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All of the important steps to getting a really good night's sleep.The Food Dude will let you know how PEEPS are coming to Bath & Body Works.The Morning Pick Me Up just after 7 am.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
More on roller skating. Pat's Peeps podcast. Caller's share their thoughts.
In this solo episode, Chris dives into the essential roadmap for newcomers to the show, explaining how to stop managing symptoms and start uncovering the "gold" found at the root-root-cause of body burnout. If you've been told your labs are "normal" but you still feel like hot garbage, or if you've tried every supplement under the sun only to find yourself still stuck in a cycle of exhaustion, this episode is for you. Chris pulls back the curtain on our unique diagnostic system, blending the physical and the metaphysical to help you reclaim your energy, mood, and gut health. In today's episode, Chris talks about: Why being told your results are "normal" doesn't mean you are thriving or functioning at your best. How cleaning up your diet or taking magnesium can sometimes just be "patching things up" rather than solving the driver of the issue. How Chris & Filly take your messy history and data to make a clear picture of your health emerge. Moving beyond guesswork to functional testing that confirms which body systems need to be "kickstarted" or "killed off". Why the way you do anything is the way you do everything, from relationships to how you clean your kitchen. Learning to view physical issues like constipation or insomnia as "loving communication" from your unconscious mind. How "victim speech" and "must-debating" (should-ing all over yourself) reveal the limiting beliefs sitting beneath your fatigue. Why true healing requires addressing both the physical and the metaphysical together, not one or the other. Show Note Links: Take Chris & Filly's Ending Body Burnout Assessment here Find out how to work with Chris & Filly here Join the WAITLIST to our Ending Body Burnout Method program here Disclaimer: This Ending Body Burnout Show podcast and any information, advice, opinions or statements within it do not constitute medical, health care or other professional advice, and are provided for general information purposes only. All care is taken in the preparation of the information in this Podcast. Chris & Filly Functional Medicine does not make any representations or give any warranties about its accuracy, reliability, completeness or suitability for any particular purpose. This Podcast and any information, advice, opinions or statements within it are not to be used as a substitute for professional medical, psychology, psychiatric or other mental health care or natural medicine health care. Chris & Filly Functional Medicine recommends you seek the advice of your doctor or other qualified health providers with any questions you may have regarding a medical condition. Inform your doctor of any changes you may make to your lifestyle and discuss these with your doctor. Do not disregard medical advice or delay visiting a medical professional because of something you hear in this Podcast. To the extent permissible by law Chris & Filly Functional Medicine and the Ending Body Burnout Show Podcast will not be liable for any expenses, losses, damages (including indirect or consequential damages) or costs which might be incurred as a result of the information being inaccurate or incomplete in any way and for any reason. No part of this Podcast can be reproduced, redistributed, published, copied or duplicated in any form without the prior permission of Chris & Filly Functional Medicine.
Send a textBig Rocks, Small Peeps, and What ATS Systems Really Do to Teacher ResumesIn this episode, Vanessa talks about the physics of “yes” and “no,” how scope creep quietly expands your workload, a Peeps-inspired morale hack, and a deep dive into how Applicant Tracking Systems (ATS) actually interpret teacher resumes outside the classroom.If you've ever felt like you're doing everything right but nothing is landing… roll your chair up and have a listen!The Power of Yes & NoWhen you say yes to something, you're automatically saying no to something else — even if you don't see it immediately.In this segment we explore:Why teachers are conditioned to say yesHow scope creep grows one tiny task at a timeThe Big Rocks analogy and protecting what matters mostRecognizing gaslighting in professional environmentsAsking: Does this enhance your Big Three — or take away from them?Sometimes the most powerful boundary is a quiet, thoughtful no. Peeps: The Hack A lighthearted reset designed to support emotional regulation and morale — for students and staff.Ideas from today's episode:Peeps coloring for low-pressure brain breaksTurning small moments of joy into connectionWhy “sharpening the saw” often gives you time back later ATS Terrain: Naming Names!Last week we talked about terrain — this week we name names.You'll learn a little about United Talent, Workday, Taleo, and USAJobsKey takeaway: Your skills didn't change. The terrain did.It's isn't that you have to reinvent yourself. You just have to learn how the different systems listen.
