Podcasts about vice chair

In this episode of the Award-winning PRS Journal Club Podcast, 2026 Resident Ambassadors to the PRS Editorial Board – Lucas Harrison, Christopher Kalmar, and Priyanka Naidu- and special guest, Salam Kassis, MD, discuss the following articles from the September 2026 issue: "Management of Platysmal Banding in Face and Neck Lift Surgery" by Sherif, Kumar, Stuzin, et al. "Periareolar Incision Deformity: Correction of Infra-Areolar Indentations with Acellular Dermal Matrix" by Hidalgo and Chadab. "Nutritional Challenges in Post–Massive Weight Loss Body Contouring: Guidance for Plastic Surgeons on GLP-1 Agonists and Sleeve Gastrectomy" by Mehta, Rometo, Gusenoff, and Rubin. READ the articles discussed in this podcast as well as free related content: https://bit.ly/JCSept26Collection   Dr. Salam Kassis is a plastic surgeon with extensive expertise in aesthetic surgery, peripheral nerve surgery, and complex reconstructive procedures. He completed general surgery residency at Yale University, followed by plastic surgery fellowship training at Vanderbilt University Medical Center. He subsequently joined the Vanderbilt faculty, where he contributed extensively to resident education and clinical research, and held leadership roles including Vice Chair of Clinical Affairs. In 2026, Dr. Kassis transitioned from Vanderbilt to private practice at Kassis Salameh Plastic Surgery, bringing more than a decade of academic surgical experience to his aesthetic and reconstructive practice. The views expressed by hosts and guests are their own and do not necessarily reflect the official policies or positions of ASPS.

About the Guest Cybele Negris is the CEO and Co-Founder of Webnames.ca, Canada's original dot-CA registrar and a provider of hundreds of domain extensions, web hosting, email, security products, and other online solutions. A serial entrepreneur, seasoned board member, speaker, mentor, and columnist, she has grown Webnames into a multi-million-dollar company serving some of the country's largest corporations, governments, law firms, and global Fortune 500 brands. A Hall of Fame inductee of Canada's Top 100 Most Powerful Women and a nine-time winner of the PROFIT W100, Cybele serves as Vice-Chair of the Board of the Royal Canadian Mint and sits on the boards of BCAA and AGF Management, among many others. She is a columnist for Business in Vancouver, a sought-after speaker at events including TEDx, and a passionate mentor. She is also a second-generation Dale Carnegie graduate, part of a family legacy that now spans three generations of graduates. What You Will Learn Why “feeling the fear and doing it anyway” is the key to growth How to recognize and move past imposter syndrome Why authentic, vulnerable leadership builds deeper connection How empowering smart people, rather than commanding them, creates stronger teams The power of mentorship, for both the mentor and the mentee How to turn adversity into a competitive advantage Join us for this episode of the Take Command Podcast as Cybele Negris shares how courage, authenticity, and humility can transform the way we lead and live. Whether you are building a business, wrestling with your own self-doubt, or learning to step outside your comfort zone, this conversation offers honest, practical lessons for leading with resilience in an ever-changing world. Please rate and review this Episode!We'd love to hear from you! Leaving a review helps us ensure we deliver content that resonates with you. Your feedback can inspire others to join our Take Command: A Dale Carnegie Podcast community & benefit from the leadership insights we share.

