Podcasts about procedures

Ever had your brain just go blank at the worst possible moment? You can see where you need to go, but you have no idea how to get there. I had this happen at 3,000 feet while flying my daughter home from college. The airport was right in front of me, but I was completely disoriented. Terrifying. What I did next saved the day. In this episode, I share the three-rule framework pilots use in moments of confusion that works just as well when your brain quits on Tuesday afternoon. Ready to stay steady when everything feels uncertain? Featured Story I was flying my Cessna to pick up my daughter from the University of Florida. Clear day, smooth air, nothing special. About 15 minutes from landing, the heat and drone had me snoozing. Then suddenly, I had this overwhelming sensation that I had no idea where I was. The airport was right in front of me, but I couldn't figure out how to get lined up. Panic kicked in. I was minutes from controlled airspace and hadn't called the tower. I could have faked it, but instead I keyed the mic: I'm confused and need help. Within minutes, they vectored me to a perfect final. Worst landing ever, but I got it stopped. Not bad for a lost pilot. Important Points When your brain goes blank and you feel disoriented, stabilize first before making any dramatic decisions or changes. Small confusion turns into a catastrophe when people stop flying the airplane, spiral, overreact, or pretend they're fine. Procedure beats panic every time—training kicks in when thinking shuts down and your brain switches to threat mode. Memorable Quotes "Just because you feel lost doesn't mean you are. Sometimes you're just a little south of the field you're looking for." "Aviate, navigate, communicate. Fly steady, get clear, speak up early. That's how you land the plane in daily life too." "Ask for help before it becomes an emergency. Don't wait until it's a catastrophe to open your mouth and communicate." Scott's Three-Step Approach Aviate first—stabilize your behavior and don't make dramatic decisions that could make your situation even worse. Navigate second—once you're stable and nothing's getting worse, get clear on where you are and the path forward. Communicate third—ask for help early before it becomes an emergency, whether with clients, vendors, or your spouse. Chapters 0:02 - Happy Monday (yes, Mondays can be happy too) 1:43 - When your brain goes blank at the worst moment 3:03 - Flying disoriented at 3,000 feet (a true story) 5:25 - The three rules pilots use when confused 8:05 - Asking for help when you don't want to admit it 10:26 - How to apply aviate, navigate, communicate daily 11:35 - Using this framework in your personal relationships Connect With Me Search for the Daily Boost on YouTube, Apple Podcasts, and Spotify Email: support@motivationtomove.com Main Website: https://motivationtomove.com YouTube: https://youtube.com/dailyboostpodcast Instagram: https://instagram.com/heyscottsmith Facebook Page: https://facebook.com/motivationtomove Facebook Group: https://dailyboostpodcast.com/facebook Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Michael Carlino of The Council on Biblical Manhood and Womanhood Calling Evil GoodThe post Kentucky Governor Andy Beshear Using the Bible to Justify Gender Transition Procedures on Minors – Dr. Michael Carlino, 2/13/26 (0441) first appeared on Issues, Etc..

🧭 REBEL Rundown 📌 Key Points The 4 Steps of an ED Consult:👋 Introduce yourself and your role🎯 Lead with the outcome (the ask)🧾 Give a focused case summary (why it’s theirs + what you’ve done)🔁 Close the loop (timeline, next steps, contingencies) Click here for Direct Download of the Podcast. 📝 Introduction Today we’re tackling one of the most important (and most under-taught) skills in emergency medicine: how to call a consult in the ED and what to do when a consultant pushes back.To call a consult in the ED, start with a brief introduction, lead with the outcome you need (“the ask”), give a focused decision-relevant summary, and close the loop with timeline and next steps. If the consultant resists, clarify the “why,” restate the ask, offer alternatives, and escalate when patient safety or disposition is at risk.After two decades in emergency medicine and countless consult calls, here’s a simple framework—plus copy/paste scripts—to make your consults faster, clearer, and easier to say “yes” to. 🤔 Why Consult Skills Matter in Emergency Medicine Consults aren’t a formality—they’re a patient-care intervention. Strong consult communication:Reduces delays in time-sensitive careImproves ED throughput and dispositionDecreases conflict and miscommunicationClarifies ownership and next stepsProtects the patient (and the team) when plans are unclear 🪜 The 4-Step ED Consult Framework (Introduction → Ask → Summary → Close the Loop) Most consult friction comes from one of two problems: unclear expectations or excessive noise. This four-step structure solves both.1) Introduce yourself and your roleA simple intro sets a professional tone and removes ambiguity.Script: “Hey, this is Swami, one of the ED attendings. I’m calling for an ortho consult.” 2) Lead with the outcome (the ask)Don’t bury the lede. The consultant wants to know what you need—immediately.Script: “I’m calling about a patient with a suspected septic knee. I need you to evaluate for operative management.” 3) Give a focused, decision-relevant summaryYour summary should answer:Why this is your service’s problemWhat’s already been doneWhat I’m worried about / what decision is needed nowScript: “43-year-old man with no major PMH, 3 days of knee pain and swelling. XR negative. Febrile. Aspiration yielded purulent fluid—cultures sent. We started antibiotics after the tap. He’s hemodynamically stable.” High-yield pearl: Add quick “stability anchors” when relevant:“Airway stable, pain controlled.”“Neurovascularly intact.”“No signs of compartment syndrome.”“No hypotension or escalating oxygen requirement.” 4) Close the loop (timeline + next steps)This prevents the consult from floating in limbo and protects patient flow.Script: “When do you expect to see the patient, and do you want anything done before you arrive—NPO, repeat labs, additional imaging?” 📝 ED Consult Script General ED Consult Script “Hi, this is Dr. ___ in the ED. I’m calling for a ___ consult. The reason is ___. Briefly: ___ year-old with ___. We’ve done ___ and started ___. I’m concerned about ___. Can you see them today, and what’s your preferred next step?” Septic joint / Ortho Example “Hi, this is Swami in the ED. I need an ortho consult for suspected septic arthritis. 43-year-old with 3 days of atraumatic knee swelling and fever. XR negative. Tap produced purulent fluid—cultures sent. Antibiotics started after aspiration. Can you evaluate for operative management, and when can you see the patient?” Neurology example (time-sensitive) “Hi, this is Dr. ___ in the ED. I need neurology for suspected acute stroke. Last known well ___. NIHSS ___. CT/CTA completed (or pending). I’m calling to discuss candidacy for thrombolysis/thrombectomy and next steps. When can you evaluate and what additional workup do you want now?” ⛓️‍💥 Common ED Consult Mistakes (and Fixes) Mistake: Long story before the askFix: Lead with the outcome in the first sentenceMistake: Unfiltered data dumpFix: Provide only decision-relevant detailsMistake: No timelineFix: Ask explicitly when they’ll see the patient and what they need firstMistake: Implicit “ownership”Fix: Clarify who is admitting, who is following, and what happens if the patient worsens ✋ What to Do When a Consultant Pushes Back Even a perfect consult can meet resistance. Your job is to stay calm, keep it professional, and protect the patient.1) Ask “why?”Don’t argue first—diagnose the refusal.Script: “Help me understand your concern about seeing this patient.” Many refusals are based on misunderstanding: wrong service, missing key detail, or incorrect assumption about stability.2) Restate the consult in one sentence, then offer optionsIf the conversation starts spiraling, reset it.Script: “To be clear, I’m concerned this is septic arthritis and needs ortho evaluation. If you don’t feel you’re the right service, who should be—rheum, medicine, or another surgical team?” This keeps you collaborative while preventing dead ends.3) Humanize the decision (use sparingly)This is a “high-voltage” tool. Use it when stakes are high and you’ve already clarified the medical facts.Script: “I’m worried we’re missing something time-sensitive. If this were your family member, what would you want us to do next?” Use it to re-anchor to patient risk—not as a guilt tactic. ⚡️When and How to Escalate a Consult Escalation isn’t personal—it’s a safety mechanism when there’s an impasse that threatens timely care.When to escalateTime-sensitive condition is delayed (e.g., septic joint, cord compression, testicular torsion, GI bleed with instability)No clear disposition plan despite reasonable ED evaluationConsultant refusal blocks needed specialty decision-makingPatient safety or deterioration risk is increasing in the ED How to escalate (lowest to highest intensity)Ask for the consultant’s attending (if speaking to a resident)Call the on-call attending directlyInvolve ED leadership/medical directorEscalate to service chief/department chair (rare, but real)Hospital supervisor/admin escalation for immediate operational impasseScript: “We’re at an impasse and the patient needs a decision. I’m escalating to clarify ownership and ensure timely care.” ️ Documentation Tips for Consult Refusals Documentation should be factual and patient-centered, not punitive.Include:Your clinical concern and why the consult is neededWho you spoke with (name/role)Their stated reason for refusal or delayAlternatives discussedEscalation steps taken and final plan 👉 FAQ: Emergency Medicine Consults What is the best way to call a consult in the ED?Introduce yourself, lead with the specific ask, summarize only decision-relevant details, and close the loop with a clear plan and timeline.What should I say when a consultant refuses to see a patient?Ask why, clarify misunderstandings, restate your concern and the ask, and request an alternative plan or appropriate service.When should I escalate a consult?Escalate when an impasse delays time-sensitive care, threatens patient safety, or prevents appropriate disposition.How do I document a refused consult?Document the clinical concern, who you spoke with, their stated reason, alternatives discussed, and escalation steps taken. 🏁 Conclusion Mastering emergency medicine consults makes you faster, safer, and easier to work with. The goal isn’t to “win” a consult call—it’s to get the patient the right care, with clear ownership and a shared plan. Post Peer Reviewed By: Marco Propersi, DO (Twitter/X: @Marco_propersi), and Mark Ramzy, DO (X: @MRamzyDO) 👤 Associate Editor Anand Swaminathan MD, MPH All Things REBEL EM Meet The Team 🔎 Your Deep-Dive Starts Here REBEL Core Cast – Pediatric Respiratory Emergencies: Beyond Viral Season Welcome to the Rebel Core Content Blog, where we delve ... Pediatrics Read More REBEL Core Cast 143.0–Ventilators Part 3: Oxygenation & Ventilation — Mastering the Balance on the Ventilator When you take the airway, you take the wheel and ... Thoracic and Respiratory Read More REBEL Core Cast 142.0–Ventilators Part 2: Simplifying Mechanical Ventilation – Most Common Ventilator Modes Mechanical ventilation can feel overwhelming, especially when faced with a ... Thoracic and Respiratory Read More REBEL Core Cast 141.0–Ventilators Part 1: Simplifying Mechanical Ventilation — Types of Breathes For many medical residents, the ICU can feel like stepping ... Thoracic and Respiratory Read More REBEL Core Cast 140.0: The Power and Limitations of Intraosseous Lines in Emergency Medicine The sicker the patient, the more likely an IO line ... Procedures and Skills Read More REBEL Core Cast 139.0: Pneumothorax Decompression On this episode of the Rebel Core Cast, Swami takes ... Procedures and Skills Read More The post REBEL Core Cast 150.0: Emergency Medicine Consults: How to Call a Consult + Handle Pushback (With Scripts) appeared first on REBEL EM - Emergency Medicine Blog.

