeah. Makes sense. Constantine Hatzivassiliou: That’s the easy part, right? That’s foundationally … And to your earlier point, you were asking the RIA model. One of the biggest challenges that we had down here in South Florida was the RIA model is new. If you were in the northeast, RIAs are very common, out west, incredibly common. Down here in South Florida, I just finished dealing with Bernie Madoff. Jason Diamond: You were fighting the good education fight a little bit. Constantine Hatzivassiliou: At Bernstein, 108 of our clients had assets with Bernie Madoff. Jason Diamond: Yeah. Constantine Hatzivassiliou: So, when you leave, one of our biggest growing curves as an RIA in South Florida was, when you leave the power of BNY Mellon or Bernstein and you’re some random little shop called Certuity, no one knows who you are. So, there was a big part of our education in the business was learning how to educate clients and prospective clients on the value of the RIA model and the fiduciary model in particular. Jason Diamond: Could you give me the 30-second answer to that if somebody says who are you, your prospect? I’ll tell you why I ask. Forget just Bernstein’s and BNYs of the world, a Morgan Stanley advisor or Merrill advisor has the exact same fear. I’m leaving Merrill to go launch Jason Diamond Wealth Management, my client’s going to say, “Well, who is that?” So, give me the quick pitch. Constantine Hatzivassiliou: Your typical broker, let’s say, you’re not really hiring JP Morgan, you’re not really hiring Wells Fargo, you’re not hiring Goldman Sachs, you’re hiring the advisor who works for that institution. Now, yes, that advisor has the Rolodex of data and information available at the firm level but, ultimately, you’re entrusting that individual to make your decisions for you. The broker who leaves the brokerage model to open up their own brick and mortar operation has to then decide are they continuing down the wirehouse brokerage model where they’re transactional in nature, the economics behind that, far more profitable. The revenue streams affiliated with a brokerage house drastically blows us out of the water. But then you have to also look at yourself in the mirror so how are you running your book of business, how are you running your practice. So, to answer your 30-second question, the RIA model, in my opinion, is truly the only way any family of wealth should proceed with an advisory firm because you want an individual who is aligned in your goals and objectives. Our clients know that I’m their chief financial officer, I work for them. They task us with building out a financial strategy that is customized to their individual needs and they never have to worry do I have an ulterior motive as to why I’m presenting an option in that strategy. And, because of that, the fiduciary model, I think, is critical for our success as a firm and, again, as I mentioned earlier, I wish it’s something that was industry well and not the vast minority. Jason Diamond: Yeah. No, that’s a great answer. So, do you think then that, as time has gone on, this has gotten easier? I assume the answer is yes either because more clients are aware of your brand and/or more aware of the space as a whole. Constantine Hatzivassiliou: The first thing that helped the most was some gray hair. When I started at Bernstein, I attempted to solicit new clients very much the same way I do today. But when I was 26 years old and I’m sitting in front of a family worth and the dad was in the 70s and he lived his life and I’m younger than his kids, he would look at me and say, “What do you really know? What experience do you have?” So, doing this now for as long as I have, the number one thing that has helped me the most in growth is just wisdom and time. Without that, yes, you can be a rockstar stock picker. We have so many kids coming out of college today with the advent of AI and technology that have algorithms that could run unbelievable portfolios and there is a segment of the market who wants to hire and engage those individuals but, generally speaking, the families that we service, that is 10th or 12th on the list of importance. Jason Diamond: No, I think that’s spot on. I think most high net worth clients counterintuitively agree with that, that alpha, for lack of a better term, is really not the name of the game or not in the top five reasons why you would engage with a financial advisor. Constantine Hatzivassiliou: Agreed. The biggest thing that we’ve been doing to educate clients especially in today’s environment, I had a call yesterday with an individual, a client who lives in New Jersey who works out of New York for a hedge fund, he knows our space incredibly well. He’s one of those kids, 28 years old, brilliant, as smart as you’ll ever be but his tax bracket is atrocious. He is paying so much of his W-2 income in taxes and building out a strategy that can reduce his tax liability by several hundred thousand dollars a year far exceeds any alpha I can generate by picking a top decile performer. Jason Diamond: What was the strategy? Move to Florida? I’m just kidding. Don’t answer that. Constantine Hatzivassiliou: We offered that but, unfortunately, he has to be physically in the office in New York City but yes. Jason Diamond: I think that will resonate, by the way, your gray hair comment. I appreciate the humility and the modesty in that because, the reality is, one of the questions I was going to ask you about was next-gen talent cultivation. In my opinion, this is a hard game for younger folks for that reason. People sit across from other people with a lot of money and they say, “Why am I going to entrust you with my life’s work when you just don’t have that degree of experience?” I was asking more even about your firm success and your firm story, have you felt like that’s caught on more? Do you have more brand awareness, if you will, now when you go to a prospect meeting or do you think you’re still constantly fighting that education fight? Constantine Hatzivassiliou: So, first part, brands, it’s improved in our immediate network. In our little bubble of the world, yes, it’s known. Let’s call it, in South Florida the influential attorneys, the accountants, the divorce attorneys know who we are because, having been down here long enough, we’ve had opportunities to work together. Our network of friends, certainly, the word spreads. But in the grand scheme of things, we are so small in the South Florida landscape or the LA landscape or the New York landscape so any incremental gain that we pick up is meaningful. And then, as it relates to young talent, our success is completely, long-term, derived by the young talent that we bring in to nurture them to help them grow. I look at our success, two of our critical mentors and board members of our firm are in their 80s, their children and grandchildren, nepotism aside, whether it was interning while in college or coming to work for us after school, they’re our best employees. And our goal as a firm, just like how I was offered the opportunity to become a partner and own a piece of the business, our goal long term will be to transition the business to this younger generation that we’re developing. I look at, again, those two board members who are in their 80s, the advice they’ve given me is don’t ever stop working, you have to be doing something. And I turn to them and say, “I don’t work every day.” I put in 20 hour days, well, not quite 20, 18 hour days but it’s never work because, what I do every day, I don’t deem it work, I love what I do, I don’t ever see myself stopping. Because they’ll tell me all of their friends that have stopped working or sold their business, invariably, the men die within six months because boredom and we always joke around that you’ll continue to work forever. So, I would hope that one day I transition into that advisory board member role where I step aside day-to-day activity where I’m now a mentor to our younger generation that we’re promoting into partners because we’ve made promises to our clients that we will forever be their family office. So, we have to, as part of our growth model, have those transitions in place because we’re servicing many families that have 85-year-old clients and two-year-old clients and we’re tasked with the two-year-olds as well as the 85-year-old. Jason Diamond: I also feel like there’s a little bit of younger generations I think have been reluctant to some degree to get it, you can disagree with this, to get into this space because there’s a more appeal to things like investment banking and sales and trading to some degree. The other problem obviously you alluded to is asset gathering. Your model speaks so clearly to success because you don’t say I own the client, that’s my relationship. To me, you plant the seeds of being able to handle succession much better than somebody who does the mine is mine and yours is yours approach. Is that fair? Constantine Hatzivassiliou: That’s completely accurate. And I think there’s two types of people that serve in the financial advisory space. You have the individual who is analytics driven, who likes being behind the bank of monitors trading account and there’s a critical part of our firm and our success is driven by the team in the office that aren’t necessarily client facing that do all the heavy lifting every day because they’re really doing the heavy work. Myself, my partners, the select few, while talented and able to do that, realize the value that we present is quarterbacking the relationship and helping understand all the components. We kid around that we’ve all stayed at a Holiday Inn Express last night, we’ve become experts in tax, we’ve become experts at trust and estate planning, we’ve become experts at divorce, we’ve become experts at the medical field. It’s shocking how it’s 2:00 in the morning and you get a phone call, panic attack by a client saying they need a doctor for X, Y and Z, can you connect me. So, the younger generation, yes, the sexy space is investment banking and that is really hard work. I could not do what my friends at Goldman do who are at these private mid-market funds, that’s just not me. I’ve been fortunate that I stumbled into an avenue in financial services that I think perfectly fits my personality and my want and desire to help others because that’s what we’re driven by and we try and hire people with that same mindset. The hardest thing as an RIA especially in South Florida is finding and retaining talent that is like-minded and that could function well within our family. Jason Diamond: If you build a firm predicated on culture and client service, I understand, certainly, the importance of that. I want to shift gears, I don’t want to lose this thought. You mentioned organic growth, it’s incredible. You have not mentioned inorganic growth at all and maybe because you haven’t had to but give me your thoughts on M&A, private equity in this space, do you have plans to sell the business, take on a capital partner, buy other RIAs? Constantine Hatzivassiliou: Yeah. So, I understand why private equity in the last 10 years has come into the market. For years, they bought up insurance practices, that recurring revenue, sticky assets, it makes sense. Personally, I’m not a fan of them being in our markets, I think they’re motivated at the end of the day by AUM growth, revenue growth and the second transaction which, for most of our clients, would not make sense because, again, that then questions why it is that we’re motivated to do something. Am I taking extra risk in the portfolio because I want to grow the AUM because I’m looking to sell in a year? Am I bringing in a strategy that has a higher fee? For us, it doesn’t work. In the brokerage model, it makes perfect sense. Now, there are some RIAs who leave the wirehouses, open up an RIA shop, do really well for their clients but don’t have the long-term aspirations of making the institution a legacy to where they’re passing it off. I hope my kids one day want to come work for dad and follow in his steps, that’d be amazing. Just like our younger generation working at the firm, our goal is we’ve already targeted the three or four guys that will be partner one day and we’ll transition the business over to them. But it’s okay if there’s an RIA out there who doesn’t have that transition product or isn’t motivated by that and is looking at it as a vehicle that I’ve built a really good successful book of business and I want to now retire and spend time with my family and kids and travel, et cetera, and that’s where PE steps in and offers an attractive number and the person makes their move. So, I can’t fault the individual for wanting that and I’m not saying that they’re not doing well by their clients, it’s just, for us, I’m not a fan of it because, again, I’m first critically and always focused on what’s best for the client. Jason Diamond: Fair. And I largely agree with some of what you said around private equity in this space but private equity enables … Obviously, it’s capital so which enables