Podcast appearances and mentions of steve greenberg

On The Kenny & JT Show we bring in our friend and show sponsor Steve Greenberg, founder of Greenie Sports Cards. Steve and his crew will be at the Medina County Collectors Fair coming up May 30th and 31st. Check out greeniesportscards.com for more appearances and information.

On The Kenny & JT Show we bring in our friend and show sponsor Steve Greenberg, founder of Greenie Sports Cards. Steve and his crew will be at the Medina County Collectors Fair coming up May 30th and 31st. Check out greeniesportscards.com for more appearances and information.

Pat Finley and Steve Greenberg break down Caleb Williams not talking about his ongoing controversy — and Ben Johnson addressing it with charm.

May 21, 2025 - In the aftermath of the state budget being adopted, we check in with the Siena College Research Institute's Steve Greenberg to discuss how New Yorkers feel about some of the more high profile items that were in this budget. We also get an update on the race to be the Republican nominee for governor.

Patrick Finley and special guest Steve Greenberg break down Day 1 of the Bears' rookie minicamp.

April 23, 2025 - We break down the latest survey of voters by the Siena College Research Institute, which asked if New Yorkers care about a late budget, who they want to be the gubernatorial nominees next year, and their reactions to some Trump administration priorities. Our guest is Siena pollster Steve Greenberg.

Governor Hochul's favorability is positive for the first time since January of 2024. Siena pollster Steve Greenberg has the numbers.

Chicago Sun-Times Sports Columnist Steve Greenberg joined Springfield's Morning News to preview the NCAA Tournament. See omnystudio.com/listener for privacy information.

How do you balance faith, sexuality, and life—without losing your mind? Finding the just right path to authenticity can feel overwhelming, even chaotic. But here's the truth: authenticity is a journey, not a destination. And living your most fulfilled life as a gay, Jewish Rabbi (or whoever you are) is exactly the path you're meant to walk. Joining the conversation today is Rabbi Steven Greenberg—author of Wrestling with God and Men: Homosexuality in the Jewish Tradition and founder of Eshel, an Orthodox LGBTQ+ advocacy and support organization. He's here to share his wisdom on embracing all of who you are and aligning faith, identity, and purpose as a Jewish queer man. Key lessons you'll learn: What does authenticity mean to you and how to live and define it on your terms Keys for embracing your Jewish (or other faith-based self) with your gayness How to get support from Eshel if you desire it About Steve Rabbi Steven Greenberg is an educator, writer and speaker who has led the call for LGBTQ+ inclusion in the Orthodox world. He is the author of Wrestling with God and Men: Homosexuality in the Jewish Tradition, (University of Wisconsin Press) for which he won the Koret Jewish Book Award for Philosophy and Thought in 2005. Rabbi Greenberg is presently the Founding Director of Eshel, an Orthodox LGBTQ+ community support, education and advocacy organization and lives with his partner, Steven Goldstein, and daughter, Amalia, in Boston. Connect With Steve Website Facebook Instagram Hey Guys, Check This Out! Are you a guy who keeps struggling to do that thing? You know the thing you keep telling yourself and others you're going to do, but never do? Then it's time to get real and figure out why. Join the 40 Plus: Gay Men Gay Talk, monthly chats. They happen the third Monday of each month at 5:00 pm Pacific - Learn More! Also, join our Facebook Community - 40 Plus: Gay Men, Gay Talk Community Break free of fears. Make bold moves. Live life without apologies

Feb. 5, 2025 - A new survey of New Yorkers by the Siena College Research Institute examined the popularity of President Donald Trump and support for some of Gov. Kathy Hochul's priorities for 2025. We break down the results with Siena pollster Steve Greenberg.

A new Siena poll shows that New Yorkers don't agree with the job Gov. Kathy Hochul is doing, but there is significant support for some of her policies. We spoke with Siena pollster Steve Greenberg about it.

In this segment, Steve Greenberg, sports columnist for the Chicago Sun-Times, about the Chicago Bears struggles, some college hoops, and some Illinois football.

In today's edition of Sports Open Line, Matt Pauley kicks off the show by talking some Blues hockey ahead of their showdown with their Bruins tonight, plus audio from Drew Bannister. Then, Steve Greenberg, sports columnist for the Chicago Sun-Times, talks about the Chicago Bears struggles, some college hoops, and some Illinois football.

In today's edition of Sports Open Line, Matt Pauley kicks off the show by talking some Blues hockey ahead of their showdown with their Bruins tonight, plus audio from Drew Bannister. Then, Steve Greenberg, sports columnist for the Chicago Sun-Times, talks about the Chicago Bears struggles, some college hoops, and some Illinois football. Scott Braun, host of the Foul Territory podcast, talks with Matt Pauley about all things MLB offseason, and ideas for the Cardinals, such as a possible Nolan Arenado trade to Philadelphia, or other teams.

