Podcasts about procedures

President Trump wrote, “We are not going to pay for our innocent children to undergo these barbaric surgeries and practices.” Constitutional expert, lawyer, author, pastor, and founder of Liberty Counsel Mat Staver discusses the important topics of the day with co-hosts and guests that impact life, liberty, and family. To stay informed and get involved, visit LC.org 

The accepted practice when washing Netilat Yadayim in the morning is to pour water on each hand three times, in alternating fashion. Meaning, one first pours water on the right hand, then the left, a second time on the right, a second time on the left, and then a third time on the right and then the left. The Seder Ha'yom (Rav Moshe Ben Machir, Sefat, 16 th century) maintained that one should pour three times consecutively on the right hand, and then three times consecutively on the left hand. Due to the difference of opinion, there were those who washed their hand twice, once in each sequence, in order to satisfy both views. However, the Kaf Ha'haim (Rav Yaakob Haim Sofer, Baghdad-Israel, 1870-1939) writes that the Arizal taught that one should wash in alternating fashion, and this is the accepted practice. The Zohar explains that each hand must be washed three times because the impurity that descends upon the hands during the night is particularly difficult to remove. It has a way of "jumping" from one hand to the next, and the only way to remove it is by causing it to "tire," so-to-speak. We therefore wash three times in alternating fashion to eliminate this impurity. It is proper to use a copious amount of water for Netilat Yadayim, to ensure that water covers the entire hand with each pouring. Maran (Rav Yosef Karo, author of the Shulhan Aruch), in Bet Yosef, notes a seeming contradiction between two passages in the Zohar regarding Netilat Yadayim. In Parashat Vayesheb, the Zohar writes that one first washes the right hand, before washing the left, and this is, indeed, the accepted practice, as mentioned. Elsewhere, however, in Parashat Teruma, the Zohar instructs washing the left hand first. The Bet Yosef initially suggests reconciling these two passages by distinguishing between the washing in the morning, and the washing before eating bread. In the morning, when we seek to eliminate the Tum'a (impurity) from the hands, it would be improper to begin with the left, as the forces of Tum'a are associated with the left – which is the side of Din, judgment – and giving it precedence would have the effect of empowering those forces. We therefore begin with the right, the side associated with Hesed (kindness). When washing for bread, however, the Zohar instructs starting with the left hand. But the Bet Yosef then presents a different way to reconcile the two passages in the Zohar, which he felt was more correct, and according to which one begins with the right hand for both the morning washing and Netilat Yadayim before eating bread. He explains that in Parashat Teruma, the Zohar refers to washing, but to lifting the cup, and teaches that one should not pick up the cup with the left hand. Instead, one should pick up the cup with the right hand, and then transfer it to the left, as though asking the left to serve the right, thus showing that the left side – the side of Din – is subservient to the right side, the side of Hesed. But as for the actual washing, one always begins by pouring water from the left hand onto the right hand. This sequence should be followed even by those who are lefthanded. Precedence is given to the right hand when washing Netilat Yadayim not because of the right hand's dominance – in which case we might distinguish between righthanded individuals and lefthanded individuals – but rather because of the association between the right and Hesed. This association is true regardless of whether one is righthanded or lefthanded, and so even a lefthanded person begins with the right hand when washing Netilat Yadayim. The Mishna Berura brings the opinion of the Gaon of Vilna (1720-1797) that one should wash both hands a fourth time. The Gaon maintained that the water that remains on the hands after the third washing contains impurity, and thus it should be washed off the hands. Many people follow this practice. The Yalkut Yosef writes that if one does not follow this practice, he should ensure not to touch his face with hands after the morning washing until his hands are dry. As mentioned, one should always lift the cup with his right hand and then transfer it to the left, in order to express the left's subservience to the right. One must avoid transferring the cup directly from the left hand to the right hand, as this would suggest the right's subservience to the left. Therefore, after one washes his right hand with the cup held by the left hand, he should not transfer the cup directly to the right hand, but should instead put it down, and then lift it with the right hand. The proper procedure, then, is to lift the cup with one's right hand, transfer it to the left, pour onto the right, place the cup down, lift it with the right, pour on the left, and then transfer to the left for the next washing. Of course, this should then be repeated a third time (and a fourth for those who wish to follow the Gaon of Vilna's practice.) The Seder Ha'yom maintained that while washing Netilat Yadayim, one must ensure not to touch a moist part of the cup's handle, as this would contaminate those drops of water, which will then contaminate the other hand. The Ben Ish Hai (Rav Yosef Haim of Baghdad, 1833-1909), however, disagreed. He explained that according to the Arizal, the forces of impurity do not affect a small, negligible amount of moisture, such as the droplets on the handle of a cup. Therefore, while washing Netilat Yadayim, one can touch any part of the handle. It is not necessary to use a cup with handles for Netilat Yadayim. Such a cup offers the benefit of helping to ensure that the hands do not touch each other during the process of transferring to the cup, but it is not required, as long as one sees to it that his hands do not touch. Summary: When washing Netilat Yadayim in the morning, one must wash his hands three times in alternating fashion. The proper procedure is to lift the cup with one's right hand, transfer it to the left, pour onto the right, place the cup down, lift it with the right, pour on the left, and then transfer to the left for the second washing. This should then be repeated a third time. Some then wash both hands a fourth time. Those who do not should ensure not to touch their face after Netilat Yadayim until their hands are dry. This procedure should be followed by both righthanded individuals and lefthanded individuals. It is proper to use a copious amount of water for Netilat Yadayim, to ensure that water covers the entire hand with each pouring.

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Are you prepared for your next endoscopy, or ready to review a legal case involving procedural sedation? In this episode of the Legal Nurse Podcast, Pat Iyer is joined by experienced critical care nurse Tracey Kappers to explore the complexities of IV sedation, particularly in the endoscopy suite. Tracey Kappers draws on her deep clinical background to reveal why sedation is far from routine and highlights the risks and responsibilities facing healthcare professionals. Together, Pat Iyer and Tracey Kappers discuss the importance of careful patient assessment, the roles of different medication providers, and the standards of care that must be met to ensure safety. They address the real-world scenarios that legal nurse consultants might be asked to review, cases that hinge on documentation, patient selection, and rapid response to emergencies in the procedure room. Whether you're a legal nurse consultant, a healthcare provider, or simply someone facing a future colonoscopy, this episode offers essential insights into procedural sedation, the medications involved, possible complications, and the critical safeguards every facility must follow. Listen in for expert advice and stories that underscore the high stakes in seemingly routine medical procedures. What You'll Learn in This Episode on Sedation Safety: Avoiding Catastrophic Outcomes in Outpatient Procedures Here are 5 discussion questions answered in the podcast: What are the key differences between moderate and deep sedation in procedural settings, and why is it critical that the person performing a procedure not also be the one administering and monitoring sedation? In which healthcare environments besides endoscopy suites can patients receive procedural sedation, and what unique risks might these settings pose? How does the ASA (American Society of Anesthesiologists) physical status classification system affect patient eligibility for outpatient procedural sedation? What responsibilities do nurses hold when assessing a patient's suitability for sedation, and how should they handle ambiguous or borderline assessments? How can disagreements or communication failures between providers and nurses regarding verbal medication orders impact patient safety and legal outcomes? Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. https://youtu.be/G7bOZqwSyRI Your Presenter for Sedation Safety: Avoiding Catastrophic Outcomes in Outpatient Procedures Pat Iyer Pat Iyer is a seasoned legal nurse consultant and business coach, renowned for her expertise in guiding new legal nurse consultants to successfully break into the field. As the host of the Legal Nurse Podcast, Pat addresses critical challenges that legal nurse consultants face, such as difficulty in landing clients and a lack of response from attorneys. Through her insightful episodes, she emphasizes the importance of effectively communicating one's value to potential clients. With a wealth of experience, Pat has empowered countless consultants to overcome these hurdles and thrive in their careers. Connect with Pat Iyer by email at patiyer@legalnusebusiness.com Tracey Kappers IV sedation nurse expert, legal nurse consultant, scuba diver, and travel enthusiast. I began my career in high-acuity trauma ICU, cardiac critical care nursing, and recovery room, with experience in GI endoscopy and procedural sedation recovery. I now work with attorneys through TKO Consulting, reviewing medical records and translating complex clinical details into clear timelines and insights that support case strategy. My work focuses on identifying what happened clinically, what should have happened, and where breakdowns occurred in patient care. With a background spanning ICU trauma care, procedural sedation, and outpatient recovery, I bring a practical clinical perspective to legal cases involving medical injury. When she is not on this podcast, she is scuba diving in some of the world's most memorable waters or spending time with her family and planning her next travel adventure. Connect with Tracey Kappers by email at traceykappers@tkolncconsulting.com

