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In this episode, Cole and Tanner sit down with Mike Dolphin, founder and CEO of GuideStar, to talk all things epidurals—specifically the risk of accidental dural puncture and why preventing it matters for both providers and patients. They break down why epidural placement can be so challenging, the potential short- and long-term effects of a dural puncture, and how new technology may help make the process more precise. Mike also introduces EpiZact, a device designed to detect loss of resistance and help stop the epidural needle at the right moment. If you want to see EpiZact in action and meet Mike in person, be sure to find him at the AANA conference in Boston this coming weekend August 21-25! Support the showTo access all of our content, download the CORE Anesthesia App available here on the App Store and here on Google Play. Want to connect? Check out our instagram or email us at info@coreanesthesia.com
Maze, Puncture, and Vengeance lead us to Algernon's landlord, Tiger handheld games, the holes you're born with, spike strips, The Peeble's Court, and more.New episodes every Tuesday.Editing by: Julia WD HarrisonTheme by: Arne Parrott Logo by: Casey BordenSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Links: AquaTru.com use promo code BIRTHHOUR for 20% off. Know Your Options Online Childbirth Course - use code 100OFF for $100 off. Beyond the First Latch Course (comes free with KYO course) Support The Birth Hour via Patreon! You can now gift memberships to Patreon here!
Guest: Luyanda Vilakazi, Founder of Puncture Proof.
What if one of pediatrics' most common emergency procedures hasn't meaningfully evolved in over a century? In this episode of Med Tech Gurus, we sit down with Bob Cooper, CEO of SMoLTAP, to explore how a simple but powerful positioning innovation is transforming infant lumbar punctures. For decades, pediatric spinal taps have relied on manual restraint, inconsistent positioning, and high failure rates—often leading to repeat attempts, unnecessary hospital admissions, and increased stress for clinicians and families. SMoLTAP's positioning cradle stabilizes infants in a consistent seated posture, improving first-stick success rates, reducing procedural time, and minimizing the need for sedation. Bob shares the origin story—from a frustrating clinical moment at Brown University to adoption in over 100 hospitals—and dives into the realities of pediatric medical device commercialization. We explore specialty distribution strategies, navigating value analysis committees, building ROI calculators, and scaling capital-efficiently in a challenging healthcare market. This episode is a powerful example of how human-centered design, operational insight, and disciplined execution can change the standard of care.
Zack Klapman's puncture; recent Mecum auction results are insane; the Mitsubishi Lancer's glow-up; Matt Farah's Taycan update; the great Czinger scheduling error; Paint to Sample parties; the best car for swinging (yes, that kind); and more! Patreon questions include: What car should we buy for swinging? Aging out of burble tunes Buy an R32 GT-R or an R34 GT-S? C5 pace car as a weekend toy? When will someone compete with the Miata? How to operate your watch No car can match what this dude has built What we want from a future Subaru STI Are EVs the solution to the noisy race track problem? F/M/K: $12000 project version GR Supra or Nissan Z Nismo manual? Anything as fun as a turbo Miata? And many more! Recorded May 19, 2026 onsoring this message Factor Head to https://Factormeals.com/tire50off and use code tire50off to get 50 percent off and free daily greens per box, with new subscription only, while supplies last until 09/27/2026. (See website for more details). Quince Refresh your everyday with luxury you'll actually use. Head to https://Quince.com/TIRE for free shipping on your order and 365-day returns. Now available in Canada, too. ButcherBox As an exclusive offer, new listeners can get their choice between free Sirloin Tips, Ground Beef or Chicken Wings in every box for LIFE, PLUS $20 off when you go to ButcherBox.com/tire Enter to WIN our AMAZING 2025 Porsche 911 Turbo S!! https://www.dreamgiveaway.com/tickets/porsche?promo=SMOKINGTIRE Promo Code Offer: Get 4X bonus tickets with any donation of $25 or more. With every donation you are helping benefit some wonderful veterans' and children's charities. Podcast Promo Code: SMOKINGTIRE Want your question answered? Want to watch the live stream, get ad-free podcasts, or exclusive podcasts? Join our Patreon: https://www.patreon.com/thesmokingtirepodcast Use Off The Record! and ALWAYS fight your tickets! Enter code TST10 for a 10% discount on your first case on the Off The Record app, or go to http://www.offtherecord.com/TST. Watch our car reviews: https://www.youtube.com/thesmokingtire Tweet at us!https://www.Twitter.com/thesmokingtirehttps://www.Twitter.com/zackklapman Instagram:https://www.Instagram.com/thesmokingtirehttps://www.Instagram.com/therealzackklapman
Dr Brett Burstein and Dr Nathan Kuppermann visit the studio as we consider febrile neonates ≤28 days of age. Can we skip the lumbar puncture in low-risk babies? What constitutes low risk? And how can we employ shared decision-making with parents of these infants? Tune in for this important conversation!
The raid begins just after midnight on March 10, with napalm bombs designed to puncture roofs and spray flaming gel inside Tokyo's wooden homes. The resulting fires quickly meld into a catastrophic firestorm that consumes 16 square miles of the city. Survivors recount the horror of hurricane-force winds and a "tidal wave of fire" that causes people's clothing and hair to spontaneously ignite. Families who fled to primitive home shelters often died from the heat, while those in concrete communal shelters were incinerated when the glass windows melted, allowing superheated air and toxic gases to rush inside. The firestorm becomes its own weather system, overwhelming all traditional firefighting efforts and creating a vacuum that pulls in cold air to feed the inferno. Photographer Coyo Ishikawa documents the apocalypse, describing the phenomena as a wave crest approaching from the ocean as the fire devours the world's most densely populated districts. 6/81959 LEMAY
Send us Fan MailDr. Nathan Kupperman and Dr. Brett Bernstein, lead investigators on a landmark international pooled analysis published in JAMA, present the most comprehensive evidence to date on whether a lumbar puncture can be safely avoided in febrile infants under one month of age. Using a simple three-criteria rule — negative urinalysis, procalcitonin of 0.5 or below, and absolute neutrophil count of 4,000 or below — across more than 2,500 prospectively collected cases from multiple international cohorts, the rule did not miss a single case of bacterial meningitis. They explain what this means for shared decision-making with families, why the number needed to perform a lumbar puncture to identify one case of bacterial meningitis is now vanishingly close to infinity for low-risk infants, and why implementing this approach requires a multidisciplinary coalition across emergency medicine, infectious disease, and inpatient teams before any individual physician changes their practice.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!