Welcome to another hour of disco, mixed with love in London. And 40 years ago this month Wham! released "Everything she wants" which starts this set with with the authentically updated Dolls Combers Tribute Remix. As far as we know George Michael did everything himself on the original, playing all the instruments and singing all the vocals, so technically it's not a Wham! track at all. Other tracks featured in this mix are are Larry Funk's "Together", Nicole's "Rock the house", A-Trak's "Like I said" (which I might have changed a bit ;-), Stephane Deschezeaux, and DJ B1's "Lovin' you" along with some delicious edits of chunky disco treats. Enjoy! XX F*Here's the full track list:1 | Wham! | Everything she wants (Dolls Combers Tribute Remix)2 | Bee Gees | Night fever (S. Nolla & Dr. Parellada Unreleased Mix)3 | Queen and Gino Soccio | Try it out (David Kust Bites The Dust Remix)4 | Change | Change of heart (Fingerman's Extended Edit)5 | The Whispers | And the beat goes on (Marcus Bootleg)6 | Franki Valli | Grease (S R Edits Rework)7 | Larry Funk | Together (Original Mix)8 | Nicole | Rock the house (Michael Gray Vocal Extended Remix)9 | A-Trak | Like I said (F*Monday Bootleg)10 | Ron Carroll | Soul train (R C's Re-Edit)11 | Stephane Deschezeaux, DJ B1 | Lovin' you (Original Mix)12 | Aretha Franklin | Get it right (Ced ReWork)And here's a link to the Spotify playlist. Some of the edits and remixes I've used may not be widely available.For a while I've been thinking about creating a history of disco mix, picking out some of the great tracks that symbolise the disco era. Meanwhile I recommend listening to Steve Greenberg's podcast "Speed of sound".  Four of his podcast's episodes take you on a fascinating musical journey from Nazi occupied Paris to disco dominating American Top 40 radio. Definitely worth downloading.And if you want more, subscribe to Discodave's Spotify playlist, The Disco Files 1970-78, which includes all the tracks he could find from Vince Aletti's book "The Disco Files". 

Siena pollster Steve Greenberg looks closer at the numbers that show sharp division across party and geographical lines.

Welcome to another hour of disco fun, mixed for you with love in London.This month's mix includes hot tracks from Angelo Ferreri, Risk Assessment, and Adri Block, plus some disco classics from Diana Ross, Michael Jackson, and The Duprees.  Enjoy!  xx f*Here's the full track listing:1 | Angelo Ferreri | Funky lovers2 | Risk Assessment | Delicious (Original Mix)3 | Suzanne Vega | Tom's diner (Jerry Ropero Classic Disco Remix)4 | Adri Block | To be real (Nudisco Clubmix)5 | Freemasons featuring Michael Jackson | Remember the shine (Mark Loasby Mash Up)6 | Diskobar | Rainbow (Original Mix)7 | Michael Jackson | Don't stop til you get enough (Skinner & Bracks M J Booty Remix)8 | Chic featuring Sugarhill Gang | Good Times vs Rappers Delight (Jet Boot Jack Remix)9 | The Duprees | Delicious (Funkdamento Edit)10 | Diana Ross | No-one gets the prize (Pete Le Freq Refreq)11 | Mariah Carey | Make it happen (Jeremy's Poolside Edit)12 | Adam Ten, Rhye | 3 days later (Extended)13 | Veggi, Daste | Up, down, bounceHere's a link to the Spotify playlist. Some of the edits and remixes I've used may not be widely available.For a while I've been thinking about creating a history of disco mix, picking out some of the great tracks that symbolise the disco era. Meanwhile I recommend listening to Steve Greenberg's podcast "Speed of sound".  Four of his podcast's episodes take you on a fascinating musical journey from Nazi occupied Paris to disco dominating American Top 40 radio. Definitely worth downloading. And if you want more, subscribe to Discodave's Spotify playlist, The Disco Files 1970-78, which includes all the tracks he could find from Vince Aletti's book "The Disco Files". 

Chicago's longest-serving alderman, Ed Burke, heads to prison today, Monday September 23rd. Steve Greenberg, Attorney and Counselor at Greenberg Trial Lawyers, joins Lisa Dent to discuss the alderman’s two-year prison sentence, where he is headed, and what the next couple of years might look like for the former alderman.

On The Kenny & JT Show we're joined by Steve Greenberg, owner of Greenie Sports Cards. We talk cards, collectibles, and more. And we preview Steve's appearance at the Medina County Collectors Fair at the Medina County Fairgrounds.Find out more at greeniesportscards.com.

August 8, 2024 - Siena College Research Institute pollster Steve Greenberg breakdowns a recent survey of likely New York voters about their presidential preferences, smartphones in schools, and the governor's job performance.

On The Kenny & JT Show we're joined by Steve Greenberg, owner of Greenie Sports Cards. Greenie organizes card shows with autograph sessions throughout Ohio and fills us in on some events coming up in our area. Plus, we discuss the continued relevance of sports card collecting. Find out more at greeniesportscards.com.

Steve Greenberg, sports columnist at the Chicago Sun-Times, joins John Williams to discuss the recent discussions surrounding the Angel Reese and Caitlin Clark Rookie of the Year race. The two players have become very polarizing figures in the world of sports. Has discourse surrounding the two become toxic?

Steve Greenberg, sports columnist at the Chicago Sun-Times, joins John Williams to discuss the recent discussions surrounding the Angel Reese and Caitlin Clark Rookie of the Year race. The two players have become very polarizing figures in the world of sports. Has discourse surrounding the two become toxic?

Steve Greenberg, sports columnist at the Chicago Sun-Times, joins John Williams to discuss the recent discussions surrounding the Angel Reese and Caitlin Clark Rookie of the Year race. The two players have become very polarizing figures in the world of sports. Has discourse surrounding the two become toxic?

June 26, 2024 - The latest poll from the Siena College Research Institute surveys New Yorkers on the completed legislative session, including their reactions to major bills that did and didn't get approved. We go over the results with pollster Steve Greenberg.