For many young women diagnosed with breast cancer, some of the most important decisions they will ever make happen within days of hearing the words, "You have cancer." While treatment planning begins immediately, patients may also be faced with urgent questions about fertility, future family-building, and preserving options they may not have expected to think about so soon. These conversations often happen during a period of fear, uncertainty, and information overload, leaving many patients feeling overwhelmed and unprepared. In this episode, I'm joined by Dr. Ann Partridge, Vice Chair of Medical Oncology and Chief Clinical Strategy Officer at Dana-Farber Cancer Institute, where she also serves as co-founder and director of the Program for Young Adults with Breast Cancer. A professor at Harvard Medical School, Dr. Partridge is a leading breast oncologist and researcher whose work focuses on improving care and outcomes for young adults with breast cancer. Together, we discuss how breast cancer treatment can affect fertility, why these conversations need to happen early, the options available today, and how patients can make informed decisions while balancing the urgency of cancer treatment with hopes and plans for the future. We also reinforce the hopeful message that having children after breast cancer is often possible - and that preserving future options begins with having the right conversations early. Most importantly, this episode is a reminder that patients deserve information, support, and compassionate guidance when facing life-changing decisions at diagnosis. Resources Mentioned in This Episode For additional information and support, visit the Young and Strong Program at Dana-Farber Cancer Institute, which offers resources and practical guides for young adults with breast cancer, including those who are newly diagnosed, in treatment, or in survivorship, as well as caregivers. The program also provides trusted information about fertility preservation, pregnancy after breast cancer, and breastfeeding. The information shared on Dear Cancer, I'm Beautiful is for educational and informational purposes only and is not intended as medical advice. Always consult your physician or qualified healthcare provider regarding your individual medical care and treatment decisions. The views and opinions expressed by guests are their own and do not necessarily reflect those of Cancer Fashionista. Thank you to Daiichi Sankyo and Novartis for making this episode of the Signature Series possible.

He moved to Hollywood with $43 and a dream. Watched his dad pour brilliant ideas into businesses that made other people rich. Decided the only thing scarier than risking everything was never finding out what he was capable of. Twenty-five years and 51 countries later, Caleb Gilbert protects the world's most elite. And everything he's learned doing it maps directly into how you're building your business right now. Caleb Gilbert is the founder of White Glove Protection Group and a global expert in executive protection. In this conversation, he and George translate the frameworks used to protect A-list celebrities and Fortune 200 companies into a masterclass on entrepreneurship, covering risk, trust, vision, proactive vs. reactive posture, and what it really means to be all in. What You'll Learn In This Episode: How executive protection frameworks apply directly to building a business Why your relevance is entirely based on the perceived value of your consumer The difference between being energetically all in vs. financially all in Why Caleb turned down $1.5M in business to protect his vision and how it led to 4,000% growth How to build a proactive business posture instead of a reactive one The one question that revealed imposter syndrome was costing him clients Why grit, not tactics, is the most transferable skill from protection to entrepreneurship Key Takeaways: ✔️Your relevance is based on the perceived value of your consumer, not what you think they need. Flip the script. ✔️Being energetically all in and being financially all in are not the same thing. The people around you will tell you when you're truly all in, they'll tell you you're overdoing it. ✔️Zero revenue for two years. Turned down $1.5M. Then 4,000% growth. Knowing your vision and protecting it is a competitive strategy. ✔️Proactive posture beats reactive posture every time, in protection and in business. Stop waiting for the threat. Get ahead of it. ✔️The biggest threat your business faces is distraction. Not competition. Not market conditions. Distraction. ✔️Nobody else has your brain, your context, your background. The moment Caleb stopped trying to be a Navy SEAL and started leading with his actual edge, everything changed. ✔️Don't let money be your north star. If vision, strategy, and execution align with what the market needs, the money follows. ✔️Reinvest like you're still building. A $1.50 lawn mower became a business, because every dollar went back in. Timestamps & Highlights: [00:00] — $43, a dream, and the mindset that made it work [01:26] — Welcome: 25 years, 51 countries, and the White Glove difference [03:16] — Montana grit: why hard things inspire instead of dissuade [06:28] — Environment that demands vs. inspires and what that means for your team [07:33] — Starting at age 11: Nike socks, lawn mowers, and learning risk vs. reward early [11:03] — How to mitigate risk without impeding what makes your business great [13:07] — "Your relevance is based on the perceived value of your consumer" [18:00] — The onboarding parallel: walking clients through what they've never experienced [21:00] — Client number one, staying in vision, and zero revenue for two years [24:17] — Energetically all in vs. financially all in, how to tell the difference [28:34] — The 2020 gut check: when a CEO told Caleb not to chase money [35:00] — Ego in the protection industry and how Caleb navigated it [43:00] — Imposter syndrome, 86% prior military, and the moment he found his edge [50:00] — Proactive vs. reactive posture in business and protection [55:00] — Reinvesting like you're still building: the $1.50 lawn mower origin story [59:43] — Caleb's closing wisdom: be proactive, know your strengths, hit refresh Connect with Caleb Gilbert:  Founder and President of White Glove Protection Group, with 25 years of executive protection experience across 51 countries. He holds a Master's in Global Security Studies from Johns Hopkins and has trained at Stanford and ESI. He currently serves as Vice Chair of the ASIS Executive Protection Community and Treasurer of the IPSB Board. LinkedIn: linkedin.com/in/epcaleb Instagram: instagram.com/w.g.p.group.inc YouTube: youtube.com/channel/UCepN8VJqAXFahvbtfHxdcoQ Website: whitegloveprotection.com Your Challenge This Week: What's the one thing from this episode you can apply tomorrow: grit, proactive posture, protecting your vision, or leaning into your actual edge? Let George know. And if you have a security question for Caleb, he genuinely welcomes the conversation. Follow George: @itsgeorgebryant Work with George: The Alliance — Community for entrepreneurs building with vision, grit, and integrity. 1:1 Coaching — Limited spots. Apply at mindofgeorge.com/coaching-consulting/ Live Retreats — In-person experiences for entrepreneurs ready to stop reacting and start leading.

