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Special discounts up for AIE Melbourne (LS discount) and AIE World's Fair (group discounts up to 25% - CFPs still open for Autoresearch and Vertical AI) Cya there!Abridge did not start as an “GPT wrapper”. It was founded in 2018, years before the Cambrian explosion of AI application layer companies. OpenAI launched ChatGPT publicly on November 30, 2022 and by then, Abridge had already spent years doing the unglamorous work of building trust for one of the highest context, most important workflows in healthcare: the conversation between a patient and a clinician.Abridge's original wedge was clinical documentation. Listen to the visit, generate the note, reduce the clerical burden, and let clinicians spend more time with patients instead of the EHR. By focusing on how doctors actually document, how health systems actually buy, how EHR integration actually works, how clinicians verify outputs, and how missing context during a visit turns into downstream friction across billing, prior authorization, quality, and follow-up, the adoption of LLMs became a force multiplier on a workflow already optimized for sensitive context gathering.The company has scaled fast: Abridge says it is projected to support 80M+ patient-clinician conversations this year across 250 large and complex U.S. health systems, with support for 28+ languages and 50+ specialties. It raised $300M at a $5.3B valuation in June 2025, after a $250M round earlier that year.Today, Janie Lee and Chaitanya “Chai” Asawa of Abridge join us for another crossover pod with Redpoint's Jacob Effron (who is on the board of Abridge) to dive into how Abridge is building the clinical intelligence layer for healthcare starting with ambient documentation, then expanding into clinical decision support, prior authorization, payer/provider/pharma workflows, and eventually real-time agents that act before, during, and after the patient conversation. We go inside the product, data, infra, evals, workflow, privacy, and org design choices behind bringing AI into one of the highest-stakes enterprise environments from 100M+ medical conversations and specialty-specific evals to real-time alerts, EHR integration, de-identification, clinician-scientist teams, and why healthcare may solve some of the hardest AI problems first.We discuss:* Why Abridge started with clinical documentation, “pajama time,” and saving clinicians 10–20 hours a week* The transition from ambient scribe to clinical intelligence layer: save time, save money, and save lives* Why conversations between patients and clinicians may be the most important workflow in healthcare (patient visit summary feature)* Chai's “healthcare-coded Glean” framing: context is king, but healthcare raises the stakes on safety, evals, and rollout* Why Abridge wants AI to feel like “air conditioning”: always in the background, but only interrupting when it truly matters* The prior authorization example: turning a denied MRI weeks later into real-time guidance while the patient is still in the room* Why payer policies, EHR data, medical literature, and hospital-specific guidelines make the problem hard, and also create the moat* How Abridge thinks about ambient form factors: mobile, desktop, in-room devices, nursing workflows, multimodality, and future AR* The multi-sided healthcare customer: CMIOs, CFOs, CIOs, clinicians, patients, payers, and pharma* The hardest AI problem at Abridge: high-quality, low-latency, low-cost real-time support in a high-stakes clinical setting* When Abridge uses frontier models vs proprietary models, and why its unique data from medical conversations matters* Why “every agent is a coding agent underneath,” and how the EHR can be thought of as a filesystem for healthcare agents* How Abridge approaches personalization across individual doctors, specialties, and health systems* Why “AI slop” is AI without context, and how edits, memories, and clinician preferences create a data flywheel* Abridge's eval stack: LFDs, LLM judges, in-house clinicians, third-party evaluators, specialty-specific evals, and progressive rollout* HIPAA, PHI, de-identification, one-way anonymization, customer contracts, and learning from healthcare data safely* What changes when you operate at 100M+ conversations: reliability, cost, post-training, model routing, and infrastructure optimization* Why the same clinical conversation can serve doctors, patients, payers, pharma, and future clinical-trial workflows* How Abridge works with EHRs, and why deep interoperability is table stakes for clinician adoption* Why healthcare AI has regulatory tailwinds, why 80/20 does not work here, and why high-stakes domains may drive AI forward* Why Abridge embeds “clinician scientists” into product and eval teams* What Chai learned from Glean about search, quality, and durable AI infrastructure* Why the future of AI infra may look like context layers, event-driven systems, Kafka, Temporal, sockets, CRDTs, and tools built for humans* Why Janie changed her mind on “PRDs are dead,” and why crisp written clarity matters more in complex AI products* How Abridge uses Claude Code, Cursor, and coding agents internallyAbridge:* Website: https://www.abridge.com/* X: https://x.com/AbridgeHQJanie Lee:* LinkedIn: https://www.linkedin.com/in/janiejleeChaitanya “Chai” Asawa:* LinkedIn: https://www.linkedin.com/in/casawaTimestamps00:00:00 Introduction and what Abridge does00:02:05 From ambient documentation to clinical intelligence00:04:04 Clinical decision support and context as king00:06:57 Alert fatigue, proactive intelligence, and prior authorization00:12:36 Ambient AI form factors and healthcare customers00:16:59 The hardest AI problems in healthcare00:18:26 Frontier models, proprietary data, and model strategy00:21:07 The EHR as a filesystem for agents00:24:03 Personalization, memory, and clinician preferences00:30:40 Evals, LLM judges, and progressive rollout00:36:47 HIPAA, de-identification, and privacy00:39:21 100M conversations and operating at scale00:44:10 EHR integration and the clinical intelligence layer00:46:39 Healthcare regulation, latency, and high-stakes AI00:50:11 Clinician scientists and long-tail quality00:53:04 Lessons from Glean and durable AI infrastructure00:57:03 The future of agentic healthcare workflows00:57:34 PRDs, product clarity, and building serious AI products01:03:11 AI coding tools at Abridge01:04:06 OutroTranscriptIntroduction: Abridge, Clinical Intelligence, and the Latent Space x Unsupervised Learning CrossoverSwyx [00:00:00]: Okay. This is a special crossover Latent Space Unsupervised Learning pod.Jacob [00:00:07]: Very excited to do this.Jacob [00:00:08]: At this point, we get together once a year.Swyx [00:00:10]: Once a yearJacob [00:00:11]: And this is a fun occasion to get to do it on.Swyx [00:00:13]: I really wanted to talk to Abridge but I felt very underqualified because healthcare is not something we cover very intensely. It just so happens that Redpoint's our big investors and supporters of Abridge.Jacob [00:00:27]: Anytime you want to have a portfolio company on your podcastJacob [00:00:29]: Please, by all means.Swyx [00:00:31]: So we'll introduce our guests. Chai and Janie, welcome to the pod.Janie [00:00:34]: Thanks for having us.Chai [00:00:35]: Thank you.Janie [00:00:35]: We're excited to be here.Chai [00:00:36]: Thank you.Swyx [00:00:36]: So for listeners, what do you guys do, just to situate you guys in the company?Janie [00:00:42]: Abridge is a clinical intelligence layer for health systems. We really started with documentation and building for clinicians and as we think about reducing the burden that clinicians have, they're spending 10 to 20 hours a week on documentation. There's a massive doctor shortage in the country. We also think that conversations between patients and clinicians are probably the most important workflow in healthcare. It's where care is given and received but if you think about the 20% of our GDP that goes towards healthcare, almost everything is a derivative of that conversation, whether it's the claim, the payment, the actual diagnosis given, the treatment. And we've started with a conversation to reduce the burden for doctors on documentation but we're really excited about the path ahead as we become this broader clinical intelligence layer.Chai [00:01:34]: I'm Chai. I work on clinical decision support at Abridge.Swyx [00:01:37]: Yes.Chai [00:01:37]: And so as Janie said, we're uniquely situated where we started off with the clinical note. What I'm really excited about and where we're expanding towards is what are all the things you can do before the conversation, during the conversation and after the conversation if you did have access to all the context about patients, payer guidelines, medical literature and put that together and to serve, how healthcare could look fundamentally different.Swyx [00:02:01]: And that's the context engine that you guys have?Chai [00:02:04]: Yes.Swyx [00:02:04]: Is that what it's called? Okay.Swyx [00:02:05]: So historically, as I understand it, the company started in 2018. A lot of people would be familiar with the AI voice notes form factor that doctors would be “Well, do you consent to being recorded?” It replaces handwriting and what have you. But it sounds like more recently there's been a big transition in the company. Tell me about the broader transition.From Documentation to Clinical Intelligence: Save Time, Save Money, Save LivesJanie [00:02:26]: So from a transition perspective, we really think about our journey as The first act was: how do we help save time? And that's where a lot of that original product was.Swyx [00:02:37]: By the way, one of those interesting statsSwyx [00:02:39]: On your landing page was, doctors spend time after hours.Janie [00:02:43]: They call it pajama time.Swyx [00:02:44]: Why is that pajama time?Janie [00:02:46]: Doctors after work in their pajamasSwyx [00:02:48]: In their pajamas. OhJanie [00:02:49]: At home are just writing and catching up on their notes every day.Janie [00:02:53]: Some of our favorite customer love stories, we have a Slack channel called Love Stories. We have clinicians telling us, “Abridge has helped us, from retiring early or we're now finally able toJanie [00:03:06]: go home and eat dinner with our kids for the first time.”Chai [00:03:08]: Save the marriage in some cases.Swyx [00:03:10]: One of the quotes was “We're not divorcing anymore.”Swyx [00:03:12]: I'm asking, “Why?”Swyx [00:03:14]: Because they're working too much.Janie [00:03:16]: But, in terms of where we're going and where we're expanding, we really think about our second and third acts around how do we help health systems save and make more money. Health systems are operating with record-low operating margins. It's getting harder and harder to serve patients and they have regulatory, some tailwinds but also a lot of headwinds coming their way and AI is ripe for helping on the saving and make-more-money piece. And then ultimately, how do we help save lives? The fact that our software and our product is open millions of times a week before, during and after a patient walks in the room, gives us massive opportunity with products like clinical decision support, which Chai is building but so many others to improve patient outcomes and probably one of the most important workflows and problems to be going after right now.From Glean to Healthcare: Context Is KingJacob [00:04:04]: One thing that's interesting, Chai, is you came over to Abridge from Glean and clinical decision support, which for our listeners is, in the context of a visit, helping a doctor figure out the right type of care. It's really a search problem in many ways, going through lots of different data sources. Very analogous to your previous role as one of the earliest engineers over at Glean. I'm sure a lot of our listeners are curious what's similar about the problems that you're going after now and what feels different, now that you're in healthcare.Chai [00:04:33]: Very similar. Taking a step back, with every wave, there's a lot of very similar patterns that happen across different products. A lot of social networking products look the same. A lot of credit-based products look the same. And we're seeing that very similar in the agent era with many companies, of course, in Redpoint's portfolio and so forth. And the key insight between both companies is that you have amazing models but context is king. Context is what puts them to work. So I see it in a lot of ways, a lot of similarities in this is a healthcare-coded version of Glean but the differences are really interesting. A couple things that come to mind. First and foremost, the rigor of the setting we're in. The downside risk is extremely high here in healthcare. It can be fatal in some cases. You prescribe something that the patient is allergic to for example. Whereas at Glean, it's “Oh, you got the question wrong.” It wasn't the end of the world in most cases. And so what does that mean? That shapes our evaluation strategy, both offline evaluation, progressive rollout and there's a lot more we could go into there. Second thing that comes to mind is, vertical versus horizontal. In both cases, there's a large variance but when Glean is, it's a much more horizontal company, there's a variance of personas, companies that you're working with. We also have a variance of personas, different types of specialties, different hospital systems. But the variance is a little more narrow. So from a product perspective, you're able to focus far more, especially when you have a maturing technology and you're building new products that never existed before. It lets you go after them much more easily and especially in healthcare where so many problems were solved with labor and process, that it's extremely ripe for AI to keep helping augment and enable. And the final thing that's really interesting, Abridge specifically compared to many other companies in the AI area, is the modality we started with where we're ambient and we're always listening in the background. And many more AI products will go that way but it's how we started. And that's the greatest form of AI we can create, AI that's seamless. You're not looking at your screen. It's always there. It's always helping you out and being proactive. The Jarvis vision that, every hackathon I went to over the past decade, there was always a Jarvis competitor. But Abridge very much started from the opportunity and continues to go that way.Ambient AI and Alert Fatigue: When Should the Product Interrupt?Jacob [00:06:57]: One thing that is super interesting then from a product perspective is you have this always-on seamless in the background and then you have to decide when you break the wall almost and say, “Hey, clinician, you might not have thought about X,” or whatever it is that you want to do. And in healthcare traditionally there's been this idea of alert fatigue and a million pop-ups and then a doctor just ignores all of them. It's probably a pattern that a lot of builders are thinking through now. How do you think about the right way to intervene or to pop up in a doctor visit?Janie [00:07:26]: It's such a good question. Alerts are notorious in healthcare specifically. Over 90% of alerts are ignored. The first and most important thing is context is everything, as Chai alluded to and I also think about how do we go from being reactive alerting to really proactive intelligence at the point at which it matters most. One thing we like to say is we want our product to feel like air conditioning. It should be in the background just making things better and if there is something that has great clinical risk and we're acutely aware that intervening now and not later is incredibly important, we should decide to act. But if you think about proactive versus reactive, instead of alerting a clinician during a visit when they're with their patient having a pretty serious and sensitive conversation, how do we prep a clinician before they walk into the room with that patient? And so historically, clinicians might have to manually go through charts with a patient that they've had over the course of months or years and they'll try to suss out what are the things they should be doing. You can imagine a world with Abridge. We'll summarize all of the most recent context for you, tell you based on the reason for a visit the patient is coming in for the types of things you should be discussing. And so you're going into that conversation prepped rather than walking in cold to that patient visit and then having this product interrupt you five or 10 times throughout the visit. And there might be times where it's really important to interrupt. We have a product called Prior Authorization and so this is when you may go into a doctor's office with knee pain. They'll prescribe you an MRI and so many of us have had this experience before, where in four weeks you'll get a call saying, “Hey, Sean, that MRI that you were prescribed wasn't approved and why don't you come back in? We'll figure it out.” In a world with Abridge, we might choose to quietly but still alert a doctor in that visit. And alert is probably not even the word we would want to use. Before a patient leaves, we would want to tell the doctor, “Hey, Doctor, before Sean leaves, you should ask him, has he had physical therapy and has his pain lasted for more than six weeks? Because the Aetna plan that he's on in California requires six things. We've already confirmed four of them have been met ‘cause we have all the context. But these two last criteria, if you can address with Sean before he leaves the room, we could guarantee that your MRI is approved before you leave.” And so when you think about clinical usefulness, impact to the patient, there are instances in which if we can catch a doctor while the patient is still in the room, as we think about save time, save money, save lives, we get to check all of those boxes. But when doctors have 15 minutes between visits, we have to be really thoughtful about when it matters.Prior Authorization: Reducing Latency in CareChai [00:10:23]: There's this interesting product opportunity AI has is reducing latency in the world. For example, prior authorization is an example of where care gets delayed and so great AI can reduce that. And the problem with alerts before partially is a technical problem: the quality of your alerts really matters. They're going to get ignored if you get alerts that... Similarly in engineering, where they're noisy alerts that you can't act on. But if you can make really high-quality alerts with both the context, as Janie said, and really high-quality models, then you can create a whole other game.Janie [00:10:53]: And I really like that experience because it starts to tease apart, what makes this so hard and unique. One, to make that prior authorization example possible, think about all the data that you need to have. You need to integrate with the electronic health record to know all of the patient context. Do we have access to your previous labs, previous imaging? And then to match you and to know that you're on Aetna, we have to collect all of the different payer policies and they vary by state. Some of these payer policies live on websites. Some of them live in unstructured 50-page PDF files.Jacob [00:11:31]: I thought this episode wasJacob [00:11:31]: To make sure we didn't scare people from healthcare.Janie [00:11:34]: But when you think about the things that make it hard, it also gives you the moat.Janie [00:11:39]: And then the second is the AI and the model quality we need to be able to hang our hat on. And so the bar, similarly when I worked at Opendoor, I worked on pricing models. Every outlier wiped out the margins of 30 and so similarly here in healthcare, the bar for accuracy is so high. And then I'd say the last is workflow is everything. If insurance companies deploy AI, it typically happens too late and this is when you have the notorious comical examples of AI just fighting each other when it's too late. But if we can pull forward the use of both the AI but also the ability to solve problems when the patient's in the room, you can start to collapse what typically takes weeks or months after your visit, ideally down to minutes or real-time. And it's where healthcare is both very difficult but also extremely rewarding if you can crack it.Product Form Factors: Mobile, Desktop, In-Room Devices, and ARSwyx [00:12:36]: Just to get some baseline on the form factors, because I've seen some videos on your website and stuff. You guys talk a lot about ambient AI. Is it primarily on the phone? Is there any other form factor that people get Abridge in? Is there an Abridge room setup where it's always on? I don't know.Jacob [00:12:55]: An Abridge podcast studio.Janie [00:12:58]: Primary form factor is mobile and desktop. UsuallyJanie [00:13:00]: Clinicians are walking in and out of rooms with mobile but at the end of the day, when they're closing out their notes or wanting to prep for the day ahead, they might use desktop. We have been having a lot of really interesting partnership conversations with a lot of these in-room device companies as you think about the power of multimodality and even more data, as you think about all of what is not captured today. It is fascinating to think about, especially even as we go into building and scaling our nursing product. It's one where nurses constantly, as they're walking in to check in on a patient for two minutes or maybe even 30 seconds,Janie [00:13:43]: Starting an Abridge experience is probably going to take longer than the visit. And so what can we do with in-room devices that are always on starts to raise really interesting and fun product questions.Swyx [00:13:54]: I was thinking, the way in tech companies we have all these Google MeetSwyx [00:13:58]: And other things, we might as well set up entire rooms with just Abridge tech.Chai [00:14:02]: Very much. AR glasses and related form factors are also relevant: how do we bring the information to the clinician in real-time without a screen, while still letting them focus on the patient?Swyx [00:14:18]: Do you think they want that? I'm skeptical of AR, but I'm curious what you've tried.Chai [00:14:26]: Admittedly, it's not a near-term product roadmapChai [00:14:29]: By any means. I'm being far-fetched.Jacob [00:14:31]: There's some sick AR stuff for surgeries.Swyx [00:14:33]: Really?Jacob [00:14:33]: When people are trying to visualize, you're about to make an incision but you want to see, what the cut might look or what the body might look like inside and they can layer in imaging.Swyx [00:14:43]: That's cool.Chai [00:14:45]: At some point in the future.Janie [00:14:46]: But there are a lot of our largest customers and at the largest health systems integrating already and so even as we think about building into it, unlocks a lot of product capabilities.Swyx [00:14:57]: And just to establish the terminology. Sorry, and I know I'm asking basic questions somewhat for myself but also for the audience who might beHealth Systems, Buyers, Clinicians, Patients, and PayersSwyx [00:15:05]: Less integrated. When you say health systems, it's like the Johns Hopkins, the Kaiser Permanentes.Janie [00:15:09]: Mayos, the Kaisers of the world.Swyx [00:15:10]: These are your customers, right? And the outcome that you deliver for them is happier doctors, reduced cost of processing, reduced mistakes. It's weird in a sense that I feel like there's also, a secondary customer, the customer of the customer and I don't know if you — do you think about it that way?Janie [00:15:28]: The other interesting and complex part of building product is we have our buyers, who are the chief medical information officersJanie [00:15:39]: The chief financial officers, the CIOs of these large health systems. Our users today are clinicians but if you think about who downstream is impacted, it's patients. And so as we build, with every product in mind, we think about who we're building for, who the secondary user is and what does that mean either in terms of experience, security compliance, ROI that we have to make tangible. And so like you said, time savings is one of them. But for CFOs, they care a lot more than just time savings. We have to show for every dollar you put into Abridge, because you have more compliant documentation or because you have fewer queries coming from your billing team, we save or add real dollars to your bottom line or top line, are things that we're constantly thinking about because of the dynamic across all three sets of users.Chai [00:16:32]: There's a whole other axis too with the payers and pharmaChai [00:16:35]: as well. Connecting all these three big stakeholders in healthcare isSwyx [00:16:39]: Do the payers ever see your data? Sorry, the payers meaning the insurers, right?Chai [00:16:44]: Yes.Swyx [00:16:44]: They also see Abridge data?Chai [00:16:47]: NoSwyx [00:16:47]: Like the direct integration to you guysChai [00:16:48]: They wouldn't see the raw Abridge data but when you're working together on something like prior authorization, whatever information they need, we'd communicate to them.Jacob [00:16:59]: That's cool. I would love to dig into the AI side. You still have a lot of problems on the AI side. And so maybe to start at the highest level, what's one of the hardest problems you have to solve in AI at Abridge today?The Hardest AI Problems: Quality, Latency, and CostChai [00:17:11]: To make things simple, let's take, building off the prior auth example. So one thing Janie talked about is okay, this data is all over the place and there's this combinatorial explosion of procedures, payer policies and even sometimes different health systems. There can be some cross-product of all of these different considerations you have to take into account. But what's really hard about this problem is doing it real-time in the conversation. So, in any AI product, usually the three KPIs you care about are quality, latency and cost. Now, what we're saying is we want you to do this real-time in the conversation, guiding the clinician. How do we do it in a way that does not break the bank? But we're using — But we also need very intelligent models because you're working with this cross-product of data and this, all this context layer as well. So you need high intelligence and high-quality because you don't want the alert fatigue but you also need to be fast and cost-effective. And so that's where a lot of clever engineering goes. It's okay, without getting into all the details here, can you model these policies in some intermediate representation or other things that you can do that can make this problem tractable? And of course, the Pareto frontier is always changing but we are also trying to do this now.Model Strategy: Third-Party Models, Proprietary Data, and Medical ConversationsJacob [00:18:26]: What implications has that had for what you take off-the-shelf and say, “ what? We don't need to be world-class at X. We'll just take this from the model providers or from some infrastructure player,” and what you're “No, this is where we spend most of our time focused on”?Chai [00:18:38]: This is, the fun challenge in AI?Jacob [00:18:42]: It changes every three months? SoChai [00:18:42]: Of course, with the shifting landscape, we try to be extremely thoughtful on predicting the trends of where third-party models are going and where we can uniquely go. And, sometimes when you talk about AI models, we're the models are just going to get infinitely better. But I don't think... It may be in the grandness of time you could say that but, within every month, every quarter, there's specific ways they're getting better. They're training on a lot more, coding data to be better coding agents, for example. And soChai [00:19:14]: We have to think about where are the things that won't — unique data that we're uniquely training on or to step back a little, where is a proprietary model bringing advantage to us is if it can give higher quality or lower cost and latency for similar quality, very similar to many other companies. And when we can do that is when we have proprietary data. So, for example, we have on the order of eighty million or hundreds of millions now getting close to of medical conversations.Jacob [00:19:44]: It's insane.Chai [00:19:45]: This is a unique data set. And this data set, it's very interesting because this data set is effectively a large part of the trace between the patient and the provider. That's where the quote-unquote debugging happens in healthcare. We have these traces at scale, as in as, our CEOs even called it, an exhaust that comes out of our product. And so when you have these traces, that's how you can train better agents on certain use cases, whether it's your transcription diarization use cases or so on or like note generation models and we can do that much cheaper and faster. But we're always also working with these third-party model providers. We closely collaborate with them and that's how we predict where the trends are going. The thing that I think about a lot is that, I know that the model providers are going to train much more on agentic workflows and so forth, so that's great, so that you have a better agentic harness. But the other thing that's interesting is that the model providers, because a large class of the consumer model providers is healthcare queries, that they might, optimize to train a lot of healthcare data to encode the knowledge in its weights. And this is just a great thing for us as well, where the off-the-shelf models can keep bett-getting better at general healthcare information, such that what our strategy is, we have a constellation of models, we can use something for this, that and, we only care about, at the end of the day, the best product experience.EHR as File System: Agentic Workflows and Real-Time InterfacesJacob [00:21:07]: And, you have, overall capabilities improving. I'm curious, as these models get better, is there something you look at and you're “, three months ago, we really couldn't do that but God, the the latest models really allow us to do it”?Chai [00:21:19]: So here's something interesting that I've, been toying with. So all models are... This wasn't super obvious a year ago but now it's become clear and clear that almost every agent is a coding agent underneath the hood? So you give it whatever file system, it can write its own code and so forth. So when you think about within healthcare and the use case that we have, you can think of the EHR effectively like a file system. It's just — it's a storage of all this information. It's a lot of information there that cannot fit into the context window, at least of today's models and you want to use that context effectively for all these product use cases we're talking about. And so if you have better agents that can, manipulate data, read that data, treat it as a file system as we see they're going and we know model companies are investing this way, then that very directly benefits us.Swyx [00:22:09]: Yeah. Okay, cool. Again, just establishing basic things. But we're going back to the model stuff. I'm really interested in double-clicking more on the real-time, element, which is pretty important for both of you. Is it — Is real-time just batches of every one minute, every five minutes? Is that how we do it? Or is there some more native, genuinely real-time in the sense that OpenAI has a real-time API or Gemini has a real-time API?Chai [00:22:35]: Yeah. Yeah. So today it is more on the on the batch basis but there's interestingChai [00:22:41]: Prototypes that we have that we're still not fully, full time, voice in text out or in that sense. But, can you trigger your models, your agents or agentic workflows, depending on the right times in the conversation?Chai [00:22:58]: And so you can imagine, different techniques to bring this latency down and, you want to bring the feedback loop down as much as you can. And so a lot of clever engineering there without fully... Maybe one day we'll do full voice in and text out, train a model to do something like that.Swyx [00:23:15]: You do — People don't want voice in voice out?Chai [00:23:18]: Now we aren't creating experiences that are, during the conversation, inter — It's almost likeSwyx [00:23:25]: Might be too disruptiveChai [00:23:26]: Too disruptive until, who knows, maybe eventually you could have full voice agents once we — the