Podcasts about Triage

Birth can be wonderfully unpredictable. In this Community Birth Story episode, Deb sits down with Eyal Meir, an IBCLC and prenatal and postpartum nutritionist, to hear the incredible story of her second birth—from arriving at triage to meeting her baby just minutes later. Eyal reflects on how this pregnancy differed from her first, how prior birth experience shaped her mindset, and the surprising ways preparation showed up when labor moved much faster than expected. Together, they explore the role of prenatal yoga and childbirth education in building confidence, the power of trusting your body, and what postpartum recovery has looked like the second time around. Whether you're preparing for your first birth or wondering how a subsequent birth may be different, Eyal's story is a reassuring reminder that while birth can unfold unexpectedly, preparation and self-trust can help you meet the moment with confidence. 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

Today, we're stepping into one of the most clinicallydelicate and emotionally heavy scenarios you can encounter in women's healthcare: a mid-pregnancy loss, say right around that 18 to 20-week mark. It's a situation where the clinical room feels still, the emotional weight is immense, and every decision you make as a clinician carries profound gravity. Picture the scenario: The delivery has occurred. Both the fetus and the placenta have delivered, and upon gross visual examination on the delivery tray, the placenta appears intact. The immediate crisis of delivery has passed. But as theattending provider, you're now standing at a critical management fork in the road. Do you routinely order an ultrasound before discharge to confirm the uterine cavity is truly clear? Or do you take a selective, symptom-driven approach, reserving uterine US imaging for patients who present with post-delivery warning signs like unexpected hemorrhage, severe pain, or fever? It sounds like a straightforward question, but in practice, it sparks intensedebate. Listen in, as we review professional society guidelines and the latest published data.1.     Fox CE, et al. Mid‐trimester Pregnancy Loss GuidelineConsensus Panel. Triage and care for women with symptoms or diagnosis of pregnancy loss between 14 + 0 and 21 + 6 weeks' gestation. Int J Gynaecol Obstet. 2026 Jan;172(1):25-50. doi: 10.1002/ijgo.70621. 2.     Incognito GG, et al. Ultrasound Assessment ofRetained Products of Conception (RPOC): Insights from the Current Literature. J Clin Med. 2025 Aug 19;14(16):5864. doi: 10.3390/jcm14165864. 3.     ACOG PB 135: Second Trimester Abortion4.     Sundararajan S, Roy S, Polanski LT. The accuracyof ultrasound scan in diagnosing retained products of conception: a systematicreview and meta-analysis. Am J Obstet Gynecol. 2024 May;230(5):512-531.e3.  

This week, Liberty and Emily discuss The Hardest Ones to Fool, The Amateur, Triage, and more great books! Subscribe to All the Books! using RSS, Apple Podcasts, or Spotify and never miss a book. Sign up for the weekly New Books! newsletter for even more new book news. Keep track of new releases with Book Riot's New Release Index, now included with an All Access membership. Click here to get started today! For a complete list of books discussed in this episode, visit our website https://bookriot.com/listen/finalized-new-releases-and-more-for-august-4-2026/. Links: Josh Silver's Fruit Fly to be adapted as a series Colson Whitehead's Harlem trilogy to be an Apple TV series Learn more about your ad choices. Visit megaphone.fm/adchoices

Claudia Rankine first appeared on Between the Covers in 2014 to discuss Citizen: An American Lyric. Our first encounter back then was before January 6th or October 7th, before Trump 1.0 or Trump 2.0, before the public murder of George Floyd or the live-streamed genocide, before the fall of Roe v Wade or the massive worldwide fires felling our forests each summer. Not only do we account for the time since we last talked, Claudia’s powerful new book Triage does this very thing as well. Triage follows the lifelong contentious friendship between The Narrator and The Theorist, a Black woman and nonbinary Palestinian, who have invented a ritual of collapse, falling to the ground each time they see each other. “Collapse was an antidote to an unbearable but borne disturbance we glimpsed in the face of each other,” the narrator says. And “maybe collapsing simply was the easiest way to keep from breaking apart.” Join us as we explore Triage together, and the possibilities of becoming someone else in the face of catastrophic change. If you enjoyed today’s program consider joining the Between the Covers community as a listener-supporter. Find out about all the potential benefits and rewards of doing so—from the Milkweed Early Reader Subscription to access to bonus contributions from everyone from Dionne Brand to Nikky Finney, Isabella Hammad to Omar El Akkad— at the show’s Patreon page. Finally, to explore the books discussed and referenced in today’s conversation check out the Between the Covers BookShop specific for today’s episode.  And don’t miss Milkweed BookShop bookstore as well.

A profitable practice can create tremendous cash flow—but it does not automatically create personal wealth.   In this episode of 20/20 Money: The Business of Optometry, Adam bridges the gap between running a successful optometry practice and using that success to build lasting financial independence. Drawing on nearly 20 years of working with business owners, he explains why practice size, income, and personal net worth are related—but far less correlated than many owners assume.   Adam shares several patterns consistently demonstrated by financially independent practice owners, including intentionally moving excess cash out of the practice, diversifying into multiple income-producing assets, maintaining adequate liquidity, and increasing their investments before expanding their lifestyle.   He also addresses one of the biggest financial risks facing practice owners: relying on the eventual sale of the practice as the primary retirement plan. Buyer availability, health changes, burnout, market conditions, taxes, outstanding liabilities, and unrealistic valuation expectations can all disrupt a transition.   The wealthiest owners Adam has worked with did not become wealthy when they sold their practices. They became wealthier. The practice sale simply converted one asset into another—it was the whipped cream and cherry on top of the financial sundae, not the sundae itself.   In this episode: Why generating cash and deploying cash require different skill sets How excess cash in the practice can create significant opportunity costs The importance of building wealth outside the practice Why net worth and liquidity are not the same thing How lifestyle creep can reduce flexibility inside the business Why practice owners should build income-producing assets The risks of making the practice sale your retirement plan How personal financial pressure can derail practice-sale negotiations Why financial independence should be built before closing day   Next Best Step: Ask yourself this question: If your practice were worth 30% less than you expect—or you had to retire five years earlier because of your health—would your financial plan still work?   If the answer is no, your practice is not merely part of your retirement plan. It is your retirement plan—and that may be the greatest financial risk you are carrying.   Referenced episodes: Are you building wealth...or just feeding the machine?? 3 financial lessons learned from my grandpa and grandma   Have a podcast-related question? Contact our team here!   Resources: Book a Triage call with Adam Download the Practice Owner's Financial Toolkit 20/20 Money Ultimate Financial Success Masterclass OD Mastermind Interest Form Check out Adam's new book: How to Buy an Optometry Practice   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!   Check out Adam's other podcast! The Optometry Success Podcast  Subscribe on Apple Podcasts: https://bit.ly/4tttng6 Subscribe on Spotify: https://bit.ly/4tuf0YM     

The JournalFeed podcast for the week of July 27-31, 2026.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday's Spoon Feed:In this single-center study, advanced imaging utilization increased significantly following the deployment of a Provider-in-Triage (PIT) model. In addition, the rate of negative CT scans in patients with abdominal pain was higher in PIT-exposed patients.Tuesday's Spoon Feed:In this retrospective study, children with reliable physical exam and normal plain T- or L-spine x-rays had 1 missed injury out of 126 children, and 100% had no operative injury.Wednesday's Spoon Feed:A clinical decision support alert shortened the time to stress-dose hydrocortisone administration for patients with known adrenal insufficiency in the emergency department.Thursday's Spoon Feed:FFP-first MTP may have a slight mortality benefit, but this is not a practice-changing study.Friday's Spoon Feed:A structured approach to cervical spine clearance using clinical decision rules, modern CT, and select use of MRI and x-ray in adult and pediatric patients allows us to avoid prolonged collar use, reduce ED crowding, and limit adverse collar effects for patients.