In neurocritical care, the initial evaluation is often fast paced, and assessment and management go hand in hand. History, clinical examination, and workup should be obtained while considering therapeutic implications and the need for lifesaving interventions. In this episode, Aaron Berkowitz, MD, PhD FAAN, speaks with Sarah Wahlster, MD, an author of the article “The Neurocritical Care Examination and Workup,” in the Continuum June 2024 Neurocritical Care issue. Dr. Berkowitz is a Continuum® Audio interviewer and professor of neurology at the University of California San Francisco, Department of Neurology and a neurohospitalist, general neurologist, and a clinician educator at the San Francisco VA Medical Center and San Francisco General Hospital in San Francisco, California. Dr. Wahlster is an associate professor of neurology in the departments of neurology, neurological surgery, and anesthesiology and pain medicine at Harborview Medical Center, University of Washington in Seattle, Washington. Additional Resources Read the article: The Neurocritical Care Examination and Workup Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @AaronLBerkowitz Guest: @SWahlster Full Episode Transcript Sarah Wahlster, MD   Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, a companion podcast to the journal. Continuum Audio features conversations with the guest editors and authors of Continuum, who are the leading experts in their fields. Subscribers to the Continuum journal can read the full article or listen to verbatim recordings of the article by clicking on the link in the Show Notes. Subscribers also have access to exclusive audio content not featured on the podcast. As an ad-free journal entirely supported by subscriptions, if you're not already a subscriber, we encourage you to become one. For more information on subscribing, please visit the link in the Show Notes. AAN members: stay tuned after the episode to hear how you can get CME for listening.  Dr Berkowitz: This is Dr Aaron Berkowitz, and today I'm interviewing Dr Sarah Wahlster about her article on examination and workup of the neurocritical care patient, which is part of the June 2024 Continuum issue on neurocritical care. Welcome to the podcast, Dr Wahlster. Can you please introduce yourself to the audience? Dr Wahlster: Thank you very much, Aaron. I'm Sarah Wahlster. I'm a neurologist and neurontensivist at Harborview Medical Center at the University of Washington. Dr Berkowitz: Well, Sarah and I know each other for many, many years. Sarah was my senior resident at Mass General and Brigham and Women's Hospital. Actually, Sarah was at my interview dinner for that program, and I remember meeting her and thinking, “If such brilliant, kind, talented people are in this program, I should try to see if I can find my way here so I can learn from them.” So, I learned a lot from Sarah as a resident, I learned a lot from this article, and excited for all of us to learn from Sarah, today, talking about this important topic. So, to start off, let's take a common scenario that we see often. We're called to the emergency room because a patient is found down, unresponsive, and neurology is called to see the patient. So, what's running through your mind? And then, walk us through your approach as you're getting to the bedside and as you're at the bedside. Dr Wahlster: Yeah, absolutely. This was a fun topic to write about because I think this initial kind of mystery of a patient and the initial approach is something that is one of the puzzles in neurology. And I think, especially if you're thinking about an emergency, the tricky part is that the evaluation and management go hand in hand. The thinking I've adapted as a neurointensivist is really thinking about “column A” (what is likely?) and “column B” (what are must-not-miss things?). It's actually something I learned from Steve Greenberg, who was a mutual mentor of us - but he always talked me through that. There's always things at the back of your head that you just want to rule out. I do think you evaluate the patient having in mind, “What are time-sensitive, critical interventions that this patient might need?” And so, I think that is usually my approach. Those things are usually anything with elevated intracranial pressure: Is the patient at risk of herniating imminently and would need a neurosurgical intervention, such as an EVD or decompression? Is there a neurovascular emergency, such as an acute ischemic stroke, a large-vessel occlusion, a subarachnoid hemorrhage that needs emergent intervention? And then other things you think about are seizures, convulsive/nonconvulsive status, CNS infection, spinal cord compression. But I think, just thinking about these pathologies somewhere and then really approaching the patient by just, very quickly, trying to gather as much possible information through a combination of exam and history. Dr Berkowitz: Great. So, you're thinking about all these not-to-miss diagnoses that would be life-threatening for the patient and you're getting to the bedside. So, how do you approach the exam? Often, this is a different scenario than usual, where the patient's not going to be able to give us a history or maybe necessarily even participate in the exam, and yet, as you said, the stakes are high to determine if there are neurologic conditions playing into this patient's status. So, how do you approach a patient at the bedside? Dr Wahlster: So, I think first step in an ICU setting (especially if the patient has a breathing tube) is you think about any confounders (especially sedation or metabolic confounders) - you want to remove as soon as possible, if able. I think as you do the exam, you try to kind of incorporate snippets of the history and really try to see - you know, localize the problem. And also kind of see, you know, what is the time course of the deterioration, what is the time course of the presentation. And that is something I actually learned from you. I know you've always had this framework of “what is it, where is it?” But I think in terms of just a clinical exam, I would look at localizing signs. I think, in the absence of being able to do the full head-to-toe neuro exam and interact with the patient, you really try to look at the brainstem findings. I always look at the eyes right away and look at, I think, just things like, you know, the gaze (how is it aligned? is there deviation? is there a skew? what do the pupils look like? [pupillary reactivity]). I think that's usually often a first step - that I just look at the patient's eyes. I think other objective findings, such as brainstem reflexes and motor responses, are also helpful. And then you just look whether there's any kind of focality in terms of - you know, is there any difference in size? But I think those are kind of the imminent things I look at quickly. Dr Berkowitz: Fantastic. Most of the time, this evaluation is happening kind of en route to the CT scanner or maybe a CT has already happened. So, let's say you're seeing a patient who's