quality and we improve the comfort of the technology. But right now gra — that change is much more gradual and it's more text focus, text out.Janie [00:23:42]: And so much of currently what our product is trying to do is allow a clinician to focus on their patient and maybe at some point but right now patients, clinicians don't want a third voice, at least in a literal voice in that room. And so how do we be there with all the contacts and information ready at hand when there's the right moment?Personalization: Individual Doctors, Specialties, and Health SystemsJacob [00:24:03]: Jenny, one thing I'm curious about is how you think about, personalization in the product. I imagine, every doctor is a special snowflake in their own way, has their own way they like to do things. There are probably a bunch of different approaches you could take to doing that, both within the model layer itself but then also just with clever prompting or engineering. How do youJacob [00:24:20]: Deliver on that?Janie [00:24:21]: It's such a good question. Personalization is massive for us. We think about personalization at three levels. The first is at the individual, the second is at the specialty level and then the third is at the health system or the organization level. To your point, there are a lot of individual preferences. You-When a note is produced, it almost is a reflection that is so deeply personal of a doctor's work and how they give care. And so do they have preferences on things like style? They might want bullets versus paragraphs, really concise versus comprehensive. They also might have phrases that they really like to use or the templates that they want every note to be structured. And, we see it in our feedback all the time. We want two spaces in between sentences or I refuse to use this tool. And so that's something that we've had to build in. And the tricky part is how do you make sure that stylistic preferences don't interrupt accuracy and quality and that's something that we've really had to refine and hone over time. Second is at the specialty level. A cardiologist note or workflow is going to look very different from a dermatologist workflow.Jacob [00:25:32]: I assume cardiology notes are the highest stakes for you guys, given your CEO is a cardiologist.Jacob [00:25:36]: It's “Oh my God, make sure we get this one.”Janie [00:25:37]: Shiv, our CEO, is still a practicing cardiologist. He rounds once a month. And so, first call when we want just quick and easy user feedback too.Janie [00:25:46]: But, specialties require a lot of personalization, both in terms of what does the product look and so we make sure that as new users onboard, we catch that and the product proportionally reflects that. But also on the back end, evals at the specialty level, they are hard-earned to calibrate and get. What does a really great dermatology note look like? What makes it complete? What makes it compliant and billable is very different than a primary care doctor. And so it's not just about what does the product experience look but on the back end tuning and really deepening our understanding for the specialists. What does great output look like? And that's, a problem that we need to calibrate internally, externally, online, offline but, takes lots of cycles but is necessary in a high-stakes environment. And then at the health system level, for products like clinical decision support, you have health systems who've spent years or decades refining their best practices and they want to know, “Hey, we love your clinical decision support product but how do we embed our own hospital guidelines into them to inform clinicians before, during or after a visit what brest — best practices should look like?” And as you think about, deepening moats as well, when health systems, trust us with that data, allow us to productize it and directly into the clinical workflow, makes us a really great partner to health systems who want to build something that truly meets their needs, their practicing guidelines.AI Slop, Memory, and Product Data FlywheelsChai [00:27:23]: And I want to add onto that. The for the clinical documentation problem, it's very similar to AI writing that doesn't feel like your own and then we call that slop. But the way I describe one framing of slop is like AI without context. But we have all that context and both the clinicians, can have it and can guide it. And so part of the other interesting exhaust for us is, memory is, one of these new systems recordsChai [00:27:49]: Almost.Janie [00:27:50]: And we also have all the edits people make on our product and when you think about a data flywheel and how we get better over time becomes really powerful as a mechanism to just going deeper in personalization.Jacob [00:28:04]: It's interesting. I love this idea of working with systems on the guidelines they built up over a long time. I feel like so many of the best AI app companies today are... The question is: How do you take the expertise that a law firm or a bank has built up over many years and then add that as context and also a special sauce over, a an AI tool? And so seems like y'all are really doing that very effectively.Janie [00:28:24]: We're now starting to have our customers ask, “What are other customers doing?”Janie [00:28:28]: “And how are they doing it?”Janie [00:28:30]: And as we think about having visibility across such a large set of care being delivered right now, a really interesting place we could also partner.Swyx [00:28:40]: I'm just curious. I — This may be a nothing question but, how different are health system guidelines from each other? Don't they all converge to the same thing? And if not, where do they differ?Chai [00:28:52]: At a really high level, they're going to talk about very similar things but the difference is probably in some more of the details. “Oh, you should refer to specialists only when XYZ conditions are met,” or so forth and maybe different organizations have different practices and guidelines around that. But high level, talking about similar things but the details are what, of course, that shapes the context and the decisions you make.Swyx [00:29:15]: And this all goes into the context engine and it might affect the notes but maybe not.Chai [00:29:21]: The — For these local pathways, we're definitely thinking about it a little more for our clinical decision support product.Chai [00:29:26]: So yeah.Swyx [00:29:27]: Which is your stuff, yeah.Swyx [00:29:28]: And then the memory which you raised, let's just tell us more about that. What have you tried in memory? What's the structure of the memory? What works? What doesn't work?Chai [00:29:38]: There's, of course, many different ways you could do memory, where it's okay, can you bake it into the model weights or can you do it in some external store? For us, what's interesting is, of course, when you think the models are rapidly changing, whether it's in-house or third-party, baking into the model weights, sometimes you worry that it could be a little throwaway. And so, how do you... You need to find a way that you decompose the problem, the preferences from the underlying models and so forth. The thing we're right now most both that's easiest to start with and we're excited about is having, a separate store for memory, where you have, for example, a memory sub-agent that's, working in the background, figuring out what are the important parts of the clinician's actions that we want to remember for the long term. And then you can also imagine, other things where in the — you have background jobs that are running that are collating these, memories similar to Sleep, of course and what other pattern, patterns products do as well. Learning over all these action, all the action data we have, again, note edits, the conversations they did and the actual transcripts.Evals: LFD, LLM Judges, and Clinical SafetyJacob [00:30:40]: What about evals? How in the world do you... It is such a complex product surface area. We would love to hear you riff on that and also how has that evolved? I'm sure you've gotten better at it, so any learnings along the way.Janie [00:30:50]: From an evals perspective, we, from day one when we build any new product or feature, we think about, what does good look like? And there are table stakes things like clinical safety but then you start to get deeper into what does good quality look like. And when you go into something like our core product, there's stuff like style and completeness and there's things like does this note become something that can be billable, which is very high stakes for a health system. We have a number of ways in which we get confidence for this. We have, internal in-house clinicians who do what we call an LFD process to give us our very first pass at is this or isn't this a good enough output, look at the effing data.Jacob [00:31:41]: LFD?Chai [00:31:42]: That's why I was smiling. I was “Is Janie going to mention what it stands for?”Jacob [00:31:46]: I was not... There's like a million acronyms.Jacob [00:31:48]: How am I supposed to know that I don't? So “Oh yeah, of course, an LFD.”Swyx [00:31:51]: I've never heard of LFDs.Chai [00:31:53]: It's a bridge for sure.Janie [00:31:55]: I got through three days and then I had to ask someone.Janie [00:31:58]: I thought it was just me that didn't knowJanie [00:32:01]: It's our internal process.Swyx [00:32:02]: But look at the data as a meme in ML, ‘cause you tend to not look at it. You just want to look at number go up.Chai [00:32:06]: Exactly.Swyx [00:32:07]: But yes.Janie [00:32:08]: But so, we make sure we look at the data and then as we think about all of the components of good output, we, one, create LLM judges across all of these and we make sure with annotated data and either internal or external evaluators, we feel like these judges are calibrated. And then depending on the stakes, we also work with in-house and third-party evaluators across all of these before we ship any big change. And the goal is, in terms of evolution, how do you go from this process taking months, down to weeks, down to days? Some of it is, a true science and ML problem. A lot of it's also just, hard operational work. Have you planned ahead in terms of what you need? Have you really optimized the capacity that you need across all of the different specialties you need? Have you gotten a really good sense of which third parties are great to work with for what use cases? This takes a lot of domain, expertise and, lots of mistakes and errors in figuring that out. And so as much of it is an ML problem, so much of it has also been operational gains that are hugely important, where domain-specific expertise is everything.Specialty-Level Evaluation and Progressive RolloutsJacob [00:33:23]: But it's funny, ‘cause I feel like people talk about healthcare like it's one giant market and the reality isJacob [00:33:26]: It's, dozens and dozens of sub-markets. And so it feels like in your evals you have to build that up across the board, probably.Swyx [00:33:34]: And is specialization the primary cardinality at... That's the word that comes to mind.Janie [00:33:40]: Sometimes, depending on the product or the use case. And so if we're making a note improvement or feature for a particular specialty, definitely but we have products that are for nurses. We have products that, are really aimed at making the document or the output a lot more billable. And so we'll want to work with coding teams and not necessary clinicians. And so likeJacob [00:34:05]: Coding meaning healthcare coding.Janie [00:34:06]: Yes. Yes.Jacob [00:34:07]: NotChai [00:34:07]: Yes. I see you.Swyx [00:34:07]: Other kinds.Janie [00:34:09]: But is this output proportional to the work that was delivered? Is there sufficient documentation to justify the amount that a health system may end up charging? And so, specialty sometimes but also domain, very different across all of the different products that we're working for. And building out that network is, not easy and is where a lot of our operational investments have gone into.Chai [00:34:35]: And I view a lot of analogies to self-driving cars here, where, part of it is we really want progressive rollout of features to test in the real world is this useful? Is this going to work? One big difference compared to past lives is before I'd build a product, maybe I'd alpha it and then I'd like GA it the next week, ‘cause I'm “Go, move fast, ship,” and whatnot. But the mentality is like you... I want to make contact with the reality as quick as possible but I want a progressive rollout. Because as much as I get as large of an offline eval set, I want the distribution of that to match real-life distribution. And over time, by rolling out early, similar to Waymo has a tagline, “The world's most experienced driver,” another thing that can, at least linearly increase for us is, both the size of our evaluation offline and online, that and it all feeds back.Janie [00:35:25]: Something that's been earned over time, speaking of evolution, is just the trust we've gotten with customers. Historically, a lot of these health systems, when they bring on new vendors, their release cycles are quarters, sometimes twice a year. We've gotten our customers onto monthly release cycles, which is pretty fast for health systems but what is more exciting over the last, call it, few quarters, has been, a subset of our customers have said, “We want to innovate with you. We trust you,” and we have a pretty, decent chunk of our customers who say, “We'll develop with you outside of these monthly release cycles. We have a higher tolerance. We know that the stakes are very high but we want to be the first ones using these products, giving you feedback.” And so for a pretty substantial set of our customers, we've been able to convince them to be able to ship, in this gradual way before GA. Something we talk about a lot internally is, trust is earned in drops, earned in buckets and so we still can't do what I used to do when I worked at Loom. We had 30 million users. I'd just be, rolling out experiments left and. The bar is still quite high for iterative rollout but because of the trust we've earned, we're able to learn at pretty high volume very quickly.Privacy, HIPAA, and De-IdentificationSwyx [00:36:45]: Your scale is still pretty huge.Swyx [00:36:47]: One thing I want to... We were going to go into scale? In a sec. One thing I wanted to call up, follow up on evals, which, again, just coming from a generalist engineer point of view, just thinking through what would people be scared of in doing this, the privacy and HIPAAJacob [00:37:00]: Elements of this. I have zero experience in that. What do you have to do? What is surprisingly not that bad?Chai [00:37:06]: So one thing that's really important here from a compliance perspective is very much that any of the data we use needs to be de-identified, any real-world data we use as a basis of online eval sets we're learning from. And so you have to — And there's, very clear, government guidelines, what counts as PHI. And so we've even have built models that can take, for example, a clinical transcript and remove all the key PHI indicators and so you have a scrubbed/de-identified version. And then once you... And so one thing that's important is first you've got to get confidence in that model in the first place? And prove that out. Because, now you have, multiple probabilistic systems on top of each other.Chai [00:37:46]: But once you have that, then you can train on it use it for evaluation and so forth, provided one of the cool things also that you can do from a business side is the right data contracting as well with your partners.Jacob [00:37:57]: Is the anonymization one way? Once it's done, you cannot undo it? Or is there someoneChai [00:38:01]: YesJacob [00:38:02]: Who holds the master key that can... Yeah, okay. So it's one way.Chai [00:38:05]: It's one way. Yeah.Jacob [00:38:06]: That's how it works. I just wanted to... Because, there's a lot of this, learning from feedback and everything that, you would want to debug more but you can't because you just physically don't allow yourself to.Janie [00:38:17]: Some of it's also written in our customer contracts in terms of who can or can't access PHI data, how long do we retain it,Jacob [00:38:27]: Very goodJanie [00:38:27]: Before it gets de-identified. And so we have a pretty high bar for who can access that PHI data, just to make sure that we always respect our customer data and privacy. But that's something that we partner with our customers on too, to make sure that as we want full, as close to precision as possible in that qualityJanie [00:38:48]: We can still use it.Jacob [00:38:50]: But it'll be fascinating to see how that space evolves? Because you think about, I used to work at a company that, did a lot of healthcare data in the cancer space and if you asked, the average cancer patient, “Hey, do you want people, do you want other patients to be able to learn-”Chai [00:39:03]: Take it.Jacob [00:39:03]: “... Learn from your experience?”Chai [00:39:04]: Take it all.Jacob [00:39:05]: They're “Please.”Jacob [00:39:06]: “I'd love, nothing more than for other people to be able to learn fromJacob [00:39:10]: The experience that I had.” And so in the past it was a lot harder to do that learning. But with this technology, that might really be practical and so it'll be fascinating to see how that continues to evolve.Chai [00:39:21]: There's so much in our data set of 100 million conversations.Chai [00:39:26]: You can imagine things like insights that you can give to the clinician. How could you, oh, how could you have reacted to this? In coaching or insights around, which treatments are effective or, like... Because you have this, again, this data source that was never captured before but that's, where, intuition or experience is created from, going back to this idea that the conversation is the agent of truth.Operating at Scale: Reliability, Cost, and Token EfficiencyJacob [00:39:46]: Back to the 100 million conversations, I feel like you have this insane scale that maybe only a few other AI app companies have and everyone else dreams of. So not everyone has had to confront this yet but maybe just talk about some of the challenges of operating at that scale and what, our listeners have to look forward to if they ever get to this level of scale.Chai [00:40:05]: At large and larger in scale, so of course there's a general, infrastructure reliability. When you... In any given startup, you're building the plane while it's flying. So there's some notion of that. But what gets interesting on the AI and ML side for sure is this, as you get at more and more scale, so one, you have the data to first and foremost do this. But, you start thinking about costs or infrastructure in a whole different way at scale versus, a prototype.Chai [00:40:34]: You can use the most expensive model, you can burn as many tokens as you want but when you're doing 100 million conversationsJacob [00:40:41]: Token max on leaderboards are less upsetting than that context.Chai [00:40:45]: . When you're doing that and so that comes for we have the data and we also have the team that's able to post-train based on this and you can optimize for efficiency, especially in areas where you believe that maybe a lot of the quality headroom is less so and you don't expect the other off-the-shelf models to go that way, such that you want to do, efficiency maximization, in terms of compute and tokens.Jacob [00:41:08]: I feel like you guys live in the future in some way where most use cases today are really just in use case discovery mode, where it's “God, I really hope I can find something that can get to scale,” and so you're always going to use the most powerful model. And then the few things that do get to this level of scale, you start to do those optimizations.Chai [00:41:22]: It's a natural trajectory where it's like zero-to-one, we're not talking about any of these optimizations.Chai [00:41:26]: But when maybe we're in the one-to-100 or so forth, then we're in optimization mode and, what works out really well is you've got all this data from zero-to-one that lets you do this.What Comes Next: The Conversation as the Shared Healthcare PlatformJacob [00:41:36]: That's fascinating. I feel like one thing that's so interesting about the Abridge footprint is that you're in the doctor-patient visit in real-time. I always like to say, there's like probably 50 years' worth of product you could build on top of that. What gets each of you, I don't know, what are you most excited about building, either in the short term or medium term or even, long down the line?Janie [00:41:53]: Something that I get really excited about is that the same conversation can serve so many stakeholders. If you think about the conversation, a doctor needs to know what is the documentation, how do I make sure that this fully represent the care I gave? A patient needs to know, “What the heck just happened? This was really overwhelming. What are my next steps?” A payer needs to know, was this the proper and appropriate care given? A pharma company might want to know why isn't this drug being properly used or is there a good candidate for this clinical trial that I'm about to run? And where I get excited is that our product and our platform and our infrastructure can be the same product across all of those things and start to what's today, separate, very expensive, complex systems that serve each one of these stakeholders in very different ways, start to collapse all of that into a singular platform that enables not just more efficiency across the board but also better outcomes for everyone. And, all of us experience healthcare in probably very painful ways and knowing that there is a world in which we can simplify a lot is really exciting to me and it all starts with the conversation.Chai [00:43:15]: It's interesting. Of it very similar to going back to the KPIs that any AI product cares about. How do you increase quality of care? How do you reduce latency to care? And how do you reduce costs? Which is a huge, in healthcareJacob [00:43:28]: They call it the triple aim in healthcare.Chai [00:43:30]: But very similar to building AI products and the thing that really excites me is when we talk about that latency piece, we talked about one example earlier of prior authorization, can you reduce the latency to care? But you can imagine so much more. Oh, as soon as the lab value gets updated, do you have like a background agent that, kicks off and uses all the context to be “Oh, hey, the patient should do this next,” for example. And of flagging that to the clinician who's always in the loop but reducing that latency, to care. And then you can imagine this is much further down the road but it's like even connecting that to the direct patient and the consumer. And so how can you, how can you build a bridge to all of these things?EHR Partnerships and the Clinical Intelligence LayerJacob [00:44:10]: Very cool. The connections piece is just an ever-growing thing. And one of the key partners is the EHR and I wonder what that relationship is like. Will they, look at this as, something that is valuable enough that they want to own someday?Janie [00:44:29]: Our partnerships with the EHR is, we know that we have to be extremely close partners with all the EHRs who we partner with. Being able to not only pull and push all of the data into the right places is, not only table stakes, if we can't do that, health systems don't want to use us. The second and the reality of today is clinicians spend a lot of their days in the EHR. So much of what allowed us to win in the largest health systems was pretty direct and, very close partnerships with some of the largest electronic health records that allowed us to pull and push data with APIs that weren't ready out of the box. And clinicians want to save clicks. Anytime we introduce a new product that, adds two clicks for them in their day, they're “We're not going to use it.”Janie [00:45:21]: They have 15-minute back-to-back appointments with their patients. They're spending, hours during pajama time doing documentation. Every second and every minute counts and so we really think about being deeply integrated into the EHR as also table stakes to getting real usage and adoption. And anything that we build or introduce, we really talk about earn the right internally a lot, which is we have to provide so much value or save so much time that people will use us. But those are the two things that are close to us, is we know that the product won't be used unless it is deeply interoperable.Chai [00:46:01]: And strategically, to your point, it's like what does EHR want to own versus us? EHRs are really focused on the clinical workflows and so forth but some of the things that we're talking about here, I do these traditionally are outside of the domain where it's oh, connecting pairs and providers together with provider policies or the clinical trial matching, as Janie brought up. And so these are, entirely — we position ourselves as building this entirely new intelligence, clinical intelligence layer across, again, providers, pharma and, payers.Chai [00:46:33]: And so that's a it's a whole different ballgame that we try to playChai [00:46:36]: In combination with them.Jacob [00:46:37]: But it's like a different layer of scope.Healthcare AI Regulation, Technical Depth, and What Changed Their MindsJacob [00:46:39]: I'm curious, you are both relatively newcomers to healthcare. People have these, there's lots of futuristic healthcare AI takes of “Oh, everything will look different.”, now that you've been in healthcare for a bit, you live at the edge of AI, what have you, changed your mind on around this, as you think about what healthcare looks like in ten, 20 years? Any updates to your mental model from the time being close to the problems?Chai [00:47:02]: One thing that IChai [00:47:04]: Was hesitant about before and it's a common thing when I'm trying to recruit engineers that people ask me around, is definitely oh, healthcare, heavily regulated space. And it is, rightfully so. You want to keep, the patients at the end of the day safe. But one of the interesting things that, is a that surprised me how much it is coming to the company is there's a lot of really favorable regulatory tailwinds as well. Where you think about, government really wants interoperability between all these systems that we talked about and so agents can access this information. The government just in January, the FDA released updated guidance on clinical decision support, what I work on in such a way that they used to have guidance from like 2022 that required you to have, mention all these options and do all these other things but it's a very forward and forward-looking way. And so for me, what's been really cool to work on is this, there's this very special moment both in AI in general, we all know that but there's a special moment also regulatory in healthcare as well.Janie [00:48:05]: One thing I would call out is for the very reasons things are higher stakes or, potentially considered more difficult in healthcare, it's where some of the hardest AI problems will get solved first, just because the bar is so high. When I first joined, I was “Oh, this is where we'll be on the tail end of where, all of the AI innovation will be able to be applied.” But when you think about, zero error evals or multi-step workflows that have really low tolerance, a lot of the innovation will happen here just because we have to or else we can't ship.Jacob [00:48:42]: ‘Cause like in other domains, you'd much rather just solve the 80%-is-good-enough problems firstJanie [00:48:46]: 80/20 doesn't work hereChai [00:48:48]: And building off that, traditionally, there was a bit of stigma that, oh, healthcare companies are not that interesting from a technical perspective or I've seen that or faced that myself. But these are really hard and fun problems from a pure technical perspective beyond just the impact. How do you bring the latency of this thing down and make it really high-quality?Reducing Latency: Clinical Workflows, Agents, and Implementation RealityJacob [00:49:07]: How do you bring the latency of things down?Chai [00:49:10]: Yeah. Yeah. Yeah. So okay, let's answer the latency question. And maybe hopefully not too redundant with some of the things I've said earlier but some part of it is with any latency, you have to like what is, what is really your bottleneck. In a lot of workflows, it's sometimes it's the model itself. And so that's where like our data flywheel, our post-training team and so forth come in so that can you make the models far more efficient. So that's one aspect of latency. But there's whole other aspects of latency where it's okay, on top of that, if you use a constellation of different models, can you use — can you first use like a — it's like thinking fast and slow. Can you use a cheap, fast model that triages and hands it off to a larger model where you get more intelligence and so forth and so all theseChai [00:49:56]: Clever tricks to make it work.Chai [00:49:58]: And by the way, we are totally — we also realize that the parameter frontier is changing and so these tricks will — may not get us to where we want to be in five years but we need to if we want to build a useful product right now.Jacob [00:50:11]: Should we go to the quick-fire or you want to ask more about Abridge? We can stuff everything that's not Abridge into the quick-fireSwyx [00:50:16]: I don't mind. I was — I feel like Janie was on the topic of more long tail stuff, which isSwyx [00:50:21]: Not the eighty/twenty thing and that really matters. And I'll —, if you have any tips or cool stories or just general approaches that have worked for you that's interesting to dig into.Janie [00:50:32]: One of them is even just how we staff our teams looks different than a traditional software engineering team, I'd say.Swyx [00:50:40]: Let's go.Clinician Scientists, Edge Cases, and Evals at ScaleJanie [00:50:41]: We have a bunch of folks with different roles who are clinicians and so we have this role called the clinician scientist and I heard one of our leaders refer to them as mutants recently. But they are people who've had clinical backgrounds, so MDs typically, who are also deeply technical, somewhere, on the spectrum of like a full stack engineer all the way to like extremely scrappy prompter. But having each of these people embedded within our teams instantly raises the bar for everything that we build because not only are they determining, is this product clinically useful but they're deeply embedded in our whole evals process. And so when we talk about LFDs, when we talk about what is our actual evaluation criteria, you don't want Chai or me creating what those are because we don't have clinical background. But is probably unique to Abridge but has been game changing. And when you think about where the puck is going, you have people build with clinical backgrounds who are technical and where AI tools are going, they just becomeJanie [00:51:53]: More and more, critical and like the killers of the team. And so that's one. And then the second is just the scale at which we do evals to catch that long tail up front before anything ever gets into production is something that we've pretty much like really started to fine-tune, both from a scale but when do we know we need to get several hundred versus several thousand offline responses, what helps us make that quick decision and make this less of an art and as much of a science as possible. But that's also been something we've had to tune over time.Swyx [00:52:27]: And you have partners who opted in to give you those evals.Janie [00:52:31]: So we work either internally or with third-party for offline evals and then we have customers who also agree to give us, whether it's like thumbs up, thumbs down to like choose this or that, a lot of data to get us to what is as close to fully confident as possible.Swyx [00:52:51]: The term that comes to mind isSwyx [00:52:53]: Like active learning on things where you're weak. I feel like it's a lost artSwyx [00:52:58]: Is a lot of the polish that comes into doing something like this.Janie [00:53:02]: Really.Chai [00:53:03]: Hundred percent.Lessons from Glean: Technical Foundations and AI App InfrastructureJacob [00:53:04]: Maybe, on a totally unrelated note, Chai, you had a very, storied run at Glean b

