Podcasts about T2

Naš najbolj prijazen pokrovitelj T2 in njihova super ponudba T2 Ščit:https://www.t-2.net/t-2-scit-za-varnost-na-internetuFejmrč na https://www.fejmici.si/Vaše težave: podcast.fejmici@gmail.comPoljubna enkratna donacija na: ⁠https://tinyurl.com/y2uyljhm⁠Mesečna finančna podpora možna na:3€ - ⁠https://tinyurl.com/yxrkqgbc⁠5€ - ⁠https://tinyurl.com/y63643l5⁠8€ - ⁠https://tinyurl.com/y62ywkmt⁠Motitelji:- Gašper Bergant⁠https://www.gasperbergant.si ⁠⁠https://www.instagram.com/gasper.bergant/  ⁠- Žan Papič⁠https://www.zanpapic.si ⁠⁠https://www.instagram.com/zanpapi/  ⁠Produkcija: Warehouse Collective⁠https://www.warehousecollective.si⁠Grafična podoba: Artex⁠https://www.facebook.com/artextisk

The incredible world of weight loss supplements... let's dive in and learn how they can be game-changers for those of us navigating hypothyroidism or Hashimoto's. This episode, I'm zooming in on safe, effective options that won't leave your heart racing or cause you more harm than good. I'm talking about the unsung heroes like T2 (3,5-diiodo-l-thyronine) and L-tyrosine, which can boost your metabolism and even help with fat burning while keeping your muscle mass intact. These alternatives set themselves apart from the risky, old-school stimulants like ephedra and caffeine, making your weight loss journey not just manageable but healthier. You see, weight loss with thyroid issues is a whole different ballgame. I'm spilling all the details on supplements like coleus forskohlii and Guggul, which not only support thyroid function but also enhance fat metabolism and offer other fantastic benefits—think better insulin resistance, lipid profiles, and even some mood-boosting effects. And yes, these finds are already star players in my products, “Thyroid Fixxr” and “Metabolism Fixxr,” designed to help you unlock that superior fat-burning potential. Listen in and let's unravel the magic behind these supplements and how they might just be the missing piece in your wellness toolkit. Head to my store and grab T2, L-tyrosine and Coleus Forskohlii in ⁠Thyroid Fixxr⁠ Additional T2 Podcast Episodes: Episode 338: ⁠All about T2: 3,5 Diiodo l Thyronine ⁠ Episode 245: ⁠More Energy, Burning Body Fat and Rocking Mitochondria with T2⁠ Shop ALL of Dr. Amie's Fixxr® Supplements: ⁠betterlifedoctor.com⁠ LET'S GET YOUR LIFE BACK...Connect with Dr. Amie Hornaman Book a free application call: ⁠https://dramiehornaman.com/pages/book-a-call⁠ FREE DOWNLOADS… ⁠What Are the Optimal Lab Ranges? What Steps Can I Take?⁠ Don't know where to start...don't know which labs are useful? And what to do when you get your results? ⁠“How To” Guide For Supplements⁠ Here's your Fixxr® supplement timeline and guide. ⁠Fix Your Thyroid and Adrenals To Fix Your Life⁠ Check your symptoms of hypothyroidism and know OPTIMAL thyroid lab values. Learn why you are being told you're “NORMAL” by your doctor. ⁠Can Supplements Help with Hypothyroidism?⁠ Grab this thorough guide to help you select the most advantageous supplements that will best suit your health circumstances. RATE, REVIEW AND FOLLOW ON APPLE PODCASTS Show your love for Amie and The Thyroid Fixer Podcast! If you're enjoying our journey together, I'd be thrilled if you could take a moment to rate and review the show on Apple Podcasts. Your support helps me reach and help more people just like you, guiding them towards their optimal selves! Just click ⁠HERE⁠, scroll all the way down, give us those 5 stars, and share what you enjoy about my episodes in a review. Haven't subscribed yet? Make sure to follow The Thyroid Fixer Podcast to catch all the new episodes that come out every week. Follow ⁠HERE⁠ and never miss out on a moment of the journey! CONNECT WITH ME ON SOCIAL MEDIA: Join my exclusive Facebook Group, Dr. Amie…The Thyroid Fixer®...Love Your Mirror, for a Community of HOPE and Support in your thyroid journey. ⁠https://www.facebook.com/groups/dramie/⁠ Like me on Facebook: ⁠Amie Hornaman Nutrition and Functional Medicine⁠ Subscribe on Youtube: ⁠Dr. Amie Hornaman⁠ Follow me on Instagram: ⁠@dramiehornaman

Episode 289: Adrian is joined again by our head of New Product Development, Paul Adams, to explore the complexity of plastic injection mold tooling and what it takes to go from tooling design to mass production of plastic parts. They explore the full journey, from DFM and tool design through trial runs (T0, T1, T2) to final sign-off and mass production. Along the way, they highlight common pitfalls, golden samples, and why rushing into production can be a costly mistake. You'll love this episode if you're developing plastic products, as it will help you to avoid surprises and manage expectations in the new product introduction (NPI) process.   Episode Sections: (00:00:03) Introduction to episode 289 (00:00:13) Adrian welcomes back Paul Adams (00:00:35) Today's topic: plastic injection mold tooling and its complexity (00:01:11) From DFM to mass production – the journey explained (00:02:01) Why tooling is expensive and misunderstood (00:02:48) The role of DFM (Design for Manufacturing) in tooling (00:05:13) Customer involvement and asking the right questions (00:05:19) Tooling design: bolster set vs. core and cavity (00:06:21) Material procurement and standard vs. custom components (00:09:01) Machining the tool: CNC, EDM, wire cutting, polishing (00:11:12) Metal safe condition and first fitting (00:11:59) The T0 trial run explained (00:13:42) First look at molded parts and making big adjustments (00:15:09) The T1 trial run with virgin polymer (00:15:57) Inspection reports and customer sign-off (00:18:00) Surface texturing between T1 and T2 (00:18:14) T2 trial – final tuning and sign-off preparation (00:19:02) Phase gates link: tooling to mass production (00:20:19) Golden samples and color consistency checks (00:22:02) Why being on the ground in China helps with sign-off (00:23:23) Limit samples and customer approval process (00:23:55) The importance of T0–T2 for expectation management (00:24:58) Why not to rush into mass production (00:25:02) Links to prototypes and phase gate methodology (00:26:05) Don't sign off tooling until everything is consistent (00:26:59) Moving into mass production and ongoing monitoring (00:28:28) Tool lifespan and long-term considerations (00:28:48) Wrapping up: intricacies of tooling complexity (00:29:16) Sofeast NPI guide and related video resources (00:30:16) Looking ahead: polymers and material selection (00:30:45) Closing remarks and call to action   Related content... How We Work With You On New Product Development & Manufacturing Projects - Agilian NPI Process Tooling Management for Plastic Injection Molds in China 7 Key NPI Tasks Before Production The Conundrum of Investing in Tooling Before a Final Prototype Inside the Tooling: Common Plastic Injection Mold Components Explained Understanding Plastic Injection Mold Tooling Complexity, from DFM to T1, When Manufacturing in China (Video) Get in touch with us Connect with us on LinkedIn Contact us via Sofeast's contact page Subscribe to our YouTube channel Prefer Facebook? Check us out on FB

Ce jeudi 28 août, le dernier baromètre d'OpinionWay concernant le moral des patrons, le chantier des retraites, le bilan de l'emploi au T2 ainsi que les conséquences de la vie politique actuelle sur les industries, ont été abordés par Sophie Sidos-Vicat, présidente des CCEF et vice-présidente de la holding du groupe Vicat, Ludovic Desautez, directeur délégué de La Tribune, Olivier Redoulès, directeur des études de Rexecode, et Alexandra Roulet, professeur à l'Insead, membre du Cercle des Économistes, dans l'émission Les Experts, présentée par Raphaël Legendre sur BFM Business. Retrouvez l'émission du lundi au vendredi et réécoutez la en podcast.

Marvel Comics' Terminator 2: Time Bomb 00:01:10Robocop #11 (1990) by Skolnick/Rupinski/2xTrimpe 00:06:11Dark Horse Presents #138 by Grant/Frank Teran 00:15:36The Terminator Special #1 (1998) by Grant/Guy Davis 00:25:38The Terminator #1 (1998) written by Alan Grant 00:41:37The Terminator #2 (1998) drawn by Steve Pugh 00:54:51The Terminator #3 (1998) 01:08:46The Terminator #4 (1998) 01:20:42The Terminator: Rewired 01:30:37Metallic Mayhem 01:33:28episode art galleryblog postComic Books, Dark Horse Comics, Dark Horse Presents, Marvel Comics, Robocop, Robocop Podcast, John Connor, Sarah Connor, The Terminator (1984), Terminator 2, Terminator 2: Judgment Day, T2, T2: Judgment Day, Terminator NOW, Terminator Podcast

Nubs será lo más adorable en el show, pero la versión adulta de su especie… sin comentarios. Entre las andadas de un puba adulto y una misión con cazarrecompensas, los jóvenes Jedi no pierden la oportunidad de aprender!Discutimos el 17mo episodio, T2, de Aventuras de Jóvenes Jedi.

In this episode of the Leader Lounge, Martin discusses optimal performance and its relevance for teams and organisations. The three distinct performance models:Peak Performance ⛰️: This model involves meticulous planning to achieve a desired outcome at a specific point in time. Optimal Performance 

Welcome to “Onward! A Rose City Podcast”; a place for all your Portland Thorns, Portland Timbers, 107IST, Timbers Army, & Rose City Riveters news, along with stories of our club and culture's history plus a look into the future of soccer support in Portland, Oregon.   ON THIS EPISODE! PTFC Chat: Olivia Moultrie ties teen goals record, Suman (Timbers) and Nuñez (T2) called up Legends Pre Funks and more! LINKS! Project Play initiative as.pn/PDXSportsSurvey Candlelighters Oregon Riveters Painting Featured Partner: Pacific NW Acupuncture and Herbal Clinic Supporting Trans Rights Donation Drives Ticket Exchange Facebook - Discord Have a ticket to donate? Send it to ticketdonation@107ist.org 107ist.org

Naš najbolj prijazen pokrovitelj T2 in njihova super ponudba Najboljši paket T-2 in telefon:https://www.t-2.net/cas-je-za-vec-izberite-najboljsi-t-2-paket-telefonFejmrč na https://www.fejmici.si/Vaše težave: podcast.fejmici@gmail.comPoljubna enkratna donacija na: ⁠https://tinyurl.com/y2uyljhm⁠Mesečna finančna podpora možna na:3€ - ⁠https://tinyurl.com/yxrkqgbc⁠5€ - ⁠https://tinyurl.com/y63643l5⁠8€ - ⁠https://tinyurl.com/y62ywkmt⁠Motitelji:- Gašper Bergant⁠https://www.gasperbergant.si ⁠⁠https://www.instagram.com/gasper.bergant/  ⁠- Žan Papič⁠https://www.zanpapic.si ⁠⁠https://www.instagram.com/zanpapi/  ⁠Produkcija: Warehouse Collective⁠https://www.warehousecollective.si⁠Grafična podoba: Artex⁠https://www.facebook.com/artextisk

Muy buenas queridos oyentes. Penúltimo programa de la temporada, donde hablaremos y escucharemos muchas de las mejores banda sonoras de Lalo Schifrin, nuestro homenajeado de hoy. Además repasaremos algunos estrenos como Materialistas, Nadie 2 o Dangerous animals. También hablaremos de Miércoles T2 (1ª parte).