A gritty, twisty one-night siege thriller that actually looks great (yes, you can see what's happening). The RIP throws Matt Damon and Ben Affleck into a paranoid, internal-corruption nightmare where everyone feels suspicious and every conversation sounds like it has a second meaning.The setupMiami PD captain Jackie Veles is executed by masked hitters after sending one last message and ditching her phone in the river. The FBI descends on the TNT squad (Tactical Narcotics Team), grilling Damon's Dane and Affleck's JD Byrne with a barrage of insinuations—then drops a key reveal: the lead agent is Affleck's brother (Scott Adkins), and it gets physical.What we dig intoThe “big score” tip: Dane gets a text about serious cash—then tells each teammate a different number (immediately sketchy).The money house: a run-down suburban place with a single pristine attic space hiding buckets of cash—enough to bring cartel heat and dirty cops out of the woodwork.Procedure vs panic: phones confiscated, on-site double counts, and the creeping feeling that everyone has an angle.Corruption lore: VCAT baggage, rumours of a cop “crew” that hunts cash stashes, and the sense the real enemy is inside the system.The siege and the switch: masked shooters, cartel contact, and the film's central fun: constantly reassigning blame as the night spirals.Motifs that land (and one that doesn't): the tattoo mantra (“Are we the good guys? We are, and always will be”), the “see another sunrise” thread… and the slightly daft full-circle beat at the end.The verdictThis is Knives Out with tattoos and automatic weapons—a clean, propulsive plot, strong tension, and a solid Damon/Affleck double-act. It's not subtle about cop-mythology, but as a contained, twist-forward thriller with a great cast and tight pacing, it's an easy Strong Recommend.You can now text us anonymously to leave feedback, suggest future content or simply hurl abuse at us. We'll read out any texts we receive on the show. Click here to try it out!We love to hear from our listeners! By which I mean we tolerate it. If it hasn't been completely destroyed yet you can usually find us on twitter @dads_film, on Facebook Bad Dads Film Review, on email at baddadsjsy@gmail.com or on our website baddadsfilm.com. Until next time, we remain... Bad Dads

* Apologies for the audio issues at the end of this episode.This week on The Armor Men's Health Show, Donna Lee sits down with Dr. Preston Smith to talk about something that sounds futuristic but is very real: knee artery embolization.If your knee has basically declared war on your happiness… this episode is for you.Knee artery embolization is a minimally invasive procedure that helps calm down the inflammation by reducing blood flow to the angry, painful areas of the knee. Translation? Less pain. More movement. And in many cases, you might be able to delay a knee replacement for years — or possibly avoid it altogether.And here's the part that makes everyone lean in:No meds.No physical therapy.No surgery.Win. Win. Win.Dr. Smith explains how this innovative treatment works and who might be a great candidate. He also shares more about Summit Interventional Radiology, part of our parent company, Urology Specialists of Austin, where he offers a range of cutting-edge procedures designed to improve quality of life without major surgery.Your knees deserve better.

Orthopedic surgery is in the middle of a quiet but powerful shift. Procedures that once required hospital admission are increasingly being performed in Ambulatory Surgery Centers (ASCs), and this change is transforming patient experience, physician autonomy, and the business of orthopedic care. In our latest podcast episode, Dr. Spector joins us to discuss why ASCs are becoming a dominant force in modern orthopedics. In this episode, we break down: Why more orthopedic procedures are moving out of hospitals. How ASCs are transforming patient experience, efficiency, and recovery. OrthoCarolina's bold strategy to double down on ASCs and physician-led care. The real financial differences between ASCs and hospitals for patients, insurers, and providers. Certificate of need, and the role it plays in ASCs. How ASCs and hospital partnerships work. A board-certified fellowship-trained Orthopedic spine surgeon, Dr. Spector has enjoyed a 17-year tenure with OrthoCarolina, holding multiple leadership positions, including Chief Executive Officer, Chief Quality Officer, member of the Executive Committee, chairman of the Quality/Value Committee, and co-fellowship director at the OrthoCarolina Spine Center. In 2020, Dr. Spector earned his MBA from Duke University Fuqua School of Business and was previously selected to participate in the American Orthopedic Association Leadership Program, conducted in collaboration with the University of Chicago Booth School of Business. Dr. Spector currently serves as a Board Member of the Lumbar Spine Research Society and previously held the position of President of the North Carolina Spine Society. Dr. Spector began serving as CEO of OrthoCarolina in 2024. Dr. Spector has continued to practice orthopedic surgery while active as the OrthoCarolina CEO.  

Erin Lee, Protect Kids Colorado founder joins Dan to comment on Children's Minnesota pausing hormones and puberty blockers for minors after pressure from the Trump administration against transgender procedures.

This week on It's Happening: Snooki and Joey recap the GRAMMYs and share their Super Bowl plans. Snooki talks about her upcoming procedure, Joey shares details about his charity event, and they dive into the latest Today show drama involving Savannah Guthrie's mother. The episode wraps up with listener voicemails. Wanna join the party? Text or leave a voicemail for your favorite messy mawmas at (646) 580-5251 and you might just get featured next week! Subscribe and Watch on YouTube This episode is sponsored by: Shop at https://Revolve.com/Snooki and use code SNOOKI for 15% off your first order. #REVOLVEpartner Connect with It's Happening: Instagram | TikTok | Snooki and Joey on Cameo

Top headlines for Friday, February 6, 2026In this episode, President Donald Trump's fiery speech at the National Prayer Breakfast, where he championed his record on religious liberty while taking aim at political opponents. We also report on the arrest of a Florida teenager accused of plotting a mass shooting at a church and facing child pornography charges. Plus, the American Society of Plastic Surgeons has issued new guidance, urging its members not to perform gender transition surgeries on minors.00:11 Trump attacks political opponents at National Prayer Breakfast00:59 Bill Lee shares how faith guided him at Nat'l Prayer Breakfast01:44 Couple continues legal battle after foster application blocked02:35 Teen charged with planning mass shooting at Florida church03:22 6 times Democrats called for deportation of illegal immigrants04:09 American Society of Plastic Surgeons delays sex changes for kids05:00 Seahawks coach says 'our identity is in Christ' before Super BowlSubscribe to this PodcastApple PodcastsSpotifyOvercastFollow Us on Social Media@ChristianPost on XChristian Post on Facebook@ChristianPostIntl on InstagramSubscribe on YouTubeGet the Edifi AppDownload for iPhoneDownload for AndroidSubscribe to Our NewsletterSubscribe to the Freedom Post, delivered every Monday and ThursdayClick here to get the top headlines delivered to your inbox every morning!Links to the NewsTrump attacks political opponents at National Prayer Breakfast | PoliticsBill Lee shares how faith guided him at Nat'l Prayer Breakfast | PoliticsCouple continues legal battle after foster application blocked | U.S.Teen charged with planning mass shooting at Florida church | U.S.6 times Democrats called for deportation of illegal immigrants | PoliticsAmerican Society of Plastic Surgeons delays sex changes for kids | PoliticsSeahawks coach says 'our identity is in Christ' before Super Bowl | Sports

Chris Stigall and Dr. Josh Mann examine major shifts in media and policy this week. They discuss mass layoffs at legacy outlets like The Washington Post, amid optimism for conservative voices gaining ground—especially in opinion sections—and a new generation of journalists emerging from places like Hillsdale College with constitutional and independent-minded training. They contrast this with persistent liberal bias in legacy newsrooms and journalism schools, noting how algorithms and new media are democratizing reach and challenging old monopolies.00:00:00 - Introduction00:01:07 - Legacy Media Layoffs00:01:57 - New Generation of Journalists00:03:20 - Trump on Border Success00:04:27 - Liberal Bias in Newsrooms00:06:39 - Philosophy of Modern Journalism00:07:44 - New Media Trends00:09:58 - Minneapolis Shooting Narrative00:11:39 - Critical Thinking Need00:13:07 - Savannah Guthrie's Mother00:16:16 - ICE Scale-Back in Minneapolis00:20:36 - Trans Procedures Reversal00:24:01 - School Choice Momentum00:25:37 - Faith and Freedom 250Follow The Lion on Facebook, Instagram, X, and YouTube. You can also sign-up for our newsletter and follow our coverage at ReadLion.com. To learn more about the Herzog Foundation, visit HerzogFoundation.com. Like and follow us on Facebook, X, and Instagram, or sign up to receive monthly email updates. #ChristianEducation #Education #EducationPolicy #EducationReform #FaithAndLearning #Family #FaithInEducation #Faith #Homeschool #ChristianSchool #PrivateSchool #EducationNews #News #Religion #ReligiousNews #PublicSchool #SchoolNews #NewsShow #SchoolChoice

Over the past few years, Milwaukee police have used facial recognition technology in criminal investigations. But they did so without community input or documented procedures. All of that came to a head in a Fire and Police Commission meeting.

Guest: Marc Avram, MD Lengthy hair transplant procedures place significant physical demands on patients, physicians, and staff, making ergonomics a critical part of success. Dr. Marc Avram outlines practical, real-world strategies to improve positioning, workflow, and the procedural environment to enhance comfort, efficiency, and long-term musculoskeletal health. Dr. Avram is a dermatologist, hair loss and transplant specialist, and Clinical Professor of Dermatology at New York-Presbyterian Hospital/Weill Cornell Medical Center.

reference: Sri Aurobindo, Bases of Yoga, Chapter 5, Physical Consciousness — Subconscient — Sleep and Dream — Illness, pp. 89-90This episode is also available as a blog post at https://sriaurobindostudies.wordpress.com/2026/02/02/the-procedure-for-elimination-of-unwanted-movements-in-the-being/Video presentations, interviews and podcast episodes are allavailable on the YouTube Channel https://www.youtube.com/@santoshkrinsky871More information about Sri Aurobindo can be found at www.aurobindo.net  The US editions and links to e-book editions of SriAurobindo's writings can be found at Lotus Press www.lotuspress.com#Sri Aurobindo #yoga #integral yoga #spirituality #transformation #changing human nature

Have you ever been stuck in an elevator? What happens when you push the call button? Physical safeguards managed by a 3rd party are often ignored or marked as N/A. What happens when processes and procedures don't get updated after a change? Listen in as Charles Love of ShowTech Solutions shares his experience of being trapped in an elevator and what we should all take away in lessons learned.

