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In this episode of PICU Doc on Call, hosts Dr. Monica Gray and Dr. Pradip Kamat explore procedural sedation in the pediatric ICU. They cover sedation levels, pre-screening, risk stratification using ASA classifications, and medication selection tailored to each patient's hemodynamic and respiratory status. Through real-world case discussions involving respiratory failure, septic shock, and acute neurological decline, they highlight the importance of end-tidal CO2 monitoring and early adverse event recognition. Key takeaways include avoiding the term "conscious sedation," preparing rescue plans, and prioritizing patient safety through careful assessment and monitoring.Show Highlights:Definitions and levels of sedation (minimal, moderate, deep sedation, and general anesthesia)Importance of terminology in procedural sedationMonitoring sedation levels using scales like the Richmond Agitation-Sedation Scale (RASS)Pre-screening and risk stratification considerations for pediatric patientsASA physical status classification system for assessing patient riskUnique challenges of procedural sedation in critically ill childrenAdverse events associated with pediatric procedural sedation, particularly respiratory complicationsManagement strategies for specific cases requiring sedation (e.g., respiratory failure, septic shock)Importance of end-tidal CO2 monitoring during sedationKey takeaways for safe sedation practices in the pediatric ICU settingReferences: Nir Atlas; Rahul C. Damania; Pradip P. Kamat In Fuhrman & Zimmerman - Textbook of Pediatric Critical Care Chapter 135, 1624-1628Statement on Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia by Committee on Quality Management and Departmental Administration. Last Amended: October 23, 2024.Coté CJ, Wilson S; AMERICAN ACADEMY OF PEDIATRICS; AMERICAN ACADEMY OF PEDIATRIC DENTISTRY. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures. Pediatrics. 2019 Jun;143(6):e20191000. doi: 10.1542/peds.2019-1000. PMID: 31138666.xKrauss B, Green SM. Procedural sedation and analgesia in children. Lancet. 2006 Mar 4;367(9512):766-80. doi: 10.1016/S0140-6736(06)68230-5. PMID: 16517277.Sharif S, Kang J, Sadeghirad B, Rizvi F, Forestell B, Greer A, Hewitt M, Fernando SM, Mehta S, Eltorki M, Siemieniuk R, Duffett M, Bhatt M, Burry L, Perry JJ, Petrosoniak A, Pandharipande P, Welsford M, Rochwerg B. Pharmacological agents for procedural sedation and analgesia in the emergency department and intensive care unit: a systematic review and network meta-analysis of randomised trials. Br J Anaesth. 2024 Mar;132(3):491-506. doi: 10.1016/j.bja.2023.11.050. Epub 2024 Jan 6. PMID: 38185564.Smith, Heidi A. B. MD, MSCI (Chair)1,2; Besunder, James B. DO, FCCM3,4; Betters, Kristina A. MD1; Johnson, Peter N. PharmD, BCPS, BCPPS, FCCM, FPPA, FASHP5,6; Srinivasan, Vijay MBBS, MD, FCCM7,8; Stormorken, Anne MD9,10; Farrington, Elizabeth PharmD, FCCM11; Golianu, Brenda MD12,13; Godshall, Aaron J. MD14; Acinelli, Larkin CPNP-AC, ACHPN15; Almgren, Christina CPNP16; Bailey, Christine H. MD17; Boyd, Jenny M. MD18,19; Cisco, Michael J. MD20; Damian, Mihaela MD, MPH21,22; deAlmeida, Mary L. MD23,24; Fehr, James MD13,25; Fenton, Kimberly E. MD, FCCM14; Gilliland, Frances DNP, CPNP-AC/PC26,27; Grant, Mary Jo C. CPNP-AC, PhD, FAAN28; Howell, Joy MD29; Ruggles, Cassandra A. PharmD, BCCCP, BCPPS30; Simone, Shari DNP31,32; Su, Felice MD21,22; Sullivan, Janice E. MD33,34; Tegtmeyer, Ken MD, FAAP, FCCM35,36; Traube, Chani MD, FCCM29; Williams, Stacey CPNP-AC37; Berkenbosch, John W. MD, FAAP, FCCM (Chair)33,34. 2022 Society of Critical Care Medicine Clinical Practice Guidelines on Prevention and Management of Pain, Agitation, Neuromuscular Blockade, and Delirium in Critically Ill Pediatric Patients With Consideration of the ICU Environment and Early Mobility. Pediatric Critical Care Medicine 23(2):p e74-e110, February 2022. | DOI: 10.1097/PCC.0000000000002873Benzoni T, Agarwal A, Cascella M. Procedural Sedation. [Updated 2025 Mar 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551685/Kerson AG, DeMaria R, Mauer E, Joyce C, Gerber LM, Greenwald BM, Silver G, Traube C. Validity of the Richmond Agitation-Sedation Scale (RASS) in critically ill children. J Intensive Care. 2016 Oct 26;4:65. doi: 10.1186/s40560-016-0189-5. PMID: 27800163; PMCID: PMC5080705.Tel-Dan SF, Shavit D, Nates R, Samuel N, Shavit I. Emergency Physician-Administered Sedation for Thoracostomy in Children With Pleuropneumonia. Pediatr Emerg Care. 2021 Dec 1;37(12):e1209-e1212. doi: 10.1097/PEC.0000000000001975. PMID: 31929389.Cosgrove P, Krauss BS, Cravero JP, Fleegler EW. Predictors of Laryngospasm During 276,832 Episodes of Pediatric Procedural Sedation. Ann Emerg Med. 2022 Dec;80(6):485-496. doi: 10.1016/j.annemergmed.2022.05.002. Epub 2022 Jun 23. PMID: 35752522.Cravero JP, Blike GT, Beach M, Gallagher SM, Hertzog JH, Havidich JE, Gelman B; Pediatric Sedation Research Consortium. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. Pediatrics. 2006 Sep;118(3):1087-96. doi: 10.1542/peds.2006-0313. PMID: 16951002.