Furf and Monty are back with another Pulm PEEPs Pearls episode. The topic of today’s discussion is an often discussed, but often misunderstood, test; the methacholine challenge. They’ll review when to utilize this test, how it should be performed, and the appropriate interpretation. Contributors This episode was prepared with research by Pulm PEEPs Associate Editor George Doumat. Dustin Latimer, another Pulm PEEPs Associate Editor, assisted with audio and video editing. Key Learning Points What the Test Measures Methacholine challenge is a direct bronchial provocation test of airway hyperresponsiveness (AHR), a core physiologic feature of asthma. Anyone will bronchoconstrict at high enough concentrations — the test looks for an abnormal threshold. The key endpoint is the PC20: the methacholine concentration causing a 20% fall in FEV1. Abnormal in adults: PC20 ≤ 8–16 mg/mL Test Performance Meta-analyses: pooled sensitivity ~60%, specificity ~90%. Real-world cohorts: sensitivity 55–62%, specificity 56–100% (varies by population, protocol, and threshold used). Not a standalone yes/no test — best used as part of a broader diagnostic pathway. Where It Fits in the Asthma Workup The test belongs in a stepwise approach: Step 1: Spirometry + bronchodilator response Step 2: Add FeNO and/or peak flow variability (if available) Step 3: If the picture is still unclear → methacholine challenge It is most useful for symptomatic patients with normal spirometry and no bronchodilator reversibility. Given its cost, mild risk, and discomfort, it should not be a first-line test — most asthma diagnoses do not require it. Technique and Medication Prep Technique ERS guidelines favor tidal breathing over deep inspiratory maneuvers. Deep breaths can be bronchoprotective and blunt the response, reducing sensitivity — especially in mild or well-controlled asthma. Medication Washout (to Avoid False Negatives) Medication ClassWashout PeriodShort-acting beta-agonists (SABA)≥ 6 hoursLong-acting beta-agonists (LABA)~24 hoursUltra-long-acting beta-agonists~48 hoursShort-acting anticholinergics (e.g., ipratropium)~12 hoursLong-acting muscarinic antagonists (LAMA, e.g., tiotropium)7 days Inhaled corticosteroids, leukotriene blockers, and antihistamines do not significantly affect the test acutely — continue these. Withdrawing ICS also carries its own risk for asthma patients. Practical tip: Spell out exactly what to hold and when — for both the patient and the PFT lab — at the time the test is ordered. Interpreting Results Negative Test (PC20 > 16 mg/mL) Very high negative predictive value in symptomatic adults. Makes current asthma quite unlikely (assuming proper test conduct). This is the test’s greatest strength: it is an excellent rule-out test. Positive Test (PC20 ≤ 8–16 mg/mL) More nuanced — airway hyperresponsiveness is not unique to asthma. Can be positive in: chronic cough, allergic rhinitis, COPD, and even some healthy asymptomatic individuals. A positive result raises probability but must be interpreted alongside the clinical story, variable respiratory symptoms, peak flow variability, FeNO, and ICS response. Safety and Risks Overall, the test is quite safe; significant adverse effects are rare. Temporary breathing discomfort is expected (bronchoconstriction is being induced). Severe bronchospasm is possible: A trained clinician should be available; SABA inhaler/nebulizer must be immediately on hand; a physician should be reachable in the facility. Contraindications / cautions: Avoid if FEV1 < 70% predicted or < 1–1.5 L (baseline obstruction greatly increases risk). Avoid within 3 months of an acute cardiac event (rare risk of cardiac events with unstable cardiac disease). Five Pearls — Quick Recap What it tests: Methacholine challenge is a direct test of AHR with high specificity but variable sensitivity — it belongs inside a diagnostic pathway, not as a standalone asthma test. When to use it: Most useful for symptomatic patients with normal spirometry and no bronchodilator response, after FeNO and peak flow variability have been considered. Technique and meds matter: Use tidal breathing protocol; respect washout intervals — especially the 7-day LAMA washout and 24–48 hour LABA window — to avoid false negatives. Safety: Generally safe, but can induce significant bronchoconstriction. Have a SABA available and avoid the test in patients with FEV1 < 70% predicted. Interpretation: A negative test (PC20 > 16 mg/mL) strongly argues against current asthma. A positive test raises probability but is not specific — interpret alongside the full clinical picture. References and Further Reading Coates AL, Wanger J, Cockcroft DW, Culver BH; Bronchoprovocation Testing Task Force: Kai-Håkon Carlsen; Diamant Z, Gauvreau G, Hall GL, Hallstrand TS, Horvath I, de Jongh FHC, Joos G, Kaminsky DA, Laube BL, Leuppi JD, Sterk PJ. ERS technical standard on bronchial challenge testing: general considerations and performance of methacholine challenge tests. Eur Respir J. 2017 May 1;49(5):1601526. doi: 10.1183/13993003.01526-2016. PMID: 28461290. Lee, J., & Song, J. U. (2021). Diagnostic comparison of methacholine and mannitol bronchial challenge tests for identifying bronchial hyperresponsiveness in asthma: a systematic review and meta-analysis. Journal of Asthma, 58(7), 883–891. https://doi.org/10.1080/02770903.2020.1739704 Davis BE, Blais CM, Cockcroft DW. Methacholine challenge testing: comparative pharmacology. J Asthma Allergy. 2018 May 14;11:89-99. doi: 10.2147/JAA.S160607. PMID: 29785128; PMCID: PMC5957064.
Dan, Jess, & Andy talk about things they hate- seasonal cockails, choosing a beer, Peeps, and martinis, shaken not stirred. Intro music is from "Coast to Coast" by Cory Gray.