Episode 264: The Best Kept Secret in Midlife Vision with Ramon Gomez Are you tired of the "long-arm game?" In this episode, Heather Pettey pulls back the curtain on a life-changing procedure that most women in midlife don't even know exists. If you've been told you aren't a candidate for LASIK, or if you're tired of your contacts drying out and your readers disappearing when you need them most, this conversation is for you. Heather is joined by Ramon Gomez from the Eye Specialty Group in Memphis to discuss Refractive Lens Exchange (RLE)—the "best-kept secret" that gave Heather 20/20 vision and the freedom to finally donate her glasses to Costco. In this episode, we cover: The LASIK Reality Check: Why LASIK isn't always the answer for those of us over 50. The "iPhone" Analogy: How your natural lens loses its "auto-zoom" (accommodation) as we age. Refractive Lens Exchange vs. Cataract Surgery: Why waiting for cataracts might be costing you years of visual freedom. The Procedure & Recovery: Does it hurt? (Spoiler: No!) And how fast can you get back to your active lifestyle? Investment in Self: Shifting the mindset from investing in our children to finally investing in our own quality of life. Key Highlights: [08:12] Why Ramon had to "hurt Heather's feelings" regarding her LASIK candidacy. [14:45] Understanding the PanOptix Pro lens and how the "Rings of Power" technology works. [22:30] The 20-minute procedure: What to expect from "Twilight Anesthesia." [31:10] Why you will never need cataract surgery after this procedure. Connect with Our Guest: Guest: Ramon Gomez, Eye Specialty Group Location: Memphis & Collierville, TN Contact: Ramon Gomez email Website: Eye Specialty Group Schedule a Consultation: Mention the Life Coach BFF Show when you call to inquire about your free consultation! Resources Mentioned: Heather's Word of the Year: FREE Brand: Our Midlife Moxie Community: Join @OurMidlifeMoxie Connect with Heather & Dr. Carol Lynn: Follow on Instagram @OurMidlifeMoxie Subscribe: Never miss an episode! Hit that follow button on Apple Podcasts or Spotify. The Journal: Grab your copy of My Midlife Moxie on Amazon! Join the Club: Order your journal, turn to Page 2, and register to receive your invitation to our Thursday night Zoom Journaling Sessions (7:00–7:30 PM CST).     Snag your My Midlife Moxie Journal   Digital Version My Midlife Moxie Journal   Sign Up and Get the latest MOXIE news!   Join The Facebook Group: @ourmidlifemoxie   Connect with Host Heather Pettey: Email: hpetteyoffice@gmail.com Private Coaching with Heather:https://www.ourmidlifemoxie.com/heatherpetteycoaching Speaker Request Here Instagram @HeatherPettey_ Facebook: @HeatherPettey1 Linkedin: @HeatherPettey Book: "Keep It Simple, Sarah" (Amazon bestseller) Connect with Dr. Carol Lynn: Linkedin Website: https://www.drcarollynn.com Facebook Group: @ourmidlifemoxie Website: www.ourmidlifemoxie.com Don't forget to subscribe to the Life Coach BFF Show for more inspiring content and practical life advice! [Disclaimer:] This podcast is for informational and educational purposes only. Nothing heard here should be taken as medical advice. Always consult with your own physician regarding your personal health needs.

Travis Kelce Bedroom confession.... Okay. Sporty Spice stories including breaking Lindsey Vonn Crash and two MN Sports GM's fired today. We talk Lisa Rinna and her daughter Amelia Hamlin's procedures and Kendall Jenner is just a horse girl. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

A Clark County Today poll examines whether councilors serving on boards and commissions should be required to vote according to the full council's position, following debate over proposed Rules of Procedure changes tied to board authority and representation. https://www.clarkcountytoday.com/opinion/poll-should-councilors-serving-on-boards-be-required-to-vote-the-way-the-full-council-decides/ #Opinion #ClarkCounty #LocalGovernment #CTRAN #PublicPolicy

Chuck and Chris review common, "straightforward" surgeries in hand surgery and what might go wrong.  We specifically discuss trigger finger release, dequervains release, ganglion excision and carpal tunnel release.  We share our thoughts and hope for listener feedback.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

Clark County Council revisited proposed changes to its Rules of Procedure, focusing on authority to remove councilors from boards and whether representatives must vote in alignment with council positions, amid continued debate surrounding Michelle Belkot's removal from the C-TRAN Board of Directors and questions about charter authority and transparency. https://www.clarkcountytoday.com/news/county-council-still-looking-to-change-language-in-rules-of-procedure/ #ClarkCounty #LocalGovernment #CTRAN #PublicMeetings #LocalPolitics

Sandra Lena Silverman is an author, speaker, and unapologetic truth-teller who is what beauty, love, and aging truly look like. As host of The Party's Over, she brings humor and heart to the chaos of midlife reinvention—one laugh, one heartbreak, and one Botox injection at a time. Sandra's story didn't start with a microphone—it began with a mirror and a reckoning. Sandra's mission is to help women strip away the lies about beauty, aging, and love. She guides women like herself to build confidence from truth, not illusion. Sandra's proof that midlife isn't an ending; it's a reawakening. Through candor, comedy, and courage, Sandra challenges outdated ideals and inspires women to reclaim their power and passion. We hope you enjoy today's episode!  Learn more about your ad choices. Visit megaphone.fm/adchoices

Megan's story begins with complications in a wanted pregnancy leading to a life-threatening molar pregnancy diagnosis. A molar pregnancy happens when what should be placenta/baby/pregnancy tissue grows abnormally instead, creating cancerous cells.For Megan, this meant facing something she never thought would come from pregnancy: becoming a cancer patient. She found herself not only grieving the loss of her pregnancy but also having to do cancer treatments to save her own life.Listen in to hear the raw reality of making medical pregnancy decisions under crisis conditions. If you've felt isolated during fertility and pregnancy health crises (that are just never talked about!)… if you wonder how to survive grieving a pregnancy that needed heartbreaking medical interventions …. if you had to make impossible choices for your body/pregnancy… this episode is for you.CONNECT WITH MEGAN TENNIS:@meganmiscarried on TikTokMegan is also a licensed clinical professional counselor in Illinois: https://www.advancedbhs.com/megan-tennis-lpc/ and she wants to share the link for the helpful non-profit organization Chasing The Rainbows: https://linktr.ee/chasingtherainbowsTFMR GRIEF CIRCLE PROGRAM STARTING IN FEB. 2026:If you're longing for intimate, ongoing group support, apply now for the Ascend TFMR Grief Circle

Kristin and I read through listener comments, including theories about how I can create characters without an inner monologue, and real-world ophthalmology stories that lead me to beg you, once again, to call your eye doctor before going to the ER. We also talk about scrubs, fashion, and the fact that someone published a real scientific paper about what patients think doctors should wear. Then we play a game where Kristin has to guess what medical procedures are, when they were invented, and which ones humanity probably regrets, from trepanation and lobotomies to CPR, anesthesia, dialysis, vaccines, C-sections, and appendectomies. Takeaways: Plane Etiquette Is a Minefield: Leg contact, armrests, and the silent rules no one agreed on. Brains Are Loud: Why some people can't turn their thoughts off, and why meditation advice often backfires. Eye Emergencies: When floaters mean “call now” and why your ophthalmologist wants you to skip the ER if possible. Research Reality Check: How mandatory med-student research may be diluting science instead of advancing it. Medicine's Wild History: From trepanation and lobotomies to vaccines, dialysis, and CPR, proof that progress is messy. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live  We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! –⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ http://www.patreon.com/glaucomflecken⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact.  For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.EyelidCheck.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for more information. Go to Cozy Earth now for a Buy One Get One Free Pajama Offer from 1/25-2/8! Yes, go to ⁠cozyearth.com⁠ they are doing a BOGO pajama promo. Just use my Code: KNOCKKNOCKBOGO Produced by⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Human Content⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

A 25 year old Grass Valley man was arrested on January 21 after a lengthy investigation. The United States Postal Service has recently clarified that machine-applied postmarks represent the date that mail is first processed at a regional facility not when when that mail is dropped off at a post office or mailbox.

Erin Lee, founder of Protect Kids Colorado joins Heidi Ganahl to provide the latest on three ballot initiatives for which her organization is gathering signatures to appear on the 2026 ballot to protect children from mutiliation surgeries and procedures, as well as protecting girls' and women's sports and spaces from biological men.

This week we replay an important episode from 2 years ago in which we delved into the world of antibiotic prophylaxis for dental procedures. What are the data to support its use in the congenital heart patient? Why has this been such a difficult topic to study? What do we now know about this topic and what still remains unanswered? Given the low prevalence but dire consequences of this disease, how can investigators consider studying this topic in the future? Is there adequate equipoise to proceed with a randomized controlled trial? We speak with Advanced Imaging Fellow at Boston Children's Hospital, Dr. Francesca Sperotto of Harvard University about her recent multicenter meta-analysis of 30 studies including over one million cases of endocarditis. DOI: 10.1001/jamacardio.2024.0873

A Clark County Today poll asks readers to weigh in on whether proposed changes to the Clark County Council's Rules of Procedure suggest the council lacked authority during a controversial 2025 board removal involving the C-TRAN Board of Directors. https://www.clarkcountytoday.com/opinion/poll-do-the-proposed-changes-to-the-clark-county-councils-rules-of-procedure-suggest-the-council-lacked-authority-in-2025/ #Opinion #ClarkCounty #LocalPolitics #CountyCouncil #PublicAccountability

Clark County Council members discussed proposed changes to the council's Rules of Procedure, including whether councilors can be directed how to vote on boards and commissions, a debate tied directly to Michelle Belkot's removal from the C-TRAN board and the resulting lawsuits and OPMA investigation. https://www.clarkcountytoday.com/news/do-the-county-councils-proposed-changes-to-rules-of-procedure-prove-belkot-was-correct/ #ClarkCounty #VancouverWA #LocalGovernment #CTRAN #PublicMeetings #WashingtonPolitics

Turn online alignment into an offline community — join us at TheWayFwrd.com to connect with like-minded people near you.When did we decide women's bodies couldn't be trusted to give birth?Childbirth is often the first place we're taught to override intuition in favor of authority. In this episode, I speak with Dr. Nathan Riley about how modern systems shape pregnancy and birth — not just medically, but psychologically and culturally.This conversation isn't about rebellion or nostalgia. It's about responsibility, trust, and what happens when we're trained to hand those over.We talk about natural birth, home birth, and the power of doing less instead of more. C-section rates keep climbing and fear is introduced early through institutional rituals. Education, compliance, and credentialed authority train us to outsource knowing, especially during pregnancy and birth. From midwifery to birth trauma, from holistic health to reclaiming responsibility, this conversation connects dots most people never think to question.If you're interested in birth sovereignty, health sovereignty, and the deeper implications of how humans enter the world, this episode will challenge you. Not with ideology, but with lived experience and uncomfortable clarity.You'll Learn:[00:00] Introduction[04:07] Meeting Dr. Stu Fishbein at a breech delivery talk and the home birth that changed everything[13:53] Why compulsory education conditions us to trust credentials over critical thinking and clinical experience[27:53] The alternative health movement is still rooted in materialism [39:01] The overuse of the word physiology when being directed towards childbirth[52:35] Where the alternative health space is getting it wrong[01:06:53] How asking about your own birth transforms your ability to hold space and trust intuition during labor[01:16:40] Induction risks depend on your provider and why most inductions aren't medically necessary[01:29:14] The HPV and cervical cancer story[02:02:03] The graphic reality of circumcision[02:22:10] Why midwives should be the default for prenatal care[02:50:55] The nuanced case for free birth, the problems with rebirth certifications, and why "birth educator" replaced "midwife"Related The Way Forward Episodes:Rethinking DNA: Examining the Evidence with Dr. Tom Cowan | YouTubeThe Heart is Not a Pump: Vortexes, Blood Flow & The Seat of the Soul with Dr. Stephen Hussey | YouTubeThe Great Birth Revival: Birth Certificates, Circumcision, Postpartum & More with Veda Ray | YouTubeFlipping Birth Upside Down with Eyla Cuenca | YouTubeResources Mentioned:The Secret Life of the Unborn Child: Dr. Thomas Verny on the Embodied Mind, Epigenetics, and Transgenerational Healing | Podcast50 Human Studies, in Utero, Conducted in Modern China, Indicate Extreme Risk for Prenatal Ultrasound by Jim West | Book or AudiobookLearn more from Dr. Nathan Riley:Born Free Method | WebsiteBeloved Holistics | Website2026 Born Free Twins-Breech Gathering | WebsiteFind more from Alec:Alec Zeck | InstagramAlec Zeck | XThe Way Forward | InstagramThe Way Forward is Sponsored By:Designed for deep focus and well-being. 100% blue light and flicker free. For $50 off your Daylight Computer, use discount code: TWF50New Biology Clinic: Redefine Health from the Ground UpExperience tailored terrain-based health services with consults, livestreams, movement classes, and more. Visit www.NewBiologyClinic.com and use code THEWAYFORWARD (case sensitive) for $50 off activation. Members get the $150 fee waivedRMDY Academy & Collective: Homeopathy Made AccessibleHigh-quality remedies and training to support natural healing.Enroll hereExplore here

It's getting harder and harder to believe new plastic surgery procedures actually work.  With the advent of "pay to play" medical journals, almost anything can get published.  This has weakened the age old trust of publications in "peer reviewed journals".  Just this week, journals published articles concluding that acupuncture can reduce wrinkles and deep chemical peels can substitute for upper eyelid lifts.  I don't believe either...and neither should you. And now I trust fewer scientific papers.  Tune in to become a medical skeptic.  

