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Michelle Kaufman joins the show to break down the latest storylines from the World Cup, where the tournament's biggest stars continue to shine. She discusses Cristiano Ronaldo's two-goal performance, celebrates Lionel Messi's 39th birthday, and highlights Messi's incredible start to the tournament with all five of Argentina's goals so far. Kaufman also looks ahead to Argentina's Round of 32 match in Miami, which is expected to create an electric atmosphere, while evaluating Brazil's outlook and Team USA's impressive start. Through two matches, Kaufman says she has never seen a U.S. squad play better and believes this team has proven it belongs among the world's top competitors. The conversation also provides a behind-the-scenes look at covering the World Cup, including the unique media procedures that come with the tournament, before wrapping up with stories about Scotland supporters taking over American cities and even contributing to local beer shortages.
Updating policies and procedures may not sound exciting, but it can have a major impact on safety, efficiency, and customer experience. In this episode, we explore how a simple change in hotel check-in practices highlights a larger leadership challenge: knowing when long-standing processes no longer fit today's realities. You'll discover why organizations often hold onto [...] The post Updating Policies and Procedures appeared first on Ken Okel.
AI in medtech is most valuable when it supports better clinical decisions, not when it replaces clinicians. In this episode, Alexis Anderson speaks with Will Mauldin, Co-Founder and CEO of Rivanna Medical, live from DeviceTalks Boston. Will explains how Rivanna is bringing AI-enabled imaging to clinical settings where providers have traditionally relied on blind or manual procedures, beginning with epidural anesthesia guidance and expanding into fracture detection. He shares how the company's handheld spine guidance technology helps clinicians visualize the epidural space, use AI as a confirmation tool, and build confidence through consistent outcomes. Will also discusses broader medtech trends around AI, automation, connected devices, and robotics, along with funding challenges for mid-stage companies and Rivanna's upcoming FDA milestones. Tune in and learn how AI-enabled imaging can improve safety, reduce bottlenecks, and support clinicians in high-demand care environments. Resources Connect and follow Will Mauldin on LinkedIn. Follow Rivanna Medical on LinkedIn and explore their website.
Grab the Secondary Teacher Systems Toolkit here: https://khristenmassic.thrivecart.com/systemstoolkit/?ref=pod Too many preps and not enough time? Let's make your planning period actually work for you. Reserve your spot in the Unit Planning Lab here: https://khristenmassic.thrivecart.com/unit/?ref=podcastPlanning for the next school year? If your day is organized by class period, your planning calendar should be too. Grab my Editable Class Period Calendar here: https://khristenmassic.com/secondarycalendarpodGet the Planning Period Reset Toolkit—a free set of quick-start tools to help you protect your time, focus faster, and finally finish something… even during chaotic school days. https://khristenmassic.com/resetShop my Teachers Pay Teachers store: https://www.teacherspayteachers.com/Store/Khristen-Massic-Cte-Teacher-CoachIf you're heading into the new year with a fresh lesson plan but haven't thought twice about your system for turning in papers, you're playing with fire. The keyword phrase “classroom routines and procedures teacher prep didn't cover” is the kind of search every frazzled secondary teacher should be typing into Google—because it's the real stuff you never learned until your first-year meltdown.It's wild how many of us, even after surviving student teaching, can rattle off learning targets and design a killer bellringer but have no idea what happens when students walk through your door with late assignments, finished work, or pressing questions. The biggest rookie move? Watching great teachers for their content and activities, not their routines or classroom management systems. Host Khristen Massic serves up the real talk: it's not rules that save your sanity, it's the unglamorous systems that actually make those policies work.There's a story in this episode too real for any first-year teacher to ignore. Imagine Khristen, proudly assembling those awkward stackable baskets, thinking she'd nailed it just by giving each class a box for their handouts. The flaw? Late work chaos. Assignments poured in late and got mixed in with the rest—leaving her to sort and decipher due dates, calculate deductions on the fly, and generally lose her mind. The paper basket system looked fine to her, but she didn't have a true late work procedure, and that gap cost more time and sanity than anything else. That's the difference between a rule and a working system.The episode makes it clear that “classroom management routines” aren't just about making class run smoothly. They're the backbone of secondary classrooms—think how students enter and exit, handle bathroom breaks, transition between activities, deal with early finishing, and manage classroom materials. You can have great rules and routines, but if students aren't taught, practiced, and reminded of them (not just at the beginning of the year, but again and again), be ready for chaos each time you empty those baskets.Another strong focus is on “student accountability procedures.” This is the Bermuda Triangle for secondary teachers: missing work, late work, clarification on redo opportunities, early finishers, grade checks, and absent students—all those get missed in teacher prep. The right procedure removes repetitive, draining conversations and keeps you from getting sucked into organizational quicksand.“Classroom technology and lab procedures” isn't just jargon—if you're in any kind of elective, CTE, or lab class, these routines are lifesavers. Picture managing devices, tools, or project files with no procedures. That's a daily time-suck you can prevent by mapping out every expectation before a single student walks in.What makes this episode a goldmine for middle and high school teachers is how it doesn't sugarcoat the work: routines need to be explicitly taught, practiced, and retaught all year, not just mentioned once or posted on a wall. The “Secondary Teacher Systems Toolkit” and the call to pick one routine to actually plan—not just have—drives home the difference: good routines aren't about more rules, they're about systems that remove the mental load from your day.If you've ever stared into a pile of unsorted late work and felt like you were drowning, this episode's for you—especially if you teach multiple preps and feel like you're never on top of the logistical details. Khristen's advice isn't theory, it's the kind of practical wisdom you wish you'd known before your first semester ate you alive. You need classroom routines that do the heavy lifting, not just sound good on paper.The challenge is clear: before the next episode, pick one routine—just one—and make sure not only that you have it, but that you know exactly how you'll teach and practice it with your students. Don't leave it to chance and don't settle for chaos. It's not about running your class on personality; it's about building calm through systems that work.Build the kind of classroom where the routines run quietly in the background and your energy goes where it matters—on actual teaching, not detective work. You're not a mindreader or a magician. Teach your routines like your sanity depends on it—because, let's be honest, it does.Systems over stress. That's the rebel move.