found down, the CT has either happened or you asked for it to happen somewhat quickly after you've done your exam, and let's say it's not particularly revealing early on. What are the sort things on your exam that would then push you to think about an MRI, a lumbar puncture, an EEG? You and I both spend time in large community hospitals, right, where “found down” is one of the most common chief concerns. In many cases, there isn't something to see on the CT or something obvious in the initial labs, and the question always comes up, “Who gets an MRI? Who gets an LP? Who gets an EEG?” - and I'm not sure I have a great framework for this. Obviously, you see focality on your exam, you know you need to look further. But, any factors in the history or exam that, even with a normal CT, raise your suspicion that you need to go further? Dr Wahlster: It's always a challenge, especially at a community hospital, because some of these patients come in at 1 AM where the EEG is not imminently available. But I think - let's say the CT scan is absolutely normal and doesn't give me a cause, but as an acute concerning deterioration, I think both EEG and LP would cross my mind. MRI I kind of see a little bit as a second-day test. I think there's very rare situation where an acute MRI would inform my imminent management. It's very informative, right, because you can see very small-vessel strokes. We had this patient that actually had this really bad vasculitis and we were able to see the small strokes everywhere on the MRI the day later, or sometimes helps you visualize acute brainstem pathology. But I think, even that - if you rule out a large-vessel occlusion on your CTA, there's brainstem pathology that is not imminently visible on the CT - it's nothing you need to go after. So, I do think the CT is a critical part of that initial eval, and whereas I always admire the neurological subspecialties, such as movements, where you just – like, your exam is everything. I think, to determine these acute time-sensitive interventions, the CT is key. And also, seeing a normal CT makes me a little less worried. You always look at these “four H” (they're big hypodensity, hyperdensity, any shift; is there hydrocephalus or herniation). I think if I don't have an explanation, my mind would imminently jump to seizure or CNS infection, or sometimes both. And I think then I would really kind of - to guide those decisions and whether I want to call in the EEG tech at 2 AM - I would, you know, again, look at the history and exam, see if there's any gaze deviation, tongue biting, incontinence - anything leading up towards seizure. I think, though, even if I didn't have any of those, those would strengthen my suspicion. If I really, absolutely don't have an explanation and the patient off sedation is just absolutely altered, I would still advocate for an EEG and maybe, in the meantime, do a small treatment trial. And I think with CNS infection - obviously, there are patients that are high risk for it - I would try to go back and get history about prodromes and, you know, look at things like the white count, fevers, and all of that. But again, I think if there's such a profound alteration in neurologic exam, there's nothing in the CT, and there's no other explanation, I would tend to do these things up front because, again, you don't want to miss them. Dr Berkowitz: Yeah, perfect. So many pearls in there, but one I just want to highlight because I'm not sure I've heard the mnemonic - can you tell us the four Hs again of sort of neurologic emergencies on CT? Dr Wahlster: Yeah. So, it's funny; for ages - I'm actually not sure where that's coming from, and I learned it from one of my fellows, one of our neurocritical care fellows - he's a fantastic teacher and he would teach our EM and anesthesia residents about it and his approach to CT. But yeah, the four H - he was always kind of like, “Look at the CT. Do you see any acute hypodensities, any hyperdensities?” And hypodensities would be involving infarct or edema; hyperdensities would be, most likely, hemorrhage (sometimes calcification or other things). Then, “Do you see hydrocephalus?” (because that needs an intervention). And, “Look at the midline structures and the ventricles.” And then, “Do you see any signs of herniation?” And he would go through the different types of herniation. But I thought that's a very good framework for looking at the “noncon” and just identifying critical pathology that needs some intervention. Dr Berkowitz: Yeah – so, hypodensity, hyperdensity, herniation, hydrocephalus. That's a good one – the four Hs; fantastic. Okay. So, a point that comes up a few times in your article - which I thought was very helpful to walk through and I'd love to pick your brain about a little bit – is, which patients need to be intubated for a neurologic indication? So, often we do consultations in medical, surgical ICUs; patients are intubated for medical respiratory reasons, but sometimes patients are intubated for neurologic reasons. So, can you walk us through your thinking on how to decide who needs to be intubated for the concern of depressed level of consciousness? Dr. Wahlster: It's an excellent question, and I think I would bet there's a lot of variation in practice and difference in opinion. There was actually the 2020 ESICM guidelines kind of commented on it, and those are great guidelines in terms of just intubation, mechanical ventilation of patients, and just acknowledging how there is a lack of really strong evidence. I would say the typical mantra (“GCS 8, intubate”) has been proposed in the trauma literature. And at some point, I actually dug into this to look behind the evidence, and there's actually not as much evidence as it's been put forth in guidelines and that kind of surprised me - that was just recently. I was like, “Actually, let me look this up.” I would say I didn't find a ton of strong evidence for it. I would say, as neurologist – you know, I'm amazed because GCS, I think is a - in some ways, a good tool to track things because it's so widely used across the board. But I would say, as neurologists, we all know that it sometimes doesn't account for some sort of nuances; you know, if a patient is aphasic, if a patient has an eyelid-opening apraxia - it can always be a little confounded. I'm amazed that GCS is still so widely used, to be frank. But I would say there is some literature - some school of thought - that maybe just blindly going by that mantra could be harmful or could not be ideal. I would say – I mean, I look at the two kind of functional things: oxygenation and ventilation. I think, in a neuro patient, you always think about airway protection or the decreased level of consciousness being a major issue (What is truly airway protection? Probably a mix of things). Then there's the issue of respiratory centers and respiratory drive - I think those are two issues you think about. But ultimately, if it leads to insufficient oxygenation - hypoxia early on is bad and that's been shown in