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About this Episode Episode 46 of “The 2 View” – Heat Stroke Tx, A New Virus, Oral Cephalosporins Vs Pyelo, Safe Discharges Segment 1A – Music Therapy In the ED Edited by Chaphalkar A. Music therapy eases pain and anxiety in the ED. Medscape. May 2, 2025. https://www.medscape.com/viewarticle/music-therapy-eases-pain-and-anxiety-emergency-department-2025a1000apm Episode 1. The 2 View. 2view.fireside.fm. Published January 11, 202. https://2view.fireside.fm/1 Segment 1B – Heat Stroke Guidelines Barletta JF, Palimeri TL, Toomy SA, et al. Society of Critical Care Medicine Guidelines for the Treatment of Heat Stroke. Crit Care Med. 2025; 53(2):p e490-e500. https://journals.lww.com/ccmjournal/fulltext/2025/02000/societyofcriticalcaremedicineguidelinesfor.22.aspx Eifling KP, Gaudio FG, Dumke C, et al. Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness: 2024 Update. Wildness Environ Med. 2024;35(1_suppl):112S-127S. https://journals.sagepub.com/doi/10.1177/10806032241227924 Hawkins SC, David F. An Evidence-Based Guide to Heat Stress. Image. Raw Medicine. https://rawmedicine.org/episodes/f/episode-6-heat-emergencies-with-tod-schimelpfenig-and-tim-durkin Published July 1, 2018. Segment 2A – Cephalosporins for Outpatient Treatment of Pyelonephritis Gupta K, Hooton TM, Naber, KG, et al. International Clinical Practice Guidelines for the Treatment of Acute Uncomplicated Cystitis and Pyelonephritis in Women: A 2010 Update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clin Inf Dis. 2011;52(5):e103-120. https://academic.oup.com/cid/article/52/5/e103/388285 Koehl J, Spolsdoff D, Negaard B, et al. Cephalosporins for Outpatient Pyelonephritis in the Emergency Department: COPY-ED Study. Ann Emerg Med. 2025;85(3):240-248. https://www.annemergmed.com/article/S0196-0644(24)01140-5/abstract Segment 2B - Ouropouche Virus Clinical Overview of Oropouche Virus Disease. Centers for Disease Control and Prevention. May 8, 2025. https://www.cdc.gov/oropouche/hcp/clinical-overview/index.html Glatter RD, Sader Neves Ferreira J. Why Is Oropouche Spreading so Fast? Medscape. May 19, 2025. https://www.medscape.com/viewarticle/why-oropouche-spreading-so-fast-2025a1000cgb Segment 3 - Discharging Patients Safe Discharge From The Emergency Department. Ann Emerg Med. 2019;74(5):e95. https://www.annemergmed.com/article/S0196-0644(19)30622-5/abstract Ward, M. When And How Should Clinicians View Discharge Planning as Part of a Patient's Care Continuum? AMA J Ethics. 2023;25(12):e866-872. https://journalofethics.ama-assn.org/article/when-and-how-should-clinicians-view-discharge-planning-part-patients-care-continuum/2023-12 Some Points to Consider Before Discharging a Patient, from Mike and Martha: History / Physical • Abnormal vital signs – treated/explained • Timely repeat vital signs relative to discharge • Addressed all concerns raised in your history-taking and nursing notes • Pertinent history & exam positives/negatives Diagnostics / Decision-Making • Reviewed all diagnostics ordered • Documented abnormalities, explained their significance, & directed follow-up • Adequately considered differential diagnosis • Even in a non-acute setting, adequately ruled out life/limb/organ threats • Appropriately documented communication with staff, consultants, pt's family • Documented patient declining any diagnostics/treatment and their reasons • Documented any reasonable attempts at an alternative plan • Documented assessment of pt's capacity to make informed medical decisions General Documentation • Reviewed “smart phrases” word-for-word to ensure they apply to this pt • Documented use of language services in accordance with institution policies • Documented all appropriate diagnoses (including abnormal vital signs and abnormal diagnostics as appropriate) Discharge Plan • A discharge plan that make sense for this patient, including taking social determinants of health into consideration • Patient can reasonably attend follow-up visits • Follow-up timeframe is appropriate for patient • Patient can afford or obtain essential medications and treatments • Discharge instructions and return precautions, especially for high-risk issues (chest/abdo pain, wounds, infections, fx, splints/casts, controlleds)? Recurring Sources Center for Medical Education. http://ccme.org The Proceduralist. http://www.theproceduralist.org The Procedural Pause. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. http://www.thesgem.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to.

We all know about the medical school curriculum. But what about the hidden curriculum, or how students learn about the unspoken culture of medicine through everyday, informal interactions? In this episode, Dr. Sandra Quezada and Dr. Sarah Dubbs explore the hidden curriculum with some examples, chat about whether the hidden curriculum can be positive or negative, and offer guidance on how students can best navigate the hidden curriculum and thrive within it.   References: Lawrence C, Mhlaba T, Stewart KA, et al. The Hidden Curricula of Medical Education: A Scoping Review. Acad Med. 2018 Apr;93(4):648-656. PMID: 29116981. Bandini J, Mitchell C, Epstein-Peterson ZD, et al. Student and Faculty Reflections of the Hidden Curriculum. Am J Hosp Palliat Care. 2017 Feb;34(1):57-63. Epub 2016 Jul 11. PMID: 26566929. Martimianakis MA, Michalec B, Lam J, et al. Humanism, the Hidden Curriculum, and Educational Reform: A Scoping Review and Thematic Analysis. Acad Med. 2015 Nov;90(11 Suppl):S5-S13. PMID: 26505101. Hopkins L, Saciragic L, Kim J, Posner G. The Hidden Curriculum: Exposing the Unintended Lessons of Medical Education. Cureus. 2016 Oct 25;8(10):e845. PMID: 27909633 Kalter L. Navigating the Hidden Curriculum in Medical School. AAMC News. Published July 13, 2019. Accessed December 10, 2024. Link.  Freedman D. The Hidden Curriculum. NYU Langone Health Hub. Accessed December 10, 2024. Link.   

Recorded on March/17/2025==========In this week's episode review, Norman Sanzo, Silver Quill & Jakob Fon Torkar review the first season of My Little Pony (2022 comics) Issue 3 & 4. Join us for an entertaining review, it's gonna be an amazing show!!!In this issue, the Mane 5's search for Discord is interrupted when Zipp Storm is called away to Zephyr Heights to look after Cloudpuff while Queen Haven is away at a royal conference.Published: July 27, 2022Writer: Robin EasterArtist: Robin EasterColorist: Heather BreckelLetterer: Neil UyetakeEditor: Jonathan ManningIn this issue, the Mane 5's quest to find the missing Unity Crystal leads them to Canterlot, and a familiar figure lurks in the shadows, intent on stopping magic for good.Published: August 24, 2022Writer: Mary KenneyArtist: Trish ForstnerColorist: Heather BreckelLetterer: Neil UyetakeEditor: Jonathan Manning, Riley Farmer==========CreditsIntro & Outro SongTitle: The MBS Show Theme SongMusic: Andy "MandoPony" SteinArt: Lightning-Bliss

Welcome to Episode 45 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 45 of “The 2 View” – All things toxicology: the intoxicated patient, propranolol overdose and suicide, snake bites, and a special guest. Segment 1 – The intoxicated patient Kaufman J, Fitzpatrick P, Tosif S, et al. Faster clean catch urine collection (Quick-Wee method) from infants: randomised controlled trial. BMJ. The BMJ. Published April 7, 2017. https://www.bmj.com/content/357/bmj.j1341 Kraaijvanger N, Raven W, van Dijken T, Gresnigt F. The PIRATE mnemonic: providing a structured approach in the care for intoxicated patients at the emergency department. Int J Emerg Med. Educational Advances in Emergency Medicine. BMC: Part of Springer Nature. Published March 1, 2024 https://intjem.biomedcentral.com/articles/10.1186/s12245-024-00606-4 Thiessen P. A simple new technique for collecting urine in infants. Thischangedmypractice.com. The University of British Columbia. Faculty of Medicine: This Changed My Practice (TCMP) by UBC CPD. Published November 18, 2015. https://thischangedmypractice.com/new-technique-for-collecting-urine-in-infants/ Van Oyen A, Barney N, Grabinski Z, et al. Urine Toxicology Test for Children With Altered Mental Status. Aap.org. Pediatrics. Case Reports. American Academy of Pediatrics: Dedicated to the Health of All Children. Published October 6, 2023. https://publications.aap.org/pediatrics/article/152/5/e2022060861/194346/Urine-Toxicology-Test-for-Children-With-Altered?autologincheck=redirected Segment 2 – Propranolol overdose and suicide Khalid MM, Galuska MA, Hamilton RJ. Beta-Blocker Toxicity. In: StatPearls. StatPearls Publishing. NIH: National Library of Medicine – National Center for Biotechnology Information. Published July 28, 2023. https://www.ncbi.nlm.nih.gov/books/NBK448097/ Srettabunjong S. Fatal Self-Poisoning With Massive Propranolol Ingestion in a Young Male Physician. Am J Forensic Med Pathol. PubMed®. NIH: National Library of Medicine – National Center for Biotechnology Information. Published September 2017. https://pubmed.ncbi.nlm.nih.gov/28691951/ Segment 3 – Snake bites Rohl S, Meredith M, Anderson, T, et al. Comparing the Use of Crotaline-Polyvalent Immune Fab (Ovine) Versus Observation in Children. Pediatric Emergency Care: Dedicated to the Care of the Ill or Injured Child. Lww.com. Published November 2024. https://journals.lww.com/pec-online/abstract/2024/11000/comparingtheuseofcrotalinepolyvalentimmune.19.aspx Snake bites. Wikem.org. WikiEM. Last edited March 17, 2021. https://wikem.org/wiki/Snake_bites Toxicology resources Goldfrank LR, Flomenbaum NE, Howland MA, et al. Goldfrank's Toxicologic Emergencies. 8th ed. McGraw-Hill Medical; 2006. Katz K, O'Connor A, Amaducci AM. EMRA and ACMT Medical Toxicology Guide: 2nd Edition.; 2022. National Poison Data System. Poisoncenters.org. America's Poison Centers: Treatment, Education, Prevention. Accessed April 9, 2025. https://poisoncenters.org/national-poison-data-system Poison Control: National Capital Poison Center. Poison.org. Accessed April 9, 2025. https://www.poison.org/ Segment 4 – Special guest: Nancy Denke, DNP, ACNP-BC, FNP-BC, FAEN, CEN, CCRN, of Arizona Linkedin.com. Accessed April 9, 2025. https://www.linkedin.com/in/nancy-denke-dnp-acnp-bc-fnp-bc-faen-a62851 Nancy Denke, DNP, ACNP-BC, FNP-BC, FAEN, CEN, CCRN, of Arizona. ENA Hall of Honor. Published July 26, 2024. Accessed April 9, 2025. https://hall-of-honor.org/nancy-denke PodBean Development. Talking Toxicology: A Recipe for Disaster (Nancy Denke). BCEN & Friends Podcast. PodBean. Published March 7, 2023. https://bcenandfriends.podbean.com/e/talking-toxicology-a-recipe-for-disaster-nancy-denke/ *Recurring Sources * Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

On March 17th 1990 14 year old Rachel Hurley was out boating with her friends at the Jupiter Inlet in Florida. With her Mom waiting in the parking lot just over a mile away, Rachel leaves her friends at the washroom to make sure she wasn't late. Unfortunately that would be the last time she would be seen alive. Tune in this week to find out Rachel's story.Sources  Julius Whigham II, “Who killed 14-year-old Rachel Hurley? Search in Palm Beach County cold case enters 31st year today”, Palm Beach Post, March 17, 2021, https://www.palmbeachpost.com/story/news/crime/2021/03/17/who-killed-14-year-old-rachel-hurley-search-enters-31st-year-today/4729835001/, Accessed March 16th 2025  Lena Salzbank, “Who killed Rachel Hurley? The Jupiter teen's death remains cold 32 years later”, CBS 12 News, Published March 17th 2022,  https://cbs12.com/news/local/jupiter-inlet-march-17-1990-carlin-park-who-killed-rachel-hurley-the-jupiter-teens-death-remains-cold-32-years-later-palm-beach-county-sheriffs-office, Accessed March 16th 2025  True Crime Diva, “The 1990 Unsolved Murder of Rachel Hurley”, True Crime Diva, Published July 15th 2018, https://truecrimediva.com/the-1990-unsolved-murder-of-rachel-hurley/, Accessed March 16th 2025  Andrea Cavallier, “Loved ones still fighting for justice 31 years after St. Patrick's Day murder of Rachel Hurley”, NBC News, Published March 20th 2021, https://www.nbcnews.com/dateline/loved-ones-still-fighting-justice-31-years-after-st-patrick-n1261667, Accessed March 16th 2025  Jupiter Inlet, Marinas Blog, https://marinas.com/view/inlet/d7iqd_Jupiter_Inlet_Jupiter_FL_United_States, Accessed March 16th 2025   Maverick1862, “Rachel Karin Hurley”, Find a Grave, August 16 2005, https://www.findagrave.com/memorial/11544223/rachel-karin-hurley, Accessed March 16th 2025  

In this chilling episode of Almost Fiction, we uncover the twisted story of Joachim Georg Kroll, infamously known as "The Cannibal of Ruhr." For over two decades, Kroll preyed on unsuspecting victims across West Germany, leaving a trail of horror and confusion. We delve into the dark psychology behind his crimes, from his unsettling methods of victim selection to his shocking motive for cannibalism, a reason as cold and practical as it is horrifying.Join us as we unravel how police were misled by false accusations, leading to wrongful arrests and even suicides. What made Kroll evade justice for so long, and how did his crimes finally come to light? This is one story where the truth is more haunting than fiction.Sources: Worlds Most Evil Serial Killers: Joachim Kroll. Season 1 Episode 16. Pluto.Tv. https://pluto.tv/us/on-demand/series/60b6a6b7a9f076001a55629c/season/1/episode/60b8f0924db0eb0013b71abe. How Cannibal Serial Killer Joachim Kroll Got Caught After Clogging His Toilet With Guts. By John Kuroski for All That's Interesting.com. Published July 16, 2020. Updated May 30, 2024. https://allthatsinteresting.com/joachim-kroll.https://www.findagrave.com/memorial/15125197/joachim-georg-krollhttps://encyclopedia.ushmm.org/content/en/article/hitler-youth-2https://en.wikipedia.org/wiki/Joachim_Krollhttps://cvltnation.com/europes-cannibal-killer-joachim-kroll/Access ad-free episodes, bonus content, and get all of the 11:59 Media Podcast library!Access hours of extra content each week, exclusive merch, and early access to new podcasts.Visit https://1159plus.com or https://www.patreon.com/1159media

Welcome to Episode 40 – the BIG 4-0!! – of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 40 of “The 2 View” – ST-segment elevation MI to occlusion MI, recurrent uncomplicated UTIs in Women, stercoral colitis in the emergency department, an interview with Dr. Ken Milne, and more. Segment 1 – ST-segment elevation MI to occlusion MI, corneal abrasions, and recurrent uncomplicated UTIs in women Green SM, Tomaszewski C, Valente JH, Lo B, Milne K. Use of Topical Anesthetics in the Management of Patients With Simple Corneal Abrasions: Consensus Guidelines From the American College of Emergency Physicians. Ann Emerg Med. Annals of Emergency Medicine: An International Journal. Published May 2024. https://www.annemergmed.com/article/S0196-0644(24)00004-0/fulltext McLaren J, de Alencar JN, Aslanger EK, Meyers HP, Smith SW. From ST-Segment Elevation MI to Occlusion MI: The New Paradigm Shift in Acute Myocardial Infarction. JACC Adv. JACC Journals. Published November 2024. https://www.jacc.org/doi/10.1016/j.jacadv.2024.101314 Morgenstern J. More medical dogma: The “golden period” for laceration repair. First10EM. Published October 24, 2022. https://first10em.com/more-medical-dogma-the-golden-period-for-laceration-repair/ Recurrent Uncomplicated Urinary Tract Infections in Women: AUA/CUA/SUFU Guideline (2022) - American urological association. Auanet.org. Published 2019, Reviewed and Validity Confirmed 2022. https://www.auanet.org/guidelines-and-quality/guidelines/recurrent-uti Segment 2 – Stercoral colitis in the emergency department Bae E, Tran J, Shah K. Stercoral colitis in the emergency department: a review of the literature. Int J Emerg Med. Published January 2 2024. https://intjem.biomedcentral.com/articles/10.1186/s12245-023-00578-x Hoverstadt MDP. International journal of emergency medicine. Wilderness & Environmental Medicine. https://intjem.biomedcentral.com/ International Journal of Emergency Medicine. BioMed Central. https://intjem.biomedcentral.com/ Keim AA, Campbell RL, Mullan AF, et al. Stercoral Colitis in the Emergency Department: A Retrospective Review of Presentation, Management, and Outcomes. Ann Emerg Med. Annals of Emergency Medicine: An International Journal. Published July 2023. https://www.annemergmed.com/article/S0196-0644(23)00098-7/abstract Segment 3 – Interview with Dr. Ken Milne Milne K. SGEM#457: Inhale – Nebulized or IV Ketamine for Acute Pain? The Skeptics Guide to Emergency Medicine - Meet 'em, greet 'em, treat 'em and street 'em. Published October 19, 2024. https://thesgem.com/2024/10/sgem457-inhale-nebulized-or-iv-ketamine-for-acute-pain/ Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

On June 10th 1991 in South Lake Tahoe California, 11-year-old Jaycee Dugard would be on her way to the school bus when a man and a women pulled their silver car up to Jaycee and would use a stun gun to immobilize her and kidnap her. Jaycee would go on to be missing for 18 years. Tune into this episode to hear what happened to Jaycee Dugard throughout her time in captivity and what happened on the other side.   Sources   Susan Young and Vickie Bane, “Inside Story: How Jaycee Dugard Finally Escaped Her Captor”, People.com, Published August 29th, 2009, https://people.com/celebrity/inside-story-how-jaycee-dugard-finally-escaped-her-captor/, Accessed 11-20-2024    Sal Bono, “How Jaycee Dugard Was Found After 18 Years In Isolation”, Inside Edition, Published July 26th 2019, https://www.insideedition.com/how-jaycee-dugard-was-found-after-18-years-in-isolation-54765, Accessed 11-20-2024    Austin Haryvey, “A Stolen Life: The Kidnapping Of Jaycee Dugard And Her 18 Years In Captivity”, All thats interesting, Published March 20th 2023, https://allthatsinteresting.com/jaycee-dugard, Accessed 11-20-2024    Biography.com Editors, “Jaycee Dugard Biography”, The Biography.com. Published April 2, 2014, https://www.biography.com/crime/jaycee-dugard, Accessed 11-20-2024     Amber Dowling, “How Jaycee Lee Dugard Reclaimed Her Life after an 18-Year Kidnapping”, Goalcast.com, Published May 30th, 2022, https://www.goalcast.com/jaycee-lee-dugard-kidnap-survivor/, Accessed 11-20-2024  