Home Loans Radio 02.14.2026 With That Mortgage Guy Don Happy Valentines day edition.Rates are officially in the 5's for well qualified peepswww.thatmortgageguydon.com
This week’s Pulm PEEPs Pearls episode is all about spontaneous breathing trials (SBTs). SBTs are a standard part of the daily practice in the intensive care unit, but the exact methods vary across ICUs and institutions. Listen in to hear about the most common methods of SBTs, the physiology of each method, and what the evidence says. Contributors This episode was prepared with research by Pulm PEEPs Associate Editor George Doumat. Dustin Latimer, another Pulm PEEPs Associate Editor, assisted with audio and video editing. Key Learning Points What an SBT is really testing An SBT is a stress test for post-extubation work of breathing, not just a ventilator check. The goal is to balance sensitivity and specificity: Too hard → unnecessary failures and delayed extubation Too easy → false positives and higher risk of reintubation Common SBT modalities and how they compare T-piece No inspiratory support and no PEEP Highest work of breathing Most “physiologic” but often too strict Pressure support (PS) + PEEP (e.g., 5/5 or 8/5) Offsets ETT resistance and provides modest assistance Easier to pass than T-piece CPAP (0/5) No inspiratory help, but provides PEEP to counter ETT resistance Sits between PS and T-piece in difficulty Evidence favors pressure-supported SBTs for most patients Large meta-analysis (~6,000 patients, >40 RCTs): Pressure-supported SBTs increase successful extubation (~7% absolute benefit) No increase in reintubation rates Trials (e.g., FAST trial): Patients pass SBTs earlier Leads to earlier extubation and fewer ventilator-associated risks Bottom line: A 30-minute PS 5/5 SBT is evidence-based and appropriate for most stable ICU patients When a T-piece still makes sense T-piece SBTs are useful when: Cost of reintubation is high Difficult airway Prior failed extubation Pretest probability of success is low Prolonged or difficult weaning Tracheostomy vs extubation decisions Need to mimic physiology without positive pressure In LV dysfunction or pulmonary edema even small amounts PEEP may significantly improve physiology Some centers use a hybrid approach: PS SBT → short confirmatory T-piece before extubation CPAP as a middle ground Rationale: Allows full patient effort while compensating for ETT resistance Evidence: Fewer and smaller trials Possible modest improvement in extubation success No clear mortality or LOS benefit Reasonable option based on patient physiology, institutional protocols, and clinician comfort No single “perfect” SBT mode Across PS, T-piece, CPAP, and newer methods (e.g., high-flow via ETT) there are no consistent differences in mortality or length of stay What matters most: Daily protocolized screening Thoughtful bedside clinical judgment Matching SBT difficulty to patient-specific risk Institutional variation is normal—and acceptable Examples: PS 10/5 in postoperative surgical ICU patients PS 5/0 as an intermediate difficulty option Key question clinicians should ask: What does passing or failing this specific SBT tell me about this patient's likelihood of post-extubation success? Take-home pearls SBTs are stress tests of post-extubation physiology. PS 5/5 for 30 minutes is a strong default for most ICU patients. T-piece trials are valuable when false positives are costly or physiology demands it. CPAP is reasonable but supported by less robust data. Consistency, daily screening, and judgment matter more than the exact mode. References and Further Reading Burns KEA, Khan J, Phoophiboon V, Trivedi V, Gomez-Builes JC, Giammarioli B, Lewis K, Chaudhuri D, Desai K, Friedrich JO. Spontaneous Breathing Trial Techniques for Extubating Adults and Children Who Are Critically Ill: A Systematic Review and Meta-Analysis. JAMA Netw Open. 2024 Feb 5;7(2):e2356794. doi: 10.1001/jamanetworkopen.2023.56794. PMID: 38393729; PMCID: PMC10891471. Burns KEA, Sadeghirad B, Ghadimi M, Khan J, Phoophiboon V, Trivedi V, Gomez Builes C, Giammarioli B, Lewis K, Chaudhuri D, Desai K, Friedrich JO. Comparative effectiveness of alternative spontaneous breathing trial techniques: a systematic review and network meta-analysis of randomized trials. Crit Care. 2024 Jun 8;28(1):194. doi: 10.1186/s13054-024-04958-4. PMID: 38849936; PMCID: PMC11162018. Subirà C, Hernández G, Vázquez A, Rodríguez-García R, González-Castro A, García C, Rubio O, Ventura L, López A, de la Torre MC, Keough E, Arauzo V, Hermosa C, Sánchez C, Tizón A, Tenza E, Laborda C, Cabañes S, Lacueva V, Del Mar Fernández M, Arnau A, Fernández R. Effect of Pressure Support vs T-Piece Ventilation Strategies During Spontaneous Breathing Trials on Successful Extubation Among Patients Receiving Mechanical Ventilation: A Randomized Clinical Trial. JAMA. 2019 Jun 11;321(22):2175-2182. doi: 10.1001/jama.2019.7234. Erratum in: JAMA. 2019 Aug 20;322(7):696. doi: 10.1001/jama.2019.11119. PMID: 31184740; PMCID: PMC6563557. Burns KEA, Wong J, Rizvi L, Lafreniere-Roula M, Thorpe K, Devlin JW, Cook DJ, Seely A, Dodek PM, Tanios M, Piraino T, Gouskos A, Kiedrowski KC, Kay P, Mitchell S, Merner GW, Mayette M, D’Aragon F, Lamontagne F, Rochwerg B, Turgeon A, Sia YT, Charbonney E, Aslanian P, Criner GJ, Hyzy RC, Beitler JR, Kassis EB, Kutsogiannis DJ, Meade MO, Liebler J, Iyer-Kumar S, Tsang J, Cirone R, Shanholtz C, Hill NS; Canadian Critical Care Trials Group. Frequency of Screening and Spontaneous Breathing Trial Techniques: A Randomized Clinical Trial. JAMA. 2024 Dec 3;332(21):1808-1821. doi: 10.1001/jama.2024.20631. PMID: 39382222; PMCID: PMC11581551. Mahul M, Jung B, Galia F, Molinari N, de Jong A, Coisel Y, Vaschetto R, Matecki S, Chanques G, Brochard L, Jaber S. Spontaneous breathing trial and post-extubation work of breathing in morbidly obese critically ill patients. Crit Care. 2016 Oct 27;20(1):346. doi: 10.1186/s13054-016-1457-4. PMID: 27784322; PMCID: PMC5081985. Yi LJ, Tian X, Chen M, Lei JM, Xiao N, Jiménez-Herrera MF. Comparative Efficacy and Safety of Four Different Spontaneous Breathing Trials for Weaning From Mechanical Ventilation: A Systematic Review and Network Meta-Analysis. Front Med (Lausanne). 2021 Nov 22;8:731196. doi: 10.3389/fmed.2021.731196. PMID: 34881255; PMCID: PMC8647911.
