Podcasts about Tias

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Rapid advances in acute ischemic stroke care have expanded treatment windows and improved patient outcomes through thrombolysis, mechanical thrombectomy, and optimized antithrombotic strategies. This episode highlights evolving approaches to patient selection, the growing role of tenecteplase, and the importance of team-based systems of care in delivering timely, effective treatment. In this episode, Casey S. Albin, MD, FAAN, speaks with Christopher R. Leon Guerrero, MD, author of the article "Thrombolysis, Thrombectomy, and Antithrombotic Therapy for Acute Ischemic Stroke" in the Continuum® June 2026 Cerebrovascular Disease issue. Dr. Albin is a Continuum® Audio interviewer, associate editor of media engagement, and an assistant professor of neurology and neurosurgery at Emory University School of Medicine in Atlanta, Georgia. Dr. Leon Guerrero is an associate professor of neurology and the adult neurology residency program director at Atrium Health Carolinas Medical Center in Charlotte, North Carolina, where he also serves as outpatient stroke director. Additional Resources Read the article: Thrombolysis, Thrombectomy, and Antithrombotic Therapy for Acute Ischemic Stroke 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: @caseyalbin Full episode transcript available here Dr Albin: In stroke care, every minute kills nearly two million neurons. But today, we're going to unpack all the details about the latest treatments that can give those neurons back.  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 Albin: Hello and welcome. This is Dr. Casey Albin. Today, I'm interviewing Dr. Christopher Leon-Guerrero about his article on Thrombolysis, Thrombectomy, and Antithrombotic Therapy for Acute Ischemic Stroke. This article appears in the April 2026 Continuum issue on cerebrovascular disease. Welcome to the podcast. I always like to start by just having you introduce yourself so our listeners know a little bit about you.  Dr Leon-Guerrero: Thanks for the introduction, Dr. Albin. Really glad to be here today. My name is Chris Leon-Guerrero. I'm a vascular neurologist at Atrium Health in Charlotte, North Carolina, at Carolinas Medical Center. I'm an associate professor in the Department of Neurology. I serve as our Neurology Residency Program Director, and I also wear the hat of an outpatient stroke director in our clinics.  Dr Albin: So, you are wearing a lot of hats and balancing a lot of things, and it's a really exciting time to be talking about this. For our listeners, we are recording this right after the launch of the American Heart Association, American Stroke Association just released their new guidelines on acute ischemic care. So, no better time to kind of dive into some of this. And really, when I think about acute ischemic stroke care, it's dramatically transformed in the last two to three decades. I mean, from lengthening time windows for IV thrombolysis to expanded thrombectomy eligibility, this is really, I think, some of the most exciting stuff in neurology. And your article did a fantastic job of distilling those rapid advancements and clarifying some of the evidence behind some of these new evolving treatment selections and imaging modalities, and it's exciting. So, let's just start with thrombolysis. Where are we now with IV thrombolytics and the time windows there?  Dr Leon-Guerrero: So, a lot has changed in the last decade, since that initial trial with NINDS, nearly thirty years ago. We're still giving intravenous thrombolysis in the traditional time window up to 4.5 hours, and really emphasizing we should be selecting patients for treatment early and quickly as possible. In most of those cases, a non-con head CT is sufficient to rule out bleeding and initiate treatment as quickly as possible. Where things have gotten really exciting is using advanced neuroimaging to help select patients beyond that traditional 4.5 hour window, and we're able to treat patients even up to twenty-four hours from symptom onset.  Dr Albin: Which is really exciting. It has really totally shifted the paradigm here. You know, I think most listeners are going to be pretty familiar with three to four and a half hours. Like, that's sort of our standard. What can you tell us about some of the advanced imaging we're using for that later selection period?  Dr Leon-Guerrero: It's around the principle of you want to be able to, uh, rescue significant salvageable tissue without a lot of core. So, this large profusion deficit and small core is really how you're trying to select out these patients. And two types of modalities are used. One is going to be MRI, and a lot of those imaging protocols, you know, are outlined in the WAKE UP trial and basically are looking for patients with DWI hyperintense lesions and FLAIR negative lesions to suggest that patients in an early time window that's treatable for thrombolysis. And then in the other category, we'll be using profusion imaging, whether that's CT profusion or MR profusion, to look for patients with large salvageable tissue.  Dr Albin: Yeah. And I think that this has been one of the things that, to me, has been really impactful is I think when WAKE UP came out, it was exciting. It was fun to sort of think about, "Hey, we're going to be able to use MRI." But MRI can be very challenging to get acutely, especially in community centers where they don't have the capabilities to get someone from the emergency department into an MRI rapidly enough to make thrombolysis decisions. So, to see some of that expand to CT profusion has been really exciting. How are you going about sort of counseling patients or thinking about their risk when you're using some of those, like, advanced imaging techniques?  Dr Leon-Guerrero: Yeah. I think it's similar to the conversations we've had with patients even within the traditional 4.5 hour window. The risk for intravenous thrombolysis is hemorrhage, and counseling patients on the, you know, the risk and benefits of hemorrhage and the potential clinical benefit of receiving thrombolytics is important. And then providing patients with that information to make an informed decision, so that they can make the best decision for their own care.  Dr Albin: Totally. And it's, again, time sensitive, but trying to give families enough information and enough time to sort of process those, especially when it's a little bit beyond the standard that we're so used to consenting for. The other big area that's really changed is that tenecteplase has become the star of the show. It's really gained momentum, so what should clinicians understand about this?  Dr Leon-Guerrero: Yeah. There's been an explosion of data over the last decade on tenecteplase supporting its use for clinical practice. You know, there was recent updates even from the neurology journal with a large meta-analysis with all of the data showing good clinical outcomes and perhaps even lower risk of bleeding. And so, I think you're seeing a lot of centers across the country switching from alteplase to tenecteplase. There's some practical advantages. So tenecteplase is a one-time bolus dose. And then biologically, it seems to have better fibrin specificity, longer half-life, which may ultimately make it a more attractive drug and may make it even more effective. But I think the practical aspects of tenecteplase are not to be understated. I think there's a lot of advantages for speed and efficiency and for centers to make that switch.  Dr Albin: Yeah. I remember when our health system made the pivot from alteplase to tenecteplase. Like any changes, that obviously created some adjustments with the new workflow. But, the fact that this could be given just as a one-time dose and not with the "we got to calculate the bolus, and now we got to get the infusion on board," like really simplified workflow. So, I think that's been pragmatically one of the nicest things we've done in stroke care. Really exciting.  