Join us for episode 31 where we head back to the 1970s to the Defoe family murders that happened in Amityville Long Island in New York. These murders are what sparked the famous Amityville horror hauntings. We go through the events that happened on November 13th 1974 where Ronald Defeo jr would go on to murder his parents and 4 siblings. Sources: History.com Editors, “The Amityville murders”, A&E Television Networks, Published February 19th 2024, https://www.history.com/this-day-in-history/amityville-horror-true-story-defeo-family-murders, Accessed 10-11-2024     MD Bastek, “The DeFeo Murders: The Story Behind The Amityville Horror” , Horror Obsessive, Published July 28 2021, https://horrorobsessive.com/2021/04/02/the-defeo-murders-the-story-behind-the-amityville-horror/, Accessed 10-11-2024    Biography. Com Editors, “The Real 'Amityville Horror': Chilling Facts About the Crime and Haunted House”, Biography, Updated October 14th 2020, https://www.biography.com/crime/the-real-amityville-horror-facts, Accessed 10-11-2024    Erin Kelly. “The Horrific True Story Of Ronald DeFeo Jr. And The Amityville Murders”, All thats interesting, Published August 7th 2022,  https://allthatsinteresting.com/amityville-murders, Accessed 10-11-2024,    “Amityville” , Wikivoyage, https://en.wikivoyage.org/wiki/Amityville, Accessed 10-11-2024 

Welcome to Episode 39 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 38 of “The 2 View” – Water beads, CRHK Pneumonia, STD treatments, malingering, and more. Segment 1 - Water Beads Joynes HJ, Kistamgari S, Casavant MJ, Smith GA. Pediatric water bead-related visits to United States emergency departments. Am J Emerg Med. ScienceDirect. Published October 2024. https://www.sciencedirect.com/science/article/pii/S0735675724003711?via%3Dihub Warning: Popular water beads may cause intestinal blockages in kids. News. UC Davis Health. Children's Health. Published December 13, 2022. https://health.ucdavis.edu/news/headlines/a-warning-this-sensory-toy-is-life-threatening-if-swallowed/2022/12 Water Beads. United States Consumer Product Safety Commission. Cpsc.gov. https://www.cpsc.gov/Safety-Education/Safety-Education-Centers/Water-Beads-Information-Center Segment 2 - WHO Warns of Carbapenem-Resistant Hypervirulent Klebsiella pneumonia Antimicrobial Resistance, Hypervirulent Klebsiella pneumoniae - Global situation. Who.int. World Health Organization. Disease Outbreak News. Published July 31, 2024. https://www.who.int/emergencies/disease-outbreak-news/item/2024-DON527 Choby JE, Howard-Anderson J, Weiss DS. Hypervirulent Klebsiella pneumoniae – clinical and molecular perspectives. J Intern Med. WILEY Online Library. Published November 2, 2019. https://onlinelibrary.wiley.com/doi/10.1111/joim.13007 Segment 3 - STD Treatments Apato A, Cruz SN, Desai D, Slocum GW. Doxycycline adherence for the management of Chlamydia trachomatis infections. Am J Emerg Med. ScienceDirect. Published July 2024. https://www.sciencedirect.com/science/article/abs/pii/S0735675724002250?via%3Dihub The Center for Medical Education. The 2 View: Episode 9. 2 View: Emergency Medicine PAs & NPs. Published September 17, 2021. https://2view.fireside.fm/9 Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep. Recommendations and Reports. CDC. Published July 23, 2021. https://www.cdc.gov/mmwr/volumes/70/rr/rr7004a1.htm#chlamydialinfections Segment 4 - Full-dose challenge of moderate, severe, and unknown beta-lactam allergies in the emergency department Anderson AM, Coallier S, Mitchell RE, Dumkow LE, Wolf LM. Full‐dose challenge of moderate, severe, and unknown beta‐lactam allergies in the emergency department. Acad Emerg Med. Wiley Online Library. Published August 2024. https://onlinelibrary.wiley.com/doi/epdf/10.1111/acem.14893 Meghan Jeffres, et al. University of Colorado. Hypersensitivity Type. Beta-lactam allergy tip sheet. Unmc.edu. https://www.unmc.edu/intmed/_documents/id/asp/clinicpath-beta-lactam-cross-reaction-tip-sheet.pdf Milne K. SGEM#452: I'm Still Standing – After The Allergy Challenge. The Skeptics Guide to Emergency Medicine - Meet 'em, greet 'em, treat 'em and street 'em. Published September 14, 2024. https://thesgem.com/2024/09/sgem452-im-still-standing-after-the-allergy-challenge/ Segment 5 - Malingering Alozai UU, McPherson PK. Malingering. In: StatPearls. StatPearls Publishing. NIH. National Library of Medicine. National Center for Biotechnology Information. Last updated June 12, 2023. https://www.ncbi.nlm.nih.gov/books/NBK507837/ Forrest JS. Rapid Review Quiz: Recognizing Malingering. Medscape. Published August 21, 2024. https://reference.medscape.com/viewarticle/1001346?ecd=WNLrrq240912MSCPEDITetid6820181&uac=255848DR&impID=6820181 Kadaster AK, Schears MR, Schears RM. Difficult patients: Malingerers, Feigners, Chronic Complainers, and Real Imposters. Emerg Med Clin North Am. Published February 2024. https://www.emed.theclinics.com/article/S0733-8627(23)00067-6/abstract Sherman EMS, Slick DJ, Iverson GL. Multidimensional Malingering Criteria for Neuropsychological Assessment: A 20-Year Update of the Malingered Neuropsychological Dysfunction Criteria. Arch Clin Neuropsychol. NIH. National Library of Medicine. National Center for Biotechnology Information. Published September 2020. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7452950/ Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share! Don't miss our upcoming EM Boot Camp this December in Las Vegas: https://courses.ccme.org/course/embootcamp/about

“This podcast discusses the recent presentation of data for lenacapavir, a potent capsid inhibitor for HIV that was 100% effective in preventing HIV infection in cis-gender woman at risk for HIV. If approved, it will offer an exciting new option to prevent HIV which should dramatically improve our chances of reaching the goal of totally eliminating new HIV infections.  The trial compared twice yearly injections of lenacapavir to both F/TAF and F/TDF in cis-gender woman and found similar effectiveness for F/TAF compared to F/TDF but there were zero new HIV infections in participants on lenacapavir.”. Related Content:  The New England Journal of Medicine. Twice-Yearly Lenacapavir or Daily F/TAF for HIV Prevention in Cisgender Women. Authors: Linda-Gail Bekker, M.B., Ch.B, Ph.D. https://orcid.org/0000-0002-0755-4386, Moupali Das, M.D., M.P.H., Quarraisha Abdool Karim, Ph.D. https://orcid.org/0000-0002-0985-477X, Khatija Ahmed, M.B., B.Ch., Joanne Batting, M.B., Ch.B., D.F.S.R.H., D.R.C.O.G., Dip. HIV Man., William Brumskine, M.B., Ch.B., Dip. HIV Man., Katherine Gill, M.B., Ch.B., M.P.H., +33, for the PURPOSE 1 Study Team*Author Info & Affiliations. Published July 24, 2024. DOI: 10.1056/NEJMoa2407001 CEI toll free line for NYS providers: 866-637-2342 https://ceitraining.org/

What has the People's Republic of China been doing to grow its influence in the Pacific Island nations that proved so crucial in the Pacific theater in WWII, and will be just as important for the next Great Pacific War?Our guest for the full hour is be Cleo Paskal.Cleo is Non-Resident Senior Fellow focusing on the Indo-Pacific at the Foundation for Defense of Democracies. She has testified before Congress multiple times and regularly lectures for seminars for the U.S. military. She is also a columnist with India's The Sunday Guardian newspaper. She is surprisingly short, but as this is a podcast, no one will notice.Showlinks:Protecting the Corridor of Freedom to America's Asian Border, by Cleo Paskal. Published July 1, 2024 in Journal of INDO-PACIFIC Affairs.Island-Hopping with Chinese Characteristics—What the PRC Is Island-Hopping with Chinese Characteristics, by Cleo Paskal. Published in the Autumn 2023 edition of the Naval War College Review.Chinese Lessons From the Pacific War: Implications for PLA Warfighting, by Toshi Yoshihara. Published January 5, 2023 at Center for Strategic and Budgetary Assessments.The Compacts of Free Association report by the Congressional Research Service, April 2024.Map of the South Pacific Ocean.Summary:The conversation discusses China's growing influence in the Pacific Island nations and its comprehensive national power strategy. The Pacific Island nations, located between Hawaii and Guam, are strategically important for the US. China's comprehensive national power metric ranks countries based on various factors, including economic, military, and political influence. China's approach is externally focused and aims to increase its own power while decreasing the power of other nations. The Chinese Communist Party's influence extends beyond government and includes economic, social, and criminal elements. The US and its allies need to be aware of China's grand strategy and its impact on the Pacific region. The principal themes of the conversation are the importance of addressing corruption in the Pacific Islands, the strategic significance of the Pacific region, the need for maritime domain enforcement, and the role of the US in supporting the Pacific Islands.Takeaways:China is actively growing its influence in the Pacific Island nations, which are strategically important for the US.China's comprehensive national power metric ranks countries based on various factors and aims to increase China's power while decreasing the power of other nations.China's approach is externally focused and includes economic, social, and criminal elements.The US and its allies need to be aware of China's grand strategy and its impact on the Pacific region. Corruption in the Pacific Islands is a major issue that needs to be addressed, as it undermines national security and allows China to gain influence in the region.The Pacific region is strategically significant, and control over the islands and maritime routes is crucial for both the US and China.Maritime domain enforcement is essential to protect the rights and interests of the Pacific Islands and to counter illegal activities by China.The US should provide support to the Pacific Islands in terms of intelligence sharing, investigations, and strengthening their legal systems to combat corruption and defend their communities.The US needs to increase its presence and engagement in the Pacific Islands to counter China's influence and protect its own interests in the region.Sound Bites:"If you have a Pacific centered map, you know, the Indo-Pacific is going to be the, to the 21st century, what the Atlantic was to the 20th century.""China's comprehensive national power mentality seems to have actually translated into action in the way that they interact with the region.""China's approach is not just a kind of zero-sum game. They will go into the other side loses more.""You are sending in the mercy or Guard cut or whatever corruption that's happening on the ground is what's feeding out into the maritime environment, the air environment, and the entire national security bubble and corroding it.""We should have an unlimited prosecution and investigation budget. You don't compete on their terms, you compete on our terms because fundamentally, I think our system is better.""Unless we raise the cost of taking the money from China and give breathing space to the people who are trying to defend their communities and the things that they believe, it's not going to tip in our favor."Chapters:00:00: Introduction and Call to Join the Conversation02:10: Overview of the Pacific Island Nations07:24: China's Comprehensive National Power Strategy13:33: China's Influence in the Commonwealth of Northern Marianas21:23: China's Braided Approach and Challenges for the US32:18: The Corrosive Effect of Corruption on National Security34:44: The Significance of the First and Second Island Chains38:29: The Importance of Geography in Conflict41:58: The Need for a Stronger US Presence in the Pacific Islands47:14: China's Political Warfare in the Pacific Islands53:22: China's Maritime Strategy in Latin America56:20: Enforcing Maritime Domain Awareness in the Pacific Islands59:41: The Importance of FBI Field Offices in the Pacific Islands

Join us this week as we discuss the numerous ways to get involved in the upcoming season at Grace Rancho and how we are grateful for how God is at work at our church. Published July 31, 2024.

Can a musical comedy featuring Hamlet and Nightmare on Elm Street's Freddy Krueger change lives? Actor, playwright, and director Colman Domingo thinks so. In Sing Sing, a new film from A24, Domingo stars in a true story about the power of theater. Inspired by the real-life Rehabilitation through the Arts program at Sing Sing Maximum Security Prison, Sing Sing tells the story of Divine G, played by Domingo, imprisoned for a crime he didn't commit, who finds purpose by acting in a theater group with other incarcerated men. When a wary outsider joins the group, the men decide to stage their first original comedy. Sing Sing stars an ensemble cast of formerly incarcerated actors who are alumni of the RTA program, including Clarence "Divine Eye" Maclin and Sean San José. Domingo takes us behind the scenes of the making of Sing Sing. He also shares how he became an actor after a class at Temple University and his own Shakespeare story including an inventive take on Helena from A Midsummer Night's Dream. Domingo is beloved for onscreen portrayals including Civil Rights activist Bayard Rustin in Netlfix's Rustin for which he received an Oscar nomination for Best Actor. Other films include Lincoln, Selma, If Beale Street Could Talk, Ma Rainey's Black Bottom, Zola, and The Color Purple. His breakthrough came as conman Victor Strand on Fear the Walking Dead. He won an Emmy for his performance as Ali on HBO Max's Euphoria. On stage he was nominated for Tony and Olivier awards for his role as Mr. Bones in The Scottsboro Boys. He wrote the book for the Broadway musical Summer: The Donna Summer Musical. Time magazine named him one of the 100 most influential people in the world in 2024. From the Shakespeare Unlimited podcast. Published July 30, 2024. © Folger Shakespeare Library. All rights reserved. This episode was produced by Matt Frassica. Garland Scott is the associate producer. It was edited by Gail Kern Paster. Ben Lauer is the web producer. Leonor Fernandez edits our transcripts. Final mixing services provided by Clean Cuts at Three Seas, Inc.

Join us this week as we discuss Pastor Eric's sermon preparation process and some of the joys and challenges of preaching weekly. Published July 17, 2024.

Imagine: a fiercely idealistic, politically progressive artist takes the stand at a hearing of the House Un-American Activities Committee. The chair of the committee is a hard-right demagogue with a gift for sound bites and a fixation with Communism. If you're picturing Joseph McCarthy's anti-Communist crusade in the 1950s… think two decades earlier. This story played during the Great Depression. The congressman was Martin Dies, a Democrat from Texas. On the stand was Hallie Flanagan, the director of the Federal Theater Project, Franklin D. Roosevelt's ambitious program to rescue live theater in America. The project attempted to create jobs for thousands of out-of-work playwrights, actors, directors, and backstage technicians. It commissioned new plays and staged productions all around the country. And, despite logistical hitches and ideological blowback, the Federal Theater managed to reach millions of Americans, many of whom had never seen a live production ever before. Columbia University Professor James Shapiro's new book, The Playbook: A Story of Theater, Democracy, and the Making of a Culture War, tells the story of that New Deal program and how it changed our cultural and political landscape. He discusses it with host Barbara Bogaev. From the Shakespeare Unlimited podcast. Published July 16, 2024. © Folger Shakespeare Library. All rights reserved. This episode was produced by Matt Frassica. Garland Scott is the associate producer. It was edited by Gail Kern Paster. Ben Lauer is the web producer. Leonor Fernandez edits our transcripts. Final mixing services provided by Clean Cuts at Three Seas, Inc.

Monday, January 19th, 1953 was the last time Willie Torrence saw his wife, Rose. On Tuesday, Willie called the police and learned that a body of a woman matching Rose's description had been found. Join us as we try to make heads or tails of a case fraught with racial tension and sparse news coverage.Tea of the Day: TWG 1837 Black TeaTheme Music by Brad FrankThis episode is sponsored by Kyoot Tees.For a full list of sources, go to https://tea-time-crimes.simplecast.com/episodes.Sources:By William A Fowlkes, “Woman's Slayer Still Free.” New Pittsburgh Courier, Sat, Feb 07, 1953, Page 1, https://www.newspapers.com/image/40111565/Obituary, Mrs. Rosa Bradley Torrence, The Atlanta Constitution, Thu, Jan 22, 1953, Page 28, https://www.newspapers.com/image/398007330/Obituary, Torrence, The Atlanta Constitution, Fri, Jan 23, 1953, Page 23, https://www.newspapers.com/image/398007574/By George Coleman, “Torrence Case Suspect is Indicted on Murder Charge.” Alabama Tribune, Fri, Feb 27, 1953, Page 1, https://www.newspapers.com/image/554730305/“City Orders Family Vacate Bombed House.” The Atlanta Constitution, Thu, Apr 28, 1949, Page 10, https://www.newspapers.com/image/397759629/Department of Commerce - Bureau of the Census: Fifteenth Census of the United States: 1930 Population Schedule, Retrieved June 29th, 2024 from https://www.ancestry.com/discoveryui-content/view/2298451:6224Department of Commerce - Bureau of the Census: Fifteenth Census of the United States: 1940 Population Schedule, Retrieved June 29th, 2024 from https://www.ancestry.com/discoveryui-content/view/50802384:2442“Negro Tenants Guarded in Rubble.” The Atlanta Constitution, Wed, Apr 27, 1949, Page 20,  https://www.newspapers.com/image/397759553/“Atlanta Woman Beaten to Death.” California Eagle, Thu, Jan 29, 1953 ·Page 1, https://www.newspapers.com/image/693598503/“Wealthy Woman Beaten to Death.” Spokane Chronicle, Sat, Jan 24, 1953, Page 2,  https://www.newspapers.com/image/566321803/“Rich Negro Woman Found Beat to Death in Atlanta.” Alabama Journal, Sat, Jan 24, 1953 ·Page 1,  https://www.newspapers.com/image/457048878/“Suspect Indicted in Sewer Death.” The Atlanta Journal, Sat, Feb 21, 1953, Page 7, https://www.newspapers.com/image/968741277/“Negro Lady Killed, Stuffed into Sewer.” Beatrice Daily Sun, Sun, Jan 25, 1953 ·Page 8, https://www.newspapers.com/image/507433478/“Mistrial Declared in Murder Trial of Major Bailey.” The Black Dispatch, Sat, Apr 18, 1953 ·Page 6,  https://www.newspapers.com/image/872012484/“Atlanta Woman Who Moved into White Neighborhood is Found Dead in City Sewer.” The Black Dispatch, Sat, Jan 31, 1953, Page 5, https://www.newspapers.com/image/872011484/“Bailey Case Winds Up in Mistrial as Atlanta Jury Hangs.” New Pittsburgh Courier, Sat, May 23, 1953, Page 10, https://www.newspapers.com/image/40111880/“Seeks Hole in Murder Confession.” The New York Age, Sat, May 23, 1953, Page 12,  https://www.newspapers.com/image/40477532/“ Bailey Case Declared Mistrial By Judge As Jury Panel is “Hopelessly Deadlocked.”” Alabama Tribune, Fri, May 22, 1953, Page 1,  https://www.newspapers.com/image/554731109/Atlanta Scene by Alyce Martin Ware, and “Willena Torrence Allen Selected English Ave Teacher of the Year.” The Atlanta Voice, Sat, May 13, 1978 ·Page 4, https://www.newspapers.com/image/519871810/Obituaries - Torrence, The Atlanta Constitution, Fri, Nov 02, 1956, Page 18,  https://www.newspapers.com/image/397505884/Obituaries - Mrs. Willena T. Allen, The Atlanta Constitution, Wed, Aug 27, 1997 ·Page 82, https://www.newspapers.com/image/403353798/National Archives at Washington DC; Washington DC, USA; Applications for Headstones For U.S. Military Veterans, 1925-1941; Retrieved on June 29th, 2024 at  https://www.ancestry.com/discoveryui-content/view/821686:2375Georgia Department of Health and Vital Statistics, 1914 - 1940; Retrieved on June 29th, 2024 at https://www.ancestry.com/discoveryui-content/view/60041277:2562“Seeking to Tell a Story: Political action from slavery to civil rights.” Archives Research Center at AUC Robert W. Woodruff, https://digitalexhibits.auctr.edu/exhibits/show/seekingtotell/segregation“This Day in History.” By History.Com Editors https://www.history.com/this-day-in-history/kkk-founded“Ku Klux Klan in the Twentieth Century.” New Georgia Encyclopedia, Published July 7th, 2005 and edited Aug 12, 2020, https://www.georgiaencyclopedia.org/articles/history-archaeology/ku-klux-klan-in-the-twentieth-century/A 'Forgotten History' Of How The U.S. Government Segregated America : NPR,  MAY 3, 201712:47, HEARD ON FRESH AIR hosted by Terry Gross with guest Richard Rothstein author of “The Color of Law.”