acquisitions which is why a lot of firms take on private equity. So, what about the idea of potentially buying businesses to start up inorganic growth? Constantine Hatzivassiliou: We have gone down the road of acquiring other institutions potentially. The challenge is, because we manage money so uniquely and our approach is so different, I’m not going to bring on an institution or bring in a new partner to the firm or a new book of business that we’ve acquired if the methodology and the life of that book doesn’t mirror ours. So, yes, there is opportunities to grow through acquisition, it’s not something that we are leaning on heavily. However, for the right institution that’s available that is aligned with our thinking, whose clients would value and appreciate how we do things or, if that institution is doing something truly unique that we would want to bolt onto our platform, all day long because, again, for the benefit of the client, it makes sense. So, yes, there are opportunities for that. Too often we find that, when a book is available for acquisition, the highest bidder tends to win out and we don’t have the deep enough pockets to write a multiple that we don’t deem to be, let’s call it, market neutral. Jason Diamond: Yeah, market prudent. I understand the premise and I think that’s fair. I also think you have the luxury, because of your organic growth, you can be super, super picky about inorganic and I love how you bring it all back to the lens of the client. Can this improve the client experience in some way? And, if so, yes, we’ll take a look. I got time for one more question, I can’t believe time has flown. You’ve had a remarkable journey, professional golf now partner at a $4 billion plus on the way to $5 billion RIA multifamily office. What are you most proud of when you reflect on your career journey? Constantine Hatzivassiliou: What am I most proud of? To see what Rich, myself and Mark and Jayson built over these years from where we were sitting in a small conference room, struggling to figure out how do we find a way to hire a trust and estate attorney to help with that component, which CPAs do we bring on board in-house because clients have a need. So, the entrepreneurial spirit involved in growing the business, the late nights, the struggles, the banter back and forth, to put so much blood, sweat and tears into this and now to look at all that we’ve accomplished, being in four separate states with offices, having so many wonderful employees that have come to us from all over the world, Germany, from China, from Tokyo, bringing people in to the US and building out something that, when we leave at the end of the day, are incredibly proud of. My father’s no longer with us, for 50 years, I always strived to make him proud because he never told me that he was proud of me, he was the classic Greek old-fashioned dad. I think he looks down on his now for everything that we’ve built and would say that he’s proud of us so, for me, that’s the best. Jason Diamond: Yeah. That’s an incredible place to end. Thank you for sharing that, it’s a touching place to end and I appreciate you being open. Thank you. This has been one of my favorite episodes, your journey, your humility, your honesty, your transparency, it’s no wonder you’ve built a business you’ve built. So, thanks for joining us, Constantine. I look forward to having you back on to talk about the next chapter. Constantine Hatzivassiliou: Thank you. Next time we’ll do it from the golf course. Jason Diamond: Oh, absolutely. Mindy Diamond: As a financial advisor, you hold yourself to the highest standards of integrity, honesty and credibility. You are successful because you take your professional responsibility seriously and are dedicated to your clients. But are you living your best business life? Are your goals aligned with your firms or could a better option exist? Should I Stay or Should I Go? Is a book written with you in mind? It’s a self-guided journey that walks you through the key steps that we take with our advisor clients. This strategic thought process and roadmap to professional self-discovery is designed to help you ask the right questions and think critically and objectively whether you’re considering change or not. Learn how to get your copy at diamond-consultants.com/thebook. Lessons from the Links: From Golf Pro to $5B Family Office Partner A conversation with Jason Diamond and Constantine Hatzivassiliou, Partner at Certuity. Jason Diamond: Welcome to the latest episode of our podcast series for financial advisors. Today’s episode is Lessons from the Links: From Golf Pro to $5B Family Office Partner. It’s a conversation with Constantine Hatzivassiliou, partner at Certuity. I’m Jason Diamond and this is the Diamond Podcast for Financial Advisors. Mindy Diamond: At Diamond Consultants, we help elite advisors identify the right environment for their businesses to thrive whether that’s at a wirehouse, boutique or independent firm. With nearly three decades of experience, we’ve guided thousands of advisors and represented more than a quarter of a trillion dollars in assets transitioned and, each year, one in four advisors managing $1 billion or more who change firms are our clients. Our process is education-driven and based on building relationships starting as your strategic partner well before you’re even thinking of a move. To schedule a confidential conversation, call us at (908) 879-1002. Wondering why advisors change firms and where they’re headed? Are transition deals going up or down? Those very questions and more inspired us to create our annual advisor transition report, it’s the award-winning data-driven resource designed for advisors that connects the dots between the motivations around movement and the firm’s appetite for top talent. Arm yourself with the knowledge you need to make smart decisions, download your copy at diamond-consultants.com/transitionreport. Jason Diamond: Golf is a way of exposing who you really are, there are no teammates to blame, no clock to run out and no hiding from a bad decision. Every shot demands discipline, patience and the ability to stay focused when the pressure is highest, my guest today knows that firsthand. Before becoming a partner at Certuity, a multifamily office approaching five billion in assets, Constantine Hatzivassiliou was pursuing a career as a professional golfer. An injury ultimately redirected his path towards wealth management but many of the lessons he learned on the course still shaped the way he serves clients today. Certuity has grown from roughly 210 million in assets to nearly five billion, that’s impressive on its own but the more interesting story is how they’ve done it. The firm has grown largely through referrals built around a multifamily office model and focused on becoming far more than an investment advisor to the families it serves. In Constantine’s view, the best advisors aren’t simply managing portfolios, they’re the first person clients call when a business is being sold, a family issue becomes complicated or a major decision carries consequences well beyond the balance sheet. Constantine and I discuss the lessons golf teaches about handling pressure then we dive into the evolution from the traditional wealth management world to the multifamily office model, why referrals drive nearly all of Certuity’s growth, how he thinks about private equity’s influence on the advisory business and what it takes to become the first call for the wealthy families they serve and perhaps, most importantly, why the same qualities that help someone succeed on a golf course may be surprisingly relevant to building trust over a lifetime. It’s a great conversation so let’s dive in. Constantine, thank you so much for joining, thrilled to have you here. Constantine Hatzivassiliou: Thank you for having me, excited to be here. Jason Diamond: Yeah, absolutely. So, you had an unconventional path to wealth management, you started as a professional golfer, I think that’s a first for us on this show, before ultimately transitioning into this world. Can you tell us a little bit about the journey and what brought you here? Constantine Hatzivassiliou: Yeah, I never thought I’d be here, my parents were certainly shocked that I got here path wise. Growing up, immigrants from Greece, you settle into Florida the traditional way where you either go down the diner route or the gas station route in mechanics which my father was the latter and school and education was never priority, it was always about supporting the family needs. So, next thing you know, sports are a critical part of any good household, that’s how I was raised and I played everything but golf. I grew up on a golf course because my parents believed that a location of a property was critical to long-term financial success. We lived on a golf course, it was in our backyard, we’d stare at it and we’d use it to play football or baseball or anything but actual golf. And my freshman year at the University of Florida, I started dating a girl on the golf team and she got me hooked to the point where, after four years of hitting balls with the women’s and men’s golf team at the University of Florida for six hours a day, we finished school and realized I’m actually pretty good at the game and, while I have a finance and economics background and degree, let’s try and pursue this for a living and I was blessed. I had a sponsor who helped me succeed at golf on a small scale, it was a humbling experience to say the least. I was competing and playing with Sean O’Hair, Ken Duke, guys who made it out on tour for a very long time, we had the same sponsor so we functioned as a team, it was a collegiate team effectively trying to make it out on tour. And, unfortunately, my second year of competing, I blew out my back doing heavy deadlifts which set me aside for 18 months. While I was recovering, my primary sponsor was in financial services and says, “Hey, you have a background in this, it’s killing you not being able to be on the golf course, why don’t you come work for me while you’re rehabbing so that, when you get back to playing golf, it’s easier for you to talk about our business as a sponsor to try and develop business to throw it to the financial services side?” And Jason, the reality is, after 18 months working there, I fell in love with it. I made way more money working in that environment than I ever would’ve made playing golf because, again, I came to the game late. I was decent but I was nowhere near the caliber of players that are succeeding now out on tour. So, I pivoted after having met my wife and decided to settle down into the wealth management space and, what is it now, 26 years later, going strong. So, it’s been a fun transition from golf into wealth management to say the least. Jason Diamond: Probably my favorite background … I watch a lot of golf, I should caveat that, probably my favorite origin story we’ve had, I’ll give you the Wanamaker trophy or whatever you get, first place. Let’s talk about the business now, so Certuity. For our audience who may not be familiar, tell us a little bit about the firm, what types of clients do you serve and any context you can provide on size as well. We’ll talk about how your firm got there but just give us where we are today to start with. Constantine Hatzivassiliou: So, goal by the end of the year is to have $5 billion in AUM, we’re just shy of that now. We currently service 428 families across the country. So, we’re boutiquey and nimble, we’re based in South Florida, we have offices in New York, San Fran and LA. I’m fortunate to be one of four partners at the firm supporting the growth and the direction of the company and it’s a fun endeavor in the sense that, when we first started, I was employee number four 16 years ago and, with 210 million in AUM at the time to grow it to where we are today, to learn all the things that we have over the years, the curve balls that were thrown at us because all of us came from massive institutional wealth management firms. So, we transitioned from the Bernsteins of the world, the BNY Mellons of the world into an RIA in the South Florida market, there was absolutely an entrepreneurial learning curve involved. Jason Diamond: I bet. And on follow-up question, 16 years ago, did you have a book of business, client business and do you still maintain a book of business today? Constantine Hatzivassiliou: I do. The four of us at the firm share in all of the clients, we work together. Being in the Southeast, I’m responsible for, let’s call it, the Southeast demographics of the US which is a large portion of Certuity’s book. I have a partner in Tennessee, I have a partner in LA and San Francisco and we divide and conquer across the country. But, yes, we came over with a small book, we’ve all grown it organically since then. So, we’ve been very effective in how we’ve grown. Jason Diamond: Just from adding new client money? Constantine Hatzivassiliou: Strictly through new clients referred to us by existing clients. Jason Diamond: Wow. I

