Podcasts about predictors

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The boys are all back in the hotseat to look back on our 2-1 win over Queen's Park on Saturday before turning our attention to our visit to Palmerston Park on Wednesday evening and we bring you our patented 2026-27 Season Predictor!   Become a paid subscriber over at abzfootballpodcast.com   Follow us on our social media channels:-   Twitter - @AbzPodcast Facebook - @ABZFootballPodcast Instagram - @abzfootballpodcast

Featuring a slide presentation and related discussion from Prof Dr Sibylle Loibl, including the following topics: ·      Overview of the changing landscape of treatment for patients with HER2-positive metastatic breast cancer (mBC) (0:00) ·      Results from the CLEOPATRA, PATINA and HER2CLIMB-05 trials of first-line treatment and maintenance approaches for HER2-positive mBC (5:26) ·      Efficacy and safety findings from the Phase III DESTINY-Breast09 trial comparing trastuzumab deruxtecan with or without pertuzumab to taxane/trastuzumab/pertuzumab as first-line therapy for HER2-positive mBC (14:56) ·      Predictors of long-term benefit from first-line treatment with HER2-targeted agents; contribution of pertuzumab to the efficacy of first-line HER2-targeted combination regimens (22:57) ·      Control of brain metastases and CNS disease with first-line HER2-targeted regimens (26:31) CME information and select publications

What happens when frustration quietly turns into contempt—and what does that mean for the future of your relationship? In this conversation, we sit down with relationship therapist and author Zach Brittle to unpack one of the most destructive dynamics couples experience and why it's often misunderstood.Together, we explore where contempt comes from, how unrealistic expectations and unspoken needs fuel disconnection, and what it really takes to rebuild trust and intimacy. If you've ever wondered whether your relationship is stuck in a painful cycle—or how to shift it—this episode is full of practical insights that will challenge the way you think about connection.Episode Highlights[0:03] – Welcoming Zach Brittle and introducing why contempt is one of the biggest threats to healthy relationships.[1:20] – The Gottman Method, the Four Horsemen, and why contempt stands apart from the rest.[5:25] – How contempt develops over time and why it's far more than simply feeling annoyed with your partner.[7:50] – Expectations, comparison, and the hidden ways resentment begins to grow.[10:37] – Solvable versus perpetual relationship problems—and why acceptance matters.[13:19] – Losing positive sentiment and how couples begin viewing everything through a negative lens.[15:50] – Recognizing the warning signs before contempt becomes the default dynamic.[18:40] – The importance of asking clearly for what you need instead of expecting your partner to read your mind.[20:41] – When your needs aren't being met: accepting reality, setting boundaries, and making difficult relationship decisions.[22:08] – Why trying to "win" or change your partner often creates even more distance and frustration.[24:27] – A memorable analogy using sexual communication to explain why direct feedback strengthens connection.[26:13] – What being a responsive partner really looks like and why assumptions get couples into trouble.[28:36] – The "pasta and mailbox" examples: how neutral everyday actions can be interpreted through either appreciation or resentment.[30:02] – Negative sentiment override, confirmation bias, and why we often assume the worst of the people we love.[32:00] – Challenging the stories we tell ourselves and taking responsibility for how we show up in conflict.[35:28] – Practical ways to intentionally cultivate appreciation and prevent resentment from becoming contempt.[36:52] – Zach shares his latest book, his Substack, final relationship wisdom, and where listeners can connect with him.Links & ResourcesMarriage Therapy Radio Podcast: https://podcasts.apple.com/us/podcast/marriage-therapy-radio/id1295458667Zach Brittle's Books: https://zachbrittle.com/writing/Instagram: https://www.instagram.com/marriagetherapyradio/Facebook: https://www.facebook.com/marriagetherapyradio/TikTok: https://www.tiktok.com/@marriagetherapyradioIf today's discussion resonated with you or sparked curiosity, please rate, follow, and share "Insights from the Couch" with others. Your support helps us reach more people and continue providing valuable insights. Here's to finding our purposes and living a life full of meaning and joy. Stay tuned for more!Ever stayed quiet to keep the peace and felt yourself disappear? The Cost of Quiet is for anyone who avoids conflict and pays the price. Reclaim your voice, strengthen your relationships, and experience real peace. Order your copy and join the movement: https://www.colettejanefehr.com/new-book

What if the sounds everyone else ignores, the dishwasher, traffic, voices, music, or even someone chewing, feel painfully loud to your migraine brain?In this episode of Migraine Heroes Podcast, host Diane Ducarme explores why sound sensitivity is not being dramatic, fragile, or difficult. It may be a sign that your nervous system is already overwhelmed, sensitized, or moving toward a migraine attack.We look at sound sensitivity through both Western neuroscience and Eastern medicine, helping you understand why everyday noise can feel like too much — and what your body may be trying to tell you.You'll discover:

Read the article here: https://journals.sagepub.com/doi/full/10.1177/30494826251413753

Helping a young person choose a career starts with asking better questions, not having every answer.In this solo episode, Lisa Marker-Robbins challenges the common ways families approach career planning and introduces a fresh perspective that expands possibilities for teens, college students, and young adults.Rather than focusing on majors, prestige, or job market predictions, Lisa explains why looking at the type of work a person is wired to enjoy creates stronger long-term career confidence. She also shares practical ways parents can shift from feeling responsible for finding the right answer to becoming a trusted thinking partner as their child explores future opportunities.In this episode, you'll discover:A broader way to think about career planning that goes beyond majors and job titlesWhy preparing for life after graduation requires a different mindset than preparing for graduationHow self-awareness can uncover career paths that fit a person's natural strengthsThe role parents can play in encouraging exploration instead of rushing decisionsKey Takeaways: Parents and high schools often focus on passions, academic strengths, job outlook, or prestige, but those factors alone create an incomplete picture when helping a young person choose a career.Organizing career exploration around the U.S. Department of Labor's job family framework helps students identify the type of work that fits their natural wiring instead of committing too early to a specific major or profession.Career clusters can help students choose classes and educational pathways, while job families encourage a longer-term view of career fit and adaptability as occupations continue to evolve.Parents can reduce pressure by asking thoughtful questions, encouraging exploration before commitment, and helping their child recognize recurring patterns in their interests and strengths instead of trying to provide all the answers. “Families often think that what they really want is a major... What you really want is a confident path to the future.” – Lisa Marker-RobbinsEpisode References:#221 The #1 Predictor of Your Child's Career Success (It's Not What You Think) https://flourishcoachingco.com/221Job Families Sample with Birkman Report: https://flourishcoachingco.com/jobsLearn more about Launch Career Clarity at FlourishCoachingCo.com/courseGet Lisa's Free on-demand video: THE CAREER IDENTIFICATION COMPASS: How To Be Certain Your 15 To 25 Year Old is On The Right Path to Launch With Confidence–Not Confusion: flourishcoachingco.com/video Connect with Lisa:Website: https://www.flourishcoachingco.com/YouTube: https://www.youtube.com/@flourishcoachingcoFacebook: https://www.facebook.com/flourishcoachingco/ Instagram: https://www.instagram.com/flourishcoachingco/LinkedIn: https://www.linkedin.com/company/flourish-coaching-co

Pippa Hudson speaks to Pascale Bakos, the head of communication for Afrika Tikkun, about the possibility that it’s our emotional development that might be a better predictor of success in life than our cognitive abilities. Lunch with Pippa Hudson is CapeTalk’s mid-afternoon show. This 2-hour respite from hard news encourages the audience to take the time to explore, taste, read and reflect. The show - presented by former journalist, baker and water sports enthusiast Pippa Hudson - is unashamedly lifestyle-driven. Popular features include a daily profile interview #OnTheCouch at 1:10 pm. Consumer issues are in the spotlight every Wednesday while the team also unpacks all things related to health, wealth & the environment. Thank you for listening to a podcast from Lunch with Pippa Hudson Listen live on Primedia+ weekdays between 13:00 and 15:00 (SA Time) to Lunch with Pippa Hudson broadcast on CapeTalk https://buff.ly/NnFM3Nk For more from the show, go to https://buff.ly/MdSlWEs or find all the catch-up podcasts here https://buff.ly/fDJWe69 Subscribe to the CapeTalk Daily and Weekly Newsletters https://buff.ly/sbvVZD5 Follow us on social media: CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.

Could high blood pressure be quietly adding pressure to your migraine brain?In this episode of Migraine Heroes Podcast, host Diane Ducarme explores how blood pressure, circulation, and nervous system stress may play a hidden role in migraine attacks. You'll learn why migraines may not be just a “head problem,” but a signal that your whole body needs deeper support.You'll discover:

El factor que mejor predice la felicidad es la calidad de nuestras relaciones. En este episodio, profundizamos en los miedos que nos mantienen aislados y aprendemos formas de construir relaciones desde el desapego. Aprenderás:-qué son el aislamiento social y la soledad-los peligros del aislamiento social-sobre nuestra necesidad fundamental de pertenencia-a construir conexiones basadas en la autenticidadescucha el episodio aquí: https://youtu.be/Qvz0m1HOtFove el episodio de la comunicación asertiva aquí: https://youtu.be/cutv14-O2ZQ?si=twgHHSEs2vm1ds8b

Content Warning: Graphic descriptions of Child Sexual Abuse Material (CSAM) file names.In this episode of 'One in Ten,' host Teresa Huizar interviews Dr. Ted Cross of the University of Illinois Urbana-Champaign about how child sexual abuse material (CSAM) reflects and perpetuates ongoing abuse. Cross explains why CSAM replaces “child pornography,” emphasizing that its creation requires contact abuse and its dissemination retraumatizes victims for years. To study CSAM without viewing traumatic content or violating privacy, his team partnered with the Child Rescue Coalition and analyzed nearly 3,000 highly descriptive filenames as a proxy for content. Findings included a predominance of videos, victims across all ages (including infants), a large share depicting ages 5–12, and common incest/familial cases (over 40%) that tended to involve more severe abuse. Filenames referencing children of color were more likely to include penetration. Cross urges CACs and MDTs to investigate possible online abuse in contact cases, secure devices, and strengthen partnerships with state ICAC task forces.  Time Stamps Time Topic 00:00 Episode Introduction 01:26 Meet Dr Ted Cross 02:48 What CSAM Means 04:10 Who Produces CSAM 05:30 Ethical Study Design 06:50 Filenames As Proxy Data 10:08 Victim Demographics 11:50 Incest And Severity 12:52 Penetration And Harm 14:27 Practice Implications 16:19 Trauma And Disclosure 18:25 Policy And Prevention 19:34 Future Research Directions 22:25 Final Takeaways 23:52 Closing And Resources  ResourcesChild Rescue CoalitionCharacteristics of Child Sexual Abuse Material in Peer-to-Peer Networks and Predictors of its Severity: Insights From Filenames - Theodore P. Cross, Elizabeth M. Cross, Camille Cooper, Daphne Pellegrino, Glen Pounder, Stefan Turkheimer, Simon Bailey, 2025Support the showDid you like this episode? Please leave us a review on Apple Podcasts.

Sharrod Wellingham steps in for Lids to preview round 18 with Corbin and Ben and brings with him some top tier analysis and a gold Buddy Franklin story.The boys assess the Dockers and Swans flag credentials and the Mason Cox v Sean Darcy debate, if St Kilda are borderline flat track bullies, can the Gold Coast Titans help the Suns tackling woes, is Gawn or Kozzy the most important Demon and whether Nick Daicos holds an unassailable lead in the Brownlow.ABC AFL commentators Corbin Middlemas and Ben Cameron are joined by a rolling squad of former AFL players and legends of the game to analyse matches, deep dive the stories dominating the footy landscape, recap game highlights and talk through the latest AFL ladder standings. Our squad of Aussie Rules legends runs deep with champion ex-players like Brett Deledio, Marc Murphy and Luke Ball, record-holding coach Mick Malthouse and many more. The team discuss everything from AFL games and fixtures, to the AFL draft and key players' performance, and of course our highlights of the year; AFL Grand Final and AFL State of Origin.For more Australian Rules Football podcast content, catch every episode of ‘The ABC AFL Daily Podcast', hosted by Corbin Middlemas and Ben Cameron on ABC listen or wherever you get your podcasts, and get in touch with them on social media via @abc_sport 

The guys discuss the ESPN's ranking of the Vikings roster. Marney gives her take on Lebron to the Wolves. Predictors Part II makes its Power Trip debutSee omnystudio.com/listener for privacy information.