We discuss content from the July issue of Safety+Health, including the latest news about musculoskeletal injuries. Also, National Safety Council Principal Consultant Rich Fairfax joins the podcast to discuss what safety pros should know about recent changes to OSHA's Hazard Communication Standard in the “Five Questions With …” segment. Read episode notes, visit links, sign up to be notified by email when each new episode has been published, and find other ways to subscribe. https://www.safetyandhealthmagazine.com/articles/25646-on-the-safe-side-podcast-episode-53-hazcom-standard-updates-and-whats-new-with-msds This episode is sponsored by Gateway Safety. Learn more about them at Learn more about them at https://gatewaysafety.com/ Published July 2024

We discuss content from the July issue of Safety+Health, including the latest news about musculoskeletal injuries. Also, National Safety Council Principal Consultant Rich Fairfax joins the podcast to discuss what safety pros should know about recent changes to OSHA's Hazard Communication Standard in the “Five Questions With …” segment. Read episode notes, visit links, sign up to be notified by email when each new episode has been published, and find other ways to subscribe. https://www.safetyandhealthmagazine.com/articles/25646-on-the-safe-side-podcast-episode-53-hazcom-standard-updates-and-whats-new-with-msds This episode is sponsored by Gateway Safety. Learn more about them at Learn more about them at https://gatewaysafety.com/ Published July 2024

Join us this week as we discuss the role of reading in the Christian life and what some of us are reading this Summer. Published July 10, 2024.

Join us this week as we discuss the purpose and scope of youth ministry and its relationship to the church as a whole. Published July 3, 2024.

After a four-year renovation, the Folger Shakespeare Library is now open with 12,000 square feet of new public spaces. But behind the scenes, in our original building, we've also revamped the way we serve researchers working with the world's largest Shakespeare collection. On this episode, host Barbara Bogaev talks with Director of Collections Greg Prickman, Folger Institute Director Patricia Akhimie, and Folger Director Michael Witmore about how research happens at the Folger, from Folger Institute fellowships to the chairs in our Reading Room. From the Shakespeare Unlimited podcast. Published July 2, 2024. © Folger Shakespeare Library. All rights reserved. This episode was produced by Matt Frassica. Garland Scott is the associate producer. It was edited by Gail Kern Paster. Ben Lauer is the web producer. Leonor Fernandez edits a transcript of every episode, available at folger.edu. Final mixing services provided by Clean Cuts at Three Seas, Inc.

Welcome back to Season 11 of the Neuroscience Meets Social and Emotional Learning Podcast, where we connect the science-based evidence behind social and emotional learning and emotional intelligence training for improved well-being, achievement, productivity, and results using practical neuroscience. In today's episode, number 336, we continue our 18-week Self-Leadership Series based on Grant Bosnick's tailored approaches to self-leadership. We delve into Chapter 10, exploring the neural science of persuasion and influence. This topic emerged as a key focus area for 2024, providing insights into why understanding persuasion and influence is essential for long-term success. We revisit past episodes and notable works like Jack Carew's You'll Never Get No for an Answer and Mark Waldman's Words Can Change Your Brain. Learn about the three modes of persuasion—logos, pathos, and ethos—as well as practical strategies for improving your persuasive approach. Discover how to apply six scientifically validated principles of persuasion by Dr. Robert Cialdini, focusing on reciprocity, scarcity, and authority. These principles can help you build lasting influence and effectively communicate your ideas. Join us as we explore the difference between persuasion and influence and how to use these skills to achieve your goals while helping others. This episode is dedicated to Monica Gilfillan, a highly influential figure in education, whose support and inspiration remind us of the power of helping others first. Don't miss out on these valuable insights to enhance your self-leadership journey. Subscribe, review, and rate our podcast to stay updated with new episodes! On today's EPISODE #336 we will cover: ✔ The difference between persuasion and influence. ✔ Strategies to improve our persuasion muscles and ways to become more influential for longer lasting relationships and impact. ✔ 3 Tips to Put the Science of Persuasion and Influence into Practice in our Daily Lives. ✔ Dedicated to Monica Gilliflan, a highly influential figure in education, whose support and inspiration remind us of the power of helping others first. On today's episode #336 we continue with our 18-Week Self-Leadership Series based on Grant Bosnick's “Tailored Approaches to Self-Leadership: A Bite Size Approach Using Psychology and Neuroscience” that we first dove into with our interview on EP #321[i] the end of January.  The goal was that each week, we focused on learning something new, (from Grant's book) that builds off the prior week, to help take us to greater heights in 2024. For Today, EPISODE #336, we are moving on to Chapter 10, covering “The Neuroscience of Persuasion and Influence” which came as a surprise to me that Pathway Two, showed up as my highest area of focus for 2024. When I looked at the topics that are listed in this pathway, I can see why this area is a work in progress for me, and this self-assessment picked up that I need to make these 3 areas listed in this pathway, a priority in 2024. I'm paying attention to what neuroscience says about persuade and influence, in addition to inspiration, motivation that we covered on EP 324[ii] and presence, that's the last chapter in this book, and I think the most important. (at least for me). If you've taken the leadership self-assessment[iii], look to see if Persuade and Influence is of a low, medium or high priority for you to focus on this year. Thinking back on past episodes, I know we have not yet covered this topic entirely, except for the time I was asked to review Jack Carew's classic book from 1987 called You'll Never Get No For an Answer that was covered on EP176.[iv] We explored “Why Our Brains Don't Like the Word No” and revisited Mark Waldman's book from 2013 Words Can Change Your Brain where we were reminded that  “Words can heal, or hurt—if you were in an fMRI scanner (that can take a video of the neural changes happening in your brain) (and you were told a firm NO! for something) we could record, in less than a second, a substantial increase of activity in your amygdala and the release of dozens of stress-producing hormones and neurotransmitters…that immediately interrupt the normal functioning of your brain, especially those that are involved with logic, reason, language processing, and communication. And the more you stay focused on negative words and thoughts, the more you can damage key structures that regulate your memory, feelings, and emotions. This may disrupt your sleep, your appetite, and the way your brain regulates happiness, longevity and health.”[v] In this episode, we looked at 5/10 of Jack Carew's unique strategies that American Author and Salesman Og Mandino encouraged us all to read to improve our communication and influence with others and I noticed that Strategy 2 was to stop looking out for number one and always look for how you can help others first. So, after noticing this, I went straight to Chapter 10 of Grant Bosnick's book, on “Persuade and Influence” to see what he had to say on this topic. Right off the bat, in the opening of this chapter, Bosnick asks us to think about how we would persuade someone else to do something, like give you a pen you would like to have, for example, or ask for a promotion, or ask someone to buy something you are selling. Then he differentiates the word persuade that he says “we can think of as quick, more direct, more for short-term or immediate gain” (Chapter 10, Bosnick, Tailored Approaches to Self-Leadership) while influence he says “is softer, more subtle, much more for longer term and lasting gain.” (Chapter 10, Bosnick, Tailored Approaches to Self-Leadership) Persuasion Bosnick says is “more tactical, whereas influence is strategic.”  He gives us the history of persuasion, explaining its origin from the early Greek Philosophers, and that Aristotle wrote about three modes of persuasion: logos (that's about logic and reason), pathos (that's about emotion and inspiration) and ethos (that's about the speaker's own character and credibility). Thinking of Jack Carew's second tip in his book to improve our influence with others (by putting other people first) I think is a good example of a strategy that builds this concept for long-lasting gain (influence) versus persuading someone to give me something that I need for short-term, or immediate gain (like, to pass me their pen, so I can write down something important that I'll need to remember). Bosnick provides a list of strategies to improve our persuasive approach, that includes giving people a sense of ownership, or automony to persuade them to take action with something, or by praising them, and making them feel good for taking action. He offers an exercise to further build our persuasive skills by asking us to complete a sentence: I would like to persuade x to do the following. Then he brings in Jack Carew's strategy for becoming more influential and asks us to think about “what's important to them: their goals, concerns, passions and values.” (Chapter 10, Bosnick, Tailored Approaches to Self-Leadership, Page 109). Bosnick goes on to explain how to build influence and his exercise reminded me of a networking event I attended in 2014 called Ceospace.[vi] This was an organization where many leaders came up with an idea, and took their idea out into the world, with the help of a larger, more influential network. Author Adam Markel wrote that “it was one of the most magnificent places for entrepreneurs and business owners to come together to seek guidance, insights, inspiration, collaboration, and support.” It's where Jack Canfield[vii] came up with the idea for his Chicken Soup for the Soul book series, where Lisa Nichols[viii] first began public speaking, and where countless thousands of others launched their ideas into the world. The CEO of this organization passed away in 2020, and from what I can see, this organization didn't thrive without his presence. This CEO, Berny Dohrman, had quite a life story. I felt a connection to Berny because of his passion to make an impact on our educational system. He wrote a book called Super Change[ix]  that was about the tools and strategies needed to survive and thrive in an uncertain future. What I think Berny Dohrmann had that was special, was that he used his influence, to create long lasting change in others. He did not persuade anyone to come to his events for short term results, but was able to influence others easily, with a vision for a better future. It all stemmed around his networking event, where participants would do speed rounds, to meet as many people as possible, asking the other person “What are you working on, and how can I help you.” At the end of the event, participants would have access to high level connections, all who were willing to share the strategies for success that worked for them. It was a brilliant idea, and I know this event took many leaders to new heights. The Science of Persuasion and Influence What was so special about how Berny Dohrmann influenced others? Why was Jack Carew's book from the 1980s still being taught in sales training classes today? I had to look up the Science of Persuasion and Influence and found “6 Scientifically Validated Principles of Persuasion and Influence” that came from Dr. Robert Cialdini.[x] (Chald-ini) I picked the first three to highlight here. Reciprocity. We are obliged to give if we have been given something. This was the whole idea behind Berny's networking events. Participants didn't ask for what they wanted FIRST, they offered to help someone else first, and after you had helped them, they would be more open to helping you. This was also Jack Carew's second strategy. Stop looking out for number one. Always think of how you can help others first, and you will naturally draw them to want to help you back. Scarcity. If it's scarce, we want it more. Use this by highlighting the Benefits, Uniqueness and Possible Loss. Berny did this with his networking events by holding them twice a year. If you missed the event, you missed the chance to network with these brilliant minds. Jack Carew picked this as his 10th strategy for becoming more influential. He called his last chapter in the book “Become the Only Choice.” What if you missed the event that would change your future? Carew explains this concept like “the fear of loss.” No one want to miss an opportunity. There is a science to persuading and influencing others and it's all about showing others how you (or what you offer) is unique and something that no one else (other than you) can offer. Authority. We are more likely to comply with a request if it is coming from a perceived authority/expert. Dr. Cialdini explains this one on the home page of his website, Influence at Work: Proven Science for Business Success. He says that “it's important to signal to others what makes you credible before you attempt to influence them.”[xi] It's better if you don't do this yourself, and have someone else introduce you, with your credentials, first. This is what made Berny Dohrmann's networking events successful as each participant was introduced to another person with their credentials and experience, that gave that person instant authority to help, or influence others. REVIEW AND CONCLUSION To review and conclude this week's episode #336 on Chapter 10 on “The Neuroscience of Persuading and Influencing” DID YOU KNOW: “There are 6 short cuts to increase the chances that someone will be persuaded?” (Robert Cialdini) We covered the first three: Reciprocity. We are obliged to give if we have been given something. Use the neuroscience of influence and persuasion, and think of ways to help others first, (just like Berny Dohrmann's networking events), instead of thinking what you can gain from other people, think of what you can give to them. Always be the first to give and take the time to make sure what you are giving is personalized and useful to that person. This way, what you will give will have more meaning to that person. Scarcity. If it's scarce, we want it more. Use this by highlighting the Benefits, Uniqueness and Possible Loss. Take the time to find out how what you are offering to someone else, will help them. You will need to find out what they are looking for to do this, by asking questions, and listening. Then you can “frame what you are saying/offering, so others will find it to be valuable.”[xii] Authority. We are more likely to comply with a request if it is coming from a perceived authority/expert. Being introduced by others is a fast way to have others learn about your expertise, making you instantly more influential and persuasive. We looked at Chapter 10 from Grant Bosnick's Tailored Approaches to Self-Leadership where Bosnick explained the difference between the word persuade that he says “we can think of as quick, more direct, more for short-term or immediate gain” (Chapter 10, Bosnick, Tailored Approaches to Self-Leadership) while influence he says “is softer, more subtle, much more for longer term and lasting gain.” (Chapter 10, Bosnick, Tailored Approaches to Self-Leadership). We looked at a past episode on this topic, taking us back to Mark Waldman's book from 2013 Words Can Change Your Brain reminding us to be careful of the words we choose to speak to others. My take-away from this chapter: If I want to improve my influence, it begins with understanding the wants and needs of my audience first (how can I help them) and then being able to say what I mean, and mean what I say. The words I speak do matter when I'm working on gaining influence.  If I'm speaking with someone, and not being completely honest, or not meaning what I say, I know that this can be felt by the other person, and it will hurt my ability to gain trust, rapport and influence. Our brains can detect “benefits and threats”[xiii] and I want to be sure that I'm drawing those I want to interact with towards me, not away from me. Once I have gained influence with someone I am speaking with, then I can take my persuasion skills to the next level, and we can begin to work together on our common goals. For example, if someone is asking me in a sales situation if I can offer them a discount. When I've build rapport and trust with this person, I can say “yes, I can give you 5% off this order, if you would be able to guarantee the order will come in by the end of this month.” We can begin to use our persuasion and influencing skills to not only give others what they need, but also negotiate with them, for what we need. I hope this episode has helped to give you some ideas on ways to practice the neuroscience of persuading and influencing, to help others with their goals first, and then in turn, allow you to move yourself forward in this process, with these skills. I also want to end this episode, with a mention to someone I ran into recently, who I had not seen about 10 years. I ran into Monica Gilfillan[xiv] an avid listener of this podcast, and I had no idea, until we spoke recently and she shared how these episodes were helping her with new ideas. This made me feel proud and grateful (coming from a peer) and did infuse me with some extra energy to keep going with these episodes. If there is someone I would list as highly influential, who knows how to persuade others, it's Monica Gilfillan. Over the years, I noticed as I connected with a new person in the field of education, they were always connected to her. After she shared how the podcast was helping her, she went straight to ask me how she could help, and what I needed. We all need people in our network who are wired to help others, and I highly suggest connecting with Monica, especially if you are in the field of education. She is an influencer who everyone can benefit from knowing. I thought it was fitting to dedicate The Neuroscience of Persuasion and Influence to Monica Gilfillan and to thank her (and all of you who tune in) for listening. CONNECT with Monica Gilfillan https://www.linkedin.com/in/monicagilfillan/ And with that, we will close out this episode. We'll see you next with Chapter 11 on Time Management. REVIEW In this 18-week Series that we began in the beginning of February, (after I was inspired to cover Grant's book after our interview the end of January) we are covering: ✔ Powerful tactics from this Grant Bosnick's award-winning book that illustrates how change and achievement are truly achievable both from internal ('inside out') and external ('outside in') perspectives. ✔Listeners will grasp the immense power of self-leadership and its transformative effect on personal growth and success by applying the neuroscience Grant has uncovered in each chapter. ✔Explore practical strategies for habit formation and the impact of a self-assessment system. ✔Gain insights from Grant's expert advice on maintaining a balance between strengths and weaknesses while chasing after your goals. ✔Embark on an intellectual journey that has the power to elevate personal achievement and self-awareness to uncharted levels while we map out our journey over this 18-week course. REFERENCES: [i] Neuroscience Meets Social and Emotional Learning Podcast EPISODE #321 with Grant ‘Upbeat' Bosnick  https://andreasamadi.podbean.com/e/insights-from-grant-upbeat-bosnick/   [ii]Neuroscience Meets Social and Emotional Learning Podcast EPISODE #324 on “The Neuroscience of Inspiration and Motivation”  https://andreasamadi.podbean.com/e/a-self-leadership-series/   [iii] Self-Assessment for Grant Bosnick's book https://www.selfleadershipassessment.com/   [iv]Neuroscience Meets Social and Emotional Learning Podcast EPISODE #176 https://andreasamadi.podbean.com/e/the-neuroscience-of-communication-why-our-brain-doesn-t-like-the-word-no/   [v] Words Can Change Your Brain by Andrew Newberg, MD and Mark Robert Waldman, Published July 30, 2013 https://www.amazon.com/s?k=words+can+change+your+brain&gclid=CjwKCAjwoP6LBhBlEiwAvCcthCiCJCWZ-n3nMbmllmxcYj7pY9p3EGBjIT1liFGTzVVBlYWdxCBg6hoC3DMQAvD_BwE&hvadid=241598338504&hvdev=c&hvlocphy=9030091&hvnetw=g&hvqmt=e&hvrand=2910883915011355196&hvtargid=kwd-36327312367&hydadcr=15527_10340956&tag=googhydr-20&ref=pd_sl_2ixec66yv3_e   [vi] https://ceospacemembers.com/   [vii] https://jackcanfield.com/   [viii] https://motivatingthemasses.com/   [ix] Super Change by Berny Dohrmann October 31, 2019  https://www.amazon.com/Super-Change-Survive-Thrive-Uncertain/dp/1949003906   [x] https://www.influenceatwork.com/7-principles-of-persuasion/   [xi] The Science of Persuasion https://www.youtube.com/watch?v=cFdCzN7RYbw   [xii] The Neuroscience of Influence https://www.youtube.com/watch?v=J-5CZ2AXT1o   [xiii] The Neuroscience of Influence Leadership Coaching by Dean Newlund https://mfileadership.com/2021/01/27/the-neuroscience-of-influence/   [xiv] Monica Gilfillan https://www.linkedin.com/in/monicagilfillan/    

