POPULARITY
Categories
73 episodes with PCI
64 episodes with PCI
37 episodes with PCI
41 episodes with PCI
46 episodes with PCI
66 episodes with PCI
29 episodes with PCI
19 episodes with PCI
20 episodes with PCI
19 episodes with PCI
15 episodes with PCI
18 episodes with PCI
18 episodes with PCI
18 episodes with PCI
12 episodes with PCI
25 episodes with PCI
13 episodes with PCI
11 episodes with PCI
8 episodes with PCI
17 episodes with PCI
13 episodes with PCI
9 episodes with PCI
40 episodes with PCI
20 episodes with PCI
7 episodes with PCI
10 episodes with PCI
24 episodes with PCI
8 episodes with PCI
15 episodes with PCI
7 episodes with PCI
6 episodes with PCI
13 episodes with PCI
6 episodes with PCI
8 episodes with PCI
11 episodes with PCI
15 episodes with PCI
6 episodes with PCI
5 episodes with PCI
5 episodes with PCI
6 episodes with PCI
5 episodes with PCI
4 episodes with PCI
10 episodes with PCI
4 episodes with PCI
6 episodes with PCI
8 episodes with PCI
3 episodes with PCI
8 episodes with PCI
2 episodes with PCI
9 episodes with PCI
5 episodes with PCI
6 episodes with PCI
5 episodes with PCI
5 episodes with PCI
A man who was abused at a so-called ‘Christian nightclub' has accused the Presbyterian Church and the PSNI of failing him and other potential victims. Ross Hunter, now 39 years old, says he was sexually abused by his cousin Jonathan Hyndman, who was a youth leader in a co. Londonderry church in the 1990s. Hyndman, who became a policeman in the 2000s, was suspended from duty after a criminal investigation was launched but took his own just days later. The victim has accused PCI of “trying to keep abuse buried”. Olivia Peden is joined by Belfast Telegraph's Brett Campbell. Hosted on Acast. See acast.com/privacy for more information.
In his first interview since being elected as Moderator Designate the Rev Richard Kerr talks to Audrey about the PCI safeguarding scandal and the next steps for the church.Agreement is Owen McCafferty's dramatisation of the final four days of talks which led to the Good Friday Agreement. It starred among others Dan Gordon as John Hume and Ruairi Conaghan as David Trimble. Dan and Ruairi chat to Audrey about playing the Nobel Laureates and Brian Rowan gives us the inside story of the human personalities striving for peace.This week we marked the 4th anniversary of Vladimir Putin's invasion of Ukraine. Audrey talks to local poet Angela Graham about her new collection which was inspired by photos from the war in Ukraine.
eGolf Waiver is a cloud-based digital platform that helps golf courses replace traditional paper waivers with an efficient electronic system. The platform streamlines the collection and storage of liability waivers, especially for golf cart rentals and equipment use, enhancing risk management, saving time and printing costs, and improving the experience for both members and guests. On this episode of The Wednesday Match Play Podcast, brought to you by Eden Mill St Andrews, James gives an overview of eGolf Waiver and how it helps clubs reduce insurance premiums. He also explains why cloud-based solutions matter, highlights their global client list, and shares the connection to Contractor-HQ. We also get into PCI compliance and the training materials available. This conversation was focused on risk, and it was an honor having James back on the show. Let's tee off.
DESCRIPTION Kevin Uhlenhaker, CEO & Publisher of Parking Today Media, discusses the Parking Industry Expo. SPONSORS This episode is brought to you by ParkOrder - the leading work order and project management tool built specifically for the parking industry. From tracking garage maintenance crews to managing office tasks, ParkOrder keeps your team organized and accountable. Whether it's the ability for parkers to report work orders, the leaderboard competition, or employee rewards, see what all the hype is about at parkorder.io. Get started today for just $5 per user per month. This episode is brought to you by Parking Today and the Parking Today Podcast Network. Learn more at parkingtoday.com/podcast. This episode is brought to you by Parker Technology, the customer experience solution of choice for the parking industry. Their solution puts a virtual ambassador in every lane, to help parking guests pay and get on their way in under a minute. Learn more at parkertechnology.com/parkingpodcast and subscribe to our podcast “Harder Than It Looks: Parking Uncovered.” This episode is brought to you by Scheidt & Bachman USA. Scheidt & Bachmann USA markets state-of-the-art Parking Solutions and Fare Collection Systems: the most innovative and advanced solutions in the US. Learn more at scheidt-bachmann-usa.com. This episode is brought to you by Breeze: Parking Concepts' digital platform that makes the parking experience a Breeze! For more than 50 years, PCI has been proactively managing parking & transportation operations with unparalleled integrity & service. Learn more at parkingconcepts.com. Use Promo Code PARKINGPOD26 for a complimentary registration to PIE 2026. parkingtoday.com/pie26/attendee-store/ WEBSITES AND RESOURCES https://www.parkingcast.com/ https://parkingtoday.com/podcast/ parkorder.io www.parkertechnology.com/parkingpodcast scheidt-bachmann-usa.com parkingconcepts.com parkingtoday.com/pie26/attendee-store/ MERCH Check out some of our awesome parking themed t-shirts and other merch at parkingcast.com/swag. MUSEUM Check out some of our artifacts from the world's first parking museum at parkingcast.com/museum.
In this episode of the Heart podcast, Digital Media Editor Professor James Rudd is joined by Dr Craig Balmforth from the University of Edinburgh. They discuss the rationale for identifying high-risk plaque, how imaging can help, and emerging therapies, including PCI. If you enjoy the show, please leave us a positive review wherever you get your podcasts. It helps us to reach more people - thanks! Link to published paper: https://heart.bmj.com/content/112/1/13.long
In this episode of Future Fuzz, Vince Quinn sits down with Mike Rotondo, Founder of RITC Cybersecurity, to unpack the growing cybersecurity risks facing modern marketing teams.From phishing scams and business email compromise to AI vulnerabilities and data leakage, Mike explains why marketers are prime targets for cybercriminals—and why being “in the cloud” doesn't automatically mean you're secure.The conversation dives into how cybercriminals operate like full-scale corporations, why user training is the single most important defense, and how simple mistakes—like shared logins or unsecured home routers—can expose entire organizations. Mike also explores emerging threats like “quishing” (QR code phishing), AI exploitation, and the hidden risks of feeding sensitive data into large AI tools.If you're managing customer data, email lists, or AI-powered marketing tools, this episode is a must-listen.Guest BioMike Rotondo is the Founder of RITC Cybersecurity, a consulting firm focused exclusively on cybersecurity strategy, compliance, and risk mitigation.RITC provides services including penetration testing, security framework analysis, SOC 2 audit preparation, HIPAA and PCI compliance consulting, and virtual CISO (vCISO) services. Rather than hands-on IT implementation, Mike and his team specialize in advisory, governance, and security architecture—helping organizations build secure systems from the inside out.With decades of experience in cybersecurity dating back to the 1990s, Mike works with organizations to prevent breaches, reduce liability, and strengthen internal defenses against evolving cyber threats.TakeawaysBeing in the cloud does not mean you're secure.Most breaches start with users—not firewalls.Cybercriminals operate like corporations, with R&D and strategy teams.Phishing and business email compromise (BEC) are still the top threats.Shared logins and admin access for everyday users create major vulnerabilities.Remote work requires secured routers, patched systems, and enforced device standards.“Quishing” (QR code phishing) is an emerging attack vector.AI tools can create data leakage risks if policies aren't in place.Personally identifiable information (PII) exposure can financially destroy small companies.Cybersecurity training is the most effective prevention strategy.Chapters00:00 Introduction to Mike Rotondo 00:28 What RITC Cybersecurity Does 01:31 Why Businesses Are More Vulnerable Than They Think 03:01 How Cybercriminals Actually Operate 04:10 Real-World Impact of Phishing Attacks 06:30 Building Strong Cyber Defenses 07:57 Remote Work Security Risks 09:42 QR Code Phishing (“Quishing”) 10:45 Why Cybersecurity Feels Overwhelming 11:05 The Importance of Employee Training 12:26 AI's Role in Cybersecurity Threats 14:53 AI Server Vulnerabilities 15:15 How Marketers Should Approach AI Security 17:08 Data Leakage and PII Risks 18:31 The Financial Fallout of a Breach 19:08 The Ciphered Reality PodcastLinkedInFollow Mike on LinkedIn Follow Vince on LinkedIn
Welcome back to another episode of the unSeminary podcast. Today we're joined by Jeff Beachum and Curt Banter from Portable Church Industries (PCI), a company that has helped more than 4,000 churches launch, expand, and thrive in portable environments over the past 25+ years. PCI specializes in helping churches create high-quality worship, kids, and guest experiences in rented or temporary venues—without sacrificing excellence, volunteer health, or long-term strategy. Is your church growing and starting to feel the pressure of limited space? Are you wrestling with what comes next when your building is full but a permanent solution feels years away? Curt and Jeff share how portable solutions can help churches keep momentum, reach more people, and make wise long-term decisions—without rushing into costly permanent buildings too soon. Recognizing the capacity tipping point. // When churches reach 70–80% capacity, leaders begin to feel pressure everywhere—parking, kids' environments, hallways, volunteer fatigue, and seat availability. At that point, growth doesn't slow because of lack of vision; it slows because of physical constraints. Leaders often start “chasing capacity,” stacking services or squeezing rooms, but those solutions eventually hit a wall. The real question becomes how to keep momentum going without rushing into a long-term decision that may limit future flexibility. Why waiting too long can stall growth. // Waiting to see what happens with growth can quietly kill momentum. When guests can't find seats or families feel crowded, people stop inviting friends—even if the preaching and worship are strong. While overflow rooms may solve logistics, they rarely create the same invitational energy. Churches must respond to growth with courage, believing that God is at work and making room for what He's doing. Portable as a strategic bridge, not a shortcut. // One of the biggest misconceptions is that portability is a cheap or temporary compromise. In reality, portability often serves as a strategic incubation phase—a way to grow now while preparing for long-term solutions later. Portable environments allow churches to launch new locations in months instead of years, often at 3–7% of the cost of permanent construction. Why permanence shouldn't be your first move. // Permanent buildings come with long timelines, heavy capital costs, and irreversible decisions. By contrast, portable systems allow churches to test locations, leadership capacity, volunteer systems, and community engagement before committing to bricks and mortar. In many cases, churches reuse or retool their portable systems for future campuses, making portability a repeatable growth engine rather than a one-time solution. Designed for volunteers, not professionals. // PCI systems are designed around the reality that most churches rely on volunteers—not production experts. Systems are engineered so everything has a place, setup is repeatable, and volunteers of all ages can succeed. Portability often attracts a unique group of volunteers—people who may not serve in traditional roles but find purpose in setup, teardown, logistics, and behind-the-scenes leadership. Over time, these teams become deeply connected and highly committed. Experience and kids environments matter. // Portable doesn't mean second-rate. In fact, kids' environments are often more important than the worship space. Parents cannot fully engage in worship if they feel uneasy about where their children are. PCI's design process balances worship, kids, guest flow, safety, and branding to ensure the entire experience reflects the church's values—not just what happens on stage. Custom systems, not off-the-shelf kits. // PCI's consultative approach begins with listening. Each system is custom-designed based on the church's identity, volunteer capacity, budget, and long-term vision. There is no “stock solution.” From sound systems to kids check-in to trailer layouts, every detail is engineered to support the church's unique mission and growth trajectory. A first step for leaders. // For leaders feeling capacity pressure, start with a conversation—not a commitment. Learning what options exist now prepares churches to act decisively later. The goal is not to rush, but to be ready when growth demands action. Speak directly with Jeff Beachum and discover how Portable Church can help with your unique situation by scheduling a conversation at portablechurch.com/jeff. Learn more about Portable Church Industries and see samples of their work at portablechurch.com. Thank You for Tuning In! There are a lot of podcasts you could be tuning into today, but you chose unSeminary, and I'm grateful for that. If you enjoyed today's show, please share it by using the social media buttons you see at the left hand side of this page. Also, kindly consider taking the 60-seconds it takes to leave an honest review and rating for the podcast on iTunes, they're extremely helpful when it comes to the ranking of the show and you can bet that I read every single one of them personally! Thank You to This Episode’s Sponsor: SermonDone Hey friends, Sunday is coming… is your Sermon Done?Pastor, you don't need more pressure—you need support. That's why you need to check out SermonDone—the premium AI assistant built exclusivelyfor pastors. SermonDone helps you handle the heavy lifting: deep sermon research, series planning, and even a theologically aligned first draft—in your voice—because it actually trains on up to 15 of your past sermons. But it doesn't stop there. With just a click, you can instantly turn your message into small group guides, discussion questions, and even kids curriculum. It's like adding a research assistant, a writing partner, and a discipleship team—all in one. Try it free for 5 days. Head over to www.SermonDone.com and use promo code Rich20 for 20% off today! Episode Transcript Rich Birch — Hey friends, welcome to the unSeminary podcast. Super glad that you’ve decided to tune in today and you are going to be rewarded for that. We’ve got a really important conversation, I know for many churches that are listening in, particularly if your church is growing and you’re thinking about the future and you see some constraints around you, we wanna help release some of those constraints today. Rich Birch — And I’ve asked good friends, Curt Banter and Jeff Beachum from Portable Church Industries to come and be on the on the call with us today, because they’ve got some stuff that I know can help so many of us. If you do not know Portable Church, they help churches thrive in portable venues. For more than 25 years, Portable Church has helped literally thousands of churches launch strong and thrive in a mobile setting. They design custom solutions that fill that fit each budget, vision, and venue. They really are amazing people. And I’m so glad to have you on the show today, Curt and Jeff. Welcome. So glad you’re here.Curt Banter — Great to be here.Jeffrey Beachum — Glad to be here.Rich Birch — Why don’t we start with Curt? Tell us the kind of portable church, you know, summary. You bump into someone and you they yeah they ask you where you work and you’re like, I’m CEO of Portable Church. What what is that?Curt Banter — Yes, yes. That’s a popular airport question. That is a very, what is that exactly? And I always…Rich Birch — Right. Is that on wheels or something? What is it like, you know.Curt Banter — Exactly. I always tell people like, well, we build portable systems to help churches function in kind of rented spaces is, you know, the deal. And it’s production, it’s kids, it’s lobby, it’s the whole thing. It’s it’s the experience on a Sunday morning in a rented venue.Rich Birch — Yeah, that’s fantastic. And Jeff, give us a sense of the scope of both the services and kind of solutions that PCI provides. Like when you say you help that, what does that, what does that mean? Is this just like a bunch of ideas or what what do you actually do?Jeffrey Beachum — So Portable Church provides absolutely everything that a church needs in order to do church the way they do at their home campus, except we don’t provide the pastor, and the people and the place. But, I mean, we do everything else from, like Curt said, production, everything you need to do children’s environments, everything you need to get people on the campus with wayfinding, greeting them, coffee, right down, if we don’t recommend it, but right down to the communion wafer and the baby diaper. We can do it all.Rich Birch — Nice. Right. Yeah, it’s incredible. Well, today we want to frame the conversation for churches that are listening in that are particularly growing and are thinking about the future and maybe are coming up against some capacity issues. Jeff, when a church starts to approach, say, let’s picture a church, maybe they’re approaching 70, 80% of their weekend capacity. What kind of questions do you hear those leaders wrestling with? What are they thinking about, as they’re thinking about, hmm, what do we do next?Jeffrey Beachum — Well, luckily I’ve run into some ah amazing executive leaders that carry the vision and the execution of a church. And those are usually the two primary people or positions. And there might be multiple people involved in it. But those are the two positions that really are looking in their crystal ball and trying to say, all right, based on The seats we’re filling, the parking lot the way it is, the corridors that are jammed, the children’s ministry, how high a pitch our our volunteers are screaming. We need to be thinking down the road about what are the solutions. And those those people typically, those good leaders are asking questions about, all right, what can we do onsite?Jeffrey Beachum — And eventually, if this keeps going, and we’d love the momentum to keep going, what are some off-site solutions? And so that’s what we like to help take leaders through is even if they don’t use it, the more they know, the better they’re going to be.Rich Birch — And what, when you think of the questions that they’re wrestling about kind of the onsite offsite question, what would be some of those things that, why would they be at that venture? Like what, what is it about, you know, these, this kind of threshold of 70, 80% that starts pushing them to be like, Ooh, maybe it’s like, what are the pain points that they start feeling that are like, okay, that we’ve got to start thinking about something, you know, different down the road.Jeffrey Beachum — Well, this we do this thing, I like to call it chasing capacity, because once a church opens its doors, and if they’re blessed by God and they’re doing all the things that they should be doing, they will forever be looking for that elusive extra seat so that people can hear the gospel. Rich Birch — Right.Jeffrey Beachum — Well, when they get into that position, um they they immediately begin to think, we only have so many seats. It’s a finite number and we’re growing. So how how do we get more? And on-site solutions might include stacking services, adding another third, fourth service. It could mean expanding the footprint of the whole building that you’re in. It could be moving from a smaller room to a bigger room. It could be a variety of solutions on-site to help all those situations. And and there’s a lot to consider when it comes to children’s space, worship space, getting people in and out between services and parking and all of those things.Jeffrey Beachum — Eventually, someone has to be looking at what the offsite locations might be. And and to be honest with you, that is a finite thing. There’s only you can find a green piece of grass and and build a brand new building, which takes a lot of money, a lot of time. There’s commercial properties that you can go into now and build them out, which is always fun and exciting and good good solutions. Mergers is popping up and then portability. Those really are the only four options that are out there for a church to consider going off-site for another site or to launch a new plant.Rich Birch — Cool. So Curt, from when we think about, again, this church, they’re, you know, they’re reaching 70, 80% capacity. They got full everywhere. Like and they look around and it’s like not and enough seats, not enough kids space, not enough parking. From a design and systems perspective, kind of the running side, what often do you think that we miss at that moment in a church life? Like questions we’re not asking or maybe things we misunderstand about that?Rich Birch — Because you guys see this all the time. These are the people you work with all day long. Curt Banter — Yeah. Rich Birch — What are the things that we maybe misunderstood?Curt Banter — Yeah, I think, you know, a lot of people are trying to, they don’t want to lose momentum. They don’t want to lose people. They they start, especially I think people kind of a knee jerk sometimes that it’s like, oh you know, people to come in the door. I can’t find a place to sit. They’re going to, you know, they’re to, people are going split.Curt Banter — And so they’re really nervous about that. So people will tend to do the things that are maybe more black and white and make choices that feel concrete. Like I could build a thing or I could add a service or I could do different things that will cost money and maybe not as much in terms of personnel. But I think sometimes the the tricky part is is that the strategy is really key because what you’re building now is going to lay the foundation for so many other steps down the road.Curt Banter — So it is important to really kind of step back for a minute and make some choices about you know what that means for your