Don't underestimate the power of hanging with your peeps.
From Jan 8th. 2026What up PEEPS! We're back with another edition of the Daddy Issues Podcast. We're still looking for a new space but we had to make sure we showed up. Happy New Year!
1.22.26What up PEEPS! We're back with another edition of the Daddy Issues Podcast.Craig@CraigWayansDC@DCErvinComedy / dcervin Chaz@IMChazRodgers / laughatchazentertainment #TonyBaker#Fatherhood#DaddyIssues
From 1.15.26What up PEEPS! We're back with another edition of the Daddy Issues Podcast.Craig@CraigWayansDC@DCErvinComedy / dcervin Chaz@IMChazRodgers / laughatchazentertainment #TonyBaker#Fatherhood#DaddyIssues
In this episode, Shray Joshi, founder of Good Peeps, discusses the shift to retail media and the importance of digital retail marketing for CPG brands. He explains the concept of a retail media network and how it encompasses third-party marketplaces, retailer. coms, and underlying technology platforms.Shray shares strategies for driving retail traffic, such as sponsored search, paid ads, and influencer content. He emphasizes the significance of organic influencer partnerships and collaborations in building brand awareness. Shray also highlights the challenges of media attribution and the need for better integration across different retail channels.TAKEAWAYSDigital retail marketing is a crucial aspect of CPG brands' marketing strategies, with retail media networks playing a significant role.Retail media networks include third-party marketplaces, retailer.coms, and underlying technology platforms that offer advertising opportunities.Strategies for driving traffic to retail include sponsored search, paid ads, and influencer content.Organic influencer partnerships and collaborations are effective in building brand awareness and driving traffic to retail.Media attribution remains a challenge in the retail industry, and better integration across different retail channels is needed.Where to find Shray Joshi: Linkedin: https://www.linkedin.com/in/shrayjoshiWebsite: https://www.thepeeps.co/ Where to find Kait Stephens:Linkedin: https://www.linkedin.com/in/kait-margraf-stephens/Website: www.brij.it SUBSCRIBE TO THE OMNICHANNEL MARKETERwww.theomnichannelmarketer.com
From Jan 8th. 2026What up PEEPS! We're back with another edition of the Daddy Issues Podcast. We're still looking for a new space but we had to make sure we showed up. Happy New Year!
From 1.15.26What up PEEPS! We're back with another edition of the Daddy Issues Podcast.Craig@CraigWayansDC@DCErvinComedy / dcervin Chaz@IMChazRodgers / laughatchazentertainment #TonyBaker#Fatherhood#DaddyIssues
1.22.26What up PEEPS! We're back with another edition of the Daddy Issues Podcast.Craig@CraigWayansDC@DCErvinComedy / dcervin Chaz@IMChazRodgers / laughatchazentertainment #TonyBaker#Fatherhood#DaddyIssues
We apologize for posting pods late, but this week has been insane! On Monday, Rick was out sick and Dave returned from MLK Day with new Peeps flavors that were announced. Some guy wrote a jingle to help his wife get hired, and Dave's kindergartener Will has reeeaaally been paying attention to his lessons on Martin Luther King. A certain celebrity just trademarked their catchphrase, plus Will (again) got caught over the weekend sneaking a very unconventional thing! See omnystudio.com/listener for privacy information.
Hi!!! - We check in to see what is going on in and around Pittsburgh - Say Something Nice - Always something weird going on... We got a few Florida Stories - Peeps has new Easter flavors so we rran to the Facebook comments - Leave us a talkback message... Listen on iHeartRadio click the little mic and leave us a talkback messageSee omnystudio.com/listener for privacy information.
Amy and Brad discuss the qualifications for the Bad Bunny halftime show at the Super Bowl. Amy doesn't fit, and Brad is amazed that there will be Pop-Tart flavored Peeps.
This week the gang gets into some gourmet marshmallows and rings in the New Year with Peeps in the snews! Support this podcast at https://www.patreon.com/LetsTalkAboutSnacks -- Snack News: Pepperidge Farm Fans Have 'High Hopes' for New Milano Flavor: 'You Have My Attention': https://parade.com/food/pepperidge-farm-milano-new-white-chocolate-mango-flavor New Lindor Truffle Valentine's Day Flavor Just Revealed!: https://sporked.com/article/new-lindor-truffle-valentines-day-flavor-2025-news/ World's First Monopoly Steakhouse Set to Open in 2026: https://parade.com/news/worlds-first-monopoly-steakhouse-set-to-open-in-2026 Peeps Releases Nostalgic Flavor & '90s Kids Say It's a 'Must Try': https://www.remindmagazine.com/article/38669/peeps-sunnyd-nostalgic-flavor-90s-kids-so-excited/ Locate Lauren on Twitter (@rawrglicious) and Bluesky(@rawrglicious.bsky.social)! Find Conrad on Twitter (@ConradZimmerman) and peruse his other projects on this Linktree thing. Linda can be located on Instagram (@shoresofpluto)! Logo by Cosmignon! See more of her cool art at https://www.cosmignon.info/ Music by Michael "Skitch" Schiciano. Hear more of his work at https://skitch.bandcamp.com/
Send us a textOn this Am I STILL On The Air, DONMEGA is joined by Peeps and Frigginz as we count down our Top 10 Movies of 2025!! PLUS....That's not it, we also Countdown Our Top 10 MOST Anticipated Movies of 2026 as well!!Listen in and see if your favorite made the list.(This Episode was recorded LIVE on our YouTube channel. You can watch the Video version here:) https://www.youtube.com/live/50HID5D2Z0M?si=WUE6CFQXY0bE0pEdSupport the showwww.AmIOnTheAir.comFollow on Twitter at @AmIOnTheAirLike us on Facebook at Facebook.com/AmIOnTheAirFollow on TikTok, Instagram and YouTubeSupport the Show on Cashapp $DONMEGA and Venmo at @DONMEGA