Most companies say they're developing leaders.But when you look at what actually happens on the floor, or inside a new manager's first real team, it doesn't line up.Craig Coyle spent years as an Army aviator and now works with frontline leaders in manufacturing and defense environments. What he saw in both worlds is the same gap, people are promoted into leadership, then left to figure it out in real time, without the structure they were used to as operators.In aviation, that doesn't happen. You don't just become a pilot in command and get told to figure it out. There's progression, there's repetition, there's instructor pilots inside the mission, not outside of it.That contrast is what drives this conversation.We talk through what changes when leadership is treated like a skill that needs structured training instead of something people just “grow into.” And why most development programs fall short, not because the content is wrong, but because it's removed from the environment where the work actually happens.There's also a deeper problem underneath it all, most organizations don't have a clear definition of what “good” looks like for a manager. So people default to whatever worked for them personally, or whatever their last boss did. That inconsistency is what creates the gap between intent and execution.Craig breaks down what he's building now, a model that treats leadership development less like theory and more like progression inside a system, similar to how pilots are trained over time, not in isolated workshops.If you lead people, or you're responsible for people who lead people, this episode is really about one thing, what it would take to make leadership actually show up on the floor, not just in training materials.EPISODE HIGHLIGHTS[00:00] Introduction[00:01:00] Most people don't know what training actually is[00:02:33] Military vs corporate leadership development gap[00:06:46] “Figure it out” leadership in the Army[00:09:35] Learning leadership the hard way after promotion[00:10:05] Why pilot training builds a different standard[00:15:28] Procedure vs technique in decision making[00:17:00] Science vs art of leadership[00:22:20] Why classroom training fails on the floor[00:29:00] The bandwidth problem in leadership roles[00:32:00] Why prioritization decides everything in leadership[00:35:03] Why most leadership training doesn't move the needle[00:37:00] Closing the “back door” in workforce development[00:39:00] Minimum Viable Manager conceptKEY TAKEAWAYSMost leadership training fails because it's removed from the environment where work actually happens“Figure it out” is not a leadership system, it's a gap in oneAviation builds leadership through progression, not one-off trainingGood management requires structure, not just experienceInstruction needs to exist inside operations, not outside themProcedure creates consistency, technique creates flexibilityMost organizations don't define what “good manager” actually meansContext is what makes training stick, not content aloneBandwidth is one of the biggest hidden limits in leadershipYou don't fix leadership by adding content, you fix it by changing the systemIf this episode resonates with you, subscribe to the show, share it with someone who leads a team, and leave a review so more people building in complex environments can find it.Links & ResourcesCraig CoyleLinkedIn: https://www.linkedin.com/in/craig-coyle/Website: https://operationlead.com/YouTube: https://www.youtube.com/@OperationLeadMatt GjertsenWebsite: https://www.bettereverydaystudios.com/LinkedIn: https://www.linkedin.com/in/matthewgjertsen/YouTube: https://www.youtube.com/@BetterEveryDayStudios
The Bar Exam Toolbox Podcast: Pass the Bar Exam with Less Stress
Welcome back to the Bar Exam Toolbox podcast! This episode is part of the series in which we demystify the shift from MBE to NextGen multiple-choice questions. Today Lee walks through four questions on civil procedure -- two in classic MBE style and two in the NextGen format. Wondering how to keep straight two doctrines that sound alike: personal jurisdiction and subject matter jurisdiction? Find out in this episode! In this episode, we discuss: Question 1: Personal jurisdiction (MBE) Question 2: Subject matter jurisdiction (MBE) Question 3: Subject matter jurisdiction (NextGen) Question 4: Issue-spotting (NextGen) Study tips for multiple-choice questions RAMP study tool Resources: https://barexamtoolbox.com/ramp (https://barexamtoolbox.com/ramp) Podcast Episode 92: Listen and Learn – Subject Matter Jurisdiction (https://barexamtoolbox.com/podcast-episode-92-listen-and-learn-subject-matter-jurisdiction/) Podcast Episode 169: Listen and Learn – Personal Jurisdiction (Civ Pro) (https://barexamtoolbox.com/podcast-episode-169-listen-and-learn-personal-jurisdiction-civ-pro/) Podcast Episode 148: Listen and Learn – Claim and Issue Preclusion (Civil Procedure) (https://barexamtoolbox.com/podcast-episode-148-listen-and-learn-claim-and-issue-preclusion-civil-procedure/) Download the Transcript (https://barexamtoolbox.com/episode-352-listen-and-learn-mbe-vs-nextgen-multiple-choice-civil-procedure/) If you enjoy the podcast, we'd love a nice review and/or rating on Apple Podcasts (https://itunes.apple.com/us/podcast/bar-exam-toolbox-podcast-pass-bar-exam-less-stress/id1370651486) or your favorite listening app. And feel free to reach out to us directly. You can always reach us via the contact form on the Bar Exam Toolbox website (https://barexamtoolbox.com/contact-us/). Finally, if you don't want to miss anything, you can sign up for podcast updates (https://barexamtoolbox.com/get-bar-exam-toolbox-podcast-updates/)! Thanks for listening! Alison & Lee
In this episode Todd Conklin explores the paradox of procedures: they keep work stable but also limit flexibility. He explains how procedures can be both necessary and constraining in high-risk, high-consequence environments. Todd highlights the value of incremental safety—making small, thoughtful changes over time—while building communities of practice to better prepare organizations for an uncertain future. He closes with practical advice: treat procedures as thresholds rather than one right way, focus on learning from everyday work, foster resilient systems, and remember to take care of yourself while having some fun.
Michael chats with Chris Becker, President and CEO of Bionix®. Together, they discuss how Bionix has approached innovation in the ear, nose, and throat care space; persistent challenges facing family practices, pediatrics, and urgent care today; how clinician expectations have evolved around visualization, efficiency, and the ability to complete more procedures directly in the exam room; why illumination plays such an important role in procedural confidence and workflow; the development of Bionix's OneLight™ Illumination Platform; how the platform improve the experience of performing procedures like cerumen removal, foreign body retrieval, and micro suction in the exam room; how the OneLight Platform helps practices create a more standardized, procedure-ready workflow while supporting operational value; how supply chain stability and purchasing consistency have influenced the platform's design and Bionix's forward-looking strategy; and much more. Learn more about Bionix at www.bionix.com.
This week, Elle and Vee sit down with renowned anal health expert Dr. Evan Goldstein to answer every question you've ever had about anal sex but were too embarrassed to ask. Grab your notepad because this episode is packed with the tips, tricks, and hard truths you need for anal success. From training your body for pleasure and avoiding painful mistakes to douching myths, STI prevention, microbiome health, and even anal Botox, nothing is off limits. Dr. Goldstein breaks down the science behind great anal sex in a way that's practical, hilarious, and surprisingly empowering. If you've ever wondered why anal works effortlessly for some people and feels impossible for others, this episode is your masterclass.ChaptersHow did you become The Butt Whisperer? (00:00) Why Some People Are Built For Anal? 3 Types Of Assholes (5:00)Anal Training 101: I Want To Get Into Anal. How Do I Get Started? (10:49)What You Should NOT Be Feeling When Anal Training 3 Types Of Assholes (16:14)What You SHOULD Be Feeling When Training And How To Know Your Ass is Ready For Sex (22:01)The Sad Truth About Butt Plugs (24:27)How To Clean and Feel Comfortable Plus Understanding Poop Mechanics (26:48)Anal, STI Risks for ENM Community and Medications Used (30:54)Douching Myths That Need To Die (35:54)Prebiotics, Probiotics and Fiber For Optimal Ass Health (39:04)Procedures to Strengthen Anal Skin. Do You Need Surgery or medical devices? (45:46)Wet Wipes Are Ruining Assholes (49:01)The Time of Day You Shower Affects Your Asshole (51:42)Bleached Assholes, Skin Tags & Confidence (46:11)Best Anal Positions For Beginners and Bringing Toys Into The BedroomTips to Finger Asses Successfully (01:06:41)Anal Botox? (01:09:58)What If I'm Not Progressing, Not Experiencing Pleasure Or Ready For Anal After Practicing For A While, What Can I Do? After Anal Care: Options for Tears and Hemorrhoids (01:14:36))_____________
This episode is sponsored by PerioViveOn this episode of The Vet Blast Podcast presented by dvm360, and recorded live at Fetch Nashville, Adam Christman, DVM, MBA sat down with Elizabeth Wright Smith, DVM, MS, chief veterinary officer at Periovive, to talk about the company's hyaluronic acid–based dental gel and what's next in its product lineup. Together, the pair digs into how the gel supports periodontal healing and helps manage chronic oral conditions in dogs and cats, while also exploring why it's a smart addition for veterinary practices looking to combine strong clinical results with real profitability.
