Podcasts about staff members

On this episode we interview Rebekah Brazell, our new Kids Ministry Director and Carissa Davis, our new Next Gen Ministry Assistant. The share about their calling into ministry, vision for discipling the next generation, and what they have learned after a month on the job.

A Madera Unified School District special education teacher has been placed on administrative leave while police and school officials investigate a series of controversial social media videos that sparked public concern and backlash. Please Like, Comment and Follow 'Philip Teresi on KMJ' on all platforms: --- Philip Teresi on KMJ is available on the KMJNOW app, Apple Podcasts, Spotify, YouTube or wherever else you listen to podcasts. -- Philip Teresi on KMJ Weekdays 2-6 PM Pacific on News/Talk 580 AM & 105.9 FM KMJ | Website | Facebook | Instagram | X | Podcast | Amazon | - Everything KMJ KMJNOW App | Podcasts | Facebook | X | Instagram See omnystudio.com/listener for privacy information.

Co-hosts Ryan Piansky, a patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Science Advisory Council, interview Dr. Claire Beveridge about EoE and dysphagia. Disclaimer: The information provided in this podcast is designed to support, not replace, the relationship between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own.   Key Takeaways: [:49] Co-host Ryan Piansky introduces this episode, brought to you thanks to the support of Education Partners AstraZeneca, GSK, Sanofi, Regeneron, and Takeda. Ryan introduces co-host Holly Knotowicz.   [1:17] Holly introduces today's topic, research on eosinophilic esophagitis (EoE) and dysphagia.   [1:24] Holly introduces and welcomes today's guest, Dr. Claire Beveridge, a gastroenterologist at the Cleveland Clinic. Dr. Beveridge heads the EoE Adult Clinic and the Transition from Pediatric to Adult EoE Clinic.   [1:36] Holly, a speech pathologist, says she is very excited to dive into the research Dr. Beveridge did with EoE and dysphagia. Holly asks Dr. Beveridge to share some of her background.   [1:48] Dr. Beveridge was recruited to the Cleveland Clinic about five years ago to head the EoE Center. She loves the work they have done there.   [1:57] Dr. Beveridge says it's been nice to center everything on their EoE patients and have multidisciplinary care with speech-language pathologists, allergists, dietitians, pulmonologists, and more. It's been a great experience.   [2:15] Dr. Beveridge says the other thing they are really proud of is having a Transition Clinic. It can be tough for patients to transition from pediatric to adult care.   [2:23] Dr. Beveridge says this is something she was inspired to do when she was finishing her training at the University of Pennsylvania, where they had been doing some of that. It was really important to her when she joined Cleveland Clinic.   [2:34] Dr. Beveridge, with her Co-director, Dr. Sophia Patel, helps patients transition from pediatric to adult care.   [2:41] Holly speaks of the challenge of transitioning from pediatric care at a multidisciplinary clinic to adult care.   [3:08] Dr. Beveridge says you can't do any training at Northwestern without loving the esophagus. She did her residency there, got exposed to esophagology, and got to know Dr. Gonsalves and Dr. Hirano really well.   [3:33] Drs. Gonsalves and Hirano are really big names in EoE. Dr. Beveridge was fascinated by the disease. She loved the patients and wanted to help them and make them feel better. It's a burgeoning field.   [3:48] Dr. Beveridge says that it's only in the last few years that we have had FDA-approved medications for it, and that we have been jerry-rigging asthma medications to treat our patients.   [4:03] Dr. Beveridge says it's really exciting to see the treatment options we can offer.   [4:10] Ryan says it's exciting to see how EoE management has changed.   [4:16] Ryan says we see so many patients who are untreated or poorly treated for years, who have restructuring of their esophagus and present with dysphagia, or have strictures and rings leading to food impactions; the long-term effects of untreated EoE.   [4:34] Ryan says it's exciting that now we do have better treatment options for people, right off the bat.   [4:43] Dr. Beveridge conducted some research on EoE and dysphagia and presented a poster at the 2024 Digestive Diseases Week.   [4:51] The poster was titled, "Esophageal Luminal Diameter is Associated with Dysphagia and Eosinophilic Esophagitis: Implications for Endoscopic Dilation Therapy."   [5:11] Dr. Beveridge says dysphagia means issues with swallowing. It's a feeling of something getting stuck or something slowly moving down. There are also subtle symptoms that can happen.   [5:31] Dr. Beveridge says patients who have had EoE for a long time become accustomed to how they swallow. Things a patient may think are normal, like needing water and taking a sip after each bite, are learned accommodating behaviors.   [5:58] Dr. Beveridge says accommodating behaviors are that you're needing to imbibe extra water, you're modifying how you're eating, extra chewing, avoiding pills, avoiding other certain foods, and things like that that can be modifying factors.   [6:19] So, difficulty with swallowing, things getting stuck, slowly moving down, but also keeping in mind some of those modifying behaviors that we may end up using.   [7:23] Dr. Beveridge says her motivation was seeing patients in her clinic who were having persistent symptoms, and getting them into histological remission. The goal of treating your EoE is to get the eosinophils less than 15; close to zero is great.   [7:45] Dr. Beveridge says we have patients who, despite doing their endoscopies and taking biopsies, things look fine; they're still having issues with swallowing. Why is that the case?   [7:58] Dr. Beveridge says in a different research paper she had done, looking at some of the predictors for that, one of them was fibrostenosis. There are also other things that can contribute, like esophageal hypervigilance and a fear of swallowing.   [8:21] If a patient has had a food impaction, it's going to be scary to try to swallow again. Some of it is behavioral, but some of it is structural. At what luminal diameter (the size of the esophagus) is that causing a clinical problem for patients?   [8:45] A normal esophagus is 20 to 24 mm in diameter. Traditionally, around 14 to 16 mm in diameter has been when we say that patients get symptoms or they're feeling the issues with swallowing.   [9:03] Dr. Beveridge says a lot of those studies have never been done specifically for EoE patients.   [9:08] Dr. Beveridge wanted to know, if we exclude cancer, if we exclude acid reflux, and all of these other things, and just look at our EoE patients, what size of the esophagus are we looking at?   [9:20] Dr. Beveridge explained they specifically looked at patients whose histology was under control and then compared those who continued to experience symptoms with those who did not. The goal was to determine the histologic threshold at which patients begin to experience dysphagia.    [9:54] Dr. Beveridge says they saw this threshold at 16 mm (1.6 cm). That's still quite the difference from a normal esophagus of 20 to 24.   [10:08] Dr. Beveridge says our esophagus can definitely handle being smaller, but then, once you get to that 16 mm, for a lot of patients, it really does cause that feeling of things getting stuck or slowly moving down.   [10:20] Holly says what's cool about the retrospective data Dr. Beveridge looked at, and the parameters she placed in the research, is that when a patient goes in for an endoscopy, the doctor can measure and say maybe this is why dysphagia is going on.   [10:48] Holly finds that adult patients with food impactions are scared to eat the same food again. She loves having this data to share with patients and say, let's look at what your esophagus measures at. Let's do a smaller bite. Let's add a dip and liquid.   [11:12] Holly says data can push so much progress. Holly, having multiple chronic illnesses, loves when doctors can say, this is going to be safe. This is the mode that we're going to go with.   [11:30] Dr. Beveridge says in the retrospective study, they were looking at stuff that had already been done. We decided from here to assess patients more prospectively. All of this was based on chart review from when the note said symptoms or no symptoms.   [11:53] Dr. Beveridge says when she started this EoE clinic at the Cleveland Clinic, part of it was to standardize better how we were collecting data from patients to understand their symptoms.   [12:07] Dr. Beveridge has a standardized questionnaire for patients to understand if they are having heartburn and difficulty with swallowing, so she can know that at each point of their endoscopy.   [12:18] Dr. Beveridge says it will be nice, hopefully in the future, when she can give a little more detail and depth in terms of assessing this more prospectively and seeing if that same number holds up or if she needs to tweak it a little bit.   [12:34] Holly thinks it's fascinating. Numbers give us so much information, to know if my mm is this versus this, the next time, or during allergy season or not.   [12:53] Ryan says it's cool that you're able to look back at existing patient records and identify this information. Now we have that 16 mm number in mind to say maybe this is where we'll start to see increased risk of dysphagia in these patients.   [13:28] Dr. Beveridge says, how we had to do it retrospectively was based on the endoscopist estimating what the size is. Gastroenterologists recognize they're not always the best at estimating the size of the esophagus.   [13:50] Dr. Beveridge says, if your endoscope could not pass through, or it was snugly passing through, you know the diameter of the endoscope. If a dilation was done, at what size dilation do we start to see a disruption?   [14:19] Dr. Beveridge says, the goal of a dilation is to get a disruption because there's scar tissue we want to break open. A patient might think disruption means a perforation or something more scary, but that is the goal. We want to break open that scar tissue.   [14:42] Dr. Beveridge says, once we see that scar tissue break open a little bit, then we can estimate what the diameter is, based on the size dilator we used.   [15:10] Dr. Beveridge says for adults, we use a standard adult upper endoscope, and that's about 13 mm. The ones we use for kids are about 6 mm.   [15:35] Dr. Beveridge says the adult endoscope is around 13 mm, and it's around 14 to 16 mm when we start to see the symptoms.   [16:07] Dr. Beveridge says there are two main types of dilation that we do. One is the Savary dilator or wire-guided dilator, a long dilator that stretches the entire esophagus, from the mouth down to the stomach.   [17:20] Dr. Beveridge says another way of doing it is while you have the endoscope in, you thread a catheter. At the end of the endoscope, there's a balloon. You fill the balloon with saline up to different sizes. Typically, they go up by 3 mm, so 12 to 15 mm.   [18:01] Dr. Beveridge says the catheter balloon dilator is good for discrete strictures because the balloon isn't going to do the entire esophagus; it's just going to do one area of the esophagus, and you're watching it the whole time.   [18:19] For the wire dilator, you remove the scope. You're not able to see, so it's important to assess ahead of time how narrow things are, so you start at a safe dilation. You go in each time to see if there's starting to be disruption, and then you can do more.   [18:44] Holly asks if a gastroenterologist doing an upper endoscopy with sedation sees that it's tight, would the gastroenterologist automatically do a dilation? Or, can a patient with dysphagia symptoms request to have a dilation?   [19:28] Dr. Beveridge says, right before an endoscopy, she discusses it with the patient and gets consent. She asks, even if their symptoms are good, but in the endoscopy she sees a narrowing where she would recommend a dilation, if they're OK with that.   [20:05] Dr. Beveridge says, if they're having issues with swallowing, often she will ask if they're OK with her doing a dilation. If she sees a narrowing, she can focus on that area and dilate it.   [20:19] Dr. Beveridge says not everywhere in the esophagus can we see as well. The very beginning of the esophagus is challenging to see and challenging to evaluate on imaging.   [20:32] Dr. Beveridge talks about empiric dilation. You don't see a narrowing, but you want to rule it out, so you do a dilation at a safe size, like 16 or 18 mm, to make sure you're not missing something up high.   [20:58] Dr. Beveridge says she always talks about that with her patients. Most say, go ahead. Some patients definitely want dilation; other patients say no, they really don't.   [21:12] Dr. Beveridge then asks the patient if there's real narrowing that may cause a food impaction, would they want dilation then, or hold off for another day?   [21:30] Dr. Beveridge never wants to do something the patient is not comfortable with. She also doesn't want them to need another endoscopy unnecessarily, if she can avoid that for them in the moment.   [21:46] Dr. Beveridge mentions the BougieCap used in Europe. It's a cap you put at the end of the endoscope. You use your endoscope as the dilator. You watch the whole time. It is hard plastic that causes a nice dilation. We may see it come to the U.S.   [22:37] Dr. Beveridge speaks of the FLIP catheter, which is a catheter with a balloon that doesn't cause dilation but distends and helps measure the diameter.   [23:33] Holly asks if Dr. Beveridge gives tips to patients on how to prepare for dilation and the recovery process.   [23:49] Dr. Beveridge had an upper endoscopy. She says there's nothing like experience to understand it better. She didn't have a dilation, but the biopsies caused discomfort.    [24:21] Dr. Beveridge says a lot of her patients have been through upper endoscopies, so they know how it feels. She warns them that the biopsies and dilation can cause discomfort.   [24:33] What's challenging is that everyone is different. Some patients are going to be more hypersensitive to it, and other patients are going to say they felt nothing and they were fine.   [24:46] Dr. Beveridge says some patients need to modify their diet for a few days to avoid significant chest pain. You never want someone to have to go to the ER for significant chest pain when it will just heal over time, and there's no perforation.   [25:12] Dr. Beveridge says other patients will be like her, eating chips and pretzels and saying they're fine. Dr. Beveridge typically has them start with liquids, nothing too hot or too cold, and advance as tolerated.   [25:28] Dr. Beveridge says patients can always use TylenolⓇ and over-the-counter numbing agents. You'll still have patients who will get significant discomfort. For the most part, starting with liquids has worked for Dr. Beveridge's patients.   [25:44] Holly recommends over-the-counter when her patients call, after she talks to their GI. Holly says after she has an endoscopy, she starts on liquids and shakes. On day three, she's fine. Holly says individualized care is amazing. We all are different.   [26:14] In the pediatric setting, the parents get the counseling, and they have not had sedation, but on the adult side, you're talking with the patient, who had sedation. Sometimes they don't remember.   [26:40] Dr. Beveridge says when possible, she waits for family members to come back and tells them they're going to have to "be the memory" because the patient probably won't remember this conversation.   [26:55] If a patient says no, they don't want them to come back and hear about it, always respect that. But Dr. Beveridge always tells them, you may not remember what we say.   [27:30] Ryan asks about data on how many times someone may need dilations. Dr. Beveridge says it comes down to the patient, but the biggest issue can be uncontrolled inflammation.   [27:44] Dr. Beveridge says if a patient's EoE is not controlled, inflammation leads to continued scarring down. That's why we talk about dilation as being an adjunctive measure, but not a treatment for EoE. It doesn't do anything for the inflammation.   [28:03] Dr. Beveridge says she has patients who ask why she can't just do a dilation every now and then. Dr. Beveridge considers dilation to be safe when needed, but if you can avoid it, that would be nicer for everyone.   [28:21] Dr. Beveridge says there's no great data on whether you only need one, or whether you're going to need 10, but one big theme is just: have we gotten your inflammation under control? That's also true for other conditions, such as acid reflux.   [28:45] Holly wasn't diagnosed until she was in her mid-twenties, and she had several upper endoscopies as a teenager and college student to dilate her, to help the situation.   [29:17] Holly says she had to get more endoscopies to figure out her weird food triggers that are not typical for everybody, so even if she's treated, she still has inflammation. That's why she had so many upper endoscopies.   [29:30] Ryan talks about underlying issues causing inflammation. Dilation is not treating those underlying causes. It's just helping with one symptom of this dysphagia, by expanding the esophagus.   [29:50] Ryan asks, What changes in symptoms should patients expect after the dilation? Dr. Beveridge says, ideally, if there's been a stricture, you're going to start to feel like your swallowing is better. You can get pills and food down better.   [30:07] Dr. Beveridge says, immediately post-dilation, sometimes people feel a little bit worse. Everything you swallow may be uncomfortable for you. But if it's been a successful dilation, hopefully, you're going to feel that things are going down better.   [30:40] Holly says she is so grateful that Dr. Beveridge looked into this, and hopefully, there will be a new protocol in the future. Holly asks what other key takeaways from this research may interest Dr. Beveridge in researching something further.   [31:02] Dr. Beveridge says, making sure that we're not missing scar tissue is big and important. One thing that we're trying to look at with our Pediatric GI colleagues is what threshold we should be looking at for the pediatric patient population.   [31:19] Dr. Beveridge says a pediatric patient's esophagus is a different size than an adult patient's. Understandably, we are more cautious when doing a dilation in the pediatric patient population than we are with adults.   [31:34] Dr. Beveridge may recommend empiric dilation for an adult but will feel more cautious about that with pediatric patients than with adult patients. Understanding what that threshold should be for the pediatrics is going to be really interesting.   [31:57] Dr. Beveridge says the diameter threshold we discussed is going to be important to know about, but everyone is different. You may have a diameter of 14 mm, you feel fine, and you don't want a dilation; you can accommodate OK. That's reasonable.   [32:15] Dr. Beveridge says she has had patients who get up to 18 mm, and that helps them, but they need a little bit more. If someone needs more of a dilation, we do that. Yes, have a threshold to assess, but always assess for what's personal for your patient.   [33:04] Dr. Beveridge says not just to assess the luminal diameter, but a thing that is helpful for gastroenterologists to know will be if there are other factors at play. As in her study of dysphagia predictors, anxiety, depression, and hypervigilance can play roles.   [33:37] Dr. Beveridge has patients who have to have a critical narrowing for them to finally feel an issue. Other patients, if they have the slightest of narrowing, are feeling something. Some patients are just more vigilant of what's happening in their esophagus.   [34:07] Dr. Beveridge says there's definitely a role for asking if your anxiety is under control. If there's feedback in the nerves, should we ask your GI Psychologist to be involved in terms of CBT for your esophagus? Take a look at everything.   [34:27] Dr. Beveridge says another part of the study they looked at was: are there different thresholds of eosinophils that we should be looking at? Is it just less than 15, or do some patients need it to be lower? Less than six? Less than 10?   [34:43] Dr. Beveridge says look at it as a whole for your patient.   [34:53] Dr. Beveridge says next, she will be working on a very long-term project: Can we identify a non-invasive method of screening a patient, diagnosing a patient for EoE, or monitoring a response to therapy?   [35:13] Dr. Beveridge has looked at transnasal endoscopy, which is put into this category of minimally invasive. It's still invasive; you're putting a scope through someone's nose, but it doesn't require sedation, which is a nice thing for some patients.   [35:29] There's the EnteroTrack, which started in Colorado. A patient swallows a string, and it stays in their esophagus for an hour, and we look at the proteins to see if things are active or not active.   [35:45] Dr. Beveridge is also looking at the breath metabolome. If we breathe into a bag and take a look at all the volatile organic compounds that are in our breath, can we find a signature related to EoE?   [36:01] It's assessing about 100 different compounds, not looking at one in particular, but how the whole thing looks. What signature is there, based on looking at all the compounds?   [36:15] Dr. Beveridge presented some of that data at DDW and has a grant from the ACG to look at this and assess patients with and without EoE.   [36:33] Dr. Beveridge says further, doing longitudinal data of looking at patients once they've gotten into remission on treatment and seeing, do we then see a signature change?   [36:47] Dr. Beveridge says no one is under any illusion that endoscopies are going away. They will always be part of what we do in gastroenterology, but there are limitations: sedation, a full day away from work, nothing by mouth, and a driver, etc.   [37:04] If there are alternatives to help supplement that, it would be nice. One of the barriers for patients doing diet elimination is the number of endoscopies that are required. If there's a way to assess by breath if a food is a trigger, that would be good.   [37:32] Dr. Beveridge says that's the big thing she's looking at, but it will take years. It's not going to be a quick, easy one, but it's very interesting to take a look at.   [37:45] Holly speaks of how much treatment has changed since she was diagnosed. She has done all the scopes. She says this sounds amazing. She loves that people like Dr. Beveridge are thinking of how to make testing less invasive and more comfortable.   [38:12] Dr. Beveridge says another thing she is excited about is the transition of care. She recently did a survey and is analyzing the data to assess what the barrier is from the physician perspective in terms of helping our patients transition.   [38:40] Dr. Beveridge is also looking at doing a nice multi-center consensus to help this as well, led by Dr. Sophia Patel and Dr. Emily McGowan, who are fantastic in the EoE world, looking to see how we can make this better for our patients.   [38:58] Ryan says, with so much interesting work coming up, we'll have to have you back to chat about some of these additional projects. Everyone is super interested in less invasive stuff and better treatment pathways. Transition of care is an important part of that.   [39:11] Ryan appreciates Dr. Beveridge for joining the conversation and hopes to have her back on another episode so we can learn more about EoE and these different future research endeavors.   [39:20] For our listeners who would like to learn more about EoE today, you can visit apfed.org/EoE and check out the links in the show notes below. [39:27] If you're looking to find specialists who treat eosinophilic disorders, we encourage you to use APFED's Specialist Finder, available at apfed.org/specialist.   [39:36] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at apfed.org/connections.   [39:46] If you have personally been impacted by eosinophilic disorders and are interested in sharing your experience, please check out apfed.org/shareyourstory.   [39:55] Ryan thanks Dr. Beveridge for joining us. This was a fun conversation and really insightful. Holly thanks APFED's Education Partners AstraZeneca, GSK, Sanofi, Regeneron, and Takeda for supporting this episode.   Mentioned in This Episode:   APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.orgapfed.org/specialist apfed.org/connections Claire Beveridge, MD Cleveland Clinic Education Partners: This episode of APFED's podcast is brought to you thanks to the support of AstraZeneca, GSK, Sanofi, Regeneron, and Takeda.   Tweetables (Edited):   "I have loved the work that we've done [at the Cleveland Clinic]. It's been really nice to center everything on our EoE patients and have nice multidisciplinary care with speech-language pathologists, allergists, dietitians, pulmonologists, and everyone." — Claire Beveridge, MD   "It's a little crazy to think that it's only in the last few years that we have had FDA-approved medications for [EoE], and that we have been jerry-rigging asthma medications to treat our patients." — Claire Beveridge, MD   "On the whole, dysphagia means issues with swallowing. … It's a feeling of something getting stuck or something slowly moving down. There are also subtle symptoms that can happen." — Claire Beveridge, MD   "The goal of a dilation is to get a disruption because there's scar tissue we want to break open." — Claire Beveridge, MD   "I am looking at the breath metabolome. If we breathe into a bag and take a look at all the volatile organic compounds that are in our breath, can we find a signature related to EoE?" — Claire Beveridge, MD   Guest Bio: Claire Beveridge, MD, is a Staff Member in the Department of Gastroenterology and Hepatology and heads the Eosinophilic Esophagitis (EoE) adult clinic as well as the transition pediatric to adult EoE clinic. Dr. Beveridge's specialty interests include: EoE, Achalasia, Barrett's esophagus, GERD, esophageal swallowing disorders, and esophageal motility disorders.