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This week’s Pulm PEEPs Pearls episode is a focused discussion between Furf and Monty about non-pharmacologic techniques for airway clearance in the non-Cystic Fibrosis bronchiectasis population. This is a focused, high-yield discussion of the key points about airway clearance, including practical tips and a discussion of the evidence. This episode was prepared in conjunction with George Doumat MD. Goerge is an internal medicine resident at UT Southwestern and joined us for a Pulm PEEPs – BMJ Thorax journal club episode. He is now acting as a Pulm PEEPs Editor for the Pulm PEEPs Pearls series. Key Learning Points 1) Why airway clearance matters in non-CF bronchiectasis Non-CF bronchiectasis is defined by irreversible bronchial dilation with impaired mucociliary clearance, leading to mucus retention. Retained sputum drives the classic vicious cycle: mucus → infection → neutrophilic inflammation → airway damage → worse clearance. Airway clearance techniques (ACTs) are meant to interrupt this cycle, primarily by improving mucus mobilization and symptom control. 2) What ACTs are trying to achieve clinically Main benefits are: More effective sputum clearance Reduced cough/dyspnea burden Improved activity tolerance and quality of life Effects on spirometry are usually small. Exacerbation reduction is possible, but evidence is mixed—some longer-term data suggest benefit for specific techniques. 3) The main ACT “families” and when to use them Breathing-based techniques (device-free, flexible) ACBT (Active Cycle of Breathing Technique): breath control → deep breaths with holds → huffing. Pros: portable, adaptable, good first-line option. Key requirement: teaching/coaching to get technique right. Autogenic drainage: controlled breathing at different lung volumes to move mucus from peripheral → central airways. Pros: no device, can work well once learned. Cons: more technically demanding, needs training and practice. PEP / Oscillatory PEP (stents airways + “vibrates” mucus loose) PEP: back-pressure helps prevent small airway collapse during exhalation; often paired with huff/cough. Oscillatory PEP (Flutter/Acapella/Aerobika): adds oscillation that many patients find easy and satisfying to use. Good fit for: people who benefit from airway stenting, want something portable, and prefer a device. Mechanical/manual techniques (help when patient can't self-clear well) HFCWO (“the vest”): external chest wall oscillation; helpful for high sputum volumes, dexterity limits, or difficulty coordinating breathing maneuvers. Postural drainage/percussion/vibration: caregiver/therapist-assisted options; still useful but consider: GERD/reflux risk with certain positions Hemoptysis risk with vigorous techniques 4) How to choose the “right” technique (the practical framework) There is no one-size-fits-all. Match the tool to the patient: Sputum burden (volume/viscosity) Strength, coordination, cognition, dexterity Comorbidities (GERD, hemoptysis history, severe obstruction/airway collapse) Lifestyle + portability (what they'll actually do) Cost/access and availability of respiratory therapy/physio support A key mindset from the script: this is not a lifetime contract—reassess and adjust over time with shared decision-making. 5) Evidence takeaways (what improves, what doesn't) ACTs reliably improve sputum expectoration and often symptoms/QoL. QoL/cough scores (e.g., SGRQ, LCQ) tend to improve modestly, particularly with oscillatory PEP and some vest studies. Lung function: typically minimal change; occasional short-term FEV₁ benefit is reported in some vest trials. Exacerbations: mixed overall; the script highlights a longer-term RCT of ELTGOL showing fewer exacerbations at 12 months vs placebo exercises. Safety: generally excellent; main cautions are hemoptysis and reflux (depending on technique/positioning). 6) Special population pearls Hemoptysis / fragile airways: start with gentle breathing-based ACTs (ACBT, controlled huffing); avoid overly vigorous oscillatory/manual methods if concerned. Severe obstruction or early airway collapse: PEP/oscillatory PEP can help by keeping small airways open on exhalation. Mobility/coordination barriers: consider HFCWO vest or simple oscillatory PEP devices to enable daily adherence. During exacerbations: keep it simple—1–2 reliable techniques, prioritize daily consistency, and re-check technique. 7) The “real” bottom line Start with simple, self-manageable options (often ACBT ± PEP). The “best” ACT is the one the patient will do consistently. Reassess technique and fit over time; education and demonstration are part of the therapy. References and Further Reading Lee AL et al., “Airway clearance techniques for bronchiectasis,” Cochrane Database Syst Rev. 2015; PMC7175838. PMID: 26591003. Athanazio RA et al., “Airway Clearance Techniques in Bronchiectasis,” Front Med (Lausanne). 2020; PMC7674976. PMID: 33251032. Iacono R et al., “Mucociliary clearance techniques for treating non-cystic fibrosis bronchiectasis,” Eur Rev Med Pharmacol Sci. 2015; PMID: 26078380. Polverino E et al., “European Respiratory Society statement on airway clearance techniques in bronchiectasis,” Eur Respir J. 2023; PMID: 37142337. Doumat G, Aksamit TR, Kanj AN. Bronchiectasis: A clinical review of inflammation. Respir Med. 2025 Aug;244:108179. doi: 10.1016/j.rmed.2025.108179. Epub 2025 May 25. PMID: 40425105.