Most service members have no idea how far their military medical benefits actually stretch. In this episode, I break down 11 procedures TRICARE and military hospitals will cover. From vision correction and rhinoplasty to vasectomies and scar revision. I also share the exact framework for getting elective procedures approved before you separate. Timestamps (00:00) - Intro (00:48) - LASIK and PRK Vision Correction (01:45) - Functional Rhinoplasty (02:21) - Vasectomy Coverage (02:42) - Breast Reductions and Implants (03:44) - Cleft Lip and Palate Repair (04:09) - Braces and TMJ (04:36) - Wisdom Teeth (04:57) - Varicose Vein Treatment (05:09) - Scar Revision (05:48) - Excess Skin Removal (06:18) - Deviated Septum (06:39) - On-Base Cosmetic Surgery Programs (07:12) - How to Get Procedures Approved About the Show On the Military Millionaire Podcast, I share real conversations with service members, veterans, and their families. Each week, we explore how to build wealth through personal finance, entrepreneurship, and real estate investing. Resources & Links Download a free copy of my book: https://www.frommilitarytomillionaire.com/free-book Sign up for free webinar trainings: https://www.frommilitarytomillionaire.com/register Get an intro to recommended VA agents/lenders: https://www.frommilitarytomillionaire.com/va-realtor Apply for The War Room Mastermind: https://www.frommilitarytomillionaire.com/mastermind-application Join our investor list: https://www.frommilitarytomillionaire.com/investors Guide to raising capital: https://www.frommilitarytomillionaire.com/capital-raising-guide Connect with David Pere Facebook Group: https://www.facebook.com/groups/militarymillionaire YouTube Channel: https://www.youtube.com/@Frommilitarytomillionaire?sub_confirmation=1 Instagram: https://www.instagram.com/frommilitarytomillionaire/ LinkedIn: https://www.linkedin.com/in/david-pere/ X (Twitter): https://x.com/militaryrei TikTok: https://www.tiktok.com/@militarymillionaire Produced by UNFLTR
🧭 REBEL Rundown Click here for Direct Download of the Podcast. 💨 What Is Nitrous Oxide? Nitrous Oxide (N2O) is a colorless, odorless inhaled anesthetic that has been used for centuries, particularly in the surgical world. Mechanistically, it can induce euphoria, anxiolysis, and intoxication via NMDA receptor antagonism.During the late twentieth century, nitrous oxide was increasingly used recreationally due its accessibility and perceived benign nature.The modern day slang term for nitrous oxide is “whippets” – which tends to refer to the canisters that contain this agent and are frequently used as whipped cream foaming agents.Despite the legal nature and benign perception of nitrous, frequent use can lead to lasting and permanent neurologic effects. 🧠 How Nitrous Oxide Causes Toxicity Nitrous oxide toxicity results from its ability to oxidize the cobalt moiety in Vitamin-B12, thus leading to a functional B12 deficiency, despite adequate consumption and absorption.1Functioning B12 is needed as a cofactor for methionine synthase.2 This enzyme has two critical roles:The conversion of 5-methyl tetrahydrofolate to tetrahydrofolate; tetrahydrofolate is essential for the synthesis of our DNA.And the conversion of homocysteine to methionine; methionine is needed to maintain the integrity of the myelin sheath of our axons.As a result, nitrous toxicity leads to: a megaloblastic anemia and demyelination of both the dorsal columns and the lateral corticospinal tracts (also known as subacute combined degeneration). 🚶️ Clinical Manifestations of Nitrous Oxide Toxicity These patients will have a combination of both upper and lower motor neuron symptoms due to demyelination of the dorsal columns, lateral corticospinal tracts, and peripheral nerves. As a result, the following may manifest:Dorsal Columns: diminished sense of proprioception, vibration, and fine touch.Lateral Corticospinal Tracts: upgoing plantars, hyperreflexia, weakness of voluntary distal muscle controlPeripheral Nerves: numbness/tingling and weakness in a glove and stocking pattern (symptoms that start initially in the feet and hands that progressively spread proximally to the ankles and wrists)Taking all of this into account, patients may present with difficulty ambulating, positive Romberg sign, dysmetria (difficulty with finger to nose or heel to shin), upgoing Babinski reflex, and decreased strength and sensation in a glove and stocking pattern. 🔍 How to Diagnose Nitrous Oxide Neurotoxicity History is key! As with a lot of pathologies in toxicology, identifying the exposure will expedite management.A thorough neurologic exam will narrow the differential – with a particular focus to fine, peripheral motor and sensory deficits, dysmetria, proprioception, and ability to ambulate.Magnetic resonance imaging of the spine may identify enhancement and/or edema of the dorsal columns, specifically on T2 weight axial imaging – sometimes referred to as the “inverted V” or “inverted rabbit ears appearance.”3Serum B12 concentrations may be normal as the issue is with a functional deficiency as opposed to a vitamin absence. However, patients have elevated concentrations of both homocysteine and methylmalonic acid, both of which are metabolized in the presence of functional B12. 💉 Management of Nitrous Oxide Toxicity First and foremost, cessation of nitrous oxide abuse is crucial to limit/prevent toxicity.While there is no universally agreed upon treatment regimen, supplementation with intramuscular B12 is recommended.Approaches vary from daily or every other day injections until symptoms improve at which point injections can be spaced out to weekly and then monthly.Physical and occupational therapy may be needed depending on the degree of functional debility.It is important to note, that depending of the severity and chronicity of toxicity, some proportion of patients may not fully return to their baseline. 📌 Take-Home Points Though legal and seemingly benign, nitrous oxide abuse can lead to permanent neurologic dysfunction.Nitrous oxide toxicity can affect the dorsal columns, lateral corticospinal tracts, and peripheral nerves.Thus leading to a constellation of both upper and lower motor neuron deficits, particular in a glove and stocking pattern: deficits in proprioception and fine motor skills, positive Romberg, upgoing Babinski, peripheral numbness, tingling, and weakness.Magnetic resonance imaging may identify symmetric high signal intensity in the dorsal columns.Treatment includes B12 supplementation and physical/occupational therapy as needed. 📚 References Long H. Chapter 81. Inhalants. In: Nelson LS, et al. Goldfrank’s Toxicologic Emergencies. 11th ed. New York: McGraw-Hill; 2019Shah K, Murphy C. Nitrous Oxide Toxicity: Case Files of the Carolinas Medical Center Medical Toxicology Fellowship. J Med Toxicol. 2019 Oct;15(4):299-303. doi: 10.1007/s13181-019-00726-x. Epub 2019 Aug 6. PMID: 31388940; PMCID: PMC6825085.Schmitz ZP, Hoffman RS. Magnetic resonance imaging in a patient with nitrous oxide-induced subacute combined degeneration of the spinal cord. Clin Toxicol (Phila). 2023 Nov;61(11):1006-1008. doi: 10.1080/15563650.2023.2286205. Epub 2023 Dec 19. PMID: 38060330. 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 Showing Slide 1 of 7 The post REBEL Core Cast—Nitrous Oxide Toxicity: Whippets and Neurologic Injury appeared first on REBEL EM - Emergency Medicine Blog.
Scopriamo le novità di oggi dal mondo Tesla!Se vuoi supportare il canale con una donazione:
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In this edition of the CTSNet podcast, The Lifeline, host and nurse educator Jill Ley, Clinical Professor at the University of California San Francisco School of Nursing, Founder of the Essentials of Cardiac Surgical Resuscitation, and former Cardiac Surgery Clinical Nurse Specialist at California Pacific Medical Center in San Francisco, CA, USA, speaks with expert guest T. Sloane Guy, Director of Minimally Invasive and Robotic Cardiac Surgery at the Georgia Heart Institute. Together, they delve into crisis management after minimally invasive cardiac procedures. Chapters 00:00 Intro 01:19 Min Inv Approach vs Protocol 03:06 Potential Emergencies, Bleeding 06:44 Adjusting Bleeding Parameters 09:56 Limb Ischemia 11:10 Cardiac Arrest 13:35 Pacing vs Sternotomy 15:07 Arrythmias, Defibrillation 15:51 Tamponade 16:49 Tension Pneumothorax 17:05 Stroke 17:50 Myocardial Infarction 18:27 Bleeding in Pleural Space 19:24 Nurse Response to Bleeding 21:53 Case of Persistent Bleeding 22:48 Chest X-Ray Check 24:22 LV Dysfunction in Post-Op Period The discussion covers critical topics such as the cardiac surgical resuscitation algorithm, managing port-side and groin bleeding, and Dr. Guys' protocols for these situations. They emphasize the importance of monitoring for bleeding in unexpected areas, such as the abdomen, checking pulses, and the significance of practicing with surgical saws before emergencies arise. Additional topics include tamponade, stroke management, the importance of pacing, chest wall bleeding, and protocols for addressing left ventricular dysfunction in the postoperative period. Every month, The Lifeline features intensive care specialists sharing their expert insights into the rapid and effective management of critically ill cardiac surgical patients. Don't miss next month's episode! Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
PJ talks to Séamus Smith about the strike Hosted on Acast. See acast.com/privacy for more information.
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In this one I tell you about: A dark and horrible (yet great!) show I'm watching on HBO An ultra-rare Nancy update The overly aggressive haircut girl I encountered Another ludicrous conversation I had with my brother My thoughts on “tribute bands” All that and fresh new calls from Tony in Cleveland, Andrew, Jeff from Alabama, and Patrick I hope you enjoy it. Thanks for listening! Check out expanded show notes at surfreportpod.com Need twice the Surf Report? We've got you covered. Just pop on over to patreon.com/jeffkay, sign up for a $4 (or more) monthly donation, and you'll immediately gain access to the weekly bonus shows. They're each a full-length episode and are only available to supporters at Patreon. Upgrade today! Also, we now have a telephone hotline where you can leave your comments, questions, and suggestions. The number is 570-290-8151. Give us a call and there's a very good chance you'll be part of a future show. It's all voicemail, no actual human will answer. If you're too shy for such shenanigans, email us at surfreportpod@gmail.com
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June 5, 2026In this episode, Scott, Mark, and Dr. Ray Painter provide an important update on the evolving C9761 reimbursement landscape, including CMS's decision to revise the code description and introduce a new HCPCS code for suction-enabled ureteral access sheaths. The discussion explores what these changes could mean for ASCs, HOPDs, and physicians involved in stone management. The team also answers listener questions about billing intraoperative consultations versus procedures and addresses payer denials related to place-of-service restrictions when procedures are performed in the office setting. The key takeaway: understanding documentation requirements, reimbursement rules, and site-of-service limitations is essential as coding and payment policies continue to evolve. PRS Coding and Reimbursement HubAccess the HubBotox LCD AlertDownload the AlertFree In-Office Prostate Biopsy Calculator (Suppoted by UC-Care)Download NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and Admins Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner. https://www.prsnetwork.com/joinuptpClick Here to Start Your Free Trial of AUACodingToday.com The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/
Nick Castellanos was cut from the Padres yesterday while they're in town to play the Phillies. Was that a savage move by the Padres? Or did Castellanos do something to make them upset? Aidan Miller will be undergoing a procedure on his back. Should Louis have to clean Joe DeCamara's glasses? The 94 WIP Morning Show debates.