Alden Gonzalez joins Buster Olney to discuss Hunter Greene's name being floated on the trade market, the abundance of starting pitching available, the real reason the Los Angeles Dodgers would want Tarik Skubal, why MLB would love Skubal on the Dodgers, the Angels finally realizing they're not close, and the Washington Nationals looking to extend Foster Griffin. Then, the voice of the New York Yankees Michael Kay stops by to discuss stirring his tea with the arm of his glasses, his food peculiarities, Yankees' triage trade deadline strategy, the need for a right-handed catcher and a swing-and-miss reliever, why New York would be loathe to trade top prospect George Lombard Jr., and the Yankees' rotation mowing down opposing hitters. Next, Sarah Langs plays The Numbers Game. Later, Buster answers your questions during Bleacher Tweets. 0:00 Welcome 3:54 Alden Gonzalez joins the show 4:32 Reds Hunter Green on trade block 9:07 Starting pitching will be an available  10:20 All eyes are on Tarik Skubal 19:00 MLB secretly rooting for Skubal to the Dodgers 21:48 Foster Griffin talking contract extension with Nationals 23:22 Angels listening on players more this year 26:40 Michael Kay joins the show 27:13 Michael used the arm of his glasses to stir his tea 29:06 Michael's terrible eating habits 30:56 Where are the best chicken tenders? 31:29 How the Yankees should approach the deadline? 34:42 Don't trade George Lombard Jr. 36:05 Yankees can make the World Series right now 39:00 Rating Michael Kay's weirdness 40:10 Sarah Langs plays The Numbers Game 41:17 Bleacher Tweets EMAIL THE SHOW: BleacherTweets@gmail.com REACH OUT ON X: #BLEACHERTWEETS Follow The Baseball Tonight Podcast on… YouTube: https://www.youtube.com/playlist?list=PLHeL6O-A-ASmSMwbSCFvPKEq1Cslo_lrw Spotify: https://open.spotify.com/show/5FG6xCcd338SgZjZ9urHRI Apple Podcasts: https://podcasts.apple.com/us/podcast/baseball-tonight-with-buster-olney/id137699414 Learn more about your ad choices. Visit podcastchoices.com/adchoices

Alden Gonzalez joins Buster Olney to discuss Hunter Greene's name being floated on the trade market, the abundance of starting pitching available, the real reason the Los Angeles Dodgers would want Tarik Skubal, why MLB would love Skubal on the Dodgers, the Angels finally realizing they're not close, and the Washington Nationals looking to extend Foster Griffin. Then, the voice of the New York Yankees Michael Kay stops by to discuss stirring his tea with the arm of his glasses, his food peculiarities, Yankees' triage trade deadline strategy, the need for a right-handed catcher and a swing-and-miss reliever, why New York would be loathe to trade top prospect George Lombard Jr., and the Yankees' rotation mowing down opposing hitters. Next, Sarah Langs plays The Numbers Game. Later, Buster answers your questions during Bleacher Tweets. 0:00 Welcome 3:54 Alden Gonzalez joins the show 4:32 Reds Hunter Green on trade block 9:07 Starting pitching will be an available  10:20 All eyes are on Tarik Skubal 19:00 MLB secretly rooting for Skubal to the Dodgers 21:48 Foster Griffin talking contract extension with Nationals 23:22 Angels listening on players more this year 26:40 Michael Kay joins the show 27:13 Michael used the arm of his glasses to stir his tea 29:06 Michael's terrible eating habits 30:56 Where are the best chicken tenders? 31:29 How the Yankees should approach the deadline? 34:42 Don't trade George Lombard Jr. 36:05 Yankees can make the World Series right now 39:00 Rating Michael Kay's weirdness 40:10 Sarah Langs plays The Numbers Game 41:17 Bleacher Tweets EMAIL THE SHOW: BleacherTweets@gmail.com REACH OUT ON X: #BLEACHERTWEETS Follow The Baseball Tonight Podcast on… YouTube: https://www.youtube.com/playlist?list=PLHeL6O-A-ASmSMwbSCFvPKEq1Cslo_lrw Spotify: https://open.spotify.com/show/5FG6xCcd338SgZjZ9urHRI Apple Podcasts: https://podcasts.apple.com/us/podcast/baseball-tonight-with-buster-olney/id137699414 Learn more about your ad choices. Visit podcastchoices.com/adchoices

Water utilities may never escape the need to triage infrastructure, but better data, design, and monitoring can reduce the constant churn of reactive responses.In this episode, Jeff Bridge, Charis Klimas, and Brett Braganz of Oldcastle Infrastructure examine how utilities can move upstream of failure by choosing materials for the actual application, designing around workforce constraints, and verifying underground problems before committing crews and capital.Bridge connects conveyance efficiency to both water and energy loss, explaining that deteriorated pipes force utilities to pump more treated water to deliver the same amount to customers.He also argues that utilities increasingly need technical partners who can help match materials and products to the long-term demands of a project rather than simply supply a standard component.Klimas explains how workforce shortages are changing infrastructure design, including the use of lighter equipment and automated meter-reading features that reduce field labor and allow staff to focus on more critical maintenance.She also describes a broader shift from judging infrastructure mainly by upfront price toward considering durability, installation demands, maintenance needs, and total lifecycle cost.Braganz outlines a four-stage digital approach: predict where failure is most likely, monitor and confirm the condition, plan the appropriate response, and move the work into execution.That process can elevate a high-consequence water main serving a hospital, detect leaks before they surface, and show when an asset expected to fail is still performing well enough to remain in service.The opportunity is to break the cycle of waiting for infrastructure to fail and then scrambling to respond—replacing guesswork with evidence, preserving assets that still work, and directing limited labor and capital where intervention will matter most.Learn more about Oldcastle Infrastructure.waterloop is a nonprofit news outlet exploring solutions for water sustainability.

This week we welcome back Senior Technical Evangelist Mike Nelson and introduce podcast newcomer and Product Manager Ameerul Shah. Our conversation centers on the latest developments with Fusion and how it is redefining and automating data management. We explore how the Everpure is moving beyond simple storage management by leveraging the Fusion automation engine to empower IT teams to become true data strategists. A major focus of our discussion moves to the new Fusion MCP server release. Mike and Ameerul explain the Model Context Protocol, describing it as the important bridge between infrastructure data and large language models. By providing the right context, the new Fusion MCP allows AI agents to move past confident guessing and hallucinations, enabling them to safely execute real world tasks like provisioning workloads and resolving incidents with supervised actions. We then highlight the open source commitment behind Fusion MCP, designed to help power users and dark site customers integrate their full infrastructure stacks. Mike and Ameerul discuss the power of API first development, the importance of human in the loop supervision for agentic AI, and the broader shift toward autonomous management. Listeners will gain practical insights into how this technology is helping organizations streamline operations and scale their data services more effectively. To learn more, visit: https://blog.everpuredata.com/purely-technical/smarter-ai-powered-data-management-with-everpure-fusion-mcp-server-2/ Check out the new Everpure digital customer community to join the conversation with peers and Everpure experts: https://purecommunity.purestorage.com/ 00:00 Intro and Welcome 06:38 What Product Managers Actually Do 09:55 Origin of Fusion 14:05 Applying AI to Data Management 16:18 What is Model Context Protocol (MCP) 25:45 Observe, Triage, and Act 35:15 MCP is Open Source 38:25 Availability of MCP for Users 42:49 Hot Takes Segment 48:31 Oops IT Stories

Welcome to this REWIND episode of 20/20 Money! My guest on today's show is Dr. Chris Wolfe, OD. Chris joins me on the show to share in a conversation about how ODs can think about pricing the different services provided in the practice and how to frame that conversation with your patients, how ODs can think about researching their pricing on medical procedures, how to think about scheduling in your practice to be as efficient with OD hours as possible, 4 questions to consider asking every pt as it relates to dry eye, the 5 steps needed to introduce change in your practice, and how practice owners can think about setting their fees in relationship to the different 3rd party payors. And with that introduction, I hope you enjoy my conversation with Dr. Chris Wolfe, OD.   Resources: Book a Triage call with Adam CodeSafePlus EyeCode Education EyeCode Media Podcast Adam's in-flight conversation with Chris Download the Practice Owner's Financial Toolkit 20/20 Money Ultimate Financial Success Masterclass OD Mastermind Interest Form Check out Adam's book: How to Buy an Optometry Practice   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!   Check out Adam's other podcast! The Optometry Success Podcast  Subscribe on Apple Podcasts: https://bit.ly/4tttng6 Subscribe on Spotify: https://bit.ly/4tuf0YM 

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"Help is on the way" might be the most comforting sentence in the English language. It's also a lie. Not on purpose. But average emergency response time in this country runs seven to fourteen minutes. Brain damage from oxygen loss starts in four to six. Do the subtraction. The outcome was decided by the people standing in the room, inside a window that closed before the siren was ever audible. This industry heard "help is on the way" a long time ago, and it's been standing in the waiting room ever since. Waiting on a regulation. Waiting on the market. Waiting on the AMCs to get what's coming to them. Waiting on somebody, anybody, to notice how unfair it's all been. Nobody is coming. In this episode, Blaine breaks down the seven rules of self-rescue, taken straight from survival and emergency response training and mapped directly onto the business you're running right now: No one is coming Scene safety — don't become the second victim Learn the umbles Self-arrest before you slide You fall to the level of your training Triage — you can't save everything Self-rescue is not solo rescue You'll learn why comfort is the current, why the slow slide is deadlier than the fast one, why trying to save every client is precisely how you lose the business, and why the phrase "I get to" changes more than any productivity system ever will. Plus the Self-Rescue Audit, three questions to answer on paper this week, starting with the most honest number in your business: if your biggest client disappeared tomorrow, how many days until you're in real trouble? If nobody is coming to save you, then nobody can stop you either. You're the first responder. You always were. You just hadn't accepted the job. Do more. Be more. Live more. Give more.