Navigating the Complexities of Criminal Procedure: Eyewitness IDs, Prosecutorial Discretion, and Double JeopardyThis conversation delves into the complexities of criminal procedure, focusing on key areas such as eyewitness identification, prosecutorial discretion, the Sixth Amendment right to counsel, and the Double Jeopardy Clause. It highlights the systemic issues within the legal framework, particularly the challenges posed by unreliable eyewitness testimony and the significant power wielded by prosecutors. The discussion emphasizes the importance of understanding these legal doctrines for effective legal practice and examination preparation.In the intricate world of criminal procedure, understanding the nuances of legal doctrines is crucial for anyone studying law. This post explores three pivotal areas: eyewitness identification, prosecutorial discretion, and double jeopardy, each presenting unique challenges and implications for justice.Eyewitness Identification: Eyewitness testimony is often seen as compelling evidence, yet it is fraught with potential for error. The case of Ronald Cotton highlights how suggestive police procedures can corrupt a witness's memory, leading to wrongful convictions. The Supreme Court's Manson v. Brathwaite decision attempts to address these issues with a two-part test, but critics argue that the reliability factors can be tainted by the very procedures meant to be scrutinized.Prosecutorial Discretion: Prosecutors wield immense power in the judicial system, deciding who to charge and what charges to bring. While this discretion is necessary, it is not without limits. The Constitution provides checks against selective and vindictive prosecution, though proving such claims is notoriously difficult. The balance between prosecutorial power and accountability remains a contentious issue.Double Jeopardy: The Fifth Amendment's Double Jeopardy Clause protects individuals from being tried or punished multiple times for the same offense. However, the Dual Sovereignty Doctrine allows separate sovereigns, like state and federal governments, to prosecute the same act independently. This doctrine raises questions about fairness and the potential for excessive punishment.Conclusion: The tension between finality and fairness is a recurring theme in criminal procedure. As legal systems evolve, the challenge remains to reconcile traditional practices with scientific insights and constitutional protections. Understanding these dynamics is essential for navigating the legal landscape and advocating for justice.Subscribe Now: Stay informed on the latest legal insights and analyses by subscribing.TakeawaysEyewitness identification is a leading cause of wrongful convictions.The systemic crisis of misidentification is acknowledged by judges and scholars.Prosecutorial discretion is vast but not unchecked.The Sixth Amendment right to counsel attaches after formal adversarial proceedings begin.Double Jeopardy protects against multiple prosecutions for the same offense.The Manson v. Brathwaite test assesses the reliability of eyewitness IDs.The dual sovereignty doctrine allows for multiple prosecutions by different sovereigns.Confidence in eyewitness testimony can be artificially inflated by suggestive procedures.The reliability factors in eyewitness identification can be tainted by police procedures.Understanding the balance between finality and accuracy is crucial in criminal law.criminal procedure, eyewitness identification, prosecutorial discretion, Sixth Amendment, double jeopardy, legal doctrines, constitutional law, wrongful convictions, due process, legal education

One of the first executive orders President Donald Trump signed after his inauguration last January was titled “Protecting Children from Chemical and Surgical Mutilation.” The order directed the Department of Health and Human Services (HHS) to produce a systematic review of pediatric transgender procedures and their impact on children within 90 days.In May 2025, HHS published a more than 400-page review, titled “Treatment for Pediatric Gender Dysphoria: Review of Evidence and Best Practices.” In November last year, an updated, peer-reviewed version was published with additional appendices and supplements.Leor Sapir, a senior fellow at the Manhattan Institute, is one of the report's main outside co-authors. In our in-depth interview, Sapir provides a detailed overview of the review's findings and conclusions.“We tried to be as factual and defensible as we possibly could,” he said.The goal of the report, he says, is to “engage with people in the medical profession who may not be aligned with the administration, but who do care about questions of medical evidence and medical ethics.”In this episode, he breaks down:- The prevalence of sex-changing procedures in the United States, as well as the reversal in approaches in various Scandinavian countries and in the UK.- How misleading and unscientific language was used by professionals across many fields to promote pediatric sex transitioning.- The role of the organization, World Professional Association for Transgender Health (WPATH), in establishing “gender-affirming care” as the accepted standard.- How clinicians, in his view, distorted the principle of patient autonomy to increase pediatric sex change surgeries.There is one chapter in the report that everyone should read, Sapir said. And that is the chapter about ethics.“The question on everybody's mind is: Should we do it? That's an ethical question. And medical ethics is, you would hope, [what] governs the field of medicine,” he told me.Views expressed in this video are opinions of the host and the guest, and do not necessarily reflect the views of The Epoch Times.

professorjrod@gmail.comIn this episode of Technology Tap: CompTIA Study Guide, we delve into the critical role of security governance in building secure organizations. Learn how governance frameworks—comprising policies, standards, procedures, and playbooks—transform strategic intent into consistent, auditable actions that both teams and auditors rely on. Whether you're preparing for your CompTIA exam or aiming to develop essential IT skills, understanding these governance principles is key to effective tech exam prep and technology education. Join us as we break down complex concepts in an easy-to-understand way, helping you succeed in your IT certification journey and beyond.We start with clear definitions that make exam questions and real-world decisions easier. Policies set high-level rules and expectations. Standards add measurable technical requirements like encryption strength and logging baselines. Procedures translate both into step-by-step action, and playbooks coordinate who does what, in what order, using which tools. Along the way, we compare external frameworks such as ISO 27001, NIST 800, PCI DSS, and FIPS with internal standards that tailor controls to your environment.Privacy law isn't a side quest; it shapes everything. We demystify GDPR, CCPA, FERPA, HIPAA, and COPPA, and clarify roles that exams love to test: the data owner who sets classification and usage, the data controller who defines purpose and lawful basis, the data processor who acts for the controller, and the data custodian who protects and maintains data without deciding how it's used. You'll learn practical cues to spot each role fast and avoid common pitfalls.Finally, we dig into change management as a risk control function. Its goal is to minimize risk while implementing changes, with impact analysis, approvals, testing, and rollback plans. Automation and orchestration can speed response and reduce error, but only when guided by policy and enforced by standards. Expect memorable exam tips, grounded examples, and a framework you can use right away on the job.If this helped sharpen your Security+ prep or your day-to-day practice, subscribe, share the show with a colleague, and leave a quick review. Your feedback helps more learners tap into technology with confidence.Support the showArt By Sarah/DesmondMusic by Joakim KarudLittle chacha ProductionsJuan Rodriguez can be reached atTikTok @ProfessorJrodProfessorJRod@gmail.com@Prof_JRodInstagram ProfessorJRod

Un[REDACTED] SCP-8417 | Keter | Have You Seen Me?Written by TroutMaskReplicaNarrated by Kelsey RobertsPatronsMemeticHygienistProCupidineNataMontana LisetteCollin WischmeyerYamtagglerCarbon28lAndrew FarrPhyrexianNinjaMichael Vejlo TerkelsenTanisRulerOfAllXHAWK77XAgent__MaxwellSupport our work with them at patreon.com/scpunredactedUn[REDACTED] community links: YouTube: https://bit.ly/unredactedyoutubeSpotify: https://spoti.fi/3mNCLulTikTok: https://www.tiktok.com/@scpunredactedDiscord: https://bit.ly/unredacteddiscordInsta: https://bit.ly/unredactedinstagramTwitter: https://bit.ly/unredactedtwitterCaptivate: https://bit.ly/unredactedcaptivateApple: https://apple.co/3FO8qTYOriginal article located at https://scp-wiki.wikidot.com/scp-8417SCP Un[REDACTED] is a Smooth Cadence Production and is released under CC-by-SA 3.0

Podcast: Cloud Security Podcast by Google (LS 36 · TOP 2.5% what is this?)Episode: EP257 Beyond the 'Kaboom': What Actually Breaks When OT Meets the Cloud?Pub date: 2026-01-05Get Podcast Transcript →powered by Listen411 - fast audio-to-text and summarizationGuest: Chris Sistrunk, Technical Leader, OT Consulting, Mandiant Topics: When we hear "attacks on Operational Technology (OT)" some think of Stuxnet targeting PLCs or even backdoored pipeline control software plot in the 1980s. Is this space always so spectacular or are there less "kaboom" style attacks we are more concerned about in practice? Given the old "air-gapped" mindset of many OT environments, what are the most common security gaps or blind spots you see when organizations start to integrate cloud services for things like data analytics or remote monitoring? How is the shift to cloud connectivity - for things like data analytics, centralized management, and remote access - changing the security posture of these systems? What's a real-world example of a positive security outcome you've seen as a direct result of this cloud adoption? How do the Tactics, Techniques, and Procedures outlined in the MITRE ATT&CK for ICS framework change or evolve when attackers can leverage cloud-based reconnaissance and command-and-control infrastructure to target OT networks? Can you provide an example? OT environments are generating vast amounts of operational data. What is interesting for OT Detection and Response (D&R)? Resources: Video version Cybersecurity Forecast 2026 report by Google Complex, hybrid manufacturing needs strong security. Here's how CISOs can get it done blog "Security Guidance for Cloud-Enabled Hybrid Operational Technology Networks" paper by Google Cloud Office of the CISO DEF CON 23 - Chris Sistrunk - NSM 101 for ICS MITRE ATT&CK for ICS The podcast and artwork embedded on this page are from Anton Chuvakin, which is the property of its owner and not affiliated with or endorsed by Listen Notes, Inc.