Two staff members of the U.S. men's soccer team were suspended by FIFA from Monday's round of 16 game. The AP's Marcela Sanchez reports.

Wilson Hall Middle School announced the hiring of Jaryian Jackson, left, as a P.E. assistant and Tyanena Hill, right, as the cheerleading coach. Article Link

Granit Xhaka to CHELSEA?! Guimaraes Contract Claim, ANOTHER Staff Member To Leave! Arsenal Transfer ShowGranit Xhaka to Chelsea?! A surprise transfer story involving the former Arsenal midfielder has emerged, fresh claims have surfaced regarding Bruno Guimarães' contract situation, and Arsenal could be set to lose yet another staff member this summer.In today's episode of The Arsenal Transfer Show, Arsenal reporter Tom Canton breaks down the latest speculation surrounding Granit Xhaka and whether a move to Chelsea could actually materialise.We also assess the newest Bruno Guimarães contract claims and what they could mean for any potential future transfer interest. Plus, Arsenal face another behind-the-scenes change as reports suggest a further staff departure could be on the horizon.

Jackie works at the Roger Maris Cancer Center. She praises her co-workers, support staff, volunteers and anyone who helps provide the best possible care to the people who use the cancer center.See omnystudio.com/listener for privacy information.

Overseeing clinical trials at the Roger Maris Cancer Center is what Jackie does every single day. These trials can lead to a new standard of care across the country!See omnystudio.com/listener for privacy information.

A clinical care coordinator and nurse at the Roger Maris Cancer Center, Kelsey discusses working with those patients who are continuing care and spending long days or even weeks at the cancer center. Celebrating birthdays and anniversaries become a habit that these dedicated staff members share with their patients.See omnystudio.com/listener for privacy information.

Rivana works as a Sonographer at the Edith Sanford Breast Center. She is proud of the work done at the Edith Sanford Breast Center. We are proud of YOU Rivana!See omnystudio.com/listener for privacy information.

Wendy is a child-life specialist. Her work and dedication to her patients allow kids to be kids as well as patients. Wendy is the type of person who makes the world brighter, even at the darkest of times. Her words are inspirational and timeless.See omnystudio.com/listener for privacy information.

Dr. Failing is one in a million and we are fortunate to have his talent and expertise at the Roger Maris Cancer Center in Fargo, ND. His philosophy on treatment is just part of why patients appreciate him and his colleagues respect him.See omnystudio.com/listener for privacy information.

The manager of Radiation Therapy and Radiation Oncology. Her highlights on innovation show how the Roger Maris Cancer Center is leading the way across the country in treatment for the safest and best possible care.See omnystudio.com/listener for privacy information.

John is a staff member at the Roger Maris Cancer Center who celebrates the "culture of service" and he was ALSO a patient!See omnystudio.com/listener for privacy information.

Fourteen staff members have had to take time off work after being assaulted by patients at Palmerston North Hospital's new mental health ward, Ngā Wai Ngāro, since it opened in February. Now the brother of a former patient of the service, who died by suicide while under hospital care, says inadequate staffing levels are putting people at risk. Jimmy Ellingham reports.

Our guest, Michelle Jones, chats with us about her role as the Program Coordinator for the Cystic Fibrosis Center at Le Bonheur. Our show host is Brittany Spence and our Executive Producer is Castria.Subscribe today to stay up to date and don't forget to leave a rating and review!

Ladies and gentlemen, grab your donuts and turn up the volume for the June 5th edition of Good Morning Woodland! We're kicking things off with a huge celebration—26 years of marriage for our host, who shared the "meet cute" story of a college dorm hallway and a 1999 proposal at Elizabeth Park! Speaking of weddings, the playlist is set with everything from Frank Sinatra and Jermaine Jackson to a "popular-at-the-time" Eric Benet track!Now, let's hear it for our stars of the day, including Staff Member of the Year Andrea Constanti and Paraeducator of the Year Sheila Brennan! In the news, things are getting futuristic with gene editing and AI bots taking over the web, though we've still got some "old school" drama with illegal hissing cockroaches in Australia! Over at the sports desk, our golf team swung into 5th place in the NVL, and the softball crew is ready for a big home game against Cromwell!Finally, get ready to "Look for the Good" with a refreshed summer reading program where students can swap traditional book talks for video reflections! Whether you're hitting the Big Dipper fundraiser or charging those Chromebooks for exams, keep it locked here! Now, let's get this party started!

Two male employees accused of assaulting residents at a disability support facility in Kushiro, Hokkaido were arrested, it has emerged that several other staff members have also been voluntarily questioned by police. Episode notes: ‘Two Hokkaido Disability Support Facility Workers Arrested; Three Other Staff Members Voluntarily Questioned': https://barrierfreejapan.com/2026/05/30/two-hokkaido-disability-support-facility-workers-arrested-three-other-staff-members-voluntarily-questioned/

Three siblings were driving in Harrison County, Mississippi, when another car forced them off the road and into a reservoir. AND Inside the courthouse in Clayton, Missouri, there’s a Labrador named Levi who has one of the most important jobs in the building. To see videos and photos referenced in this episode, visit GodUpdates! https://www.godtube.com/blog/strangers-save-teens-from-flipped-car.html https://www.godtube.com/blog/therapy-dogs-help-in-courtrooms.html Discover more Christian podcasts at lifeaudio.com and inquire about advertising opportunities at lifeaudio.com/contact-us.

This week, national policy officer Melanie Chatfield outlines BCA's response to the NDIS minister's recent proposed changes to the scheme. We also meet Stephanie Peebles, our new Eye To The Future Project Coordinator.announcement , Notes go here Find out more at https://new-horizons.pinecast.co This podcast is powered by Pinecast.