Dr Leon-Guerrero: Yeah. And, you know, it's a doable thing. I think you have to be, very deliberate about it at whatever center you're at to make sure that all stakeholders are aware of that change. I think that's helpful to get everybody involved and have a lot of planning to avoid wrong dosing errors or inadvertently dosing as alteplase versus tenecteplase. But it's certainly doable, and I think in the long term, centers that have switched have been pretty satisfied with tenecteplase.  Dr Albin: And you know, initially when this came out, there really was sort of a debate about, is it gonna be 0.25? Was it gonna be 0.4? Where have we landed with that debate?  Dr Leon-Guerrero: So, I think we found the correct dose is 0.25 milligrams per kilogram is the recommended dose with a max out of 25 milligrams. There's some within the American Heart Association guidelines that were just published. They mentioned even tier dosing based on 10 kilograms, so intervals. So, that may be an easier way for centers to do it. But that cap out dose of 25 milligrams at 0.25 milligrams per kilogram, I think, is the sweet spot.  Dr Albin: Yeah. That's great, and I think that that has helped, you know, say, "This is what we're doing. There's not a debate that's happening anymore." And that really just got codified in the new ASA guidelines, so really exciting there. So, there is a lot of guidance for these patients, but I think one of the things that your article really tackled is the fact that there are some special populations, where we really still don't have a lot of guidance. And so, I think just to kind of distill those for the listeners, thinking about our pregnant patients, thinking about children, how are we approaching thrombolysis decisions in these special populations?  Dr Leon-Guerrero: These are always tough cases. For example, for pregnant women, they've often been excluded in the thrombolytic trials. But there's still evidence. You know, there's some inference based on the evidence we do have, and there's a lot of registry and case reports suggesting potential safe treatment for pregnant women. And I think when you're approaching those cases, again, it's gonna be patient-centered and really should be multidisciplinary. These are the types of cases you really need to lean on your maternal fetal medicine colleagues, your high-risk OBGYNs, your obstetricians to help with that decision-making. And I think, a multidisciplinary approach is the way to go for these cases. It's the same thing with the pediatric population. We had some data. There was one trial, randomized control trial, called TIPS trial that looked at using intravenous alteplase for acute ischemic stroke in patients under the age of 18. It had difficulty with enrollment. But I think most experts would argue that patients with pediatric stroke should be considered for intravenous thrombolysis if appropriate. Again, same thing. You want to make it a multidisciplinary approach, really getting your pediatric neurologists, your pediatricians involved early to make the best decision for the patient.  Dr Albin: Yeah. That's just really an important takeaway, just thinking about this as a multidisciplinary decision, because there are going to be other stakeholders to the patient's care who may have some different information than what we as neurologists are bringing to the approach. And obviously, our perspective really matters. But trying to work in everyone's unique vantage point of the patient really helps to make the most effective decision. When we talk about acute ischemic stroke care, I really don't think that you could do justice to the topic without pivoting to mechanical thrombectomy, which, you know, as we think about how the medical field as a whole, not just neurology, how the medical field has evolved. I mean, there's probably no bigger impact than mechanical thrombectomy has made in terms of reducing not just morbidity, but mortality from stroke. I mean both. So, thrombectomy has been around for a while, but just walk our listeners through what's the core that we for sure know that these are the patients that this works for?  Dr Leon-Guerrero: The types of patients we should be selecting for intervention are patients with large vessel occlusions. And those initial trials that were published in 2015 really demonstrated that this is a quite an effective treatment for patients with large vessel occlusion ischemic strokes in the anterior circulation. When that smattering of publications occurred in 2015, the general consensus, we should be treating all patients up to six hours from symptom onset if they do have a large vessel occlusion. And then, Dr. Albin, as you know, the, the windows continue to expand. So, we were using advanced neuroimaging with MR selection and perfusion selection based on DAWN and DEFUSE 3 trial protocols to select patients all the way out to the 24 window, and it's even expanded beyond that over the last few years.  Dr Albin: I think that when we think about trials that really, totally, changed the game, when we think about DAWN and DEFUSE 3, and we switched from that time-based window to more of that, like we talked about for thrombolysis, that tissue-based clock and, like, looking at what is salvageable and where can we make an impact on salvageable tissue, truly moved the needle in terms of just bringing this therapy for people who, you know, it's hard to get in within six hours. When we moved the needle to 24, it made a huge difference. But people were still coming in with a lot of ischemic damage already done, and they would have traditionally been excluded from being enrolled in thrombectomy trials. But that's changing too. So where are we there?  Dr Leon-Guerrero: Yeah. I think there were lessons learned from DEFUSE and DAWN that we were probably over-selecting. Perhaps too stringent. You know, we had number needed to treat in the range of two to three for good outcome based on those trials. And so, I think those were lessons learned to move forward, and we, and, and people started looking at large core infarctions. And in the last few years, we've seen a multitude of randomized control trials examining large core infarctions. These are patients with ASPECT scores all the way down to zeros. A lot of the trials relied on three to six as their score, but there was at least one large core study that looked at ASPECT scores down to zero to two, and all of these studies showing benefit.  Dr Albin: Yeah. And we've really moved into if there's some tissue to spare there, probably getting clot out really makes a big difference in impact. You know, it was really surprising to me as a neurointensivist looking at these trials, that the trials had such low rates of hemorrhage, and pretty low rates of dramatic cerebral edema after thrombectomy. I don't know that we've seen all of that in sort of real world applications, but again, we are still seeing some of these patients come in, that really would've been devastated having some amount of functional recovery regained, which is incredible. In terms of another patient population that I think gives a lot of people pause or stickiness, is those basilar artery occlusions, right? Another large vessel, but one that we've had a little bit harder of a time enrolling in trials and having well-selected trials. Where are we now on whether or not basilar artery occlusion should go to mechanical thrombectomy?  Dr Leon-Guerrero: So, a lot of excitement in this area, too. There's at least two studies that were published in the last five years that were showing benefit in doing thrombectomy for patients with basilar artery occlusion up to 24 hours, and these were patients with moderate to severe deficits with NIH Stroke Scale scores greater than 10. And then making sure that they don't have large core, so using a newer scoring algorithm on the CAT scan called PC ASPECT, so basically a posterior circulation ASPECT score, to kind of make sure that patients don't have large core infarctions that are being considered for thrombectomy. All of those things collectively in those two recent studies, the ATTENTION trial and the BAOCHI trial, I think is what ended up making those studies positive, is that we were selecting the right types of patients, uh, without large core, early core, and patients with moderate to severe deficits that made the difference from previous trials.  