Time has a way of speeding up, especially when major decisions about school, careers, and independence are on the horizon.In this solo episode, Lisa Marker-Robbins encourages parents to pause for a mid-year career clarity check, helping families assess where teens, college students, and young adults stand before the next milestone arrives.She walks through four key stages families face when preparing to launch their young person into adult independence while explaining why direction requires intention rather than waiting for time to solve uncertainty. Along the way, Lisa shares practical questions and conversation strategies to help families build confidence, foster greater ownership, and prepare for the second half of the year.In this episode, you'll discover:How career clarity changes across the different stages of a young person's developmentThe common patterns that leave families feeling behind as major milestones approachWhy intentional planning matters more than waiting for maturity or time to create directionWays parents can encourage greater ownership while preparing students for increasing independenceKey Takeaways: (04:14) Milestone #1: High School Years — Students need more than a plan after graduation. They need to understand why they're choosing a particular path and ensure their decisions align with long-term career goals.(09:00) Milestone #2: Around Age 20 — By this stage, families should look for evidence of intentional progress rather than assuming maturity alone will create direction or career momentum.(13:52) Milestone #3: The First Career Search — Landing a career requires more than credentials. Young adults need the self-awareness and communication skills to explain the value they bring to an employer.(19:09) Milestone #4: The Launch Line — Parents can best support independence by leading conversations with empathy and curiosity while encouraging greater ownership instead of stepping in to solve every problem. “Lead the discussion with questions and curiosity, not with directives or orders.” – Lisa Marker-RobbinsEpisode References:Learn more about Launch Career Clarity at FlourishCoachingCo.com/course#169 The Hidden Impact of College Major Selection on Admissions with Rick Clark: https://flourishcoachingco.com/169#212 How to Choose a College That Delivers Career ROI, with Jeff Selingo: https://flourishcoachingco.com/212#221 The #1 Predictor of Your Child's Career Success (It's Not What You Think): https://flourishcoachingco.com/221Get Lisa's Free on-demand video: THE CAREER IDENTIFICATION COMPASS: How To Be Certain Your 15 To 25 Year Old is On The Right Path to Launch With Confidence–Not Confusion: flourishcoachingco.com/video Connect with Lisa:Website: https://www.flourishcoachingco.com/YouTube: https://www.youtube.com/@flourishcoachingcoFacebook: https://www.facebook.com/flourishcoachingco/ Instagram: https://www.instagram.com/flourishcoachingco/LinkedIn: https://www.linkedin.com/company/flourish-coaching-co

Jann, Caitlin & Sarah catch up about Caitlin's search for a new home, summer activities in Iceland, and the excitement surrounding the World Cup. Caitlin fills us in about the ranch dressing craze among European soccer fans, and the commercialization of the fan detested hydration breaks.  Jann also invites app developer Travis Weniger to discuss his app, Memento Mori. It predicts life expectancy based on various health metrics while blending the philosophies of stoicism and longevity. The conversation delves into the importance of recognizing life's finiteness. Travis shares insights on how discussions about death can lead to a more fulfilling life, and the importance of balancing enjoyment with health-conscious choices. The conversation explores mortality, and the importance of living meaningfully. More About Travis Weninger: Travis Weninger is an independent product designer, developer, and writer based in Toronto. His work explores the intersection of technology, philosophy, and intentional living. After spending nearly a decade working in the tech industry, he left the corporate world to pursue his own path and founded socialdotgood, an independent software company focused on building thoughtful consumer products. Through socialdotgood, Travis has launched six apps, with Memento Mori being his most ambitious project to date. Inspired by Stoic philosophy and the ancient practice of reflecting on mortality, the app is a meditation on one's mortality paired with contemporary research on longevity. Resources & Links: YearsLeft.io – Travis Weniger's mortality prediction app https://www.blogto.com/tech/2026/02/toronto-app-raising-eyebrows/ https://www.blogto.com/tech/2026/04/toronto-app-predict-when-die/ #ASKJANN - want some life advice from Jann? Send in a story with a DM or on our website. Leave us a voicenote! ⁠www.jannardenpod.com/voicemail/⁠⁠ Get access to bonus content and more on Patreon: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.patreon.com/JannArdenPod⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.jannardenpod.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.instagram.com/jannardenpod⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.facebook.com/jannardenpod Chapters: (00:00) Introduction and Catch-Up (03:04) Moving Challenges and Life Updates (06:00) Summer in Iceland and Family Activities (08:51) World Cup Excitement and Cultural Discoveries (12:02) Hydration Breaks and Commercialization in Sports (14:58) Social Dynamics During the World Cup (17:49) Legacy and the Concept of Time (22:02) Introducing Travis and the Memento Mori App (25:50) The Intimacy Tracking App (28:15) Philosophical Insights on Life and Death (32:03) Mitigating factors that impact longevity (36:17) Death app demo in Patreon Learn more about your ad choices. Visit megaphone.fm/adchoices

Nat Edwards and Josh Gabelich discuss all the latest footy news on AFL Daily. Talking points: Carlton have already started compiling a list of candidates to interview - we run through the contenders The Hawks will be without Nick Watson for the R17 match against the Dees AFL.com.au’s Brownlow Predictor has one name a mile ahead Nat pays tribute to retiring AFL star Chelsea Randall Regular segments, Get it off your chest and Yes, I said that See omnystudio.com/listener for privacy information.

Relapsing is such a common experience for people early in recovery. This episode is going to be really important for those who are exploring all the nuances of how people find recovery and the predictors of long-term recovery.  Before we jump in, if you haven't yet, please consider supporting the podcast by joining the YouTube members only content for just $1.99 per month. It's ad free content and by showing your support, I can keep creating free content for you. The podcast costs about $500 per month so every little bit helps. Thank you so much! Today I sit down with Dr. Ross Ellenhorn, a sociologist and founder of Ellenhorn, one of the most robust community integration programs in the United States. For over 20 years, Dr. Ellenhorn has been running what he calls a "hospital without walls" - a program that meets people where they are, literally going to school with clients, accompanying them to jobs, and helping them rebuild their lives inside their communities rather than removing them from those communities to treat them.  In this episode, you'll learn: • What "fear of hope" is and how it quietly blocks people from moving forward • Why denial and resistance are more about your environment than your psychology • How self-efficacy and pride are the real building blocks of lasting recovery and • The difference between hope and faith - and why both matter for recovery So without further delay, please enjoy this episode with Dr Ellenhorn.   Guest Website: https://ellenhorn.com 

Humility is one of the most quietly powerful practices for positive psychology and mental health. It's also one of the most misunderstood. Here's the heart of it: humility is not a weakness. It's not about making yourself small or performing modesty for social approval. It's an accurate, grounded sense of self, what Dr. Daryl Van Tongeren calls "right-sizing." You own your strengths and weaknesses. And you hold your worth steady through all of it. We explored four types of humility this month: relational, intellectual, cultural, and existential. And we worked through three core ingredients to build humility up: Know Yourself. This is where self-compassion becomes essential. Self-knowledge without self-compassion tends to slide into rumination — that harsh, looping self-focus that keeps us stuck. Dr. Kristin Neff's research reminds us that genuine self-reflection requires feeling safe enough to look clearly, without bracing for an attack. When self-compassion is in place, honest self-awareness becomes possible. So does recognizing things like the better-than-average effect, which is our tendency to unconsciously and inaccurately position ourselves as a little more right, and others a little more wrong. Humility gently corrects that drift. Check Yourself. This is ego territory. When we feel threatened, the ego rises up. We deflect, deny, shut down, intellectualize. It's a very human, very normal response. But it doesn't have to run the show. One of the most practical tools from this series: when you feel defensive, pause. Breathe. Then ask yourself, "What would I think if I weren't feeling defensive?" That question can create some space for the ego to stand down and lets emotional regulation take over instead of reactivity. Go Beyond Yourself. This is where the magic of humility really shows itself as we build a genuine curiosity about other people and life's bigger questions. The self-forgetfulness that C.S. Lewis describes as essential to humility puts it all into action. When we're not so consumed by ourselves, the world opens up. And that's where connection, meaning, and joy actually show up in more noticeable, lasting ways. If you've worked through this series and feel less certain than when you started, that's not a problem. That's the practice of humility in action. Sitting with uncertainty, tolerating what's unresolved, resisting the cultural pressure toward easy answers and performed confidence is peak courage. It's often uncomfortable and it's always worth it. If this work has stirred something that feels bigger than you want to carry alone, please reach out to a therapist, a trusted friend, or a support community. Seeking support isn't weakness. It's an act of humility and one of the most courageous things you can do. And for Joy Lab Program members: your Episode Experiment includes a guided meditation and journal prompts to help you harvest and integrate the work you've done this month.  We close with Rilke (we know, we close with Rilke a lot!): "Be patient toward all that is unsolved in your heart and try to love the questions themselves." Keep tending to your humility. It grows good things.   About: The Joy Lab Podcast is an Ambie-nominated podcast that blends science and soul to help you cope better with stress, anxiety, and depression. It's hosted by integrative psychiatrist Dr. Henry Emmons and holistic mental health researcher Dr. Aimee Prasek. The podcast is best paired with the Joy Lab Program (get your 7-day free trial!). Bonus: spread some joy and keep this podcast ad-free by donating (Joy Lab is powered by the nonprofit Pathways North and your donations are tax-deductible).       Sources and Notes for our Element of Humility: Joy Lab Program: Take the next leap in your wellbeing journey with step-by-step practices to help you build and maintain the elements of joy in your life. Start your 7-day free trial now. Episodes in this Humility series: Humility Can Be Stressful... But Worth it for Mental Health [ep. 268] Know Yourself: The Humility Practice That Quiets Rumination and Builds Emotional Resilience [ep. 269] Check Yourself: Ego Threat, Stress Relief, & Needing to Prove Yourself [270] Book: Humble by Daryl Van Tongeren, PhD Tara Brach's website Find more about Neff's work on Self-compassion at Self-Compassion.org More on C.S. Lewis from the C.S. Lewis Foundation.  Hagá & Olson. 'If I only had a little humility, I would be perfect': Children's and adults' perceptions of intellectually arrogant, humble, and diffident people. Access here. Nielsen & Marrone. Humility: Our current understanding of the construct and its role in organizations. Access here. Porter et al. Predictors and consequences of intellectual humility. Access here. Van Tongeren et al. Humility. Access here.  Weidman et al. The psychological structure of humility. Access here. Wright et al. The psychological significance of humility. Access here. Wendell Berry's book Standing by Words   Common Questions: Q: How do I stop being so hard on myself without losing self-awareness? A: Self-compassion and self-knowledge are partners. As researcher Dr. Kristin Neff puts it, "You can look clearly at yourself when you're not afraid of what you'll find." Self-compassion creates the psychological safety for honest, accurate self-appraisal, replacing harsh rumination with compassionate self-reflection. Humility is the result: an accurate, grounded sense of self that's neither inflated nor deflated. Q: Why does being humble feel so uncomfortable and countercultural? A: Because in many ways, it is. We live in a world that often rewards certainty, self-promotion, and being right, even when those things don't actually nourish us. Building humility means opening up to uncertainty and the unknown, which takes real courage. The good news is that discomfort is also building something called uncertainty-tolerance, a form of emotional resilience that reaches across every area of your life in really nourishing ways.   Key moments: [00:00] Welcome & orientation — Aimee frames the three-part humility arc (Know Yourself → Check Yourself → Go Beyond Yourself) [01:30] Henry's realization: humility, like every Joy Lab Element, is ultimately about learning to love well and connect more deeply [03:00] Why humility is the antidote to loneliness — the difference between being surrounded by people and being genuinely seen; how isolation is really a form of alienation [05:00] What it feels like to be with a truly humble person — and why humility makes us safer, more trustworthy, and more magnetic in relationships and communities [06:30] The traffic circle of defensiveness — Aimee on why the risk of being burned by someone is still better than a lifetime of self-protective looping [07:30] Epistemic humility explained — the idea that your understanding of reality is always partial, always filtered, always a vantage point. And so is everyone else's. (Plus: a pronunciation debate.) [08:45] Why disagreement doesn't mean someone is wrong, and how truth is larger than any one person's grasp of it [10:30] William James on the deepest craving in human nature: to be appreciated and seen [11:00] Two practical strategies for going beyond yourself: (1) deep, active listening as a humility practice — not formulating your response, but truly receiving another person; (2) seeing the innocence of others [12:30] Thich Nhat Hanh: "Listen until they empty their hearts." Henry shares this as a guide for showing up and listening [13:30] Seeing the innocence in others — Henry's 30+ years of clinical wisdom distilled: most people are doing the best they can with what they have, right now. How holding that awareness softens judgment without eliminating boundaries [15:30] Aimee reflects: "That's the wisdom I'd want somebody to hold when they see me messing up." [16:00] Experiment preview for Joy Lab Program members + closing Rumi quote: "You are not a drop in the ocean, you are the entire ocean in a drop."    Like and follow Joy Lab on Socials:  Instagram Linkedin Facebook YouTube   Please remember that this content is for informational and educational purposes only. It is not intended to provide medical advice and is not a replacement for advice and treatment from a medical professional. Please consult your doctor or other qualified health professional before beginning any diet change, supplement, or lifestyle program. Please see our terms for more information. If you or someone you know is struggling or in crisis, help is available. Call the NAMI HelpLine: 1-800-950-6264 available Monday through Friday, 10 a.m. – 10 p.m., ET. OR text "HelpLine" to 62640 or email NAMI at helpline@nami.org. Visit NAMI for more. You can also call or text SAMHSA at 988 or chat 988lifeline.org.

