Podcasts about procedures

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.

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5 temi caldi: dalla trasparenza salariale al nuovo Organismo per la parità, passando per la riforma delle procedure concorsuali, il confronto tra modelli di regolazione dell'intelligenza artificiale e le nuove questioni della deontologia notarile.>> Leggi anche l'articolo: https://tinyurl.com/39sskh56>> Scopri tutti i podcast di Altalex: https://bit.ly/2NpEc3w

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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/

In this episode of PIJN News, Dr. Chaps reports on Congress's investigation into Planned Parenthood over allegations of performing sex changes on minors. The program delves into the political and ethical implications of using federal funds for gender-affirming care. Additionally, the Colorado Supreme Court's decision on transgender healthcare for minors is discussed, highlighting the complexities of state versus federal law. Viewers are invited to pray for guidance on these contentious issues.

The Mexican government recently issued separate regulations aimed at further modernizing and improving Mexico's foreign trade, foreign investment, and sanitary procedures.

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.

È stata presentata alla Camera dei deputati una proposta di legge per riformare le procedure di sovraindebitamento in Italia. La proposta prevede la sospensione automatica delle esecuzioni, la tutela dell’automobile e tempi certi per gli Organismi di Composizione delle Crisi da sovraindebitamento. Ne parliamo con l'On. Carolina Varchi (FdI), presidente commissione giustizia alla Camera dei Deputati e con l'vvv. Francesco Cacciola, responsabile dello Sportello Ripartenza di Consumerismo No Profit. Come ogni lunedì, ci chiediamo che settimana sarà per i mercati finanziari. MeteoBorsa affidato a Davide Renzulli, Head of Advisory di Columbia Threadneedle Investments.

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

It's comeback season! What's bringing lateral extra-articular tenodesis (LET) back to the landscape of ACL surgery? In this episode of BackTable Bone & Sports, Dr. Larry Balle joins sports orthopedic surgeon and knee specialist Dr. Kyle Borque to discuss the resurgence of lateral extra-articular tenodesis (LET) as an adjunct to ACL repair and reconstruction. They explore LET's origins as a solution for rotation instability in the era of open ACL surgery, and examine how modern arthroscopic techniques, patient selection, and surgical evidence have driven LET's renewed relevance in today's practice. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction 02:36 - LET Origin Story14:16 - Modern LET Technique Updates23:13 - A Run-Down of the Procedure in the OR26:54 - Patient Selection for LET34:18 - Supporting LET with Published Evidence38:43 - Rehab After LET44:33 - Dismissing OA Concerns50:10 - Case Example: ACL Revision53:02 - Wrap Up --- More about this episode The Drs. highlight the anatomy considerations, technical modifications, and the evidence that supports LET's role in reducing graft failure, without changing rehab or increasing lateral OA risk. They compare LET with anterolateral ligament (ALL) reconstruction, emphasizing anatomy and technical approach. Dr. Borque details his modified technique using an iliotibial (IT) band strip fixed proximal and posterior to the lateral epicondyle of the femur. Furthermore, the doctors discuss selection factors for high-risk and revision patients, tactics to avoid overconstraint, and tips for patient counseling. They review the latest evidence, outline perioperative protocols, and address persistent myths about LET's impact on recovery and osteoarthritis. The doctors highlight a real-world case example and the actionable insights for orthopedic surgeons to optimize ACL outcomes. --- Resources Dr. Larry Ballehttps://www.linkedin.com/in/larry-balle-ii/ Dr. Kyle Borquehttps://www.drborque.com/ Lateral Extra-articular Tenodesis Reduces Failure of Hamstring Tendon Autograft Anterior Cruciate Ligament Reconstruction: 2-Year Outcomes From the STABILITY Study Randomized Clinical Trial https://pubmed.ncbi.nlm.nih.gov/31940222/ --- BackTable Bone & Sports is the go-to podcast for orthopedic surgeons, sports medicine docs, pain specialists, and MSK radiologists. 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

Can the Cardinals manage Masyn Winn's new knee issue? The Injury Expert Will Carroll joined the Big Show on Tuesday to discuss Winn, and Lars Nootbaar's rehab. Plus, more Royals pitching injuries and another promising update for Tarik Skubal.