In The Beat of My Drum, Nigerian drummer Babatunde Olatunji says that, "rhythm is the soul of life, because the whole universe revolves around rhythm.”
Born and raised in Newport, Rhode Island, Sid Abruzzi came to surfing and skateboarding in the early 1960s. In 1969, 18-year-old Abbruzzi drove down to New Jersey to buy a few Rick single-fins, as surfboards were hard to come by in Rhode Island back then. He swiftly sold the boards, then sold another batch, and found a liking for this buying and selling business. In 1971, Abbruzzi opened Water Brothers Surf and Skate, which became the hub of surf-skate culture in Rhode Island. And in the spirit of "If you build it, they will come," the various quarterpipes, halfpipes, and full-scale skateparks that Abbruzzi spearheaded attracted the world's greatest skateboarders. Hailed as the "Godfather of New England surfing," Abbruzzi is a regular at Ruggles, the fabled reef break along the scenic Newport Cliff Walk. When it became endangered, he stepped up as the spot's most vocal advocate, fighting the good fight—and winning. Abbruzzi is a punk rocker. In 1981, he, his brother, and some friends started the band Big World. Abbruzzi was the lead singer. He threw body and blood into the shows. Big World opened for Iggy Pop, The Tubes, and Johnny Thunders, among others. Abbruzzi is the subject of Water Brother: The Sid Abbruzzi Story, a 2024 feature documentary. Now 74, Abbruzzi lives with his wife Danielle not far from the break where he first rode his first waves some 60-plus years ago. In this episode of Soundings, Abbruzzi talks with Jamie Brisick about the founding of Water Brothers, the commitment of cold water surfing, building his legendary skatepark, playing music, and shaping New England's surf and skate scene for over half a century. Presented by Rainbow® Sandals Produced by Jonathan Shifflett. Music by PazKa (Aska Matsumiya & Paz Lenchantin). Become a TSJ member at surfersjournal.com
If you enjoy this episode, we're sure you will enjoy more content like this on The Occult Rejects. In fact, we have curated playlists on occult topics like grimoires, esoteric concepts and phenomena, occult history, analyzing true crime and cults with an occult lens, Para politics, and occultism in music. Whether you enjoy consuming your content visually or via audio, we've got you covered - and it will always be provided free of charge. So, if you enjoy what we do and want to support our work of providing accessible, free content on various platforms, please consider making a donation to the links provided below. Thank you and enjoy the episode!Links For The Occult Rejectshttps://linktr.ee/theoccultrejectsOccult Research Institutehttps://www.occultresearchinstitute.org/Substackhttps://substack.com/@theoccultrejects?r=7auau0&utm_campaign=profile&utm_medium=profile-pageCash Apphttps://cash.app/$theoccultrejectsVenmo@TheOccultRejectsBuy Me A Coffeebuymeacoffee.com/TheOccultRejectsPatreonhttps://www.patreon.com/TheOccultRejectsBIBLIOGRAPHYLoaded Ground and Temple GrammarBradley, Richard. An Archaeology of Natural Places. Key use: Natural features as ritual centers: springs, caves, mountains, watery places, unusual stones, and the way landscape itself becomes an active participant in sacred behavior.Bradley, Richard. The Significance of Monuments: On the Shaping of Human Experience in Neolithic and Bronze Age Europe. Key use: Monumentality, repeated movement, ritual landscapes, and how built earth/stone structures anchor memory and collective story.Scarre, Chris, ed. Monuments and Landscape in Atlantic Europe: Perception and Society During the Neolithic and Early Bronze Age. Key use: Landscape archaeology, perception, monument placement, sacred routes, and social memory.Tilley, Christopher. A Phenomenology of Landscape: Places, Paths and Monuments. Key use: Embodied movement through sacred landscapes. Good for explaining why approach, walking, turning, climbing, entering, and returning matter as much as the site itself.Ruggles, Clive. Ancient Astronomy: An Encyclopedia of Cosmologies and Myth. Key use: Archaeoastronomy, horizon alignment, sky events, and methodological caution against sloppy “everything is a star map” claims.Ruggles, Clive. Astronomy in Prehistoric Britain and Ireland. Key use: Prehistoric monuments, solar/lunar alignments, and sky-ground relationships.Watson, Aaron, and David Keating. “Architecture and Sound: An Acoustic Analysis of Megalithic Monuments in Prehistoric Britain.” Antiquity 73, no. 280 (1999): 325–336. Key use: Archaeoacoustics, megalithic sound environments, echo, resonance, and how ancient monuments may have shaped movement and perception through sound as well as sight.Eliade, Mircea. The Sacred and the Profane: The Nature of Religion. Key use: Sacred space, center, axis mundi, threshold, and the difference between ordinary space and holy space.Smith, Jonathan Z. To Take Place: Toward Theory in Ritual. Key use: Ritual as place-making. Useful for the idea that sacred places are not merely found; they are produced through repeated action, interpretation, and return.Tuan, Yi-Fu. Space and Place: The Perspective of Experience. Key use: Lived place, memory, orientation, and the difference between abstract space and meaningful place.van Gennep, Arnold. The Rites of Passage. Key use: Separation, threshold, and incorporation. Useful for crossings, caves, temples, initiation, and the movement from ordinary to sacred space.Turner, Victor. The Ritual Process: Structure and Anti-Structure. Key use: Liminality, betweenness, communitas, and