Fishhook injuries are common, surprisingly nuanced, and honestly a little intimidating until you've removed a few. In this first episode of our Minor Procedures series, we'll reel in the essentials of pediatric fishhook removal, helping you take the bait on four classic removal techniques, procedural planning, anesthesia strategies, and post-removal management. We'll discuss when to pull back, when to advance, when not to get hooked on a single technique, and how to avoid turning a simple procedure into the one that got away. Along the way we'll cover sedation, antibiotics, wound care, and practical pearls to help you land these cases with confidence. Learning Objectives Compare and select among the four major fishhook removal techniques based on hook characteristics, depth of penetration, and anatomic location. Apply evidence-based approaches to analgesia, anxiolysis, procedural sedation, and post-removal management for pediatric fishhook injuries. Identify situations requiring escalation of care, including ocular involvement, contaminated water exposure, tendon or joint involvement, and circumstances where routine management may not be sufficient. References Gammons MG, Jackson E. Fishhook removal. Am Fam Physician. 2001;63(11):2231-2236. Prats M, O'Connell M, Wellock A, Kman NE. Fishhook removal: case reports and a review of the literature. J Emerg Med. 2013;44(6):e375-e380. doi:10.1016/j.jemermed.2012.11.058 Doser C, Cooper WL, Ediger WM, et al. Fishhook injuries: a prospective evaluation. Am J Emerg Med. 1991;9(5):413-415. doi:10.1016/0735-6757(91)90204-w Transcript This episode used an AI-generated transcript created in Descript as an initial draft. The transcript was subsequently edited, expanded, and refined by the author with assistance from OpenAI's ChatGPT (GPT-5.5). Final editorial decisions and content responsibility remain with the author. Welcome to PEM Currents: The Pediatric Emergency Medicine Podcast. As always, I'm your host, Brad Sobolewski, and today we're gonna start a new series on minor procedures. These are the types of procedures that we perform all the time in the emergency department. They're not the subject of multicenter trials or big keynote lectures, but these are the things that patients and families remember, and trust me, they will remember them whether you do them well or not. First up, fishhook removal. So I'm hoping to reel in some listeners with this one, and so hopefully you'll take the bait, and by the end of this episode you'll understand exactly what angle I'm coming from. And hopefully I'm just not trying to make a bass of myself. So anyway, fishhook removal sounds really simple until you actually start doing it. There's not just one technique. There are four classic approaches, and I'll talk about them all, and which one you choose depends on the hook, whether there's a barb, how deep it is, where it's located, your personal experience with different techniques. Fishhook injuries in children are usually minor and most commonly involve the hands and head, though I've seen them stuck in other body parts as well. Most can be managed in the emergency department or urgent care setting with local anesthesia and basic equipment Of course, if there's concern for tendon involvement, joint penetration, neurovascular compromise, if it's anywhere near the eyeball, you should stop and rethink your plan. You know, so ortho, if it's embedded deeply in a joint, um, anything that involves the eye itself isn't necessarily an emergency department procedure, and I'm not talking about the eyebrow, I'm talking about the globe. Fortunately, that's very rare, but that's definitely an ophthalmology conversation. And so before you even think about removing, you need to understand the hook. Is this a single hook or is this a treble hook? A treble hook is a type of fishing hook that has three individual hooks and barbs arranged in a triangular formation, and they're all fused to a single shank and eye. The eye is where the line gets tied to the hook. Is it freshwater or saltwater? How long has it been there? Is it an old rusty one that was sitting in your garage? Was it underwater for a few hours and then it got hooked in the skin? And honestly, how cooperative is the kid gonna be? Because unlike actual fishing, this is one of the procedures where patience beats blunt force. So the simplest technique is retrograde removal. This is exactly what families think you're gonna do before you walk in the room. You know, just pull it out the way it went in. But that's not how hooks are designed. They have the barb. They're designed to stay in the fish. So most of the hooks that I've removed are barbed hooks, and so you can't just back them out. If you try to pull a hook out the way it came in, it's gonna catch and tug on the tissue, it's gonna lead to more pain, bleeding and tissue distortion and not really gonna get you anywhere. So just pulling it out doesn't work, and family probably would have already tried that at home. The technique I end up using most often is advance and cut. And it kind of sounds wrong the first time you explain it to a family because your solution to removing the hook is to continue to advance the hook, but mechanically, this makes the most sense. So you advance the point of the hook through the skin until the barb exits completely, then use either really good trauma shears or heavy wire cutters to cut the hook in between the shank and the barb. If it's in a location where you have, uh, enough room, I like to hold a hemostat real close to the skin, grabbing the hook. Then I cut near the barb, get the pointy part out of the way, remove the hemostats, and then back it through the skin. This is considered the most reliable technique, and in most reviews it's described as being nearly universally successful, even for larger hooks. In children, I think this needs to be the go-to technique because success matters. You just gotta get it done on the, the first attempt. Kids don't tolerate multiple failed attempts very well. Um, obvious downside is that you create a second puncture wound, but in practice, that puncture is usually controlled and much less traumatic than repeated unsuccessful pulling. Depending on where the skin's at, you may actually need to put a little bit of tension or pressure against the skin to get that hook to poke through. Ultimately, this advance and cut method is the one that you should spend the most time learning and teaching to your trainees. The string yank technique is the one that often is seen at summer camps and on YouTube videos. You loop string or heavy suture or even fishing line around the bend of the hook, apply downward pressure to the shank to disengage the barb, and then pull quickly in line with the shaft of the hook. When it works, it yanks it out almost instantly. That's why the YouTube videos are popular. One second there's a fishhook in the finger, and the next there isn't. The advantage is that this can sometimes just be performed without anesthesia and can even be done at home. The disadvantage is obvious if you work with children. This requires cooperation. Younger kids, anxious kids, a treble hook, something that's deeply embedded, like this isn't gonna work all that well, and it's, again, less reliable with bigger and deeply embedded hooks. The last technique is needle cover. This one gets less attention. It seems elegant, but in practice it's actually pretty hard to do, especially in smaller kid parts. You insert an 18-gauge needle alongside the entry tract until the bevel of that needle covers the barb, and then pull both out together The advantage is that you avoid creating a second puncture wound, and you can minimize tissue trauma. The disadvantage is it's really complex technically. Maintaining alignment of both the hook and needle can be tricky because they sort of like roll and move around. And if you want to do this one, it's probably easier for smaller and medium-sized hook rather than larger embedded or treble hooks. And as you might imagine in the literature, there's not really any randomized trials comparing these techniques. Most of what we know comes from prospective observational studies, case series, procedural experience, and expert review. Advance and cut seems to have the broadest success across scenarios. String yank does earn some points for field use and avoiding local numbing. Needle cover is hard to do, but if the parent is absolutely adamant that you don't create a second hole, then that's probably your best option. And as with any procedure, you should probably be facile in multiple techniques in case the first one doesn't work. You don't just want to stand there and flounder. Anyway, most fishhook removals in children can be done with local anesthesia alone. One percent Lido with or without epi is usually enough. Depending on the location, you may need to do a digital block or a field block instead of just injecting directly around the hook because local infiltration itself can distort the anatomy and actually make removal harder. So that's why I like blocking the digit or doing a little bit of a field block around it. If you have time, a topical anesthetic before local infiltration can be a nice gesture. LMX or EMLA can be really helpful, especially for really anxious kids or kids who are escalating