¡Hola! Soy Lorenzo y en este episodio te abro las puertas de mi laboratorio personal para contarte cómo estoy viviendo la gran migración de toda mi infraestructura —incluyendo atareao.es— de Docker hacia Podman. Si llevas tiempo siguiéndome, sabrás que desde mediados de enero te he estado dando pinceladas sobre las bondades de Podman, pero hoy bajamos al barro: te cuento cómo me he puesto manos a la obra para que esta transición no sea solo un cambio de herramienta, sino una evolución total en seguridad y eficiencia.El corazón de este movimiento es el concepto "rootless". He rediseñado por completo la forma en la que entiendo el servidor virtual. Olvídate de ejecutarlo todo como root; aquí te explico cómo he separado las responsabilidades creando un usuario administrador con sudo (que apenas usamos) y un usuario dedicado exclusivamente a las aplicaciones ("apps") que no tiene privilegios de administrador. Esta capa de seguridad adicional cambia las reglas del juego y nos permite dormir mucho más tranquilos.A lo largo del podcast, desgloso mi metodología para lograr un despliegue homogéneo, reproducible e idempotente. Te hablo de los Quadlets, de cómo orquestar servicios como Traefik, WordPress y MariaDB de forma sencilla, y de por qué he decidido tratar mis archivos de configuración de contenedores como si fueran simples "dotfiles". Para ello, te presento mi flujo de trabajo con YADM (Yet Another Dotfiles Manager), que me permite replicar toda mi configuración en cualquier servidor nuevo en menos de dos minutos.También entramos en detalles técnicos de "hardening". Te cuento qué parámetros del kernel he tocado para evitar ataques de red, cómo he configurado el SSH para que sea una fortaleza inexpugnable y por qué he vuelto a confiar en Fail2Ban, no solo por seguridad, sino para ahorrar ciclos de CPU que antes se desperdiciaban gestionando ataques por fuerza bruta. Además, te muestro mi kit de herramientas esenciales: desde Crypta para la gestión de secretos hasta utilidades como Zoxide, Starship o Neovim que hacen que trabajar en la terminal sea una delicia.Capítulos:00:00:00 Introducción: La migración de atareao.es a Podman00:00:44 Por qué abandonar Docker: Ventajas del modelo Rootless00:01:05 Orquestación con Quadlets: Homogeneidad e Idempotencia00:02:12 Estrategia de pruebas: El entorno en Hetzner00:03:05 Seguridad avanzada: Configuración de usuarios Admin vs Apps00:05:12 Automatización con Scripts: Instalación de herramientas esenciales00:06:25 Hardening del Kernel y Red: Protegiendo el servidor00:07:28 Hardening de SSH y la importancia de Fail2Ban en el consumo de CPU00:08:54 Firewall y optimización para HTTP/300:09:25 El script del usuario 'Apps': Persistencia y Sockets de Podman00:10:20 Herramientas de terceros: Sops, Crypta y gestión de secretos00:11:27 El dilema de la gestión: ¿Por qué tratar contenedores como Dotfiles?00:12:21 YADM: El motor de despliegue para mis archivos de configuración00:13:03 Estructura de directorios: Available vs Systemd00:14:36 Demostración lógica: Habilitando y deshabilitando stacks (Qlist)00:16:34 Conclusiones de las pruebas: Estabilidad y rapidez de réplica00:18:14 Ventajas e inconvenientes del flujo de trabajo en terminal00:19:17 Próximos pasos y despedida: El futuro en PodmanEspero que disfrutes de este viaje técnico tanto como yo he disfrutado rompiendo y reconstruyendo mi servidor para traerte esta solución estable. ¡No olvides unirte al grupo de Telegram de Atareao con Linux para comentar tus propias experiencias migrando a Podman!Más información y enlaces en las notas del episodio