This episode is a thyroid deep dive — a jam-packed conversation with Dr. Gary E. Foresman, MD of MiddlePathMedicine.com. We tackle the biggest myths, mistakes, and misunderstandings in thyroid treatment today. Here's what we cover: The FDA Ban on Natural Desiccated Thyroid (NDT): What it really means for patients. Medication Before Labs: Why you should never take T4/T3 or T3-only meds before a thyroid test. Dosing Myths Debunked: Why no practitioner should put an arbitrary limit on T4 or T3 dosing. Beyond T4 & T3: Do T1, T2, and calcitonin in NDT actually matter? Are T2 supplements worthwhile? Failed Research: How flawed medical studies have left thyroid patients in the dust. The TSH Suppression Myth: Why suppressed TSH on T4/T3 combos or T3-only therapy is NOT dangerous, doesn't cause arrhythmias or osteoporosis, and why outdated T4-only protocols from 30 years ago created decades of false fear. Reverse T3: Why this is a critical — and often ignored — test. Blood Sugar & Thyroid Hormones: How food satiety and glucose fluctuations can masquerade as thyroid issues (like tachycardia), and why it's not always your thyroid to blame. If you've ever been confused, dismissed, or gaslit about your thyroid health, this episode will give you the clarity (and firepower) you need! Visit MiddlePathMedicine.com to learn more about Dr. Foresman.   FREEBIES: Free Thyroid Guide + Video Series: https://www.elleruss.com/thyroid-guide Free Confidence eBook & Workbook: https://www.elleruss.com/7secrets Elle's newsletter: https://www.elleruss.com/newletter   #theellerussshow

Send me a text! I'd LOVE to hear your feedback on this episode!This is a 2-part podcast all about the thyroid.  Part 1, I interview Dr. Amie.  Part 2 begins around 1 hr 10 mins, where Dr. Amie interviews me.Important links!  Find & get in touch with Dr. Amie Hornaman here: https://betterlifedoctor.com/ Follow The Thyroid Fixer Podcast here (Apple link but you can find it anywhere you listen to podcasts: https://podcasts.apple.com/ca/podcast/the-thyroid-fixer/id1529800263 I am a writer as well as a holistic nutritionist and podcast host.  Join my Substack to read unique perspectives on our wellness - body, mind, spirit and soul: https://sandykruse.substack.com/publish/home?utm_source=substack Grab my Essential Thyroid Guide (this is a simplified guide and not a clinical book): US:  https://www.amazon.com/dp/B0CW4X3WJD Canada:  https://www.amazon.ca/dp/B0CW4X3WJDThyroid health is crucially important yet often misunderstood and poorly treated in conventional medicine, leaving millions suffering with symptoms while being told they're "normal."  • The thyroid is the "master gland" controlling metabolism, energy, brain function, heart rate, digestion, and emotional well-being • Conventional medicine considers TSH up to 4.5 "normal" while functional medicine seeks levels below 2.0 for optimal function • Only about 2% of thyroid patients do well on T4-only medications like Synthroid; 98% need combination therapy with T3 • Thyroidectomy patients especially need T3 supplementation since the thyroid gland is a primary site for T4 to T3 conversion • Key nutrients for thyroid health include selenium, magnesium, and iodine (which helps protect against environmental toxins) • Thyroid health closely connects with hormonal balance, particularly estrogen during perimenopause and menopause • T2, an often-overlooked thyroid hormone, can benefit metabolism and fat burning without suppressing natural thyroid function • Personalized treatment must address medication, nutrition, supplements, lifestyle factors, and mindset • "Progress is not linear" - even optimized patients need adjustments as their bodies change • Daily practices like time in nature, journaling, and energetic clearing can support thyroid healing alongside medicalSupport the showPlease rate & review my podcast with a few kind words on Apple or Spotify. Subscribe wherever you listen, share this episode with a friend, and follow me below. This truly gives back & helps me keep bringing amazing guests & topics every week.Instagram: https://www.instagram.com/sandyknutrition/Facebook Page: https://www.facebook.com/sandyknutritionTikTok: https://www.tiktok.com/@sandyknutritionYouTube: https://www.youtube.com/channel/UCIh48ov-SgbSUXsVeLL2qAgRumble: https://rumble.com/c/c-5461001Linkedin: https://www.linkedin.com/in/sandyknutrition/Substack: https://sandykruse.substack.com/Podcast Website: https://sandykruse.ca

Naš najbolj prijazen pokrovitelj T2 in njihova super ponudba T2 Ščit:https://www.t-2.net/t-2-scit-za-varnost-na-internetuFejmrč na https://www.fejmici.si/Vaše težave: podcast.fejmici@gmail.comPoljubna enkratna donacija na: ⁠https://tinyurl.com/y2uyljhm⁠Mesečna finančna podpora možna na:3€ - ⁠https://tinyurl.com/yxrkqgbc⁠5€ - ⁠https://tinyurl.com/y63643l5⁠8€ - ⁠https://tinyurl.com/y62ywkmt⁠Motitelji:- Gašper Bergant⁠https://www.gasperbergant.si ⁠⁠https://www.instagram.com/gasper.bergant/  ⁠- Žan Papič⁠https://www.zanpapic.si ⁠⁠https://www.instagram.com/zanpapi/  ⁠Produkcija: Warehouse Collective⁠https://www.warehousecollective.si⁠Grafična podoba: Artex⁠https://www.facebook.com/artextisk

13일 오전 시드니 공항 국내선 T2 터미널에서 한 남성이 체포되는 과정에서 경찰 총기가 발사되는 사건이 발생했습니다. 다행히 부상자는 없었으며, 사건 직후 설정된 봉쇄 조치는 해제돼 공항은 정상 운항되고 있습니다.

In this episode, we talk with Dr. Christina Shenvi about ARIA, a finding associated with an early stage Alzheimer's infusion that can impact stroke and VTE care. The MRI of choice per neuroradiology are the T2 weighted and flare images seen on most routine head MRIs. The gradient recall echo are best for bleed and microhemorrhage. These are all part of a routine MRI. I would note in the order that you are looking for ARIA. Supported by Eli Lilly and Company

Editor of Boss Sally Patten sits down with Christelle Young, the managing director of T2 in Australia, to talk about the importance of being honest with staff, what she learnt from a 10-day silence retreat and why matcha tea is taking the world by storm. This podcast is sponsored by PGIMSee omnystudio.com/listener for privacy information.

Naš najbolj prijazen pokrovitelj T2 in njihova super ponudba Najboljši paket T-2 in telefon:https://www.t-2.net/cas-je-za-vec-izberite-najboljsi-t-2-paket-telefonFejmrč na https://www.fejmici.si/Vaše težave: podcast.fejmici@gmail.comPoljubna enkratna donacija na: ⁠https://tinyurl.com/y2uyljhm⁠Mesečna finančna podpora možna na:3€ - ⁠https://tinyurl.com/yxrkqgbc⁠5€ - ⁠https://tinyurl.com/y63643l5⁠8€ - ⁠https://tinyurl.com/y62ywkmt⁠Motitelji:- Gašper Bergant⁠https://www.gasperbergant.si ⁠⁠https://www.instagram.com/gasper.bergant/  ⁠- Žan Papič⁠https://www.zanpapic.si ⁠⁠https://www.instagram.com/zanpapi/  ⁠Produkcija: Warehouse Collective⁠https://www.warehousecollective.si⁠Grafična podoba: Artex⁠https://www.facebook.com/artextisk

PRESENTACIÓN LIBROS 00:01:40 No tengas miedo (Stephen King) 00:04:00 Agatha Raisin y el crimen de la mansión. Agatha Raisin #10 (M.C. Beaton) 00:06:10 Armadale (Wilkie Collins) 00:08:15 Tres enigmas para la organización (Eduardo Mendoza) 00:09:50 Confesiones de una heredera con demasiado tiempo libre (Belén Barroso) 00:11:50 Intermezzo (Sally Rooney) 00:14:00 El jardinero y la muerte (Gueorgui Gospodínov) 00:16:20 Atmosphere (Taylor Jenkins Reid) 00:17:30 Legado de Jade. La saga de los huesos verdes #3 (Fonda Lee) 00:20:10 Caída libre (Ali Hazelwood) 00:23:50 El amigo (Sigrid Nunez) 00:25:25 A cuatro patas (Miranda July) 00:28:25 Dentro de casa y Aún siguen aquí (Lisa Jewell) 00:30:00 Cortejo en la catedral (Kate D. Wiggin) PELÍCULAS 00:31:40 Retrato de una dama 00:33:35 Sigo siendo la misma 00:35:20 Jurassic World 00:36:20 Elio 00:38:05 Mamá te quiere 00:39:30 Superman 00:42:00 Los 4 F 00:43:40 La apariencia de las cosas 00:45:05 Jefes de Estado 00:46:05 Absolución 00:47:00 La huella del mal 00:48:45 Lively vs Baldoni: enfrentamiento en Hollywood 00:49:55 Roger Federer: la perfección suiza 00:51:00 Mountainhead 00:52:50 Mi año en Oxford 00:54:30 La tercera cita más larga del mundo 00:56:10 Presence 00:57:20 Deberes: Maje / Anora SERIES 01:01:20 Better sister 01:02:20 SuperStar 01:04:55 Lockerbie: en búsqueda de la verdad 01:06:45 Angi 01:09:30 Mind over murderer 01:13:25 Miss Austen 01:15:25 Dos familias 01:17:00 Ironheart 01:19:25 Angela 01:21:15 Agatha Christie: hacia cero 01:22:10 El crimen de Pamela Smart 01:24:20 Escandalosas (T1) 01:27:30 Matabot (T1) 01:29:30 La Favorita 1922 (T1-T2) 01:30:30 Poker face (T2) 01:32:00 Love is blind: Suecia (T2) 01:33:20 The Sandman (T2) 01:35:00 El juego del calamar (T2-T3) 01:37:15 Welcome to Wrexham (T4) 01:39:50 Colegio Abbott (T4) 01:41:25 The Rookie (T7) 01:42:05 Rick & Morty (T8) 01:43:35 Deberes: The Bear (T4) 01:45:15 DESPEDIDA En este programa suenan: Radical Opinion (Archers) / Siesta (Jahzzar) / Place on Fire (Creo) / I saw you on TV (Jahzzar) / Bicycle Waltz (Goobye Kumiko)

M3GAN 2.0 (2025)Directed By: Gerard JohnstoneStarring: Allison Williams, Violet McGraw, Amie Donald, That Guy from Flight of the ConchordsWe talked about the original M3GAN back in 2023, and to both of our surprise, we generally liked it. This time around, M3GAN is back, and it's a bit of a tonal shift, to say the least. M3GAN has a T2 moment and has to deal with a new foe. IMDB.com has this to say about M3GAN 2.0: "Two years after M3GAN's rampage, her creator, Gemma, resorts to resurrecting her infamous creation in order to take down Amelia, the military-grade weapon who was built by a defense contractor who stole M3GAN's underlying tech."We Also Talked About:Mickey 17 (Amazon)48 Hours (YouTube)The Luckiest Man in America (Amazon)Big Bucks: The Press Your Luck Scandal (Internet Archive)Robocop 2014 (Tubi)Season 2 of Quarterback (Netflix)The Clubhouse (Netflix)The Comeback (Netflix)Like what you hear here? We're on the youtubes now with our entire new back catalog and some upcoming exclusive content available at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://youtube.com/@deweypodmonster⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠(Some of the above links are affiliate links, if you purchase through these affiliate links we do get a small kickback, and it's the best way to support this show!).Rate and Review us on the podcast platform of your choice!As always, remember, you can always find the latest goings on at our website ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://Crap.Town⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Check out our fellow podcast network members at https://⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Yourunpodcast.com⁠⁠⁠