I've mentioned Board Points on this podcast more times than I can count, but somehow I've never given them their own episode. Today, we're finally fixing that! I'm sharing how I started using Board Points, why they became a game-changer for one challenging class, and exactly how I use them to build teamwork and reduce individual behavior management. I'll walk you through my simple system, answer common questions, and share creative ways to use points, class competitions, and rewards to keep students motivated and create that “we're in this together” mentality.➡️ Show Notes: https://itsnotrocketscienceclassroom.com/episode249Resources Mentioned:BellINRS UnitsINRS Full Year CurriculumClassroom Management Podcast PlaylistDownload your FREE Classroom Reset Challenge.Take the Free Labs When Limited virtual PD courseSend me a DM on Instagram: @its.not.rocket.scienceSend me an email: rebecca@itsnotrocketscienceclassroom.com  Follow, rate, and review on Apple Podcasts.Follow, rate, and comment on Spotify.Related Episodes and Blog Posts:Episode 90, Classroom Management Philosophy for Secondary Science TeachersEpisode 91, My Top 5 Classroom Management Routines and Procedures for High School Science TeachersEpisode 93, Simple Strategies for Classroom ManagementEpisode 246, Grouping and Engaging Students with Popsicle SticksSave 25% off all It's Not Rocket Science resources Tuesday, August 25th, and Wednesday, August 26th, with code BTSBONUS26 at checkout!This is your LAST CHANCE to save until Cyber Monday!

Tonight's guest is Franky, calling from Nova Scotia, Canada. His encounters began in the late 1990s when an unfamiliar voice called him outside, where he saw a silent craft. His next memory was of being aboard the object. Franky believes this marked the beginning of nearly thirty years of unexplained encounters. He recalls being taken from his bed and during daylight hours, periods of missing time, unfamiliar beings and medical-style procedures.More information on this episode on the podcast website:https://ufochroniclespodcast.com/2026-2/If you enjoy this podcast, please support the show with a virtual coffee:https://ko-fi.com/ufochroniclespodcastFollow and Subscribe on X to get ad-free episodesX: https://x.com/UFOchronpodcast/Want to share your encounter on the show?Email: UFOChronicles@gmail.comOr Fill out Guest Form:https://forms.gle/uGQ8PTVRkcjy4nxS7Podcast Merchandise:https://www.teepublic.com/user/ufo-chronicles-podcastHelp Support UFO CHRONICLES by becoming a Patron:https://patreon.com/UFOChroniclespodcastAll Links for Podcast:https://linktr.ee/UFOChroniclesPodcastThank you for listening!Like share and subscribe it really helps me when people share the show on social media, it means we can reach more people and more witnesses and without your amazing support, it wouldn't be possible.Become a supporter of this podcast: https://www.spreaker.com/podcast/ufo-chronicles-podcast--3395068/support.

Ukraine's drone war reaches deeper into Russia as faster attacks leave Kyiv residents less time to find shelter. Federal officials investigate questionable billing for transgender procedures on minors, and a longtime music publicist Lance Cowan releases the songs he set aside for his family. Plus: police branch out against distracted driving, David Closson considers how algae acquired a constituency, and the Thursday morning news.Support The World and Everything in It today at wng.org/donate.Additional support comes from St. Dunstan's Academy, a boarding school launching Fall 2027. Accepting ninth and tenth grade boys. stdunstansacademy.org From Ascend by Unbound. A higher education program focused on practical skill development and career preparation.  beunbound.us/worldAnd from World Watch, a 10-minute daily news program that explores current events for students 5-12th grade. This high-energy show connects learners to the present, history and communities around the world. Join 40,000 Christian families that utilize World Watch as a tool to foster curiosity and have conversations about today's news as a discipleship rhythm within their families. “Whatever the news, the purpose of the Lord will stand!” First time? Take advantage of a 30-days free trial at worldwatch.news/podcast Not ready to sign up? Check out a free episode at https://get.worldwatch.news/free-episode

A young patient walks in with ordinary back pain and leaves on a path that can quietly weaken the muscle holding the spine together. Francisco M. Torres is an interventional physiatrist who noticed these patients coming back to him sooner, and traced it to radiofrequency ablation denervating the multifidus, the back's most important stabilizer, until the muscle atrophies and fills with fat. This episode is based on his article "Radiofrequency ablation and the young back pain patient," published on KevinMD. You will hear why insurers began steering these patients toward the procedure, why most of the evidence comes from older patients with degeneration rather than people in their twenties, and why he believes the muscle damage should be spelled out in the consent form. He explains why generic core exercises fall short, how facet injections and targeted rehabilitation offer a lower-risk path, and the exact questions to ask before you agree. Press play to hear the questions worth asking before you let anyone burn a nerve in your back. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

GBAG Nation examines the Dallas Cowboys' linebacker depth and training camp standouts as the preseason progresses. They celebrate National Radio Day by sharing stories from the early days of 105.3 The Fan and ranking the most influential broadcasters in history. Analysis also focuses on Texas Rangers pitching prospects and a viral story about coach Eric Morris. 01:50 - GBAG Nation Opening 02:36 - Cowboys Linebacker Competition 05:55 - Training Camp Standouts 07:58 - Brent Venables Extension 09:53 - Rangers Prospect Evaluation 18:42 - Rangers Broadcast Rankings 21:48 - Early Fan History 29:31 - Top Radio Hosts 37:02 - Eric Morris Armadillo Story 39:05 - Heisman Trophy Odds

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In today's episode of The Quiz, we're testing your knowledge on everything from national holidays to groundbreaking scientific discoveries. Can you answer these? Masterpiece Paintings: Swirling night skies over a French village define one of the world's most famous post-impressionist canvas works, but do you know which master painted it? Dystopian Classics: Opening with clocks striking thirteen on a bright cold April day, which celebrated dystopian novel introduces readers to the world of Big Brother? Botanical Science: In 1838, a pioneering German botanist fundamentally changed biology by determining that all plant structures are made of cells. Can you name him? Play. Share. Listen, with Grammy Award-winning Singer/Songwriter, Lee Greenwood. Learn more about your ad choices. Visit podcastchoices.com/adchoices

A new school year brings fresh opportunities—and plenty of preparation. In this back-to-school episode of Literacy Talks, classroom teacher Lindsay Kemeny shares the five priorities she focuses on every year to create a strong start for both students and teachers.From getting to know your students before the first day to planning instruction, building relationships with families, organizing your classroom, and even taking time to celebrate the start of a new year, Lindsay offers practical strategies that can help make those first weeks more intentional and less overwhelming.Along the way, Stacy Hurst and Donell Pons expand the conversation with insights on supporting students across grade levels, fostering self-advocacy, communicating effectively with families and educators, and creating learning environments where every student can thrive.If you're looking for practical ideas to make the transition back to school smoother and more successful, this episode offers actionable strategies you can put into practice from day one.Watch on YouTube.Show NotesLindsay's 5 Principles1: Get to know your students before day one.A fresh start doesn't have to mean starting with a blank slate. Lindsay explains how she reviews academic data, previous interventions, IEP accommodations, health considerations, and other available information before school begins. That knowledge helps her make intentional decisions about seating, initial small groups, and the support individual students may need.2: Plan instruction—and teach routines through it.Rather than spending the first weeks focused exclusively on rules and procedures, Lindsay begins teaching content right away, slowing down instruction as needed to explicitly teach classroom routines along the way. Procedures for using materials, transitioning, working at desks, and participating in lessons become part of actual instruction.3: Build communication and connection early.Positive relationships with families shouldn't begin when there's a problem. The hosts discuss welcome communications, parent questionnaires, regular classroom updates, and the value of intentionally reaching out with something positive—especially to families who may be accustomed to hearing from school only when something has gone wrong.4: Design the classroom around students and learning.Classroom setup isn't just about decoration. Lindsay considers traffic flow, accessibility, attention, student needs, seating, materials, and how easily students can see and participate in instruction. Donell extends the conversation to helping older students recognize environmental distractions and advocate for learning conditions that help them succeed.5: Make room to celebrate.Preparing for a new school year is a lot of work. Lindsay's final priority is simple: intentionally do something enjoyable to mark the beginning of a new year. The hosts also discuss checking in and celebrating after the first week as a way to reflect on what went well, what was challenging, and what's ahead.

