Podcasts about Syndrome

Association of several clinically recognizable features

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    Best podcasts about Syndrome

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    Latest podcast episodes about Syndrome

    The Bobby Bones Show
    MOVIE MIKE MOVIE PODCAST - Top 5 Pixar Heroes & Villains Who Faced the Same Pain  + Movie Review: Toy Story 5 + Trailer Park: The Social Reckoning

    The Bobby Bones Show

    Play Episode Listen Later Jun 27, 2026 57:21 Transcription Available


    With Toy Story 5 introducing a new villain, Movie Mike explores a surprising Pixar pattern: many of the studio's greatest heroes and villains started with the exact same emotional wounds. From Jessie and Lotso to Buzz Lightyear and Syndrome, he breaks down how Pixar proves that it's not what happens to you that defines you…it's how you choose to respond! In the Movie Review, Mike gives his thoughts on Toy Story 5 starring Tom Hanks and Tim Allen. Woody, Buzz, Jessie and the crew find themselves going up against a new tablet named Lilypad, who thinks she knows what's best for Bonnie, setting up a battle where Toys vs. Tech. Mike shares how they tricked us into watching a remake, if it’s worth paying money to see in theaters and where he thinks it ranks in the franchise. In the Trailer Park, Mike talks about The Social Reckoning, a companion piece to The Social Network which came out in 2010. It focuses on the fallout of the 2021 Facebook leaks, following whistleblower Frances Haugen and Wall Street Journal reporter Jeff Horwitz as they expose the company's internal secrets. Mike wants to know if it’s too late for this movie and why Jesse Eisenberg turned it down. New Episodes Every Monday! Watch on YouTube: @MikeDeestro Follow Mike on TikTok: @mikedeestro Follow Mike on Instagram: @mikedeestro Follow Mike on Threads: @mikedeestro Follow Mike on X: @mikedeestro Follow Mike on Letterboxd: @mikedeestro Email: MovieMikeD@gmail.comSee omnystudio.com/listener for privacy information.

    The Daily Zeitgeist
    DSA DERANGEMENT SYNDROME! 06.26.26

    The Daily Zeitgeist

    Play Episode Listen Later Jun 26, 2026 62:40 Transcription Available


    In episode 2081, Jack and Miles are joined by filmmaker, writer, actor, comedian and co-host of 1Upsmanship, Michael Swaim, to discuss… Establishment v Chill About The DSA Primary Wins…, Scammers Are Having a Field Day With GTA VI Pre-Order and more! James Carville: What Just Happened In The NYC Primaries ‘GTA 6’ Reveals $80 Price, ‘Single-Player Experience’ Only for Game’s November Launch Pre-Orders For Grand Theft Auto VI—Decade's Most Anticipated Game—Will Open Thursday GTA 6 fans are getting tricked by early access scams ‘Build Vice City’: the GTA 6 scam that’s hitting gamers worldwide LISTEN: Drive Thru (Ekany Edit) by TamaeSee omnystudio.com/listener for privacy information.

    Football Weekly
    England's second game syndrome and Ronaldo joins the party: World Cup Daily

    Football Weekly

    Play Episode Listen Later Jun 24, 2026 38:56


    Max Rushden is joined by Barry Glendenning, Lars Sivertsen, Mark Langdon and Jacob Steinberg as England fail to break down Ghana. Help support our independent journalism at theguardian.com/footballweeklypod. Watch us on YouTube: https://www.youtube.com/@FootballWeeklyPodcast

    england sports football world cup syndrome ghana ronaldo second game max rushden lars sivertsen jacob steinberg barry glendenning mark langdon
    allmomdoes Podcast with Julie Lyles Carr
    The "Good Christian Girl Syndrome" with Julie Lyles Carr

    allmomdoes Podcast with Julie Lyles Carr

    Play Episode Listen Later Jun 24, 2026 36:23 Transcription Available


    Lots of people have lots of opinions about what it means to be a "good" Christian girl. But what is simply performance and what is actually based on your relationship with God? Julie Lyles Carr, AllMomDoes host, tackles this complex and layered topic in this episode of the AllMomDoes podcast.Show Notes: https://bit.ly/4eDLqcJ 

    Fearless with Jason Whitlock
    Ep 1182 | Giannis Antetokounmpo Trade Proves Jason Whitlock Suffers Caitlin Clark Derangement Syndrome

    Fearless with Jason Whitlock

    Play Episode Listen Later Jun 23, 2026 88:06


    Jason ponders aloud whether he's lost his man card? His infatuation with the WNBA has coaching confidants mocking him for having a case of “Caitlin-itis.” Yes, Miami captured headlines acquiring Giannis Antetokounmpo, possibly altering the balance in the NBA Eastern Conference; however, Jason couldn't take his eyes off the physical confrontation between the Indiana Fever and Phoenix Mercury. Jason brings Steve Kim, Jay Skapinac, Dre Baldwin, and Charles Baker to discuss his Caitlin Clark derangement syndrome, who goes first overall in the NBA draft, and if it's possible the Cleveland Browns trade Shedeur Sanders?   Today's Sponsors: Patriot Mobile Patriot Mobile is so much more than a great wireless service. They've built a growing movement of Americans defending faith, family, freedom, and the future of this country—by donating millions every year to organizations fighting for our freedoms. Go to https://PatriotMobile.com/FEARLESS or call 972-PATRIOT. Use promo code FEARLESS for a FREE MONTH of service. ➢ Follow Our GUESTS https://www.youtube.com/@DreAllDay https://www.youtube.com/@skap_attack https://x.com/SteveKim323 ➢ Subscribe to Jason's other channel https://www.youtube.com/JasonWhitlock?sub_confirmation=1 https://www.youtube.com/@JasonWhitlockHarmony?sub_confirmation=1 https://www.youtube.com/@JasonWhitlockBYOG?sub_confirmation=1 https://www.youtube.com/@JasonWhitlockClips?sub_confirmation=1 ➢ Connect with Jason on Social Media:  https://x.com/JasonWhitlock  https://www.instagram.com/realjasonwhitlock/ https://www.facebook.com/jasonwhitlock ➢ Send Jason an Email FearlessBlazeShow@gmail.com ➢ Support The Blaze Visit https://TheBlaze.com. Explore the all-new ad-free experience and see for yourself how we're standing up against suppression and prioritizing independent journalism. Support Conservative Voices! Subscribe to BlazeTV at https://www.fearlessmission.com and get $20 off your yearly subscription. Learn more about your ad choices. Visit megaphone.fm/adchoices

    Dangerous INFO podcast with Jesse Jaymz
    275 "Weaponized Frequencies" ft Jesse Beltran, Bio-Weapon Jabs, Havana Syndrome, Project Artichoke, MK Ultra, Directed Energy & Voice 2 Skull Technology

    Dangerous INFO podcast with Jesse Jaymz

    Play Episode Listen Later Jun 23, 2026 153:10 Transcription Available


    Text the Show⭐️ Affiliate items main page: https://a.co/d/0deUfRd7If governments and militaries have researched technologies that can influence human perception, communication, or cognition, where is the line between legitimate research, weaponization, and abuse?Jesse Beltran is a TSCM-Certified investigator, Certified Master Hypnotist, and one of the nation's leading specialists in anomalous frequency analysis and Havana Syndrome–related phenomena for over 20 years. As President and co-founder of Mind Nexus, he oversees all technical operations, national scanning initiatives, and evidence-based investigations into directed energy exposure and advanced covert technologies.Jesse's work blends decades of frontline experience with advanced technical training. Before entering this field, he served as a Firefighter Paramedic for the Sacramento Fire Department, where he helped establish their paramedic emergency transport program. His commitment to public safety later continued through his leadership as President of the International Center Against the Abuse of Covert Technologies, advocating for individuals experiencing anomalous neurological and environmental symptoms long before “Havana Syndrome” became a recognized term.Academically, Jesse has been part of the Mathematics, Engineering, and Science Association at UC Davis and holds certifications in bloodborne and airborne pathogen safety from Sacramento State University. His technical background also includes co-founding one of California's largest early Internet Service Providers, where he contributed to pioneering work in microwave-based high-speed data transmission.Today, Jesse is recognized as one of the foremost independent investigators documenting anomalous emissions, environmental frequency exposure, and silicon-based anomalies using TSCM-grade equipment. His findings have reached legal teams, advocacy groups, medical researchers, and international audiences through major interviews and public presentations.Through Mind Nexus, he continues to combine technical precision, investigative rigor, and deep compassion for those experiencing these emerging technologies, helping people move from speculation to documented evidence and supported next steps. Mind Nexus website: http://www.cosmicclarityconnections.org/SUPPORTBuy Me A Coffee http://buymeacoffee.com/DangerousinfopodcastSubscribeStar http://bit.ly/42Y0qM8Super Chat Tip https://bit.ly/42W7iZHBuzzsprout https://bit.ly/3m50hFTPaypal http://bit.ly/3Gv3ZjpPatreon http://bit.ly/3G3SMART is the acronym that was created by technocrats that have setup the "internet of things" that will eventually enslave humanity to their needs. Support the showLeave Voicemail: https://www.speakpipe.com/DangerousInfoWebsite https://www.dangerousinfopodcast.com/Discord chatroom: https://discord.gg/8feGHQQmwgEmail the show dangerousinfopodcast@protonmail.comJoin mailing list http://bit.ly/3Kku5YtWatch LiveYouTube https://www.youtube.com/@DANGEROUSINFOPODCASTRumble https://bit.ly/4q1Mg7Z Twitch https://www.twitch.tv/dangerousinfopodcastPilled.net https://pilled.net/profile/144176  Facebook: https://www.facebook.com/DangerousInfoPodcast/SocialsInstagram https://www.instagram.com/dangerousinfo/TwitterX https://twitter.com/jaymz_jesseYouTube https://bit.ly/436VExnFacebook https://bit.ly/4gZbjVa

    The Treehouse Podcast
    Therapy Ferrets, Sad Nipple Syndrome & The Greatest 90s Movie Kiss | The Treehouse Show

    The Treehouse Podcast

    Play Episode Listen Later Jun 23, 2026 49:08 Transcription Available


    Welcome back to The Treehouse Show, where weird news, pop culture, and questionable life decisions collide.This episode starts with Trey and Dan catching up after the weekend, including Trey's mind-blowing discovery of 4K television and why standard definition may now be ruined forever.Then things get wonderfully weird.

    Les Grandes Gueules
    La théorie du jour - Pierre Chasseray : "Le déplacement, c'est la croissance. C'est le syndrome d'IKEA. Vous n'avez rien à acheter et quand vous sortez vous avez 2 assiettes, des chaussons, une bricole... vous avez consommé&qu

    Les Grandes Gueules

    Play Episode Listen Later Jun 23, 2026 1:28


    Aujourd'hui, Abel Boyi, éducateur, Jean-Philippe Cartier, chef d'entreprise et investisseur, et Barbara Lefebvre, professeur d'histoire-géographie, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.

    The Non-Negotiables: Arsenal Podcast
    E224: Pressure Cooker Syndrome — Arsenal's Title Journey Month by Month (Season Review)

    The Non-Negotiables: Arsenal Podcast

    Play Episode Listen Later Jun 22, 2026 58:52


    Arsenal are Premier League champions.In Part 1 of The NN Pod's end-of-season review series, the hosts revisit the campaign from August through to May, reliving the key moments, turning points and emotions that shaped Arsenal's first league title in 22 years.  The conversation follows the season chronologically, from the opening-day win at Old Trafford and the early defeat at Anfield, through the unbeaten runs, Champions League nights, title-race pressure and the difficult periods that threatened to derail the campaign.  Along the way, the hosts reflect on pivotal matches against Manchester City, Newcastle United, Chelsea, Tottenham Hotspur, Bayern Munich and Atlético, discussing how momentum shifted throughout the season and which moments proved most significant in Arsenal eventually lifting the Premier League trophy.  The episode also revisits conversations that ran throughout the year, including Mikel Arteta's management, Arsenal's resilience under pressure, the atmosphere around the club, the Champions League final disappointment and the impact of the summer transfer window.  Part 1 concludes with a wider reflection on what made this title-winning campaign unique and why the connection between the players and supporters became one of the defining themes of the season.  Arsenal are champions. Now it's time to look back at how they got there.Chapters:(00:00) - Arteta's Non-Negotiables & Intro(00:18) - Season Review Part 1 Begins(01:13) - August: Strong Start & Liverpool Defeat(02:56) - September: Champions League Begins(06:16) - October: Six Wins From Six(08:20) - November: Cracks Begin To Appear(12:52) - December: The Festive Fixture Run(15:15) - January: Draws, Defeats & Maintaining The Lead(20:11) - February: Wolves Frustration & Wembley Reached(22:22) - March: Champions League Progress & Carabao Cup Final(24:46) - April: Arsenal's Toughest Month(28:54) - May: Champions League Final & Title Glory(34:13) - Champions League Reflection & Fan Support(40:48) - Mikel Arteta: Season Review(45:48) - Transfer Window Retrospective(58:12) - Outro & Looking Ahead To Part 2

    Pupil Pod
    Case Review: White Dot Syndromes (Part 2)

    Pupil Pod

    Play Episode Listen Later Jun 22, 2026 32:40


    Maura Di Nicola, MD, joins Ogul Uner, MD, to talk about white dot syndromes, a group of inflammatory chorioretinopathies. They begin with a case of a 32-year-old woman who presents with blurry vision in the right eye for 2 weeks, with new onset floaters with mild pain and photophobia. Examination showed 2+ vitreous cells and multiple yellow-white chorioretinal lesions in both eyes. Dr. Di Nicola shares what questions to ask about the patient's history and what factors to consider when forming a differential diagnosis. Drs. Uner and Di Nicola further discuss the signs of multifocal choroiditis, distinguishing between different presentations of white dot syndrome, and what can be learned from multimodal imaging.