staff, what that means for long-term capital spending or whatever it may be before you kind of just leap into those decisions. And then you’re stuck with things that maybe don’t grow so well, or, um, are just bandaid solutions.Rich Birch — Yeah, trying to make the long term. That’s hard in the middle of the chaos of it to step back and say, hey, what what is the best decision here?Curt Banter — It is, it’s really hard.Rich Birch — Even though I’ve got, you know, I’ve got problems right now. What’s the best decision for us to make it this for this next step? Jeff, what happens if we’re in this again, thinking about the same kind of church, if we wait too long, if we, because I’ve actually seen this in churches where I think it’s like it’s like we don’t have faith that what’s happening now is going to continue. And we think, well, maybe maybe next fall, all these people won’t come back. Now, we would never say that. And then we wait and we hesitate for a year or two. What’s some of the risk there that we should be thinking about?Jeffrey Beachum — Well, it it is a scary thing to see God moving and and being amazed at what’s happening in front of you, and and really taking that and getting a gut gut feeling, the right gut feeling to say, God is doing something here and we just need to be able to provide ways for him to keep filling seats.Jeffrey Beachum — And so momentum is very, a tricky thing and you need to be able to keep the momentum going, keep people encouraged. And, and if you don’t, I’ll just share one story. Um, I was at a church. I’ll just tell you my church. I was at my church. I love my church. It’s a great church and got there at Easter time, got there early cause we knew better. And I, I’m old, so I went out to the bathroom and I came back in, and as I was coming back in the doors were closed and there was a sign there that struck me big time and it said: no more seats in the sanctuary. And it pointed to another place where they could go. Well, nobody wants to sit in the second space, no matter what it looks like, and that no more seats available. What if that was the day, you know?Jeffrey Beachum — And so momentum, you need to be able to keep it going. It’s tenuous and you can hit speed bumps with some of the things that you try to do, but you you really need to take courage in what God is doing and what the skill set that he’s provided for the executive leaders to make these decisions and say, we really believe that God is asking us to do this and make plans for that next thing, whether it’s the on-site solution or the off-site solution.Jeffrey Beachum — But if nobody is thinking about it and nobody is ready to make those decisions, that’s where you hit a wall and you stop growing. And in my mind, I think once you’ve let people know that that’s not important enough to keep seats open so that more people can come in, I think that has a negative twist to the momentum piece.Rich Birch — Oh, for sure. Yeah. And there’s, there’s, you know, people won’t invite if there’s not empty seats and there’s, you know, there’s all kinds of interesting, you know, you know, correlations there for sure. So again, thinking about the same church, actually literally earlier today, I was talking to a church, there are three services on a Sunday morning, adding a fourth. And I was asking the XP, how’s it going? And he said, well, we had our, they have like their main parking lot and then they have like the grass parking lot. They’re part of the country country where you can do the grass parking lot. And he’s like, our grass parking lot this last weekend, we’re recording this in early January, was full. And he’s like, we did not anticipate that. And he’s like, I know I’m at least four years away from a building program. I’m not sure, you know, what, what to do. And I thought it was kind of funny that I’m talking with you guys today as well.Rich Birch — So Curt, when you think when, and so this, this guy was a little freaked out because he’s like, man, we got years before we can think about, and he’s thinking permanent building. So when churches are thinking about expanding, many of us, we jump right to permanence. Hey, how long is it going to take? You know, if you talk to our friends on that side, there’ll be three years to, you know, and lots of money.Rich Birch — What have you learned about the danger of kind of skipping this, maybe some sort of interim in between step? Talk us through, you know, why maybe permanence isn’t, shouldn’t be our first step when we’re thinking about this.Curt Banter — Yeah. No, I mean, yeah, and I often tell people, I like, I love the permanent space. I got no problem with that. But if the momentum is really flying and things are going fast, that that is that is a big chunk of why we exist. I mean, we can build a design. You know, you can, it’s, it’s if you you need to find a location. You need to figure out your team. There’s a lot of steps that need to happen in here, regardless of whether you’re going to be building a building or doing a portable church or whatever it may be. Curt Banter — And so this is a, it’s a great time to kind of figure out what the next steps are. And it really is, it’s an opportunity to, to trial things. And like I say, for us, the big deal is is, you know, instead of that four year window, that kind of thing, I was just talking to somebody yesterday and they said, well, you know, how many, how many months would it take? And I said, well, if if we’re talking in months, we’re in good shape. Because sometimes people show up and they’re like, Hey, we need to do something in 10, 12 weeks. And I’m like, okay, we could probably do that. You know?Rich Birch — Right. We can hustle.Curt Banter — Yeah, I mean, and that’s that’s pretty low risk. Like if you can get get something off the ground in 10 or 12 weeks, you know, that… Rich Birch — Right. Curt Banter — …that that gives you opportunity to really take advantage of that and not have to freak out about what my next step is and figure out how am I going to excavate or get a architect involved or, you know, whatever permitting all these things, which, you know, yeah, you’ll get to that. But we don’t have to really work through a lot of those issues to get something launched fairly quick.Jeffrey Beachum — If if I could… Rich Birch — Jump in – yeah, absolutely. Jeffrey Beachum — …we, we recently did a case study of a church down in Florida and they, it’s an amazing church in itself, but they went to a campus and thinking they were only going to have to be there for a couple of years because they had a property across the street. And what happened in that campus was amazing and God blessed them. Jeffrey Beachum — And After they ended up, instead of being there two years, they ended up being there four years. As they were getting into their fourth year, we said, you know what, we need to capture this because this is exciting stuff that they could do. They had 6,000 people on a high school campus on an Easter Sunday…Rich Birch — That’s crazy. Jeffrey Beachum — …which is wacko in my mind. Rich Birch — Sure.Jeffrey Beachum — But we went down to capture it. And the theme that kept coming out of the volunteers and the leaders that we interviewed was, why would we have waited? Why would we have put this off for four years? Look what happened in the four years that we were in this environment. And now we get to walk across the street in a few months and fill a brand new building. And they did. They walked across and they added a third service immediately. And now just six months later, they’re up to five services. So that I like to call it an incubation time… Rich Birch — Right. Jeffrey Beachum — …in portability where they can grow and they can test their mettle. They can test their leadership. They can let the community know here’s what we do and here’s who we are. There’s a lot of great benefits to being portable first.Rich Birch — Okay, sticking with you, Jeff, and and with that idea, this frame of like, a hey, we’re going to, you know, maybe like you’re saying test or take the first step towards a long term plan that’s portable. I’m sure you’ve had a lot of those conversations with churches over the years that have done that.Jeffrey Beachum — Yeah.Rich Birch — I’m sure some of them were like, maybe hesitant at the beginning, and then they do it. And then there’s learnings that come back. They they discover, oh wow, this this was different, better. Here were some of the advantages of going portable first. What would be some of those? Rich Birch — I hear the idea of like, in that church’s example of like, hey, we actually were able to start reaching people rather than waiting for four or five years for a building and then start doing that. We actually start to do that now. That’s a great benefit. Any other, that kind of thing that comes back that people are surprised they didn’t see on the, on the, on the outset.Jeffrey Beachum — Well, I think people are surprised when they go portable, at least in our experience with portable church, we we see churches are able to bolster their volunteer base. Normally you get into experiences like that and volunteers, you know, they they they do it for a while and then they say, I’m out. But in our case, it’s intuitive enough and exciting enough, and they see the results that the volunteers usually grow in that case.Jeffrey Beachum — Another great example purpose for going portable first would be to become a part of the community that you’re targeting for that that next facility that’s going to be permanent. If the community sees that you are already a part of them and that you make a difference, they’re going to make it easier for you to get the permissions to get everything constructed in a timely basis. They’re not going to get in the way because they see the value of having you already in the community.Jeffrey Beachum — And then there’s always, you know, the the the end result is that when people are hurting and you go into a new community and you answer a need and they they get to go to a place that they’re familiar with, the school, the YMCA, movie theater, whatever that is, in a very comfortable setting that they’re already familiar with and learn about Jesus and have hope restored. So there’s just a few, but there’s a lot of reasons to go portable first.Rich Birch — Yeah, that’s good.Jeffrey Beachum — Yeah.Rich Birch — I don’t know if I’ve ever told you this. In fact, I’m pretty sure I haven’t. So the church I’m at now, next year, 2027, will be a 20-year anniversary. And although I’m not on staff anymore, I do this full-time. I’m still a part of the church. I love it. And you know they have like the organizational values. And we we had one of our campuses was portable for 17 years using a Portable Church Industries system. I know you know that, Jeff. Jeffrey Beachum — Yeah.Rich Birch — And when we, I was like emotional when we were putting those cases away and like unpacking them. It was like, oh my word, like this was like a big deal. And actually one of the the staff team’s values, I just saw this yesterday, I was in the office, is we push cases. And, you know, they they internally, even though they’re not portable anymore, we push cases, this idea of like, hey, we’re all in. And it’s like this thing they kind of tell each other. And I actually think friends like I’m I try I’m trying to be like the unbiased, like, oh, I’m just interviewing these guys. But like, I love Portable Church. I love what they’re up to. I love how you help churches.Rich Birch — And I think your systems, the actual physical systems that you make are like the biggest competitor to you because I bump into them all the time. You know, a decade later, 15 years later, this stuff is still rolling out there. So, Curt, when you design a system where, you know, let’s say we’re we’re headlong in. We’ve said we’re going to do this. We’re going to we’re going to go portable. What do you prioritize? Is it experience, efficiency, volunteer experience, future growth? Talk us through how that kind of the the framework for how your team thinks through the actual design of these things, because it’s it feels like magic to me that, you know, it all comes together. It’s incredible.Curt Banter — Yeah, for sure. Yeah, it’s it’s funny. All those things are important. And I think a lot of what you have to do is when we go when we go and meet with a church, we talk through all that stuff. You walk in the building and you get a sense of, okay, what’s your identity? What, you know, how does it feel? What does what does the environment look like? What’s your auditorium experience? What’s what’s your kids? You know, what kind of security do you want? There’s just all these environmental questions that we’re trying to figure out.Curt Banter — And obviously budget plays a part in it as well, but it’s sort of a balancing act. You’ve got to sort of gather all the information in terms of who they are, what what are they trying to achieve, what’s their timeline, you know, and then you’re kind of baking all that into one big pie and trying to figure out how to you know, balance it all together.Curt Banter — But yeah, it’s it’s different. And it’s funny, I was I tell people, I’ve told Jeff this story, is like, when we sit down with a church, I always tell people, like, if there’s 10 things that are important, don’t assume that I know what they are, because the 10 things that are really important to this church are not the 10 things that may be important to you. Rich Birch — That’s so true.Curt Banter — And every single system has to be, we really base it around what is the the core values of that team, that church.Rich Birch — And how, reveal what that looks like a little bit for people folks. Cause I do think this is, this might be, this isn’t like a pull it off the shelf kind of thing.Curt Banter — No.Rich Birch — You’re building a custom system for people. What does that kind of consulting process look like? How do you, how does that actually, what’s actually look like, Curt?Curt Banter — Yeah, for sure. Yeah. So a lot of times we’ll we’ll set up a consultation, we’ll go in and it’s a it’s a full day of discovery, right? So it’s a lot of meetings with, it could be the executive pastor, we’re meeting with the production team, we’re meeting with the kids people, everybody, people that are making coffee, literally, you know, every part and piece of it.Curt Banter — And it’s a lot of just listening. It’s it’s a lot of me writing notes and figuring out what’s important to people. And yeah, we’re also talking about sound boards and PAs and you know lighting systems and all that kind of stuff. But it’s it’s tons and tons of gathering and information. Because yeah there’s there’s not there’s really nothing about the system that’s stock. Every single part and piece of it is customized for every client from some of our most budget systems to systems that are gigantic with lots of trailers and and lots going on, so. But yeah, it’s that data, that customization for each client is a gigantic part of what makes us, us.Rich Birch — Yeah. And I’ve said to folks who have used you when I knew they were you know coming up to a consultation, I’m like, just just mirroring the same thing you’re saying, just tell them everything. Like don’t like don’t hold back and you know and and talk through it all ah and be really clear.Curt Banter — Yeah.Rich Birch — Sometimes people come back and the system’s like, well, that’s maybe not what we were hoping it would be. Maybe everyone has like, what is it? Platinum Dreams and you know they have a smaller budget or whatever.Curt Banter — Oh, yeah, yeah.Rich Birch — But but but that’s okay.Rich Birch — That’s a part of your job is to try to help them right size it and and all that. Jeff, kind of on the brand consistency. Oh, sorry. Jump in. You were going to say something there. Yep.Jeffrey Beachum — I was just going to follow up with what Curt said, because I’ve attended with Curt a number of the consultations, and just walk away amazed at the value of just being being able to have Curt sit in a room with the leaders and how it feeds to the leaders really well.Jeffrey Beachum — And so some some significant things that I’ve seen Curt do is help them to understand it. So what kind of a what does your worship feel like? And what kind of sound system do you use? And there are some churches now that I say have the Cadillac of systems and they have the best of everything. And it could be really expensive. And if they’re going to multiply sites, that could get expensive over time. Jeffrey Beachum — And I’ve seen Curt be very gracious about, all right, so you have this top line equipment. If you’re going to do this two or three times, wouldn’t you like to like jump down to a Buick? and And have your people get really comfortable up with a Buick. Because to be honest with you, only the the professionals recognize the difference between a Buick and Cadillac. All of them still have four wheels and a steering wheel.Rich Birch — Yeah, that’s good.Jeffrey Beachum — And so he’ll talk about that. And then another key piece is that depending on who’s in the room when Curt does the discovery, he talks about the balance that people really don’t get to the worship space where the high production happens for 7 to 10 minutes. And they pass a lot of things. So there’s a nice balance to the design of the system with the children’s space, which I think is probably as as important or more important than the worship space, because no parent wants to go in and be have misgivings about what the space looks like and what’s going to happen to the child that they’re going to abandon into the care of these people and then walk across the street and the pastor think for one minute he has their attention enough to to preach the most important hour or 20 minutes of of their life…Rich Birch — Right.Jeffrey Beachum — …to change their life. They’re thinking about what the heck did I just do to my kids? Rich Birch — Right.Jeffrey Beachum — So I’ve seen Curt very graciously help them balance everything out and say, this is how it is important. And it’s important that we we get it into a system so that it can be done with volunteers quickly and they can have success every single time, every single week. Rich Birch — Love it. Jeffrey Beachum — And they can be excited and feel they’re as invested in the message that of the gospel as the pastor is.Rich Birch — Well, let’s double click on that with you, Curt. You know, I think there’s a lot of executive pastors listening in today and, and I have had this experience as an executive pastor. I’m like talking to some tech person and they’re like, we need the—using Jeff’s thing—we need the Cadillac. Like, you know, the gospel will not go forth without, you know, the Cadillac. And and and I look at all this and I’m like, it’s numbers and letters on a page. And how do I understand all that?Rich Birch — How do you help leadership teams really not either over invest or under invest, particularly on the technology side? Because that side, you know, a kids panel, you know, that stuff, it feels like, okay, that’s pretty consistent. But this area feels like, man, we can, it’s like sky’s the limit. So how how do you help churches on that piece particularly?Curt Banter — Yeah, I mean I mean, one of the first things I almost always do is I’ll ask people, to say, are you okay, so do we do you have experts coming to run this, or do you have staff coming to run this, or do you have volunteers running this?Rich Birch — Yes.Curt Banter — Because those are two very different things… Rich Birch — Yes. Curt Banter — …and if you’ve got volunteers coming, which a great majority of our churches do, then you’ve got to think about who you’re designing this for, right?Rich Birch — Yep.Curt Banter — And that is a problem because a lot of production directors are like, this is what I want. I’m like, are are you going to run it? Because if you’re not going to be there, it doesn’t really matter that much, you know. So a lot of times we’re really trying. I mean, sometimes i hate to be the wet blanket, but sometimes I think, and i can i can I can speak the language. I know what all the letters and everything mean. Rich Birch — Yeah, yeah. Curt Banter — But sometimes I’m trying to back them off a little bit to say, look, let’s build a system that’s repeatable. Let’s build a system that anybody… Rich Birch — Yeah, that’s so true. Curt Banter — …maybe not anybody, but certainly your volunteers, somebody who’s equipped to do it, can do that, set it up in a reasonable amount of time. And and and every week they’re not having to try to troubleshoot it and figure it out and because it’s so complex.Curt Banter — And yeah, that that may be the right system for your main campus. But a lot of times at these portable locations, we’re trying to do something that’s fast, efficient, volunteer friendly. that’s That’s really key. Rich Birch — Yeah, that’s that’s a critical piece.Curt Banter — So we’re I’m constantly bringing that kind conversation back around to, okay, that’s great. There’s a trade-off in time. There’s a trade-off in expertise. Do we want to do that, you know? And sometimes we say, yeah, that one, we we do want to do it, but maybe we don’t do it over here. there’s you know So it’s always a balancing act there a little bit.Rich Birch — Yeah, that that to me, that’s a that’s a critical piece. I think it’s such a great thing that that you guys offer to help us think through that. And what is the nuance there and and be another like another voice in the room? Because I think sometimes we end up in those conversations with the with the pro or person that wishes they were a pro you know tech person. And there’re it’s like…Rich Birch — It’s like they’re they’re they want like the all the bells and whistles, but at the end of the day, they’re not going to have to solve these problems long term.Curt Banter — Yeah.Rich Birch — Yeah, that’s good. Let’s, Jeff, let’s talk about the volunteer piece, particularly. So, man, I’m here in like set up, tear down, rolling stuff, plugging stuff in. You know, we we know that churches live and die on volunteers in every location, but it’s particularly true in in portable environments. How do systems, well thought out systems from the front end help us win with volunteers, you know week in, week out, not from day one, but then continue over the years.Jeffrey Beachum — Oh, well, and actually that’s that’s a part of Curt’s team and production and integration and all of that. the The system that Portable Church uses, if you think about