Having an ISO 13485 Quality Management System in place does not automatically mean that your quality processes are effective.A strong QMS should help an organization identify problems, evaluate their significance, capture information from the market, investigate systemic issues, and continuously improve.In this Easy Medical Device podcast collection, we examine several situations that can reveal whether a QMS is truly functioning—or simply looks good on paper.Understanding NC vs CAPAOne of the most misunderstood areas of quality management is determining when to open a Nonconformity and when to escalate an issue into a CAPA.Not every isolated problem requires a complete CAPA investigation. However, when an issue becomes recurring, systemic, significant, or potentially high-risk, a deeper investigation may be necessary.The objective isn't to create as many CAPAs as possible. It's to recognize the problems that genuinely require root cause investigation and corrective action.Why “We've Never Had a Complaint” Can Be DangerousZero complaints may sound like excellent news, but it can also raise an important question:Is your organization effectively capturing all sources of customer and post-market feedback?Potential complaints may appear through distributor communications, service reports, customer emails, returned products, training feedback, or other customer-facing channels.If this information isn't properly evaluated, the organization may miss important product performance or safety signals.The Fake QMS ProblemA Quality Management System can look excellent on paper.Procedures exist. Forms are available. CAPA processes are defined. Risk management documentation is complete.But if employees don't follow those processes in daily operations, the QMS can become disconnected from reality.That's the core of the “fake QMS” problem: the documented system and the way the company actually operates become two different systems.During an audit, this gap can quickly become visible.Building a QMS That Actually WorksAn effective QMS should be integrated into everyday operations rather than maintained only for certification or audits.Problems should be identified and evaluated appropriately. Customer feedback should feed into complaint handling and post-market activities. Significant and recurring issues should trigger investigation, and lessons learned should contribute to continuous improvement.Ultimately, the goal isn't to create a perfect-looking Quality Management System.The goal is to create a QMS that helps your organization consistently identify problems, manage risk, improve processes, and support the delivery of safe and effective medical devices.Who is Monir El Azzouzi? Monir El Azzouzi is the founder and CEO of Easy Medical Device a Consulting firm that is supporting Medical Device manufacturers for any Quality and Regulatory affairs activities all over the world. Monir can help you to create your Quality Management System, Technical Documentation or he can also take care of your Clinical Evaluation, Clinical Investigation through his team or partners. Easy Medical Device can also become your Authorized Representative and Independent Importer Service provider for EU, UK and Switzerland. Monir has around 16 years of experience within the Medical Device industry working for small businesses and also big corporate companies. He has now supported around 100 clients to remain compliant on the market. His passion to the Medical Device filed pushed him to create educative contents like, blog, podcast, YouTube videos, LinkedIn Lives where he invites guests who are sharing educative information to his audience. Visit easymedicaldevice.com to know more.  If you need help implementing QMSR or preparing your teams for FDA inspections, contact: info@easymedicaldevice.com If you are located outside the EU/UK/Switzerland and need an Authorized Representative (and possibly an Importer), we can support you as well.Social Media to followMonir El Azzouzi Linkedin: https://linkedin.com/in/melazzouziTwitter: https://twitter.com/elazzouzimPinterest: https://www.pinterest.com/easymedicaldeviceInstagram: https://www.instagram.com/easymedicaldeviceThis podcast is hosted by Podcastics, the easiest platform to create and publish your podcast.

Judge Steven Hippler denied Bryan Kohberger's motion to strike the death penalty or impose additional procedures on prosecutors over the way discovery had been produced in the case. Kohberger's defense argued that the State had overwhelmed the defense with an enormous and poorly organized volume of material, including more than 68 terabytes of data, roughly 13,000 photographs, 15,000 business surveillance clips, thousands of residential videos and information extracted from dozens of digital devices. The defense characterized the production as a massive “data dump” that was difficult to search and review, arguing that prosecutors had failed to provide adequate indexes, logs or specific identification of potentially exculpatory material. Kohberger's attorneys contended that the situation interfered with their ability to prepare for a capital trial and violated his due-process rights, and they asked Hippler to impose sanctions that included removing the death penalty and requiring prosecutors to provide greater organization and assistance in navigating the discoveryHippler rejected those arguments, finding that the defense had failed to establish either a discovery violation or a constitutional due-process violation by the State. He concluded that prosecutors were required to disclose material evidence favorable to the accused but were not obligated to organize the defense's case for it, create a particular searchable database or specifically identify every potentially favorable item within a massive discovery production. Hippler also rejected the suggestion that prosecutors had deliberately buried relevant evidence among irrelevant material or made access to the discovery unreasonably difficult, noting that much of the material had been provided because the defense itself had requested broad categories of evidence. He therefore found no justification for the extraordinary sanction of eliminating the death penalty and declined to impose the additional organizational requirements requested by Kohberger's attorneys. While denying the motion, Hippler encouraged the defense to seek additional personnel or resources if it believed more help was necessary to review the evidence, leaving the responsibility for managing the discovery ultimately with Kohberger's defense teamto contact me:bobbycapucci@protonmail.com

Britney Spears shares details of Botox procedure that caused a 'drooping eye'Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Welcome back to the Bar Exam Toolbox podcast! This episode is part of the series in which we illustrate the shift from MBE to NextGen multiple-choice questions. Today we're walking through four questions on criminal law and procedure, related to search and seizure. Join Lee and practice multiple-choice questions in the classic MBE style and the new NextGen format. In this episode, we discuss: Question 1: Search warrant exceptions (MBE) Question 2: Search and seizure (MBE) Question 3: Search and seizure (NextGen) Question 4: Issue-spotting (NextGen) Study tips for multiple-choice questions RAMP study tool Resources: RAMP: Adaptive Bar Exam Prep (https://barexamtoolbox.com/what-is-ramp-bar-prep/) Illinois v. Wardlow (https://supreme.justia.com/cases/federal/us/528/119/) Podcast Episode 141: Listen and Learn – The Fourth Amendment (https://barexamtoolbox.com/podcast-episode-141-listen-and-learn-the-fourth-amendment/) Podcast Episode 154: Listen and Learn – The Exclusionary Rule (Criminal Law and Procedure) (https://barexamtoolbox.com/podcast-episode-154-listen-and-learn-the-exclusionary-rule-criminal-law-and-procedure/) Podcast Episode 173: Listen and Learn – Criminal Procedure: Warrant Requirements (https://barexamtoolbox.com/podcast-episode-173-listen-and-learn-criminal-procedure-warrant-requirements/) Podcast Episode 220: Listen and Learn – Exceptions to the Warrant Requirement (https://barexamtoolbox.com/podcast-episode-220-listen-and-learn-exceptions-to-the-warrant-requirement/) Download the Transcript (https://barexamtoolbox.com/episode-355-listen-and-learn-mbe-vs-nextgen-multiple-choice-criminal-law-and-procedure/) If you enjoy the podcast, we'd love a nice review and/or rating on Apple Podcasts (https://itunes.apple.com/us/podcast/bar-exam-toolbox-podcast-pass-bar-exam-less-stress/id1370651486) or your favorite listening app. And feel free to reach out to us directly. You can always reach us via the contact form on the Bar Exam Toolbox website (https://barexamtoolbox.com/contact-us/). Finally, if you don't want to miss anything, you can sign up for podcast updates (https://barexamtoolbox.com/get-bar-exam-toolbox-podcast-updates/)! Thanks for listening! Alison & Lee