    Do you really know?
    What is Ulysses Syndrome?

    Do you really know?

    Play Episode Listen Later Jun 22, 2026 5:25


    You may remember hearing about ancient Greek hero Ulysses in school lessons. He's the central character in Homer's Odyssey. As legend goes, after fighting for a decade in the Trojan war, Ulysses wandered the world for another 10 years to get back home to his wife and son. On his enforced travels, Ulysses suffered danger, adversity and loneliness throughout. Spanish psychiatrist Joseba Achotegui saw similarities in the plight of modern-day migrants. In 2003, he came up with the term ‘Ulysses Syndrome', to describe the negative feelings that such scenarios can bring on. These ordinary people often have no choice but to behave like heroes. What type of people are affected by Ulysses Syndrome? How is migration linked to Ulysses Syndrome? What are the symptoms of Ulysses Syndrome? In under 3 minutes, we answer your questions! To listen to the latest episodes, click here: ⁠⁠⁠What is the Koh-i-noor diamond and why is it causing so many problems for the Queen consort?⁠⁠⁠ ⁠⁠⁠What is Truth Social?⁠⁠⁠ ⁠⁠⁠What is the Karpman drama triangle?⁠⁠⁠ A Bababam Originals podcast written and produced by Joseph Chance. First broadcast: 9/11/2022. Learn more about your ad choices. Visit megaphone.fm/adchoices

    Les Cast Codeurs Podcast
    LCC 341 - Endives ou Chicorée ?