Dr Albin: Yeah. I think that that's so important. Those trials to me, and like how long it took to get those enrolled, really emphasized to me that there really was a selection bias. Like, we believed this worked, which made it hard to then do a trial. But I'm so glad to hear that we have the data now to support moving forward in a more rigorous way.  Dr Leon-Guerrero: You're absolutely right. I think that was some of the challenges with the initial trials. In fact, the authors had commented on that. There's a lot of difficulties with lack of clinical equipoise, or experts wanting to take these patients anyways out of clinical trial and treat them, and so that's always been an issue. And then, you know, we all remember basilar artery occlusion cases. They can be severe, devastating cases in our career, but the reality is they're not that common. So, if you look at large vessel occlusions, they only account for about 10%, and if you look at all stroke patients presenting to most centers, they represent about 1% of cases. So really hard clinical trials to do just because there's thankfully not a lot of patients walking around with basilar artery occlusions, but certainly makes for challenges when you're trying to conduct randomized controlled trials on this subset of patients.  Dr Albin: Absolutely. But we did it, and I think that, like, really if, if the listeners take nothing else, it's that the field of vascular neurology is really moving forward with evidence-based, doing very rigorously controlled clinical trials, which is, I think, is what makes this field so exciting. Finally, closing out, cause we could talk all day, but we don't have all day. You know, it seems to me that more and more we are just using dual antiplatelet therapy all the time. And maybe that is, uh, a little bit of a hyperbole, cause I don't think it's all the time, but let's walk through— when is there good evidence for dual antiplatelet therapy?  Dr Leon-Guerrero: Yeah. So, there's strong evidence for early initiation of dual antiplatelet therapy or DAPT in patients with minor stroke or high-risk TIAs, and it's been studied using both clopidogrel as an add-on to aspirin and ticagrelor. Both seem like they're viable options in patients. I think one of the key things is the duration of therapy. So, in these cases with minor stroke and high-risk TIAs, we really should be confining the treatment of early DAPT for 21 days. The risk profile changes, so the risk of recurrent stroke starts to decline with time, and that risk of hemorrhage complications increases with time. And so that sweet spot of 21 days, or even some centers will do 30 days for just practical purposes, you know, really is what we should be doing in most of those cases. Other instances where DAPT can be considered, is in patients with intracranial atherosclerosis that's symptomatic, extrapolating from the SAMMPRIS trial that in the, in the medical management arm alone, used dual antiplatelet therapy with aspirin and clopidogrel for up to 90 days. So, you'll see that as well in clinical practice. Some people will opt for a 90-day duration for those patients with symptomatic intracranial atherosclerosis and stroke.  Dr Albin: Just so I emphasize, this is not set it and forget it. You can stay on DAPT forever. It is you're going to have a definitive time course, 21 days, 90 days. We have directed instructions where we're doing more benefit than harm because of that risk of hemorrhage.  Dr Leon-Guerrero: That's correct. In most cases, we really should be confining the duration of DAPT either to 21 days or 90 days. This is a challenging clinical practice. Centers really have been making an emphasis on stroke follow-up, so making sure these patients get appropriate and timely stroke follow-up to address these issues and to make sure that DAPT is discontinued if appropriate.  Dr Albin: Yeah. I love that, and I want to pull on that a little bit because you as someone who is helping direct a stroke center– A lot of this really does rely on systems of care. When we think about early lysis decisions or mechanical thrombectomy, it's how do we get the patient to one of those capable centers as quickly as possible? And then on the back end, when you're discharging a patient, how do you make sure that they are getting follow-up, making sure that they're getting their Holter monitor if they need it? You know, all the stuff that goes into kind of figuring out, why did the stroke happen? What are some of the things that you, in your role, are really excited about, that will move the needle over the next five or 10 years?  Dr Leon-Guerrero: Yeah. I think a lot of centers are doing it just like we're doing it. It really has to be a team-based approach, and you really want to reach the patient where they are in terms of the continuum of care. And so making sure if it's the in the field that you've reached out to your EMS and first responders to make sure they understand triage protocols to get patients where they need to be, to get the acute treatments that they need for the type of stroke that they're presenting with, to the actual centers that you work at, making sure your whole team, nurses, emergency physicians, APPs that are involved in care are all aware of the stroke protocols and how we're selecting these patients, making sure that your imaging protocols are up to date, and so that it's seamless when patients come in, that we're not adding on perfusion if we should have gotten that up front– We already know, have made decisions before that patient gets there. And then thinking about the patient after that hospital stay, I think, is critical. We really want to reduce their risk of recurrence, making sure that we're leveraging transitions of care, getting those patients seen in our stroke clinics for follow-up, and then make sure we're passing that baton to the long term. All of their long-term comorbidities that may be increasing their risk of stroke are managed and reduced as best as possible.  Dr Albin: From the Continuum journal to the continuum of stroke care.  Dr Leon-Guerrero: That's right.  Dr Albin: I mean, we have it all. I think that that really is so important. I'll just close with what's one thing that is your favorite part about being a vascular neurologist?  Dr Leon-Guerrero: I think it's what attracted to me to this field. As a medical student at that time, all we had was intravenous thrombolysis, and there was so much promise. There was so much promise that there was going to be widespread advancements in acute stroke, and here we are. There's been a tremendous amount of advancements and improvements for patients. I'm really excited to see what unfolds in the next few years, and I'm really excited that we've been able to increase the number of patients we're able to treat with acute ischemic stroke. I hope that we continue to expand the time window, the inclusion criteria, all of those things that we can treat more stroke patients effectively.  Dr Albin: It is really a very exciting time to be a vascular neurologist. Again, today, I've been interviewing Dr. Christopher Leon-Guerrero about his article on Thrombolysis, Thrombectomy, and Antithrombotic Therapy for Acute Ischemic Stroke. This article appears in the April 2026 Continuum issue on cerebrovascular disease. Be sure to check out Continuum Audio episodes from this and other issues, and thank you again, Dr. Leon Guerrero and our listeners for joining today.  Dr Leon-Guerrero: Thanks for having me.  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.