In this episode of PICU Doc on Call, hosts Dr. Monica Gray and Dr. Pradip Kamat explore procedural sedation in the pediatric ICU. They cover sedation levels, pre-screening, risk stratification using ASA classifications, and medication selection tailored to each patient's hemodynamic and respiratory status. Through real-world case discussions involving respiratory failure, septic shock, and acute neurological decline, they highlight the importance of end-tidal CO2 monitoring and early adverse event recognition. Key takeaways include avoiding the term "conscious sedation," preparing rescue plans, and prioritizing patient safety through careful assessment and monitoring.Show Highlights:Definitions and levels of sedation (minimal, moderate, deep sedation, and general anesthesia)Importance of terminology in procedural sedationMonitoring sedation levels using scales like the Richmond Agitation-Sedation Scale (RASS)Pre-screening and risk stratification considerations for pediatric patientsASA physical status classification system for assessing patient riskUnique challenges of procedural sedation in critically ill childrenAdverse events associated with pediatric procedural sedation, particularly respiratory complicationsManagement strategies for specific cases requiring sedation (e.g., respiratory failure, septic shock)Importance of end-tidal CO2 monitoring during sedationKey takeaways for safe sedation practices in the pediatric ICU settingReferences: Nir Atlas; Rahul C. Damania; Pradip P. Kamat In Fuhrman & Zimmerman - Textbook of Pediatric Critical Care Chapter 135, 1624-1628Statement on Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia by Committee on Quality Management and Departmental Administration. Last Amended: October 23, 2024.Coté CJ, Wilson S; AMERICAN ACADEMY OF PEDIATRICS; AMERICAN ACADEMY OF PEDIATRIC DENTISTRY. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures. Pediatrics. 2019 Jun;143(6):e20191000. doi: 10.1542/peds.2019-1000. PMID: 31138666.xKrauss B, Green SM. Procedural sedation and analgesia in children. Lancet. 2006 Mar 4;367(9512):766-80. doi: 10.1016/S0140-6736(06)68230-5. PMID: 16517277.Sharif S, Kang J, Sadeghirad B, Rizvi F, Forestell B, Greer A, Hewitt M, Fernando SM, Mehta S, Eltorki M, Siemieniuk R, Duffett M, Bhatt M, Burry L, Perry JJ, Petrosoniak A, Pandharipande P, Welsford M, Rochwerg B. Pharmacological agents for procedural sedation and analgesia in the emergency department and intensive care unit: a systematic review and network meta-analysis of randomised trials. Br J Anaesth. 2024 Mar;132(3):491-506. doi: 10.1016/j.bja.2023.11.050. Epub 2024 Jan 6. PMID: 38185564.Smith, Heidi A. B. MD, MSCI (Chair)1,2; Besunder, James B. DO, FCCM3,4; Betters, Kristina A. MD1; Johnson, Peter N. PharmD, BCPS, BCPPS, FCCM, FPPA, FASHP5,6; Srinivasan, Vijay MBBS, MD, FCCM7,8; Stormorken, Anne MD9,10; Farrington, Elizabeth PharmD, FCCM11; Golianu, Brenda MD12,13; Godshall, Aaron J. MD14; Acinelli, Larkin CPNP-AC, ACHPN15; Almgren, Christina CPNP16; Bailey, Christine H. MD17; Boyd, Jenny M. MD18,19; Cisco, Michael J. MD20; Damian, Mihaela MD, MPH21,22; deAlmeida, Mary L. MD23,24; Fehr, James MD13,25; Fenton, Kimberly E. MD, FCCM14; Gilliland, Frances DNP, CPNP-AC/PC26,27; Grant, Mary Jo C. CPNP-AC, PhD, FAAN28; Howell, Joy MD29; Ruggles, Cassandra A. PharmD, BCCCP, BCPPS30; Simone, Shari DNP31,32; Su, Felice MD21,22; Sullivan, Janice E. MD33,34; Tegtmeyer, Ken MD, FAAP, FCCM35,36; Traube, Chani MD, FCCM29; Williams, Stacey CPNP-AC37; Berkenbosch, John W. MD, FAAP, FCCM (Chair)33,34. 2022 Society of Critical Care Medicine Clinical Practice Guidelines on Prevention and Management of Pain, Agitation, Neuromuscular Blockade, and Delirium in Critically Ill Pediatric Patients With Consideration of the ICU Environment and Early Mobility. Pediatric Critical Care Medicine 23(2):p e74-e110, February 2022. | DOI: 10.1097/PCC.0000000000002873Benzoni T, Agarwal A, Cascella M. Procedural Sedation. [Updated 2025 Mar 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551685/Kerson AG, DeMaria R, Mauer E, Joyce C, Gerber LM, Greenwald BM, Silver G, Traube C. Validity of the Richmond Agitation-Sedation Scale (RASS) in critically ill children. J Intensive Care. 2016 Oct 26;4:65. doi: 10.1186/s40560-016-0189-5. PMID: 27800163; PMCID: PMC5080705.Tel-Dan SF, Shavit D, Nates R, Samuel N, Shavit I. Emergency Physician-Administered Sedation for Thoracostomy in Children With Pleuropneumonia. Pediatr Emerg Care. 2021 Dec 1;37(12):e1209-e1212. doi: 10.1097/PEC.0000000000001975. PMID: 31929389.Cosgrove P, Krauss BS, Cravero JP, Fleegler EW. Predictors of Laryngospasm During 276,832 Episodes of Pediatric Procedural Sedation. Ann Emerg Med. 2022 Dec;80(6):485-496. doi: 10.1016/j.annemergmed.2022.05.002. Epub 2022 Jun 23. PMID: 35752522.Cravero JP, Blike GT, Beach M, Gallagher SM, Hertzog JH, Havidich JE, Gelman B; Pediatric Sedation Research Consortium. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. Pediatrics. 2006 Sep;118(3):1087-96. doi: 10.1542/peds.2006-0313. PMID: 16951002.