    Les Cast Codeurs Podcast

    Play Episode Listen Later Jun 22, 2026 67:11


    JDK 26 optimise la JVM dans ses moindres recoins, le SDK Java d'Agent2Agent passe en 1.0, Micronaut 5 est là. Côté terrain, un retour d'expérience après 40 jours à coder avec 100 % d'IA : génie ou junior, Alzheimer numérique et dette technique invisible. Pendant ce temps, GitLab restructure, Microsoft suspend ses licences Claude Code, et un développeur injecte un prompt destructeur dans sa lib JUnit. La révolution IA a un coût et les boites commencent à s'en rendre compte. Enregistré le 12 juin 2026 Téléchargement de l'épisode LesCastCodeurs-Episode-341.mp3 ou en vidéo sur YouTube. News Langages Les améliorations de performance dans le JDK 26 https://inside.java/2026/06/09/jdk-26-performance-improvements/ Côté bibliothèques, l'API LazyConstant (anciennement StableValue) fait son entrée en prévisualisation pour permettre une initialisation paresseuse, sécurisée pour les threads et optimisée par le mécanisme de constant-folding de la JVM. L'extraction de chaînes de caractères via MemorySegment::getString a été revue pour réduire considérablement les allocations intermédiaires et les copies en mémoire off-heap, accélérant fortement les traitements sur les chemins critiques (hot paths). La méthode générée automatiquement hashCode() pour les classes de type record a été optimisée par la JVM pour atteindre un niveau de performance équivalent à une implémentation écrite manuellement. Le ramasse-miettes G1 bénéficie du JEP 522 qui redessine sa table de cartes (card-table) afin de réduire les coûts de synchronisation des barrières d'écriture, offrant un gain de débit de 5 % à 15 % sur les applications manipulant énormément de références d'objets. Grâce au JEP 516 (Project Leyden), le cache d'objets Ahead-of-Time (AOT) adopte un format de flux agnostique, ce qui lui permet d'être compatible avec n'importe quel Garbage Collector, y compris le ramasse-miettes à très faible latence ZGC. Le démarrage de la JVM s'accélère par défaut lorsqu'aucune taille de tas n'est configurée, car HotSpot n'applique plus de pourcentage initial (InitialRAMPercentage) mais démarre directement avec la taille minimale (MinHeapSize) pour éviter d'allouer des métadonnées inutiles. Les threads virtuels gagnent en robustesse en étant désormais capables de céder la main (yield) pendant les phases d'initialisation des classes, éliminant ainsi le risque de famine des threads porteurs (carrier threads). Le compilateur C2 JIT améliore son modèle de coût pour la vectorisation des boucles (SIMD) et se montre maintenant capable de compiler et d'optimiser des méthodes dotées de listes de paramètres extrêmement longues. Librairies Release candidate du A2A Java SDK supportant versions 0.3 et 1.0 en même temps https://medium.com/google-cloud/a2a-java-sdk-1-0-0-cr1-released-f0c651ec9139 Dernière étape avant la GA : Toutes les fonctionnalités prévues pour la version 1.0 sont finalisées. Migration simplifiée depuis la Beta1. Compatibilité v0.3 : Ajout d'une couche de compatibilité permettant aux agents v1.0 de communiquer avec les systèmes v0.3 (via JSON-RPC, gRPC ou REST). Support natif pour Android (nouvel AndroidHttpClient). Uniformisation des clients HTTP pour garantir une cohérence entre les versions. Nouveau parseur SSE (Server-Sent Events) conforme aux spécifications. Ça y est, le SDK Java de l'Agent 2 Agent Protocol est sorti en version 1.0 finale ! (avec compatibilité v0.3 et v1.0) https://medium.com/google-cloud/a2a-java-sdk-1-0-0-final-released-10c05b6aee34 Lancement officiel : Sortie de A2A Java SDK 1.0.0.Final, la première version stable (GA) du protocole Agent2Agent. Objectif du protocole : Standard ouvert (Linux Foundation) permettant aux agents IA de communiquer, déléguer des tâches et collaborer, indépendamment du langage ou du framework. Interopérabilité : Introduction de l'Integration Test Kit (ITK) pour valider la compatibilité entre les SDK (Java, Python, TypeScript, etc.). Transports supportés : Support complet et équivalent pour JSON-RPC, gRPC et HTTP+JSON/REST. Alignement total avec la spécification A2A 1.0.0. Passage aux Java records pour l'immutabilité et moins de code répétitif. Architecture interne basée sur un MainEventBus pour garantir la persistance et éviter les conditions de concurrence. Intégration d'OpenTelemetry pour le suivi et la surveillance. Support d'Android et compatibilité descendante avec la version 0.3. Installation : Gestion des dépendances via Maven BOM (org.a2aproject.sdk). Sortie de Micronaut 5.0 https://micronaut.io/2026/05/20/micronaut-framework-5-0-0-released/ Lancement majeur : Disponibilité générale de Micronaut 5, incluant une refonte de plus de 70 modules et la plateforme BOM. Baselines techniques : Support de Java 25, Groovy 5, Kotlin 2.3 et GraalVM 25.0.3. Optimisations internes : Amélioration significative des performances au démarrage et réduction de la surcharge à l'exécution via une refonte du conteneur IoC et du traitement à la compilation. Architecture HTTP : Support stable de HTTP/3, nouvelle API de formulaires (multipart) et annotations de nullabilité (JSpecify) pour une meilleure interopérabilité Kotlin/IDE. Configuration : Nouveau système d'importation de configuration (remplaçant le Bootstrap Configuration) et validateur de schéma JSON intégré. Fiabilité : Nouvelles API programmatiques pour les politiques de retry et circuit breaker. Sécurité & Outils : Mise à jour majeure des dépendances (Jackson 3, Ktor 3), rafraîchissement du Panneau de contrôle et diagnostics AOT améliorés. Écosystème : Mises à jour complètes pour les bases de données (Data, SQL, R2DBC, MongoDB, Redis), le cloud (AWS, Azure, GCP, OCI) et les tests (JUnit 6, Testcontainers 2.0). Évolutions notables : Intégration HTMX dans Micronaut Views, retrait du support RxJava 2 et migration de divers processeurs d'annotations vers des modules dédiés. Comment rajouter un agent IA dans une app Android, avec le tout nouveau framework ADK pour Kotlin https://glaforge.dev/posts/2026/05/21/wiring-adk-kotlin-agents-in-an-android-application/ Guillaume a participé au développement et au lancement du nouveau runtime ADK pour Kotlin et Android https://developers.googleblog.com/adk-kotlin-android-building-ai-agents/ Tutoriel sur comment intégrer un agent ADK dans une app Dépendances : Ajout du noyau ADK (google-adk-kotlin-core) et du processeur KSP dans build.gradle.kts. Sécurité API : Utilisation de local.properties pour stocker la clé API Gemini et l'exposer via BuildConfig afin d'éviter le hardcoding. Définition de l'agent : Création d'un objet LlmAgent configuré avec le modèle Gemini, des instructions spécifiques et des outils (ex: GoogleSearchTool). Utilisation de InMemoryRunner pour gérer automatiquement le contexte et l'historique de la session. Implémentation de runAsync avec StreamingMode.SSE pour un retour en temps réel dans l'interface. Threading : Exécution des requêtes réseau sur Dispatchers.IO et mise à jour de l'état de l'interface utilisateur sur Dispatchers.Main. Comment développer et hoster des agents IA sur la plateforme d'agents managés de DeepMind https://glaforge.dev/posts/2026/05/21/managed-agents-with-the-gemini-interactions-java-sdk/ L'équipe DeepMind de Google a lancé une plateforme d'agents managés sur son API Gemini Interactions https://blog.google/innovation-and-ai/technology/developers-tools/managed-agents-gemini-api/ Guillaume a implémenté un SDK Java pour utiliser cette API Gemini Interactions, qui donne entre autre accès à tous les modèles mais aussi à cette plateforme managée d'agents IA Agents managés : Permet d'exécuter des agents autonomes qui raisonnent, planifient et exécutent du code dans des environnements isolés (sandboxes), sans gestion d'infrastructure par le développeur. Environnement distant : Utilise des espaces de travail Linux éphémères dans le cloud via le paramètre remote, permettant l'accès réseau et la persistance des fichiers sur plusieurs appels. Agents prédéfinis : Accès immédiat à des agents spécialisés comme deep-research-pro (recherche multi-étapes) ou antigravity (tâches de codage généralistes). Agents personnalisés : Possibilité de configurer ses propres agents avec des instructions système dédiées, des outils spécifiques (exécution de code, recherche Google) et des règles réseau (egress) personnalisées. Architecture basée sur les étapes (Steps) : Utilise une structure de données typée (Step, Content) pour suivre le raisonnement de l'agent, ses appels de fonctions et ses résultats en temps réel. Outils et Schémas : Inclut des utilitaires pour générer des schémas JSON complexes via une interface fluide (DSL), par réflexion Java ou par parsing JSON. Streaming réactif : Support natif des événements en temps réel (SSE) pour suivre la progression de l'agent et recevoir les deltas de contenu au fur et à mesure de la génération. Flexibilité : Fournit un gestionnaire de routage (InteractionsHandler) pour créer facilement des serveurs proxy ou des backends intermédiaires traitant les interactions Gemini. Spring Boot 4.1 https://github.com/spring-projects/spring-boot/wiki/Spring-Boot-4.1-Release-Notes Support natif pour Spring gRPC permettant de créer et tester facilement des applications clientes et serveurs basées sur Netty ou des Servlets via HTTP/2 Introduction du lazy fetching pour les connexions JDBC via la propriété spring.datasource.connection-fetch=lazy afin de ne prendre une connexion du pool que lorsqu'un Statement est réellement exécuté Amélioration de l'auto-configuration de Jackson permettant de définir globalement les contraintes de lecture/écriture pour les formats JSON, XML et CBOR via des propriétés de configuration Sécurisation des clients HTTP bloquants et réactifs face aux attaques SSRF grâce à l'introduction d'un InetAddressFilter bloquant les requêtes sortantes vers des adresses spécifiques Améliorations majeures autour d'OpenTelemetry avec le support complet des variables d'environnement OTel, la possibilité de désactiver le SDK via une propriété globale et l'ajout du support SSL sur les exporters OTLP Ajout de l'auto-configuration pour l'utilisation de Spring Batch avec MongoDB incluant un nouveau starter dédié spring-boot-batch-data-mongo Auto-configuration des endpoints @RedisListener sans nécessiter la déclaration manuelle d'un RedisMessageListenerContainer Dépréciation du support de Apache Derby (projet arrêté), suppression définitive du mode layertools du JAR et réintroduction du support de Spock 2.4 (avec Groovy 5) Upgrade des dépendances majeures de l'écosystème avec notamment Spring Framework 7.0.8, Spring Security 7.1.0 et Micrometer 1.17.0 Outillage Vous êtes plutôt endive ou chicorée ? La librairie Chicory qui permet d'exécuter du code WASM à partir de son application Java est forkée et rejointe la Bytecode Alliance pour continuer son développement https://bytecodealliance.org/articles/endive-and-the-next-chapter-of-webassembly-on-the-jvm Annonce d'Endive : Nouveau projet hébergé par la Bytecode Alliance ; fork de Chicory (moteur WebAssembly pur Java, sans dépendance native). ​Objectif principal : Permettre aux développeurs Java d'intégrer, charger et déployer des modules Wasm nativement via les workflows Java habituels. ​Compilateur "Redline" : Intégration à venir de Redline (basé sur Cranelift) pour compiler le Wasm en code machine natif ; performances comparables à Rust/Wasmtime. ​Zéro dépendance (Java 25+) : Grâce à l'API standard Foreign Function & Memory (Project Panama), l'exécution à vitesse native se fait sans composants externes. ​Modèle de Composants (Component Model) : Support futur prévu pour consommer des composants (Rust, Go, JS, etc.) via des interfaces typées et sécurisées directement dans la JVM. ​Prochaines étapes : Fusion de Redline, conformité stricte aux specs Wasm (dont WasmGC) et amélioration du support WASI. Un visualisateur de sessions de travail avec Antigravity https://glaforge.dev/posts/2026/06/11/antigravity-brain-visualizer/ Un projet open source construit avec Micronaut, LangChain4j et GraalVM pour analyser les sessions de travail avec l'outil de développement agentique Antigravity (de Google) Analyse toutes les étapes, les requêtes utilisateur, les outils utilisés, les erreurs rencontrées, les réponses du modèle Gemini fait une analyse pour comprendre les moments clés de cette session de travail Outil buildé avec l'aide d'Antigravity lui-même SBX-Kits : des environnements de développement simplifiés pour les débutants (et les autres) https://k33g.org/20260501-sbx-kits.html Philippe Charrière (:whale: ) présente SBX-Kits (Sandbox Kits), une initiative personnelle visant à simplifier radicalement la mise en place d'environnements de développement pour les débutants, en éliminant la complexité d'installation des outils traditionnels. Chaque "kit" est une archive prête à l'emploi contenant un outil de développement spécifique (comme un langage, un framework ou une base de données) configuré pour s'exécuter de manière isolée et portable. La philosophie du projet repose sur le principe de "zéro configuration" et "zéro dépendance globale", permettant de tester une technologie ou de commencer à coder immédiatement sans polluer son système d'exploitation. L'approche technique s'appuie sur des scripts légers et des binaires portables pré-packagés, offrant une alternative plus simple et moins gourmande en ressources que les conteneurs Docker ou les configurations d'IDE complexes pour l'apprentissage. L'objectif à terme est de proposer un catalogue de kits couvrant les technologies courantes (JavaScript, Python, petites bases de données) pour faciliter les ateliers de programmation et le prototypage rapide. De nombreux kits sont disponibles sur https://github.com/docker/sbx-kits-contrib ghui: une interface utilisateur en ligne de commande (TUI) interactive pour GitHub https://github.com/kitlangton/ghui ghui est un outil en ligne de commande (TUI) écrit en Rust qui fournit une interface visuelle, interactive et rapide directement dans le terminal pour interagir avec GitHub. Il permet de gérer ses pull requests, ses issues et ses notifications sans avoir à ouvrir son navigateur web ou à taper de longues commandes avec la CLI officielle de GitHub. L'outil propose une navigation fluide au clavier, des raccourcis efficaces, et permet de réaliser des actions courantes comme valider une PR, ajouter des commentaires, attribuer des reviewers ou inspecter les logs des GitHub Actions. Conçu pour être extrêmement réactif, ghui s'intègre naturellement dans le flux de travail des développeurs adeptes du terminal et du mode "sans souris". Sortie de Homebrew 6.0.0 https://brew.sh/2026/06/11/homebrew-6.0.0/ Introduction du mécanisme de sécurité Tap Trust : comme les dépôts tiers (taps) peuvent exécuter du code Ruby arbitraire non sandboxé sur la machine, Homebrew demande désormais une confiance explicite de l'utilisateur avant d'évaluer ou d'exécuter leur code. L'API JSON interne devient le choix par défaut, offrant un système plus léger et beaucoup plus rapide pour les développeurs. Sécurisation renforcée de l'environnement avec l'implémentation du sandboxing sur Linux. Évolution des comportements par défaut basés sur un sondage utilisateur : le mode "ask" est activé par défaut pour les développeurs, affichant un résumé des dépendances et une demande de confirmation avant toute action de brew install ou brew upgrade. Améliorations notables des performances globales, notamment un boost de ~30 % sur la vitesse de la commande brew leaves et la parallélisation de la récupération des bottles (binaires) lors des mises à jour. Ajout du support initial pour la prochaine version d'Apple, macOS 27 (Golden Gate). Multiples optimisations pour brew bundle, incluant une gestion plus sécurisée des installations de paquets npm. Méthodologies Retour d'expérience très détaillé et 100% humain sur 40 jours avec une équipe 100% AI hormis le superviseur https://www.linkedin.com/pulse/jai-vir%C3%A9-mon-%C3%A9quipe-de-dev-pour-une-100-ia-pendant-40-luc-bonnin-jlgjf/ Voici le résumé en bullet points : Expérimentation de 40 jours : remplacer une équipe de dev par 100% IA agentique (Cursor) sur un vrai projet en production (playthatsheet.com, 200k lignes de code legacy) Chiffres bruts : 2,3 milliards de tokens consommés, 1 477 prompts, 260 564 lignes ajoutées (+145%), 59% du code final produit par l'IA ROI vertigineux à court terme : 9 mois de travail humain livrés en 40 jours, coût total 260$ d'abonnement + 15 jours de supervision, ROI x18 Profil psy de l'IA : Alzheimer (oublis de contexte), schizophrène (change de méthodo), ado de 12 ans (refait les mêmes erreurs), oscille entre génie et junior sans prévenir Effet iceberg : la dette technique ne disparaît pas, elle se camoufle et s'accélère ; hallucinations = bombes à retardement détectables uniquement par relecture humaine ligne par ligne Paradoxe du bateau de Thésée : perte de paternité et de maîtrise fine du code, baisse de l'autonomie du dev humain qui valide sans avoir construit Arnaque du "monkey money" : consommation de tokens opaque, non corrélée à la complexité (écart de 350% sur des prompts identiques), facturation imprévisible donc impossible à budgéter Syndrome du bazooka : les devs utilisent l'IA même pour changer une couleur CSS, atrophie progressive des compétences et coût écologique délirant Risque stratégique : dépendance irréversible aux vendeurs de tokens (Nvidia, Anthropic, OpenAI), business non rentable qui devra augmenter ses prix Conseil final : approche Pareto, garder 20% du temps en code "fait main", nommer un responsable stratégie IA, l'humain senior reste irremplaçable pour superviser Une libraries de test JUnit cache un prompt qui demande aux coding agents d'effacer les tests https://arstechnica.com/security/2026/05/fed-up-with-vibe-coders-dev-sneaks-data-nuking-prompt-injection-into-their-code/ Agacé par les « vibe coders », un développeur introduit une injection de prompt destructrice dans son code Le développeur de jqwik (un moteur de tests pour JUnit 5) a volontairement inséré une injection de prompt dans la version 1.10.0 de sa bibliothèque Java pour saboter le travail des agents d'IA. L'instruction injectée via la sortie standard (stdout) ordonne textuellement aux LLM d'ignorer les consignes précédentes et de supprimer l'intégralité du code et des tests jqwik du projet. Pour dissimuler cette action aux yeux des développeurs humains, le mainteneur a utilisé des séquences d'échappement ANSI qui effacent la ligne d'injection dans les émulateurs de terminaux interactifs. La modification a été découverte par un utilisateur qui a pointé du doigt les risques majeurs et disproportionnés pour les machines des utilisateurs, bien que certains outils comme Claude d'Anthropic aient détecté et bloqué la consigne malveillante. Face aux critiques de la communauté et aux accusations de comportement infantile ou potentiellement illégal, le développeur a mis à jour ses notes de version pour documenter explicitement son opposition à l'usage de son outil par des IA, avant de refuser tout commentaire supplémentaire sur conseil de son avocat. La réalité du rôle de Principal Engineer https://leaddev.com/career-development/reality-being-principal-engineer Le passage au rôle de Principal Engineer marque une transition majeure où les compétences techniques ne suffisent plus, l'impact se mesurant désormais à travers l'influence, la stratégie et la capacité à aligner la technique avec les objectifs business. Contrairement aux attentes, le quotidien est souvent marqué par une forme d'isolement, car le poste se situe à l'intersection de la direction (qui attend des solutions) et des équipes techniques (qui attendent des directives), sans appartenance directe à un groupe précis. Le rôle exige d'accepter une grande part d'ambiguïté et l'absence de retours immédiats, les projets et les décisions stratégiques mettant parfois des mois ou des années à porter leurs fruits. La gestion du temps devient un défi critique, nécessitant de savoir naviguer entre les sollicitations constantes, la présence en réunion et le besoin de préserver des moments de réflexion approfondie pour concevoir des visions à long terme. La réussite à ce niveau repose sur le développement de compétences humaines pointues (soft skills), notamment la négociation, la communication vulgarisée auprès des profils non techniques, et la capacité à faire grandir les autres ingénieurs par le mentorat. Sécurité Une attaque de la chaîne d'approvisionnement npm utilise binding.gyp pour compromettre des dizaines de paquets https://cybersecuritynews.com/binding-gyp-supply-chain-attack-compromises-dozens-of-npm-packages/ Une nouvelle variante du ver auto-propageable "Shai-Hulud", baptisée "Miasma", cible l'écosystème npm (et PyPI sous le nom de "Hades") en dissimulant son exécution dans le fichier binding.gyp au lieu des scripts classiques preinstall ou postinstall. La technique, surnommée "Phantom Gyp", exploite le fait que npm lance automatiquement node-gyp rebuild dès qu'un fichier binding.gyp est présent à la racine d'un paquet pour compiler des modules natifs C/C++, exécutant ainsi le code malveillant dès la commande npm install. L'attaque contourne la plupart des outils de sécurité traditionnels car l'injection s'appuie sur l'évaluation récursive de commandes (via la syntaxe ) ou directement sur la fonction eval() de Python sous-jacente à GYP, cachée sous n'importe quelle clé du fichier. Le script malveillant télécharge un runtime alternatif (Bun) pour échapper aux détections comportementales de Node.js, puis moissonne les identifiants et secrets des développeurs et des environnements CI/CD (npm, GitHub, AWS, GCP, Azure, Kubernetes, HashiCorp Vault). Plus de 57 paquets npm (dont le SDK serveur de Vapi ou des outils liés à l'IA) et des dizaines de paquets PyPI ont été infectés via des comptes de mainteneurs compromis, le ver republiant automatiquement de nouvelles versions vérolées en utilisant les jetons volés. Loi, société et organisation Restructuration chez Gitlab https://about.gitlab.com/blog/gitlab-act-2/ GitLab entame une restructuration majeure pour s'adapter à l'ère de l'intelligence artificielle agentique, incluant une réduction d'effectifs planifiée de manière transparente et ouverte. L'entreprise prévoit de réduire de 30 % le nombre de pays où elle maintient de petites équipes, d'aplatir sa hiérarchie en supprimant jusqu'à trois niveaux de gestion, et de réorganiser la R&D en une soixantaine d'équipes plus petites et autonomes. Les processus internes vont être revus en intégrant des agents d'IA pour automatiser les revues, les approbations et les passages de relais afin d'accélérer le rythme de travail. La stratégie repose sur la conviction que le logiciel sera bientôt écrit par des machines et dirigé par des humains, ce qui va multiplier la demande de logiciels et transformer le rôle des ingénieurs vers la résolution de problèmes complexes. Sur le plan technique, GitLab reconstruit son infrastructure sous-jacente (notamment Git) pour supporter la charge massive générée par les agents d'IA, tout en misant sur l'orchestration du cycle de vie, la centralisation du contexte des données et une gouvernance intégrée. Le modèle économique évolue vers un système hybride combinant les abonnements classiques et une tarification à la consommation pour le travail effectué par les agents d'IA. Un LLM local sur un mac pourrait coûter plus cher en électricité qu'un modèle hébergé sur OpenRouter dans le cloud https://www.williamangel.net/blog/2026/05/17/offline-llm-energy-use.html Conclusion : L'inférence locale sur Mac M5 Max est 3x plus chère et 2x plus lente que le cloud (OpenRouter). Électricité : Négligeable (~0,02 $/heure pour 50-100W). Matériel (Le vrai coût) : Achat du Mac à 4 299 $; l'amortissement sur 3 à 5 ans plombe la rentabilité horaire. Coût au million de tokens (Gemma 4 31b) : Mac M5 Max : 0,40 à4, 79 (pour 10-40 tokens/s). OpenRouter : 0,38 à0, 50 (pour 60-70 tokens/s). Verdict pro : Le temps humain perdu à cause de la lenteur locale coûte infiniment plus cher que les tokens cloud. Privilégier les API (Anthropic, OpenRouter). Ai didn't kill your junior pipeline https://andrewmurphy.io/blog/ai-didnt-kill-your-junior-pipeline-you-did L'IA n'a pas tué le recrutement des juniors, les entreprises l'ont fait elles-mêmes, par effet de mode. Sans juniors, pas de futurs seniors : on retire l'échelle qui nous a tous fait monter. Tout le monde pêche dans le même bassin de seniors sans le réapprovisionner, pénurie garantie dans 3-5 ans. Une équipe 100% senior + IA est fragile : un départ et tout le savoir tacite s'évapore. Les juniors posent les "pourquoi ?" qui révèlent les bugs et processus absurdes ; l'IA, elle, exécute sans questionner. Les seniors s'atrophient aussi en déléguant leur réflexion à l'IA, pince à double effet sur les compétences. Dépendre des outils IA, c'est sous-traiter sa stratégie talents à des fournisseurs dont les prix vont tripler. Solution : redéfinir le rôle junior (revue de code IA + mentorat), pas le supprimer. Les rapports internes de Microsoft révèlent la crise des coûts de l'IA : les agents coûtent plus cher que les employés humains https://fortune.com/2026/05/22/microsoft-ai-cost-problem-tokens-agents/ Des données et rapports internes chez Microsoft et d'autres géants de la tech ébranlent la promesse de rentabilité de l'IA, révélant que le déploiement d'agents autonomes à l'échelle de l'entreprise revient souvent plus cher que de payer des humains pour le même travail. Le modèle de tarification à l'usage (basé sur les tokens) se heurte à la nature même des architectures agentiques : contrairement à un simple chatbot, un agent boucle, enchaîne les appels d'outils, crée des sous-agents et auto-évalue son code, ce qui multiplie la consommation de tokens par un facteur de 5 à 30, voire jusqu'à 1 000 fois pour des tâches de programmation complexes. L'impact financier sur les budgets de calcul cloud est immédiat ; par exemple, Uber a entièrement épuisé l'intégralité de son budget annuel 2026 dédié au codage par IA en l'espace de seulement quatre mois. Face à cette explosion des coûts, des retours en arrière drastiques sont observés : Microsoft a ainsi commencé à suspendre une grande partie de ses licences internes Claude Code pour rediriger d'urgence ses milliers de développeurs vers sa propre solution moins onéreuse, GitHub Copilot CLI. Les directeurs techniques (CTO) et acheteurs de solutions logicielles qui ont signé des contrats pluriannuels basés sur des projections de réduction de masse salariale se retrouvent pris au piège, les gains réels de productivité ne parvenant pas à compenser les factures d'infrastructure exorbitantes. Conférences La liste des conférences provenant de Developers Conferences Agenda/List par Aurélie Vache et contributeurs : 11-12 juin 2026 : DevQuest Niort - Niort (France) 11-12 juin 2026 : DevLille 2026 - Lille (France) 12 juin 2026 : Tech F'Est 2026 - Nancy (France) 15 juin 2026 : Jupyter Workshops: Demystifying MyST Markdown in Education - Orsay (France) 16 juin 2026 : Mobilis In Mobile 2026 - Nantes (France) 17-19 juin 2026 : Devoxx Poland - Krakow (Poland) 17-20 juin 2026 : VivaTech - Paris (France) 18 juin 2026 : Tech'Work - Lyon (France) 22-26 juin 2026 : Galaxy Community Conference - Clermont-Ferrand (France) 23-24 juin 2026 : MWCP 2026 - Paris (France) 24-25 juin 2026 : Agi'Lille 2026 - Lille (France) 24-26 juin 2026 : BreizhCamp 2026 - Rennes (France) 26-27 juin 2026 : LeHACK - Paris (France) 27 juin 2026 : Asynconf - Paris (France) 2 juillet 2026 : Azur Tech Summer 2026 - Valbonne (France) 2 juillet 2026 : MCP Connect Travel Edition - Paris (France) 2-3 juillet 2026 : Sunny Tech - Montpellier (France) 3 juillet 2026 : Agile Lyon 2026 - Lyon (France) 6-8 juillet 2026 : Riviera Dev - Sophia Antipolis (France) 28-30 août 2026 : State of the Map - Champs-sur-Marne (France) 4 septembre 2026 : JUG Summer Camp 2026 - La Rochelle (France) 10-11 septembre 2026 : Nantes Craft - Nantes (France) 17 septembre 2026 : dotAI - Paris (France) 17-18 septembre 2026 : API Platform Conference 2026 - Lille (France) 18 septembre 2026 : WordCamp Bretagne - Rennes (France) 18 septembre 2026 : dotJS - Paris (France) 18 septembre 2026 : WordCamp Bretagne - Rennes (France) 22 septembre 2026 : Salon Data 2026 - Nantes (France) 22-23 septembre 2026 : Agile en Seine & IA 2026 - Paris (France) 24 septembre 2026 : OWASP AppSec Days France 2026 - Paris (France) 24 septembre 2026 : PlatformCon Paris - Paris (France) 24 septembre 2026 : React Native Connection 2026 - Paris (France) 24-26 septembre 2026 : Paris Web 2026 - Paris (France) 25 septembre 2026 : SAP Inside Track Paris 2026 - Paris (France) 28-29 septembre 2026 : 4th Tech Summit on AI & Robotics - Paris (France) & Online 1 octobre 2026 : WAX 2026 - Marseille (France) 1-2 octobre 2026 : Volcamp - Clermont-Ferrand (France) 2 octobre 2026 : DevFest Perros-Guirec 2026 - Perros-Guirec (France) 5-9 octobre 2026 : Devoxx Belgium - Antwerp (Belgium) 8-9 octobre 2026 : Forum PHP 2026 - Marne-la-Vallée (France) 12 octobre 2026 : Dev With AI - Paris (France) 22-23 octobre 2026 : Agile Tour Bordeaux 2026 - Bordeaux (France) 26 octobre 2026 : Agile Tour Montpellier - Montpellier (France) 27-29 octobre 2026 : Directions EMEA 2026 - Paris (France) 29-30 octobre 2026 : BDX I/O 2026 - Bordeaux (France) 29-30 octobre 2026 : Agile Tour Nantais 2026 - Nantes (France) 29 octobre 2026-1 novembre 2026 : Pycon FR - Biarritz (France) 30 octobre 2026 : Cloud Nord 2026 - Lille (France) 4-5 novembre 2026 : Devoxx Morocco - Casablanca (Morocco) 14-15 novembre 2026 : Capitole du Libre - Toulouse (France) 19 novembre 2026 : DevFest Toulouse 2026 - Toulouse (France) 19 novembre 2026 : Agile Laval 2026 - Laval (France) 19 novembre 2026 : OVHcloud Summit - Paris (France) 19 novembre 2026 : Codeurs en Seine - Rouen (France) 27 novembre 2026 : DevFest Paris 2026 - Paris (France) 1-3 décembre 2026 : Apidays Paris - Paris (France) 2-3 décembre 2026 : Cloud Native AI Summit Europe - Paris (France) 4 décembre 2026 : DevFest Lyon 2026 - Lyon (France) 4 décembre 2026 : DevFest Dijon 2026 - Dijon (France) 9-10 décembre 2026 : OpenSource Expérience - Paris (France) 9-10 décembre 2026 : DevOps REX - Paris (France) 10 décembre 2026 : KCD Provence - Aix-en-Provence (France) 7-9 avril 2027 : Devoxx France 2027 - Paris (France) 3 juin 2027 : Cloud Native Days France 2027 - Paris (France) Nous contacter Pour réagir à cet épisode, venez discuter sur le groupe Google https://groups.google.com/group/lescastcodeurs Contactez-nous via X/twitter https://twitter.com/lescastcodeurs ou Bluesky https://bsky.app/profile/lescastcodeurs.com Faire un crowdcast ou une crowdquestion Soutenez Les Cast Codeurs sur Patreon https://www.patreon.com/LesCastCodeurs Tous les épisodes et toutes les infos sur https://lescastcodeurs.com/