In this episode, we review the high-yield topic of Lumbar Puncture from the Neurology section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
Catch Selina live - 'Lifestyles' Monday-Friday from 14.00CET on tre.radio
Send me a some feedback!In this episode, Mike and Angie continue their ten-part Unbreakable series by moving deeper into the heart of their transformation — the shift from a survival-based relationship to a conscious one. After laying the groundwork of childhood conditioning and nervous system wiring in earlier episodes, this conversation exposes how unspoken expectations, preferences, and control mechanisms quietly fueled years of volatility and conflict.They explore how peace became the guiding value that reshaped their relationship, parenting, and daily life. By distinguishing between preferences and standards, Mike and Angie reveal how letting go of control allowed their nervous systems to regulate, trust to rebuild, and stability to emerge. This episode makes it clear: relationships don't change when circumstances change — they change when the nervous system does.Key Takeaways1. Preferences quietly puncture peaceWhen preferences matter more than harmony, conflict becomes inevitable.2. The nervous system prioritizes familiarity over safetyPeople repeat painful dynamics because survival patterns feel known, not because they want suffering.3. Standards create safety, preferences create conditionsStandards are non-negotiable foundations; preferences are flexible and optional.4. Triggers reveal unresolved internal pressureEmotional reactions don't come from the moment — they come from stored survival energy.5. Conscious relationships are built on self-regulationPeace emerges when each person takes responsibility for their own nervous system.Notable Quotes• “When my preferences mattered more than my wife and my peace, it really did rule the house.” • “Anytime we held a preference and we wanted our preference more than peace, then it ruptured everything.” • “Preferences puncture peace.” • “It's not a preference that we have fidelity in our marriage. It's a standard.” • “I'd rather have peace than my preferences.” Call to Action
Send me a some feedback!In this episode, Mike and Angie continue their ten-part Unbreakable series by moving deeper into the heart of their transformation — the shift from a survival-based relationship to a conscious one. After laying the groundwork of childhood conditioning and nervous system wiring in earlier episodes, this conversation exposes how unspoken expectations, preferences, and control mechanisms quietly fueled years of volatility and conflict.They explore how peace became the guiding value that reshaped their relationship, parenting, and daily life. By distinguishing between preferences and standards, Mike and Angie reveal how letting go of control allowed their nervous systems to regulate, trust to rebuild, and stability to emerge. This episode makes it clear: relationships don't change when circumstances change — they change when the nervous system does.Key Takeaways1. Preferences quietly puncture peace When preferences matter more than harmony, conflict becomes inevitable.2. The nervous system prioritizes familiarity over safety People repeat painful dynamics because survival patterns feel known, not because they want suffering.3. Standards create safety, preferences create conditions Standards are non-negotiable foundations; preferences are flexible and optional.4. Triggers reveal unresolved internal pressure Emotional reactions don't come from the moment — they come from stored survival energy.5. Conscious relationships are built on self-regulation Peace emerges when each person takes responsibility for their own nervous system.Notable Quotes• “When my preferences mattered more than my wife and my peace, it really did rule the house.” • “Anytime we held a preference and we wanted our preference more than peace, then it ruptured everything.” • “Preferences puncture peace.” • “It's not a preference that we have fidelity in our marriage. It's a standard.” • “I'd rather have peace than my preferences.” Call to Action
Season 3 Episode 12 of The Run TMC podcast features a lively coaches' roundtable at The Hub with Archie Williams' Mikey Clagett, San Marin's Chris Lavdiotis and Branson's Demetrius Roquemore. Hosts Duffy and Big Brain Dave open with an MLK quote and then dive into a three-point range of topics with their guests which include scouting, practice drills, game‑day routines and player leadership . Show Notes Our friend and former guest Dave Albee is battling kidney disease and needs help. More about his battle here. (G): Content is Mostly Global Interest Topics (M): Content is Mostly Inside Mrin Topics Musical intro credit to Stroke 9//Logo credit to Katie Levine Content and opinions are those of Dave, Duffy and their guests and not of affiliated organizations or sponsors. email us at: theruntmcpodcast@gmail.com follow us on Instagram @theruntmcpodcast check out our website at: theruntmcpodcast.com thank you to our sponsors: The Hub in San Anselmo Encore Custom Apparel online and in downtown San Rafael The Social Klub in Sausalito San Domenico Nike Summer Basketball Camps The Marin County Free Throw Championship returns on Jan. 25 — at Archie Williams High from 8:30-11:30 a.m. — with proceeds from the event going to help the needy in the community through the St. Vincent de Paul Society. There are competitions and prizes in several categories for individuals and teams, as well as a raffle. For more information, email saintvincentdepaul@strita.edu or call 415-454-6420.
Episode 170.1: Cocky AI, Wargames, Weiner Shock, Baghdad Battery, Lung Puncture, Lost Knowledge, Cruise Drinking, and The Whiskey Blendery
THE HORROR ON THE GROUND IN TOKYO Colleague James M. Scott. The raid began just after midnight, catching families asleep. The napalm bombs were designed to puncture roofs and spray fire inside homes, turning the wooden city into kindling. The resulting firestorm created a tidal wave of flame that moved across the city, blocked escape routes, and melted the glass of concrete buildings, killing those sheltering inside. Survivors, including a young girl named Shizuko Nishio, fled through an apocalyptic landscape. Photographer Koyo Ishikawa documented the event, describing the fire as a "surf wave" approaching from the ocean. NUMBER 6 1945 OKINAWA
Welcome to Season 2 of the Orthobullets Podcast.In this episode, we review the high-yield topic of Foot Puncture Wounds from the Foot & Ankle section.Follow Orthobullets on Social Media:FacebookInstagramTwitterLinkedInYouTube
There's a lot to get through in this episode. Churning butter. Radio Sonde weather balloons. Stone age times. Puncture outfit. Building a bicycle. Happy days!