Welcome to Episode 36 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 36 of “The 2 View” – Marijuana as a schedule III drug, treating sunburns and other skin problems, pulse oximetry and racial bias, and diagnosing lower UTIs. Marijuana as a schedule III drug Burton KW. The DEA Plans to Reschedule Marijuana: What Happens Next? Medscape: Emergency Medicine. Published May 2, 2024. Accessed May 10, 2024. https://www.medscape.com/viewarticle/dea-plans-reschedule-marijuana-what-happens-next-2024a10008ka?ecd=wnledittpal_etid6489685&uac=106964SV&impID=6489685 Dea.gov. DEA: United States Drug Enforcement Administration. Accessed May 10, 2024. https://www.dea.gov/drug-information/drug-scheduling Treating sunburns and other skin problems 12 Summer Skin Problems You Can Prevent. Aad.org. American Academy of Dermatology Association. Accessed May 10, 2024. https://www.aad.org/public/everyday-care/skin-care-secrets/routine/prevent-summer-skin-problems Benedetti J. Sunburn. Merck Manual Professional Edition. Reviewed/Revised Oct 2023. Accessed May 10, 2024. https://www.merckmanuals.com/professional/dermatologic-disorders/reactions-to-sunlight/sunburn Faurschou A, Wulf HC. Topical corticosteroids in the treatment of acute sunburn: A randomized, double-blind clinical trial. Arch Dermatol. PubMed. NIH: National Library of Medicine: National Center for Biotechnology Information. Published May 2008. Accessed May 10, 2024. https://pubmed.ncbi.nlm.nih.gov/18490588/ How to Treat Sunburn. Aad.org. American Academy of Dermatology Association. Accessed May 10, 2024. https://www.aad.org/public/everyday-care/injured-skin/burns/treat-sunburn Skowrońska W, Bazylko A. The Potential of Medicinal Plants and Natural Products in the Treatment of Burns and Sunburn—A Review. Pharmaceutics. PMC: PubMed Central. NIH: National Library of Medicine: National Center for Biotechnology Information. Published February 2023. Accessed May 10, 2024. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9958865/ Pulse oximetry and racial bias Gudelunas MK, Lipnick M, Hendrickson C, et al. Low Perfusion and Missed Diagnosis of Hypoxemia by Pulse Oximetry in Darkly Pigmented Skin: A Prospective Study. Anesth Analg. PubMed. NIH: National Library of Medicine: National Center for Biotechnology Information. Published March 1, 2024. Accessed May 10, 2024. https://pubmed.ncbi.nlm.nih.gov/38109495/ Valbuena VSM, Seelye S, Sjoding MW, et al. Racial bias and reproducibility in pulse oximetry among medical and surgical inpatients in general care in the Veterans Health Administration 2013-19: multicenter, retrospective cohort study. BMJ. Published July 6, 2022. Accessed May 10, 2024. https://www.bmj.com/content/378/bmj-2021-069775.long Diagnosing Lower UTIs Aydemir B, Overton D. Diagnosing Lower Urinary Tract Infections. ACEP Now: The Official Voice of Emergency Medicine. Published May 10, 2024. Accessed May 10, 2024. https://www.acepnow.com/article/diagnosing-lower-urinary-tract-infections/ Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

Welcome to Episode 35 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 35 of “The 2 View” – the spring editorial edition! POCUS in the ED for Cholecystitis March 2024: Annals of Emergency Medicine. SoundCloud. Published January 2022. Accessed May 2, 2024. https://soundcloud.com/annalsofem/march-2024 The Center for Medical Education. Upper Abdominal Disorders | The EM Boot Camp Course. YouTube. Published July 12, 2022. Accessed May 2, 2024. https://www.youtube.com/watch?v=ESxRdeEYeHk Wilson SJ, Thavanathan R, Cheng W, et al. Test Characteristics of Emergency Medicine-Performed Point-of-Care Ultrasound for the Diagnosis of Acute Cholecystitis: A Systematic Review and Meta-analysis. Ann Emerg Med. Published October 18, 2023. Accessed May 2, 2024. https://www.annemergmed.com/article/S0196-0644(23)01214-3/abstract PECARN Validation Holmes JF, Yen K, Ugalde IT, et al. PECARN prediction rules for CT imaging of children presenting to the emergency department with blunt abdominal or minor head trauma: a multicentre prospective validation study. Lancet Child Adolesc Health. PubMed. NIH: National Library of Medicine: National Center for Biotechnology Information. Published May 2024. Accessed May 2, 2024. https://pubmed.ncbi.nlm.nih.gov/38609287/ PECARN Pediatric Head Injury/Trauma Algorithm. MDCalc. Accessed May 2, 2024. https://www.mdcalc.com/calc/589/pecarn-pediatric-head-injury-trauma-algorithm PECARN Pediatric Intra-abdominal injury (IAI) algorithm. MDCalc. Accessed May 2, 2024. https://www.mdcalc.com/calc/3971/pecarn-pediatric-intra-abdominal-injury-iai-algorithm PECARN Spotlight: Tools Validated. EM Pulse PodcastTM. EM Pulse PodcastTM - Bringing research and expert opinion to the bedside. Published April 18, 2024. Accessed May 2, 2024. https://ucdavisem.com/2024/04/18/pecarn-spotlight-tools-validated/ Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

Welcome to Episode 34 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 34 of “The 2 View” – pertussis, computer interpretation of EKGs, TB, FQ side effects, and incidental findings Pertussis Best Practices for Healthcare Professionals on the Use of Polymerase Chain Reaction (PCR) for Diagnosing Pertussis. Pertussis: Use of PCR for diagnosis. Cdc.gov. Published January 12, 2023 https://www.cdc.gov/pertussis/clinical/diagnostic-testing/diagnosis-pcr-bestpractices.html Specimen Collection and Diagnostic Testing. Cdc.gov. Published October 11, 2023 https://www.cdc.gov/pertussis/clinical/diagnostic-testing/specimen-collection-diagnosis.html Treatment. Cdc.gov. Published September 16, 2022 https://www.cdc.gov/pertussis/clinical/treatment.html Computer Interpretation of EKGs Bracey A, Meyers HP, Smith SW. Emergency physicians should interpret every triage ECG, including those with a computer interpretation of “normal.” Am J Emerg Med. PubMed. National Library of Medicine: National Center for Biotechnology Information. Published May 2022 https://pubmed.ncbi.nlm.nih.gov/35361516/ Deutsch A, Poronsky K, Westafer L, Visintainer P, Mader T. Validity of Computer-interpreted “Normal” and “Otherwise Normal” ECG in Emergency Department Triage Patients. West J Emerg Med. PubMed. National Library of Medicine: National Center for Biotechnology Information. Published January 2024 https://pubmed.ncbi.nlm.nih.gov/38205978/ Tuberculosis CDCTB. TB Testing & Diagnosis. cdc.gov Published July 26, 2022 https://www.cdc.gov/tb/topic/testing/default.htm Global Tuberculosis Institute. Treating Latent TB Infection (LTBI). YouTube. Published November 29, 2022 https://www.youtube.com/watch?v=Udq-65YuLlo Niknejad M, Gaillard F. Tuberculosis (pulmonary manifestations). In: Radiopaedia.org. Radiopaedia.org; 2010. Revised January 5, 2024 https://radiopaedia.org/articles/tuberculosis-pulmonary-manifestations-1?lang=us Fluoroquinolone Antibiotic Side Effects Farkas J. PulmCrit - Six reasons to avoid fluoroquinolones in the critically ill. PulmCrit (EMCrit). Published August 1, 2016 https://emcrit.org/pulmcrit/fluoroquinolone-critical-illness/ FDA Drug Safety Podcast: FDA updates warnings for oral and injectable fluoroquinolone antibiotics due to disabling side effects. U.S. fda.gov Published January 19, 2022 https://www.fda.gov/drugs/fda-drug-safety-podcasts/fda-drug-safety-podcast-fda-updates-warnings-oral-and-injectable-fluoroquinolone-antibiotics-due Highlights of Prescribing Information: CIPRO. fda.gov https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/019537s086lbl.pdf Stanley I. Mother is left unable to walk after taking just three ANTIBIOTIC pills to treat a UTI: Disabled vet husband she previously cared for is also in a wheelchair. DailyMail.com. Published February 22, 2024 https://www.dailymail.co.uk/health/article-13111327/young-mother-unable-walk-antibiotic-pills-uti.html Tilley C. “Killer” antibiotic that's STILL being prescribed to 15m Americans a year: Widow of singer Bobby. DailyMail.com. Published March 2, 2024 https://www.dailymail.co.uk/health/article-13115607/Bobby-Caldwell-wife-fluoroquinolone-antibiotics.html Incidental Findings Incidental Findings. acr.org. American College of Radiology https://www.acr.org/Clinical-Resources/Incidental-Findings Schleicher S. DermDx: Suspicious Mole on Sole of Foot. Clinical Advisor. Published February 16, 2024 https://www.clinicaladvisor.com/slideshow/derm-dx/dermdx-suspicious-mole-foot/?elqtrack=True&hmemail=1f%2FJfEV7hN5vJr6vg%2FQRqK0NA6IXtyO3&hmsubid&nid=1639413404&sha256email=092493d8223fdfa40d9e995176d13e5fc5b5211674db9deb440c025fd462c80c Viennet M, Tapia S, Cottenet J, Bernard A, Ortega-Deballon P, Quantin C. Increased risk of colon cancer after acute appendicitis: a nationwide, population-based study. EClinicalMedicine. Published August 30, 2023 https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(23)00373-5/fulltext Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

Episode 164: More Than Just A HeadacheDr. Song presents a case of a subacute headache that required an extensive workup and multiple visits to the hospital and clinic to get a diagnosis. Dr. Arreaza added comments about common causes of subacute headaches.    Written by Zheng (David) Song, MD. Editing and comments by Hector Arreaza, MD.  You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Introduction to the episode: We are happy to announce the class of 2027 of the Rio Bravo / Clinica Sierra Vista Family Medicine Residency Program. Our new group will be (in alphabetical order): Ahamed El Azzih Mohamad, Basiru Omisore, Kenechukwu Nweke, Mariano Rubio, Nariman Almnini, Patrick De Luna, Sheila Toro, and Syed Hasan. We welcome all of you. We hope you can enjoy 3 enriching and fulfilling years. During this episode, you will hear a conversation between Dr. Arreaza and Dr. Song. Some elements of the case have been modified or omitted to protect the patient's confidentiality. 1. Introduction to the case: Headache. A 40-year-old male with no significant PMH presents to the ED in a local hospital due to over a month history of headaches. Per the patient, headaches usually start from the bilateral temporal side as a tingling sensation, and it goes to the frontal part of the head and then moves up to the top of the head. 8 out of 10 severities were the worst. Pt reports sometimes hypersensitivity to outdoor sunlight but not indoor light. OTC ibuprofen was helpful for the headache, but the headache always came back after a few hours. The patient states that if he gets up too quickly, he feels slightly dizzy sometimes, but it is only for a short period of time. There was only one episode of double vision lasting a few seconds about 2 weeks ago but otherwise, the patient denies any other neurological symptom. He does not know the cause of the headache and denies any similar history of headaches in the past. The patient denies any vomiting, chest pain, shortness of breath, cough, abdominal pain, or joint pain. The patient further denies any recent traveling or sick contact. He does not take any chronic medication. The patient denies any previous surgical history. He does not smoke, drink, or use illicit drugs. What are your differential diagnoses at this moment? Primary care: Tension headache, migraines, chronic sinusitis, and more.2. Continuation of the case: Fever and immigrant.Upon further inquiries, the patient endorses frequent “low-grade fever” but he did not check his temperature. He denies any significant fatigue, night sweats, or weight loss. He migrated from Bolivia to the U.S. 12 years ago and has been working as a farm worker in California for the past 10 years. He is married. His wife and daughter are at home in Bolivia. He is currently living with friends. He is not sexually active at this moment and denies having any sexual partners. Differential diagnoses at this moment?  Tension headache, migraine, infections, autoimmune disease, neurocysticercosis. 3. Continuation of the case: Antibiotics and eosinophilia. As we kept asking for more information, the patient remembered he visited a clinic about four months ago for a dry cough and was told he had bronchitis and was given antibiotics and the cough got better after that. He went to another local hospital ED one month after that because the cough came back, now with occasional phlegm and at that time he also noticed two “bumps” on his face but nothing significant. After a CXR at the ED, the patient was diagnosed with community-acquired pneumonia and sent home with cough medication and another course of antibiotics. His cough improved after the second round of antibiotics. We later found on the medical record that the CXR showed “mild coarse perihilar interstitial infiltrates of unknown acuity”. His blood works at the ED showed WBC 15.2, with lymphocyte 21.2%, monocyte 10.1%, neutrophil 61.7%, eosinophil 5.9% (normally 1-4%), normal kidney, liver functions, and electrolytes, and prescribed with benzonatate 100mg TID and doxycycline 100mg bid for 10 days. He went to the same ED one month before he saw us for headache and fever (we reviewed his EMR, and temp was 99.8F at the ED). After normal CBC, CMP and chest x-ray. The patient was diagnosed with a viral illness and discharged home with ibuprofen 400mg q8h.Due to the ongoing symptoms of headache and fever, the patient went back to the same clinic he went to four months ago for a dry cough and requested a complete physical and blood work. The patient was told he had a viral condition and was sent home with oseltamivir (Tamiflu®) for five days. However, the provider did order some blood work for him. Differential diagnoses at this moment?  Patients with subacute meningitis typically have an unrelenting headache, stiff neck, low-grade fever, and lethargy for days to several weeks before they present for evaluation. Cranial nerve abnormalities and night sweats may be present. Common causative organisms include M. tuberculosis, C. neoformans, H. capsulatum, C. immitis, and T. pallidum. At his physical exam visit, the patient actually asked the provider specifically to check him for coccidiomycosis because of his job as a farm worker and he heard from his friends that the infection rate is pretty high in the Central Valley of California. His serum cocci serology panel showed positive IGG and IGM with CF titer of 1:128. His HIV, syphilis, HCV, HBV are all negative. The patient was told by that clinic to come to ED due to his history of headache, fever, and very high serum coccidiomycosis titer.  The senior and resident intern were on the night shift that night and we were contacted by the ED provider at around 9:30 pm for this patient. When reviewing his ED record, his vitals were totally normal at the ED, the preliminary ED non-contrast head CT showed no acute intracranial abnormality. A lumbar puncture was performed by the ED provider, which showed WBCs (505 - 71%N, 20%L, 7%M), RBC (1), glucose (19), and protein (200). CSF: High Leukocytes, low glucose, and high protein.On the physical exam, the patient was pleasant and cooperative, he was A&O x 4, he had a normal examination except for two brown healing small nodules on his forehead and left cheek and slight neck stiffness. At that point, we knew the patient most likely had fungal meningitis by cocci except for the predominant WBC in his CSF fluid was neutrophil not the more typical picture of lymphocyte dominant. And because of his very benign presentation and subacute history, we were not 100% sure if we had a strong reason to admit this patient. We thought this patient could be managed as an outpatient with oral fluconazole and referred to infectious disease and neurology. 4. Continuation of case: Admission to the hospital.Looking back, one thing that was overlooked while checking this patient in the ED was the LP opening pressure. Later, the open pressure was reported as 340mm H2O (very high). The good thing was, after speaking to the ED attending and our attending, the patient was admitted to the hospital and started on oral fluconazole.  Three hours after the admission, a rapid response was called on him. While the floor nurses were doing their check-in physical examination, the patient had a 5-minute episode of seizure-like activity which included bilateral tonic arm/hand movements, eye deviation to the left, LOC unresponsive to sternal rub, and the patient desaturated to 77%. He eventually regained consciousness after the seizure and pulse oximetry increased to 100% on room air. The patient was started on Keppra and seen by a neurologist the following day. His 12-hour EEG was normal, but his head MRI showed “diffuse thickening and nodularity of the basal meninges are seen demonstrating enhancement, suggesting chronic meningitis, possibly related to cocci. Other etiologies including sarcoidosis and TB meningitis and/or infiltration by metastatic process/lymphoma are not excluded. The ventricles are slightly prominent in size”. MRI of the cervical, thoracic, and lumbar spines also showed extensive diffuse leptomeningeal thickening, extensive meningitis, and nodular dural thickening. Also, his chest x-ray showed “some heterogeneity and remodeling of the distal half of the left clavicle. Metabolic bone disease, infectious etiology and/old trauma considered”. This could also be due to disseminated cocci infection. The infectious disease doctor saw this patient and recommended continuing with fluconazole, serial LPs until opening pressure is less than 250 mmH2O and neurosurgery consultation for possible VP shunt placement. The neurologist recommended the patient continue with Keppra indefinitely in the context of structural brain damage secondary to cocci meningitis.Take home points: Suspect cocci meningitis in patients with subacute headache associated with respiratory symptoms, new skin lesions, photophobia, neck stiffness, nausea, vomiting, eosinophilia, erythema nodosum (painful nodules on the anterior aspect of legs). Other symptoms to look for include arthralgias, particularly of the ankles, knees, and wrists.____________________Brief summary of coccidiomycosis. Etiology Coccidioidomycosis, commonly known as Valley fever, is caused by dimorphic soil-dwelling fungi of the genus Coccidioides (C. immitis and C. posadasii). They are indistinguishable in clinical presentation and routine laboratory test results.1, 2, 3, 5Epidemiology In the United States, endemic areas include the southern portion of the San Joaquin Valley of California and the south-central region of Arizona. However, infection may be acquired in other areas of the southwestern United States, including the southern coastal counties in California, southern Nevada, southwestern Utah, southern New Mexico, and western Texas (including the Rio Grande Valley). There are also cases in eastern Washington state and in northeastern Utah. Outside the United States, coccidioidomycosis is endemic to northern Mexico as well as to localized regions of Central and South America.1, 2Overall, the incidence within the United States increased substantially over the 1998-2019, most of that increase occurred in south-central Arizona and in the southern San Joaquin Valley of California. From 1998 to2019, reported cases in California increased from 719 to 9004.1, 6The risk of infection is increased by direct exposure to soil harboring Coccidioides. Past outbreaks have occurred in military trainees, archaeologists, construction or agricultural workers, people exposed to earthquakes or dust storms. However, in endemic areas, many cases of Coccidioides infection occur without obvious soil or dust exposure and are not associated with outbreaks. Change in population, climate change, urbanization and construction activities, and increased awareness and reporting, are possible contributing factors.1, 2, 5 Pathology In the soil, Coccidioides organisms exist as filamentous molds. Small structures called arthroconidia from the hyphae may become airborne for extended periods. Arthroconidia are usually 3-5 μm—small enough to evade bronchial tree mucosal mechanical defenses and reach deep into the lungs.1, 3Once inhaled by a susceptible host into the lung, the arthroconidia develop into spherules (theparasitic existence in a host), which are unique to Coccidioides. Endospores from ruptured spherules can themselves develop into spherules, thus propagating infection locally.1, 3, 5Although rare cases of solid organ donor-derived or fomite transmitted infections have been reported, coccidioidomycosis does not occur in person-to-person or zoonotic contagion, and transplacental infection in humans has never been documented.2, 5Cellular immunity plays a crucial role in the host's control of coccidioidomycosis. Among individuals with decreased cellular immunity, Coccidioides may spread locally or hematogenously after an initial symptomatic or asymptomatic pulmonary infection to extrathoracic organs.1, 3, 7Clinical manifestationThe majority of infected individuals (about 60%) are completely asymptomatic. Symptomatic persons (40% of cases) have symptoms that are related principally to pulmonary infection, including cough, dyspnea, and pleuritic chest pain. Some patients may also experience fever, headache (common finding in early-stage infection and does not represent meningitis), fatigue, night sweats, rash, myalgia.1, 2, 3, 5In most patients, primary pulmonary coccidioidomycosis usually resolves in weeks without sequelae and lifelong immunity to reinfection. However, some patients may develop chronic pulmonary complications, such as nodules or pulmonary cavities, or chronic fibrocavitary pneumonia. Some individuals with intense environmental exposure or profoundly suppressed cellular immunity (e.g., in patients with AIDS) may develop a primary pneumonia with diffuse reticulonodular pulmonary process in association with dyspnea and fever.1, 3, 5Fewer than 1% of infected individuals develop extrathoracic disseminated coccidioidal infection. Common sites for dissemination include joints and bones, skin and soft tissues, and meninges. One site or multiple anatomic foci may be affected. 1, 2, 3, 7It is estimated that coccidioidal meningitis, the most lethal complication of coccidioidomycosis, affects only 0.1% of all exposed individuals. Patients with coccidioidal meningitis usually present with a persistent headache (rather than a self-limited headache in some patients with primary pulmonary infection), with nausea and vomiting, and sometimes vision change. Some may also develop altered mental status and confusion. Meningismus such as nuchal rigidity, if present, is not severe.Hydrocephalus and cerebral infarction may develop in some cases. Papilledema is more commonly observed in pediatric patients.1, 3, 4, 5, 7When meningitis develops, most patients may not have any respiratory symptoms nor radiographic manifestation of pulmonary infection. However, a large number of these individuals also present with other extrathoracic lesions.7DiagnosisAlthough early diagnosis carries obvious benefits for patients and the health care systems as a whole (e.g., decreases patient anxiety, reduces the cost of expensive and invasive tests, removes the temptation for empirical antibacterial or antiviral treatments, and allows for early detection of complications), considerable diagnostic delays up to several weeks to months are common in both endemic areas and non-endemic areas.3, 7 Most symptomatic persons with coccidioidal infection present with primarily pulmonary symptoms and are often misdiagnosed as community-acquired bacterial pneumonia and treated with antibiotics. In endemic areas like south-central Arizona, previous studies found up to 29% of community-acquired pneumonia is caused by coccidioidomycosis. Healthcare providers thus should maintain a high clinical suspicion for coccidioidomycosis when evaluating persons with pneumonia who live in or have traveled to endemic areas recently. Elevated peripheral-blood eosinophilia of over 5%, hilar or mediastinal adenopathy on chest radiography, marked fatigue, and failure to improve with antibiotic therapy should prompt suspicion and testing for infection with coccidioidomycosis in endemic areas.1, 3, 5Serological testing plays an important role in establishing a diagnosis of coccidioidomycosis. Enzyme immunoassay (EIA) to detect IgM and IgG antibodies is highly sensitive and therefore commonly used as the screening tool. Immunodiffusion is more specific but less sensitive than enzyme immunoassay. It is used to confirm the diagnosis of positive EIA test results. Complement fixing (CF) test, which indirectly detects the presence of coccidioidal antibodies by testing the consumption of serum complement, are expressed as titers. Serial measurements of titers are of not only diagnostic but also prognostic value.1, 2, 3, 5Other methods, including culture, microscopic, or polymerase chain reaction (PCR) exam on tissue or respiratory specimens, are limited by their availability, sample obtaining and handling, or lack of sufficient evaluation.1, 2, 3, 5Cerebrospinal fluid (CSF) examination in coccidioidal meningitis usually demonstrates lymphocyte dominated elevation of leukocytes, although polymorphonuclear leukocyte dominance can also be seen in the early stage of the infection. Profound hypoglycorrhachia and elevated protein levels in CSF examination are also very common in coccidioidal meningitis.1, 7Although isolating Coccidioides from CSF or other CNS specimens are diagnostic for coccidioidal meningitis, in practice, diagnoses are often made based on the combination of clinical presentation, CSF examination that suggesting fungal infection, and positive Coccidioides antibodies found in CSF.7Imaging, especially enhanced magnetic resonance imaging (MRI), can help in diagnosing coccidioidal meningitis. Basilar leptomeningeal enhancement is a more common finding even though hydrocephalus, cerebral infarction, and vertebral artery aneurysm can also be seen.7TreatmentMost patients with focal primary pulmonary coccidioidomycosis do not require antifungal therapy. According to 2016 Infectious Diseases Society of America (IDSA) Clinical Practice Guideline, antifungal therapy should be considered in patients with concurrent immunosuppression that adversely affect cellular immunity (e.g., organ transplant patients, AIDS in HIV-infected patients, and patients receiving anti–tumor necrosis factor therapy) and those with significantly debilitating illness, extensive pulmonary involvement, with concurrent diabetes, pregnant women, or who are otherwise frail because of age or comorbidities. Some experts would also include African or Filipino ancestry as indications for treatment. Conversely, humoral immunity comprise splenectomy, hypocomplementemia, or neutrophil dysfunction syndromes are not major risk factors for this disease.1, 2, 3, 4, 5Triazole antifungals (fluconazole or itraconazole) are currently considered as the first-line medications used to treat most cases of coccidioidomycosis. Amphotericin B is reserved for only the most severe cases of dissemination and patients with coccidioidal meningitis in whom triazole antifungal therapy has failed. It is also the choice of therapy for coccidioidomycosis in pregnant women during the first trimester because of the possible teratogenic effect of high-dose triazole therapy during this period of time.1, 3, 4, 5Treating coccidioidal meningitis (CM) poses a special challenge because untreated meningitis is nearly always fatal. Lifelong therapy is recommended for CM because the majority 80% patients with CM experience relapse when therapy is stopped despite initial response to antifungal treatment. Shunting of CSF is required in cases of meningitis complicated by hydrocephalus.1, 3, 4, 5, 7Prevention Avoidance of direct contact with contaminated soil in endemic areas (e.g., respirator use by construction workers) may reduce disease risk, although clear evidence of its benefit is lacking.1, 5Some special population groups may benefit from prophylactic use of antifungals, such as those about to undergo allogeneic solid-organ transplantation or patients with a history of active coccidioidomycosis or a positive coccidioidal serology in whom therapy with tumor necrosis factor α antagonists is being initiated. The administration of prophylactic antifungals is not recommended for HIV-1-infected patients even if they live in an endemic region.1, 5Conclusion: Now we conclude episode number 164, “More than just a headache.” Dr. Song explained that a headache with an indolent course, accompanied by subacute respiratory symptoms, nausea, vomiting, photophobia, neck stiffness, and skin lesions can be secondary to Valley Fever. The Central Valley of California, as well as other areas with dry climate, are endemic and we need to keep this disease in our differential diagnosis.This week we thank Hector Arreaza and Zheng (David) Song. Audio editing by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Roos KL, Tyler KL. Acute Meningitis. McGraw Hill Medical. Published 2023. Accessed August 18, 2023. https://accessmedicine.mhmedical.com/content.aspx?bookid=2129§ionid=192020493Information for Healthcare Professionals. Published 2023. Accessed August 18, 2023. https://www.cdc.gov/fungal/diseases/coccidioidomycosis/health-professionals.html#printValley Fever (Coccidioidomycosis) a Training Manual for Primary Care Professionals. Accessed August 18, 2023. https://vfce.arizona.edu/sites/default/files/valleyfever_training_manual_2019_mar_final-references_different_colors.pdfAmpel NM. Coccidioidomycosis. Idsociety.org. Published July 27, 2016. Accessed August 18, 2023. https://www.idsociety.org/practice-guideline/coccidioidomycosis/Herrick KR, Trondle ME, Febles TT. Coccidioidomycosis (Valley Fever) in Primary Care. American Family Physician. 2020;101(4):221-228. Accessed August 18, 2023. https://www.aafp.org/pubs/afp/issues/2020/0215/p221.htmlValley Fever Statistics. Published 2023. Accessed August 18, 2023. https://www.cdc.gov/fungal/diseases/coccidioidomycosis/statistics.htmlUpToDate. Uptodate.com. Published 2023. Accessed August 18, 2023. https://www.uptodate.com/contents/coccidioidal-meningitis?search=7%20Coccidioidal%20meningitis&source=search_result&selectedTitle=1~10&usage_type=default&display_rank=1Royalty-free music used for this episode: Tropicality by Gushito, downloaded on July 20, 2023, from  https://www.videvo.net/