Naš najbolj prijazen pokrovitelj T2 in njihova super ponudba T2 Ščit:https://www.t-2.net/t-2-scit-za-varnost-na-internetuFejmrč na https://www.fejmici.si/Vaše težave: podcast.fejmici@gmail.comPoljubna enkratna donacija na: ⁠https://tinyurl.com/y2uyljhm⁠Mesečna finančna podpora možna na:3€ - ⁠https://tinyurl.com/yxrkqgbc⁠5€ - ⁠https://tinyurl.com/y63643l5⁠8€ - ⁠https://tinyurl.com/y62ywkmt⁠Motitelji:- Gašper Bergant⁠https://www.gasperbergant.si ⁠⁠https://www.instagram.com/gasper.bergant/  ⁠- Žan Papič⁠https://www.zanpapic.si ⁠⁠https://www.instagram.com/zanpapi/  ⁠Produkcija: Warehouse Collective⁠https://www.warehousecollective.si⁠Grafična podoba: Artex⁠https://www.facebook.com/artextisk

Send us a textSPECIAL NOTE: SEASON 15 OF THE GOOD, THE POD AND THE UGLY CELEBRATES THE USE OF THE PRACTICAL AND DIGITAL EFFECT KNOWN AS THE SQUIB. IRL GUN VIOLENCE IS INTOLERABLE AND RENOUNCED BUT... CINEMATIC VIOLENCE WILL BE CELEBRATED IN A WAY WILL DISTURB SOME LISTENERS.   This week TGTPTU guns down the second half of our Lance Henriksen double feature with an episode recorded in the past and sent to the listener in the future as a digital file encoding the three core hosts' discussion of writer Harlan Ellison's (please, no more legal action, ATTN: Ellison's Estate) sci-fi/80's action/quasi-horror flick THE TERMINATOR (1984).  Director James Cameron (and co-writer Gale Anne Heard) broke onto the cinema scene with this low-/mid-budget, high octane film and its titular, iconic creation. Arnold Schwarzenegger plays the killer robot (technically an android but called a cyborg) Terminator sent from the future to eliminate Linda Hamilton's Sarah Connor but followed by scrappy future soldier Kyle Reese, played by Michael Biehn, and you know the deal having seen T2 (1991); this first film is when Connor gets preggers and has awesome 80's style and learns of the future badass she must, and does, become.  Future fellow Cameron android player Lance Henriksen plays a cop, who may or may not die in the film, when Schwarzenegger's T-800 delivers on his iconic promise to the precinct's desk officer that he will return. (Schwarzenegger, as we learn this episode, did not want to deliver Cameron's line as written as the English word “I'll” was difficult for the bodybuilding immigrant.)  The hosts this week (no Jack, no special guest Shannon) speculate on Cameron's CB sexy talk when he was a truck driver, discover where Jack got his fashion sense, and express awe as how stripped down and fast-paced the story is. Ken fondly remembers the short-lived TV series Manimal (https://en.wikipedia.org/wiki/Manimal), Ryan reveals the film to secretly be an 80's slasher, and Thomas, bummed, reacts with atemporal microaggression by introducing earlier into the pod the concept of Roko's basilisk (https://en.wikipedia.org/wiki/Roko%27s_basilisk but don't click!). A least one Cameron shows up while a confused former prime minister of England makes a brief off-mic appearance. Harlan Ellison also enters the chat, and the listener owes us $1.  Hasta la vista, absent special guest Shannon Connor. May your mission down Mexico way to find and protect Chaplain Amy be met with success.THEME SONG BY: WEIRD A.I.Email: thegoodthepodandtheugly@gmail.comFacebook: https://m.facebook.com/TGTPTUInstagram: https://instagram.com/thegoodthepodandtheugly?igshid=um92md09kjg0Bluesky: @goodpodugly.bsky.socialYouTube: https://www.youtube.com/channel/UC6mI2plrgJu-TB95bbJCW-gLetterboxd (follow us!):Podcast: goodpoduglyKen: Ken KoralRyan: Ryan Tobias

Episode 307 is stacked with chaos. We welcome in new guest host Andy and immediately derail with Florida Man impersonations, emotional dad tips, wild 20s advice, and VHS home video nostalgia (complete with broom choreography). Then comes the bracket — action movie heroes go head-to-head and the debate nearly ends the show. Spoiler: Jason loses his mind over T2. Also inside: ⚡️$375 rent war stories ⚡️Why documenting grandma is crucial ⚡️Hookah flashbacks ⚡️Kevin's actually good life advice (?!) Florida Man, fake prosecutors, and a lot of yelling. Let's ride.  

Tyler, 16, was diagnosed with T1D through TrialNet after testing positive—his dad has T1D, his mom T2. Three years in, he's navigating diabetes with a family who gets it. Go tubeless with Omnipod 5 or Omnipod DASH * Dexcom G7 CONTOUR NextGen smart meter and CONTOUR DIABETES app Get your supplies from US MED  or call 888-721-1514 Tandem Mobi  twiist AID System Free Juicebox Community (non Facebook) Eversense CGM Medtronic Diabetes Drink AG1.com/Juicebox Touched By Type 1 Take the T1DExchange survey Use code JUICEBOX to save 40% at Cozy Earth  Apple Podcasts> Subscribe to the podcast today! The podcast is available on Spotify, Google Play, iHeartRadio, Radio Public, Amazon Music and all Android devices The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here or buy me a coffee. Thank you! * The Pod has an IP28 rating for up to 25 feet for 60 minutes. The PDM is not waterproof. Among all paid Omnipod 5 G6G7 Pods Commercial and Medicare claims in 2024. Actual co-pay amount depends on patient's health plan and coverage, they may be higher or lower than the advertised amount. Source IQVIA OPC Library. Disclaimer - Nothing you hear on the Juicebox Podcast or read on Arden's Day is intended as medical advice. You should always consult a physician before making changes to your health plan.  If the podcast has helped you to live better with type 1 please tell someone else how to find it!  

Welcome to “Onward! A Rose City Podcast”; a place for all your Portland Thorns, Portland Timbers, 107IST, Timbers Army, & Rose City Riveters news, along with stories of our club and culture's history plus a look into the future of soccer support in Portland, Oregon.   ON THIS EPISODE! PTFC Chat: Christine Sinclair to the Thorns Hall of Fame and Timbers Army Historic tifo Help needed for Legends Away viewings Raffle for Thorns field seats Seattle Reign match T2 in Eugene and more! LINKS! Nike pass info (Membership required) - Adidas - Columbia Legends volunteer signup (you need the 107IST membership email for this) Portland Community Football Club Gol Featured Partner: Henderson Taylor Law Firm Thorn's Field Seats raffle - NWSLPA Emergency Fund T2 in Eugene Supporting Trans Rights Donation Drives Ticket Exchange Facebook - Discord Have a ticket to donate? Send it to ticketdonation@107ist.org 107ist.org

Naš najbolj prijazen pokrovitelj T2 in njihova super ponudba Najboljši paket T-2 in telefon:https://www.t-2.net/cas-je-za-vec-izberite-najboljsi-t-2-paket-telefonFejmrč na https://www.fejmici.si/Vaše težave: podcast.fejmici@gmail.comPoljubna enkratna donacija na: ⁠https://tinyurl.com/y2uyljhm⁠Mesečna finančna podpora možna na:3€ - ⁠https://tinyurl.com/yxrkqgbc⁠5€ - ⁠https://tinyurl.com/y63643l5⁠8€ - ⁠https://tinyurl.com/y62ywkmt⁠Motitelji:- Gašper Bergant⁠https://www.gasperbergant.si ⁠⁠https://www.instagram.com/gasper.bergant/  ⁠- Žan Papič⁠https://www.zanpapic.si ⁠⁠https://www.instagram.com/zanpapi/  ⁠Produkcija: Warehouse Collective⁠https://www.warehousecollective.si⁠Grafična podoba: Artex⁠https://www.facebook.com/artextisk

Send us a textIn this episode, we dive headfirst into Terminator 2: Judgment Day—James Cameron's groundbreaking sci-fi sequel that redefined the action genre. We unpack the film's game-changing visual effects, Arnold Schwarzenegger's evolution from villain to hero, Linda Hamilton's legendary turn as a hardened Sarah Connor, and the relentless menace of Robert Patrick's T-1000. From the philosophical undertones about AI and fate to the adrenaline-pumping set pieces that still hold up decades later, we explore why T2 remains a towering achievement in both science fiction and cinema. Buckle up—it's time to say “Hasta la vista, baby” to boring film talk.Support the showBrowse the 33/24 Archives: Check out the backroom! Follow us: Instagram Facebook Watch us on YouTube!

Kira Macleod-Finke is the Head of Direct-to-Consumer at The Body Shop Australia, with previous roles across iconic retail brands including T2, Country Road, Trenery, and Jeanswest. She's led major digital transformation initiatives, including a fast-tracked Shopify replatform and a full restructure of the DTC team to unite online and in-store.In this episode, we cover:How her team is making the most of “playtime” post-Shopify replatformThe tech she relies on, including noise-cancelling headphones and Claude AIWhat a 400kg backyard smoker taught her about teamwork and persistenceHow podcasts like Nudge and Add To Cart have shaped her leadership approachThis episode was brought to you by ShippitCheck Kira's main ATC episode hereConnect with Kira Macleod-FinkeExplore The Body Shop AustraliaQuestions? Shoot us a text!Support the showWant to level up your ecommerce game? Come hang out in the Add To Cart Community. We're talking deep dives, smart events, and real-world inspo for operators who are in it for the long haul. Connect with Nathan BushContact Add To CartJoin the Community

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the July 2025 Emergency Medicine Practice article, Emergency Department Management of Status Epilepticus in Pediatric PatientsIntroductionWelcome and brief overview of the episodePromotion of EB Medicine's $1 for 7-day trial offerWhy Pediatric Status Epilepticus MattersSeizures make up ~1% of ED visits and ~3% of EMS callsHigh-risk and high-stakes condition requiring rapid actionStatus epilepticus now defined as ≥5 minutes of seizure activityILAE's T1 and T2 timelines help define when to treat and when damage beginsCommon CausesTop contributors:Fever/infectionStructural CNS abnormalitiesToxic ingestionsGenetic/metabolic disordersAdditional factors by age:Infants: febrile seizures, chromosomal issues, traumaSchool-age: autoimmune disordersAdolescents: eclampsia, hypertension, functional disordersAlways consider non-accidental traumaPrehospital CareIM midazolam is effective and recommended (RAMPART trial)Other options: intranasal, rectal, or IV benzodiazepinesEarly benzodiazepine administration improves outcomesImportance of airway support, glucose check, and EMS flexibilityParent-administered home meds (e.g. rectal diazepam) can be helpfulED Evaluation and Initial ManagementPrioritize ABCs: Airway, Breathing, Circulation, ConsciousnessUse end-tidal CO₂ to monitor ventilation if availablePoint-of-care glucose is essentialLabs: CMP, Mg, Phos, lactate, drug levels, pregnancy test (when indicated)Imaging: Head CT if concern for trauma, shunt malfunction, or focal signsCase examples highlight pitfalls and diagnostic delaysFirst-Line TreatmentBenzodiazepines remain the cornerstoneLorazepam preferred IV agent (0.1 mg/kg)Midazolam preferred if no IV access (IN, IM, or IO)Diazepam is also effective, especially rectallyBe mindful of respiratory depression and the need for airway controlSecond- and Third-Line TherapiesBased on ESETT trial:Levetiracetam, fosphenytoin, and valproate have similar efficacyLevetiracetam favored for safety and ease of useFosphenytoin may be avoided in trauma or toxicityValproate not recommended in mitochondrial diseasePhenobarbital reserved for refractory cases onlyRefractory Status EpilepticusDefinition: persistent seizures despite first- and second-line agentsRequires sedation and likely intubationInfusion options:Midazolam (preferred for flexibility)Propofol (short-term use only due to risk of infusion syndrome)Pentobarbital (rare, ICU-level care)Need for continuous EEG to assess seizure activitySpecial ScenariosNeonates:Watch for subtle signs (lip smacking, bicycling, tongue thrusting)Broad differential includes asphyxia, infection, metabolic errorsFebrile Status Epilepticus:Higher risk of CNS infections, especially if unvaccinatedConsider lumbar puncture if indicatedElectrolyte/Metabolic Triggers:Treat hypoglycemia, hyponatremia, and hypocalcemia directlyUse 3% saline or dextrose as appropriateDisposition and Discharge ConsiderationsMany children will require ICU-level careSome known epilepsy patients may go home if back to baselineEnsure rescue medications are up to date (rectal/intranasal benzos)Consider “clonazepam bridge” for short-term seizure preventionCollaborate with neurology for medication adjustment and follow-upFinal ThoughtsKeep treatment tables and dosing references accessibleEarly, aggressive treatment can prevent long-term harmEpisode closes with gratitude to article authors and a reminder to visit EBMedicine.netEmergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net