On this month's EM Quick Hits podcast: Deborah Schonfeld on the differential diagnosis and work up of pediatric urinary retention & acute transverse myelitis, Jesse McLaren on his Tryptic Approach to Occlusion MI Diagnosis, Matthew McArthur on recognition and management of post-dural puncture headache, Joseph Yasmeh on Med Mal Cases: Clenched fist injury, Brit Long on IV thrombolysis for minor strokes and Victoria Myers & Lauren Westafer on mentorship and what it means to be a physician leader... Please consider a donation to EM Cases to support high quality Free Open Access Medical Education here: https://emergencymedicinecases.com/donation/
In this episode of The Penis Project Podcast, Melissa reconnects with Mike and Shirley from the USA, who first joined us back in 2023. Now celebrating an incredible 48 years of marriage, they share how life, love, and sex have evolved nearly four years after Mike's prostate cancer surgery. Together, they open up about recovery, resilience, and rediscovering intimacy after cancer — proving that sexual function and emotional connection can keep improving long past the two-year mark many men are told is the “limit”. Their journey is one of teamwork, trust, and trying everything from pumps to performance rings to injections — the famous “four Ps” as coined by Mike: Pills, Pump, Puncture, and Performance Ring. Key Takeaways: Recovery doesn't stop at two years. Erections and sensation can continue to improve with regular therapy and effort. Devices aren't kinky — they're medical tools. Pumps, rings, and injections all have a role in penile rehabilitation. Partner support changes everything. Involving both people in the journey helps reduce shame and increases success. Hope is powerful. With the right approach, couples can enjoy a “new normal” that's deeply satisfying and connected. Sex is more than orgasm. Connection, laughter, and closeness are what really matter. Expert Insight from Melissa Hadley Barrett “Just like you wouldn't skip physio after a hip replacement, penile rehabilitation after prostate surgery takes consistent effort. Devices like vacuum pumps, injections, and rings aren't gimmicks — they're proven ways to restore blood flow, preserve function, and build confidence. Mike and Shirley's story shows what's possible when couples stay curious, keep communicating, and don't give up.” Resources & Links: Book a telehealth consult with our sexual health nurse practitioners at Restorative Health Clinic For more information check out our websites www.rshealth.com.au , www.makehardeasy.com.au and www.melissahadleybarrett.com Listen & Subscribe If you found this episode helpful, don't forget to subscribe, rate, and review the podcast! Your feedback helps us continue bringing important conversations to light. Search for The Penis Project Podcast on Spotify, Apple Podcasts, or your favourite podcast app. Connect With Us We love hearing from real people, navigating penile health. If you'd like to share your journey or ask a question, get in touch. Email: admin@rshealth.com.au Websites: https://rshealth.com.au/ All genders https://makehardeasy.com.au Instagram: https://www.instagram.com/melissahadleybarrett/ https://www.instagram.com/restorativehealth.clinic/ YouTube: https://www.youtube.com/@melissahadleybarrett TikTok: @melissahadleybarrett Facebook: https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ https://www.facebook.com/profile.php?id=100085146627814 Linkedin: https://www.linkedin.com/in/melissa-hadley-barrett/ TEDX: https://www.youtube.com/watch?v=IjHj1YTmLoA
Nduduzo Chala – CEO, South African Tyre Manufacturers Conference SAfm Market Update - Podcasts and live stream
In this episode of the NCS Podcast Currents series, host Lauren Koffman, DO, MS, speaks with Swarna Rajagopalan, MD, MS, associate professor of neurology Cooper University Health Care about her recent co-authored Currents article on the role of ultrasound guidance in performing lumbar punctures in the neuroscience ICU. They discuss the limitations of the landmark-based technique, when ultrasound can improve safety and accuracy, and how point-of-care training supports providers. Dr. Rajagopalan also describes why neurointensivists should consider increasing their use of ultrasound in daily practice outside of traditional critical care procedures. To read the full article, visit Currents: The Role of Ultrasound Guided Lumbar Puncture in the Neuroscience Intensive Care Unit: A Review and Case Presentation The views expressed on the NCS Podcast are solely those of the hosts and guests and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.
Livestock found drained of blood. Puncture wounds with no clear cause.In this chapter, we investigate the 'Chupacabra', one of the most infamous cryptids in modern folklore. However, beneath the sensational headlines and pop culture portrayals lies an origin story rooted in real fear. From rural Puerto Rican farms to dusty Texas backroads, we trace the legend's spread, dissect the eyewitness accounts, and explore how one woman's sci-fi obsession may have helped shape the creature's image.Is the Chupacabra a blood-sucking predator, a misidentified animal, or something else entirely? Let's find out...Text Me (this is 3rd party & I cannot respond, but I see all messages)Support the showIf you have more information or a correction on something mentioned in this chapter, email us at luke@lukemordue.com. For more information on the show, to find all our social accounts and to ensure you are up to date on all we do, visit www.lukemordue.com/podcast
Isn't it strange that I can write something, and not remember what I wrote the next day? I remember that I wrote it, and writing it, but not the words, really, or the structure. They make pictures in the documents, shapes that they themselves as things make imprints as etching but have never been seen, by anyone else but me, at least—and whoever is phishing in my documents. That's the dangerous part. I do remember Jimmy Fallon, or just glimpse of it—that's the other dangerous part. What exactly have I become apart of? Why is this character hounding in the back of my mind? And what is relentlessly bc aching for truth and still clinging to the secrecy I left him alone, but the thing kept returning. Like that little yellow breasted bird who kept coming to visit me; he adored himself so looking in the water pipe like it was a mirror— what a paradox No hot water heaters, but also, No tent cities. Then, I wasn't exactly an expatriate, or enemy to the patriarch. I liked men in charge, so long as they were the right kind of man. But what is the right kind of man? These versus were written in cadences that seemed like gibberish at the time, but two days later reading back, did seem to make sense… but for what? It was almost peaceful in the apartment now that I seemed to be on the way out. “You were warned in the drama club,” The words rang in my mind but I had no idea whether they were just words to another song or some sort of string of things— these telemetrical tests to see if I could hear these things being stated over and over to me as if they were drills rather than things I was thinking. Apparently I'd been betrayed but what was new? My entire being in existence had been strings of betrayals and so these words, though unkind, could have meant anything. Fear, usually, was the biggest weapon against any mind endangered, but I wasn't in fear of anything besides never seeing my son again— this was likely either way in that certainly in at least one way, I had been betrayed. Perhaps I was expected to act like a man, and that I wouldn't miss or always feel attached to my baby; but I wasn't a man, or a dog. In fact, I was a