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Today I'm joined by Eric Cohen, CEO at Merchant Advocate. We break down why credit card processing is one of the most overlooked expense lines in dealerships, how 60–70% of stores are overpaying, and which “non-negotiable” fees are actually negotiable. Eric explains where the hidden charges live, how to audit statements properly, and why transparency matters more than ever in a largely unregulated space. The payoff: real strategies dealers can use to reclaim margin without cutting people or growth. This episode is brought to you by: 1. Flai Technologies Inc - Your best people know how to turn an opportunity into an appointment—but they can't be everywhere. Flai is an AI communications platform that handles calls, texts, and emails before your team takes care of customers. Every call gets answered. Every lead gets followed up. Appointments get booked. Flai works with some of the largest dealer groups in the US, and some dealers have seen appointments double. They're offering free pilots to CDG listeners till January 31. Book a meeting @ http://useflai.com 2. Ikon Technologies delivers a connected vehicle program for dealers that maximizes Customer Lifetime Value by driving sales efficiency and securing non-cancellable PVR on your front end while delivering an average of 50 additional customer-pay ROs every single month for your service bays. At NADA 2026 in Las Vegas, visit Stand 1763 West to see the benefits for yourself and take your chance to roll the dice to win a Rolls Royce (terms and conditions apply; no purchase necessary). Plus, as an exclusive offer for listeners, mention “Car Dealership Guy” when you sign up at NADA to have your entire initial installation fee waived—book your demo today @ http://ikontechnologies.com/CDG 3. Merchant Advocate - Merchant Advocate saves businesses money on credit card fees WITHOUT switching processors. Find out how they can help your dealership with a FREE analysis. Click on @ http://merchantadvocate.com/cdg for more. Check out Car Dealership Guy's stuff: For dealers: CDG Circles ➤ https://cdgcircles.com/ Industry job board ➤ http://jobs.dealershipguy.com Dealership recruiting ➤ http://www.cdgrecruiting.com Fix your dealership's social media ➤ http://www.trynomad.co Request to be a podcast guest ➤ http://www.cdgguest.com For industry vendors: Advertise with Car Dealership Guy ➤ http://www.cdgpartner.com Industry job board ➤ http://jobs.dealershipguy.com Request to be a podcast guest ➤ http://www.cdgguest.com Topics: 00:14 What are the top dealer concerns today? 04:43 How do credit card processing fees work? 07:44 What are the best optimization strategies? 14:03 What are the most common hidden fees? 16:56 What is the Merchant Advocate's unique approach? 21:40 What is your most impactful client success story? Car Dealership Guy Socials: X ➤ x.com/GuyDealership Instagram ➤ instagram.com/cardealershipguy/ TikTok ➤ tiktok.com/@guydealership LinkedIn ➤ linkedin.com/company/cardealershipguy Threads ➤ threads.net/@cardealershipguy Facebook ➤ facebook.com/profile.php?id=100077402857683 Everything else ➤ dealershipguy.com
Happy New Year everyone! Today I'm recapping 2025, and giving a sneak preview of what's next for 2026. This episode is brought to you by: 1. Ikon Technologies - Ikon Technologies delivers a connected vehicle program for dealers that maximizes Customer Lifetime Value by driving sales efficiency and securing non-cancellable PVR on your front end while delivering an average of 50 additional customer-pay ROs every single month for your service bays. At NADA 2026 in Las Vegas, visit Stand 1763 West to see the benefits for yourself and take your chance to roll the dice to win a Rolls Royce (terms and conditions apply; no purchase necessary). Plus, as an exclusive offer for listeners, mention “Car Dealership Guy” when you sign up at NADA to have your entire initial installation fee waived—book your demo today @ http://ikontechnologies.com/CDG 2. Merchant Advocate - Merchant Advocate saves businesses money on credit card fees WITHOUT switching processors. Find out how they can help your dealership with a FREE analysis. Click on @ http://merchantadvocate.com/cdg for more. Check out Car Dealership Guy's stuff: For dealers: CDG Circles ➤ https://cdgcircles.com/ Industry job board ➤ http://jobs.dealershipguy.com Dealership recruiting ➤ http://www.cdgrecruiting.com Fix your dealership's social media ➤ http://www.trynomad.co Request to be a podcast guest ➤ http://www.cdgguest.com For industry vendors: Advertise with Car Dealership Guy ➤ http://www.cdgpartner.com Industry job board ➤ http://jobs.dealershipguy.com Request to be a podcast guest ➤ http://www.cdgguest.com Topics: 00:13 Yossi's reflection on the CDG Podcast journey00:31 How did the podcast start?01:42 How going viral changed things02:35 Why did Yossi start inviting guests?03:23 What exciting announcements are coming for CDG?06:39 How does Yossi's personal life influence the podcast?10:21 Closing remarks and wishes Car Dealership Guy Socials: X ➤ x.com/GuyDealership Instagram ➤ instagram.com/cardealershipguy/ TikTok ➤ tiktok.com/@guydealership LinkedIn ➤ linkedin.com/company/cardealershipguy Threads ➤ threads.net/@cardealershipguy Facebook ➤ facebook.com/profile.php?id=100077402857683 Everything else ➤ dealershipguy.com
Today I'm joined by Nathan Shaver, Managing Partner, Shaver Auto Group. We dig into why fixed operations have become the most reliable growth engine for dealerships, what it actually took to triple service gross in 18 months, and where dealers are still leaving money on the table. This episode is brought to you by: 1. Lotlinx - What if ChatGPT actually spoke dealer? Meet LotGPT — the first AI chatbot built just for car dealers. Fluent in your market, your dealership, and your inventory, LotGPT delivers instant insights to help you merchandise smarter, move inventory faster, and maximize profit. It pulls from your live inventory, CRM, and Google Analytics to give VIN-specific recommendations, helping dealers price vehicles accurately, spot wasted spend, and uncover the hottest opportunities — all in seconds. LotGPT is free for dealers, but invite-only. Join the waitlist now @ http://Lotlinx.com/LotGPT 2. Ikon Technologies - Ikon Technologies delivers a connected vehicle program for dealers that maximizes Customer Lifetime Value by driving sales efficiency and securing non-cancellable PVR on your front end while delivering an average of 50 additional customer-pay ROs every single month for your service bays. At NADA 2026 in Las Vegas, visit Stand 1763 West to see the benefits for yourself and take your chance to roll the dice to win a Rolls-Royce (terms and conditions apply; no purchase necessary). Plus, as an exclusive offer for listeners, mention “Car Dealership Guy” when you sign up at NADA to have your entire initial installation fee waived—book your demo today @ http://ikontechnologies.com/CDG 3. Nomad Content Studio - Most dealers still fumble social—posting dry inventory pics or handing it off without a plan. Meanwhile, the store down the street is racking up millions of views and selling / buying cars using video. That's where Nomad Content Studio comes in. We train your own videographer, direct what to shoot, and handle strategy, to posting, to feedback. Want in with the team behind George Saliba, EV Auto, and top auto groups? Book a call @ http://www.trynomad.co Check out Car Dealership Guy's stuff: For dealers: CDG Circles ➤ https://cdgcircles.com/ Industry job board ➤ http://jobs.dealershipguy.com Dealership recruiting ➤ http://www.cdgrecruiting.com Fix your dealership's social media ➤ http://www.trynomad.co Request to be a podcast guest ➤ http://www.cdgguest.com For industry vendors: Advertise with Car Dealership Guy ➤ http://www.cdgpartner.com Industry job board ➤ http://jobs.dealershipguy.com Request to be a podcast guest ➤ http://www.cdgguest.com Topics: 02:39 How did family business shape Nathan? 07:18 Biggest challenge and success in fixed ops? 11:26 Best strategy for customer retention? 25:56 Biggest challenge in used car market? 36:42 Final piece of advice? Car Dealership Guy Socials: X ➤ x.com/GuyDealership Instagram ➤ instagram.com/cardealershipguy/ TikTok ➤ tiktok.com/@guydealership LinkedIn ➤ linkedin.com/company/cardealershipguy Threads ➤ threads.net/@cardealershipguy Facebook ➤ facebook.com/profile.php?id=100077402857683 Everything else ➤ dealershipguy.com