For months, federal lawmakers in Washington D.C. have been at odds over reauthorizing the United States President's Emergency Plan For AIDS Relief–better known as PEPFAR–a U.S. initiative to address the global HIV/AIDS epidemic. The program has largely had bipartisan support on the Hill since it was first introduced in 2003 under then-President George W. Bush's administration. However, in recent months, its reauthorization has been held up by Republicans who allege the funding is being used to pay for abortions overseas, a claim PEPFAR administrators have denied. On today's episode of Gist HealthcareDaily, Washington Post national health reporter Dan Diamond joins to talk more about the current fight on Capitol Hill and how it recently came to light that $1 billion in federal funds are being withheld from the program by Republican lawmakers. Here's some of Dan's recent reporting on the issue:Republicans delay more than $1 billion in HIV program funding (Published: October 26, 2023)Lifesaving HIV program faces a new threat: U.S. abortion politics (Published: July 29, 2023) Hosted on Acast. See acast.com/privacy for more information.

Welcome to Episode 30 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 30 of “The 2 View” – oral phenylephrine, visual diagnosis plans, and NSVT. Oral Phenylephrine Myers Z. FDA panel: Many oral allergy meds don't work. WTTV CBS4Indy. Published October 15, 2023. Accessed October 17, 2023. https://cbs4indy.com/news/fda-panel-many-oral-allergy-meds-dont-work/ Neurosyphilis Review Hamill MM, Ghanem KG, Tuddenham S. State of the art review: neurosyphilis. Clin Infect Dis. Published August 18, 2023. Accessed November 1, 2023. doi: 10.1093/cid/ciad437 Visual Diagnosis - Behcet's Disease Behcet's Disease. Vasculitis Foundation. Published July 18, 2012. Accessed October 17, 2023. https://www.vasculitisfoundation.org/education/behcets-disease/ ACEP Clinical Policy on Ischemic Stroke Clinical Policies – Acute Ischemic Stroke. ACEP. Published May 2023. Accessed November 2, 2023. https://www.acep.org/patient-care/clinical-policies/acute-ischemic-stroke The VAN Assessment to Identify Large Vessel Occlusion Strokes. Core EM. Published May 17, 2018. Accessed November 2, 2023. https://coreem.net/journal-reviews/the-van-assessment/ Los Angeles Motor Scale (LAMS). MDCalc. Accessed November 2, 2023. https://www.mdcalc.com/calc/3959/los-angeles-motor-scale-lams Rapid Arterial oCclusion Evaluation (RACE) Scale for Stroke. MDCalc. Accessed November 2, 2023. https://www.mdcalc.com/calc/3941/rapid-arterial-occlusion-evaluation-race-scale-stroke NSVT: Non-Sustained Ventricular Tachycardia Al-Khatib SM, Stevenson WG, Ackerman MJ, et al. 2017 AHA/ACC/HRS Guideline for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation. Published August 1, 2018. Accessed October 17, 2023. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000549 Farzam K, Tivakaran VS. QT Prolonging Drugs. StatPearls Publishing; 2023. Accessed October 17, 2023. https://www.ncbi.nlm.nih.gov/books/NBK534864/ Foth C, Gangwani MK, Ahmed I, Alvey H. Ventricular Tachycardia. StatPearls Publishing; 2023. Accessed October 17, 2023. https://www.ncbi.nlm.nih.gov/books/NBK532954/ Ep 1 Lady G and Courage Under Fire. Burnt. Published January 27, 2021. Accessed November 2, 2023. https://podcasts.apple.com/us/podcast/ep-1-lady-g-and-courage-under-fire/id1551194920?i=1000506903956 Glaucomflecken. Will and Kristin's Cardiac Arrest Story with Paramedic Lieutenant Aaron Gregg. Published August 22, 2023. Accessed October 17, 2023. https://www.youtube.com/watch?v=CQtYoKPNsrM Laslett DB, Cooper JM, Greenberg RM, et al. Electrolyte Abnormalities in Patients Presenting With Ventricular Arrhythmia (from the LYTE-VT Study). Am J Cardiol. PubMed. NIH: National Library of Medicine: National Center for Biotechnology Information. Published August 15, 2020. Accessed October 17, 2023. https://pubmed.ncbi.nlm.nih.gov/32565090/ Nonsustained ventricular tachycardias. Bmj.com. BMJ Best Practice. Accessed October 25, 2023. https://bestpractice.bmj.com/topics/en-us/831 PVCs and Nonsustained VT: When to Worry? How to Treat? - Penn Physician VideoLink.; 2015. Published January 7, 2015. Accessed October 17, 2023. https://videolink.pennmedicine.org/videos/pvcs-and-nonsustained-vt-when-to-worry-how-to-treat TualatinValleyFire. Dr. Will Flanary - Cardiac Arrest Survivor. Published February 16, 2021. Accessed October 17, 2023. https://www.youtube.com/watch?v=wu9uAwnSrJU Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

Show Notes for Episode 29 of “The 2 View” – Toxoplasmosis, the OPAL trial, medical marijuana, appendicitis, and colchicine. CDC - Toxoplasmosis CDC – Parasites – Toxoplasmosis (Toxoplasma infection). Cdc.gov. Published June 9, 2023. Accessed September 26, 2023. https://www.cdc.gov/parasites/toxoplasmosis/index.html OPAL RCT for Opioids in Back Pain Jones C, O'Day R, Koes B, et. al. Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial. The Lancet. Thelancet.com. Published July 22, 2023. Accessed September 26, 2023. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00404-X/fulltext Sikina M, Kiel J. Re-evaluating Red Flags for Back Pain. Acep.org. Sports Med. Published August 17, 2022. Accessed September 26, 2023. https://www.acep.org/sportsmedicine/newsroom/newsroom-articles/august2022/re-evaluating-red-flags-for-back-pain Medical Marijuana Brooks M. Is Medical Cannabis the Answer to the Opioid Crisis? Medscape Emergency Medicine. Published October 3, 2022. Accessed September 26, 2023. https://www.medscape.com/viewarticle/981767?ecd=wnlinfocu4broadbroadpersoexpansion-editorial_20230603&uac=106964SV&impID=5490911 Novak S. Physicians Aren't Asking Enough Questions About Cannabis Use. Medscape Emergency Medicine. Published August 29, 2023. Accessed September 26, 2023. https://www.medscape.com/viewarticle/995954?ecd=WNLtrdalrtpos1230904etid5820671&uac=106964SV&impID=5820671 Appendicitis Appendicitis. Acep.org. Accessed September 26, 2023. https://www.acep.org/patient-care/clinical-policies/appendicitis Dora-Laskey A. Acute pain control. EM. Accessed September 26, 2023. https://www.saem.org/about-saem/academies-interest-groups-affiliates2/cdem/for-students/online-education/m3-curriculum/group-acute-pain-control/acute-pain-control Hidayat AI, Purnawan I, Mulyaningrat W, et al. Effect of Combining Dhikr and Prayer Therapy on Pain and Vital Signs in Appendectomy Patients: A Quasi-Experimental Study. NIH: National Library of Medicine. J Holist Nurs. Accessed September 26, 2023. https://pubmed.ncbi.nlm.nih.gov/37277995/ Smink D, Soybel D. Management of acute appendicitis in adults. UpToDate. Uptodate.com. Updated February 15, 2023. Accessed September 26, 2023. https://www.uptodate.com/contents/management-of-acute-appendicitis-in-adults Colchicine Chiabrando JG, Bonaventura A, Vecchié A, et al. Management of Acute and Recurrent Pericarditis: JACC State-of-the-Art Review. J Am Coll Cardiol. ScienceDirect. Published January 2020. Accessed September 26, 2023. https://www.sciencedirect.com/science/article/pii/S0735109719384840?via%3Dihub Gout clinical practice guidelines. American College of Rheumatology. Rheumatology.org. Accessed September 26, 2023. https://rheumatology.org/gout-guideline Telmesani A, Moss E, Chetrit M. The Use of Colchicine in Pericardial Diseases. American College of Cardiology. Published December 5, 2019. Accessed September 26, 2023. https://www.acc.org/Latest-in-Cardiology/Articles/2019/12/04/08/22/The-Use-of-Colchicine-in-Pericardial-Diseases Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

Visit my Patreon page for a detailed summary of these guidelines with links, graphics, and more!#DoNoHarmTakeNoShitFind me on InstagramMidwife Collaborator ProgramEnroll in the Born Free MethodJoin the waitlist for Clear+Free: Your Holistic Solution to Persistent HPV(Looking for my other podcast? Go HERE for The Holistic OBGYN)**Medical Disclaimer: The Holistic OBGYN Podcast is an educational program. No information conveyed through this podcast should be construed as medical advice. These conversations are available to the public for educational and entertainment purposes only.

