Podcasts about Transition

In this episode of the Wing and Tail Outdoors podcast, Chris Romano welcomes Dave, a seasoned hunter and land management enthusiast, to discuss the intricacies of hunting and habitat management. As they navigate through the snowy landscapes of Pennsylvania, Chris and Dave share personal stories of their hunting experiences, highlighting the importance of sustainable practices and community involvement. Dave, who has transitioned from traditional hunting methods to a more strategic approach, shares insights on how land management has transformed his hunting success, culminating in the harvest of his personal best buck this season. Listeners are treated to a deep dive into the world of habitat management, as Dave explains the integration of his life's work into his business, Integrated Habitat Solutions. The conversation covers everything from the challenges of managing deer populations to the benefits of organic lawn care, offering valuable lessons for both novice and experienced hunters. As the episode unfolds, Chris and Dave emphasize the significance of ethical hunting and the role of community in preserving the sport for future generations. This engaging discussion not only celebrates the thrill of the hunt but also underscores the responsibility hunters have in maintaining the balance of nature. Transition to Strategic Hunting: Dave shares his journey from traditional hunting methods to a more strategic approach, emphasizing the importance of land management in improving hunting success. Habitat Management: The episode highlights the role of Integrated Habitat Solutions in providing habitat management services, focusing on sustainable practices and community involvement. Ethical Hunting Practices: Chris and Dave discuss the significance of ethical hunting, including the importance of fair chase and making responsible choices for the welfare of the animals. Community and Family Involvement: The conversation underscores the value of community and family in hunting, with stories of shared experiences and the passing down of traditions. Challenges and Successes: Dave recounts the challenges faced in land management and the rewarding experience of harvesting his personal best buck, showcasing the culmination of years of hard work. Future Generations: Chris emphasizes the importance of preparing the land for future generations, ensuring that the property and wildlife are in a better state for his daughter and nieces. Adapting to Change: The episode explores the shift in mindset required to embrace new hunting and land management techniques, encouraging listeners to be open to change. Role of Technology: The use of technology, such as cell cameras and Wi-Fi products, is discussed as a tool for enhancing hunting strategies and monitoring wildlife. Personal Growth and Learning: Both Chris and Dave reflect on their personal growth and learning experiences in hunting and land management, highlighting the continuous journey of improvement. Show Our Supporters Some Love! VitalizeSeed.Com RackGetterScents.Net Fir enock.com WingAndTailOutdoors.Com https://nestedtreestands.com/WT10  Discount Code WT10 SilverBirchArchery.Com huntarsenal.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Bob Papa sits down with former Giants tight end and Super Bowl champion, Kevin Boss. He discusses his career with the Giants, creating the BOSS Sports Performance facility to help kids reach their full athletic potential, and his big catch in Super Bowl XLII. :00 - Transition from college to the pros 3:35 - Super Bowl XLII 7:48 - Life after football 9:35 - Boss Sports Performance 16:20 - Lessons from playing for the GiantsSee omnystudio.com/listener for privacy information.

Leila Rahimi and Marshall Harris welcomed on Laurence Holmes and Anthony Herron for the daily transition segment.

Join us for an inspiring conversation with Ella Wiley, our November Athlete of the Month. In this episode, we explore her journey as a swimmer, the importance of resilience, and her effective pre-competition routines.In This Episode: ✔️ How supportive coaching has shaped Ella's mindset ✔️ The role of mental training in enhancing performance ✔️ Ella's approach to pre-race preparation ✔️ Strategies for coping with nerves and building confidence ✔️ The importance of teamwork and camaraderie in sports ✔️ Tips for athletes to bounce back from disappointing performancesFollow Ella on her journey and draw inspiration for your own athletic path!Episode Highlights: [00:00:00] Introduction to Ella, November Athlete of the Month, and her remarkable story.[00:01:00] Ella shares her journey into competitive swimming and highlights her experience.[00:02:00] The influence of supportive coaches on Ella's work ethic and resilience.[00:03:00] Transition to her involvement in mental training and its impact on her performance.[00:04:00] Details about her recent meet experience, achieving PRs in 6 out of 8 events.[00:05:00] Ella reveals her pre-race routine and the strategies she uses to prepare mentally.[00:06:00] The effectiveness of box breathing and its role in calming nerves.[00:08:00] Importance of reflection and bouncing back from subpar performances.[00:09:00] Ella discusses her high school season and the shift in competition dynamics.[00:12:00] Tips for creating strong bonds with teammates and fostering a supportive environment.[00:13:00] Ella's advice for athletes struggling with nerves or mental challenges.[00:15:00] Final thoughts on embracing challenges and learning from every experience.[00:16:00] Ella shares her perspective on finding motivation and support in team sports.Next Steps:Take the Athlete Competitor Style QuizJoin our FREE Training for Sports Moms - How to Strengthen Your Athlete Daughter's Mental Game so She Believes in Herself as Much as You DoVisit our podcast website for more great episodesThank you in advance for joining us on our mission and leaving a rating and review on Apple Podcasts.

Mike Mulligan and David Haugh were joined by Leila Rahimi and Marshall Harris for the daily transition segment.

In this episode, Guy Van Syckle connects with the CEO of Mad Capital Brandon Welch who is proving that financing regenerative agriculture can scale—and it can do so profitably.  Brandon reviews the significant challenges posed by current agricultural practices and how Mad Capital is helping farmers and ranchers build a more sustainable food system through innovative financing.  He shares insights on farmers economic incentives, the steps involved in transitioning farming practices, and his company's growing impact as a leading investor in regenerative agriculture.  Most importantly he shares the stories of how farmers economic outlooks are being improved through these investments.Links:MadCapital WebsiteBrandon Welch - CEO of Mad CapitalEpisode recorded November 12, 2025  Email your feedback to Chad, Gil, Hilary, and Guy at climatepositive@hasi.com.

In Round 102 of the Tactical Transition Tips on the Transition Drill Podcast, your transition doesn't begin with paperwork or a final day on the job. It begins much earlier, often quietly, when structure starts doing more of the work than intention. For people who built their identity inside disciplined professions, the danger isn't failure after transition, it's drift. Old habits. Old circles. Old coping mechanisms that no longer fit the life ahead, but remain familiar enough to feel safe.This episode focuses on one critical idea: if you don't deliberately decide what you're leaving behind, it will follow you forward. Careers built on structure, hierarchy, and mission provide a powerful container. When that container loosens or disappears, responsibility shifts inward. Without planning, the same discipline that once kept everything aligned can dissolve into complacency, isolation, or reactive decision-making.This episode breaks transition preparation into three distinct timelines, recognizing that preparation looks different depending on how close someone is to leaving a structured career. Each group is given a specific focus designed to reduce risk, preserve identity, and support long-term stability beyond a uniform, badge, or rank.Transition Group Guidance:• Close Range Group (transitioning now to within 12 months): Audit What Still Pulls You Backwards.Identify people, routines, and environments that undermine progress, and create distance now so they don't quietly shape your next career.• Medium Range Group (transitioning in 3–5 years): Build a New Tribe Before You Need It.Begin forming relationships outside your current organization so support, mentorship, and perspective already exist when the transition begins.• Long Range Group (transitioning in 10+ years): Decide Early Who You Refuse to Become.Establish clear identity guardrails and small daily habits that prevent long-term drift into bitterness, stagnation, or unhealthy metrics of success.This episode isn't about motivation. It's about awareness, discipline, and ownership. Transition outcomes are rarely determined at the moment of exit. They are shaped years earlier by the decisions people make when no one is forcing them to prepare.This round lays out how to do that work early, deliberately, and without drama.Get additional resources and join our newsletter via the link in the show notes.CONNECT WITH THE PODCAST:IG: https://www.instagram.com/paulpantani/WEBSITE: https://www.transitiondrillpodcast.comLinkedIn: https://www.linkedin.com/in/paulpantani/SIGN-UP FOR THE NEWSLETTER:https://transitiondrillpodcast.com/home#aboutQUESTIONS OR COMMENTS:paul@transitiondrillpodcast.comSPONSORS:Frontline OpticsGet 10% off your purchaseLink: https://frontlineoptics.comPromocode: Transition10Blue Line RoastingGet 10% off your purchaseLink: https://bluelineroasting.comPromocode: Transition10

The long commitment of Nedap and GEA's innovation partnership comes together to deliver performance that pays.In this episode of the Uplevel Dairy Podcast, Peggy continues the conversation with Galen Smith of Coldstream Farms. They discuss the complexities and strategies involved in transitioning a family farm business across generations. Galen shares insights into how his father-in-law integrated him into the business, the importance of financial success and passion for farming, and the approach to decision-making that drives profitability. Galen also talks about preparing opportunities for his four sons to join the farm, emphasizing the value of open conversations, monthly financial meetings, and allowing the younger generation to take ownership of projects. They delve into the process behind adopting new technologies like CowScout collars and outline goals for 2026, including focusing on efficiency, animal health, and mental wellness. The episode highlights both the challenges and the innovative steps taken to ensure a successful family farm transition.This episode is part of the High-Performance Mindset Series powered by Nedap. Nedap is future-proofing dairy farming with smart technologies in activity monitoring, cow locating, milk metering, sort gates, and AI-powered camera systems. Nedap is improving life on the farm by putting the right cow in the right place at the right time, every time.00:00 Introduction to Family Farm Transition00:59 Galen Smith's Journey into the Family Business01:38 Challenges and Strategies in Family Farm Transition03:00 Financial Success and Passion in Farming05:12 Generational Transition at Coldstream Farms11:13 Collaborative Decision-Making and Technology Investments17:19 Setting Up the Next Generation for Success23:01 Goals and Reflections for the Future28:55 Personal Goals and Family Time32:03 Conclusion and Final Thoughts

What happens when worthiness and success become inseparable? Megan Arneson shares her journey from Silicon Valley hustle culture to founding Fuck the Hustle, a community for burned-out high-achievers. After quitting her corporate job at 24 post-9/11 to move to the woods, Megan got pulled back into the cycle—burning out completely before breaking free. She vulnerably discusses the "good girl" programming that drove her hustle, canceling her wedding, and the transformation from proving herself to embodied leadership. "Hustle comes from this drive to prove we're worthy," she explains. Her story offers hope: simple grounding practices, nervous system work, and reconnecting with inherent worth can break the cycle.Megan Arneson, MBA is a trauma-informed Executive Coach and founder of Fuck the Hustle, a private community for high-achieving founders and corporate leaders navigating reinvention. Through her book, her membership community, transformational retreats, and her signature "The Nervous System is Your Strategy" workshop, Megan helps high-achievers recognize and break free from burnout cycles. Her work goes beyond surface-level mindset tools, centering instead on embodied, nervous-system-led practices that build true resilience. Megan's work equips women to move from proving and over-functioning into leading with sovereignty, clarity, and flow.About The Show: The Life in Transition, hosted by Art Blanchford focuses on making the most of the changes we're given every week. Art has been through hundreds of transitions in his life. Many have been difficult, but all have led to a depth and richness he could never have imagined. On the podcast Art explores how to create more love and joy in life, no matter what transitions we go through. Art is married to his lifelong partner, a proud father of three and a long-time adventurer and global business executive. He is the founder and leader of the Midlife Transition Mastery Community. Learn more about the MLTM Community here: www.lifeintransition.online.In This Episode: (00:00) Opening and Introduction(03:15) Post-9/11: Quitting Corporate for the Woods(08:23) The Hustle-Worthiness Connection(13:23) The Pattern: Blowing Up Life Repeatedly(20:11) MidLife Transition Mastery Ad (24:35) Running Towards Your Calling(34:51) Getting Quiet and Listening to Inner Voice(41:10) Burnout Warning Signs and Nervous System Safety(45:00) Transition Mastery Coaching Ad (53:51) Living Your Gift vs. Proving Worth(55:46) Final Advice: Get Outside Without a GoalLike, subscribe, and send us your comments and feedback.Resources:https://www.linkedin.com/in/meganarneson/https://www.youtube.com/@FucktheHustlehttps://fuckthehustle.co/Email Art BlanchfordLife in Transition WebsiteLife in Transition on IGLife in Transition on FBJoin Our Community: https://www.lifeintransition.online/My new book PURPOSEFUL LIVING is out now. Order it now: https://www.amazon.com/PURPOSEFUL-LIVING-Wisdom-Coming-Complex/dp/1963913922Explore our website https://lifeintransitionpodcast.com/ for more in-depth information and resources, and to download the 8-step guide to mastering mid-life transitions.The views and opinions expressed on the Life In Transition podcast are solely those of the author and guests and should not be attributed to any other individual or entity. This podcast is an independent production of Life In Transition Podcast, and the podcast production is an original work of the author. All rights of ownership and reproduction are retained—copyright 2025.