why thresholds create psychological and social transformation.Vitruvius. Ten Books on Architecture / De Architectura. Key use: Classical architecture, proportion, order, temple siting, and the ancient architectural concern with harmony, geometry, and orientation.Scully, Vincent. The Earth, the Temple, and the Gods: Greek Sacred Architecture. Key use: Greek temples in relation to landscape, sightlines, deity, terrain, and sacred placement.Ward-Perkins, J. B. Roman Imperial Architecture. Key use: Roman monumental space, basilicas, civic authority, imperial architecture, and the built environment Christianity later inherits.Wycherley, R. E. How the Greeks Built Cities. Key use: Greek civic and sacred urban planning, temple placement, public space, and the relationship between architecture and city order.Onians, John. Bearers of Meaning: The Classical Orders in Antiquity, the Middle Ages, and the Renaissance. Key use: Classical orders as carriers of meaning, authority, proportion, and inherited architectural language.Assmann, Jan. The Search for God in Ancient Egypt. Key use: Egyptian sacred space, temple theology, divine presence, ritual service, and cosmic order.Shafer, Byron E., ed. Temples of Ancient Egypt. Key use: Egyptian temple structure, processional access, restricted interiors, ritual activity, light/dark progression, and the temple as cosmic environment.Levenson, Jon D. Sinai and Zion: An Entry into the Jewish Bible. Key use: Temple, mountain, divine presence, sacred center, covenant, and the biblical imagination of holy place.Levine, Lee I., ed. Jerusalem: Its Sanctity and Centrality to Judaism, Christianity, and Islam. Key use: Jerusalem, sacred center, Temple memory, pilgrimage, and the later religious mapping of holiness.The Bible, especially Exodus, Leviticus, 1 Kings, Ezekiel, Psalms, the Gospels, Hebrews, and Revelation. Key use: Tabernacle, Temple, altar, priesthood, sacrifice, holiness, veil, divine presence, living water, pilgrimage, heavenly city, and sacred orientation.Misstear, Bruce. “The Hydrogeology of Sacred Wells: Insights from Ireland.” Hydrogeology Journal, 2024. Key use: Sacred wells as real groundwater systems, including hydrogeological settings, water chemistry, cultural meaning, and anthropogenic impacts. This supports the line that holy wells are both sacred sites and physical water systems.Bord, Janet, and Colin Bord. Sacred Waters: Holy Wells and Water Lore in Britain and Ireland. Key use: Holy wells, healing traditions, local water lore, offerings, vows, and repeated devotional return.Rattue, James. The Living Stream: Holy Wells in Historical Context. Key use: Historical context for holy wells, Christianization, local devotion, and the persistence of sacred water sites.Ray, Celeste. The Origins of Ireland's Holy Wells. Key use: Irish holy wells, sacred water, pilgrimage, healing, local tradition, and the complex relation between Christian practice and older water sites.National Churches Trust. “Medieval Bridge Chapels.” Key use: Bridge chapels as medieval crossing sites, often chantry chapels connected to prayers for founders, benefactors, travelers, and pilgrims.Green, Edward. “Bridge Chapels.” Building Conservation. Key use: Bridge chapels as Christian worship sites built on or near bridges for travelers, safe arrival, and the sacralization of movement.Research report. The Bridge Chapels of Medieval Britain. Key use: Bridge construction and maintenance as pious and charitable work, chapels and crosses at bridges, safe passage, tolls, repairs, and the link between devotion and infrastructure.Walsham, Alexandra. The Reformation of the Landscape: Religion, Identity, and Memory in Early Modern Britain and Ireland. Key use: How sacred geography, wells, crosses, shrines, roads, memory, and local religious landscapes were reclassified and contested during the Reformation.Ren, L., et al. “GIS-Based Viewshed Analysis on the Visibility of Historic Towns.” ISPRS Archives, 2021. Key use: Viewshed analysis, line-of-sight, historic structures, and the use of GIS to study visibility in built heritage environments. Useful for keeping claims about towers, spires, and landmark dominance grounded in method.Vaz de Freitas, I. “Historical Landscape: A Methodological Proposal to Characterise the Landscape of Monasteries in Early Medieval Portugal.” Religions 15, no. 10 (2024): 1158. Key use: Early medieval monastic landscapes, GIS method, religious siting, and environmental variables. Useful for sacred visibility, water proximity, slope, altitude, and landscape choice.Kilde, Jeanne Halgren. Sacred Power, Sacred Space: An Introduction to Christian Architecture and Worship. Key use: Broad Christian architecture source for power, worship, sacred space, and the way buildings shape religious experience.Kieckhefer, Richard. Theology in Stone: Church Architecture from Byzantium to Berkeley. Key use: Church architecture as theology in built form. Useful as a bridge from ancient sacred grammar into later Christian architectural expression.Also want to remind people about the website, if you're into reading we have tons of information by multiple contributors, and we got t-shirts up on the site if you're interested. Fun fact, the art is all based on the eyeball. A
We explore how rituals can help us mark life's thresholds, whether they come as beginnings, endings, fresh starts, difficult goodbyes, or strange in-between seasons. Threshold rituals give our big emotions somewhere to go besides our shoulders, stomachs, jaws, nervous systems, and late-night Amazon carts.