"Neuroplasticity knows no bounds; it is a lifelong journey of growth, learning, and personal transformation." – Dr. Andrew Huberman whose quote we ended our last EPISODE on a “Deeper Diver into Neuroplasticity.” On today's episode we will review: ✔ Tips for regrowing our brain cells (neurogenesis) ✔ A reminder of what prevents neurogenesis and hurts our brain and what we can do to help increase neurogenesis in our brain. ✔ What's the Difference Between Neuroplasticity and Neurogenesis? ✔ What's the Controversy with Neurogenesis? What's the difference between Neuroplasticity, that we covered on EPISODE #302[i] (that knows no bounds) that's defined as “the ability of the brain to form new connections and pathways and change how it's circuits are wired; (as shown so well in the Sentis YouTube video that gives us a representation of these pathways visually, and what they look like in our brain when we create NEW pathways).[ii] This we KNOW we can do throughout our lifetime, (while) neurogenesis is the even more amazing ability for the brain to grow new neurons (Bergland, 2017).[iii]  And on today's episode #303, we will take a closer look at “What Exactly IS Neurogenesis and Why is it Controversial Among Neuroscientists.”[iv] Welcome back to The Neuroscience Meets Social and Emotional Learning Podcast, where we connect the science-based evidence behind social and emotional learning (that's finally being taught in our schools today) and emotional intelligence training (used in our modern workplaces) for improved well-being, achievement, productivity and results—using what I saw as the missing link (since we weren't taught this when we were growing up in school), the application of practical neuroscience. I'm Andrea Samadi, an author, and an educator with a passion for learning and launched this podcast 5 years ago with the goal of bringing ALL the leading experts together (in one place) to uncover the most current research that would back up how the brain learns best, taking us ALL to new, and often unimaginable heights.    For today's episode #303, and in keeping with our Season Theme of Going Back to the Basics, to take our learning to new heights, I'm going back to EPISODE #141[v] on “Neurogenesis: What Helps or Hurts our Brain Cells” because it became clear to me that while researching for our last episode that Neuroplasticity and Neurogenesis are closely connected, but the former is widely accepted, while the latter holds some controversy. In our first episode on neurogenesis, we looked at: ✔ Tips for regrowing our brain cells (neurogenesis) ✔ A reminder of what prevents neurogenesis and hurts our brain and what we can do to help increase neurogenesis in our brain. Dr. Andrew Huberman on Neurogenesis While researching Dr. Huberman's work last week on neuroplasticity, he mentioned that there was “bad news” with “neurogenesis” and that many people think that they can exercise and add “new neurons” in the brain and “that after age 14, the human nervous system adds few new neurons.”[vi] He said that “in rodents neurogenesis could occur but in humans it was less obvious” and “that while we can't add new neurons, we can change our nervous system”[vii] and dives deeper into the definition of neuroplasticity and why this holds no bounds. Now I'm starting to see the controversy in this topic, as I went back to my first look at Neurogenesis. Dr. David Perlmutter (a board-certified neurologist) on Neurogenesis and Dr. John Ratey, the author of Spark: The Revolutionary New Science of Exercise and the Brain To open up EP 141 from June 2021, I quoted Dr. David Perlmutter, a board-certified neurologist and six-time New York Times bestselling author who said “the best way to increase neurogenesis (regrow your brain cells) is “when your body produces more BDNF (brain-derived neurotrophic factor” (Dr. David Perlmutter) and we covered this topic deeply on EP 274[viii] “What New With BDNF: Building a Faster, Stronger and More Resilient Brain.” I even remember Dr. John Ratey[ix] the author of the book Spark: The Revolutionary New Science of Exercise and the Brain said that BDNF was like “Miracle-Gro for the brain” (you can't forget some of the things some people say over the years and he cites a paper where he talked about how brain cells “do grow back in the hippocampus (and that in the study he sited), they saw while looking at the brains of terminally ill patients who had donated their body to science (Cancer patients who had been injected with a dye that shows up in proliferating cells so that the spread of the disease could be tracked) found their hippocampi were packed with dye marker, proof that the neurons were dividing and propagating—a process called neurogenesis.”[x] (Page 48, Spark) Dr. Ratey's book Spark, talks about “how to kick-start neurogenesis” and where the research began, causing me to think back to Dr. Perlmutter's website where he mentioned that BDNF causes neurogenesis or new cells to form in our brain. He cites the studies that show how “exercise training increases the size of the hippocampus and improves memory” exactly what Dr. Ratey saw that made such a huge difference with those students he worked with at Naperville High School. Dr. Perlmutter's video talks about the study that showed that after 1 year of aerobic exercise, “exercisers had a marked increase in BDNF, and they showed substantial improvement in memory function.”[xi]    Then I found another video I watched in our last episode from Sandrine Thuret called “It's Possible to Grow New Brain Cells” where she said that “we produce 700 new neurons a day in the hippocampus”[xii] Sandrine Thuret's TED TALK lists many ways you can grow new brain cells (the highlighted words) with intermittent fasting, flavonoids (found in dark chocolate) and caffeine being a few evidence-based strategies. Conversely, she mentions a diet high in saturated fat, sugar or ethanol, will have a negative impact on neurogenesis. She even showed a study (from Praag, Kepermann and Gage) where rats who were runners shows an increase in neurogenesis vs the control group who were non-runners that Dr. Ratey talks about in his book Spark. What Does This All Mean? Where's the Controversy? Neuroplasticity vs Neurogenesis To review and conclude this episode on “Diving Deeper into Neuroplasticity and Neurogenesis” I think we've got a clear picture of how neuroplasticity works from our last episode, (by making a conscious effort to build new neural pathways in our brain when we learn something new) but the topic of how we can grow new neurons seems to be where the controversy exists. It seems like this is only possible in the hippocampus but I still do wonder why a neurologist like Dr. Perlmutter says neurogenesis is possible through exercise[xiii], while another respected neuroscientist's stance is that “in humans this is less obvious.”[xiv]  This is where the deep learning comes into our study, and being open to what we might uncover here. If we aren't continually questioning what we are learning, then we aren't thinking at all. Mark Waldman's AHA Moment: What Neuroplasticity Is and Isn't While thinking about why neurogenesis is “less obvious” in humans, as it might be in rodents, like Sandrine Thuret's TED TALK covered, and even Dr. Ratey took the same rodent study and made a comparison to the students at Naperville whose test scores improved after running. Then I remembered my mentor Mark Waldman made me think deeply about this when he wrote about “What Neuroplasticity Is and Isn't”[xv] where he explained an article “Adult Neurogenesis in Humans”[xvi] that ended up being my AHA Moment of learning here. He said to “imagine the brain as a city map, and instead of there being 214 streets in Manhattan, imagine that it had a million streets! No room for buildings, just streets winding and weaving east to west, north to south, up and down and diagonal, all woven together like a giant hairball. Each city is a brain function – vision, movement, memory, imagination, feelings, etc. – and the entire state of New York would have cities upon cities woven together on top and alongside each other. Those billions of roads have trillions of cul-de-sacs which are the synapses. Can you visualize that? Below is an actual slice of a thousandth of a millimeter of mouse brain: Everything is jam packed but you the traveler can decide which road or neural pathway to take in order to reach a specific destination to help you perform some action of achieve a particular goal. The fastest your brain can process information is about 60 bits per second, and he guesses that any cognitive function would be traveling around 2,000 miles per hour down those roadways in your brain! Now we can ACCURATELY visualize what plasticity looks like in the adult human brain a bit deeper than what we first looked at the Sentis YouTube with the connections in our brain this way. This was my FIRST look at neuroplasticity, and this video came out 10 years ago. Look at the difference with this image that came from the research paper Mark Waldman read on “Adult Neurogenesis in Humans” that changed his thinking about neuroplasticity and neurogenesis. He said “the roads/neurons don't change but the tiny exits that lead you to another neuron can slowly move to a different synapse, similar to how switch-ways work on a railroad track. That's where synaptic plasticity takes place and that's what happens when you learn something new: You're beginning to find new pathways that create different decisions and behaviors. Waldman went on to point out some main take-aways from this Paper on Neuroplasticity but the ones I want to mention are that   “This kind of plasticity does not add or replace neurons.” “the exception is a process called “adult neurogenesis” conferred by active stem cell niches…in restricted regions [olfactory bulb & hippocampus]” (Confirmed by Dr. Huberman's research)[xvii] “After 60 years of intense research and more than 10,000 peer-reviewed publications, we still do not know if our brain maintains such capability.” Synaptic changes are very slow, involved with learning and brain repair. Stem cell-driven “adult neurogenesis” is still far in the future. ------------ La Rosa C, Parolisi R, Bonfanti L. Brain Structural Plasticity: From Adult Neurogenesis to Immature Neurons. Front Neurosci. 2020 Feb 4;14:75. Review and Conclusion: Neuroplasticity vs Neurogenesis: Uncovering the Controversy So now I've opened up a bit more as to “WHY” this topic holds controversy among neuroscientists, and I think while this is a good start at explaining how Neuroplasticity is different than Neurogenesis, I do want to leave this topic open, to come back to at a later date, and see what else we can add to our understanding In the meantime, I'll continue to read, learn and think of how this learning can apply to our daily life.  While researching this topic, I found an article I like called What is Neuroplasticity[xviii] written just this past April 2023. It explains neuroplasticity thoroughly, and how it applies to learning, a growth mindset, and how it changes as we age. It covers neuroplasticity and how it can help with anxiety, which made me think back to when we changed our brain with Dr. Caroline Leaf's 5 Step Process for Cleaning Up Our Mental Mess on EP #299.[xix] It even covers neuroplasticity exercises for treating chronic pain that took me back to our interview with Ashok Gupta[xx] a well-known brain-training neuroplasticity expert who taught us how to use our brain and mind to manage chronic pain and illness. At the end of this article there are YouTube videos from many of the experts we've covered on this podcast like Dr. Daniel Amen, Dr. Joe Dispenza, and books from Dr. Caroline Leaf, and Norman Doidge. But what was missing, was more about Neurogenesis and how we can change actually change our brain, not just re-wire the pathways in it, there were a bunch of quotes at the end of this article but they were all about neuroplasticity. Neuroplasticity Quotes Among other things, neuroplasticity means that emotions such as happiness and compassion can be cultivated in much the same way that a person can learn through repetition to play golf and basketball or master a musical instrument, and that such practice changes the activity and physical aspects of specific brain areas.--Andrew Weil Because of the power of neuroplasticity, you can, in fact, reframe your world and rewire your brain so that you are more objective. You have the power to see things as they are so that you can respond thoughtfully, deliberately, and effectively to everything you experience.--Elizabeth Thornton Any man could, if he were so inclined, be the sculptor of his own brain.--Santiago Ramón y Cajal Meditation invokes that which is known in neuroscience as neuroplasticity; which is the loosening of the old nerve cells or hardwiring in the brain, to make space for the new to emerge.--Craig Krishna Everything having to do with human training and education has to be re-examined in light of neuroplasticity.--Norman Doidge Neurons that fire together wire together.--Donald O. Hebb (Dr. Huberman would say this came from Carla Shatz) Brains are tricky and adaptable organs. For all the ‘neuroplasticity' allowing our brains to reconfigure themselves to the biases of our computers, we are just as neuroplastic in our ability to eventually recover and adapt.--Douglas Rushkoff Our brains renew themselves throughout life to an extent previously thought not possible.--Michael S. Gazzaniga Our minds have the incredible capacity to both alter the strength of connections among neurons, essentially rewiring them, and create entirely new pathways. (It makes a computer, which cannot create new hardware when its system crashes, seem fixed and helpless).--Susannah Cahalan Where are the quotes for Neurogenesis? Like the quote I found from Dr. Perlmutter who said “We can regrow brain cells and retain this ability throughout our entire lifetime.” Is this only possible in our hippocampus? Or will science someday reveal that adult neurogenesis is possible like what Mark Walman mentioned with stem-cell adult neurogenesis that he thinks is far in the future? Until we know for sure, I'm going to stick with doing what I know helps my brain according to Dr. Perlmutter's work, and Sandrine Thuret's TEDTALK where she says by doing certain things like the words she's highlighted in her graphic, we can create neurogenesis that's important for learning and memory, and I'll avoid the non-highlighted words that she says prevents neurogenesis. And I'll come back to this episode at a future date to see what else we can add to accelerate our understanding of “Neuroplasticity vs Neurogenesis.” With that thought, I hope this episode has made you think deeper about your brain, especially when it comes to making choices that we know can improve our ability to build a stronger, more resilient brain by doing what helps it (and our brain cells) instead of what hurts it, and I'll see you next week.   REFERENCES:   [i] https://andreasamadi.podbean.com/e/brain-fact-friday-and-a-deeper-dive-into-applying-neuroplasticity-to-learn-something-new/ [ii] Neuroplasticity Published on YouTube November 6, 2012  https://www.youtube.com/watch?v=ELpfYCZa87g [iii] What is Neuroplasticity: A Psychologist Explains [14+ Tools] by Courtney E Ackerman, MA, Published July 25, 2018, Scientifically reviewed by Melissa Madeson, Ph.D. https://positivepsychology.com/neuroplasticity/#google_vignette [iv] Adult Neurogenesis in Human: A Review of Basic Concepts, History, Current Research, and Clinical Implications Published May 1, 2019 by Ashutosh Kumar, MD. et al.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6659986/ [v] https://andreasamadi.podbean.com/e/brain-fact-friday-on-neurogenesis-what-hurts-or-helps-your-brain-cells/ [vi] Dr. Andrew Huberman Lab Podcast EPISODE #6 “How to Focus to Change Your Brain” https://www.youtube.com/watch?v=LG53Vxum0as [vii] IBID [viii] https://andreasamadi.podbean.com/e/brain-fact-friday-what-s-new-with-bdnf-building-a-faster-stronger-more-resilient-brain/ [ix] Neuroscience Meets Social and Emotional Learning Podcast EPISODE#116 with Dr. John Ratey on “The Revolutionary New Science of Exercise and the Brain”  https://andreasamadi.podbean.com/e/best-selling-author-john-j-ratey-md-on-the-revolutionary-new-science-of-exercise-and-the-brain/ [x] Spark: The Revolutionary New Science of Exercise and the Brain by John J. Ratey, MD (January 10, 2008) https://www.amazon.com/dp/B07D7GQ887/ref=dp-kindle-redirect?_encoding=UTF8&btkr=1 [xi] https://www.drperlmutter.com/neurogenesis-re-grow-new-brain-cells-exercise/ [xii]Is It Possible to Grow New Brain Cells by Sandrine Thuret published Dec. 8th, 2017  https://capture.dropbox.com/W0af55YnE3LhDb0M [xiii] https://www.drperlmutter.com/neurogenesis-re-grow-new-brain-cells-exercise/ [xiv] Dr. Andrew Huberman Lab Podcast EPISODE #6 “How to Focus to Change Your Brain” https://www.youtube.com/watch?v=LG53Vxum0as [xv] Mark Waldman “What Neuroplasticity is and isn't” Published on Facebook Nov. 10, 2020 https://www.facebook.com/photo?fbid=1300824310263746&set=a.112516002427922 [xvi] Adult Neurogenesis in Human: A Review of Basic Concepts, History, Current Research, and Clinical Implications Published May 1, 2019 by Ashutosh Kumar, MD. et al.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6659986/ [xvii] Dr. Andrew Huberman Lab Podcast EPISODE #6 “How to Focus to Change Your Brain” https://www.youtube.com/watch?v=LG53Vxum0as [xviii] What is Neuroplasticity: A Psychologist Explains [14+ Tools] by Courtney E Ackerman, MA, Published July 25, 2018, Scientifically reviewed by Melissa Madeson, Ph.D. https://positivepsychology.com/neuroplasticity/#google_vignette [xix] https://andreasamadi.podbean.com/e/brain-fact-friday-on-a-deep-dive-into-dr-carolyn-leaf-s-5-scientifically-proven-steps-to-clean-up-our-mental-mess-so-we-can-help-our-children/ [xx] https://andreasamadi.podbean.com/e/ashok-gupta-on-heath-and-happiness-getting-to-the-root-of-chronic-pain-and-illness-long-covid-fibromyalgia-chronic-fatigue-and-others/  

Show Notes for Episode 28 of “The 2 View” – Live from Vegas, Fungal Meningitis Outbreak, NPs Sue for "Doctor" Title, Guest Chip Lange. When Medical Tourism Goes Wrong CDC. Fungal Meningitis Outbreak Social Media Toolkit. Centers for Disease Control and Prevention. Published July 18, 2023. Accessed July 25, 2023. https://www.cdc.gov/fungal/infections/HAI-fungal-meningitis-toolkit.html Evaluating and Treating Patients for Fungal Meningitis. For both symptomatic and asymptomatic patients: perform lumbar puncture (LP) to evaluate CSF for fungal meningitis* Abnormal LP results Normal initial LP results Counsel patient to monitor for symptoms for 30 days following initial LP Consider scheduling repeat LP two weeks after initial LP Normal repeat LP results. Funguseducationhub.org. Accessed July 25, 2023. https://funguseducationhub.org/wp-content/uploads/2023/06/FM-algorithm_edited.pdf Fungal Meningitis Outbreak Associated with Procedures Performed under Epidural Anesthesia in Matamoros, Mexico. Cdc.gov. Published August 11, 2023. Accessed July 25, 2023. https://www.cdc.gov/hai/outbreaks/meningitis-epidural-anesthesia.html PA Title Change / Nurse Practitioners Sue California to use the Title “Doctor.” Taylor M. Nurse practitioners sue California over restricted use of “doctor.” Beckershospitalreview.com. Published July 18, 2023. Accessed July 25, 2023. https://www.beckershospitalreview.com/hospital-physician-relationships/nurse-practitioners-sue-california-over-restricted-use-of-doctor.html Title Change Rationale. Aapa.org. Accessed July 25, 2023. https://www.aapa.org/title-change/general-faqs/ Malaria Contracted in the US Bendix A, Alexander B. New malaria case in Florida brings national total to 8, the first U.S. acquired cases in 20 years. NBC News. Published July 18, 2023. Accessed July 25, 2023. https://www.nbcnews.com/health/health-news/new-malaria-case-florida-brings-national-total-8-first-us-cases-20-yea-rcna94899 Locally Acquired Malaria Cases Identified in the United States. Health Alert Network (HAN) - 00494. Cdc.gov. Published June 26, 2023. Accessed July 25, 2023. https://emergency.cdc.gov/han/2023/han00494.asp Meat allergy. ACAAI Public Website. Published October 30, 2020. Accessed July 25, 2023. https://acaai.org/allergies/allergic-conditions/food/meat/ Reliability of Fingerstick Glucometers Media H. Picking cherries leads to a case of pseudohyperglycemia. Clinical Advisor. Published December 12, 2016. Accessed July 25, 2023. https://www.clinicaladvisor.com/home/case-files/picking-cherries-leads-to-a-case-of-pseudohyperglycemia/ Olansky L, Kennedy L. Finger-stick Glucose Monitoring. Diabetes Care. Published April 2010. Accessed July 25, 2023. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2845057/ Special Guest Chip Lange, PA-C, and His Story of Going into Myasthenia Crisis About us. PRACTICAL POCUS. Accessed July 25, 2023. https://www.practicalpocus.com/aboutus.html Cautionary Drugs. Drugs to avoid or use with caution in MG. Myasthenia.org. Accessed July 25, 2023. https://myasthenia.org/Portals/0/Cautionary%20Drugs.pdf Colton, K. Myasthenia Gravis. EM:RAP CorePendium. EM:RAP CorePendium. Updated December 2, 2022. Accessed July 25, 2023. https://www.emrap.org/corependium/chapter/recrDWsB2k1uYPL9U Libsyn, iTunes. Medical professionals. TOTAL EM. Accessed July 25, 2023. https://www.totalem.org/emergency-professionals Something Sweet Woodall AJ, McCrohan CR. Excitatory actions of propofol and ketamine in the snail Lymnaea stagnalis. Comp Biochem Physiol C. ScienceDirect. Comparative Biochemistry and Physiology Part C: Pharmacology, Toxicology and Endocrinology. Volume 127, Issue 3. Pages 297-305. Published December 2000. Accessed July 25, 2023. https://www.sciencedirect.com/science/article/abs/pii/S0742841300001559?via%3Dihub Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

Published: July 13, 2022 Today we are joined by the team of the Xavier Society for the Blind. Xavier provides the Word of God, Roman Catholic teaching, literature, spiritual and inspirational material to the blind and visually impaired. They provide these services to persons of any faith in whatever format best meets their needs at no charge. Xavier works to explore ways to make this material more accessible to the widest possible audience of those in need. Changing Our World‘s Jim Friend is joined by Malachy Fallon, Executive Director and Aisling Redican, Fundraising and Communications Manager. Watch the video presentation of this discussion. https://youtu.be/ltyRTW8sd0g Recorded on June 24, 2022 Don't miss Changing Our World's FORGING FORWARDDon't miss the webinar series FORGING FORWARD, a virtual philanthropic conference designed to bring you nonprofit experts from around the country who are leading through the COVID-19 crisis. Daily Spiritual Reflection and Prayers on “Kristin's Crosses” Join Jim and Kristin Friend and their family on Kristin's Crosses YouTube Channel for “Today's Catholic Prayers.” Jim and Kristin offer the daily Gospel and Reflection along with the Rosary and Catholic Prayers of the day. Click here to visit the YouTube Page and subscribe. If you would like to join the Kristin's Crosses prayer group on Facebook, click here to request to join.

Published: July 19, 2021 Changing Our World‘s Jim Friend hosts a conversation with experienced Catholic podcasters and social media experts on the topic of podcasting for Catholic organizations. Learn how these experienced podcasters got started and what recommendations they have for beginning your podcast with a mission. Jim's guests include Dr. Tim Uhl, Superintendent of School, Diocese of Buffalo, Host, Catholic School Matters Podcast; Christine Flynn, Host Catholic Mamma Podcast; Daniel Boyd, Secretary for Laity, Family, and Life, Diocese of Orlando, Host, Being and Making Disciples Podcast, Sherry Hayes-Peirce, CEO, Communication Consultants Inc. & CIO of Church Social Tips, and Beau York, Executive Producer, Podastery Studios, the host of numerous podcasts including Red Flag, Country Squire Radio, Fash TV Talk and more. Watch the Video Presentation of this conversation. https://youtu.be/SV9ZOBNwlFk Don't miss Changing Our World's FORGING FORWARDDon't miss the webinar series FORGING FORWARD, a virtual philanthropic conference designed to bring you nonprofit experts from around the country who are leading through the COVID-19 crisis. Daily Spiritual Reflection and Prayers on “Kristin's Crosses” Join Jim and Kristin Friend and their family on Kristin's Crosses YouTube Channel for “Today's Catholic Prayers.” Jim and Kristin offer the daily Gospel and Reflection along with the Rosary and Catholic Prayers of the day. Click here to visit the YouTube Page and subscribe. If you would like to join the Kristin's Crosses prayer group on Facebook, click here to request to join.