Today I'm joined by Jared Priestner, CEO of Go Auto. Jared breaks down why Go Auto is expanding aggressively into the U.S., how concentration risk in Western Canada shaped that move, and what it takes to scale culture across borders. We talk financial discipline, acquisition integration, and why used cars remain one of the biggest profit unlocks for dealers willing to operate differently. This episode is brought to you by: 1. Ikon Technologies - Ikon Technologies delivers a connected vehicle program for dealers that maximizes Customer Lifetime Value by driving sales efficiency and securing non-cancellable PVR on your front end while delivering an average of 50 additional customer-pay ROs every single month for your service bays. At NADA 2026 in Las Vegas, visit Stand 1763 West to see the benefits for yourself and take your chance to roll the dice to win a Rolls Royce (terms and conditions apply; no purchase necessary). Plus, as an exclusive offer for listeners, mention “Car Dealership Guy” when you sign up at NADA to have your entire initial installation fee waived—book your demo today @ http://www.ikontechnologies.com/CDG 2. PayJunction - For a limited time, PayJunction is giving dealers one free month (with up to $10,000 in non-credit processing fees back) when you activate and use SmartSurcharge. Claim your free month @ https://carguymedia.com/4p2LzcS 3. CDG Recruiting – Hire top dealership talent, fast. From sales managers to GMs and C-suite execs, we've placed over 1,000 roles across auto retail. Ready to scale without the hassle? Visit @ http://www.cdgrecruiting.com to get started. Check out Car Dealership Guy's stuff: For dealers: CDG Circles ➤ https://cdgcircles.com/ Industry job board ➤ http://jobs.dealershipguy.com Dealership recruiting ➤ http://www.cdgrecruiting.com Fix your dealership's social media ➤ http://www.trynomad.co Request to be a podcast guest ➤ http://www.cdgguest.com For industry vendors: Advertise with Car Dealership Guy ➤ http://www.cdgpartner.com Industry job board ➤ http://jobs.dealershipguy.com Request to be a podcast guest ➤ http://www.cdgguest.com Topics: 00:07 Strategy for US market expansion? 01:51 How did Jared's early career shape him? 06:33 Key to strategic evolution and growth? 13:18 What defines the company's culture? 26:51 How do team dynamics impact customers? 27:54 How to balance profit and experience? 29:21 Best integration strategy for new acquisitions? 32:29 Why sell your store to this company? 37:07 Future vision and growth strategy? Car Dealership Guy Socials: X ➤ x.com/GuyDealership Instagram ➤ instagram.com/cardealershipguy/ TikTok ➤ tiktok.com/@guydealership LinkedIn ➤ linkedin.com/company/cardealershipguy Threads ➤ threads.net/@cardealershipguy Facebook ➤ facebook.com/profile.php?id=100077402857683 Everything else ➤ dealershipguy.com
Welcome to Industry Spotlight—a focused series hosted by Sam D'Arc, highlighting standout dealerships and innovative companies, and exploring the trends driving success in today's automotive market. Today, Sam sits down with Dorian Jimenez, Owner-Dealer Operator of Classic Chevrolet OKC, and Chuck Stilwill, EVP of Ikon Technologies. This episode of the Car Dealership Guy Podcast is brought to you by Ikon Technologies: 1. Ikon Technologies - Ikon Technologies delivers a connected vehicle program for dealers that maximizes Customer Lifetime Value by driving sales efficiency and securing non-cancellable PVR on your front end while delivering an average of 50 additional customer-pay ROs every single month for your service bays. At NADA 2026 in Las Vegas, visit Stand 1763 West to see the benefits for yourself and take your chance to roll the dice to win a Rolls-Royce (terms and conditions apply; no purchase necessary). Plus, as an exclusive offer for listeners, mention “Car Dealership Guy” when you sign up at NADA to have your entire initial installation fee waived—book your demo today at http://www.ikontechnologies.com/CDG Check out Car Dealership Guy's stuff: For dealers: CDG Circles ➤ https://cdgcircles.com/ Industry job board ➤ http://jobs.dealershipguy.com Dealership recruiting ➤ http://www.cdgrecruiting.com Fix your dealership's social media ➤ http://www.trynomad.co Request to be a podcast guest ➤ http://www.cdgguest.com For industry vendors: Advertise with Car Dealership Guy ➤ http://www.cdgpartner.com Industry job board ➤ http://jobs.dealershipguy.com Request to be a podcast guest ➤ http://www.cdgguest.com Topics: 00:47 Dorian's journey from GSM to owner? 02:34 Biggest theft challenge at Chevy store? 03:39 Sting operation against drug cartel? 08:57 Best practices for protecting inventory? 19:36 How battery monitoring helps dealers? 20:14 Speed alerts improve customer compliance? 22:01 Insurance benefits of speed policies? 22:57 Using customer data for upsells? 25:21 Key dealer benefit of connected data? Car Dealership Guy Socials: X ➤ x.com/GuyDealership Instagram ➤ instagram.com/cardealershipguy/ TikTok ➤ tiktok.com/@guydealership LinkedIn ➤ linkedin.com/company/cardealershipguy Threads ➤ threads.net/@cardealershipguy Facebook ➤ facebook.com/profile.php?id=100077402857683 Everything else ➤ dealershipguy.com
If you're a man in your 50s, 60s, or 70s waking up at night to pee, planning your day around bathroom access, or quietly worrying about erections and testosterone, this episode is for you. Dr. Geo sits down with Dr. Ravi Munver (Hackensack University Medical Center) to break down what's actually driving urinary symptoms, how to tell “prostate vs bladder,” when waiting too long can permanently weaken your bladder, and how today's BPH procedures compare—especially Aquablation (high-pressure, room-temperature waterjet therapy).What you'll learn in this episode• Why BPH symptoms can start earlier than most men think (and why more men are finally talking about it)• Why prostate size does NOT equal symptom severity (big prostate ≠ big problem… always)• How to distinguish “prostate obstruction” vs overactive bladder—and why you can't reliably do this without proper testing• The “danger zone”: when untreated obstruction can lead to a weakened/crippled bladder• Medication options: what each class does, who it's for, and the most common side effects• The full “toolbox” of procedures—from office-based options to the most durable surgical solutions• Why Aquablation is changing the conversation (symptom relief + low sexual side effects + broad size range)Episode chapters (timestamps)00:00:00 00:02:00 Why younger men are showing up with urinary symptoms Prostate growth patterns (growth early, pause, then growth again in the 40s); increased awareness, openness, and access to information.00:07:00 “Blame the organ you have” — prostate vs overactive bladder Why symptoms overlap; why only a clinician can truly differentiate causes.00:10:00 When should a man see a urologist? When symptoms interfere with life (work, travel, sleep). The real issue is often difficulty returning to sleep.00:13:00 The risk of waiting: bladder decompensation How long-term obstruction can lead to a weakened bladder and urinary retention.00:18:00 The holistic patient scenario + why objective testing matters Why symptoms can “seem better” while retention worsens; importance of measuring PVR and other tests.00:21:00 Medications for BPH—pros/cons• Alpha blockers: tamsulosin (Flomax), alfuzosin, silodosin (Rapaflo)• 5-alpha reductase inhibitors: finasteride, dutasteride• Tadalafil (Cialis) daily 5 mg: dual benefits for BPH + erectile function00:31:00 The modern BPH procedure toolbox TURP as the historical “gold standard,” plus lasers, robotic options, office-based procedures, and newer technologies.00:36:00 What men care about most when choosing a procedure Incontinence risk, erectile dysfunction risk, ejaculatory changes, irritative symptoms, and durability/retreatment rates.00:38:00 Robotic Simple Prostatectomy — what “simple” actually means Removing the obstructing inner tissue while leaving the capsule; major symptom relief for large prostates, with tradeoffs (especially ejaculation).00:43:00Aquablation explained (high-pressure water therapy) Image-guided treatment planning + robotic waterjet tissue removal with minimal thermal damage.00:48:00 Durability and size range Discussion of longer-term data vs TURP and why Aquablation can treat very large prostates.00:51:00 If Aquablation isn't available—what's next best? How options shift based on prostate size and the priority to preserve ejaculation vs maximize durability.00:54:00 Final guidance + where to find Dr. Munver Individualized care; find a urologist who can offer a broad set of options.___________________________________
Whether you are a high school or college athlete, or you are a coach or parent to one, you are not going to want to miss this episode! Jeff Coover, former elite pole vaulter, and longstanding coach at Northern Iowa sat down and shared with us all the details, opinions, and advice he has for young athletes in this college environment. We hope you enjoy this episode of the One More Jump Podcast!Thanks to our sponsors!PVR App - The future of pole rentals: If you are in the business of renting pole vaulting poles, you need to see what PVR can do for you! Check out the links below for more info and to see PVR in action.PVR Website: https://pv-rental.web.app/PVR Instagram: @pvrapp PVR Youtube: @PVRApp Want to help support the One More Jump Podcast? Click the link below to become an episode sponsor!https://www.risepolevault.com/omj-episode-sponsorship/Visit https://www.risepolevault.com/ for all things pole vault!!! Whether you are looking to take a vaulting class or compete in a competition at our the state of the art RISE Pole Vault Training Center located in Joliet, IL, or wanting to use one of our many services ranging from pole vault business consulting to virtual coaching in the vault, risepolevault.com has got your covered!RISE Pole Vault is now selling all three major pole brands including UCS Spirit, Essx, and Pacer. Email in to support@risepolevault.com and let us get you set up with some new poles!