Welcome to “Onward! A Rose City Podcast”; a place for all your Portland Thorns, Portland Timbers, 107IST, Timbers Army, & Rose City Riveters news, along with stories of our club and culture's history plus a look into the future of soccer support in Portland, Oregon.   ON THIS EPISODE! PTFC Chat: Contract extension for Thorns and Timbers fall.. Employee Store passes for Nike, Columbia and Adidas Raffle for Thorns field seats Seattle Reign match T2 in Eugene and more! LINKS! Nike pass info (Membership required) - Adidas - Columbia Portland Community Football Club Gol Featured Partner: Green Drop Garage Thorn's Field Seats raffle - NWSLPA Emergency Fund T2 in Eugene Supporting Trans Rights Donation Drives Ticket Exchange Facebook - Discord Have a ticket to donate? Send it to ticketdonation@107ist.org 107ist.org

Naš najbolj prijazen pokrovitelj T2 in njihova super ponudba Najboljši paket T-2 in telefon:https://www.t-2.net/cas-je-za-vec-izberite-najboljsi-t-2-paket-telefonFejmrč na https://www.fejmici.si/Vaše težave: podcast.fejmici@gmail.comPoljubna enkratna donacija na: ⁠https://tinyurl.com/y2uyljhm⁠Mesečna finančna podpora možna na:3€ - ⁠https://tinyurl.com/yxrkqgbc⁠5€ - ⁠https://tinyurl.com/y63643l5⁠8€ - ⁠https://tinyurl.com/y62ywkmt⁠Motitelji:- Gašper Bergant⁠https://www.gasperbergant.si ⁠⁠https://www.instagram.com/gasper.bergant/  ⁠- Žan Papič⁠https://www.zanpapic.si ⁠⁠https://www.instagram.com/zanpapi/  ⁠Produkcija: Warehouse Collective⁠https://www.warehousecollective.si⁠Grafična podoba: Artex⁠https://www.facebook.com/artextisk

The Smylie Show is on the road this week! Smylie Kaufman joins from the airport after a fun week in Tahoe, with Charlie Hulme on a quick trip to Ponte Vedra Beach. SK and CH begin the show recapping Chris Gotterup's breakthrough win at the Scottish Open, and whether he can complement his skill driving the ball with more complete performances like what we saw in North Berwick to take his game to the next level. After a near miss and a T2 in Scotland, Smylie and Charlie discuss a more relaxed looking Rory McIlroy, and where that positions him heading into a home game at Royal Portrush. Brandel Chamblee then joins Smylie to close the episode with a wide-ranging first look at the Open Championship, both previewing the 153rd edition and discussing whether some historic anchor sites like the Old Course can stand up to the increasing impact of technology on the game. Brandel closes with some analysis and predictions on who could emerge victorious at Portrush. CHAPTERS: 00:00 Introduction and Highlights from Tahoe 05:45 Chris Gotterup's Breakthrough Win 08:23 Rory McIlroy's Performance and Mental Game 11:22 The Evolution of Golf and Player Profiles 13:53 Bifurcation of Golf Rules and Equipment 16:54 The Role of Data in Golf Analysis 24:30 Brandel Chamblee joins the show 26:30 Bifurcation 40:24 The Intersection of Data and Storytelling in Golf TV 43:07 The Challenge of Analyzing Tiger Woods 47:39 The Impact of Tiger Woods on Golf's Financial Landscape 48:01 The Risks of Swing Changes: A Look at Current Players 52:19 The Role of Teaching in Golf 01:02:28 Scottie Scheffler 01:10:00 Rory McIlroy 01:14:56 Open Championship Predictions Big thanks to AHEAD for their support! Check them out here: https://www.ahead.com/ Enter the 2025 Dream Ireland Golf Getaway Sweepstakes by ShipSticks: https://www.shipsticks.com/sweeps/ireland-dreamgolfgetaway Use promo code SMYLIE or this link for 20% off: https://www.shipsticks.com/?utm_source=smylie&utm_medium=podcast&utm_campaign=ss_acq_pod_0_smylie2025

Naš najbolj prijazen pokrovitelj T2 in njihova super ponudba T2 Ščit:https://www.t-2.net/t-2-scit-----------------------------------------------------------Fejmrč na https://www.fejmici.si/Vaše težave: podcast.fejmici@gmail.comPoljubna enkratna donacija na: ⁠https://tinyurl.com/y2uyljhm⁠Mesečna finančna podpora možna na:3€ - ⁠https://tinyurl.com/yxrkqgbc⁠5€ - ⁠https://tinyurl.com/y63643l5⁠8€ - ⁠https://tinyurl.com/y62ywkmt⁠Motitelji:- Gašper Bergant⁠https://www.gasperbergant.si ⁠⁠https://www.instagram.com/gasper.bergant/  ⁠- Žan Papič⁠https://www.zanpapic.si ⁠⁠https://www.instagram.com/zanpapi/  ⁠Produkcija: Warehouse Collective⁠https://www.warehousecollective.si⁠Grafična podoba: Artex⁠https://www.facebook.com/artextisk

The Real Fans help you build a playlist with 12 awesome songs from summer movies over the years. Find more Real Fans 4 Real Movies on the internet: Web | Twitter | Facebook | Instagram   Rate, review, & subscribe to the RF4RM Podcast on: Apple Podcasts | Google Play | Stitcher | TuneIn   Your feedback is appreciated. Send emails to podcast@rf4rm.com