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Episode 142 iForgot to Hit Record! (sorry for the crappy audio -Ray)We get into some stories including some NBA Playoffs, events, boxing, Stephanie Han and more stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew, Miles P. & Chad for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

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A packed school gym, 250 tickets, and nearly thirteen thousand dollars raised set the stage for a bigger conversation: how everyday food choices can lower the risk of heart disease, stroke, and cancer. We share what actually matters for prevention, cutting through hype to focus on the patterns that quietly shape your health over decades.We unpack how atherosclerosis builds, cholesterol-rich particles slipping into artery walls, inflammation mounting, plaques narrowing flow, and why that “plumbing” model explains angina, heart attacks, TIAs, and strokes.Then we translate the science into action: the Portfolio diet's LDL-lowering power, the DASH diet's blood pressure wins, and the shared core of effective eating styles. Fruits, vegetables, legumes, whole grains, nuts, and seeds do the heavy lifting; fermented or lower fat dairy can fit if used thoughtfully; saturated fat stays low, especially if you already have cardiovascular disease.We also get candid about cancer risk. Processed meat is a group 1 carcinogen, red meat raises risk at modest doses, and high-heat cooking can create harmful compounds. The antidote is not perfection, it's proportion. We show how to build “super plates” instead of chasing superfoods, why legumes and nuts are reliable anchors, and how to plan a plant-forward pattern that works with your real life. That includes making room for protein powders or fortified shakes when you need convenience, recovery support, or higher protein without force-feeding endless tofu or beans.If you want practical, sustainable steps that move your numbers and protect your future, this conversation gives you the blueprint: more fiber, fewer saturated fats, fewer ultra-processed calories, and meals you actually want to repeat. Subscribe, share this with someone who needs a nudge toward better habits, and leave a review with the one swap you'll make this week.Go check out my website for tons of free resources on how to transition towards a healthier diet and lifestyle.You can download my free plant-based recipes eBook and a ton of other free resources by visiting  the Digital Downloads tab of my website at https://www.plantbaseddrjules.com/shopDon't forget to check out my blog at https://www.plantbaseddrjules.com/blog You can also watch my educational videos on YouTube at https://www.youtube.com/channel/UCMpkQRXb7G-StAotV0dmahQCheck out my upcoming live events and free eCourse, where you'll learn more about how to create delicious plant-based recipes: https://www.plantbaseddrjules.com/Go follow me on social media by visiting my Facebook page and Instagram accountshttps://www.facebook.com/plantbaseddrjuleshttps://www.instagram.com/plantbased_dr_jules/Last but not least, the best way to show your support and to help me spread my message is to subscribe to my podcast and to leave a 5 star review on Apple and Spotify!Thanks so much!Peace, love, plants!Dr. Jules 

Episode MACHETTY TIMES IN THE MEXICAN JUNGLE WITH MO' THUGS N HARMONYWe get into some stories including some growing up in the rancho, getting butchered in the Mexican Jungles and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew, Miles P. & Chad for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

Episode 140 Model Citizens y Todo with Kiara & JohnWe get into some stories including some paranormal stuff, modeling, wild bone breaking stories and more! If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew, Miles P. & Chad for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

Episode 139 Convos with Nico & JemianWe get into some stories including some funny open mic night stories, wrastlin for guest spots, waking up early and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