In this episode, the CardioNerds (Dr. Rachel Goodman, Dr. Shazli Khan, and Dr. Jenna Skowronski) discuss a case of AMI-shock with a focus on listing for heart transplant with faculty expert Dr. Kelly Schlendorf. We dive into the world of pre-transplant management, discuss the current allocation system, and additional factors that impact transplant timing, such as sensitization. We conclude by discussing efforts to increase the donor pool. Audio editing for this episode was performed by CardioNerds Intern, Julia Marques Fernandes. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Heart Success Series PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls The current iteration of heart allocation listing is based on priority, with status 1 being the highest priority. The are multiple donor and recipient characteristics to consider when listing a patient for heart transplantation and accepting a heart offer. Desensitization is an option for patients who need heart transplantation but are highly sensitized. Protocols vary by center. Acceptance of DCD hearts is one of many efforts to expand the donor pool Notes Notes: Notes drafted by Dr. Rachel Goodman Once a patient is determined to be a candidate for heart transplantation, how is priority determined? The current iteration of heart listing statuses was implemented in 2018. Priority is determined by acuity, with higher statuses indicating higher acuity and given higher priority. Status 1 is the highest priority status, and Status 7 is inactive patients. (1,2) What criteria should be considered in organ selection when listing a patient for heart transplant? Once it is determined that a patient will be listed for heart transplantation, there are certain criteria that should be assessed. These factors may impact pre-transplant care and/or donor matching (3). (1) PVR (2) Height/weight (3) Milage listing criteria (4) Blood typing/cPRA/HLA typing What is desensitization and why would it be considered? Desensitization is an attempt to reduce or remove anti-HLA antibodies in the recipient. It is done to increase the donor pool. In general, desensitization is reserved for patients who are highly sensitized. Desensitization protocols vary by transplant center, and some may opt against it. When considering desensitization, it is important to note two key things: first, there is no promise that it will work, and second desensitization involves the use of immunosuppressive agents, thereby putting patients at increased risk of infection and cytopenia. (4) Can you explain DCD and DBD transplant? DBD: donor that have met the requirements for legal definition of brain death. DCD: donors that have not met the legal definition of brain death but have been determined to have circulatory death. Because the brain death criteria have not been met, organ recovery can only take place once death is confirmed based on cessation of circulatory and respiratory function. Life support is only withdrawn following declaration of circulatory death—once the heart has stopped beating and spontaneous respirations have stopped. (5,6) References 1: Maitra NS, Dugger SJ, Balachandran IC, Civitello AB, Khazanie P, Rogers JG. Impact of the 2018 UNOS Heart Transplant Policy Changes on Patient Outcomes. JACC Heart Fail. 2023;11(5):491-503. doi:10.1016/j.jchf.2023.01.009 2: Shore S, Golbus JR, Aaronson KD, Nallamothu BK. Changes in the United States Adult Heart Allocation Policy: Challenges and Opportunities. Circ Cardiovasc Qual Outcomes. 2020;13(10):e005795. doi:10.1161/CIRCOUTCOMES.119.005795 3: Copeland H, Knezevic I, Baran DA, et al. Donor heart selection: Evidence-based guidelines for providers. J Heart Lung Transplant. 2023;42(1):7-29. doi:10.1016/j.healun.2022.08.030 4: Kittleson MM. Management of the sensitized heart transplant candidate. Curr Opin Organ Transplant. 2023;28(5):362-369. doi:10.1097/MOT.0000000000001096 5: Kharawala A, Nagraj S, Seo J, et al. Donation After Circulatory Death Heart Transplant: Current State and Future Directions. Circ Heart Fail. 2024;17(7):e011678. doi:10.1161/CIRCHEARTFAILURE.124.011678 6: Siddiqi HK, Trahanas J, Xu M, et al. Outcomes of Heart Transplant Donation After Circulatory Death. J Am Coll Cardiol. 2023;82(15):1512-1520. doi:10.1016/j.jacc.2023.08.006
Welcome back to the tasty morsels of critical care podcast. This is the second of 2 parts on PE in critical care. The first focused on risk stratification and this one will focus on management. There is a link to a transcript of a more comprehensive talk with references on emergencymedicineireland.com for those keen enough to dive a little deeper. As noted in the last podcast this one leans very heavily on “in the my experience” level of the evidence pyramid and should be weighted as such. For this discussion I’m going to assume your patient is in the ESC High risk category, ie hypotensive with a PE on imaging and you’re satisfied that the PE is causing the hypotension. I do believe there is a tiny cohort of the PE population who warrant aggressive reperfusion even with a normal appearing BP but at this stage I cannot say I have any evidence or guidance to really identify who they are and back that up. For the original talk I gave on this to an EM audience, I split the interventions into helpful , distractions, and not helpful. It was probably a little bit of a provocative division if I’m honest. The slide is on the site for reference and viewing it will likely make what follows more edifying. For the resus room patient in the first 30-60 mins I feel comfortable to standby my assertion that a short list of “helpful interventions” should includes lysis, anticoagulation, noradrenaline, oxygen and some CPR. In the ICU however we’re often present both at the first 30-60 mins but over next hours and many of the items on the “distraction” list become a little more relevant with time. Number 1 on my list of helpful interventions is thrombolysis. As mentioned, if you have found PE and you have satisfied yourself that the sickness and hypotension you’re seeing is caused by that PE then you need to have a good reason not give thrombolysis. The evidence base is not high level RCTs but it is a class 1 recommendation on the ESC guidelines and the list of class 1 interventions is really quite short. In the 25 year old in resus with a massive PE day 3 after an arthroscopy the decision here seems pretty straightforward. However in the post trauma patient in the ICU with massive PE with a small traumatic SAH and an improving SDH and a recent laparotomy then the decision is orders of magnitude more complex and you may well find a very good reason why lysis is not an option. There is not a straightforward answer to lysis because it will vary from patient to patient but I would emphasis that it is a question worth dedicating a decent chunk of your cognitive bandwidth to. Dosing in an unstable patient is often 10mg of alteplase followed by 90mg over 2 hrs. Dosing in a cardiac arrest situation is typically a 50mg bolus. Anticoagulation is one of the other class 1 recommendations on the ESC list. Opinions vary on agent of choice. With my ICU hat on I will almost always advocate for UFH as I feel confident that if i stop it, the heparin effect will be gone in a couple of hours when the inevitable bleeding starts. Opinions vary and I know smart people who advocate for LMWH in this scenario with one of the arguments being you probably get more reliable and quicker anti Xa effect. Both the guidelines and your esteemed narrator recommend against volume resuscitation. Dumping a litre of crystalloid into the venous circulation will shift the IVS further towards the left impairing cardiac filling and doing the opposite of what you intended. A much better resuscitation fluid would be noradrenaline. This is remarkably effective in improving BP and perfusion and I have often used it when I am 90% sure the patient has a PE but haven’t quite got the CT scan to prove it. The noradrenaline can also buy you a little time to make a better decision about the lysis and reperfusion, converting what would have been an immediate decision into something that you maybe have more like 30 mins to make. Certainly if the noradrenaline dosage is rising and the right heart is struggling then adrenaline would be my add on inotrope of choice. Of course we know in the ICU we have a plethora of other agents available to us with lots of theoretical advantage on pulmonary vascular resistance etc. They would rarely be my first line, certainly not in the ED population but I would often reach for them a little further down the line once i have a better handle on the physiology and what they might tolerate. Enough to say that staring someone on 0.5mcg/kg/min milrinone as a single agent with a starting BP of 60/40 is not likely to end well in this context Oxygenation is strongly endorsed given its proclivity for reduction in PVR, however intubating someone in this context to facilitate oxygenation is likely to result in a catastrophic haemodynamic collapse. The adage “resuscitate before you intubate” or even “reperfuse before you intubate” has some relevance here. I find CPR to be helpful in the context of massive PE, not simply for the usual reasons of preserving some degree of forward flow but I suspect there is a mechanical effect of breaking up or moving clot more distally. I have frequently seen stuttering intermittent ROSC in this context. I would suggest caution with the mechanical CPR devices as the presence of a liver lac in the context of tPA is unlikely to be well tolerated. While not available or that relevant to the emergency medicine population I do think the addition of nitric in the ventilated ICU patient who develops nasty PE seems like a low risk intervention with potentially massive gains. There is a small RCT of nitric in the spontaneous breathing PE population that did not however show benefit. I put mechanical devices in the “distraction” category in my original talk as I don’t think they have much relevance in the early stage of resuscitation. However if you have kept them alive long enough or if you have a true contraindication to lysis or a failed lysis then they may well have a role. I have found the evidence base so far here decidedly underwhelming and for catheter directed lysis in particular i struggle to see how a mg/hr tpa via a pulmonary catheter is any different than a mg/hr of tpa via a peripheral IV line given that the entire venous return ends up in the pulmonary circulation either way. The thrombectomy devices are certainly more compelling from a physiological perspective and the obvious and dramatic changes in physiology on removal of clot are quite compelling. But they are a tremendous faff requiring a catheter akin to an ECMO catheter to be threaded into the pulmonary circulation. The recent PEERLESS trial gave an average 90 min procedure time emphasizing the need to keep the patient alive long enough to receive the intervention. I do feel this has a role in our management quiver I am just unsure what that role is, but more evidence in the coming years will likely clarify VA ECMO is undoubtedly a fantastic physiological support for a dying PE patient but bear in mind it is almost definitely not available to you in the vast majority of hospitals in the Ireland and the UK. PERT teams are groups of relevant physicians willing to weigh in on difficult PE cases to advise on management. I put PERT teams in the distraction category. And I feel bad about that because they're usually filled with knowledgeable and enthusiastic people . But there are 2 errors I've seen on this that we should be aware of. One is on us as primary clinicians where we outsource the decision to lyse in someone who has a clear indication. This is not necessarily the fault of the PERT team but there is risk to the patient in delaying as it is a tremendous faff trying to get hold of the relevant people and then get them to agree. The second distraction that can happen is the recommendation for interventions in a patient that they have not seen and are not present to. A couple of times I have had to talk people out of IR interventions that frankly were not needed because the patient was getting better with conventional treatment. Do not underestimate the importance of being at the bedside and seeing the patient and evaluating response to treatment. Surgery, in terms of pulmonary embolectomy is the third and final class 1 recommendation in the ESC guidelines for high risk PE. All be it with a very low evidence rating. It gets talked about in papers and guidelines but you're talking about taking someone who is already mostly dead into theatre, lined, anaesthetised, chest opened and onto bypass. There probably is a role for it somewhere and in certain institutions and it's often raised in the context of contraindications to lysis but those same contraindications to lysis usually apply to the 30000 units of heparin you need to get them on bypass. It seems to suffer from the old goldilocks flaw of “not sick enough” for theatre or “too sick” for theatre I have clearly done way beyond my usual brevity in this scenario but honestly didn’t think anyone could tolerate a 3rd part on PE. Full refunds are available on request For further reading it is probably best to visit the original lecture post where the relevant papers are all listed with a little smattering of critical appraisal thrown in for good measure.