So we are just doing one segment this month and it is with all of our Podcast Seniors.Thank you to Emerson Price, Elsie Cook, Jersey Hajostek, Molly Dixon, John Baldwin, Ailye Edwards and Trace Zeitler for the great years of podcasting!This segment is a bit chaotic, but the Seniors were excited for their last day of school. Good luck to all of them in the future!Thanks for listening.Ruggles
We explore how small, repeatable practices can become containers for growth, healing, and attention. Drawing from traditional wisdom, modern science, and reflections on ritual in the African Dagara tradition, we look at how rituals create thresholds between one way of being and another.
In this opening week of our series, The Ritual Life, we explore why human beings have always turned to rhythm, repetition, gesture, song, silence, and shared practices to create connection and make meaning in a chaotic world. Rituals help ground us
In this week's episode, Pheonix sits down with seasoned hammocker and coffee connoisseur, Eli Ruggles. Eli talks about his foray into the world of hammock camping which led him to attending a slew of hangs around the eastern US every year. We chat about hangs, how hammock stands have revolutionized how people hammock camp, and using services like Hipcamp can help get more people out camping. You don't want to miss this one. Contact Skunkape & Pheonix: Email : thehammockhangerspodcast.com@gmail.com Website : https://www.hikingradionetwork.com/show/the-hammock-hangers-podcast-1/ Facebook : https://www.facebook.com/TheHammockHangersPodcast Instagram : Connect with Skunkape & Pheonix https://www.instagram.com/the_hammock_hangers_podcast YouTube : https://www.youtube.com/@thehammockhangerspodcast If you are enjoying The Hammock Hangers Podcast and you want to help us grow, make sure to leave a review on Apple Podcast, Google Podcast, or any other platform that you are listening from. You can also go to the Hiking Radio Network website, click on The Hammock Hangers Podcast page and leave a review there as well. Make sure to follow us on Facebook, Instagram, and YouTube as well, and share us with your friends as well. And until next time, happy hanging everyone.
In this episode of the HVAC Know It All Podcast, host Gary McCreadie talks with Eric Ruggles, Director of Engineering at Ritchie Engineering Co., Inc. (YELLOW JACKET), about airflow, static pressure, and modern diagnostic tools. In Part 2, they discuss proper system commissioning, checking pressure across components, and identifying airflow restrictions without disassembling equipment. Eric explains how tools like a digital manometer and wireless probes help measure system performance, airflow, and gas pressure. They also cover the shift from manifolds to probes, including concerns about refrigerant loss and system contamination. The conversation wraps up with practical insights on using airflow, temperature, and CFM measurements to determine true system capacity and improve service decisions. Gary and Eric discuss airflow testing, static pressure, and how modern tools improve system diagnostics and performance. They explain how proper commissioning sets baseline readings and helps identify issues like plugged coils or airflow restrictions. Eric describes how digital manometers and probes can measure pressure, airflow, and gas pressure while creating reports for customers. They also cover the shift from manifolds to probes, including concerns about refrigerant loss and contamination. They finish by explaining how airflow, temperature, and CFM measurements can confirm true system capacity and support better service decisions. Expect to Learn: How proper commissioning helps set baseline readings for system performance. How checking static pressure across components can reveal airflow restrictions. Why tools like digital manometers and probes improve accuracy in diagnostics. How wireless probes can measure pressure, airflow, and gas without losing refrigerant. How airflow, temperature, and CFM readings help confirm true system capacity. Episode Highlights: [00:00] - Sponsor: Factory Direct Filters ad [00:42] - Intro to Eric Ruggles in Part 02 [02:03] - Checking static across devices [03:58] - Yellow Jacket Mano tool overview [05:32] - Probes vs. manifolds debate [12:08] - Calculate real BTU capacity without gauges [15:32] - 3-tool non-invasive maintenance [16:55] - Duct traverse with Y Jack Flow This Episode is Kindly Sponsored by: Cintas: https://www.cintas.com/hvacknowitall Cool Air Products: https://www.coolairproducts.net/ Factory Direct Filters: https://www.factorydirectfilters.com/ SupplyHouse: https://www.supplyhouse.com/tm Use promo code HKIA5 to get 5% off your first order at Supplyhouse! Follow the Guest Eric Ruggles on: LinkedIn: https://www.linkedin.com/in/eric-ruggles-28a84424/ Ritchie Engineering Co., Inc. (YELLOW JACKET): https://www.linkedin.com/company/ritchie-engineering-co-yellow-jacket-/ Ritchie Engineering Co., Inc. (YELLOW JACKET) - Website: https://yellowjacket.com/ Follow the Host on: LinkedIn: https://www.linkedin.com/in/gary-mccreadie-38217a77/ Website: https://www.hvacknowitall.com Facebook: https://www.facebook.com/people/HVAC-Know-It-All-2/61569643061429/ Instagram: https://www.instagram.com/hvacknowitall1/ Follow the Podcast on: YouTube: https://www.youtube.com/@HVACKnowItAll Spotify: https://open.spotify.com/show/6LCBJGw0EHG03rdWHxUMce Apple Podcast: https://podcasts.apple.com/us/podcast/hvac-know-it-all-podcast/id1359253455