woman, and now so much aging that these things could be used against me. I wasn't guilty, because I wasn't not-trying. But these things were speaking volumes in what has been done to me and against me, and rather than to be the victim here, I altered my thoughts into those of a understanding never-martyr, because in fact my death would be kept secret; hidden, even. I had been isolated from everyone and everything, and this was the agenda my purpose suited— perhaps a growing mental health crisis, though unobjectifiable I had been targeted— these things were made to hurt me, or make me believe I was becoming famous, but were never of any meaning, and indeed though I had written these things, Any illusion of safety had been manufactured. There was none; I was not safe here— or anywhere in the United States anymore. Once I'd returned from Mexico, I had been recaptured, and closely studied, and controlled, and manipulated into doing and acting on behalf of my kind, which was being made to be the enemy. What it had to do with any public figure wasn't entirely beyond me; in many ways, maybe, this figure was and could either be, both the Rock and Thr Kite— or the wind, or water, or earth itself; and perhaps since my death had marked the start of our awareness to any thing…it hadn't been entirely unnoticed that this overriding factor was that it was the same sort of cycle from one, repeated four times, and then eventually stopped. In the unbalanced nature of my own time seeming to be shrinking, the more I realized that people to me were unkind, and distant. It wasn't a swperate person or personality that had written these things; but a side of me that needed to be sleeping when these energies seemed to be surrounding me; and again this cruelty as peaking into an unbearable circumstance of needing to escape, and because I hadn't the financial means— seeking means to an end. This brutality on the inside of my mind revealing itself to be the need for peace was overwhelming anything— the need for fame, connecting, recognition… the reality of it was, the illusion of safety was shrinking; I didn't have anybody or anything, the the words themselves were only being seen by those unseen. I could have been portraying these deeply prolific things into the very hearts and minds of the enemy that was vilifying and demonizing me; keeping me out of a job and away from my son as a way to justify these dehumanizing and humiliating realities— the things that could make me appear crazy if need be. But the truth was, I was sort of just timekeeping… not writing because I wanted to, or needed to— but because in the same way, it kept happening. {Enter The Multiverse} On our planet, turkey is a fruit. No way! Yes. We call them— Poul-trees. —gross! Ahaha. L E G E N D S I was told that some have souls And some do not, less fortunate But though on high, and not our kind Some seek to know that is which not The Rock And The Kite IX “No kings!” Cries he who is not crowned King, Though as he sits below, this shrieking— The King sits silently, knowing And keeping, Thinking and rarely is he even speaking; The King has been Kinged for the Kingdom he's keeping. Lol did you realize the capitalization in the K's though? It could be interpreted any of either way. The poem itself is in the hypocrisy of non movement of the people from the very institutions it detests, In that— In docile inaction, he who protests such things must, by direct action also seek to change the barriers of the institution in which it is formed, which starts at the foundation in one themselves— Not simply idealizing a movement, but becoming its motion. It furthermore alludes to the notion that, the King has become King not simply my lineage but simply acting in opposite regards to the common man. It insinuates overall, that he who regards himself as a king is also himself a king. [The Festival Project ™] They say “On Tuesday, you die.” To me this is cruel and unusual punishment To I it is sweet relief, and a good time If I indeed prepare to end my life Due to need and indeed, Strife and poverty, so please Remember me to think twice When you greed and heavily Impede in this— peace That's why you need a scribe. Do not describe me as decent, I recently resent my decent Into these regions from these Kingdoms Which present me with Grief Regis, meet Kelly Egregious? perhaps, actually That and then astonishing To ponder on such a moment, Structured in the ruptured structure Of my DEADMAU5 powers down immidiately upon playing his first song. Oh no. Again! Here we go. Puncture. [wound] (Remember? I was corrupted.) I've been building a resume I was real in my healing She'll need Jesus And he'll need buildings Real estate? You can relate? Displays of affection. It's too late now to deficit Your attention. It's too late now To recommend your reflection It's too late now To make a mess in the kitchen It's too late now, It's sediment in a mention. Who did how what when where why? I idolize my Christ conscious, This is him. Well well. We meet again. {Enter The Multiverse} All my references are irrelevant and furnished even Not a trace of a friend or relative that could manage, even. My balances are invalid, In the red and negative, My management and dispatch, however— “Oh that's cute.” Microaggression. The deep affiliation of No— not this again JIMINY CRICKET JAHOVAS WITNESS DEADPAN COMEDIANS— L E G E N D S. … Jesus, anybody but— {Enter The Multiverse} …is it me? LIZ LEMON has not had the best day. AH NERDS. It began with finding out she is indeed just a fictional character; I'm a what. This was confirmed by her review of all seven seasons of the hit series 30 Rock. I don't understand. Suddenly, as the tapes were concluded, she was handed a mysterious yellow envelope which apparently contained the complex codes needed to return things back to “as normal as possible”— however.. A MAN snatches the envelope out of LIZ LEMON'S HANDS, leaving her stranded in a seemingly off parallel universe where— Oh hey, Tina. Everyone keeps calling her “Tina” and she doesn't know why. -_- I have no new muse. To some, this may confuse— But I need no more blues; This jazz was all a ruse. Really? This is awful. I'm missing all my cues, The game I cannot lose, The life I did not choose Begins to light a fuse I am a ticking time bomb A loose cannon A straight asshole, And complete troll, If I told you I owed you a lesson Would you roll over in this pine box? I miss mine craft and my socks My office, my rock and Last off, I miss my boss. What'd you do to Lorne Michaels? You look confused! He's acting strange! That is not my fault! He was always strange. Huh? Think about it. MEANWHILE… She's been leaking pieces of the script online and it must be stopped! Ooh, whose this blue suit? Some hot blonde. They're all wearing blue suits.., Just as likely. Hey! Hey! Who let you out of the TV? What?! This is not my purple. Oh, aw shit, What did you say? This is not my purpose! Oh no. Oh no. Oh yeah. Full meltdown mode on the TV screen And it just kicked in that the mistress is infact invisible and just lives in his head, this deadpan actress bombshell, clever Pleasurer has all just been … A TEST ! Gazuntite.. Am I on in another room or something? What?! I can always feel it. It just sets in, It's just the fame, Release the rest— And the language can make sense; It's been a sacred acre, and I guessed This measurement of time They hate you. I bet, dude. No, I'm serious— it has to end. Oh well. So I ran from hell at high speed, Fell to my death by a rope at the neck With a hope it would all just stop If I drop to the bottom with a shot Of adrenaline and I just don't come up Out the water I T I S Just not like it was And I've never