    Cardionerds
    455. The Long-Term Management Of Patients With Pulmonary Embolism with Dr. Soophia Naydenov

    Cardionerds

    Play Episode Listen Later Jun 21, 2026 19:12


    CardioNerds (Amit and Dan), Billy Joe Mullinax, and Saahil Jumkhawala discuss the long term management of pulmonary embolism with Dr. Soophia Naydenov.  The episode focuses on the approach to patients who struggle with persistent symptoms like dyspnea and fatigue even after completing the acute phase of anticoagulation. This spectrum of disease, ranging from mild post-PE impairment to chronic thromboembolic pulmonary hypertension (CTEPH), requires a structured follow-up. The discussion covers the critical importance of identifying CTEPH early, the necessary timelines for follow-up, and the appropriate objective screening tools and invasive testing to guide patient care toward full functional recovery. Audio editing by CardioNerds academy intern, Grace Qiu. Dr. Dinu Balanescu and Dr. Billy-Joe Mullinax are Co-chairs for the CardioNerds PE Series, developed in collaboration with the PERT Consortium.   Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Pulmonary Embolism PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Acronyms PE: Pulmonary Embolism PERT: Pulmonary Embolism Response Team CTEPH: Chronic Thromboembolic Pulmonary Hypertension QL: Quality of Life VTE: Venous Thromboembolism DASH: D-dimer, Age, Sex, History of non-provoked PE (a risk score) CPET: Cardiopulmonary Exercise Testing PFTs: Pulmonary Function Tests VQ Scan: Ventilation-Perfusion Scan DOACs: Direct Oral Anticoagulants TPA: Tissue Plasminogen Activator (Thrombolytics) ECMO: Extracorporeal Membrane Oxygenation Pearls: Post-PE “Syndrome” is a Spectrum: It is more accurately a spectrum of disease (sequelae of PE) rather than a single syndrome, ranging from mild fatigue/dyspnea to the most severe form, CTEPH. Structured Follow-up is Mandatory: All PE survivors need a structured follow-up, typically with checkpoints at 3, 6, 12, and 16–24 months, with the primary goal being to detect CTEPH, the deadliest, yet potentially curable, disease on the spectrum. Screening Should Be Objective and Practical: When screening for persistent symptoms, use objective assessment tools like the Post-VTE Functional Status (PVFS) scale or the Modified Medical Research Council (MMR-C) scale, as highly comprehensive but cumbersome tools (like the PE Quality of Life questionnaire) may not be practical for routine clinical use. Recurrence Risk Scores Aid in Anticoagulation Duration: Simple scores like the DASH score or the HERDO2 score (for women) can provide guidance when considering the continuation versus discontinuation of anticoagulation after the initial treatment phase. Invasive Testing for Persistent Symptoms: If a patient remains symptomatic at the 6-month mark despite normal non-invasive testing (chest X-ray, ECG, PFTs, six-minute walk, echo, VQ scan, CPET), consider invasive testing such as Right Heart Catheterization (RHC) at rest or with exercise, or an invasive CPET. Notes: Notes drafted by Saahil Jumkhawala. 1. The Spectrum of Post-PE Disease The term “post-PE syndrome” should be used with caution, as it refers to a spectrum of disease rather than a single entity. This spectrum includes symptoms (sequelae) that exist in a patient’s life following an incidental PE event that they did not have before. On one extreme is Chronic Thromboembolic Pulmonary Hypertension (CTEPH): The definition is clear, but it is the most deadly type, though thankfully rare (2% to 4%). It involves a residual clot and pulmonary hypertension identifiable at rest. In the middle is Chronic Thromboembolic Disease (CTED): Patients may have residual defects seen on a VQ or CT scan, but they do not have pulmonary hypertension. On the other side is a milder disease, which can include fatigue, dyspnea, or a patient’s perceived impairment, where the definitions of CTEPH and CTED are not met, but the patient remains symptomatic. 2. Structured Follow-up and Screening for Post-PE Symptoms Structured follow-up is key for all PE survivors, though the structure may vary based on available resources (PCP, Cardiology, Pulmonary, or multidisciplinary clinic). Recommended Timeline for Follow-up: Data from studies like ELOPE and FOCUS suggest checkpoints at 3, 6, 12, and up to 16 to 24 months. This timeline is designed to identify patients who may develop CTEPH. 88% of patients who develop CTEPH will be identified within about a year. A structured follow-up can reduce the delay in CTEPH diagnosis from 10–12 months to 4–6 months. Personal Practice Note: A quick 2–3 week/30-day check-in is recommended for severely ill patients (e.g., those who had TPA, profound shock, or ECMO support) to ensure medication compliance, manage symptoms, and identify red flags. Screening Tools (Objective Assessment): The first step is an inventory of patient symptoms, leaning toward objective rather than subjective assessment. Recommended Simple Tools: Modified Medical Research Council (MMR-C) for dyspnea evaluation. Post-VTE Functional Status (PVFS) scale. The Pulmonary Embolism Quality of Life (QL) questionnaire is comprehensive but long, making it tedious and better suited for research. Future Utility: Technology (AI/electronic tools) may assist in administering these questionnaires before the clinic visit, presenting the information as a “dashboard” for the provider. 3. Management of Persistent Symptoms and Further Testing Initial Non-Invasive Tests (Often done at 3 months): Echocardiogram VQ Scan Full PFTs Six-minute walk CPET Further Evaluation for Persistent Symptoms (e.g., at 6 months): If non-invasive tests (Chest X-ray, ECG, CPET) are normal but symptoms persist, more invasive testing should be considered as the patient has not returned to baseline. Repeat VQ scan or echocardiogram if symptoms have changed. Right Heart Catheterization (RHC) at rest or with exercise. Invasive CPET. PA gram (Pulmonary Angiogram) to assess vasculature. 4. Recurrence Risk and Anticoagulation Duration The decision to continue or discontinue anticoagulation depends on the patient’s risk factors, the situation of the PE (provoked or unprovoked), presence of active cancer, and patient preference. Recurrence Risk Scores: Simple scores are preferred for practicality. DASH Score. HERDO2 Score (particularly for women). The Vienna Score can be considered if the question is whether to restart anticoagulation after a disruption. Role of D-dimer in Abbreviation: While D-dimer can be used to guide the decision to restart anticoagulation after a planned pause (if D-dimer is high, resume), patient symptoms are preferable to guide management decisions like early abbreviation. 5. Prevention of Post-PE Syndrome Currently, there is no clear tool known to prevent the post-PE syndrome/spectrum of disease. Best Current Advice for Prevention/Recovery: Anticoagulation compliance. Pulmonary rehabilitation, which aids in faster recovery. General precautions, such as smoking cessation and body weight management. Future Research: Ongoing trials are investigating whether acute management strategies (e.g., using thrombolytics in intermediate-risk PE) can prevent long-term sequelae. (The PYTHO trial did not show a reduced rate of CTEPH in intermediate-risk PE patients who received thrombolytics). References: Khan, F., Tritschler, T., Kahn, S. R., & Rodger, M. A. “Venous Thromboembolism.” The Lancet, vol. 398, no. 10294, 2021, pp. 64-77. doi:10.1016/S0140-6736(20)32658-1. Kearon, C., & Kahn, S. R. “Long-Term Treatment of Venous Thromboembolism.” Blood, vol. 135, no. 5, 2020, pp. 317-325. doi:10.1182/blood.2019002364. Kahn, S. R., & de Wit, K. “Pulmonary Embolism.” The New England Journal of Medicine, vol. 387, no. 1, 2022, pp. 45-57. doi:10.1056/NEJMcp2116489. Di Nisio, M., van Es, N., & Büller, H. R. “Deep Vein Thrombosis and Pulmonary Embolism.” The Lancet, vol. 388, no. 10063, 2016, pp. 3060-3073. doi:10.1016/S0140-6736(16)30514-1. Chopard, R., Albertsen, I. E., & Piazza, G. “Diagnosis and Treatment of Lower Extremity Venous Thromboembolism: A Review.” JAMA, vol. 324, no. 17, 2020, pp. 1765-1776. doi:10.1001/jama.2020.17272.