This week, we'll explore what happens when that way of seeing begins to soften how we move through life. Humor, laughter, and exuberant joy are not distractions from reality. They can be ways of meeting reality with greater spaciousness, resilience, and wonder. Laughter helps us zoom out, unclench our butt-cheeks a little, and better appreciate the strange, beautiful, and often ridiculous experience of being human
In this episode of the HVAC Know It All Podcast, host Gary McCreadie is joined by Eric Ruggles, Director of Engineering at Ritchie Engineering Co., Inc. (YELLOW JACKET), to discuss the key differences between airflow and static pressure and how to measure both correctly. Eric explains how airflow is calculated using air velocity and duct size, while static pressure is measured across system components to understand system performance. The conversation covers tools like hot wire anemometers and manometers, along with proper testing methods such as duct traversing and pressure tip placement. Gary and Eric also explore common issues like high static pressure caused by poor duct design, dirty filters, or oversized equipment, and how these problems can impact overall system efficiency. In this conversation, Eric explains the differences between airflow and static pressure in HVAC systems and how each one is measured. He describes how airflow is based on air speed and duct size, while static pressure shows how much resistance the system has. Eric and Gary discuss tools like hot wire anemometers and manometers, along with proper testing methods such as duct traversing and pressure tip placement. They also cover how issues like dirty filters, poor duct design, and system restrictions can raise static pressure and reduce overall system performance and airflow. Expect to Learn: How airflow and static pressure differ and why both matter in HVAC systems. How to use tools like hot wire anemometers and manometers for proper testing. How duct traversing helps get accurate airflow measurements. How static pressure testing can identify restrictions in filters and ductwork. How issues like dirty filters, poor duct design, and closed vents affect system performance. Episode Highlights: [00:00] - Sponsor Ad: Factory Direct Filters [00:42] - Intro to Eric Ruggles in Part 1 [02:34] - Static pressure and airflow are different, and need different tools [04:18] - Eric: Air speed units (ft/min, m/s) & calculating volume [07:15] - Hot wire anemometer: traverse duct, app calculates CFM [10:56] - Static pressure: positive on supply, negative on return [16:48] - Total external static: check return & supply sides separately [19:42] - Remove filter to test restriction; 1" high-MERV vs. 5" filter [23:61] - Plugging vents raises static, harms the system This Episode is Kindly Sponsored by: Cintas: https://www.cintas.com/hvacknowitall Cool Air Products: https://www.coolairproducts.net/ Factory Direct Filters: https://www.factorydirectfilters.com/ SupplyHouse: https://www.supplyhouse.com/tm Use promo code HKIA5 to get 5% off your first order at Supplyhouse! Follow the Guest Eric Ruggles on: LinkedIn: https://www.linkedin.com/in/eric-ruggles-28a84424/ Ritchie Engineering Co., Inc. (YELLOW JACKET): https://www.linkedin.com/company/ritchie-engineering-co-yellow-jacket-/ Ritchie Engineering Co., Inc. (YELLOW JACKET) - Website: https://yellowjacket.com/ Follow the Host on: LinkedIn: https://www.linkedin.com/in/gary-mccreadie-38217a77/ Website: https://www.hvacknowitall.com Facebook: https://www.facebook.com/people/HVAC-Know-It-All-2/61569643061429/ Instagram: https://www.instagram.com/hvacknowitall1/ Follow the Podcast on: YouTube: https://www.youtube.com/@HVACKnowItAll Spotify: https://open.spotify.com/show/6LCBJGw0EHG03rdWHxUMce Apple Podcast: https://podcasts.apple.com/us/podcast/hvac-know-it-all-podcast/id1359253455
In this episode of Taking Healthcare by Storm, Quality Insights Medical Director Dr. Jean Storm speaks with Tamara Ruggles, PharmD, BCGP, FASCP, a Board-Certified Geriatric Pharmacist, Fellow of the American Society of Consultant Pharmacists (ASCP), founder of The Deprescribing Clinic, and host of the Geriatric Pharmacy Focus podcast on the Pharmacy Podcast Network.Dr. Tamara Ruggles explains how medication-related harm and prescribing cascades in long-term care led her to found the Deprescribing Clinic to help patients optimize medications, reduce anticholinergic burden and side effects, and improve quality of life. She also highlights pharmacists' roles in antimicrobial stewardship and pharmacogenomic testing to reduce adverse events, while advocating for broader coverage and reimbursement for pharmacist clinical services.If you have any topics or guests you'd like to see on future episodes, reach out to us on our website.The views and opinions expressed by the host and guests are their own and do not necessarily reflect the views, positions, or policies of Quality Insights. Publication number QI-042426-GK
The Burning Court-Charles Ruggles
Hello everyone! Welcome to the April Episode of the Mercer County Podcast Club. Our first Student Talk features Trace, Elsie and Molly yelling at each other about the Senior Assassin game. It really is interestingSecond Student Talk features John Baldwin, Jersey Hajostek, and Ailye Edwards talking about the end of their Senior year and how that is all going to shake out.Eddie Woeckner interviews myself (Mr. Ruggles) in the third segment.Lastly, Emerson Price interviews Freshman Landon McPeek because he is the only Freshman boy that she knows. Landon talks about his Freshman year and his goats.Thank you for listening and spread the word of our podcast!