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Prolonged Fieldcare Podcast

Play Episode Listen Later Jul 16, 2026 45:47

In this episode of the Prolonged Field Care Podcast, Dennis sits down with Alex to break down a hot-off-the-press retrospective study from the Journal of the American College of Surgeons titled “Challenging Legacy Burn Resuscitation Paradigms with Fluid Restriction and Early Plasma.”They dismantle the decades-old “swell to get well” mentality and the classic Parkland formula that has led to dangerous fluid overload, massive edema, and compartment syndromes in burn patients. Instead, they explore a more physiologic approach using lower crystalloid volumes (starting at 2 mL/kg adjusted body weight) plus early fresh frozen plasma (FFP) for patients with larger burns.Key Takeaways:The Parkland formula (4 mL/kg/%TBSA) frequently causes massive over-resuscitation; the new restrictive approach delivered significantly less fluid while maintaining (and often improving) urine output.Capillary leak from glycocalyx damage is the real enemy in burn shock — plasma helps restore oncotic pressure and may reduce third-spacing.Titrate everything to urine output (target 0.3–0.5 mL/kg/hr). Formulas are only a starting point.Use adjusted body weight (ideal body weight + 0.4 × [actual – ideal]) instead of actual body weight for fluid calculations.Early plasma (1–2 units for >30% TBSA) showed a strong signal toward lower mortality, less ventilator days, and reduced renal failure in this study.The Joint Trauma System (JTS) Burn Care CPG still emphasizes early consultation with a burn center — phone a friend early.This approach has direct application for prolonged field care and austere environments, though the study is retrospective and should be implemented thoughtfully.Whether you're a special operations medic, flight paramedic, or managing burns in a resource-limited setting, this conversation will fundamentally change how you think about burn shock resuscitation.Resources:prolongedfieldcare.org (free downloads, worksheets & more)Follow @prolonged_field_care on InstagramJTS Burn Care CPG (CPG #12) – includes the excellent burn resuscitation worksheetChapters: 00:00 – Introduction: Why Burn Care Still Terrifies Experienced Medics03:09 – The Horrifying Reality of Over-Resuscitation (Edema Photos & Leaky Pipe Analogy)05:30 – Understanding the Glycocalyx and Why Crystalloid Leaks So Fast09:05 – The One-Third Rule Myth & Why Fluids Disappear in Sick Burn Patients11:14 – Parkland Formula Breakdown: History, Math & Its Biggest Flaw13:00 – The New Study: PICO, Methods & the Shift to 2 mL/kg + Early Plasma16:54 – Elevator Pitch: What This Paper Actually Found20:06 – Primary Results: Dramatically Less Fluid with the Restrictive Protocol21:24 – Urine Output Reality Check: Why the “Less Fluid” Group Still Hit Targets24:23 – Practical Protocol Breakdown: Who Gets 2 mL vs 3 mL + When to Give Plasma25:30 – Adjusted Body Weight Calculation Explained (and Why It Matters)27:26 – Titration to Urine Output is King – Stop Chasing Vitals29:55 – Dennis Rates the Evidence on the PFC Gestalt Scale30:38 – Why Plasma Makes Physiologic Sense (and Whole Blood May Be Next)35:30 – Study Limitations & Provider Bias Discussion37:30 – Can We Implement This in Prolonged Field Care Right Now?38:38 – JTS Burn Care CPG: The Burn Center Contact You Need to Save42:53 – Final Advice: Titrate Aggressively, Phone a Friend Early, Close the GapFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

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The Parkland Podcast Episode 107 July 11, 2026

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Play Episode Listen Later Jul 13, 2026 119:18

Send us Fan MailLive from Ransom's in Desloge. Jason and Mark talk to Kevin White, Matt Hardin and Daniel Engler. Plus news, events and more. Time Marks00:18:56-News00:23:34-Events00:29:19-Sports00:33:52-Kevin White Interview00:51:09-Matt Hardin Interview01:17:14-Daniel Engler Interview01:38:20-Birthdays01:47:27-Music and MoviesHome - Parkland PharmacyExplore Farmington, Missouri - Discover Farmingtonsubway.comFirst State Community Bank | Helping Communities ThriveFarmington Water Park & The River's Edge Splash Pad www.BetterHelp.com/TheBarnhttp://www.betterhelp.com/TheBarn http://www.betterhelp.com/TheBarnThis episode is sponsored by www.betterhelp.com/TheBarn and brought to you as always by The Barn Media Group. YOUTUBE https://www.youtube.com/@TheBarnPodcastNetworkSPOTIFY https://open.spotify.com/show/09neXeCS8I0U8OZJroUGd4?si=2f9b8dfa5d2c4504APPLE https://podcasts.apple.com/podcast/id1625411141I HEART RADIO https://www.iheart.com/podcast/97160034/AMAZON https://music.amazon.com/podcasts/7aff7d00-c41b-4154-94cf-221a808e3595/the-barn

The Update (Best of Year 2)- July 11th

The Update with Brandon Julien

Play Episode Listen Later Jul 11, 2026 40:31

Hello everyone! We're going into #TheUpdate vault to play one of our many episodes throughout our many years of the show. For today's episode, we're doing something a little bit different- a compilation of the best of Year 2 of the show. Having been in the anchor chair for a full year now, the amount of events just continued to pick up. Nikolas Cruz opening fire at Marjory Stoneman Douglas High School in Parkland, Florida, Bill Cosby convicted on all three counts of aggravated indecent assault for drugging and sexually assaulting Andrea Constand, and Brett Kavanaugh being confirmed to the Supreme Court just to name a few. But despite all the heaviness of the news, me (and occasionally Cris too) found a way to have some fun doing it.

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ABCs of NMOSD 702. CAR-T in NMOSD

Play Episode Listen Later Jul 6, 2026 30:57

Dr. GG deFiebre of SRNA spoke with Dr. Michael Levy and Dr. Benjamin Greenberg about CAR-T therapy for aquaporin-4-positive NMOSD. They described why targeting B cells may reduce aquaporin-4 antibodies over time and could enable long-term remission or reduced need for ongoing drugs [01:37]. The physicians outlined an autologous Phase 1 study at Mass General and UT Southwestern [07:02]. They discussed eligibility rationale and how lessons from this NMOSD-focused trial could inform future neuroimmune disorder research [09:10]. You can find more information about the trial here:https://clinicaltrials.gov/study/NCT07573332?cond=NMOSD&intr=CAR-T&viewType=Card&rank=1Benjamin M. Greenberg, MD, MHS is a Professor and the Cain Denius Scholar in Mobility Disorders in the Department of Neurology [https://utswmed.org/why-utsw/departments/neurology/] at UT Southwestern Medical Center in Dallas, Texas. He currently serves as the Vice Chair of Translational Research and Strategic Initiatives for the Department of Neurology. He is also the interim Director of the Multiple Sclerosis Center [https://utswmed.org/locations/aston/multiple-sclerosis-and-neuroimmunology-clinic/] and the Director of the Neurosciences Clinical Research Center. In addition, he serves as Director of the Transverse Myelitis and Neuromyelitis Optica Program and the Pediatric Demyelinating Disease Program [https://www.childrens.com/specialties-services/specialty-centers-and-programs/neurology/demyelinating-disease-program] at Children's Medical Center.Dr. Greenberg earned his medical degree at Baylor College of Medicine before completing an internal medicine internship at Chicago's Rush Presbyterian-St. Luke's Medical Center. He performed his neurology residency at the Johns Hopkins School of Medicine. He also holds an M.H.S. in molecular microbiology and immunology from the Bloomberg School of Public Health, as well as a bachelor's degree in the history of medicine – both from Johns Hopkins. Prior to his recruitment to UT Southwestern in 2009, Dr. Greenberg was on the faculty of the Johns Hopkins Division of Neuroimmunology, serving as the Director of the Encephalitis Center and Co-Director of the nation's first dedicated Transverse Myelitis Center.Dr. Greenberg splits his clinical time between adult and pediatric patients at William P. Clements Jr. and Zale Lipshy University Hospitals, Parkland, and Children's Medical Center. His research focuses on better diagnosing, prognosticating, and treating demyelinating diseases and nervous system infections. He also coordinates clinical trials to evaluate new treatments to prevent neurologic damage and restore function to affected patients. Michael Levy, MD, PhD is a recognized neurologist with over 15 years of clinical and research expertise in rare neuroimmunological disorders. He established the Neuroimmunology Clinic and Research Laboratory at Massachusetts General Hospital and is the Research Director in the Division of Neuroimmunology and Neuroinfectious Disease. Previously, Dr. Levy was on the faculty at Johns Hopkins University and was the founding Director of their Neuromyelitis Optica Clinic. Clinically, Dr. Levy cares for patients with MOG antibody disease (MOGAD), neuromyelitis optica spectrum disorder (NMOSD), and idiopathic transverse myelitis (TM). Dr. Levy is also the principal investigator (PI) on numerous patient studies and drug trials for new and improved treatments for these disorders. In 2022, Dr. Levy became the lead principal investigator for the two worldwide clinical trials in MOG antibody disease. In the lab, Dr. Levy's research focuses on the development of animal models of NMO and MOG with the goal of tolerization as a sustainable long-term treatment. Dr. Levy has more than 200 peer-reviewed research articles, reviews and editorials, and 3 patents covering NMO tolerization therapy, TM diagnostics, and stem cell regeneration approaches.

The Parkland Podcast Episode 106 July 4, 2026

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Play Episode Listen Later Jul 4, 2026 94:37

Send us Fan MailLive from Ransom's in Desloge. Jason and Mark talk to Heather Garner with the Southeast Economic Development Fund. Plus news, events and more. Time Marks00:27:40-News00:31:58-Events00:37:37-Sports00:41:18-Heather Garner Interview01:09:50-Birthdays01:23:11-Music and MoviesHome - Parkland PharmacyExplore Farmington, Missouri - Discover Farmingtonsubway.comFirst State Community Bank | Helping Communities ThriveFarmington Water Park & The River's Edge Splash Pad www.BetterHelp.com/TheBarnhttp://www.betterhelp.com/TheBarn http://www.betterhelp.com/TheBarnThis episode is sponsored by www.betterhelp.com/TheBarn and brought to you as always by The Barn Media Group. YOUTUBE https://www.youtube.com/@TheBarnPodcastNetworkSPOTIFY https://open.spotify.com/show/09neXeCS8I0U8OZJroUGd4?si=2f9b8dfa5d2c4504APPLE https://podcasts.apple.com/podcast/id1625411141I HEART RADIO https://www.iheart.com/podcast/97160034/AMAZON https://music.amazon.com/podcasts/7aff7d00-c41b-4154-94cf-221a808e3595/the-barn

Thursday's top stories in 10 minutes

CBC News: World Report

Play Episode Listen Later Jul 2, 2026 10:08

Alberta is set to unveil plans for a massive one-million-barrel-per-day West Coast pipeline amid high political stakes and First Nations tension. Severe flooding has washed away roads and cut off communities in Manitoba's Parkland region, leaving thousands of residents stranded. The brutal heat wave that has been baking Ontario and Quebec is expanding east, triggering new heat warnings across the Maritimes. 20 people are dead after Russia launched a massive barrage of 74 missiles and nearly 500 drones targeting Kyiv overnight. Iran is threatening a forceful response against oil tankers in the Strait of Hormuz if they ignore its shipping routes and transit fees. UK Prime Minister Keir Starmer has formally apologized for historic forced adoptions, calling the practice a stain on the country's history. The Vatican has excommunicated a traditionalist Catholic group after it defied Pope Leo by ordaining new bishops without his approval. The looming Madison Square Garden wedding of Taylor Swift and Travis Kelce is thrilling fans but drawing criticism over potential city gridlock and marketing tactics. A submersible is diving 400 metres under the Labrador Sea today to locate polar explorer Sir Ernest Shackleton's final ship.