Judge Steven Hippler denied Bryan Kohberger's motion to strike the death penalty or impose additional procedures on prosecutors over the way discovery had been produced in the case. Kohberger's defense argued that the State had overwhelmed the defense with an enormous and poorly organized volume of material, including more than 68 terabytes of data, roughly 13,000 photographs, 15,000 business surveillance clips, thousands of residential videos and information extracted from dozens of digital devices. The defense characterized the production as a massive “data dump” that was difficult to search and review, arguing that prosecutors had failed to provide adequate indexes, logs or specific identification of potentially exculpatory material. Kohberger's attorneys contended that the situation interfered with their ability to prepare for a capital trial and violated his due-process rights, and they asked Hippler to impose sanctions that included removing the death penalty and requiring prosecutors to provide greater organization and assistance in navigating the discoveryHippler rejected those arguments, finding that the defense had failed to establish either a discovery violation or a constitutional due-process violation by the State. He concluded that prosecutors were required to disclose material evidence favorable to the accused but were not obligated to organize the defense's case for it, create a particular searchable database or specifically identify every potentially favorable item within a massive discovery production. Hippler also rejected the suggestion that prosecutors had deliberately buried relevant evidence among irrelevant material or made access to the discovery unreasonably difficult, noting that much of the material had been provided because the defense itself had requested broad categories of evidence. He therefore found no justification for the extraordinary sanction of eliminating the death penalty and declined to impose the additional organizational requirements requested by Kohberger's attorneys. While denying the motion, Hippler encouraged the defense to seek additional personnel or resources if it believed more help was necessary to review the evidence, leaving the responsibility for managing the discovery ultimately with Kohberger's defense teamto contact me:bobbycapucci@protonmail.comBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-moscow-murders-and-more--5852883/support.

Inside Bunnie Xo's Dramatic Transformation Over the Years — Including Facelift Procedure: 'Just Got My Stitches Out'Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

In this episode of the Nacho Kids Podcast, family law attorney Jasmine Hernandez shares her extensive experience from over a decade practicing in New York, specializing in representing children in family court. Jasmine clarifies the complex legal rights of stepparents, explains why detailed and organized custody agreements are essential, especially in high-conflict cases, and discusses the importance of keeping children's best interests front and center. She addresses common questions about stepparent involvement, including visitation, signing school and medical forms, and the challenges around parental badmouthing. Jasmine emphasizes flexibility, communication, and documentation, offers her perspective on college expenses and parenting apps, and highlights how social media and recordings can impact custody cases. Throughout, she encourages both compassion and organization, reminding listeners that it's all about the kids. Key Topics Covered Stepparent legal rights, visitation, and involvement  The importance of detailed and specific custody agreements Common mistakes parents make in custody and parenting plans Challenges and strategies in high-conflict custody situations Guidelines for stepparents on school and medical paperwork Procedures for handling custody violations and court enforcement Impact of parental badmouthing and communication with children Recording conversations or exchanges and use of evidence in court College and extracurricular expenses in custody/support agreements Best practices for co-parenting communication (including parenting apps) The risks of social media use during custody cases Tips for maintaining focus on the children's well-being throughout the process

For David Peters, what began as medical attention to address an enlarged prostate in 2022 became a diagnosis of Stage 4B prostate cancer.  Prior to his undergoing a Rezum procedure, a pre-op workup a PSA level of 19.  However, nobody at the hospital bothered to check the PSA level before performing the procedure, which placed David at great risk.  Not long after that came his diagnosis.  David's care team recommended lifelong androgen deprivation therapy.  He checked out the side effects and didn't want to go that route.  David instead opted for a three-week to Hope4Cancer in Cancun, Mexico, where he underwent an intense holistic regimen.  In 2026, when the cancer spread to his bones, he went to the First Nations Clinic in Tennessee, where he is undergoing a nanotherapeutics protocol.  It is keeping the cancer at bay, and he enjoys a healthy lifestyle.   David said his cancer journey did not begin with cancer symptoms.  The combination of frequent urination and a weak stream led him to believe he had an enlarged prostate and went to a doctor.  He had many options, but chose a Rezum procedure, in which steam into the prostate through the rectal wall and it shrinks the prostate.  However, the care team wanted to first make sure David didn't have prostate cancer, so he was given a PSA test.  This was in May of 2022.  In August, the surgery was performed; but it wasn't until September that a nurse informed him that his PSA level was dangerously high at 19, meaning the surgery was performed when his risk for cancer was high, but the care team didn't know it!   Not long after that, David Peters was diagnosed with Stage 4B prostate cancer, which had spread to his sacrum, iliac chain and a node near his rib cage.  His oncologist discussed with Dave various treatment options, but urged him to immediately begin a regimen of androgen deprivation therapy, which would basically shut off his testosterone.  It did not David and his wife, Kathi, to agree this was not the way to go, and they opted to see remedies that were more holistic in nature.   After some research by David and Kathi, they decided to Hope4Cancer in Mexico, where he would undergo intensive testing and holistic work.  He really appreciated that Hope4Cancer treats body, soul and spirit with an eye toward wholeness.  He experimented with a raw vegan diet and with fasting.  David ended up being more diligent about the meats and vegetables he ate.   David continued his cancer journey in February 2026 at the First Nations Clinic in Tennessee, where he began a protocol of nanotherapeutics.  They disrupt the cancer cells, and for the first time in three years his PSA went down.  He goes to the clinic once a month.   David Peters is happy to report he weighs 150 pounds, like he did in high school.  He walks every day, exercises three times and does pushups every day.   Additional Resources:   David's Website: https://www.threewordsdoc.com        

Ever wonder why some classroom procedures seem to run effortlessly while others constantly need reminders? In this replay episode, we're sharing how a few simple guiding questions can help you plan classroom procedures that actually work...for both you and your students! We'll walk you through 10 benefits of thinking through your routines ahead of time, from preventing common classroom challenges to creating more efficient systems that make the entire school year run more smoothly!Prefer to read? Grab the original episode transcript and resources in the show notes here: https://www.secondstorywindow.net/podcast/planning-classroom-procedures/Resources:Classroom Procedures and Routines Planning Guide and ChecklistSun Shade Umbrella for CarPre-order our book: Structure and SparkJoin the Teacher Approved Club!Connect with us on Instagram @2ndstorywindow.Shop our teacher-approved resources.Join our Facebook group, Teacher ApprovedLeave a review on Apple Podcasts.Leave a comment or rating on Spotify.Related Episodes to Enjoy:Episode 149, Go Time: 10 Things to Do After You Get Your Class ListEpisode 146, Never Pick up Another Stray Crayon: Why We Love Guided DiscoveryEpisode 134, The 10 Stages of Teacher Summer BreakEpisode 89, Hallway Behavior Management: 4 Essential Plans for Improving Hallway Classroom ManagementEpisode 75, Classroom Procedures and Expectations: How they Differ and How to Teach ThemEpisode 18, Procedures for Success!