before you even start setting up. They take about forty to sixty minutes. About forty-five minutes is probably ideal. So if you can get that put on in triage, that's actually a, a great technique. So if you know you're going to inject to numb to get the fishhook out, and you need a little bit of extra time to get child life or other personnel in the room, by all means, put a topical anesthetic there. It only absorbs into the outer two millimeters, but it'll help with the poke, not necessarily the burning that happens once the lidocaine is in the tissue. And now that we've talked about pain, I think it's also important to talk about anxiolysis. Most kids that have embedded fishhooks don't need full procedural sedation. If it's right next to the eye, like in the eyelid, then that might be beneficial, especially in a preschool-aged kid or younger. Plenty of them do need some anxiolysis. Um, intranasal or oral midazolam is probably, uh, the most popular option. It's got rapid onset in about twenty minutes, no IV, some amnesia. Recent pediatric data suggests that point four or point five milligrams per kilogram may perform better than lower doses, uh, for the intranasal. If you've got nitrous oxide, that's another nice option for cooperative kids. It provides anxiolysis and analgesia with rapid recovery and a very low rate of adverse respiratory events. Fishhook removal is actually one of those procedures where nitrous can feel disproportionately helpful because the procedure itself is often quick, and the hardest part is just reducing the fear and helping the kid hold still for about thirty to sixty seconds. I think ketamine still has a role. I alluded to when I might use that earlier. Occasionally, you walk into the room and then there's a deeply embedded treble hook, a really anxious child, a failed attempt prior to you being there. And ultimately, yes, IV procedural sedation with ketamine should be on the table, and it's as always an excellent option. And never, ever underestimate distraction. Hopefully, you work in a place where there are child life specialists because they are wonderful. They are magic. But you've got videos, you know, music, VR, parents. I mean, sometimes the difference between success and failure is a working iPad. And then finally, the question of antibiotics. So fishhook removal does not automatically equal a course of antibiotics. A prospective series of one hundred fishhook injuries found prophylactic antibiotics were unnecessary for uncomplicated soft tissue injuries that didn't involve the cartilage or tendon. So if you've got a contaminated wound, a delayed presentation, you know, it was already in an established infection, though I've never actually seen someone impale a fishhook into an area of cellulitis. There's tendon involvement, joint involvement, or, you know, gross water exposure. Well, then maybe consider antibiotics. Freshwater injuries do raise concern for organisms like Aeromonas. Saltwater injuries introduce concern for Vibrio species and occasionally Mycobacterium marinum enters the conversation or the tissue. Um, saltwater injuries are often treated with doxycycline plus a third-generation cephalosporin. You recognize the doxy decisions in younger children require some additional consideration. Freshwater injuries could push you towards broader Gram-negative coverage, but, but honestly, for most fishhook injuries, especially in healthy children, you're just dealing with skin flora. So once I get the hook out, I make sure there's no other retained foreign bodies, like little pieces of the hook or little pieces of the barb. I irrigate with saline or tap water, maybe a hundred mLs for a smaller hook, more for bigger hooks or grossly contaminated wounds. Make sure that there's full neurovascular function and normal range of motion. Antibiotic ointment, simple dressing, update their tetanus shot if it's not been within five years, and explain to the family that the good news is that this is really a forgiving injury most of the time. Once the hook is out, these generally heal really well. We don't need to suture them back up. We're not worried about long-term damage. Tell the parents to watch out for increasing redness, worsening pain, pus drainage, fever, or other systemic symptoms, trouble moving the area, especially if it was around a digit, you know, numbness or anything else that makes you concerned that infection has started instead of healing. Families will almost always ask jokingly when they can fish again. Honestly, usually pretty quickly. Just don't put the wound under water until it's healed, and don't stand directly behind whoever is casting. And now for some take-home points. Fishhook removal is a simple and straightforward procedure where technique really matters. You have to know what type of hook is embedded in the skin. Retrograde does work for superficial or barbless hooks, but most fishhooks that I've seen have barbs because they are designed to stay in the fish. Advance and cut is probably the most broadly successful technique. String yank works if you're a YouTuber. Needle cover is really, I think, only for those scenarios where the family does not want a second hole. It's really actually hard to do. Local anesthesia is enough for most kids, so injecting with lidocaine. If you have time, LMX or EMLA helps with the poke a little bit. Routine antibiotics are not usually necessary. And if there's ocular involvement or if it's in a joint, call an ophthalmologist or an orthopedist. Honestly, this is one of those procedures that's really satisfying once you get comfortable with it. I love doing it with our residents and trainees. Families come in expecting something dramatic, and by the time they leave, they're surprised by how straightforward it was. And I guarantee that this is a story that they will tell for years and years. And if you do a good job and make it a good experience and perhaps even a lighthearted one, they are going to remember that. And yeah, you'll be part of somebody's fishing story. So I hope you did enjoy this first episode on minor procedures. I'm gonna do additional ones like these along the way because, you know, I think that they don't get a lot of love when it comes to traditional education. If you've got any ideas for future procedures or topics, please send them my way. As the kids would say, like, rate, and review. If you leave a review on your favorite podcast site, that would really help other people discover the show. I podcast because I think it's a great way to teach, and I've been doing so since 2013. And yes, you can remove a fishhook. Don't let this straightforward procedure become the one that got away. For PEM Currents: The Pediatric Emergency Medicine Podcast, this has been Brad Sobolewski. See you next time.
In today's episode, we will focus on two legislative instruments that deserve close attention: the proposed revision of the Basic Law on Social Protection and the Code of Procedure for Payment and Enforcement of Social Security Debts, the so-called CPEDSS. The purpose of this discussion is to understand what is already changing, what may change next, and where companies should begin paying closer attention from now on.Host: Nuno Gouveia (email) (Miranda Alliance)Guest Speaker: Nádia Ferreira (email) (Miranda Alliance)Support the showRegister on the ELA website here to receive email invitations to future programs.
Linda Kelly, National Secretary of Forsa Trade Union, outlines why industrial action is being taken by perfusionists next week.
What happens when a split-second accident changes the way you see yourself for more than a decade?In this episode of Plastic Surgery Uncensored, I sit down with Jasmine, a former Navy service member who spent 11 years living with a traumatic lip deformity after a sports injury involving braces. What began as a seemingly routine injury left her with permanent changes to her lip shape, affecting her confidence, smile, photos, and daily interactions for years.Together, we explore a topic rarely discussed in plastic surgery: lip reduction and corrective lip reconstruction. While the world is flooded with information about lip fillers and lip augmentation, very few patients know that surgical solutions exist for traumatic lip deformities, scar tissue, and post-injury asymmetries. In this episode, we discuss:• How lip trauma can permanently alter lip shape• Why many patients struggle for years to find answers• The difference between cosmetic enhancement and reconstructive surgery• The emotional burden of living with a visible facial deformity• Who may be a candidate for lip reduction surgeryJasmine's story is a powerful reminder that even a seemingly small physical concern can have a profound impact on confidence, self-image, and quality of life. And sometimes, the right solution is closer than you think.✨ If you enjoyed this episode of Plastic Surgery Uncensored:✔️ Subscribe on Apple Podcasts, Spotify, or wherever you listen.✔️ Rate & Review—your feedback helps more people find us.✔️ Follow Dr. Rady Rahban across all platforms for daily insights, behind-the-scenes, and patient education:Instagram: @drradyrahbanTikTok: @radyrahbanMDYouTube: @Rady RahbanFacebook: @Rady Rahban✔️ Share this episode with someone considering plastic surgery—the right knowledge can save a life.