had love come back Once it's gone This is all just stuff But my heart's sure to pop If I don't get done With the bottom floorness. I need four heads for all my knowledge. I need a whole box of cops for all these problems And probably a constable I'd be unstoppable if I could just nod for once And smile, Like I don't have thoughts, For once. Now that's a dunce. (What you are.) I'm hoping with these supplements I can run again (They were 20 bucks!) And hoping if it's love enough He gets complements but not all of them. I hope if I keep my walls up I could just stall the “Halt who goes there?” Don't get locked out! Don't get homeless! Don't get knocked up! Don't get bone out wings! —You don't know if they're all bird. Where's your album? Fine, I'm done. If I pitty pat And fiddle faddle With Jimmy Fallon Then is this a riddle or a puzzle? He'll resent the ridicule but surely he'll accept the saddle. (That is a sad clown.) Really, she'll present the message, Recalling and still spilling all the gruesome gore and images just from before, The horror core of all the assimilated messages, The missed inboxes, the just-kept hostages, The ten tails, is it—? It gets welled in, wellness When there's hell to pay, Water turns into Welch's. Is this indirectly feeding my somewhat obsession? Perhaps; but under the umbrella of “one night only” I must indulge my exorcisms with admittance that I just trust the adjustment for a month's budget of exercise, And hold the fries, I see my eyes wandering— Oh look, it's these guys. FREDDIE so wait. THE ACTORS lie down against the cold black floor of the black box theatre. Though the floor has been freshly painted, it also wreaks of dusty velvet curtains and a hint of stale cigarette smoke, which no one seems to know from where this is emanating from. Visualization exercises are key. However, here, the actors appear to be conversating with one another Yo I for real just didn't want to pay the price increase. These bastards. Well played, NBC. And let's just be correct about this, I need something to watch on the Peloton. I'm sure the ads will no less than come after me. Indeed, my fragile mind has been altered, living in between the streams to a TV reality. Yo apparently there's an “NBC writers program” —Completely missed it. Facts are, I'm still under par, and still under Paar, however… Okay, I'm paying for it, this had better be— —they're baiting me. For what. This is so unconscious. Liz Lemon on the treadmill So what, I eat pop tarts Instead of 3, I eat ten meals It's real. I told you you're in a cult! Which one? What? IX I have several acts, And these distractions weren't as impulsive As well thought out— Pull the plug, Carson! Pull the rug out from under the cat, And the watch her react This is just one person. It is pertinent, the clause and causability, The instigations, the Investigation, The investments, the integration of the information So much for insomniac I close my eye every time I run a mile You know I can't help but hide When I'm told in my own mind That today, I'm likely to die So I spent all night Crying for viable options ICONS This is not left over, You were just scrumptious, dumpling. Oh there's Nigel Thornberry And Joy Behar, Listen now or hold your forever But pray hard, Cause that's what makes today hard I okayThe Today Show And may Harvard, but stray far from the Ark If the Mayflower is trademarked, Okay, embark on a grey streak, A slave heart, a wave heat, grave deep In a cave park, But they weep and may keep secrets if they seek Weekenders and they leak benders which may think in that he sleeps with her! —but they thought wrong! I'm not on drugs or having it rough as an alcoholic, If anything I'm demolishing the impossible when I bought the peacock, acknowledging to all of them the terms and agreement, from which I see agrees for them to be egregious And with rights to detail or even possibly derail These emails into retail; So it could be Hell… I really need help. I need background noise For my annoyances— More people for the Peloton and No more clairvoyances, I'm prone to losing homes and power to appliances I rely on false alliances To try to make my mind a bit Better, but got behind a bit… Horse chasing in Manhattan I can keep up with a horse drawn carriage But only stopped to catch it, Then, really I've been I memories and giving it the method Holy fuck I've never been this depressed From just checking my messages I regret all these inspections It just diminished my respect for them—- Impending doom for the impendium I'm getting up the strength to ride the Peloton But mulling over everything I didn't want This beat is probably hot as balls… Yo whatever happened to Lin's friend Who used to beatbox with him? Long before he entered into Television or with Disney Pixar, It was way too far back in my memory, and then with this; I think Maybe I'm more like him, And nobody will even remember me! —well, I remember, but barely. Barely is good enough! Here's my weakness: Where's my Tony? All I know is, The bizarre ride Was a rollercoaster I once rode in a hard dream And I wrote in a notebook Colored just like a sports car You know that I love a corvette But probably need a corset Just to fit in your car! Can you sell me a dream and a nightmare at the same time; It was just custard colored the corvette, or the sound of a songbird, almost purchased my worth to the tune Of a little bird, canary, And with every word it's getting scarier To reverb and reverse not such a curse, But was a very sequenced strategy to unrehearsed Reality and as it may, just a game And nothing short of fame, however Breaking me Goddammit what was his name? I'm gonna be upset if I have to look it up. Well, are you satisfied? Not even relatively, Mr. President This resident is half my age and every page I turn is just— Irrelevant. Ugh. The best $7.99 I ever spent Back to the lonely island Oh yeah. That's what I was writing. BILL lies on his back eyes wide open with hand over his chest; something isn't right. Still, here, in the crisp cool of the black box theatre floor, it almost seems that for now— BILL HADER You forgot I was here. The demographics are telling; The stocks are selling The tik tocks are dwelling in your mind As the white collar crimes And the rhymes you're forgetting— Or lines you're spitting It's a self fulfilling prophecy. He's a ghost, he's the reaper He's the time, he's the Keeper; He's the push, he's the teacher The present and the preacher That's why I shouldnt be here You cannot live for free here! So what do I owe you? How do I know you? Wrote you a letter Wanted to blow you Should I just throw you overboard Or write another book Here's a proof of purchase I hope it's worth it If you're homeless I resoned this whole orchard I am prone to no hurt, But you know, it does show I could go gold If just left alone For more then a moment They hate you, Say you're a disaster. Operate under the radar And pay her under the table Hoping you hate hard {Enter The Multiverse} STEFON It's that thing where you don't smoke any cigarettes at all, and then you smoke two packs immediately to reverse jumpstart your nicotine tolerance–? Does that work. I don't know. But yea. Copyright The Collective Complex © [The Festival Project, Inc. ™] © 2025 All Rights Reserved -Ū. 'No Monetary Gain'
In today's VETgirl online veterinary continuing education podcast, we dig into the findings of the JAVMA publication, Needle sharpness is minimally affected by vaccine vial puncture, which challenges a long-standing and widely followed practice in veterinary medicine - changing needles between drawing up a vaccine and injecting it into an animal. Is this something we should be doing? Tune in to find out!