This week, Ian emerges from the clubhouse vents to fill-in for Stephen as Dale gives us a bare minimum prompt with maximum implications.Prompt"Make a game called 'Triage Simulator'"Game typeDesign documentPlayer count1RulesTriage - the verb Learn about the consequences of your actions later Papers Please-like interface   Situation/Scenario Buckets to sort in - limited space within the bucket Every level is a different situation  Level 1 - Hospital Level 2 - Pizza Day at the Elementary School Level 3 - Water Station at a Marathon Level 4 - Planning a Foot Route as a Courier Level 5 - Anubis is back from vacation and he's backlogged ???Level 7 - In the pizza store making the pizza for the elementary school A system-based puzzle - Scheduling and ordering  Information you don't have   How many more of each type are coming in? Information that lets you anticipate incoming situations  Events happening in the background that mean something going to come in at some point You get the case  Outside context as a bulletin on the side that is in natural language and would have some influence on the level that the player doesn't know yet Time constraint known (5min, 90s) The Puzzle  Sorting - the simplest system possible of how much resources go where   Highest PriorityPretty ImportantMid-tierLow PriorityMehCannot rank within the bucket (eg. cannot say there is a highest priority of highest priority items) Put in buckets or stamp it with a stamp Each item gets ranked on certain variables which then designate which tier it should be assigned  No right answer - aiming for highest efficiency Walkthrough a level - Sandwich lunch orders   BIG TRIAGE MACHINE that gets plonked onto a desk  Area of the broader context of what's happening (updated throughout the shift time) Deck of cards with variables for that level (eg. Order for 3, the order, how much it cost, extra paid to rush, for or to go) Timing element - different form per level  Punches into the card to annotate the cards (with unique shaped punches

Emily Cook hoped for a low-intervention birth. But after managing high blood pressure throughout her pregnancy, her plans changed when she was diagnosed with preeclampsia late in her third trimester.   In this episode, Emily shares how the EBB Childbirth Class helped her prepare to navigate an unexpected induction, magnesium therapy, and an epidural while still advocating for the birth experience she wanted. She talks about asking questions, requesting a lower-dose epidural so she could remain mobile, advocating for wireless fetal monitoring and hands-and-knees pushing, and finding confidence in making informed decisions even when things didn't go as planned.   Emily also reflects on the emotional realities of postpartum, from recovering after preeclampsia and establishing breastfeeding to navigating grief after the unexpected loss of her grandmother just weeks after giving birth. Her story is a reminder that birth is only one part of the transition to parenthood, and that caring for the birthing parent is just as important as caring for the baby.   (02:04) How Emily Found EBB (04:29) Her Original Birth Plan and Adapting to Preeclampsia (07:36) Advocating for Individualized Care During Labor (09:22) High Blood Pressure, Triage, and Preeclampsia Diagnosis (15:03) Induction Begins (20:08) Magnesium Drip and Feeling "Tethered" During Labor (25:57) Comfort Measures and Movement (29:07) Pushing on Hands and Knees and Meeting Her Baby (35:57) Postpartum Recovery and Continued Monitoring (40:47) Recovering from Preeclampsia (42:06) Grief and Postpartum (49:06) Emily's Advice for Expecting Parents   Resources Learn more about the EBB Childbirth Class: evidencebasedbirth.com/parentclasses/ EBB 391 – Electronic Fetal Monitoring Advocacy Tips with Dr. Jennifer Lincoln, OB/GYN and Author of The Birth Book EBB 349 – An L & D Nurse's Advice for Advocating in the Birth Room with Trish Ware the Labor Nurse Mama Evidence on: Pitocin® During the Third Stage of Labor   For more information about Evidence Based Birth and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

The latest episode of QuidelOrtho Science Bytes explores how the overdose crisis has evolved from 2025 to 2026 and what these changes mean for laboratories and healthcare providers. Host Josh Casey is joined by Vonda McAllister, Director of Global Product Management at QuidelOrtho, to discuss emerging drug trends, new ADLM guidance for toxicology testing and the growing challenges posed by counterfeit medications, polysubstance use and novel synthetic opioids. This episode reinforces an important message: as the drug landscape continues to change, healthcare organizations must adapt testing strategies, strengthen collaboration and ensure clinicians have timely, actionable information to support patient care.   About Our Speaker:  Vonda McAllister, director of global product management for QuidelOrtho Vonda's diagnostic experience spans from R&D and program management to marketing. Now a member of the Point of Care business unit, she previously managed the Triage™ portfolio of assays and the clinical labs team for North America. Vonda is currently focused on supporting the global regions with our PlGF tests, that is, placental growth factor, and toxicology assays, as well as expanding the Triage toxicology and women's health testing portfolio. She also serves as global leadership co-chair for the QuidelOrtho Women's Leadership Network.

Contact us and share your opinionFind out more about GP Triage here: https://www.gptriage.com/Join DrGandalf and the team from GP Triage to learn how they have a smart AI triage and booking tool for General Practice00:00 Meet GP Triage team01:30 What GP Triage does07:54 Bespoke Creation around you09:22 Data Governance12:05 Integration12:30 Cost13:05 GP Triage patient View17:30 GP Triage Practice view20:08 DrGandalf Summary20:40 Onboarding23:10 Skills matrix and setup24:55 Patient allocations25:50 GP Triage System Integration27:55 Support and training29:30 Data Governance of GP Triage31:04 Cost of GP Triage32:30 Bold Claim of GP Triage!33:18 Viewer Questions36:28 Complex patient bookings37:20 a USP of GP Triage39:00 Patient experience42:40 GP Triage automated booking and mapping44:26 More granular questions45:35 Non-digital patients48:55 Spoilers from GP Triage50:14 Contact GP Triage50:25 Time saved with GP TriageJoin Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse

This is a follow-up to the previous podcast with Aaron Weidman, MA, PhD from the UPMC Emergency Medicine Research department.  This follow-up conversation explains the updated real-world implementation of the research project.  Prehospital care providers, in ambulances and helicopters, will be mic'd to help with the machine learning as well as eventual chart documentation.  

A practice sale that should have been the easiest transition imaginable ended before negotiations even began—and the lessons could save you from making the same costly mistake.   In this episode, I shares the story of an anonymized internal succession plan that unraveled despite all the ingredients for success: a trusted associate, established patient relationships, and a seller committed to staying through the transition. So what went wrong?   Using this real-world case study, I'll share the psychology of selling a practice, why valuations are opinions—not verdicts—and how misunderstanding business value can derail even the most promising transition.   Along the way, I'll also tackle one of the most misunderstood metrics in business valuation—EBITDA—and explain why practice owners should be cautious about relying on it when estimating what their practice is worth.   Have a podcast-related question? Contact our team here!   Resources: Berkshire YouTube clip: Every time you hear EBITDA, substitute it with "bull***" earnings Book a Triage call with Adam Download the Practice Owner's Financial Toolkit 20/20 Money Ultimate Financial Success Masterclass OD Mastermind Interest Form Check out Adam's book: How to Buy an Optometry Practice   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!   Check out Adam's other podcast! The Optometry Success Podcast  Subscribe on Apple Podcasts: https://bit.ly/4tttng6 Subscribe on Spotify: https://bit.ly/4tuf0YM 

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Pro Space Team encounters more bleep-blorp substories, causing Orca to relapse and leaving a wet, goopy trail of destruction on their path to the former hive city of Triage! Check out Valda's on D&D Beyond! ▶ https://marketplace.dndbeyond.com/category/CBB3B9G0J Check out Mage Hand Press! ▶ https://magehandpress.com/ Check out our merch store! ▶ https://pleasestopshopping.com/ Give us a tip! ▶ https://ko-fi.com/sirmeowmusic Support the podcast and Patreon ▶ https://www.patreon.com/SirMeowMusic Join the PST Discord server! ▶ https://discord.gg/YNqTT65 Our Dungeon Master ▶ https://twitter.com/BrendanielH Our adventurers: Zhe (Billy) ▶ https://twitter.com/SirMeowMusic Sketch (Mandy) ▶ https://twitter.com/Lord_Mandalore Colt (Cameron) ▶ https://twitter.com/SuperSneakSheep Khyzoq (Ten) ▶ https://twitter.com/TenWebbs Fish (Corbin) ▶ https://twitter.com/lobbymemez Podcast ▶ https://twitter.com/PSTPodcast Animated portraits by Squidinu ▶ https://twitter.com/squidinu Logo by Cards of Ace ▶ https://twitter.com/CardsOf_Ace Thumbnail art by Boo_Rad13y ▶ https://twitter.com/Boo_Rad13y Additional music by: Cicada Sirens ▶ https://twitter.com/CicadaSirens Hohenheim ▶ https://twitter.com/HohenheimMusic Learn more about your ad choices. Visit megaphone.fm/adchoices