Embedded earrings are a common pediatric emergency department presentation that can usually be managed quickly and safely without procedural sedation. This episode reviews why earrings become embedded, how to distinguish uncomplicated earlobe cases from higher-risk cartilage piercings, step-by-step removal techniques, pain control strategies, and appropriate wound care, antibiotics, and follow-up. Learning Objectives Recognize the evaluation and management of embedded earlobe earrings, including indications for local anesthesia, incision, and removal techniques. Differentiate uncomplicated earlobe piercings from cartilage piercings that require additional concern for perichondritis, Pseudomonas infection, and possible ENT consultation. Apply evidence-based post-procedure care, including appropriate wound management, antibiotic selection, and counseling to help prevent future embedded earrings. References Timm N, Iyer S. Embedded earrings in children. Pediatr Emerg Care. 2008;24(1):21-24. Muntz HR, Pa-C DJ, Asher BF. Embedded earrings: a complication of the ear-piercing gun. Int J Pediatr Otorhinolaryngol. 1990;19(1):73-76. Kim MM, Goldman RD. Ear-piercing complications in children and adolescents. Can Fam Physician. 2022;68(9):661-663. Transcript This transcript was generated using Descript and subsequently reviewed and lightly edited for spelling, grammar, and clarity. Minor inaccuracies may remain, and the audio recording should be considered the definitive version of this content. Welcome to PEM Currents: The Pediatric Emergency Medicine Podcast. As always, I'm your host, Brad Sobolewski. Today, we're continuing our new series on minor procedures. These are the procedures we perform all the time in pediatric emergency departments. They're not the subject of giant multicenter trials or big keynote lectures, but they are the procedures that families remember. If you make them quick, comfortable, and maybe even a little less scary, families and patients will remember that. And if the procedure turns into a wrestling match with three people trying to hold down a screaming child while you're searching for an earring backing, they're gonna remember that too. Today's topic is embedded earrings. A kid walks into the emergency department holding one ear. The earlobe is swollen and red, and the parent says, “I can't find their earring.” It didn't disappear. The ear basically swallowed it, and the parents almost always feel bad. They think they did something wrong or they waited too long. Honestly, this happens all the time. The first one can be a little intimidating because the hardware isn't always where you expect it to be, but after you've removed a few of these, you'll realize they're actually pretty straightforward. Most can be managed right in the emergency department or a well-resourced urgent care. One of the best studies on the topic actually came from Cincinnati Children's. Tim and Iyer reviewed over 100 children who presented to our emergency department with embedded earrings over about a four-and-a-half-year period. The median age was eight years, and about 60% of the children were younger than 10. That fits with most of our clinical experience. Younger children are more likely to sleep on new piercings, play with their earrings, forget the aftercare instructions, or simply not notice that the backing has become too tight. Nearly 90% of embedded earrings involve the earlobe rather than the cartilage, and in about two-thirds of patients, it wasn't the decorative front of the earring that got stuck, it was the posterior backing or clasp. That's helpful because I, um, almost always start looking on the back of the ear, ‘cause usually they've taken off the front. About one-third of children had evidence of a localized infection when they presented. Usually, that meant tenderness, erythema, swelling, and maybe a little purulent drainage or crusting around the piercing. Doesn't necessarily mean they need oral or systemic antibiotics, but it does mean they shouldn't wait another week hoping the earring somehow works itself out. So why does this happen? It's really a pressure injury. The backing gets tightened against the earlobe, either because it was applied too snugly when the ears were pierced or because the ear swells afterward and suddenly there's no room for the tissue to expand. That constant pressure decreases blood flow, produces local inflammation, and eventually the skin begins to grow around the earring hardware. Kids speed the whole process along by twisting the earrings, playing with them, sleeping on them, bumping them during play, and not cleaning the piercing consistently while it's healing. One thing that probably contributes as well is the spring-loaded ear piercing gun. These devices place the earring and immediately snap on the backing, and sometimes that backing ends up much tighter than it should be. If swelling develops over the next day or so, the backing can quickly become buried beneath the skin. It's one of the reasons I generally recommend families avoid piercing guns and instead use a method that leaves just a little room for post-procedure swelling. When these patients show up in the emergency department, they almost always complain of pain, swelling, redness, and tenderness around the piercing site. Sometimes there's drainage. Sometimes the parent says they can't unscrew the backing anymore. Sometimes they tell you they can feel the earring in the earlobe, but you can't actually see it. Now, I'll get to the procedure technique in just a minute. But before I start talking about that, I do wanna separate earlobe piercings from cartilage piercing, ‘cause they're really different problems. Once cartilage is involved, the stakes go up considerably. Cartilage has relatively poor blood supply, making it much more susceptible to perichondritis, chondritis, cartilage necrosis, and permanent cosmetic deformity. The bacteria may be different as well. We'll come back to that later. For now, though, let's stay with the earlobe because, frankly, that's where almost all of these procedures occur. All right. Before you start any procedure, you wanna have everything ready. So I'll have local anesthetic, so lidocaine or lidocaine with epi. Epi is totally fine in the earlobe. At least two mosquito hemostats, stuff to grab the earring, an 11 blade, gauze, saline, and a good light source. I think if there's any chance I'll need to make a small incision, I'll prep the ear before I do anything with, uh, betadine or chlorhexidine. Once the ear starts bleeding a little or the child starts moving around, everything gets just a little harder to see and grab. Absolutely bring your child life specialist if you've got them and someone to hold, like a medic or a PCA. One of the interesting things about the Cincinnati study is that none of the 100 children required procedural sedation. None. And honestly, that fits with my experience. The overwhelming majority of these can be managed with local anesthesia alone. For the earlobe, I usually perform a small field block using one percent lidocaine with epinephrine, using a twenty-seven or thirty-gauge needle. Epi is perfectly safe in the earlobe and gives you a little hemostasis while you're working. One thing I probably do differently from some people is I actually wait for the anesthetic to work a little longer. I don't just block and immediately start. I'll wait at least five minutes. Honestly, it's usually closer to seven to ten minutes. During that time, I'm talking with the family, keeping child life involved, making sure all my equipment is ready, and just letting everybody settle down a bit. Those extra few minutes make the whole procedure a lot easier. And again, this is pediatrics, so never underestimate distraction. You've got videos, music, you know, stuffed animal, a toy. Parents should be there holding the child's hand. You gotta coach the parents as well. And sometimes that's really all you need, a good block and some distraction. Of course, some kids do need more. For an anxious child, you can use intranasal midazolam or oral midazolam. If your department has nitrous oxide, this is a great procedure for it because it's usually pretty quick. You're often treating anxiety more than pain. I have used ketamine a handful of times, and not because something went wrong, but just because you have an extremely anxious child, and you're not gonna accomplish the procedure safely any other way. First, figure out what you can see and what you can feel. Sometimes both the decorative front and backing are still visible, but the ear is simply too swollen to separate them normally. Those are the easy ones. I'd grab each side with a mosquito hemostat, disengage the backing from the post, and remove the earring. More commonly, the backing is buried beneath the skin. The decorative front may still be attached, or the parents may have already removed it and left the backing sitting in the earlobe. I'll gently compress the earlobe from the front while looking at the back. That pressure tents the skin enough to expose a few millimeters of metal through the original piercing hole, and that may be all that I need to grab the backing and remove it. If you still can't see it, keep palpating. Usually, I can feel the hardware through the swollen tissue. Once you localize it, I'll make a tiny incision on the back of the earlobe directly over it. And when I say tiny, I mean tiny, like a couple millimeters, just enough to expose the metal. But don't be afraid of making that incision. It's honestly usually the difference between wrestling with the earring for ten minutes and having it out within sixty seconds. From there, the rest is pretty straightforward. Whether the front is buried, the backing is buried, or neither side is visible, I gently spread the tissue with a mosquito hemostat until the hardware comes into view. Notice that I said spread, not dissect. You're not hunting for the earring. You're simply opening the tissue until you see the hardware, enabling yourself to grab it. Once you can see metal, you're almost done. Hold one side steady and separate the backing from the post. Don't just grab one piece and pull because the whole earring will usually rotate within the earlobe instead of coming apart. I also keep gauze or a surgical towel underneath the ear while I'm working. The little backings seem to launch themselves across the room every single time you let go, and I'd rather catch one than spend five minutes looking under the stretcher. Occasionally, you'll inherit a child who's already had one or two unsuccessful attempts. Maybe the parents tried at home, maybe the pediatrician tried, maybe another emergency department tried. Every failed attempt makes the next one more difficult. If you're not making progress, ask yourself, “Am I pulling in the right direction? Do I actually know where the backing is, or am I just fishing for it? Would a tiny posterior incision solve this? Do I need another pair of hands or somebody more experienced?” Most of the time, changing your approach works better than just yanking harder. Once the earring's out, I always look at both pieces. Is the backing intact? Is the decorative front intact? Is the post complete? If something doesn't look right, especially when you compare it, hopefully, to the other earring that they brought or at least a picture of it, I'll go back and explore the wound. The last thing you want to do is leave a small piece of metal behind. Once I know everything is out, I put the earring and the backing into a specimen cup and hand it back to the family. They almost always appreciate getting the jewelry back, especially if it has sentimental value. Then I'll irrigate the wound with about one hundred to two hundred milliliters of saline. I'm not trying to pressure irrigate it like a contaminated laceration. I just want to wash away dry drainage, debris, and any small blood clots around the piercing tract. After that, I make sure the bleeding is stopped and that the earlobe still has good color and perfusion before the child leaves. One other question that comes up pretty often, should you close the incision? Most of the time, I don't. These are really small incisions, usually only a millimeter or two, and it's okay to allow them to heal by secondary intention. If there's any contamination or early infection, I don't want to trap that underneath a closed wound. Every once in a while, though, I'll have to make a larger incision, maybe because the backing was deeply embedded or it's larger or the tissue was particularly swollen. If that incision is more than two or three millimeters, I'll have a conversation with the family about the trade-off between cosmesis and infection risk. In some of those cases, I'll loosely approximate the incision with one or two absorbable sutures, something like 5-0 fast-absorbing gut. If I do that, I'll only close the incision I created. I still leave the original piercing tract open because I want any residual pus to have somewhere to go. That's also one of the advantages of making the incision on the back of the earlobe. If you decide to leave it open or even if you only loosely close part of it, any resulting scar is usually much less noticeable than it would be on the front. Whether I suture or not, I make sure we've got good hemostasis and that the earlobe still has good color and perfusion, and then I'll put some antibiotic ointment and a bandage on it and call it a day. Honestly, if there's no cellulitis, no abscess, and the child is otherwise healthy, I generally don't prescribe oral antibiotics. Topical antibiotic ointment and routine wound care are usually enough. Redness by itself does not equal infection. These ears are inflamed and swollen simply because the earring has been buried in the tissue. If there's expanding cellulitis, significant purulent drainage, an associated abscess, fever, or if the child is immunocompromised or has something like diabetes, then I'll start some oral antibiotics. My first choice is usually cephalexin because these are uncomplicated skin and soft tissue infections caused by methicillin-sensitive staph or streptococci that cause common skin infections. If the kid has a history of MRSA, there's a high local prevalence of community-associated MRSA, the family's had MRSA, or the infection is frankly purulent, then I'll switch to clindamycin or trimethoprim-sulfamethoxazole, depending on local resistance patterns. Let's come back to cartilage one more time. There, you're primarily worried about perichondritis, where Pseudomonas aeruginosa is the major pathogen. These patients usually warrant ENT involvement, and antibiotic selection changes substantially, often requiring antipseudomonal coverage. That's a separate entity from the routine embedded earlobe earring. Families will also ask, “Can we just put it back in?” Eh, not so fast, right? That piercing tract isn't really a piercing anymore. It's a wound. Let it heal completely. If they decide to pierce it again, I'd recommend choosing a slightly different location once everything is healed. You should also talk to families about how to keep this from happening again. Most of the time, this isn't because the family did something wrong. Sometimes it just happened. But there are a few things that probably would help. Avoid spring-loaded piercing guns if possible. Don't clamp the backing tightly against the earlobe. Leave just a little room for swelling. Keep new piercings clean while they're healing. And if they notice the backing start disappearing beneath the skin, don't wait several days hoping the swelling will go down and it'll just work itself out. These are much easier to remove when they're only partially embedded than when the skin has completely grown over the hardware. All right, a few take-home points. First, figure out which part of the earring is actually embedded before you start yanking on anything. Give your local anesthetic, lido with epi, time to work. I usually wait at least five minutes, but more often seven to ten. And most uncomplicated earlobe piercings don't need oral antibiotics after removal. And again, this was really an episode about earlobe embedded earrings. If you're dealing with cartilaginous piercings that get stuck or infected, think Pseudomonas, think perichondritis, and early ENT involvement. Honestly, I really enjoy this procedure. It's quick, it's satisfying, and families are incredibly appreciative when you're done. The ear looked terrible when they walked in, they thought their child might need surgery, and then 15 minutes later, they're walking out with a Band-Aid, their earring in a specimen cup, and the popsicle color of their choice. These are the fun procedures. So I hope you enjoyed this installment in our minor procedures series. I've already got several more procedures on my list, and I'll be working through them over time. If there's one that you'd like me to cover, let me know. As the kids would say, like, rate, and review. If you leave a review on your favorite podcast platform, it really does help other clinicians discover the show, which I appreciate because it helps teach more people good stuff. For PEM Currents: The Pediatric Emergency Medicine Podcast, this has been Brad Sobolewski. See you next time.