 Normal pressure hydrocephalus (NPH) is a clinical syndrome of gait abnormality, cognitive impairment, and urinary incontinence. Evaluation of CSF dynamics, patterns of fludeoxyglucose (FDG) uptake, and patterns of brain stiffness may aid in the evaluation of challenging cases that lack typical clinical and structural radiographic features. In this episode, Katie Grouse, MD, FAAN, speaks with Aaron Switzer, MD, MSc, author of the article “Radiographic Evaluation of Normal Pressure Hydrocephalus” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Grouse is a Continuum® Audio interviewer and a clinical assistant professor at the University of California San Francisco in San Francisco, California. Dr. Switzer is a clinical assistant professor of neurology in the department of clinical neurosciences at the University of Calgary in Calgary, Alberta, Canada. Additional Resources Read the article: Radiographic Evaluation of Normal Pressure Hydrocephalus Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Grouse: This is Dr Katie Grouse. Today I'm interviewing Dr Aaron Switzer about his article on radiographic evaluation of normal pressure hydrocephalus, which he wrote with Dr Patrice Cogswell. This article appears in the June 2025 Continuum issue on disorders of CSF dynamics. Welcome to the podcast, and please introduce yourself to our audience. Dr. Switzer: Thanks so much for having me, Katie. I'm a neurologist that's working up in Calgary, Alberta, Canada, and I have a special interest in normal pressure hydrocephalus. So, I'm very happy to be here today to talk about the radiographic evaluation of NPH. Dr Grouse: I'm so excited to have you here today. It was really wonderful to read your article. I learned a lot on a topic that is not something that I frequently evaluate in my clinic. So, it's really just a pleasure to have you here to talk about this topic. So, I'd love to start by asking, what is the key message that you hope for neurologists who read your article to take away from it? Dr. Switzer: The diagnosis of NPH can be very difficult, just given the clinical heterogeneity in terms of how people present and what their images look like. And so, I'd like readers to know that detailed review of the patient's imaging can be very helpful to identify those that will clinically improve with shunt surgery. Dr Grouse: There's another really great article in this edition of Continuum that does a really great job delving into the clinical history and exam findings of NPH. So, I don't want to get into that topic necessarily today. However, I'd love to hear how you approach a case of a hypothetical patient, say, where you're suspicious of NPH based on the history and exam. I'd love to talk over how you approach the imaging findings when you obtain an MRI of the brain, as well as any follow-up imaging or testing that you generally recommend. Dr. Switzer: So, I break my approach down into three parts. First, I want to try to identify ventriculomegaly and any signs that would support that, and specifically those that are found in NPH. Secondly, I want to look for any alternative pathology or evidence of alternative pathology to explain the patient's symptoms. And then also evaluate any contraindications for shunt surgery. For the first one, usually I start with measuring Evans index to make sure that it's elevated, but then I want to measure one of the other four measurements that are described in the article, such as posterior colossal angle zed-Evans index---or z-Evans index for the American listeners---to see if there's any other features that can support normal pressure hydrocephalus. It's very important to identify whether there are features of disproportionately enlarged subarachnoid space hydrocephalus, or DESH, which can help identify patients who may respond to shunt surgery. And then if it's really a cloudy clinical picture, it's complicated, it's difficult to know, I would usually go through the full evaluation of the iNPH radscale to calculate a score in order to determine the likelihood that this patient has NPH. So, the second part of my evaluation is to rule out evidence of any alternative pathology to suggest another cause for the patient's symptoms, such as neurodegeneration or cerebrovascular disease. And then the third part of my evaluation is to look for any potential contraindications for shunt surgery, the main one being cerebral microbleed count, as a very high count has been associated with the hemorrhagic complications following shunt surgery. Dr Grouse: You mentioned about your use of the various scales to calculate for NPH, and your article does a great job laying them out and where they can be helpful. Are there any of these scales that can be reasonably relied on to predict the presence of NPH and responsiveness to shunt placement? Dr. Switzer: I think the first thing to acknowledge is that predicting shunt response is still a big problem that is not fully solved in NPH. So, there is not one single imaging feature, or even combination of imaging features, that can reliably predict shunt response. But in my view and in my practice, it's identifying DESH, I think, is really important---so, the disproportionately enlarged subarachnoid space hydrocephalus---as well as measuring the posterior colossal angle. I find those two features to be the most specific. Dr Grouse: Now you mentioned the concept of the NPH subtypes, and while this may be something that many of our listeners are familiar with, I suspect that, like myself when I was reading this article, there are many who maybe have not been keeping up to date on these various subtypes. Could you briefly tell us more about these NPH subtypes? Dr. Switzer: Sure. The Japanese guidelines for NPH have subdivided NPH into three different main categories. So that would be idiopathic, delayed onset congenital, and secondary normal pressure hydrocephalus. And so, I think the first to talk about would be the secondary NPH. We're probably all more familiar with that. That's any sort of pathology that could lead to disruption in CSF dynamics. These are things like, you know, a slow-growing tumor that is obstructing CSF flow or a widespread meningeal process that's reducing absorption of CSF, for instance. So, identifying these can be important because it may offer an alternative treatment for what you're seeing in the patient. The second important one is delayed onset congenital. And when you see an image of one of these subtypes, it's going to be pretty different than the NPH because the ventricles are going to be much larger, the sulcal enfacement is going to be more diffuse. Clinically, you may see that the patients have a higher head circumference. So, the second subtype to know about would be the delayed onset congenital normal pressure hydrocephalus. And when you see an image of one of these subtypes, it's going to be a little different than the imaging of NPH because the ventricles are going to be much larger, the sulcal enfacement is going to be more diffuse. And there are two specific subtypes that I'd like you to know about. The first would be long-standing overt ventriculomegaly of adulthood, or LOVA. And the second would be panventriculomegaly with a wide foramen of magendie and large discernomagna, which is quite a mouthful, so we just call it PAVUM. The importance of identifying these subtypes is that they may be amenable to different types of treatment. For instance, LOVA can be associated with aqueductal stenosis. So, these patients can get better when you treat them with an endoscopic third ventriculostomy, and then you don't need to move ahead with a shunt surgery. And then finally with idiopathic, that's mainly what we're talking about in this article with all of the imaging features. I think the important part about this is that you can have the features of DESH, or you can not have the features of DESH. The way to really define that would be how the patient would respond to a large-volume tap or a lumbar drain in order to define whether they have this idiopathic NPH. Dr Grouse: That's really helpful. And for those of our listeners who are so inclined, there is a wonderful diagram that lays out all these subtypes that you can take a look at. I encourage you to familiarize yourself with these different subtypes. Now it was really interesting to read in your article about some of the older techniques that we used quite some time ago for diagnosing normal pressure hydrocephalus that thankfully we're no longer using, including isotope encephalography and radionuclide cisternography. It certainly made me grateful for how we've come in our diagnostic tools for NPH. What do you think the biggest breakthrough in diagnostic tools that are now clinically available are? Dr. Switzer: You know, definitely the advent of structural imaging was very important for the evaluation of NPH, and specifically the identification of disproportionately enlarged subarachnoid space hydrocephalus, or DESH, in the late nineties has been very helpful for increasing the specificity of diagnosis in NPH. But some of the newer technologies that have become available would be phase-contrast MRI to measure the CSF flow rate through the aqueduct has been very helpful, as well as high spatial resolution T2 imaging to actually image the ventricular system and look for any evidence of expansion of the ventricles or obstruction of CSF flow. Dr Grouse: Regarding the scales that you had referenced earlier, do you think that we can look forward to more of these scales being automatically calculated and reported by various software techniques and radiographic interpretation techniques that are available or going to be available? Dr. Switzer: Definitely yes. And some of these techniques are already in development and used in research settings, and most of them are directed towards automatically detecting the features of DESH. So, that's the high convexity tight sulci, the focally enlarged sulci, and the enlarged Sylvian fissures. And separating the CSF from the brain tissue can help you determine where CSF flow is abnormal throughout the brain and give you a more accurate picture of CSF dynamics. And this, of course, is all automated. So, I do think that's something to keep an eye out for in the future. Dr Grouse: I wanted to ask a little more about the CSF flow dynamics, which I think may be new to a lot of our listeners, or certainly something that we've only more recently become familiar with. Can you tell us more about these advances and how we can apply this information to our evaluations for NPH? Dr. Switzer: So currently, only the two-dimensional phase contrast MRI technique is available on a clinical basis in most centers. This will measure the actual flow rate through the cerebral aqueduct. And so, in NPH, this can be elevated. So that can be a good supporting marker for NPH. In the future, we can look forward to other techniques that will actually look at three-dimensional or volume changes over time and this could give us a more accurate picture of aberrations and CSF dynamics. Dr Grouse: Well, definitely something to look forward to. And on the topic of other sort of more cutting-edge or, I think, less commonly-used technologies, you also mentioned some other imaging modalities, including diffusion imaging, intrathecal gadolinium imaging, nuclear medicine studies, MR elastography, for example. Are any of these modalities particularly promising for NPH evaluations, in your opinion? Do you think any of these will become more popularly used? Dr. Switzer: Yes, I think that diffusion tract imaging and MR elastography are probably the ones to keep your eye out for. They're a little more widely applicable because you just need an MR scanner to acquire the images. It's not invasive like the other techniques mentioned. So, I think it's going to be a lot easier to implement into clinical practice on a wide scale. So, those would be the ones that I would look out for in the future. Dr Grouse: Well, that's really exciting to hear about some of these techniques that are coming that may help us even more with our evaluation. Now on that note, I want to talk a little bit more about how we approach the evaluation and, in your opinion, some of the biggest pitfalls in the evaluation of NPH that you've found in your career. Dr. Switzer: I think there are three of note that I'd like to mention. The first would be overinterpreting the Evans index. So, just because an image shows that there's an elevated Evans index does not necessarily mean that NPH is present. So that's where looking for other corroborating evidence and looking for the clinical features is really important in the evaluation. Second would be misidentifying the focally enlarged sulci as atrophy because when you're looking at a brain with these blebs of CSF space in different parts of the brain, you may want to associate that to neurodegeneration, but that's not necessarily the case. And there are ways to distinguish between the two, and I think that's another common pitfall. And then third would be in regards to the CSF flow rate through the aqueduct. And so, an elevated CSF flow is suggestive of NPH, but the absence of that does not necessarily rule NPH out. So that's another one to be mindful of. Dr Grouse: That's really helpful. And then on the flip side, any tips or tricks or clinical pearls you can share with us that you found to be really helpful for the evaluation of NPH? Dr. Switzer: One thing that I found really helpful is to look for previous imaging, to look if there were features of NPH at that time, and if so, have they evolved over time; because we know that in idiopathic normal pressure hydrocephalus, especially in the dash phenotype, the ventricles can become larger and the effacement of the sulci at the convexity can become more striking over time. And this could be a helpful tool to identify how long that's been there and if it fits with the clinical history. So that's something that I find very helpful. Dr Grouse: Absolutely. When I read that point in your article, I thought that was really helpful and, in fact, I'm guessing something that a lot of us probably aren't doing. And yet many of our patients for one reason or other, probably have had imaging five, ten years prior to their time of evaluation that could be really helpful to look back at to see that evolution. Dr. Switzer: Yes, absolutely. Dr Grouse: It's been such a pleasure to read your article and talk with you about this today. Certainly a very important and helpful topic for, I'm sure, many of our listeners. Dr. Switzer: Thank you so much for having me. Dr Grouse: Again, today I've been interviewing Dr Aaron Switzer about his article on radiographic evaluation of normal pressure hydrocephalus, which he wrote with Dr Patrice Cogswell. This article appears in the most recent issue of Continuum on disorders of CSF dynamics. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

We discuss our future plans for getting into higher-end video projects and consider what the future holds for Blackmagic with their RGBW sensor design and recent camera releases. Then, we cover a number of new cine prime and zoom releases and debate their pros and cons. Also, Daniel received his Lumix S1 II, and you won't believe the continuing success he has with getting deals on L-mount gear… If you enjoy the show and want to contribute to our hosting costs, we'd welcome your support on Patreon. You can check it out here: https://www.patreon.com/cameragearpodcast Want to send us a question or comment, or just learn more about the show? Check out our website at https://cameragearpodcast.com, or email us directly at cameragearpodcast@gmail.com. Notes: Y.M Cinema article on Blackmagic sensor patents Blackmagic RGBW sensor patent Another Blackmagic patent ANOTHER Blackmagic patent Article about how Blackmagic designed one of the older 12K sensors in-house Sigma Aizu Primes Sigma 28-45mm T2 and 28-105mm T3 Development Announcement [CineD] 7Artisans INFINITE Cine Primes [PetaPixel] TLS Rehoused Fuji EBC Lenses [CineD] Sigma 17-40mm f/1.8 DC Art Lens [B&H]

Tell your inner child we're talking about robots, dinosaurs, and immortal warriors this week! We're also discussing The Bear, so if you were really into culinary arts as a kid (maybe you had an Easy Bake Oven?), your inner child will be fed as well. Did M3gan go full T2 this time? Is there an episode of The Bear that's actually happy this season? And do we all go to the Jurassic movies for the dinosaurs? And when does homoerotic […]

Naš najbolj prijazen pokrovitelj T2 in njihova super ponudba Najboljši paket T-2 in telefon:https://www.t-2.net/cas-je-za-vec-izberite-najboljsi-t-2-paket-telefonFejmrč na https://www.fejmici.si/Vaše težave: podcast.fejmici@gmail.comPoljubna enkratna donacija na: ⁠https://tinyurl.com/y2uyljhm⁠Mesečna finančna podpora možna na:3€ - ⁠https://tinyurl.com/yxrkqgbc⁠5€ - ⁠https://tinyurl.com/y63643l5⁠8€ - ⁠https://tinyurl.com/y62ywkmt⁠Motitelji:- Gašper Bergant⁠https://www.gasperbergant.si ⁠⁠https://www.instagram.com/gasper.bergant/  ⁠- Žan Papič⁠https://www.zanpapic.si ⁠⁠https://www.instagram.com/zanpapi/  ⁠Produkcija: Warehouse Collective⁠https://www.warehousecollective.si⁠Grafična podoba: Artex⁠https://www.facebook.com/artextisk

There's a spy aboard Defiant and everybody's got an excuse to act weird! And we see one of Andy's favorite complaints about Odo be proven right - he should be T2-ing and Mr. Fantastic-ing all over the place![Episode discussion begins around 1:06]

The Fuji X-E5 has been announced, and we have some thoughts about how it fits into their overall lineup of cameras. Also, Viltrox released an extraordinarily expensive cine zoom, and we learned more about how the TTArtisan 35mm T2.1 lens works from one of our listeners. If you enjoy the show and want to contribute to our hosting costs, we'd welcome your support on Patreon. You can check it out here: https://www.patreon.com/cameragearpodcast Want to send us a question or comment, or just learn more about the show? Check out our website at https://cameragearpodcast.com, or email us directly at cameragearpodcast@gmail.com. Notes: Viltrox Luna Full-Frame Cine Lenses [No Film School] TTArtisan On-Camera Flash & Wireless Trigger Fujifilm X-E5 Product Page Fuji X-E5 Review [PetaPixel] Fuji X-E5 [B&H] Fuji XF 23mm f/2.8 R WR Lens [Fujifilm] Fuji XF 23mm f/2.8 R WR Lens [B&H]

Naš najbolj prijazen pokrovitelj T2 in njihova super ponudba T2 Ščit:https://www.t-2.net/t-2-scit-----------------------------------------------------------Fejmrč na https://www.fejmici.si/Vaše težave: podcast.fejmici@gmail.comPoljubna enkratna donacija na: ⁠https://tinyurl.com/y2uyljhm⁠Mesečna finančna podpora možna na:3€ - ⁠https://tinyurl.com/yxrkqgbc⁠5€ - ⁠https://tinyurl.com/y63643l5⁠8€ - ⁠https://tinyurl.com/y62ywkmt⁠Motitelji:- Gašper Bergant⁠https://www.gasperbergant.si ⁠⁠https://www.instagram.com/gasper.bergant/  ⁠- Žan Papič⁠https://www.zanpapic.si ⁠⁠https://www.instagram.com/zanpapi/  ⁠Produkcija: Warehouse Collective⁠https://www.warehousecollective.si⁠Grafična podoba: Artex⁠https://www.facebook.com/artextisk