In this episode of "The Free Lawyer" podcast, host Gary interviews Valentina Flores, CEO of Red Sentry. Valentina shares her journey from law enforcement to leading a proactive cybersecurity company, emphasizing the importance of ethical hacking and prevention for law firms. She offers practical tips—like enabling multi-factor authentication, limiting data access, and preparing response plans—to help lawyers protect sensitive information. Valentina also discusses the collaborative nature of cybersecurity, the human element in defense, and aligning security practices with core values, making cybersecurity accessible and actionable for legal professionals.Valentina Flores is the CEO and Co-Founder of Red Sentry, a proactive cybersecurity company that breaks into your network, so hackers never get the chance. Before protecting companies, she served as a detective on joint federal task forces, tracking cybercriminals through digital back-alleys. Now a public speaker on hacker psychology, a two-time award-winning cybersecurity leader, and a fierce advocate for women in tech, Valentina is redefining what leadership looks like in the industry, championing smarter and more accessible security for all.Transition from Detective to Cybersecurity (00:01:33) What is Penetration Testing? (00:02:56) Success Rate and Client Vulnerabilities (00:03:35)Understanding Hacker Psychology (00:05:30) Why Law Firms Are Targets (00:06:38) Triggers for Law Firms to Seek Help (00:07:46) Compliance vs. Proactive Security (00:09:09) Human Element in Cybersecurity (00:10:16) Making Clients Comfortable with Ethical Hacking (00:11:55) Emerging Threats and the Future of Cybersecurity (00:13:25) Cybersecurity for Small and Medium Businesses (00:14:43) Diversity in Tech and Cognitive Diversity (00:16:37) Awards and People-First Leadership (00:17:27) Leadership in Cybersecurity vs. Traditional Business (00:18:20) Role of Coaching and Mentorship (00:19:28) Annual Testing and Follow-Up (00:20:21) Prioritizing Cybersecurity in Law Firms (00:21:13) Collaboration vs. Competition in Cybersecurity (00:22:17) Top Three Cybersecurity Actions for Lawyers (00:23:29) First Steps for the Unprepared (00:25:39) What is Penetration Testing? (Clarification) (00:26:39) Freedom and Work-Life Balance (00:27:06) Aligning Practice with Values (00:27:51) You can find The Free Lawyer Assessment here- https://www.garymiles.net/the-free-lawyer-assessmentWould you like to learn what it looks like to become a truly Free Lawyer? You can schedule a complimentary call here: https://calendly.com/garymiles-successcoach/one-one-discovery-callWould you like to learn more about Breaking Free or order your copy? https://www.garymiles.net/break-free

In this episode of Iron Culture, Eric Helms is joined by natural bodybuilders Christine Reinhart and Sarah Oase, who share their journeys in the sport, their experiences at recent competitions, and the challenges faced in women's bodybuilding. They discuss the importance of camaraderie among competitors, the evolution of their training and competition strategies, and the significance of earning pro cards. The conversation highlights the need for greater visibility and support for women's bodybuilding, as well as the personal growth and empowerment that comes from competing. They also share their future plans, emphasizing the need for advocacy and community support in women's bodybuilding, aiming to inspire more women to participate in the sport. If you're in the market for some new gym gear or apparel, be sure to support our friends over at elitefts.com and use our code ("MRR10") for a 10% discount. Chapters 00:00 Introduction 03:00 Christine Reinhart's Journey in Bodybuilding 05:43 Sarah Oase's Athletic Background and Transition to Bodybuilding 11:54 The Importance of Age in Bodybuilding 14:52 Competitive Experiences and Achievements 20:49 Camaraderie in Natural Bodybuilding 26:55 Challenges in Women's Bodybuilding 29:52 Future of Women's Bodybuilding and Closing Thoughts 36:59 The Evolution of Bodybuilding Careers 38:51 Challenging Gender Norms in Bodybuilding 42:40 Promoting Women's Bodybuilding 49:22 Personal Journeys in Competitive Bodybuilding 57:28 Validation Through Competition 01:06:08 Finding Potential and Growth in Bodybuilding 01:13:20 Navigating Challenges in Competition 01:16:15 Recognizing Potential and Achievements 01:18:27 Experiences at the World Championships 01:22:29 The Subjectivity of Competition 01:25:28 The Future of Women's Bodybuilding 01:30:21 Future Plans and Off-Season Goals

Toddlerhood is full of big emotions, sudden shifts, and constant change- especially when a new baby is on the way. Today we will dive into what's really happening beneath toddler behavior and how parents can navigate this season of life with confidence, connection, and compassion. In this episode of Yoga | Birth | Babies, I'm joined by Devon Kuntzman. Devon is the founder of Transforming Toddlerhood, a certified parent coach, and mother. Devon helps parents move beyond the “terrible twos” narrative, reframing toddlerhood as a powerful window for building emotional intelligence, secure relationships, and lifelong skills. Her work—and her book, Transforming Toddlerhood—offers practical, guilt-free support for this often misunderstood stage. Get the most out of each episode by checking out the show notes with links, resources and other related podcasts at: prenatalyogacenter.com Don't forget to grab your FREE guide, 5 Simple Solutions to the Most Common Pregnancy Pains HERE  If you love what you've been listening to, please leave a rating and review! Yoga| Birth|Babies (Apple) or on Spotify! To connect with Deb and the PYC Community:  Instagram & Facebook: @prenatalyogacenter Youtube: Prenatal Yoga Center Learn more about your ad choices. Visit megaphone.fm/adchoices

Marshall Harris, Mark Grote and Clay Harbor welcomed on Laurence Holmes and Anthony Herron for the daily transition segment.

In this episode, Alicia Bigelow, ND joins to discuss the potential of psychedelic medicine to support the menopause transition. Dr. Ali Bigelow is a naturopathic physician, ketamine provider and licensed psilocybin facilitator in Portland, OR. She leads individual and group retreats, enjoys incorporating live music into her sessions when desired, and is passionate about supporting those navigating life transitions, such as end of life and menopause, through her low dose group, Menomorphosis. Dr. Bigelow will be doing retreats in 2026 with Rise Up Journeys at RiseUpJourneys.com In this conversation, Dr. Bigelow explores the emerging intersection between psychedelics and the menopausal transition, framing perimenopause and menopause as profound neuroendocrine, psychological, and existential shifts rather than merely clinical syndromes. She also discusses how hormonal changes—particularly declining estrogen—interact with serotonin, inflammation, and neuroplasticity, potentially shaping psychedelic experiences and outcomes. Throughout the discussion, Dr. Bigelow emphasizes the unique capacity of psychedelics to support self-actualization, identity reformation, and meaning-making during midlife, especially when combined with hormone therapy, intentional integration practices, and strong community support.   In this episode, you'll hear: Why perimenopause and menopause represent a major but under-recognized neurobiological life transition How estrogen, serotonin receptors, and psychedelics like psilocybin may interact in midlife What we know (and don't yet know) about hormone replacement therapy and psychedelic efficacy The potential anti-inflammatory effects of psychedelics and their relevance to menopausal symptoms How ketamine may function differently from classic psychedelics during hormonal transitions Why psychedelics can support identity reorientation, self-actualization, and "not caring" in generative ways The critical role of community, creativity, and nervous system regulation in integration during midlife   Quotes: "We don't honor and celebrate aging and elderhood overall in our culture. … What I do feel is really vital is that we gather and support each other in all of life's transitions, and [menopause has] not only been underrepresented, but also just under honored." [3:29] "As [estrogen] levels decrease, there's a decrease in serotonin receptors—which is the 5-HT2A receptor. And so that reduces our sensitivity to, and activity of serotonin. And psilocybin and LSD and other 5-HT2A agonists—they can enhance their receptors and the activity of those receptors." [13:20] "The understanding is that with [estrogen] hormone replacement therapy you would then, theoretically, see a replenishment of [serotonin] receptors, and then the psilocybin would have more ability to act on those receptors." [15:37] "Psilocybin—and psychedelics in general—and the menopausal transition are just really beautiful complements to each other and they become even more potent when used together." [19:48]   Links: Dr. Bigelow on LinkedIn Dr. Bigelow on Instagram Dr. Bigelow's website Synaptic Institute website  Rise Up Journeys website  Psychedelic Medicine Association Porangui

Mike Mulligan and David Haugh welcomed on Marshall Harris, Mark Grote and Clay Harbor for the daily transition segment.

Sal Leon has developed a niche in traditional tattooing with an erotic gay flair, setting him apart from other artists in San Diego. This distinctiveness not only attracts a loyal client base but also fosters a sense of community among those who resonate with that particular style. Sal shares his journey through the tattooing world, highlighting the unique intersection of his identity as a gay man and his artistic expression through traditional tattooing with an erotic flair. This discussion with host Aaron Della Vedova opens up a broader conversation about the evolution of tattooing, particularly within the LGBTQ+ community, and the importance of community support in navigating the challenges of the industry. The conversation celebrates individuality, creativity, and the vibrant community of artists dedicated to expressing their authentic voices. Join us for an inspiring exploration of art, creativity, and the tattoo culture that embraces the weird and different! Chat Highlights: 00:00:00 - The Importance of Unique Styles in Tattooing 00:00:51 - Oversaturation in the Tattoo Industry 00:03:10 - Sal's Background and Coming Out Story 00:06:20 - Meeting His Husband and Early Career 00:10:42 - Transition to Piercing 00:12:00 - The Leather Community Explained 00:14:16 - Leather Community and Tattooing 00:19:11 - Incorporating Male Figures in Traditional Tattoos 00:23:02 - Differences in Gay and Queer Tattoo Scenes 00:25:03 - Erotic Themes in Tattoos 00:30:00 - What Makes a Great Tattoo 00:36:29 - Changes in the Tattoo Industry 00:41:16 - Supporting Local Community 00:45:42 - AI and Tattoo Art Quotes: "Leather community, I think it's more for like the misfits of the queer community."   "I think, in hindsight, it's good going through experiences like that. Those shitty experiences to finally, when you get to a nice point, to really appreciate it."   "Getting tattooed in a big way is a way to express... it's just different people in different walks of life expressing their particular walk of life through collecting a tattoo."   "A great tattoo is a great experience."   "If you're an artist out there, or even a younger artist that's coming into this, man, I would say draw and create with your own mind and your own hand as much as possible."   "I see this slipping away of what makes us human, like this, sitting here talking to you, getting to know you one-on-one, face-to-face."   "I also believe that we're most likely in a simulation that reflects our deepest thoughts about reality."   Stay Connected:   Stay Connected: Chats & Tatts: Website: http://www.chatsandtatts.com⁠ Tik Tok: https://www.tiktok.com/@chatsandtatts  IG: http://www.instagram.com/chatsandtatts Chats & Tatts YouTube: https://www.youtube.com/c/chatsandtatts Connect with Aaron:⁠   Aaron IG:⁠ http://www.instagram.com/aarondellavedova⁠ Guru Tattoo: http://www.Gurutattoo.com Connect with Sal: IG:https://www.instagram.com/savagesal  

Private asset-based finance (ABF) is the catch-all of credit markets—a diverse and complex segment offering a wide range of investment opportunities. In this follow-up to our previous ABF discussion, we delve deeper into the asset class and what it takes to be successful from origination to underwriting and portfolio construction. We discuss investment areas of interest—as well as those we're apt to avoid—and examine the convergence of structured products and corporate credit through the lens of AI and data center finance. This episode also explores market dynamics, risk management, and where private ABF fits into multi-asset portfolio construction. PGIM's Brian Barnhurst, CFA, Head of Global Credit Research, hosts Oliver Nisenson, Head of Asset-Based Finance. Recorded on November 26, 2025.