Ricky Ivey is the second-generation owner of Pueblo Tires & Service, a South Texas tire and automotive service company with 13 stores and a dedicated lube shop. His experience with tire shop marketing strategies spans decades of local advertising, brand development, store expansion, and operational growth.Ivey also brings long-standing industry involvement to the conversation. He has served on the Texas Tire Dealers Association board since the 1980s and encourages dealers to build relationships through associations, buying groups, and operators in other markets.In this episode…Independent tire dealers sell products that customers can find in many places. Recognition comes from giving people a clear reason to remember the business. Pueblo Tires & Service approached the problem by creating “Shampoozie,” a made-up word tied to the company's promise of superior service.Building recognition required more than a memorable word. Pueblo placed the message across its advertising and kept funding marketing as media shifted from radio and television toward Google and social platforms. The expense remained visible every month, while the results took longer to measure.Multi-location growth added another layer. Procedures helped Pueblo create consistency across stores, property ownership gave the company more control over its locations, and a separate lube shop created room for oil-change demand without disrupting tire sales. Marketing still depended on the experience customers received at the counter because advertising carried little value without honesty and a protected reputation.Here's a glimpse of what you'll learn: [01:21] Ricky Ivey and Pueblo Tires & Service[02:19] Development of the “Shampoozie” brand[07:29] Long-term investment in marketing[11:30] Pueblo Tires family business history[18:13] Operational systems supporting company growth[20:02] Business expansion and a $1 million loss[23:30] Development of a dedicated lube operation[26:31] Customer transparency and brand reputation[28:11] Industry associations and professional relationshipsResources mentioned in this episode:Pueblo Tires & Service WebsiteTread PartnersGain Traction Podcast on YouTubeGain Traction Podcast WebsiteMike Edge on LinkedInQuotable Moments:“You have to be really creative to sell tires because they're kind of everywhere, especially nowadays.”“You have to pay attention to marketing, and it's always changing.”“You can never, ever, ever recover your reputation.”“I lost $1 million in one year, and that was in 1992.”“You need to have some leverage over your properties.”“Get involved with your association, your buying groups, and get to know people in different markets.”Action Steps:Choose one service promise customers can remember and write a one-sentence definition for it. Review every location's website, signage, social profiles, and printed materials for consistent use.Build tire shop marketing strategies into a 12-month calendar. Set the monthly budget as a fixed percentage of sales and assign the campaign, channel, owner, and review date before spending begins.Review recent customer complaints, declined work, and callbacks before increasing advertising. Correct unclear estimates, inconsistent inspections, and counter communication that puts the shop's reputation at risk.Document one customer-facing process across all locations by tomorrow. Start with vehicle intake, inspection findings, estimate approval, or final delivery, then give each manager the same standard.Contact an industry association or buying group and schedule conversations with two dealers outside your market. Compare one operating process, one marketing expense, and one growth decision.

Sebastian is officially gearing up for round two of his hair journey, and he's bringing the expert into the studio! This week, renowned hair restoration specialist Dr. Parsa Mohebi joins Sebastian and Pete to break down Sebastian's previous procedure and reveal exactly what's going to be different this time around. The guys also open up the SiriusXM phone lines, letting listeners fire off all their burning questions about hair transplants. No topic is off-limits as Dr. Mohebi gives the honest truth about PRP, GLPs, recovery time and should Sebastian actually shave his head this time around? Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.