In today's VETgirl online veterinary continuing education podcast, Dr. Amy Kaplan, cVMA, DACVECC, MRCVS digs into the findings of the JAVMA publication, Needle sharpness is minimally affected by vaccine vial puncture, which challenges a long-standing and widely followed practice in veterinary medicine - changing needles between drawing up a vaccine and injecting it into an animal. Is this something we should be doing? Tune in to find out!
Send us a textEver wondered if you really need to change that needle after drawing up a vaccine? In this eye-opening conversation, Julia Tawil and Dr. Rachael Kreisler challenge a decades-old practice that most of us have never questioned.Their meticulously designed study measured exactly how much a needle dulls after puncturing a vaccine vial—and the results might surprise you. Using precise force measurements, they discovered that needle sharpness decreases by less than 20% after vial puncture—well below the threshold considered clinically significant. What matters more? The needle's gauge, brand, and how gently you pierce that vial in the first place.The implications extend far beyond a single needle. With 76% of veterinary professionals routinely changing needles after vaccine aspiration, this small practice change could significantly reduce medical waste, lower needlestick injury risks, and save time across the profession. A follow-up clinical trial with 75 dogs found no difference in patient response between changed and unchanged needles.This conversation highlights how scientific inquiry can transform everyday veterinary practices, creating safer, more sustainable clinics without compromising patient care. It's a powerful reminder to question even our most fundamental assumptions and seek evidence for everything we do. JAVMA article: https://doi.org/10.2460/javma.25.01.0025INTERESTED IN SUBMITTING YOUR MANUSCRIPT TO JAVMA ® OR AJVR ® ? JAVMA ® : https://avma.org/JAVMAAuthors AJVR ® : https://avma.org/AJVRAuthorsFOLLOW US:JAVMA ® : Facebook: Journal of the American Veterinary Medical Association - JAVMA | Facebook Instagram: JAVMA (@avma_javma) • Instagram photos and videos Twitter: JAVMA (@AVMAJAVMA) / Twitter AJVR ® : Facebook: American Journal of Veterinary Research - AJVR | Facebook Instagram: AJVR (@ajvroa) • Instagram photos and videos Twitter: AJVR (@AJVROA) / Twitter JAVMA ® and AJVR ® LinkedIn: https://linkedin.com/company/avma-journals
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Gang gets to talk about a movie called G20 where there is a role played by a fictional Indian PM and expands that to India's image in the world. Then they talk about how the PM spoke about the Muslim Youth by calling them Puncture Wala and then there is a bit on what happened in Pahalgam.Episode Art thanks to NeilteeTune In !
St. Patrick's Day has come and gone and we've got some stupid stories from Boston--the home of the most Irish--who brought the "Borg". If you've ever had a "flapper" in your nose: A nose goblin that's hiding up in the netheregions that you can't get to. One man was digging away so hard, he punctured an artery. A couple learns a lesson about keeping a dog in the house with a loaded gun in bed.In this episode...[A Piece Of My Mind] Sorry, Kids. Millennial Parents Say "NO Sleep-overs"; At Least 13 Facing Charges As Gen Z "Borg" Drinking Trend Takes Over St. Patrick's Day Parade In Boston; Botox Use Has Become So Frequent Some Users Are Developing Immunity; A Guy Picked His Nose Too Aggressively & Hit an Artery; Surprised TV News Anchor Reports on Man Shot in Leg by His Dog; Woman Accused Of Selling Human Toes Puked By Dogs Avoids Jail; Uber Driver Says a Mom Left Her BABY in His Car to Make Sure He Didn't Leave; Embalmer Accused Of Severing Dead Man's Penis–Then Stuffed It In The Corpse's Mouth!My Insane FL Nephew, "Pancho Guero" is trying out red light therapy for his sinuses...after they heal from a bad infection. He'll also answer some burning questions about lending a betting boyfriend money for March Madness & whether a dad should bail out an adult son like his ex-wife wants him to! Test your stupidity against Pancho to figure out if this headline is fake news or a real Florida fact: "A Holiday man was arrested for driving a stolen car with a monkey riding shotgun." And read all the real stories from this week's episode in the "Insane Erik Lane's Stupid World" Telegram channel! Download the app & get stupid at t.me/InsaneErikLane!
DRAMI: Randomized Comparison of Puncture Success Rate Between Distal Radial Access and Transradial Access in Patients With ST-Elevation Myocardial Infarction
Dr. Alex Menze and Dr. Adrian Budhram discuss the clinical utility of cerebrospinal fluid correction factors for traumatic lumbar punctures. Show reference: https://www.neurology.org/doi/10.1212/CPJ.0000000000200350
Dr. Alexander Menze talks with Dr. Adrian Budhram about the common challenges faced by neurologists when interpreting cerebrospinal fluid (CSF) results, particularly in cases of traumatic lumbar punctures. Read the related article in Neurology: Clinical Practice. Disclosures can be found at Neurology.org.