Space and bees are the 2 things that just keep giving. Get ready for weird.  — Support and sponsor this show! Venmo Tip Jar: @wellthatsinteresting Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@wellthatsinterestingpod⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Bluesky: @wtipod Threads: @wellthatsinterestingpod Twitter: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@wti_pod⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Listen on YouTube!! Oh, BTW. You're interesting. Email YOUR facts, stories, experiences... Nothing is too big or too small. I'll read it on the show: wellthatsinterestingpod@gmail.com WTI is a part of the Airwave Media podcast network! Visit AirwaveMedia.com to listen and subscribe to other incredible shows. Want to advertise your glorious product on WTI? Email me: wellthatsinterestingpod@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Designing your electrical plan isn't just about picking lights - it's about how your home actually works every day. In this episode (our fiftieth!), we break down the lighting, sockets, switches and electrical decisions that happen during the first fix and second fix stages of your renovation. This is the second of a two-part episode on creating your M&E plan - we covered the mechanical plan in our previous episode.

Scott and Wes run through their wishlist for the web platform, digging into the UI primitives, DOM APIs, and browser features they wish existed (or didn't suck). From better form controls and drag-and-drop to native reactivity, CSS ideas, and future-facing APIs, it's a big-picture chat on what the web could be. Show Notes 00:00 Welcome to Syntax! Wes Tweet 00:39 Exploring What's Missing from the Web Platform 02:26 Enhancing DOM Primitives for Better User Experience 03:59 Multi-select + Combobox. Open-UI 04:49 Date Picker. Thibault Denis Tweet 07:18 Tabs. 08:01 Image + File Upload. 09:08 Toggles. 10:23 Native Drag and Drop that doesn't suck. 12:03 Syntax wishlist. 12:06 Type Annotations. 15:07 Pipe Operator. 16:33 APIs We Wish to See on the Web 18:31 Brought to you by Sentry.io 19:51 Identity. 21:33 getElementByText() 24:09 Native Reactive DOM. Templating in JavaScript. 24:48 Sync Protocol. 25:52 Virtualization that doesn't suck. 27:40 Put, Patch, and Delete on forms. Ollie Williams Tweet SnorklTV Tweet 28:55 Text metrics: get bounding box of individual characters. 29:42 Lower Level Connections. 29:50 Bluetooth API. 30:47 Sockets. 31:29 NFC + RFID. 34:34 Things we want in CSS. 34:40 Specify transition speed. 35:24 CSS Strict Mode. 36:25 Safari moving to Chromium. 36:37 The Need for Diverse Browser Engines 37:48 AI Access. 44:49 Other APIs 46:59 Qwen TTS 48:07 Sick Picks + Shameless Plugs Sick Picks Scott: Monarch Wes: Slonik Headlamp Shameless Plugs Scott: Syntax on YouTube Hit us up on Socials! Syntax: X Instagram Tiktok LinkedIn Threads Wes: X Instagram Tiktok LinkedIn Threads Scott: X Instagram Tiktok LinkedIn Threads Randy: X Instagram YouTube Threads

01-20-26 Tues PM “The Silver Sockets” Rev. Brandon PullerExodus 26:19-25You can contact us at https://fpcdurham.org

In this video I introduce 5 different design patterns for building backend applications. Each mode explains how a socket listener is established, a connections are established and how threads and connections are managed to read, write and process requests.