Dr. Donard Dwyer is a Professor of Psychiatry and Behavioral Medicine and Vice Chair for Research at LSU Health Shreveport. With more than 30 years of academic research experience, his work has focused on neuroscience, genetics, motivation, schizophrenia, and the biological mechanisms underlying neuropsychiatric disorders. Before joining LSU Health Shreveport, Dr. Dwyer served as a Research Scientist at the Max Planck Institute in Würzburg, Germany, and as Director of Immunology for a Cambridge biotechnology company. His current research explores the genetic and molecular pathways involved in brain function, motivation, and potential new treatments for neuropsychiatric conditions. In this episode of Asking Why, Dr. Dwyer returns to discuss his latest research after his manuscript, “Suicide Risk Genes,” was accepted for publication in a prestigious medical journal. He shares the inspiration behind the research, the significance of the findings, and what they could mean for the future of neuroscience, suicide prevention, and mental health. Links Research Page (please link in the show notes): http://www.lsuhs.edu/psych-research Instagram: @lsuhs_psychiatry Facebook: LSUHS Psychiatry and Behavioral Medicine   Asking Why with Clint Davis Sponsors: A special thank you to the incredible sponsors of Asking Why with Clint Davis for investing in meaningful conversations that bring hope, healing, and growth to our community.   Wellness by Dr. Natalia — a physician-led integrative and concierge medical practice in Shreveport focused on longevity, regenerative medicine, aesthetics, and whole-person wellness. Learn more at www.LuraguizMD.com   Uprising Addiction Center — helping individuals and families find lasting recovery through compassionate, evidence-based addiction treatment focused on healing the whole person. Learn more at www.UprisingCenter.com   LearningRx Shreveport — empowering children and adults by strengthening cognitive skills needed to learn, focus, read, and succeed with confidence. Learn more at www.LearningRx.com/Shreveport   We're grateful for businesses and organizations that believe in strengthening people, families, and our community.      

Christopher Thacker is the founder and CEO of CrewVision, a map-native dispatch platform built for landscape and snow removal companies. He got his start in the industry at 12 years old, shovelling walkways and mowing lawns, and today owns and operates Mr. Mow It All, a roughly $10M property care and snow removal company in Toronto. The business serves as CrewVision's live proving ground, where every feature is tested by real crews, on real routes, under real operational pressure before it ships. CrewVision is built around a simple belief: any crew should be able to service any property, at any time, and know exactly what needs to be done. The knowledge that keeps a company running can't stay trapped in one person's head, one veteran operator's memory, or a pile of job notes. It needs to live on the map, where the people doing the work can actually see it, trust it, and use it. Christopher also serves as Vice Chair of SIMA and is an advocate for field-first software: tools designed around crews in the field, not just managers in the office.