Watch The X22 Report On Video No videos found (function(w,d,s,i){w.ldAdInit=w.ldAdInit||[];w.ldAdInit.push({slot:17532056201798502,size:[0, 0],id:"ld-9437-3289"});if(!d.getElementById(i)){var j=d.createElement(s),p=d.getElementsByTagName(s)[0];j.async=true;j.src="https://cdn2.decide.dev/_js/ajs.js";j.id=i;p.parentNode.insertBefore(j,p);}})(window,document,"script","ld-ajs");pt> Click On Picture To See Larger PictureConspiracy no more, the D’s in Mass want to limit miles people can drive because of climate change. Biden/Obama forces electrical prices higher, Trump is now bringing the prices down and AI datacenters will be powered separately. The [CB] awakening has begun. Sometime you need to show the people the truth. The world is changing, Trump has shutdown the money supply around the world, the [DS] is in a deep panic and soon the people of Iran will take back their own country. As the [DS] criminal syndicate falls apart are they planning an armed civil war? Trump admin designates the Muslim Brotherhood a terrorist organization, other chapters to follow. In the end the Patriots have full control, once the chaos begins the partios will round them all up, it will be clean and swift. Economy https://twitter.com/libsoftiktok/status/2010831605430976627?s=20  Telecommunications, Utilities, & Energy and now heads to the Senate Ways and Means Committee (function(w,d,s,i){w.ldAdInit=w.ldAdInit||[];w.ldAdInit.push({slot:18510697282300316,size:[0, 0],id:"ld-8599-9832"});if(!d.getElementById(i)){var j=d.createElement(s),p=d.getElementsByTagName(s)[0];j.async=true;j.src="https://cdn2.decide.dev/_js/ajs.js";j.id=i;p.parentNode.insertBefore(j,p);}})(window,document,"script","ld-ajs");    major changes beginning this week to ensure that Americans don't “pick up the tab” for their POWER consumption, in the form of paying higher Utility bills. We are the “HOTTEST” Country in the World, and Number One in AI. Data Centers are key to that boom, and keeping Americans FREE and SECURE but, the big Technology Companies who build them must “pay their own way.” Thank you, and congratulations to Microsoft. More to come soon! President DJT Trump Will Request to Limit Credit Card Interest Rates to 10% for One Year to Combat the Scams of the Big Financial Companies   Trump Administration. Thank you for your attention to this matter. MAKE AMERICA GREAT AGAIN! PRESIDENT DONALD J. TRUMP This initiative is a great for reversing the damage caused by leftist policies that prioritized uncontrolled spending and galloping inflation over the well-being of the working people. Under the Biden administration, credit card interest rates skyrocketed, reaching an average of 21.5 % in 2024, according to data from the Federal Reserve Bank, exacerbated by inflation that reached peaks of 9 % in 2022. This escalation was not an accident, but the direct result of Democratic policies that injected trillions in unnecessary stimuli, increasing the national debt and forcing the Fed to raise base rates to contain the crisis. Source:  gatewayhispanic.com  https://twitter.com/truflation/status/2011071380175860037?s=20   price data has been showing  https://twitter.com/julie_kelly2/status/2010924086981984640?s=20 https://twitter.com/DrJStrategy/status/2011032604313518251?s=20  a hoax. What Powell actually did •Powell chose to go public with a dramatic video statement saying DOJ subpoenas “threatened a criminal indictment” over his testimony on the Fed's multibillion‑dollar building renovations. •He explicitly framed the subpoenas as “pretexts” and cast them as retaliation for the Fed setting rates independently of the president, elevating a renovation/cost‑overrun inquiry into an existential attack on central bank independence. The framing of criminal indictment came from Powell! In what look liked a scripted response, all of the Fed acolytes on Wall St cried foul, they bought in hook line and sinker!!! What the U.S. Attorney is saying •The U.S. Attorney's Office for D.C. has stated they contacted the Fed “on multiple occasions” about cost overruns and Powell's congressional testimony, were ignored, and therefore resorted to formal legal process, which they stress “is not a threat.” •Jeanine Pirro has been explicit that “the word ‘indictment' has come out of Mr. Powell's mouth, no one else's,” and that “none of this would have happened if they had just responded to our outreach.” “Above the law” behaviour. •Powell now publicly insists “no one is above the law,” even as the record shows the Fed disregarded informal outreach and only engaged once grand jury subpoenas landed, which is the opposite of transparent cooperation. Recall Choke Point 2.0 and the unbanking of individuals. •By recasting a straightforward question of cost overruns and possible misstatements to Congress as an illegitimate “criminal indictment threat,” Powell is effectively demanding a special zone of immunity wrapped in the rhetoric of independence. Why central bankers are “charging the hill” •Former Fed chairs and global monetary grandees have rushed out statements condemning the probe as an attack on Fed independence, treating any prosecutorial look at a central banker as inherently out of bounds. The former Fed officials' statement is doing exactly what the “51 intel officials” letter did on the Hunter Biden laptop: using elite signatures to launder a political narrative into institutional dogma and declare scrutiny itself illegitimate. Powell and his allies are recasting a narrow DOJ inquiry into cost overruns and testimony accuracy as an existential assault on “independence,” and an all‑too‑willing media is once again treating the letter as revealed truth instead of asking hard questions This closes ranks around the idea that central banks sit on a higher plane than normal agencies, immune not only from political pressure on rates, which is legitimate, but also from standard legal and fiscal oversight, which is not. MSM and the death of the 4th estate •Much of legacy media has adopted Powell's framing almost verbatim: “unprecedented attack on independence,” “monetary policy under assault,” while relegating the core factual dispute,ignored outreach, cost overruns, accuracy of testimony, to secondary status. Powell and the central banking crowd are behaving in a way that is frankly odd: they stonewall basic oversight, scream “independence” the moment anyone reaches for legal tools, and act as though they stand above the law—while a compliant MSM gladly carries their narrative, proof the fourth estate has checked out. All of this does not meet the smell test. Is the Fed above the US Constitution? Why did Powell go public and choose the framing that he did? Why did MSM and so called objective pundits not do any objective analysis. Smells like elements of a Russia Russia Russia hoax strategy to me. https://twitter.com/MetaLawMan/status/2010816276508082343?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E2010816276508082343%7Ctwgr%5E6585e9ff019ea8191354a3bf06c918cdfd10f00c%7Ctwcon%5Es1_c10&ref_url=https%3A%2F%2Fjoehoft.com%2Fcorrupt-fed-head-jerome-powell-added-trillions-in-unnecessary-us-debt%2F   service of a subpoena on the Fed is not a threat to indict him. Subpoenas are investigative tools. It's possible that the government separately advised Powell that he was a “target” of the investigation, but he didn't say that. 3. Nowhere in the statement does Powell say his testimony to Congress about the Fed construction project was truthful and accurate. https://twitter.com/USAttyPirro/status/2010886969518170452?s=20  Powell's mouth, no one else's. None of this would have happened if they had just responded to our outreach. This office makes decisions based on the merits, nothing more and nothing less. We agree with the chairman of the Federal Reserve that no one is above the law, and that is why we expect his full cooperation. Political/Rights https://twitter.com/DailyCaller/status/2011107269585616922?s=20 https://twitter.com/RapidResponse47/status/2011108530842108290?s=20 https://twitter.com/DHSgov/status/2010742739562901678?s=20   Procedure is same used in any location, such as hospital etc. https://twitter.com/nicksortor/status/2011067479603257616?s=20 https://twitter.com/CynicalPublius/status/2011085032606102012?s=20  American law and the accompanying reduction in crime. However, there are a few certain locations where law enforcement refuses to assist in law enforcement, and the local politicians and a base of Marxist-organized civilians actively oppose (sometimes violently) ICE’s lawful operations. It’s those latter locations, few in number but outsized in media reporting–all run by Democrats–that give a false impression as to how much Americans appreciate getting what they voted for. https://twitter.com/KCPayTreeIt/status/2010475982038147336?s=20 DOGE Geopolitical https://twitter.com/sentdefender/status/2010965644867485898?s=20   Tehran, according to the Wall Street Journal https://twitter.com/MarioNawfal/status/2011029585161568307?s=20 lowballing. In 2019 they said 230 died, Reuters reported 1,500. Iran International estimated 2,000+ last week based on hospital reports and morgue footage. Now the regime’s confirming it. But they’re framing it as “terrorists killed these people” not “we shot 2,000 protesters.” That’s the setup for mass trials and executions. 2,000 dead in 2 weeks. That’s 140+ per day. During a communications blackout. In a country claiming it has “total control.” Source: Reuters, Iranian official https://twitter.com/IranIntl_En/status/2011018647255322754?s=20   a coordinated blackout aimed not only at security control but at concealing the truth, reflected in internet cuts, crippled communications, media shutdowns, and the intimidation of journalists and witnesses. Publication was delayed until the evidence converged. The assessment is based on a multi-stage review of information from a source close to the Supreme National Security Council; two sources in the presidential office; accounts from several sources within the Islamic Revolutionary Guard Corps in Mashhad, Kermanshah and Isfahan; testimonies from eyewitnesses and families of those killed; field reports; data linked to medical centers; and information provided by doctors and nurses in multiple cities.  Trump administration designates 3 Muslim Brotherhood branches as terrorist organizations   The Trump administration labeled three Muslim Brotherhood branches as terrorist organizations on Tuesday, imposing sanctions on them and their members. The Lebanese, Jordanian and Egyptian chapters of the Muslim Brotherhood pose a risk to the United States and American interests, according to the Treasury and State departments. “These designations reflect the opening actions of an ongoing, sustained effort to thwart Muslim Brotherhood chapters' violence and destabilization wherever it occurs,” Secretary of State Marco Rubio said in a statement obtained by The Associated Press. “The United States will use all available tools to deprive these Muslim Brotherhood chapters of the resources to engage in or support terrorism.” The Jordanian and Egyptian branches were designated by the Treasury as specifically designated global terrorists for providing support to Hamas. The Lebanese branch was labeled a foreign terrorist organization, which is the most severe, meaning it is a criminal offense to provide material support to the group. Source;  wsbt.com  Rubio Designates Egyptian, Jordanian and Lebanese Chapters of Muslim Brotherhood as Foreign Terrorist Organizations Keep in mind the Muslim Brotherhood is the fabric on the umbrella of political Islam. Each faction represents and individual spline on the umbrella construct, but the Muslim Brotherhood overall is a political extremist system for various levels of authentic Islam. The regional chapters that really matter, the difficult ones to navigate will be in Qatar, Syria and especially the Turkish factions. These are more politically connected to the home government interests. Source: theconservativetreehouse.com 1237 Apr 22, 2018 1:31:31 AM EDT Q !xowAT4Z3VQ ID: 3e4934 No. 1141069  “The process of settlement is a ‘Civilization-Jihadist Process' with all the word means. The Ikhwan [MUSLIM BROTHERHOOD] must understand that their work in America is a kind of grand jihad in eliminating and destroying the Western civilization from within and ‘sabotaging' its miserable house by their hands and the hands of the believers…” https://clarionproject.org/muslim_brotherhood_explanatory_memorandum/ Q 3881 Q !!Hs1Jq13jV6 ID: b03e04 No.8238822 Feb 24 2020 20:36:43 (EST) EMHyS2xXkAA8JrB.png https://twitter.com/cain_nate/status/1231066589996318720 Listen carefully. Think: re: why [no] arrests (justice) yet? What if (almost) every critical position [sr] within the US GOV apparatus was infiltrated? WHAT MUST BE DONE FIRST? THE SWAMP RUNS DEEP. +Sleepers Backgrounds are important. Muslim Brotherhood List of ‘in the news now [names]‘ w/ known ties to Islam? THIS IS NOT ANOTHER 4-YEAR ELECTION. [assumptions correct – package well rec [known]] Q https://twitter.com/WhiteHouse/status/2010902536757162398?s=20 765 Feb 15, 2018 1:08:41 AM EST Q !UW.yye1fxo ID: 276796 No. 382161  WATCH THE WATER. Q War/Peace Medical/False Flags [DS] Agenda https://twitter.com/MrAndyNgo/status/2010746570853990773?s=20 https://twitter.com/EndWokeness/status/2010419447987937370?s=20 Antifa TikTok Agitator Urges Armed Leftist Militias to ‘Fight' ICE Agents Radical TikTok agitator Danesh Noshirvan has crossed a dangerous line. The Antifa-aligned mega influencer is now openly calling for organized, armed left-wing militias to confront ICE agents and federal law enforcement in America's largest cities. Danesh Noshirvan is directly linked to Scott Dworkin, founder of the Democratic Coalition Against Donald Trump. According to reports, Dworkin and even foreign interests bankroll Noshirvan's activities. Source: thegatewaypundit.com https://twitter.com/libsoftiktok/status/2010988104853659986?s=20 https://twitter.com/nicksortor/status/2010833162151346316?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E2010833162151346316%7Ctwgr%5Ec535903544267d9392f4466181097498d09593a1%7Ctwcon%5Es1_c10&ref_url=https%3A%2F%2Fwww.thegatewaypundit.com%2F2026%2F01%2Fnew-minnesota-ag-keith-ellison-minneapolis-mayor-jacob%2F   should be in JAIL. Treasury Secretary Scott Bessent Says There Are “DISTURBING TAPES” of Minnesota AG Keith Ellison Taking Money to Stop Investigations Into Somali Fraud   the U.S. Treasury Secretary confirmed that federal authorities are aggressively “following the money” amid explosive fraud investigations tied to Minnesota's sprawling Somali-linked financial networks. According to Bessent, the Treasury Department has launched multiple enforcement actions focused on suspicious financial flows between Minnesota residents and businesses and overseas destinations, including East Africa, as the federal government intensifies its immigration and fraud crackdown in the state. But the real bombshell dropped during an interview with Blaze: Scott Bessent:“It's hard to follow the money. There are evidently some disturbing tapes of AG Ellison in meetings with people who donated to him—calling for political favors to stop the investigations. We'll see. I don't want to get out ahead of the investigation. It's going to be very methodical. But I can guarantee you—when the bear trap snaps, we're going to get these folks. We're going to follow the money, whether it's here in Minneapolis and St. Paul or over in East Africa. There are tons of luxury properties and cars that have been bought over there.” WATCH: Source: thegatewaypundit.com    Countries who illegally entered the USA though Sleepy Joe Biden's HORRIBLE Open Border's Policy. Every place we go, crime comes down. In Chicago, despite a weak and incompetent Governor and Mayor fighting us all the way, a big improvement was made. Thousands of Criminals were removed! Minnesota Democrats love the unrest that anarchists and professional agitators are causing because it gets the spotlight off of the 19 Billion Dollars that was stolen by really bad and deranged people. FEAR NOT, GREAT PEOPLE OF MINNESOTA, THE DAY OF RECKONING & RETRIBUTION IS COMING! Minnesota’s total population as of July 1, 2024, is estimated at 5,793,151.  Approximately 8% of the state’s population is foreign-born, meaning about 463,452 individuals, while 92% (around 5,329,699) are native-born (U.S.-born). Minnesota is home to the largest Somali-American population in the United States, with people of Somali descent making up a notable ethnic group.  Recent estimates from the U.S. Census Bureau’s American Community Survey (ACS) for 2024 put the number of individuals of Somali descent in Minnesota at around 107,000 to 108,000, representing about 1.85% of the state’s total population.  (Note: Some sources provide slightly varying figures, such as 76,000 as a lower estimate, but the ACS data consistently points to the higher range. )Breakdown Within the Somali Population in MinnesotaThe Somali community in Minnesota includes both U.S.-born individuals and foreign-born immigrants or refugees. Here’s a detailed split based on nativity and citizenship status:  https://twitter.com/DataRepublican/status/1919002207896174765?s=20  or his NGOs appeared in the Journal of Democracy. It’s the flagship journal of the National Endowment for Democracy (NED), the same organization featured prominently in that widely circulated “Uniparty NGO” network diagrams below. NED is a U.S. government-funded outfit. It includes currently sitting members of Congress on its board… from both parties, not just former officials. Soros's involvement is deep. He has co-chaired NED conferences abroad and his Open Society NGOs regularly partner with NED operations, especially in countries undergoing “transitions” (read: regime change or soft power penetration). Together, Soros and US-backed NGOs have shaped funding pipelines, media narratives, and even foreign electoral strategies. So when people ask, “Why isn't Soros banned?” … they need to understand: he’s not an outsider. He’s part of our government. The Uniparty protects and partners with him, because he helps carry out a shared foreign policy vision… the same one that labels President Trump as a threat to democracy. NED members include:    Victoria Nuland – Director of the National Endowment for Democracy; Acting United States Deputy Secretary of State under Biden (served in both parties).   Karen Bass – Vice Chair of the National Endowment for Democracy; former U.S. Representative and current Mayor of Los Angeles (Democrat).    Todd Young – Honorary at the National Endowment for Democracy; U.S. Senator from Indiana (Republican).    Elise Stefanik – Director at the National Endowment for Democracy; U.S. Representative from New York and House GOP Conference Chair (Republican).   Mel Martinez – Director at the National Endowment for Democracy; former U.S. Senator from Florida (Republican).   Steve Biegun – Director at the National Endowment for Democracy; former U.S. Deputy Secretary of State (Republican).    Todd Young – Honorary at the National Endowment for Democracy; US Senator from Indiana (Republican). https://twitter.com/EricLDaugh/status/2011165232815882294?s=20 Just In: Bill and Hillary Clinton Refuse To Testify in Front of House Oversight Committee, Daring Chairman Comer To Hold Them in Contempt of Congress After months of dispute against House Oversight Committee Chairman James Comer, Bill and Hillary Clinton have today (13) REFUSED to testify in the House's Jeffrey Epstein investigation. This escalates the battle with Comer, Republican of Kentucky, and the former U.S. President and Secretary of State are effectively daring him to hold them in contempt of Congress. The New York Times reported: Source: thegatewaypundit.com President Trump's Plan Lefty DOJ Lawyers Rage-Quit After Harmeet Dhillon Blocks ICE Witch Hunt A group of lawyers in the Civil Rights Division of the U.S. Department of Justice (DOJ) have reportedly resigned after Assistant Attorney General for Civil Rights Harmeet Dhillon declined to investigate the Immigration and Customs Enforcement (ICE) officer involved in last week’s shooting in Minneapolis, Minnesota. The group had apparently pushed Dhillon to let a DOJ delegation fly to Minneapolis to investigate the January 7 shooting death of far-left agitator Renee Nicole Good, who was shot after she used her two-ton Honda Pilot as a weapon against the officer. Despite pressure from the lefty lawyers – described as “career prosecutors” – to initiate a witch hunt against the officer, Dhillon put a kibosh on their plans. They were apparently informed of the decision not to move forward with an investigation of the ICE agent last Friday.  After being told “no,” a group of “top leaders” in the criminal section of the Civil Rights Division “have left their jobs to register their frustration with the department.” Shock, horror. Sounds like the DOJ is well rid of this cabal, and these departures could be part of a trend of mass resignations amongst the old guard. This, of course, also saves Dhillon the trouble of having to draw up their pink slips.  Source: redstate.com  https://twitter.com/amuse/status/2010791586980933826?s=20   later. This is a system built for abuse by design https://twitter.com/CynicalPublius/status/2010886531838595278?s=20 https://twitter.com/ElectionWiz/status/2010777023673999531?s=20 https://twitter.com/USDOL/status/2010771852696617401?s=20 (function(w,d,s,i){w.ldAdInit=w.ldAdInit||[];w.ldAdInit.push({slot:13499335648425062,size:[0, 0],id:"ld-7164-1323"});if(!d.getElementById(i)){var j=d.createElement(s),p=d.getElementsByTagName(s)[0];j.async=true;j.src="//cdn2.customads.co/_js/ajs.js";j.id=i;p.parentNode.insertBefore(j,p);}})(window,document,"script","ld-ajs");