We spend a lot of energy trying to smooth the edges, hide the cracks, and present the polished version of ourselves. This week, we'll explore the quiet power of things that bear the marks of time, use, loss, and repair, and why they often move us in ways polished perfection cannot. In a culture fixated on flawless appearances, we're making room for the light that shines through the cracks, for the grace that emerges through loss, change, and the passage of time.
Happy March everyone!Thanks for tuning in to our March PodcastStudent Talk #1 has Molly Dixon, Emerson Price and Jersey Hajostek talking about prom and whining about how tired they are.Student Talk #2 has Elsie Cook, Ailye Edwards and Eddie Woeckner talking about the musical, Scholastic Bowl and some other stuff.Our Faculty interview is done by John Baldwin this month. He interviews our Science teacher Mrs. Pirog and they mostly talk about how great their advisory is.....Lastly we have Sophomore Addison Bigham being interviewed by Trace Zeitler. They talk about her sports injuries and all of her activities at MCHS.Thank you for listening and have a Happy Easter!Ruggles
Beauty is not in short supply, but our attention often is. We spend so much of life skimming past the familiar that the everyday starts to look, well, ordinary. Same street. Same dishes. Same inbox. Same tree outside the window doing tree things again. Has life lost its wonder or have we just stopped noticing?
This week, we explore how beliefs become behaviors and how our daily patterns reveal what we love, fear, and value most. We look at the difference between beliefs and values, and how they shape one another. Along the way, we'll consider the strange wisdom of the gut, the power of repetition, and the way identity is formed through what we do again and again.
Brad kicks off our new series The Architecture of Belief with his talk, “How Beliefs Form.”
This week's wrap-up talk is about the part we usually skip over: creating an environment that makes quiet practices sustainable. Silence, simplicity, and sabbath are beautiful ideas but they require intentionality on our part to make those practices stick.
Hopestream for parenting kids through drug use and addiction
ABOUT THE EPISODE: When parents hear "wilderness therapy," their minds often race to worst-case scenarios: punishment, boot camps, kids forced to survive in harsh conditions. But Trish Ruggles, who spent over a decade as a field guide and wilderness therapist before becoming an educational consultant, has a different story to tell. After 21 years in the field and working with countless families through Pathfinder Consulting, Trish knows that wilderness therapy has evolved dramatically from its origins.What makes wilderness therapy effective isn't the outdoor skills or fresh air - though those certainly help. It's magic lies in the complete removal of 'noise.' When you take a struggling adolescent out of their always-on life and place them in the wilderness, the volume goes down on everything that keeps them from thriving. No bedroom door to close, no delivery apps to summon food, no distractions to buffer the work of actually facing themselves. And there are immediate, natural consequences their adolescent brain can actually understand.Trish's approach is refreshingly honest and practical. She'll be the first to tell you wilderness therapy isn't for everyone, but for the kid who's stuck in their room, the one running wild in the streets, or the treatment-experienced individual who knows how to game the residential system, wilderness creates something that can't be replicated indoors: a space where you can't phone it in, where every action impacts your group, and where real-life consequences teach more than any lecture ever could.You'll learn:Key myths and facts about today's outdoor behavioral health offeringsThe critical, natural consequences that wilderness experiences provide in real-timeHow wilderness has evolved from its primitive rootsWhy adopted kids and those with attachment challenges often thrive in wilderness despite parents' fearsThe truth about getting kids to agree to, and actually go to an outdoor, adventure or wilderness programEPISODE RESOURCES:Website Trish Ruggles Trish on Hopestream episode 202 Will White's Hopestream podcast episode 14 This podcast is part of a nonprofit called Hopestream CommunityGet our free, 4-video course, Hope Starts Here, and access to our Limited Membership hereLearn about The Stream, our private online community for momsFind us on Instagram hereWatch the podcast on YouTube hereDownload a free e-book, Worried Sick: A Compassionate Guide For Parents When Your Teen or Young Adult Child Misuses Drugs and AlcoholHopestream Community is a registered 501(c)3 nonprofit organization and an Amazon Associate. We may make a small commission if you purchase from our links.