In this episode:Transitions in triathlon aren't just a necessary evil; they're like the secret sauce that can make or break your race day. Seriously, it takes zero special talent to nail a transition—just a sprinkle of practice and a dash of planning, and voila! You're gliding through T1 and T2 like a pro while the rest of the field is still fumbling with their gear. In this episode, we dive deep into the art of transitions—how to streamline the process, avoid the dreaded brain freeze that hits right after you exit the water, and ultimately save precious seconds that could mean the difference between podium glory and just another race day. We'll also toss in some gems about goal setting and the importance of communication between you and your coach, because let's face it, we all need a little guidance when navigating the wild world of multisport. So, grab your gear, and let's get ready to make those transitions as smooth as butter!Let's dive into cold plunges, shall we? I mean, who doesn't want to jump into a tub of ice water after a grueling workout, right? But hold your horses, because we're about to break down what the science really says about these chilly dips. With the resurgence of cold plunge popularity, thanks to social media influencers and pro athletes who swear by it, we take a critical look at whether jumping into icy water actually does anything for recovery. Spoiler alert: it might not be the miracle cure you think it is. We go over some recent articles that suggest cold plunges might even hinder your recovery by reducing blood flow to your muscles. Yup, you heard that right! We'll dissect the evidence, weigh the pros and cons, and maybe even question why we ever thought freezing our butts off was a good idea in the first place. So if you're curious about whether you should take the plunge or just stick to hot showers, stick around because we're unraveling the cold hard facts right here!Segments:[10:10]- Medical Mailbag: Cold Plunge[36:32]- Interview: Jeff and Juliet CoachingLinks

Erik Childress and Steve Prokopy wade through nine reviews this week to get you to the few standouts. A couple is presented with the possibility their daughter was switched at birth (A Stranger in My Home) while a team of nitwits try to steal a 35mm print from Quentin Tarantino (Stealing Pulp Fiction). Emma Mackey tries to use Vicky Krieps as a distraction from her invalid mother (Hot Milk) while a drug deal goes south for a sex worker (Ponyboi) and Bryan Cranston tries to keep his family and regional theater afloat (Everything Going To Be Great). Mariska Hargitay remembers her mother Jayne Mansfield (My Mom Jayne) while a woman tries not to forget the life she lived as she slides into dementia (Familiar Touch). Finally the killer A.I. robot goes T2 on us (M3GAN 2.0) and Brad Pitt goes fast in a car with other cars (F1: The Movie).1:41 - The Stranger In My Home11:00 - Stealing Pulp Fiction18:53 - My Mom Jayne25:55 - Hot Milk33:34 - Ponyboi41:20 - Everything's Going To Be Great51:26 - Familiar Touch58:55 - M3GAN 2.01:11:37 - F1: The MovieCLICK ON THE FILMS TO RENT OR PURCHASE AND HELP OUT THE MOVIE MADNESS PODCASTBe sure to check outChicago Screening Schedule - All the films coming to theaters and streamingPhysical Media Schedule - Click & Buy upcoming titles for your library.(Direct purchases help the Movie Madness podcast with a few pennies.)Erik's Linktree - Where you can follow Erik and his work anywhere and everywhere.The Movie Madness Podcast has been recognized by Million Podcasts as one of the Top 100 Best Movie Review Podcasts as well as in the Top 60 Film Festival Podcasts and Top 100 Cinephile Podcasts. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit erikthemovieman.substack.com

Naš najbolj prijazen pokrovitelj T2 in njihova super ponudba WiFi7:https://www.t-2.net/odkrijte-wi-fi-7-----------------------------------------------------------Fejmrč na https://www.fejmici.si/Vaše težave: podcast.fejmici@gmail.comPoljubna enkratna donacija na: ⁠https://tinyurl.com/y2uyljhm⁠Mesečna finančna podpora možna na:3€ - ⁠https://tinyurl.com/yxrkqgbc⁠5€ - ⁠https://tinyurl.com/y63643l5⁠8€ - ⁠https://tinyurl.com/y62ywkmt⁠Motitelji:- Gašper Bergant⁠https://www.gasperbergant.si ⁠⁠https://www.instagram.com/gasper.bergant/  ⁠- Žan Papič⁠https://www.zanpapic.si ⁠⁠https://www.instagram.com/zanpapi/  ⁠Produkcija: Warehouse Collective⁠https://www.warehousecollective.si⁠Grafična podoba: Artex⁠https://www.facebook.com/artextisk

Today we take a look at the inaugural Rockford 70.3. We get into the course, race strategies, and how to handle what looks to be a hot day. We talk about the city, wetsuit or not, river flow and a pre-race HR test. We also get into how to stay as cool as possible all day with tips for pre-race, T1, the bike, T2 and the run. This will be a game of being smart and patient and we'll give you thoughts on how to do just that. Topics: Rockford Downtown - Mike's old stomping grounds Will this race jumpstart the city? Dealing with the heat Wetsuit or not? Why it's too late for heat prep Don't drain your body this week Stay out of the heat River flow Pre-race HR test A lot of first timers Pop a gel at the end of the swim Cold water after the swim Too eager to push a higher zone Once you overheat, there's no turning back Wind mind games It's all about being smart and patient Carrying nutrition on the run? Carrying ice Zip lock tricks When you're dehydrated and full Plain water on board? Body glide Wearing hats Your swim route (based on the map) The finish line vibe     mike@c26triathlon.com robbie@c26triathlon.com

Episode 2659: Vinnie Tortorich and Chris Shaffer discuss three different topics that are all promoting mixed messages about health, and more. https://vinnietortorich.com/2025/06/promoting-mixed-messages-episode-2659 PLEASE SUPPORT OUR SPONSORS YOU CAN WATCH ALL THE PODCAST EPISODES ON YOUTUBE -  Promoting Mixed Messages Chris discovered an article in VegNews: a vegan Italian cookbook. (5:00) They divert to a bit of Italian-American history, which has had its challenges. (6:00) Back to the VegNews article: They ponder how an Italian meal can be vegan. (12:15) Vinnie's family grew veggies, but all the Italian meals centered around meat. There was a keto trial—a small trial—but testing high cholesterol. (22:00) They discuss how many studies have been misrepresented by not including countries whose cultural diets contain a lot of meat. Blue Zones has been misrepresented as well. The diets vary, and the level of meat is far more than what tends to be represented. The one thing all the Blue Zone cultures have in common is an active outdoor lifestyle. (37:00) If you want to get rid of heart disease, you must get rid of processed foods. (38:00) Lean Mass Hyper Responders have a different starting point to consider. (40:00) High cholesterol (LDL) in and of itself is not necessarily a problem; you need to look at it in conjunction with other factors. (42:00) The ADA launched the American Obesity Association. Novo Nordisk has contributed funds to the ADA. Novo Nordisk is the company that brought us Wegovy. (51:00) GLP-1s are not a Magic Pill; if they were, they wouldn't have deadly side effects. (52:30) The ADA amended its guidelines to say that GLP-1s should be the “first line of defense” of correction for T2 diabetes, rather than lifestyle. (54:00) The ADA is disengenuous because it receives millions of dollars from Big Food corporations each year to *not* tell you to cut out sugar and processed foods. (55:00) The information the ADA gives cannot entirely be trusted because of the sources of funding it receives. Follow Vinnie on X @vinnietortorich. More News If you are interested in the NSNG® VIP group is currently closed for registration, but you can get on the wait list - Don't forget to check out Serena Scott Thomas on Days of Our Lives on the Peacock channel.  “Dirty Keto” is available on Amazon! You can purchase or rent it . Make sure you watch, rate, and review it!   Eat Happy Italian, Anna's next cookbook, is available!  You can go to  You can order it from .  Anna's recipes are in her cookbooks, website, and Substack–they will spice up your day!  Don't forget you can invest in Anna's Eat Happy Kitchen through StartEngine.  Details are at Eat Happy Kitchen.  There's a new NSNG® Foods promo code you can use! The promo code ONLY works on the NSNG® Foods website, NOT on Amazon. https://nsngfoods.com/   PURCHASE  DIRTY KETO (2024) The documentary launched in August 2024! Order it TODAY! This is Vinnie's fourth documentary in just over five years. Visit my new Documentaries HQ to find my films everywhere:  Then, please share my fact-based, health-focused documentary series with your friends and family. Additionally, the more views, the better it ranks, so please watch it again with a new friend! REVIEWS: Please submit your REVIEW after you watch my films. Your positive REVIEW does matter! PURCHASE BEYOND IMPOSSIBLE (2022) Visit my new Documentaries HQ to find my films everywhere:  REVIEWS: Please submit your REVIEW after you watch my films. Your positive REVIEW does matter! FAT: A DOCUMENTARY 2 (2021) Visit my new Documentaries HQ to find my films everywhere:  FAT: A DOCUMENTARY (2019) Visit my new Documentaries HQ to find my films everywhere: 

Naš najbolj prijazen pokrovitelj T2 in njihova super ponudba WiFi7:https://www.t-2.net/odkrijte-wi-fi-7-----------------------------------------------------------Fejmrč na https://www.fejmici.si/Vaše težave: podcast.fejmici@gmail.comPoljubna enkratna donacija na: ⁠https://tinyurl.com/y2uyljhm⁠Mesečna finančna podpora možna na:3€ - ⁠https://tinyurl.com/yxrkqgbc⁠5€ - ⁠https://tinyurl.com/y63643l5⁠8€ - ⁠https://tinyurl.com/y62ywkmt⁠Motitelji:- Gašper Bergant⁠https://www.gasperbergant.si ⁠⁠https://www.instagram.com/gasper.bergant/  ⁠- Žan Papič⁠https://www.zanpapic.si ⁠⁠https://www.instagram.com/zanpapi/  ⁠Produkcija: Warehouse Collective⁠https://www.warehousecollective.si⁠Grafična podoba: Artex⁠https://www.facebook.com/artextisk