Rob Allen is CEO of Intermountain Health, one of the nation's largest and most innovative health systems. In this episode, host Anne Hancock Toomey talks with allen Allen about his journey from growing up on a dairy farm in Wyoming to becoming a healthcare CEO at the age of 28. And if you're thinking you've heard the farm-to-CEO story before, you'd be right. Several of Anne's Backstory guests come from a similar background and here, they discuss parts of that life that may point people to careers in executive leadership. Beyond that, Allen discusses the valuable lessons learned from his rural upbringing, the various roles he undertook in healthcare from nursing homes to hospitals, and his commitment to servant leadership. He delves into his early career challenges, including turnarounds of financially struggling hospitals, the significance of a people-first mindset, and the necessity of addressing the correct problems in leadership. As he recounts his progression through different roles at Intermountain Health, Rob emphasizes the importance of transparency, hope, and engaging employees to achieve organizational success. He also opens up about balancing his demanding career with family life and offers advice for aspiring leaders. The conversation highlights Rob's visionary approach in simplifying healthcare and expanding proactive care, and the importance of authenticity, purpose, and compassion in leadership. 2:24 Early Life on the Farm 6:35 Influential Figures 8:38 College Years and Career Beginnings 11:40 Transition to Healthcare Administration & Leadership Challenges 17:28 Turnaround Success Stories 21:01 Career Moves and New Opportunities 22:14 Returning to Intermountain Health 24:37 Building a Hospital in Park City 33:05 Balancing Family and Career 35:27 Lightning Round Learn more about your ad choices. Visit megaphone.fm/adchoices

There's no one in politics quite like the Democratic governor of Colorado, Jared Polis. He's a serial entrepreneur who cashed in on the dot-com boom and has pushed back on over-regulation of artificial intelligence and the tech industry. He's in favor of abortion rights, but was against overregulation of mask mandates. He's pro-business and pro-weed. The “pro-liberty” governor joins host Megan McArdle to discuss Trump's tariff and immigration policies, transgender care and how to make housing and health care more affordable.Timecodes00:00 Welcome Gov. Jared Polis01:27 Jared Polis's entrepreneurial start03:54 Three most important qualities in an entrepreneur04:28 Most important qualities in a governor05:00 Transition from tech to government05:52 Transition from Congress to governor07:03 First year as Governor08:20 Regulation of Tech Companies11:45 The “Pro-business,” “Pro-trade” Party15:02 Are tariffs shifting voters?16:35 Being pro-freedom17:22 The only Democrat in The Liberty Caucus 18:39 The polarization of transgender care22:59 The Jared Polis brand of politics23:29 Making health care more affordable27:40 Making housing more affordable31:14 Does his politics have national appeal?32:22 Jared Polis's MAGA uncle33:24 Can Americans be civil again?34:55 How to fix Congress 36:02 The activist base of the Democratic Party37:36 One thing to praise Trump on 38:32 Collecting Coins41:02 What is Jared Polis reasonably optimistic about?Subscribe to The Washington Post here.

In this episode of The Women On Top, Valerie Lynn sits down with Victoria Pelletier—a force of nature who became a COO before most people feel confident in their first leadership role. Today, she's a sought-after keynote speaker, corporate executive, and author known for her unapologetic no excuses philosophy.What unfolds is a raw and powerful conversation about what it really takes to rise inside the corporate world—and why resilience, ownership, and courage matter more than any job title.Valerie and Victoria dive deep into:

The Iron Age boys reflect on another year of reading classic comics and three years since launching the podcast by answering YOUR questions! (Assuming you sent them in, that is to say.)Discussed in this episode:Current readsUnderappreciated Iron Age creatorsFashion trends of the Iron AgeComics we don't want to revisitMissed opportunitiesNon-Iron Age comics with Iron Age flavorCursing and podcast editingDick Tracy and the British 20th centuryMarvel trading cardsCreator pronunciationsMost representative American comicsThe Iron Age outside the U.S.Which comic book universe we want to live inGrowth and change vs. “the permanent Act II”When are you going to cover __________?Transition to video?The origin of the podcastAre we critics?What we learned in 2025Keep the show going through 2026 and beyond by becoming a supporter at patreon.com/ironageofcomics

Abdel is one of the most prolific developers in the Zero Knowledge space. Since our conversation in September, he was able to accomplish so much that he requested another interview to talk about it. So what happened with ZK STARKs that is so important? Time stamps: 00:01:04 Podcast Introduction & Sponsor Acknowledgments 00:02:15 Vlad's Rant on Bitcoin Media & Podcast Landscape 00:03:24 Bitcoin Takeover Podcast Mission & Seven-Year Anniversary 00:04:39 Transition to Abdel's Updates & ZK-STARKS 00:05:44 Abdel's Zcash & Bitcoin Proposals 00:07:00 Comparing Bitcoin and Zcash Community Reactions 00:08:36 Altcoins as Experimentation Grounds 00:11:23 Scaling, Rollups, and Drivechains 00:13:10 Abdel's Proposal for Native STARK Verification 00:17:19 Zcash's TDE and Layer 2 Possibilities 00:19:22 ZK-Rollups, Privacy, and Regulatory Pressures 00:21:02 Government Surveillance & KYC Concerns 00:24:26 Cultural Stigma Around Bitcoin Privacy 00:25:34 Zcash's SEC Presentation & Institutional Acceptance 00:28:58 Debate on Privacy, Transparency, and Backdoors 00:30:00 Bitcoin's Social Layer & Governance 00:32:47 Critique of Bitcoin Perfectionism & Altcoin Dismissal 00:35:49 Bitcoin's Mission: P2P Cash vs. Store of Value 00:36:49 Learning from Ethereum & Second-Layer Innovations 00:37:24 Sponsor Plugs & BTCfi Introduction 00:40:14 BTCfi: Bitcoin Staking & Yield Mechanisms 00:46:15 Bridging BTC to StarkNet & Atomic Swaps 00:48:36 BTCfi: KYC, Permissionless DeFi, and Institutional Offerings 00:50:59 DeFi Risks & Bitcoin Staking Security 00:51:40 ZK-STARK Verifiers on Bitcoin Cash 00:53:10 Bitcoin Cash, Zcash, and Social Layer Value 00:58:54 Bitcoin Cash's Technical Innovations & Community Dynamics 01:00:04 Quantum Resistance: Investor Fears & Satoshi's Coins 01:02:29 Quantum Threat Timeline & Migration Planning 01:10:25 Quantum-Resistant Signatures & Scalability Trade-offs 01:11:20 Hard Fork vs. Soft Fork for Quantum Resistance 01:13:08 Consensus, Confiscation Proposals, and Social Risks 01:17:56 Stagnation in Bitcoin Development & Altcoin Innovation 01:23:12 Ethereum's Role in Crypto Ecosystem 01:25:24 Zcash's Dual Incentives & Institutional Recognition 01:28:08 Zcash's Future: Innovation vs. Ossification 01:30:39 Sponsor Plugs: Noones & SideShift 01:33:42 Quantum Resistance Migration: Hard Fork Efficiency 01:37:11 Bitcoin's Future: Security, Consensus, and Upgrades 01:43:09 Bull Markets, Technological Breakthroughs, and Lightning 01:45:18 Lightning's Shift to B2B & Retail Challenges 01:47:02 Bitcoin Treasury Companies & Business Models 01:49:18 Seinfeld Analogy & Bitcoin's Societal Impact 01:52:11 Magic Wand: Abdel's One Change for Bitcoin 01:54:03 Legitimate Altcoins & Project Criteria 01:57:16 Monero, Kaspa, Litecoin, and Altcoin Usefulness 02:02:06 ZK-STARKs: Complementary or Standard? 02:06:21 ZK-STARKs for Fast Bitcoin Syncing 02:10:27 Call for Wallet Integration & User Experience 02:14:08 Bull Bitcoin Wallet & Open Source Security 02:22:02 Freedom Tech, Nostr, and ZK for Sovereignty 02:26:02 ZK-STARKs: Career Opportunities & Verification 02:28:41 Outro & Listener Easter Egg

How MK Ultra became the most powerful organization in the world, during research for a female protagonist Core Concept Biological body, programmable mind Flesh, blood, emotions—yet the nervous system is mapped, indexed, and overwritten on command. Skill modules Each “program” activates a complete competence set: muscle memory, reflexes, language, tactical reasoning, emotional suppression or enhancement. Instant mastery When a program is switched, hesitation disappears. The body already knows. Dormant self A baseline personality exists—but it's shallow, fragmented, or dissociated. The true self is never meant to surface for long. How the Switching Works Neural implants, conditioned triggers, or biochemical signals External command (handler, AI, keyword) or internal switch (stress, threat, mission cue) Transition marked by subtle tells: eye focus change, posture shift, breath cadence resets Example Program Sets OPERATIVE – combat, infiltration, zero empathy, precision violence DIPLOMAT – charm, emotional mirroring, linguistic fluency TECHNICIAN – systems intuition, pattern recognition, repair GHOST – invisibility behaviors, silence, minimal biological output OBSERVER – memory capture, detachment, perfect recall A person who can assume any role, even professional and be the best at it instantly

PRETTY BOY IS HERE!DJ is joined by "Pretty Boy" Anthony Taylor ahead of his fight at Misfits Mania on the undercard of Andrew Tate vs Chase Demoor!⚡️ PrizePicks: Sign up with code "MIGHTYCAST" to play $5 and WIN $50 INSTANTLY https://prizepicks.onelink.me/ivHR/MIGHTYCAST⚡️1st Phorm

How MK Ultra became the most powerful organization in the world, during research for a female protagonist Core Concept Biological body, programmable mind Flesh, blood, emotions—yet the nervous system is mapped, indexed, and overwritten on command. Skill modules Each “program” activates a complete competence set: muscle memory, reflexes, language, tactical reasoning, emotional suppression or enhancement. Instant mastery When a program is switched, hesitation disappears. The body already knows. Dormant self A baseline personality exists—but it's shallow, fragmented, or dissociated. The true self is never meant to surface for long. How the Switching Works Neural implants, conditioned triggers, or biochemical signals External command (handler, AI, keyword) or internal switch (stress, threat, mission cue) Transition marked by subtle tells: eye focus change, posture shift, breath cadence resets Example Program Sets OPERATIVE – combat, infiltration, zero empathy, precision violence DIPLOMAT – charm, emotional mirroring, linguistic fluency TECHNICIAN – systems intuition, pattern recognition, repair GHOST – invisibility behaviors, silence, minimal biological output OBSERVER – memory capture, detachment, perfect recall A person who can assume any role, even professional and be the best at it instantly

APR President and CEO Steve Alexander returns to the Recycled Content podcast to dig deeper into what is really holding the American recycling system back and the ongoing fight against misinformation surrounding plastic recycling. In this episode, Steve and host Kara Pochiro unpack misleading recycling rate statistics, push back on the false claim that plastics placed in household recycling bins do not get recycled, and clarify why today's challenge is not capacity, but market demand and material supply. The two dive into how APR is working to close these gaps through policy leadership, design guidance, and market-building programs. The conversation also previews key issues that will take center stage at the Plastics Recycling Conference this February in Chula Vista, California, and looks ahead to APR's priorities as the industry heads into 2026.