Today's Teaching Middle School ELA podcast episode is all about turning chaos into calm. If transitions in your middle school classroom feel loud, rushed, or all over the place, this episode is for you. We're breaking down one simple, repeatable procedure you can put in place to bring clarity, consistency, and calm to your transitions—without adding more to your plate. Small shift, big impact. Let's get into it. 

In this episode of Skin Anarchy, Dr. Ekta Yadav is joined by Dr. Yannis Alexandrides and Eva Alexandridis, the husband-and-wife team behind 111 Harley St. and 111SKIN, for a candid, science-forward conversation on regenerative aesthetics, protocol-based skincare, and what longevity really looks like when it's rooted in medicine—not marketing.111SKIN didn't start as a beauty brand. It began in the operating room. Dr. Alexandrides shares how his work in facial plastic surgery led him to develop skincare that could support faster healing and stronger outcomes after surgery—when nothing on the market met his clinical standards. What surprised him most wasn't just improved recovery, but the long-term transformation in skin quality patients experienced once healing was complete. That insight became the blueprint for translating surgical-grade science into daily care.A central theme of the episode is maintenance. Procedures, Dr. Alexandrides explains, are only as successful as the skin's baseline health. Eva expands on this philosophy, emphasizing that 111SKIN was never about instant fixes—it was about training skin to behave better over time. Longevity, in their view, is built through consistency, restraint, and respect for biology.The conversation also dives into the brand's measured approach to advanced technologies like exosomes—used as targeted protocols rather than trends—and the broader shift in aesthetics toward regeneration over replacement. From deep plane techniques to micrografting, Dr. Alexandrides explains why modern plastic surgery is moving away from excess and toward preservation.Throughout the episode, one message remains clear: longevity aesthetics aren't about changing who you are—they're about supporting skin health so you can look like yourself, for longer.Listen to the full episode of Skin Anarchy to hear Dr. Yannis Alexandrides and Eva Alexandridis unpack the science behind 111SKIN, regenerative skincare, and the future of evidence-based aesthetic care.SHOP 111SKINDon't forget to subscribe to Skin Anarchy on Apple Podcasts, Spotify, or your preferred platform.Reach out to us through email with any questions.Sign up for our newsletter!Shop all our episodes and products mentioned through our ShopMy Shelf!Support the show