For HR teams who discuss this podcast in their team meetings, we've created a discussion starter PDF to help guide your conversation. Download it here https://goodmorninghr.com/EP261  In episode 261, Coffey talks with Bernadette Jones about how leaders can identify, triage, and resolve workplace issues before they escalate into legal and cultural crises.  They discuss leader avoidance of difficult conversations and its organizational consequences; distinguishing between people problems, process problems, and leadership problems; using a triage framework to assess urgency and risk in workplace issues; the TRIAGE acronym as a structured people problem resolution framework; the role of documentation in at-will terminations and discrimination defense; when to bring in third-party HR consultants or employment counsel; the cost and cultural damage of nuisance lawsuits and settlement checks; transparent post-incident communication strategies that protect employee privacy; the connection between ongoing feedback practices and employee trust; and workplace trauma, post-COVID mental health, and psychological safety as cultural imperatives.  Good Morning, HR is brought to you by Imperative—Bulletproof Background Checks. For more information about our commitment to quality and excellent customer service, visit us at https://imperativeinfo.com.   If you are an HRCI or SHRM-certified professional, this episode of Good Morning, HR has been pre-approved for half a recertification credit. To obtain the recertification information for this episode, visit https://goodmorninghr.com.   About our Guest:  Bernadette Jones is Co-Founder of Visionova HR Consulting, where she helps organizations lead at the intersection of compliance and culture. With more than two decades of experience in HR leadership, coaching, and consulting, she supports nonprofits, small businesses, and mission-driven teams in navigating difficult conversations, employee-relations challenges, leadership communication breakdowns, and workplace culture transformation.   A national speaker, Bernadette has presented for SHRM, Nonprofit HR, Northern California SHRM, and other conferences across the country. She serves on the Northern California SHRM Professional Development and Conference Committee and chairs the NorCal SHRM DEIB Committee, where she helps shape content and conversations for HR leaders regionally and beyond. Bernadette has presented at SHRM conferences and nonprofit leadership events on topics including workplace respect, harassment prevention, inclusive leadership, and culture-first HR strategy.   She is especially valued for helping leaders move beyond policy-only thinking and toward practical, respectful leadership that works in the real world. With her 20 years of experience, Bernadette has worked with executives, HR leaders, and managers who are navigating toxic employees, scary complaints, high-stakes terminations, and burned-out teams often without a full HR department behind them. She is known for her calm, candid style and her ability to translate complex HR and employment-law concepts into plain language leaders can act on right away.  Bernadette Jones can be reached at:  Email: bjones@visionovahr.com  Website: https://visionovahr.activehosted.com/f/55 LinkedIn: https://www.linkedin.com/in/bernadettejones-visionovahr/ Facebook: https://www.facebook.com/VisionovaHR Instagram: https://www.instagram.com/bernadettejoneshr/?hl=en#   About Mike Coffey:  Mike Coffey is an entrepreneur, licensed private investigator, business strategist, HR consultant, and registered yoga teacher. In 1999, he founded Imperative, a background investigations and due diligence firm helping risk-averse clients make well-informed decisions about the people they involve in their business. Imperative delivers in-depth employment background investigations, know-your-customer and anti-money laundering compliance, and due diligence investigations to more than 300 risk-averse corporate clients across the US, and, through its PFC Caregiver & Household Screening brand, many more private estates, family offices, and personal service agencies. Imperative has been named a Best Places to Work, the Texas Association of Business' small business of the year, and is accredited by the Professional Background Screening Association.  Mike shares his insight from 25+ years of HR-entrepreneurship on the Good Morning, HR podcast, where each week he talks to business leaders about bringing people together to create value for customers, shareholders, and community. Mike has been recognized as an Entrepreneur of Excellence by FW, Inc. and has twice been recognized as the North Texas HR Professional of the Year.  Mike serves as a board member of a number of organizations, including the Texas State Council, where he serves Texas' 31 SHRM chapters as State Director-Elect; Workforce Solutions for Tarrant County; the Texas Association of Business; and the Fort Worth Chamber of Commerce, where he is chair of the Talent Committee. Mike is a certified Senior Professional in Human Resources (SPHR) through the HR Certification Institute and a SHRM Senior Certified Professional (SHRM-SCP). He is also a Yoga Alliance registered yoga teacher (RYT-200) and teaches multiple times each week. Mike and his very patient wife of 29 years are empty nesters in Fort Worth.  Learning Objectives: Apply the People Problem Triage framework to distinguish between people, process, and leadership problems before escalating to formal action.  Assess the compliance and legal risk level of a workplace issue in order to determine appropriate urgency and next steps.  Recognize how undocumented role changes, unclear responsibilities, and deferred feedback create conditions for employee conflict and litigation exposure 

Send us Fan MailInterested in Trauma 101? Click here. Both live versions with group interaction along with the option to get a recorded link. Don't let trauma continue to steal your life, learn how to navigate triggers and more! Click here.Want the trauma detective PDF? Click here.Trauma often shows up later as a trigger that makes a safe moment feel like the past is happening again. We break down what trauma is, why your nervous system flips into alarm, and how to ground yourself back in the present with a simple “Trigger Detective” process. In this episode we dive deeper into trauma, brain alterations, triggers, and more. • Trauma is defined as loss of safety or choice, including witnessing it happen to someone else (Dr. Watson's definition)• Big T traumas and the way chronic stress can become traumatic when it overwhelms capacity • The window of tolerance and why people respond differently to the same event, this is why we do not compare traumas.• Stress versus trauma, plus acute stress disorder (ASD), post traumatic stress disorder (PTSD) and Complex post traumatic stress disorder (CPTSD)• What happens when the prefrontal cortex goes offline and the amygdala takes over?• Common trigger categories, including sensory, emotional, relational, anniversaries, thoughts and body sensations. • Trigger triage steps: ask, remember, name, remain curious • “Trigger Detective” grounding questions to orient to time, place, age and safety • Trauma 101 options, including a live group and recorded version Trauma detective PDFYou ARE:SEEN KNOWN HEARD LOVED VALUED

Download your free LSAT cheat sheet here: https://swiy.co/CJjVgBZiObw I scored a 152 my first LSAT. Got to a 175. I've been teaching this test since 2005. If you're prelaw, applying now, or stuck, you're in the right place.

Download your free LSAT cheat sheet here: https://swiy.co/CJjVgBZiObw I scored a 152 my first LSAT. Got to a 175. I've been teaching this test since 2005. If you're prelaw, applying now, or stuck, you're in the right place.

What if the next level of your practice requires less time in the lane — not more? In this episode of 20/20 Money: The Business of Optometry, I'm joined again by Nathan Hayes for a wide-ranging conversation about how practice owners should think more intentionally about their most limited resource: time.   We pick up where our last conversation left off and explore what it really means to work on the business, not just in it. Nathan and I discuss why growth is not always linear, why some seasons of ownership are meant for building while others are meant for harvesting, and how owners can begin evaluating whether their time is being spent in the highest and best way.   We also talk about the importance of getting out of the practice — both for true vacation and intentional planning — and why practice retreats, team alignment, leadership rhythms, and clear delegation can become force multipliers for the business.   As always, we close with practical NBSs to help owners audit how they're spending their time and identify the next best step toward building a more intentional practice.   Have a podcast-related question? Contact our team here!   Resources: 20/20 Money Episode: Are you building wealth or just feeding the machine? Traction by Gino Wickman Using EOS to Create Clarity and Traction in Your Practice with Tom Restivo Asana Book a Triage call with Adam Download the Practice Owner's Financial Toolkit 20/20 Money Ultimate Financial Success Masterclass OD Mastermind Interest Form Check out Adam's new book: How to Buy an Optometry Practice   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!   Check out Adam's other podcast!   The Optometry Success Podcast  Subscribe on Apple Podcasts: https://bit.ly/4tttng6 Subscribe on Spotify: https://bit.ly/4tuf0YM 

Can you build a fully functional, high-scale SIEM in just two weeks for under $7,000? In this episode of the Cloud Security Podcast, hosts Tim Peacock and Kyle Champlin sit down with long-time collaborator Dan Lucier, Founder of Nano, to unpack how he "vibe-coded" an entire SIEM from scratch during his end-of-year holiday break. Dan shares his journey of leveraging bleeding-edge AI code assistants to go from a Postgres prototype to a blazing-fast, production-ready SIEM built on Rust and ClickHouse. In this episode, we cover:

From failed minister to car salesman to Oregon Secretary of State, Shemia Fagan has taken one of the more unconventional roads to plaintiff employment law. Now managing partner of six HKM Employment Attorneys offices and running over 200 active cases as the sole attorney on her team, Shemia joins guest host Stephen King and her partner Matthew Westerbeck to show how she does it: with Claude. Together they walk through a practical framework for trial lawyers — using the acronym TRIAL — covering AI-driven triage, research, intake review, advocacy prep, and continuous learning. Tune in for concrete strategies on email automation, judge simulation, deposition prep, and how AI frees lawyers to focus on the human skills no machine can replace.Train and Connect with the Titans☑️ Shemia Fagan | LinkedIn☑️ HKM Employment Attorneys LLP | LinkedIn☑️ Matthew Westerbeck | LinkedIn☑️ Stephen King | LinkedIn☑️ Kings Justice Law☑️ Trial Lawyers University☑️ TLU On Demand Instant access to live lectures, case analysis, and skills training videos☑️ TLU Beach 2027☑️ TLU on X | Facebook | Instagram | LinkedIn☑️ Subscribe Apple Podcasts | Spotify | YouTubeEpisode SnapshotShemia dropped out of a bachelor of divinity program at Boston University, sold cars for a couple of years to save for law school, then graduated from law school in Oregon in 2009 — building persuasion skills at every stage.While working at a corporate defense firm, Shemia simultaneously served in the Oregon legislature, passing paid sick leave and wage transparency laws — and quickly realized she would never make partner at a firm whose corporate clients were her political adversaries.Representing her mother in an age discrimination case, produced a settlement that let her mom buy her first home ever; that moment of purpose drew Shemia fully to the plaintiff side.After discovering Claude Cowork, Shemia spent the entire following weekend building email triage and expense-report automation — a "camel's nose under the tent" that transformed how she runs her practice.The episode introduces the TRIAL acronym — Triage, Research, Intake, Advocacy, Learning — as a practical roadmap for how plaintiff lawyers can deploy AI across every phase of their practice without sacrificing professional responsibility.Shemia used Claude to download all prior deposition transcripts of an opposing attorney 30 years her senior, extract their patterns and rule citations, and build a cheat sheet.Stephen King describes sleeping only an hour and a half per night during trial because AI had already anticipated every contingency — letting him stay fully present for the jury instead of managing logistics in his head.Produced and Powered by LawPods