Send us a textEpisode SummaryEver feel like no matter what you do—someone's unhappy? As a teacher, it can feel like your job is to keep kids, parents, admin, and coworkers content... all while your own needs take a back seat.In this week's episode of Teachers in Transition, Vanessa Jackson shares a powerful parable, a pop-culture reminder, and a personal story about a cup holder (yes, really) to walk you through three powerful gifts that every teacher deserves to claim:

Dr. David wraps up this three part series on this important subject. Your church safety team should be one of the most highly trained and professional teams in your church. If you need additional help, feel free to reach out to see how David can help you!Resource Highlight- The Night that Wouldn't EndDavid and Annie are serving the Lord in the US, Africa, India, and South America. Would you consider joining their team? Just click here to get involved. Thanks so much!Show credits:Opening music- Beach Bum Kevin MacLeod (incompetech.com)Licensed under Creative Commons: By Attribution 3.0http://creativecommons.org/licenses/by/3.0/Transition music- Highlight Reel Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0http://creativecommons.org/licenses/by/3.0/Closing music- Slow Burn Kevin MacLeod (incompetech.com)Licensed under Creative Commons: By Attribution 3.0http://creativecommons.org/licenses/by/3.0

The Entirety of DJ & PK from December 17, 2025 Hour 1 Utah Mammoth Play by Play voice Mike Folta joined yesterday to talk Hockey and the Playoff Push.  Best of Utah Mammoth Postgame following 4-1 loss in Boston.  Ben Anderson joined yesterday to talk Utah Jazz.  Hour 2 What is Trending: The New York Knicks win the NBA Cup  New Weber State Head Coach Eric Kjar joins the show Eric Kjar will attempt to make the jump from High School to Division I College Football. Will it work?  Hour 3 The New York Knicks are your 2025 NBA Cup Champions. What's your interest level in the in-season tournament?  Tim LaComb, Utah Jazz Pre Half and Postgame Analyst, joined to talk about the state of the team and their rebuild.  Mr. Mac Utah County High School Players of the Week Hour 4 The Miami Dolphins are benching Quarterback Tua Tagovailoa. They brought Zach Wilson in as a free agent in the offseason, but instead they will be starting Rookie Quinn Ewers.  Slacker Headlines  Your Feedback