What if one of the most important health crises affecting men today wasn't being caused by aging, but by the environment we live in? In this eye-opening solo episode, Darin Olien investigates the alarming decline in testosterone levels, fertility, and reproductive health among men worldwide. Drawing on decades of research, epidemiological studies, environmental science, endocrinology, and public health data, Darin examines the growing evidence connecting endocrine-disrupting chemicals, microplastics, sleep deprivation, chronic stress, poor lifestyle habits, and environmental toxins to declining testosterone levels across generations. From BPA, phthalates, atrazine, PFAS, and microplastics to sleep quality, circadian rhythms, cholesterol metabolism, cortisol regulation, and natural testosterone-supporting strategies, this episode explores what may be one of the most underreported public health issues of our time—and what men can do to take control of their health today.     What You'll Learn Why testosterone levels have been declining for decades The startling research on global sperm count decline How endocrine-disrupting chemicals interfere with hormone production Why BPA and phthalates may disrupt testosterone synthesis The role of atrazine, PFAS, and environmental toxins How chronic stress diverts resources away from testosterone production Why sleep may be the most important testosterone intervention The connection between cholesterol and hormone production How microplastics are being found throughout the human body The surprising relationship between statins and testosterone levels Natural lifestyle strategies that support healthy hormone production Practical steps to reduce environmental exposure and improve health     Chapters 00:00:00 – Welcome to SuperLife 00:00:33 – Sponsor: Fatty15 and cellular health 00:04:17 – The testosterone collapse explained 00:04:51 – Testosterone levels have been declining for decades 00:06:03 – Global sperm count decline and accelerating trends 00:07:02 – Why treating symptoms misses the root cause 00:07:27 – The hidden public health crisis 00:08:03 – Why low testosterone isn't just about aging 00:09:12 – Why hormone health affects longevity 00:09:53 – Low testosterone and increased mortality risk 00:10:35 – Testosterone's role in metabolism and cardiovascular health 00:11:27 – Endocrine-disrupting chemicals and hormone disruption 00:12:44 – BPA and its effects on testosterone production 00:13:59 – Phthalates and their impact on hormone pathways 00:16:00 – Glyphosate, atrazine, and pesticide exposure 00:17:07 – PFAS and reproductive health concerns 00:17:55 – Environmental toxins and population-wide effects 00:18:11 – Sponsor: Shakeology 00:20:02 – Cholesterol and hormone production 00:20:53 – Chronic stress and cortisol dominance 00:21:45 – Actionable solutions begin 00:21:56 – Why sleep is essential for testosterone production 00:23:07 – How sleep deprivation rapidly lowers testosterone 00:23:21 – Light pollution and circadian disruption 00:23:41 – Foods and nutrients needed for hormone health 00:24:23 – Microplastics and testicular tissue 00:24:53 – Statins and unintended hormonal consequences 00:25:39 – A practical testosterone sovereignty protocol 00:25:48 – Water filtration and reducing toxic exposure 00:26:13 – Eliminating plastics and fragrance chemicals 00:26:35 – Why organic food matters 00:26:45 – Sunlight and vitamin D 00:27:05 – Magnesium, omega-3s, and iodine 00:27:26 – Pine pollen and natural androgen support 00:28:01 – Tongkat Ali and ashwagandha 00:28:48 – Strength training and lifestyle interventions 00:29:10 – Habits that naturally support testosterone 00:29:27 – Darin's approach to healthy aging 00:29:37 – Plants, herbs, and common sense 00:29:51 – Reclaiming your health and sovereignty 00:30:00 – Final thoughts and closing message     Thank You to Our Sponsors Fatty15: Get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com/DARIN and using code DARIN at checkout. Shakeology: Get 15% off with code DARINO1BODI at Shakeology.com.     Join the SuperLife Patreon: This is where Darin now shares the deeper work: - weekly voice notes - ingredient trackers - wellness challenges - extended conversations - community accountability - sovereignty practices Join now for only $7.49/month at https://patreon.com/darinolien     Find More from Darin Olien: Website: darinolien.com Instagram: @darinolien Book: Fatal Conveniences Platform & Products: superlife.com New Show: Roadmap to Happiness     Key Takeaway "The testosterone crisis may be about far more than aging. It may be a reflection of the modern environment itself—one increasingly saturated with endocrine-disrupting chemicals, chronic stress, poor sleep, circadian disruption, and toxic exposures. While many of these forces feel outside our control, the encouraging reality is that many of the most powerful interventions remain accessible: improving sleep, reducing toxic load, eating whole foods, getting sunlight, managing stress, exercising regularly, and reclaiming responsibility for our health. The goal isn't fear. The goal is awareness—and action."     Bibliography/Sources: The Decline — Primary Research Levine, H., Jørgensen, N., Martino-Andrade, A., et al. (2022). Temporal trends in sperm count: A systematic review and meta-regression analysis of samples collected globally in the 20th and 21st centuries. Human Reproduction Update, 29(2), 157–176. https://doi.org/10.1093/humupd/dmac035 Lokeshwar, S. D., Patel, P., Fantus, R. J., et al. (2021). Decline in testosterone levels in men aged 15–40: Results from the National Health and Nutrition Examination Survey (NHANES), 1999–2016. World Journal of Urology, 39(2), 447–452. https://doi.org/10.1007/s00345-020-03227-1 Spital Clinic. (2026, March). Declining testosterone levels by generation. https://www.spitalclinic.com Travison, T. G., Araujo, A. B., O'Donnell, A. B., Kupelian, V., & McKinlay, J. B. (2007). A population-level decline in serum testosterone levels in American men. The Journal of Clinical Endocrinology & Metabolism, 92(1), 196–202. https://doi.org/10.1210/jc.2006-1375 Low Testosterone — Mortality & Disease Risk Muraleedharan, V., Marsh, H., Kapoor, D., Channer, K. S., & Jones, T. H. (2013). Testosterone deficiency is associated with increased risk of mortality and testosterone replacement improves survival in men with type 2 diabetes. European Journal of Endocrinology, 169(6), 725–733. https://doi.org/10.1530/EJE-13-0321 Shores, M. M., et al. (2006). Low testosterone associated with increased all-cause and cardiovascular mortality. Archives of Internal Medicine, 166(15), 1660–1665. https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/410754 Yeap, B. B., Marriott, R. J., Dwivedi, G., et al. (2024). Associations of testosterone and related hormones with all-cause and cardiovascular mortality and incident cardiovascular disease in men. Annals of Internal Medicine. https://doi.org/10.7326/M23-2781 Endocrine Disrupting Chemicals Associations between endocrine-disrupting chemical exposure and fertility outcomes: A decade of human epidemiological evidence. (2024). PubMed Central (PMC12299029). https://pmc.ncbi.nlm.nih.gov/articles/PMC12299029/ Hayes, T. B., Haston, K., Tsui, M., et al. (2002). Herbicides: Feminization of male frogs in the wild. Nature, 419, 895–896. https://doi.org/10.1038/419895a Mechanisms of testicular disruption from exposure to BPA and phthalates. (2020). Journal of Clinical Medicine, 9(2), 471. https://pmc.ncbi.nlm.nih.gov/articles/PMC7074154/ Meeker, J. D., Calafat, A. M., & Hauser, R. (2014). Urinary phthalate metabolites and their biotransformation products: Predictors and temporal variability among men and women. Journal of Exposure Science & Environmental Epidemiology. https://www.sciencedaily.com/releases/2014/08/140814124330.htm Zhao, Q., et al. (2023). Male reproductive toxicity of microplastics: Head and tail of the sperm. Science of the Total Environment, 872, 162181. https://doi.org/10.1016/j.scitotenv.2023.162181 Zhong, B., et al. (2024). Mixed EDC exposure associated with reductions in testosterone and free androgen index. Scientific Reports. https://doi.org/10.1038/s41598-024-76972-z Cortisol, Stress & the HPG Axis Bielohuby, M., et al. (2012). Swiss military cadets prolonged stress study. Psychoneuroendocrinology. Preprints.org. (2025). Sleep deprivation: A modifiable cause. https://doi.org/10.20944/preprints202505.0580.v1 SiPhox Health. (n.d.). Summary of Journal of Clinical Endocrinology & Metabolism data. https://www.siphoxhealth.com Viau, V. (2002). Functional cross-talk between the hypothalamic-pituitary-gonadal and -adrenal axes. Journal of Neuroendocrinology, 14(6), 506–513. https://doi.org/10.1046/j.1365-2826.2002.00798.x Sleep & Testosterone Leproult, R., & Van Cauter, E. (2011). Effect of 1 week of sleep restriction on testosterone levels in young healthy men. JAMA, 305(21), 2173–2174. https://jamanetwork.com/journals/jama/fullarticle/1029127 Reiter, R. J., et al. (2021). Melatonin and male reproductive health: Relationship to oxidative stress, mitochondrial function, and Leydig cell protection. Endocrine. Tan, D. X., Hardeland, R., Manchester, L. C., et al. (2023). Melatonin as a pleiotropic antioxidant hormone. Journal of Pineal Research. Nutrition — Zinc, Vitamin D, Cholesterol Corona, G., et al. (2010). Statin therapy and testosterone levels in men: A systematic review. The Journal of Sexual Medicine. Daniell, H. W. (2002). Hypogonadism in men consuming sustained-action oral opioids. The Journal of Pain, 3(5), 377–384. https://doi.org/10.1054/jpai.2002.126790 Pilz, S., Frisch, S., Koertke, H., et al. (2011). Effect of vitamin D supplementation on testosterone levels in men. Hormone and Metabolic Research, 43(3), 223–225. https://doi.org/10.1055/s-0030-1269854 Prasad, A. S., Mantzoros, C. S., Beck, F. W., Hess, J. W., & Brewer, G. J. (1996). Zinc status and serum testosterone levels of healthy adults. Nutrition, 12(5), 344–348. https://doi.org/10.1016/S0899-9007(96)80058-X Natural Testosterone Support — Botanical Evidence Pine pollen impacts testosterone-related symptoms in men. (2024). ACMCR Case Reports, 14(5), 1–9. Chinnappan, S. M., George, A., et al. (2021). Effect of Eurycoma longifolia standardised extract Physta on testosterone levels in ageing males: A randomised, double-blind, placebo-controlled multicentre study. Food & Nutrition Research, 65. https://doi.org/10.29219/fnr.v65.5647 Lazarev, A., & Bezuglov, E. (2021). Testosterone boosters intake in athletes: Current evidence and further directions. Endocrines, 2(2), 109–120. https://doi.org/10.3390/endocrines2020011 Leisegang, K., et al. (2022). Eurycoma longifolia (Tongkat Ali) improves serum total testosterone in men. Food & Nutrition Research. https://pubmed.ncbi.nlm.nih.gov/36013514/ Leitão, A. E., et al. (2021). 6-month double-blind RCT: Eurycoma longifolia 200mg + concurrent training. Maturitas. https://doi.org/10.1016/j.maturitas.2020.10.005 Lopresti, A. L., Smith, S. J., et al. (2019). An investigation into the stress-relieving and pharmacological actions of an ashwagandha extract. Medicine, 98(37), e17186. https://doi.org/10.1097/MD.0000000000017186 Pandit, S., Biswas, S., Jana, U., De, R. K., Mukhopadhyay, S. C., & Biswas, T. K. (2016). Clinical evaluation of purified shilajit on testosterone levels in healthy volunteers. Andrologia, 48(5), 570–575. https://doi.org/10.1111/and.12482 Saden-Krehula, M., Tajic, M., & Kolbah, D. (1971). Testosterone, epitestosterone and androstenedione in the pollen of Scotch pine Pinus sylvestris L. Experientia, 27(1), 108–109. https://doi.org/10.1007/BF02137731 Wankhede, S., Langade, D., Joshi, K., et al. (2015). Examining the effect of Withania somnifera supplementation on muscle strength and recovery: A randomized controlled trial. Journal of the International Society of Sports Nutrition, 12, 43. https://doi.org/10.1186/s12970-015-0104-9

Humility is a powerful mental health tool we have. The science of happiness is clear: genuine connection and belonging are among the strongest predictors of emotional resilience and wellbeing. In this episode of Joy Lab we'll explore the final dimension of humility: going beyond yourself. Building on Dr. Daryl Van Tongeren's framework from Humble, we'll explore how knowing yourself and checking your ego aren't the finish line. That's prep work so you can show up for others with open eyes and an open heart. Whether you've been lonely, stuck in defensive loops, or just tired of running into yourself everywhere you turn, this episode offers a warm, science-grounded roadmap toward deeper connection. This is Episode 4 of Joy Lab's Element of Humility series, following Dr. Daryl Van Tongeren's framework: know yourself, check yourself, and go beyond yourself.   About: The Joy Lab Podcast is an Ambie-nominated podcast that blends science and soul to help you cope better with stress, anxiety, and depression. It's hosted by integrative psychiatrist Dr. Henry Emmons and holistic mental health researcher Dr. Aimee Prasek. The podcast is best paired with the Joy Lab Program (get your 7-day free trial!). Bonus: spread some joy and keep this podcast ad-free by donating (Joy Lab is powered by the nonprofit Pathways North and your donations are tax-deductible).    Full transcript      Sources and Notes for our Element of Humility: Joy Lab Program: Take the next leap in your wellbeing journey with step-by-step practices to help you build and maintain the elements of joy in your life. Start your 7-day free trial now. Episodes in this Humility series: Humility Can Be Stressful... But Worth it for Mental Health [ep. 268] Know Yourself: The Humility Practice That Quiets Rumination and Builds Emotional Resilience [ep. 269] Check Yourself: Ego Threat, Stress Relief, & Needing to Prove Yourself [270] Book: Humble by Daryl Van Tongeren, PhD Tara Brach's website Find more about Neff's work on Self-compassion at Self-Compassion.org More on C.S. Lewis from the C.S. Lewis Foundation.  Hagá & Olson. 'If I only had a little humility, I would be perfect': Children's and adults' perceptions of intellectually arrogant, humble, and diffident people. Access here. Nielsen & Marrone. Humility: Our current understanding of the construct and its role in organizations. Access here. Porter et al. Predictors and consequences of intellectual humility. Access here. Van Tongeren et al. Humility. Access here.  Weidman et al. The psychological structure of humility. Access here. Wright et al. The psychological significance of humility. Access here. Wendell Berry's book Standing by Words   Key moments: [00:00] Welcome & orientation — Aimee frames the three-part humility arc (Know Yourself → Check Yourself → Go Beyond Yourself) [01:30] Henry's realization: humility, like every Joy Lab Element, is ultimately about learning to love well and connect more deeply [03:00] Why humility is the antidote to loneliness — the difference between being surrounded by people and being genuinely seen; how isolation is really a form of alienation [05:00] What it feels like to be with a truly humble person — and why humility makes us safer, more trustworthy, and more magnetic in relationships and communities [06:30] The traffic circle of defensiveness — Aimee on why the risk of being burned by someone is still better than a lifetime of self-protective looping [07:30] Epistemic humility explained — the idea that your understanding of reality is always partial, always filtered, always a vantage point. And so is everyone else's. (Plus: a pronunciation debate.) [08:45] Why disagreement doesn't mean someone is wrong, and how truth is larger than any one person's grasp of it [10:30] William James on the deepest craving in human nature: to be appreciated and seen [11:00] Two practical strategies for going beyond yourself: (1) deep, active listening as a humility practice — not formulating your response, but truly receiving another person; (2) seeing the innocence of others [12:30] Thich Nhat Hanh: "Listen until they empty their hearts." Henry shares this as a guide for showing up and listening [13:30] Seeing the innocence in others — Henry's 30+ years of clinical wisdom distilled: most people are doing the best they can with what they have, right now. How holding that awareness softens judgment without eliminating boundaries [15:30] Aimee reflects: "That's the wisdom I'd want somebody to hold when they see me messing up." [16:00] Experiment preview for Joy Lab Program members + closing Rumi quote: "You are not a drop in the ocean, you are the entire ocean in a drop."    Like and follow Joy Lab on Socials:  Instagram Linkedin Facebook YouTube   Please remember that this content is for informational and educational purposes only. It is not intended to provide medical advice and is not a replacement for advice and treatment from a medical professional. Please consult your doctor or other qualified health professional before beginning any diet change, supplement, or lifestyle program. Please see our terms for more information. If you or someone you know is struggling or in crisis, help is available. Call the NAMI HelpLine: 1-800-950-6264 available Monday through Friday, 10 a.m. – 10 p.m., ET. OR text "HelpLine" to 62640 or email NAMI at helpline@nami.org. Visit NAMI for more. You can also call or text SAMHSA at 988 or chat 988lifeline.org.

On episode #108 of the Infectious Disease Puscast, Daniel and Sara review the infectious disease literature for the weeks of 5/21 – 6/3/26. Host: Daniel Griffin and Sarah Dong Subscribe (free): Apple Podcasts, RSS, email Become a patron of Puscast! Links for this episode Viral Performance of five mpox antigen-based rapid diagnostic tests tested on lesion swabs from patients with suspected mpox from the Kinshasa province of DR Congo: a diagnostic accuracy study (LANCET: Infectious Diseases) A Phase 3, Randomized Trial ofBulevirtide in Chronic Hepatitis D (NEJM) First reported case of Andes hantavirus cardiopulmonary syndrome treated with a combination of favipiravir, ribavirin, icatibant and baricitinib (CMI: Clinical Microbiology and Infection) Chikungunya Vaccines for Travelers: Unanswered Pragmatic Questions Persist (JID) Bacterial Early Discontinuation of Empiric Antibiotics in Pediatric Haploidentical Hematopoietic Cell Transplant Recipients with Febrile Neutropenia (CID) Methicillin-Resistant Staphylococcus aureus Nasal Swab Utilization as a Predictor for Methicillin-Resistant Staphylococcus aureus Skin and Soft Tissue Infections: A Systematic Review and Meta-analysis (OFID) Swab Testing to Optimize Pneumonia Treatment With Empiric Vancomycin: A Randomized Controlled Trial (CID) Fungal The Last of US Season 2 (YouTube) Donor-derived and nosocomial-acquired Candida auris transmission involving solid organ transplant recipients (Infection Control and Hospital Epidemiology) Parasitic Development of a Phase 1 Cryptosporidiosis Controlled Human Challenge Model in Healthy Volunteers Using Current Good Manufacturing Practice Cryptosporidium Parvum Oocysts and Conducted Under an Investigational New Drug Application (JID) Miscellaneous Childhood VaccineHesitancy(NEJM) Music is by Ronald Jenkees Information on this podcast should not be considered as medical advice.