several neurologic acute brain injuries. I think you also want to think about ventilation, especially if the mental status is poor to the point that the PCO2 elevates, that could also augment an ICP or exacerbate an ICP crisis. Or sometimes, I think there's just dysregulation of ventilation and there's hyperventilation to the point that the PCO2 is so low that I worry about cerebral vasoconstriction. So, I worry about these markers. I think, the oxygenation, I usually just kind of initially track on the sats. Sometimes, if the patient is profoundly altered, I do look at an arterial blood gas. And then there are things like breathing sounds (stridor, stertor [the work of breathing]). And I think something that also makes me have a lower threshold to intubate is if I'm worried and I want to scan, and I'm worried that the patient can't tolerate it - I want an imminent scan to just see why the patient is altered, or seizing, or presenting a certain way. Dr Berkowitz: All great pearls for how to think through this. Yeah - it's hard to think of hard and fast rules, and you can get to eight on the GCS in many different ways, as you said, some of which may not involve the respiratory mechanics at all. So, that's a helpful way of thinking about it that involves both the mental state, kind of the tracheal apparatus and how it's being managed by the neurologic system, and also the oxygen and carbon dioxide (sort of, respiratory parameters) – so, linking all those together; that's very helpful. And, related question – so, that's sort of for that patient with central nervous system pathology, who we're thinking about whether they need to be intubated for a primary neurologic indication. What about from the acute neuromuscular perspective (so, patients with Guillain-Barré syndrome or myasthenic crisis); how do you think about when to intubate those patients? Dr Wahlster: Yeah, absolutely - I think that's a really important one. And I think especially in a patient that is rapidly progressing, you always kind of think about that, and you want them in a supervised setting, either the ER or the ICU. I mean, there's some scores - I think there's the EGRIS score; there's some kind of models that predict it. I would say, the factors within that model, and based on my experience, often the pace of progression of reflex motor syndrome. I often see things like, kind of, changes in voice. You know, myasthenia, you look at things like head extension, flexion - those are the kind of factors. I would say there's this “20/30/40 rule” about various measures of, like, NIF and vital capacities, which is great. I would say in practice, I sometimes see that sometimes the participation in how the NIF is obtained is a little bit funky, so I wouldn't always blindly go by these numbers but sometimes it's helpful to track them. If you get a reliable kind of sixty and suddenly it drops to twenty, that makes me very concerned. But I would say, in general, it's really a little bit the work of breathing - looking at how the patient looks like. There's also (at some point) ABG abnormalities, but we always say, once those happen, you're kind of later in the game, so you should really - I think anyone that is in respiratory distress, you should think about it and have a low threshold to do it, and, at a minimum, monitor very closely. Dr Berkowitz: Yeah, we have those numbers, but so often, our patients who are weak, from a neuromuscular perspective, often have facial and other bulbar weakness and can't make a seal on the device that is used to check these numbers, and it can look very concerning when the patient may not, or can be a little bit difficult to interpret. So, I appreciate you giving us sort of the protocol and then the pearls of the caveats of how to interpret them and going sort of back to basics. So, just looking at the patient at the bedside and how hard they are working to breathe, or how difficult it is for them to clear their secretions from bulbar weakness. Moving on to another topic, you have a really wonderful section in your article on detecting clinical deterioration in patients in the neuro ICU. Many patients in the neuro ICU - for example, due to head trauma or large ischemic stroke or intracerebral hemorrhage, subarachnoid hemorrhage, or status epilepticus - they can't communicate with us to tell us something is getting worse, and they can't (in many cases) participate in the examination. They may be intubated, as you said, sedated or maybe even not sedated, and there's not necessarily much to follow on the exam to begin with if the GCS is very low. So, I'd love to hear your thoughts and your pearls, as someone who rounds in the neuro-ICU almost every day. What are you looking for at the bedside to try to detect sort of covert deterioration, if you will, in patients who already have major neurologic deficits, major neurologic injury or disease that we're aware of? I'm trying to see if there is some type of difference at the bedside that would lead you to be concerned for some underlying change and go back to the scanner or repeat EEG, LP, et cetera. Dr Wahlster: Yeah. I think that's an excellent question because that's a lot of what we do in the neuro ICU, right? And when you read your Clans, your residency, like, “Ah, QNR neuro checks, [IG1]  ” right? We often do that in many patients. But I think in the right patient, it can really be life or death a matter, and it is the exam that really then drives a whole cascade of changes in management and detects the need for lifesaving procedure. I would say it depends very much on the process and what you anticipate, right? If you have, for example, someone with a large ischemic stroke, large MCA stroke, especially, right, then there's sometimes conversations about doing a surgical procedure before they herniate. But let's say, kind of watch them and are worried that they will, you do worry about uncal herniation, and you pay attention to the pupil, because often, if the inferior division is infarcted, you know, you can see that kind of temporal tickling the uncus already. And so, I think those are patients that I torture with those NPi checks and checking the pupil very vigilantly. I would say, if it's a cerebellar stroke, for example, right, then you think about, you know, hydrocephalus. And often patients with cerebellar stroke - you know, the beauty of it is that if you detect it early, those patients can do so well, but they can die, and will die if they develop hydrocephalus start swelling. But I think, often something I always like to teach trainees is looking at the eye movements in upgaze and downgaze because, often, as the aqueduct, the third ventricle gets compressed and there's pressure on the colliculi – you kind of see vertical gaze get worse. But I would say I think it's always good to know what the process is and then what deterioration would look like. For example, in subarachnoid hemorrhage, where you talk about vasospasm - it's funny - I think a really good, experienced nurse is actually the best