I talk about this Sundance award-winning documentary a few episodes ago and it is now on CBC's Independent lens this coming Monday at 9:59 Pacific standard Time So check your listings and time zones so you can PVR it. I don't know if it'll be on CBC gym but you might want to check
On this week's all-new episode of the Digging Deep ATVMX Podcast, we're breaking down all the action from an unforgettable weekend at Pleasure Valley Raceway.The penultimate round of the 2025 ATV Motocross National Championship did not disappoint! With rivalries reaching their boiling point, storylines racing toward their conclusion, and the curtain preparing to fall on multiple notable careers, PVR may have delivered the race of the year.In this episode, we dive into every twist and turn from a wild weekend in Pennsylvania — joined once again by returning guests Billy Cottage and Brian Jenkins to help us unpack it all. You won't want to miss this one!Tune in now — and as always, thank you for DIGGING DEEP with us!Send us a textSupport the show
Two Aussie legends joined us for the podcast today! You guys are gonna love it. It's always special when we get to sit down with athletes from around the world - hearing their unique perspective not only opens your eyes to different training styles and cultures, but it reminds us how connected the pole vault community really is. Kurtis Marschall and Paul Burgess brought the energy, the laughs, and some incredible stories. These two are absolutely hilarious, cracking jokes the entire time while still dropping elite insight into the sport. From behind-the-scenes moments to career defining experiences, this episode is packed with content you won't want to miss.Thank you so much to our sponsors!!!PVR App - The future of pole rentals: If you are in the business of renting pole vaulting poles, you need to see what PVR can do for you! Check out the links below for more info and to see PVR in action.PVR Website: https://pv-rental.web.app/PVR Instagram: / pvrapp PVR Youtube: @PVRApp Want to help support the One More Jump Podcast? Click the link below to become an episode sponsor!https://www.risepolevault.com/omj-epi...Visit https://www.risepolevault.com/ for all things pole vault!!! Whether you are looking to take a vaulting class or compete in a competition at our the state of the art RISE Pole Vault Training Center located in Joliet, IL, or wanting to use one of our many services ranging from pole vault business consulting to virtual coaching in the vault, risepolevault.com has got your covered!RISE Pole Vault is now selling all three major pole brands including UCS Spirit, Essx, and Pacer. Email in to support@risepolevault.com and let us get you set up with some new poles!
On May 10th, Anuvab and Kunal stepped out from behind the mics and onto the stage at PVR for a hilarious live show in front of a real audience. No editing, no retakes - just pure, unfiltered chaos!It's interactive, it's unpredictable, and some of the audience stories had us wondering if we're all just collectively trauma-bonded by the same conundrums
Estimates of Postpartum Urinary Retention (PUR) incidence vary widely from 1.5% to 17.9%, with undiagnosed cases making the true incidence difficult to determine. A postvoid residual (PVR) volume of
Our very own Luke Winder, Coach and General Manager at Rise Pole Vault and recently retired elite pole vaulter, joins us on this episode of the One More Jump Podcast to share his incredible journey. From competing on the world stage at the 2022 World Championships to placing 6th at the 2024 Olympic Trials, Luke has seen it all. But his story is about more than just high heights—it's about perseverance, the mentality needed to succeed, and embracing the highs and lows of the sport. He also gives us a behind-the-scenes look at the Rise Pole Vault process and how it shaped his approach to success. This is one you don't want to miss! Thank you so much to our sponsors!!! PVR App - The future of pole rentals: If you are in the business of renting pole vaulting poles, you need to see what PVR can do for you! Check out the links below for more info and to see PVR in action. PVR Website: https://pv-rental.web.app/ PVR Instagram: https://www.instagram.com/pvrapp/ PVR Youtube: @PVRApp Want to help support the One More Jump Podcast? Click the link below to become an episode sponsor! https://www.risepolevault.com/omj-episode-sponsorship/ Visit https://www.risepolevault.com/ for all things pole vault!!! Whether you are looking to take a vaulting class or compete in a competition at our the state of the art RISE Pole Vault Training Center located in Joliet, IL, or wanting to use one of our many services ranging from pole vault business consulting to virtual coaching in the vault, risepolevault.com has got your covered! RISE Pole Vault is now selling all three major pole brands including UCS Spirit, Essx, and Pacer. Email in to support@risepolevault.com and let us get you set up with some new poles!
Dr. Cindy Chen describes her group's work on a retrospective review of association of systemic methotrexate therapy and a lower rate of proliferative vitreoretinopathy (PVR) after retinal detachment repair in large cohort of 2674 eligible patients.
In hour two, Mike & Jason talk Week 13 NFL highlights, including a big come-from-behind Seahawks win on Sunday over Aaron Rodgers' Jets, as Too Deep Zone's Mike Tanier (2:22) joins the show, plus the boys debate if it's OK to PVR sports (27:00). This podcast is produced by Andy Cole and Greg Balloch. The views and opinions expressed in this podcast are those of the hosts and guests and do not necessarily reflect the position of Rogers Media Inc. or any affiliate.
Pulmonary valve replacement following the arterial switch operation is rare. However, when necessary, how do techniques of transcatheter valve replacement fare for this indication? Why would average outcomes in this setting be less good than in the typical TPVR tetralogy of Fallot patient? How does the presence of stents in the pulmonary arteries in this patient group affect candidacy for TPVR? Are there ways to predict who might be a candidate for a TPVR vs. surgical PVR before coming to the catheterization lab? These are amongst the questions reviewed and posed to Dr. Stephen Nageotte who is the director of the cardiac catheterization laboratory at Loma Linda Children's Hospital in Loma Linda, California. DOI: 10.1002/ccd.31152
This podcast is a LONG time in the making! Chris Chappell, the Assistant General Manager of UCS Spirit, has had countless talks with Jake over the years about every aspect of pole vaulting, and we finally were able to record one! If you've ever wondered what it was about Spirit poles that was so special, then buckle up because we are getting into it on this one. Thank you so much to our sponsors!!! PVR App - The future of pole rentals: If you are in the business of renting pole vaulting poles, you need to see what PVR can do for you! Check out the links below for more info and to see PVR in action. PVR Website: https://pv-rental.web.app/ PVR Instagram: https://www.instagram.com/pvrapp/ PVR Youtube: @PVRApp Want to help support the One More Jump Podcast? Click the link below to become an episode sponsor! https://www.risepolevault.com/omj-episode-sponsorship/ Visit https://www.risepolevault.com/ for all things pole vault!!! Whether you are looking to take a vaulting class or compete in a competition at our the state of the art RISE Pole Vault Training Center located in Joliet, IL, or wanting to use one of our many services ranging from pole vault business consulting to virtual coaching in the vault, risepolevault.com has got your covered! RISE Pole Vault is now selling all three major pole brands including UCS Spirit, Essx, and Pacer. Email in to support@risepolevault.com and let us get you set up with some new poles!
Join me and Kerri as we discuss the breakthrough results dealers are experiencing with AutoFi Showroom and how dealers implementing a connected retailing sterategy are seeing higher PVR and lower staff turnover rates
Wow! Is this an episode! Scott Kendricks has one of the most unique stories as a pole vault coach that we have EVER heard. In this episode, Scott talks about his unique strategies, Sam Kendricks' legendary season, and much more! Thank you so much to our sponsors!!! PVR App - The future of pole rentals: If you are in the business of renting pole vaulting poles, you need to see what PVR can do for you! Check out the links below for more info and to see PVR in action.PVR Website Want to help support the One More Jump Podcast? Click the link below to become an episode sponsor!https://www.risepolevault.com/omj-episode-sponsorship/ Visit RISEPolevault.com for all things pole vault!!! Whether you are looking to take a vaulting class or compete in a competition at our the state of the art RISE Pole Vault Training Center located in Joliet, IL, or wanting to get some remote instruction and guidance, risepolevault.com has got your covered! Need to buy poles? RISE Pole Vault sells all three major pole brands including UCS Spirit, Essx, and Pacer. Email in to support@risepolevault.com and let us get you set up with some new poles!