Humility and mental health are more connected than you might think. And if you add self-compassion to the humility-ego mix, then you have a recipe that can support mood, offer stress relief, and give your mind and body a break from constantly trying to defend yourself. We'll dig into all this with the "Check Yourself" step of the humility framework, unpacking ego threat, defensive thinking patterns, and the very human stress response that kicks in when we feel criticized, wrong, or uncertain. Spoiler: the ego is not the villain here. It's more like an overzealous bodyguard, and humility is how you can teach it to stand down. This is Episode 3 of Joy Lab's Element of Humility series, following Dr. Daryl Van Tongeren's framework: know yourself, check yourself, and go beyond yourself.   About: The Joy Lab Podcast is an Ambie-nominated podcast that blends science and soul to help you cope better with stress, anxiety, and depression. It's hosted by integrative psychiatrist Dr. Henry Emmons and holistic mental health researcher Dr. Aimee Prasek. The podcast is best paired with the Joy Lab Program. Bonus: spread some joy and keep this podcast ad-free by donating (Joy Lab is powered by the nonprofit Pathways North and your donations are tax-deductible).    Like and follow Joy Lab on Socials:  Instagram Linkedin Watch this episode on YouTube     Sources and Notes for our Element of Humility: Joy Lab Program: Take the next leap in your wellbeing journey with step-by-step practices to help you build and maintain the elements of joy in your life.  Episodes in this Humility series: Humility Can Be Stressful... But Worth it for Mental Health [ep. 268] Know Yourself: The Humility Practice That Quiets Rumination and Builds Emotional Resilience [ep. 269] Book: Humble by Daryl Van Tongeren, PhD Tara Brach's website Find more about Neff's work on Self-compassion at Self-Compassion.org More on C.S. Lewis from the C.S. Lewis Foundation.  Hagá & Olson. 'If I only had a little humility, I would be perfect': Children's and adults' perceptions of intellectually arrogant, humble, and diffident people. Access here. Nielsen & Marrone. Humility: Our current understanding of the construct and its role in organizations. Access here. Porter et al. Predictors and consequences of intellectual humility. Access here. Van Tongeren et al. Humility. Access here.  Weidman et al. The psychological structure of humility. Access here. Wright et al. The psychological significance of humility. Access here. Wendell Berry's book Standing by Words   Key moments: [00:00] Welcome and episode framing — checking ourselves means we accept that we don't know it all, recognize our own cultural lenses, and can sit with uncertainty without losing ourselves. [02:00] Henry on accepting uncertainty as a form of letting go of control — and why the self-knowledge work from last episode makes this possible. True inner strength means being secure enough to admit when you're wrong and hold your ground when you need to. [04:00] Enter: the ego. Aimee makes the case that the ego isn't the root of all evil. A healthy ego helps us maintain a coherent, positive sense of self. The problem isn't the ego itself; it's when the ego runs the whole show, making every decision from a place of fear. [06:30] Ego threat explained — when criticism, mistakes, or uncertainty shake our sense of self, a stress response activates. This triggers cognitive distortions: black-and-white thinking, confirmation-seeking, and rigid beliefs. It's common, it's wired in, and it doesn't have to take us down. [08:30] Henry's bodyguard metaphor: the ego is a zealous protector that sometimes overreacts wildly — treating a questioned idea like a life-or-death threat. Humility doesn't fire the bodyguard. It just teaches it to relax. [11:00] Signs the bodyguard has overstepped. Aimee walks through the obvious ones (counterattacking, deflecting, blame-shifting) and the subtler ones (shutting down, overexplaining, people-pleasing, doubling down on beliefs to avoid uncertainty). If you're nodding, you're in good company. [13:00] Henry adds the physical signs of ego threat to watch for: chest tightness, heat rising, clenched jaw, shallow breathing. Your body knows you're in ego threat before your mind does. Also: the urgency to respond immediately, spinning narratives to justify reactions, needing the last word. [15:00] The good news — and the real mental health payoff. Admitting mistakes makes us more liked and respected. Humility builds psychological safety in relationships, keeps small harms from becoming earthquakes, reduces thought distortions, and separates self-worth from performance. It's a genuine resilience-booster. [17:00] Henry's three-step in-the-moment practice: pause (especially when it feels most urgent), take one slow breath (gives your brain a chance to come back online), and ask "What would I think about this if I weren't feeling defensive?" Shift from threat response to curiosity response — and still hold your ground if you need to, just from a grounded place. [19:00] Aimee adds supportive touch as an emotional regulation tool — hands stacked gently on the body, a breath, a moment of self-compassion. Getting out of the traffic circle doesn't require a response or a win. Sometimes you just drive on your way. [20:30] Closing wisdom from Tara Brach: "The ego is not your enemy, it is your partner. Make peace with it."   Full transcript here   Please remember that this content is for informational and educational purposes only. It is not intended to provide medical advice and is not a replacement for advice and treatment from a medical professional. Please consult your doctor or other qualified health professional before beginning any diet change, supplement, or lifestyle program. Please see our terms for more information. If you or someone you know is struggling or in crisis, help is available. Call the NAMI HelpLine: 1-800-950-6264 available Monday through Friday, 10 a.m. – 10 p.m., ET. OR text "HelpLine" to 62640 or email NAMI at helpline@nami.org. Visit NAMI for more. You can also call or text SAMHSA at 988 or chat 988lifeline.org.

Welcome back to Truth, Lies & Work, the award-winning workplace podcast where behavioural science meets workplace culture, brought to you by the HubSpot Podcast Network. This week, hosts Al Elliott and Leanne Elliott unpack the sleep science taking over TikTok, a massive shift in how Google interviews tech talent, and the ethical dilemma of corporate accountability after a major cyberattack. Plus, we dive deep into the data to see if "years of experience" actually matters on a CV, and answer community questions from the experts at The Business Psycho.

In this practical and heart-checking episode of the Raising Godly Girls Podcast, co-hosts Rachael Culpepper and Natalie Ambrose kick off a brand-new series on Biblical financial stewardship—helping moms raise girls who handle money with wisdom, contentment, and Christ-centered purpose.  From lighthearted conversation about being a "spender" or a "saver" to deeper reflections on what money reveals about our hearts, this episode gently guides listeners into a Biblical understanding of stewardship. Rachael and Natalie break down this foundational concept into three simple practices—giving, saving, and spending—while reminding us that how we manage money ultimately reflects what we trust, value, and believe about God as our Provider.  In a culture marked by consumerism, comparison, and financial anxiety, this conversation offers a refreshing perspective: money is not inherently good or evil—but it can quickly become a place where our hearts drift. Through Scripture and personal stories, the hosts encourage families to reject both fear-based scarcity and indulgent excess, instead embracing a posture of faith-filled responsibility.  The Raising Godly Girls Minute featuring Patti Garibay reinforces a powerful truth—our daughters are watching. The habits we model today will shape how they approach money tomorrow. From family budget conversations to everyday spending decisions, our example matters more than we think.  You'll also hear honest reflections on the financial pressures facing the next generation—from rising costs to economic uncertainty—and how we can equip our girls with something far more valuable than wealth: resourcefulness, gratitude, and trust in God. Because ultimately, the goal isn't to raise girls who are rich—but girls who are faithful stewards of whatever God provides.  With practical tools like distinguishing between needs and wants and inviting your daughter into the "why" behind your saving habits, this episode equips you to bring faith into everyday financial decisions—right where your family lives.    Two Things to Remember:  Be honest about the difference between wants and needs in your family's spending.   Let your daughter see the "why" behind your saving habits—connect it back to your faith in God.     Scriptures Referenced:  Matthew 6:11   1 Timothy 6:10   Philippians 4:11–19   Psalm 23:1    Visit raisinggodlygirls.com for more encouragement and faith-based parenting tools.   Learn how to find or start an American Heritage Girls Troop in your community at americanheritagegirls.org.    

Have you ever wondered why Capital One's approval decisions feel completely random - approval for some, denial for others, with almost no rhyme or reason?   Capital One has a well-earned reputation for being unpredictable with credit card approvals. When Katie from Katie's Travel Tricks saw the launch of the new Capital One Business Venture card, she decided to move beyond anecdotes and collect real data. She surveyed her audience about their approval and denial experiences, gathered nearly 150 responses, and analyzed the patterns using data to answer the questions everyone has been asking: what actually matters to Capital One?   Katie and I break down what her data revealed about the three strongest approval predictors, why the conventional wisdom about waiting six months between Capital One applications might not be accurate, which metrics matter (credit score, hard inquiries, pre-approval status) and which ones surprisingly don't, and how business structure (sole proprietor versus LLC) impacts your approval chances. We also discuss what role the Capital One Business Venture Card plays in your overall rewards strategy and how to think about it within the larger Capital One ecosystem.   Get full show notes and transcript: https://pointmetofirstclass.com/capital-one-approvals-data       Eager to learn the secrets of award travel so that you can turn your expenses into unforgettable experiences? Join the Points Made Easy course waitlist here: https://pointmetofirstclass.com/pointsmadeeasy  

Humility is a powerful (and mostly misunderstood) mental health skill that's grounded by self-knowledge and self-compassion. Humility is also a powerful antidote to rumination and harsh self-criticism and a tool to support mood and emotional resilience. We'll build up humility through this series by taking a positive psychology approach along with Dr. Daryl Van Tongeren's framework to build humility (know yourself, check yourself, go beyond yourself.) This episode is all about Step 1 (know yourself) and it turns out it's both the most uncomfortable and the most freeing place to start. About: The Joy Lab Podcast is an Ambie-nominated podcast that blends science and soul to help you cope better with stress, anxiety, and depression. It's hosted by integrative psychiatrist Dr. Henry Emmons and holistic mental health researcher Dr. Aimee Prasek. The podcast is best paired with the Joy Lab Program. Bonus: spread some joy and keep this podcast ad-free by donating (Joy Lab is powered by the nonprofit Pathways North and your donations are tax-deductible).    Like and follow Joy Lab on Socials:  Instagram Linkedin Watch this episode on YouTube   Sources and Notes for our Element of Humility: Joy Lab Program: Take the next leap in your wellbeing journey with step-by-step practices to help you build and maintain the elements of joy in your life.  Episodes in this Humility series: Humility Can Be Stressful... But Worth it for Mental Health [ep. 268] Book: Humble by Daryl Van Tongeren, PhD Find more about Neff's work on Self-compassion at Self-Compassion.org More on C.S. Lewis from the C.S. Lewis Foundation.  Hagá & Olson. 'If I only had a little humility, I would be perfect': Children's and adults' perceptions of intellectually arrogant, humble, and diffident people. Access here. Nielsen & Marrone. Humility: Our current understanding of the construct and its role in organizations. Access here. Porter et al. Predictors and consequences of intellectual humility. Access here. Van Tongeren et al. Humility. Access here.  Weidman et al. The psychological structure of humility. Access here. Wright et al. The psychological significance of humility. Access here. Wendell Berry's book Standing by Words   Key moments: [00:00] Why self-knowledge comes first in the humility framework — and why skipping it makes the rest of the work harder. [02:00] The humility paradox: who scores highest on self-reported humility? People with narcissistic traits. What this reveals about why self-knowledge matters. [04:30] Reflection vs. rumination: same self-focused action, completely different energy — and very different effects on anxiety and depression. [07:30] Clark Griswold on the roundabout: Aimee's perfect visual for rumination, plus Van Tongeren's concept of "right-sizing yourself." [09:30] Obstacle #1: The idealized self. When the gap between who you are and who you think you should be stops motivating and starts deflating. [12:00] Obstacle #2: The better-than-average effect. Most of us rank ourselves above average — and that's statistically impossible. How this positivity bias quietly inflates us. [14:30] Obstacle #3: The harsh inner critic disguised as self-awareness. Why beating yourself up isn't humility — it's ego turned inward. [17:00] Dr. Kristin Neff's insight: self-compassion is the foundation of honest self-awareness. You can look clearly when you're not afraid of what you'll find. [19:30] Rumination as an internal courtroom — and Aimee's personal story about chronic lateness, hard feedback from a friend, and what it took to actually receive it. [23:30] Henry's simple journaling practice: notice what you observed about yourself this week. No analysis, no judgment — just patterns, held gently. [25:30] Preview of next week's "Check Yourself" episode, and a closing note from Aristotle.   Full transcript here   Please remember that this content is for informational and educational purposes only. It is not intended to provide medical advice and is not a replacement for advice and treatment from a medical professional. Please consult your doctor or other qualified health professional before beginning any diet change, supplement, or lifestyle program. Please see our terms for more information. If you or someone you know is struggling or in crisis, help is available. Call the NAMI HelpLine: 1-800-950-6264 available Monday through Friday, 10 a.m. – 10 p.m., ET. OR text "HelpLine" to 62640 or email NAMI at helpline@nami.org. Visit NAMI for more. You can also call or text SAMHSA at 988 or chat 988lifeline.org.