Tiff and Trish discuss the often ignored practice transition — are you looking ahead for your practice? Ten years out? Thirty years? The two consultants discuss what to keep in line now so that any changes on the horizon are received with minimal panic and damage. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:01) Hello Dental A Team listeners. We are here today with some really, really just fantastic information. We're rounding out the year, if you can believe that. It's almost 2026, so whatever year you're listening to this in, hopefully it's also still super relevant, but we are heading into 2026 here soon. And we thought that it would be really fun to just wrap the year with a couple of different practice strategy kind of.   don't know, just like how to progress where you're at, from where you're at to where you wanna go. Strategy podcast. So I'm just super excited. I have one of my favorite human beings in the world here with me today. I have Ms. Trish Ackerman. She is a prized possession on the Dental A Team team here. She is a traveling dental consultant with our team, which means that she does virtual consulting. So we do.   coaching calls, video calls, we team training calls, all those pieces, you guys know that, but she also travels to practices and sees different practices in person, kind of helping them strategize and train the team and get things working again, kind of oiling that machine. And something I like to say is, I always tell my practices, Trish, and I think you probably feel the same way, I always tell my practices that we have the most incredible practices that join the Dental A Team. We really attract the most incredible people, but   more than anything, I always know that I'm coming into a practice that's running really well. And my job is to find the areas where they just kind of feel a little bit stuck. Maybe something's a little bit inefficient. Maybe there's just something that's like, gosh, if we tweak this a centimeter to the left or a millimeter to the right, kind of I think of like implants, like, you know, you gotta just get them just right. And if we can make that little tweak ⁓ with them in office and find those areas, then their lives become.   less stressful. like to remove the stress. So I always tell practices, gosh, like I just don't get invited to practices that aren't doing well. I'm always, I'm always just so shocked at how well practices are doing. And Trish, I know you've consulted for a while. You've been here with our team for a little while, but you have just so much, there's like a wealth of knowledge behind you and all of the aspects of everything that you've done. And I'm so excited for you to be on this team. I know your practices are thriving because you're here.   We are thriving because you're here and we're all better people because of it. So Trish, thank you so much for being here today. I'm excited to pick your brain on these practice strategies. How are you? Your hair, we already talked about your hair is stellar. I had a weird hair dream. So hair is on the mind. It's like, it's a thing today. So welcome with your beautiful glasses and your beautiful hair. And it's 8 a.m. in the morning. What were we thinking? But this is a great way to start our day. Trish, how are you today?   DAT Trish Ackerman (02:44) I'm doing great. Thanks, Tim. I always like doing this with you.   The Dental A Team (02:47) Okay, thank you. Thank you. That makes it much easier ⁓ when I schedule it that you enjoy doing it. So thank you. I appreciate that. ⁓ I do enjoy life with you. You shed a lot of perspective for me. So thank you. ⁓ Yeah, definitely team listeners. I had this, okay, start over. Marketing, our marketing department, they help us come up with a lot of topics. And then the consulting team, we kind of look at them more like, hey, is this relevant? Is this something that   DAT Trish Ackerman (02:55) Welcome.   Thank you.   The Dental A Team (03:17) we're seeing pop up in our worlds of consulting with our clients and our listeners is this something that's going to be super beneficial. And this topic came up and I was like, gosh, actually, it's kind of super cool to end the year with this because now we get to look into what next year is going to be. And this could be a lot of strategy that helps build, I think, Trish long term visions. It might not be something that someone's thinking about today. Just like I know we have.   you know, lot of new graduates who listen and, a lot of doctors who've been in practice for 20, 30 years, or even three years, five years, wherever they're at on their journey, I feel like this is information that we like to shed light on for all of our practices. That's like, always be prepared. Just like, I don't feel like, I don't feel like we buy houses. We don't have a home and not know the value always. Like we're always making sure we know the value. We're making sure we know, you know, our prices right.   our interest rates are the best that we can get. Do we need to refinance? We're always looking at those aspects, but I think that we forget to duplicate that and look at it in our business as well and make sure that we always know the health of our business. And Trish, when we're building out goals, I know you and I both do this. We like to look as far ahead as we can, like 10 years ahead to say, what could that look like? And when do you want to retire?   Right, when do you think that you want to repair? How long do you want to work? And even if that's 30 years down the road, making sure that at any point we could be ready for that. And so today is really talking about practice transition strategies, what that might look like. And Trish, I want to know from your perspective, you've done quite a few practice transitions, I would imagine, in the history of dentistry that you've got behind you there. What are some of the...   What are some common to start, like let's start just broad. What are common practice transitions that you have seen that you've worked through? Like what does that even mean when a doctor says I want to transition or we say transition in there to understand that? What does it mean to transition? What have you seen?   DAT Trish Ackerman (05:24) What I've seen is doctors that have been with the practice for many, many years, they built their legacy and they are ready to pass the baton to a new dentist. And it's a big decision. And sometimes they're sometimes they have sellers remorse because then they realize that, shoot, maybe I wasn't quite ready. But I have, I have seen it where, I mean, most of the time the sellers are very ready and, the new buyers coming in are very ready. So   you know, it's a transition. We make sure that the doctor, both doctors are aligned, the seller and the buyer, and that it's a good fit for both.   The Dental A Team (06:03) Yeah, I love that. love that. So transition could mean a sell and a buy, right? A transition is a change, right? Transition is we're making a change. We're looking different in the future than we do today. And I agree, I think a couple of pieces that on both sides are super important, I think is that alignment word that you used, right? And making sure that we know where we want to go. I think a seller needs to know where they want to go. Why do they want this practice?   the or why do they want to sell this practice and the buyer needs to know why do I want this practice and being in alignment with that is absolutely key. Now, when we're prepping for selling ⁓ and transitioning, we'll call it transitioning, what are some of the things that you have advised or you've worked on yourself while helping practices to sell? How do you prepare for selling? Like what do you need to make sure is in place if they're not?   We'll take it two ways. Maybe someone's not selling today. They're like, well, one day I might sell. And then maybe someone's like, gosh, I need to sell. want to sell. I'm ready to get out. So what would you advise someone who says maybe one day I might want to sell? How do they keep their business prepared for that?   DAT Trish Ackerman (07:16) Well, that's always the best way, like start a plan. There are times when it's like an emergency and need to sell, when they have the, when they've got the time to plan, you really want to ensure like the, like you were talking about, tip that the selling of the house, you don't sell your house if the flooring is just a hot mess or if, or if the roof is caving in, you get those things fixed first. And in a dental practice, you really need to protect the patient base because the new buyer   or even somebody transitioning in to purchases, what does the patient base look like? And if we're adding a partner, do we have a patient base for them? If we don't, this is the time that we, the doctors need to be hyper-focused on growing that patient base. That also requires like, what does the accounts receivable look like? What is the collection ratio? Is this practice producing but not collecting? And though you do like kind of a full analysis on the top.   five KPIs typically, and then ensure that they are in really good condition. You want your practice to look appealing and you want your practice to be healthy. And when you're selling anything or transitioning in, the patient base is always number one. So if you have the syndrome where the front door is open, but the back door is open as well, we need the time to strategize to get that back door closed to ensure that when we go to sell this new buyer,   The Dental A Team (08:35) Yeah   DAT Trish Ackerman (08:43) or new partner knows that there's a solid patient base in place. And then again, the counts receivable, that's another really big one. That's got to be cleaned up pretty well. Again, to look appealing and to be worth something.   The Dental A Team (08:55) Yeah, I love that. I am in transition. Like we're looking at purchasing a home and we have a home that we're either going to rent or we're going to sell. And what you're making me think of now is that our realtor, I love her dearly. She is one of my best friends in life. And she is like, cool, we can totally do this, but she needs some really nice pendant lights. Like Tiff, got to open that. She's like, I know you've got some storage closet somewhere that's got a ton of, you know,   a ton of decor, like she's like, you gotta spruce this place up. Like, yeah, she got brushing up, this is perfect. And I was like, ⁓ wow, yeah, you're right. And as I'm looking at Zillow and looking at all of these homes, I'm like, ooh, I love those pen and lights and ooh, I love that has black trim. And I'm like, my gosh, actually it's those pieces ⁓ that just sparkle that make you want that thing.   If you want to get a good price, if you want something great for your patients, you want a great person to purchase your practice and you want a great person to carry on the legacy of what you have built and a great person to take care of the patient base that you have worked so hard to get, I think you have to make it attractive and appealing. And I think you're absolutely spot on. The patient base is huge. A doctor buying a practice, a DSO purchasing a practice, like anybody purchasing his practice.   purchasing a practice wants to see that it is valuable. And the value is in the people, right? The patients and the dollars. And I think what you said is exactly true. The flip side of a patient base, you can have all the patients in the world and you can have that back door closed, but if you're not collecting the money, that back door is open. The money's just going out the door with the patients instead of staying in the practice.   That's also an issue as well. So you've got to, you've got to hang those pendant lights and get those systems in place and really, really evaluate if you were, if you remove yourself emotionally from the practice that you've built and you look at it objectively, would this be appealing to you? If you looked at your home on Zillow, you took pictures and you scrolled through those pictures and you looked at your home, would you be attracted to purchase that home? If you weren't emotionally tied to the place. So.   DAT Trish Ackerman (11:15) Yeah.   The Dental A Team (11:15) I love that.   DAT Trish Ackerman (11:16) And piggybacking on that, when you're buying a home, you're buying a practice, what's your profit look like? I mean, if you're buying something that isn't going to have any value because there's a lot of debt tied to this or like a home, if you're going to purchase a home, but you're paying too much for it because it's really only worth, mean, those are also the things that the buyer has to look at. Is this practice, is it like heavy, heavy overhead? And if so,   The Dental A Team (11:19) Mm-hmm.   Mm-hmm.   DAT Trish Ackerman (11:43) that needs to be trimmed down along with ensuring that the patient base is strong. If you're gonna sell something, it needs to be profitable to the buyer.   The Dental A Team (11:52) Absolutely,   absolutely. I think that's spot on because you're gonna look at a home and you're gonna say, okay, well, this is the dollar amount that they have it listed for based on these photos or based on what I see in person. This is what I'm gonna have to put into it to make it what I want it to be. So I'm gonna take that into consideration. So if you've got a house priced at 525 and I know it's gonna take 60, $70,000 to...   make it valuable to me, make it the home that I want. Now my brain is saying, this worth 600,000? Because that's what I'm actually putting into it. And then my offer to you is gonna take into consideration the upgrades that I feel I need in that home in order to compensate for the price that you've listed it for. Yeah, I love that. when you're talking strategies for, we always, think, let me start over.   DAT Trish Ackerman (12:35) Absolutely.   The Dental A Team (12:44) Prepping for selling, I said this in both versions, right? Because I want a doctor to purchase a practice and think that way, right? I want you to think if I were to sell this down the road.   Like how can I invest, reinvest back into this practice to make it the best that it possibly can be? I want this practice for a long time, but we're not gonna be here forever, right? We're not, we may be in our home forever, but the likelihood of that in this day and age in 2025 is unrealistic. We're not gonna, we're likely not going to serve the term of our loan agreement in our home. Like we're going to move on, we're gonna find something new and the same is true for your business. So making sure, we don't know.   We don't know when that's going to happen. We might say, want to practice for 30 years. Great. But if you wait for 25 years to get ready to sell, you're going to be in an emergent sell situation. So day one today, making sure that you think like a seller doesn't mean that you're selling your practice. It doesn't mean that you're not there for your team. It doesn't mean that we're not here for the culture and that we're not here for the growth and the patience. It means we're preparing for everything.   That will set you up for success because you're constantly thinking about the value and about the return on investment that you're making. think that thinking like a seller, thinking, what would I do if I were selling this practice right now, helps you objectively make decisions in the practice, in my opinion. ⁓ Emotions are really, really hard. Emotions are fleeting. Emotions will drive us and we have to be able to step outside of that.   to make really great business decisions most of the time. Now, Trish, me, I always tell my practices, know the worth. So get valuations, like every so often. How do you feel about that? How do you suggest people do that?   DAT Trish Ackerman (14:35) totally agree. think at least every five, five to seven years get a valuation of the practice because that'll also help you guide. If let's say it comes in pretty low, that will give you the valuation company can give you all the tools and the map that you need to get the value up. And if you just sit stagnant, which unfortunately a lot of doctors do, and then they're super shocked because the practice isn't worth anything.   And that is what we don't want to happen, especially to our clients, know, if this is something that they're talking about. So if the valuations, sure, they might cost something, but get it done anyways, because you can continue. It's almost like when you remodel the home. I love using the house as the analogy and get the valuation consistently through the years, because they don't know what they don't know. And when you're only in those four walls all the time,   You don't see what you can be actually doing. the valuation, that totally helps, because it gives all the current owners new perspective, new ideas.   The Dental A Team (15:45) beautiful. love that new new perspective, new ideas. I love that. And I think I'm addicted to it's like a it's a problem. I am addicted to model homes, just going and walking model homes. I love it. I love walking model homes because I love new perspectives and new ideas. And walking into a model home for me is like, ⁓ my gosh, I wouldn't have even thought to do that with that kind of a space. Right. So I'm getting to see   DAT Trish Ackerman (15:56) I don't know how to tell you.   The Dental A Team (16:14) all of these interior designers work their magic in brand new homes, fresh and new, and I can go, my gosh, I can do that. And we we toured a spec home, meaning it was already built, ⁓ but nothing's in it. it's new, but not all the upgrades. But I thought there was the spec home that I'm like, what do you even do with that space? Like that is the most random space I've ever seen in a house. It's just this little cubby in the back of a kitchen.   So I was like, we need to go look at the model home. So we went and looked at the model home and I was like, oh, that's brilliant. I never would have thought to do that. But what you made me think of was that, like touring model homes, right? If we're not getting the valuation, we don't know the value of our home, but we're also not looking at what other people are doing and touring models. We're not going to...   It makes me think of the ADA, the CE courses and the Arizona Dental Convention and the California Dental Convention and going and seeing the floor models of new chairs, new, like getting all of these new ideas and doctors, caveat, it does not mean that we need to implement everything. I do not buy everything I see at the model homes. I just get ideas and then I watch for really good deals, right? But that's where I think we can get those pieces, those missing pieces in something   that I think we have really exciting here at Dental A Team is we have such an amazing community of doctors who are like-minded, but doing things in a different way in every practice. Every practice has their own flair. And when the doctors come together, when they get together at our masterminds and they're in person and they're at our doctor-only masterminds on the first Tuesday of every month and they're sharing these ideas, it's like touring a model home with your best friends. Like, ⁓ my gosh, I didn't even see that.   I didn't even hear it when Trish said that to my team. I didn't hear it that way. I'm to take this back and communicating with each other and getting that fresh perspective, like prepping for selling valuation and have some really good people surrounding you to constantly keep your brain fresh. Yeah, I love that.   DAT Trish Ackerman (18:21) For sure. For sure. The team   is also another, they are also a big factor of this. If this is a legacy practice and there's a hygienist that's been in this practice for 20 years, that is also something that needs to be considered. it can be a little scary when you've got a legacy team, a new buyer comes in and then the seller is out and team goes with.   The Dental A Team (18:26) Yeah.   Yeah.   DAT Trish Ackerman (18:46) And if we can also like your locking in your patient base, you're ensuring that your profit margins are good, that your accounts receivable is healthy, what's the team going to be doing? Because we also need to strategize for that too.   The Dental A Team (18:55) Yeah.   I love that you said that because I think one of the scariest things to a practice owner or business owner in general is the loss of a team. And I think people shy away from talking about the inevitable because they're afraid that the team's going to be scared and run away. And I firmly believe that the people that are meant to be in my life will stick around no matter what my life looks like. And if I'm prepping for   for selling, like I want my team to know too, hey, I'm here for the long haul, but we've got to make sure that we're super healthy because if we're not super healthy and not a buyable practice, if we can't sell, we're not doing right by our patients and I'm not doing right by you. I should be able to ensure that this business is healthy enough that it would want to be swooped up by someone because that means it's healthy enough that I can pay you. And that's how we do it. Yeah, that was beautiful.   Trish, some things that I picked up from you in the systems and I heard, re-care. You are a genius when it comes to re-care strategy. I have never seen someone pull out a re-care strategy like you do and it's beautiful. So if you all need some re-care strategy, like pick Trish's brain. If she is your consultant, you are in fantastic hands. Your re-care, your reactivation is amazing. So.   I know you tackle those, right? So patient-based, re-care, reactivation, and new patients, which also turns into some marketing, making sure that marketing is working. But then you also said ⁓ AR and that our collections are healthy. So patient-based, AR, and then team. So culture, right? So those are, and profit, profit, yes, yes. And if your AR ⁓ is in line, your collections is in line, your patient-based is healthy.   DAT Trish Ackerman (20:37) prop. ⁓   The Dental A Team (20:47) you watch your spending, your overhead should follow those things. Your overhead, typically like to, we love 50%. I love a 50 % overhead margin. Typically what we're gonna see if I'm truthful and honest is 55 to 65%. I really like that 50 to 60 % is really healthy and safe. And I see doctors feel really good and like they can save for what they need to save for and not be stretched too thin, but that 55 to 65 % is pretty common.   ⁓ So, re-care strategy, these are the pieces guys, these are your action items from Trish. Make sure you are ready to sell so that you're not in an emergent situation. If you're in an emergent situation, meaning you're trying to sell within the next one to five years, bust a move. You can still do this. Re-care strategy is in place. We're not losing patients out the back door, meaning they're getting reappointed. They're coming in, your new patients are staying. Re-activation.   So what patients have gone out the back door, who has not been seen in the last 18 months or so, AR, make sure that your collections is super clean. That is a space that doctors get a little scared. Reach out, Hello@TheDentalATeam.com, reach out, we will help you with this. And then your profit and your culture. Okay, so watch your culture. Go ahead, Trish, show us what can see. yeah.   DAT Trish Ackerman (22:02) I do want to add something to the accounts receivable that just popped in my   mind. I can't believe I left this out. Not only is it the accounts receivable, but also the credits. When you see some practices that have like $100,000 worth of credits, that is also something that it's got to be cleaned up. It's got to be cleaned up before sell.   The Dental A Team (22:11) Yes, yeah.   Mm-hmm.   I completely agree. That was a massive, massive space. Good job. Yes. I agree. We focus really heavily on, by we, I mean the dental community, on the outstanding money, what is owed to you, but what do you owe to the people? What needs to go out?   DAT Trish Ackerman (22:38) Yep. That is a big   one when we go to sell.   The Dental A Team (22:42) Yes,   and I've seen it, you guys, I've seen it upside down. I have seen our AR, our accounts receivable that's due to us is lower than our credits. That's a scary place to be, okay? So watch for those, that was huge stress, yes. So get your re-care, reactivation in line, okay? Get your patients in line, your new patients as well. Make sure that your collections is healthy, so your AR is healthy.   DAT Trish Ackerman (22:53) Yes.   The Dental A Team (23:09) Your credits are healthy, that your profit is healthy and that your culture is healthy. Those are the spaces to ensure. then every once in a while, Trish, I love the five to seven years, go get that valuation. Make sure that you know the value of your practice and go walk some floor models. You guys, it's super fun. So if you're bored on the weekend too, like they're open all the time. So there you go. That's where you'll find me. Um, I know I do love them so much. I'm like, oh my gosh, I take pictures. I have pictures of tables and like.   DAT Trish Ackerman (23:28) Perspective and ideas.   The Dental A Team (23:39) lights on my phone that I'm probably never going to use, but I've got them because I saw them and I was like, that's a beautiful table. I'm going to find that. You never know. They're there. All right, guys, go do the things. Trish, thank you so much. I knew you would have just a ton of information for us. And you guys, again, if you have re-care strategy questions, Trish's   DAT Trish Ackerman (23:46) Yeah, you never know when you might get it.   That's cool.   The Dental A Team (24:01) Trish is our go-to gal. We've all got our stuff, but I have literally been in an office standing next to her watching her do it, and I was like, I don't even know how you're doing these numbers. So she's got a lot to teach all of us, and she's your gal. So Hello@TheDentalATeam.com. You guys, go do the things. You know where to find us. Drop us a five-star review. Let us know what you loved. Let us know what you want to hear, like I said at the beginning.   We come up with these on our own, you guys. We just kind of dig through our brains and think what could be healthy for practice, what could somebody want. So if you have ideas, if you have things that are burning desires, please reach out. We would love any suggestions on topics that we're maybe missing. Hello@TheDentalATeam.com. And thanks guys, we'll catch you next time.   DAT Trish Ackerman (24:43) Thanks, Tiff.  

Chris Williams welcomes Ben Bruns to discuss everything that has happened in this transitional period between Matt Campbell and Jimmy Rogers at Iowa State. What's next for the Cyclones? All of their thoughts and more presented by Steeple Ridge. Learn more about your ad choices. Visit megaphone.fm/adchoices

Marshall Harris and Mark Grote welcomed on Laurence Holmes and Anthony Herron for the daily transition segment.