Champ Morgan returns! Of late, he has been keeping a relentless schedule between Triage and his new band Poacher.  We talk about Northwest Terror Fest, and new releases by bpth bands.   Intro:    “All the Dark Things” – Mike Hill Outro: “Mother of Disease“- Poacher

Tom Fay spent years as the lead civil writs attorney for California's 4th District, Division 3, processing every emergency petition that crossed the court's threshold. Effective June 29, 2026, he's now Judge Tom Fay of the Orange County Superior Court. We caught Judge Fay between appointments for an inside look at what actually happens when your writ petition hits the clerk's desk—and what separates the petitions that get a panel's attention from those that don't.Key points:Help the court triage: The first question isn't the merits—it's “when is the next hearing and what happens if we don't act today?” Every writ petition is sorted the moment it arrives: same-day, next writ conference, or back of the queue. Make sure your cover page and first page of the petition allow the court to triage.Call the clerk before you file: For same-day stays, call the court first. The panel needs three justices, a writ attorney, and clerk staff simultaneously available. A 4:30 p.m. filing without advance notice is nearly impossible to act on.59 days is not an emergency: Waiting until day 59 of a 60-day window sends a signal. Judge Fay calls it "revealed preferences"—if you treated it like a crisis, you would have filed sooner.Summary denials are inscrutable by design: A one-liner means the petition is denied and nothing else—not that your arguments were wrong (but that's a possibility, too).“Speaking denials” are intentional: If the court adds a sentence beyond the boilerplate denial, assume it's deliberate.We also cover choosing the right tone, and how to frame your harm as irreparable.Bookmark this one for next time you draft a writ petition.What about a writ petition is most mystifying? What is your guiding light for a successful petition?

AI can feel overwhelming, overhyped, and impossible to keep up with — especially when every conversation seems to swing between "this changes everything" and "this is all just noise." In this episode of 20/20 Money, I'm joined once again by Dr. Mick Kling for a practical conversation about where AI is actually useful for practice owners right now — without the doom-and-gloom, hype, or technical jargon.   Mick shares how he's been thoughtfully experimenting with AI inside his own workflows to improve efficiency, analyze practice financials, model business decisions, and simplify strategic planning. More importantly, we discuss how practice owners can start using these tools in approachable, low-risk ways without needing to become programmers, coders, or "tech people." We also discuss: Why AI should be viewed more as an assistant than a replacement The biggest mistakes owners make when using AI tools How Mick built AI-powered financial analysis tools without coding experience The "LENS" framework for creating better prompts and better outputs Practical ways to use AI for business planning, associate hiring decisions, and cash flow analysis Why dashboards and reporting may evolve dramatically over the next few years The importance of human connection in a profession increasingly influenced by technology How to begin experimenting with AI without getting completely overwhelmed by it As always, we close the conversation with practical NBSs (Next Best Steps) for listeners who want to begin thoughtfully integrating AI into their practice and business workflows.     Have a podcast-related question? Contact our team here!   Resources: Previous episode with Mick about adding an associate OD in the practice (I think we did one on this topic??) Check out Wispr Flow (voice dictation software) Book a Triage call with Adam Download the Practice Owner's Financial Toolkit 20/20 Money Ultimate Financial Success Masterclass OD Mastermind Interest Form Check out Adam's new book: How to Buy an Optometry Practice   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!   Check out Adam's other podcast!   The Optometry Success Podcast  Subscribe on Apple Podcasts: https://bit.ly/4tttng6 Subscribe on Spotify: https://bit.ly/4tuf0YM 

In this episode of Personal Injury Marketing Minute, host Lindsey Busfield is joined by Gary Falkowitz, co-founder of Capture Now and a renowned expert in legal intake and conversion. They delve into the transformative role of AI in personal injury law firm operations, focusing on intake processes. Gary shares insights on how AI can address traditional intake challenges, enhance efficiency, and improve client conversion rates. They discuss the importance of speed and decision-making in client interactions, emphasizing AI’s role in reducing friction and maximizing profits. Gary also highlights the potential risks of traditional call centers and the advantages of AI in providing consistent, reliable client service. This episode is essential for law firms looking to modernize their operations and improve client acquisition through AI. Key Timestamps: 00:01 – Introduction 00:37 – AI in Personal Injury Firms 01:55 – Traditional Intake Challenges 04:56 – Efficiency as a Key Benefit 07:17 – Decision-Making vs. Crisis Mode 09:36 – AI’s Role in Client Interaction 12:00 – The Evolving Role of Receptionists 14:10 – Removing Friction with AI 16:17 – Triage and Call Qualification 20:16 – Human vs. AI Interaction 25:13 – Providing Client Options 31:04 – The Importance of Speed in Business 34:09 – Low-Risk AI Integration 37:01 – Risks of Traditional Call Centers See all episodes or subscribe to the Personal Injury Marketing Minute here: https://optimizemyfirm.com/podcasts/. What Problems In Traditional Intake LED To The Integration Of AI? Traditional intake systems often lacked efficiency and speed, leading law firms to miss potential clients. Many firms relied heavily on human resources, which were not always fast or decisive enough, resulting in lost opportunities. AI integration addresses these gaps by offering faster, more reliable, and consistent intake processes that minimize human errors and inefficiencies, ultimately maximizing profits and ensuring valuable cases are not overlooked. How Does AI Improve The Decision-making Process For Potential Clients? AI enhances the decision-making process by providing immediate responses and reducing friction points such as long wait times and indecisive human interactions. When potential clients are in decision mode, they seek quick and efficient reassurance that they are making the right choice. AI tools offer this speed and accuracy, allowing clients to feel confident in their decisions without unnecessary delays. Why Is Triage Important For Law Firms Using AI In Their Intake Process? Triage is crucial because it allows AI to determine the nature of calls and direct them appropriately, saving time and resources. By filtering out non-urgent or irrelevant calls, AI ensures that intake specialists only focus on potential clients who need immediate assistance. This not only streamlines operations but also enhances the client experience by reducing unnecessary interactions and focusing on valuable cases. What Role Does AI Play In Managing Existing Client Inquiries? AI can seamlessly handle existing client inquiries by integrating with a firm’s CRM to provide instant case updates and information. This eliminates the need for clients to wait for a human response and ensures they receive timely and accurate information. By removing friction points and enhancing communication, AI improves client satisfaction and retention. How Can Law Firms Begin Integrating AI Into Their Intake Process? Law firms can start by using AI during nights, weekends, and overflow periods, replacing or supplementing traditional call centers with AI solutions like CaptureNow. This initial step allows firms to experience the benefits of AI without fully committing resources, providing an opportunity to evaluate its effectiveness. Triage systems can then be implemented to further streamline intake processes by directing calls to the appropriate personnel based on urgency and relevance. What Are The Potential Risks And Benefits Of Using AI For Legal Intake? The potential risks include initial hesitance from clients preferring human interaction and the possibility of AI mishandling complex cases. However, the benefits far outweigh these risks, as AI offers consistent speed, reduces human error, and provides 24/7 availability. AI also allows intake specialists to focus on high-value cases, improving job satisfaction and firm profitability. 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Failure can be one of the most valuable teachers in an entrepreneur's career. Gary speaks with entrepreneur, investor, author, and recruitment strategist Blake Doyle about resilience, reinvention, and learning when to persist, pivot, or move on.Blake shares lessons from building businesses across technology, immigration, recruitment, and workforce planning. They also discuss his book Triage, the evolution of LabourMind, healthcare staffing challenges, and why leaders need to take a more proactive approach to people and long-term growth.