Het klimaatbeleid van de afgelopen jaren is te inconsistent en speelt huishoudens en kleine ondernemers parten. Dat stelt de Sociaal Economische Raad vandaag in een advies. De overheid zou dit probleem moeten aanpakken door verduurzaming te verankeren in de wet. Ondertussen krijgt de lange arm van Washington steeds meer de overhand in de Europese boardroom, wat de Europese groene agenda weer tegenwerkt. Te gast: Mijntje Lückerath-Rovers, hoogleraar Corporate Governance aan de TIAS school, kroonlid van de Sociaal Economische Raad, auteur van het boek ‘Morele dilemma’s in de boardroom’ en zelf commissaris bij meerdere bedrijven Macro met Mujagic Elke dag een intrigerende gedachtewisseling over de stand van de macro-economie. Op maandag en vrijdag gaat presentator Thomas van Zijl in gesprek met econoom Edin Mujagić, de rest van de week praat Van Zijl ook met econoom Arnoud Boot. Ook altijd terug te vinden als je een aflevering gemist hebt. Blik op de wereld Wat speelt zich vandaag af op het wereldtoneel? Het laatste nieuws uit bijvoorbeeld Oekraïne, het Midden-Oosten, de Verenigde Staten of Brussel hoor je iedere werkdag om 12.10 van onze vaste experts en eigen redacteuren en verslaggevers. Ook los te vinden als podcast. Lobbypanel Het belobbyen van de vers verkozen gemeenteraden is in volle gang. En: Nederlandse farmaceuten raken achterop door onvoorspelbare regelgeving. Dat en meer bespreken we om 11.30 in het lobbypanel met: Ankie van Wersch, directeur-bestuurder van Future Up, voorheen MVO Nederland Peter van Keulen, oprichter van Public Matters Luister l Lobbypanel | Zakenlunch Elke dag, tijdens de lunch, geniet je mee van het laatste zakelijke nieuws, actuele informatie over de financiële markten en ander economische actualiteiten. Op een ontspannen manier word je als luisteraar bijgepraat over alles wat er speelt in de wereld van het bedrijfsleven en de beurs. En altijd terug te vinden als podcast, mocht je de lunch gemist hebben. Contact & Abonneren BNR Zakendoen zendt elke werkdag live uit van 11:00 tot 13:30 uur. Je kunt de redactie bereiken via e-mail. Abonneren op de podcast van BNR Zakendoen kan via bnr.nl/zakendoen, of via Apple Podcast en Spotify. See omnystudio.com/listener for privacy information.

Het klimaatbeleid van de afgelopen jaren is te inconsistent en speelt huishoudens en kleine ondernemers parten. Dat stelt de Sociaal Economische Raad vandaag in een advies. De overheid zou dit probleem moeten aanpakken door verduurzaming te verankeren in de wet. Ondertussen krijgt de lange arm van Washington steeds meer de overhand in de Europese boardroom, wat de Europese groene agenda weer tegenwerkt. In ‘De top van Nederland’ een uitgebreid gesprek met Mijntje Lückerath-Rovers, hoogleraar Corporate Governance aan de TIAS school, kroonlid van de Sociaal Economische Raad, auteur van het boek ‘Morele dilemma’s in de boardroom’ en zelf commissaris bij meerdere bedrijven. Presentator Thomas van Zijl vraagt haar naar verduurzamen verplichten en het dalend aantal Nederlandse ceo's. Over de SER De Sociaal-Economische Raad (SER) is de belangrijkste adviesraad voor regering en parlement over sociaal-economische vraagstukken. De SER is samengesteld uit ondernemers, werknemers en onafhankelijke deskundigen en geleid door voorzitter Kim Putters. Over Thomas van Zijl Thomas van Zijl is financieel journalist en presentator bij BNR. Hij presenteert dagelijks ‘BNR Zakendoen’, het Nederlandse radioprogramma voor economisch nieuws en zakelijk inzicht, waar 'De top van Nederland’ onderdeel van is. Ook is hij een van de makers van de podcast ‘Onder curatoren’. Abonneer je op de podcast Ga naar ‘De top van Nederland’ en abonneer je op de podcast, ook te beluisteren via Apple Podcast en Spotify. [LINK: https://www.bnr.nl/podcast/de-top-van-nederland] See omnystudio.com/listener for privacy information.

Have you ever considered using your bilingual skills to assist others? A career in translating and interpreting might be for you. In Australia you can train for a TAFE certificate all the way to Master's degree prior to getting certified. In this episode we help you navigate the pathway to becoming a qualified practitioner. - Koj puas ib txwm xav tias yuav siv koj tej txuj ci paub ntau yam lus mus pab lwm tus? Tej zaum cov kev ua hauj lwm txhais ntawv thiab txhais lus kuj yuav yog ib co hauj lwm uas koj ua tau thiab. Ntawm Australia no ces koj yeej muaj peev xwm mus kawm kom tau ib daim ntawv pov thawj ntawm TAFE mus txog rau kawm tej sob kawm no kom txog theem master degree los tau ua ntej koj yuav raug lub koom hau National Accreditation Authority for Translators and Interpreters (NAATI) yuav ua ib daig ntawv lees paub thiab tso cai rau yus ua tau tej hauj lwm no. Toom xov xwm no peb yuav pab koj txheej tej xub ke kom ras los ua tau ib tug neeg uas paub ua tau cov hauj lwm no yam raug cai.