Plus, some councils to leave public waiting longer for post festive collections

Traveling The Yellow Brick Road of Amputee Life   In this episode, I want to talk about one of the biggest learning curves after limb loss — getting fitted for a prosthesis. Nobody really tells you how challenging this part can be. You think, “Okay, I'll get my prosthetic leg or arm, strap it on, and get back to life.” But if only it were that simple, right? The truth is, it's a process — one that takes time, patience, and a whole lot of communication with your prosthetist. When I first started, I honestly thought it was going to be pretty straightforward. They'd take some measurements, make the socket, I'd try it on, and off I'd go. But wow, did I learn quickly that's not how it works. Every limb is unique. Every body changes — sometimes from morning to night. So that “perfect fit” we all hope for doesn't just happen once and stay that way. It's something that evolves. And that means working with your prosthetist becomes this back-and-forth relationship. There's a lot of give and take involved. They're the experts in design and fit, but you are the expert in how it feels — and that matters just as much. Now, I'll admit — in the beginning, I had my fair share of frustration. When the socket rubbed wrong or my limb was sore, I'd get upset and think, “Why isn't this working?” It was easy to blame the prosthesis or think the prosthetist did something wrong. But with time, I started realizing there was a little user error in there too. Sometimes I wasn't putting it on right. Sometimes I didn't pay attention to small aches that turned into bigger problems. And sometimes… I just didn't know what I didn't know. That's a big part of this journey — learning to take accountability where it's due. Not in a shameful way, but in an empowering way. Once we start owning our part in the process, things really start improving. We ask more questions. We write down what we are feeling. We pay attention to pressure spots and skin changes. And most importantly, we communicate all of that clearly with our prosthetist. Change happens! Teamwork and communication are key!   Because here's the thing — they can't feel what you feel. They can't fix what they don't know about. So, if something doesn't feel right, say it. Speak up. Be honest, even if it feels awkward. That's how you get the best outcome. If you're new to being an amputee, remember this: it's okay to not have it all figured out. You're learning. This whole process — from fitting to comfort to walking confidently again — it's a marathon, not a sprint. You'll get there. Just keep showing up, keep asking questions, and keep working with your prosthetist as a team. Because at the end of the day, this isn't just about a prosthesis fitting right — it's about you finding your rhythm again, your confidence, your life. You are a warrior! It's time to unleash that warrior and gain back your independence. Have a beautiful week ahead, and as always, Be Healthy, Be Happy, Be YOU!!! Much love,

Late in the season, the tennis tour is winding itself through the great cities of China. Anisimova wins Beijing, the women put together a banner lineup in Wuhan, while the men in Shanghai limp (literally) toward the season's end. We've still got so many great listener questions to answer, which cover topical stuff like the length of the tennis season and the Hall of Fame nominees; and less relevant but no less fun subjects like our work nemeses and the retirement of sprint queen and TBS all-time fave, Kingston native Shelly-Ann Fraser-Pryce.  02:45 Marquee matchups in Wuhan 10:10 Court speed wars; or, you sound like a loser 16:05 Taylor Daynes of tennis  24:05 Work enemies 35:25 Tennis Hall of Fame nominees 43:10 Any update on Peng Shuai? 47:20 The schedule … six 500s?! Ten 1000s?! 52:50 The GOAT Shelly-Ann Fraser-Pryce retires

#newproducts JP's Product Pick of the Week 4/22/25 Terminal PiCowbell for Pico with Pre-Soldered Sockets - Reset Button & STEMMA QT https://www.adafruit.com/product/5907 Visit the Adafruit shop online - http://www.adafruit.com ----------------------------------------- LIVE CHAT IS HERE! http://adafru.it/discord Subscribe to Adafruit on YouTube: http://adafru.it/subscribe New tutorials on the Adafruit Learning System: http://learn.adafruit.com/ -----------------------------------------

Send us a textBryan Costello shares his incredible journey from nuclear power plant worker to prosthetic innovator after losing his leg an accident. Drawing on his mechanical expertise, he developed heating and cooling systems for prosthetic sockets that address temperature regulation problems that have plagued amputees for decades.• Developing heating elements that integrate between carbon fiber laminations in prosthetic sockets• Creating cooling systems with circulating water that prevent overheating and excessive sweating• Designing moisture-wicking distal end pads that absorb sweat and protect sensitive residual limb tissue• Working with Special Forces members who successfully climbed Mount Everest using his heated sockets• Expanding his technology to orthotics and medical emergency cooling boards for trauma patients• Pursuing L-codes to make his innovations more accessible through insurance coverage• Finding success through direct marketing on LinkedIn and social mediaSpecial thanks to Advanced 3D for sponsoring this episode.Support the show

Send us a textMatt Doering shares how Cypress Adaptive came to fruition.• Entering the prosthetic industry through an unexpected path from Coast Guard service to selling cars• Building Cypress Adaptive with a focus on superior valve technology using spring and diaphragm systems that work even with debris present• Designing components with replaceable parts that prioritize patient convenience over planned obsolescence• Introducing the Symphony Aqua system that captures limb shape under weight-bearing conditions• Creating a repeatable "recipe" for successful socket fabrication that bridges the experience gap between senior and junior practitioners• Addressing industry challenges of consistency and knowledge transfer as new master's-level practitioners enter the field• Enabling practice owners to maintain quality standards across all clinicians through systematized approaches• Fostering collaboration between traditional fabrication methods and new technologies like 3D printing• Emphasizing patient-centric care while maintaining business sustainabilityTo learn more about Cypress Adaptive's products and the Symphony Aqua system, visit cypressadaptive.com or reach out directly through their website.Special thanks to Advanced 3D for sponsoring this episode.Support the show

We talk to a stripper, Vont worries about his wisdom teeth, and more!

We talk to a stripper, Vont worries about his wisdom teeth, and more!

We talk to a stripper, Vont worries about his wisdom teeth, and more!

New Game Releasing this month Check out the new game Shrine of the Forest God by Dustin, which will be released on Steam on February 28, 2025. Monthly Presentation How to create a simple client and server socket connections in Python to send network data. Demo of how to use socket code to implement a … Continue reading Sockets – Knox Game Design, February 2025 →

Master Electricians senior technical tutor Raymond Tancrel joins Emile Donovan to explain.

The Do-Not-Stab flag in the HTTP Header, FreeBSD jail host with multiple local networks, Generative AI is for the idea guys, Static dual stack networking on OmniOS Solaris Zones, FRAME sockets added to OpenBSD, The problem with combining DNS CNAME records and anything else, and more NOTES This episode of BSDNow is brought to you by Tarsnap (https://www.tarsnap.com/bsdnow) and the BSDNow Patreon (https://www.patreon.com/bsdnow) Headlines (due to excessive use of the F-bomb, perhaps we should somewhat censor it... You can do so in words... or I can use Tom's favorite Frequency tone to do it in post). You decide and let me know what you think would be funnier.) Also I'm hoping for some good commentary from you guys on this one. :P The Do-Not-Stab flag in the HTTP Header (https://www.5snb.club/posts/2023/do-not-stab/) FreeBSD jail host with multiple local networks (https://savagedlight.me/2014/03/07/freebsd-jail-host-with-multiple-local-networks/) News Roundup Generative AI is for the idea guys (https://rachsmith.com/ai-is-for-the-idea-guys/) Static dual stack networking on OmniOS Solaris Zones (https://www.tumfatig.net/2024/static-dual-stack-networking-on-omnios-solaris-zones/) FRAME sockets added to OpenBSD (https://www.undeadly.org/cgi?action=article;sid=20241219080430) The problem with combining DNS CNAME records and anything else (https://utcc.utoronto.ca/~cks/space/blog/tech/DNSCNAMEAndOthersWhyNot) Conference Bits BSD-NL (https://bsdnl.nl/) BSDCan (https://www.bsdcan.org/2025/) Tarsnap This weeks episode of BSDNow was sponsored by our friends at Tarsnap, the only secure online backup you can trust your data to. Even paranoids need backups. Feedback/Questions Send questions, comments, show ideas/topics, or stories you want mentioned on the show to feedback@bsdnow.tv (mailto:feedback@bsdnow.tv) Join us and other BSD Fans in our BSD Now Telegram channel (https://t.me/bsdnow)

Dental Gummies. Ubyfting. She hit me in the face, and all was fine. Why giraffe porn? Concussia Bonita. Written by PUT_AUTHOR_HERE. An affair with a donut. Babies in Cars Getting Donuts. No Sperm And Egg Meeting Today. Fell off the face of the ERF! I am now Frogpants Showbot the White. Peachtree Corner Circle. Be careful when you're tall. Many Dothans Died to Get Us These Donuts. Sexy Business in Hell with Amy and more on this episode of The Morning Stream. Hosted on Acast. See acast.com/privacy for more information.

Dental Gummies. Ubyfting. She hit me in the face, and all was fine. Why giraffe porn? Concussia Bonita. Written by PUT_AUTHOR_HERE. An affair with a donut. Babies in Cars Getting Donuts. No Sperm And Egg Meeting Today. Fell off the face of the ERF! I am now Frogpants Showbot the White. Peachtree Corner Circle. Be careful when you're tall. Many Dothans Died to Get Us These Donuts. Sexy Business in Hell with Amy and more on this episode of The Morning Stream. Hosted on Acast. See acast.com/privacy for more information.

Coca-Cola is getting a lot of flack over its new AI Christmas ad. Are AI ads the future? A whole lot of people 'tuned' into Netflix to watch some boxing, how did that go? Instagram has a new reset feature that could be very helpful. Those are just a few of the tech news stories we discuss on this week's show. Enjoy! Watch on YouTube! Visit Notnerd.com INTRO (00:00) Final Cut Pro 11 Released (06:35) MAIN TOPIC: AI Coca-Cola Christmas Ad (10:15) Coca-Cola's New AI-Generated Holiday Ad Slammed as 'Soulless' and 'Embarrassing': 'This Is Such Slop' Coca Cola's AI-Generated Ad Controversy, Explained Toys ‘R' Us AI-generated ad controversy explained DAVE'S PRO-TIP OF THE WEEK: Turn off auto app install on iOS devices (18:50) JUST THE HEADLINES: (22:55) A.I. chatbots defeated doctors at diagnosing illness Threads grew by a Bluesky this month Ukraine, US to partner on developing small modular nuclear reactors for reconstruction Multiple emus on the loose in South Carolina – while 8 escaped lab monkeys also still large New Pentagon report on UFOs includes hundreds of new incidents but no evidence of aliens Fake bear commits insurance fraud Researchers are trying to reinvent the wheel TAKES Netflix says 60M households worldwide watched Paul-Tyson (28:00) Why Everyone Is Now Watching Podcasts on YouTube (33:50) Are your Instagram recommendations a mess? You can now start from scratch (37:15) Apple's new home hub could be the smart home kit you've been dreaming of (39:20) Yes, the 10 worst passwords still include ‘password' and ‘secret' (42:50) BONUS ODD TAKE: 10,946: a Year-Long Post-It Note Animation (46:15) PICKS OF THE WEEK: Dave: Tomb Raider Remastered (50:40) Nate: Kasa Apple HomeKit Outdoor Smart Plug, 2 Sockets, IP64 Weather Resistance for Outdoor String Lights, Compatible with Siri, Alexa & Google Home, Long Wi-Fi Range, 2.4G Wi-Fi Only, ETL Certified (54:55)  RAMAZON PURCHASE - Giveaway! (59:20)

In which the long war between alternating and direct current produces power outlets that multiply nto a dizzying world of configurations, and Ken needs a grounding prong. Certificate #29673.

Duffy hasn't had a proper meal in days and it's starting to affect his mental health.

Down time - where we work on our base, our damage and relationships

On this Bob & Tom Extra: We have Alli Breen grossing us out with some Sexy Time letters! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Hey everyone! I'm super excited to share the latest episode of our podcast with you all. I had some incredible conversations that not only entertained but also provided valuable insights. Here are three key takeaways that I think you'll find as enlightening as I did:1️⃣ The Power of Conversation in Learning

Your words were found and I ate them

Hey everyone! I'm super excited to share the latest episode of our podcast with you all. I had some incredible conversations that not only entertained but also provided valuable insights. Here are three key takeaways that I think you'll find as enlightening as I did:1️⃣ The Power of Conversation in Learning

WEIRD SPELLING OF NAMES, THEN WE CHAT ABOUT PHONES.

Sparkling.io: Simplifying EV Charging with Smart Sockets and App Integration Sparklin.io Show Notes About The Guest(s): Laurent Stefan is the CTO and General Manager of sparkling.io, a company that focuses on providing solutions for the massification of charging points for electric vehicles. Laurent and his team have developed smart sockets and a platform that allows for easy access to charging with simplicity and security. Summary: Laurent Stefan, CTO and General Manager of sparkling.io, joins Chris Boss on The Chris Boss Show to discuss their innovative solutions for the massification of charging points for electric vehicles. Laurent explains that their focus is on providing a simple and cost-effective solution for slow charging at home and work, as well as designing smart sockets for monitoring and easy access to charging. The company's platform includes an app that allows users to monitor their charging status and power consumption, making it convenient for both individuals and businesses. Laurent also highlights the importance of cybersecurity and sustainability in their products, as well as their plans for future AI development and load-balancing services. Key Takeaways: sparkling.io offers a solution for the massification of charging points for electric vehicles, focusing on slow charging at home and work. Their smart sockets include LTM communication for secure and easy access to charging, with monitoring and power consumption data available through their app. The company prioritizes cybersecurity, sustainability, and simplicity in their products, with a focus on reducing environmental footprint. Their customer base includes B2B and B2B2C clients, such as fleet management companies and real estate companies. sparkling.io's platform allows for the creation and management of communities, making it easy for businesses to set up charging solutions for their employees. Quotes: "Our main scope is to offer a solution for the massification of charging for every people." - Laurent Stefan "We have been trying to distribute the intelligence from the fuse board to the device, to the charging points." - Laurent Stefan "We have a 24/7 monitoring in terms of cybersecurity and avoiding intrusion or any kind of issue on your network." - Laurent Stefan "Moving from traditional cars to EV vehicles is a big change in the mindset of the people and in the way you are using your mobility solutions." - Laurent Stefan "We are more focusing on tier one, tier two customers and also in the real estate in general." - Laurent Stefan

Hey there, automotive enthusiasts!