it, the the Portable Church has to have all the same stuff your home church has. It’s just all put into a portable system. So you need all of that. Jeffrey Beachum — And and I’m betting at your home church, you’ve built that up over a series of 5 to 10 years. And here you get it all in one shot. And because that you’re starting out with church and it has to be done well. So you don’t have boomerang volunteers that say, oh, I tried this and I’m going back home. We don’t have that.Jeffrey Beachum — So some of the things that help with that is that they are designed for that repetitive nature where everything goes in the same place in the case. So every case is designed custom for that particular room. And so one group can come in and set everything up and a whole different group can come in and put it away after you’re done with your one, two, three services. And and it all be in the same place because it everything, every piece has a home and within each case. Rich Birch — Right. That’s good. Jeffrey Beachum — And then every case, has a specific place on a trailer because we advocate for trailers and we can explain that later, but everything is weighted out. So we have people that actually weigh each case and where it should go on the trailer so that we’re not breaking some of your volunteers’ hitches, that we’re not having stuff abandoned on the side of the road.Jeffrey Beachum — And so there’s a meticulous design that goes into meeting the needs so that the church can be effective. And allowing the the case system to be productive. And we have people, kids as early as 10 or 12, they think it’s cool to be able to be a part of that.Rich Birch — It’s so true.Jeffrey Beachum — And so they’re from 12 to 80 years old pushing these cases and being helpful in a way that maybe they’re not teachers. Maybe they’re not Sunday school teachers. Maybe they’re not preachers. Maybe they’re not people who welcome you know easily, and they don’t have those skills, but they love pushing the cases and being a part of that.Rich Birch — Yeah, it’s true.Curt Banter — Yeah, that’s to to tag onto that.Rich Birch — Yeah.Curt Banter — That’s, I mean, the the teams I’ve been a part of in the past, we’ve, we’ve had groups of volunteers that never would have served in a permanent location.Rich Birch — A hundred percent.Curt Banter — They had no, they had no place there. They had no home there. Guys that pull trucks, people that are on the security team, people that are bringing in food to the green room, whatever it may be. And they, they really do. They find a home there. They find connection there. It’s not just about the serving. It’s also about the community. They’re very much interlinked. Rich Birch — Yeah. 100%.Jeffrey Beachum — And it’s important enough that we we warn churches. So when you go from portable to permanent, you need to find a home for all these amazing volunteers that they can continue to to serve.Rich Birch — Yeah. And we’ve, I was going to echo that. Like I’ve seen that time and again, in campuses have been a part of where we’ve gone from portable to permanent. And even though I’ve seen it, I’m like, there are a group of these volunteers that are like, they’re the backbone of the church. Like the, it’s all theoretical until the roadies show up and set the thing up. Like we’re, we’re theoretically doing church this weekend. And then this group of heroes show up and, you know, make it all happen.Rich Birch — And it is a group typically, it’s not always, but it’s my experience has been, it’s typically a group of guys who they don’t necessarily, they love it, but they don’t necessarily fit in other places. And they get this like foundational role in the church and love getting a little bit sweaty. And it’s the systems are designed so they’re not super hard. Rich Birch — One thing I want to say too, as a friend, like I remember years ago, this is again, probably 20 years ago with Pete, the founder of Portable Church. I was, I was at your location at the production location. And was, I was like waxing eloquently about, man, these cases are incredible. And he like, and you’re going to know what this is. I can’t remember the exact stat, but he he was showing this one case with this door that like flips down and you know he’s like, well, you know, if a certain person of a certain height, if something gets dropped into the bottom of that case, that door is designed so they can lean down and pick it up out of the bottom of that of that case. And he had some stat around like, you know, well you know, like X number of volunteers typically are this.Rich Birch — And I was like the amount of thinking that’s gone into the design is incredible. like And these are not like these just boxes that you’re pushing around there, although they are, they’re thought through, like lots of small things throughout the entire system that always strike me. I’m like, man, that’s just such a great idea, which is you know pretty incredible.Rich Birch — Curt, coming back to kind of an a little bit of an earlier question, I want to, there may be people that are listening in there like, yeah, I strategically get that. Maybe we’re going to spend a little less money. We could do some sort of like portable thing to help us before we go, you know, long-term. But some leaders might hear portable and think cheap, temporary, not great, ineffective, not on brand, all that kind of stuff. Help us think through how portable it really, yeah, how does that, what how how do you respond to that? How do you respond to those kind of potential criticisms?Curt Banter — Yeah. Yeah, I think I was trying to think of, ah you know, what, what causes the cheap thing. And I, I, I hate to say it, but I think sometimes it tends to be a DIY situation. It tends to be something where it’s, it’s that we talked about it earlier, that emergency situation, like I’ve got to figure out a solution.Rich Birch — Right.Curt Banter — And so I think sometimes people that go out and they grab this and they grab that and pull together. And now you’ve got this, you know, And there are churches that we go and work with where we sort of refresh the system or optimize the system.Curt Banter — And a lot of times you’ll see that where it’s just stuff in a trailer. Rich Birch — Right.Curt Banter — I mean, it’s just, they’re in boxes. They’re in, you know, cardboard, seen TVs and cardboard boxes that have been in those cardboard boxes for five, six years, you know, that kind of thing.Rich Birch — Yes. Yeah.Curt Banter — And I think that’s the, I think that’s sometimes maybe where the cheap comes from. And, and it’s the, the deal with us is, you know, everything’s thought out, right? Everything has a home. Everything has an an an intention in the way that it’s stored, used, trainability in terms of, you know. So, you know, I often say to people like, look, people go and pay lots and lots of money to go see concerts at big venues, right? And that’s all portable. It doesn’t have to be cheap. Those aren’t cheap. It’s really, it’s dependent upon, you know, what is your budget and what is your volunteer base and everything else. It doesn’t need to be cheap. And even at lots of budget levels, it doesn’t look cheap because there’s really a lot of thought that’s put into how it’s used.Curt Banter — So I don’t think, you know, there’s lots of opportunities to make it look great in a portable situation, but But yeah, it has to be, and like you were talking about with Pete, it has to be thought out. It has to be engineered. It has to be put together in a way that’s easy and fast and and looks good and has quality about it.Rich Birch — Well, and this this gets to how many churches you guys have worked with. Like, this is the insane, like, it’s some giant number. Like, it’s I know I said thousands at the front end, but what what is that number, Jeff? What is that? It’s it’s some huge number, right?Jeffrey Beachum — I, I think right now it’s got to be north of like 4000 churches over the last 30 years.Curt Banter — Something like that.Rich Birch — See, this is friends. This is what I’m saying. There are people that are listening in and you’re like, we could just do this on our own. And I’m like, well, why would you do that? Like talk to the people who have, they, although your situation is super unique, they’ve worked with 4,000 other churches in super unique situations and have helped them figure it out. And man, like that’s, you wanna leverage all of that thinking to help you figure out, okay, how are we gonna get this to work at, you know, insert junior high, high school, whatever it is, you know, bowling alley, whatever it is, wherever you’re you’re moving into, that’s that’s great.Jeffrey Beachum — Yep.Rich Birch — Curt, oh, sorry, go ahead, Jeff.Jeffrey Beachum — Well, I was just going to so I would also, when it comes to the value piece, ask how how valuable is it for you to have and to continue the momentum that you have going into your next, your next facility, whatever that is.Jeffrey Beachum — So you’ve got a gap when you finally realize, man, we got to do something and we got do something fast. Portability can be done within three to four months. We can have you on the ground, in your site and probably for an investment of maybe 3 to 5 or 7% of whatever that end expense is going to be, could be invested to keep that momentum going and to make things stronger.Jeffrey Beachum — And so with that gap between we need to land somewhere and landing in a permanent spot, you could have anywhere from a three to five year gap that could be highly productive in a highly professional environment with professional gear run by your volunteers.Jeffrey Beachum — And I don’t know very many, I mean, there are some guys that do DIY and do it well, but I don’t know very many that take into consideration all those engineering feats… Rich Birch — Right. Jeffrey Beachum — …that originally were thought up 30 years ago and Curt’s team continues now. Rich Birch — Right. Jeffrey Beachum — They produce a system that is amazing and helpful. And most of our the churches that we work with, they they come back. In fact, Liberty Live, we just did another interview with Liberty Live, and they were gushing about how much we’ve helped them with several sites. And it’s wonderful to hear that they’re effective because of us putting you know a carpet on wood and putting the right stuff in the right places and helping them to share the gospel.Rich Birch — Yeah, that’s incredible. That’s so good. Yeah, and i love that. You may not like what I’m able to say, but I’ve said this behind your backs. But, you know, so so many times I’ve said to leaders when they’re thinking about this exact moment, I’m like, okay, so let’s talk about worst case scenario.Rich Birch — Let’s be the like, okay, we we launched this location and this campus and we’re, you know, we’re excited about it. It’s working well. But, you know, we don’t know. You don’t know what’s going to happen there.Rich Birch — Well, the beautiful thing about a portable system is like, let’s give that a run for two or three years. And but best case scenario, four years, like the example you used, four years, we end up moving into some other facility. Well, that’s great. Well, what we do what do we do with this portable system? We take it and put it somewhere else, which I know you’d like us to say, you buy a new system. But but but I say, just take it and you know get them to come back and retrofit it… Jeffrey Beachum — Yes. Rich Birch — …and then go into a new location which you can’t do I don’t know any, and I’ve known multiple churches that have done exactly that play, which is, you know, just, you talk about stewardship. That’s just incredible use of the resources that God’s given you.Rich Birch — It’s amazing stuff. Curt Banter — Yeah, we’re in the process of… Rich Birch — Well, as we’re coming to land here, sorry, go ahead. Curt Banter — …to say we’re in the process of talking to several churches right at the moment that are that are retooling systems that they’ve had in play for 5 to 10 years. Rich Birch — Right. Curt Banter — And it’s exactly it’s an engine, right? Rich Birch — Yes.Curt Banter — They use it for growth. They retool it and they put it back out there to do the next one. And that’s part of the plan. It’s not a happenstance. They they that is the plan, like is to always keep pushing that thing forward.Rich Birch — Right. Yeah, absolutely. And that DUI thing, DUI, that’s different. DUI, do it yourself, DIY. That’s a Freudian slip. The that happens in churches all the time.Rich Birch — You know, a friend of mine’s church, they were, you know, I was like, you really should be using Portable Church. And they didn’t use Portable Church and they came to their opening weekend and a key piece of gear did not fit through the door. Jeff knows the church I’m talking of.Rich Birch — And they, you know, I was, you know, the leader that I know is like a little bit frustrated with, you know, with all that. And I happened to see pictures of their launch and I’m like, oh, you got it through the door. And they’re like, no, we did not get it through the door. We ended up spending more money and figured out like an older thing or something and retrofitted. And I’m like, gosh, like, you would have saved all that hassle just talking to someone who’s gone ahead and figured out how do you fit all this into a box and get it through a door. Rich Birch — As we’re coming to land, maybe a couple last ah questions, maybe one for you, Jeff. If if there’s a leader that’s in this, they’re they’re facing the capacity pressure right now, what’s kind of one step they should take in this next 90 days? Where should they go next? and then I got one last question for you, Curt, as we wrap up.Jeffrey Beachum — So the next 90 days, I would say, certainly you’re not going to land in a new location in the next 90 days. But what you can do is you can take a look in your crystal ball and say, I think something could be in our future and begin to know what you don’t know.Rich Birch — Good.Jeffrey Beachum — And I would say there’s a lot about going portable, the benefits of portability, some of the processes involved that we would love to just tell you about and inform you about so that 12, 18, 24, even 36 months down the road, you you have that knowledge and you say, all right, I’ve got this one in my pocket. I know I can do this. And we would be here to help you. Jeffrey Beachum — So I would say in the next 90 days, give us a call and talk to us and say, hey, I don’t know when we’re going to do this, but I kind of feel that we’re going to have to. Can you help me understand and learn about it? Rich Birch — Yeah.Jeffrey Beachum — I guess that’s the best step.Rich Birch — Yeah. That’s fantastic. You can go to your website, right? Portablechurch.com/Jeff, I think is the answer. Jeffrey Beachum — Yes.Rich Birch — If you want to actually talk with you, which is amazing. I’ve so i’ve told people that I’m like, Jeff will get on the phone and talk to you. Like he’s a real live human. Jeffrey Beachum — Forever.Rich Birch — And at the end of it, it’s not like, you know, there’s a, you know, a credit card, you’re buying a new system. That’s not what it is. It’s like, Hey, we want to help you understand early, get in the process. You cannot start the conversation too early. You know, I appreciated Curt saying like, hey, I talked to this leader and they said maybe 10, 12 weeks from now I need something done.Rich Birch — Don’t do that. Like start early. Like if you’re as and they say they’ll do that. That’s fine. That’s that’s Portable Church. They’ll actually help you. But from my end as an operator, I’m like, even if you’re inkling thinking like early in the we might be doing something down the road. I’m not even sure if this is an option. Call Jeff – he’d be happy to help you. Rich Birch — Curt, for you, senior leader of the organization – you know, Portable Church is doing a great job. 4,000, we’re looking forward to that when you click over 5,000 churches. What would you say to a leader that’s listening in today as they’re thinking about expansion, maybe a senior leader, like, you know, a lead pastor, that sort of thing? What kind of words of advice or wisdom would you give them as we wrap up today’s episode?Curt Banter — Yeah. It’s funny, like as, as people are growing and they’re expanding, we’ve talked about this a few times, but think about, you’ve poured everything you got into your, especially if you’re in one location, you’ve poured everything you got into that one location. All of you’ve got your special sauce and all of those people that are really talented at what they do. And now you’re like, we need to grow. And maybe that’s another location. And okay, how how are we going to do that?Curt Banter — And I think a lot of people are really commonly saying, okay, we’re going to stretch that base over two. And a lot of times you can sort of get away with that a little bit. But what tell you what you go to three or even as you really fully expand into two, you’re going to feeling it. And so the the thing I would always say is, again, think about your long-term strategy. Rich Birch — That’s good.Curt Banter — Think about what you’re going to need in terms of your team, in terms of repetition and process. And it just it’s going to serve you so well in the long run to be thinking about how the people play into this and how you’re going reproduce it versus just you know getting through this moment.Rich Birch — That’s so good. Well, appreciate you guys being on today. Again, if you want more information on Portable Church, you can just drop by portablechurch.com. There’s a ton of information on there, lots of helpful resources and all that.Rich Birch — And if you want to talk to Jeff specifically, just go to portablechurch.com/Jeff. He would love to jump on a call with you and talk you through whatever you know kind of issues, or even if it’s just like, hey, we’re kind of thinking about this.Rich Birch — What questions should we be asking? He would love to jump on a call with you. So thanks so much, gentlemen. I appreciate you being here today.Curt Banter — It’s good to be here.Jeffrey Beachum — Thanks. Appreciate it Rich.
Human-Centric Merchant Services: Optimizing Payment Systems with Jimmy EstradaIn this episode ofThe Thoughtful Entrepreneur Podcast, host Josh Elledge sits down with Jimmy Estrada, the Founder and Owner ofJELA Payments Systems, to demystify the complex world of merchant services. Jimmy shares how his firm bridges the gap between massive, faceless payment processors and the independent business owners who often find themselves stranded when technical glitches or funding holds arise. This conversation offers a strategic look at how a high-touch, consultative approach to payment systems can help B2B firms and retailers reclaim their profit margins, mitigate risk, and ensure that their financial "plumbing" remains reliable and transparent in an increasingly automated marketplace.The Power of Personal Partnership in Payment ProcessingThe modern payment landscape is dominated by automated "plug-and-play" solutions, yet many business owners discover the limitations of these platforms only when a crisis occurs. Jimmy explains that the primary value of a merchant services partner lies in providing a direct human advocate who understands the specific risk profile of a client's industry. When funds are unexpectedly held or a technical integration fails, having a dedicated account manager often means the difference between a 24-hour resolution and weeks of lost revenue. By moving beyond a "set it and forget it" mentality, businesses can proactively address industry-specific risk factors—such as those found in medical or legal services—before they escalate into costly holds or compliance headaches.Transparency in pricing remains one of the greatest challenges for entrepreneurs, as merchant statements are notoriously difficult to decipher. Jimmy advocates for a "clear-water" approach to fee structures, emphasizing that business owners should have a granular understanding of non-negotiable interchange fees versus provider markups. Whether a business utilizes an interchange-plus model, compliant surcharging, or dual pricing, the key to long-term profitability is consistent monitoring and "junk fee" audits. These regular reviews ensure that businesses aren't paying for redundant services or hidden charges that frequently creep into statements over time, allowing leaders to reinvest those savings back into their core operations.Optimization is not just about chasing the lowest possible rate; it is about ensuring that a payment system is fully integrated with a company's existing software and customer journey. Jimmy discusses how his firm works with various hardware and software vendors to create seamless APIs that simplify the checkout experience for both in-person and card-not-present transactions. For businesses lacking in-house technical expertise, a trusted payment partner acts as an outsourced department that manages the technical burden of PCI compliance and security updates. Ultimately, a true partnership is built on integrity—where the provider prioritizes the client's long-term stability over a quick sale, even if that means advising a client to stay with their current provider if the rates are already fair.About Jimmy EstradaJimmy Estrada is the Founder and Owner of JELA Payments Systems, where he leverages over a decade of experience in the merchant services industry. Known for his "integrity-first" approach, Jimmy specializes in helping high-volume and B2B merchants navigate the technical and financial complexities of credit card processing with a focus on education and personalized support.About JELA Payments SystemsJELA Payments Systems is a merchant services provider that offers customized payment solutions ranging from mobile processing to enterprise-level integrations. The company prioritizes human-to-human interaction, providing dedicated account management...
A phase 3 trial in The New England Journal of Medicine found that the oral PCSK9 inhibitor enlicitide reduced LDL by 57% at 24 weeks in high-risk patients, with similar adverse events to placebo. An oral option may improve uptake and help more patients reach lipid targets. In The Lancet, SMART-CHOICE 3 showed clopidogrel monotherapy after DAPT post-PCI reduced death, MI, or stroke versus aspirin, without more bleeding. Finally, a large meta-analysis confirmed most reported statin side effects are not causally linked, reinforcing their strong benefit–risk profile.