#495 Jay Weber - Safe, Fair, Fun! Welcome to Episode #495 of the 303 Endurance Podcast. We're your hosts Coaches Rich Soares and April Spilde. Thanks for joining us for another week of news, coaching tips and discussion.   It's Boulder 70.3 Weekend everybody! It's going to be a toasty day in Boulder on Saturday with temperatures forecasted in the low 90s. Also bringing the heat is the professional men's race with big names like Trevor Foley, Sam Appleton, Kevin McDowell, Chris Leiferman, Justin Metzler and more.    April - Plus we have a special guest interview with the head official for Boulder 70.3, local legend himself, Jay Weber. What better way to get the inside scope than to talk with the head race official! Speaking of scoops, Rich, are you ready to scoop up some UCAN?   Show Sponsor: UCAN UCAN created LIVSTEADY as an alternative to sugar based nutrition products. LIVSTEADY was purposefully designed to work with your body, delivering long-lasting energy you can feel. Whether UCAN Energy Powders, Bars or Gels, LIVSTEADY's unique time-release profile allows your body to access energy consistently throughout the day, unlocking your natural ability to finish stronger and recover more quickly!   In Today's Show Announcements and News (Rich) Ask A Coach: How to keep races safe, fair and fun? Interview with Jay Weber Get Gritty: Get Back on The Energy Bus Part 2! TriDot Workout of the Week: Recovery Week Workouts Fun Segment: Race Week Roulette Part 2!   Announcements and News:   Our Announcements are supported by VESPA Power today. Endurance athletes—what if you could go farther, faster, and feel better doing it? With Vespa Power Endurance Nutrition, you can unlock your body's natural fat-burning potential and fuel performance without the sugar crash. Vespa helps you tap into steady, clean energy—so you stay strong, focused, and in the zone longer.  Vespa is not fuel, but a metabolic catalyst that shifts your body to use more fat and less glycogen as your fuel source.   Less sugar. Higher performance. Faster recovery.  Home of Vespa Power Products | Optimizing Your Fat Metabolism Use discount code - 303endurance20   TriDot Pool School July 26-27. https://www.tridotpoolschool.com/component/eventbooking/pool-school/tridot-pool-school-20250726-844-986-401-167-857/94?Itemid=762   Before we head into our Ask A Coach sponsor, I wanted to pass on some kudos we got from Sasha Goldsberry aka “Sasha Fierce” that she really loves the personal feel of our podcast and how lighthearted we are which just speaks to positive vibes and good energy we bring to the multisport space. Ask A Coach Sponsor: G2G Endurance Training alone is tough. Training smart? That's where we come in. Grit2Greatness Endurance + TriDot gives you optimized training, the data, and the support to crush your goals—without burning out. Try it FREE for 2 weeks through our TriDot links below, then roll into your best season yet for as low as $14.99/month. With the right tools, you're unstoppable. Go to the show notes. Click the link. Let's do this together! Website - Grit2Greatness Endurance Coaching Facebook page @grit2greatnessendurance   Coach April Spilde April.spilde@tridot.com TriDot Signup - https://app.tridot.com/onboard/sign-up/aprilspilde RunDot Signup - https://app.rundot.com/onboard/sign-up/aprilspilde    Coach Rich Soares Rich.soares@tridot.com Rich Soares Coaching TriDot Signup - https://app.tridot.com/onboard/sign-up/richsoares RunDot Signup - https://app.rundot.com/onboard/sign-up/richsoares   Interview: Jay Weber WT/USAT/IM Official I'm excited to introduce our special interview guest, Jay Weber.    Insert Interview.   Get Gritty Tip: Jump on The Energy Bus! So picking up where we left off from last week, let's talk about the last 5 of our 10 Tips to have the ride of your life! 6. Think About What You Want, Not What You Don't Want. In triathlon, it's easy to focus on the challenges—fear of failure, bad weather, or tough competition. Instead, focus on your goals and what you want to achieve. Visualize success, and let that vision propel you forward with energy and determination. 7. Drive with Purpose. Every training session, every race, every recovery day should have purpose behind it. Whether you're hitting the pool or doing a long run, align your effort with your bigger goal. When you have purpose, every action counts, and the journey becomes meaningful. 8. Passion is Contagious. Let your passion for triathlon inspire others. Passion is magnetic—it fuels your drive and motivates those around you. When you bring energy and enthusiasm to your training, your teammates and training partners will rise to the occasion as well. 9. Love Your Passengers. Your teammates, coaches, and support crew are key to your journey. Appreciate their support and invest in these relationships. Whether it's a word of encouragement from a fellow athlete or advice from your coach, they help carry the load and make the ride more enjoyable. 10. Drive Your Bus to the End with Gratitude. Be grateful for each mile, each step of progress, and each race you complete. Gratitude will help you stay grounded and focused, and it will help you celebrate your victories—big and small. Every part of the journey is worth appreciating. Action item: This week, focus on driving your energy bus with purpose. Identify one area of your training or life where you can apply one of the 10 rules to create a positive impact. Share your energy with your training partners and keep your vision clear. Get behind the wheel of your success, and drive with confidence!   TriDot Workout of the Week: Post Race Recovery Workouts Recovery Week Training - Recovery Swim Session Note This is a recovery swim for time. Don't worry about counting laps or hitting a pace. Focus on your form and relaxation in water. Take 20-30 seconds rests as necessary. It's a great practice to use recovery swims such as this one to work on your drills. If you feel up to it, include 4-6 x 100 build from Z2 to Z4. However, only if this is not stressful.   Warmup 200 @ Z2 4 x 50 as 25 Catch-Up Drill (Tap & Go)/25 Free (15 sec) 300 Alternating 50 @ Z4/50 @ Z2 6 x 50 as Odds Stroke, Evens Free (15 sec)   Main Set Aerobic swim for time @ Z2. Focus on form and relaxation in water. Take 20-30 seconds rests as necessary.   If you feel up to it, include 4-6 x 100 build from Z2 to Z4. However, only if this is not stressful.   Cool Down 2 x 100 as 50 Fist Drill/50 Free (15 sec) 2-4 x 50 as 25 Drill/25 Free with your choice of drill   Well now that we have fully recovered, it's time for another spin around the roulette wheel!  Fun Segment: Race Week Roulette - Part 2! Welcome to Part Duex of Race Week Roulette—the game where we test your triathlon instincts and race-day adaptability with all the curveballs race week can throw your way.    