New Year's Eve is full of traditions, including several in different parts of the world where people wear red underwear for luck as one year ends and the next begins. Plus: in Lebanon, Pennsylvania, the New Year's disco ball drop comes with a Pennsylvania Dutch twist. Grab Your Red Underwear and Get Ready for New Year's Eve (Ripley's) PEEPS, PICKLES, AND PUCKS: Unique New Year's celebrations planned across Pennsylvania (ABC 27)Thanks to our Patreon backers for supporting our show all year long! Why not join them in 2026?
What up PEEPS! We're back with another edition of the Daddy Issues Podcast. This week it's about the changes happening to the podcast and its future, would you rather get shot or stabbed, learning to type, autopilots, Hawaii, and gentrification.
What up PEEPS! We're back with another edition of the Daddy Issues Podcast. This week it's about the changes happening to the podcast and its future, would you rather get shot or stabbed, learning to type, autopilots, Hawaii, and gentrification.
The Trump administration is pushing new nuclear energy projects to power the ongoing race to advance artificial intelligence. Dauphin County’s Three Mile Island is at the center of that goal. The Commissioner of the Pennsylvania State Police is leaving Harrisburg for the national stage. Avian Influenza may be making a comeback among poultry flocks in Pennsylvania. About 400 snow geese likely died of the virus in Northampton County. In Washington, four centrist Republicans have broken with their party's leadership over health care. Three of the four are from Pennsylvania. They signed onto a Democratic-led petition, forcing a House vote on extending for three years an enhanced pandemic-era subsidy that lowers health insurance costs for millions of Americans. Dauphin County Commissioners approved a 2026 budget plan Wednesday. It includes a 9.75% property tax increase - the second major tax raise in two years. Pennsylvania is one of 35 states reaching a settlement with automakers Kia and Hyundai over faulty anti-theft systems. The Pennsylvania company that makes the marshmallow treats known as Peeps announces it's planning a Peeps Chick Drop on New Year's Eve. If you already support WITF with an ongoing monthly contribution, thank you. If every member of WITF's Sustaining Circle increased their gift by as little as $12 a month, we could close the budget gap caused by cuts in federal funding and keep programming like the Morning Agenda. Increase your monthly gift today at witf.org/increase or become a new Sustaining Circle member at www.witf.org/givenow. And thank you.Support WITF: https://www.witf.org/support/give-now/See omnystudio.com/listener for privacy information.
Ho Ho Ho, the Richley boys ha ha hungry for some holiday movie magic. With the help of ChatGPT and their Golden Girls dice, the brothers pick the greatest holiday movie of all time. Save the neck for me, Clark, suck brick, Kid and...Feast your ears on the season 5 finale.
The best way to cook just got better. Go to https://HelloFresh.com/issues10fm now to Get 10 Free Meals + a Free breakfast for Life! One per box with active subscription. Free meals applied as discount on first box, new subscribers only, varies by plan. #ad What up PEEPS! We're back with another edition of the Daddy Issues Podcast. This week it's the safest sports, 50 cent's antics, redeemable actions, and advice on raising kids.
The best way to cook just got better. Go to https://HelloFresh.com/issues10fm now to Get 10 Free Meals + a Free breakfast for Life! One per box with active subscription. Free meals applied as discount on first box, new subscribers only, varies by plan. #ad What up PEEPS! We're back with another edition of the Daddy Issues Podcast. This week it's the safest sports, 50 cent's antics, redeemable actions, and advice on raising kids.
Join us for a special holiday episode! We have a taste test, more Tyra cringe, and a gift guide from Jamie! What do you think an old people flavor is?! Is Alyssa going to start smoking?!?!?! Tune in to find out!______________________________________________________________________________Santa Camel Cigarettes Adhttps://youtu.be/TCIHkZw-v1s?si=WjFNBjFAVu0hmvNW Viceroy Cigarettes Christmas Commercialhttps://youtu.be/DK5TnUUSZ7Y?si=3Lw5mhsl8c365arB Lucky Strike Christmas Commercial 1963https://youtu.be/DPqYFNCjCQw?si=OKb8KLB_hFT3IYSF Camel - Give the Gift of Cigarettes this Christmashttps://youtu.be/GaORtO4rFoo?si=slgc4yl2OlMRqO8y Philip Morris I love Lucy Collabhttps://youtu.be/c5zYqNBZzJg AI Santa by Tavus: Talk to Santa https://share.google/6He8reaXsZNOHMyIn Write us some of your cringe stories at nervouslaughterpodcast@gmail.comThe socials: Instagram | Facebook | Twitter
Download EARNIN in the Google App or Apple Play store today and use promo code: ISSUES #ad What up PEEPS! We're back with another edition of the Daddy Issues Podcast. This week it's all things sports - easiest position in football, what state produces the best NBA players, finding success when your dad is Michael Jordan, NBA rumors and Sports Center is just reality TV. Craig @CraigWayans DC @DCErvinComedy www.Youtube.com/dcervin Keon @KeonPolee https://www.youtube.com/user/KeonPolee Chaz @IMChazRodgers https://youtube.com/c/LaughAtChazEntertainment #TonyBaker #Fatherhood #DaddyIssues
The HOBI gang is back in the studio and has a new baggie of goodies to snack on including pickle-flavored suckers, plus talk AI girlfriends, Jim reviews IT: Welcome to Derry, and Bryan is threatened with Peeps. The gang also drafts a new corporation with fictional characters, failed Friday the 13th scripts, Quentin Tarantino yells at clouds and the guys list their Top Five Favorite Television Cartoon Character Villains! This episode is sponsored by the Super Cincy Expo.