At ITEXPO / MSP EXPO, Zack Schwartz, Vice President of Strategic Partnerships at Trustifi, joined Doug Green to discuss a critical but often overlooked reality: while AI dominates headlines, email remains the primary attack vector for cybercrime. Trustifi delivers a full-suite email security platform purpose-built for MSPs, enabling easy deployment, centralized management, and advanced protection against next-generation AI-driven phishing attacks. Schwartz emphasized that over 91% of cyberattacks still originate from inbound email—and the sophistication of those attacks has grown dramatically with AI tools. “Cyber criminals are leveraging AI to create extremely nuanced attacks,” he explained. Trustifi addresses this by combining high-efficacy inbound phishing detection with innovative AI-driven training tools. One standout feature allows MSPs to convert a real phishing attack into customized security awareness training, generating targeted video content based on an incident that actually occurred within a customer's environment. A key differentiator is Trustifi's “journal-only mode,” which allows MSPs to deploy the platform without interrupting live email flow. The system produces a full report showing how Trustifi would have responded to threats, creating what Schwartz described as a powerful “aha moment” for customers. According to Trustifi, this approach converts over 80% of opportunities and requires only minutes to set up—at no cost to the partner or end client. Beyond inbound threats, Trustifi also addresses outbound risk and compliance requirements, including HIPAA, PCI, GDPR, and broader data loss prevention (DLP) concerns. Many organizations underestimate how much sensitive information leaves their network via email. “It's a big issue of not knowing what you don't know,” Schwartz said, highlighting how classification and encryption tools expose hidden vulnerabilities. With no minimum requirements, free NFR licenses for MSPs, and strong momentum away from legacy email gateways, Trustifi is positioning itself as a high-margin opportunity within the channel. The message to MSPs: start internally, see the exposure firsthand, and then extend protection across your customer base. Visit https://trustifi.com/
E' il 3 ottobre 1973. Una Chaika, la tipica auto di rappresentanza riservata ai vertici del blocco sovietico, corre verso l'aeroporto di Sofia. All'ingresso di un viadotto, però, un camion carico di pietre perde il controllo e la centra in pieno. L'impatto è devastante e da quel groviglio di lamiere esce ferito – ma vivo – Enrico Berlinguer.Rientrato in Italia il segretario del PCI sceglie il silenzio. Si limita a confidare alla moglie Letizia e al senatore Emanuele Macaluso un terribile sospetto: quello non era semplice incidente stradale, ma un attentato camuffato. Per quasi vent'anni quel segreto resta nell'ombra. Solo nel 1991, anni dopo la morte di Berlinguer, Macaluso racconta la vicenda a Giovanni Fasanella e Corrado Incerti. Oggi, a cinquant'anni da quei fatti, i giornalisti che per primi hanno ricevuto la confessione del senatore sono tornati a indagare la vicenda che avrebbe potuto sconvolgere la storia d'Italia e d'Europa. Un'indagine con un titolo che non lascia spazio a interpretazioni: “Berlinguer deve morire”.
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Hani Shennib, a Clinical Professor of Vascular and Cardiothoracic Surgery at the University of Arizona College of Medicine, Phoenix, USA, about catheters as a language. Chapters 00:00 Intro 02:48 UK Thoracic Forum 06:11 JANS 1, Detecting AF Using Watch 07:44 JANS 2, End-to-End Anastomotic Stapler 09:24 JANS 3, Improving Patient Selection NSCLC 12:05 JANS 4, 5-Year Women Outcomes TAVR vs SAVR 13:30 Video 1, MVR Tips & Tricks 14:43 Video 2, Ruptured SVA w Hemi-Yacoub Remodeling 16:32 Video 3, Modified Inclusion, Autograft in a Vest 18:04 Dr. Shennib, Catheters as a Language 48:25 Upcoming Events 48:52 Career Center They explore the importance of making catheters a language by learning, speaking, and practicing it daily. They also discuss how cardiac surgeons have lost the role of “gatekeepers,” with cardiologists now controlling more of the decision-making process. Dr. Shennib emphasizes the need for surgeons to be involved in decision-making from diagnosis to treatment and highlights the significance of patient-centered decision-making and the human aspect of these choices. They also compare coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI), examining which procedure is more appropriate in different circumstances. Furthermore, they explore the reasons behind the shrinking cardiac specialty and discuss how to save it. Finally, they discuss the future of cardiac surgery. Joel also highlights recent JANS articles on a randomized controlled trial on the enhanced detection and prompt diagnosis of atrial fibrillation using an Apple watch, the results of a human cadaver study on a novel aortic end-to-end anastomotic stapler device, improving patient selection for minimally invasive lobectomy or stereotactic ablative radiotherapy based on clinical characteristics, and a systematic review and meta-analysis on the five-year outcomes of transcatheter versus surgical aortic valve replacement in women. In addition, Joel explores tips and tricks for mitral valve repair from a Brussels experience, treatment of ruptured sinus valsalva aneurysm with hemi-Yacoub remodeling technique, and a Ross procedure with modified inclusion technique. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned 1.) Enhanced Detection and Prompt Diagnosis of Atrial Fibrillation Using Apple Watch: A Randomized Controlled Trial 2.) A Novel Aortic End-to-End Anastomotic Stapler Device—Results of a Human Cadaver Study 3.) Stage I Non-Small Cell Lung Cancer: Improving Patient Selection for Minimally Invasive Lobectomy or Stereotactic Ablative Radiotherapy Based on Clinical Characteristics 4.) Five-Year Outcomes of Transcatheter Versus Surgical Aortic Valve Replacement in Women: A Systematic Review and Meta-Analysis CTSNet Content Mentioned 1.) Mitral Valve Repair—Tips and Tricks From Brussels Experience: 2025 London Core Review Cardiothoracic Surgery Course 2.) Treatment of Ruptured Sinus Valsalva Aneurysm With Hemi-Yacoub Remodeling Technique 3.) Ross Procedure With Modified Inclusion Technique: An Autograft in a Vest Other Items Mentioned 1.) Instructional Video Competition 2.) Career Center 3.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
DESCRIPTION Donald Shoup, FACIP, author of The High Cost of Free Parking, discusses parking minimums, paid parking and Pearl Harbor. SPONSORS This episode is brought to you by ParkOrder - the leading work order and project management tool built specifically for the parking industry. From tracking garage maintenance crews to managing office tasks, ParkOrder keeps your team organized and accountable. Whether it's the ability for parkers to report work orders, the leaderboard competition, or employee rewards, see what all the hype is about at parkorder.io. Get started today for just $5 per user per month. This episode is brought to you by Parking Today and the Parking Today Podcast Network. Learn more at parkingtoday.com/podcast. This episode is brought to you by Parker Technology, the customer experience solution of choice for the parking industry. Their solution puts a virtual ambassador in every lane, to help parking guests pay and get on their way in under a minute. Learn more at parkertechnology.com/parkingpodcast and subscribe to our podcast “Harder Than It Looks: Parking Uncovered.” This episode is brought to you by Scheidt & Bachman USA. Scheidt & Bachmann USA markets state-of-the-art Parking Solutions and Fare Collection Systems: the most innovative and advanced solutions in the US. Learn more at scheidt-bachmann-usa.com. This episode is brought to you by Breeze: Parking Concepts' digital platform that makes the parking experience a Breeze! For more than 50 years, PCI has been proactively managing parking & transportation operations with unparalleled integrity & service. Learn more at parkingconcepts.com. Order The Shoup Doctrine: Essays Celebrating Donald Shoup and Parking Reforms and use Promo Code 26SMA1 for a 25% Discount here: https://www.routledge.com/The-Shoup-Doctrine-Essays-Celebrating-Donald-Shoup-and-Parking-Reforms/Hess/p/book/9781032733920 WEBSITES AND RESOURCES https://www.parkingcast.com/ https://parkingtoday.com/podcast/ parkorder.io www.parkertechnology.com/parkingpodcast scheidt-bachmann-usa.com parkingconcepts.com https://www.routledge.com/The-Shoup-Doctrine-Essays-Celebrating-Donald-Shoup-and-Parking-Reforms/Hess/p/book/9781032733920 MERCH Check out some of our awesome parking themed t-shirts and other merch at parkingcast.com/swag. MUSEUM Check out some of our artifacts from the world's first parking museum at parkingcast.com/museum.
In this episode of Resilient Cyber, I sit down with VP, Product Marketing and Strategy for Protegrity, James Rice. We will be discussing how traditional approaches to security aren't solving the AI security challenge, the importance of data-centric approaches for secure AI implementation and addressing issues such as AI data leakage.James and I dove into a lot of great topics, including:Why traditional perimeter-based and infrastructure-centric security models are failing in the era of AI, and why organizations need to fundamentally rethink their approach to securing AI workloads.The concept of data-centric security — protecting the data itself rather than the systems surrounding it — and why this shift is critical as data flows across cloud platforms, AI models, and agentic workflows.The growing risk of AI data leakage and how sensitive information (PII, PHI, PCI, intellectual property) can inadvertently be exposed through AI training data, model outputs, prompt injection, and RAG pipelines.Why many organizations find themselves stuck in an "AI circularity" — wanting to leverage AI but unable to do so because of the complexity of securing critical business data throughout the AI lifecycle.The importance of embedding security controls inline within the AI pipeline — from data ingestion and model training to orchestration and output — rather than bolting security on after the fact.How data protection techniques such as tokenization, anonymization, dynamic masking, and format-preserving encryption can enable organizations to use realistic, context-rich data for AI while maintaining compliance and reducing risk.The challenge of securing agentic AI workflows, where autonomous agents continuously interact with enterprise data, making traditional access control models insufficient.How organizations can balance the need for AI innovation and data utility with regulatory compliance requirements across frameworks like GDPR, HIPAA, PCI DSS, and emerging AI-specific regulations.James's perspective on how security, risk, and compliance functions need to evolve to keep pace with the rapid productionization of AI across the enterprise.The role of semantic guardrails in governing AI inputs and outputs, ensuring that protection is applied contextually based on how data is being used — not just where it resides.About the GuestJames Rice is VP of Product Marketing and Strategy at Protegrity, a global leader in data-centric security. He brings over 20 years of experience in security, risk, and compliance, having provided solution engineering, value engineering, and implementation services to Fortune 1000 organizations across industries. Prior to Protegrity, James held leadership roles at Pathlock (formerly Greenlight Technologies), Accenture, and PricewaterhouseCoopers.About ProtegrityProtegrity is a data-centric security platform that protects sensitive data across hybrid, multi-cloud, and AI environments. Their approach embeds security directly into the data itself — enabling enterprises to unlock insights, accelerate innovation, and meet global compliance with confidence. Protegrity's solutions include data discovery and classification, tokenization, anonymization, dynamic masking, and semantic guardrails for AI and analytics workflows.Learn more at protegrity.com
If your AR feels like a maze of phone calls, spreadsheets, and “we'll match it later,” this conversation shows a cleaner path. We sit down with Fauwaz Hussain, Senior Director of B2B Partnerships and Strategy at Global Payments, to break down what actually speeds cash and what quietly stalls it. From card-not-present realities to complex terms and partial shipments, we map the B2B differences that make order-to-cash harder and the practical changes that remove friction fast.We get specific about embedding payments inside your ERP so invoices, settlements, and the general ledger line up automatically. That shift kills rekeying errors, collapses department silos, and gives support, sales, and finance the same live truth. Security gets stronger when card data never touches email or recorded calls, and PCI compliance becomes manageable when you use certified, cloud-based vaults and enforce simple rules like “no cards by phone.” Fauwaz explains why publishers like Microsoft, SAP, and Sage now run tighter marketplaces, how VARs and ISVs evaluate payment apps, and why a one-stop provider reduces risk across gateways, vaults, and processing.We also cover the cash-flow moves that work right away: self-serve portals with open invoices, one-click payment links by email or text, stored credentials for auto-pay, and accepting multiple methods from ACH to single-use virtual cards. Then we look forward - AI-driven cash application, predictive delinquencies, Level 2/3 data validation, and API-first architectures that connect e-commerce, field service, and ERP into a single payment fabric. If you're leading AR, finance, or operations, you'll leave with a clear playbook to modernize without compromising compliance.
Witam Państwa, nazywam się Jarosław Drożdż, pracuję w Centralnym Szpitalu Klinicznym Uniwersytetu Medycznego w Łodzi, skąd nagrywam podcast Kardio Know-How. W tym odcinku omawiam rolę β-adrenolityków we współczesnej kardiologii. β-adrenolityki od dekad stanowią jeden z fundamentów kardiologii, z udowodnioną redukcją śmiertelności w niewydolności serca i zapobieganiu nagłej śmierci sercowej. Ich skuteczność potwierdzono zarówno w krótkim, jak i długim okresie, co zaskoczyło środowisko już pod koniec lat 70. Po rozczarowaniu antyarytmikami w badaniach CAST, β-blokery utrzymały pozycję leków pierwszego wyboru po zawale serca. Przez lata dominowały także w kontroli częstości w migotaniu przedsionków, leczeniu nadciśnienia oraz w prewencji kardiotoksyczności. W ostatnich latach pojawiły się jednak wątpliwości dotyczące ich roli w długoterminowej terapii po niepowikłanym zawale serca u chorych z zachowaną frakcją wyrzutową. Wytyczne ESC 2023 zalecają β-adrenolityki po ACS niezależnie od EF, ale z umiarkowaną siłą zaleceń w leczeniu przewlekłym. Badanie REDUCE-AMI i REBOOT nie wykazały istotnej różnicy w rokowaniu, choć obserwowano korzystne trendy na rzecz β-blokerów. Przełomowe okazało się badanie BETAMI-DANBLOCK, które wykazało 15% redukcję powikłań u pacjentów z EF ≥40% po PCI. Eksperci podkreślają, że aż 90% pacjentów po zawale ma jednoznaczne wskazania do β-adrenolityków, a wątpliwości dotyczą jedynie wąskiej grupy z EF >50% i bez powikłań. W świetle aktualnych danych pogłoski o „śmierci” β-adrenolityków po zawale serca są wyraźnie przesadzone. Szczegółowy TRANSKRYPT do odcinka.Podcast jest przeznaczony wyłącznie dla osób z profesjonalnym wykształceniem medycznym.
- Hội chợ mùa xuân 2026: Đậm đà vị Tết - nét Xuân.- Tiêu chí PCI trong Nghị quyết số 02/NQ-CP của Chính phủ: Cụ thể hóa yêu cầu cải thiện môi trường kinh doanh trong năm 2026.
CardioNerds (Dr. Shazli Khan, Dr. Jenna Skowronski, and Dr. Shiva Patlolla) discuss the management of patients post‑heart transplantation with Dr. Shelley Hall from Baylor University Medical Center and Dr. MaryJane Farr from UTSW. In this comprehensive review, we cover the physiology of the transplanted heart, immunosuppression strategies, rejection surveillance, and long-term complications including cardiac allograft vasculopathy (CAV) and malignancy. Audio editing for this episode was performed by CardioNerds intern Dr. Bhavya Shah. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Heart Success Series PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls The Denervated Heart: The donor heart is surgically severed from the autonomic nervous system, leading to a higher resting heart rate (90-110 bpm) due to loss of vagal tone. Because the heart relies on circulating catecholamines rather than neural input to increase heart rate, patients experience a delayed chronotropic response to exercise and stress. Importantly, because afferent pain fibers are severed, ischemia is often painless. Rejection Surveillance: Rejection is classified into Acute Cellular Rejection (ACR), which is T-cell mediated, and Antibody-Mediated Rejection (AMR), which is B-cell mediated. While endomyocardial biopsy remains the gold standard for diagnosis, non-invasive surveillance using gene-expression profiling (e.g., AlloMap) and donor-derived cell-free DNA (dd-cfDNA) is increasingly utilized to reduce the burden of invasive procedures. The Infection Timeline: The risk of infection follows a predictable timeline based on the intensity of immunosuppression. The first month is dominated by nosocomial infections. Months one through six are the peak for opportunistic infections (Cytomegalovirus, Pneumocystis, Toxoplasmosis) requiring prophylaxis. After six months, patients are primarily at risk for community-acquired pathogens, though late viral reactivation can occur. Cardiac Allograft Vasculopathy (CAV): Unlike native coronary artery disease, CAV presents as diffuse, concentric intimal thickening that affects the entire length of the vessel, including the microvasculature. Due to denervation, patients rarely present with angina; instead, CAV manifests as unexplained heart failure, fatigue, or sudden cardiac death. Malignancy Risk: Long-term immunosuppression significantly increases the risk of malignancy. Skin cancers (squamous and basal cell) are the most common, followed by Post-Transplant Lymphoproliferative Disorder (PTLD), which is often driven by Epstein-Barr Virus (EBV) reactivation. Notes Notes: Notes drafted by Dr. Patlolla 1. What are the unique physiological features of the transplanted heart? The hallmark of the transplanted heart is denervation. Because the autonomic nerve fibers are severed during harvest, the heart loses parasympathetic or vagal tone, resulting in a resting tachycardia (typically 90-110 bpm). The heart also loses the ability to mount a reflex tachycardia; thus, the heart rate response to exercise or hypovolemia relies on circulating catecholamines, which results in a slower “warm-up” and “cool-down” period during exertion. 2. What are the pillars of maintenance immunosuppression regimen? The triple drug maintenance regimen typically consists of: Calcineurin Inhibitor (CNI): Tacrolimus is preferred over cyclosporine. Key side effects include nephrotoxicity, hypertension, tremor, hyperkalemia, and hypomagnesemia. Antimetabolite: Mycophenolate mofetil (MMF) inhibits lymphocyte proliferation. Key side effects include leukopenia and GI distress. Corticosteroids: Prednisone is used for maintenance but is often weaned to low doses or discontinued after the first year to mitigate metabolic side effects (diabetes, osteoporosis, weight gain). 3. How is rejection classified and diagnosed? Rejection is the immune system’s response to the foreign graft and is categorized by the arm of the immune system involved: Acute Cellular Rejection (ACR): Mediated by T-lymphocytes infiltrating the myocardium. It is graded from 1R (mild) to 3R (severe) based on the extent of infiltration and myocyte damage. Antibody-Mediated Rejection (AMR): Mediated by B-cells producing donor-specific antibodies (DSAs) that attack the graft endothelium. It is diagnosed via histology (capillary swelling) and immunofluorescence (C4d staining). Diagnosis has historically relied on endomyocardial biopsy. However, non-invasive tools are gaining traction. Gene Expression Profiling (GEP) assesses the expression of genes associated with immune activation to rule out rejection in low-risk patients. Donor-Derived Cell-Free DNA (dd-cfDNA) measures the fraction of donor DNA in the recipient’s blood. Elevated levels suggest graft injury which can occur in both ACR and AMR. 4. What is the timeline of infectious risk and how does it guide prophylaxis? Infectious risk correlates with the net state of immunosuppression. < 1 Month (Nosocomial): Risks include surgical site infections, catheter-associated infections, and aspiration pneumonia. 1 – 6 Months (Opportunistic): This is the period of peak immunosuppression. Patients are at risk for PJP, CMV, Toxoplasma, and fungal infections. Prophylaxis typically includes Trimethoprim-Sulfamethoxazole (for PJP/Toxo) and Valganciclovir (for CMV, dependent on donor/recipient serostatus). > 6 Months (Community-Acquired): As immunosuppression is weaned, the risk profile shifts toward community-acquired respiratory viruses (Influenza, RSV) and pneumonias. However, patients with recurrent rejection requiring boosted immunosuppression remain at risk for opportunistic pathogens. 5. How does Cardiac Allograft Vasculopathy (CAV) differ from native CAD? CAV is the leading cause of late graft failure. Unlike the focal, eccentric plaques seen in native atherosclerosis, CAV is an immunologically driven process causing diffuse, concentric intimal hyperplasia. It affects both epicardial vessels and the microvasculature. Because of this diffuse nature, percutaneous coronary intervention (PCI) is often technically difficult and provides only temporary palliation. The only definitive treatment for severe CAV is re-transplantation. Surveillance is critical and is typically performed via annual coronary angiography, often using intravascular ultrasound (IVUS) to detect early intimal thickening before it is visible on the angiogram. References Costanzo MR, Dipchand A, Starling R, et al. The International Society of Heart and Lung Transplantation Guidelines for the care of heart transplant recipients. J Heart Lung Transplant. 2010;29(8):914-956. doi:10.1016/j.healun.2010.05.034. https://www.jhltonline.org/article/S1053-2498(10)00358-X/fulltext Kittleson MM, Kobashigawa JA. Cardiac Allograft Vasculopathy: Current Understanding and Treatment. JACC Heart Fail. 2017;5(12):857-868. doi:10.1016/j.jchf.2017.07.003. https://www.jacc.org/doi/10.1016/j.jchf.2017.07.003 Velleca A, Shullo MA, Dhital K, et al. The International Society for Heart and Lung Transplantation (ISHLT) guidelines for the care of heart transplant recipients. J Heart Lung Transplant. 2023;42(5):e1-e141. doi:10.1016/j.healun.2022.10.015. https://www.jhltonline.org/article/S1053-2498(22)02187-5/fulltext
Sripal Bangalore and C. Michael Gibson discuss whether ticagrelor is noninferior to prasugrel in patients with diabetes and multivessel CAD undergoing PCI.