What do you do when the moment arrives—and you don't feel ready?In this episode of the Step Up Podcast, Pastor Chris Kouba and host Josh Thomas unpack one of the most defining leadership moments in Scripture: “Moses, my servant, is dead. Now therefore arise…” (Joshua 1). It's a sobering, powerful reminder that while mentors, seasons, and circumstances may change, God does not. Through honest stories of leadership transitions, parenting teenagers, ministry decisions, and personal calling, this conversation challenges men to stop waiting for perfect preparation and start stepping forward in faith. Whether you're facing a promotion, loss, unexpected responsibility, or a moment that feels bigger than you, this episode reminds you that stepping up isn't about having all the answers—it's about trusting the presence of God.To find out more about Pastor Chris, follow him on all the social platforms (@ckouba) and to connect with the ministry of United City visit https://unitedcity.church. Show Notes:Follow on Instagram: @stepup.podcastFollow United City: @untdcitychurchConnect with Pastor Chris: http://chriskouba.comMore About United City: https://unitedcity.church/

Join Jesse Jackson and special guest MaryAnne Janosik on Set Lusting Bruce as they delve into a rich discussion about Bruce Springsteen, his music, and the influence of Catholicism on his work. Maryanne shares her insights from the Born to Run 50th symposium, her impressive career in education, and her latest paper on Springsteen's Catholic themes. The episode also features a thoughtful critique of the recent film 'Deliver Me From Nowhere.' Whether you're here for Springsteen's stories, the intriguing connections to faith, or a love of music and film, this episode offers something for everyone. 00:00 Introduction and Patreon Shoutouts 01:50 Meet MaryAnne Janosik 02:50 MaryAnne's Background in Education 05:03 Transition to Rock and Roll Hall of Fame 06:22 Teaching and Administration Insights 17:06 Discovering Popular Music 20:52 Bruce Springsteen's Influence 31:00 Symposium Experience and Catholic Influence 42:42 Tunnel of Love and Relationships 43:25 Madonna vs. Lady Gaga: A Generational Comparison 46:19 Exploring Themes of Forgiveness and Redemption 48:21 The Influence of Upbringing on Artists 49:45 Movie Reviews and Cultural Commentary 55:26 The Complexity of Judging Art and Artists 01:06:07 Springsteen's Thunder Road: A Deep Dive 01:12:22 Closing Thoughts and Future Plans Learn more about your ad choices. Visit megaphone.fm/adchoices

Mike Mulligan and David Haugh welcomed on Marshall Harris and Mark Grote for the daily transition segment.

What does it really take to scale a short-term rental business, and when does “more” stop meaning “better”?In this episode, we sit down with Blake and Jeremy from Cribs Consulting, the powerhouse duo behind one of Austin's most respected short-term rental operations. We dig into their journey from managing just three Airbnbs to nearly a hundred properties, and the surprising decision to intentionally scale back in order to gain clarity, profitability, and balance.We talk candidly about creative financing strategies, tax-smart moves like the STR loophole, and what it truly means to build a long-term, legacy business alongside your spouse. Blake and Jeremy also share how community events, genuine relationships, and showing up authentically for clients have been key drivers of their success.If you're a host, investor, or entrepreneur questioning how to grow smarter, not just bigger, this conversation is packed with real-world insight, hard-earned lessons, and plenty of inspiration.Things we discussed in this episode:Blake and Jeremy's rapid growth from three Airbnbs to nearly 100, and their decision to scale down for quality.Transition from managing co-living, by-the-room properties to focusing on short-term rentals in Austin.The STR (short-term rental) loophole and its tax benefits for high-income earners investing in real estate.The importance of building systems and processes for successful property management.Creative financing strategies, including seller financing and low down payment deals.Differences between Austin's investment-driven rental market and markets like Provincetown with more second-home owners.The unique challenges and rewards of running a business as a married couple.Building a family legacy and integrating children and family life with business goals.The role of community events and local networking in growing a short-term rental brand.Ongoing goals to improve team training, operations, and business scalability for the future.Get in touch with Blake and Jeremy:Instagram - ⁠⁠⁠⁠⁠⁠https://www.instagram.com/cribsconsulting/Linkedin - ⁠⁠https://www.linkedin.com/in/jeremy-courtney/Website - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.cribsconsulting.com/#SmartStayShow #realestate #realestateinvestor #realestateagent #RealEstateInvesting #ShortTermRentals #AirbnbHost #STRloophole #CreativeFinancing #FamilyBusiness #PropertyManagement #CommunityBuilding #VacationRental #EntrepreneurshipFollow Us!Join Jason Muth of Prideaway Stays and Straightforward Short-Term Rentals and Real Estate Attorney / Broker Rory Gill for the first episode of SmartStay Show!Following and subscribing to SmartStay Show not only ensures that you'll get instant updates whenever we release a new episode, but it also helps us reach more people who could benefit from the valuable content that we provide.SmartStay Show ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ YouTube⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Prideaway Stays ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Straightforward Short-Term Rentals ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Attorney Rory Gill ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠on LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Jason Muth on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Osteomyelitis in children is common enough to miss and serious enough to matter. In this episode of PEM Currents, we review a practical, evidence-based approach to pediatric acute hematogenous osteomyelitis, focusing on diagnostic strategy, imaging decisions including FAST MRI, and modern antibiotic management. Topics include age-based microbiology, empiric and pathogen-directed antibiotic selection with dosing, criteria for early transition to oral therapy, and indications for orthopedic and infectious diseases consultation. Special considerations such as MRSA, Kingella kingae, daycare clustering, and shortened treatment durations are discussed with an emphasis on safe, high-value care. Learning Objectives After listening to this episode, learners will be able to: Identify the key clinical, laboratory, and imaging findings that support the diagnosis of acute hematogenous osteomyelitis in children, including indications for FAST MRI and contrast-enhanced MRI. Select and dose appropriate empiric and pathogen-directed antibiotic regimens for pediatric osteomyelitis based on patient age, illness severity, and local MRSA prevalence, and determine when early transition to oral therapy is appropriate. Determine when consultation with orthopedics and infectious diseases is indicated, and recognize clinical features that warrant prolonged therapy or more conservative management. References Woods CR, Bradley JS, Chatterjee A, et al. Clinical practice guideline by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America: 2021 guideline on diagnosis and management of acute hematogenous osteomyelitis in pediatrics. J Pediatric Infect Dis Soc. 2021;10(8):801-844. doi:10.1093/jpids/piab027 Woods CR, Bradley JS, Chatterjee A, et al. Clinical practice guideline by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America: 2023 guideline on diagnosis and management of acute bacterial arthritis in pediatrics. J Pediatric Infect Dis Soc. 2024;13(1):1-59. doi:10.1093/jpids/piad089 Stephan AM, Platt S, Levine DA, et al. A novel risk score to guide the evaluation of acute hematogenous osteomyelitis in children. Pediatrics. 2024;153(1):e2023063153. doi:10.1542/peds.2023-063153 Alhinai Z, Elahi M, Park S, et al. Prediction of adverse outcomes in pediatric acute hematogenous osteomyelitis. Clin Infect Dis. 2020;71(9):e454-e464. doi:10.1093/cid/ciaa211 Burns JD, Upasani VV, Bastrom TP, et al. Age and C-reactive protein associated with improved tissue pathogen identification in children with blood culture-negative osteomyelitis: results from the CORTICES multicenter database. J Pediatr Orthop. 2023;43(8):e603-e607. doi:10.1097/BPO.0000000000002448 Peltola H, Pääkkönen M. Acute osteomyelitis in children. N Engl J Med. 2014;370(4):352-360. doi:10.1056/NEJMra1213956 Transcript This transcript was provided via use of the Descript AI application Welcome to PEM Currents, the Pediatric Emergency Medicine Podcast. As always, I'm your host, Brad Sobolewski, and today we're covering osteomyelitis in children. We're going to talk about diagnosis and imaging, and then spend most of our time where practice variation still exists: antibiotic selection, dosing, duration, and the evidence supporting early transition to oral therapy. We'll also talk about when to involve orthopedics, infectious diseases, and whether daycare outbreaks of osteomyelitis are actually a thing. So what do I mean by pediatric osteomyelitis? In children, osteomyelitis is most commonly acute hematogenous osteomyelitis. That means bacteria seed the bone via the bloodstream. The metaphysis of long bones is particularly vulnerable due to vascular anatomy that favors bacterial deposition. Age matters. In neonates, transphyseal vessels allow infection to cross into joints, increasing the risk of concomitant septic arthritis. In older children, those vessels involute, and infection tends to remain metaphyseal and confined to bone rather than spreading into the joint. For children three months of age and older, empiric therapy must primarily cover Staphylococcus aureus, which remains the dominant pathogen. Other common organisms include group A streptococcus and Streptococcus pneumoniae. In children six to 36 months of age, especially those in daycare, Kingella kingae is an important and often underrecognized pathogen. Kingella infections are typically milder, may present with lower inflammatory markers, and frequently yield negative routine cultures. Kingella is usually susceptible to beta-lactams like cefazolin, but is consistently resistant to vancomycin and often resistant to clindamycin and antistaphylococcal penicillins. This has direct implications for empiric antibiotic selection. Common clinical features of osteomyelitis include fever, localized bone pain, refusal to bear weight, and pain with movement of an adjacent joint. Fever may be absent early, particularly with less virulent organisms like Kingella. A normal white blood cell count does not exclude osteomyelitis. Only about one-third of children present with leukocytosis. CRP and ESR are generally more useful, particularly CRP for monitoring response to therapy. No single CRP cutoff reliably diagnoses or excludes osteomyelitis in children. While CRP is elevated in most cases of acute hematogenous osteomyelitis, the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America note that high-quality data defining diagnostic thresholds are limited. A CRP above 20 milligrams per liter is commonly used to support clinical suspicion, with pooled sensitivity estimates around 80 to 85 percent, but no definitive value mandates the diagnosis. Lower values do not exclude disease, particularly in young children, as CRP is normal in up to 40 percent of Kingella kingae infections. CRP values tend to be higher in Staphylococcus aureus infections, especially MRSA, and higher levels are associated with complications such as abscess, bacteremia, and thrombosis, though specific cutoffs are not absolute. In summary, CRP is most useful for monitoring treatment response. It typically peaks two to four days after therapy initiation and declines rapidly with effective treatment, with a 50 percent reduction within four days seen in the majority of uncomplicated cases. Blood cultures should be obtained in all children with suspected osteomyelitis, ideally before starting antibiotics when feasible. In children, blood cultures alone can sometimes identify the pathogen. Plain radiographs are still recommended early, not because they're sensitive for acute osteomyelitis, but because they help exclude fracture, malignancy, or foreign body and establish a baseline. MRI with and without contrast is the preferred advanced imaging modality. MRI confirms the diagnosis, defines the extent of disease, and identifies complications such as subperiosteal abscess, physeal involvement, and concomitant septic arthritis. MRI findings can also guide the need for surgical consultation. Many pediatric centers now use FAST MRI protocols for suspected osteomyelitis, particularly from the emergency department. FAST MRI uses a limited sequence set, typically fluid-sensitive sequences like STIR or T2 with fat suppression, without contrast. These studies significantly reduce scan time, often avoid the need for sedation, and retain high sensitivity for bone marrow edema and soft tissue inflammation. FAST MRI is particularly useful when the clinical question is binary: is there osteomyelitis or not? It's most appropriate in stable children without high concern for abscess, multifocal disease, or surgical complications. If FAST MRI is positive, a full contrast-enhanced MRI may still be needed to delineate abscesses, growth plate involvement, or adjacent septic arthritis. If FAST MRI is negative but clinical suspicion remains high, further imaging may still be necessary. The Pediatric Infectious Diseases Society and the Infectious Diseases Society of America recommend empiric antibiotic selection based on regional MRSA prevalence, patient age, and illness severity, with definitive therapy guided by culture results and susceptibilities. Empiric therapy should never be delayed in an ill-appearing or septic child. In well-appearing, stable children, antibiotics may be briefly delayed to obtain imaging or tissue sampling, but this requires close inpatient observation. For children three months and older with non–life-threatening disease, empiric therapy hinges on local MRSA rates. In regions with low community-acquired MRSA prevalence, generally under 10 percent, reasonable empiric options include cefazolin, oxacillin, or nafcillin. When MRSA prevalence exceeds 10 to 20 percent, empiric therapy should include an MRSA-active agent. Clindamycin is appropriate when local resistance rates are low, while vancomycin is preferred when clindamycin resistance is common or the child has had significant healthcare exposure. For children with severe disease or sepsis, vancomycin is generally preferred regardless of local MRSA prevalence. Some experts recommend combining vancomycin with oxacillin or nafcillin to ensure optimal coverage for MSSA, group A streptococcus, and MRSA. In toxin-mediated or high-inoculum infections, the addition of clindamycin may be beneficial due to protein synthesis inhibition. Typical IV dosing includes cefazolin 100 to 150 milligrams per kilogram per day divided every eight hours; oxacillin or nafcillin 150 to 200 milligrams per kilogram per day divided every six hours; clindamycin 30 to 40 milligrams per kilogram per day divided every six to eight hours; and vancomycin 15 milligrams per kilogram every six hours for serious infections, with appropriate monitoring. Ceftaroline or daptomycin may be considered in select MRSA cases when first-line agents are unsuitable. For methicillin-susceptible Staphylococcus aureus, first-generation cephalosporins or antistaphylococcal penicillins remain the preferred parenteral agents. For oral therapy, high-dose cephalexin, 75 to 100 milligrams per kilogram per day divided every six hours, is preferred. Clindamycin is an alternative when beta-lactams cannot be used. For clindamycin-susceptible MRSA, clindamycin is the preferred IV and oral agent due to excellent bioavailability and bone penetration, and it avoids the renal toxicity associated with vancomycin. For clindamycin-resistant MRSA, vancomycin or ceftaroline are preferred IV agents. Oral options are limited, and linezolid is generally the preferred oral agent when transition is possible. Daptomycin may be used parenterally in children older than one year without pulmonary involvement, typically with infectious diseases and pharmacy input. Beta-lactams remain the drugs of choice for Kingella kingae, Streptococcus pyogenes, and Streptococcus pneumoniae. Vancomycin has no activity against Kingella, and clindamycin is often ineffective. For Salmonella osteomyelitis, typically seen in children with sickle cell disease, third-generation cephalosporins or fluoroquinolones are used. In underimmunized children under four years, consider Haemophilus influenzae type b, with therapy guided by beta-lactamase production. Doxycycline has not been prospectively studied in pediatric acute hematogenous osteomyelitis. There are theoretical concerns about reduced activity in infected bone and risks related to prolonged therapy. While short courses are safe for certain infections, the longer durations required for osteomyelitis increase the risk of adverse effects. Doxycycline should be considered only when no other active oral option is available, typically in older children, and with infectious diseases consultation. It is not appropriate for routine treatment. Many hospitals automatically consult orthopedics when children are admitted with osteomyelitis, and this is appropriate. Early orthopedic consultation should be viewed as team-based care, not failure of medical management. Consult orthopedics when MRI shows abscess or extensive disease, there is concern for septic arthritis, the child fails to improve within 48 to 72 hours, imaging suggests devitalized bone or growth plate involvement, there is a pathologic fracture, the patient is a neonate, or diagnostic bone sampling or operative drainage is being considered. Routine surgical debridement is not required for uncomplicated cases. Infectious diseases consultation is also often automatic and supported by guidelines. ID is particularly valuable for antibiotic selection, dosing, IV-to-oral transition, duration decisions, bacteremia management, adverse reactions, and salvage regimens. Even in straightforward cases, ID involvement often facilitates shorter IV courses and earlier oral transition. Osteomyelitis is generally not contagious, and clustering is uncommon for Staphylococcus aureus. Kingella kingae is the key exception. It colonizes the oropharynx of young children and spreads via close contact. Clusters of invasive Kingelladisease have been documented in daycare settings. Suspicion should be higher in children six to 36 months from the same daycare, with recent viral illness, mild systemic symptoms, refusal to bear weight, modest CRP elevation, and negative routine cultures unless PCR testing is used. Public health intervention is not typically required, but awareness is critical. There is no minimum required duration of IV therapy for uncomplicated acute hematogenous osteomyelitis. Transition to oral therapy should be based on clinical improvement plus CRP decline. Many children meet criteria within two to six days. Oral antibiotics must be dosed higher than standard outpatient regimens to ensure adequate bone penetration. Common regimens include high-dose cephalexin, clindamycin, or linezolid in select cases. The oral agent should mirror the IV agent that produced clinical improvement. Total duration is typically three to four weeks, and in many cases 15 to 20 days is sufficient. MRSA infections or complicated cases usually require four to six weeks. Early oral transition yields outcomes comparable to prolonged IV therapy with fewer complications. Most treatment-related complications occur during parenteral therapy, largely due to catheter-related issues. Take-home points: osteomyelitis in children is a clinical diagnosis supported by labs and MRI. Empiric antibiotics should be guided by age, illness severity, and local MRSA prevalence. Early transition to high-dose oral therapy is safe and effective when clinical response and CRP support it. Orthopedics and infectious diseases consultation improve care and reduce variation. FAST MRI is changing how we diagnose osteomyelitis. Daycare clustering is uncommon except with Kingella kingae. That's all for this episode. If there are other topics you'd like us to cover, let me know. If you have the time, leave a review on your favorite podcast platform. It helps more people find the show and learn from it. For PEM Currents, this has been Brad Sobolewski. See you next time.    