Download EARNIN in the Google App or Apple Play store today and use promo code: ISSUES #ad What up PEEPS! We're back with another edition of the Daddy Issues Podcast. This week it's all things sports - easiest position in football, what state produces the best NBA players, finding success when your dad is Michael Jordan, NBA rumors and Sports Center is just reality TV. Craig @CraigWayans DC @DCErvinComedy www.Youtube.com/dcervin Keon @KeonPolee https://www.youtube.com/user/KeonPolee Chaz @IMChazRodgers https://youtube.com/c/LaughAtChazEntertainment #TonyBaker #Fatherhood #DaddyIssues
It's a Podisode, that. Sums up the Absence for October and November. Why I was gone/ busy, just me popping by. Don't worry! I'm not ending my podcast! I finally got around to making one. Plus other interesting things besides myself! Thanks for always listening peeps!
Download Cash App Today: https://capl.onelink.me/vFut/bm46sycz #CashAppPod. Cash App is a financial services platform, not a bank. Banking services provided by Cash App's bank partner(s). Prepaid debit cards issued by Sutton Bank, Member FDIC. See terms and conditions at https://cash.app/legal/us/en-us/card-agreement. Discounts and promotions provided by Cash App, a Block, Inc. brand. Visit http://cash.app/legal/podcast for full disclosures. #ad New customers get 50% Off with code ISSUES at https://GLD.com #ad What up PEEPS! We're back with another edition of the Daddy Issues Podcast. This week it's complaining to airlines, what we would do in a zombie apocalypse, DC has a question, celebrity documentaries and silent film stars. Craig @CraigWayans DC @DCErvinComedy www.Youtube.com/dcervin Keon @KeonPolee https://www.youtube.com/user/KeonPolee Chaz @IMChazRodgers https://youtube.com/c/LaughAtChazEntertainment #TonyBaker #Fatherhood #DaddyIssues
Download Cash App Today: https://capl.onelink.me/vFut/bm46sycz #CashAppPod. Cash App is a financial services platform, not a bank. Banking services provided by Cash App's bank partner(s). Prepaid debit cards issued by Sutton Bank, Member FDIC. See terms and conditions at https://cash.app/legal/us/en-us/card-agreement. Discounts and promotions provided by Cash App, a Block, Inc. brand. Visit http://cash.app/legal/podcast for full disclosures. #ad New customers get 50% Off with code ISSUES at https://GLD.com #ad What up PEEPS! We're back with another edition of the Daddy Issues Podcast. This week it's complaining to airlines, what we would do in a zombie apocalypse, DC has a question, celebrity documentaries and silent film stars. Craig @CraigWayans DC @DCErvinComedy www.Youtube.com/dcervin Keon @KeonPolee https://www.youtube.com/user/KeonPolee Chaz @IMChazRodgers https://youtube.com/c/LaughAtChazEntertainment #TonyBaker #Fatherhood #DaddyIssues
Furf and Monty are back today with another Pulm PEEPs Pearls episode, and discussing the use of methylene blue for patients with septic shock. They review the clinical scenarios when this comes up, the mechanism, some key data, and some … Continue reading →
Download Cash App Today: https://capl.onelink.me/vFut/bm46sycz #CashAppPod. Cash App is a financial services platform, not a bank. Banking services provided by Cash App's bank partner(s). Prepaid debit cards issued by Sutton Bank, Member FDIC. See terms and conditions at https://cash.app/legal/us/en-us/card-agreement. Discounts and promotions provided by Cash App, a Block, Inc. brand. Visit http://cash.app/legal/podcast for full disclosures. #ad Eat smart at https://FactorMeals.com/issues50off and use code issues50off to get 50% off your first box, plus Free Breakfast for 1 Year! #ad New customers get 50% Off AND a FREE chain with code ISSUES at https://GLD.com #ad What up PEEPS! We're back with another edition of the Daddy Issues Podcast. This week it's working behind the scenes, writing vs, reality, appraisal from your peers, building and perfecting your craft.
What up PEEPS! We're back with another edition of the Daddy Issues Podcast. This week it's getting back in shape, stretching and flexibility, being pulled to the side, and taking accountability.
For today's podcast we have a special episode. We were extremely grateful to be invited to present live at CHEST 2025 this year. Kristina Montemayor, and Pulm PEEPs Associate Editors Luke Hedrick, Tom Di Vitantonio, and Rupali Sood hosted a … Continue reading →
Download Cash App Today: https://capl.onelink.me/vFut/bm46sycz #CashAppPod. Cash App is a financial services platform, not a bank. Banking services provided by Cash App's bank partner(s). Prepaid debit cards issued by Sutton Bank, Member FDIC. See terms and conditions at https://cash.app/legal/us/en-us/card-agreement. Discounts and promotions provided by Cash App, a Block, Inc. brand. Visit http://cash.app/legal/podcast for full disclosures. What up PEEPS! We're back with another edition of the Daddy Issues Podcast. This week effective writing for TV, what's the next step in your career, Sneed's Disney hookup, and money management.
Upgrade your wardrobe and save on @trueclassic at https://trueclassic.com/ISSUES ! #trueclassicpod #ad Download Cash App Today: https://capl.onelink.me/vFut/bm46sycz #CashAppPod. Cash App is a financial services platform, not a bank. Banking services provided by Cash App's bank partner(s). Prepaid debit cards issued by Sutton Bank, Member FDIC. See terms and conditions at https://cash.app/legal/us/en-us/card-agreement. Discounts and promotions provided by Cash App, a Block, Inc. brand. Visit http://cash.app/legal/podcast for full disclosures. What up PEEPS! We're back with another edition of the Daddy Issues Podcast. This week it's hotel etiquette, how old is too old to wet the bed, flashing, hard limits in comedy, pandering, and effective boycotts.