What is the best management real-world management for bleeders after an extraction? We're talking about our healthy patients (who are otherwise low risk and not taking funky anti-coagulants). From wetting our gauze and correct post-op instructions, Dr Ameer Alloybocus and I cover this foundational topic with our real world experiences (including what to do if you hit an arteriole and it's a spurter!). https://youtu.be/mLPqyI-g_ZI Watch PDP166 on Youtube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: Have a PLAN for your extractions. Just like you have a plan for a crown preparation. For example, you should plan the sequence and also contingencies for when things do not follow your 'Plan A' - including at WHICH POINT you may decide to section the roots or raise a flap. Post Op Instructions Video by Dr Allybocus as promised on the Podcast Please do donate to Nafisa so we can saver her life and get her the genetic therapy she needs! She is the daughter of a Protruserati and I want to thank everyone who has donated so far or shared the video message. Both Ameer and I have done Dr Nekky Jamal's online course on Third Molar Extractions - CLICK HERE to get 15% off (or just use the coupon code 'protrusive'). This is an affiliate link and I am proud to support such an awesome course. Want 1 hour of CPD for this episode by answering a few questions to test your knowledge? AND get PDF Premium Notes and Transcripts PLUS my mini online courses? Check out Protrusive Premium membership! If you enjoyed this episode, you will also like Make Extractions Less Difficult: Regain Confidence by Sectioning and Elevating Teeth [B2B] – PDP085 Click below for full episode transcript: Episode Teaser: It's very important to curettage your sockets. So I'd removed the lower left six with a very large abscess underneath it. So I was curetaging away all the tissue and everything that was left behind. Everything was going really well. I was very pleased with myself. I was 20 minutes ahead on my diary. And, until I noticed a little pumping and spurting coming from the base of the socket, and what had happened was, by, after curettaging, I'd hit an accessory vessel that had found its way superiorly into the socket and this wasn't just a little ooze bleed, this was actually, like, an arterial bleed from an accessory vessel. Now, when I saw that there's a few different ways you can manage this. Jaz's Introduction:Hello Protruserati, I'm Jaz Gulati, and this was such a geeky chat about extractions. Like, recently we had a geeky chat on onlays with Dr. Ash Lifts, and she was brilliant. And Dr. Ameer Allybocus today covers real world exodontia. Like, imagine you have a bleeder. What are the best ways to manage a bleeder, both in the short term and in the long term? And unlike all the papers we read or all the other lectures we go to about this, we actually go straight for the kill. Like, what I mean is all the information that you could gain from guidelines. Like there are some guidelines in the UK, there are guidelines all around the world, basically, wherever you practice, about how we should manage patients who are high risk of bleeding. Now, it didn't feel as though it was worth your time to just revise all the guidelines, because you guys can just easily pick up the guidelines and read them. So, the kind of scenarios we discuss are the ones whereby you've done all the medical history checks, you've done all the medicine checks, and you've got a normal bleeding wrist patient, yet they still bleed afterwards. Or they call you eight hours later and they say they're having a bit of a bleed. How do you manage those scenarios? And then much, much more. We just really go in deep into all the facets of exodontia. Protrusive Dental PearlThe Protrusive Dental Pearl is very relevant to Exodontia and something that we actually discussed in this episode.

Take from the show what you need to create more margin not just in your pocketbook, but also in your calendar. Please consider leaving a Five-star rating and review and sharing with a friend if you have found value in the show. Follow the Guest:  Instagram page: https://www.instagram.com/patriotlawnspc/ Our Partners, Sponsors & Affiliates we believe in: LCR Summit 2024:                      https://www.eventbrite.com/e/lcr-summit-tickets-725789394617 The Road to Equip link.:  https://www.facebook.com/groups/roadtothegieexpo X-mas Light Mentor : Professional x-mas light business resources.  Lawntrepreneuracademy.com: Lawncare business resources.  Johnpajak.com: Budgets, Break Evens & Bottom lines. Ballard-inc.com: Premium products for your lawncare service business. Brandedbullinc.com: Media, Website, branding & Graphic design. Mention us for $100 OFF your purchase. My Service Area: Routing Software Green Frog Web design: Website design & Digital marketing Contact Us: D.M. me on Instagram :@lonestarlawntalk Email us: andrewslands@gmail.com

This podcast is also available on YouTube: https://youtu.be/dqSpBtiBQ4Y Guest host Rob O'Hara talks about making money on YouTube, an interesting 12v solution, security cams, the "biggest" ball of twine, and a visit to Fort Reno.  FIND US: We're on Facebook (Built to Go Group), Instagram (@CollegeOfCuriosity) Travel with us on the Danube River through Hungary, Slovakia, Austria, Germany and the Czech Republic! Details at: bit.ly/CofCDanube24 If you'd like to support this podcast, please visit BuyMeACoffee.com/BuiltToGo A nice spot at Sacha Lodge, Ecuador.  A Place to Visit Fort Reno preserves the western frontier as it was in 1888. http://www.fortreno.org/ Product Review Vantrue N2 Pro https://amzn.to/3Q8OTDS Tech Talk A device that lets you turn 12v appliances on and off https://amzn.to/471wBeW Some links are affiliate links. If you purchase anything from these links, the show will receive a small fee. This will not impact your price in any way. 

Bret and Nirmal are joined by Ken Collins, AWS Serverless Hero and Principal Engineer at Custom Ink to discuss all things Lambda and to dig into the details of running containers in serverless.

In this Hasty Treat, Scott and Wes talk about all the libraries we don't need to use anymore thanks to their features being built into the browsers now. Show Notes 00:24 Welcome 01:55 Syntax Brought to you by Sentry 02:17 Why did people use jQuery? jQuery lukeed/polka: A micro web server so fast, it'll make you dance! 05:12 Writing our own jQuery plugins 07:23 AJAX requests jQuery.ajax() 08:29 Express Migrating to Express 5 14:58 Underscore.JS Underscore.js 19:27 Require.js RequireJS 21:06 LeftPad Coder unpublished 17 lines of JavaScript and “broke the Internet” | Ars Technica 23:13 Grid systems 960 Grid System Susy | OddBird 26:24 Sass, Less, etc. Can Vanilla CSS Replace Sass Yet? — Syntax Podcast 603 26:58 Sockets.io Socket.IO 29:50 What else is going to get jQuery'd? Tweet us your tasty treats Scott's Instagram LevelUpTutorials Instagram Wes' Instagram Wes' Twitter Wes' Facebook Scott's Twitter Make sure to include @SyntaxFM in your tweets Wes Bos on Bluesky Scott on Bluesky Syntax on Bluesky

On this episode, guest host Preston Huff helps us dive Under the Hood into the world of automotive maintenance and enthusiast culture. Starting with, "Jiffy Lube Technicians Now Work from Home and Guide You in Over-Torquing Your Own Oil Filter," we explore the craziest places listeners have taken their cars for service and share bizarre stories from the automotive world. We then tackle the surprising revelation that "OEMs Confess Sports Cars Come Stock with Dude Magnets, Not Chick Magnets," discussing whether Preston's beloved F80 has a chick or dude magnet and describing the cars that make us eager to strike up a conversation with their owners. Next, we share wrenching mishaps and dream automotive records in "Technician Achieves a Record-Breaking 42-Minute Engine Swap On the Wrong Car." Afterward, we reveal some shocking insights from the "New Study Revealing the Average DIY Mechanics' $2 Million Investment in 10mm Sockets," prompting a discussion about our own tool collections and the first automotive tools we ever bought. In the interview segment, we explore Preston making the cover of Dirt Rider magazine! Preston also shares his journey into the world of BMWs and his experience with Stryker Performance. Lastly, we delve into his role as an admin for Urbxn Canvxs, a BMW club, and what it's like to be part of such a passionate community. To wrap things up, we engage in the high-speed "Alphabet Sprint" where we take on the challenge of naming everything cars alphabetically, testing our automotive knowledge and quick thinking. There can only be one winner!

On this episode of The Paul Weller Fan Podcast, I chat with Bob Manton and 'Just Jeff' Shadbolt from Purple Hearts. Formed in 1978, they were a mod-influenced band that blended elements of post-punk, new wave, and mod revival, creating a distinct and energetic sound that resonated with a wide audience beyond the confines of the mod scene.We talk about their discovery of The Jam as punk loving teenagers in Essex, to the creation of their first band The Sockets and an original punk rock opera inspired by a NME cartoon strip that poked fun of Paul, Bruce and Rick...That band turned into Purple Hearts and a more mod-influenced sound, which, thanks largely to The Jam, was beginning to capture public attention.The band even went on to support The Jam in 1981 - and Paul Weller even produced and played on a couple of songs for what would have been their second album...As you'll hear on the podcast, whilst they were often associated with the mod scene, Purple Hearts transcended categorization, leaving an indelible mark on the hearts of their audience that continues to beat strong over four decades later. Their unique blend of music and passion for mod culture set them apart, making them not just a mod band, but a band that truly loved and embodied the mod spirit.For the latest news on the band - head to their Facebook group here...The BandBob's distinct vocals and Jeff's skilled bass-guitar work formed the foundation of the band's sound with guitarist, Simon Stebbing and Gary Sparks on drums. Their partnership went beyond just musical collaboration – it was a meeting of minds that allowed Purple Hearts to craft songs that resonated deeply with their audience.The FansPurple Hearts' connection with their audience wasn't just ephemeral; it was deeply personal and lasting. The band's lyrics spoke to the realities of everyday life, love, and the struggles of youth, resonating with fans across generations. Their relatable songs weren't confined to a specific time or place, giving them a timeless appeal that continues to draw listeners in. This connection wasn't solely about the music; it was about sharing experiences and emotions that have universal relevance.The Weller ConnectionPurple Hearts signed to Chris Parry's Fiction Records label in 1979.You may remember Chris from Episode 76 as the man who signed The Jam to Polydor!.When that deal came to an end, Paul Weller produced a couple of demos for the band - also playing and providing backing vocals on Plane Crash and Concrete Mixer.In February 1981, Purple Hearts supported The Jam on tour dates at Sheerwater Youth Club Woking, Norwich University, Nottingham University and Crawley Leisure Centre. Bob and Jeff also mentioned Brighton, although I haven't managed to find a live date in 1981 for that in the archives.... do let me know people!Photo on the cover - Martyn Goddard (Podcast Guest 41) also took the shot for the cover of their single "My Life's a Jigsaw" on Safari Records.In 2021, Bob and Jeff created PH2 (Internationally known as Purple Hearts 2) and released a couple of new singles - Produced, Engineered and Mixed by Steve Cradock - 1974 / You Can't Tell Me Lies and Urban Soul / Livin' in the 70's.In a further link with The Jam , you can see Purple Hearts on the road in 2023 and 2024 supporting Bruce Foxton and Russell Hasting's From The Jam... Hosted on Acast. See acast.com/privacy for more information.

We are discussing the multi-person snow recovery that happened up at Wentworth Springs. There were eight vehicles stuck for three days after a massive snowstorm passed through California. Tyler was one of the people who was organizing the massive recovery process to help save the grateful eight. WE ARE GIVING AWAY A WINCH! All you have to do to enter is leave us a review on iTunes/Apple Podcasts! Once we reach 500 reviews, we will do the drawing from those 500 reviews! At 300, 350, 400, and 450 reviews, we will do giveaways for some fun swag packs as well! So get your reviews in! Congrats to PEDDY1111 for winning the 300 swag-away! And Six String Trucker for winning the 350 swag-away! And Martlovesgarlic for winning the 400th! Who's going to be 450? CALL US AND LEAVE US A VOICEMAIL!!!! We want to hear from you even more!!! You can call and say whatever you like! Ask a question, leave feedback, correct some information about welding, say how much you hate your jeep, and wish you had a Toyota! We will air them all, live, on the podcast! +01-916-345-4744. If you have any negative feedback, you can call our negative feedback hotline, 408-800-5169. Episode 359 is brought to you by all of our peeps over at patreon.com and irate4x4! Make sure to stop by and see all of the great perks you get for supporting SnailTrail4x4! Discount Codes, Monthly Give-Aways, Gift Boxes, the SnailTrail4x4 Community, and the ST4x4 Treasure Hunt! Thank you to all of those that support us! We wouldn't be able to do it without you guys (and gals!)! As of April 1st, 2022, we will no longer support Patreon! We are moving all of the "Patreon activities" over to Irate4x4.com. Make sure to head over there, cancel your SnailTrail 4x4 Patreon subscription, and sign up on irate! We will still keep Patreon up and running in case you have to keep using it, but we will not be interacting anymore on that platform. December's monthly giveaway is a contest between Tyler and Jimmy. This month Tyler and Jimmy are each going to give two lucky winners a present. We want to see who can give the best present and truly cares for our loyal listeners. The final judges will be the two lucky winners. If you are interested in receiving a gift from Tyler and Jimmy you need to make sure you are signed up at Irate4x4.com by the end of the year. Massive congratulations to Andrew Klammt for winning the November monthly giveaway of the Mechanics Tool Set in 3 Drawer Storage Box, 232 Pieces are both SAE and Metric and come with everything from Sockets to hex head wrenches. Listener Discount Codes: MORRFlate - snailtrail to get 10% off MORRFlate Multi Tire Inflation Deflation™ KitsIronman 4x4 - snailtrail20 to get 20% off of all Ironman 4x4 branded equipment!Sidetracked Offroad - snailtrail4x4 (lowercase) to get 15% off lights and recovery gearSpartan Rope - snailtrail4x4 to get 10% off sitewideShock Surplus - SNAILTRAIL4x4 to get $25 off any order!Mob Armor - SNAILTRAIL4X4 for 15% off