What if everything you've been told about detoxifying your body is backward? After years of trying every functional medicine protocol, I wish I had known then what I know now about therapeutic plasma exchange. My journey with plasma exchange started a few months ago when I was looking for ways to address my own toxic burden. I was immediately presented with several options, including various binders, saunas, and IV therapies. Then, I discovered the profound impact of actually removing the plasma that carries these toxins. In the last year, I have opted to explore plasma exchange, and the results have been incredible. In this episode, I sit down with Dr. Paul Savage, former ER doctor, now functional medicine physician and founder of MDLifespan. We dive deep into what therapeutic plasma exchange actually is, why standard detox methods often fail for severe toxic burdens, and what everyone needs to know about chronic inflammation right now. The medical establishment is finally catching up to what Dr. Savage has been practicing for years. We cover everything from the science behind plasma exchange and how it compares to standard treatments, to why environmental toxins are the root cause of so many chronic illnesses. You will learn what you can do right now to actually reduce your toxic load, not just manage the symptoms. What you'll learn in this episode: Why standard detoxification methods often fail to remove forever chemicals and plastics  What therapeutic plasma exchange is and how it mechanically dilutes the body's toxic burden  Why pacing the treatments a month apart is crucial to avoid severe Herxheimer reactions  How the increase in environmental toxins is driving chronic fatigue, autoimmune issues, and cognitive decline  Why the source of the albumin used in the exchange is a critical safety factor  The truth about chronic infections like Lyme and how reducing toxins helps the body fight them  How to effectively minimize your exposure to toxins in your daily environment About Dr. Paul Savage: Dr. Paul Savage is a functional medicine physician, author, and founder of MD Lifespan. He spent 10 years as an emergency room physician before his own health crisis led him to integrative medicine. He now helps patients with severe chronic illnesses truly heal by addressing their toxic burden through specialized plasma exchange protocols. Resources and People Mentioned: Air filter Dr. Myers uses in her home (Air Doctor): https://www.airdoctorpro.com/?oid=17&affid=1978 Water filter Dr. Myers uses in her home (Aquasana): https://get.aspr.app/SH1gxW Vibrant America Total Toxic Burden Test (with forever chemicals add-on): https://vibrant-wellness.com Dr. David Haase and the Maxwell Clinic: https://maxwellclinic.com/ Avoiding Toxins Book by Dr. Paul Savage: https://mdlifespan.com/plasma-exchange-guides/avoiding-toxins-guidebook/  Connect with Dr. Myers: Website: https://www.dramymyers.com/  Dr. Myers' Inner Circle: https://www.drmyersinnercircle.com/  Newsletter: https://www.amymyersmd.com/pages/newsletter  Facebook: https://www.facebook.com/dramymyers  Instagram: https://www.instagram.com/dramymyers Connect with Dr. Paul Savage: Website: https://mdlifespan.com/

The First Ten Days: The Procedures that Prevent Chaos Hosts: Dr. Beth Wilkins and Dr. Anna Quinzio-Zafran In this episode, Dr. Anna and Dr. Beth make the case that classroom management isn't about rules or discipline, it's about procedures. They break down exactly how to use the first ten days of school to build the routines that prevent chaos all year long. In this episode: Why the difference between a calm and chaotic classroom often comes down to whether students know what to do the moment they walk in "Freedom through structure," why clear expectations give teachers more flexibility, not less The difference between rules (big-picture expectations like "be respectful") and procedures (the specific "how," like where to turn in homework) Why procedural gaps are an instruction problem, not a behavior problem, and can't be solved through discipline A day-by-day breakdown for the first three days of school: Day one: entry and exit routines Day two: materials distribution and collection Day three: attention signals and group work transitions Why the first 30 seconds of class sets the tone for the entire period The "explain, model, practice, give feedback" teaching method for procedures Why procedural mistakes call for reteaching, not punishment Reframing procedures as building muscle memory rather than catching students doing wrong Commonly overlooked procedures: early finishers, absence and makeup work, and emergency situations How to avoid overwhelm by prioritizing routines that happen multiple times a day, then adding more as the year goes on Why adjusting procedures for different classes or groups is normal, not a sign of failure Key takeaway: Strong classroom management starts with teaching clear, explicit procedures from day one. When students know exactly what to do, teachers spend less time managing behavior and more time teaching. #First10DaysOfSchool #ClassroomManagement #TeachProceduresNotRules #BackToSchoolPrep #TeacherSuccessStrategies #TeachWithConfidence #ClassroomSystems #EduPodcast #TeacherPodcast #EdLeadership #K12Education #TeachingCommunity #NewTeachers #FirstYearTeacher #NewTeacherTalk #TeacherPodcast

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This term, several important questions of criminal law and procedure reached the Supreme Court, ranging from digital privacy and criminal venue to appeal waivers and capital sentencing.In Chatrie v. United States, the Court held that law enforcement conducts a Fourth Amendment search when it obtains a person’s cell-phone location history from a company through a geofence warrant.In Abouammo v. United States, the Court unanimously held that a defendant charged under 18 U.S.C. § 1519 with falsifying a document to obstruct a federal investigation must be tried in the district where the alleged falsification occurred, not in a different district where the investigation was based.In Hamm v. Smith, the Court dismissed as improvidently granted a capital case concerning whether and how courts may consider multiple IQ scores when evaluating a claim that a defendant is intellectually disabled and therefore ineligible for execution under the Eighth Amendment.And in Hunter v. United States, the Court held that appeal waivers are generally enforceable but recognized a “miscarriage of justice” exception for egregious sentencing errors that would bring the judicial system into disrepute.Join us for a webinar breaking down these decisions, the separate opinions, and what they may mean for the criminal justice system.Featuring:Matthew Cavedon, Director, Project on Criminal Justice, Cato InstituteKent Scheidegger, Legal Director & General Counsel, Criminal Justice Legal Foundation(Moderator) Marc Levin, Chief Policy Counsel, Council on Criminal Justice and Senior Advisor, Right on Crime

Vancouver's law enforcement policy remains unchanged despite six days of public outcry and a City Council appearance by the city attorney, city manager, and police chief. The Clark County Council advances Rules of Procedure changes, the 3rd Congressional District race takes shape, two lawsuits challenge Initiative 645's ballot language, and the 158th Clark County Fair opens August 7 in Ridgefield. URLHERE #ClarkCounty #Vancouver #ClarkCountyFair #Initiative645 #3rdCongressionalDistrict #ClarkCountyToday #WashingtonState #Podcast #WeeklyNewsletter #LocalNews

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The All Local 4pm Update for Thursday, July 30th, 2026

The Clark County Council is advancing changes to its Rules of Procedure that would allow a simple majority to remove a councilor from a board or commission and direct how that councilor votes on specific policy items. Councilor Michelle Belkot, who was removed from the C-TRAN Board in 2025, questioned whether the language mirrored Vancouver's rules. https://www.clarkcountytoday.com/opinion/clark-county-council-continues-process-to-change-its-rules-of-procedure-to-mirror-vancouver/ #ClarkCounty #ClarkCountyCouncil #CTran #RulesOfProcedure #MichelleBelkot #LightRail #IBR #LocalGovernment #Vancouver #WashingtonState

Days before a procedure, a pregnant Celeste Rivas Hernandez texted d4vd something no thirteen-year-old should ever have to say to an adult, and at the July 24 session of the preliminary hearing, the court heard every word of it. This breakdown takes the full session in order, and the January texts sit at the center of it. The medical examiner, Dr. Grant Ho, testified that Celeste died of two sharp-force wounds to the upper body and had been dead at least weeks before discovery, and he told the court plainly what decomposition took off the table. The prosecution's closer, Detective Corey Farell, then connected the devices. Messages beginning in August 2022, when Celeste was eleven. Messages running through April 23, 2025, the day prosecutors allege David Anthony Burke killed her. And the January 2024 texts indicating a thirteen-year-old was pregnant and being asked when she would get it done. Nearly fifty images investigators call illegal material involving a minor were described to the courtroom one by one, never displayed, while her mother wept and her father stared at the floor. The defense worked the other side of every exhibit, pressing on what was never tested, what was never collected, and what the science cannot say, because that is the case they will bring to a jury if Judge Charlaine Olmedo orders a trial. Burke has pleaded not guilty and is presumed innocent. The name in red ink is part of the record either way, and this session is the reason the rest of this case will be argued around it. The full picture, from the autopsy findings to the final text, is right here.Join Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/ Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/channel/UC8-vxmbhTxxG10sO1izODJg?sub_confirmation=1 Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/TrueCrimePodThis publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.#CelesteRivas #D4vd #TrueCrime #CelesteRivasHernandez #DavidBurke #TrueCrimeCommunity #TrueCrimePodcast #HiddenKillers #CourtNews #JusticeForCeleste

Web: www.JonesHealthLaw.comPhone: (305)877-5054Instagram: @JonesHealthLawFacebook: @JonesHealthLawYouTube: @JonesHealthLawHealthcare organizations are responsible for implementing appropriate training and internal procedures to facilitate a high-quality and compliant environment. Quality of care is not limited to the medical services or products provided to patients; it also stems from the way the employees perform their duties, and the work process they follow. The work processes should be continuously monitored and adapt to the evolving operational requirements and trends in healthcare.Standard Operating Procedures (SOPs)Standard Operating Procedures (SOPs) are detailed written instructions that explain how employees should conduct routine business processes. SOPs help simplify complicated processes into manageable steps for employees to perform their duties more efficiently.