In this episode of the Tyler Tech Podcast, Jeff Dempsey, financial systems analyst for the city of Madison, Wisconsin, shares how the city modernized its payment systems to improve security, efficiency, and the experience for both residents and staff — a transformation that earned Madison a 2025 Tyler Excellence Award (TEA).Recorded live at Tyler Connect 2025 in San Antonio, the conversation explores how Madison addressed PCI compliance challenges and outdated hardware by streamlining payments across in-person, online, and phone channels. Jeff walks through the city's transition to a more connected payments ecosystem, including the role Tyler Payments, Resident Access, and Utility Access played in creating real-time visibility, simplifying reconciliation, and reducing reliance on disconnected tools.Jeff also highlights the behind-the-scenes work that supported the rollout, from coordinating stakeholders and upgrading hardware to managing change for both staff and the community. The results include faster payment processing, significant growth in autopay adoption, improved cash management, reduced manual effort, and a more secure, user-friendly experience for residents.Whether you support finance, IT, or digital services in government, this episode offers practical insight into modernizing payment operations, strengthening security, and using integrated solutions to create measurable efficiency gains across the organization.This episode also spotlights Tyler Connect 2026, where innovation and collaboration take center stage. Taking place April 7–10 at The Venetian Resort in Las Vegas. Connect brings together public sector professionals from across the country to explore new solutions, share ideas, and strengthen communities. It's a week dedicated to learning, connection, and imagining what's possible for the future of government technology. Explore registration details and early bird pricing in the show notes to start planning your Connect 2026 experience.Learn More and Register Now: Tyler Connect 2026 in Las VegasAnd learn more about the topics discussed in this episode with these resources:Download: Modern Governments Live in the CloudDownload: White Paper: Procuring a Modern Payments PlatformDownload: Process Payments in Real TimeDownload: How to Create a Unified Digital Payment ExperienceWatch: Payments Procurement: Simplify and Maximize ValueRead: Excellence 2025: Digital Services & Cloud SolutionsRead: Enterprise ERP a Leader for Cloud ERP for Local GovernmentListen to other episodes of the podcast.Let us know what you think about the Tyler Tech Podcast in this survey!
DESCRIPTION Dr. Daniel Hess, Professor in University of Buffalo's Department of Urban and Regional Planning, discusses The Shoup Doctrine. SPONSORS This episode is brought to you by ParkOrder - the leading work order and project management tool built specifically for the parking industry. From tracking garage maintenance crews to managing office tasks, ParkOrder keeps your team organized and accountable. Whether it's the ability for parkers to report work orders, the leaderboard competition, or employee rewards, see what all the hype is about at parkorder.io. Get started today for just $5 per user per month. This episode is brought to you by Parking Today and the Parking Today Podcast Network. Learn more at parkingtoday.com/podcast. This episode is brought to you by Parker Technology, the customer experience solution of choice for the parking industry. Their solution puts a virtual ambassador in every lane, to help parking guests pay and get on their way in under a minute. Learn more at parkertechnology.com/parkingpodcast and subscribe to our podcast “Harder Than It Looks: Parking Uncovered.” This episode is brought to you by Scheidt & Bachman USA. Scheidt & Bachmann USA markets state-of-the-art Parking Solutions and Fare Collection Systems: the most innovative and advanced solutions in the US. Learn more at scheidt-bachmann-usa.com. This episode is brought to you by Breeze: Parking Concepts' digital platform that makes the parking experience a Breeze! For more than 50 years, PCI has been proactively managing parking & transportation operations with unparalleled integrity & service. Learn more at parkingconcepts.com.Order The Shoup Doctrine: Essays Celebrating Donald Shoup and Parking Reforms and use Promo Code 26SMA1 for a 25% Discount here: https://www.routledge.com/The-Shoup-Doctrine-Essays-Celebrating-Donald-Shoup-and-Parking-Reforms/Hess/p/book/9781032733920 WEBSITES AND RESOURCES https://www.parkingcast.com/ https://parkingtoday.com/podcast/ parkorder.io www.parkertechnology.com/parkingpodcast scheidt-bachmann-usa.com parkingconcepts.com MERCH Check out some of our awesome parking themed t-shirts and other merch at parkingcast.com/swag. MUSEUM Check out some of our artifacts from the world's first parking museum at parkingcast.com/museum.
Rainforest enables vertical software companies to embed payment processing directly into their platforms - solving the complexity that previously forced software companies to direct customers to separate banks or resellers for payment processing. Founded by Joshua Silver, who spent nearly 20 years in payments starting with PatientCo (a healthcare billing company that scaled to process billions for major healthcare organizations), Rainforest now serves as the enabling layer for thousands of vertical software companies. In this episode of BUILDERS, Joshua shares the unconventional GTM decisions that shaped Rainforest's trajectory: from making contracts a product feature to implementing a zero bugs policy, and why he measures podcast success by qualified lead conversion rather than download counts. Topics Discussed: The embedded payments opportunity: why software companies stopped directing customers to banks Building in highly regulated environments where traditional MVP approaches fail The extended foundation-building phase required before processing the first payment Transitioning from 2.5-3 years of founder-led sales to a scalable GTM motion Using contract terms as competitive differentiation rather than negotiation leverage Implementing a zero bugs policy and its impact on service costs and retention Building thought leadership through the Payment Strategy Show and Vertex conference Lead quality metrics over vanity metrics for content investments GTM Lessons For B2B Founders: Hire from the industry and invest disproportionately in technical onboarding: Rainforest maintains one of the highest concentrations of payments talent on a percentage basis—nearly everyone has worked in payments or payments-adjacent roles. But hiring isn't enough. Joshua obsesses over training because in complex sales, prospects ask detailed technical questions and "the moment that you give bad answers or don't know your stuff, they're going to detect that and that's going to detract a lot from the trust." When selling technical infrastructure, surface-level product knowledge kills deals. Every touchpoint—engineers, support, account execs—must understand not just how the product works, but why it works that way. Engineer your standard contract to eliminate negotiation cycles: Joshua inverted conventional wisdom by making Rainforest's standard contract "overly favorable to the client"—no hidden terms, no punitive clauses, no exclusivity provisions. The result: "We don't have to spend a lot of legal time going back and forth. We don't have to invest a lot of time and by the way, burning a lot of goodwill too in contract negotiations." Prospects consistently report the legal process was shockingly easy compared to competitors. This isn't about being naive—it's strategic capital allocation. Joshua's philosophy: "Pick the fights that really matter and everything else is just rounding." Time spent in legal negotiations is wasted time that could be spent onboarding customers. Embed sales capabilities into your customer success function: Rainforest trains their CS team on negotiation tactics, value selling, and objection handling—competencies rarely developed in post-sale teams. Joshua noted the primary goal is customer assistance, but growth is an underlying objective. This isn't about making CS "do sales"—it's about equipping them to have commercial conversations when customers naturally express expansion interest. The key enabler: strong product-market fit means "we don't have to sell it that much. It's really a conversation about solutioning." Enforce a zero bugs backlog in high-stakes environments: Joshua's unofficial core value—"don't f with the money"—manifests in their zero bugs policy. It's not that they never create bugs; it's that "we don't tolerate living with them. We don't have a backlog of bugs to fix." When a bug is validated, they fix it immediately. His head of engineering recently discussed this on a podcast because people find it radical. The payoff: "When you have a higher quality product, you don't have to invest as much in service because the product just works and you have naturally happy customers." For infrastructure products where errors cascade into customer incidents, the accumulated cost of technical debt vastly exceeds the upfront investment in quality. Qualify content success by whether it's converting your ICP: Joshua rejects vanity metrics entirely. When asked about podcast ROI, he said: "I'd rather have 100 highly qualified listeners that are great targets for us than have 100,000 listeners and not have 100 qualified ones." They track this rigorously—every inbound lead is asked how they discovered Rainforest, and an increasing percentage cite the podcast. Prospects explicitly say "we heard the podcast and nobody else is putting this content out there." The metric isn't downloads; it's whether qualified buyers are self-identifying through your content and entering sales conversations pre-educated and pre-sold. Build ecosystem assets without demanding immediate attribution: Rainforest launched Vertex—a curated conference for vertical software founders and operators—that explicitly isn't a Rainforest sales event or user conference. Joshua doesn't track lead conversion from the conference: "That's not one of the key metrics. We actually look at NPS score as one of the key metrics. Did people find value in the conference?" They're running it twice this year because attendees report it's the highest-quality conference they attend annually. His philosophy: "Go create value, legitimate, genuine value for the ecosystem and they will come to us." They deliberately limit attendance to several hundred and choose venues that physically can't accommodate massive scale—maintaining intimacy as a forcing function against growth-for-growth's-sake. Plan for extended pre-market build phases in regulated industries: Joshua's advice for payments founders: "Make sure you know what you're getting into. It's a big build and there's very low tolerance for misses." Before processing their first payment, Rainforest had to achieve PCI compliance, SOC2 compliance, and implement comprehensive security infrastructure. Only then could they begin customer development with close network contacts. He contrasts this with his standard founder advice: build an MVP, sell quickly, get feedback, iterate. In payments, that playbook doesn't work—"you actually have to build so much of the foundation first just to process your very first payment." Founders in regulated spaces need patient capital and realistic timelines that acknowledge compliance infrastructure isn't optional. Institutionalize "ruthlessly simplify" as an operating principle: One of Rainforest's core values is ruthless simplification, which Joshua applies to "the legal contract, the engineering documentation, anything." He asks his team repeatedly when reviewing anything: "Can we simplify it? Can we simplify it? Can we simplify it?" The output quality dramatically improves. He references the Tim Ferriss framing: "What would this look like if it were simple?" When applied consistently, it cuts approximately 50% from plans, strategies, and deliverables—even when the creator thought they were already building simply. // Sponsors: Front Lines — We help B2B tech companies launch, manage, and grow podcasts that drive demand, awareness, and thought leadership. www.FrontLines.io The Global Talent Co. — We help tech startups find, vet, hire, pay, and retain amazing marketing talent that costs 50-70% less than the US & Europe. www.GlobalTalent.co // Don't Miss: New Podcast Series — How I Hire Senior GTM leaders share the tactical hiring frameworks they use to build winning revenue teams. Hosted by Andy Mowat, who scaled 4 unicorns from $10M to $100M+ ARR and launched Whispered to help executives find their next role. Subscribe here: https://open.spotify.com/show/53yCHlPfLSMFimtv0riPyM
Recorded live at Cloud Connections in Delray Beach, Doug Green, Publisher of Technology Reseller News, spoke with Mark Vange, Founder & CEO of Autom8ly, about how AI voice agents are reshaping complex, regulated, and high-value communication workflows. Vange explained that Autom8ly specializes in building AI solutions for partners and service providers that serve customers with nuanced and often highly regulated requirements. Rather than focusing on generic AI reception or basic appointment setting, Autom8ly targets verticals where complexity, compliance, and scale intersect—use cases where off-the-shelf AI voice agents fall short. One of the company's primary areas of focus is the collections market. Autom8ly is deploying AI voice agents to handle high-volume, routine collections calls while allowing human agents to concentrate on more complex, high-stakes cases. Early observations suggest that consumers may respond less defensively to AI-initiated outreach than to human collectors, particularly for smaller or straightforward obligations such as missed payments, parking fines, or one-time healthcare balances. In these scenarios, the AI agent can confirm details, negotiate payment terms, and securely process payments, while automatically escalating more complex disputes to human staff. Vange emphasized that Autom8ly's AI agents are designed with strict boundaries. They do not cross regulatory red lines, attempt legal persuasion, or handle cases involving attorneys, court orders, or disputed liability. Instead, they address the majority of routine interactions that consume time and resources but generate limited strategic value when handled by humans. From an operational standpoint, AI voice agents offer significant efficiency gains. Human collectors often achieve utilization rates as low as 25–30 percent due to unanswered calls, breaks, and administrative overhead. AI agents, by contrast, operate at near-100 percent utilization, reducing cost per dollar collected while accelerating time to revenue. Autom8ly has also engineered its platform to meet PCI and compliance requirements, ensuring sensitive payment data is never exposed to large language models or unsafe systems. Beyond collections, Vange highlighted broader opportunities for MSPs and channel partners. Autom8ly has delivered AI voice agents for underserved language communities, including healthcare environments where providers lack staff fluent in languages such as Haitian Creole. By combining language capability with cultural awareness and compliance controls, AI agents can expand access to essential services while reducing operational strain. For MSPs and service providers, Vange positioned AI voice agents as a “high-value voice” opportunity—particularly in industries such as healthcare, utilities, finance, and public services, where multilingual communication, compliance, and scale are critical. When interactions move beyond simple scripts and require deep customization, Autom8ly's partner-led model is designed to fill that gap. More information about Autom8ly and its AI voice agent solutions is available at https://autom8ly.com/.
Recorded live at Cloud Connections, the Cloud Communications Alliance event in Delray Beach, Doug Green, Publisher of Technology Reseller News, spoke with Bill Placke, Co-Founder & President, Americas at SecurePII, about one of the most pressing challenges facing AI-driven communications today: how to scale AI while complying with global data privacy regulations—and how that challenge can become a competitive advantage. Placke explains that SecurePII was formed to address a growing structural problem in AI adoption. While organizations are eager to deploy AI and train large language models, regulatory uncertainty around personally identifiable information (PII) has stalled progress. Citing industry research showing that more than 60 percent of AI initiatives have been paused due to data privacy concerns, Placke argues that governance policies alone are not enough. Instead, SecurePII takes an architectural approach. At the core of SecurePII's solution is data minimization at the point of ingestion. The company's technology prevents sensitive information—such as credit card numbers, names, addresses, or social security numbers—from ever entering enterprise systems. SecurePII's existing PCI-focused offering already removes cardholder data from call flows, keeping organizations out of PCI scope entirely. The same approach is now being extended to broader categories of PII, enabling AI systems to operate and train on clean data streams that are free from regulated information. Placke emphasizes that this upstream architectural design fundamentally changes the compliance equation. Regulators and plaintiff attorneys, he notes, care about outcomes—not intent. If sensitive data never enters the system, compliance scope, audit costs, breach exposure, and regulatory risk are dramatically reduced. “Downstream controls don't scale with AI—architecture does,” Placke says, positioning data minimization as a foundation for both trust and growth. The discussion also highlights the role of consent and customer trust in an AI-enabled world. Rather than asking customers to consent to broad data use, SecurePII enables enterprises to clearly state that sensitive information is neither seen nor stored, while still allowing AI to learn from outcomes and sentiment. This approach removes what Placke calls the “creepy factor” associated with AI and personal data, while aligning with emerging frameworks such as the EU AI Act and long-standing NIST guidance. For MSPs, UCaaS providers, and channel partners, Placke frames compliance not as a cost center but as a revenue opportunity. By embedding privacy-preserving architectures into voice, AI, and communications solutions, service providers can differentiate themselves as trusted advisors—helping customers deploy AI safely, reduce regulatory exposure, and accelerate adoption. To learn more about SecurePII and its privacy-first AI architecture, visit https://www.securepii.cloud/.