What truly makes Ham Radio a superior system are the Repeaters. How do you connect to a repeater so that it can relay our message to the world? One good way is to get the Repeterbook.com app and it will tell you about all the repeaters around you. However, you still need to know 4 major facts so you can import them into your radio. This is what we are discussing today. Baofeng BF-F8HP (UV-5R 3rd Gen) - Check Today's Prices 15.6-Inch Antenna VHF/UHF (144/430Mhz) - Check Today's Prices Rainproof Handheld Speaker Mic Microphone (UV5R) - Check Today's Prices Dualband External Magnet Base Antenna VHF/UHF (144/430Mhz) - Check Today's Prices Coaxial Antenna Adapter (Connector from Antenna to Baofeng) - Check Today's Prices WE ARE GIVING AWAY A WINCH! All you have to do to enter is leave us a review on iTunes/Apple Podcasts! Once we reach 500 reviews, we will do the drawing from those 500 reviews! At 300, 350, 400, and 450 reviews, we will do giveaways for some fun swag packs as well! So get your reviews in! Congrats to PEDDY1111 for winning the 300 swag-away! And Six String Trucker for winning the 350 swag-away! And Martlovesgarlic for winning the 400th! Who's going to be 450? CALL US AND LEAVE US A VOICEMAIL!!!! We want to hear from you even more!!! You can call and say whatever you like! Ask a question, leave feedback, correct some information about welding, say how much you hate your jeep, and wish you had a Toyota! We will air them all, live, on the podcast! +01-916-345-4744. If you have any negative feedback, you can call our negative feedback hotline, 408-800-5169. Episode 358 is brought to you by all of our peeps over at patreon.com and irate4x4! Make sure to stop by and see all of the great perks you get for supporting SnailTrail4x4! Discount Codes, Monthly Give-Aways, Gift Boxes, the SnailTrail4x4 Community, and the ST4x4 Treasure Hunt! Thank you to all of those that support us! We wouldn't be able to do it without you guys (and gals!)! As of April 1st, 2022, we will no longer support Patreon! We are moving all of the "Patreon activities" over to Irate4x4.com. Make sure to head over there, cancel your SnailTrail 4x4 Patreon subscription, and sign up on irate! We will still keep Patreon up and running in case you have to keep using it, but we will not be interacting anymore on that platform. December's monthly giveaway is a contest between Tyler and Jimmy. This month Tyler and Jimmy are each going to give two lucky winners a present. We want to see who can give the best present and truly cares for our loyal listeners. The final judges will be the two lucky winners. If you are interested in receiving a gift from Tyler and Jimmy you need to make sure you are signed up at Irate4x4.com by the end of the year. Massive congratulations to Andrew Klammt for winning the November monthly giveaway of the Mechanics Tool Set in 3 Drawer Storage Box, 232 Pieces are both SAE and Metric and come with everything from Sockets to hex head wrenches. Listener Discount Codes: MORRFlate - snailtrail to get 10% off MORRFlate Multi Tire Inflation Deflation™ KitsIronman 4x4 - snailtrail20 to get 20% off of all Ironman 4x4 branded equipment!Sidetracked Offroad - snailtrail4x4 (lowercase) to get 15% off lights and recovery gearSpartan Rope - snailtrail4x4 to get 10% off site wideShock Surplus - SNAILTRAIL4x4 to get $25 off any order!Mob Armor - SNAILTRAIL4X4 for 15% off

Uncle Tom's Cabin is a fantastic place to stop while you're on your way to the Rubicon Trail. This iconic destination has had many famous visitors through the years, but this adventure was for a Jeepherders 4x4 Club's Toy Drive. Tyler went up in the early morning to donate some toys for kids in need. When the event started to get busy they decided to continue out towards the rubicon and play in the snow while the storm came in. Meanwhile, Jimmy went in the opposite direction. He went down to the bay area for a buddy's 40th birthday party. WE ARE GIVING AWAY A WINCH! All you have to do to enter is leave us a review on iTunes/Apple Podcasts! Once we reach 500 reviews, we will do the drawing from those 500 reviews! At 300, 350, 400, and 450 reviews, we will do giveaways for some fun swag packs as well! So get your reviews in! Congrats to PEDDY1111 for winning the 300 swag-away! And Six String Trucker for winning the 350 swag-away! And Martlovesgarlic for winning the 400th! Who's going to be 450? CALL US AND LEAVE US A VOICEMAIL!!!! We want to hear from you even more!!! You can call and say whatever you like! Ask a question, leave feedback, correct some information about welding, say how much you hate your jeep, and wish you had a Toyota! We will air them all, live, on the podcast! +01-916-345-4744. If you have any negative feedback, you can call our negative feedback hotline, 408-800-5169. Episode 357 is brought to you by all of our peeps over at patreon.com and irate4x4! Make sure to stop by and see all of the great perks you get for supporting SnailTrail4x4! Discount Codes, Monthly Give-Aways, Gift Boxes, the SnailTrail4x4 Community, and the ST4x4 Treasure Hunt! Thank you to all of those that support us! We wouldn't be able to do it without you guys (and gals!)! As of April 1st, 2022, we will no longer support Patreon! We are moving all of the "Patreon activities" over to Irate4x4.com. Make sure to head over there, cancel your SnailTrail 4x4 Patreon subscription, and sign up on irate! We will still keep Patreon up and running in case you have to keep using it, but we will not be interacting anymore on that platform. December's monthly giveaway is a contest between Tyler and Jimmy. This month Tyler and Jimmy are each going to give two lucky winners a present. We want to see who can give the best present and truly cares for our loyal listeners. The final judges will be the two lucky winners. If you are interested in receiving a gift from Tyler and Jimmy you need to make sure you are signed up at Irate4x4.com by the end of the year. Massive congratulations to Andrew Klammt for winning the November monthly giveaway of the Mechanics Tool Set in 3 Drawer Storage Box, 232 Pieces are both SAE and Metric and come with everything from Sockets to hex head wrenches. Listener Discount Codes: MORRFlate - snailtrail to get 10% off MORRFlate Multi Tire Inflation Deflation™ KitsIronman 4x4 - snailtrail20 to get 20% off of all Ironman 4x4 branded equipment!Sidetracked Offroad - snailtrail4x4 (lowercase) to get 15% off lights and recovery gearSpartan Rope - snailtrail4x4 to get 10% off site wdeShock Surplus - SNAILTRAIL4x4 to get $25 off any order!Mob Armor - SNAILTRAIL4X4 for 15% off

What goes into making a quality off-roading tire? We sit down with Yokohama Tires to discuss everything from the inner bead to the outer tread patterns. Yokohama started making tires in Japan in 1917. Now over 100 years later they are known around the world as a superior tire company. They make all types of tires from the ones on my mother's minivan to some of the most extreme off-road tires on the market. If you are interested in learning more, feel free to contact Drew and Ryan. WE ARE GIVING AWAY A WINCH! All you have to do to enter is leave us a review on iTunes/Apple Podcasts! Once we reach 500 reviews, we will do the drawing from those 500 reviews! At 300, 350, 400, and 450 reviews, we will do giveaways for some fun swag packs as well! So get your reviews in! Congrats to PEDDY1111 for winning the 300 swag-away! And Six String Trucker for winning the 350 swag-away! And Martlovesgarlic for winning the 400th! Who's going to be 450? CALL US AND LEAVE US A VOICEMAIL!!!! We want to hear from you even more!!! You can call and say whatever you like! Ask a question, leave feedback, correct some information about welding, say how much you hate your jeep, and wish you had a Toyota! We will air them all, live, on the podcast! +01-916-345-4744. If you have any negative feedback, you can call our negative feedback hotline, 408-800-5169. Episode 356 is brought to you by all of our peeps over at patreon.com and irate4x4! Make sure to stop by and see all of the great perks you get for supporting SnailTrail4x4! Discount Codes, Monthly Give-Aways, Gift Boxes, the SnailTrail4x4 Community, and the ST4x4 Treasure Hunt! Thank you to all of those that support us! We wouldn't be able to do it without you guys (and gals!)! As of April 1st, 2022, we will no longer support Patreon! We are moving all of the "Patreon activities" over to Irate4x4.com. Make sure to head over there, cancel your SnailTrail 4x4 Patreon subscription, and sign up on irate! We will still keep Patreon up and running in case you have to keep using it, but we will not be interacting anymore on that platform. December's monthly giveaway is a contest between Tyler and Jimmy. This month Tyler and Jimmy are each going to give two lucky winners a present. We want to see who can give the best present and truly cares for our loyal listeners. The final judges will be the two lucky winners. If you are interested in receiving a gift from Tyler and Jimmy you need to make sure you are signed up at Irate4x4.com by the end of the year. Massive congratulations to Andrew Klammt for winning the November monthly giveaway of the Mechanics Tool Set in 3 Drawer Storage Box, 232 Pieces are both SAE and Metric and come with everything from Sockets to hex head wrenches. Listener Discount Codes: MORRFlate - snailtrail to get 10% off MORRFlate Multi Tire Inflation Deflation™ KitsIronman 4x4 - snailtrail20 to get 20% off of all Ironman 4x4 branded equipment!Sidetracked Offroad - snailtrail4x4 (lowercase) to get 15% off lights and recovery gearSpartan Rope - snailtrail4x4 to get 10% off site wdeShock Surplus - SNAILTRAIL4x4 to get $25 off any order!Mob Armor - SNAILTRAIL4X4 for 15% offEmpire Abrasives - Snailtrail4x4 for 10% off your first order

The Lady Owned Toyota's Toy Drive was rainy wet and cold this year. But, that didn't Jimmy and many others from coming out and having a good time. Lots of presents were given, and there were many raffle prizes including MORRFlate and SnailArmor. Meanwhile, Tyler was off spending time with the Secretary for her birthday. They headed up towards the Arnald area and went wine tasting, and played lots of card games. WE ARE GIVING AWAY A WINCH! All you have to do to enter is leave us a review on iTunes/Apple Podcasts! Once we reach 500 reviews, we will do the drawing from those 500 reviews! At 300, 350, 400, and 450 reviews, we will do giveaways for some fun swag packs as well! So get your reviews in! Congrats to PEDDY1111 for winning the 300 swag-away! And Six String Trucker for winning the 350 swag-away! And Martlovesgarlic for winning the 400th! Who's going to be 450? CALL US AND LEAVE US A VOICEMAIL!!!! We want to hear from you even more!!! You can call and say whatever you like! Ask a question, leave feedback, correct some information about welding, say how much you hate your jeep, and wish you had a Toyota! We will air them all, live, on the podcast! +01-916-345-4744. If you have any negative feedback, you can call our negative feedback hotline, 408-800-5169. Episode 355 is brought to you by all of our peeps over at patreon.com and irate4x4! Make sure to stop by and see all of the great perks you get for supporting SnailTrail4x4! Discount Codes, Monthly Give-Aways, Gift Boxes, the SnailTrail4x4 Community, and the ST4x4 Treasure Hunt! Thank you to all of those that support us! We wouldn't be able to do it without you guys (and gals!)! As of April 1st, 2022, we will no longer support Patreon! We are moving all of the "Patreon activities" over to Irate4x4.com. Make sure to head over there, cancel your SnailTrail 4x4 Patreon subscription, and sign up on irate! We will still keep Patreon up and running in case you have to keep using it, but we will not be interacting anymore on that platform. December's monthly giveaway is a contest between Tyler and Jimmy. This month Tyler and Jimmy are each going to give two lucky winners a present. We want to see who can give the best present and truly cares for our loyal listeners. The final judges will be the two lucky winners. If you are interested in receiving a gift from Tyler and Jimmy you need to make sure you are signed up at Irate4x4.com by the end of the year. Massive congratulations to Andrew Klammt for winning the November monthly giveaway of the Mechanics Tool Set in 3 Drawer Storage Box, 232 Pieces are both SAE and Metric and come with everything from Sockets to hex head wrenches. Listener Discount Codes: MORRFlate - snailtrail to get 10% off MORRFlate Multi Tire Inflation Deflation™ KitsIronman 4x4 - snailtrail20 to get 20% off of all Ironman 4x4 branded equipment!Sidetracked Offroad - snailtrail4x4 (lowercase) to get 15% off lights and recovery gearSpartan Rope - snailtrail4x4 to get 10% off site wdeShock Surplus - SNAILTRAIL4x4 to get $25 off any order!Mob Armor - SNAILTRAIL4X4 for 15% offEmpire Abrasives - Snailtrail4x4 for 10% off your first order

Having great recovery gear is not everything when you are doing a snow recovery. It's also just as important to have a great plan, good camping gear/cloths and to prepare you and your vehicle for the adventure ahead. Tyler is one of the admin for the NorCal 4x4 Rescue™ Facebook page where they offer help to anyone that needs it and has gone out on countless recoveries. Jimmy and Tyler discuss the process that Tyler goes though to prepair for a snow vehicle recovery. GLACIER GIRL: THE 5-MONTH RECOVERY OF 2 SNOWBOUND RIGS ON THE RUBICON WE ARE GIVING AWAY A WINCH! All you have to do to enter is leave us a review on iTunes/Apple Podcasts! Once we reach 500 reviews, we will do the drawing from those 500 reviews! At 300, 350, 400, and 450 reviews, we will do giveaways for some fun swag packs as well! So get your reviews in! Congrats to PEDDY1111 for winning the 300 swag-away! And Six String Trucker for winning the 350 swag-away! And Martlovesgarlic for winning the 400th! Who's going to be 450? CALL US AND LEAVE US A VOICEMAIL!!!! We want to hear from you even more!!! You can call and say whatever you like! Ask a question, leave feedback, correct some information about welding, say how much you hate your jeep, and wish you had a Toyota! We will air them all, live, on the podcast! +01-916-345-4744. If you have any negative feedback, you can call our negative feedback hotline, 408-800-5169. Episode 354 is brought to you by all of our peeps over at patreon.com and irate4x4! Make sure to stop by and see all of the great perks you get for supporting SnailTrail4x4! Discount Codes, Monthly Give-Aways, Gift Boxes, the SnailTrail4x4 Community, and the ST4x4 Treasure Hunt! Thank you to all of those that support us! We wouldn't be able to do it without you guys (and gals!)! As of April 1st, 2022, we will no longer support Patreon! We are moving all of the "Patreon activities" over to Irate4x4.com. Make sure to head over there, cancel your SnailTrail 4x4 Patreon subscription, and sign up on irate! We will still keep Patreon up and running in case you have to keep using it, but we will not be interacting anymore on that platform. November monthly giveaway from none other than GEARWRENCH Tools. The tool kit we are giving away might be one of the best trail kits you can have covering so many different tools. The Mechanics Tool Set in 3 Drawer Storage Box, 232 Pieces is both SAE and Metric and comes with everything from Sockets to hex head wrenches. These kits are on a crazy sale right now on Amazon and we wanted to share the love with a lucky winner. Make sure you are signed up over at Irate4x4.com by November 30th to be entered! October's giveaway was with our good buddies over at MORRFlate. We gave away two Xtreme 4×4 Tire Repair Kits. Congratulations to the winners of these kits Nicholas Deluca and Riley Mayo. We know you will enjoy them. Listener Discount Codes: MORRFlate - snailtrail to get 10% off MORRFlate Multi Tire Inflation Deflation™ KitsIronman 4x4 - snailtrail20 to get 20% off of all Ironman 4x4 branded equipment!Sidetracked Offroad - snailtrail4x4 (lowercase) to get 15% off lights and recovery gearSpartan Rope - snailtrail4x4 to get 10% off site wdeShock Surplus - SNAILTRAIL4x4 to get $25 off any order!Mob Armor - SNAILTRAIL4X4 for 15% offEmpire Abrasives - Snailtrail4x4 for 10% off your first order