Mike Fitzpatrick was diagnosed with pancreatic cancer in 1999. That he is still with us in and of itself is amazing; what is even more incredible is that he later learned he had been walking around with symptoms of the disease since 1986! When he initially reported the symptoms to doctors, they performed some tests and claimed at worst he had a twisted bowel. Mike went to a different doctor who ran an MRI and a CT scan and told Mike he had pancreatic cancer. After discussing the diagnosis with his wife, they decided to be proactive and opted for a Whipple Procedure, a complex, 13-hour procedure that got rid of hundreds of tiny tumors on his pancreas. However, in 2018, more tumors were back. They were removed with a nanoknife procedure, but Mike was told for the rest of his life he would have to take lanreotide, a monthly injection to keep the tumors at bay. His health seemed to be just fine until 1986, when Mike experienced pain shooting through his abdomen and back. He found himself with severe diarrhea and sustained vomiting for twenty minutes at a time. Mike sought medical attention. Despite doctors running various tests, they said there was nothing wrong with him that indicated cancer, and that the worst possible scenario was twisted bowel. In 1999, Mike went to another doctor who performed a CT scan and an MRI. Shortly thereafter, he and his wife were called to the doctor's office where they were told Mike had pancreatic cancer. The doctor urged Mike to undergo a Whipple Procedure to get rid of hundreds of small tumors on his pancreas. When he asked the doctor of the consequences should Mike pass on the Whipple Procedure, Mike was told the consequences could be sudden death because the tumors could "explode." Mike and his wife chose to go ahead with the Whipple Procedure. It was a 13-hour surgery. Mike had his gall bladder, bile duct and part of his pancreas removed. Then the bile duct was re-attached to his small intestine so that he could eat and digest food. Mike said his recovery from the procedure took close to one year, but the tumors were gone. All seemed well for Mike until 2018 when two tumors were detected. This time he underwent a nanoknife procedure. He was told the tumors were gone, but in 2024, they reappeared. His doctor told him that for the rest of his life, Mike would have to get a monthly injection of lanreotide, aimed at keeping the tumors from spreading. Mike Fitzpatrick is glad to be alive, but suffers from neuropathy, which results in chronic fatigue and a loss of balance. Additional Resources: The Pancreatic Cancer Action Network: https://www.pancan.org The Cancer Support Studio: https://www.cancersupportstudio.com The One Cancer Place Institute: https://www.onecancerplace.org Mike's Blog: 50 for Fitz, available on Facebook, LinkedIn and Instagram
We try to slog through today's show while Ally goes hard for a B-team embryo implant, Jake makes a confession in the drive-thru, Mr. Fall in the Hall takes your stories about injuring yourself while walking, we open the box of shame and we try to spell as fast as you latest spelling bee champion from Rancho Cuccamaungo!
In this episode, we start with an RSI with intern Lauren Pferdmenges who does a great job talking about learning how... to learn! (Procedures, specifically). Next, we talk to Dr. Tyler Guidugli about point of care lab testing, and what it's like when you try to create institutional change. Spoiler alert- it isn't easy!
The Oklahoma Supreme Court has ruled against the City of Tulsa in a lawsuit involving an agreement with the Muscogee (Creek) Nation.
Miss the deadline after receiving your Texas DWI suspension notice and your license is automatically suspended. Learn the step-by-step ALR hearing procedure, what DPS must prove, and why this civil process can make or break your criminal defense.Info: https://texascriminaldefensegroup.com/alr-hearing-in-texas-questions-deadline-process/ Texas Criminal Defense Group City: Lubbock Address: 1001 Texas Ave. Website: https://texascriminaldefensegroup.com/
The Mexican government recently issued separate regulations aimed at further modernizing and improving Mexico's foreign trade, foreign investment, and sanitary procedures.
Simply Convivial: Organization & Mindset for Home & Homeschool
Starting is the hardest part. But you don't have to stay stuck, no matter how overwhelmed you feel. If you keep procrastinating on homemaking tasks, routines, decluttering projects, or productivity habits, the problem might not be laziness. Your plans might simply be too big, too vague, or too hard to start.Starting tasks can be the hardest part, but this episode offers three strategies to help you get moving and tackle your next thing. We'll discuss practical tips for Christian homemaking motivation and homemaking productivity, focusing on how to plan your day effectively. This is about building Christian productivity in your home life. Repent. Rejoice. Repeat.In part 2 of the Smile & Start series, I break down 3 practical ways to make starting easier so you can stop spiraling in overwhelm and begin building momentum at home.Overwhelmed homemakers often avoid tasks because their goals are vague, unrealistic, or overcomplicated. Breaking projects into small, specific, staged actions makes progress easier and helps build cheerful consistency over time.You'll learn: why starting feels so hard how to break overwhelming projects into manageable steps why vague goals increase procrastination how to “stage” yourself for success how small consistent action builds momentumBest next step:Join the free Smile & Start Challengehttps://www.simplyconvivial.com/smileTopics covered: homemaking motivation procrastination and overwhelm Christian productivity routines for moms habit building decluttering motivation realistic homemaking consistency for homemakers productivity for Christian moms simple routinesRelated resources:Procedure lists for homemaking routines - https://www.simplyconvivial.com/blog/overwhelmed-moms/Smile & Start playlist https://www.youtube.com/playlist?list=PLPkowQCQW4x-H0RjSa1KlB09aso-X2-LgConvivial Circle - https://www.convivialcircle.comConvivial means living life together with joy, and that's the kind of hospitable atmosphere we want to create in our homes.
How do you keep no-shows low and patient satisfaction high in an office-based overactive bladder (OAB) practice? In this episode of BackTable Urology, Dr. Michael Kennelly and Dr. Jason Kim join guest host Dr. Polina Reyblat to share practical strategies for improving efficiency, reducing cancellations, and optimizing the patient experience for OAB and urinary incontinence procedures. --- Get the BackTable app https://www.backtable.com/app --- This podcast was developed in collaboration withSociety of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU) https://sufuorg.com/home.aspx --- Timestamps 00:00 - Introduction02:08 - Pre Visit Optimization05:49 - Botox Protocol11:31 - Spa-Style Comfort14:46 - Prior Auth and Medicare LCD21:25 - PTNS Workflow Challenges24:52 - Stacking Procedures27:55 - Bulking Agent Clinic Workflow36:17 - Rapid Fire Tips --- More about this episode The panel discusses streamlined Botox workflows, patient-centered approaches to anxiety and pain management, percutaneous tibial nerve stimulation (PTNS) and peripheral nerve evaluation (PNE) scheduling, office-based bulking procedures, and the evolving Medicare LCD documentation requirements. They also share tips for procedure-day planning, staffing, prior authorizations, and reducing no-shows while maintaining high-quality care. --- Resources Relaxing Environment Lowers Anxiety During Chemodenervation: a Randomized Trialhttps://journals.lww.com/fpmrs/abstract/2026/04000/relaxing_environment_lowers_anxiety_during.6.aspx --- BackTable Urology is the go-to podcast for urologists, urologic oncologists, and urogynecologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
A pioneer of modern cardiac surgery, Tirone David, joins A Cut Above for a deep dive into one of the specialty's most feared and technically demanding operations: the Commando procedure. Also featuring Eduard Quintana, listen for discussions from radical reconstruction for infective endocarditis and massive annular calcification to the mindset required when "there is no other option". This episode explores the anatomy, precision, and surgical courage behind extraordinary cases — while offering invaluable lessons on innovation, operative judgement, and the future of complex valve surgery.
Thanks to our Partners, NAPA TRACS, Today's Class, KUKUI, and Pit Crew Loyalty Watch Full Video Episode Carm Capriotto talks with Matt Curry and Judy Curry of Craftsman's Auto Care about building one of the automotive industry's most respected multi-shop operations twice. After growing Curry's Auto Service to 10 locations and retiring in 2013, the Currys returned to the industry with a new vision, launching eight Craftsman's Auto Care locations in eight years. Matt shares his role as the visionary leader driving momentum and ideas, while Judy explains how operational discipline, marketing, and customer experience keep the business grounded and scalable. The conversation explores their “5 Ps” philosophy: People, Policies, Processes, Procedures, and Profits, along with their commitment to employee development, strong culture, customer transparency, and community involvement. The Currys also discuss how Digital Vehicle Inspections and an intentional customer experience helped them earn nearly 10,000 five-star Google reviews. What You'll Learn How Matt and Judy Curry scaled multiple successful shop operationsWhy leadership balance and “staying in your lane” mattersThe “5 Ps” framework for building a strong shop cultureHow employee investment drives long-term successWhy transparency and DVIs build customer trustHow culture and customer experience fuel growth and retention Sustainable growth in automotive repair comes from more than technical expertise. It requires intentional leadership, strong systems, a healthy culture, and a commitment to both employees and customers. Matt and Judy Curry, Craftsman Auto Care, 8 locations, Virginia Thanks to our Partner, NAPA TRACS NAPA TRACS will move your shop into the SMS fast lane with onsite training and six days a week of support and local representation. Find NAPA TRACS on the Web at http://napatracs.com/ Thanks to our Partner, Today's Class Optimize training with Today's Class: In just 5 minutes daily, boost knowledge retention and improve team performance. Find Today's Class on the web at https://www.todaysclass.com/ Thanks to our Partner, KUKUI Stop juggling multiple marketing tools. KUKUI's integrated platform delivers 4x better website conversions, automated follow-up, and real-time ROI tracking. Get industry-leading customer support with KUKUI at https://www.kukui.com/ Thanks to our Partner, Pit Crew Loyalty You're probably tired of chasing new customers who never return. We understand. Pit Crew Loyalty ends the one-and-done cycle, turning first visits into lasting, reliable revenue at https://www.pitcrewloyalty.com/ Connect with the Podcast: ...