Tedd Huff, CEO of fintech advisory firm Voalyre and host of Fintech Confidential, sits down with Fintech Confidential CI, Robert Musiala, Partner at Baker Hostetler and co-leader of their Web3 and Digital Assets team, to break down what made 2025 the most consequential year in crypto regulation. The SEC reversed course, the Genius Act passed at lightning speed, and stablecoins exploded from $205 billion to $308 billion in market cap. This is the month-by-month breakdown of how regulatory clarity supercharged the entire industry.The SEC declared most crypto assets are not securities, dismantling years of legal uncertainty. Banks got the green light to offer crypto custody and exchange services. Circle's IPO validated stablecoins as core financial infrastructure. The Genius Act created the first federal stablecoin framework while banning yield payments and imposing strict reserve requirements. NFTs gained legal clarity, DeFi got legitimized, and crypto-native firms started filing for bank charters. If you're building in crypto, investing in blockchain, or trying to understand where regulation is headed in 2026, this breaks down the exact moves that matter.TAKEAWAYS:1️⃣ Genius Act created federal stablecoin operating rules2️⃣ Stables finally legal under federal framework3️⃣ IRS solves crypto tax confusion overnight4️⃣ Stablecoin yield payments now completely banned5️⃣ SEC stops lawsuits, issues guidance insteadLINKS:Guest: Robert MusialaLinkedIn: https://www.linkedin.com/in/robert-musiala/Baker Hostetler: https://www.bakerlaw.com/people/robert-musialaBlockchain Monitor: https://www.blockchainmonitor.com/Company: Baker HostetlerWebsite: https://www.bakerlaw.com/Web3 & Digital Assets: https://www.bakerlaw.com/practices/web3-digital-assetsFintech ConfidentialPodcast: https://fintechconfidential.com/listenNotifications: https://fintechconfidential.com/accessLinkedIn: https://www.linkedin.com/company/fintechconfidentialX: https://x.com/FTconfidentialSUPPORTERS:DFNS: Wallets as a service, API first, multi-chain, secured with MPC across 50+ blockchains - fintechconfidential.com/dfnsSkyflow: Zero trust data privacy vault for PCI, CCPA, GDPR, SOC 2 compliance - skyflowsecure.comHawk: AI tools for real-time payment screening and fraud prevention - gethawkai.comABOUT:Robert Musiala is Partner and co-leader of Baker Hostetler's Web3 and Digital Assets team, providing weekly analysis on the Blockchain Monitor blog. Baker Hostetler is a leading U.S. law firm with over 900 attorneys serving blockchain clients from startups to Fortune 500 companies.Tedd Huff is the Founder of Voalyre and Diamond D3, professional services consulting firms focused on global payments and marketing. He is also video podcast host and executive producer on the Fintech Confidential network. Over the past 25+ years, he has contributed to FinTech startups as an Advisory Board Member, Co-Founder, and Chief Experience Officer, providing strategic and tactical direction for global companies, focusing on growth while delivering process improvements and user experience-driven value to simplify the complexity of payments.CHAPTERS:00:00 Episode Highlights02:08 Dfns: Wallets as a Service (sponsor)04:01 2025 Regulatory Changes and Market Impact04:43 January: SEC's Tone Shift and Market...
Σε αυτό το επεισόδιο συζητάμε τις εξελίξεις στη σύγχρονη επεμβατική καρδιολογία, με έμφαση στα Complex High-Risk Indicated (CHIP) PCI και τις CTO επεμβάσεις. Αναλύουμε πώς ορίζεται σήμερα το CHIP, ποιοι ασθενείς επιλέγονται για CTO PCI και πώς οι νεότερες τεχνολογίες, η απεικόνιση και οι στρατηγικές διάβασης έχουν βελτιώσει την ασφάλεια και τα κλινικά αποτελέσματα.Συζητάμε τα δεδομένα γύρω από την ποιότητα ζωής μετά από CTO PCI, τον ρόλο των drug-coated balloons και των βιοαπορροφήσιμων scaffolds, καθώς και το μέλλον των στεφανιαίων παρεμβάσεων, με έμφαση στο imaging, τη φυσιολογία και την απαραίτητη εκπαίδευση.
What if the difference between AI mediocrity and breakthrough isn't the tool—it's how you architect your approach? Carter Jensen from The Uncommon Business joins the crew to reveal why most people are stuck "button pushing" while others are unlocking 3X productivity gains. This isn't theory; it's the frontline reality of businesses transforming workflows with the right AI architecture. If you're tired of surface-level AI hype and ready for actionable intelligence on integrating AI into security, compliance, and everyday business operations, this episode delivers. Whether you're Blockbuster or Netflix is up to you.
The Bank Customer Experience Podcast is kicking off 2026 with an episode on new ATM fraud methods and how to prevent them. Podcast host Bradley Cooper spoke with Michael Strange, director of technology services, Cook Solutions Group and Alyssa Luecke, fintech solutions consultant, Cook Solutions Group on this evergreen topic, as criminal groups never stop innovating when it comes to breaking into ATMs.Strange said that the biggest method we are seeing is a resurgence of jackpotting attacks that is being driven in part by "complacency" on the part of financial institutions. In some cases, the criminal groups are still using decades old techniques, while others are taking advantage of vulnerabilities with PCI ports.Some financial institutions have responded to these threats through various gadgets such as alarms. However, Strange pointed out that many times there aren't any procedures in place on how to handle security events. For example, someone might take the top hat off the ATM, which activates the alarm, then they replace it. The financial institution will consider it a false alarm and ignore it when the criminal comes back again to actually finish the jackpotting attack.To address these issues, Strange and Luecke emphasized the importance of overlapping security measures from object detection on cameras to alarms and encryption and more.Strange and Luecke also discussed:How Cook Solutions Group is working with the U.S. Secret Service.The best security practices for banks.The strangest ATM attacks of 2025.What banks can expect in 2026.Listen to the podcast in its entirety above.
🧭 REBEL Rundown 📌 Key Points 💀 Mortality: No statistically significant difference in 28-day mortality between ketamine vs etomidate for intubation in critically ill patients, though there was a ~1% absolute difference favoring ketamine. 📉🫀⚠️ Hemodynamics: Ketamine induction was associated with more cardiovascular collapse, mainly driven by new/increased vasopressor use (dose escalation or addition of a vasoactive agent). 💉⬆️ Click here for Direct Download of the Podcast. 📝 Introduction Etomidate or ketamine? The debate over the ideal agent for emergency rapid sequence intubation (RSI) has raged for years with no clear winner. Etomidate has been touted in the past for its rapid onset and minimal intrinsic effects on hemodynamics. However, the drug is well known as a transient adrenal suppressant though the impact of this suppression isn’t clear. Ketamine has risen in recent years as an alternative, due to its perceived hemodynamic stability, analgesic properties and absence of adrenal suppression. Additionally, recent data points towards improved mortality when ketamine was selected over etomidate (Kotani 2023). High quality randomized controlled trials are needed to further elucidate which agent should be selected in critically ill patients. 🧾 Paper Casey JD et al. Ketamine or etomidate for tracheal intubation of critically ill adults. NEJM 2025. PMID: 41369227 🔙Previously Covered On REBEL REBEL EM: The EvK Trial: Ketamine vs Etomidate for Rapid Sequence IntubationREBEL EM: From Debate to Data: Emerging Insights into RSI Induction with Ketamine vs Etomidate ️ What They Did CLINICAL QUESTION In critically ill adults undergoing tracheal intubation, does the use of ketamine instead of etomidate result in improved 28 day mortality? STUDY DESIGN Multicenter, randomized, open-label trial in both emergency departments and ICUs. POPULATION Inclusion Criteria:Critically ill patients > 18 years of age undergoing tracheal intubation with the use of an induction agentExclusion Criteria:Known pregnancyPrisonersPrimary diagnosis of traumaNeed for immediate intubation precluding randomizationClinicians determined that the use of ketamine or etomidate was either necessary or contraindicated INTERVENTION & COMPARATOR Intervention (HFNC Group):Ketamine administered based on a provided nomogram: full dose (2.0 mg/kg), intermediate dose (1.5 mg/kg) or reduced dose (1.0 mg/kg)Comparator (BPAP Group):Etomidate administered based on a provided nomogram: full dose (0.3 mg/kg), intermediate dose (0.25 mg/kg) or reduced dose (0.2 mg/kg) OUTCOMES Primary: In-hospital death from any cause by day 28.Secondary:Cardiovascular collapse during intubation defined as SBP < 65 mm Hg, receipt of new or increased dose of vasopressors or cardiac arrest.Exploratory Procedural:Lowest systolic blood pressureLowest systolic blood pressure below 80 mmHgHighest systolic blood pressure above 180 mmHgLowest oxygen saturationLowest oxygen saturation below 80%Successful first attempt intubationTime from induction to intubationExploratory Clinical:Number of ventilator free daysVasopressor-free daysICU free days Safety: Systolic blood pressure at 24 hours after enrollmentOngoing receipt of vasopressors at 24 hours 📈 Results: 2365 patients were randomizedKetamine: 1176Etomidate: 1189> 99% of patients received the drug they were randomized to receiveNMBA: 69% of patients in both groups received rocuronium~ 95% of patients had video laryngoscopy for the primary intubation attempt 💥 Critical Results 💪 Strengths Multicenter ED + ICU cohort of critically ill patients → improves external validityStrong randomization → balanced baseline characteristicsRight population for the question → appropriately focused on a sick cohort where induction choice matters mostHigh protocol adherence → most patients received the agent they were randomized toExcellent follow-up → minimal loss to follow-up / outcome capture ⚠️ Limitations No blinding → potential performance/resuscitation biasTrauma excluded → limits applicability to peri-intubation trauma careCase-mix skewed toward septic shock → may reduce generalizability to other shock etiologiesPower assumptions → designed to detect a 5% mortality difference (possibly overly ambitious)Equipoise-only enrollment → excluded patients with clear indication/contraindication → selection bias + reduced real-world applicabilityComposite secondary outcome with non-equivalent endpoints (e.g., cardiac arrest vs vasopressor titration)Ketamine dosing by actual body weight (vs ideal) → may have increased dose/exposure in some patients 🗣️ Discussion The increase in cardiovascular collapse seen with ketamine was driven by the “new or increased vasopressor use” piece of the composite outcome not by the more clinically relevant severe hypotension (SBP < 65 mm Hg) or cardiac arrest.The increase in CV collapse is a secondary outcome and hypothesis generating onlyCare beyond induction agent isn’t clearly delineated and may have varied between groupsReasons why there was more CV collapse in the ketamine group:Patients in the etomidate group were more likely to be on pressors or have pressor increases prior to induction agent administrationKetamine has analgesic properties which may affect hemodynamics (etomidate does not have analgesic effects)The standard ketamine dose of 2 mg/kg is higher than the induction dose used by most (1-1.5 mg/kg)Ketamine dosing was based on actual body weight though ideal body weight dosing is more accepted. This may have resulted in unnecessarily large ketamine doses that may have had a greater effect on hemodynamics.This is a study of patients with clinical equipoisePatients who the clinician determined would clearly benefit from one agent or the other or in whom one agent or the other was contraindicated were excluded from the study.This may add a selection bias to the results.Clinicians were not blinded to the induction agent administeredThe absence of blinding can introduce bias.For instance, knowledge of the agent the patient was randomized to may result in different resuscitative treatment prior to intubation.An induction agent nomorgram was provided to allow clinicians to choose their induction dose depending on patient stability.A 5% difference in mortality may be overly ambitious. As Josh Farkas points out in his post on this article, PCI for STEMI only has a 3% absolute difference in mortality versus standard care.The 1% absolute difference in mortality while not statistically significant would be clinically significant if it was real. The study would have to be much larger to show a statistically significant 1% difference.About 2% of patients in each group received additional medications during induction (propofol, benzodiazepines, opiates). It is unclear why these agents were selected in specific cases and how they may have affected the outcomes in question. 📘 Author's Conclusion “Among critically ill adults undergoing tracheal intubation, the use of ketamine to induce anesthesia did not result in a significantly lower incidence of in-hospital death by day 28 than etomidate.“ 💬 Our Conclusion In this well done RCT, induction with ketamine did not result in a lower 28-day mortality when compared to induction with etomidate in critically ill adults. The secondary outcome of an increase in cardiovascular collapse is interesting and should be studied more in the future. 🚨 Clinical Bottom Line This data should not drive clinicians to abandon the use of ketamine in RSI. To the contrary, the study leaves open the possibility of a clinically meaningful difference in mortality favoring ketamine that may be borne out in a larger study. However, etomidate can be considered as a first-line option for RSI and may be the superior drug in patients at high-risk for cardiovascular decompensation. Post Peer Reviewed By: Post Peer Reviewed By: Mark Ramzy, DO (X: @MRamzyDO), Frank Lodeserto, MD and Anand Swaminathan, MD (X: @EMSwami) 📚 References Kotani Y et al. Etomidate as an induction agent for endotracheal intubation in critically ill patients: a meta-analysis of randomized trials J Crit Care 2023;77:154317. PMID: 37127020 👤Associate Author Anand Swaminathan MD, MPH All Things REBEL EM Meet The Team 🔎 Your Deep-Dive Starts Here The RSI Trial: Ketamine vs Etomidate in Rapid Sequence Intubation Etomidate or ketamine? The debate over the ideal agent for emergency rapid sequence ... Resuscitation Read More REBEL Cast Ep120: Etomidate vs Ketamine for RSI in the ED? Background: Standard rapid sequence intubation (RSI) in the emergency department involves administration of ... Procedures and Skills Read More The post The RSI Trial: Ketamine vs Etomidate in Rapid Sequence Intubation appeared first on REBEL EM - Emergency Medicine Blog.
DESCRIPTION Happy New Year from The Parking Podcast! SPONSORS This episode is brought to you by ParkOrder - the leading work order and project management tool built specifically for the parking industry. From tracking garage maintenance crews to managing office tasks, ParkOrder keeps your team organized and accountable. Whether it's the ability for parkers to report work orders, the leaderboard competition, or employee rewards, see what all the hype is about at parkorder.io. Get started today for just $5 per user per month. This episode is brought to you by Parking Today and the Parking Today Podcast Network. Learn more at parkingtoday.com/podcast. This episode is brought to you by Parker Technology, the customer experience solution of choice for the parking industry. Their solution puts a virtual ambassador in every lane, to help parking guests pay and get on their way in under a minute. Learn more at parkertechnology.com/parkingpodcast and subscribe to our podcast “Harder Than It Looks: Parking Uncovered.” This episode is brought to you by Scheidt & Bachman USA. Scheidt & Bachmann USA markets state-of-the-art Parking Solutions and Fare Collection Systems: the most innovative and advanced solutions in the US. Learn more at scheidt-bachmann-usa.com. This episode is brought to you by Breeze: Parking Concepts' digital platform that makes the parking experience a Breeze! For more than 50 years, PCI has been proactively managing parking & transportation operations with unparalleled integrity & service. Learn more at parkingconcepts.com. WEBSITES AND RESOURCES https://www.parkingcast.com/ https://parkingtoday.com/podcast/ parkorder.io www.parkertechnology.com/parkingpodcast scheidt-bachmann-usa.com parkingconcepts.com MERCH Check out some of our awesome parking themed t-shirts and other merch at parkingcast.com/swag. MUSEUM Check out some of our artifacts from the world's first parking museum at parkingcast.com/museum.
In this episode of the Tyler Tech Podcast, Rudy Zucker, project manager for the City of Naperville, Illinois, shares how the city modernized its annual Arbor Day Tree Sale — an innovation that earned Naperville a 2025 Tyler Excellence Award (TEA).Recorded live at Tyler Connect 2025 in San Antonio, the conversation explores how Naperville transformed a traditionally in-person, labor-intensive program into a simple, secure, and user-friendly digital experience. Rudy walks through the city's shift from a basic online payment workaround to an integrated solution using Resident Access and Tyler Payments, helping the city strengthen PCI compliance while meeting rising resident expectations for ease and convenience.Rudy also highlights the behind-the-scenes impact of the new approach, including reduced staff workload, improved inventory tracking, faster refunds, and the elimination of cross-department silos. What once required four or five staff members to manage now takes just one — freeing teams to focus on higher-value work while delivering a smoother experience for residents.Whether you support finance, public works, or digital services in local government, this episode offers practical insights on modernizing payments, improving security, and showing how even small community programs can deliver big wins through thoughtful digital transformation.This episode also highlights the Tyler Excellence Awards, which celebrate public sector organizations using Tyler solutions to make a meaningful impact in their communities. Apply now at the link below!Submit Your Tyler Excellence Awards Application Now!And learn more about the topics discussed in this episode with these resources:Download: Modern Governments Live in the CloudDownload: White Paper: Procuring a Modern Payments PlatformDownload: Process Payments in Real TimeDownload: How to Create a Unified Digital Payment ExperienceRead: Excellence 2025: Civic Interaction & Public Trust SolutionsRead: 7 Payment Automation MythsRead: How Governments Build Public Trust With Data and AIRead: Enterprise ERP a Leader for Cloud ERP for Local GovernmentRead: Increase Community Resilience With Modern Payment SystemsListen to other episodes of the podcast.Let us know what you think about the Tyler Tech Podcast in this survey!