The Parkland Podcast Episode 105 June 27, 2026

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Play Episode Listen Later Jun 29, 2026 142:38

Send us Fan MailLive from Ransom's in Desloge. Jason and Mark to Republican Candidates in the August Primary including Becky Laubinger, Kristina Bone, Ginger Daffron, Angie Usery, Mike Miller and Kyle Smith. Plus news, events and more. Time Marks00:21:29-News00:24:58-Events00:29:31-Sports00:34:13-Becky Laubinger Interview00:51:34-Kristina Bone Interview01:01:54-Ginger Daffron Interview01:14:28-Angie Usery Interview01:31:34-Mike Miller Interview01:48:19-Kyle Smith Interview02:01:45-Birthdays02:13:08-MusicHome - Parkland PharmacyExplore Farmington, Missouri - Discover Farmingtonsubway.comFirst State Community Bank | Helping Communities ThriveFarmington Water Park & The River's Edge Splash Pad www.BetterHelp.com/TheBarnhttp://www.betterhelp.com/TheBarn http://www.betterhelp.com/TheBarnThis episode is sponsored by www.betterhelp.com/TheBarn and brought to you as always by The Barn Media Group. YOUTUBE https://www.youtube.com/@TheBarnPodcastNetworkSPOTIFY https://open.spotify.com/show/09neXeCS8I0U8OZJroUGd4?si=2f9b8dfa5d2c4504APPLE https://podcasts.apple.com/podcast/id1625411141I HEART RADIO https://www.iheart.com/podcast/97160034/AMAZON https://music.amazon.com/podcasts/7aff7d00-c41b-4154-94cf-221a808e3595/the-barn

Definitive Management, Resuscitation, and Grafting in Burn Care with Dr. Manuel Portalatin, DO

Brown Surgery Podcast

Play Episode Listen Later Jun 23, 2026 25:55

In the second installment of this two-part series, the Brown Surgery podcast continues its discussion with Dr. Manuel Portalatin, DO to discuss the definitive inpatient management of severe burn injuries. Dr. Portalatin breaks down the modern nuances of fluid resuscitation algorithms, explaining how teams balance the Parkland formula against the dangers of over-resuscitation, and how hourly urine output serves as the primary metric for titration. We also dive into the critical timing of nutrition, the physiological impact of "rescue albumin" on the endothelial glycocalyx, and the surgical nuances of excision and grafting. From traditional topicals to advanced dermal templates like BTM and emerging enzymatic debridement technologies like Nexobrid, this episode provides a comprehensive guide to long-term scar mitigation, contracture management, and laser modalities.

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074 - Foundations of Church Security Teams (Part 4)

Tips, Tactics and Tools Podcast

Play Episode Listen Later Jun 23, 2026 46:31

In Part 4 of our Church Security Teams series, guests Adam McIntyre and Michael Bearden discuss one of the most overlooked, and most important, aspects of church security: radio communication. Many teams focus heavily on firearms, medical training, and response tactics, but communication is what connects every part of an incident. From detection and decision-making to reunification, effective communication can make the difference between order and chaos. Drawing on decades of military and security experience, Adam, Mike, Brink, and Tom share practical lessons on radios, communication plans, Security Operations Centers, equipment selection, radio placement, training drills, and common mistakes churches make. Whether your team is large or small, armed or unarmed, this episode provides actionable guidance to help your organization communicate more effectively during a crisis. 2:00 – Why communication is the most important element of a church security program 2:18 – Mike explains how serving as a communications specialist on a Green Beret team gave him years of experience operating and troubleshooting radio systems in complex environments. 4:40 – A rural school district exercise Defend Systems conducted where communication failed 6:00 – The three most important priorities for church security teams: people, response capability, and communication 7:15 – Building primary, contingency, and emergency communication plans 8:30 – Start simple: why every church should begin with reliable radios 8:58 – Why military units often view radios as being just as critical as weapons 10:20 – Security Operations Centers: who should staff them and why they should remain focused on coordination 14:50 – Don't just buy radios—train with them regularly 17:40 – Common communication failures churches experience 19:10 – Why Defend Systems prefers UHF radios for penetration and building coverage 24:55 – The reality of communication equipment: you often get what you pay for 26:00 – Budgeting for radios: fewer high-quality radios versus more lower-quality options 27:50 – Why used radios can be a smart option for churches with limited budgets 29:30 – Managing radio channels and keeping communication simple 32:15 – Training to ensure team members know which radio and channel to use under stress 32:50 – Parkland school shooting lessons learned: how using the wrong radio can have devastating consequences 35:00 – Why communication proficiency may be more important than marksmanship 40:00 – Building communication skills through scripting before adding movement 44:24 – "Confusion costs time, and time costs lives." 44:50 – Why plain language is more effective than complicated codes

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The Parkland Podcast Episode 104 June 20, 2026

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Play Episode Listen Later Jun 22, 2026 115:31

Send us Fan MailLive from Ransom's. Mark and Jason talk to Organizers of the Help the Hungry Bake Sale and Bonne Terre City Administrator Shawn Kay. Plus local news, events, sports and more.Time Marks00:23:47-News00:28:37-Events00:42:21-Gracie Trokey, Jennifer and Anna Sikes Interview01:06:31-Shawn Kay Interview01:33:17-Birthdays01:45:50-MusicHome - Parkland PharmacyExplore Farmington, Missouri - Discover Farmingtonsubway.comFirst State Community Bank | Helping Communities ThriveFarmington Water Park & The River's Edge Splash Pad www.BetterHelp.com/TheBarnhttp://www.betterhelp.com/TheBarn http://www.betterhelp.com/TheBarnThis episode is sponsored by www.betterhelp.com/TheBarn and brought to you as always by The Barn Media Group. YOUTUBE https://www.youtube.com/@TheBarnPodcastNetworkSPOTIFY https://open.spotify.com/show/09neXeCS8I0U8OZJroUGd4?si=2f9b8dfa5d2c4504APPLE https://podcasts.apple.com/podcast/id1625411141I HEART RADIO https://www.iheart.com/podcast/97160034/AMAZON https://music.amazon.com/podcasts/7aff7d00-c41b-4154-94cf-221a808e3595/the-barn

EP-180 Medical Emergencies at Sea: Essential Life-Saving Skills for Sailors with Dustin Talacko

Sailing the East

Play Episode Listen Later Jun 18, 2026 54:32

In this episode of the Sailing and Cruising the East Coast of United States podcast, hosts Bela Musits and Mike Wasserman sit down with Dustin Talacko, a dedicated firefighter paramedic from Omaha with over 13 years of experience in the field. While Dustin spends his days working in high-pressure environments on a busy ambulance, he is also a passionate small business owner who identifies and fills critical "safety gaps" within the community through specialized training and life-saving equipment.This conversation explores a vital topic for any cruiser: handling medical emergencies on a boat where professional help may be miles away. When you are out on the water, the first few minutes of a crisis are the most critical. If you don't have the right knowledge and tools, a situation can quickly become life-threatening. Dustin shares his expertise on why every sailor needs to be prepared for the unexpected and how the right advice can make this the most important half-hour you ever spend listening to a podcast.Dustin recounts the powerful story of how his business was born from a graduate school SWOT analysis following the tragic 2017 Las Vegas shooting. Realizing that even standard ambulances often lacked sufficient equipment for mass casualty incidents, he took it upon himself to develop comprehensive "bleeding control kits". These kits include essential items like tourniquets, pressure bandages, occlusive dressings, and trauma shears—tools designed to stop life-threatening bleeding that can lead to death in less than three minutes.Through perseverance and a commitment to his craft, Dustin navigated bureaucratic challenges to eventually get these kits implemented across his department following the Parkland shooting. His journey serves as a masterclass in both emergency preparedness and entrepreneurial spirit. Whether you are a weekend coastal cruiser or planning a long-distance passage, this episode provides actionable insights into the medical gear and mindset required to keep your crew safe.Enjoyed the episode? Hit the Like button on your app!Email: sailingtheeast@gmail.comWatch: Find us on YouTube at the Sailing and Cruising channel.Happy Sailing!Bela and MikeSEO Search Terms:Marine medical emergency preparednessSailing first aid kitsBleeding control for sailorsDustin Talacko paramedic interviewEmergency medical skills for cruisersSailing and Cruising the East Coast of United StatesBela Musits and Mike Wasserman podcastTourniquets and trauma gear for boatsBoating safety equipmentLife-saving medical training for marinersConnect with Us

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Dallas Baillie for Thunder in the Parkland!

Nick and Reader

Play Episode Listen Later Jun 15, 2026 3:00

We were joined this morning by Thunder in the Parkland announcer Dallas Baillie to chat about the weekend!

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The Parkland Podcast Episode 103 June 13, 2026

Play Episode Listen Later Jun 14, 2026 107:12

Send us Fan MailLive from Ransom's. Mark and Jason talk to St Francois County Sheriff Jeff Crites and local author Whitney Shumway. Plus local news, events, sports and more.Time Marks00:20:01-News00:23:18-Events00:28:19-Jeff Crites Interview00:55:09-Whitney Shumway Interview01:15:27-Birthdays01:32:36-MusicHome - Parkland PharmacyExplore Farmington, Missouri - Discover Farmingtonsubway.comFirst State Community Bank | Helping Communities ThriveFarmington Water Park & The River's Edge Splash Pad www.BetterHelp.com/TheBarnhttp://www.betterhelp.com/TheBarn http://www.betterhelp.com/TheBarnThis episode is sponsored by www.betterhelp.com/TheBarn and brought to you as always by The Barn Media Group. YOUTUBE https://www.youtube.com/@TheBarnPodcastNetworkSPOTIFY https://open.spotify.com/show/09neXeCS8I0U8OZJroUGd4?si=2f9b8dfa5d2c4504APPLE https://podcasts.apple.com/podcast/id1625411141I HEART RADIO https://www.iheart.com/podcast/97160034/AMAZON https://music.amazon.com/podcasts/7aff7d00-c41b-4154-94cf-221a808e3595/the-barn

The Parkland Podcast Episode 102 June 6, 2026

Play Episode Listen Later Jun 8, 2026 114:51

Send us Fan MailLive from Farmington Country Days. Mark and Jason talk to Bella Herman and Casen McClain, Farmington Mayor Chris Morrison, Julie Estes with the Farmington Regional Chamber of Commerce, Stephanie Bennett with the SEMO Family Violence Council, Jodie Berkbigler with St Joseph Catholic School, Laura Willis and John Fitz with Legion of Honor, JoAnna Watts with CASA of the Parkland and Mr and Mrs Country Days Jessica and Jeremy Horton. Plus events and birthdays.Time Marks00:15:31-Jessica and Jeremy Horton Interview00:26:01-JoAnna Watts Interview00:40:28-Jodie Berkbigler Interview00:46:15-Laura Willis and John Fitz Interview00:59:01-Chris Morrison Interview01:12:23-Stephanie Bennett Interview01:22:45-Birthdays01:30:13-Julie Estes Interview01:43:36-EventsHome - Parkland PharmacyExplore Farmington, Missouri - Discover Farmingtonsubway.comFirst State Community Bank | Helping Communities ThriveHome - Country Days Farmington Water Park & The River's Edge Splash Pad www.BetterHelp.com/TheBarnhttp://www.betterhelp.com/TheBarn http://www.betterhelp.com/TheBarnThis episode is sponsored by www.betterhelp.com/TheBarn and brought to you as always by The Barn Media Group. YOUTUBE https://www.youtube.com/@TheBarnPodcastNetworkSPOTIFY https://open.spotify.com/show/09neXeCS8I0U8OZJroUGd4?si=2f9b8dfa5d2c4504APPLE https://podcasts.apple.com/podcast/id1625411141I HEART RADIO https://www.iheart.com/podcast/97160034/AMAZON https://music.amazon.com/podcasts/7aff7d00-c41b-4154-94cf-221a808e3595/the-barn

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JFK ASSASSINATION - EP. 398 - OH... OH... ODIO!