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

Why do life science companies still scramble when an inspection is coming, even when their quality systems are solid on paper? Yeime Martich, a 25-year quality veteran, makes the case that readiness is a logistics and culture problem, not a documentation problem, and that the procedures you wrote may be creating more audit risk than you realize.Yeime discusses why "minimally compliant" is a discipline rather than a shortcut, how leadership shapes quality culture through what they ask about, fund, and tolerate, and why the strongest signal of a healthy quality system is when people come to quality voluntarily to report problems.A few of Yeime's key takeaways:Inspection readiness is the natural output of a healthy quality system, not something you build in the weeks before an audit"Minimally compliant" means meeting the regulatory intent without overcommitting in your procedures to things your team can't actually followQuality should come to the table with options, not just a no — release to warehouse on risk while the investigation closes, for exampleLeadership shapes culture through what they ask about, what they fund, and what they tolerateThe strongest quality culture signal: people voluntarily surfacing problems without fear of blameAI is useful for data analysis and review, but accountability for quality decisions sits with people — "AI didn't tell us" showed up in a recent FDA warning letterDesign your QMS around flexibility — rigid procedures that block product release unnecessarily are self-imposed constraints the regulation never requiredAbout Yeime MartichYeime Martich is Vice President of Quality Assurance at TerSera Therapeutics with 25 years of experience in pharmaceutical and medical device quality systems. Before TerSera, she spent over 11 years at Hospira in global compliance roles overseeing internal audit programs across international manufacturing sites, and held quality systems leadership positions at Melinta Therapeutics and Abbott.About The FDA GroupThe FDA Group helps life science organizations rapidly access the industry's best consultants, contractors, and candidates. Our resources assist in every stage of the product lifecycle — from clinical development to commercialization — with a focus on staff augmentation, auditing, remediation, QMS, and other specialized project work in Quality Assurance, Regulatory Affairs, and Clinical Operations. Learn more: https://www.thefdagroup.com/

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.

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.

This week, Dr John Quinn joins Aebhric O'Kelly to discuss the emerging field of Damage Control Procedures (DCP) for austere, prolonged, and contested environments.Dr Quinn explores the growing operational gap between Tactical Combat Casualty Care (TCCC) and definitive surgical care, particularly in Ukraine and other high-threat environments where evacuation delays can extend for days. The discussion covers the development of DCP curricula, governance challenges, telemedicine oversight, surgical skills for non-surgeons, and the operational realities driving innovation in prolonged casualty care.The episode also examines lessons learned from Ukraine, the future of austere procedural medicine, and how modern conflict is reshaping medical doctrine across NATO and partner nations. Chapters00:05 – Introduction to Dr John Quinn and current operational work00:39 – Volunteering in Ukraine and advancing damage control resuscitation01:20 – What are Damage Control Procedures (DCP)?02:01 – The gap between TCCC and definitive surgery03:25 – Why delayed evacuation changes medical doctrine04:29 – Surgical skills for paramedics, nurses, and combat medics05:20 – Governance and legal challenges surrounding DCP06:26 – How surgeons may react to DCP concepts07:16 – Telemedicine oversight and surgeon mentorship in austere care09:11 – Surgical expertise shaping the DCP curriculum10:08 – Overview of the DCP programme structure11:16 – Tier 1 skills: surgical airways, thoracostomy, tourniquet conversion, traumatic amputations12:43 – Tier 2 skills: laparotomy, external fixation, fasciotomy, advanced burns14:29 – Tier 3 concepts: burr holes and REBOA15:47 – Future concepts: haemofiltration and advanced austere ICU care18:22 – Why DCP sounds controversial — and why it may still be necessary19:16 – Telemedicine vs autonomous procedural decision-making22:05 – Clinical governance and parallels with paramedic evolution23:38 – Why basic life support remains foundational25:35 – Historical parallels with early paramedic medicine26:36 – Expansion of chest tube and intraosseous use in Ukraine30:11 – What happens next for the DCP pathway?31:24 – The importance of listening to Ukrainian clinicians32:21 – DCP beyond special operations medicine33:32 – Introduction to the Disaster Health Institute (DHI)35:37 – Bridging strategic and operational medicine36:17 – SOF Combat Medical Conference (CMC) discussion38:19 – Upcoming RCSEd webinar on DCP39:30 – Lessons learned from Ukrainian workshops and role-zero care41:40 – Drone warfare, attacks on medical personnel, and evacuation challenges43:18 – Why Ukrainian medics are requesting Tier 1 and Tier 2 DCP capability45:18 – Upcoming DCP workshop at Medicine in the Mediterranean46:31 – Advice for clinicians entering austere medicine50:27 – AI, education, digital twins, and the future of medical contentGuest bioDr John Quinn is an operational clinician, researcher, and educator working across prehospital care, austere medicine, disaster health, and military medicine. Originally trained as a paramedic, he later completed both medical and doctoral training and now works clinically within the United Kingdom while supporting medical projects and training initiatives in Ukraine.Dr. Quinn is involved in the development of Damage Control Procedures curricula and collaborates with international subject matter experts, surgeons, and operational clinicians to improve prolonged casualty care capability in contested environments.Disaster Health Institute is a collaborative network focused on disaster health, operational medicine, epidemiology, humanitarian response, and strategic healthcare preparedness. The organisation works with subject matter experts across Europe, North America, Central Asia, Africa, and South America to develop evidence-informed approaches to modern operational health challenges.