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning reflects on the most popular content of 2025 on CTSNet. Chapters 00:00 Intro 02:15 Top Interview 03:52 Top Webinar 05:23 Top Clinical Video 06:24 Top JANS Article 07:01 Top Video Series 08:02 Top Contributor 08:59 Top Cardiac Procedures 12:14 Top Podcasts 17:02 JANS 1, Doctor Story 21:28 JANS 2, Ex Vivo Heart Perfusion 22:41 JANS 3, PCI vs CABG 24:04 JANS 4, NEOpredict-Lung 25:29 2026 Plans He discusses the top interview, the most popular webinar, and reveals the leading CTSNet contributor of the year. He also highlights the most-read JANS article, the most viewed CTSNet series, the top clinical videos in cardiac surgery, and the leading podcast episodes of 2025 from both The Beat and The Atrium. Additionally, he shares key statistics about CTSNet, including website viewership, YouTube subscribers, and listener demographics. Joel also highlights recent JANS articles on if ex vivo heart perfusion offsets ischemic penalties with six-hour or greater preservation in adult donation after brain death heart transplantation, an impactful article titled “This Man Saved My Life—I Live by His Example,” the long-term outcomes for women with chronic coronary artery disease after percutaneous coronary intervention vs coronary artery bypass grafting, and the long-term outcomes of preoperative nivolumab with or without relatlimab in patients with resectable non-small-cell lung cancer (NEOpredict-Lung). In addition, Joel outlines CTSNet's goals and initiatives to look forward to in 2026. Before closing, he highlights upcoming events in CT surgery. JANS Items Mentioned 1.) Ex Vivo Heart Perfusion Offsets Ischemic Penalties With ≥6-Hour Preservation in Adult Donation-After-Brain-Death Heart Transplantation 2.) This Man Saved My Life—I Live by His Example 3.) Women With Chronic Coronary Artery Disease: Long-Term Outcomes After Percutaneous Coronary Intervention vs Coronary Artery Bypass Grafting 4.) Long-Term Outcomes of Preoperative Nivolumab With or Without Relatlimab in Patients With Resectable Non-Small-Cell Lung Cancer (NEOpredict-Lung) CTSNet Content Mentioned 1.) CTSNet Summarized—Most Popular Content of 2025 2.) CTSNet Summarized—Most Popular Podcast Episodes of 2025 3.) CTSNet Summarized—Top Cardiac Procedure Videos of 2025 Other Items Mentioned 1.) All CTSNet Summarized Content 2.) 2025 CTSNet Recruitment Guide 3.) Career Center 4.) CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
Drs Harrington and Gibson's annual review of cardiovascular medicine: ACS guidelines, antiplatelet management, GLP-1s, and ever lower LDL-C with drugs or even gene editing are among the highlights. This podcast is intended for healthcare professionals only. To read a transcript or to comment, visit https://www.medscape.com/author/bob-harrington New ACS Guidelines 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes https://doi.org/10.1161/CIR.0000000000001309 ACS Guideline Chair and Vice-Chair Discussion https://www.medscape.com/viewarticle/acs-guidelines-2025-key-points-chair-and-vice-chair-2025a100093l Antiplatelet/Antithrombotic Strategies Prasugrel Beats Ticagrelor in High-Risk Patients With Diabetes After PCI https://www.medscape.com/viewarticle/prasugrel-beats-ticagrelor-high-risk-patients-diabetes-after-2025a1000wbt Early Withdrawal of Aspirin after PCI in Acute Coronary Syndromes (NEO-MINDSET) https://www.nejm.org/doi/full/10.1056/NEJMoa2507980 Aspirin in Patients with Chronic Coronary Syndrome Receiving Oral Anticoagulation (AQUATIC) https://www.nejm.org/doi/full/10.1056/NEJMoa2507532 Bayesian Machine Learning Model Guiding Iterative, Personalized Anticoagulant Dosing Decision-Making : ENGAGE AF-TIMI 48 Trial Analysis https://doi.org/10.1016/j.jacadv.2025.102504 Factor XI Inhibitors Bristol Myers, J&J Stop Blood Clotting Drug Trial After Interim Review https://www.medscape.com/s/viewarticle/bristol-myers-j-j-stop-blood-clotting-drug-trial-after-2025a1000vqu Bayer's Asundexian Met Primary Efficacy and Safety Endpoints in Landmark Phase III OCEANIC-STROKE Study in Secondary Stroke Prevention https://www.bayer.com/en/us/news-stories/oceanic-stroke OAC-Naive Subgroup From OCEANIC-AF Published https://www.medscape.com/viewarticle/novel-blood-thinner-shows-promise-atrial-fibrillation-2025a10008lz GLP-1 and Myotrophic Drugs Lilly's Next-gen Drug Shows Greater Weight Loss Than Zepbound in Late-stage Trial (TRIUMPH-4) https://www.medscape.com/s/viewarticle/lillys-next-gen-drug-tops-zepbound-weight-loss-late-stage-2025a1000ys1 Amylin Analog Eloralintide Reduces Weight in Phase 2 Trial https://www.medscape.com/viewarticle/amylin-analog-eloralintide-reduces-weight-phase-2-trial-2025a1000uqf CRISPR and Lipid Lowering Patient-Specific In Vivo Gene Editing to Treat a Rare Genetic Disease https://www.nejm.org/doi/full/10.1056/NEJMoa2504747 Gene Therapy Shows Lipid Improvement but Raises Flags https://www.medscape.com/viewarticle/gene-therapy-shows-lipid-improvement-raises-flags-2025a1000uzw Phase 1 Trial of CRISPR-Cas9 Gene Editing Targeting ANGPTL3 https://www.nejm.org/doi/full/10.1056/NEJMoa2511778 Evolocumab in Patients without a Previous Myocardial Infarction or Stroke (VESALIUS-CV) https://www.nejm.org/doi/pdf/10.1056/NEJMoa2514428 Prehospital GLP IIb/IIIa Zalunfiban at First Medical Contact for ST-Elevation Myocardial Infarction (CELEBRATE) https://evidence.nejm.org/doi/full/10.1056/EVIDoa2500268 You may also like: Hear John Mandrola, MD's summary and perspective on the top cardiology news each week, on This Week in Cardiology https://www.medscape.com/twic Questions or feedback, please contact news@medscape.net
On today's episode, Dr. Mark Costes sits down with longtime friend and CPA Chris Sands to unpack one of the most overlooked expenses in dental practices—credit card processing fees. In this insightful interview, recorded in the brand-new DSI studio, Chris shares why he co-founded Crown Card Services after noticing rising, unregulated merchant fees across hundreds of dental clients in his accounting firm. He breaks down exactly how merchant processors operate, why "price creep" is so common, and how practices can save tens or even hundreds of thousands annually with the right setup. Mark and Chris also explore PCI compliance junk fees, legally implementing surcharges, integration myths, and why poor merchant service can directly impact your revenue. If you're looking to improve margins, grow your practice value, or just understand the back-end of your collections a bit better, this episode is packed with actionable gems. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://crowncardservices.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast
Early Discontinuation of Aspirin after PCI in Low-Risk Acute Myocardial Infarction (TARGET-FIRST)
BONUS: The Operating System for Software-Native Organizations - The Five Core Principles In this BONUS episode, the final installment of our Special Xmas 2025 reflection on Software-native businesses, we explore the five fundamental principles that form the operating system for software-native organizations. Building on the previous four episodes, this conversation provides the blueprint for building organizations that can adapt at the speed of modern business demands, where the average company lifespan on the S&P 500 has dropped from 33 years in the 1960s to a projected 12 years by 2027. The Challenge of Adaptation "What we're observing in Ukraine is adaptation happening at a speed that would have been unthinkable in traditional military contexts - new drone capabilities emerge, countermeasures appear within days, and those get countered within weeks." The opening draws a powerful parallel between the rapid adaptation we're witnessing in drone warfare and the existential threats facing modern businesses. While our businesses aren't facing literal warfare, they are confronting dramatic disruption. Clayton Christensen documented this in "The Innovator's Dilemma," but what he observed in the 1970s and 80s is happening exponentially faster now, with software as the accelerant. If we can improve businesses' chances of survival even by 10-15%, we're talking about thousands of companies that could thrive instead of fail, millions of jobs preserved, and enormous value created. The central question becomes: how do you build an organization that can adapt at this speed? Principle 1: Constant Experimentation with Tight Feedback Loops "Everything becomes an experiment. Not in the sense of being reckless or uncommitted, but in being clear about what we're testing and what we expect to learn. I call this: work like a scientist: learning is the goal." Software developers have practiced this for decades through Test-Driven Development, but now this TDD mindset is becoming the ruling metaphor for managing products and entire businesses. The practice involves framing every initiative with three clear elements: the goal (what are we trying to achieve?), the action (what specific thing will we do?), and the learning (what will we measure to know if it worked?). When a client says "we need to improve our retrospectives," software-native organizations don't just implement a new format. Instead, they connect it to business value - improving the NPS score for users of a specific feature by running focused retrospectives that explicitly target user pain points and tracking both the improvements implemented and the actual NPS impact. After two weeks, you know whether it worked. The experiment mindset means you're always learning, never stuck. This is TDD applied to organizational change, and it's powerful because every process change connects directly to customer outcomes. Principle 2: Clear Connection to Business Value "Software-native organizations don't measure success by tasks completed, story points delivered, or features shipped. Or even cycle time or throughput. They measure success by business outcomes achieved." While this seems obvious, most organizations still optimize for output, not outcomes. The practice uses Impact Mapping or similar outcome-focused frameworks where every initiative answers three questions: What business behavior are we trying to change? How will we measure that change? What's the minimum software needed to create that change? A financial services client wanted to "modernize their reporting system" - a 12-month initiative with dozens of features in project terms. Reframed through a business value lens, the goal became reducing time analysts spend preparing monthly reports from 80 hours to 20 hours, measured by tracking actual analyst time, starting with automating just the three most time-consuming report components. The first delivery reduced time to 50 hours - not perfect, but 30 hours saved, with clear learning about which parts of reporting actually mattered. The organization wasn't trying to fulfill requirements; they were laser focused on the business value that actually mattered. When you're connected to business value, you can adapt. When you're committed to a feature list, you're stuck. Principle 3: Software as Value Amplifier "Software isn't just 'something we do' or a support function. Software is an amplifier of your business model. If your business model generates $X of value per customer through manual processes, software should help you generate $10X or more." Before investing in software, ask whether this can amplify your business model by 10x or more - not 10% improvement, but 10x. That's the threshold where software's unique properties (zero marginal cost, infinite scale, instant distribution) actually matter, and where the cost/value curve starts to invert. Remember: software is still the slowest and most expensive way to check if a feature would deliver value, so you better have a 10x or more expectation of return. Stripe exemplifies this principle perfectly. Before Stripe, accepting payments online required a merchant account (weeks to set up), integration with payment gateways (months of development), and PCI compliance (expensive and complex). Stripe reduced that to adding seven lines of code - not 10% easier, but 100x easier. This enabled an entire generation of internet businesses that couldn't have existed otherwise: subscription services, marketplaces, on-demand platforms. That's software as amplifier. It didn't optimize the old model; it made new models possible. If your software initiatives are about 5-10% improvements, ask yourself: is software the right medium for this problem, or should you focus where software can create genuine amplification? Principle 4: Software as Strategic Advantage "Software-native organizations use software for strategic advantage and competitive differentiation, not just optimization, automation, or cost reduction. This means treating software development as part of your very strategy, not a way to implement a strategy that is separate from the software." This concept, discussed with Tom Gilb and Simon Holzapfel on the podcast as "continuous strategy," means that instead of creating a strategy every few years and deploying it like a project, strategy and execution are continuously intertwined when it comes to software delivery. The practice involves organizing around competitive capabilities that software uniquely enables by asking: How can software 10x the value we generate right now? What can we do with software that competitors can't easily replicate? Where does software create a defensible advantage? How does our software create compounding value over time? Amazon Web Services didn't start as a product strategy but emerged from Amazon building internal capabilities to run their e-commerce platform at scale. They realized they'd built infrastructure that was extremely hard to replicate and asked: "What if we offered it to others?" AWS became Amazon's most profitable business - not because they optimized their existing retail business, but because they turned an internal capability into a strategic platform. The software wasn't supporting the strategy - the software became the strategy. Compare this to companies that use software just for cost reduction or process optimization - they're playing defense. Software-native companies use software to play offense, creating capabilities that change the competitive landscape. Continuous strategy means your software capabilities and your business strategy evolve together, in real-time, not in annual planning cycles. Principle 5: Real-Time Observability and Adaptive Systems "Software-native organizations use telemetry and real-time analytics not just to understand their software, but to understand their entire business and adapt dynamically. Observability practices from DevOps are actually ways of managing software delivery itself. We're bootstrapping our own operating system for software businesses." This principle connects back to Principle 1 but takes it to the organizational level. The practice involves building systems that constantly sense what's happening and can adapt in real-time: deploy with feature flags so you can turn capabilities on/off instantly, use A/B testing not just for UI tweaks but for business model experiments, instrument everything so you know how users actually behave, and build feedback loops that let the system respond automatically. Social media companies and algorithmic trading firms already operate this way. Instagram doesn't deploy a new feed algorithm and wait six months to see if it works - they're constantly testing variations, measuring engagement in real-time, adapting the algorithm continuously. The system is sensing and responding every second. High-frequency trading firms make thousands of micro-adjustments per day based on market signals. Imagine applying this to all businesses: a retail company that adjusts pricing, inventory, and promotions in real-time based on demand signals; a healthcare system that dynamically reallocates resources based on patient flow patterns; a logistics company whose routing algorithms adapt to traffic, weather, and delivery success rates continuously. This is the future of software-native organizations - not just fast decision-making, but systems that sense and adapt at software speed, with humans setting goals and constraints but software executing continuous optimization. We're moving from "make a decision, deploy it, wait to see results" to "deploy multiple variants, measure continuously, let the system learn." This closes the loop back to Principle 1 - everything is an experiment, but now the experiments run automatically at scale with near real-time signal collection and decision making. It's Experiments All The Way Down "We established that software has become societal infrastructure. That software is different - it's not a construction project with a fixed endpoint; it's a living capability that evolves with the business." This five-episode series has built a complete picture: Episode 1 established that software is societal infrastructure and fundamentally different from traditional construction. Episode 2 diagnosed the problem - project management thinking treats software like building a bridge, creating cascade failures throughout organizations. Episode 3 showed that solutions already exist, with organizations like Spotify, Amazon, and Etsy practicing software-native development successfully. Episode 4 exposed the organizational immune system - the four barriers preventing transformation: the project mindset, funding models, business/IT separation, and risk management theater. Today's episode provides the blueprint - the five principles forming the operating system for software-native organizations. This isn't theory. This is how software-native organizations already operate. The question isn't whether this works - we know it does. The question is: how do you get started? The Next Step In Building A Software-Native Organization "This is how transformation starts - not with grand pronouncements or massive reorganizations, but with conversations and small experiments that compound over time. Software is too important to society to keep managing it wrong." Start this week by doing two things. First, start a conversation: pick one of these five principles - whichever resonates most with your current challenges - and share it with your team or leadership. Don't present it as "here's what we should do" but as "here's an interesting idea - what would this mean for us?" That conversation will reveal where you are, what's blocking you, and what might be possible. Second, run one small experiment: take something you're currently doing and frame it as an experiment with a clear goal, action, and learning measure. Make it small, make it fast - one week maximum, 24 hours if you can - then stop and learn. You now have the blueprint. You understand the barriers. You've seen the alternatives. The transformation is possible, and it starts with you. Recommended Further Reading Tom Gilb and Simon Holzapfel episodes on continuous strategy The book by Christensen, Clayton: "The Innovator's Dilemma" The book by Gojko Adzic: Impact Mapping Ukraine drone warfare Company lifespan statistics: Innosight research on S&P 500 turnover Stripe's impact on internet businesses Amazon AWS origin story DevOps observability practices About Vasco Duarte Vasco Duarte is a thought leader in the Agile space, co-founder of Agile Finland, and host of the Scrum Master Toolbox Podcast, which has over 10 million downloads. Author of NoEstimates: How To Measure Project Progress Without Estimating, Vasco is a sought-after speaker and consultant helping organizations embrace Agile practices to achieve business success. You can link with Vasco Duarte on LinkedIn.
DESCRIPTION Merry Christmas from The Parking Podcast! SPONSORS This episode is brought to you by ParkOrder - the leading work order and project management tool built specifically for the parking industry. From tracking garage maintenance crews to managing office tasks, ParkOrder keeps your team organized and accountable. Whether it's the ability for parkers to report work orders, the leaderboard competition, or employee rewards, see what all the hype is about at parkorder.io. Get started today for just $5 per user per month. This episode is brought to you by Parking Today and the Parking Today Podcast Network. Learn more at parkingtoday.com/podcast. This episode is brought to you by Parker Technology, the customer experience solution of choice for the parking industry. Their solution puts a virtual ambassador in every lane, to help parking guests pay and get on their way in under a minute. Learn more at parkertechnology.com/parkingpodcast and subscribe to our podcast “Harder Than It Looks: Parking Uncovered.” This episode is brought to you by Scheidt & Bachman USA. Scheidt & Bachmann USA markets state-of-the-art Parking Solutions and Fare Collection Systems: the most innovative and advanced solutions in the US. Learn more at scheidt-bachmann-usa.com. This episode is brought to you by Breeze: Parking Concepts' digital platform that makes the parking experience a Breeze! For more than 50 years, PCI has been proactively managing parking & transportation operations with unparalleled integrity & service. Learn more at parkingconcepts.com. WEBSITES AND RESOURCES https://www.parkingcast.com/ https://parkingtoday.com/podcast/ parkorder.io www.parkertechnology.com/parkingpodcast scheidt-bachmann-usa.com parkingconcepts.com MERCH Check out some of our awesome parking themed t-shirts and other merch at parkingcast.com/swag. MUSEUM Check out some of our artifacts from the world's first parking museum at parkingcast.com/museum.
Two mics, one space heater, and a dream: we kick off the first week of Big Jay's Replays and tell the truth about building a local game shop from the ground up. From weather-thinned foot traffic to a rush of trade-ins—PS2 hauls, stacks of DVDs and CDs, and a shocker of vintage TMNT figures worth serious cash—we walk through the moves that matter: fair valuations, flexible appointments, and setting up play areas that make people linger. It's messy, real, and way more fun than the glossy version.Behind the counter, the numbers get interesting. We break down credit card processing fees by brand, swipe charges, percent-of-transaction rates, hardware costs, monthly support, and PCI compliance. No sugarcoating—just the actual overhead small retailers face and why some pass fees to customers. Jay doesn't. He's betting on loyalty, momentum, and the simple magic of a welcoming store. That spirit spills into neighbor relations too: clearing up a back-entrance issue, swapping a gift card for a cross-promo giveaway, and building a mini-ecosystem with the card shop next door so collectors hit both spots in one trip.Then we throw sparks with music discovery. Wolves at the Gate delivers melody and muscle, Stained With Silver brings moody cinematic textures, and Resistor's “Mutt” drops a turntablist into metal, filling a groove we didn't know we missed. We spiral into the wild world of “The John Candy,” AI-tinted visuals, and sample-packed chaos, before pivoting to EDM anthems, Eurodance nostalgia, and Little Big's “LollyBomb,” whose towering build-ups punch like a perfect breakdown. If you love retro games, underground bands, and the thrill of finding gold where the algorithm sleeps, you'll feel right at home.Stick around for holiday wishes and a promise to keep uncovering the good stuff—on shelves and in playlists. If this ride hits your frequency, follow the show, share it with a friend, and drop your favorite discovery from the episode in a review so others can find us too.Send us a text message and let us know how awesome we are! (Click the link)!Support the show'Beavis and Butt-head' Cover art created by Joe Crawford
Growth shouldn't stall at the border. We sit down with Peter Dougherty, President of Spreedly, to unpack how an open payments platform helps global brands launch faster, reduce vendor risk, and optimize authorization rates without ripping out their stack. Peter traces the evolution from card‑centric orchestration to a broader layer that now includes tokenization, a secure token vault, fraud and KYC options, and connections to multiple processors and alternative payment methods. The takeaway: best‑of‑breed no longer means complexity and long timelines - it means resilience, data‑driven choices, and faster expansion.Peter also looks ahead to a future where agents become the front end of commerce. Discovery, selection, and purchase compress into milliseconds, and payments infrastructure has to keep up. We dig into how mandates, consent, and spending limits will work when agents transact on our behalf; how liability flows when something goes wrong; and why token management becomes the backbone for secure, delegated payments. He shares why platforms that can safely feed agents with PCI‑sensitive data will win as volumes surge across regions and rails.We ground the hype in reality too. Payments is the fastest moving oil tanker - innovation is constant, but adoption takes time. EMV took decades; stablecoins still trail cards and the fastest‑growing APMs. For leaders, the smart move is to build behind an abstraction layer that lets you A/B test processors, adopt new methods, and swap tools without disruption. If you're pushing into new markets or preparing for agentic commerce, this conversation will help you rethink checkout, time to market, and resilience at scale.