The Lone Gunman Podcast

Play Episode Listen Later Jun 6, 2026 141:31 Transcription Available

LIVE STREAMING tonight at 7:00 pm EST... Join us tonight as we take a closer look at the claims of Sylvia Odio and the Priest who shagged her... Join us... shall you?Silk CIty Hot Sauce - https://www.silkcityhotsauce.com Use our code GUNMAN for 20% off entire order at checkout!The COLDEST Cup - https://snwbl.io/TLG10 Follow our link to save $10 on every cup ordered!Music By - Lee Harold OswaldA Loose Moose ProductionBBB&JOEBBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-lone-gunman-podcast-jfk-assassination--1181353/support.

Raising Kids in a Country with Gun Violence: What Actually Helps with Moms Demand Action

The PedsDocTalk Podcast

Play Episode Listen Later Jun 3, 2026 52:54

As a pediatrician, I spent years looking at firearm safety through a clinical lens—as a major public health crisis and a tragic statistic. But after practicing in South Florida during the Parkland shooting and becoming a mother myself, the stakes became deeply personal. My husband is an ER doctor who sees the devastating aftermath of gun violence firsthand, and as a parent, I refuse to accept that this is now the leading cause of death for American children. We cannot just treat the symptoms of this crisis in our clinics; we have to get out ahead of it, which is why I expanded my platform to advocate for change outside the exam room. Connecting with grassroots leaders like Angela Ferrell-Zabala reminds us that we don't have to succumb to helplessness or political polarization. Real change happens in our everyday lives—like normalizing a simple question about secure firearm storage before a playdate, or supporting local legislation in our own backyards. Advocacy is a massive ecosystem, and as parents and healthcare providers, our voices carry immense weight. By breaking down political divides and working together, we can move past the noise and build a world where our children are safe to just be kids. What we discuss: Why treating gun violence as a public health issue is the key to real safety reform. The truth behind the leading cause of death for children in America and how to change it. How Moms Demand Action became a leading volunteer movement against gun violence. Easy, non-confrontational ways to ask other parents about safe firearm storage before playdates. Why ER doctors, pediatricians, and parents must work together to prevent gun injuries. Breaking down the impact of America's historic federal gun safety legislation. How grassroots advocates are successfully outlawing 3D-printed firearms and machine gun conversion kits. How to find common ground and have constructive conversations with responsible gun owners. To connect with Angela Ferrell-Zabala follow her on Instagram @momsdemandaction and @FerrellZabala, check out all her resources at https://momsdemandaction.org/ and text “READY” to 64433. 00:00 – Introduction 02:18 – Meet Angela Ferrell-Zabala 04:19 – Shifting from Helplessness to Action 08:35 – The Diverse Impact of Gun Violence 13:58 – Finding Common Ground Across Political Lines 19:07 – Pressing Legislative Priorities & Recent Wins 24:39 – Simple Ways for Parents to Advocate 28:44 – Finding Joy and Closing Thoughts Our podcasts are also now on YouTube. If you prefer a video podcast with closed captioning, check us out there and ⁠subscribe to PedsDocTalk⁠. Get trusted pediatric advice, relatable parenting insights, and evidence-based tips delivered straight to your inbox—join thousands of parents who rely on the PDT newsletter to stay informed, supported, and confident. ⁠⁠⁠⁠Join the newsletter⁠⁠⁠⁠! And don't forget to follow ⁠⁠⁠⁠@pedsdoctalkpodcast⁠⁠⁠⁠ on Instagram—our new space just for parents looking for real talk and real support. We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on the ⁠PedsDocTalk Podcast Sponsorships⁠ page of the website. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Raising Kids in a Country with Gun Violence: What Actually Helps with Moms Demand Action

The PedsDocTalk Podcast

Play Episode Listen Later Jun 3, 2026 52:54

The Parkland Podcast Episode 101 May 30, 2026

Play Episode Listen Later Jun 1, 2026 20:49

Send us Fan MailLive from Ransom's in Desloge. Mark and Jason recap the first 100 Episodes of the Parkland Podcast.Home - Parkland PharmacyExplore Farmington, Missouri - Discover Farmingtonsubway.comFirst State Community Bank | Helping Communities ThriveHome - Country Days Farmington Water Park & The River's Edge Splash Pad http://www.betterhelp.com/TheBarnThis episode is sponsored by www.betterhelp.com/TheBarn and brought to you as always by The Barn Media Group. YOUTUBE https://www.youtube.com/@TheBarnPodcastNetworkSPOTIFY https://open.spotify.com/show/09neXeCS8I0U8OZJroUGd4?si=2f9b8dfa5d2c4504APPLE https://podcasts.apple.com/podcast/id1625411141I HEART RADIO https://www.iheart.com/podcast/97160034/AMAZON https://music.amazon.com/podcasts/7aff7d00-c41b-4154-94cf-221a808e3595/the-barn

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Community Meets Clinic 303. Dr. Benjamin Greenberg

Play Episode Listen Later May 25, 2026 18:52

The "Community Meets Clinic" podcast series introduces clinicians and healthcare personnel specializing in rare neuroimmune disorders. In this episode hosted by Krissy Dilger of SRNA, we met Dr. Benjamin Greenberg of the UT Southwestern Medical Center. He outlined his translational research, including the Q Study, a Phase 1 trial assessing the safety and feasibility of transplanting human glial restricted progenitor cells into the spinal cord of people who have been diagnosed with transverse myelitis (TM) [05:49]. He also described research on immune-remodeling therapies for NMO aimed at reducing long-term immunosuppression. Dr. Greenberg illustrated multidisciplinary care at UT Southwestern and Children's Medical Center, emphasized options for second opinions and clinician-to-clinician remote consultation, and shared hopes for nervous system repair trials and curative immune therapies [07:18]. You can view Dr. Benjamin Greenberg's medical profile here:https://utswmed.org/doctors/benjamin-greenberg/Benjamin M. Greenberg, MD, MHS is a Professor and the Cain Denius Scholar in Mobility Disorders in the Department of Neurology [https://utswmed.org/why-utsw/departments/neurology/] at UT Southwestern Medical Center in Dallas, Texas. He currently serves as the Vice Chair of Translational Research and Strategic Initiatives for the Department of Neurology. He is also the interim Director of the Multiple Sclerosis Center [https://utswmed.org/locations/aston/multiple-sclerosis-and-neuroimmunology-clinic/] and the Director of the Neurosciences Clinical Research Center. In addition, he serves as Director of the Transverse Myelitis and Neuromyelitis Optica Program and the Pediatric Demyelinating Disease Program at Children's Medical Center [https://www.childrens.com/specialties-services/specialty-centers-and-programs/neurology/demyelinating-disease-program].Dr. Greenberg earned his medical degree at Baylor College of Medicine before completing an internal medicine internship at Chicago's Rush Presbyterian-St. Luke's Medical Center. He performed his neurology residency at the Johns Hopkins School of Medicine. He also holds an M.H.S. in molecular microbiology and immunology from the Bloomberg School of Public Health, as well as a bachelor's degree in the history of medicine – both from Johns Hopkins. Prior to his recruitment to UT Southwestern in 2009, Dr. Greenberg was on the faculty of the Johns Hopkins Division of Neuroimmunology, serving as the Director of the Encephalitis Center and Co-Director of the nation's first dedicated Transverse Myelitis Center.Dr. Greenberg splits his clinical time between adult and pediatric patients at William P. Clements Jr. and Zale Lipshy University Hospitals, Parkland, and Children's Medical Center. His research focuses on better diagnosing, prognosticating, and treating demyelinating diseases and nervous system infections. He also coordinates clinical trials to evaluate new treatments to prevent neurologic damage and restore function to affected patients.00:00 Welcome and Guest Intro01:41 Path to Neurology03:50 Why Neuroimmunology05:49 Research Focus and Trials07:18 Clinic Team and Referrals10:31 Self Care and Hobbies12:17 How the Clinic Can Help14:16 Hope for Future Therapies15:56 Wrap Up

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The Parkland Podcast Episode 100! May 23, 2026

Play Episode Listen Later May 25, 2026 112:22

Send us Fan MailLive from Ransom's. Mark and Jason talk to Mark's brother and theme song writer and performer Tom Toti, Jason's wife Kala and Jonas, James and Lucy Loughary. Plus local news, events, sports and more.Time Marks00:33:23-News00:38:00-Events00:41:15-Sports00:45:31-Birthdays01:05:13-Kala Loughary Interview01:22:04-Jonas, James and Lucy Loughary Interview01:40:19-MusicHome - Parkland PharmacyExplore Farmington, Missouri - Discover Farmingtonsubway.comFirst State Community Bank | Helping Communities ThriveHome - Country Days Farmington Water Park & The River's Edge Splash Pad www.BetterHelp.com/TheBarnhttp://www.betterhelp.com/TheBarn http://www.betterhelp.com/TheBarnThis episode is sponsored by www.betterhelp.com/TheBarn and brought to you as always by The Barn Media Group. YOUTUBE https://www.youtube.com/@TheBarnPodcastNetworkSPOTIFY https://open.spotify.com/show/09neXeCS8I0U8OZJroUGd4?si=2f9b8dfa5d2c4504APPLE https://podcasts.apple.com/podcast/id1625411141I HEART RADIO https://www.iheart.com/podcast/97160034/AMAZON https://music.amazon.com/podcasts/7aff7d00-c41b-4154-94cf-221a808e3595/the-barn

The John Fugelsang Podcast

If Slush Fund Money is Reparations for Government Weaponization - Shouldn't Leticia, Comey, and Ruby Freeman Get a Cut?