tool in this, but they will sometimes come to you and say, “I see this flavor,” and it's actually a constellation of symptoms, especially in the anterior ACA (ACom) aneurysms. You sometimes see patients suddenly, like, making funky jokes or saying really weird things. And then you see that in combination with, sometimes, a sodium drop, a little bit of subfebrile temperature; blood pressure shoot up sometimes, and that is a way the brain is sometimes regulating. But it's often a constellation of things, and I think it depends a little on the process that you're worried about. Dr Berkowitz: Yeah, that's very helpful. You just gave us some pearls for detecting deterioration related to vasospasm and subarachnoid hemorrhage; some pearls for detecting malignant edema in an MCA stroke or fourth ventricular compression in a large cerebellar stroke. Patients I find often very challenging to get a sense of what's going on and often get scanned over and over and back on EEG, not necessarily find something: patients with large intracerebral hemorrhage (particularly, in my experience, if the thalamus is involved) just can fluctuate a lot, and it's not clear to me actually what the fluctuation is. But you're looking for whether they're developing hydrocephalus from third ventricular compression with a thalamic hemorrhage (probably shouldn't be seizing from the thalamus, but if it's a large hemorrhage and cortical networks are disrupted and it's beyond sort of the subcortical gray matter, or has the hemorrhage expanded or ruptured it into the ventricular system?) And yet, you scan these patients over and over, sometimes, and just see it's the same thalamic hemorrhage and there's some, probably, just fluctuation level of arousal from the thalamic lesion. How do you, as someone who sees a lot of these patients, decide which patients with intracerebral hemorrhage - what are you looking for as far as deterioration? How do you decide who to keep scanning when you're seeing the same fluctuations? I find it so challenging - I'm curious to hear your perspective. Dr Wahlster: Yeah, no - that is a very tricky one. I mean, unfortunately, in patients with deeper hemorrhages or deeper lesions - you know, thalamic or then affecting brainstem - I think those are the ones that ultimately don't have good, consistent airway protection and do end up needing a trach, just because there's so much fluctuation. But I agree - it's so tricky, and I don't think I can give a perfect answer. I would say, a little bit I lean on the imaging. And for example - let's say there's a thalamic hemorrhage. We recently actually had a patient - I was on service last week - we had a thalamic hemorrhage with a fair amount of edema on it that was also kind of pressing on the aqueduct and didn't have a lot of IVH, right? But it was, like, from the outside pushing on it and where we ended up getting more scans. And I have to say, that patient actually just did fine and actually got the drain out and didn't need a shunt or anything, and actually never drained. We put an EVD and actually drained very little. So, I think we're still bad at gauging those. But I think, in general, my index of suspicion or threshold to scan would be lower if there was something, like, you know, a lot of IVH associated, if, you know, just kind of push on the aqueduct. It's very hard to say, I think. Sometimes, as you get to know your patients, you can get a little bit of a flavor of what is within normal fluctuation. I think it's probably true for every patient, right? - that there's always some fluctuation within the realm of like, “that's what he does,” and then there's something more profound. Yeah, sorry - I wish I could give a better answer, but I would say it's very tricky and requires experience and, ideally, you really taking the time to examine the patient yourself (ideally, several times). Sometimes, we see the patient - we get really worried. Or the typical thing we see the ICU is that the neurosurgeons walk around at 5 AM and say, like, “She's altered, she's different, she's changed.” And then the nurse will tell you at 8 AM, like, “No, they woke up and they ate their breakfast.” So, I think really working with your nurse and examining the patient yourself and just getting a flavor for what the realm of fluctuation is. Dr Berkowitz: Yeah - that's helpful to hear how challenging it is, even for a neurocritical care expert. I'm often taking care of these patients when they come out of the ICU and I'm thinking, “Am I scanning these patients too much?” Because I just don't sort of see the initial stage, and then, you know, you realize, “If I'm concerned and this is not fitting, then I should get a CT scan,” and sometimes you can't sort it out of the bedside. So, far from apologizing for your answer, it's reassuring, right, that sometimes you really can't tell at the bedside, as much as we value our exam. And the stakes are quite high if this patient's developed intraventricular hemorrhage or hydrocephalus, and these would change the management. Sometimes you have these patients the first few days in the ICU (for us, when they come out of the ICU) are getting scanned more often than you would like to. But then you get a sense of, “Oh, yeah - these times of day, they're hard to arouse,” or, “They're hard to arouse, but they are arousable this way,” and then, “When they are aroused, this is what they can do, and that's kind of what we saw yesterday.” And yet, as you said, if anyone on the team (the resident, the nurse, the student, our neurosurgery colleague) says, “I don't think this is how they were yesterday,” then, very low threshold to just go back and get a CT and make sure we're not missing something. Dr. Wahlster: Exactly. Yeah. I would say the other thing is also certain time intervals, right? If I'm seeing a patient that may be in vasospasm kind of around the days seven to ten, for the first fourteen day, I would be a little bit more nervous. Or with swelling - acute ischemic stroke says that could peak swelling, when knowing which [IG2]  , I would just be more anxious or have a lower threshold to scan. Yeah. Dr Berkowitz: Yeah - very helpful. Well, thank you so much for joining me today on Continuum Audio. Dr Wahlster: Thank you very much, Aaron. Dr Berkowitz: Again, today we've been interviewing Dr Sarah Wahlster, whose article, “Examination and Workup of the Neurocritical Care Patient” appears in the most recent issue of Continuum, on neurocritical care. Be sure to check out Continuum Audio episodes from this and other issues. And thank you so much to our listeners for joining us today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practice. And right now, during our Spring Special, all subscriptions are 15% off. Go to Continpub.com/Spring2024 or use the link in the episode notes to learn more and take advantage of this great discount. This offer ends June 30, 2024. AAN members: go to the link in the episode notes and complete the evaluation to get CME. Thank you for listening to Continuum Audio.