The Weather Company's Dani Feore joins The Big Impression to discuss the neuroscience behind weather-driven marketing, why consumer mindsets shift with changing conditions and how brands are using those insights to boost performance. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Humility is not a weakness or a sign you're a pushover, instead it's a mental health tool that just might be exactly what our loneliness epidemic and anxiety culture are desperately craving. Humility is an accurate, grounded sense of who you are. And that grounded sense of self is a foundation for confidence, deeper connection, and holistic mental health. Here's what we'll explore this episode: There are four research-backed types of humility to focus on: Relational humility — how you hold yourself in relation to others; not above, not below Intellectual humility — holding beliefs with openness; curiosity over certainty Cultural humility — recognizing the limits of your own cultural lens and genuinely welcoming differences Existential humility — making peace with uncertainty, impermanence, and the big unanswerable questions of human life You might be doing great in one area and struggling in another (that's normal). These types aren't perfectly clean categories, but they offer areas for self-reflection and focus as you work to boost your humility and emotional wellbeing throughout the month.  With these areas in mind, we'll use researcher Dr. Daryl Van Tongeren's framework to build humility through three core ingredients: Know Yourself — honest self-awareness of strengths and limits, without self-preoccupation Check Yourself — reducing defensiveness and the need to protect your ego Go Beyond Yourself — cultivating empathy and humility as a deep relational practice These three ingredients aren't just a nice framework for self improvement, they're a pathway to reducing loneliness, increasing connection, and building the kind of holistic healing and joy that Joy Lab is all about. If you're in the Joy Lab Program, your first Experiment will help you locate yourself within these four types and start the work.   About: The Joy Lab Podcast is an Ambie-nominated podcast that blends science and soul to help you cope better with stress, anxiety, and depression. It's hosted by integrative psychiatrist Dr. Henry Emmons and holistic mental health researcher Dr. Aimee Prasek. The podcast is best paired with the Joy Lab Program. Bonus: spread some joy and keep this podcast ad-free by donating (Joy Lab is powered by the nonprofit Pathways North and your donations are tax-deductible).    Like and follow Joy Lab on Socials:  Instagram Linkedin Watch on YouTube     Sources and Notes for our Element of Humility: Joy Lab Program: Take the next leap in your wellbeing journey with step-by-step practices to help you build and maintain the elements of joy in your life.  More on C.S. Lewis from the C.S. Lewis Foundation. Book: Humble by Daryl Van Tongeren, PhD Hagá & Olson. 'If I only had a little humility, I would be perfect': Children's and adults' perceptions of intellectually arrogant, humble, and diffident people. Access here. Nielsen & Marrone. Humility: Our current understanding of the construct and its role in organizations. Access here. Porter et al. Predictors and consequences of intellectual humility. Access here. Van Tongeren et al. Humility. Access here.  Weidman et al. The psychological structure of humility. Access here. Wright et al. The psychological significance of humility. Access here. Wendell Berry's book Standing by Words   Key moments: [00:00:00] Welcome + intro to Joy Lab's Element of Humility — solo episode with Dr. Aimee Prasek [00:00:30] Clearing up the bad takes: what humility is not — not weakness, not martyrdom, not dismissing your talents [00:01:00] The social science of humility: why we're drawn to humble people from mid-adolescence on, and why it primes us for connection [00:02:00] Humility as antidote to certainty culture and self-destructive perfectionism; the formal definition unpacked [00:02:45] C.S. Lewis on humility as self-forgetfulness — and the powerful paradox it reveals about hyper self-focus [00:03:30] The reframed Lewis quote: "Humility is not thinking less of yourself — it's thinking of yourself less often" [00:04:15] Introducing the four research-backed types of humility: relational, intellectual, cultural, and existential [00:05:00] Deep dive into intellectual, cultural, and existential humility — leaning into curiosity over certainty [00:06:00] Why humility is harder than other Elements — and why it's worth it anyway [00:07:00] The obstacles: certainty culture, fear of being wrong, pressure to perform vs. just be [00:08:00] Ego protection, the stress response, and why humility can feel like a physical threat to the nervous system [00:08:45] Dr. Daryl Van Tongeren's three ingredients for building humility: Know Yourself → Check Yourself → Go Beyond Yourself [00:09:45] Humility as medicine for the loneliness epidemic, anxiety, and depression — why culture is craving this right now [00:10:30] What's coming next: knowing ourselves, plus your first Joy Lab Program Experiment [00:11:00] Closing poem: The Real Work by Wendell Berry   Full transcript here   Please remember that this content is for informational and educational purposes only. It is not intended to provide medical advice and is not a replacement for advice and treatment from a medical professional. Please consult your doctor or other qualified health professional before beginning any diet change, supplement, or lifestyle program. Please see our terms for more information. If you or someone you know is struggling or in crisis, help is available. Call the NAMI HelpLine: 1-800-950-6264 available Monday through Friday, 10 a.m. – 10 p.m., ET. OR text "HelpLine" to 62640 or email NAMI at helpline@nami.org. Visit NAMI for more. You can also call or text SAMHSA at 988 or chat 988lifeline.org.

Dr. Yuthika Girme took one undergrad course on interpersonal relations, which completely altered the trajectory of her career and led her down the path of researching relationship science. In this episode, Dr. Yuthika unpacks the science behind close relationships and singlehood. She also covers the impact of online dating, how social scripts impact relationships, and how to build a balanced relationship with yourself before—and during—a romantic one.References:- Dr. Yuthika Girme: https://www.sfu.ca/psychology/about/people/current-faculty/ygirme.html- SECURE Research Lab: https://secureresearchlab.com- SECURE Research Lab on Instagram: https://www.instagram.com/securelab.sfu/- Simon Fraser University: https://www.sfu.ca- University of Auckland: https://www.auckland.ac.nzTimestamps:00:00 Introduction01:15 From clinical psych to relationship science03:48 What relationship science actually explores05:50 Predictors of lasting relationships08:50 How communication changes depending on relationship type10:15 Does dating change as you get older?11:55 The biggest misconception in dating13:18 How social media distorts our perception of relationships14:48 What singlehood science examines16:33 Validating singlehood without devaluing partnership20:09 The toll of singlehood22:42 How different generations approach marriage23:59 Does the biological clock impact dating?25:48 How online dating impacts connection 33:46 The science behind partner selection36:32 Balance between self and relationships42:55 Dating scripts and gendered norms

On this episode of Managed Care Cast, The American Journal of Managed Care® spoke with Jonathan Wrathall, PhD, a senior advanced analytics consultant at Elevance Health. He authored 2 studies published in the May 2026 issue, both of which centered on food insecurity: “Food Insecurity Identification Modeling for Medicare Enrollees Using Administrative Data” and “Making the Most of Limited Resources: Predicting Food Insecurity.” Throughout the conversation, Wrathall highlighted the motivation behind his studies, key food insecurity predictors, unexpected findings, and gaps in identifying needs across insurance groups. Before concluding, he rounded out the discussion by bringing the findings of both studies together to explain their implications for improving food insecurity detection in health systems.

The boys are here to react to the news that Graeme Shinnie will depart after the expiry of his contract, we look at the others who join the future endeavour list and bring you the results of our 2025-26 Predictor.   Become a paid subscriber over at abzfootballpodcast.com   Follow us on our social media channels:-   Twitter - @AbzPodcast Facebook - @ABZFootballPodcast Instagram - @abzfootballpodcast

Chuck and Chris continue the initiative working with The Journal of Hand Surgery on a quarterly journal club.  Nash and Macerena choose the articles from the previous quarter and Chris and Chuck review the articles and discuss practical implications.  See articles below.In addition, we discuss a case of possible pronator syndrome together with carpal tunnel syndrome including debate on the role of nerve studies, physical examination, and ultrasound.1) Rames JD, Emanuels AF, Tunaboylu MF, Moran SL. A 40-Year Retrospective Evaluation of Vascularized Bone Grafting for Kienböck Disease. J Hand Surg Am. 2026 Jan;51(1):13.e1-13.e9. doi: 10.1016/j.jhsa.2025.07.025. Epub 2025 Aug 29. PMID: 40879579.2) Suzuki T, Kiyota Y, Matsumura N, Sato K, Nakamura M, Iwamoto T. Anatomical Reconstruction of the Terminal Tendon and Lateral Band for Severe Chronic Tendon Mallet Injury. J Hand Surg Am. 2026 Jan;51(1):92.e1-92.e7. doi: 10.1016/j.jhsa.2025.04.025. Epub 2025 Jun 21. PMID: 40542795.3) Lee C, Shin S, Fraipont G, Hung V, McGarry MH, Lee TQ. Dermal Allograft Augmentation With Proximal Row Carpectomy: A Biomechanical Study. J Hand Surg Am. 2026 Feb;51(2):143-152. doi: 10.1016/j.jhsa.2025.05.006. Epub 2025 Jul 4. PMID: 40613810.4) Jaarsma EH, Ring D, Tonn MD, Brinkman N. Do Patients Older Than 40 Years with Work Claims for Unilateral Wrist Symptoms Have Symmetric, Bilateral MRI Signal Changes That Do Not Correspond with Symptoms? J Hand Surg Am. 2026 Mar;51(3):313-320. doi: 10.1016/j.jhsa.2025.11.012. Epub 2026 Jan 29. PMID: 41609546.5) Pohl NB, Brush PL, Parson JP, Fitzgerald P, Charlton A, Beredjiklian PK, Fletcher DJ. Incidence and Predictors of Subsequent Triggering Requiring Treatment After Trigger Finger Release. J Hand Surg Am. 2026 Feb;51(2):203.e1-203.e8. doi: 10.1016/j.jhsa.2025.02.009. Epub 2025 Apr 9. PMID: 40202483.We are in need of a podcast intern!  We would appreciate any referrals!See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.The Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/.As always, thanks to @iampetermartin for the amazing introduction and concluding music.For additional links, the catalog.  Please see https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx

In this episode of the Pain and Performance Podcast, Dr. Derrick Hines breaks down why VO2 max may be one of the most important predictors of long-term health, resilience, and longevity.He explains what VO2 max actually measures, why it matters far beyond athletics, and how improving your body's ability to use oxygen impacts energy, inflammation, cardiovascular health, and overall performance.Dr. Hines also walks through practical VO2 max training methods including the popular Norwegian 4x4 protocol and short high-intensity intervals designed to improve endurance, resilience, and long-term health.In This Episode-- What VO2 max is and why it matters-- The connection between oxygen use and longevity-- Why VO2 max is linked to overall health and resilience-- How the Norwegian 4x4 protocol works-- Simple ways to improve VO2 max safely and effectivelyInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick

Mike can't understand how people put so much stock into the NFL schedule announcement in terms of how many wins a specific team will have.

Previous literature has demonstrated that an increased number of preoperative anterior shoulder instability episodes is associated with recurrent anterior shoulder instability after arthroscopic Bankart repair (ABR). However, a threshold for the number of preoperative instability episodes that increases the risk of recurrent anterior shoulder instability is not well established.   A threshold of ≥2 preoperative anterior shoulder instability episodes best predicted recurrent anterior shoulder instability after ABR. Stratification beyond 1 versus ≥2 preoperative anterior shoulder instability episodes did not increase predictive ability. This finding may help surgeons to counsel patients and consider earlier surgical stabilization in those who have sustained anterior shoulder instability episodes.   Click here to read the article.