Play Episode Listen Later May 21, 2026 98:36

Joe Sudbay is guest hosting for John. He talks about the pressing issues surrounding the recent revelations of Trump's proposed $1.8 billion slush fund aimed at compensating the January 6th insurrectionists. Joe explores the implications of this unprecedented move, questioning the integrity of a democracy that would consider funding those who attacked the Capitol. Then, Joe is joined by Jacqueline Coren, the executive director of March for Our Lives, who shares her powerful story as a survivor of the Parkland shooting and discusses their new campaign, Ripple Effect, aimed at raising awareness about the long-term consequences of gun violence. Following that, community activist Danny Cook joins the conversation to talk about her initiative, Project for the People, which empowers citizens to engage in grassroots organizing around critical issues affecting their communities, including healthcare and social services. Finally, Joe welcomes back journalist Jonathan Larson to dissect the chaotic landscape of American politics, including the media's role in shaping narratives and the ongoing challenges posed by the current administration. Together, they examine the urgent need for accountability and the importance of civic engagement in these tumultuous times.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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Ask the Expert | Research Edition 1406. Q Study Updates | Expanded Inclusion Criteria & What's Next

Play Episode Listen Later May 18, 2026 31:47

Krissy Dilger of SRNA hosted Dr. Benjamin Greenberg of UT Southwestern to share updates on the Q Study, a Phase 1 trial assessing the safety and feasibility of transplanting human glial restricted progenitor cells into the spinal cord of people who have been diagnosed with transverse myelitis (TM). Dr. Greenberg cautioned the audience against stem cell tourism [00:03:03]. He described the decades-long development of the cell line and safety monitoring for this study [00:01:35]. He reported no safety signals prompting a trial pause and noted the FDA-approved expansion of eligibility from non-ambulatory participants to those who can walk with assistance, while efficacy results were not yet being shared [00:08:31]. Finally, Dr. Greenberg outlined potential next steps, including Phase 2 studies and expanded populations (e.g., MOGAD and NMOSD diagnoses), as well as future targets [00:17:02].Benjamin M. Greenberg, MD, MHS is a Professor and the Cain Denius Scholar in Mobility Disorders in the Department of Neurology [https://utswmed.org/why-utsw/departments/neurology/] at UT Southwestern Medical Center in Dallas, Texas. He currently serves as the Vice Chair of Translational Research and Strategic Initiatives for the Department of Neurology. He is also the interim Director of the Multiple Sclerosis Center [https://utswmed.org/locations/aston/multiple-sclerosis-and-neuroimmunology-clinic/] and the Director of the Neurosciences Clinical Research Center. In addition, he serves as Director of the Transverse Myelitis and Neuromyelitis Optica Program and the Pediatric Demyelinating Disease Program at Children's Medical Center [https://www.childrens.com/specialties-services/specialty-centers-and-programs/neurology/demyelinating-disease-program].Dr. Greenberg earned his medical degree at Baylor College of Medicine before completing an internal medicine internship at Chicago's Rush Presbyterian-St. Luke's Medical Center. He performed his neurology residency at the Johns Hopkins School of Medicine. He also holds an M.H.S. in molecular microbiology and immunology from the Bloomberg School of Public Health, as well as a bachelor's degree in the history of medicine – both from Johns Hopkins. Prior to his recruitment to UT Southwestern in 2009, Dr. Greenberg was on the faculty of the Johns Hopkins Division of Neuroimmunology, serving as the Director of the Encephalitis Center and Co-Director of the nation's first dedicated Transverse Myelitis Center.Dr. Greenberg splits his clinical time between adult and pediatric patients at William P. Clements Jr. and Zale Lipshy University Hospitals, Parkland, and Children's Medical Center. His research focuses on better diagnosing, prognosticating, and treating demyelinating diseases and nervous system infections. He also coordinates clinical trials to evaluate new treatments to prevent neurologic damage and restore function to affected patients.00:00 Welcome and Guest Intro01:35 Origins of Q Study02:46 Getting Cells Into Cord04:49 Phase One Trial Design06:31 Safety and Efficacy Measures08:31 Eligibility Expanded Criteria11:39 Screening and Selection14:05 Travel and Site Logistics15:15 Early Safety Findings17:02 Next Steps After Phase One19:01 Beyond Idiopathic Myelitis23:07 Damage Differences by Disease25:20 Optic Nerve and Brain Targets27:29 Expected Outcomes and Vision28:58 Final Thanks

The Parkland Podcast Episode 99 May 16, 2026

Play Episode Listen Later May 18, 2026 93:03

Send us Fan MailLive from Ransom's. Mark and Jason talk to Candy Hente with Farmington Country Days. Plus local news, events, sports and more.Time Marks00:26:24-News00:31:40-Events00:34:22-Sports00:40:20-Candy Hente Interview01:12:28-Birthdays01:22:38-MusicHome - Parkland PharmacyExplore Farmington, Missouri - Discover Farmingtonsubway.comFirst State Community Bank | Helping Communities ThriveHome - Country Days www.BetterHelp.com/TheBarnhttp://www.betterhelp.com/TheBarn http://www.betterhelp.com/TheBarnThis episode is sponsored by www.betterhelp.com/TheBarn and brought to you as always by The Barn Media Group. YOUTUBE https://www.youtube.com/@TheBarnPodcastNetworkSPOTIFY https://open.spotify.com/show/09neXeCS8I0U8OZJroUGd4?si=2f9b8dfa5d2c4504APPLE https://podcasts.apple.com/podcast/id1625411141I HEART RADIO https://www.iheart.com/podcast/97160034/AMAZON https://music.amazon.com/podcasts/7aff7d00-c41b-4154-94cf-221a808e3595/the-barn

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Make Our Schools Safe, Alyssa's Law focused on school and student safety

cityCURRENT Radio Show

Play Episode Listen Later May 13, 2026 16:26

Host Jeremy C. Park interviews Lori Alhadeff, CEO of Make Our Schools Safe (MOSS), who discusses the nonprofit organization's efforts to improve school safety following the tragic shooting at Marjory Stoneman Douglas High School in Parkland, Florida that claimed the lives of 17 people, including Lori's daughter, Alyssa. Lori explains how Make Our Schools Safe advocates for Alyssa's Law, which requires wearable panic buttons for teachers to quickly alert 911 during emergencies, and has successfully passed legislation in 12 states including Tennessee. The organization also operates student-led MOSS Clubs in schools to promote safety culture and awareness, with Lori encouraging listeners to start clubs in Tennessee and advocate for the law through the organization's website. The discussion covers practical safety measures schools should implement, including locked doors, security cameras, and regular lockdown drills, while highlighting the importance of mental health support and community involvement in creating safer school environments. Visit https://makeourschoolssafe.org to learn more and get involved with Make Our Schools Safe. Summary Make Our School Safe Organization - Lori discusses the founding of Make Our School Safe, a nonprofit organization established after the tragic shooting at Marjory Stoneman Douglas High School in Parkland, Florida, where her daughter Alyssa was one of the 17 victims. The organization focuses on school safety, and its logo features an infinity symbol that represents Alyssa's soccer jersey number 8 turned sideways. Lori explains how the tragedy turned her family's pain into action, leading to the creation of "Alyssa's Law," which aims to transform school safety laws at both state and national levels. Alyssa's Law Implementation Discussion - Lori explains Alyssa's Law, a wearable panic button for teachers that can trigger emergency responses for medical situations, behavioral problems, or active shooter incidents. She describes how the law was first passed in New Jersey and has since been implemented in 12 states, with her goal to expand it nationwide to ensure consistent school safety standards. Jeremy asks about the implementation process across different states and shares insights from a previous discussion about active shooter drills, including how smoke from gunshots can trigger fire alarms, potentially confusing students. Make Our School Safe Program - Lori discusses the Make Our School Safe program, which includes student-led safety clubs that help create safer school environments through student leadership and teacher sponsorship. She highlights communication failures during the Parkland shooting in 2018, including problematic radios and delayed cameras, which led to tragic consequences including the death of her daughter Alyssa. Lori emphasizes the importance of learning from these mistakes and taking school safety seriously, noting that Florida has been a leader in creating school safety laws over the past eight years. MOSS Clubs School Implementation Discussion - Lori discusses the implementation of MOSS Clubs in schools, which focus on activities like anti-bullying, mental health awareness, and school safety through initiatives such as safety pep rallies and mental health journals. She reports positive feedback from schools, including plans for additional training like first aid and CPR. Jeremy inquires about community involvement in promoting both MOSS Clubs and Alyssa's Law. School Safety and Fundraising Initiatives - Lori discusses school safety measures including locked doors, single points of entry, cameras, and panic buttons, emphasizing the importance of regular lockdown drills involving all stakeholders. She highlights the organization's efforts to promote Alyssa's Act at both federal and state levels through their website and student engagement initiatives. Lori also mentions their fundraising activities, including the Live for Alyssa Gala, golf fundraiser, and tennis fundraiser, encouraging involvement through donations and starting MOSS Clubs at high schools. Alyssa's Law Implementation in Tennessee - Lori discusses the implementation of Alyssa's Law in Tennessee, emphasizing the importance of school districts having wearable panic buttons and conducting drills. She encourages the formation of MOSS clubs in high schools to promote school safety and urged parents to speak up about potential vulnerabilities. Lori provides information about getting involved with Make Our School Safe through their website, social media platforms, and offers thanks for the support in promoting school safety across Tennessee. Visit https://makeourschoolssafe.org to learn more and get involved with Make Our Schools Safe. https://www.linkedin.com/in/lori-alhadeff-802b02179/ https://www.facebook.com/MakeOurSchoolsSafe17

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Let good people defend themselves with Gun Owners of America's Louis Valdes

WSKY The Bob Rose Show

Play Episode Listen Later May 13, 2026 8:18

Florida's head of Gun Owners of America is working to reverse gun restrictions enacted after the Parkland school shooting. Louis Valdes on electing representatives that fight for 2A rights. Plus, Florida's Attorney General suing Jacksonville's gun registry, and the US DOJ is pushing the Supreme Court to reverse assault weapons bans.