6. Headline: Humanitarian Crisis in Yemen and Iraqi Militia Aggression Guest: Bridget Toomey Summary: The UN has largely been pushed out of Houthi-controlled territory due to the illegal detention of 73 local staff members. Meanwhile, in Iraq, the U.S. has designated several militia commanders involved in attacks against energy infrastructure and American personnel in the region. 61958 YEMEN

Hello and welcome to Episode 320 of The People Powered Business Podcast.You've hired someone. Finally. After the job ads, the interviews, the back and forth, they said yes and they're starting Monday. The hard part is over, right?Wrong. Almost half of every person you hire won't make it through their first twelve months. Not because they were the wrong person. Because nobody set them up to succeed.I can't quite believe I've barely touched this topic in 320 episodes, because the first 90 days is the most important period of time in determining whether a hire works out, and most small business owners have no plan for it beyond "here's your login and good luck."We treat onboarding like a box to tick when it's actually the foundation of the entire working relationship.In this episode I'm pulling back the curtain on what actually happens in most small businesses during those first 90 days, why it quietly sets new hires up to fail, and what a proper 90-day plan looks like when you're not a corporate with an HR department. I'm also sharing the insight that stops most business owners in their tracks when I share it, because the underperformance conversations you're dreading? A lot of them trace directly back to a broken onboarding. You're fixing the wrong end of the problem.In this episode we cover:Why 46% of new hires don't make it through their first year, and what's really driving that numberThe most common onboarding mistakes small business owners make (including the "fire hose" trap)What a structured 90-day plan actually looks like across weeks, months and milestonesThe single thing that kills good onboarding even when you start with good intentionsWhat to do if someone is already in their first 90 days and things feel offIf you've got someone starting soon and you want to make sure you nail their first 90 days, book a free 15-minute clarity call with me: https://calendly.com/kristyleebillett/chatLinks & Resources:

Maddie Haddow chats with us about her role as the Chattanooga Director for the Forrest Spence Fund!Our show host is Brittany Spence and our Executive Producer is Castria.Subscribe today to stay up to date and don't forget to leave a rating and review!

Guests - Haley Crocombe and Cat MaloneHosted By - Courtney Ortiz and Lesley MealorIn Episode 261 of Making The Impact - A Dance Competition Podcast, we go backstage with the folks who keep competitions running to find out what a day in their lives look like on a busy event weekend! Our guests today serve as tally manager, backstage manager and emcee and the show can't go on without them. If you've ever wanted to work for a dance competition, this is the episode for you!Topics Include: A brief run down of the weekend's duties from start to finish What load in and load out entail A look at the most rewarding parts of competition from behind the scenesAdvice for studio owners and teachers to help competitions run smoothlyHelp support our podcast! Join Making The Impact's Platinum Premium Subscription today! Your membership includes:Monthly Q&A episodes released to members onlyPriority to have your questions answered each month on the live Q&A.Ad-free listening for all of Seasons 4 through 7. No sponsored ads!20% off all IDA MerchandiseExclusive bonus content released throughout the yearDiscounted IDA Online CritiqueGroup Zoom check-ins 3x per season with Courtney Ortiz!Your support helps us produce future episodes of Making The Impact for years to come!Making The Impact's Platinum Premium - Sign up now for only $5/month!Follow your Hosts & Guests!Courtney Ortiz - @courtney.ortizLesley Mealor - @miss.lesley.danceHaley Crocombe - @haleycrocombeCat Milone - @catmillermiloneCheck out our guest's current projects! Visit ActorsNET of Bucks County Summer Stars Program to sponsor full and partial scholarships for children ages 7-17. Donations are tax deductible and help local children in Bucks County, PA access theatre programming during the summer!This episode is sponsored by:Check out our service: IDA Online Judge's CritiquesSend us a video of your dance and an IDA Judge will critique your routine! You can request a genre-specific specialty judge or add on 10 minutes of additional feedback. 24 hour rush delivery available! Submit your video now! Join our FREE Facebook Group and connect with us! Making The Impact - A Dance Competition Podcast Community Leave us a review on Apple Podcasts! We would love to hear from you! Join our Newsletter for weekly episode releases straight to your inbox! Follow Impact Dance Adjudicators on social media @impactdanceadjudicators and for a list of IDA Affiliated dance competitions, visit our website at www.impactdanceadjudicators.comSupport the show

-Nate Loenser's name was brought up in the Northern Iowa coaching search with Ben Jacobson off to Utah State, since Loenser is aCedar Falls native…but the Panters hired Kyle Green instead---a former UNI assistant and current Iowa State assistant-When Craig Smith left Nebraska after the 2013-14 season to be the head coach at South Dakota, even though the bulk of the rosterreturned from an NCAA Tournament team---it didn't play like it and his coaching was missed greatly. Trying to avoid that…Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Does how you live match what you say? Join Kelly and Kaden Brown as Kaden leads a study from 2 Corinthians chapter 3.His Hill 50th Anniversary Reunion https://hishill.org/50th/www.instagram.com/thehishillpodcast/www.hishill.orgkelly@hishill.org

What happens when staff movement brings up both excitement and disappointment at the same time?   In the spring season of school leadership, the movement of staff members becomes part of the HR landscape. Retirements, leaves, resignations, internal transfers, and district reassignments can all create a ripple effect across your campus, and those changes can bring up a mix of emotions that leaders do not always expect.   Tune in this week to discover what it means to lead yourself through employee movement with intention. You'll learn how to acknowledge the duality of your emotions when staff move on, how to self-coach when someone joins your team and you already have concerns, and how to respond when district staffing decisions feel frustrating or unjust. I also walk you through the difference between reacting, staying silently resentful, and processing your emotions so you can respond as the most empowered version of yourself.   Find the full episode show notes and transcript, click here: https://angelakellycoaching.com/429   Keep up with me on Facebook: https://www.facebook.com/akellycoaching/

Taupo pharmacist Ayman Ibousi's latest employee has sent efficiency through the roof and never calls in sick. The custom-made dispensing robot has been shipped in from Germany and is the first of its kind in the country. Ibousi spoke to Ingrid Hipkiss.