This week Jimmy is trying to figure out what power tool system to go with and he is mainly looking at Milwaukee vs Makita. Meanwhile, Tyler destroyed a clutch in only a matter of a few months and we discuss what he found about having a ceramic clutch in a street rig. News Flash its wasn't good. WE ARE GIVING AWAY A WINCH! All you have to do to enter is leave us a review on iTunes/Apple Podcasts! Once we reach 500 reviews, we will do the drawing from those 500 reviews! At 300, 350, 400, and 450 reviews, we will do giveaways for some fun swag packs as well! So get your reviews in! Congrats to PEDDY1111 for winning the 300 swag-away! And Six String Trucker for winning the 350 swag-away! And Martlovesgarlic for winning the 400th! Who's going to be 450? CALL US AND LEAVE US A VOICEMAIL!!!! We want to hear from you even more!!! You can call and say whatever you like! Ask a question, leave feedback, correct some information about welding, say how much you hate your jeep, and wish you had a Toyota! We will air them all, live, on the podcast! +01-916-345-4744. If you have any negative feedback, you can call our negative feedback hotline, 408-800-5169. Episode 352 is brought to you by all of our peeps over at patreon.com and irate4x4! Make sure to stop by and see all of the great perks you get for supporting SnailTrail4x4! Discount Codes, Monthly Give-Aways, Gift Boxes, the SnailTrail4x4 Community, and the ST4x4 Treasure Hunt! Thank you to all of those that support us! We wouldn't be able to do it without you guys (and gals!)! As of April 1st, 2022, we will no longer support Patreon! We are moving all of the "Patreon activities" over to Irate4x4.com. Make sure to head over there, cancel your SnailTrail 4x4 Patreon subscription, and sign up on irate! We will still keep Patreon up and running in case you have to keep using it, but we will not be interacting anymore on that platform. November monthly giveaway from none other than GEARWRENCH Tools. The tool kit we are giving away might be one of the best trail kits you can have covering so many different tools. The Mechanics Tool Set in 3 Drawer Storage Box, 232 Pieces is both SAE and Metric and comes with everything from Sockets to hex head wrenches. These kits are on a crazy sale right now on Amazon and we wanted to share the love with a lucky winner. Make sure you are signed up over at Irate4x4.com by November 30th to be entered! October's giveaway was with our good buddies over at MORRFlate. We gave away two Xtreme 4×4 Tire Repair Kits. Congratulations to the winners of these kits Nicholas Deluca and Riley Mayo. We know you will enjoy them. Listener Discount Codes: MORRFlate - snailtrail to get 10% off MORRFlate Multi Tire Inflation Deflation™ KitsIronman 4x4 - snailtrail20 to get 20% off of all Ironman 4x4 branded equipment!Sidetracked Offroad - snailtrail4x4 (lowercase) to get 15% off lights and recovery gearSpartan Rope - snailtrail4x4 to get 10% off site wdeShock Surplus - SNAILTRAIL4x4 to get $25 off any order!Mob Armor - Snailtrail4x4 for 15% offEmpire Abrasives - Snailtrail4x4 for 10% off your first order

What would you like for Christmas? This is always one of the hardest questions to answer. Hopefully, we can help you out a little with some of our gift ideas for the 2022 calendar year. Tyler and I chose four categories, Under $25, Under $50, Under $100, and Unlimited also we tossed in a few bonus items. Under $25 A gift card to an auto parts store SnailTrail4x4 Magnetic Drink Holder ShadyRays Sunglasses Consumables - Check out our friends at Empire Abrasives (Snailtrail4x4 for 10% off) OBD II Reader Jack Stand Holders - RuffStuff Under $50 Soft Shackles - Spartan Rope's (snailtrail4x4 for 10% off) Gaia GPS Maps (20% Off) Infrared Thermometer MobArmor Flex Magnetic Charger (Snailtrail4x4 for 15% off) Gearwrench Quadbox with Bits Under $100 Rope Retention Pulley (RRP) Multi-Tone Siren GlueTread 4x4 Kit 6 Ton Jack Stands Bonus - Sumner Jack Unlimited Spartan Rope's (snailtrail4x4 for 10% off) Yokohama Tires 4Wheel Underground Suspension Kit Bandland Off-road Jack - Coming Soon ARB Hydraulic Recovery Jack MORRFlate Bundle 16" Poulan Chainsaw We have been doing the Holiday Gift Guides for a few years now, and we have came up with many different ideas though out the years. If you need additional ideas make sure to check out these podcasts. 2021 - 246: Holiday Gift Guide with Wheeling Wine and Whiskey and Crusin to Camp 2020 - 146: Off-Road Holiday Gift Guide 2019 - 47: Happy Thanksgiving! SnailTrail4x4 Gift Guide 2018 - Off-Road Holiday Gift Guide WE ARE GIVING AWAY A WINCH! All you have to do to enter is leave us a review on iTunes/Apple Podcasts! Once we reach 500 reviews, we will do the drawing from those 500 reviews! At 300, 350, 400, and 450 reviews, we will do giveaways for some fun swag packs as well! So get your reviews in! Congrats to PEDDY1111 for winning the 300 swag-away! And Six String Trucker for winning the 350 swag-away! And Martlovesgarlic for winning the 400th! Who's going to be 450? CALL US AND LEAVE US A VOICEMAIL!!!! We want to hear from you even more!!! You can call and say whatever you like! Ask a question, leave feedback, correct some information about welding, say how much you hate your jeep, and wish you had a Toyota! We will air them all, live, on the podcast! +01-916-345-4744. If you have any negative feedback, you can call our negative feedback hotline, 408-800-5169. Episode 352 is brought to you by all of our peeps over at patreon.com and irate4x4! Make sure to stop by and see all of the great perks you get for supporting SnailTrail4x4! Discount Codes, Monthly Give-Aways, Gift Boxes, the SnailTrail4x4 Community, and the ST4x4 Treasure Hunt! Thank you to all of those that support us! We wouldn't be able to do it without you guys (and gals!)! As of April 1st, 2022, we will no longer support Patreon! We are moving all of the "Patreon activities" over to Irate4x4.com. Make sure to head over there, cancel your SnailTrail 4x4 Patreon subscription, and sign up on irate! We will still keep Patreon up and running in case you have to keep using it, but we will not be interacting anymore on that platform. November monthly giveaway from none other than GEARWRENCH Tools. The tool kit we are giving away might be one of the best trail kits you can have covering so many different tools. The Mechanics Tool Set in 3 Drawer Storage Box, 232 Pieces is both SAE and Metric and comes with everything from Sockets to hex head wrenches. These kits are on a crazy sale right now on Amazon and we wanted to share the love with a lucky winner. Make sure you are signed up over at Irate4x4.com by November 30th to be entered! October's giveaway was with our good buddies over at MORRFlate. We gave away two Xtreme 4×4 Tire Repair Kits. Congratulations to the winners of these kits Nicholas Deluca and Riley Mayo. We know you will enjoy them. Listener Discount Codes:

Making sure to say a special thank you to all of you out there. We keep this episode super short as we all are spending time with our families and giving thanks to those around us. Massive thanks to those who have been with us throughout the years, all our sponsors, families, and friends, and of course you our loyal followers. WE ARE GIVING AWAY A WINCH! All you have to do to enter is leave us a review on iTunes/Apple Podcasts! Once we reach 500 reviews, we will do the drawing from those 500 reviews! At 300, 350, 400, and 450 reviews, we will do giveaways for some fun swag packs as well! So get your reviews in! Congrats to PEDDY1111 for winning the 300 swag-away! And Six String Trucker for winning the 350 swag-away! And Martlovesgarlic for winning the 400th! Who's going to be 450? CALL US AND LEAVE US A VOICEMAIL!!!! We want to hear from you even more!!! You can call and say whatever you like! Ask a question, leave feedback, correct some information about welding, say how much you hate your jeep, and wish you had a Toyota! We will air them all, live, on the podcast! +01-916-345-4744. If you have any negative feedback, you can call our negative feedback hotline, 408-800-5169. Episode 350 is brought to you by all of our peeps over at patreon.com and irate4x4! Make sure to stop by and see all of the great perks you get for supporting SnailTrail4x4! Discount Codes, Monthly Give-Aways, Gift Boxes, the SnailTrail4x4 Community, and the ST4x4 Treasure Hunt! Thank you to all of those that support us! We wouldn't be able to do it without you guys (and gals!)! As of April 1st, 2022, we will no longer support Patreon! We are moving all of the "Patreon activities" over to Irate4x4.com. Make sure to head over there, cancel your SnailTrail 4x4 Patreon subscription, and sign up on irate! We will still keep Patreon up and running in case you have to keep using it, but we will not be interacting anymore on that platform. November monthly giveaway from none other than GEARWRENCH Tools. The tool kit we are giving away might be one of the best trail kits you can have covering so many different tools. The Mechanics Tool Set in 3 Drawer Storage Box, 232 Pieces is both SAE and Metric and comes with everything from Sockets to hex head wrenches. These kits are on a crazy sale right now on Amazon and we wanted to share the love with a lucky winner. Make sure you are signed up over at Irate4x4.com by November 30th to be entered! October's giveaway was with our good buddies over at MORRFlate. We gave away two Xtreme 4×4 Tire Repair Kits. Congratulations to the winners of these kits Nicholas Deluca and Riley Mayo. We know you will enjoy them. Listener Discount Codes: MORRFlate - snailtrail to get 10% off MORRFlate Multi Tire Inflation Deflation™ KitsIronman 4x4 - snailtrail20 to get 20% off of all Ironman 4x4 branded equipment!Sidetracked Offroad - snailtrail4x4 (lowercase) to get 15% off lights and recovery gearSpartan Rope - snailtrail4x4 to get 10% off site wdeShock Surplus - SNAILTRAIL4x4 to get $25 off any order!Mob Armor - Snailtrail4x4 for 15% offEmpire Abrasives - Snailtrail4x4 for 10% off your first order

We have invited back our significant others to join us in discussing some listener's questions. We cover everything from their distaste for off-roading to why Tyler still has his bronco scheduled. It's always fun to have the Assistant and Secretary on and they bring out a side of us that isn't really shown on the podcast. If you happen to dislike the questions that were presented please feel free to write us anytime and we will cover your question. WE ARE GIVING AWAY A WINCH! All you have to do to enter is leave us a review on iTunes/Apple Podcasts! Once we reach 500 reviews, we will do the drawing from those 500 reviews! At 300, 350, 400, and 450 reviews, we will do giveaways for some fun swag packs as well! So get your reviews in! Congrats to PEDDY1111 for winning the 300 swag-away! And Six String Trucker for winning the 350 swag-away! And Martlovesgarlic for winning the 400th! Who's going to be 450? CALL US AND LEAVE US A VOICEMAIL!!!! We want to hear from you even more!!! You can call and say whatever you like! Ask a question, leave feedback, correct some information about welding, say how much you hate your jeep, and wish you had a Toyota! We will air them all, live, on the podcast! +01-916-345-4744. If you have any negative feedback, you can call our negative feedback hotline, 408-800-5169. Episode 350 is brought to you by all of our peeps over at patreon.com and irate4x4! Make sure to stop by and see all of the great perks you get for supporting SnailTrail4x4! Discount Codes, Monthly Give-Aways, Gift Boxes, the SnailTrail4x4 Community, and the ST4x4 Treasure Hunt! Thank you to all of those that support us! We wouldn't be able to do it without you guys (and gals!)! As of April 1st, 2022, we will no longer support Patreon! We are moving all of the "Patreon activities" over to Irate4x4.com. Make sure to head over there, cancel your SnailTrail 4x4 Patreon subscription, and sign up on irate! We will still keep Patreon up and running in case you have to keep using it, but we will not be interacting anymore on that platform. November monthly giveaway from none other than GEARWRENCH Tools. The tool kit we are giving away might be one of the best trail kits you can have covering so many different tools. The Mechanics Tool Set in 3 Drawer Storage Box, 232 Pieces is both SAE and Metric and comes with everything from Sockets to hex head wrenches. These kits are on a crazy sale right now on Amazon and we wanted to share the love with a lucky winner. Make sure you are signed up over at Irate4x4.com by November 30th to be entered! October's giveaway was with our good buddies over at MORRFlate. We gave away two Xtreme 4×4 Tire Repair Kits. Congratulations to the winners of these kits Nicholas Deluca and Riley Mayo. We know you will enjoy them. Listener Discount Codes: MORRFlate - snailtrail to get 10% off MORRFlate Multi Tire Inflation Deflation™ KitsIronman 4x4 - snailtrail20 to get 20% off of all Ironman 4x4 branded equipment!Sidetracked Offroad - snailtrail4x4 (lowercase) to get 15% off lights and recovery gearShock Surplus - SNAILTRAIL4x4 to get $25 off any order!Mob Armor - Snailtrail4x4 for 15% offEmpire Abrasives - Snailtrail4x4 for 10% off your first order