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

Examinations are a cornerstone of FINRA's regulatory oversight, but how we conduct them is evolving. As part of FINRA Forward, we're making our approach more risk-informed, more efficient, and more transparent. On this episode, J. Koutros, Senior Vice President of Member Supervision, Operations, Procedures, and Standards, Jim Reese, Senior Vice President of Examinations, and John Martino, Vice President of Examinations explore the changes reshaping FINRA's examination program: streamlined first firm exams for lower-risk firms, extended exam cycles where warranted, more targeted data requests, and advance notice about exam timing. The guests also look ahead to new technology, enhanced transparency around preliminary findings, and the ongoing feedback that drives FINRA's continuous improvement. Resources mentioned in this episode: FINRA Examination and Risk Monitoring Programs Ep. 185: How FINRA is Streamlining Data Requests FINRA Forward: A Year of Progress FINRA Forward FINRA Quarterly Regulatory Policy Agenda Blog Post: FINRA Forward's Rule Modernization—An Update Blog Post: Vendors, Intelligence Sharing and FINRA's Mission Blog Post: FINRA Forward Initiatives to Support Members, Markets and the Investors They Serve Blog Post: A Progress Update on Rule Modernization Find us: LinkedIn / X / YouTube / Facebook / Instagram / E-mailSubscribe to our show on Apple Podcasts, Google Play and by RSS.

Dr. Jon Kanevsky is a board-certified plastic surgeon and founder of Aura Aesthetica, known for his work in minimally invasive body contouring, fat transfer, breast explant surgery, and natural-looking aesthetic results. In this episode, he breaks down the science of beauty, attraction, facial symmetry, social media's impact on body image, looksmaxing, Botox, breast implants, fat grafting, red light therapy, collagen, and the psychology behind plastic surgery. He also shares why true attractiveness goes beyond physical appearance — including confidence, health, mindset, relationships, and what he calls “aura.”In our conversation we discuss:(0:00) Intro(1:20) What Really Makes Someone Attractive?(2:06) The Golden Ratio of Beauty(3:23) Why Perfect Symmetry Looks Strange(5:02) The Face Ratios That Shape Beauty(6:50) How Beauty Standards Changed Over Time(9:30) The Evolutionary Biology of Attraction(15:16) Why Scent Changes Who We're Attracted To(17:41) The Science of “Aura”(19:31) Why Imperfections Can Make You More Beautiful(22:30) How Social Media Warps Beauty Standards(31:57) Surgery, Confidence & Inner Work(35:24) The Truth About Looksmaxing(44:41) The Hidden Downsides of Plastic Surgery(47:08) Why He Stopped Doing Breast Implants(57:27) The Highest-ROI Ways to Look BetterLearn more about Dr. Jon Kanevsky here:Instagram: https://www.instagram.com/drjon.k/Aura Aesthetica: https://www.auraaesthetica.com/meet-dr-jonathan-kanevsky/Listen to this episode on Youtube:https://youtu.be/AehwA-uFZJo

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

This is a free preview of a paid episode. To hear more, visit www.serioustrouble.showThis week Ken and Josh discuss several big defamation suits. The Atlantic has reported that Kash Patel is often drunk and derelict in his duties as FBI Director. But Patel says he's only guilty of working really hard, and he's suing the Atlantic. He's got a theory he says is a “slam dunk” — The Atlantic defamed him with actual malice because he denied the accusations against him but they printed him anyway. That theory didn't work for Trump against The Wall Street Journal and it didn't work for Patel against Frank Figliuzzi Jr., who accused him of being a nightclub rat on Morning Joe, but maybe it will work this time? (It won't).Also, his lawyer did something incompetent — shocker.And more formidably, former Capitol Police officer Shauni Kerkhoff is suing The Blaze and two of its “journalists” for accusing her of being the Capitol Hill pipe bomber, on the basis of a shoddy “gait analysis” alleging that her limp matched the way the bomber walked on surveillance video. Proving actual malice is hard — as a police officer, Kerkhoff is treated as a public figure in the coverage of her work — but the journalists' persistence with their accusations even after Brian Cole was arrested for the bombings strengthens her case. She also has very real defamation lawyers: Clare Locke, the firm that got the huge settlement out of Fox for Dominion Voting Systems.That defamation coverage is for all listeners this week. In the full premium episode, there's also:* Even more defamation coverage, with Laura Loomer losing at summary judgment in her lawsuit against Bill Maher, and Megan Thee Stallion failing to obtain a court order instructing Milagro Cooper to stop talking about her.* A preliminary injunction telling Apple and Facebook to restore anti-ICE resources they took off the internet at the government's behest.* The SPLC indictment.* A settlement for Carter Page.* A Sam Bankman-Fried update.* And a court ruling that says it's legal to be a huge dick in Alabama.Upgrade your subscription to receive all of our episodes at serioustrouble.show.

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.