"Collaborative Excellence: The Multi-Society Post-Dural Puncture Headache Guidelines" From ASRA Pain Medicine News, November 2024. See the original article at www.asra.com/november24news for figures and references. This material is copyrighted. Support the show
In this episode of the Atomic Podcast, practicing CRNA Alex Gorman discusses the dural puncture epidural (DPE), particularly in the obstetrical setting. By incorporating a spinal needle to confirm midline placement and epidural space entry, the DPE provides immediate objective feedback, reducing the likelihood of failed epidurals and improving patient outcomes. Alex highlights the technique's benefits, including faster analgesia onset and fewer complications like one-sided pain relief or hot spots, while addressing its risks. CHECK OUT OUR PHARM COURSE HERE[FREE DOWNLOAD] FOR THE SRNA: GRAB YOUR FREE SEE/NCE STUDY PLAN HERE [FREE DOWNLOAD] FOR THE RN: GRAB YOUR FREE ICU DRUG CHART HEREFollow us on Instagram at: @Atomic_AnesthesiaCheck out our other free resources at AtomicAnesthesia.com
Bill Russell, in Second Wind, defines pressure and performance. For example: - Brady coming back from 25 points down in the second half of the Super Bowl. - Houston, we have a problem (Apollo 13). - Sully Sullenberger landing in the Hudson River. The need is to really stay calm. - Three Mile Island as opposed to Chornobyl. - Bluffing in poker (vs. the “tell”). - Is Mickey Mouse a dog or a cat? - Police overreaction. - The basketball player's wink. Keep perspective, the world isn't watching. Most pressure is self-generated. Think of Philippe Petit and the six feet. Use some humor. It's usually not fatal if you fail. Puncture the pressure balloon.
Check out the video versions of the podcast here:https://www.youtube.com/@Cade_Media/videosTake a look at Mapdec's video response after getting banned by Shimano hereAnd here's a link to the Amazon shirt bag.If you'd like us to send in a question, story, some good news, things you'd like us to discuss or anything else, email us at wildonespodcast@cademedia.co.ukThanks and see you next time. Hosted on Acast. See acast.com/privacy for more information.
In this episode, Dr. de Carvalho discusses his article, Efficacy and safety of ultrasound-guided versus landmark-guided neuraxial puncture: a systematic review, network meta-analysis and trial sequential analysis of randomized clinical trials. Dr. de Carvalho's work reiterates that using ultrasound-guided neuraxial anesthesia results in a more efficient neuraxial placement. Ultrasound-guided neuraxial use results in fewer needle … Read More Read More
Matt Fanslow addresses misconceptions in the automotive repair industry, focusing on a viral social media video about tire repair. Matt explains the importance of following manufacturer protocols, the risks of improper repairs, and the need for ongoing consumer education. He emphasizes the long-term integrity of honest repairs and advises consumers to ask questions rather than assume malintent from repair shops. Show NotesWatch Full VideoPuncture Repair Procedures: https://www.ustires.org/sites/default/files/2021-10/Puncture_repair_handout_17_2.pdfTire Repair: What You Can and Cannot Repair on a Flat Tire: https://www.continental-tires.com/products/b2c/tire-knowledge/tire-repair/Faulty Tire Repair Brings $22.8 Million Court Award: https://www.shopownermag.com/faulty-tire-repair-brings-22-8-million-court-award/$22.8 Million Faulty Tire Repair Entirely Avoidable: https://www.tirereview.com/22-8-million-faulty-tire-repair-entirely-avoidable/Discussion on Auto Repair Integrity (00:01:06)Personal Tire Repair Experience (00:01:17)Cost Comparison of Tire Repairs (00:02:25)Incompetence vs. Scamming (00:02:33)Lack of Standard Protocols (00:04:07)Importance of Manufacturer Protocols (00:04:41)Tire Repair Limitations (00:08:37)Legal Precedents in Auto Repair (00:09:42)Consumer Awareness and Questions (00:10:55)Disconnect Between Clients and Mechanics (00:12:04)The Aftermarket Radio NetworkRemarkable Results Radio Podcast with Carm Capriotto: Advancing the Aftermarket by Facilitating Wisdom Through Story Telling and Open DiscussionDiagnosing the Aftermarket A to Z with Matt Fanslow: From Diagnostics to Metallica and Mental Health, Matt Fanslow is Lifting the Hood on Life.The Auto Repair Marketing Podcast with Kim and Brian Walker: Marketing Experts Brian & Kim Walker Work with Shop Owners to Take it to the Next Level. The Weekly Blitz with Chris Cotton: Weekly Inspiration with Business Coach Chris Cotton from AutoFix - Auto Shop Coaching.Business by the Numbers with Hunt Demarest: Understand the Numbers of Your Business with CPA Hunt Demarest.Speak Up! Effective Communication with Craig O'Neill: Develop Interpersonal and Professional Communication Skills when Speaking to Audiences of Any Size.
Matt Fanslow addresses misconceptions in the automotive repair industry, focusing on a viral social media video about tire repair. Matt explains the importance of following manufacturer protocols, the risks of improper repairs, and the need for ongoing consumer education. He emphasizes the long-term integrity of honest repairs and advises consumers to ask questions rather than assume malintent from repair shops. Show NotesWatch Full VideoPuncture Repair Procedures: https://www.ustires.org/sites/default/files/2021-10/Puncture_repair_handout_17_2.pdfTire Repair: What You Can and Cannot Repair on a Flat Tire: https://www.continental-tires.com/products/b2c/tire-knowledge/tire-repair/Faulty Tire Repair Brings $22.8 Million Court Award: https://www.shopownermag.com/faulty-tire-repair-brings-22-8-million-court-award/$22.8 Million Faulty Tire Repair Entirely Avoidable: https://www.tirereview.com/22-8-million-faulty-tire-repair-entirely-avoidable/Discussion on Auto Repair Integrity (00:01:06)Personal Tire Repair Experience (00:01:17)Cost Comparison of Tire Repairs (00:02:25)Incompetence vs. Scamming (00:02:33)Lack of Standard Protocols (00:04:07)Importance of Manufacturer Protocols (00:04:41)Tire Repair Limitations (00:08:37)Legal Precedents in Auto Repair (00:09:42)Consumer Awareness and Questions (00:10:55)Disconnect Between Clients and Mechanics (00:12:04)The Aftermarket Radio NetworkRemarkable Results Radio Podcast with Carm Capriotto: Advancing the Aftermarket by Facilitating Wisdom Through Story Telling and Open DiscussionDiagnosing the Aftermarket A to Z with Matt Fanslow: From Diagnostics to Metallica and Mental Health, Matt Fanslow is Lifting the Hood on Life.The Auto Repair Marketing Podcast with Kim and Brian Walker: Marketing Experts Brian & Kim Walker Work with Shop Owners to Take it to the Next Level. The Weekly Blitz with Chris Cotton: Weekly Inspiration with Business Coach Chris Cotton from AutoFix - Auto Shop Coaching.Business by the Numbers with Hunt Demarest: Understand the Numbers of Your Business with CPA Hunt Demarest.Speak Up! Effective Communication with Craig O'Neill: Develop Interpersonal and Professional Communication Skills when Speaking to Audiences of Any Size.