The instructions most of us receive before a procedure cover fasting, medications, and not much else. But the weeks before surgery — how we're sleeping, what we're eating, whether our vitamin levels are anywhere near where they need to be for healing — are quietly shaping our outcome before we ever walk into that hospital. Dr. Jen Stevane spent over twenty years as a surgeon before founding the Center for Holistic Surgery, and she joins us to talk about what real surgical preparation looks like and what small steps can mean for optimal healing and life post-procedure. If a surgery or other procedure is on your horizon — or someone you love's — this conversation is worth your full attention! LET'S TALK THE WALK! Join here for support, motivation and fun! Wellness While Walking Facebook page Walking to Wellness Together Facebook GROUP Wellness While Walking on Instagram Wellness While Walking on Threads Wellness While Walking on Twitter Wellness While Walking website for show notes and other information wellnesswhilewalking@gmail.com RESOURCES AND SOURCES (some links may be affiliate links) DR. JEN STEVANE Center for Holistic Surgery How It Works Book a Free Consultation HOW TO SHARE WELLNESS WHILE WALKING! Tell a friend or family member about Wellness While Walking, maybe while you're walking together or lamenting not feeling 100% Follow up with a quick text with more info, as noted below! (My favorite is pod.link/walking because it works with all the apps!) Screenshot a favorite episode playing on your phone and share to social media or to a friend via text or email! Wellness While Walking on Apple – click the up arrow to share with a friend via text or email, or share to social media Wellness While Walking on Spotify -- click the up arrow to share with a friend via text or email, or share to social media Use this universal link for any podcast app: pod.link/walking – give it to friends or share on social media Tell your pal about the Wellness While Walking website Thanks for listening and now for sharing! : ) HOW TO RATE AND REVIEW WELLNESS WHILE WALKING How to Leave a Review on Apple Podcasts on Your iOS Device 1. Open Apple Podcast App (purple app icon that says Podcasts). 2. Go to the icons at the bottom of the screen and choose "search" 3. Search for "Wellness While Walking" 4. Click on the SHOW, not the episode. 5. Scroll all the way down to "Ratings and Reviews" section 6. Click on "Write a Review" (if you don't see that option, click on "See All" first) 7. Then you will be able to rate the show on a five-star scale (5 is highest rating) and write a review! 8. Thank you! I so appreciate this! How to Leave a Review on Apple Podcasts on a Computer 1. Visit Wellness While Walking page on Apple Podcasts in your web browser (search for Apple Podcasts or click here) https://www.apple.com/apple-podcasts/ 2. Click on "Listen on Apple Podcasts" or "Open the App" 3. This will open Apple Podcasts and put in search bar at top left "Wellness While Walking" 4. This should bring you to the show, not a particular episode – click on the show's artwork 5. Scroll down until you see "Rating and Reviews" 6. Click on "See All" all the way to the right, near the Ratings and Review Section and its bar chart 7. To leave a written review, please click on "Write a Review" 8. You'll be able to leave a review, along with a title for it, plus you'll be able to rate the show on the 5-star scale (with 5 being the highest rating) 9. Thank you so very much!! OTHER APPS WHERE RATINGS OR REVIEWS ARE POSSIBLE Spotify Goodpods Overcast (if you star certain episodes, or every one, that will help others find the show) Castbox Podcast Addict Podchaser Podbean DISCLAIMER Neither I nor many of my podcast guests are doctors or healthcare professionals of any kind, and nothing on this podcast or associated content should be considered medical advice. The information provided by Wellness While Walking Podcast and associated material, by Whole Life Workshop and by Bermuda Road Wellness LLC is for informational and entertainment purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment, and before undertaking a new health care regimen, including walking. Thanks for listening to Wellness While Walking, a walking podcast and a "best podcast for walking"!
Inflammation can manifest itself in the form of heart disease, cancer, diabetes, depression, and more. Typically, inflammation has been wreaking havoc inside one's body well before it leads to noticeable symptoms. In this episode, I'm joined by Dr. Ryan Greene, an osteopathic physician with many years of experience in human performance, sports medicine, nutrition, and the most cutting-edge recovery methods. Dr. Greene is also the co-founder and medical director of Monarch Athletic Club, a medically centered health club. In today's conversation, Dr. Greene and I discuss the biggest drivers of inflammation, the difference between acute vs chronic inflammation, early warning signs of excess inflammation, how to measure your inflammation levels by analyzing certain metabolic markers, the best dietary approach to reduce inflammation, and much more.Monarch Athletic ClubDr. Ryan M. Greene, DO, MS | InstagramAcute Stress vs. Chronic Stress | HealthCentralDietary Fiber: Essential for a Healthy Diet | Mayo ClinicOmega-3 Fish Oil Supplements: Benefits, Side Effects, and Uses | WebMDMediterranean Diet for Heart Health | Mayo ClinicC-Reactive Protein Test: Purpose, Procedure, and Results | HealthlineSend me a text!This episode is proudly sponsored by: SizzlefishLet's talk about fueling your body with the best nature has to offer. If you're looking for premium, sustainable seafood delivered straight to your door, you need to check out Sizzlefish! Head to sizzlefish.com and use my code “wellnstrong” at checkout for an exclusive discount on your first order. Trust me, you're going to taste the difference with Sizzlefish!Join the WellnStrong mailing list for exclusive content here!Want more of The How To Be WellnStrong Podcast? Subscribe to the YouTube channel.Follow Jacqueline:Instagram PinterestTikTokYoutubeTo access notes from the show & full transcripts, head over to WellnStrong's Podcast Page
What if everything you thought you knew about short sales was dead wrong? Join Nick Lamagna on The A Game Podcast: Real Estate Investing For Entrepreneurs for a masterclass with one of the most knowledgeable and exciting guests we've had on the show - David Randolph, a real estate investor, educator, and hard money lender who has spent over 15 years cracking the code on one of the most misunderstood strategies in real estate - short sales. This isn't just a conversation about buying houses - it's a deep dive into how to find hidden deals, negotiate directly with banks, and build real wealth in any market. Whether you're a brand new investor, an experienced rehabber, or someone looking to put your retirement account to work, the strategies in this episode will change the way you look at distressed real estate forever. He is the founder of Short Sale Prophets, a coaching program helping investors across the country build wealth using his three core principles - Procedures, Profits, and People. He retired at 42 from a successful corporate career, homeschooled his kids, and after one three-day seminar made a decision that changed everything! You will want to hear his incredible story of how he went from chemical engineering to cracking the short sale code and building a fortune one deal at a time! While most investors are chasing deals on the MLS, David shares rare insight into: ✅ Why the most common definition of a short sale is completely wrong ✅ How to find motivated sellers using FREE public records - no paid lists needed ✅ Why banks are in desperation mode RIGHT NOW and accepting massive discounts ✅ How to stop a foreclosure and take control of the timeline ✅ The truth about deficiency judgments and the tax trap most investors ignore ✅ How to use your IRA or retirement account to become the lender and earn strong returns + more See the show notes to connect with all things David Randolph! Connect with David: thedavidrandolph.com David Randolph on LinkedIn David Randolph on Facebook David Randolph on Instagram Connect with Short Sale Prophets: thedavidrandolph.com/short-sale-prophets/ Text INTRO to 636-685-2990 for David's FREE monthly 2-hour live Zoom short sale workshop --- Connect with Nick Lamagna www.nicknicknick.com Text Nick (516)540-5733 Connect on ALL Social Media and Podcast Platforms Here FREE Checklist on how to bring more value to your buyers
Mike Matthews investigates the fascinating news from the end of the week and Mike answers what is happening in the odd world of vehicles. Join Mike as he podcasts live from Café Anyway in podCastro Valley with Benita, the Disgruntled Fiddle Player, and the Brewmaster. Next show Mike Talks to Madame Rootabega, Valentino, and Bison Bentley.