Stop wasting money and time on shaving products that don't look good, aren't effective, and cost way too much. Grab House of Atlas now at Target stores nationwide or online at Target.com. #sponsored #ad Download Cash App Today: https://capl.onelink.me/vFut/bm46sycz #CashAppPod. Cash App is a financial services platform, not a bank. Banking services provided by Cash App's bank partner(s). Prepaid debit cards issued by Sutton Bank, Member FDIC. See terms and conditions at https://cash.app/legal/us/en-us/card-agreement. Discounts and promotions provided by Cash App, a Block, Inc. brand. Visit http://cash.app/legal/podcast for full disclosures. What up PEEPS! We're back with another edition of the Daddy Issues Podcast. This week it's roles during a film, fighting as an adult, what defines "going on tour", finding the wrong things funny and the joys and pains of being a teammate. Craig @CraigWayans DC @DCErvinComedy www.Youtube.com/dcervin Keon @KeonPolee https://www.youtube.com/user/KeonPolee Chaz @IMChazRodgers https://youtube.com/c/LaughAtChazEntertainment #TonyBaker #Fatherhood #DaddyIssues
What up PEEPS! We're back with another edition of the Daddy Issues Podcast. This week it's what retired NBA player do you think you could beat, baseball and its many phases, natural athletes, what animal do you think you could take on, have you witnessed a death, and panicking during a set.
What up PEEPS! We're back with another edition of the Daddy Issues Podcast. This week it's the difference between streamers and YouTubers, music groups that broke up, getting scammed, contracts, algorithms, censoring, and being a one off or typecasted.
As I wrap up with author Daniel Pollack-Pelzner, we have a first for the pod! A Patreon Peep is taking questions from his fellow Peeps! The deep dive continues as Daniel shares more stories that didn't make the book (Lin-Manuel Miranda: The Education of an Artist) and even tells us more details about things that *did* make the book. Plus, Daniel nerds out about Shakespeare, talks about his incredibly inspiring students and why "the future of the form is in good hands" (seriously, you will want to see these musicals YESTERDAY), and if you thought we were done talking about the nineties you have notttt been paying attention! Lin-Manuel Miranda: The Education of an Artist Daniel Pollack-Pelzner What Shakespeare Actually Did During the Plague (ARTICLE) Art + Medicine: What Shakespeare Actually Did During the Plague (VIDEO) Scrivener App (Not an ad! I don't do ads! It was mentioned!) Agustina San Martín Warriors /// Gillian's Website The Hamilcast on Twitter The Hamilcast on Instagram Join the Patreon Peeps
This week, Nikki and Steve unleash a furious bouquet of judgement as they wince over stinky brides, dissect tales of unsupervised children wreaking havoc in shopping malls, and soothe the fragile egos of delicate princesses. Nikki is now an ambassador for Club WPT Gold! Check out: https://clubwptgold.com and use code NIKKI to sign up! Follow the podcast on Insta: @shttheydonttellyou Follow Nikki on Insta: @NikkiLimo Follow Steve on Insta: @SteveGreeneComedy To visit our Patreon: http://www.patreon.com/stikki To watch the podcast on YouTube: http://bit.ly/STDTYPodYouTube Don't forget to subscribe to the podcast for free wherever you're listening, or by using this link: http://bit.ly/ShtTheyDontTellYou If you want to support the show, and get all our episodes ad-free go to: https://stdty.supercast.tech/ If you like the show, telling a friend about it would be amazing! You can text, email, Tweet, or send this link to a friend: http://bit.ly/ShtTheyDontTellYou To submit your questions/feedback, email us at: podcast@nikki.limo To call in with questions/feedback, leave us a voicemail at: (765) 734-0840 To watch more Nikki & Steve on YouTube: http://www.youtube.com/nikkilimo To watch more of Nikki talking about Poker: https://www.twitch.tv/trickniks To check out Nikki's Jewelry Line: https://kittensandcoffee.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
What up PEEPS! We're back with another edition of the Daddy Issues Podcast. This week it's doing comedy in jail, what opportunities are you turning down, forgiveness, fans complaining about ticket prices, Colin Kaepernick, and not making it in sports.
There are shit bags in every nation, race, continent, neighborhood.......... They come in every shape, size, and form. I know a lot of good Asians, Blacks, Mexicans, Africans.......Europeans..... I know the good and bad in every sector represented in the human race. They're everywhere. One thing I can tell you is, you can't group everyone into one category just because one of them has made mistakes or became a bad example for their people. We can't lump people together in anything. Operating with absolutes. It cripples us as a whole. What I can tell you is, we do have a responsibility to call people out of every race, creed, color, etc. As the human race, we have to make clear the directions of what's acceptable and not acceptable in society. So, the next time you hear someone of a certain race, color or creed did something fucked up, just know there's a counter balance in existence. One person does not have the power or authority to represent one whole population or segment of people. Keep it light and do right, no matter the shades of good and bad. About the ReWire Podcast The ReWire Podcast with Ryan Stewman – Dive into powerful insights as Ryan Stewman, the HardCore Closer, breaks down mental barriers and shares actionable steps to rewire your thoughts. Each episode is a fast-paced journey designed to reshape your mindset, align your actions, and guide you toward becoming the best version of yourself. Join in for a daily dose of real talk that empowers you to embrace change and unlock your full potential. Learn how you can become a member of a powerful community consistently rewiring itself for success at https://www.jointheapex.com/ Rise Above