🧭 REBEL Rundown 🗝️ Key Points 💨 NIV = Support without a tube: CPAP, BiPAP, and HFNC improve oxygenation and reduce the work of breathing.🫁 CPAP = Continuous pressure: Best for hypoxemic patients (e.g., pulmonary edema, OSA).️ BiPAP = Two pressures (IPAP/EPAP): Great for hypercapnic failure (e.g., COPD, obesity hypoventilation).🌬️ HFNC = Heated, humidified high flow: Reduces effort, improves comfort, and enhances oxygen delivery.🩺 Supportive, not definitive: NIV stabilizes patients while the underlying cause is treated. Click here for Direct Download of the Podcast. 📝 Introduction Non-invasive ventilation (NIV) refers to respiratory support provided without endotracheal intubation. The most common modalities include continuous positive airway pressure (CPAP), bilevel positive airway pressure (BiPAP), and high-flow nasal cannula (HFNC). These therapies aim to improve oxygenation, reduce the work of breathing, and potentially prevent invasive mechanical ventilation. 💨 CPAP and BiPAP CPAP delivers a single, continuous pressure during inspiration and expiration. This pressure (commonly 5–10 cm H₂O) helps recruit atelectatic alveoli, reduce shunt, and improve oxygenation. It is commonly used for conditions like pulmonary edema, obstructive sleep apnea, or mild hypoxemia without significant ventilatory failure.BiPAP alternates between two pressures:Inspiratory positive airway pressure (IPAP), augments tidal volume and unloads inspiratory muscles.Expiratory positive airway pressure (EPAP), maintains alveolar recruitment and improves oxygenation.The differential between IPAP and EPAP is critical for reducing hypercapnia in patients with COPD exacerbations or acute hypercapnic respiratory failure.IndicationsCPAP: hypoxemia without major ventilatory failure (e.g., cardiogenic pulmonary edema, atelectasis, OSA).BiPAP: hypercapnia with increased work of breathing (e.g., COPD exacerbation, neuromuscular weakness, obesity hypoventilation).A helpful way to conceptualize CPAP and BiPAP is through the hairdryer analogy. Imagine placing a hairdryer in your mouth: 🩺 Clinical Considerations Masks can be uncomfortable, impair secretion clearance, and limit oral intake.Some patients require sedation to tolerate NIV, but this carries risks in patients with unprotected airways.NIV is thus a high-stakes intervention requiring close monitoring.Common starting dose to understand titration, but start at the level appropriate for your patient:  IPAP 10 cm H₂O / EPAP 5 cm H₂O (“10/5”) and are titrated:Increase IPAP to improve tidal volume and CO₂ clearance.Increase EPAP to recruit alveoli and improve oxygenation.Both may be raised simultaneously if the patient is both hypoxemic and hypercapnic. 🚀 High-Flow Nasal Cannula (HFNC) H: Heated & humidified – improves mucociliary clearance, prevents airway drying, and enhances tolerance. I: Inspiratory flow – high flow meets or exceeds patient demand, reducing respiratory rate and effort.F: Functional residual capacity – modest generation of positive end-expiratory pressure (PEEP), promoting alveolar recruitment.L: Lighter – generally more comfortable and less restrictive than mask-based NIV.O: Oxygen dilution – minimizes entrainment of room air, delivering higher and more predictable FiO₂.W: Washout – flushes anatomical dead space, reducing CO₂ rebreathing.HFNC delivers heated, humidified oxygen at high flow rates (30–60 L/min) through wide-bore nasal prongs. A mnemonic, H-I-F-L-O-W, helps summarize its mechanisms:Indications: Traditionally used for acute hypoxemic respiratory failure (e.g., pneumonia), HFNC is increasingly studied for hypercapnic failure as well, with trials suggesting non-inferiority to BiPAP in select populations. Post Peer Reviewed By: Marco Propersi, DO (Twitter/X: @Marco_propersi), and Mark Ramzy, DO (X: @MRamzyDO) 👤 Show Notes Syed Moosi Raza, MD PGY 3 Internal Medicine Resident Cape Fear Valley Internal Medicine Residency Program Fayetteville NC Aspiring Pulmonary Critical Care Fellow 🔎 Your Deep-Dive Starts Here REBEL Core Cast – Pediatric Respiratory Emergencies: Beyond Viral Season Welcome to the Rebel Core Content Blog, where we delve ... Pediatrics Read More REBEL Core Cast 143.0–Ventilators Part 3: Oxygenation & Ventilation — Mastering the Balance on the Ventilator When you take the airway, you take the wheel and ... Thoracic and Respiratory Read More REBEL Core Cast 142.0–Ventilators Part 2: Simplifying Mechanical Ventilation – Most Common Ventilator Modes Mechanical ventilation can feel overwhelming, especially when faced with a ... Thoracic and Respiratory Read More REBEL Core Cast 141.0–Ventilators Part 1: Simplifying Mechanical Ventilation — Types of Breathes For many medical residents, the ICU can feel like stepping ... Thoracic and Respiratory Read More REBEL Core Cast 140.0: The Power and Limitations of Intraosseous Lines in Emergency Medicine The sicker the patient, the more likely an IO line ... Procedures and Skills Read More REBEL Core Cast 139.0: Pneumothorax Decompression On this episode of the Rebel Core Cast, Swami takes ... Procedures and Skills Read More The post REBEL Core Cast 148.0–Demystifying Non-Invasive Ventilation & HiFlow appeared first on REBEL EM - Emergency Medicine Blog.

Mid-year is when the cracks start to show - expectations fade, routines get sloppy, and classroom management feels heavier than it should. In this episode, I share why you can reset classroom management at any point in the year and walk you through the mindset shift, conversations, and practical steps that make a mid-year reset actually work. We'll talk about identifying your biggest classroom pain points, clearly communicating new expectations, and consistently reinforcing procedures so they stick!➡️ Show Notes: https://itsnotrocketscienceclassroom.com/episode217Resources:Winter Science FREEBIESCulture Mini-CourseSSS Virtual PD Course Bundle SSS Podcast Episodes by Topic Download 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:Episode 35, Competency, Classroom Management, Teaching Chemistry, and MORE with Guest Zach MatsonEpisode 91, My Top 5 Classroom Management Routines and Procedures for High School Science TeachersEpisode 93, Simple Strategies for Classroom ManagementEpisode 133, Using Refrains When Teaching

“Skin is our most visible biomarker of how we're aging on the inside,” explains Saranya Wyles, M.D., Ph.D.  Wyles, a dermatologist, regenerative medicine scientist, and the director of the Regenerative Dermatology & Skin Longevity Lab at the Mayo Clinic, joins us today to unpack how the skin reflects systemic aging and the emerging therapies shaping the future of regenerative dermatology. - The skin's connection to longevity (~3:45) - Markers of skin aging (~5:20) - Senescent cells & systemic aging (~6:35) - 5 pillars of skinspan (~8:25) - How to eat for better skin (~10:20) - The role of exercise (~12:30) - The best topicals (~13:55) - Sunscreen & morning sunlight exposure (~17:05) - What are peptides (~20:20)  - Lasers & longevity (~25:20) - Procedures to be mindful of (~32:40) - Underrated skin habits (~33:35) - The future of skin longevity (~35:15) - Cognitive function & skin health (~39:50) - Hair loss (~42:30) Referenced in the episode:  - Follow Wyles on Instagram (@drwyles.derm) - Check out her research (https://pubmed.ncbi.nlm.nih.gov/?term=saranya+wyles)   - The Baltimore Longitudinal Study of Aging (https://www.nia.nih.gov/research/labs/blsa/about)  - Participate in the Skin Aging And Longevity Understanding Database (SALUD) (https://www.mayo.edu/research/clinical-trials/cls-20578108) We hope you enjoy this episode, and feel free to watch the full video on YouTube! Whether it's an article or podcast, we want to know what we can do to help here at mindbodygreen. Let us know at: podcast@mindbodygreen.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

This week, Brent speaks with his personal physician, Dr. Todd Dorfman, for an update on his own health journey. Using Brent as a real-world case study, they walk through the discovery of an anomalous coronary artery, the risks and benefits of advanced cardiac diagnostics, and why more testing isn't always better. The conversation then shifts to prevention. Dr. Dorfman shares how he thinks about cholesterol, ApoB, Alzheimer's risk, statins, PCSK9 inhibitors, GLP-1 drugs, and other emerging therapies when you don't have disease but want to stay ahead of it. As always, Dr. Dorfman is a wonderful guest. Hope you enjoy.

🧭 REBEL Rundown 📌 Key Points 💀 Mortality: No statistically significant difference in 28-day mortality between ketamine vs etomidate for intubation in critically ill patients, though there was a ~1% absolute difference favoring ketamine. 📉🫀⚠️ Hemodynamics: Ketamine induction was associated with more cardiovascular collapse, mainly driven by new/increased vasopressor use (dose escalation or addition of a vasoactive agent). 💉⬆️ Click here for Direct Download of the Podcast. 📝 Introduction Etomidate or ketamine? The debate over the ideal agent for emergency rapid sequence intubation (RSI) has raged for years with no clear winner. Etomidate has been touted in the past for its rapid onset and minimal intrinsic effects on hemodynamics. However, the drug is well known as a transient adrenal suppressant though the impact of this suppression isn’t clear. Ketamine has risen in recent years as an alternative, due to its perceived hemodynamic stability, analgesic properties and absence of adrenal suppression. Additionally, recent data points towards improved mortality when ketamine was selected over etomidate (Kotani 2023). High quality randomized controlled trials are needed to further elucidate which agent should be selected in critically ill patients. 🧾 Paper Casey JD et al. Ketamine or etomidate for tracheal intubation of critically ill adults. NEJM 2025. PMID: 41369227 🔙Previously Covered On REBEL REBEL EM: The EvK Trial: Ketamine vs Etomidate for Rapid Sequence IntubationREBEL EM: From Debate to Data: Emerging Insights into RSI Induction with Ketamine vs Etomidate ️ What They Did CLINICAL QUESTION In critically ill adults undergoing tracheal intubation, does the use of ketamine instead of etomidate result in improved 28 day mortality? STUDY DESIGN Multicenter, randomized, open-label trial in both emergency departments and ICUs. POPULATION Inclusion Criteria:Critically ill patients > 18 years of age undergoing tracheal intubation with the use of an induction agentExclusion Criteria:Known pregnancyPrisonersPrimary diagnosis of traumaNeed for immediate intubation precluding randomizationClinicians determined that the use of ketamine or etomidate was either necessary or contraindicated INTERVENTION & COMPARATOR Intervention (HFNC Group):Ketamine administered based on a provided nomogram: full dose (2.0 mg/kg), intermediate dose (1.5 mg/kg) or reduced dose (1.0 mg/kg)Comparator (BPAP Group):Etomidate administered based on a provided nomogram: full dose (0.3 mg/kg), intermediate dose (0.25 mg/kg) or reduced dose (0.2 mg/kg) OUTCOMES Primary: In-hospital death from any cause by day 28.Secondary:Cardiovascular collapse during intubation defined as SBP < 65 mm Hg, receipt of new or increased dose of vasopressors or cardiac arrest.Exploratory Procedural:Lowest systolic blood pressureLowest systolic blood pressure below 80 mmHgHighest systolic blood pressure above 180 mmHgLowest oxygen saturationLowest oxygen saturation below 80%Successful first attempt intubationTime from induction to intubationExploratory Clinical:Number of ventilator free daysVasopressor-free daysICU free days Safety: Systolic blood pressure at 24 hours after enrollmentOngoing receipt of vasopressors at 24 hours 📈 Results: 2365 patients were randomizedKetamine: 1176Etomidate: 1189> 99% of patients received the drug they were randomized to receiveNMBA: 69% of patients in both groups received rocuronium~ 95% of patients had video laryngoscopy for the primary intubation attempt 💥 Critical Results 💪 Strengths Multicenter ED + ICU cohort of critically ill patients → improves external validityStrong randomization → balanced baseline characteristicsRight population for the question → appropriately focused on a sick cohort where induction choice matters mostHigh protocol adherence → most patients received the agent they were randomized toExcellent follow-up → minimal loss to follow-up / outcome capture ⚠️ Limitations No blinding → potential performance/resuscitation biasTrauma excluded → limits applicability to peri-intubation trauma careCase-mix skewed toward septic shock → may reduce generalizability to other shock etiologiesPower assumptions → designed to detect a 5% mortality difference (possibly overly ambitious)Equipoise-only enrollment → excluded patients with clear indication/contraindication → selection bias + reduced real-world applicabilityComposite secondary outcome with non-equivalent endpoints (e.g., cardiac arrest vs vasopressor titration)Ketamine dosing by actual body weight (vs ideal) → may have increased dose/exposure in some patients 🗣️ Discussion The increase in cardiovascular collapse seen with ketamine was driven by the “new or increased vasopressor use” piece of the composite outcome not by the more clinically relevant severe hypotension (SBP < 65 mm Hg) or cardiac arrest.The increase in CV collapse is a secondary outcome and hypothesis generating onlyCare beyond induction agent isn’t clearly delineated and may have varied between groupsReasons why there was more CV collapse in the ketamine group:Patients in the etomidate group were more likely to be on pressors or have pressor increases prior to induction agent administrationKetamine has analgesic properties which may affect hemodynamics (etomidate does not have analgesic effects)The standard ketamine dose of 2 mg/kg is higher than the induction dose used by most (1-1.5 mg/kg)Ketamine dosing was based on actual body weight though ideal body weight dosing is more accepted. This may have resulted in unnecessarily large ketamine doses that may have had a greater effect on hemodynamics.This is a study of patients with clinical equipoisePatients who the clinician determined would clearly benefit from one agent or the other or in whom one agent or the other was contraindicated were excluded from the study.This may add a selection bias to the results.Clinicians were not blinded to the induction agent administeredThe absence of blinding can introduce bias.For instance, knowledge of the agent the patient was randomized to may result in different resuscitative treatment prior to intubation.An induction agent nomorgram was provided to allow clinicians to choose their induction dose depending on patient stability.A 5% difference in mortality may be overly ambitious. As Josh Farkas points out in his post on this article, PCI for STEMI only has a 3% absolute difference in mortality versus standard care.The 1% absolute difference in mortality while not statistically significant would be clinically significant if it was real. The study would have to be much larger to show a statistically significant 1% difference.About 2% of patients in each group received additional medications during induction (propofol, benzodiazepines, opiates). It is unclear why these agents were selected in specific cases and how they may have affected the outcomes in question. 📘 Author's Conclusion “Among critically ill adults undergoing tracheal intubation, the use of ketamine to induce anesthesia did not result in a significantly lower incidence of in-hospital death by day 28 than etomidate.“ 💬 Our Conclusion In this well done RCT, induction with ketamine did not result in a lower 28-day mortality when compared to induction with etomidate in critically ill adults. The secondary outcome of an increase in cardiovascular collapse is interesting and should be studied more in the future. 🚨 Clinical Bottom Line This data should not drive clinicians to abandon the use of ketamine in RSI. To the contrary, the study leaves open the possibility of a clinically meaningful difference in mortality favoring ketamine that may be borne out in a larger study. However, etomidate can be considered as a first-line option for RSI and may be the superior drug in patients at high-risk for cardiovascular decompensation. Post Peer Reviewed By: Post Peer Reviewed By: Mark Ramzy, DO (X: @MRamzyDO), Frank Lodeserto, MD and Anand Swaminathan, MD (X: @EMSwami) 📚 References Kotani Y et al. Etomidate as an induction agent for endotracheal intubation in critically ill patients: a meta-analysis of randomized trials J Crit Care 2023;77:154317. PMID: 37127020 👤Associate Author Anand Swaminathan MD, MPH All Things REBEL EM Meet The Team 🔎 Your Deep-Dive Starts Here The RSI Trial: Ketamine vs Etomidate in Rapid Sequence Intubation Etomidate or ketamine? The debate over the ideal agent for emergency rapid sequence ... Resuscitation Read More REBEL Cast Ep120: Etomidate vs Ketamine for RSI in the ED? Background: Standard rapid sequence intubation (RSI) in the emergency department involves administration of ... Procedures and Skills Read More The post The RSI Trial: Ketamine vs Etomidate in Rapid Sequence Intubation appeared first on REBEL EM - Emergency Medicine Blog.