Summary: Patrick Daugherty (@RotoPat), Denny Carter and Kyle Dvorchak break down a newsy week in the NFL, beginning with the reports of Malik Nabers’ clean-up operation on his surgically-repaired knee. How concerned should we be about Week 1 at this juncture? Next, they assess De’Von Achane’s contract extension and Bucky Irving’s (shoulder) health status. They take a look at the upcoming season’s international slate, the Falcons’ quarterback situation, the Cardinals’ quarterback situation, and much more. That includes Emeka Egbuka and Adonai Mitchell’s breakout odds. Description: (2:30) – Pat and Kyle take issue with Denny’s youth soccer coaching strategies (7:55) – Top Headlines: Malik Nabers undergoes “clean up” knee procedure, De’Von Achane agrees to 4-year extension, Bucky Irving not cleared for OTAs with shoulder injury (27:35) – Early schedule release news & notes: Favorite international game and biggest potential dud (35:25) – QB Corner: Michael Penix Jr. participating in offseason program after knee surgery, Jacoby Brissett reportedly named starter for 2026 (47:50) – WR items of intrigue: Zac Robinson says Emeka Egbuka will take “huge, huge strides”, Adonai Mitchell’s place on Jets’ depth chart (56:45) – Impressions of Mike McCarthy “uninstalling” Drew Allar’s work at Penn StateSee omnystudio.com/listener for privacy information.
Evan Roberts and Tiki Barber discuss the growing health concerns surrounding Giants rookie Malik Nabors following a second knee procedure. They also examine Leon Rose's impact on the Knicks, the leadership dynamics under Mike Vrabel, and why NFL scheduling decisions are ultimately driven by revenue. 02:00 - Susan Waldman Critiques Pete Alonso 05:14 - Malik Nabors Knee Injury Concerns 11:20 - Leon Rose Transforms The Knicks 16:20 - Mike Vrabel Leadership Trust Issues 24:12 - AJ Ewing's New York Connection 27:50 - NFL Scheduling And Time Slots 32:05 - Proposed NBA Tanking Solutions 36:53 - John Harbaugh's Practice Intensity
HOUR 2- Baby Names, Ally's Procedure and MORE full 2081 Wed, 13 May 2026 15:41:00 +0000 I5lZCjbbSkMnnnQP2OHb2YSpGhceHIh6 society & culture Klein/Ally Show: The Podcast society & culture HOUR 2- Baby Names, Ally's Procedure and MORE Klein.Ally.Show on KROQ is more than just a "dynamic, irreverent morning radio show that mixes humor, pop culture, and unpredictable conversation with a heavy dose of realness." (but thanks for that quote anyway). Hosted by Klein, Ally, and a cast of weirdos (both on the team and from their audience), the show is known for its raw, offbeat style, offering a mix of sarcastic banter, candid interviews, and an unfiltered take on everything from culture to the chaos of everyday life. With a loyal, engaged fanbase and an addiction for pushing boundaries, the show delivers the perfect blend of humor and insight, all while keeping things fun, fresh, and sometimes a little bit illegal. 2024 © 2021 Audacy, Inc. Society & Culture False https://player.amperwavepodcasting.com?feed-lin
0:00 - Moser left a little early this morning because he has to GET TO SKATE! But before he left, he didn't give us his Keys. So, let's give him a call and get the Keys to Avs vs Wild Game 5 live from Moser's car en route to Ball Arena! Last game, he went with a Star Trek quote. What will he use today?14:39 - We already know the Broncos defense is elite, but we have yet another stat to prove it. After that, the Avs need to STAY OUT OF THE BOX tonight. Cut down on the penalties, boys. But Vic says a few penalties are acceptable, depending on which penalties they are. Not all penalties are created equal.33:29 - Why do all athletes go to Gemany to get mysterious medical procedures? Turkey is for hair replacement, Germany is for sports medicine I guess? What's in the water over there?
Two psychologists from Iowa State University join the program. Their whose research seeks to improve accuracy in witness and suspect testimony in the criminal justice system. Professor of psychology Zlatan Krizan discusses how sleep deprivation may influence confessions and witness statements, while associate professor of psychology Andrew Smith explains how video recording of eyewitness suspect lineups could improve confidence in those practices and assist in criminal trials. Later, University of Iowa Carver College of Medicine researcher Colin Kenny explains how using zebrafish in research can help to better understand a rare eye cancer and improve treatment.
Recently, I was asked a question that stopped me in my tracks: What's one thing you wish you'd done differently in the classroom? My first answer came fast...I thought too much of myself and carried the weight of everything on my shoulders. But the more I thought about the question, the more I realized there were several things I would do differently! In this episode, I'm sharing four regrets from my early teaching years, four things I would do differently now after years of growth (and becoming a mom), and four classroom practices I'd do again in a heartbeat.➡️ Show Notes: https://itsnotrocketscienceclassroom.com/episode234Resources Mentioned:INRS UnitsINRS Full Year CurriculumFREE podcast playlist for NEW high school science teachersDownload 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 91, My Top 5 Classroom Management Routines and Procedures for High School Science TeachersEpisode 130, First Year Teaching? 5 Things I Wish I Had KnownEpisode 195, A Simple and Effective Process for Parent Communication with Guest Mandy FarrarEpisode 206, Prime Times® - Everything You Need to Know
On today's episode of Pursuit of Wellness, I sit down with Dr. Cameron Chesnut, a plastic surgeon with a passion for blending functional medicine and progressive thinking in his practice. We dive into his unique approach to patient care, focusing on everything from nutrition and peak performance during medical school to the latest in regenerative medicine, including stem cells and red light therapy. Dr. Chesnut shares insights into popular procedures like CO2 laser treatments, fillers, and lymphatic drainage massages, while also emphasizing the importance of educating patients and turning down unnecessary surgeries. We explore the balance between aesthetics and wellness, and what true health means in this evolving field. Leave Me a Message - click here! For Mari's Instagram click here! For Pursuit of Wellness Podcast's Instagram click here! For Mari's Newsletter click here! For Dr. Cameron Chesnut's Instagram click here! For Dr. Cameron Chesnut's Tik Tok click here! Sponsors: Bite is offering our listeners 20% off your first order. Go to trybite.com/POW or use code POW at checkout to claim this deal. That's trybite.com/POW. Sleep is the foundation of health, and there is nothing better than waking up feeling refreshed and ready to attack the day. Use code POW for 20% off your order at dreamrecovery.io Visit clearstemskincare.com and use code POW at checkout for 20% off your first purchase. Again, that's code POW for 20% off your first purchase on clearstemskincare.com. Jaspr is offering an exclusive deal – get $400 OFF with code POW at checkout on jaspr.co. Again, that's code POW at jaspr.co for $400 OFF your Jaspr air purifier! Topics Discussed 00:00:00 - Introduction 00:02:48 - Growing up as a creative and athletic kid 00:04:43 - Nutrition in medical school 00:05:59 - Sleep deprivation 00:08:00 - Remaining at peak performance 00:12:17 - Dr. Cameron's process with his patients 00:16:01 - Protocol before operating and anesthesia 00:17:53 - Procedure length 00:19:48 - Understanding the use and legality of stem cells 00:22:22 - How stem cells actually work 00:24:57 - Red Light Therapy 00:27:07- Skin Rejuvenation 00:28:29 - CO2 Laser 00:33:04 - Nonsurgical options and fillers 00:39:43 - Migrating filler and filler misconceptions 00:43:45 - Lymphatic drainage massages and Sculptra 00:47:40 - Upper “bleph” 00:50:16 - Turning down patients 00:51:42 - Dangers of before and after pics 00:57:33 - Most common procedure 00:59:09 - Fat transfers 01:05:02 - Working with celebrities and the importance of educating patients 01:08:44 - What wellness means to Dr. Cameron Chesnut Learn more about your ad choices. Visit megaphone.fm/adchoices
Bobby has 3 good things to share today. His dog Stanley reached a new milestone after his eye injury. Bobby found a new flavor of a drink that is delicious and another big Arkansas win. He also gives us an update on his sleep routine changing with the baby. Amy had a medical treatment done that Bobby has never heard of and sounds wild! Eddie won money in our company's March Madness bracket. Raymundo had his wife tell him something that he’s been waiting to hear for 10 years.See omnystudio.com/listener for privacy information.
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