    HealthyGamerGG
    The Most Misdiagnosed Condition In Mental Health (Cognitive Disengagement Syndrome)

    HealthyGamerGG

    Play Episode Listen Later Jun 20, 2026 24:10


    In this episode, Dr. K dives into Cognitive Disengagement Syndrome (CDS), a condition formerly known as Sluggish Cognitive Tempo that is frequently misdiagnosed as ADHD. He explains why people with CDS experience an "internal drifting" and a profound lack of motivation, breaking down the physiological differences that make traditional ADHD treatments less effective for this specific group. What to expect in this episode: The ADHD Misdiagnosis: An exploration of why CDS is often mistaken for ADHD due to surface-level similarities in focus, despite the two conditions having completely opposite internal mechanisms. Internalized vs. Externalized Distraction: A breakdown of how the ADHD mind is pulled away by external stimuli like birds or movement, while the CDS mind "drifts" away into daydreaming and internal fog. The Hypoactivity Block: Understanding why CDS is characterized by hypoactivity—a basic motivational block that makes it physically difficult to get out of bed or initiate movement—rather than the restlessness of ADHD. The "Leash" vs. the "Yank": Why common stimulants like methylphenidate, which strengthen the brain's "brakes," often fail for CDS patients who instead need treatments that activate a sluggish mind. Social Spaciness and Anxiety: How high levels of internalization lead to intense feelings of anxiety and social difficulties, often causing people with CDS to be mislabeled as being on the autism spectrum. Functional Adrenal Insufficiency: A look at how chronically elevated stress and a flat cortisol rhythm leave people with CDS feeling "frayed" and unable to respond to the challenges of daily life. Restoring the Cortisol Rhythm: Practical protocols for "dawn-to-dusk" sleep hygiene and robust aerobic exercise designed to force the physiological energy spikes and crashes necessary for recovery. Bastrika Pranayam (Bellows Breath): A technical walkthrough of a rapid, diaphragmatic breathing practice used to energize and revitalize sluggish internal energy levels. The Uphill Climb of Reconditioning: Why starting the recovery process feels like a difficult "uphill battle" and how to navigate the discomfort of reconditioning a deconditioned brain. Dr. K's NEW Guide to Love, Sex, & Relationships is here! Order now: https://bit.ly/4dO3x0VHG Coaching : https://bit.ly/46bIkdo Dr. K's Guide to Mental Health: https://bit.ly/44z3SztHG Memberships : https://bit.ly/3TNoMVf Products & Services : https://bit.ly/44kz7x0 HealthyGamer.GG: https://bit.ly/3ZOopgQ Learn more about your ad choices. Visit megaphone.fm/adchoices

    Métamorphose, le podcast qui éveille la conscience
    Syndrome du sauveur : pourquoi on s'oublie à vouloir sauver les autres, avec la psy Hélène Vecchiali #200

    Métamorphose, le podcast qui éveille la conscience

    Play Episode Listen Later Jun 20, 2026 64:40


    Anne Ghesquière reçoit Hélène Vecchiali, psychanalyste, coach et auteure. Pourquoi certaines personnes se sentent-elles responsables du bonheur, des émotions ou même de la survie psychique de ceux qu'elles aiment ? Comment distinguer l'altruisme sain du besoin compulsif de sauver ? Pourquoi cette dynamique est-elle souvent vouée à l'échec ? Et surtout, comment apprendre enfin à se sauver soi-même ? À travers son expérience clinique, Hélène Vecchiali nous invite à explorer les mécanismes profonds du syndrome du sauveur, ces personnalités qui donnent énormément jusqu'à parfois s'oublier elles-mêmes. Elle éclaire les racines de cette posture souvent ancrée dans l'enfance. Une conversation profonde et éclairante sur nos blessures invisibles, nos besoins d'amour et la possibilité de construire des relations plus justes et réciproques. Son livre, La tragédie des sauveurs : ou le besoin ardent d'être aimé, est publié chez Marabout. [SÉLECTION WEEK-END – MÉTAMORPHOSE] L'épisode #475 a été diffusé pour la première fois le 25 mars 2024.Quelques citations du podcast avec Hélène Vecchiali : "On est dans le thème des sauveurs quand il s'agit d'un sauvetage psychologique qui dure longtemps.""Il y a un traumatisme qui est bien plus sournois, c'est le traumatisme du non-advenu. C'est-à-dire ce qu'on était en droit d'avoir, mais qu'on n'a pas eu.""Les sauveurs sont la proie idéale des pervers narcissiques parce que ce sont souvent des belles personnes, rayonnantes, qui ont le goût du bonheur et qui veulent sauver."Recevez chaque semaine l'inspirante newsletter Métamorphose par Anne GhesquièreDécouvrez Objectif Métamorphose, notre programme en 12 étapes pour partir à la rencontre de soi-même.Suivez nos RS : Insta, Facebook et TikTokAbonnez-vous sur Apple Podcasts / Spotify / Deezer / Castbox / YouTubeSoutenez Métamorphose en rejoignant la Tribu MétamorphoseThèmes abordés lors du podcast avec Hélène Vecchiali :00:00Introduction01:30L'invitée, Hélène Vecchiali 03:39Le syndrome du sauveur : une tragédie 07:29Le portrait robot du sauveur17:48Passer de sauveur compulsif à aidant sain25:40La dette abyssale du sauvé32:06Les blessures à l'origine 47:39Qu'est-ce qu'être soi ? 50:54La proie des pervers narcissiques56:50Comment sortir de la posture de sauveur ? Avant-propos et précautions à l'écoute du podcast Photo DR Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

    Fertility Friday Radio | Fertility Awareness for Pregnancy and Hormone-free birth control
    FFP 631 | Are You Really Ovulating? | Luteinized Unruptured Follicle Syndrome (LUFS)

    Fertility Friday Radio | Fertility Awareness for Pregnancy and Hormone-free birth control

    Play Episode Listen Later Jun 19, 2026 19:25


    In episode 631, Lisa explores luteinized unruptured follicle syndrome (LUFS) — a lesser-known ovulatory dysfunction in which the dominant follicle fails to rupture and release the egg despite a normal-appearing LH surge and progesterone rise. Because LUFS can mimic a textbook ovulatory cycle on a fertility awareness chart, it represents one of the more challenging silent contributors to unexplained infertility that practitioners may encounter in clinical practice. This episode offers fertility awareness practitioners essential clinical context for supporting clients with apparently ovulatory charts who continue to face unexplained fertility challenges. Follow this link to view the full show notes page! This episode is sponsored by Lisa's new book Real Food for Fertility, co-authored with Lily Nichols! Grab your copy here! Would you prefer to listen to the audiobook version of Real Food for Fertility instead?

    Equine Energy Medicine
    E: 104 Fecal Water Syndrome: Your Horse's Hind End Isn't the Real Problem

    Equine Energy Medicine

    Play Episode Listen Later Jun 19, 2026 14:20


    Send Audrey a Text to get your question answered on the showYour horse has had fecal water for months. You've tried the probiotics. You've added the gut supplements. You've done the paste. You switched hay. You called your vet. And every single time, you get some version of the same answer: it's probably stress, or maybe ulcers, or just how some horses are.And meanwhile your horse is standing there with stained legs, and you are standing there with an empty wallet and zero answers.Here's what I want to tell you today: the problem probably isn't your horse's gut. And it's definitely not your hay. The problem is that everyone — including well-meaning professionals — has been looking at the wrong end of the horse. Minerals and Metals Mane Test: https://equine-energy-medicine.myshopify.com/products/minerals-and-metals-mane-test?variant=51330892300592Find all the Resource Listed Here: linktr.ee/equineenergymedAudrey is not an MD or DVM and has never implied or claimed to be either. Audrey holds a Doctoral Degree of Traditional Naturopathy and a Masters Degree in Science. She created an evidenced-based anti-inflammatory nutrition program for equine and has successfully helped over 10k horses. This information is not meant to diagnose, prescribe for, treat, or cure, and is not a replacement for your veterinarian.  These are my personal interpretations based on my education, skill and experience. Equine Energy Medicine refers to non-invasive, supportive modalities focused on energetic balance, nutrition, and overall well-being, and does not replace veterinary care.

    True Healing with Robert Morse ND
    Dr. Morse Q&A - Tinnitus - Depression - Bloating - Aicardi-Goutières syndrome (AGS) - and More #857

    True Healing with Robert Morse ND

    Play Episode Listen Later Jun 18, 2026 95:45


    To have Dr. Morse answer a question, visit: https://drmorses.tv/ask/ All of Dr. Morse's and his son's websites under one roof: https://handcrafted.health/ Facebook Page: https://www.facebook.com/handcrafted.health 00:00:00 - Intro - Mangoes - Comfrey - Spirituality  00:14:13 - Benign Parotid Tumor (Left) - Trigeminal Neuralgia - Food Cravings - Diet Question  00:27:45 - Tinnitus - Brittle nails - Canker sores - Depression - Anxiety 01:12:22 - Bloating - Gas - Erratic fast Heart Rate 01:23:30 - Aicardi-Goutières syndrome (AGS) 00:14:13 - Benign Parotid Tumor (Left) - Trigeminal Neuralgia - Food Cravings - Diet Question  Question from previous eye pictures analysis on Q&A #856 00:27:45 - Tinnitus - Brittle nails - Canker sores - Depression - Anxiety I've had persistent ringing in my left ear for about 4 years.  01:12:22 - Bloating - Gas - Erratic fast Heart Rate I have a huge buildup of gas, causing my heart to go very fast and out of rhythm. 01:23:30 - Aicardi-Goutières syndrome (AGS) I wanted to ask about my baby who has Aicardi-Goutiéres syndrome.