The Parkland Podcast Episode 98 May 9, 2026

Play Episode Listen Later May 10, 2026 75:19

Send us Fan MailLive from Ransom's. Mark and Jason talk to Paul Meinsen with the St Francois County Lions Club. Plus local news, events, sports and more.Time Marks00:28:18-News00:34:14-Events00:40:19-Sports00:45:45-Birthdays01:04:10-MusicHome - Parkland PharmacyExplore Farmington, Missouri - Discover Farmingtonsubway.comFirst State Community Bank | Helping Communities ThriveHome - Country Days www.BetterHelp.com/TheBarnhttp://www.betterhelp.com/TheBarn http://www.betterhelp.com/TheBarnThis episode is sponsored by www.betterhelp.com/TheBarn and brought to you as always by The Barn Media Group. YOUTUBE https://www.youtube.com/@TheBarnPodcastNetworkSPOTIFY https://open.spotify.com/show/09neXeCS8I0U8OZJroUGd4?si=2f9b8dfa5d2c4504APPLE https://podcasts.apple.com/podcast/id1625411141I HEART RADIO https://www.iheart.com/podcast/97160034/AMAZON https://music.amazon.com/podcasts/7aff7d00-c41b-4154-94cf-221a808e3595/the-barn

Ep. 115 Women's Health Care Access, Childcare Challenges, & Advances in Adenomyosis with Dr. Kimberly Kho

BackTable OBGYN

Play Episode Listen Later May 5, 2026 48:28

From surgery to systems to access, medicine is shaped as much by barriers to care as it is by innovation and the latest techniques. In this episode of BackTable OBGYN, Dr. Kimberly Kho, a complex benign gynecologic surgeon, joins host Dr. Amy Park to discuss her work expanding access to women's healthcare, including building a surgical program in Hawaii, studying childcare as a barrier to care, and exploring the diagnosis and management of adenomyosis. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction08:35 - Faculty Development in Hawaii12:26 - Childcare as Access Barrier16:20 - Survey and Trial Findings18:10 - Annie's Place Childcare Center24:23 - Childcare Barrier Example25:43 - Applying Community Solutions 27:04 - What Is Adenomyosis30:22 - Diagnosis Strategies Beyond Hysterectomy34:07 - Risk Factors and Age Myths36:03 - Fertility and Pregnancy Risks38:02 - Medical and Surgical Treatments41:20 - Uterine Sparing Procedures45:59 - Closing Thoughts --- More about this episode Dr. Kho discusses her recent transition to the University of Hawaii, where she is building a complex benign gynecology program to serve patients across the state and broader Pacific region. Her work emphasizes faculty development through mentorship, strengthening research infrastructure for generalists, fostering inter-island collaboration, and implementing surgical coaching. She then reflects on her time at Parkland, where she expanded access to minimally invasive gynecologic surgery, demonstrated by a significant reduction in open hysterectomy rates. She also shares how her team identified unmet childcare needs as a major barrier to care, leading to multiple research initiatives, a clinical trial, and ultimately the creation of a five-year, no-cost, onsite childcare center (Annie's Place) developed through hospital and community partnerships. The episode concludes with an in-depth discussion of adenomyosis, covering its pathophysiology, imaging-based diagnosis, common symptoms, and fertility implications. In the absence of formal guidelines or FDA-approved therapies, Dr. Kho reviews current management strategies, including medical therapy, uterine artery embolization (UAE), and endometrial ablation techniques. --- Resources Childcare needs as a barrier to healthcare among women in a safety-net health systemhttps://pubmed.ncbi.nlm.nih.gov/38886715/ Addressing childcare as a barrier to healthcare access through community partnerships in a large public health systemhttps://pubmed.ncbi.nlm.nih.gov/36261213/ Adenomyosis Pathophysiology, Diagnostic Advances, and Therapeutic Optionshttps://pubmed.ncbi.nlm.nih.gov/41926770/ --- BackTable OBGYN is the go-to podcast for gynecologists, gynecologic surgeons, and other healthcare professionals focused on women's health.Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.► https://www.backtable.com/app

The Parkland Podcast Episode 97 May 2, 2026

Play Episode Listen Later May 4, 2026 105:46

Send us Fan MailLive from Ransom's. Mark and Jason talk to West County JAG Teacher Cindy Martin and Junior Ally Jones and Rick Harris, Chris Jones and Sam Hahn with the St Francois County Memorial Day Service. Plus local news, events, sports and more.Time Marks00:16:18-News00:21:28-Events00:26:50-Sports00:32:03-Cindy Martin and Ally Jones Interview01:03:34-Rick Harris, Chris Jones and Sam Hahn Interview01:25:06-Birthdays01:35:24-MusicHome - Parkland PharmacyExplore Farmington, Missouri - Discover Farmingtonsubway.comFirst State Community Bank | Helping Communities Thrivewww.BetterHelp.com/TheBarnhttp://www.betterhelp.com/TheBarn http://www.betterhelp.com/TheBarnThis episode is sponsored by www.betterhelp.com/TheBarn and brought to you as always by The Barn Media Group. YOUTUBE https://www.youtube.com/@TheBarnPodcastNetworkSPOTIFY https://open.spotify.com/show/09neXeCS8I0U8OZJroUGd4?si=2f9b8dfa5d2c4504APPLE https://podcasts.apple.com/podcast/id1625411141I HEART RADIO https://www.iheart.com/podcast/97160034/AMAZON https://music.amazon.com/podcasts/7aff7d00-c41b-4154-94cf-221a808e3595/the-barn

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The Parkland Podcast Episode 96 April 25, 2026

Play Episode Listen Later Apr 27, 2026 99:40

Send us Fan MailLive from Ransom's. Mark and Jason talk to local author, teacher and coach Jordan Stone and Dr Karen Melton. Plus local news, events, sports and more.Time Marks00:16:19-News00:21:33-Events00:27:59-Sports00:32:05-Jordan Stone Interview00:58:59-Dr Karen Melton Interview01:19:06-Birthdays01:29:02-MusicHome - Parkland PharmacyExplore Farmington, Missouri - Discover Farmingtonsubway.comFirst State Community Bank | Helping Communities Thrivewww.BetterHelp.com/TheBarnhttp://www.betterhelp.com/TheBarn http://www.betterhelp.com/TheBarnThis episode is sponsored by www.betterhelp.com/TheBarn and brought to you as always by The Barn Media Group. YOUTUBE https://www.youtube.com/@TheBarnPodcastNetworkSPOTIFY https://open.spotify.com/show/09neXeCS8I0U8OZJroUGd4?si=2f9b8dfa5d2c4504APPLE https://podcasts.apple.com/podcast/id1625411141I HEART RADIO https://www.iheart.com/podcast/97160034/AMAZON https://music.amazon.com/podcasts/7aff7d00-c41b-4154-94cf-221a808e3595/the-barn

Mea Culpa with Michael Cohen

Breaking!! Georgia Grand Jury Considers Trump Indictment + A Conversation with Fred Guttenberg

Play Episode Listen Later Apr 25, 2026 89:34

It's our distinct honor to have Fred Guttenberg as our guest today on Mea Culpa. Fred is the father of Jaime, a 14-year-old girl killed during the Parkland mass shooting in 2018. Fred began his public life directly after the murder of his beautiful daughter when he decided to attend a public vigil in Parkland. While there, the Mayor asked him to speak. His words shook a nation and he has not stopped ever since. Michael and Fred discuss gun violence, gun control, and the state of politics in Florida.

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Lindquist Dental: Where No Child is Turned Away Due to Inability to Pay

Move to Tacoma Podcast

Play Episode Listen Later Apr 24, 2026 37:36

Lindquist Dental Clinic for Children has been a Tacoma institution since 1936. Even so- Move to Tacoma Podast host Marguerite Martin admits on-mic she didn’t fully understand what they do until she sat down with Executive Director Carolyn McDougal-Weyrick at dinner this winter. Turns out a lot of Tacoma doesn’t know either. Lindquist sees kids from birth to their 21st birthday, takes essentially every insurance including Apple Health, Medicaid, Molina, Coordinated Care, Delta Dental, and TRICARE, and doesn’t turn anyone away for inability to pay. They see over 24,000 patient visits a year out of their Parkland location at 131st and Pacific, and they still have room to grow. Dr. Stephens walks through what makes the clinic different: six dentists, specialty services like oral surgery and endodontics on site, and a general anesthesia program she personally runs for kids ages 3 to 8 who need significant work done. Instead of six appointments, parents taking off work six times, and a kid who learns to dread the dentist, it’s one 90-minute visit. The kids wake up with their princess crowns intact and still want to come back. For income-qualifying military families on TRICARE Dental, Lindquist is the only place in the area that can waive the out-of-pocket and deductible costs entirely, which matters a lot when a family has four or five kids and a $1,300 annual cap per child. The conversation gets into something that many Tacoma area nonprofits are struggling with. Federal cuts to the programs that serve the most vulnerable people in our community. Medicaid cuts went into effect July 1, 2025, and Lindquist is facing roughly a $280,000 shortfall from what they expected. But Lindquist has a plan. They’re not cutting services, they’re growing their private-insurance patient base. Because when a family with insurance comes through the door, it directly supports the half-million dollars a year in uncompensated care the clinic provides. They just finished a $1M renovation funded entirely by designated facility grants and donor dollars, so the space is freshly renovated. 15 new chairs, digital nomad x-rays, a surgical suite. Come as you are, bring the kid you’ve been putting off bringing, and if you’ve got private insurance, know that showing up helps your neighbors and is part of how this model stays alive. The post Lindquist Dental: Where No Child is Turned Away Due to Inability to Pay appeared first on Move to Tacoma.

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PFC Podcast 275: Mastering Pelvic Fracture Management

Prolonged Fieldcare Podcast

Play Episode Listen Later Apr 20, 2026 30:16

In this episode of the PFC Podcast, Dennis is joined by Dr. Brigham Au — 10-year orthopedic trauma surgeon, former Parkland trauma faculty, and fellowship-trained at the Florida Orthopaedic Institute — for a no-fluff masterclass on pelvic fractures. From high-energy MVCs and falls to sneaky low-energy geriatric injuries, Dr. Au breaks down exactly what matters in the prehospital/prolonged field care environment: stability, pain control, binders, and what actually saves lives.Whether you're a combat medic, critical care paramedic, or wilderness provider, this is the episode that turns pelvic fractures from “scary” to “manageable.”TakeawaysPhysical exam beats imaging every time in the field — Gross manipulation is overrated; gentle leg positioning and pain response tell you more than you think.Pelvic binders WORK. Institutional protocols using them early cut mortality in half. Stop quoting tiny European studies — read the full papers.Simple field hack: Pull both ankles together, internally rotate, and secure the legs (sheet, belt, ACE wrap, buddy-tape style). Uses the good leg to splint the bad one and dramatically cuts pain during movement.Don't hesitate — if you even suspect an unstable pelvis (or the patient is hemodynamically unstable), slap the binder on tight over the greater trochanters. Life > skin necrosis in the first 24–48 hours.Geriatric ground-level falls are DEADLY — higher mortality than many gunshots once they decompensate. Treat them like the sickest patient in the room.Read beyond the abstract. Small studies make for great Instagram soundbites but terrible clinical decisions.Improvised binders? Belt around the trochanters, cut pant legs, or a rolled sheet — just get it low and tight. Patient comfort during movement is your best feedback.The cowboy with the 20–30-year-old open-book pelvis whose plates kept breaking because “his pelvis didn't want to close.”Why Dr. Au stopped doing aggressive stress exams after the 8-pound ankle test story.Why binders should be first-line, not optional — and exactly when/how to loosen them in austere environments.Brutal reality check on geriatric pelvic fracture mortality vs. modern gunshot wounds.Chapters00:00 – Welcome & Dr. Brigham Au intro (Parkland + trauma fellowship)01:27 – High-energy vs. low-energy pelvic fractures (what you're actually seeing)02:40 – Open book, closed book, lateral compression, vertical shear — why mechanism still matters04:31 – Field assessment & why physical exam is king06:25 – Yes, patients can still walk with a pelvic fracture (don't get fooled)08:02 – What “gross manipulation” actually means (and how little you need to do)11:51 – Leg-positioning trick that reduces pain and acts like a temporary binder14:31 – The pelvic binder debate: evidence, myths, and why Dr. Au is a huge believer20:08 – Improvised binders, proper placement & tension (even without a commercial device)23:41 – When and how to loosen/remove a binder (especially in prolonged care)25:43 – One thing Dr. Au wants every field provider to do better28:17 – Real risks of binders (and why you still shouldn't hesitate)29:27 – Final thoughts + why reading full studies mattersFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