Published: July 24, 2020 The Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, H.R. 6800, passed the House on May 15, 2020, and in its current format, denies our Catholic Schools access to the proposed $200 billion budget for education funding, putting our Catholic Schools at risk of closure. Join us for this panel discussion to learn more about this important topic and what you can do to help.Our Panelists Include Mary Pat Donoghue, Executive Director of the Secretariat of Catholic Education for the United States Conference of Catholic Bishops Kevin Baxter, Chief Innovation Officer, National Catholic Educational Association (NCEA) John Schilling, President, American Federation for Children Jennifer Daniels, Associate Director for Public Policy, United States Conference of Catholic Bishops Don't miss Changing Our World's FORGING FORWARDDon't miss the webinar series FORGING FORWARD, a virtual philanthropic conference designed to bring you nonprofit experts from around the country who are leading through the COVID-19 crisis. Daily Spiritual Reflection and Prayers on “Kristin's Crosses” Join Jim and Kristin Friend and their family on Kristin's Crosses YouTube Channel for “Today's Catholic Prayers.” Jim and Kristin offer the daily Gospel and Reflection along with the Rosary and Catholic Prayers of the day. Click here to visit the YouTube Page and subscribe. If you would like to join the Kristin's Crosses prayer group on Facebook, click here to request to join.

Published: July 01, 2020 Catholic School resilience passed the test throughout the COVID-19 crisis through the care, compassion, and attention to the unique needs of every student. This episode is a recording of webinar number four of the “Advancing Our Church Through Challenging Times” series. Our panelists discuss a document that was created by three of our panelists on the unique value proposition of Catholic Schools. Click here for a link to the document. Our Panelists Include Mary Pat Donoghue, Executive Director of the Secretariat of Catholic Education for the United States Conference of Catholic Bishops Dr. Timothy Uhl, Montana Catholic Schools Dr. Brooke C. Tesche, Diocese of Allentown Kevin Kijewski, J.D. , Archdiocese of Detroit Catholic Schools Don't miss Changing Our World's FORGING FORWARDDon't miss the webinar series FORGING FORWARD, a virtual philanthropic conference designed to bring you nonprofit experts from around the country who are leading through the COVID-19 crisis. Daily Spiritual Reflection and Prayers on “Kristin's Crosses” Join Jim and Kristin Friend and their family on Kristin's Crosses YouTube Channel for “Today's Catholic Prayers.” Jim and Kristin offer the daily Gospel and Reflection along with the Rosary and Catholic Prayers of the day. Click here to visit the YouTube Page and subscribe. If you would like to join the Kristin's Crosses prayer group on Facebook, click here to request to join.

Published: July 28, 2019 This week we focus on Catholic Stewardship and ways leaders can educate and engage the time, talent, and resources of the faithful. Our guest is David Baranowski, the Director of Stewardship Education in the Archdiocese of St. Louis. Dave is a 30-year marketing executive recruited by the Archdiocese over seven years ago to develop educational and marketing materials to support the stewardship efforts of their 182 parishes. In David's words, “Our goal is to help more people get to Heaven.” David Baranowski is a frequent speaker at the International Catholic Stewardship Conference. During our interview, David shares his unique conversion experience, which sparked his career change. In 2007, Baranowski attended a retreat where the director encouraged participants to listen to God's guidance — something he said he hadn't earnestly done before. The experience convinced him to deepen his faith and focus on Christ. While praying about God's gifts in his life, “this wave of gratitude rushed over me,” Baranowski said. “It was at that moment that I decided that I wanted to get to heaven, and I want to take as many people with me as possible. My priorities had to change. I had to put God first in everything I did, and I had to put complete trust in God.” This episode focuses on how we look at parish Stewardship and how we should consider challenging some of the traditional ways in which we describe it for others. For example, instead of referring to “time, talent and treasure,” Dave uses the terms “prayer, participation and generosity.”  Dave hopes to use more accessible language that parishioners can understand. If you have any questions for Dave, please feel free to contact his office by clicking here. We hope you find this discussion beneficial. We encourage you to like, share and comment on this episode, and we hope it will inspire your parish Stewardship Committees to advance the mission of our Church in the coming program year. If you have any other questions about Catholic Stewardship, we encourage you to contact Jim Friend. Daily Spiritual Reflection and Prayers on “Kristin's Crosses” Join Jim and Kristin Friend and their family on Kristin's Crosses YouTube Channel for “Today's Catholic Prayers.” Jim and Kristin offer the daily Gospel and Reflection along with the Rosary and Catholic Prayers of the day. Click here to visit the YouTube Page and subscribe. If you would like to join the Kristin's Crosses prayer group on Facebook, click here to request to join.

Published: July 21, 2019 Creating your case for support is a key element for any nonprofit organization seeking to raise funds for an annual appeal, capital campaign, major gifts program or any key initiative. Join Changing Our World Consultants Colleen Burdick, Kaitlin McTighe, Ray Witkowski, and our host, Jim Friend, for a discussion about the who, what and why of creating a compelling Case for Support. Hear real-life examples, the do's and the don'ts, and about how engaging your donors in a conversation about your case will rally further support. Reviewing and refining your Case for support each year is an important exercise. Our consultants also consider how you should look at your Case as a living document. It is an opportunity to show your donor's progress and to use that progress to leverage giving. Involving your donors in the development of your Case for Support shows them that they have input on your mission and that they can help you make a difference. What to contribute to the conversation? Leave a comment below. Daily Spiritual Reflection and Prayers on “Kristin's Crosses” Join Jim and Kristin Friend and their family on Kristin's Crosses YouTube Channel for “Today's Catholic Prayers.” Jim and Kristin offer the daily Gospel and Reflection along with the Rosary and Catholic Prayers of the day. Click here to visit the YouTube Page and subscribe. If you would like to join the Kristin's Crosses prayer group on Facebook, click here to request to join.

Recorded: July 16, 2023 / Published: July 21, 2023 - Welcome to Kuldrin's Krypt. I'm your host Master Kuldrin. If you are new to the show we use our combined 35 years of BDSM experience and my 20 years working in the psychology field to dispel myths, get rid of stereotypes, and answer your questions about BDSM. Text in your questions and comments to 865-268-4005 or visit the Krypt at https://kuldrinskrypt.com. - In this episode, we are talking to Bueller, the mind behind “Red and Black” which is a new heist movie featuring a femme fatal Dominatrix, BDSM, and a rollercoaster of fun.- Rules to Love By: (https://inclusionwoodworks.com)1: Safe, sane, consensual, and informed2: KNKI: Knowledge, No Intolerance, Kindness, Integrity3: “Submission is not about authority and it's not about obedience; it is all about relationships of love and respect.” -Wm. Paul Young- “"Red and Black" Movie Interview w/ Bueller-S05E09”Bueller is a member of the Utah kink community and the Utah indie film industry. He's made over 50 short films (several of which have won awards) and is currently making his first feature film. In his spare time, he likes to read comic books.Bueller's social media: https://AllMyLinks.com/RedAndBlackMovieIndieGoGo: https://www.indiegogo.com/projects/red-and-black-heist-movie/x/33237469 Important Links:Full show notes: https://kuldrinskrypt.com/509National Suicide Hotline: 1-800-273-8255NCSF Kink Aware Professionals: https://www.kapprofessionals.org https://kuldrinskrypt.com/silentcommunication https://KuldrinsKrypt.com/survey https://kuldrinskrypt.com/TeePublic Show Producers (Updated April 15, 2023):Become a show producer: https://KuldrinsKrypt.com/Patreon Make a one-time donation: https://KuldrinsKrypt.com/PayPal Snail mail a donation or gift:Kuldrin Entertainment, LLC257 N. Calderwood Rd. #168Alcoa, TN 37701- Benefactor ($2,000/month): - Pro Producer ($100/month): - Master Producer ($50/month): Buffalo_Max92- Executive Producer ($25/month) Knot_the_Daddy, Shadowy Fox, Junicornsangel, Johnny Ferrell, Rei Webb, Haru Webb, Maxi, DarlingTN and Sarge, Kyro, and ExploringMermaid- Sr. Producers ($10/month): Trouble113, Alexandria, babylove&T-Rex, Daddy Steve, KJ, Atsila, Ben, TrinityFae, Iamar Kinhawk, clk124, gentleman_sadist- Producers ($5/month): Kainsin, ThatPlace in OK City, Hadea, MBRpoodle, Baddogbad & Subx13, XxLilyXxX, Katnipmeow, WyldThyme & Deacon Sean, CheeryQuery, Rabbit, ArchAngel, Jon Shaw, A.U., Sekhmets_Shadow, Grizzled Yeti & Yoza, FetishArtist, SirBNice, Kitten399, Neon, Dan & Dawn from Erotic Awakening Podcast, Black Angel, Sir RJ Recife, Nix_09, Officer Davis, Finn, Arden Solace, Pepa, KinkyyJay, Daddy's Princess, Kayla, and Valfreyja- Jr. Producers ($1/month): K-2SO, Morgana13, CIVLdisobedience, Rope Aficionado, Gator & Gizmo, Lexa, Ashley, Meg, Dark Diamonte, and AstridinchainsVendors I know, like, trust, and use: (None of these are paid sponsors of the podcast.)- http://bdsmcontracts.org Coupon code: kuldrin20 for a 20% discount on all purchases.- http://whippingstripes.com - My personal maker of most things leather and paracord impact toys.- https://www.etsy.com/shop/TorridTimber - Fine fetish furniture and accessories- https://www.etsy.com/shop/TheCraftyHedonist - Dark Delights Shops: https://darkdelightsshop.com/ (Watch my product review of them: https://kuldrinskrypt.com/DarkDelightsShop)Contact info:Email: MasterKuldrin@gmail.comFetlife Group: https://fetlife.com/groups/159275Twitter: @MasterKuldrin https://twitter.com/MasterKuldrinPatreon: kuldrinskrypt https://www.patreon.com/KuldrinsKrypt

We could listen to Adrian Lester talk about acting all day… but he's a busy man, so we'll settle for this 37 minute episode. The actor joins us to discuss some of his most famous performances, including Rosalind in Cheek by Jowl's acclaimed 1991 all-male As You Like It, Hamlet with Peter Brook, and Henry V and Othello with Nicholas Hytner. Plus, Lester takes us back to his childhood in Birmingham and tells us about his patronage of the Everything to Everybody project and the Birmingham Shakespeare Library. Lester is interviewed by Barbara Bogaev. Visit our website, folger.edu/unlimited, to learn more about Everything to Everybody and see video of Lester's performance in "As You Like It." From our Shakespeare Unlimited podcast. Published July 4, 2023. © Folger Shakespeare Library. All rights reserved. This episode was produced by Matt Frassica. Garland Scott is the associate producer. It was edited by Gail Kern Paster. Ben Lauer is the web producer. Leonor Fernandez edits our transcripts. We had technical help from Voice Trax West in Studio City, California. Final mixing services provided by Clean Cuts at Three Seas, Inc.

Recorded: April 16, 2023 / Published: July 3, 2023 - Welcome to Kuldrin's Krypt. I'm your host Master Kuldrin. If you are new to the show we use our combined 35 years of BDSM experience and my 20 years working in the psychology field to dispel myths, get rid of stereotypes, and answer your questions about BDSM. Text in your questions and comments to 865-268-4005 or visit the Krypt at https://kuldrinskrypt.com. - In this episode, Mayfair and I are joined by Arc_Ulfgrim and AcrDag to talk about everything primal.- Rules to Love By: (https://inclusionwoodworks.com)1: Safe, sane, consensual, and informed2: KNKI: Knowledge, No Intolerance, Kindness, Integrity3: “Submission is not about authority and it's not about obedience; it is all about relationships of love and respect.” -Wm. Paul Young- “Primal Play with AcroDag-S05E03”AcroDag: Bio :Acrodag (He/Him) is a demi-queer sadistic werewolf and national presenter who seeks to share the knowledge they've gained as well as highlight diverse experiences and voices in our community. They host a weekly kink education podcast, ‘Topside Talk' and they are the Education Director for Denver Sanctuary. With 10+ years in the kink community, they have a passion for all levels of kink education, but specialize in topics they've researched extensively, surrounding negotiation, pain/impact, primal play, and interrogation scenes.Top Side Talk Podcast: https://spotify.link/797L0oCc8xb What is Primal Play?What is a primal power exchange/dynamic like?How to negotiate a primal scene.Safety concerns?Techniques?Primal gamesImportant Links:Full show notes: https://kuldrinskrypt.com/503National Suicide Hotline: 1-800-273-8255NCSF Kink Aware Professionals: https://www.kapprofessionals.org https://kuldrinskrypt.com/silentcommunication https://KuldrinsKrypt.com/survey https://kuldrinskrypt.com/TeePublic Show Producers (Updated April 15, 2023):Become a show producer: https://KuldrinsKrypt.com/Patreon Make a one-time donation: https://KuldrinsKrypt.com/PayPal Snail mail a donation or gift:Kuldrin Entertainment, LLC257 N. Calderwood Rd. #168Alcoa, TN 37701 - Benefactor ($2,000/month): - Pro Producer ($100/month): - Master Producer ($50/month): Buffalo_Max92- Executive Producer ($25/month) Knot_the_Daddy, Shadowy Fox, Junicornsangel, Johnny Ferrell, Rei Webb, Haru Webb, Maxi, DarlingTN and Sarge, Kyro, and OnceUponATime81- Sr. Producers ($10/month): Trouble113, Alexandria, babylove&T-Rex, Daddy Steve, KJ, Atsila, Ben, TrinityFae, Iamar Kinhawk, and clk124- Producers ($5/month): Kainsin, ThatPlace in OK City, Hadea, MBRpoodle, Baddogbad & Subx13, XxLilyXxX, Arctic Foxglove, Katnipmeow, WyldThyme & Deacon Sean, CheeryQuery, Rabbit, ArchAngel, Jon Shaw, A.U., Frozen Moron, Sekhmets_Shadow, Grizzled Yeti & Yoza, FetishArtist, SirBNice, Kitten399, Neon, Dan & Dawn from Erotic Awakening Podcast, Black Angel, Sir RJ Recife, Nix_09, Officer Davis, Finn, Arden Solace, Pepa, KinkyyJay, Daddy's Princess, Kayla, and Valfreyja- Jr. Producers ($1/month): K-2SO, Morgana13, CIVLdisobedience, Rope Aficionado, Gator & Gizmo, Lexa, Ashley, Meg, Dark Diamonte, and AstridinchainsVendors I know, like, trust, and use: (None of these are paid sponsors of the podcast.)- http://bdsmcontracts.org Coupon code: kuldrin20 for a 20% discount on all purchases.- http://whippingstripes.com - My personal maker of most things leather and paracord impact toys.- https://www.etsy.com/shop/TorridTimber - Fine fetish furniture and accessories- https://www.etsy.com/shop/TheCraftyHedonist - Tink's Toys Fb Group: https://www.facebook.com/groups/2350280868612699 Fetlife Profile: https://fetlife.com/users/9885653?sp=3 *coupon for listeners (first purchase only) TinksToys13- Dark Delights Shops: https://darkdelightsshop.com/ (Watch my product review of them: https://kuldrinskrypt.com/DarkDelightsShop)Contact info:Email: MasterKuldrin@gmail.comFetlife Group: https://fetlife.com/groups/159275Twitter: @MasterKuldrin https://twitter.com/MasterKuldrinPatreon: kuldrinskrypt https://www.patreon.com/KuldrinsKrypt

Welcome to Episode 26 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 26 of “The 2 View” – Save time charting & code accurately, dementia, PE in pregnancy, and the PCN shortage. PCN Shortage Ault, A. FDA Drug Shortages. Current and Resolved Drug Shortages and Discontinuations Reported to FDA. FDA issues new rule on drug shortages. Community Oncology, 9(1), 34. U.S. Food & Drug. Published April 26, 2023. Accessed May 9, 2023. https://doi.org/10.1016/j.cmonc.2011.12.003 Bendix, A. Shortage of penicillin limits access to the go-to drug for syphilis. NBC News. Published April 27, 2023. Accessed May 9, 2023. https://www.nbcnews.com/health/health-news/shortage-penicillin-limits-access-go-drug-syphilis-rcna81777 Global shortages of penicillin. Shortages of benzathine penicillin. Global Sexually Transmitted Infections Programme. World Health Organization. Who.int. Accessed May 9, 2023. https://www.who.int/teams/global-hiv-hepatitis-and-stis-programmes/stis/treatment/shortages-of-penicillin Dementia Alzheimer's Disease Fact Sheet. Alzheimer's Disease and Related Dementias: Basics of Alzheimer's Disease and Dementia. National Institute on Aging. Accessed May 9, 2023. https://www.nia.nih.gov/health/alzheimers-disease-fact-sheet Home. Alzheimer's Disease and Dementia. Alzheimer's Association. Accessed May 9, 2023. https://www.alz.org/ Silbert, L, Erten-Lyons, D. Memory Loss, Confusion in a 51-Year-Old Fired From Her Job. Medscape. Published March 2, 2023. Accessed May 9, 2023. https://reference.medscape.com/viewarticle/850363 PE in Pregnancy Negaard M. YEARS Algorithm for pulmonary embolism (PE). MDCalc. Accessed May 9, 2023. https://www.mdcalc.com/calc/4067/years-algorithm-for-pulmonary-embolism-pe Stals MAM, Moumneh T, Ainle FN, et al. Noninvasive diagnostic work-up for suspected acute pulmonary embolism during pregnancy: a systematic review and meta-analysis of individual patient data. J Thromb Haemost. 2023;21(3):606-615. NIH: National Library of Medicine: National Center for Biotechnology Information. PubMed. Published December 22, 2022. Accessed May 9, 2023. https://pubmed.ncbi.nlm.nih.gov/36696189/ Thromboembolism in Pregnancy. ACOG: The American College of Obstetricians and Gynecologists. Acog.org. Practice Bulletin, Number 196. Published July 2018. Accessed May 9, 2023. https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2018/07/thromboembolism-in-pregnancy Charting & Coding 2023 Emergency Department Evaluation and Management Guidelines. ACEP: American College of Emergency Physicians. Acep.org. Last Updated: October 2022. Accessed May 9, 2023. https://www.acep.org/administration/reimbursement/reimbursement-faqs/2023-ed-em-guidelines-faqs American Medical Association. 2023 Emergency Medicine Coding Guide. MDCalc. Accessed May 9, 2023. https://www.mdcalc.com/calc/10454/2023-emergency-medicine-coding-guide CPT Evaluation and Management (E/M) Code and Guideline Changes. AMA: American Medical Association. Ama-assn.org. Accessed May 9, 2023. https://www.ama-assn.org/system/files/2023-e-m-descriptors-guidelines.pdf ICD-10-CM Coding for Social Determinants of Health. AHA: American Hospital Association – Advancing Health in America. Aha.org. Published January 2022. Accessed May 9, 2023. https://www.aha.org/system/files/2018-04/value-initiative-icd-10-code-social-determinants-of-health.pdf Level of MDM (based on 2 of 3 elements of MDM) number and complexity of problems addressed. ACEP: American College of Emergency Physicians – Advancing Emergency Care. ERCODER. Acep.org. Accessed May 9, 2023. https://www.acep.org/siteassets/sites/acep/media/reimbursement/acep---2023-ed-mdm-grid.pdf Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