In this episode, Dr. Lawrence Tsen discusses the findings of his paper on Labor Analgesia Initiation with Dural Puncture Epidural (DPE) Versus Conventional Epidural Techniques. The paper presents a randomized biased-coin sequential allocation trial to determine the effective dose for 90% of patients of Bupivacaine. We explore the benefits of using the DPE technique, if … Read More Read More
Vacation's over, turkeys. Back to school again... and the Professor is in the house takin' you on a trans-world field-trip for some savage Freakbeat, 60s Fuzz Garage Rock, and tons o' Punk Rock BOOM! We'll visit the U.K., Sweden, Spain, Austria, Australia, Japan, and more.This episode features: The Primitives, Thee Headcoatees, The Wylde Mammoths, Los Retumbes, Wild Evel & The Trashbones, The Fun Things, Blitzkrieg Bop, Puncture, The Vicious, and Teengenerate. Join me on my Patreon page at patreon.com/radioblivion Blow Yer Radio Up, Baby!! If you cannot see the audio controls, your browser does not support the audio element DOWNLOAD | SUBSCRIBE
What better way to start an episode than to start with homemade ice cream? Mark shares details regarding his recent automobile accident. Jana shares a song you probably know... but do you know the title? The artists? And what the heck are they singing about? And in Paranormal Corner Jana's here to help you figure out what the M on your palm may reveal about you.
In this episode, we review the high-yield topic of Lumbar Puncture from the Neurology section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets --- Send in a voice message: https://podcasters.spotify.com/pod/show/medbulletsstep1/message
Live Nursing Review with Regina MSN, RN! Every Monday & Wednesday we are live. LIKE, FOLLOW, & SUB @ReMarNurse for more. ► Sign-up for ReMar Nurse University - ReMarNurse.com/RNU ► 30% Discount on NCLEX V2 - http://www.ReMarNurse.com ► Get Quick Facts Next Gen - https://bit.ly/QF-NGN ► Subscribe Now - http://bit.ly/ReMar-Subscription ► GET THE PODCAST: https://remarnurse.podbean.com/ ► WATCH LESSONS: http://bit.ly/ReMarNCLEXLectures/ ► FOLLOW ReMar on Instagram: https://www.instagram.com/ReMarNurse/ ► LIKE ReMar on Facebook: https://www.facebook.com/ReMarReview/ Quick Facts for NCLEX Next Gen Study Guide here - https://bit.ly/QF-NGN Study with Professor Regina MSN, RN every Monday as you prepare for NCLEX Next Gen. ReMar Review features weekly NCLEX review questions and lectures from Regina M. Callion MSN, RN. ReMar is the #1 content-based NCLEX review and has helped thousands of repeat testers pass NCLEX with a 99.2% student success rate! ReMar focuses on 100% core nursing content and as a result, has the best review to help nursing students to pass boards - fast!
In today's episode Shannen details her long labour which involved a complicated epidural. Her anaesthetist told her she may experience a headache the day after birth but nothing could have prepared her for the intensity of her post dural puncture headache (often compared to a severe migraine), the helplessness of not being able to look after her newborn and the complex feelings about her birth. Post dural puncture headaches can result in hospital admission and may require strong painkillers or a procedure called an epidural blood patch to reverse the symptoms. Follow us on Instagram at @australianbirthstories for helpful articles, behind the scenes, and future episodes. --------- Today's episode is brought to you by BabyLove nappies. Every parent dreads a leaking nappy and the piles of washing that inevitably follow. That's why BabyLove created Cosifit nappies – they're cosy, they're comfy and they offer superior leak protection. Now with LeakSTOP technology, BabyLove Cosifit nappies feature a flexible contoured shape that moulds to your baby's body for a gap free fit that prevents leaks. Less washing for you, more comfort for your baby. There's so much to love about BabyLove Cosifit nappies. Want to try before you buy? You can get your FREE sample of Cosifit at BabyLove nappies here. See omnystudio.com/listener for privacy information.
In this episode, we review the high-yield topic of Foot Puncture Wounds from the Foot & Ankle section. Follow Orthobullets on Social Media: Facebook: www.facebook.com/orthobullets Instagram: www.instagram.com/orthobulletsofficial Twitter: www.twitter.com/orthobullets LinkedIn: www.linkedin.com/company/27125689 YouTube: www.youtube.com/channel/UCMZSlD9OhkFG2t25oM14FvQ --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthobullets/message
All Home Care Matters was honored to welcome two remarkable guests, Peter Berry & Deb Blunt. They are cyclists, authors, and dementia advocates helping to raise awareness for dementia. Peter was diagnosed with early onset dementia eight years ago, when he was 50. Before his diagnosis, Peter ran a successful timber business. After a period of depression following his diagnosis, Peter made the decision to live well with the condition. He is very keen to help others understand his experience, both of the condition and the diagnosis process. When he's not delivering presentations, Peter spends his days cycling around the Suffolk countryside, being the embodiment of his own doctrine of living well with dementia. Deb is a retired social worker. She took early retirement and moved from London to Suffolk five years ago. The friendship with Peter has helped Deb to fulfil one of her main life ambitions: to be a published author. But this friendship has also taught Deb has to re-evaluate her own life and to try to live in the moment and to appreciate the joys that life has to offer. Peter and Deb have written two books: “Slow Puncture, Living Well with Dementia” and “Walk with Me: Musings Through the Dementia Fog”.