This week's installment in our Quiet Practices for Loud Times series asks us to rethink our relationship with rest, not just as something we do to recover from working, but as essential preparation for living in our noisy, chaotic world.
canal.march.esCasada por azar (No Man of Her Own, 1932, EE. UU.), de Wesley Ruggles, con Clark Gable, Carole Lombard y Dorothy Mackaill. Presentador: Luis E. Parés Jerry (Clark Gable) es un timador que se encapricha de Connie (Carole Lombard), una chica de pueblo que trabaja como bibliotecaria. Tras una apuesta, Jerry accede a contraer matrimonio con Connie, pero ella no tardará en descubrir la auténtica identidad de su marido. El filme de 1932 fue estrenado sin censura, hecho que provocó en Jason Joy (férreo censor del cine Pre-Code), especial aversión por el carácter exhibicionista de la película. Clark Gable y Carole Lombard fueron una de las parejas más legendarias del cine de Hollywood. El sábado se proyecta el vídeo de la presentación del día anterior.Más información de este acto canal.march.es
Week 2 of Quiet Practices for Loud Times is all about Simplicity. Modern life runs on more: more options, more inputs, more tabs open (in your browser and your brain).
This week we're stepping into a new series at C3 called Quiet Practices for Loud Times and Brad Ruggles leads us off with his talk, "Silence."
As the year winds down and the calendar flips over, we're ringing in the New Year with a special bonus episode dedicated to one of our favorite—and most elusive—writers: Thomas Pynchon. In this New Year's Eve edition of Ticket Stubs, we gather to talk about what Pynchon's work has meant to us over the years, why his voice remains so singular in modern literature, and how his obsessions with paranoia, the past, and slapstick continue to resonate. From there, we dive into One Battle After Another, the recent adaptation of Vineland from director Paul Thomas Anderson, another favorite of ours. Then, we share our thoughts on Pynchon's long-awaited new novel, Shadow Ticket, before closing things out by putting our cards on the table with our own personal rankings of his novels. Whether you're a longtime Pynchon devotee, a curious newcomer, or just looking to close out the year with a little chaos and conspiratorial joy, we hope you'll spend what's left of 2025, or perhaps even the earliest part of 2026...or actually anytime in the foreseeable (or not?) future...with us. Any and all digressions are welcome when it comes to discussing this artist and his work. And believe me, we take digressions aplenty! As always, please like, subscribe, rate, and review us on Apple Podcasts, Spotify, YouTube, and wherever else you listen. Got thoughts or questions? Email us at huffmanbrothersproductions@gmail.com.
We arrive at Winter Solstice, the longest night and shortest day of the year. In a season when many of us feel the weight of less light and, at times, the heaviness of depression. Instead, we'll explore what it means to walk together into the dark and to meet winter with honesty, gentleness, and open hearts.
We pick up where the snowstorm left us and land the plane on our Memento Mori series with a talk called “The Good Death.” For centuries, many cultures have had their own sense of what makes a “good death” and how to prepare for it.
“THE HOLMES ACTING DYNASTY: FROM STAGE TO SCREEN” - 11/24/25 (115) When we think of the great acting family dynasties of Hollywood, we often think of the Barrymores, the Carradines, or the Fondas, but today we'll be discussing another acting dynasty that may not be as familiar, but is every bit as interesting. The HOLMES family consisted of prolific character actor TAYLOR HOLMES, whose career spanned from Broadway to film to TV, his actress wife, EDNA PHILLIPS, and their talented children, PHILLIPS HOLMES, a leading man of the early 1930s, MADELEINE TAYLOR HOLMES, a gifted character performer in her own right, and actor RALPH HOLMES, whose early promise was tragically cut short. Joining us is special guest actress/musician MICHELLE HOLMES, who is a cousin of Taylor Holmes. Together, we'll explore how the Holmes family helped shape the Golden Age of Hollywood — and how their influence still lingers today. SHOW NOTES: Sources: Wikipedia.com; TCM.com; IBDB.com; IMDBPro.com; Movies Mentioned: Fool For Luck (1917); Ruggles of Red Gap (1918); Kiss of Death (1947); Nightmare Alley (1947); Joan of Arc (1948); A Christmas Carol (1949); Father of the Bride (1950); Gentlemen Prefer Blondes (1953); Sleeping Beauty (1959); An American Tragedy (1931); Broken Lullaby (1932); Dinner at Eight (1933); Nana (1934); Great Expectations (1934); The Outlaw Josey Wales (1976); Fatso (1980); Undersea Kingdom (1936); Learn more about your ad choices. Visit megaphone.fm/adchoices