Doug Green, Publisher of Technology Reseller News, sat down with Larry O'Connor, Founder of Other World Computing (OWC), for a follow-up conversation focused on OWC's latest product innovations and the company's long-standing philosophy of helping customers get more life, performance, and reliability from their technology. OWC is an ASCDI member and has built a reputation for designing solutions that “just work,” allowing users to focus on their workflows rather than managing infrastructure. O'Connor explained that OWC's roots in memory and storage upgrades naturally evolved into leadership in Thunderbolt connectivity, direct-attached storage, and enterprise NAS platforms. Today, OWC technology is deeply embedded in professional media, creative, and enterprise environments, often powering workflows behind the scenes. “Our goal is to be the boring part,” O'Connor said, noting that once OWC products are installed, they fade into the background while consistently delivering performance. A key focus of the discussion was OWC's expanded Thunderbolt 5 lineup, including the new StudioStack, which combines high-performance NVMe and spinning storage with additional downstream Thunderbolt 5 ports. Designed for systems with limited expansion options, StudioStack effectively turns a single Thunderbolt port into a powerful external PCI-style expansion point, supporting high-resolution displays, additional storage, and peripherals without sacrificing performance. O'Connor also highlighted OWC's new dual 10-gigabit Thunderbolt network dock, built to address specialized but growing needs in media, broadcast, and enterprise workflows. With two fully independent 10GbE ports, the dock enables network segmentation, bonded throughput, and dedicated traffic paths—capabilities that previously required more complex and expensive setups. “It's a game changer for customers who need predictable, high-bandwidth networking off a single cable,” he said. The conversation concluded with an update on SoftRAID 8.6, OWC's flagship software RAID solution, now enhanced for Windows 11 and the latest macOS. O'Connor emphasized SoftRAID's unique cross-platform interoperability between Mac and Windows, along with its ability to segment drives into multiple RAID levels for optimized performance and longevity—capabilities not possible with traditional hardware RAID. These innovations reflect OWC's continued commitment to performance, repairability, and long-term value across the technology lifecycle. For more information, visit https://www.owc.com/.
An elegant study in post-TAVI atrioventricular block, a PSA for my structural colleagues, revascularization in women, and a CTO PCI trial are the topics John Mandrola, MD, discusses in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I AV Block After TAVR Heart Blocks During vs After TAVR Show Distinct Patterns https://www.medscape.com/viewarticle/heart-blocks-during-vs-after-tavr-show-distinct-patterns-2025a1000ypp Mechanisms Underlying Alterations in Cardiac Conduction After TAVR https://jamanetwork.com/journals/jamacardiology/fullarticle/2842748 II Related PSA Announcement to My Structural Colleagues III Revascularization Strategies in Women with Severe Chronic CAD Women With Chronic Severe CAD Fare Better With CABG vs PCI https://www.medscape.com/viewarticle/women-chronic-severe-cad-fare-better-cabg-vs-pci-2025a1000ygd PCI vs CABG in Women With Chronic CAD https://doi.org/10.1093/eurheartj/ehaf806 PCI vs CABG - Meta-Analysis of 4 RCTs https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)02334-5/abstract CABG vs Drug-Eluting Stent Implantation for CAD - Meta-Analysis https://www.jacc.org/doi/10.1016/j.jcin.2016.10.008 RECHARGE trial https://therechargetrial.com/ IV A CTO PCI RCT – But don't get your hopes up Early vs Late-Staged PCI After Subintimal Tracking and Re-entry for CTO https://doi.org/10.1016/j.jacc.2025.09.1598 DECISION CTO trial https://pubmed.ncbi.nlm.nih.gov/30813758/ National Inpatient Sample Database PCI CTO Associated With Higher Mortality https://pubmed.ncbi.nlm.nih.gov/37356643/ V Mandrola's Top 10 Stories You may also like: The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net
DESCRIPTION Katherine Beaty, President and Founder of Beaty Solutions, discusses Fraud, Entrepreneurship and Beaty Solutions. SPONSORS This episode is brought to you by ParkOrder - the leading work order and project management tool built specifically for the parking industry. From tracking garage maintenance crews to managing office tasks, ParkOrder keeps your team organized and accountable. Whether it's the ability for parkers to report work orders, the leaderboard competition, or employee rewards, see what all the hype is about at parkorder.io. Get started today for just $5 per user per month. This episode is brought to you by Parking Today and the Parking Today Podcast Network. Learn more at parkingtoday.com/podcast. This episode is brought to you by Parker Technology, the customer experience solution of choice for the parking industry. Their solution puts a virtual ambassador in every lane, to help parking guests pay and get on their way in under a minute. Learn more at parkertechnology.com/parkingpodcast and subscribe to our podcast “Harder Than It Looks: Parking Uncovered.” This episode is brought to you by Nagels. Nagels provides the parking and transit industries with paper products whether that's PARCS tickets, thermal rolls, enforcement ticket rolls, receipt paper, valet products, signage and more. They're a world leader with over 4.5 billion ticketing products sold annually and are certified by all major PARCS system providers including Skidata, Scheidt & Bachmann, Amano, Designa, Flowbird and more. Whether you've got a garage or a lot, on-street or off-street, reach out to Kurtis at kurtis@nagels-na.com or call him at 519-994-2255 and mention The Parking Podcast to receive an exclusive offer we've lined up on new orders. This episode is brought to you by Scheidt & Bachman USA. Scheidt & Bachmann USA markets state-of-the-art Parking Solutions and Fare Collection Systems: the most innovative and advanced solutions in the US. Learn more at scheidt-bachmann-usa.com. This episode is brought to you by Breeze: Parking Concepts' digital platform that makes the parking experience a Breeze! For more than 50 years, PCI has been proactively managing parking & transportation operations with unparalleled integrity & service. Learn more at parkingconcepts.com. WEBSITES AND RESOURCES https://www.parkingcast.com/ https://parkingtoday.com/podcast/ parkorder.io www.parkertechnology.com/parkingpodcast kurtis@nagels-na.com scheidt-bachmann-usa.com parkingconcepts.com beatysolutions.com linkedin.com/company/beaty-solutions/ MERCH Check out some of our awesome parking themed t-shirts and other merch at parkingcast.com/swag. MUSEUM Check out some of our artifacts from the world's first parking museum at parkingcast.com/museum.
In the episode I welcome one of my favorite Public Works Nerds, Brian Simmons from Bolton & Menk. Brian and I look back at our recent presentation on Artificial Intelligence in Public Works - titled AI in the Sky - at the 2025 APWA PWX in Chicago. We also critique and marvel at an AI generated podcast that was created using just our slide deck from that presentation. In between this and the jokes, we also talk about AI applications in Public Works that will be disruptive in a good way for Public Works professionals. Below is the AI Generated Episode Description, which I must say I'm a bit disappointed with this time. Thanks for listening!--------------------------------------AI GENERATED (Buzzsprout) DESCRIPTIONWhat if your city could turn weeks of fieldwork into decisions in a matter of days? We sat down together at a buzzing conference hall to unpack how AI and uncrewed aerial systems are shifting public works from manual, inconsistent surveys to fast, reliable insights you can act on. Our lens is practical: remove the dull, dirty, dangerous, and repetitive tasks so crews can spend more time fixing the real problems and less time hunting for them.We start with pavement. Using vehicle-mounted imaging and computer vision, tools like Violytics generate network-wide PCI ratings with surprising speed—plus bonus detections like faded signs and sunken structures. That means fresher data for budget talks, clearer maps for crews, and consistent baselines you can trust. We then jump underground, where hours of CCTV “dirty videos” turn into prioritized worklists with platforms like SewerAI. Let the model find cracks, offsets, and roots; let engineers review, rank, and dispatch. The human stays in charge, and the algorithm never gets tired.From there, we head to the sky. Drones paired with edge AI are quietly transforming inspections for cell towers, water towers, utilities, and urban forests—spotting defects and tracking disease without sending staff into harm's way. We talk policy and privacy too: how to balance FOIA, data governance, and model provenance so IT can say yes with confidence. And we lean into what's next: agentic AI that writes first drafts, cleans up slide decks, suggests dashboards, and eventually orchestrates systems—think stormwater storage decisions guided by sensors, weather forecasts, and smart controls.If you care about smoother roads, smarter budgets, safer inspections, and stronger asset management, this conversation is your field guide. Subscribe for more Public Works Nerds deep dives, share with a teammate who needs a spark, and leave a review with the first AI workflow you want to try.
As more cases emerge, safeguarding expert Ian Elliot calls for a public enquiry into PCI. Audrey talks to journalist Angela Davison about the latest developments and also to retired Presbyterian minister Rev Tony Davidson about what needs to happen at the special general assembly.Pope Leo's first overseas trip takes him to Lebanon where he met some of the victims of the Beirut port explosion and celebrated a mass for 150,000 Christians. Audrey speaks to Najat Aoun Saliba, a Maronite Christian and an MP in Lebanon.Homelessness figures in Northern Ireland have increased exponentially over the last decade. Mark Baillie from Homelessness Connect tells Audrey why.And could a row over military service for Ultra-Orthodox Jews bring down Benjamin Netanyahu's government?
Less is more after PCI, the TARGET-FIRST trial, a negative blood pressure trial that is actually positive, aspirin vs OAC for bleeding, AEDs, and Factor XI is not dead yet are the topics discussed by John Mandrola, MD, on this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I Less is More: TARGET-FIRST TARGET-FIRST Trial https://www.nejm.org/doi/10.1056/NEJMoa2508808 STOPDAPT-2 ACS Trial https://jamanetwork.com/journals/jamacardiology/fullarticle/2789701 II A Negative Trial That Is Actually Positive The RETREAT-FRAIL Study https://www.nejm.org/doi/full/10.1056/NEJMoa2508157 III Major Bleeding With Aspirin vs Apixaban Subanalysis of ARTESiA https://jamanetwork.com/journals/jamacardiology/fullarticle/2841075 ARTESiA Trial https://www.nejm.org/doi/full/10.1056/NEJMoa2310234 AVERROES Trial https://www.nejm.org/doi/full/10.1056/NEJMoa1007432 IV High Value Interventions – The AED Experts Call for AED Placement on All Commercial Aircraft https://www.medscape.com/viewarticle/experts-call-aed-placement-all-commercial-aircraft-2025a1000xzf In-Flight Sudden Cardiac Arrest and AED Use 10.1016/j.cjca.2025.10.010 External Link V Factor XI Inhibitors – OCEANIC STROKE trial Bayer Press Release on Asundexian https://www.bayer.com/en/us/news-stories/oceanic-stroke You may also like: The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net
The success of a new campus hinges on one critical hire: the campus pastor. In this episode, Amy Anderson and Sean Bublitz break down the five essential traits every campus pastor needs to thrive— especially in churches that use video teaching. Whether you're launching your first campus or refining your multisite strategy, this conversation will help you identify the right leader who can carry your church's DNA, rally people and build sustainable ministry through volunteers. This Episode is Sponsored By Portable Church: For over 30 years, Portable Church Industries has equipped thousands of churches with custom portable solutions that make launching, expanding, and thriving in rented spaces efficient and sustainable. We believe the smartest way to launch strong is to Go Portable First. From complete portable systems to expert coaching, we help churches save money, stay flexible, and focus on what matters most, reaching their communities. Whether you're a church planter or a church launching a new location, PCI is your trusted partner in creating church anywhere. Join the Conversation on Social Media We use hashtag #unstuckchurch on X and on Instagram.
In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Dr William Parker from Sheffield in the UK. They discuss how PCI has changed over the last 40 years, covering balloons, stents, drugs and the future. If you enjoy the show, please leave us a positive review wherever you get your podcasts. It helps us to reach more people - thanks! Link to published paper: https://heart.bmj.com/content/111/16/753
DESCRIPTION Happy Thanksgiving from The Parking Podcast! SPONSORS This episode is brought to you by ParkOrder - the leading work order and project management tool built specifically for the parking industry. From tracking garage maintenance crews to managing office tasks, ParkOrder keeps your team organized and accountable. Whether it's the ability for parkers to report work orders, the leaderboard competition, or employee rewards, see what all the hype is about at parkorder.io. Get started today for just $5 per user per month. This episode is brought to you by Parking Today and the Parking Today Podcast Network. Learn more at parkingtoday.com/podcast. This episode is brought to you by Parker Technology, the customer experience solution of choice for the parking industry. Their solution puts a virtual ambassador in every lane, to help parking guests pay and get on their way in under a minute. Learn more at parkertechnology.com/parkingpodcast and subscribe to our podcast “Harder Than It Looks: Parking Uncovered.” This episode is brought to you by Nagels. Nagels provides the parking and transit industries with paper products whether that's PARCS tickets, thermal rolls, enforcement ticket rolls, receipt paper, valet products, signage and more. They're a world leader with over 4.5 billion ticketing products sold annually and are certified by all major PARCS system providers including Skidata, Scheidt & Bachmann, Amano, Designa, Flowbird and more. Whether you've got a garage or a lot, on-street or off-street, reach out to Kurtis at kurtis@nagels-na.com or call him at 519-994-2255 and mention The Parking Podcast to receive an exclusive offer we've lined up on new orders. This episode is brought to you by Scheidt & Bachman USA. Scheidt & Bachmann USA markets state-of-the-art Parking Solutions and Fare Collection Systems: the most innovative and advanced solutions in the US. Learn more at scheidt-bachmann-usa.com. This episode is brought to you by Breeze: Parking Concepts' digital platform that makes the parking experience a Breeze! For more than 50 years, PCI has been proactively managing parking & transportation operations with unparalleled integrity & service. Learn more at parkingconcepts.com. WEBSITES AND RESOURCES https://www.parkingcast.com/ https://parkingtoday.com/podcast/ parkorder.io www.parkertechnology.com/parkingpodcast kurtis@nagels-na.com scheidt-bachmann-usa.com parkingconcepts.com https://parkalytics.com/ MERCH Check out some of our awesome parking themed t-shirts and other merch at parkingcast.com/swag. MUSEUM Check out some of our artifacts from the world's first parking museum at parkingcast.com/museum.
Listener feedback, huge news in the world of carotid disease with the CREST-2 publication, prasugrel beats ticagrelor again, and a big coffee trial are the topics John Mandrola, MD, discusses in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I Listener Feedback Complete Revascularization for Acute MI Meta-analysis https://doi.org/10.1016/S0140-6736(25)02170-1 II A Sea Change in the Treatment of Carotid Artery Disease — CREST-2 Published ECST-2 https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(25)00107-3/fulltext SPACE-2 https://pubmed.ncbi.nlm.nih.gov/36115360/ CREST-2 Trial www.nejm.org/doi/full/10.1056/NEJMoa2508800 CREST Protocol paper https://pmc.ncbi.nlm.nih.gov/articles/PMC5987521/ III Prasugrel Beats Ticagrelor in High-Risk Patients With Diabetes After PCI https://www.medscape.com/viewarticle/prasugrel-beats-ticagrelor-high-risk-patients-diabetes-after-2025a1000wbt PLATO trial https://www.nejm.org/doi/full/10.1056/NEJMoa0904327 Ticagrelor or prasugrel vs clopidogrel in PCI https://eurointervention.pcronline.com/article/ticagrelor-or-prasugrel-versus-clopidogrel-in-patients-undergoing-percutaneous-coronary-intervention-for-chronic-coronary-syndromes ISAR-REACT 5 trial https://www.nejm.org/doi/full/10.1056/NEJMoa1908973 IV Another Coffee and AF study Can Coffee Cut the Risk for Atrial Fibrillation? https://www.medscape.com/viewarticle/can-coffee-cut-risk-atrial-fibrillation-2025a1000w11 A Coffee a Day to Keep the AFib Away? The DECAF Trial Discussed https://www.medscape.com/viewarticle/coffee-day-keep-afib-away-decaf-trial-discussed-2025a1000v5z DECAF trial https://jamanetwork.com/journals/jama/fullarticle/2841253 You may also like: The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net
Listener feedback on non-culprit PCI in STEMI, a major cardiac result in patients on hemodialysis, news on GLP-1 agonists, a dubious stroke trial, and an AHA preview are the topics John Mandrola, MD, discusses in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I Listener Feedback Meta-analysis of MI as a surrogate https://pubmed.ncbi.nlm.nih.gov/34694318/ Compare Acute Trial https://www.nejm.org/doi/full/10.1056/NEJMoa1701067 DANAMI-3–PRIMULTI 10.1016/S0140-6736(15)60648-1 External Link CULPRIT-SHOCK https://www.nejm.org/doi/full/10.1056/NEJMoa1710261 II Huge Cardiac News for Patients with ESRD PISCES article EMBARGOED Till 1130 AM EST PISCES Trial www.nejm.org/doi/full/10.1056/NEJMoa2513032 REDUCE-IT Trial https://www.nejm.org/doi/full/10.1056/NEJMoa1812792 STRENGTH Trial https://jamanetwork.com/journals/jama/fullarticle/2773120 FISH trial https://jamanetwork.com/journals/jama/fullarticle/1150094 III Obesity Agents White House announces deal with Lilly and Novo on GLP-1 drugs https://www.reuters.com/business/healthcare-pharmaceuticals/novo-lilly-shares-rise-trump-obesity-drug-deal-nears-2025-11-06/ Amylin Agonists Amylin Analog Eloralintide Reduces Weight in Phase 2 Trial https://www.medscape.com/viewarticle/amylin-analog-eloralintide-reduces-weight-phase-2-trial-2025a1000uqf Eloralintide Phase 2 Study https://doi.org/10.1016/S0140-6736(25)02155-5 GLP-1 Comparisons SURMOUNT-5 Trial https://www.nejm.org/doi/10.1056/NEJMoa2416394 Tirzepatide vs Semaglutide in 10-year CVD Risk Reduction https://doi.org/10.1093/ehjopen/oeaf117 IV A Problematic Trial in Stroke Care LAMP trial https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2840370 V AHA Preview AHA 2025: Mandrola's Four Trials to Look For https://www.medscape.com/viewarticle/aha-2025-mandrolas-four-trials-look-2025a1000u80 You may also like: The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net
© 2020-2026 Ivy Podcast Discovery LLC