Have you ever heard of Senolytics?[i] It's the latest breakthrough in aging and longevity science that I honestly had not heard about until I had an email about our next guest, whose work I'm very familiar with. Watch this interview on YouTube here https://youtu.be/poThU96sslU   I'm a huge fan of Neurohacker Collective (that was founded in 2015 with a mission of creating best-in-class well-being products) and I've been following their work for years to learn anything and everything possible about bio-hacking. We even quoted Heather Sandison (a medical advisor and podcast host with Neurohacker Collective) on our HRV EPISODE. [ii] One quick look at their ABOUT US[iii] section on their website, and I saw many of the leaders, innovators in health, longevity and wellness around the world, and quite a few who we have interviewed, like Dr. Anna Lembke from EPISODE #162[iv], Dr. Stickler from EPISODE #96[v] and Dr. Vuyisich from EPISODE #93[vi] and in their Collective Insight Section you'll see many names we quote often, like Dr. Andrew Huberman, Deepak Chopra, Dale Bredesen, David Rabin, Bruce Lipton, Michael Gelb, Jim Kwik…I could go on and on here. These are the leaders and innovators in the field of health, wellness and bio-hacking. This is going to be a phenomenal episode! And with that, I want to welcome you back to The Neuroscience Meets Social and Emotional Learning Podcast, where we cover the science-based evidence behind social and emotional learning (for schools) and emotional intelligence training (in the workplace) with tools, ideas and strategies that we can all use for immediate results, with our brain in mind.  I'm Andrea Samadi, an author, and educator with a passion for learning specifically on the topics of health, wellbeing and productivity, and launched this podcast to share how important an understanding of our brain is to our everyday life and results using the most current brain research. If there's a tool, strategy or resource that I find, that could be helpful to improve productivity and results, whether we are a teacher in the classroom, a coach or in the modern workplace, I will share it here. On today's episode #285, we will be speaking with Dr. Gregory Kelly, the Director of Product Development at Neurohacker Collective[vii], a naturopathic physician (N.D.), and the author of the book Shape Shift: The Shape Intelligence Solution[viii] that's all about getting healthy while creating your ideal shape. As I was researching for this episode, I couldn't help thinking “how on the earth did I miss this topic of senolytics?” since I'm always looking for anything new when it comes to productivity, health and wellness hacks. While preparing for this episode, the Neurohacker Collective Team was extremely helpful. Tina Gammon, their Marketing Manager, sent me the trio package of Qualia Senolytic for (Vision, Night and Mind) and I'll be sharing the IMMEDIATE results I felt with the Night and Mind products, with a level of clarity I've never felt before.  I haven't tried the VISION one yet but have lots of questions to ask Dr. Kelly about today. So, hang tight, because on today's science-packed episode, we'll dive deep into this cutting edge topic, with the latest anti-aging research where we will cover: What is cellular senescence? What are the "Hallmarks of Aging" and why is cellular senescence an important hallmark? The difference between cellular senescence and autophagy (with a quick review of 9th grade science mitosis). Classical places where senescent cells take hold in the body. The science to support senolytics from Mayo Clinic and Scripps Institute. How do senolytics work? The correct way to dose senolytics. What makes Qualia Senolytic a groundbreaking supplement in the longevity space? A bit first about Dr. Kelly.   He has extensive experience in both natural medicine and nutrition, and has been an influential figure in this field. He has served as the editor of the journal Alternative Medicine Review and taught Advanced Clinical Nutrition, Counseling Skills, and Doctor-Patient Relationships at the University of Bridgeport College of Naturopathic Medicine. Dr. Kelly has also published hundreds of articles on natural medicine and nutrition, contributed three chapters to the Textbook of Natural Medicine, and has over 30 journal articles indexed on Pubmed. His areas of expertise include nootropics, anti-aging and regenerative medicine, weight management, sleep, and the chronobiology of performance and health. Additionally, he has helped develop several rare and powerful compounds that have scientifically shown senolytic activity, and which have a wider range of mechanisms than existing senolytic supplements available. Before I get lost in my words on this topic, let's meet Dr. Gregory Kelly, and see what we can learn today to open our eyes to something new in this ever-changing field of science, health and longevity. Welcome Dr. Kelly. Thank you for being here on a Friday night. I'm curious with your background, what would you typically be doing on a Friday night (I imagine hanging out with Dr. Stickler and perhaps Dr. Andrew Huberman) talking about what you can create with the latest neuroscience research. Dr. Huberman advising you on your vision products, and Dr. Stickler, with a stack of tools for peak performance to investigate…is this what a typical Friday night would look like for you? INTRO Q: Dr. Kelly, I watched your interview with Dave Asprey, because he's been promoting your new Qualia product that we will be talking about today, all over the place, so I had to see what he asked you when he interviewed you (because he's such a creative mind).  I loved how he asked you about why you called your company Neurohacker Collective! What a great question. Can you share the answer again for our audience, as it's fitting for our podcast? Q1: Can we start with the basics?  What is cellular senescence and can you explain it from the 2 angles-the Zombie explanation for the movie experts who tune into the podcast vs the gardener analogy? 1B: How do we know we have senescent cells? Is it like inflammation? Q1C: We've talked about the concept of using exercise to prevent the shortening of telomeres on this podcast, but can you orient us with this idea and how it came into the evolution of aging? Q2: Our podcast took a turn towards health and wellness during the pandemic and we picked 5 health staples to dive deep into. You can see a couple of people from your organization that we've had on the podcast and many others we quote. Can you look at the list I've chosen, and tell me what I'm missing if we were to compare them to the "Hallmarks of Aging?" that you've uncovered? Q3: What's the difference between cellular senescence and autophagy (with a quick review of 9th grade science/mitosis here) and what we should expect healthy cells to do in our body vs the ones that give us trouble? Q4: What are some places where senescent cells take hold in the body? What about the science that supports senolytics from Mayo Clinic and Scripps Institute? What should we know? How do senolytics work? Q5: Andrea's vitamin story-I've got to also ask about the difference between taking vitamins that remove free radicals. It's not easy to see what's going on in the body. How would this be similar/different? Q6: What's the correct way to dose senolytics?  I loved that Dave Asprey was looking for a way to bio-hack what you've invented and perhaps take senolytics once a decade of something. Will this ever be a possibility? Q7:  I've got to give a huge shout out to Tina Gammon, on your Marketing Team, as she made sure I was sent all 3 of your Qualia Senolytics (for Vision, Night and Mind). I tried the NIGHT one for optimized sleep, and now I'm someone who measures everything and sleep is one of my weakest links, but I had the craziest, most vivid dreams and definitely felt recharged when I woke up. I took the MIND one before my day began, and I'm someone who also logs my levels of CLARITY on a weekly basis (Brendon Burchard would like this done daily) but I did notice an usual surge of clarity. Is this something you've heard of before? Is it usual to notice something like I did the VERY next day? What do most people notice? What about the VISION one? Did you consult with Dr. Huberman with his expertise here on Ophthalmology? I wear contacts and am finally ready for laser eye surgery…should I hold off on using this one till I finish messing around with my eyesight? Q8: What makes Qualia Senolytic a groundbreaking supplement in the longevity space? Q9: As we wrap up and close out this episode, what's one thing that you hope our listeners will take away from this episode on your work over the years, senolytic cells, Neurohacker Collective, and what we can do to optimize our health and longevity at the cellular level? Thank you, Dr. Kelly, for coming on the podcast. I was so excited to meet you, dive deeper into this topic and think about how I'm going to implement this ground-breaking product into my day.  For people who want to try your Qualia Senolytics, I was thrilled to see that your team created an affiliate link and coupon code for our audience:    CLICK ON THE LINK IF YOU WOULD LIKE TO TRY QUALIA SENOLYTICS https://neurohacker.com/shop/qualia-senolytic?rfsn=7305328.843217 Code: NEUROSCIENCE (good for 15% off purchase). Is there one product that you recommend plain Qualia Senolytic vs the specific versions I have for VISION, MIND and NIGHT? Thank you again for your time on a Friday night. RESOURCES: Senolytics improve physical function and increase lifespan in old age Published July 9, 2018 by Ming Xu et al. https://www.nature.com/articles/s41591-018-0092-9 X3 Bar by Jaquish https://www.jaquishbiomedical.com/ Studies on the Qualia Products https://neurohacker.com/studies The Hallmarks of Aging by Carlos Lopez-Otin et al Published June 6, 2013 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3836174/ The 12 Hallmarks of Aging Published Jan. 2023 by Carlos Lopez-Otin et al https://pubmed.ncbi.nlm.nih.gov/36599349/#:~:text=We%20propose%20the%20following%20twelve,exhaustion%2C%20altered%20intercellular%20communication%2C%20chronic To stay young kill zombie cells Published Oct. 26, 2017 by Megan Scudellari https://www.nature.com/articles/550448a Cell Fates- Division, Senescence and Death by Armando Hasudungan on YouTube https://www.youtube.com/watch?v=Egy--doiBF0 Telomeres and Cell Senescence Khan Academy https://www.youtube.com/watch?v=R5YiO6rKr-w (Phenomenal Explanation)! REFERENCES: [i] Senolytics: The Latest Breakthrough in Aging and Longevity Science bu Nickl Bitz https://neurohacker.com/senolytics-the-latest-breakthrough-in-aging-and-longevity-science-an-interview-with-the-neurohacker-science-team [ii]Neuroscience Meets Social and Emotional Learning Podcast EPISODE #125 on Heart Rate Variability: Why It's Important for Tracking Health, Recovery and Resilience  https://andreasamadi.podbean.com/e/what-is-hrv-and-why-is-it-important-for-tracking-health-recovery-and-resilience-with-andrea-samadi/ [iii] https://neurohacker.com/about [iv]Neuroscience Meets Social and Emotional Learning Podcast EPISODE #162 with Dr. Anna Lembke on “Dopamine Nation: Finding Balance in the Age of Indulgence”  https://andreasamadi.podbean.com/e/medical-director-of-addictive-medicine-at-stanford-university-dr-anna-lembke-on-dopamine-nation-finding-balance-in-the-age-of-indulgence/ [v] Neuroscience Meets Social and Emotional Learning Podcast EPISODE #96 with Dr. Stickler on Expanding Awareness for Limitless Peak Performance, Health, Longevity and Intelligence  https://andreasamadi.podbean.com/e/dr-daniel-stickler-on-expanding-awareness-for-limitless-peak-performance-health-longevity-and-intelligence/ [vi]Neuroscience Meets Social and Emotional Learning Podcast EPISODE #93 with Dr. Momo Vuyisich on Improving the Health of Your Microbiome Preventing and Reversing Chronic Disease  https://andreasamadi.podbean.com/e/dr-momo-vuyisich-on-improving-the-health-of-your-microbiome-preventing-and-reversing-chronic-disease/ [vii] Neurohacker Collective https://neurohacker.com/ [viii]Shape Shift: The Shape Intelligence Solution by Dr. Gregory Kelly   https://www.amazon.com/Shape-Shift-Intelligence-Solution-ebook/dp/B0711S1JSC  

This week on Pharm5: CDC Opioid Prescribing and Tapering Guidance NAPLEX Scoring Errors from NABP Third COVID vax is helpful, fourth is not USPSTF Recommendations for Hormone Use 2022 Flu Season Hitting Early Connect with us! Listen to our podcast: Pharm5 Follow us on Twitter: @LizHearnPharmD References: CDC Clinical Practice Guideline for prescribing opioids for pain - united states, 2022. Centers for Disease Control and Prevention. http://bit.ly/3Ej7Ejv. Published November 3, 2022. Accessed November 9, 2022. Brooks M. New CDC guidance on prescribing opioids for pain. Medscape. http://bit.ly/3EeuLKX. Published November 4, 2022. Accessed November 9, 2022. @NABP. Posted November 10, 2022. Accessed November 10, 2022. https://twitter.com/nabp/status/1590809815156137995. Canetti M, Barda N, Gilboa M, et al. Six-month follow-up after a fourth BNT162b2 vaccine dose. New England Journal of Medicine. November 2022. doi:10.1056/nejmc2211283 Chalkias S, Harper C, Vrbicky K, et al. A bivalent omicron-containing booster vaccine against covid-19. New England Journal of Medicine. 2022;387(14):1279-1291. doi:10.1056/nejmoa2208343 Hormone therapy in postmenopausal persons: Primary prevention of chronic conditions. Recommendation: Hormone Therapy in Postmenopausal Persons: Primary Prevention of Chronic Conditions | United States Preventive Services Taskforce. http://bit.ly/3NY7Tnh. Published November 1, 2022. Accessed November 10, 2022. Weekly U.S. Influenza Surveillance Report. Centers for Disease Control and Prevention. http://bit.ly/3TshBiV. Published November 10, 2022. Accessed November 10, 2022. Influenza activity and composition of the 2022–23 influenza vaccine - United States, 2021–22 season. Centers for Disease Control and Prevention. http://bit.ly/3DWJgTi. Published July 21, 2022. Accessed November 10, 2022.

This week on Pharm5: Pfizer's Phase 2 trials for revamped COVID vaccine Monkeypox updates: vaccines and treatment options Treating animal infections with OTC topical medications Uninsured rates hit historic US low ASHP's guidance to prevent controlled substance diversion References: Pfizer and BioNTech advance COVID-19 vaccine strategy with study start of next-generation vaccine candidate based on enhanced spike protein design. Pfizer. https://bit.ly/3OVxagF. Published July 27, 2022. Accessed August 4, 2022. FDA Briefing Document Vaccines and Related Biological Products Advisory Committee Meeting. https://bit.ly/3I1wZhY. Published June 28, 2022. Accessed June 30, 2022. JYNNEOS monkeypox vaccine distribution by jurisdiction. https://bit.ly/3vBs0zt. Accessed August 4, 2022. FDA provides update on agency response to Monkeypox Outbreak. U.S. Food and Drug Administration. https://bit.ly/3bw93rj. Published July 29, 2022. Accessed August 4, 2022. Lundberg A, Koch SN, Bierbrier L, Slater M. Treating common skin conditions of cats and dogs in a community setting. Today's Veterinary Practice. 2022:100-106. Accessed August 4, 2022. Spitnagel MB, Hillier A, Gober M, Carlson MD. Treatment complexity and caregiver burden are linked in owners of dogs with allergic/atopic dermatitis. Vet Dematol. 2021;32(2):192-e50. Accessed August 4, 2022. Assistant Secretary for Public Affairs (ASPA). New HHS report shows national uninsured rate reached all-time low in 2022. HHS.gov. https://bit.ly/3zwU48y Published August 2, 2022. Accessed August 4, 2022. Number of retail prescription drugs filled at pharmacies by payer. KFF. https://bit.ly/3QmntJ8 Published March 5, 2020. Accessed August 4, 2022. ASHP releases revised guidelines on preventing diversion of controlled substances. ASHP. https://bit.ly/3d5XZ4F. Published August 2, 2022. Accessed August 4, 2022.

Published July 31 2022We chat to Rome Kirby, US sailor. Member US SailGP team, AC winner, Volvo Ocean Race Sailor, Moth sailor and a man with a lot going on.Hugely respected sailor, Rome has a read hot go at everything thing. And he also gives great answers to questions. We laughed and laughed recording this Ep. It was one of our favourites. We hope you like it.#barkarate #sailingpodcast #barkaratesailorslarger #barkarateconversations #worldsailingofficial #sailing #boat #ocean #sport #voile #sail #sea #offshore #sailors #sailingworld #extremesailing #foils #yacht #yachts #saillife #instayacht #sailingblog #instasail #romekirby #sailgpusa #apparantwindpartners #ussailing

This week on Pharm5: Polio in the US COVID vaccines linked to fewer CV events Vancomycin AUC vs. target troughs CMS Star Ratings 2022 Payment model is needed for Paxlovid prescribing Use APhA's pre-written, editable letter to advocate for pharmacist reimbursement for Paxlovid prescribing: https://bit.ly/3cKwm0O References: Meko H. First polio case in nearly a decade is detected in New York State. The New York Times. https://nyti.ms/3JbGLid. Published July 21, 2022. Accessed July 28, 2022. Polio vaccine effectiveness and duration of protection. Centers for Disease Control and Prevention. https://bit.ly/3JhiIyy. Published May 4, 2018. Accessed July 28, 2022. Kim Y-E, Huh K, Park Y-J, Peck KR, Jung J. Association between vaccination and acute myocardial infarction and ischemic stroke after COVID-19 infection. JAMA. July 2022. doi:10.1001/jama.2022.12992 Abdelmessih E, Patel N, Vekaria J, et al. Vancomycin area under the curve versus trough only guided dosing and the risk of acute kidney injury: Systematic Review and meta‐analysis. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy. July 2022. doi:10.1002/phar.2722 Chung D, Efta J, Brunsman A, et al. Evaluation of pharmacist time dedicated to vancomycin dosing in adult patients using a 24-hour AUC nomogram or Trough Monitoring Approach: A time motion study. American Journal of Health-System Pharmacy. 2022;79(14):1173-1179. doi:10.1093/ajhp/zxac094 Press release CMS releases 2022 Medicare Advantage and Part D star ratings to help Medicare beneficiaries compare plans. CMS. https://go.cms.gov/3oEzpKM. Accessed July 28, 2022. Emergency action is necessary to provide payment for pharmacist prescribing of Paxlovid. OneClickPolitics. https://bit.ly/3cKwm0O. Accessed July 28, 2022.

This week on Pharm5: Concerns with HHS guidance to retail pharmacies Drug overdose disparities Antimicrobial resistance after COVID-19 Colloid v. crystalloid during cardiac surgery Novavax endorsed by CDC References: Christensen J. Biden administration says pharmacies can't turn away people who have a prescription for a drug that may end a pregnancy. CNN. https://cnn.it/3olj1id. Published July 13, 2022. Accessed July 14, 2022. ASHP response and advocacy related to recent federal guidance to "retail pharmacies" on access to Reproductive Health. ASHP. https://bit.ly/3RQHusT. Accessed July 21, 2022. Drug overdose deaths rise, Disparities Widen. Centers for Disease Control and Prevention. https://bit.ly/3PNKSTP. Accessed July 21, 2022. U.S. must curb rising rate of resistance to antimicrobials. IDSA Home. https://bit.ly/3PKz5FS. Accessed July 21, 2022. Covid-19: U.S. impact on Antimicrobial Resistance, Special Report 2022. June 2022. doi:10.15620/cdc:117915 Pesonen E, Vlasov H, Suojaranta R, et al. Effect of 4% albumin solution vs Ringer acetate on major adverse events in patients undergoing cardiac surgery with cardiopulmonary bypass. JAMA. 2022;328(3):251. doi:10.1001/jama.2022.10461 CDC recommends Novavax's COVID-19 vaccine for adults. Centers for Disease Control and Prevention. https://bit.ly/3zm4Tv4. Published July 19, 2022. Accessed July 21, 2022.

On this day in 1946, Dr. Benjamin Spock's seminal book about child care was published for the first time. See omnystudio.com/listener for privacy information.