There are many classics that went on to take home the top prize at the Oscars. And there are those that, well ... let's just say that we still shake our heads why certain films got on the Academy voters' good graces in such a way that they were chosen as Best Picture of that year. At the fourth Academy Awards ceremony, Cimarron was selected as the best film. However, after almost a century later the question isn't really if it deserved it, the question is "how could that have happened?" Well, this Wesley Ruggles epic does have the scope and the stars to at least attempt to justify its win. The writing, technical aspects, and the acting say otherwise. Listen to film critic Jack Ferdman's take on it as he evaluates everything that has to do with Cimarron, as well as many other films from that year, and hear which film he gives his Rewatch Oscar of 1930.Download, listen, and share ALL Rewatching Oscar episodes.SUBSCRIBE and FOLLOW Rewatching Oscar:Website: https://rewatchingoscar.buzzsprout.comApple Podcasts/iTunesSpotifyGoogle PodcastsiHeart RadioPodchaserPodcast AddictTuneInAlexaAmazon Overcasts Podcast Addict Player FMRSS Feed: https://feeds.buzzsprout.com/1815964.rssWebsite: https://rewatchingoscar.buzzsprout.comSocial Media Links: Facebook, Twitter, LinkedIn, Instagram, BlueSkyShare your thoughts and suggestions with us through:Facebook Messenger or email us atjack@rewatchingoscar.com or jackferdman@gmail.comMusic by TurpacShow Producer: Jack FerdmanPodcast Logo Design: Jack FerdmanMovie (audio) trailer courtesy of MovieClips Classic TrailersMovie (audio) clips courtesy of YouTubeSupport us by downloading, sharing, and giving us a 5-star Rating. It helps our podcast continue to reach many people and make it available to share more episodes with everyone.Send us a text
Memento mori—Latin for “remember that you must die”—may sound grim, but this ancient Stoic reminder is really an invitation to live more deeply by remembering our mortality. Death is not the opposite of life but part of it. When we face our impermanence with honesty and curiosity, fear begins to soften, gratitude deepens, and life itself grows more vivid.
Lead Teacher Brad Ruggles presents the last segment in our series, The Empire of Screens: Wisdom for Living in the Attention Economy.
The Empire of Screens: Wisdom for Living in the Attention Economy is our current focus, and this week Lead Teacher Brad Ruggles continues with Part Three: Watching the Watchers.
The Empire of Screens series continues with Lead Teacher Brad Ruggles' teaching, Part 2: The Attention Economy
It's a new series! This week The Empire of Screens series begins with Lead Teacher Brad Ruggles' teaching, Part 1: Digital Empire.
Lead Teacher Brad Ruggles continues his series on Stories That Shape Us with Part 3, Absolutes…
Last week, we began our new series Stories That Shape Us by looking at the story of Separation. This week we turn to Scarcity, the story of “not enough."
A chapter closes, as the the Borgo Pass Horror Podcast reviews the last of the true Universal Monsters films still on the shelf: 1940's The Invisible Woman starring Virginia Bruce, John Barrymore, John Howard and Charles "Charlie" Ruggles.Joining Jim on this episode is first-time co-host Bill Fleck: classic horror writer and blogger, and author of the books "Chaney's Baby" and "Chaney's Audition".
Brad returns beginning with the first of a two-part talk called Stories That Shape Us. This first week, Scarcity and Separation, explores how the inherited stories of “not enough” and disconnection shape our daily lives. Scarcity breeds hurry, greed, and comparison, while separation convinces us we're cut off from one another and from the natural world.
We have arrived at the final week of our Psychedelic Summer series, and Lead Teacher Brad Ruggles wraps it up with Openness: Keep Your Third Eye Peeled.
It's Week 8 of the Psychedelic Summer series, and Lead Teacher Brad Ruggles presents the topic Intention & Integration: Finding Meaning in the Mystery.
It's week six of the Psychedelic Summer series and Lead Teacher Brad Ruggles follows up from last week's talk, "Ritual & Ceremony."
Week five of the Psychedelic Summer series continues as our Lead Teacher Brad Ruggles explores Set & Setting.
In this episode we are joined by Kelsey Black, of the Book Burrow Bookstore in Pflugerville Texas as we discuss the history of Bookstores as Resistance Centers. We discuss David Ruggles and the first Black-owned bookstore in the United States and how he was a figurative and literal stop on the Underground Railroad, selling books about feminism and the abolitionist movement. We talk the FBI's illegal COINTELPRO and how they went after book stores like Hakim's and The Drum and Spear Bookstore. We discuss the Gotham Book Mart, the 8th Street Bookstore and Peace Eye Books in New York City and so much more, even digging into how booksellers have sneaked secret information to their customers in this fully amazing episode of the Family Plot PodcastBecome a supporter of this podcast: https://www.spreaker.com/podcast/family-plot--4670465/support.
Susan Donnelly & Rick Ruggles from Mt Sunapee are here as we talk about all the things happening at Mt Sunapee this summer. The Mountain is open Thursday through Sunday all summer long, with ropes course, mini golf, mountain biking, chair lift rides to the Summit, music at the Summit on Sundays and lots more.
It's week three of the Psychedelic Summer series. Lead Teacher Brad Ruggles will speak with us about New Ways of Seeing.
We launch Psychedelic Summer—our most mind-expanding, soul-revealing, consciousness-altering series of the year. Week one is called Tune In. We're starting by exploring—and reclaiming—a word that tends to raise eyebrows: psychedelic.