Episode 138 Jetsetting with Diana EstradaWe get into some stories including some nursing horrors, being a business owner, beauty pageants, bar promos and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Chad, Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

Episode 136 Your Favorite 4 Piece ComboWe get into some stories including some 2026 event updates, run clubs, current tv shows and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

Se abren las puertas de mangotitlán asi que pasenle a su domingo favorito en el que, el programa lo hacen ustedesRandom, mangotitlanews, chisme de gente, soliloquio, y mucha platiquita muy que a gusto.Link para comprar boletos: https://www.radiomanguitochupado.mx/MERCANCIA: Playeras, sudaderas, tote bags, tazas, termos, stickers. Pedidos solo por whats al 55 9186 6995 y envíos a todo México.Contenido exclusivo desde $1 dólar, episodios sin anuncios, Y si ¿Sí cierto?, Chisme al Extremo, episodios de funciones en vivo, y forma parte de Close Friends en Instagram.PATREON: https://www.patreon.com/radiomanguitochupadoREDES SOCIALES:Facebook: https://www.facebook.com/RadioManguitoChupado/Grupo de FB: https://www.facebook.com/groups/grupormchInstagram: https://www.instagram.com/radiomanguitochupado/TikTok: https://www.tiktok.com/@radiomanguitochupado@soylakikis @anajuliayeye Producción: @la H. Plataforma

Andrew Mountbatten-Windsor yog Askiv tsev neeg huab tais thawj tug neeg raug txhom, tsoom fwv Albanese rov qab qhia tias yuav tsis pab IS tej poj niam me nyuam rov qab los rau Australia, NSW ib tug nom MP cov kev tib Pauline Hanson tej lus tawm tswv yim tsis nyiam neeg Muslim, hau xeev Victoria raug tsub nias kom txheeb tej lus iab liam tias CFMEU lwg noj lwg haus lub xeev no tej nyiaj se txog $AUD 15 billion, NSW cov kev txheeb txog kev ruaj ntseg rau tej tsev kho mob uas kho tej neeg mob hlwb/puas hlwb, Trump ceeb toom tias Iran tsuas muaj sij hawm 10 hnub sib khom txog nws cov hauj lwm nuclear, tsab ntawv peb uas hawv yuav tua neeg Muslim ntawm lub tsev teev hawm Lakemba Mosque, ntau caum tus neeg tas sim neej ntawm Nigeria ib lub chaw khawb txhuas, muaj kev cej luam tshiab tias xeev Northern Territory tej chaw pab tej neeg puas cev siv tej tswv yim tsub nias tej neeg puas cev kom lawv tau txais txiaj ntsim, neeg Muslim ntawm Gaza lub koom txoos Ramadan, ADB tej nyiaj $USD 42 million pab Nplog yug tsiaj ua luam, tus coj Thaib pab nom Klatham qhia tias nws npaj txhij yuav qhia qhov tseeb seb nws puas muaj cai ua ib tug nom tseem ceeb ntawm Thaib tus tsoom fwv koom tswj.

Tsoom fwv Albanese cov kev tsis pab IS tej poj niam me nyuam, tsab ntawv 3 uas xa rau lub tsev teev hawm Lakemba Mosque, NSW cov kev ruaj ntseg thiab cov teeb meem mob hlwb, ACCC cov kev txheeb tej khw online, toj pob tes thiab daus ntawm California, Meta lub social media Instagram, Philippines tus lwm thawj tsav meem cov kev sib tw nom thiab tej plaub ntug, Cob tsib cov theem siv AI, Nplog cov kev xaiv tsa.

In this standout episode of Next Steps 4 Seniors: Conversations on Aging, we’re bringing back an audience favorite: our eye-opening interview with Nurse Practitioner Liz Jackson from Henry Ford Hospital. Liz breaks down the B.E.F.A.S.T. method for spotting stroke symptoms early, dives into the different types of strokes, and explains why timing is everything when it comes to treatment. We also tackle the red flags of heart attacks, the sneaky signs of vascular disease (yes, even leg cramping!), and how managing conditions like high blood pressure and diabetes can be game-changers. Early detection = lives saved. This episode is packed with info that could protect you or someone you love. Every week brings two ways to grow: Tuesdays dive into the physical next steps with real-life guidance for seniors and families, and Fridays uplift the heart with spiritual and emotional next steps—encouragement, faith, and hope for the journey ahead. To learn more about Next Steps 4 Seniors, contact us at 248-651-5010 or visit us online at www.nextsteps4seniors.com Find us on YouTube at https://www.youtube.com/@nextsteps4seniorsLearn more : https://omny.fm/shows/next-steps-4-seniors-with-wendy-jonesSee omnystudio.com/listener for privacy information.

Tau muaj ib co kev teeb txheeb tshiab qhia tias tej neeg zejzog coj ntseeg ntau yam kab lis kev cai yog cov raug tub ceev xwm cia li tshawb lawv ntau txog li 3.5 npaug piv rau tej zejzog neeg dawb. Thiab pom tias tub ceev xwm Victoria tej fwj chim tshawg neeg no tau ua rau tej neeg coj ntseeg ntau yam kab lis kev cai raug tshawb yam tsis ncaj ncees thiab cuam tshuam rau lawv tej privacy thiab lawv lub neej.

Episode 135 The 4 Horsemen We get into some stories including introducing our newest Bromie on The Bro Monroe Show Crew, after parties, underage parties and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

We get into some stories including some christmas stuff, new years, growing up with fears and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

Episode 133 Chef Enrique Lozano at Three Missions Brewery in Socorro TexasWe get into some stories including some local history, local hauntings, getting inspired to brew beer and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

Episode 132 Catching Up With The BrosWe get into some stories including some dentist talk, getting MILKED, and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

The kids have spoken, BBLs are for tias.  Ariana Grande has been acting kinda weird... JOIN PATREON!https://www.patreon.com/ieinfriends PO BOXPO BOX 311145Fontana, Ca 92331 