On this episode, I discuss the current phase of training for high school pitchers. With less than three months until most are playing games, we've now entered the home stretch of off-season training.......it's go time!

In this episode, Doctor TK discusses the challenges therapists face as they transition into 2026, emphasizing the need for guidance, structure, and community to achieve business success. She highlights the importance of creating a productive environment, the benefits of in-person events, and the transformative power of mastermind experiences. Chapters00:00 Navigating the Transition to 202602:46 The Importance of Guidance in Business05:48 Creating a Productive Environment08:19 The Power of In-Person Events11:06 The 48-Hour Effect of Focused Work14:19 Building Community and Collaboration17:03 Invitation to the Los Angeles VIP ExperienceGET YOUR THERAPIST MASTERMIND TICKETAPPLY FOR THE THERAPIST SCALE ACADEMYJOIN THE INHER COLLECTIVE

Katya chats to former New Zealand star Katey Martin about her playing career, life as a pundit, commentating on former teammates, calling New Zealand's T20 World Cup win and more. 0:00 Metro Bank / 0:38 Intro / 1:40 Katey Martin / 56:47 Outro The Metro Bank Girls in Cricket Fund in collaboration with the ECB aims to triple the number of girls' cricket teams by breaking down barriers and creating supportive and inclusive spaces. Help transform the game, head to https://www.metrobankonline.co.uk/cricket/ to champion the future of girls' cricket.

This week, Jonathan and Jedidiah wrap up their discussion about how we can engage in missions within our small-town context. They then shift their focus to discussing how we can find joy regardless of our circumstances by looking to Christ, who provides us with true lasting joy.   If you have a question for us feel free to send us an email at "questions@fbcforestcity.org"

La Communauté économique des États de l'Afrique de l'Ouest « rejette catégoriquement le chronogramme de transition » en Guinée-Bissau. Lundi, l'organisation régionale a confirmé son désaccord avec la durée de la période d'exception proposée par les putschistes. La semaine dernière, la junte au pouvoir a adopté une charte de transition de 12 mois, jugée trop longue par la Cédéao. Dans son compte-rendu final, l'organisation a rappelé son intransigeance face au coup d'État militaire à répétition dans la zone, et s'est félicitée de la riposte régionale immédiate face à la tentative de putsch au Bénin. Le politologue béninois Mathias Hounkpe, membre de l'Institut électoral pour une démocratie durable en Afrique, livre son analyse. Il répond aux questions de Sidy Yansané. RFI : Dans son communiqué final, après la clôture du sommet, la Cédéao condamne fermement le coup d'État en Guinée-Bissau. Mais surtout, elle rejette catégoriquement le chronogramme de transition de douze mois, annoncé par la junte. Comment vous analysez cette position ? Mathias Hounkpe : Etant donné que personne n'avait rien à reprocher au processus électoral, ça veut dire que si on le veut aujourd'hui, même dans un délai de trois mois, au plus six mois, on peut organiser les élections. Et donc je pense que cette posture de la Cédéao est plutôt, de mon point de vue, la meilleure posture qu'elle pouvait avoir. C'est une posture qui diffère par rapport aux multiples coups d'État qu'on a pu constater dans la dernière décennie ? Pour les autres coups d'État, la Cédéao était plutôt dans la posture non seulement de condamnation, mais de négociation avec les auteurs des coups pour décider de la durée. Cette fois-ci, même si la durée fixée par ceux qui ont fait le coup d'État est relativement courte, la Cédéao estime quand même qu'il faut organiser les élections dans un délai encore plus court. Dimanche, à l'ouverture du sommet, le président de la Commission, Omar Alieu Touray, a affirmé que le coup d'État empêché au Bénin a montré concrètement l'importance de la solidarité régionale. Et pourtant, quelques jours avant, il concédait que la Cédéao était « en état d'urgence », notamment à cause des putschs à répétition… Ce qui s'est passé au Bénin, ça a été une surprise pour quasiment tout le monde. Nous ne sommes pas habitués à ce genre de réaction de la part de la Cédéao en cas de tentative de coup d'État. Donc le président de la Commission Omar Touray a été lui aussi obligé de reconnaître qu'il ne s'attendait pas à ce genre de réaction. Même s'il se contredit, les faits étaient si inattendus qu'il a dû en tenir compte dans son analyse lors du Sommet. Vous considérez que cette intervention militaire régionale illustre un nouveau paradigme de la Cédéao ? Ou alors c'est une exception, du fait de la proximité avérée du dirigeant béninois avec ses homologues nigérian, ivoirien et français, ce dernier ayant d'ailleurs reconnu avoir apporté un appui logistique ? Quand vous lisez le compte-rendu de cette session, la Conférence des chefs d'État et de gouvernement charge la Commission de la Cédéao de proposer un cadre permettant une intervention rapide en cas de coup d'État. Ça veut dire que même si le 7 décembre 2025 était une exception, désormais la Cédéao est consciente qu'il est possible, si on est préparé, d'intervenir rapidement pour empêcher les coups d'État d'aller à leur terme. En revanche, aucune mention des changements constitutionnels en série ou des opposants écartés lors des élections, comme en Côte d'Ivoire, en Guinée, au Bénin, pour ne citer qu'eux. Ce sont pourtant les principaux arguments qui sont utilisés par les militaires pour justifier leurs coups de force ? Quand je lis correctement le compte-rendu, je vois de manière implicite la reconnaissance par les chefs d'État et de gouvernement des problèmes dans la sous-région en matière de respect des droits humains et d'organisation d'élections inclusives et compétitives. Rappelez-vous des événements récents en Tanzanie. Ce n'était pas un coup d'État. On a parlé de plus de 700 morts dans les manifestations parce qu'une bonne partie de la classe politique a été exclue du jeu électoral et démocratique. Si l'on veut la paix et la stabilité de la sous-région, il faut non seulement condamner les coups d'État et prévoir des mécanismes pour les empêcher, mais il faut également éviter les situations où on pourra jouer avec les libertés et droits fondamentaux des citoyens et créer des conditions d'élections non inclusives et non compétitives. Pourtant, de manière explicite, la Cédéao prend note des élections passées en Côte d'Ivoire, celles à venir au Bénin et salue la présidentielle prévue à la fin du mois en Guinée, alors même que dans ces trois pays, des opposants d'importance ont été écartés, emprisonnés ou exilés. N'est-ce pas là une contradiction majeure ? Je dirais que la Cédéao cherche par des voies diplomatiques à dire les choses sans vraiment les dire. C'est très important d'avoir mentionné dans ce même compte-rendu le rejet des récents coups de force et la nécessité d'organiser des processus électoraux inclusifs et compétitifs. Je suis resté un peu sur ma faim, justement, car de la même manière que les dirigeants chargent la Commission de créer un cadre permettant une intervention rapide en cas de coup d'État, je me serais attendu à ce qu'ils la chargent également de prévoir des mécanismes permettant d'interpeller les pays dans lesquels on pratique l'exclusion en matière électorale et où on réprime les libertés et droits fondamentaux des citoyens.