The 50th episode! We're celebrating this moment by answering questions that we received from our Instagram followers. Jake goes in depth on several topics including pole vault training methods, plans for RISE, the new NCAA Scholarship rules, and much more together with John Wood. Thank you so much to our sponsors!!!PVR App - The future of pole rentals: If you are in the business of renting pole vaulting poles, you need to see what PVR can do for you! Check out the links below for more info and to see PVR in action.PVR Website Want to help support the One More Jump Podcast? Click the link below to become an episode sponsor!https://www.risepolevault.com/omj-episode-sponsorship/ Visit RISEPolevault.com for all things pole vault!!! Whether you are looking to take a vaulting class or compete in a competition at our the state of the art RISE Pole Vault Training Center located in Joliet, IL, or wanting to get some remote instruction and guidance, risepolevault.com has got your covered! Need to buy poles? RISE Pole Vault sells all three major pole brands including UCS Spirit, Essx, and Pacer. Email in to support@risepolevault.com and let us get you set up with some new poles!
From 'Jaane Bhi Do Yaaro', to 'Lagaan', these Hindi films should make a comeback in theatres. In this episode of 'Do I Like It', Prateek Lidhoo talks about a full proof way to get people in theatres. For some time, multiplex chain PVR has been re-releasing director retrospectives and older hit films, which is a great thing for film buffs. And it makes financial sense too. Let us know in the comment what films you want to see re-released. Learn more about your ad choices. Visit megaphone.fm/adchoices
Vincent travels to Europic 2024 in Jyväskylä, Finland to speak with Tapani Hovi and Caroline Tapparel about their careers and their research on enteroviruses and elimination of poliomyelitis. Host: Vincent Racaniello Guests: Tapani Hovi and Caroline Tapparel Subscribe (free): Apple Podcasts, Google Podcasts, RSS, email Become a patron of TWiV! Links for this episode Survival of influenza virus on banknotes (Appl Environ Micro) Variant EV-A71 in immunosuppressed patient (Cell Rep) Rhinoviruses and respiratory enteroviruses (Viruses) Isolation of poliovirus in mouse cells producing Pvr (J Clin Micro) Outbreak of paralytic poliomyelitis in Finland (Lancet) Role of environmental poliovirus surveillance in global polio eradication (Epi Infect) Timestamps by Jolene. Thanks! Intro music is by Ronald Jenkees Send your virology questions and comments to twiv@microbe.tv Content in this podcast should not be construed as medical advice.
How do outcomes differ for RRD patients at risk of PVR following PPV alone or combined PPV/scleral buckling? Moderator David Xu, MD, hears from panelists Barton Blackorby, MD, and Prethy Rao, MD, MPH, about a recent peer-reviewed paper published in Ophthalmology Retina covering surgical outcomes of patients with RRD who were considered high risk for PVR and underwent either PPV alone or PPV/scleral buckling. After the break, the doctors discuss the specific mechanics of a PPV/scleral buckle that may lead to successful surgery and ask whether this paper helps us better understand risk factors for PVR.
Slåsskamp med busser, Carina Dahl, ønske om mer kø, sjokoladeabstinenser, forsinkelser, PVR, Logan Roy - dette stinker SnikkSnakk!Produsert av Martin Oftedal, PLAN-B Hosted on Acast. See acast.com/privacy for more information.
It has been a long time coming for this pod!!! I have wanted to sit down with Austin for a long time, because I really admire his grind and he is also a deep thinker, and I like deep thinkers. Austin has really busted through to a new level these last two years and we got to discuss what he has been doing different along with the consistent threads from the beginning that have held his vaulting together. This podcast was a great blend of technical talk and relaxed conversation about what the life of an elite pole vaulter entails. Thanks for a great chat Austin!Thank you so much to our sponsors!!!PVR App - The future of pole rentals: If you are in the business of renting pole vaulting poles, you need to see what PVR can do for you! Check out the links below for more info and to see PVR in action.PVR WebsitePVR InstagramPVR YoutubeWant to help support the One More Jump Podcast? Click the link below to become an episode sponsor!https://www.risepolevault.com/omj-episode-sponsorship/Visit RISEPolevault.com for all things pole vault!!! Whether you are looking to take a vaulting class or compete in a competition at our the state of the art RISE Pole Vault Training Center located in Joliet, IL, or wanting to use one of our many services ranging from pole vault business consulting to virtual coaching in the vault, risepolevault.com has got your covered!RISE Pole Vault is now selling all three major pole brands including UCS Spirit, Essx, and Pacer. Email in to support@risepolevault.com and let us get you set up with some new poles!
This week we go back in time to 2019 to re-review an important episode in the world of ACHD and review a registry study assessing outcomes in adults with ASD and elevated PVR who underwent ASD closure. Who was a good candidate for this approach? What were the long term outcomes of this form of therapy? Did ASD closure in this setting confer a survival benefit? We review these and many other questions in a 'virtual roundtable' discussion with Drs. Elisa Bradley, presently of Penn State and Ali Zaidi of Mount Sinai - NYC. Both are world authorities on ACHD and it is a great treat to have such 2 experts both on the show to discuss the subtleties of this complex topic.doi: 10.1016/j.ijcard.2019.03.056
In the latest Millionaire Car Salesman Podcast, Sean V. Bradley engages in a dynamic conversation with Dennis Gingrich, Sales and Finance Director at The Niello Auto Group! This high-energy episode offers a deep dive into the highline automotive market, exploring Dennis's journey from early car sales to his current leadership role. The duo discusses the challenges of the industry, emphasizing the crucial shift from transactional to relationship-based sales, especially in the evolving landscape post-pandemic! Dennis shares insights into the luxury brands represented by The Niello Auto Group, such as Porsche, Jaguar, and BMW, underscoring the significance of exceptional customer service in catering to high-end clientele. The conversation seamlessly transitions to the central theme of Customer Relationship Management (CRM), where Dennis advocates for harnessing CRM tools to their fullest potential. He stresses the pivotal role of CRM in managing relationships, tracking communication, and delivering top-tier customer service! The dialogue expands to the integration of Artificial Intelligence (AI) into CRM, shedding light on the transformative impact of AI tools in automating tasks and enhancing customer interactions! Dennis encourages sales professionals to embrace AI, recognizing its potential to elevate efficiency and effectiveness in their roles! The episode concludes with a forward-looking perspective on the impending changes in the industry, particularly the introduction of the CARS rule by the Federal Trade Commission. Dennis emphasizes the proactive use of CRM in navigating these changes and ensuring compliance. Overall, this podcast episode is a goldmine of insights for automotive professionals, offering practical tips on CRM optimization, embracing AI, and navigating the complexities of the luxury automotive market. With Dennis Gingrich's wealth of experience, listeners gain actionable strategies to thrive in the ever-evolving automotive landscape!
Two of the brightest, and most promising stars in elite pole vaulting, Bridget Williams and Julia Fixsen, offer the OMJ listeners an interview jam packed with tips, tricks, and incredible stories of their path to a NCAA National Championship and Pan American Gold, respectively. These ladies are so well spoken and an absolute blast to talk with. We could have continued talking all day about the trials and triumphs of their pole vaulting careers thus far! Thank you Julia and Bridget for such an amazing conversation!Thank you so much to our sponsors!!!PVR App - The future of pole rentals: If you are in the business of renting pole vaulting poles, you need to see what PVR can do for you! Check out the links below for more info and to see PVR in action.PVR WebsitePVR InstagramPVR YoutubeWant to help support the One More Jump Podcast? Click the link below to become an episode sponsor!https://www.risepolevault.com/omj-episode-sponsorship/Visit RISEPolevault.com for all things pole vault!!! Whether you are looking to take a vaulting class or compete in a competition at our the state of the art RISE Pole Vault Training Center located in Joliet, IL, or wanting to use one of our many services ranging from pole vault business consulting to virtual coaching in the vault, risepolevault.com has got your covered!RISE Pole Vault is now selling all three major pole brands including UCS Spirit, Essx, and Pacer. Email in to support@risepolevault.com and let us get you set up with some new poles!
The boys all sat down and discussed what a great year 2023 was at RISE Pole Vault, did a bunch of goofing around, and thought about what things 2024 may bring.Thank you so much to our sponsors!!!PVR App - The future of pole rentals: If you are in the business of renting pole vaulting poles, you need to see what PVR can do for you! Check out the links below for more info and to see PVR in action.PVR WebsitePVR InstagramPVR YoutubeWant to help support the One More Jump Podcast? Click the link below to become an episode sponsor!https://www.risepolevault.com/omj-episode-sponsorship/Visit RISEPolevault.com for all things pole vault!!! Whether you are looking to take a vaulting class or compete in a competition at our the state of the art RISE Pole Vault Training Center located in Joliet, IL, or wanting to use one of our many services ranging from pole vault business consulting to virtual coaching in the vault, risepolevault.com has got your covered!RISE Pole Vault is now selling all three major pole brands including UCS Spirit, Essx, and Pacer. Email in to support@risepolevault.com and let us get you set up with some new poles!