Spontaneous intracranial hypotension reflects a disruption of the normal continuous production, circulation, and reabsorption of CSF. Diagnosis requires the recognition of common and uncommon presentations, careful selection and scrutiny of brain and spine imaging, and, frequently, referral to specialist centers.  In this episode, Gordon Smith, MD, FAAN speaks with Jill C. Rau, MD, PhD, author of the article “Clinical Features and Diagnosis of Spontaneous Intracranial Hypotension” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Smith is a Continuum® Audio interviewer and a professor and chair of neurology at Kenneth and Dianne Wright Distinguished Chair in Clinical and Translational Research at Virginia Commonwealth University in Richmond, Virginia. Dr. Rau is an assistant professor of clinical neurology at the University of Arizona, School of Medicine-Phoenix in Phoenix, Arizona. Additional Resources Read the article: continuumjournal.com Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @gordonsmithMD Full episode transcript available here Interview with Jill Rau, MD Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Smith: This is Dr Gordon Smith. Today I'm interviewing Dr Jill Rau about her article on clinical features and diagnosis of spontaneous intracranial hypotension, which she wrote with Dr Jeremy Cutsworth-Gregory from the Mayo Clinic. This article appears in the 2025 Continuum issue on disorders of CSF dynamics. I'm really excited to welcome you to the Continuum podcast. Maybe you can start by just telling our listeners a little bit about yourself? Dr Rau: Hi, thanks for having me. I'm really honored to be here, and I really enjoyed writing the paper with Dr Cutsforth-Gregory. I hope you guys enjoy it. I am the director of headache medicine at the Baba Bay Neuroscience Institute at Honor Health in Scottsdale, Arizona. I'm also currently the chair of the special interest group in CSF Dynamics at the American Headache Society, and I've had a special interest in this field since I first watched Dr Linda Gray speak at a conference where she talked about spinal CSF leaks and their different presentations. And they were so different than what I had been taught in residency. They're not just the post-LP headache. They have such a wide variety of presentations and how devastating they can be, and how much impact there is on someone's life when you find it and fix it. And I've been super interested in the field and involved in research since that time. And, yeah. Love it. Dr Smith: Well, thanks for sharing your story. And as I reflected on our conversation ahead of time and have been thinking about this issue… this is a cool topic, and every time I read one of these manuscripts and have the opportunity to speak with one of the authors, I learn a ton, because this was something that wasn't even on the radar when I trained back in the 1800's. So, really looking forward to the conversation. I wonder if you could really briefly just summarize or remind for everyone the normal physiology about CSF dynamics, you know, production, absorption, and so forth? Dr Rau: So, the CSF is the fluid that surrounds the brain and the spinal cord, and it's contained by the dura, which is like a canvas or a sac that covers that whole brain and spinal cord. And within the ventricles of the brain, the choroid plexus produce CSF. It's constantly producing and then being reabsorbed by the arachnoid granulations and pushed into the venous space, the cerebral sinuses, venous sinuses. And also some absorption and push into the lymphatics that we've just learned about in the past year. This is kind of new data coming out, so always learning more and more about CSF, but we know that it bathes the brain and the spinal cord, helps keep some buoyancy of the brain as well as pushing nutrients in and pulling out metabolic waste. And it sort of keeps the brain in the state of homeostasis that's happy. And so, when there's a disruption of that flow and the amount of fluid there, that disrupts that, that can cause lots of different symptoms and problems for people. Dr Smith: One of the many new things I learned is that even the name of this---spontaneous intracranial hypotension---is misleading. And I think this is clinically relevant, as we'll probably get to in a moment, but can you talk a little bit about this? Is this really like a pressure disorder or a volume disorder? Dr Rau: Yeah. It's almost certainly a volume disorder. We do see in some people that they have low pressure, and it's still part of the diagnostic criteria. But it's there because if you have a low pressure, if you measure an opening pressure and it's below six, if you're measuring it in the spine in the right place, then you have indication that there's low volume. But there's over 50% of people's opening pressure who have a spinal CSF leak, have all the symptoms and can be fixed. So, they have normal pressure in 50% of the people. So, it is an inaccurate term, hypotension, but it was originally discovered because of the thought that it was a low-pressure situation. Some of the findings would suggest low pressure, but ultimately, we are pretty sure it's a low-volume condition. Dr Smith: Another new thing that I learned that really blew me away is how bad this can be. I did a podcast with Mark Burish about cluster, and I was reminded many cluster patients are pushed to the point of suicidal ideation or committing suicide by the severity of pain. And this sounds like for many patients it's equally severe. Can you maybe paint a picture for our listeners why this is so clinically important? Dr Rau: A large number of people, even people who are known to have leaks because they've had them before or they've releaked, they have a lot of brain fog and cognitive impairment. They often have severe headaches when they're upright. So, orthostatic headache is probably the number one most common symptom, and those headaches are one of the worst headaches out there. When people stand up, their fluid is not supporting the brain and there's an intense amount of pain. And so, they spend a large portion of their lives horizontal. And there's associated symptoms with that, it's not just headache pain and brain fog. There's neck pain. There's often subsequent disorders that accompany this, like partial orthostatic tachycardia syndrome. We don't know if that's because of deconditioning or an actual sequela of the disease, but it's a frequent comorbidity. We have patients that have extreme dizziness with their symptoms, but many patients are limited to hours, if that, upright per day, combined, total. And so they live their lives, often, just in the dark, lots of photophobia, sensitive to the light, really unable to function. It's also very hard to find and so underrecognized that a lot of patients, especially if they don't have that really clinical symptom of orthostatic headache. So, it's often missed. So, they're just debilitated. You know, treatments don't work because it's not a migraine and it's not a typical headache. It's a mechanical issue as well as a metabolic issue and not found, not a lot helps it. Dr Smith: So, you know, I have always thought about this as really primarily an orthostatic symptom. I wonder if you can talk about the complexity of this; in particular, kind of how this evolves over time, because it's not quite that simple. And maybe in doing so, you can give our listeners some pearls on when they should be thinking about this disorder? Dr Rau: A large portion of people do have headache with spinal CSF leak, in particular, spontaneous intracranial hypertension- hypotension, excuse me. And that's something to be thought about, is that there are spontaneous conditions where people have either rupture of the dural sac, or an erosion of the dural sac, or a development of a connection between the dura and the venous system. And that is taking away or allowing CSF to escape. In these instances that patients have spontaneous, there may be a different presentation than if they have, like, a postdural puncture or a chronic traumatic or iatrogenic leak. And we're not sure of that yet, but we're looking into that. Still, the largest presentation is headache, and orthostatic headache is very dominant in the headache realm. But over time, patients' brains can compensate for that lack of CSF and start overproducing---or at least we think that's probably what's happening. And you may see a reduction in the orthostatic symptoms over time, and you may see an improvement in the radiographic findings. So, there are some interesting papers that have been published that look at these changes over time, and we do see that sometimes within that first three to four months; this is the most common time to see that change. Other patients may worsen. You may actually see someone going from looking sort of normal radiographically to developing more of a SIH-type of picture on the brain. And so it's not predictable which patients have gone from orthostatic to improvement or the other way around, both radiographically and clinically. So, it can be quite difficult to tell. So, for me, if I have a patient that comes to me and they're struggling with headache… if it's orthostatic, very clearly orthostatic: I lay down, I get considerably better or my headache completely goes away. And then when I stand up, it comes on relatively quickly, within an hour. And sometimes it's a worsening-throughout-the-day type of thing, it's lowest in the morning and it worsens throughout the day. These are the times that it's most obvious to think about CSF leak. Especially if that headache onset relatively suddenly, if it onset after a small trauma. Like I've had patients that say, you know, I was doing yoga and I did some twists and I felt kind of a pop. And then I've had this headache that is horrible when I'm upright but is better when I lay down ever since, you know, since that time. That's kind of a very classic presentation of spinal CSF leak or spontaneous intracranial hypotension. Maybe a less common presentation would be someone who comes to you, they've had a persistent headache for a couple years, they kind of remember it started in March of a couple years ago, but they don't know. Maybe it's, you know, it's a little better when they lay down. It may be a little worse when they're up moving around, but so is migraine, and it's a migrainous headache. But they've tried every migraine drug you can think of. Nothing is responding, nothing helps. I'm always looking at patients who are new daily, persistent headaches and patients who aren't responding to meds even if it's not new daily, but they have just barely any response. I will always go back and examine their brain imaging and get full spine to make sure I'm not missing. And you can never be 100% sure, but it's always good to consider those patients to the best of your ability, if that- have that in the back of your mind. Dr Smith: So obviously, goes without saying, this is something people need to have on their radar and think about. And then we'll talk more about diagnostic tools here in a second. But how common is this? If you're a headache doc, you see a lot of patients who have intractable headaches. And how often do you see this in your headache practice? Now you're- this is your thing, so probably a little more than others, but, you know, how common will someone who sees a lot of headache encounter these patients? Dr Rau: If you see a lot of headache, I mean, currently the thought is it's about 5 in 100,000. That was from a study before we were finding CSF venous fistulas. I think a lot of us think it's more common than that, but it's not super common. We don't have good estimates, but I would guess between 5 and 10 for 100,000 persons, not “persons who come to a tertiary headache clinic with intractable headaches”. So, it's hard to gauge how frequent it is, but I would say it's considerably more frequent than we currently think it is. There's still a group of people with orthostatic headaches that we can't find leaks on; that, once you treat other things that can cause or look for other things that can cause orthostatic headaches. So, there may be even still a pathophysiology out there that is still a leak type. Before 2014, we didn't even know about CSF venous fistulas. And now here we are; like, 50% of them are CSF venous fistulas. So, you know, we're still in a huge learning curve right now. Dr Smith: So, I definitely want to talk about the fistulas in a second. But before moving on, one of the things that I found really interesting is the wide spectrum of clinical phenotype. And we obviously don't have a lot of time to get into all of these different ones, but the one that I was hoping you might talk about---and there's a really great case, and you're on bunch of great case, a great case of this---is brain sagging dementia, not a term I've used before. Can you really briefly just tell our listeners about that, because that's a really interesting story and a great case in your article? Dr Rau: Yeah. So, brain sag dementia is a… almost like an extreme version of a spontaneous intracranial hypotension. Where there is clear brain sag in the imaging---so that's helpful---but the patients present kind of like a frontotemporal dementia. And when this was first started to being determined, you could turn the patient into Trendelenburg, and sometimes they would improve. There are some practitioners that have introduced fluid into the thecal sac and had temporary improvement. Patching has improvement, then they leak again, sometimes  not. But the clinical changes with this have been pretty tremendous to be able to identify that that's a real thing. And in some cases, out of Cedars Sinai, you know, who does a lot of the best research in this, they've had lots of cases where they can't find the leak, but there's clear brain sag that fits with our clinical picture of CSF leaks. So, we're on a learning curve. But yeah, this- they really present. They have disinhibition and cognitive impairment that is very similar to frontotemporal dementia. Dr Smith: Well, so let's talk about what causes this. You mentioned CSF venous fistulas. I mean, that was reported now just over a decade ago, it's pretty amazing. That accounts for about half of cases, if I understand correctly. What are the other causes? And then we'll talk more about therapy in a minute, but what causes this? Dr Rau: So, within the realm of spontaneous, you know, we say it's spontaneous. But the spontaneous cases we account for, they can be tears in the dura, which are usually sort of lateral tears in the dura. They can be little places that rubbed a hole, often on an osteophyte from the spine. They can come from these spinal diverticuli. So, I always describe it to my patients like those balls that have mesh and squishy, and you squeeze them in the- through the mesh, there's the extra little bubbling out. If you think of like the dura bubbling, out in some cases, through the framing of the spine, right where the spinal nerve roots come out, they should poke out like wires from the dura. But in many cases they poke out with this extra dura surrounding them, and we call that spinal diverticuli. And if you imagine like the weakening of where you squeeze that, you know, balloon through your fingers, in those locations, that's a very common place to find a CSF leak, and you can imagine that the integrity of the dura there may be less than it would be if it were not being expanded in that direction. And that's often the most common place we see these CSF venous fistulas. So, you can get minor traumas; like I said, it can be spontaneous, like someone just develops a leak one day. It can be rubbed off, and it can be a development of a connection between the dura and the venous system. There are also iatrogenic causes, but we don't consider them spontaneous. But when you're considering your patients for spontaneous cases, you should consider if they've ever had chronic---even long, long time ago---had any spinal implementation, procedures near the spine, spinal injections, LPs in the past, and especially women who've had epidurals in pregnancy. Dr Smith: All right, so we see a patient, positional severe headache, who meets the clinical criteria. Next step, MRI scan? Dr Rau: Yeah. So, the first thing is always to get the brain MRI with and without contrast. Most places will have a SIH or a spinal CSF leak protocol, but you should get contrast because one of the most pathognomonic findings on brain MRI is that smooth diffuse dural enhancement. And that's a really fantastic thing when you find it, because it's kind of a slam dunk. If you find it, then you will see other findings. It almost never exists alone. But if you see that, it's pretty much a spinal CSF leak. But you're also looking for subdural collections, any indication of brain sag. We do have these new algorithms that have come out in the past couple of years that are helpful. They're not exclusionary---you can have negative findings on the brain and still have spinal CSF leak---but the brain MRI is extremely helpful. If it's positive for the findings, it really does help you nudge you in the direction of further investigations and treatments. Dr Smith: And what about those further investigations and treatments, right? So, you see that there's findings consistent with low pressure, and I guess I should say low intracranial CSF volume. Be that as it may, what's the next step after that? Dr Rau: Depends on where you are and what you can do. I almost always will get a full spine MRI: so, C spine, T spine, and L spine separately. Not, you know, we don't want it all in one picture, because we want to get the full view. And you want to get that with at least T2 highly- heavily T2 weighted with fat saturation in at least the sagittal and axial planes. It's really helpful if you can get it in the coronal planes, but we have to have- often have good talks with your radiologist to get the coronal plane. I spoke about the spinal diverticuli earlier, and I want to clarify a little bit of something. The coronal image will show those really nicely. It's interesting, but 44% of people have those. So just having the spinal diverticuli does not indicate that you have a leak. But if you have a lot of those, there may be more likelihood of having leak than if you don't have any of those. So, I will get all of those and I will look at them myself, but I've been looking at them myself for a long time. But a lot of radiologists in community hospitals, especially not- nonneuroradiologists, but even neuroradiologists, this isn't something that's that everybody's been educated about, and we've been learning so much about it so rapidly in the past ten years. It's not easy to do and it's often missed. And if it's not protocoled properly, the fat saturation's not there, it's very hard to see… you can have a leak and not see it. Even the best people, like- it's not always something that's visible. And these CSF venous fistulas that we talked about are never visible on normal MRI imaging. Nonetheless, I will run those because if I can find a leak---and 90% of the ones that are found on MRI imaging are in the thoracic spine. So that's where I spend the most of my time looking. But if you find it, that's another thing to take to your team to say, hey, look, here it is, let's try and do this, or, let's try and do that, or, I've got more evidence. And there are other findings on the spine; not just the leak, but other findings, sometimes, you can see on spine that maybe help you push you towards, yes, this is probably a leak versus not. Dr Smith: So, your article has a lot of great examples and detail about kind of advanced imaging to, like, find the fistula and what not. I guess I'm thinking most of our listeners are probably practicing in a location where they don't have a team that really focuses on that. So, let's say we do the imaging of the spine and you don't find a clear cause. Is the next step to just do a blood patch? Do you send them to someone like you? What's the practical next step? Dr Rau: Yeah, if your- regardless of whether you find a leak or not, if your clinical acumen is such that you think this patient has a leak or I've treated them for everything else and it's not working and I have at least a high enough suspicion that I think the risk of getting a patch is lower than the benefit that if they got a patch and it worked, I do send my patients for non-directed blood patches, because it currently does take a long time to get them to a center that can do CT myelograms or any kind of advanced imaging to look for sort of a CSF venous fistula or to get treated outside of a nondirected patch. You know, sometimes nondirected patches are beneficial for patients, and there's some good papers out there that sort of explain the low risks of doing these if done properly versus the extreme benefit for patients when it works. And, I mean, I can't tell you how many people come in and tell me how their lives are changed because they finally got a blood patch. And sometimes it works. And it's life-changing for those people. You know, they go back to work. They can interact with their kids again. Before, they didn't know what was wrong, just had this headache that started. So it's worth doing if you have a strong clinical suspicion. Dr Smith: Yeah. I mean, that was great. And, you know, to go back to where we began, this is severe. It's something like 60% of patients with this problem have thought about suicide, right? And you take this patient and cure the problem. I feel really empowered having read the article and talked to you today. And so, I'm ready to go out and look for this. Thank you so much for a really engaging conversation. This has been terrific. Dr Rau: Thank you. I appreciate it. I enjoyed being here. Dr Smith: Again, today I've been interviewing Dr Jill Rau about her article on clinical features and diagnosis of spontaneous intracranial hypotension---which I guess I should say hypovolemia after having talked to you---which she wrote with Dr Jeremy Cutsworth-Gregory. This article appears in the most recent issue of Continuum on disorders of CSF dynamics. Please be sure to check out Continuum Audio episodes from this really interesting issue and other interesting issues. And thank you, our listeners, again for listening to us today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Send us a textThis is it, the winner of the Casino Overnight Stay and $100 has been pulled. After that it was a whole lot of rambling and talking about lunches. Costco is in there like most episodes along with a degen win story. Nothing but topics from my phone and a look at some new AI tech. T2 is coming. Oh well, let's enjoy the ride while we're all still around. 

May 9-16, 1998 This week Ken welcomes comedian behind the new comedy LP "Beach Brain", Andy Woodhull. Ken and Andy discuss being live via sattellite, coast to coast, refusing to partake in daylight savings time, having never read a TV Guide, having a stand up bit that never works but you refuse to dump it, when fonts are too small, growing up in Indiana, refusing reality, supper, even uglier Jerry Seinfeld, Jerry Seinfeld dating a teenage girl, your dad buying a Playboy for your teenage friend (when your dad isn't Jerry Seinfeld), Jenny McCarthy, when Seinfeld ended, how Michael Jordan was so famous that even cardboard cutouts of him got ad deals, graduation speeches, how milk chocolate is for children, Jerry Seinfeld picking up teenagers in Central Park, Regis, claiming change is bad, Beetlejuice, Dunkaroos, Saturday Morning Cartoons, how the Babe movies fit into the Mad Max universe, David Ducovney 's music career, not buttoning shirts, America's Funniest Home Videos, being a part of the Vin De Bona family, hosting Totally Funny Animals, Daisey Fuentes, ska remake of theme songs, Matlock, JAG, Jag offs, The Good Wife being watched by your wife, unexpected character deaths, Tony Clifton, seeing your friend prosecute a terribly disturbing case in court, avoiding Miss Universe, Home Improvement, sitcoms based on stand up acts, Geriatric indecent proposals, shows we pitched that never went, divorces, TeenBeat, Mad About You, having the juice to make your TV show commercial free, learning the word "epiphanic", Paul Reiser, the death of Chris Farley, Just Shoot Me, the original voice of Shrek, auditioning for the part of Robin in Batman, T2, people hating the Seinfeld finale, Police Squad, loving The Naked Gun, why Ken should avoid the Lord of the Rings movies, how Andy rewatches the LOTR series every year, Airplane, 30 Rock, and not asking for a short history of bullsh*t.