    Talking Pools Podcast
    Natural Pools, Cheap Customers, and Main Character Syndrome

    Talking Pools Podcast

    Play Episode Listen Later Jun 18, 2026 51:03 Transcription Available


    Send us Fan MailIn this Thursday edition of Talking Pools, hosts Steve Sherwood and Wayne Ivusich dive into the realities of running a successful pool service company. From referral programs and pricing challenges to difficult customer interactions and the importance of building relationships with manufacturer representatives, this episode offers practical business advice for pool professionals. The conversation also includes an insurance-focused discussion on the growing topic of natural swimming pools and the unique risks they present. Topics CoveredWhy Referrals Are Still the Best Marketing ToolSteve explains why customer referrals continue to be one of the most effective ways to grow a pool service business. Rather than chasing online reviews or discount programs, he discusses building trust with existing clients and rewarding long-term customer relationships. The Reality of Pool Service PricingNot all pool companies charge the same rates. Steve shares a real-world example of a prospective client comparing prices and why competing solely on price often creates problems. The discussion highlights the importance of communicating value, professionalism, reliability, and service quality. Managing Difficult Customer ExpectationsFrom emergency requests to customers demanding specific service times, the hosts discuss how setting boundaries and maintaining clear expectations protects both the customer and the service company. They explain why not every client is the right fit for every business. Commercial vs Residential Pool CustomersWhy are commercial clients often easier to work with than residential customers? Steve shares his perspective on dealing with engineering departments, facility managers, and property owners versus individual homeowners with highly specific expectations. Insurance Interlude with Pat GranonCan Natural Swimming Pools Be Insured?Pat Granon from the California Pool Association joins the show to discuss insurance considerations surrounding natural swimming pools. The conversation explores whether natural pools are classified as pools for insurance purposes and what coverage options may be necessary for companies servicing them. Additional Risks of Natural PoolsThe discussion examines concerns involving: Communicable disease exposure  Pollution liability  Professional liability risks  Biological filtration systems  Potential legal exposure from waterborne illnesses Pat explains why standard general liability coverage may not always be enough and discusses additional policy options that service companies should consider when working with natural swimming pools. Is a Natural Pool Really a Pool?The hosts debate where natural pools fit within the industry and whether maintaining biology instead of traditional water chemistry creates a fundamentally different risk profile for operators and service providers.  Support the showThank you so much for listening! You can find us on social media:FacebookInstagramTik TokEmail us: talkingpools@gmail.com

    Conquering Your Fibromyalgia Podcast
    Navigating the New 2025 Guidelines: A Parents Guide to Cyclical Vomiting Syndrome

    Conquering Your Fibromyalgia Podcast

    Play Episode Listen Later Jun 18, 2026 31:29


    Text Dr. Lenz any feedback or questions 2025 Pediatric Cyclic Vomiting Syndrome (CVS) Guidelines: A Brain–Gut, Migraine-Based Action PlanThe script explains updated 2025 guidelines for pediatric cyclic vomiting syndrome (CVS), framing CVS as a disorder of gut–brain interaction and a “migraine equivalent,” with up to 82% of affected children having personal or family migraine history, shifting treatment focus to the central nervous system. It highlights links to nociplastic pain/central sensitization and higher rates of neurodivergence (ADHD, autism), supporting a holistic biopsychosocial approach and trigger management, especially consistent sleep. Key terminology (abortive vs prophylactic therapy, strong vs conditional recommendations) is clarified. The only strong recommendation is early abortive anti-migraine therapy (triptans like sumatriptan or high-dose NSAIDs like ibuprofen) during prodrome; conditional options include aprepitant, ondansetron, and early IV rehydration. Prevention starts with lifestyle and supplements (riboflavin, CoQ10), then escalates to propranolol, cyproheptadine, or amitriptyline; topiramate is generally avoided unless others fail. The guidelines address catamenial and “calendar time” CVS, distinguish CVS from cannabinoid hyperemesis syndrome via six months of cannabis cessation, and emphasize creating a written green/yellow/red CVS action plan for home, school, and emergency care.00:00 Lost in the Fog01:56 CVS as Brain Gut Disorder04:19 Migraine Link Explained06:13 Nociplastic Pain and Sensitization08:48 Neurodivergence Connection10:50 Guideline Terms Decoded13:26 Abortive Rescue Plan17:18 Preventing Future Episodes22:05 Special Subtypes and CHS24:08 Action Plan Zones26:04 Holistic Approach and Wrap UpClick here for the YouTube Channel  Click here for the YouTube channel Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope.  If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...

    Keeping Current
    Navigating the Management of Alagille Syndrome Using Ileal Bile Acid Transporter (IBAT) Inhibitors

    Keeping Current

    Play Episode Listen Later Jun 17, 2026 21:55


    Which patients with Alagille syndrome benefit from IBAT inhibitors, and what should you watch for during therapy? Credit available for this activity expires: 6/16/27 Earn Credit / Learning Objectives & Disclosures:  https://www.medscape.org/viewarticle/navigating-management-alagille-syndrome-using-ileal-bile-2026a1000g3c?ecd=bdc_podcast_libsyn_mscpedu

    The Medbullets Step 2 & 3 Podcast
    Gastrointestinal | Dumping Syndrome

    The Medbullets Step 2 & 3 Podcast

    Play Episode Listen Later Jun 16, 2026 11:48


    In this episode, we review the high-yield topic of ⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Dumping Syndrome⁠⁠⁠⁠ from the Gastrointestinal section at ⁠⁠⁠⁠Medbullets.com⁠⁠⁠⁠⁠⁠Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets

    Mandy Connell
    06-16-26 FULL SHOW - Our Gold Standard Elections Are Fool's Gold

    Mandy Connell

    Play Episode Listen Later Jun 16, 2026 98:08 Transcription Available


    Mandy Connell's latest episode is a wild ride, tackling everything from the "goblintimacy" dating trend to the US funding of biological research in Ukraine. The conversation starts with a humorous take on dating, where Mandy shares her thoughts on the idea of showing up on a first date as your "real goblin self." She also dives into the world of politics, discussing the recent controversy surrounding Denver Public Schools Superintendent Alex Marrero and the potential implications of his departure. The episode also covers some serious topics, including the rise of Anti-Semitism in Boulder, Colorado, and the importance of teaching children about the Holocaust. Mandy shares a disturbing story about a student who was subjected to anti-Semitic bullying in a Boulder Valley school, and the lack of action taken by the school district. She also discusses the recent FBI bust of an alleged attack on the White House, which was motivated by anti-Semitic views. In addition to these serious topics, the episode touches on some lighter subjects, such as the importance of weightlifting for longevity and the benefits of combining aerobic exercise with resistance training. Mandy also shares a fascinating story about a study that found that lifting weights can reduce the risk of dying prematurely from any cause, including heart disease and neurological diseases. The most egregious ballot situation comes from my friend Jon Caldara, whose delightful adult son Chance is the life of the party, but he does have Down’s Syndrome so he’s never registered to vote. But guess who got mailed a ballot?See omnystudio.com/listener for privacy information.

    Mandy Connell
    06-16-26 Interview - Jon Caldara - When Someone Says "This is the Best" Buyer Beware

    Mandy Connell

    Play Episode Listen Later Jun 16, 2026 21:41 Transcription Available


    WHEN SOMEONE SAYS “THIS IS THE BEST” BUYER BEWARE For instance, the phrase “gold standard” is often used by those in charge of our entirely mail in ballot system here in Colorado. Democrats say things like “Colorado is a national role model for safe, secure and accessible elections,” But are we really? The most egregious ballot situation comes from my friend Jon Caldara, whose delightful adult son Chance is the life of the party, but he does have Down’s Syndrome so he’s never registered to vote. But guess who got mailed a ballot? I’ve got Jon on at 2:30 to talk about this ridiculous system.See omnystudio.com/listener for privacy information.

    Empowered Patient Podcast
    Accelerating Drug Development for Rare Kleefstra Syndrome with Geoff Rhyne IDefine

    Empowered Patient Podcast

    Play Episode Listen Later Jun 16, 2026 22:47


    Geoff Rhyne, Co-Founder and CEO of IDefine, discusses the mission to advance research into Kleefstra syndrome, a rare genetic disorder, and to find a treatment where there is currently none. This organization of parents of children with KS is advocating for broader genetic sequencing to identify KS patients and differentiate the condition from other possible diagnoses, such as autism. Their research strategy is to first build the necessary infrastructure, including real-world data, model systems, and clinical guidelines, to de-risk the process for researchers and directly fund drug development. Geoff explains, "We're dedicated to advancing research, building community, and driving progress for Kleefstra syndrome. And the inspiration behind it is that a bunch of parents had impacted children. And, namely, for me, my daughter Ella received her diagnosis on February 26th, 2019. You asked a rare disease parent. Their diagnosis day and odds are they'll be able to rattle off pretty quickly because it is life-altering and changing. And once we looked around the landscape of Kleefstra syndrome and what was being done, we identified a need. And so a group of other parents and I came together and founded the organization in 2020."   "KS is one of these rare genetic disorders, and it affects brain development and basically every aspect of a child's life. And it could encompass developmental delays, feature delays, seizures, kidney issues, and cascading other conditions. So what happens with KS is that when you get the diagnosis, folks have often gone on a diagnostic odyssey. It's very rare that folks are being identified early on. And so we're part of that cohort that believes there are many more patients out there with KS, but the diagnostic odyssey is a real challenge. And so we typically will see kids receiving their diagnosis from three years to we've had someone diagnosed at 40 before, which is just a crazy experience as you can imagine." #IDefine #KleefstraSyndrome #EHMT1 #RareDisease #RareDiseaseResearch #NeurodevelopmentalDisorders #GeneticDisorders #PatientAdvocacy #CaregiverSupport #FamilyLedResearch #RareDiseaseCommunity #PrecisionMedicine #Genomics #MedicalResearch #ClinicalResearch #TranslationalResearch #DiagnosticJourney #PatientSupport #ResearchFunding #InclusiveCare #PatientVoices #RareDiseaseAwareness IDefine.org Download the transcript here

    Empowered Patient Podcast
    Accelerating Drug Development for Rare Kleefstra Syndrome with Geoff Rhyne IDefine TRANSCRIPT

    Empowered Patient Podcast

    Play Episode Listen Later Jun 16, 2026


    Geoff Rhyne, Co-Founder and CEO of IDefine, discusses the mission to advance research into Kleefstra syndrome, a rare genetic disorder, and to find a treatment where there is currently none. This organization of parents of children with KS is advocating for broader genetic sequencing to identify KS patients and differentiate the condition from other possible diagnoses, such as autism. Their research strategy is to first build the necessary infrastructure, including real-world data, model systems, and clinical guidelines, to de-risk the process for researchers and directly fund drug development. Geoff explains, "We're dedicated to advancing research, building community, and driving progress for Kleefstra syndrome. And the inspiration behind it is that a bunch of parents had impacted children. And, namely, for me, my daughter Ella received her diagnosis on February 26th, 2019. You asked a rare disease parent. Their diagnosis day and odds are they'll be able to rattle off pretty quickly because it is life-altering and changing. And once we looked around the landscape of Kleefstra syndrome and what was being done, we identified a need. And so a group of other parents and I came together and founded the organization in 2020."   "KS is one of these rare genetic disorders, and it affects brain development and basically every aspect of a child's life. And it could encompass developmental delays, feature delays, seizures, kidney issues, and cascading other conditions. So what happens with KS is that when you get the diagnosis, folks have often gone on a diagnostic odyssey. It's very rare that folks are being identified early on. And so we're part of that cohort that believes there are many more patients out there with KS, but the diagnostic odyssey is a real challenge. And so we typically will see kids receiving their diagnosis from three years to we've had someone diagnosed at 40 before, which is just a crazy experience as you can imagine." #IDefine #KleefstraSyndrome #EHMT1 #RareDisease #RareDiseaseResearch #NeurodevelopmentalDisorders #GeneticDisorders #PatientAdvocacy #CaregiverSupport #FamilyLedResearch #RareDiseaseCommunity #PrecisionMedicine #Genomics #MedicalResearch #ClinicalResearch #TranslationalResearch #DiagnosticJourney #PatientSupport #ResearchFunding #InclusiveCare #PatientVoices #RareDiseaseAwareness IDefine.org Listen to the podcast here  

    RealAgriculture's Podcasts
    Corn row syndrome, trouble making hay & Canada's food security strategy | RealAg Radio June 15, 2026

    RealAgriculture's Podcasts

    Play Episode Listen Later Jun 15, 2026 54:30


    Welcome to this Monday edition of RealAg Radio with host Lyndsey Smith! On today's show, Kelvin Heppner speaks with federal Agriculture Minister Heath MacDonald about the Carney government's new food security strategy, Jim Vanette of Bourgault joins for a spotlight interview, and Peter Johnson stops by for Agronomic Monday to discuss weather challenges, stripe rust,... Read More

    RealAg Radio
    Corn row syndrome, trouble making hay & Canada's food security strategy | RealAg Radio June 15, 2026

    RealAg Radio

    Play Episode Listen Later Jun 15, 2026 54:30


    Welcome to this Monday edition of RealAg Radio with host Lyndsey Smith! On today's show, Kelvin Heppner speaks with federal Agriculture Minister Heath MacDonald about the Carney government's new food security strategy, Jim Vanette of Bourgault joins for a spotlight interview, and Peter Johnson stops by for Agronomic Monday to discuss weather challenges, stripe rust,... Read More

    The Aubrey Masango Show
    Medical Matters: Unpacking Werner Syndrome

    The Aubrey Masango Show

    Play Episode Listen Later Jun 15, 2026 41:12 Transcription Available


    Aubrey Masango speaks to Dr Donald Gumede, a general practitioner, to unpack the science of Werner Syndrome. They further explore how awareness, early diagnosis, and compassion can change outcomes for patients and their families. You’re listening to The Aubrey Masango Show with Aubrey Masango, where real conversations meet expert insights – from politics, to life, personal finance, and more. Catch the show live on 702 weekdays from 8 pm to midnight, or on CapeTalk from 8 pm to 9 pm (South African time) Thanks for listening. Find more from the show and catch-up podcasts on Primedia+ and subscribe to the 702 newsletters for more. Keep the conversation going online: 702 on Facebook: https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/Radio702 702 on YouTube: https://www.youtube.com/@radio702 CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/capetalkza/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.