The Medical Research Council (MRC) Development Pathway Funding Scheme (DPFS) has announced an award of £1.2 million funding for clinical research by Moorfields Eye Hospital and the Comprehensive Clinical Trials Unit (CCTU) at UCL. The study is being led by Mahi Muqit, consultant vitreoretinal surgeon at Moorfields Eye Hospital and honorary clinical lecturer at UCL. The study is an early phase drug discovery that will explore a novel treatment for retinal detachment surgery complicated by scar tissue known as Proliferative Vitreoretinopathy (PVR). This novel use of a well-established drug has the potential to reduce or eliminate the retinal scarring from PVR and reduce sight loss. RNIB Connect Radio's Toby Davey caught up with Mahi Muqit to find out more about this new retinal detachment clinical trial and began by asking Mahi to explain what actually is a detached retina and how the detachment affects people's vision. Mahi went on to outline how the drug used in the new trial will help to reduce retina scarring which will in tern help to reduce some patients vision loss. The retinal detachment clinical trial is due to be set up late 2024 with details being signed posted on the Biomedical Research Centre pages of the Moorfields website with the hope of the study starting in January 2025. More details about Moorfields Eye Hospital can be found on their website - https://www.moorfields.nhs.uk Image: RNIB Connect Radio Bright Green 20th Anniversary Logo
How cool is it that we had 2016 Gold Medalist Katarina Stefanidi and her husband/coach Mitch Kreir for an IN PERSON podcast?!?! What an honor. This episode is packed full of amazing stories and tips from Katarina's fascinating career. If you think that she waltzed her way to that Olympic Gold Medal, you are mistaken! She has maneuvered so many obstacles and grinded for every bit of her success, and you get to hear all about it in the episode of the One More Jump Podcast.MAGIC MIND: Today's episode is brought to you by Magic Mind! Click the link below for a discount on the game changing productivity supplement I use everyday
IoT is hardware plus software, but many people still develop it as if it was hardware. Semir Haddad from MicroEJ joins Ryan Chacon on the IoT For All Podcast to discuss software-defined IoT. They talk about the benefits of a software-defined approach, green software, performance trade-offs, and sustainable design principles. Semir Haddad is the Chief Product and Strategy Officer at MicroEJ. Semir has over 20 years of experience working with industry leaders and startups, bringing innovative technologies to industrial and consumer markets. Early in his career, he worked on digital video and audio, creating the first DVD player, and developing one of the earliest PVR software solutions for which he received four patents. At STMicro and Renesas, he drove the creation of award winning lines of microcontrollers and microprocessors, including the STM32, RX, and RZ. Recently, Semir was part of the innovators at Eta Compute that created one of the first TinyML implementations. MicroEJ is a software vendor of cost-driven solutions for embedded and IoT devices. With MicroEJ solutions, smart device manufacturers transform electronic products from single-purpose to software-defined, increasing scalability, flexibility, and extensibility. Their flagship product, MICROEJ VEE, is an optimized standard software container used in millions of consumer and IoT products, such as smart home devices, home appliances, wearables, medical devices, smart meters, and industrial devices. Discover more about IoT at https://www.iotforall.com More about MicroEJ: https://www.microej.com (00:00) Intro (00:12) Semir Haddad and MicroEJ (02:13) What is software-defined IoT? (04:55) How do other IoT components fit in? (06:37) Benefits of a software-defined approach (09:05) What is green software? (13:46) Sustainable design performance trade-offs (14:55) What are sustainable design principles? (17:08) Learn more and follow up SUBSCRIBE TO THE CHANNEL: https://bit.ly/2NlcEwm Join Our Newsletter: https://www.iotforall.com/iot-newsletter Follow Us on Social: https://linktr.ee/iot4all Check out the IoT For All Media Network: https://www.iotforall.com/podcast-overview
Recent Michigan State grad and 2023 Big Ten Champion, Trevor Stephenson joins the podcast at his new place of employment, RISE Pole Vault. This was a great conversation for both Trevor and I because we have really just met, and I was able to learn so much about his story, and what makes him tick. He is very insightful and just an all around good dude. I am so grateful to coach him as a RISE Elite Vaulter and we love having him as a member of the RISE Fam. Thanks T-Bird!!!PVR App - The future of pole rentals: If you are in the business of renting pole vaulting poles, you need to see what PVR can do for you! Check out the links below for more info and to see PVR in action.PVR WebsitePVR InstagramPVR YoutubeWant to help support the One More Jump Podcast? Click the link below to become an episode sponsor!https://www.risepolevault.com/omj-episode-sponsorship/Visit RISEPolevault.com for all things pole vault!!! Whether you are looking to take a vaulting class or compete in a competition at our the state of the art RISE Pole Vault Training Center located in Joliet, IL, or wanting to use one of our many services ranging from pole vault business consulting to virtual coaching in the vault, risepolevault.com has got your covered!RISE Pole Vault is now selling all three major pole brands including UCS Spirit, Essx, and Pacer. Email in to support@risepolevault.com and let us get you set up with some new poles!
This week we delve into the world of ACHD when we review a recent important work from the multicenter INDICATOR study group assessing the impact on overall outcomes in TOF patients who have their pulmonary valve replaced. Are survival rates improved by replacement of the pulmonary valve in the TOF patient? What about the effect on ventricular tachycardia? What are the proposed mechanisms by which PVR can positively affect this critical outcomes? Are there differences between transcatheter PVR and surgical in this regard? Is there an RV volume that is the 'sweet spot' for PVR? These are amongst the many questions posed to Professor of Pediatrics and Medicine at Harvard University, Dr. Anne Marie Valente. https://doi.org/10.1016/j.jacc.2023.02.052
Welcome to "PICU Doc On Call," a podcast dedicated to current and aspiring intensivists. In this episode, Dr. Pradip Kamat and Dr. Rahul Damania discuss an interesting case of a 16-year-old male with high-grade fever and abdominal pain. The patient also presents with a rash and other concerning symptoms, leading to urgent medical attention. They provide a summary of the key elements from the case, including vital signs, physical examination findings, and laboratory and imaging results.Dr. Kamat then shares his thought process regarding the working diagnosis for this patient, considering several possibilities such as severe bacterial infection, atypical appendicitis or cholecystitis, toxic shock syndrome, and systemic inflammatory processes like Multisystem Inflammatory Syndrome in Children (MIS-C) and atypical Kawasaki disease.Moving on to the topic of vasopressors, Dr. Damania explains the importance of understanding how these medications work and their specific pharmacological properties. They discuss the classification of shock as cold or warm and the limitations of relying solely on clinical signs to categorize septic shock in children.They highlight the challenges in selecting the appropriate vasopressor, such as a lack of standardization in clinical examination and individual variability in response to medications. They emphasize the need for a comprehensive approach when evaluating and managing pediatric shock patients, considering multiple factors beyond traditional bedside signs.The hosts then engage in a rapid review of pressors, starting with a multiple-choice question regarding the choice of vasoactive infusion for a patient with toxic shock syndrome. They discuss the pros and cons of using norepinephrine (NE) in distributive shock and highlight its vasoconstrictive effects, inotropic activity, and potential side effects.They proceed to compare NE with epinephrine, explaining the differences in their actions on adrenergic receptors and their effects on various circulations. They mention that epinephrine acts on all adrenergic receptors and has hemodynamic and metabolic effects, redirecting cardiac output and increasing myocardial oxygen demand.Lastly, the hosts touch on phenylephrine, a vasopressor that acts on the alpha-1 receptor and elevates systemic vascular resistance (SVR) and pulmonary vascular resistance (PVR). They stress the importance of securing central line access when administering vasopressors to avoid harm to peripheral and systemic tissues.In conclusion, this episode provides valuable insights into the diagnosis and management of a complex pediatric case involving high-grade fever, abdominal pain, and shock. The hosts also offer a rapid review of common vasopressors, highlighting their mechanisms of action, pros, and cons.
In this week's episode from SCAI 2023, we speak with Professor Kritvikrom Durongpisitikul of Mahidol University, Siriraj Hospital in Bangkok, Thailand about their experience in transcatheter and surgical pulmonary valve replacement (PVR). Who is a candidate for each in the present era? Why was surgery associated with higher mortality rates in this work? Should the criteria for transcatheter PVR differ in comparison with surgery? Dr. Durongpisitikul shares his insights in this live session from SCAI which is co-moderated by Dr. Aimee Armstrong of Children's Nationwide Hospital. https://doi.org/10.1016/j.jscai.2022.100408
Dr. Jason Hsu from Wills Eye Hospital returns to The Retina Channel to discuss his groups' retrospective study of eyes with advanced retinal detachement (PVR grade C or worse) that underwent retinectomy without lensectomy. Their study showed that 75% of these eyes at 3 months (and 68% at 6 months) had single surgery anatomic success. The study is suggestive that lensectomy and even peripheral vitreous base sheving may not be necessary when doing retinectomy for advanced RD cases. Full reference to the article: Mahmoudzadeh R, Mokhashi N, Anderson H, Patel S, Salabati M, Chiang A, Kuriyan AE, Gupta OP, Mehta S, Garg SJ, Hsu J. Outcomes of Retinectomy without Lensectomy in Rhegmatogenous Retinal Detachments with Proliferative Vitreoretinopathy. Ophthalmol Retina. 2023 Jan;7(1):52-58. doi: 10.1016/j.oret.2022.07.008. Epub 2022 Aug 5. PMID: 35940476.