What if the biggest reason patients aren't buying glasses from your practice… is the experience you've unintentionally created around optical? In this episode of 20/20 Money, I'm joined once again by Dr. Jennifer Stewart for a candid and energetic conversation around the subtle — and sometimes overlooked — ways practice owners can dramatically improve optical sales without feeling "salesy."   Jen shares how she's intentionally built an optical-forward patient experience that turns eyewear into something patients genuinely get excited about, why most practices unknowingly make optical feel transactional and overwhelming, and how small shifts in attention, storytelling, and intentionality can completely change patient behavior. We also explore the mindset many owners have around optical being a "dead" profit center, why that belief becomes self-fulfilling, and practical ways to start taking ownership back without blowing up your entire practice model.   We also discuss: Why patients asking "what glasses are those?" is a bigger opportunity than most doctors realize How Jen strategically uses her own eyewear to influence frame and lens sales The hidden danger of treating optical like a commodity business Why practices often lose optical sales long before price ever becomes the issue How to think about your optical as a separate business within your practice The importance of creating a shopping experience instead of a transactional one Why independent frame lines and storytelling matter more than recognizable brands Practical first steps for owners who feel overwhelmed or frustrated with optical   As always, we end the conversation with several practical NBSs (Next Best Steps) you can implement immediately in your practice.   Have a podcast-related question? Contact our team here!   Resources: Book a Triage call with Adam Download the Practice Owner's Financial Toolkit 20/20 Money Ultimate Financial Success Masterclass OD Mastermind Interest Form Check out Adam's new book: How to Buy an Optometry Practice   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!   Check out Adam's other podcast!   The Optometry Success Podcast  Subscribe on Apple Podcasts: https://bit.ly/4tttng6 Subscribe on Spotify: https://bit.ly/4tuf0YM 

We're in triage mode as the Court clears its end-of-term backlog. We run through the week's opinion dump before focusing on two cases that look unrelated but turn on the same question: when may a state rewrite background property law to limit a constitutional right? In Wolford v. Lopez, the Court strikes down Hawaii's rule requiring a property owner's express consent before a firearm may be carried onto otherwise-public premises. Then to Pung v. Isabella County, a takings case asking whether a homeowner whose property is sold for back taxes is owed only the sale proceeds or full fair-market value. Along the way: a theory about a Landor v. Louisiana flip, the week's run of 6-3 conservative wins, and a short detour into the perils of teaching Federal Courts.Key Topics[00:00:00] - Triage mode: recording June 25 amid the end-of-term opinion dump[00:01:29] - What's still outstanding — and the campaign-finance case's standing problem[00:03:56] - The Landor "flip" theory: did Justice Jackson lose the majority to Justice Gorsuch?[00:06:40] - Thursday's decisions: Monsanto v. Durnell (FIFRA), two immigration wins, Wolford v. Lopez[00:08:58] - Counting the week's seven 6-3 conservative wins; the Hemani surprise[00:12:57] - The throughline: when may a state redefine property to evade a constitutional right?[00:18:35] - Wolford v. Lopez: Hawaii's "express consent" gun rule after Bruen[00:20:42] - The Bruen framework — step one vs. step two, and the free-speech analogy[00:26:57] - The change vs. the outlier: uniformity and Hawaii's sensitive-places list[00:30:49] - Alito's historical analogues: poaching laws and the Black Codes[00:33:34] - Jackson's dissent: race, Equal Protection, and how non-mechanical Bruen really is[00:38:59] - Caetano, the Ramos v. Louisiana callback, and Alito on racist origins[00:41:21] - Barrett's concurrence, Kagan's narrower path, and the rejected "spirit of aloha"[00:48:23] - Pung v. Isabella County: tax sales, takings, and "just compensation"[00:51:45] - Thomas's historical turn on tax-sale rules, and the fairness backstop[00:55:45] - Sign-offRelevant LinksSupreme Court of the United States: https://www.supremecourt.gov/Divided Argument podcast: https://www.dividedargument.com/Transcripts: https://www.dividedargument.com/transcriptsCommentary blog: https://blog.dividedargument.com/Merchandise: https://store.dividedargument.com/New York State Rifle & Pistol Ass'n v. Bruen: https://www.supremecourt.gov/opinions/21pdf/20-843_7j80.pdfTyler v. Hennepin County: https://www.supremecourt.gov/opinions/22pdf/22-166_q86b.pdfRamos v. Louisiana: https://www.supremecourt.gov/opinions/19pdf/18-5924_j4el.pdf

This episode is brought to you by The 10 Second Inbox—a small, tactical system for taming email without chasing inbox zero. One ten-second decision per message, one calm inbox you can glance at and close. It's launch priced at $29 (reg. $49) through July 26th. Get it at mikevardy.com/10secondinbox (code INBOXTODAY auto-applies).Most of us have convinced ourselves that the problem is effort. We're not working hard enough, moving fast enough, or checking enough boxes. But what if the real problem is that we're measuring the wrong things, pruning nothing, and assembling a team built entirely in our own image? That's where today's conversation starts — and it doesn't let up from there.Dr. Henry Cloud is a clinical psychologist, leadership consultant, and the author of more than twenty books, including the boundary-setting classic Boundaries and Necessary Endings. His latest work, Your Desired Future: The Five Essential Steps That Take You Where You Want to Go, uses the human body as a model for understanding how high performance actually works — not as a motivational metaphor, but as a biological and organizational framework for getting from where you are to where you want to be. I've been following Henry's work for years, and this conversation gave me a chance to go deeper into the framework, the principles, and a few surprises along the way.Six Discussion PointsPruning toward a vision, not away from problems — The best gardeners don't prune reactively. They prune toward a picture of what a champion rose looks like. The same discipline applies to your projects, your commitments, and your team: cutting the good so the best can have the resources it needs.The prefrontal cortex is your competitive advantage — Unlike Finley the Doberman, who does her job without once asking whether it gets her closer to where she wants to be next Thursday, humans can picture a future that doesn't exist yet. That capacity is the starting point for everything — and most people squander it by not taking it seriously.You can't build a high-performance path in your own image — We're naturally drawn to the two or three of Cloud's five components we're already good at, and we starve the others. The solution isn't to become well-rounded. It's to deliberately recruit the talent you don't have — whether that's paid consultants, an advisory board, or a friend who knows someone who knows what you don't.Measuring the goal is like looking at the scoreboard after the game — Accountability isn't a negative system; it's a navigation system. The pilot doesn't take off without knowing speed, altitude, and direction. You don't win by checking monthly revenue numbers. You win by identifying the specific activities that move the needle and measuring those, in the right cadence, before it's too late to course-correct.Triage is a strategy, not a crisis response — Emergency rooms don't treat everything with equal urgency. They categorize. The most important word in strategy, Cloud argues, is no — and triage is how you earn the right to say it clearly and without guilt.A problem left unattended becomes a pattern — and a pattern becomes identity — The concrete is still wet. Miss a workout once, fine. Miss it twice and the research shows the goalline shifts. Let a product launch slip and soon you're not the team that missed a launch; you're the team that misses launches. Fix and adapt quickly, or the mutation rewires the DNA.Three Connection PointsNecessary Endings by Dr. Henry Cloud — Referenced throughout the conversation, particularly in the context of pruning and strategy. The rose bush metaphor comes from this book, and it's worth reading alongside Your Desired Future: The Five Essential Steps That Take You Where You Want to Go.TimeCrafting: Stop Managing Your Time, Start Crafting It — Cloud's five-component model is ultimately about organizing energy toward a desired future — which is exactly what TimeCrafting is built around. If this conversation sparked something for you, this is the right next read.The Lantern — My Weekly Newsletter — Each week I write about the ideas that are shaping how I think about productive living. If this episode connected with you, the newsletter is where I go deeper between episodes.Henry's framework isn't about doing more. It's about pruning what isn't leading to the best, recruiting what you don't have, measuring what actually moves you forward, and fixing problems before they become who you are. That last one stays with me: a problem becomes a pattern, and a pattern becomes identity. The concrete is still wet. That's both a warning and an invitation. Take it seriously.If this episode resonated, I'm exploring ideas like these more deeply in my upcoming book, Productiveness. You can follow along as it takes shape at mikevardy.com/productiveness.