Guest: Chris Sistrunk, Technical Leader, OT Consulting, Mandiant Topics: When we hear "attacks on Operational Technology (OT)" some think of Stuxnet targeting PLCs or even backdoored pipeline control software plot in the 1980s. Is this space always so spectacular or are there less "kaboom" style attacks we are more concerned about in practice? Given the old "air-gapped" mindset of many OT environments, what are the most common security gaps or blind spots you see when organizations start to integrate cloud services for things like data analytics or remote monitoring? How is the shift to cloud connectivity - for things like data analytics, centralized management, and remote access -  changing the security posture of these systems? What's a real-world example of a positive security outcome you've seen as a direct result of this cloud adoption? How do the Tactics, Techniques, and Procedures outlined in the MITRE ATT&CK for ICS framework change or evolve when attackers can leverage cloud-based reconnaissance and command-and-control infrastructure to target OT networks? Can you provide an example? OT environments are generating vast amounts of operational data. What is interesting for OT Detection and Response (D&R)? Resources: Video version Cybersecurity Forecast 2026 report by Google Complex, hybrid manufacturing needs strong security. Here's how CISOs can get it done blog "Security Guidance for Cloud-Enabled Hybrid Operational Technology Networks" paper by Google Cloud Office of the CISO DEF CON 23 - Chris Sistrunk - NSM 101 for ICS  MITRE ATT&CK for ICS  

A young woman institutionalized for disagreeing with her parents, a 12-year-old boy punished for daydreaming, even a Kennedy daughter silenced to protect her brother's political career – all lobotomized. These people and five others went into surgery as individuals with hopes, dreams, and personalities — and came out as complete strangers to themselves.CHAPTERS & TIME STAMPS (All Times Approximate)…00:00:00.000 = Show Open00:02:12.814 = The Man Who Could Make Dead Fish Talk00:08:48.284 = *** They Murdered Their Mothers00:21:37.851 = The Ghostly Handprint of Francis Leavy00:26:41.319 = *** Victims of Lobotomies00:37:09.950 = Listener submitted story from Michael Emmanuel Omokhuvie00:41:47.332 = Show Close*** = Begins immediately after inserted ad breakSOURCES and RESOURCES:“The Man Who Could Make Dead Fish Talk” by Sarah Murden for Georgian Era:https://weirddarkness.tiny.us/2nte76b6“The Ghostly Handprint of Francis Leavy” by Prince Petropia for Paranorms: https://weirddarkness.tiny.us/53xwm2wd, and by Adam for Mysterious Chicago: https://weirddarkness.tiny.us/yxcvw3td“They Murdered Their Mothers” by Jessika M. Thomas for Ranker: https://weirddarkness.tiny.us/kxprwkyk“The Victims of Lobotomies” by Jacob Shelton for Ranker: https://weirddarkness.tiny.us/3kuhpcxf=====(Over time links may become invalid, disappear, or have different content. I always make sure to give authors credit for the material I use whenever possible. If I somehow overlooked doing so for a story, or if a credit is incorrect, please let me know and I will rectify it in these show notes immediately. Some links included above may benefit me financially through qualifying purchases.)= = = = ="I have come into the world as a light, so that no one who believes in me should stay in darkness." — John 12:46= = = = =WeirdDarkness® is a registered trademark. Copyright ©2025, Weird Darkness.=====Originally aired: May 18, 2021EPISODE PAGE (includes sources): https://weirddarkness.com/lobotomizedABOUT WEIRD DARKNESS: Weird Darkness is a true crime and paranormal podcast narrated by professional award-winning voice actor, Darren Marlar. Seven days per week, Weird Darkness focuses on all things strange and macabre such as haunted locations, unsolved mysteries, true ghost stories, supernatural manifestations, urban legends, unsolved or cold cases, conspiracy theories, and more. Weird Darkness has been named one of the “20 Best Storytellers in Podcasting” by Podcast Business Journal. Listeners have described the show as a blend of “Coast to Coast AM”, “The Twilight Zone”, “Unsolved Mysteries”, and “In Search Of”.DISCLAIMER: Stories and content in Weird Darkness can be disturbing for some listeners and intended for mature audiences only. Parental discretion is strongly advised.#WeirdDarkness, #Lobotomy, #RosemaryKennedy, #MedicalHistory, #DarkHistory, #TrueStories, #DisturbingHistory, #MedicalHorror, #KennedyFamily, #DrWalterFreeman

Procedure 4715 Waning Moon is to be performed on the full moon of each month and requires the following resources: one D- Class individual, 60 kilograms of fresh red meat, a large hand woven wicker basket, and one liter of human blood.Content Warnings: War, gore, suicide, violence, self harm.Transcript:Patrons:Oct 8-14Kevin Sanchez, KBD Shadow, Awolf123, Tormod, AwesomePickel, RedGen, Harley Jacob Hannon, Ben Tabor, Drew, and Shawn Kyle ReedCast & Crew SCP Archives was created by Pacific S. Obadiah & Jon GrilzSCP-4715 was written by Dr. BalthazaarScript by Kevin WhitlockNarrator - Jon GrilzNigel Tissington-Evers - Ben CounterDr. Steven Roberts - Giancarlo HerreraWei Zimin - Melissa LuskSCP-1000 Instance - William A. WelmanDialogue Editor - Nate DufortArt - Eduardo Valdés-HeviaMusic- Newt SchottelkotteTheme Song - Mattie Roi BergerSound Designer - Brad ColbroockShowrunner - Daisy McNamaraCreative Director - Pacific S. ObadiahExecutive Producer - Tom Owen Presented by Bloody FMwww.Bloody-Disgusting.comwww.SCParchives.com Patreon: https://www.patreon.com/scp_podStore: https://store.dftba.com/collections/scp-archivesInstagram: https://www.instagram.com/scp_pod/Bluesky: https://bsky.app/profile/scparchives.bsky.socialDiscord: https://discord.gg/tJEeNUzeZXTikTok: https://www.tiktok.com/@scppodYouTube: https://www.youtube.com/c/scparchives Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Osteo-odonto-keratoprosthesis, or “tooth-in-eye” surgery, is a real thing, returning vision to patients with severe corneal blindness. Jeff and Anthony explain the astounding process of using a tooth to repair an eye, and the wild road to discovering that it actually works.LInk to the story: https://www.today.com/health/men-s-health/tooth-in-eye-surgery-restores-vision-rcna230395Support the show and get bonus episodes, videos, Discord community access and more! http://patreon.com/wehaveconcernsJeff on Blue Sky: https://bsky.app/profile/jeffcannata.bsky.socialAnthony on Blue Sky: https://bsky.app/profile/acarboni.bsky.social

In this episode, Dr. Anthony Youn dives into the glow-ups everyone is talking about — from Lindsay Lohan's refreshed look to Christina Aguilera's youthful transformation — and asks the question on all of our minds: What's really behind these changes? Are they the result of strategic, modern cosmetic procedures… or something more? Dr. Youn pulls back the curtain on today's most buzzed-about facial rejuvenation techniques, especially the so-called “ponytail lift,” a newer approach that's giving traditional facelifts some serious competition. He breaks down what actually goes into these subtle-yet-powerful makeovers — from brow and mid-face lifting to fat grafting, lasers, and all the little tweaks that add up to a natural, lifted look. With his signature blend of honesty and expertise, Dr. Youn explains what works, what to be cautious about, and why “less is more” is becoming the golden rule in modern aesthetic medicine. Whether you're curious about celebrity transformations or simply want to understand the future of facial rejuvenation, this episode offers a clear, candid look at how people are getting younger-looking results without the old-school facelift vibe.

The man suspected in the Brown University mass shooting is found dead in a New Hampshire storage unit, as investigators say he's also linked to the murder of an MIT professor days later. HHS Secretary Robert F. Kennedy Jr. unveils sweeping proposals aimed at stopping so-called “gender affirming care” for minors, threatening to cut federal funding for hospitals that perform the procedures. Former NASCAR star Greg Biffle, his wife, two children, three others are killed in a fiery private jet crash in North Carolina, as investigators comb through wreckage to determine what went wrong. The latest inflation report beats expectations, dropping below 3% and offering a boost to the White House as it touts a strengthening economy. Masa Chips: Ready to give MASA or Vandy a try? Get 25% off your first order by going to http://masachips.com/MK and using code MK. Herald Group: Learn more at https://GuardYourCard.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.