May 28, 2024 - A Siena College Research Institute survey examines key environmental issues being debated at the Capitol. We review those questions, and more, with Siena pollster Steve Greenberg.

April 23, 2024 - Siena College Research Institute pollster Steve Greenberg talks about a new survey of New York voters, which examined the asylum seeker crisis, illegal marijuana sales, and congestion pricing.

Siena pollster Steve Greenberg analyzes the school's latest poll that tackles several issues.

In the first hour of tonight's show, Matt recaps today's Cardinals happenings as they defeat the Mets in spring training action. The Cardinals are the only team not to hit a home run this spring. Should this be cause to worry? Pauley explains. Michael DeCourcy, college basketball columnist for Sporting News then joins the show to discuss the latest headlines from the world of college hoops: the future of court-storming in light of the injury to Duke's Caleb Foster; Frustration from mid-major teams; and the impact Caitlin Clark has made on not only women's college basketball, but all of NCAA basketball. Steve Greenberg, Chicago Sun-Times sports columnist, also joins the show to give his take on the Cardinals from a Chicago perspective, Willson Contreras' post-Cubs career, and the moves the Cubs made this offseason. Matt wraps up the hour sharing the news that St. Louis City SC will be competing in this year's US Open Cup.

This is a clip from Sports Open Line with Matt Pauley. Steve Greenberg, Chicago Sun-Times sports columnist, joins the show to give his take on the Cardinals from a Chicago perspective, Willson Contreras' post-Cubs career, the disconnect between Contreras and his former manager David Ross, and the moves the Cubs made this offseason.  Sports Open Line with Matt Pauley airs weeknights 6-8PM CT on KMOX barring any Cardinals, Billikens, or NFL games. Join the show by calling or texting (314) 436-7900 or by tweeting to Matt @MattPauleyOnAir. Listen live at 1120AM, 98.7FM, or on the free Audacy app.

Aubrey Solomon and I discussed being born in Canada; not watching TV since the 1960's; going to USC; his movie, The Klutz; working on the tv show The Art of Film; working on the TV show That's Hollywood and using his thesis on 20th Century Fox; he and his partner Steve Greenberg are asked to write a spec script about MLK & JFK; it gets to Jack Klugman; they pitch him an episode he likes; they get hired and moved up to story editors in the same season because they worked fast; Klugman ran the show; Dr. Asten and Sgt. Brill; Marc Taylor; Jack Klugman's brother would find a medical story in the news and get story credit; the writers would watch 60 Minutes for ideas; creating Quincy; his first name; John Astin wanted Dr. Asten's name spelled differently; writing the pilot tv film for Buck Rogers; Lazarus Syndrome; the "Ounce of Prevention" episode of Quincy; Beyond Westworld; Lou Shaw; Frank Lupo; The Fall Guy; Half Nelson; having to write a Quincy without Jack Klugman and a Rockford Files without James Garner; watching Jack Klugman fire a director; Blacke's Magic; Crazy Like a Fox; 40th Anniversary of Howdy Doody; his second book about Fox Studios; working on the Canadian series Danger Bay; 100 Years of the Hollywood Western; his mentor; Jack Haley, Jr.; his film, The Progeny; spending 20 years as a film editor; and writing the story for the fifth Ice Age movie.

In this segment, Crawly interviews Steve Greenberg, sports columnist for the Chicago Sun Times, on the Cubs' players early impressions of new manager Craig Counsell and the impact he left on his former team, the Milwaukee Brewers To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

In Season 3 Episode 15, Crawly and Dustin look at the Cubs' plan for the infield, specifically the position battles for first and third base, Crawly interviews Steve Greenberg, sports columnist for the Chicago Sun Times, on the Cubs' players early impressions of new manager Craig Counsell and the impact he left on his former team, the Milwaukee Brewers, and the guys go over all the latest Cubs news including the stare down between Tom Ricketts and Scott Boras, Rob Manfred will step down as commissioner in 2029, and the players being unhappy with the new jerseys. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

Steve Greenberg, a criminal defense attorney with Greenberg Trial Lawyers, joins Lisa Dent to talk about the guilty verdict of Jennifer Crumbley, the mother of Michigan school shooter Ethan Crumbley who killed four of his classmates and injured seven others when he opened fire at Oxford High School in November 2021, and how that verdict […]

Dr. Phil and his esteemed guests dive into the ominous landscape of the internet, exploring the surge in illicit activities, scams, and cyber threats. They focus on revenge porn, the dark web, and online fraud, where dangers lurk behind every click.  As we navigate the complex web of cyber threats, Dr. Phil aims to equip you with insights to protect yourself and your loved ones in the ever-evolving digital landscape. Join us in the quest for a safer online world. Join Dr. Phil as he speaks with:  James McGibney, a dedicated cybersecurity expert describes his mission to combat these digital menaces and his efforts in dismantling illicit sites and providing support to victims. Attorneys Laura McNeal, Tracy Siska, Steve Greenberg, and Exavier B. Pope - discuss the “confidence man” the con man, and the scams they run on the internet targeting children and seniors. Derek Maltz, former director of DEA Special Operations, and Tim Mackey, CEO of S-3 Research, dive into the fentanyl crisis and how drug dealers are targeting children on the internet with deadly results. Dr. Nicholas Kardaras takes us through addiction involving technology and how the brain changes with sleep deprivation and balancing screen time for children. For more information: https://drphilintheblanks.com Thank you to our sponsors: The Newsworthy podcast - available on Apple Podcasts, Spotify or wherever you listen to podcasts Advertise with us! https://www.advertisecast.com/PhilintheBlanks Learn more about your ad choices. Visit podcastchoices.com/adchoices

In the second hour of tonight's show, Matt Pauley shares the breaking news that the St. Louis Cardinals have not tendered the contracts of Dakota Hudson, Andrew Knizner, Juan Yepez, and Jake Woodford. Steve Greenberg, sports columnist at the Chicago-Sun Times, then joins the show to discuss the possibility of Shohei Ohtani landing on the Cubs, the hiring of Craig Counsell, and how Illini basketball is faring this season. Matt is also joined by Melissa Lockard of The Athletic to discuss the Oakland A's relocation to Vegas and how they might need to find a temporary home before the stadium in Vegas is completed. Lastly, Rachel Zimmerman and Kevin Wheeler of the Dave Glover Show pop in for a spell. Sports Open Line with Matt Pauley airs weeknights 6-8PM CT on KMOX barring any Cardinals, Billikens, or NFL games. Join the show by calling or texting (314) 436-7900 or by tweeting to Matt @MattPauleyOnAir. Listen live at 1120AM, 98.7FM, or on the free Audacy app.

October 25, 2023 - We chat with pollster Steve Greenberg about the latest survey of New Yorkers by the Siena College Research Institute, which asked about control of Congress, President Joe Biden re-election bid, and Gov. Kathy Hochul's response to the migrant crisis.

All kinds of songs get stuck in your head. Famous pop tunes from when you were a kid, album cuts you've listened to over and over again. And then there's a category of memorable songs—the ones that we all just kind of know. Songs that somehow, without anyone's permission, sneak their way into the collective unconscious and are now just lingering there for eternity. There's one song that best exemplifies this phenomenon— "Who Let The Dogs Out" by the Baha Men.The story of how that song ended up stuck in all of our brains goes back decades and spans continents. It tells us something about inspiration, and how creativity spreads, and about whether an idea can ever really belong to just one person. Whomst Among Us Let the Dogs Out AGAIN

Aug. 22, 2023 - Siena College Research Institute pollster Steve Greenberg discusses a new survey of New York voters, who weigh in on the issues of the day, including the government response to an influx of asylum seekers.