Why alert overload is just as much a detection problem, as it is a capacity and consistency problemHow agentic SOC models shift investigations to machine speed while preserving human analyst oversightWhy trust, transparency, and data handling are critical as autonomy increasesThom Langford, Host, teissTalkhttps://www.linkedin.com/in/thomlangford/Ken Payton, Director of Detection and Response, Avalarahttps://www.linkedin.com/in/kenneth-payton/Mike Johnson, Global Cyber Threat & Incident Response Manager, Verifonehttps://www.linkedin.com/in/mike---johnson/Edward Wu, CEO, Dropzone AIlinkedin.com/in/edwardxwu

Series: Midweek MessagesService: N/AType: PodcastSpeaker: Josh McKibben

What if the biggest mistake practice owners make with dry eye isn't buying the wrong technology… but building their entire strategy around the technology itself? In this episode of 20/20 Money, I'm joined once again by Dr. Chris Wolfe for a fascinating conversation around dry eye, specialty services, patient communication, and the dangerous trap of becoming "device-centric" instead of patient-centric.   Chris shares a candid behind-the-scenes perspective on what he's observed from practices across the country when it comes to implementing dry eye services and expensive treatment technologies. We discuss why so many practices buy devices that ultimately underperform, the seductive marketing around "specialty" care, and the critical distinction between having a widget versus building a system that actually supports patient outcomes and practice profitability.   More importantly, we explore how the most successful clinicians aren't simply better at selling treatment — they're better at understanding the doctor-patient relationship, evidence-based medicine, and how to guide patients toward the right next step without overwhelming them.   We also discuss: Why many dry eye devices end up becoming expensive dust collectors The hidden problem with building your identity around a piece of equipment How patient communication dramatically impacts treatment acceptance Why separating the dry eye conversation from the comprehensive exam changes outcomes The difference between being "widget-centric" and patient-centric How successful practices build systems around disease management instead of technology Why evidence-based medicine involves more than just clinical studies The role patient preference plays in treatment recommendations How practices can objectively evaluate whether a new device will actually support profitability   As always, we close the conversation with practical NBSs (Next Best Steps) to help practice owners think more intentionally about specialty services, technology adoption, and patient care systems inside their practice.     Have a podcast-related question? Contact our team here!   Resources: Dr. Cecelia Koetting Dr. Selina McGee Dr. David Kading Dr. Kyle Klute Are you building wealth...or just feeding the machine (20/20 Money Episode with Nathan Hayes) Book a Triage call with Adam Download the Practice Owner's Financial Toolkit 20/20 Money Ultimate Financial Success Masterclass OD Mastermind Interest Form Check out Adam's new book: How to Buy an Optometry Practice     ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!   Check out Adam's other podcast!   The Optometry Success Podcast  Subscribe on Apple Podcasts: https://bit.ly/4tttng6 Subscribe on Spotify: https://bit.ly/4tuf0YM 

What do I do first when I find out I'm getting divorced? It is the number one question people ask the moment divorce becomes real, whether they reached the decision themselves or were just told it is coming. In one of her most-requested solo episodes, Susan Guthrie introduces the concept of Divorce Triage, a clear-headed way to assess your situation and decide who to reach out to first based on the urgency and the needs of your specific case. Borrowing from the emergency room, Susan explains that when a crisis hits, whether emotional, legal, or financial, you do not have to solve the whole thing at once. You just have to take the right first step. Drawing on more than three decades as a family law attorney and mediator, she walks through the core members of a divorce support team, the attorney, the mediator, the divorce coach, the therapist, and the certified divorce financial analyst, and uses real scenarios to show who your first call should be. From the affair discovery, to the financial betrayal, to the blindsided stay-at-home parent, to the longtime thinker who is finally ready to act, each situation calls for a different first move. Divorce is not one size fits all, and the first decision you make can shape everything that follows. This episode helps you think clearly and choose carefully, so you move forward with strength and strategy instead of panic. Episode 1 of 8 in the Divorce & Beyond Summer Essentials Series This summer, Divorce & Beyond brings back 8 the episodes listeners reach for most, the conversations with the clearest, most practical guidance for anyone thinking about, going through, or rebuilding after divorce. New Essentials air every other Monday all summer. Follow the show so you never miss one. The series starts here. What You'll Learn Why your first call may not be an attorney, and how to triage who you reach out to based on your circumstances Who belongs on your divorce support team, the attorney, mediator, divorce coach, therapist, and CDFA, and when to bring each one in How to take the right first step when betrayal, fear, or financial shock has your emotions all over the place Why too many voices create confusion, and how to avoid the trap of asking everyone for advice Susan's golden nugget: why divorce is not a DIY project, and why the first decision you make shapes everything that comes next If This Episode Helped You Follow Divorce & Beyond so you never miss an episode. Share it with someone who needs clear, reliable guidance right now. And if you have a moment, a five-star review makes a real difference in helping the show reach the people who need it most. Follow Divorce & Beyond Website: divorceandbeyondpod.com Instagram: instagram.com/divorceandbeyondpod About the Host: Susan Guthrie, Esq. Susan Guthrie is one of the nation's leading family law and mediation attorneys, with more than 35 years of experience helping people navigate divorce with clarity and strategy. She is the Immediate Past Chair of the American Bar Association Section of Dispute Resolution, a best-selling author, and a sought-after speaker and trainer. Susan recently appeared as the featured expert on The Oprah Podcast and has been cited in The Wall Street Journal, Forbes, Town & Country, The Washington Post, NewsNation, and NBC Chicago Today, among others. As the creator and host of Divorce & Beyond, ranked in the top 1% of all podcasts worldwide with more than 1.3 million downloads and an Apple Top 100 Self-Help designation, Susan brings together leading legal and mental health experts to help listeners move through divorce and into what comes next. Learn more at divorceandbeyondpod.com/about.   Disclaimer: The commentary and opinions shared on this podcast are for informational and entertainment purposes only and do not constitute legal advice. Consult a licensed attorney in your state regarding your specific situation.

What if serving Medicaid patients wasn't a drain on your practice… but one of the most efficient and fulfilling business models in optometry? In this episode of 20/20 Money, I'm joined by Dr. Ryan Hansen to discuss a truly unique model he's built inside a public school district that provides eye care exclusively to children on Medicaid — while still creating a financially viable and highly efficient practice structure.   Ryan shares how he operates a school-based satellite clinic inside the Rockford public school system, why the traditional "either/or" mindset around Medicaid and profitability may be flawed, and how he's leveraged simplicity, delegation, and strategic partnerships to create a practice that serves an incredible need in his community. We also unpack the emotional realities of caring for underserved populations, the operational logistics of working within a school district, and the surprising economics behind a model many ODs assume can't work.   We also discuss: How Ryan sees up to 16 pediatric Medicaid patients in just a few hours each morning Why low overhead dramatically changes the Medicaid profitability equation The logistics of scheduling, transportation, and dispensing glasses through the school system The role school nurses and principals play in making this model successful Why many children who "pass" school screenings still desperately need glasses The hidden challenges of working with Medicaid reimbursement and bureaucracy How this model creates remarkable work-life balance and flexibility What optometrists should consider if they want to explore a similar partnership in their own communities   As always, we close the conversation with practical NBSs (Next Best Steps) for listeners who may want to explore opportunities like this in their own school districts and communities.     Resources: Book a Triage call with Adam Download the Practice Owner's Financial Toolkit 20/20 Money Ultimate Financial Success Masterclass OD Mastermind Interest Form Check out Adam's new book: How to Buy an Optometry Practice   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!   Check out Adam's other podcast!   The Optometry Success Podcast  Subscribe on Apple Podcasts: https://bit.ly/4tttng6 Subscribe on Spotify: https://bit.ly/4tuf0YM 

In part one of this two-part series, the Brown Surgery podcast welcomes back Dr. Manuel Portalatin, DO, one of our Trauma/Surgical Critical Care and Burn attendings at Brown University Health. We dive deep into the initial evaluation of burn patients in the emergency department, discussing the shift from numerical degree classifications to thickness nomenclature. Dr. Portalatin breaks down the clinical importance of depth assessment for skin grafting, the nuances of burn shock pathophysiology, and critical triage protocols—including how to identify, grade, and manage inhalation injuries, carbon monoxide exposure, and cyanide toxicity before transfer to a specialized burn center.

Why do so many optometric practices hit a ceiling in their practice? We know it's not because the owner isn't working hard enough, so what is it? It's because the business was never designed to scale in the first place. Eugene Shatsman joins me back on the show to talk about the ceiling practice owners inevitably hit in their practice—and a system he's created to help owners break through it. In our conversation, we discuss the systems and frameworks behind building a more intentional, scalable practice, including the five operational pillars Eugene believes every successful practice must manage well. We also talk about the hidden KPIs that quietly hurt profitability, how to create stronger accountability within your team, and why elevating the patient experience from transactional to consultative can dramatically improve both growth and practice value.   Resources: Eyecare BOSS (Pre-order Eugene's book, The EyeCare Boss on their website!) Book a Triage call with Adam Download the Practice Owner's Financial Toolkit 20/20 Money Ultimate Financial Success Masterclass OD Mastermind Interest Form Check out Adam's new book: How to Buy an Optometry Practice   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!   Check out Adam's other podcast!   The Optometry Success Podcast  Subscribe on Apple Podcasts: https://bit.ly/4tttng6 Subscribe on Spotify: https://bit.ly/4tuf0YM 

Are all theological issues of equal importance? Or should we give greater emphasis to some issues, and be more willing to give and take on others? Paul Lamicela makes the case for theological triage, a framework that defines how core various theological concepts are to orthodox Christianity.The study center Paul started (Lancaster Anabaptist Study Center)“A Call for Theological Triage and Christian Maturity” by Albert MohlerFinding the Right Hills to Die On: The Case for Theological Triage by Gavin OrtlundListen to another episode with PaulThis is the xxxth episode of Anabaptist Perspectives, a podcast, blog, and YouTube channel that examines various aspects of conservative Anabaptist life and thought. Sign-up for our monthly email newsletter which contains new and featured content!Join us on Patreon or become a website partner to enjoy bonus content!Visit our YouTube channel or connect on Facebook.Read essays from our blog or listen to them on our podcast, Essays for King JesusSubscribe on your podcast provider of choiceSupport us or learn more at anabaptistperspectives.org.The views expressed by our guests are solely their own and do not necessarily reflect the views of Anabaptist Perspectives or Wellspring Mennonite Church.