In this Part 2 or our 2-part podcast update on ED stroke management with Dr. Katie Lin and Dr. Walter Himmel we explore non-disabling strokes, where symptoms are mild enough that patients can continue daily activities if deficits persist. Yet, non-disabling does not mean benign. Non-disabling strokes occupy the same ischemic continuum as TIAs and carry a substantial risk of early recurrence with disabling stroke. In this EM Cases podcast we answer questions such as: Which patients with non-disabling stroke can safely go home with prompt follow-up and which require urgent investigation or admission? Which stroke mimics do we need to be on the look out for and how do we identify them at the bedside? How dangerous is thrombolysis in a patient with presumed stroke who turns out to be a stroke mimic? What are the key distinguishing features between a stroke and functional neurologic disorder? What are the most common causes of stroke in young people that we commonly miss? How does stroke etiology dictate the management pathway? What are the indications for carotid endarterectomy in patients with non-disabling stroke and what is the ideal timing of the endarderectomy? When is dual antiplatelet therapy vs single antiplatelet thereapy vs anticoagulant therapy indicated? What is the best medication strategy for the patient on a DOAC for atrial fibrillation who presents to the ED with a non-disabling stroke? For patients not on a DOAC for atrial fibrillation who come in with a stroke, when is it safe to start anticoagulation? and many more... Make A Donation Newsletter Sign-Up Newsletter Sign-Up Watch on YouTube

Learn polite ways to refuse a drink in English. Discover useful expressions for taking it slow, sitting one out or explaining you're on a permanent dry spell. - Kawm kom paub ntau txoj xub ke qhia tias tsis haus dej haus cawv ua lub Askiv. Thiab txheeb ntau cov sob lus uas qhia txog cov kev maj mam haus, los yog cov kev tsis koom, los yog cov kev txiav tu nrho tsis haus dej haus cawv li lawm.

Practise speaking the dialogue from episode #99 Saying 'No' to alcohol. - Cov kev xyaum tham tej lus sib tham ntawm toom sob kawm #99 uas qhia tias 'Tsis haus' cawv.

Episode 131 Being El Chad with  @Cultlifeofficial  We get into some stories including some EDC party stories, traveling, work stories, music and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

The views and opinions expressed on this podcast are for entertainment and informational purposes only. They do not constitute legal, financial, or professional advice. Any characters, stories, or references to public figures are presented in a satirical or opinion-based context. Listeners are encouraged to do their own research and consult with qualified professionals before making decisions based on the content. The hosts and guests disclaim any liability for actions taken or not taken based on what is discussed.In this episode we learn that Brandon Rafi's Protective Order filed on September 12, 2025 was denied. In spite of Raees Mohamed's best efforts, the judge ruled against him and their shenanigans again. We learn that Brandon believes someone is controlling or influencing Gil but the real question is who is controlling Brandon as he navigates recklessly through this litigation. (Opinion) We ask Brandon to take a long hard look at himself and to discuss his dire predicament with his wife. Perhaps she's his only hope of talking sense into him. We discuss whether we should host Brandon's deposition at a public marketing event like the State Fair with Tios and Tias or perhaps the Los Abogados Gala where he's expected to speak this month. We wonder if it's best to depose him at a public event because he won't show up to his private depositions. Finally, we share that Brandon Rafi is days away from his recorded deposition. Stay tuned for more.

Episode 130 Lower Valley Kids Don't Die Unless You Have Diabetes Or Get Shot with  @javi  We get into some stories including some Austin stories, hitting the road as a touring comic, gay stuff and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

Ep 240 Tias Little – Yoga of the Subtle Body Adam speaks with Tias Little about the intricate relationship between yoga, anatomy, and the subtle body. Tias shares his extensive experience in yoga and meditation, discussing the importance of understanding the physical and energetic anatomy of the body. They explore various topics including the significance of the feet, the midline, bandhas, the psoas and diaphragm connection, the adrenal system, and the role of the heart in feeling. Tias emphasizes the need for humility in practice and the importance of fluid dynamics for longevity, ultimately leading to a deeper understanding of Samadhi and the journey inward.  www.prajnayoga.com  | @prajnayoga Book: Yoga of the Subtle Body: A Guide to the Physical and Energetic Anatomy of Yoga YOUTUBE https://www.youtube.com/@keenonyoga SUPPORT Subscribe, like and share our videos Buy us a coffee: https://www.buymeacoffee.com/infoRf Patrons €10 per month: https://www.keenonyoga.com/patrons/ FOLLOW Website: www.keenonyoga.com Instagram:  @keen_on_yoga | @adam_keen_ashtanga Linktree: https://linktr.ee/Keenonyoga   Key Points ·      The subtle body is a crucial aspect of yoga practice. ·      Understanding anatomy enhances the practice of yoga. ·      The feet serve as the foundation for the entire body. ·      The midline connects the ground to the sky, embodying balance. ·      Bandhas are about engagement and release, not just holding. ·      The psoas and diaphragm are interconnected in movement and breath. ·      The adrenal system plays a significant role in our energy levels. ·      Cultural reflections on yoga can inform our practice. ·      The sacrum is central to many yoga postures and movements. ·      Fluid dynamics in the body are essential for health and longevity.

We get into some stories including some stand up comedy stories on the road and home, different people and places in El Paso, haters and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

Episode 128 with Sunland Series (IG: ‪@SunlandSeries‬) We get into some stories including some conspiracies, borderland issues, growing up in Mexico and moving around the Southwest US and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

Episode 127 KnockOut Stories with La Bikina Nayeli Rodriguez & Iggy SamaniegoWe get into some stories including some nickname origins, boxing inspirations, track meet mishaps, spooky stuff and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

Episode 126 Butt Rash or Road Rash with Procesando PodWe get into some stories including some near death experiences, nuns in Mexico, Alameda Stories, favorite local joints and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