What if students who seem “on track” are actually headed in the wrong direction?In this solo episode, Lisa Marker-Robbins challenges the traditional focus on grades, college acceptance, and achievement, revealing why these milestones often create a false sense of progress. She explains how families unintentionally prioritize the wrong finish line, leading students to graduate without clarity, confidence, or real-world readiness.Through powerful examples and practical insight, she outlines how early self-awareness, intentional career exploration, and real-world validation can help students build true momentum toward a successful and independent future.In this episode, you'll discover:Why students who appear successful can still feel lost after graduationHow common definitions of success in school can unintentionally mislead familiesThe hidden influence of expectations coming from parents and institutionsWhat it actually takes to build clarity and confidence before choosing a pathKey Takeaways: It is entirely possible for a student to follow the expected path, earn strong grades, and attend a great college, yet still reach graduation without a clear direction because none of those steps required them to truly understand themselves or their future.Many families feel reassured by steady progress through school milestones, but that sense of progress can be misleading when those achievements are not connected to a larger goal like long-term independence and career fit.Students often commit to majors or career paths based on what feels right in the moment, and only later realize the mismatch when they encounter real-world constraints or limitations that force them to reconsider.Clarity comes from doing the deeper work early, including understanding personal strengths and preferences, exploring options with intention, and testing those interests in real environments before making decisions that are harder to reverse later. “If we don't define the finish line early enough, young people will still move forward, but they'll just move forward with something that may not be a fit.” – Lisa Marker-RobbinsEpisode References:Turn confusion into career clarity—and give your teen direction and you peace of mind with Launch Career Clarity®: https://www.flourishcoachingco.com/course/#221 The #1 Predictor of Your Child's Career Success (It's Not What You Think) https://flourishcoachingco.com/221 Get Lisa's Free on-demand video: THE CAREER IDENTIFICATION COMPASS: How To Be Certain Your 15 To 25 Year Old is On The Right Path to Launch With Confidence–Not Confusion: flourishcoachingco.com/video Connect with Lisa:Website: https://www.flourishcoachingco.com/YouTube: https://www.youtube.com/@flourishcoachingcoFacebook: https://www.facebook.com/flourishcoachingco/ Instagram: https://www.instagram.com/flourishcoachingco/LinkedIn: https://www.linkedin.com/company/flourish-coaching-co

Todd Conklin interviews Martha Acosta, a pioneer in human performance and instructional design, about using organizational "pain points" and paradoxes as early indicators of system failures. They discuss why near misses and workplace frustrations are valuable signals and how leaders can turn those tensions into opportunities for learning and improvement. The episode offers practical advice for managers: be present, look for pressure points across roles, and treat minor pains as diagnostic cues to prevent larger incidents. Martha translates high-level ideas into actionable steps leaders can use tomorrow.

Welcome to Hacking Your ADHD. I'm your host, William Curb, and I have ADHD. On this podcast, I dig into the tools, tactics, and best practices to help you work with your ADHD brain. Today, I'm joined by Skye Waterson for our research recap series. In this series, we take a look at a single research paper, dive into what the paper says, how it was conducted, and try and find any practical takeaways. In this episode, we're going to be discussing a paper called "Prevalence, Patterns, and Predictors of Sleep Problems and Daytime Sleepiness in Young Adolescents with ADHD." And so this is a study that's investigating the high prevalence of sleep-related issues in adolescents with ADHD, and this paper is also trying to distinguish between, like, nighttime sleepiness disorders and daytime sleepiness. So the story here being that, hey, maybe ADHD might not be caused by poor sleep quality alone, but there are, like, strong links to other things like sluggish cognitive tempo, which we'll all get into. So how about that? Let's dive in. If you'd life to follow along on the show notes page you can find that at https://HackingYourADHD.com/293 https://tinyurl.com/56rvt9fr - Unconventional Organisation Affiliate link https://tinyurl.com/y835cnrk - YouTube https://www.patreon.com/HackingYourADHD - Patreon

LAST YEAR WE WERE RIGHT! Today on the Show, what are some luxuries in life that once you had it, you knew you were never going back? Also, WHAT YOU WISH YOU DIDN'T KNOW ABOUT YOUR MOM! Plus, an ALL NEW WAR OF THE ROSES, and yet another CINDO DE DRINKO confession. YALL ARE CRAZY! P.S. Baby Noah was ON THE PRICE IS RIGHT TODAY! Be sure to watch his episode on Paramount+ and be tuned in MONDAY morning for a full story time. See omnystudio.com/listener for privacy information.

Join Dr. Jeff Jarvis for part II of his interview with podcase friend and frequent contributor, now-Dr Tanner Smida where we discuss his defense of his PhD. Dr Smida discusses four papers that inform cardiac arrest resuscitation, as well as lessons he learned about conducting well-designed observational studies. Although his dissertation was built around only 4 papers, here is Dr Smida's entire bibliography:1.        Smida T, Willson C, Salerno J, Weiss L, Salcido DD. Can you get there from here? An analysis of walkability among PulsePoint CPR alert dispatches. Resuscitation. 2020 Mar 1;148:135-139. 2.        Patterson PD, Weiss LS, Weaver MD, Salcido DD, Opitz SE, Okerman TS, Smida TT, Martin SE, Guyette FX, Martin-Gill C, Callaway CW. Napping on the night shift and its impact on blood pressure and heart rate variability among emergency medical services workers: study protocol for a randomized crossover trial. Trials. 2021 Mar 16;22(1):212. 3.        Smida T, Koller AC, Menegazzi JJ, Salcido DD. Early cytotoxic lymphocyte localization to the brain following resuscitation in a porcine model of asphyxial cardiac arrest: A pilot study. Resusc Plus. 2021 Apr 28;6:100125. 4.        Smida T, Salerno J, Weiss L, Martin-Gill C, Salcido DD. PulsePoint dispatch associated patient characteristics and prehospital outcomes in a mid-sized metropolitan area. Resuscitation. 2022 Jan;170:36-43. 5.        Smida T, Menegazzi JJ, Crowe RP, Weiss LS, Salcido DD. Association of prehospital hypotension depth and dose with survival following out-of-hospital cardiac arrest. Resuscitation. 2022 Sep 30;180:99-107. 6.        Smida T, Menegazzi JJ, Crowe RP, Bardes J, Scheidler JF, Salcido DD. Association of prehospital post-resuscitation peripheral oxygen saturation with survival following out-of-hospital cardiac arrest. Resuscitation. 2022 Dec;181:28-36. 7.        Smida T, Menegazzi J, Crowe R, Scheidler J, Salcido D, Bardes J. A Retrospective Nationwide Comparison of the iGel and King Laryngeal Tube Supraglottic Airways for Out-of-Hospital Cardiac Arrest Resuscitation. Prehosp Emerg Care. 2023 Feb 13:1-7. 8.        Smida T, Menegazzi J, Scheidler J, Martin PS, Salcido D, Bardes J; CARES Surveillance Group. A retrospective comparison of the King Laryngeal Tube and iGel supraglottic airway devices: A study for the CARES surveillance group. Resuscitation. 2023 Apr 28:109812. 9.        Smida T, Price BS, Scheidler J, Crowe R, Wilson A, Bardes J. Stay and play or load and go? The association of on-scene advanced life support interventions with return of spontaneous circulation following traumatic cardiac arrest. Eur J Trauma Emerg Surg. 2023 May 10. 10.  Smida T, Menegazzi JJ, Crowe RP, Salcido D, Martin PS, Scheidler J, James Bardes. The Association of Combined Prehospital Hypotension and Hypoxia With Outcomes Following Out-of-Hospital Cardiac Arrest Resuscitation. Prehosp Emerg Care. 2023 Jul 26:1-9. 11.  Smida T, Menegazzi JJ, Crowe RP, Salcido DD, Bardes J, Myers B. The Association of Prehospital End-Tidal Carbon Dioxide with Survival Following Out-of-Hospital Cardiac Arrest. Prehosp Emerg Care. 2023 Sep 26:1-7. 12.  Smida T, Bonasso P, Bardes J, Price BS, Seifarth F, Gurien L, Maxson R, Letton R. Reverse shock index multiplied by the motor component of the Glasgow Coma Scale predicts mortality and need for intervention in pediatric trauma patients. J Trauma Acute Care Surg. 2024 Jan 26. 13.  Suchko S, Smida T, Crowe RP, Menegazzi JJ, Scheidler JF, Shukis M, Martin PS, Bardes JM, Salcido DD. The association of clinical, treatment, and demographic characteristics with rearrest in a national dataset. Resuscitation. 2024 Mar;196:110135. 14.  Smida T, Crowe R, Jarvis J, Ratcliff T, Goebel M. A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Prehosp Emerg Care. 2024 Feb 28:1-23. 15.  Smida T, Crowe RP, Martin PS, Scheidler JF, Shukis M, Price BS, Bardes JM. A retrospective, multi-agency ‘target trial emulation' for the comparison of post-resuscitation epinephrine to norepinephrine.  Resuscitation.  2024 April16.  Smida T, Crowe RP, Merrill PW, Scheidler JF. A Simpler Method for Choosing Adult i-gel Size: An Evaluation of Real-World Prehospital Data. Air Med J. 2024 May-Jun;43(3):259-261. 17.  Niemann B, Zarfoss E, Victory J, Smida T, Petros K, Sestito M, Bardes J. Evaluation of Oral Vasoactive Medications to Maintain Mean Arterial Pressure in Spinal Cord Injury. J Surg Res. 2024 Aug 12;302:339-346. 18.  Smida T, Price BS, Mizener A, Crowe RP, Bardes JM. Prehospital Post-Resuscitation Vital Sign Phenotypes are Associated with Outcomes Following Out-of-Hospital Cardiac Arrest. Prehosp Emerg Care. 2024 Aug 15:1-8. 19.  Smida T, Voges L, Crowe R, Scheidler J, Bardes J. Prehospital Transcutaneous Cardiac Pacing in the United States: Treatment Epidemiology, Predictors of Treatment Failure, and Associated Outcomes. Prehosp Emerg Care. 2024 Sep 4:1-8. 20.  Smida T, Dayal S, Bardes J, Scheidler J. Association of Prehospital Rearrest With Outcome Following Out-of-Hospital Cardiac Arrest: A Systematic Review and Meta-Analysis of Observational Studies. Prehosp Emerg Care. 2024 Oct 18:1-9. 21.  Smida T, Cheskes S, Crowe R, Price BS, Scheidler J, Shukis M, Martin PS, Bardes J. The association between initial defibrillation dose and outcomes following adult out-of-hospital cardiac arrest resuscitation: A retrospective, multi-agency study. Resuscitation. 2025 Jan 23:110507. 22.  Smida T, Crowe R, Price BS, Scheidler J, Martin PS, Shukis M, Bardes J. A retrospective 'target trial emulation' comparing amiodarone and lidocaine for adult out-of-hospital cardiac arrest resuscitation. Resuscitation. 2025 Jan 23:110515. 23.  Nordstrom NK, Smida T, Bardes JM, Brown C, Wilson A. A contemporary analysis of prehospital crystalloid resuscitation after trauma. Injury. 2025 Jul 15:112614.24.  Kimbrell JM, Kreinbrook JA, Stebel J, Smida T, Shekhar AC, Rodriguez D, Mara A, Mullen J, Miele A, Vega J. Delays to chest compressions and defibrillation after prehospital rearrest. Am J Emerg Med. 2025 Dec;98:118-123. 25.  Smida T, Kimbrell JM, Kreinbrook JA, Gan GH, Odom W, Bouthillet T, Walsh B, Shukis M, Scheidler J, Martin PS, Moskowitz A, Counts CR, Bardes J. The prevalence of sustained electrical capture during prehospital transcutaneous pacing: a multicenter observational study. Resuscitation. 2025 Dec 22:110934. 26.  Smida T, Harvey W, Bonasso P, Price BS, Martin PS, Bardes J. The ability of statewide prehospital pediatric blood transfusion protocols to predict early in-hospital blood product administration: A National Trauma Data Bank analysis. J Trauma Acute Care Surg. 2026 Jan 20. 27.  Smida T, Handyside R, Crowe R, McDonald A, Scheidler J, Bardes J. Factors associated with successful intravenous access in the prehospital setting. Prehosp Emerg Care. 2026 Feb 25:1-12.28.  Smida T, Handyside R, Crowe R, Merrill PW, Scheidler J, Bardes J. A retrospective comparison of plunger-type and band-type mechanical chest compression devices for prehospital resuscitation. Prehosp Emerg Care. 2026 Feb 25:1-12. 29.  Kreinbrook JA, Kimbrell JM, Gan GH, Odom W, Shukis M, Bardes J, Smida ...