What if one of the biggest financial mistakes practice owners make is confusing "spending money in the practice" with actually investing in it? In this episode, I'm joined once again by Nathan Hayes for a thoughtful and nuanced conversation around reinvesting in your practice, opportunity cost, and the hidden tradeoffs owners often overlook when deciding what to do with excess cash flow.   We explore the mindset many owners have that every dollar spent on equipment, technology, or expansion automatically creates enterprise value — and why that assumption can quietly create long-term financial consequences if it's never challenged. Nathan and I unpack the difference between true investment versus simply adding expense, how owners should think about ROI inside the practice compared to investing outside the practice, and why many of the highest-value drivers in a business have nothing to do with buying another piece of equipment. We also discuss: Why more equipment does not automatically mean a more valuable practice The hidden opportunity cost of continually reinvesting back into the business How enterprise value is actually created in an optometry practice The difference between spending, investing, and simply staying operational Why patient flow and schedule utilization matter more than most owners realize The role marketing can play in growing enterprise value versus buying more technology How practice owners should think about free cash flow after taxes, debt service, and reserves The dangerous feedback loop created by depreciation-driven purchasing decisions Why many owners underestimate the value of investing outside the practice   As always, we close the conversation with practical NBSs (Next Best Steps) to help owners think more intentionally about capital allocation decisions both inside and outside their practice.     Resources: Book a Triage call with Adam Download the Practice Owner's Financial Toolkit 20/20 Money Ultimate Financial Success Masterclass OD Mastermind Interest Form Check out Adam's new book: How to Buy an Optometry Practice Four Levers in Retirement IDOC Simple Numbers, Straight Talk, Big Profits! Simple Numbers, Straight Talk, Big Profits with Greg Crabtree   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!   Check out Adam's other podcast!   The Optometry Success Podcast  Subscribe on Apple Podcasts: https://bit.ly/4tttng6 Subscribe on Spotify: https://bit.ly/4tuf0YM 

Most optometric practice owners have no idea how much money they're quietly losing in their optical simply because of merchandising, layout, and the conversations happening—or not happening—between staff and patients.   Welcome to this episode of 20/20 Money: The Business of Optometry. My guest on today's show is Kayla Ashlee. Kayla joins me on the show to talk about the subtle but incredibly powerful levers that influence buying behavior inside the dispensary and why the difference between a thriving optical and an average one often has less to do with pricing and more to do with psychology, presentation, and process.   In our conversation, we discuss the difference between optician-led versus patient-led frame selections, why many owners underestimate the power of suggestion in the optical, and how practices may be unintentionally leaving revenue on the table simply through the way eyeware is presented.. We also talk about practical merchandising strategies that can materially influence capture rate and optical performance without adding more patients to the schedule.   Resources: MassGeneral cafeteria experiment "You will read this first" image Book a Triage call with Adam Download the Practice Owner's Financial Toolkit 20/20 Money Ultimate Financial Success Masterclass OD Mastermind Interest Form Check out Adam's new book: How to Buy an Optometry Practice   ————————————————————————————— Please rate and subscribe to 20/20 Money on these platforms Apple Podcasts Spotify ————————————————————————————— For past episodes of 20/20 Money with full companion show notes, please check out our episode archive here!   Check out Adam's other podcast!   The Optometry Success Podcast  Subscribe on Apple Podcasts: https://bit.ly/4tttng6 Subscribe on Spotify: https://bit.ly/4tuf0YM   

Name Your Distraction: "Troubleshooting" and the Neutral Labeling Practice   In this episode, Juan asks everyone to identify the word they use for how they distract themselves and suggests choosing a neutral term without shame or pride. He describes his own pattern as "troubleshooting," citing examples like repeatedly adjusting camera setup, tinkering with Apple Music sync issues, and getting sidetracked during Zoom calls, even when he intended to record podcasts. He contrasts this with "triage," focusing on the most pressing priority, and consider whether his behavior reflects "tanking" (sacrificing short-term goals) or "trepidation" (nervous avoidance). Juan notes oversharing in medical appointments as another way distractions can derail the main objective. The core call to action is to name and observe one's distraction habit—neutrally—so it can be noticed and let go in the moment.   00:00 Name Your Distraction 00:55 Troubleshooting as Avoidance 01:39 Triage and Oversharing 02:30 Tanking or Trepidation 03:38 Why Troubleshooting Feels Fun 04:27 Neutral Labeling Practice 05:21 Values Versus Planning 06:48 Call to Action Wrap Up  

Broadcast from KSQD, Santa Cruz on 5-21-2026: This is the second show featuring Mira Achilles, a UCSC graduate working on her masters in epidemiology. Dr. Dawn and Mira open with a Harvard study showing OpenAI's o1 reasoning model reached correct diagnoses 67% of the time versus 50-55% for physicians, and scored 89% versus 34% on treatment plans. The AI advantage shrinks when doctors get more data and time, suggesting its greatest value is in fast-moving triage. Dr. Dawn cautions that over-reliance on AI during residency could undermine the clinical reasoning neurologic pathways doctors must develop, and emphasizes the "zebra paradox"— rare diseases remain rare even when symptoms match the textbook. Dr. Dawn shares a personal case of a patient with throat shingles, leading her to use a medical AI (OpenEvidence) to investigate Shingrix risks. An Australian study found an elevenfold increase in shingles within 21 days of the first Shingrix dose in adults over 65, though dose two reduced overall risk by 73%. She explains this could be one of several things such as immune reconstitution inflammatory syndrome (IRIS), or that the AS01B vaccine adjuvant's strong activation may transiently reactivate latent virus, and recommends valacyclovir prophylaxis for high-risk patients for their first Shringrex shot.. Mira discusses AI in education, noting the shift from professors threatening plagiarism charges to teaching students how to critique AI output, emphasizing taking summaries "with a grain of salt." Dr. Dawn describes Chinese research scanning 1,154 children that identified a third ADHD subtype—severe emotional dysregulation—showing 45 abnormal brain regions versus 26 in the inattentive and hyperactive-impulsive types, with standard stimulants working poorly for this group. She connects this to traditional psychiatric personality disorder classifications and A discussion of vagus nerve stimulation's emerging applications for autoimmune conditions. Dr. Dawn and Mira discuss menstruation and bodily autonomy, then describe the Somedays period pain simulator that uses electrical impulses to let men experience menstrual cramps, highlighting differing pain thresholds. An emailer references a Radiolab episode about deliberate hookworm infection to treat asthma and allergies. Dr. Dawn explains parasites release immunosuppressants to survive, including anti-inflammatory protein-2 (AIP) now in drug development, which stimulates T-regulatory cells and IL-10 while "alarmins" inhibit lung inflammation—though this increases vulnerability to new infections. A caller with H. pylori and frequent viral infections asks whether S. boulardii and reuteri probiotics are safe given her low immunity. Dr. Dawn explains immunosuppression warnings target transplant-level drug suppression, not a tendency toward viruses like hers. Dr. Dawn thinks that her near-zero natural killer cells explain frequent infections, and suggests that the H. pylori test given her absence of symptoms, may be an incidental bystander rather than the cause of her low ferritin, which suggests bleeding. In medical news of the weird, Dr. Dawn describes Baby Cassian, diagnosed in utero with congenital high airway obstruction syndrome (CHAOS), who was partially removed from the womb at 25 weeks for airway surgery, returned, and born again at 31 weeks—leading to a discussion of microsurgery and how specialties partition by the physical scale of the surgery rather the location or type of structure.

Apologies for our absence last week! Your editor (Tangletongue) was ill and unable to edit. So we took an impromptu week off.SkyClan goes to their 2nd battle - with new allies, but not all of them. Book: Super Edition: SkyClan's DestinySupport us on Ko-fi! WCWITCast Ko-fiFollow us on BlueSky! WCWITCastFollow us on Instagram! WCWITCastCat Fact Sources:Elizabeth Blackadder - Wikipedia5 Women Artists Who Specialized in Cat Paintings—The Evolution of Cat PortraitureElizabeth V. Blackadder (1931–2021)Elizabeth Blackadder RSA - Overview | Royal Scottish AcademyDame Elizabeth Blackadder | Artist | Royal Academy of ArtsBlack Cat and Irises by Elizabeth Blackadder | The Scottish GalleryElizabeth Blackadder RSA, Fred in a Box, 2003 | Royal Scottish AcademyFred on top of Cupboard by Elizabeth Blackadder | The Scottish GalleryElizabeth Blackadder RSA - Works | The Academicians' GalleryMusic:Happy Boy End Theme Kevin MacLeod (incompetech.com)Licensed under Creative Commons: By Attribution 4.0https://creativecommons.org/licenses/by/4.0/This transformative podcast work constitutes a fair-use of any copyrighted material as provided for in section 107 of the US copyright law. Warrior Cats: What is That? is not endorsed or supported by Harper Collins and/or Working Partners. All views are our own.