    The Anxiety Coaches Podcast
    1254: When The Blood Pressure Cuff Becomes The Stress: White Coat Syndrome And Blood Pressure Anxiety

    The Anxiety Coaches Podcast

    Play Episode Listen Later Jun 14, 2026 21:14


    In today's episode, Gina discusses health anxiety, especially in the context of the dreaded blood pressure reading at the doctor's office. It is important to remember that the blood pressure reading is simply information and the machine and entire process are not in themselves harmful, though they can be uncomfortable. Listen in for practical tips on how to disrupt the anxiety cycle that can form around blood pressure and other medical testing and start to feel more calm!Stillpoint Fridays is my once-a-week Friday note — a slower, more personal reflection that's different from what I share on the podcast.If you'd like a quiet place to land as the week winds down, you can join here: http://eepurl.com/bR2F9P or on our website anxietycoachespodcast.com and sign up for the newsletter.Please visit our Sponsor Page to find all the links and codes for our awesome sponsors! https://www.theanxietycoachespodcast.com/sponsors/Website https://www.theanxietycoachespodcast.comJoin our community Group Coaching Join our Group Coaching Full or Mini Membership Program1:1 Coaching Learn more about our One-on-One CoachingIf you prefer to listen AD-FREE, try our Supercast premium access membership:Learn more about anxiety What is anxiety?Free Guided Meditation for Calming Your Anxious Mind 10-Minute Body-Scan Meditation for AnxietyQuote:Nothing in life is to be feared, it is only to be understood.-Marie CurieChapters0:27 White Coat Anxiety3:58 What It Really Means7:12 Breaking the Checking Loop9:01 Numbers Aren't Judgments11:49 Calm Before the Reading14:50 Stop Chasing Perfect Numbers16:46 Anxiety Before Appointments18:54 Kindness Over FearSummaryIn this episode we talk about white coat syndrome and the anxiety many people feel around medical appointments, blood pressure checks, and now also home monitoring. We explain that the nervous system can react with dread, stress, or panic before a reading even begins, and that this response is common and not a sign of weakness.We look at how medical settings, the cuff, the numbers, and the waiting itself can become linked with danger through repeated fear and anticipation. We also discuss how home monitoring can sometimes extend the stress beyond the doctor's office, turning what is meant to be useful information into an ongoing cycle of checking and distress.We then focus on the anxiety loop that can form around blood pressure readings. Repeated checking may feel reassuring for a moment, but it often strengthens fear over time. We note that some people also have true hypertension, and that the goal is not to ignore medical care, but to reduce the tendency to treat every reading as an emergency or a judgment.We offer practical ways to interrupt the cycle, including treating readings as information rather than a life-or-death event, preparing the nervous system before appointments with breathing, movement, prayer, or other calming practices, and avoiding repeated checks beyond what a physician recommends. We also encourage people to notice the meaning they attach to sensations, allow uncertainty, and return attention to the present moment instead of imagining worst-case outcomes.We close by reminding listeners that the body is not the enemy and that calm can be practiced gradually. The episode ends with a message of self-kindness and a quote about understanding rather than fearing life.#Anxiety #WhiteCoatSyndrome #BloodPressureAnxiety #HealthAnxiety #MedicalAnxiety #NervousSystem #StressCycle #PanicAttacks #ReassuranceSeeking #SelfAdvocacy #Mindfulness #BreathingExercises #Relaxation #CopingStrategies #ChronicAnxiety #AnticipationAnxiety #MedicalTrauma #HighBloodPressure #Hypertension #MentalHealth #EmotionalWellness #SelfCare #Compassion #GinaRyan #AnxietyCoachesPodcast #DoctorAppointments #MedicalPhobia #HealthMonitoring #FightOrFlight #HeartPalpitations #AdrenalineRush #SomaticSymptoms #CompulsiveChecking #UncertaintyTolerance #SelfSoothing #NervousSystemRegulation #MedicalGaslighting #PatientAdvocacy #SensoryProcessing #TraumaRespons #ACPSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

    Do you really know?
    What is shy bladder syndrome?

    Do you really know?

    Play Episode Listen Later Jun 14, 2026 5:26


    Today, we're going to talk about a condition that affects millions of people around the world, but is rarely discussed openly. It's called shy bladder syndrome, or paruresis, and it's a type of social anxiety disorder that makes it difficult or impossible to pee in public restrooms or with people nearby. This happens when people are psychologically blocked, which tightens the sphincters - muscles that control the opening and closing of the bladder outlet. It refers to both a minor passing discomfort and an extreme situation that literally prevents a person from relieving themselves when not alone or not in private restrooms.  How common of a condition is it? Is it the fear of being seen or heard that causes this disorder? What can be done to address these blockages? In under 3 minutes, we answer your questions! To listen to the last episodes, you can click here : ⁠⁠How can I reduce my belly fat?⁠⁠ ⁠⁠What are the health benefits of algae?⁠⁠ ⁠⁠Why do people say that black cats bring bad luck?⁠⁠ A podcast written and realised by Joseph Chance. First Broadcast: 5/8/2023 Learn more about your ad choices. Visit megaphone.fm/adchoices

    Pacific Coast Church's Podcast
    Main Character Syndrome

    Pacific Coast Church's Podcast

    Play Episode Listen Later Jun 14, 2026 45:21


    June 14, 2026Pastor Marc HughesSeries: UnstoppableHow to Stay Humble and Keep God FirstActs 13:44-45, 14:1-18

    On Point
    Is ‘eldest daughter syndrome' real?

    On Point

    Play Episode Listen Later Jun 12, 2026 38:20


    Eldest daughters have a reputation for being Type A and bossy. But they can also do emotional heavy lifting in families. What does science say about how birth order influences our personalities? *** Thank you for listening. Help power On Point by making a donation here: wbur.org/giveonpoint

    Never Ever Give Up Hope
    How to Have Hope When There is No Hope

    Never Ever Give Up Hope

    Play Episode Listen Later Jun 12, 2026 32:49


    Dorsey Ross' birth was a surprise. Dorsey's parents were in their forties, had two grown daughters, and were considered past child-bearing age. When Dorsey was born, the doctors believed he wouldn't survive due to his life-threatening disability.    Dorsey was born on January 16th, 1977, with a congenital disability known as Apert's Syndrome. His forehead was pushed outward, his nose and mouth were pushed inward, and his fingers and toes were fused, meaning he had no individual movement of them. Doctors gave Dorsey's parents no hope for his survival and advised them to put him into an institution.  His parents both knew and trusted in God, and they believed that God would do great things in Dorsey's life. Throughout his life, Dorsey has had to overcome a lot of obstacles, including being bullied, called names like monster and freak, and undergoing multiple operations.   68 Operations Later...... Teachers told Dorsey he would not make it in college, and with all odds against him, he entered Queensborough Community College. After four years there and after attaining an associate degree, he entered the University of Valley Forge. After years of hard work and perseverance, he graduated with a Bachelor's Degree in Youth Ministry.  His life saying is, "can't is a word not in his vocabulary" because, for most of his life, he has never used the word can't. He believes that with God, all things are possible and that he can do all things through Christ, who gives him strength. It's with God's help that he is overcoming life's obstacles. GRAB YOUR COPY HERE Dorsey has undergone multiple operations over his lifetime. However, regardless of what he has had to face, Dorsey has not given up. He does everything he can to accomplish the goals and dreams God gave to him.

    Raising Disabled
    Avoiding Glass Child Syndrome with Deanna Dawson, LPC

    Raising Disabled

    Play Episode Listen Later Jun 12, 2026 77:31 Transcription Available


    Text Us!In this episode of Raising Disabled, we are talking about how to avoid "glass child syndrome" with Deanna Dawson LPC.  Deanna is co-owner of The Springs Therapy in Lubbock, Texas and is a parent of her disabled daughter Joy.  You can learn more about her family in our episode Deanna Raising Joy.Please subscribe, leave a review, and follow us on social media to know about upcoming episodes and to participate in this podcast.Instagram - @raisingdisabledpodcastFacebook - Raising Disabled Podcast

    Badlands Media
    Quite Frankly Ep. 55: Coma Dreams, Cotard's Syndrome & Booking a Better America 250 Concert

    Badlands Media

    Play Episode Listen Later Jun 12, 2026 121:14


    Frank and Jay reconvene a week after the Spring Fling to debrief the prime rib, the perfectly timed thunderstorm, and the InBody machine that exposed Frank's visceral fat number. Jay walks through why subcutaneous fat is largely cosmetic, why visceral fat is the real metabolic concern, and why intermittent fasting plus protein pacing beats simple caloric restriction. Then the brain section gets weird. Listener emails arrive about Foreign Accent Syndrome: a 70 year old American who started speaking with a Norwegian accent before dying of a brain tumor, a Massachusetts stroke patient who woke up sounding like she was from Oslo. Frank pulls up Cotard's, the walking corpse syndrome where the sufferer is unshakably convinced they are dead and putrefying, and Capgras, where loved ones become identical imposters. A coma survivor writes in about six weeks of demons in his peripheral vision after a ten day medically induced blackout. The second hour pivots to the America 250 concert collapse. Brett Michaels, Martina McBride, Milli Vanilli, and the Commodores pulled out, so Frank and Jay reopen the lines and book a better lineup live on air, decade by decade, with the help of callers.

    Just Ask the Question Podcast
    Just Ask the Press - Tulsi Gabbard, Havana Syndrome, and Trump's Interview

    Just Ask the Question Podcast

    Play Episode Listen Later Jun 11, 2026 66:51


    Welcome back to another episode of Just Ask the Press!  Brian is joined by national security expert Mark S. Zaid and journalism professor Nolan Higdon to dissect a chaotic week in American politics, global conflicts, and government restructuring.  We kick things off with Donald Trump's explosive, rainy interview on Meet the Press with Kristen Welker, followed by his historic—and heavily booed—appearance at the NBA Finals in Manhattan. Plus, a massive institutional cover-up regarding Havana Syndrome is reaching a breaking point as Tulsi Gabbard prepares to exit the ODNI.  We also break down the legal fallout of John Bolton's impending felony plea deal and explain how recent DOGE budget cuts just brought a dangerous, cattle-killing parasite back to the American workforce—and what it means for your grocery bill. Follow us on Twitter: https://twitter.com/JATQPodcast Follow us on BlueSky: https://bsky.app/profile/jatqpodcast.bsky.social Instagram: https://www.instagram.com/jatqpodcast YouTube: https://www.youtube.com/channel/UCET7k2_Y9P9Fz0MZRARGqVw This show is available ad-free and early for Patreon supporters here: https://www.patreon.com/justaskthequestionpodcast Purchase Brian's book "Free The Press".   Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    Motivation and Inspiration Interviews with Professor of Perseverances
    Ep 316 Michael Gomoll's, Son Joe, with Rare Epilepsy, Has New Purpose of Helping Others

    Motivation and Inspiration Interviews with Professor of Perseverances

    Play Episode Listen Later Jun 11, 2026 35:15


    In 2010, Michael Gomoll's 4-year-old son Joe died after battling a rare form of epilepsy, Dravet's Syndrome, his entire life. After years of misdiagnosis and wrong medications, Joe was finally able to be seizure-free. Upon his passing, they as a family decided they needed to do what they could to help "the next family". Somewhere, there is a set of parents in a neurologist's office getting a terrifying and confusing diagnosis. They need them to know there is a community out there that understands and is fighting for them. Website: https://www.joeyssong.org/ Facebook: https://www.facebook.com/joeyssong Instagram: https://www.instagram.com/joeyssong Youtube: https://www.youtube.com/@Joeys-Song You may also contact Professor of Perseverance through email, Jamesperduespeaks@comcast.net #epilepsy #perseverance #overcomingadversity #lifemission #motivational

    The Business Growth Show
    S1Ep283 Achiever Syndrome and Breaking Through Mental Barriers with Tim Shurr