Two new staff members have been employed by the HSE to carry out assessments of need in Clare. Responding to a query from Shannonbanks Sinn Féin Councillor James Ryan in the newly-formed Regional Health Forum Midwest, HSE Midwest has confirmed two individuals have been hired to expedite the process. Recent figures showed just 25 assessments of need were completed in the county over a nine-month period last year while 73 children remained on the waiting list. Councillor Ryan far more staff are needed to prevent children being "left in limbo".

Send a textEvery school leader has faced it — the one staff member who consistently complains, resists change, or quietly undermines culture.In this Power Surge episode, you'll learn how to handle negative staff behavior without losing your confidence, emotional stability, or leadership clarity.If you've ever felt drained by repeat complainers, passive resistance, or chronic negativity on your team, this episode gives you practical strategies to protect your energy while strengthening your school culture.Key Leadership Reminder:You are responsible for stewarding culture — not managing everyone's attitude.Support the showDownload Upside and use my code MELINDA35278 to get 15¢ per gallon extra cash back on your first gas fill-up and 10% extra cash on your first food purchase! Download Fetch app using this link, submit a receipt and we'll both score bonus points. Calling All Educators! I started a community with resources, courses, articles, networking, and more. I am looking for members to help me build it with the most valuable resources. I would really appreciate your input as a teacher, leader, administrator, or consultant. Join here: Empowered Educator Community Book: Educator to Entrepreneur: IGNITE Your Path to Freelance SuccessGrab a complimentary POWER SessionWith Rubi.ai, you'll experience cutting-edge technology, research-driven insights, and efficient content delivery.email: melinda@empowere...

Aaron Glenn announced that he fired 6 more members of his coaching staff over the weekend. Rich Cimini joins the show to discuss the moves & who the favorite for the Jets next defensive coordinator is. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Thanks for listening! Join us on LinkedIn: https://www.linkedin.com/company/the-contrarians-with-adam-and-adir-podcast Subscribe on YouTube for all our video content: https://https://www.youtube.com/@ContrariansPodcast Follow us on Instagram: https://www.instagram.com/contrarianspod Follow us on TikTok: https://www.tiktok.com/@contrarianspodSee omnystudio.com/listener for privacy information.

Brittany Barnett chats with us about the role of patient- and family-centered care at St. Jude Children's Research Hospital and how caregiver voices help shape the patient experience.As the Manager of Patient Family-Centered Care (PFCC), Brittany partners with caregivers, former patients, and staff to ensure families are meaningfully represented throughout the institution. She shares how programs like caregiver advisory councils, mentor programs, and steering councils create connection, support, and lasting impact for families during their St. Jude journey.Our show host is Brittany Spence and our Executive Producer is Castria.Subscribe today to stay up to date and don't forget to leave a rating and review!

A football coach at a marquee college program in the Big Ten has been fired for alleged inappropriate conduct. Correspondent Gethin Coolbaugh reports.

Meet Dr. John Beerbower — a former farm kid now building strength and character at McHenry High School.

Is it better to hire a new church staff member from the outside, bringing a fresh perspective, or from the inside, leveraging someone who already knows the culture? This episode tackles one of the most common and complex questions in church leadership.   Join the Ministry Architects team as they talk with Sara Bailey (Director of the Search Division) and Jeremy Shelley (Candidate Care Consultant) to explore the nuances of promoting from within. They provide practical, actionable steps for church leaders to navigate this process well, care for the candidate, and protect the health of the church.   Full Show Notes and Key Takeaways

Southwest Michigan's Afternoon News podcast is prepared and delivered by the WSJM Newsroom. For these stories and more, visit https://www.wsjm.com and follow us for updates on Facebook. See omnystudio.com/listener for privacy information.

Our guest, Michelle Harris, chats with us about her role as the Clinical Director for the Cardiac Care Unit and CVICU at Le Bonheur Children's Hospital. Our show host is Brittany Spence and our Executive Producer is Castria.Subscribe today to stay up to date and don't forget to leave a rating and review!

https://globalsumudflotilla.org/Colonialoutcasts.comFormer Turning Points media team staff member, Carolinehttps://linktr.ee/babybluetxdiscusses the evolution of Charlie Kirk's Turning Points USA when she first started as a young staff member during its genesis and how it transformed into the corporate elite's tool to radicalize right wing youth into a far-right MAGA cultural incubator. But with the desperation of the elite class to frame Charlie Kirk's assassination as a “martyrdom” at the hands of the “violent left”, fragmentation within the far right is complicating things and preventing a blind fervor and galvanization for civil war sentiments. This is especially given the rapid spread of suspicions of an Israeli conspiracy among right-wing conservatives who are now flocking to Candace Owens and away from Turning Points new czar, Ben Shapiro.Caroline is a lawyer, progressive political activist, and former conservative who has seen the inside of the movement and chosen a different path. She spent years in right-wing spaces before realizing how deeply misinformation, exclusion, and fear were shaping the narrative. Today, she uses her legal training and personal experience to unpack propaganda and help others navigate their own political shifts. Her mission is to ensure people feel informed, empowered, and unafraid to question what they've been told.#charliekirk #turningpoints #civilwar #conservatives #politicalviolence #benshapiro #candaceowens #israel