Happy three year anniversary!!! Thank you so much to everyone who has supported us over the last three years. It is truly humbling to see how far this has come, and we are so incredibly grateful. To celebrate, we gathered some questions from fans and did a little Q and A. This was our first time doing an internal podcast and we hope you enjoy it. One more time....THANK YOU FOR LISTENING TO OMJ!!!Today's Episode is brought to you by PVR. Discover how the PVR app is revolutionizing the pole vault rental experience today. Want more info? Click this LINK, fill out the form, and we will send you a features guide! Visit RISEPolevault.com for all things pole vault!!! Whether you are looking to take a vaulting class or compete in a competition at our the state of the art RISE Pole Vault Training Center located in Joliet, IL, or wanting to use one of our many services ranging from pole vault business consulting to virtual coaching in the vault, risepolevault.com has got your covered!RISE Pole Vault is now selling all three major pole brands including UCS Spirit, Essx, and Pacer. Email in to support@risepolevault.com and let us get you set up with some new poles!
Fresh off their gold medal performance at the World Mixed Doubles Championships in Korea, Korey Dropkin and Cory Thiesse join the guys (4:30) to talk about how they were able to pull off such a great performance (8:10), their philosophy behind the game, how they became a team and how their careers have always paralleled each other, the use of the power play in mixed doubles, how they intend to balance four-person curling with mixed doubles, and they give their thoughts on the mixed doubles schedule.The guys answer a question about how PVR affects the way people watch games and also offer a couple of ideas on shortening broadcasts (24:30). We get an update on the Mixed Doubles and the Sr's World Championships on What's Happening Around the Curling World (31:30), Kevin gives a preview of the Champions Cup (39:00) and the guys give their predictions for the tournament (42:00).In Hot Rock Topics, Kevin and Warren bring up some ideas on how they can speed up the game in the future (45:00).This podcast is produced by Warren Hansen & Kevin Martin, recorded and mixed by Mike Rogerson, and hosted by Kevin Martin, Warren Hansen and Jim Jerome.Contact the podcast -- insidecurling@gmail.comThe views and opinions expressed in this podcast are those of the hosts and guests and do not necessarily reflect the position of Rogers Sports & Media or any affiliates.
CardioNerds join Dr. Samid Muhammad Farooqui, Dr. Hiba Hammad, and Dr. Syed Talal Hussain, from the University of Oklahoma Pulmonary and Critical Care Medicine Fellowship Program, in Oklahoma City. The fellows will take us in a fascinating discussion of a case of rapidly progressing dyspnea and pulmonary hypertension in a patient with metastatic breast cancer. They will then reveal an interesting etiology of pulmonary hypertension, where the secret was on the wedge! University of Oklahoma faculty and expert in pulmonary hypertension and right ventricular physiology, Dr. Roberto J. Bernardo provides the E-CPR for this episode. Audio editing by CardioNerds Academy Intern, Dr. Christian Faaborg-Andersen. A septuagenarian female, with a past medical history of metastatic breast adenocarcinoma, presented to the hospital with worsening dyspnea over a period of 3 weeks. She was found to be in rapidly progressive hypoxic respiratory failure with unremarkable chest x-ray, CTA chest, and V/Q scan. Transthoracic echocardiogram revealed elevated RVSP and a subsequent right heart catheterization showed pre-capillary pulmonary hypertension with a low cardiac index. She was treated for rapidly progressive RV dysfunction with inotropic support and inhaled pulmonary vasodilators until she decided to pursue comfort measures. Wedge cytology came back positive for malignant cells, confirming a diagnosis of Pulmonary Tumoral Thrombotic Microangiopathy (PTTM). CardioNerds is collaborating with Radcliffe Cardiology and US Cardiology Review journal (USC) for a ‘call for cases', with the intention to co-publish high impact cardiovascular case reports, subject to double-blind peer review. Case Reports that are accepted in USC journal and published as the version of record (VOR), will also be indexed in Scopus and the Directory of Open Access Journals (DOAJ). CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Case Media - When Tumors Take Your Breath Away - University of Oklahoma College of Medicine Pearls - When Tumors Take Your Breath Away - University of Oklahoma College of Medicine Pulmonary arterial hypertension (PAH) is a progressive disorder of the pulmonary vasculature, characterized by progressive obliteration and remodeling of the pulmonary circulation, resulting in increased pulmonary vascular resistance and increased right ventricular (RV) wall stress, abnormal right ventricular mechanics, and eventually RV dysfunction and death. Pulmonary hypertension (PH) is divided into pre-capillary and post-capillary profiles, where pre-capillary PH is hemodynamically characterized by a mean pulmonary artery pressure (mPAP) > 20 mmHg, pulmonary artery wedge pressure (PAWP) ≤ 15 mmHg and a pulmonary vascular resistance (PVR) ≥ 3 Woods Units (WU), and post-capillary PH is defined as mPAP > 20 mmHg, PAWP ≥ 15 mmHg, and PVR can be either < 3 WU (isolated post-capillary PH) or ≥ 3 WU (combined pre- and post-capillary PH). Pulmonary arterial hypertension (PAH) falls under the pre-capillary PH profile. Dyspnea on exertion is the most common manifestation of PH, and the most common initial complain. Other symptoms and physical findings such as venous congestion, peripheral edema, signs of RV dysfunction or syncope present later in the disease course. As such, PH has to be considered in the differential diagnosis of dyspnea, especially in cases of undifferentiated or unexplained dyspnea. PAH is a chronic but progressive condition, where symptoms progress over the course of months to years. Subacute or rapidly progressive forms of PH (symptoms rapidly worsening over the course of weeks) should warrant consideration for alternative etiologies (i.e., pulmonary embolism or a different cardiopulmonary disorder as the main d...
Fresh off a HUGE 6 meter jump in route to his NCAA Indoor National Championship, Sondre Guttormsen joins the podcast to discuss his incredible indoor season and what his day to day looks like to get him going this high in the air. Him and his family are incredibly knowledgable in the pole vault and we got into topics such as the support for track and field in Europe vs. USA, overtraining, and much more. This episode of the podcast is brought to you by PVR!!! PVR is the worlds first, state of the art, pole rental app that is going to take your pole rental business to the next level. If you would like more information on how you can streamline your rentals, please fill out the form below...https://forms.gle/dAa1WFk6yeAqCjrD9Visit RISEPolevault.com for all things pole vault!!! Whether you are looking to take a vaulting class or compete in a competition at our the state of the art RISE Pole Vault Training Center located in Joliet, IL, or wanting to use one of our many services ranging from pole vault business consulting to virtual coaching in the vault, risepolevault.com has got your covered!RISE Pole Vault is now selling all three major pole brands including UCS Spirit, Essx, and Pacer. Email in to support@risepolevault.com and let us get you set up with some new poles!
Britton and I visit about life after divorce, the loss of our fathers and how unprocessed pain can show up. We share from our personal experiences and some of what we have learned along the way.What is the result of unprocessed pain and/or unresolved conflict? Often times it can manifest in this “tool” known as the PVR triangle. A PVR triangle is having a powerless mindset to the circumstance and, in the absence of dealing with that pain or conflict, we will show up as a persecutor victim, or seeking rescue because we don't believe there's power to change the situation. Find out more about Britton and how to get in touch with him at4014consulting.comZion61ministries.net
Join CardioNerds to learn about patent ducts arteriosus and Eisenmenger syndrome! Dr. Dan Ambinder (CardioNerds co-founder), ACHD series co-chair Dr. Dan Clark, Dr. Tony Pastor (ACHD fellow, Harvard Medical School), and Dr. Kate Wilcox, Medicine/Pediatrics Resident, Medical College of Wisconsin join Dr. Candice Silversides (Editor-in-chief #JACCAdvances) for this terrific discussion. Notes were drafted by Dr. Kate Wilcox. .Audio editing by CardioNerds Academy Intern, Dr. Maryam Barkhordarian. The CardioNerds Adult Congenital Heart Disease (ACHD) series provides a comprehensive curriculum to dive deep into the labyrinthine world of congenital heart disease with the aim of empowering every CardioNerd to help improve the lives of people living with congenital heart disease. This series is multi-institutional collaborative project made possible by contributions of stellar fellow leads and expert faculty from several programs, led by series co-chairs, Dr. Josh Saef, Dr. Agnes Koczo, and Dr. Dan Clark. The CardioNerds Adult Congenital Heart Disease Series is developed in collaboration with the Adult Congenital Heart Association, The CHiP Network, and Heart University. See more Disclosures: None CardioNerds Adult Congenital Heart Disease PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls - Patent Ductus Arteriosus & Eisenmenger Syndrome The ductus arteriosus, which is formed from the distal portion of the left sixth arch, is key to fetal circulation because it allows blood to bypass the high resistance pulmonary circuit present in utero. After birth there is a significant drop in pulmonary vascular resistance (PVR) which generally leads to functional ductal closure within 48 hours (permanent seal takes 2-3 weeks to form). Risk factors for having a PDA include birth before 37 weeks of gestation, trisomy 21, and congenital rubella. A PDA results in a left to right shunt (qP:qS >1) which over time overloads the left side of the heart and causes pulmonary vascular remodeling. The extra workload on the left side of the heart causes left atrial (can cause atrial arrhythmias) and left ventricular dilation. If left untreated you can eventually have shunt reversal due to very high PVR (Eisenmenger physiology). There are some treatment options at this point (pulmonary vasodilators, etc) but it's definitely better to close the PDA before this point. One interesting physical exam finding that can stem from shunt reversal in a hemodynamically significant PDA is differential cyanosis (upper body or pre-ductal saturations will be higher than lower body/post-ductal saturations). You can also see clubbing in the toes but not the hands for the same reason. Meet Our Collaborators! Adult Congenital Heart AssociationFounded in 1998, the Adult Congenital Heart Association is an organization begun by and dedicated to supporting individuals and families living with congenital heart disease and advancing the care and treatment available to our community. Our mission is to empower the congenital heart disease community by advancing access to resources and specialized care that improve patient-centered outcomes. Visit their website (https://www.achaheart.org/) for information on their patient advocacy efforts, educational material, and membership for patients and providers CHiP Network The CHiP network is a non-profit organization aiming to connect congenital heart professionals around the world. Visit their website (thechipnetwork.org) and become a member to access free high-quality educational material, upcoming news and events, and the fantastic monthly Journal Watch, keeping you up to date with congenital scientific releases. Visit their website (https://thechipnetwork.org/) for more information.