The sibs chat about their adventures this week. Shai explains how he barely made it to San Francisco and Lily and Becky share some Tenerife adventures with Shai's eldest daughter who is visiting the “tias”. We also talk about the new Netflix detective show “Department Q” and our mutual love for Matthew Goode. Catch up with us and don't miss this ep!  Follow @floatersmovie for updates! Sign up for the Friday Night Movie Newsletter for giveaways, curated episode playlists from the hosts and guests (including our mom), and at MOST one email per month (and probably fewer).  Closed captions for this episode are available via the player on the official Friday Night Movie homepage, the Podbean app and website, and YouTube.  The Friday Night Movie Family supports the following organizations: The Red Tent Fund | HIAS | Equal Justice Initiative | Asian American Journalists Association | The Entertainment Community Fund. Subscribe, rate and review us on your favorite podcast platform, including iTunes | Spotify | Stitcher | Google Play | Podbean | Overcast. Play along with Friday Night Movie at home! Read the FNM Glossary to learn the about our signature bits (e.g., Buy/Rent/Meh, I Told You Shows, Tradesies, etc). Email us at info@p4tmedia.com or tweet @FriNightMovie, @pancake4table, @chichiKgomez, and/or  @paperBKprincess.  Follow our creations and zany Instagram stories @frinightmovie, @FNMsisters, and @pancake4table. Follow us on Letterboxd (@pancake4table) where we're rating every movie we've EVER watched.  Subscribe to our quarterly newsletter for exclusive giveaways and news! Theme music by What Does It Eat.  Subscribe and leave a review on IOS or Android at frinightmovie.com.  

Episode 125 Alright Guys, I'm Leaving...with your Bromie$We get into some stories including some extra circulars, sports, Happy Gilmore 2, and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

Episode 124 This Is Our Year with Joe RodriguezWe get into some stories including some going to school as a dad, being a Cowboys fan, stand up comedy and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

Episode 123 Hologram Hugs with Steven PugaWe get into some stories including performing at the legendary Laugh Factory, laying pipe, producing comedy shows and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

Episode 122 Diggin In The Crates with VH$We get into some stories including some party stories, music making, beat making, collabing with other artists, growing up in LA and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

Episode 120 Chorro y Shots with RayBurger & JNunezMediaWe get into some stories including some DJing days, touring days, ordering from Whataburgers and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

We get into some stories including some Philly Celebs, growing up in a different era and more wild stories. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

Episode 119 That's FIRE with Salsas GutiWe get into some stories including starting a salsa company, different spices/chiles and more. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

Stroke is one of the biggest causes of death in the world — but also one of the most preventable. Up to 80–90% of strokes could be avoided with more awareness, resources, and a firmer focus on prevention over intervention. In this episode, we're joined by renowned stroke neurologist and public health pioneer Dr. Olajide Williams, MD, MS, whose ‘Hip-Hop Stroke' movement is a shining example of enacting culturally-sensitive community-wide healthcare change. In this episode, we discuss: • What actually causes a stroke (and how to spot one in seconds using the ‘act FAST' acronym) • Why blood pressure is the #1 modifiable risk factor (and how stress and sleep impact it) • How social determinants like ZIP code and health literacy shape stroke risk • How Dr. Williams' Hip Hop Stroke campaign helped kids teach their parents how to save lives • What every family should know about TIAs (‘mini-strokes') and silent strokes Whether stroke runs in your family, or you simply want to protect your brain, this episode could change (and save) lives. This is... Your Brain On Stroke. SUPPORTED BY: NEURO World. Help your brain thrive, now and into the future: https://neuro.world/  ‘Your Brain On' is hosted by neurologists, scientists, and public health advocates Ayesha and Dean Sherzai. ‘Your Brain On… Stroke' • SEASON 5 • EPISODE 6 LINKS Dr. Olajide Williams at Columbia: https://doctors.columbia.edu/us/ny/new-york/olajide-a-williams-md-ms-710-west-168th-street The Hip-Hop Public Health project: https://www.hhph.org/

We get into some stories including some starting a hot sauce and pickle business, cooking, doing taste testings and more. If you like our dope stuff, please tune in and share with your fellow friends! We talk about all the madness that does on in our lives. Make sure to share, like, comment and repost!Tell your Tias to listen in. Don't be shy and listen to this everywhere! Thanks to Downtown Drew and Miles P. for the work. Come for a drink, stay for the laughs! Thanks for tuning in to the ruckus. Share with your Sanch@s! Make sure you rate our show to get more exposure We are on YouTube so make sure y'all like and subscribe! Follow us on instagram @bro.monroe.showhttps://linktr.ee/three1media

The JournalFeed podcast for the week of April 21-25, 2025.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Wednesday Spoon Feed:This preplanned subgroup analysis of the TOMAHAWK Trial of patients with ROSC after OHCA found no EKG findings (excluding STEMI) that predicted the presence of coronary artery lesions.Thursday Spoon Feed:In this substudy of the Canadian TIA Score cohort, researchers found score utilization with subsequent MRI imaging could improve the outcome of patients suffering from TIA or stroke, particularly in the medium-risk category, scoring between 4-8 points.

This is a short episode walking through and reviewing the content we covered last week. Here's the formatted blog post for easy readability: Stroke vs. TIA: Key Differentiators Symptom Duration Headache Severity and Acuity Imaging Findings Treatments TIA Ischemic Stroke Hemorrhagic Stroke The Final Step Style Questions PANCE Stye Questions Question 1 A 68-year-old woman […] The post 124 Companion Episode: Working Through TIAs and Strokes appeared first on Physician Assistant Exam Review.

Hemorrhagic Stroke Clinical Presentation Labs, Studies, and Physical Exam Findings Treatment Ischemic Stroke Risk Factors Clinical Presentation Labs, Studies, and Physical Exam Findings Treatment Comparison of Hemorrhagic vs. Ischemic Stroke Feature Hemorrhagic Stroke Ischemic Stroke Cause Vessel rupture, bleeding Vessel occlusion, ischemia Frequency 15% 85% Symptoms Headache, nausea, vomiting, AMS Focal neurologic deficits Imaging CT […] The post 124 Strokes and TIAs appeared first on Physician Assistant Exam Review.