Dog trainers commonly refer to “fallout” in relation to certain tools or procedures for behavior change. This is not untrue or unreasonable, fallout definitely occurs often in behavior change. But rather than the dichotomous thinking that leads us to believe some things cause fallout and others don't, Sarah suggests in this episode that all things cause side effects and we should always pay attention to them. Sign up for courses and join the membership here: sarahstremming.com Join us on Patreon: www.patreon.com/cogdogradio Music by AlexGrohl from Pixabay

Fred knew something was wrong. Constantly drained, short of breath, and still not feeling better after his heart valve replacement, he knew something wasn't right.Then Dr. Phillip Smith at CIS in Baton Rouge and Zachary found the cause: a paravalvular leak. One minimally invasive procedure "flipped a switch," helping Fred avoid another open-heart surgery and get back to feeling like himself.On this episode of The Cardiovascular Pulse, hear Fred's story and learn from Dr. Smith about paravalvular leaks, warning signs, and why listening to your body could make all the difference.Visit www.cardio.com for more information or to schedule an appointment with one of our providers. 

For The Other Side NDE Videos Visit ️ youtube.com/@TheOtherSideNDEYT Purchase our book on Amazon The Other Side: Stories From the Afterlife https://a.co/d/23Bbbsa At age 30, while undergoing a delicate heart procedure after years of serious health complications, Candice Purchase says she was instantly transported from the operating table into a realm filled with overwhelming love, peace, and belonging. There, she experienced a profound encounter with a divine presence that left her forever changed and gave her a new understanding of life beyond the physical world. As she later reflected on a series of extraordinary events stretching back to childhood, she began to see a deeper pattern connecting love, healing, and the unseen bonds that link us all. Candice's Links - https://candicepurchase.co.za/ Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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Dr. Brandon Crawford, DC, FIBFN-CND, welcomes his most-featured guest, integrative psychologist Dr. Jeri LaVigne, EdD, PhD, for a fourth conversation built on three and a half years and more than 750 regenerative procedures performed side by side.Dr. LaVigne, herself a traumatic brain injury survivor who turned to functional neurology after conventional medicine dismissed her symptoms, explains why regeneration depends on "favorable conditions" — you can't plant a crop in damaged soil and expect it to thrive.Past Episodes with Dr. Jeri LaVigne:The Longevity Formula – Episode 005The Longevity Formula – Episode 025The Longevity Formula – Episode 026Follow Dr. Jeri LaVigne:Website – efficientbrain.comInstagram – instagram.com/efficientbrainFacebook – facebook.com/EfficientBrainProducts:528 Innovations LasersNeuroSolution Full Spectrum CBDNeuroSolution Broad Spectrum CBDNeuroSolution StimpodSTEMREGEN®For more information, resources, and podcast episodes, visit tinyurl.com/3ppwdfpm

Mike and Mark bak together after Mark’s successful heart catheterization! (And there are stories). Then onto the curiosities about Darline Graham and the continuing mystery of Mitch Mcconnell. Then the boys prepare to compare notes on The Odyssey while assessing the crazy range of reaction to it. ------ M and M EXTRA: Two iconic talk radio hosts. One unfiltered daily conversation. No scripts. No spin. Just Mike Gallagher and Mark Davis breaking down the news the way it should be — with decades of experience and zero apologies. If you love smart unscripted talk show chemistry, you’re in the right place. See omnystudio.com/listener for privacy information.

Mike and Mark bak together after Mark’s successful heart catheterization! (And there are stories). Then onto the curiosities about Darline Graham and the continuing mystery of Mitch Mcconnell. Then the boys prepare to compare notes on The Odyssey while assessing the crazy range of reaction to it. ------ M and M EXTRA: Two iconic talk radio hosts. One unfiltered daily conversation. No scripts. No spin. Just Mike Gallagher and Mark Davis breaking down the news the way it should be — with decades of experience and zero apologies. If you love smart unscripted talk show chemistry, you’re in the right place. See omnystudio.com/listener for privacy information.

Part 3: New Teacher Blueprint SeriesThe first few weeks of school can make or break the rest of your year—and one of the biggest factors in creating a smooth, productive classroom is teaching procedures effectively.In this episode of The Stellar Teacher Podcast, we're continuing our New Teacher Blueprint series by walking through a simple framework for teaching classroom procedures that actually stick. If you've ever explained a routine, watched your students nod along, and then completely forget what to do moments later, you're not alone. The reality is that procedures need to be taught the same way we teach any other skill: through explicit instruction, modeling, practice, feedback, and repetition.Resources & Links:

Ty and Scott are at it this week, diving deep into process and strategy!

World Professional Association for Transgender Health is an association of clinicians who profit from mutilating children. Constitutional expert, lawyer, author, pastor, and founder of Liberty Counsel Mat Staver discusses the important topics of the day with co-hosts and guests that impact life, liberty, and family. To stay informed and get involved, visit LC.org.

Want to Start or Grow a Successful Business? Schedule a FREE 13-Point Assessment with Clay Clark Today At: www.ThrivetimeShow.com   Join Clay Clark's Thrivetime Show Business Workshop!!! Learn Branding, Marketing, SEO, Sales, Workflow Design, Accounting & More. **Request Tickets & See Testimonials At: www.ThrivetimeShow.com  **Request Tickets Via Text At (918) 851-0102   See the Thousands of Success Stories and Millionaires That Clay Clark Has Helped to Produce HERE: https://www.thrivetimeshow.com/testimonials/ Download A Millionaire's Guide to Become Sustainably Rich: A Step-by-Step Guide to Become a Successful Money-Generating and Time-Freedom Creating Business HERE: www.ThrivetimeShow.com/Millionaire   See Thousands of Case Studies Today HERE: www.thrivetimeshow.com/does-it-work/  

Part 2: New Teacher Blueprint SeriesThe beginning of the school year comes with a long list of classroom procedures to teach... but here's the good news: you don't have to teach all of them at once.In this episode of The New Teacher Blueprint series, Tami is breaking down the classroom procedures that matter most during the first days of school. Instead of trying to tackle an overwhelming checklist, you'll learn how to prioritize the routines students need right away so you can create a calm, organized, and successful classroom environment.We'll discuss:✔ Why you don't need to teach every procedure during the first week of school✔ The first classroom routines to teach when students arrive✔ How to make transitions smoother throughout the day✔ Important expectations for restroom breaks, hallway behavior, and lunch✔ What students should do when they finish their workWhether you're a new teacher setting up your classroom for the first time or a veteran teacher looking to refresh your routines, this episode will help you focus on the procedures that have the biggest impact.Tune in next week as we share how to teach procedures so they actually stick all year long.

Want to Start or Grow a Successful Business? Schedule a FREE 13-Point Assessment with Clay Clark Today At: www.ThrivetimeShow.com   Join Clay Clark's Thrivetime Show Business Workshop!!! Learn Branding, Marketing, SEO, Sales, Workflow Design, Accounting & More. **Request Tickets & See Testimonials At: www.ThrivetimeShow.com  **Request Tickets Via Text At (918) 851-0102   See the Thousands of Success Stories and Millionaires That Clay Clark Has Helped to Produce HERE: https://www.thrivetimeshow.com/testimonials/ Download A Millionaire's Guide to Become Sustainably Rich: A Step-by-Step Guide to Become a Successful Money-Generating and Time-Freedom Creating Business HERE: www.ThrivetimeShow.com/Millionaire   See Thousands of Case Studies Today HERE: www.thrivetimeshow.com/does-it-work/  

July 8, 2026; 5pm: Nicolle Wallace and guests talk about new reporting from The New York Times which says that the Trump administration is demanding that states change their voting rules in exchange for tens of millions of federal terrorism prevention funds. Later, Nicolle covers a judge ruling which orders Trump to pay E. Jean Carroll the $5 million dollars plus interest he owes her from a 2023 verdict that found him liable for sexually abusing and defaming her. For more, follow us on Instagram @deadlinewh To listen to this show and other MS NOW podcasts without ads, sign up for MS NOW Premium on Apple Podcasts. For more from Nicolle, follow and download her podcast, “The Best People with Nicolle Wallace,” wherever you get your podcasts.To listen to this show and other MS podcasts without ads, sign up for MS NOW Premium on Apple Podcasts. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.