Ras Vanderloo recently retired after his 14th season as the Head Boys Basketball Coach at Sioux City East High School in Sioux City, IA. He spent 32 years coaching basketball, 14 as a Head Coach and 18 as an Assistant Coach. Ras is a 5-time district coach of the year and the 2017 State 4A Coach of the Year. He won 314 games as a head coach at East High with 4 State Tournament appearances and a State Runner Up in 2012.In addition to his run as the Head Coach at East, Ras also runs a large youth league basketball program with over 650 kids annually participating. The league is currently 33 years old and was started by his father.Ras comes from a large coaching family, his father Rich and brother Jeff (now a Creighton Assistant) are both former Head Coaches at East High in Sioux City. His brothers John and Jim are coaches as wellRas has worked with USA Basketball in varying capacities, most recently as an assistant coach for the Men's 3 x 3 Nation's League that competed this summer in Chile. On this episode Mike & Ras discuss his retirement from teaching and coaching along with the new opportunities in front of him, including his involvement with USA Basketball. Vanderloo reflects on the significance of learning from experienced mentors and emphasizes the value of dedication and hard work in achieving success in coaching. He shares insights about the differences between coaching in traditional formats versus the increasingly popular 3x3 basketball format, highlighting the unique challenges and strategies involved in this fast-paced version of the game. Additionally, Vanderloo provides practical advice for young coaches, advocating for the importance of seeking out successful programs and experienced coaches to learn from. As he navigates his post-retirement journey, he remains committed to contributing to the basketball community and mentoring future generations of coaches.Follow us on Twitter and Instagram @hoopheadspod for the latest updates on episodes, guests, and events from the Hoop Heads Pod.Make sure you're subscribed to the Hoop Heads Pod on your favorite podcast app and while you're there please leave us a 5 star rating and review. Your ratings help your friends and coaching colleagues find the show. If you really love what you're hearing recommend the Hoop Heads Pod to someone and get them to join you as a part of Hoop Heads Nation.Get ready to take some notes as you listen to this episode with Ras Vanderloo from Sioux City East High School in the state of Iowa.Website – https://www.usab.com/staff-members/ras-vanderlooEmail – rvanderloo6562@gmail.comTwitter - @CoachRasVisit our Sponsors!Dr. Dish BasketballOur friends at Dr. Dish Basketball are here to help you transform your team's training this off-season with exclusive offers of up to $4,000 OFF their Rebel+, All-Star+, and CT+ shooting machines. Unsure about budget? Dr. Dish offers schools-only Buy Now, Pay Later payment plans to make getting new equipment easier than ever.The Coaching PortfolioYour first impression is everything...

Our guest, Jessica Fleener, chats with us about her role as the Clinical Director for the Neuroscience and Infant Toddler units at Le Bonheur Children's Hospital. Our show host is Brittany Spence and our Executive Producer is Castria.Subscribe today to stay up to date and don't forget to leave a rating and review!

David and Thomas talk about calling a staff member. Why does a church call a new staff member? Do you develop a profile?

In the 6 AM hour, Larry O’Connor and Bethany Mandel discussed: WJLA: Fairfax County Schools Investigates Claims Staff Arranged Abortions for Students INTERVIEW: WILL HILD (Executive Director, Consumers' Research) on 'Debanking' NY POST: Cats Keep Drowning in Amsterdam’s Canals — So the City Came Up With a Clever Plan to Save Feline Lives Where to find more about WMAL's morning show: Follow Podcasts on Apple, Audible and Spotify Follow WMAL's "O'Connor and Company" on X: @WMALDC, @LarryOConnor, @JGunlock, @PatricePinkfile, and @HeatherHunterDC Facebook: WMALDC and Larry O'Connor Instagram: WMALDC Website: WMAL.com/OConnor-Company Episode: Thursday, August 7, 2025 / 6 AM HourSee omnystudio.com/listener for privacy information.

Join guest host Michelle Smith, URMIA's Executive Director, as she interviews four of URMIA's newest staff members: Carrie Burnett, Project Specialist; Bowen Murphy, IT Manager; Ruth Rauluk, Resource Manager; and Adam Sieracki, Marketing Specialist. Tune in as Michelle interviews URMIA's four newest staffers about their journey with URMIA so far and what surprised them most about our association! Hear a little about their lives, how they came to work for URMIA, and their favorite thing about working for URMIA so far. Don't miss out on meeting some of the newest staff who help make URMIA so great! Show NotesURMIA StaffGuestsCarrie BurnettBowen MurphyRuth RaulukAdam SierackiGuest HostMichelle Smith, Executive DirectorConnect with URMIA & URMIA with your network-Share /Tag in Social Media @urmianetwork-Not a member? Join ->www.urmia.org/join-Email | contactus@urmia.org Give URMIA Matters a boost:-Give the podcast a 5 star rating-Share the podcast - click that button!-Follow on your podcast platform - don't miss an episode!Thanks for listening to URMIA Matters!

Mark Clifton, Mark Hallock, and Dan Hurst discuss an article from Vanderbloemen on how to handle underperforming church staff members:Why firing staff members may prove more difficult in a smaller churchWhat you must consider about the long-term health of both the church and the staff memberWhat happens when you fail to address an ineffective team memberWhat church leaders should do in these sticky situations!Resources Related to This Episode:How to Handle an Ineffective Church Staff Member Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Mark Clifton, Mark Hallock, and Dan Hurst discuss an article from Vanderbloemen on how to handle underperforming church staff members: Why firing staff members may prove more difficult in a smaller church What you must consider about the long-term health of both the church and the staff member What happens when you fail to address an ineffective team member What church leaders should do in these sticky situations! Resources Related to this Episode: How to Handle an Ineffective Church Staff Member

BuffStampede.com publisher Adam Munsterteiger got an opportunity to catch up with former site staff member Jimmie Searfoss, who is now working for CBS19 as a TV sports anchor in Tyler, Texas.

2 Israeli embassy staff members were fatally shot Thursday night in Washington.Republican holdouts appear to have a deal with House GOP leadership to advance President Donald Trump's tax policy bill.USA TODAY White House Correspondent Bart Jansen breaks down the news that the Department of Justice has abandoned police reform settlements over the deaths of George Floyd and Breonna Taylor.The Pentagon has accepted a $400 million jet from Qatar for President Donald Trump.USA TODAY National Columnist Suzette Hackney tells us about the Nooksack 306, who lost their tribal membership and their homes.Let us know what you think of this episode by sending an email to podcasts@usatoday.com.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.