What Is A Barf Bowl? | Knight Helmet AC/DC | DUGY Collects Steam | OttaWHAT? | Instant Answer Question Time | Be The Least Boring | Anonytext | DUGY Don't PVR
Many of the current-day operational shifts in retail automotive are driven by consumers' ever-evolving expectations and habits. Therefore, it is essential to 'future-proof' your dealership by putting processes in place now. As a result of A2Z Sync's one-person sales methodology, retailers have been able to expand their businesses. In this episode of the David Spisak Show, we will discuss the one-person sales concept and how it influences the customer experience. As the world adjusts to a new standard, many businesses are having trouble balancing online and in-person encounters, so please join us in welcoming Natalia Giner, CEO of A2Z Sync. The customer service process has been a minefield for auto dealerships. Natalia has worked in the automobile industry for over 20 years. She has brought her expertise to A2Z Sync to provide customers with a revolutionary experience, primarily focusing on developing innovative, client-centric services. She has been in charge of the A2Z platform's development team for the past three years, during which numerous dealers have successfully converted to the One-Person Sales Model. With a background in product development and business consulting, she is well-suited to her role of advising dealers on adapting to the automobile industry's changing face. A2Z Sync set out to transform the traditional retail industry. A2Z Sync provides operational readiness evaluations, extensive in-dealership training, and continuing technical and training assistance to aid its clients in making the switch to a One-Person Sales Model. To ensure the continued success of its software platform, A2Z Sync creates a bespoke implementation plan for each dealer. Key Takeaways The modern automobile customer is impatient for service, wants answers immediately, and values convenience. Thanks to this revolutionary software, a single salesperson can handle the vast majority of a transaction by themselves. Consistent and unified service throughout the journey is crucial to ensuring your dealership and staff offer the most outstanding digital client experience. We will show you how to take these services beyond your dealership's doors while still catering to your customers' needs. Reduced transaction times, greater PVR, more satisfied customers, and lower employee turnover are just some of the benefits one-person sales models provide to dealers. Since they deal with clients one-to-one, they can establish deeper bonds of trust and loyalty. Every salesman has their own system, and it might be anything from one car per month to ten vehicles every month, but Without a clearly defined process, there are likely a hundred different ways of doing things. Many people throw up their hands in frustration when faced with the procedure. However, there is a reason why FedEx and Amazon both adhere to such strict guidelines; these two companies have a secret weapon: a well-defined method. However, from the client's perspective, transparency is also desired. They desire shared authority over a process. But if you don't have a strategy, how can you offer them joint jurisdiction over it? And thus, Not only is it beneficial to the dealer only, but it also benefits the customer because they can do things the way they want. But how can we tell if we are winning or losing if we don't examine the process and identify areas for improvement? Find out how to set your dealership apart by providing a more personalized and exciting experience. Visit https://linktr.ee/spisakd for all our links Updates here: https://www.facebook.com/groups/davidspisakscommunity/ Like this show? Please leave us a rating and review where you're listening right now!
Many of the current-day operational shifts in retail automotive are driven by consumers' ever-evolving expectations and habits. Therefore, it is essential to 'future-proof' your dealership by putting processes in place now. As a result of A2Z Sync's one-person sales methodology, retailers have been able to expand their businesses. In this episode of the David Spisak Show, we will discuss the one-person sales concept and how it influences the customer experience.As the world adjusts to a new standard, many businesses are having trouble balancing online and in-person encounters, so please join us in welcoming Natalia Giner, CEO of A2Z Sync. The customer service process has been a minefield for auto dealerships.Natalia has worked in the automobile industry for over 20 years. She has brought her expertise to A2Z Sync to provide customers with a revolutionary experience, primarily focusing on developing innovative, client-centric services. She has been in charge of the A2Z platform's development team for the past three years, during which numerous dealers have successfully converted to the One-Person Sales Model. With a background in product development and business consulting, she is well-suited to her role of advising dealers on adapting to the automobile industry's changing face.A2Z Sync set out to transform the traditional retail industry. A2Z Sync provides operational readiness evaluations, extensive in-dealership training, and continuing technical and training assistance to aid its clients in making the switch to a One-Person Sales Model. To ensure the continued success of its software platform, A2Z Sync creates a bespoke implementation plan for each dealer.Key TakeawaysThe modern automobile customer is impatient for service, wants answers immediately, and values convenience. Thanks to this revolutionary software, a single salesperson can handle the vast majority of a transaction by themselves.Consistent and unified service throughout the journey is crucial to ensuring your dealership and staff offer the most outstanding digital client experience. We will show you how to take these services beyond your dealership's doors while still catering to your customers' needs.Reduced transaction times, greater PVR, more satisfied customers, and lower employee turnover are just some of the benefits one-person sales models provide to dealers. Since they deal with clients one-to-one, they can establish deeper bonds of trust and loyalty. Every salesman has their own system, and it might be anything from one car per month to ten vehicles every month, but Without a clearly defined process, there are likely a hundred different ways of doing things. Many people throw up their hands in frustration when faced with the procedure. However, there is a reason why FedEx and Amazon both adhere to such strict guidelines; these two companies have a secret weapon: a well-defined method.However, from the client's perspective, transparency is also desired. They desire shared authority over a process. But if you don't have a strategy, how can you offer them joint jurisdiction over it? And thus, Not only is it beneficial to the dealer only, but it also benefits the customer because they can do things the way they want.But how can we tell if we are winning or losing if we don't examine the process and identify areas for improvement?Find out how to set your dealership apart by providing a more personalized and exciting experience.Visit https://linktr.ee/spisakd for all our linksUpdates here: https://www.facebook.com/groups/davidspisakscommunity/ Like this show? Please leave us a rating and review where you're listening right now!
This week we delve into the world of bovine jugular vein grafts for the treatment of pulmonary valve dysfunction and the possible enhanced risk for infective endocarditis. How commonly are these valves affected by endocarditis and does placement at surgery in comparison to the cath lab confer a lower risk for this dreaded complication? What factor was most highly associated with the risk for endocarditis with a bovine jugular valve vein graft for PVR? A description from the team at Cincinnati Children's Hospital is on tap this week! https://doi.org/10.1177/21501351211065363
On this week's episode of The Boxoffice Podcast, Rebecca Pahle and Jesse Rifkin discuss a photo-finish for the top spot at the box office between Warner Bros.' Elvis and Paramount's Top Gun: Maverick. In our final dispatch from CineEurope, Daniel Loria is joined by Celluloid Junkie's Sperling Reich to cover the convention's main themes and trends. And in the feature segment, Daniel is joined by Guillaume Thomine Desmazures of ICE Theaters and Renaud Palliere, CEO of India's PVR Cinemas-The Luxury Collection, to chat about the Indian exhibitor's approach to premium formats. Give us your feedback on our podcast by accessing this survey: https://forms.gle/CcuvaXCEpgPLQ6d18 Episode Resources: Showbiz Sandbox Podcast ICE Theaters Apex Order Pickup Solutions ICE Theaters Announces Launch in India with PVR Cinemas Partnership What to Listen For 00:00 Intro 02:01 Paramount and Warner Bros. released studio estimates for Top Gun: Maverick and Elvis 06:26 Box office top 5 11:01 Premiumization of cinemas 15:58 Marketing of higher ticket prices 23:08 Now, it's selling tickets to your theater 26:09 PVR Cinemas signing a deal with ICE Theaters 27:07 The PVR network of theaters in India 29:42 Diversification of premium formats 31:24 ICE Theater format combined with Bollywood content
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