The Derm on RheumNow podcast is a collection of Citations and Content curated for dermatologists – addressing Psoriasis, PsA, CLE, vasculitis, HS, other CTD skin disorders. dermatology drugs, biiologics, JAKs - their use, efficacy and side effects.  Features Dr. Jack Cush, Editor at RheumNow.com. Show Notes: Chinese target emulation trial of MDA-5+, dermatomyositis w/ ILD. 106 Rx w/ UPA & 328 w/ TOFA. 6-month lung transplantation-free survival 72% vs 67% (UPA v TOFA). UPA non-inferior to TOFA in MDA5+DM-ILD https://t.co/BBAfbM06AM In 2025 DTC TV ad spending by top 10 incr to $2.67 billion (up from $2.1 B). Rheum Drugs in top 3: 1. Skyrizi $440 million 2. Tremfya $431 M 3. Rinvoq $376 M https://t.co/EsWgUqUy9Z 2. Dermatology Salaries 2025 – Dermatology is top 10 at $448K according to Medscape; expected to go down -1% in 2026; derms made up 2% of survey group 37K MDs 3. Itch is common in Scleroderma (SSc) and not related to Dz duration. Study of 2173 Pts (~20K itch assessments), 87 F; mean age 55 yrs; 40% w/ diffuse SSc. Itch (moderate 4/10) seen in ~35% at all times https://t.co/QnT8d0xA5Z 4. Asia-Pacific Lupus study of Mucocutaneous activity (MC-A) in 4102 SLE pts. 36% had MC-A (rash 1055; alopecia 731; m ulcers 352); 15% persistently. MC-A assoc w/ W, smoking, +serologies, vasculitis, myositis, serositis, nephritis, NP-SLE https://buff.ly/D5fXJdY 5. Predictors of Calcinosis Cutis in Systemic Sclerosis   6. AFFINITY Study - Combination Biologic Therapy in PsA A pilot trial assessed the efficacy and safety of the guselkumab+golimumab (COMBO) combination versus GUS monotherapy in active PsA (failing a prior tumor necrosis factor inhibitor (TNFi-IR) and showed superiority in ACR 50 https://t.co/f2CB8FnZMB 7. AAD 2026 Annual Mtg presents new data on another TYK2 inhibitor. In 2 phase 3 RCTs (ONWARD1 ONWARD2) envudeucitinib was superior to placebo & apremilast in 1700 plaque psoriasis pts https://t.co/DPlzDw5m7N 8. Among 1074 #PsA tested annually, RF positivity was found in 16.1% overall (5.1% RF+ at baseline). RF+ rediced odds of MDA (OR 0.53) w/ incr risk of bDMARD discontinuation (OR 2.65) https://buff.ly/BsM7NKQ 9. The National Psoriasis Foundation Primer on GLP-1 Receptor Agonists in Psoriasis - Review 10. Ixekizumab With Tirzepatide Efficacy in Obese Psoriatic Arthritis 11. Brepocitinib in Dermatomyositis

This week, Dr. Kahn reviews new data from the Global Burden of Disease study analyzing the relationship between diet and death from heart disease. In 2023, an estimated 5.9 million deaths worldwide were linked to poor dietary choices, led by excessive sodium intake and insufficient consumption of fruit and whole grains. It's a fascinating and important study with clear takeaways. Other topics include stents for angina, causes of sudden cardiac death, daytime napping and health outcomes, plastic-free diets, PCSK9 inhibitors vs. statins, calcium supplements, and the purity of fish oil samples. Thanks to the Fresh Pressed Olive Oil Club. Visit getfreshdrkahn.com for an incredible introductory offer.

On episode #105 of the Infectious Disease Puscast, Daniel and Sara review the infectious disease literature for the weeks of 4/9 – 4/22/26. Host: Daniel Griffin and Sarah Dong Subscribe (free): Apple Podcasts, RSS, email Become a patron of Puscast! Links for this episode Viral Oral Nirmatrelvir–Ritonavir for Covid-19 in Higher-Risk Outpatients (NEJM) Same Pill, Different Impact — Reassessing the Efficacy of Nirmatrelvir–Ritonavir (NEJM) Paxlovid doesn't reduce hospitalization, death rates in vaccinated high-risk COVID outpatients, trial shows (CIDRAP) Risk of Guillain–Barré Syndrome after Laboratory-Confirmed Dengue Infection (NEJM) A New Type of Nonsuppressible Viremia Produced by HIV-Infected Macrophage (JID) First Report on Remdesivir Use for the Treatment of Respiratory Syncytial Virus in Five Allogeneic Hematopoietic Cell Transplant Recipients (JID) Bacterial Tetanus Surveillance — United States, 2009–2023 (CDC: MMWR) Notes from the Field: Tetanus in Four Children — Idaho, Minnesota, Missouri, and Wisconsin, 2024 (CDC: MMWR) Amoxicillin-Clavulanate vs Amoxicillin for Acute Sinusitis in Adults (JAMA) Efficacy and safety of vancomycin versus 13 alternatives in MRSA-confirmed skin and soft tissue infections: a meta-analysis of 39 randomized controlled trials (Infection) Methicillin-Resistant Staph Aureus (MRSA) Nasal Swab Utilization as a Predictor for MRSA Skin & Soft Tissue Infections: A Systematic Review and Meta-analysis (OFID) Practice variation, outcomes and definitions of suppressive antimicrobial therapy for prosthetic joint infections: a systematic review and expert consensus statement (CIC) Efficacy and safety of VPM1002 and Immuvacin preventing tuberculosis: phase 3 randomised clinical trial (PreVenTB trial) (BMJ) Comparison of Ceftolozane-Tazobactam and Ceftazidime-Avibactam in the Treatment of Multidrug-Resistant/Difficult-to-Treat Resistant Pseudomonas aeruginosa Infections: A Systematic Review and Meta-analysis (CID) Do C-Reactive Protein Measurements Predict Treatment Failure in Native Vertebral Osteomyelitis? (OFID) Fungal The Last of US Season 2 (YouTube) Rising burden of severe pediatric coccidioidomycosis: a 25-year single-center study (Journal of the Pediatric Infectious Diseases Society) Candida glabrata emerges as the most common cause of candidemia: analysis of a large hospital-based database, United States, 2016–2024 (CID) Test Performance and Clinical Utility of the cobas® eplex Blood Culture Identification Fungal Pathogen Panel (OFID) Cutaneous Paraconiothyrium cyclothyrioides Infection in Lung Transplant Recipient, Georgia, USA (Emerging Infectious Diseases) Azole Resistance in Aspergillus fumigatus From Diverse Environments in Ohio, United States, Is Primarily Driven by TR34/L98H and TR46/Y121F/T289A Environmental Signatures (OFID) Parasitic Fatal Donor-Derived Disseminated Acanthamoeba Infection in a Liver Transplant Recipient (OFID) Miscellaneous Host–microbiome archetypes differentiate infection from pathogen carriage in the human lower airway (Nature Communications) Music is by Ronald Jenkees Information on this podcast should not be considered as medical advice.

Are you focusing on your healthspan while completely neglecting your "strength span"? I have seen so many women hit midlife and feel like their strength and recovery disappeared overnight, but it is often a decline in cellular energy rather than just muscle loss. In this episode, I explain why we need to look past the scale and focus on the two most powerful predictors of longevity: grip strength and VO2 max. I also share how supporting mitochondrial health through mitophagy can help you stay resilient and independent for decades to come. What you'll learn: 00:00 How aging affects mitochondrial efficiency inside your muscle cells before you notice any visible loss of strength. 01:55 Why muscle performance and endurance depend directly on the cellular energy produced by your mitochondria. 03:45 The role healthy mitochondria play in muscle repair, inflammation control, and tissue rebuilding after exercise. 06:12 Why relying on protein and resistance training alone might not be enough to stop strength loss during midlife. 07:42 How the process of mitophagy clears out dysfunctional mitochondria to make room for healthier ones that support muscle function. 11:07 Why the number on the scale is a poor metric for aging and how it fails to measure muscle quality or resilience. 11:53 The specific reasons why grip strength and VO2 max are the ultimate biomarkers for predicting your healthspan and independence. 14:40 The difference between healthspan and "strength span" and why you need both to remain physically capable and powerful. Love the podcast? Here's what to do: Subscribe to the podcast. Leave a review. Text a screenshot to me at 813-565-2627 and wait for a personal reply because your voice is so important to me. Mitopure supports the cellular energy that allows your muscles to actually respond and adapt. Mitopure gummies make it simple. Visit https://timeline.com/jjvirgin for 20% off your order. Full show notes (including all links mentioned): https://jjvirgin.com/healthspan Learn more about your ad choices. Visit megaphone.fm/adchoices

The Human Equation with Joe Pangaro – The Iranian leadership has often treated ceasefires not as steps toward peace but as strategic breathing room. Historical examples are frequently cited: periods of calm followed by sudden escalations, agreements signed and then quietly undermined, and diplomatic overtures paired with covert military activity. Critics argue that this pattern reflects a...

Join the Johns Hopkins Thoracic Surgery Subspecialty team on this rapid research review revealing how investigative efforts have changed the way we view and use Veno-venous (VV) ECMO therapy in the pre-lung transplant patient population working to avoid ventilator dependence and the associated morbidity while facilitating continued ambulation and preoperative optimization. Hosts:- Dr. Alfred J. Casillan, MD, PhDAttending Thoracic Surgeon Johns Hopkins Hospital - Kyla Rakoczy, MD Johns Hopkins General Surgery ResidentReferences:Awake ECMO as Bridge to Lung Transplantation Fuehner T, Kuehn C, Hadem J, Wiesner O, Gottlieb J, Tudorache I, et al. Extracorporeal membrane oxygenation in awake patients as bridge to lung transplantation. American Journal of Respiratory and Critical Care Medicine. 2012;185(7):763–768. PMID: 22268135 Link: https://pubmed.ncbi.nlm.nih.gov/22268135/Predictors of Successful ECMO Bridging Tipograf Y, Salna M, Minko E, Grogan EL, Sonett JR, Bacchetta MD. Outcomes of extracorporeal membrane oxygenation as a bridge to lung transplantation. Annals of Thoracic Surgery. 2019;107(5):1456–1463. PMID: 30790550 Link: https://pubmed.ncbi.nlm.nih.gov/30790550/Intubation Status and ECMO Bridging Outcomes Zhou AL, Jennings MR, Akbar AF, et al. Utilization and outcomes of nonintubated extracorporeal membrane oxygenation as a bridge to lung transplant. Journal of Heart and Lung Transplantation. 2025;44(4):661–669. PMID: 39486773 Link: https://pubmed.ncbi.nlm.nih.gov/39486773/ECMO Duration and Waitlist Mortality Shou BL, Kalra A, Zhou AL, et al. Impact of extracorporeal membrane oxygenation bridging duration on lung transplant outcomes. Annals of Thoracic Surgery. 2024;118(2):496–503. PMID: 38740080 Link: https://pubmed.ncbi.nlm.nih.gov/38740080/Mechanical Ventilation as a Risk Marker Mason DP, Thuita L, Alster JM, Murthy SC, Budev MM, Mehta AC, et al. Lung transplantation in recipients requiring mechanical ventilation: outcomes and risk factors. Journal of Thoracic and Cardiovascular Surgery. 2010;139(1):114–119. PMID: 19931096 Link: https://pubmed.ncbi.nlm.nih.gov/19931096/***Fellowship Application Link: https://forms.gle/QSUrR2GWHDZ1MmWC6Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewOral Board Simulator: https://app.behindtheknife.org/oral-board-simulatorTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

I think we've gotten to the point of defining hope as the expectation of something good happening in the future. But I've not found many, if any, people who I'd refer to as hopeful, who didn't exude hope in the right here and now. A primary definition of hope is simply, a feeling of trust. My guest in this episode says, “Hope is the single best predictor of well-being compared to any other measure of trauma recovery.” So if hope includes having trust, then it's relevant for us all to consider how trusting we feel in our lives. Not just in other people, but in life in general. My guest is Dr. Julia Garcia. Julia is a psychologist and author dedicated to empowering people through the science of mental health. Julia works with people facing life's toughest moments—helping them overcome fear, doubt, and hopelessness to build lasting habits of healing and hope. She says her mission is to prove that hope isn't just something you feel—it's something you practice, one habit at a time. I find hope, trust, in short supply in our culture. And yet I find my own hope in the miracle of living, a constant fuel for my own peace and joy. Julia has written a book on her work, The 5 Habits of Hope: Stories and Strategies to Help You Find Your Way. We start off talking about the cultural concepts around hope, and then walk and talk through her five habits of hope. Sign up for your $1/month trial period at shopify.com/kevin Go to shipstation.com and use code KEVIN to start your free trial. Learn more about your ad choices. Visit megaphone.fm/adchoices