Coming back off the College Football season and working with As For Football.  Getting back into the swing of things with a great guest to help you get your physical and mental right going into 2026.Rob Robinson hosts Greg Iannuccilli from  Warriors Physique Fitness (https://warriorsphysiquefitness.com/)Greg shares his journey from West Point to becoming an aviator, highlighting his family's military background and the financial benefits of attending West Point. He discusses his transition out of the military due to family responsibilities and his subsequent career as a competitive bodybuilder. Greg emphasizes the importance of physical, mental, and spiritual health and how his faith and warrior ethos guide his fitness program, Warrior Physique Fitness, which aims to help men rediscover their identity and resilience.Connect with Greg to start your journey - https://warriorsphysiquefitness.com/apply Become a supporter of this podcast: https://www.spreaker.com/podcast/philosophy-from-the-front-line--4319845/support.Disclaimer: The content of the "Philosophy From the Front Line" podcast is intended for informational and educational purposes only. The views and opinions expressed by the hosts and guests are their own and do not necessarily reflect those of any affiliated organizations or sponsors. This podcast does not offer legal, financial, or professional advice. Listeners are encouraged to consult appropriate professionals before making decisions based on the content presented. "Philosophy From the Front Line" assumes no responsibility or liability for any errors or omissions in the content or for actions taken based on the information provided during the podcast episodes. Fair Use Statement: This podcast may contain copyrighted material not specifically authorized by the copyright owner. "Philosophy From the Front Line" is making such material available to educate, inform, and provide commentary under the "Fair Use" provisions of U.S. copyright law (Section 107 of the U.S. Copyright Act). We believe this constitutes a fair use of any such copyrighted material as it is:Used for non-commercial, educational, or research purposes.Critically analyzed, reviewed, or discussed.Used in a transformative way that adds new meaning or message to the original work.If you own any content used and believe it infringes on your copyright, please contact us directly, and we will address the matter promptly. 

Brittany Ranew shares how building community, prioritizing mindset, and designing a values-driven business can create lasting wealth, personal fulfillment, and a life that feels aligned instead of exhausting.See full article: https://www.unitedstatesrealestateinvestor.com/building-a-business-that-feeds-the-soul-and-the-community-with-brittany-ranew/(00:00) - Opening Music and Welcome to The REI Agent Podcast(00:42) - Episode Introduction and Guest Overview(01:00) - Meet Brittany Ranew and Her Tampa Bay Market Background(02:13) - Brittany's Community First Philosophy in Real Estate(03:37) - Choosing Entrepreneurship and the Path Into Real Estate(04:37) - Early Career Experience as a Transaction Coordinator(06:27) - Transition to Sotheby's and Defining the Luxury Experience(07:47) - Referral Based Business Versus Cold Lead Strategies(09:44) - Moving to Tampa Bay and Rebuilding a Network From Scratch(11:24) - Community Immersion as a Growth Strategy(12:08) - Introduction to Ninja Selling and Relationship Focused Systems(13:12) - Morning Routines, Mindset, and Daily Discipline(15:27) - Social Media Engagement as Modern Relationship Building(17:39) - Going Deep With Relationships Instead of Going Wide(19:13) - Being a Good Human as a Business Strategy(20:27) - Managing Stressful Clients and Emotional Transactions(21:19) - Living a Holistic Life While Building a Real Estate Career(23:05) - Avoiding Burnout and Redefining Success(24:47) - Tampa Bay Market Conditions and Recent Challenges(26:49) - Pricing Strategies in a Slower Market(28:22) - Insurance Costs, Condos, and Florida Market Pressures(30:37) - Marketing, Staging, and Standing Out Online(32:06) - Professionalism in a Changing Market(34:44) - Brittany's Golden Nugget on Community Centered Marketing(36:07) - Book Recommendations and Personal Growth Influences(37:35) - Where to Follow Brittany and Final Thoughts(38:03) - Show Closing, Disclaimer, and Sign OffContact Brittany Ranewhttps://www.brittanyranew.com/https://www.authorbrittanyranew.com/https://youtube.com/@brittanyranew If this conversation sparked something in you, remember that the most powerful businesses are built with intention, community, and heart. Keep designing a life that actually feels good to live. Visit https://reiagent.com

Leila Rahimi, Marshall Harris and Mark Grote welcomed on Matt Spiegel and Laurence Holmes for the daily transition segment.

Mike Mulligan and David Haugh welcomed on Leila Rahimi, Marshall Harris and Mark Grote for the daily transition segment.

Hallie chats with Colleen Ashford of Ashford Speech and Advocacy P.C. about navigating transition process from an IFSP to IEP.In this episode of SLP Coffee Talk, Hallie sits down with Colleen Ashford — bilingual SLP, private practice owner, and the special education advocate we all need. Colleen shares how she went from planning to be a school SLP forever to accidentally falling in love with advocacy work when families kept asking her IEP questions she couldn't half-answer. She gets real about taking a special education law course on Saturdays, why we need to stop treating parent rights like secret information, and how she now runs her own practice doing both speech therapy and advocacy. If you've ever felt stuck answering parent questions or wondered how to actually support families navigating the IEP maze, this conversation is packed with real talk and “yes, you can totally do this” energy.​​​​​​​​​​​​​​​​Bullet Points to Discuss: Why families in private practice were totally lost about basic IEP stuffThe difference between school speech services and what happens in clinicsWhy SLPs need to stop being scared of “getting in trouble” for educating parentsParent education vs. parent advocacy—and when it becomes a whole new serviceWhen to hand families a community resource list (and how to build one that actually helps)Here's what we learned: You'll never get in trouble for objectively explaining educational rights to families.IEP meetings are collaborative—not presentations parents just stamp “yes” on.Early intervention families need extra support understanding what happens at age three.Translation services aren't optional—parents have the right to understand in their native language.Building a resource list takes time, but tackle it during cancellations and it's golden.Parent education is valuable, billable work—don't downplay what you know.​​​​​​​​​​​​​​​​Learn more about Colleen Ashford: Website: www.ashfordspeechandadvocacy.com Instagram: https://www.instagram.com/theadvocate.slp Unfiltered IEPs: Apple | Spotify Right to Translation Freebie: https://theadvocateslp.myflodesk.com/kp4nh8184r Learn more about Hallie Sherman and SLP Elevate:  

Andy DiGenova from Holy Batcast returns to the show to discuss this final chapter of crossover awesomeness, "Batman/TMNT III". Hear us discuss: -The wild inspiration for the story -The incomparable art of Freddie E. Williams II -Our initial reactions to the first issue Plus, our favorite parts, panels, and everything Batman and Ninja Turtles. Rate and Review the Show: Apple | Spotify | iHeartradio | Amazon Follow The Batman Book Club on X: @thebatmanbc. Follow The Batman Book Club on Instagram: @thebatmanbc. Follow The Batman Book Club Facebook page HERE. Follow Andy on Instagram: @andydigenova. Subscribe to The Batman Book Club YouTube Channel. Support the Show Through Patreon: patreon.com/thebatmanbc. Support the Show with Merchandise from TeePublic. Transition music: “Shell Shocked”, by Juicy J, Ty Dolla $ign, and Wiz Khalifa. Outro music: “Overdrive”, by Matrika. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This week at Venture, Pastor Brandon kicks off the Christmas season with a powerful message from Luke chapter 1, reminding us that Christmas is a story of waiting, trusting, and believing God is still at work — even when He seems silent. Through the story of Zechariah and Elizabeth, Pastor Brandon walks us through what it looks like to remain faithful when prayers feel unanswered and promises feel delayed. For generations, God's people waited for the Messiah, and in the middle of silence, God was still moving toward an appointed time. This message is for anyone who has ever wondered:Does God hear me?Does He still see me?Is He still working? Christmas reminds us that God is never late, He is never absent, and He always keeps His promises. ⏱️ Timestamps 00:00 – Welcome to Venture Church Online00:15 – Pastor Brandon welcomes guests and upcoming Christmas events01:23 – Prayer to begin the service01:48 – Introduction to Luke chapter 102:22 – Christmas traditions and the tension of waiting03:49 – The childhood experience of waiting for Christmas05:11 – Searching for hidden presents and impatience06:00 – The deeper meaning of waiting in the Christmas story06:54 – Israel's long wait for the Messiah08:13 – When faith feels unanswered and obedience feels hard08:58 – Introducing Zechariah and Elizabeth10:14 – Faithfulness in the middle of God's silence11:13 – Living obediently while waiting for God's promise11:39 – The pain and shame of unanswered prayers12:47 – God's promise to Abraham and Israel's hope14:10 – Israel's rise, fall, and loss of power16:04 – Jerusalem conquered and faith shaken18:24 – God's silence and the struggle to believe19:15 – Faithfulness despite disappointment20:18 – “Has God abandoned us?”21:03 – Why Luke begins the Christmas story here21:41 – God hears, sees, and is still active22:09 – Zechariah chosen to enter the temple23:11 – A once-in-a-lifetime moment23:56 – The angel appears to Zechariah25:10 – “Your prayer has been heard”25:50 – The promise of John the Baptist26:39 – Zechariah's doubt and response27:51 – Gabriel's correction and silence28:24 – God has an appointed time29:22 – Encouragement for those still waiting30:05 – The people realize Zechariah saw a vision31:26 – God's opening act before Christmas32:00 – Transition to Mary and the birth of Jesus33:19 – The dilemma of waiting or giving up33:57 – Faithfulness in the middle of uncertainty34:42 – Christmas as a reminder that God is active35:04 – Invitation to respond36:14 – Prayer for those who are waiting37:36 – Ministry time and prayer39:10 – Closing prayer40:40 – Service closing and Christmas reminders

Episode Description What if the peak of your career isn't when you're most celebrated—but when you no longer need to be? In this powerful and deeply reflective episode of the BOSS Business of Surgery Series, Dr. Amy Vertrees sits down with surgical oncologist and former military surgeon Dr. Matthew Hueman to explore belonging, burnout, identity, and the quiet work of finding peace in a demanding profession. Dr. Hueman shares his journey from growing up in a military family and training at West Point, to six military deployments where he discovered the true cost—and power—of belonging. He reflects on the flattening of hierarchy during his final deployment in Somalia and how that experience reshaped his understanding of purpose, leadership, and authenticity. After transitioning to civilian healthcare, Dr. Hueman found himself burned out—not from working hard, but from doing work that felt increasingly disconnected from meaning. That realization ultimately led him to leave a large healthcare system and focus his practice on breast cancer care, where he now prioritizes presence, relationships, and helping patients find peace amid uncertainty. Together, Drs. Vertrees and Hueman challenge long-held surgical norms around endurance, ownership, prestige, and external validation. They discuss why breast surgery is often undervalued, how surgeons delay happiness waiting for the “next milestone,” and what it really means to build a career that feels aligned—without waiting for permission. This episode is an invitation to stop postponing peace—and to begin finding it now. What You'll Learn in This Episode Why burnout is often about meaningless work, not workload The hidden cost of belonging—and why it matters in medicine How military experiences can reshape leadership and purpose Why breast surgery offers profound professional fulfillment How surgeons tie self-worth to endurance and external validation What it means to reach the “peak” of your career How to help patients—and ourselves—find peace in uncertainty Memorable Quotes “The peak of your career isn't when you're most celebrated. It's when you don't need to be celebrated at all.” “The hardest work feels weightless when it's aligned with purpose.” “Burnout isn't about working too hard—it's about meaningless hard work.” “You shouldn't postpone peace. You should do it today.” Chapters / Timestamps 00:00 – Dr. Hueman's background and early life 02:31 – West Point and the meaning of belonging 03:31 – Military deployments and evolving purpose 05:35 – Transition to civilian healthcare and burnout 08:16 – Comparing military and civilian medical missions 10:36 – Rethinking burnout in medicine 14:42 – Choosing breast cancer care 26:26 – Bias against breast surgery 37:10 – Redefining success and fulfillment 39:56 – Building a values-driven private practice 42:51 – Helping patients live with uncertainty 47:36 – Gratitude and emotional capacity About the Guest Dr. Matthew Hueman is a surgical oncologist with a focus on breast cancer care and a former U.S. Army surgeon with six deployments. After leaving a large healthcare organization, he built a private practice centered on presence, autonomy, and helping patients find peace in uncertainty. His work explores purpose, belonging, and meaning in medicine. About the Host Dr. Amy Vertrees is a general and breast surgeon, host of the BOSS Business of Surgery Series, and founder of Become the BOSS MD, a coaching program for surgeons focused on mindset, communication, and professional fulfillment.