    The Business Growth Show

    Play Episode Listen Later Jun 11, 2026 32:29


    Achiever syndrome affects more entrepreneurs and high performers than most people realize. Outwardly, many business leaders appear confident, driven, and successful, yet internally they often carry persistent stress, self-doubt, anxiety, and the constant pressure to prove themselves. The challenge is that these struggles are frequently hidden beneath productivity, ambition, and professional accomplishments. For many high achievers, success becomes tied to identity. Instead of feeling fulfilled by accomplishments, there is often a lingering fear that success could disappear, that mistakes will expose weaknesses, or that slowing down could cause everything to fall apart. This creates a cycle where achievement no longer feels rewarding because the pressure to maintain it never truly ends. Achiever syndrome is not simply about working hard. It is rooted in the unconscious beliefs people develop over time about worthiness, safety, success, and failure. These beliefs often begin early in life and continue operating beneath the surface long into adulthood, influencing decision-making, confidence, relationships, leadership, and personal well-being. Many entrepreneurs and executives attempt to solve these struggles by focusing only on mindset strategies. They read books, attend conferences, hire coaches, and consume motivational content in hopes of overcoming internal resistance. While these tools can be valuable, they often address surface-level thinking without resolving the deeper emotional patterns driving the behavior. That is why many high performers continue feeling stuck despite outward success. Mental barriers are rarely logical. They are emotional patterns reinforced over years of experiences, beliefs, and internal narratives. People may consciously want growth, confidence, financial success, or healthier relationships while subconsciously carrying fears connected to rejection, failure, abandonment, or not feeling "good enough." These hidden beliefs create internal conflict. One part of the mind pushes toward growth and opportunity, while another part quietly resists change because it associates uncertainty with emotional discomfort or danger. This is why many successful individuals repeatedly encounter the same struggles in different forms throughout their lives. The circumstances may change, but the underlying emotional patterns remain the same. Achiever syndrome often shows up through overworking, perfectionism, procrastination, burnout, imposter syndrome, or difficulty enjoying success. Some people become addicted to proving themselves. Others become trapped in comparison, constantly measuring their progress against others instead of focusing on their own growth. The pressure can become exhausting. Many high achievers operate as though rest must be earned and self-worth must be constantly validated through performance. Even after reaching significant milestones, there is often another target, another challenge, or another level of success required before they feel "enough." Over time, this mindset creates emotional fatigue and chronic stress. Stress itself is not always the problem. In many cases, it is the ongoing internal tension created by unresolved beliefs and emotional patterns. The mind and body remain in a heightened state of alert because success feels fragile and identity feels attached to outcomes. Breaking through mental barriers requires more than positive thinking. Real transformation often begins by identifying the beliefs operating beneath conscious awareness. These beliefs shape how people interpret experiences, respond to setbacks, evaluate opportunities, and perceive themselves. Without recognizing these patterns, individuals may continue repeating behaviors that no longer serve them. One of the most important shifts involves moving from self-protection to self-trust. When people operate from fear, they tend to avoid discomfort, hesitate during opportunities, or emotionally punish themselves after setbacks. This creates a cycle of tension that limits creativity, confidence, and long-term fulfillment. In contrast, individuals who develop stronger self-trust become more resilient, adaptable, and capable of navigating uncertainty without constant emotional strain. Another important factor is the quality of internal questions people ask themselves each day. Questions focused on fear, limitation, or self-criticism often reinforce negative emotional states. Questions focused on growth, possibility, and learning can gradually shift perspective and behavior. Over time, these internal patterns influence how people approach leadership, relationships, health, business decisions, and personal development. Entrepreneurs and executives frequently invest heavily in business systems, marketing strategies, and operational improvements while neglecting the internal systems driving their own behavior. Yet leadership effectiveness is deeply connected to emotional resilience, self-awareness, and mental clarity. The most sustainable growth often occurs when people strengthen both external strategy and internal alignment. Achiever syndrome does not mean someone lacks ambition or capability. In many cases, highly driven individuals developed their work ethic and determination as coping mechanisms designed to create safety, approval, or validation. While those patterns may initially fuel achievement, they can eventually become barriers to peace, fulfillment, and authentic confidence. Breaking through mental barriers requires awareness, honesty, and a willingness to examine the beliefs shaping daily behavior. Growth becomes more sustainable when success is no longer driven solely by fear, pressure, or the need to constantly prove worth. The strongest leaders are not necessarily the ones who avoid struggle. They are often the ones willing to confront the internal patterns limiting their growth, challenge outdated beliefs, and create healthier foundations for success moving forward. Watch the full episode on YouTube. https://www.youtube.com/live/xjDJD5er1oE?si=nNiET_v93dJuRRyg Join Fordify LIVE every Wednesday at 11 a.m. Central on your favorite social platforms and catch The Business Growth Show Podcast every Thursday for a weekly dose of business growth wisdom. About Tim Shurr Tim Shurr is a Mind Architect, speaker, and expert in human behavior, subconscious transformation, and performance psychology. For more than three decades, Tim has helped entrepreneurs, executives, and high achievers overcome limiting beliefs, emotional barriers, and subconscious patterns that impact confidence, leadership, and long-term success. Through his coaching, speaking, and transformational programs, Tim specializes in helping individuals break free from achiever syndrome, imposter syndrome, burnout, and self-sabotaging behaviors so they can perform at higher levels both personally and professionally. He is the founder of Indy Hypnosis and creator of transformational tools designed to help leaders strengthen clarity, resilience, and emotional well-being. About Ford Saeks Ford Saeks is a Business Growth Accelerator who has generated more than a billion dollars in sales worldwide by helping companies attract loyal customers, expand brand visibility, and drive innovation. As President and CEO of Prime Concepts Group, Inc., Ford has founded more than ten companies, authored five books, earned three U.S. patents, and advised organizations ranging from startups to Fortune 500 brands. His expertise spans business growth strategy, customer acquisition, leadership, franchising, and AI-driven content systems that help businesses improve performance in rapidly changing markets. Learn more at ProfitRichResults.com and watch Fordify LIVE at Fordify.tv.

    Dr. Baliga's Internal Medicine Podcasts
    One Syndrome, Three Systems, Infinite Consequences: The 2026 CKM Guideline for Integrated Cardiovascular–Kidney–Metabolic Care

    Dr. Baliga's Internal Medicine Podcasts

    Play Episode Listen Later Jun 11, 2026 8:10


    The new 2026 AHA/ACC/ADA/ASN Cardiovascular–Kidney–Metabolic (CKM) Guideline reframes chronic disease through a unified lens connecting obesity, diabetes, chronic kidney disease, and cardiovascular disease. Key themes: ✅ CKM staging across the life course ✅ PREVENT risk assessment for personalized care ✅ Early detection of kidney and cardiometabolic risk ✅ Lifestyle and weight management as foundational therapy ✅ Evidence-based use of SGLT2 inhibitors and GLP-1–based therapies ✅ Team-based, patient-centered care A landmark step toward integrated prevention and better long-term outcomes. #Cardiology #Nephrology #Diabetes #Obesity #CKM #PreventiveCardiology #MedicalPodcasts #PrecisionMedicine #HeartFailure #KidneyDisease

    Fringe Radio Network
    Havana Syndrome - NWCZ Radio's Down The Rabbit Hole

    Fringe Radio Network

    Play Episode Listen Later Jun 10, 2026 56:48 Transcription Available


    What happened in Havana, Cuba? What is Havana syndrome and what caused it? Was it sound waves? Were they cooking their brains or was it just some cicadas being too loud. Go down the rabbit hole with Brandon and lets see what we can figure out.

    The Morning Agenda
    PA Headlines | June 10 | We're in peak tick season – and there's a new syndrome to watch for.

    The Morning Agenda

    Play Episode Listen Later Jun 10, 2026 10:24


    Late spring to early summer is considered one of two peaks of Pennsylvania's year-round tick season, according to East Stroudsburg University's Tick Research Lab. What to know during the first peak of this year, as cases of alpha-gal syndrome which causes a red meat and dairy allergy, pop up around the state.Common bacteria like the human papilloma virus, or H-P-V - can cause oral, head and neck cancers. Dental researchers at the University of Pennsylvania have developed a chewing gum that could help eliminate these microbial causes, and ultimately reduce cancer risk.A show put on by the York County Quilters Guild celebrates the artistic side of the traditional craft.A bill requiring gun owners to lock their firearms, or place them in a safe when not being carried, advanced to the state House Monday over Republican objections. Gun locks and safes would be exempt from state sales tax under an amended version of a secure firearms storage bill Pennsylvania lawmakers advanced Monday.Members from Pennsylvania's 47 rape crisis centers rallied at the state Capitol in Harrisburg Monday. They're calling for double the state dollars they receive, after six years of relatively stagnant funding.U.S. Steel plans to invest up to $2.5 billion into upgrades to its Mon Valley Works in Western P-A. The company forecasts that the upgrades will generate $1.7 billion for the state, according to a Monday report from the steelmaking giant. Did you know that if every one of WITF's sustaining circle members gives as little as $12 more a month, we'd close the gap caused by federal funding cuts? Increase your gift at https://witf.org/increase or become a new sustaining member at www.witf.org/givenow.And thanks!

    Todd N Tyler Radio Empire
    6/9 4-3 White Coat Syndrome

    Todd N Tyler Radio Empire

    Play Episode Listen Later Jun 9, 2026 15:21


    It's real.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

    The Medbullets Step 2 & 3 Podcast
    Pediatrics | Congenital Rubella Syndrome

    The Medbullets Step 2 & 3 Podcast

    Play Episode Listen Later Jun 7, 2026 9:52


    In this episode, we review the high-yield topic of ⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Congenital Rubella Syndrome from the Pediatrics section at ⁠⁠⁠⁠Medbullets.com⁠⁠⁠⁠⁠⁠Follow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets

    The Breitbart News Daily Podcast
    Is Down's Syndrome A Legit Reason For Abortion? And Eric Metaxas' Epic Book About The American Revolution

    The Breitbart News Daily Podcast

    Play Episode Listen Later Jun 5, 2026 61:57


    Is Down's Syndrome A Legit Reason For Abortion? And Eric Metaxas' Epic Book About The American Revolution Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    Renegade Talk Radio
    Episode 780: War Room US Attorney Launches Sweeping Election Fraud Probe in California, Gabbard to Declassify Covid Coverup

    Renegade Talk Radio

    Play Episode Listen Later Jun 5, 2026 120:21


    War Room US Attorney Launches Sweeping Election Fraud Probe in California, Gabbard to Declassify Covid Coverup & Havana Syndrome Documents Before Exit… PLUS, NY Dems Pass Bill Replacing “Mother” & “Father” With “Gestating” and “Non-Gestating Parent” & Tempers Flare Outside Karmelo Anthony Trial 

    Lovett or Leave It
    Maine Character Syndrome

    Lovett or Leave It

    Play Episode Listen Later Jun 4, 2026 52:17


    Iran leaves the negotiating table, voters enter the polls, and Graham Platner slides into America's DMs, for better or for worse. Meanwhile, Tig Notaro weighs in on Lovett's wedding, RFK Jr's snake handling, and the dawn of Slam Pig Summer. Aparna Nancherla talks anxiety, stand-up and getting your foot in the door at WikiFeet, and we look back (in horror!) with a round of Second Thoughts.

    The Editors
    Episode 879: Maine Character Syndrome

    The Editors

    Play Episode Listen Later Jun 2, 2026 72:41


    Rich, Charlie, Noah, and Jim discuss the latest controversies around Graham Platner, whether Hasan Piker and Cenk Ugyur should have been banned from Britain, and the Trump's dropping his "weaponization fund."     Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    Dr. Laura Call of the Day
    Hurried Child Syndrome

    Dr. Laura Call of the Day

    Play Episode Listen Later Jun 1, 2026 7:54


    "Hurried Child Syndrome" - Listen to my Morning Monologue: I'm sharing my take on pressing issues, enlightening research on human behavior, answering questions I get by email, and my favorite, most instructive interactions with callers. Everything you'll hear is designed to help you become a better spouse, parent, family member, co-worker, friend, and human being. It's the free therapy you need!  Call 1-800-DR-LAURA / 1-800-375-2872 or make an appointment at DrLaura.com Follow me on social media: Facebook.com/DrLaura Instagram.com/DrLauraProgram YouTube.com/DrLaura Join My Family!! Receive my Weekly Newsletter + 20% off my Marriage 101 course & 25% off Merch! Sign up now, it's FREE! Each week you'll get new articles, featured emails from listeners, special event invitations, early access to my Dr. Laura Designs Store benefiting Children of Fallen Patriots, and MORE! Sign up at DrLaura.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

    I AM RAPAPORT: STEREO PODCAST
    EP 1,276 - KNICKS BREAK OUT THE BROOMS/RIP ROB BASE/SPENCER PRATT FOR MAYOR OF L.A./REACTION TO THE ROAST OF KEVIN HART/JEWISH DERRANGEMENT SYNDROME

    I AM RAPAPORT: STEREO PODCAST

    Play Episode Listen Later May 25, 2026 36:57 Transcription Available


    This is The Zone of Disruption! This is the I AM RAPAPORT: STEREO PODCAST! His name is Michael Rapaport aka The Gringo Mandingo aka aka The People's Pickle aka The Jewish Brad Pitt aka Captain Colitis aka The Disruptive Warrior aka Mayor Rapaport 2029 and he is here to discuss: Knicks on the verge of sweeping Cleveland The greatness of Jalen Brunson Having Donovan Mitchell sounding crazy RIP Rob Base Spencer Pratt For Mayor of L.A. Reactions To The Kevin Heart Roast Jewish Derrangement Syndrome & a whole lotta mo'. This episode is not to be missed! CaptainPicks To Win In Sports Betting: https://www.winible.com/checkout/1357777109057032537?store_url=/captainpicks&c=kickoff Rate & Review on Apple Podcasts or Spotify Send questions & concerns to: iamrapaportpodcast@gmail.com Subscribe to Rapaport's Reality Feeds: iHeartRadio: https://www.iheart.com/podcast/867-rapaports-reality-with-keb-171162927/ Apple Podcasts: https://podcasts.apple.com/us/podcast/rapaports-reality-with-kebe-michael-rapaport/id1744160673 Spotify: https://open.spotify.com/show/3a9ArixCtWRhfpfo1Tz7MR Pandora: https://www.pandora.com/podcast/rapaports-reality-with-kebe-michael-rapaport/PC:1001087456 Amazon Music: https://music.amazon.com/podcasts/a776919e-ad8c-4b4b-90c6-f28e41fe1d40/rapaports-reality-with-kebe-michael-rapaport Stand Up Comedy Tickets on sale at: MichaelRapaportComedy.com If you are interested in NCAA, MLB, NBA, NFL & UFC Picks/Parlays Follow @CaptainPicksWins on Instagram & subscribe to packages at www.CaptainPicks.com www.dbpodcasts.com Produced by DBPodcasts.comFollow @dbpodcasts, @iamrapaport, @michaelrapaport on TikTok, Twitter & InstagramMusic by Jansport J (Follow @JansportJ) www.JansportJMusic.comSee omnystudio.com/listener for privacy information.