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The Parkland Podcast Episode 95 April 18, 2026

news hero principal stops uvalde parkland school shooters

Play Episode Listen Later Apr 20, 2026 107:31

Send us Fan MailLive from Ransom's. Mark and Jason talk to Tanya Thomas with First State Community Bank, Kim Hudson, Chelsey House and Gracie Trokey with the United Way of St Francois County and local author John Fitz . Plus local news, events, sports and more.Time Marks00:18:42-News00:22:05-Events00:27:17-Sports00:32:41-Tanya Thomas Interview00:50:18-United Way Interview01:06:30-Dr John Fitz Interview01:31:30-Birthdays01:38:44-MusicHome - Parkland PharmacyExplore Farmington, Missouri - Discover Farmingtonsubway.comFirst State Community Bank | Helping Communities ThriveMark Cook Financial – Your financial plan is all about you and achieving your goals!www.BetterHelp.com/TheBarnhttp://www.betterhelp.com/TheBarn http://www.betterhelp.com/TheBarnThis episode is sponsored by www.betterhelp.com/TheBarn and brought to you as always by The Barn Media Group. YOUTUBE https://www.youtube.com/@TheBarnPodcastNetworkSPOTIFY https://open.spotify.com/show/09neXeCS8I0U8OZJroUGd4?si=2f9b8dfa5d2c4504APPLE https://podcasts.apple.com/podcast/id1625411141I HEART RADIO https://www.iheart.com/podcast/97160034/AMAZON https://music.amazon.com/podcasts/7aff7d00-c41b-4154-94cf-221a808e3595/the-barn

amazon betterhelp ransom united way parkland news00 kim hudson

Hero in 56 Seconds: Principal Stops School Shooter

The Tara Show

Play Episode Listen Later Apr 15, 2026 7:32

In a moment that defines true character, a high school principal risks everything to stop a potential mass shooting. As the nation reflects on past tragedies, this story highlights the difference one person can make in a split second. ⚡ HOOK (OPEN) No time to think. No time to plan. Just one decision—and it saved lives.

Full Show - “ALLIANCES SHATTER, HEROES RISE, REALITY BREAKS”

The Tara Show

Play Episode Listen Later Apr 15, 2026 110:07

The world isn't slowly changing anymore—it's snapping. Old alliances are fracturing. New ones are forming in real time. Governments are being ignored, terror proxies are being confronted, and even reality itself is getting harder to trust. From Washington to the Middle East… from AI hallucinations to battlefield diplomacy… today's headlines all point to the same conclusion: The institutions aren't guiding events anymore. They're reacting to them. SEGMENT 1: THE NEW MIDDLE EAST REALIGNMENT A historic moment is unfolding as Israel and Lebanon sit face-to-face in Washington for the first time in decades, in talks brokered by U.S. leadership. At the center of it all: Marco Rubio, credited with helping bring Lebanese and Israeli officials to the table—despite threats from Hezbollah, which has long operated as a dominant armed force inside Lebanon. Lebanese leadership reportedly defied pressure and intimidation from Hezbollah and proceeded with negotiations anyway, signaling a dramatic shift in internal courage and regional dynamics. Meanwhile, traditional European influence is being questioned. France—long seen as a diplomatic broker in Lebanon—was effectively sidelined from the talks after Lebanon declined French involvement. The message from Beirut was blunt: past diplomacy produced no results, and the old framework is no longer trusted. SEGMENT 2: EUROPE, IRAN, AND THE NEW ALIGNMENT QUESTION A growing narrative is emerging across geopolitical commentary: European powers are increasingly accused of indirectly aligning with Iran and its regional proxies, including Hezbollah, through diplomatic posture and international voting behavior. Several Western nations—including France, Germany, and others—have supported or abstained in moves involving Iran's participation in international committees, including controversial United Nations roles tied to human rights and women's issues. Critics argue this reflects a broader strategic misalignment: Europe prioritizing diplomatic stability over confrontation Middle Eastern states prioritizing survival over legacy alliances And Iran's regional influence continuing through proxy networks The result, as framed by analysts in today's discussion: traditional alliances are no longer aligned around shared threat perception. SEGMENT 3: HEROISM IN REAL TIME — THE PRINCIPAL WHO RAN IN A separate but powerful story highlights the opposite of institutional paralysis. In a fast-moving school shooting incident in Oklahoma, a high school principal intervened directly—physically tackling an armed attacker inside seconds of an active threat. Despite being older and unassuming in appearance, the principal acted immediately, preventing further casualties. He was injured in the process but survived. The story is being held up as a contrast case against past tragedies like Parkland and Uvalde, where delayed responses became national controversies. The theme emerging: character is revealed in seconds—not speeches. SEGMENT 4: DOMESTIC CHAOS — FRAUD, POLITICS, AND TRUST COLLAPSE Today's domestic segment focused heavily on allegations and controversy surrounding government spending, oversight, and political accountability. A U.S. lawmaker, Ilhan Omar, was referenced in connection with scrutiny over earmark spending tied to programs flagged by critics as lacking oversight—fueling broader debate over government accountability and fraud prevention. Separately, ongoing political controversy involving Eric Swalwell was discussed in relation to long-standing allegations and political tension surrounding intelligence committee trust and foreign influence concerns. The overarching theme: public trust in institutions continues to erode faster than reforms are being implemented. SEGMENT 5: THE AI REALITY CRISIS A major warning emerged from today's discussion: artificial intelligence is beginning to distort reality faster than society can correct it. Researchers created a fictional disease—intended as an obvious ...

Ask the Expert 1404. MOGcast | The State of MOGAD Science

Play Episode Listen Later Apr 15, 2026 66:18

In this special “Ask the Expert” collaboration between The MOG Project and SRNA, Julia Lefelar and Dr. GG deFiebre welcomed Dr. Benjamin Greenberg of UT Southwestern, who answered questions from the audience. Dr. Greenberg reviewed major advances in MOG antibody disease research and diagnostic criteria [00:05:06]. He discussed efforts to predict relapse risk using sustained antibody positivity, demographic and clinical models, and immune-cell profiling studies [00:07:55]. Dr. Greenberg detailed controversies around low-positive antibody titers and how cell-based assays and dilution thresholds affect specificity [00:21:38]. He outlined concepts and progress in tolerance-inducing approaches such as Tregs and CAR T therapy, described differences from B-cell–depleting drugs like rituximab [00:26:32] Finally, Dr. Greenberg highlighted the satralizumab meteoroid trial and the ongoing cosMOG study of rozanolixizumab, emphasizing community engagement, registries, surveys, and trial participation to accelerate access and potential curative strategies [00:38:36]. You can learn more about The MOG Project here:https://mogproject.org/Benjamin M. Greenberg, MD, MHS is a Professor and the Cain Denius Scholar in Mobility Disorders in the Department of Neurology [ https://utswmed.org/why-utsw/departments/neurology/ ] at UT Southwestern Medical Center in Dallas, Texas. He currently serves as the Vice Chair of Translational Research and Strategic Initiatives for the Department of Neurology. He is also the interim Director of the Multiple Sclerosis Center [ https://utswmed.org/locations/aston/multiple-sclerosis-and-neuroimmunology-clinic/ ] and the Director of the Neurosciences Clinical Research Center. In addition, he serves as Director of the Transverse Myelitis and Neuromyelitis Optica Program and the Pediatric Demyelinating Disease Program at Children's Medical Center [ https://www.childrens.com/specialties-services/specialty-centers-and-programs/neurology/demyelinating-disease-program ].Dr. Greenberg earned his medical degree at Baylor College of Medicine before completing an internal medicine internship at Chicago's Rush Presbyterian-St. Luke's Medical Center. He performed his neurology residency at the Johns Hopkins School of Medicine. He also holds an M.H.S. in molecular microbiology and immunology from the Bloomberg School of Public Health, as well as a bachelor's degree in the history of medicine – both from Johns Hopkins. Prior to his recruitment to UT Southwestern in 2009, Dr. Greenberg was on the faculty of the Johns Hopkins Division of Neuroimmunology, serving as the Director of the Encephalitis Center and Co-Director of the nation's first dedicated Transverse Myelitis Center.Dr. Greenberg splits his clinical time between adult and pediatric patients at William P. Clements Jr. and Zale Lipshy University Hospitals, Parkland, and Children's Medical Center. His research focuses on better diagnosing, prognosticating, and treating demyelinating diseases and nervous system infections. He also coordinates clinical trials to evaluate new treatments to prevent neurologic damage and restore function to affected patients.00:00 Welcome01:44 Hosts and Guest Intro05:06 Research Buckets Overview07:55 Predicting Relapse Risk11:46 Tregs and Immune Brakes17:40 Attack Severity and Relapse19:24 MOGAD Criteria Updates21:38 Titers Explained Simply26:32 Targeting MOG Antibodies29:11 CAR T and Immune Reset32:39 When Criteria Changes33:52 Tolerance Research Boom34:48 From Animals to Trials37:17 Community Drives Progress38:36 Meteoroid and cosMOG Clinical Trials41:39 How These Drugs Work44:02 FDA Approval and Access45:49 Insurance Switch Concerns48:39 Rituximab Dosing Debate52:41 Why Antibodies Develop54:18 Future Attack Patterns55:47 CAR T Versus Rituximab57:10 Lab Research and Support01:00:51 Hope for a Cure01:02:14 Closing and Resources

director texas children chicago science professor medicine md hosts public health expert cart co director vice chair neurology johns hopkins parkland greenberg medical center strategic initiatives baylor college johns hopkins school mog mhs fda approval translational research ask the expert ut southwestern medical center ut southwestern bloomberg school neuroimmunology transverse myelitis srna tregs meteoroid benjamin m greenberg

The Parkland Podcast Episode 9 April 11, 2026