Steve Greenberg, criminal defense attorney at Greenberg Trial Lawyers, joins Karen Conti to talk about the new charges against Trump in the classified documents case and the Hunter Biden plea agreement being rejected by the judge. 

Chaz and AJ have been nominated for (another!) Marconi! It's the most important award the radio industry has to offer, so it's extra special to also see WPLR nominated for one as well. Take a listen to the audio package that the judges used to determine their nominations. (0:00) Comedian Matt Lopes was in studio as Chaz and AJ read an article that claims to have the number one junk food for every state. Connecticut apparently loves their.. granola bars? (6:31) Dumb Ass News - How can you steal your own car? A man in North Branford found a way. (15:52) Steve Greenberg, "The Gadget Guy" was on to talk about some of the cool, new tech updates coming to your iPhone. (22:14) Una Dolce Vita from Bridgeport was in studio after submitting the winning bid at an auction. Joe and John discussed the benefits of eating your salad last, on the same plate as your dinner. (31:27) Image Credit: monticelllo / iStock / Getty Images Plus

June 29, 2023 - We break down the latest survey of New Yorkers on the Clean Slate Act, changing the date of municipal elections and more, with Siena College Research Institute pollster Steve Greenberg.

Tech guy Steve Greenberg with great Father's Day gift ideas while Gary and Kenny have no idea

Mike Mulligan and David Haugh were joined by Steve Greenberg of the Sun-Times to discuss his recent article detailing the concerns surrounding the NASCAR race called the Grant Park 220 coming to the streets of Chicago in July.

Oh, you better believe it. Steve Greenberg is here on the podcast today. Steve signed Hanson after checking them out at a local county fair- there would be no Hanson as we know them if not for Steve. A former rep for Mercury Records, Steve now has his own label- S-Curve Records. Steve brings an hour of fun, laughs, enthusiasm and passion into this episode, his love for Hanson and the Middle of Nowhere era is undeniably contagious. Tone Deaf:" Steve Greenberg, the executive producer on Hanson's album Middle of Nowhere, was convinced that if the band were to fulfil the potential that Christopher Sabec, the band's manager, first saw in them at SXSW, they'd need to have alt-cred. “We were coming out of this alternative rock moment, and everything was about alternative cred. People were very skeptical that we could do a pop record,” Greenberg recently told Broadly, who've published an oral history on ‘MMMBop'. Greenberg decided to assemble an alternative Justice League to spruce up the band's indie credentials. Having recently heard an advance of Beck's Odelay, Greenberg tapped the Dust Brothers to produce Middle of Nowhere. “It was the Dust Brothers' involvement that helped us achieve alternative cred,” said Greenberg. David Campbell, a composer who'd worked with Green Day and Hole, did arrangements for the album, and Tamra Davis (Sonic Youth, Veruca Salt) directed the ‘MMMBop' video. “Steve and I wanted to create a patina of hipness around a pop record. I think we picked exactly the right people,” said Mercury Records' Danny Goldberg. “They didn't try to make it like Nine Inch Nails or too hip. But they did add a hipness factor that smoothed the pathway to quick exposure in all aspects of the business.” More about Steve's Podcast: American Song Writer- " Grammy-Award winning Record Executive and Producer Steve Greenberg — the veteran music industry producer who helped launch the careers of Hanson, The Jonas Brothers, Joss Stone, Andy Grammer, AJR and many more — announced today the debut of “Speed of Sound.” The new iHeartRadio Original podcast explores how some of pop's biggest songs, bands and musical genres soared to the top of the charts. From The Beatles to disco, “The Twist” to hip-hop and beyond, Greenberg examines the unique historical circumstances, technological advances and trends that helped create some of music's most remarkable and unlikely success stories."

Mike and Jesse start by following up on some big hobby-related stories and talking about Jimmy Butler's card prices (2:19). Then, they are joined by Dan and Doug from Mojobreak to talk about their experience breaking Bowman (15:51). Later, they talk to Steve Greenberg from Greenie Sports Cards about the state of card shows (45:47). And they finish up by talking a bit about the NBA playoffs and answering your mailbag questions (53:36). Hosts: Mike Gioseffi and Jesse Gibson Guests: Dan Anderson, Doug Caskey, and Steve Greenberg Associate Producer: Carlos Chiriboga Learn more about your ad choices. Visit podcastchoices.com/adchoices

March 30, 2023 - Siena College Research Institute pollster Steve Greenberg shares how New York voters feel about key issues being debated in budget negotiations, including higher income taxes on multi-millionaires, proposals to spur housing growth and the governor's proposed expansion of the use of bail.

Hoda Kotb and Jenna Bush Hager answer some viewers social dilemmas. Also, Knock Knock Surprise! Donna Farizan surprises a beloved neighbor—Mel Warner from Bethpage, New York. Plus, Steve Greenberg shares some affordable gadgets and gear for under $100 dollars. And, Suddenly Santa: one lucky viewer gets a chance to win a surprise holiday gift.

Dr. Phil addresses the top scams and frauds plaguing the world today. Who are these scammers? Why do they do what they do? What are the different kinds of currency that motivate fraudsters? Laura McNeal, Tracy Siska, Steve Greenberg, and Exavier B. Pope weighs in on this vital issue that is targeting children, adults and our bank accounts. https://www.drphilintheblanks.com/ Interested in advertising on the show? Visit https://www.advertisecast.com/PhilintheBlanks Learn more about your ad choices. Visit megaphone.fm/adchoices