Vice-Chair of the Orange County Commissioners Amy Fowler spoke with 97.9 The Hill's Andrew Stuckey on Wednesday, August 12, discussing county news and events. She talked about the Tax Assessment Work Group, which is examining how tax assessment is done in the county. She discussed the work that group is engaged in and the timeline for sharing their findings. She also talked about administrative costs of SNAP benefit administering, and new steep fines being levied at counties who have error rates. She also looked ahead to the August 25th meeting of the county commissioners and more. The post Orange County: Tax Assessment Work Group, Upcoming Events, and More appeared first on Chapelboro.com.

Greg Brady spoke with Kate Harrison, Vice Chair at Summa Strategies about PM Carney's vacation timing in Italy Learn more about your ad choices. Visit megaphone.fm/adchoices

Digital surgery has morphed from buzzword into ubiquitous high-impact technology. In this episode, the BTK MIS team steps into the rapidly evolving ecosystem of cameras, sensors, robotics, and software that are turning surgical operations into structured, analyzable datasets. From AI segmentation to real-time telepresence, don't miss this opportunity to catch up on what's new and what's next, what's exciting and what's terrifying, just on the horizon of your surgical career. Hosts: ·      James Jung, MD, PhD, Assistant Professor of Surgery, Duke University·      Jacob Greenberg, MD, EdM, MIS Division Chief and Vice Chair for Education, Duke University·      Zachary Weitzner, MD, Minimally Invasive and Bariatric Surgery Fellow, Duke University, @ZachWeitznerMD·      Joey Lew, MD, MFA, Surgical resident PGY-3, Duke University, @lew__actuallyLearning Goals: By the end of this episode, listeners will be able to:·      Define “digital surgery” and describe its core components, including video capture, instrumentation, robotics, data analytics, and system connectivity. ·      Discuss current and emerging applications of digital surgery in surgical education, including video-based self-assessment, procedural segmentation, and structured feedback models. ·      Describe how digital tools can be used to improve OR efficiency and resource utilization, including instrumentation usage, operative time analysis, and workflow optimization. ·      Summarize current telepresence and teleproctoring technologies and their clinical use cases, including augmented reality–based collaboration across institutions and geographic boundaries. ·      Identify key ethical, legal, and operational challenges in digital and tele-surgery, including credentialing, cross-state licensure, liability, and trust in remote expertise. ·      Discuss how digital surgery may reshape surgical training and competency-based assessment, including implications for autonomy, deliberate practice, and feedback frequency. ·      Recognize future directions of digital surgery integration, including predictive analytics, simulation using patient-specific imaging, and AI-assisted intraoperative decision support.References:  Balvardi S, Semsar-Kazerooni K, Kaneva P, et al. Validity of video-based general and procedure-specific self-assessment tools for surgical trainees in laparoscopic cholecystectomy. Surg Endosc. 2023;37(3):2281-2289. doi:10.1007/s00464-022-09466-6 [https://pubmed.ncbi.nlm.nih.gov/36307525/] Hospital Utilizes Intraoperative Idle Time Metrics to Improve Surgical Safety and Efficiency. Theator | The Surgical Intelligence Company. Accessed March 20, 2026. https://theator.io/customer-story/hospital-utilizes-intraoperative-idle-time-metrics-to-improve-surgical-safety-and-efficiency/ Campbell KK, Abreu AA, Zeh HJ, et al. Using OR Black Box Technology to Determine Quality Improvement Outcomes for In-situ Timeout and Debrief Simulation. Ann Surg. 2026;283(1):122. doi:10.1097/SLA.0000000000006438 [https://pubmed.ncbi.nlm.nih.gov/38317208/] Al Abbas AI, Meier J, Daniel W, et al. Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. Surg Endosc. 2024;38(10):5613-5622. doi:10.1007/s00464-024-11064-7 [https://pubmed.ncbi.nlm.nih.gov/39069926/] Proximie's telepresence platform helps surgeons across the globe grow and exchange experience in real-time. World Health Expo Insights. Accessed March 20, 2026. https://www.worldhealthexpo.com/insights/telemedicine/proximie-s-telepresence-platform-helps-surgeons-across-the-globe-grow-and-exchange-experience-in-real-time Hassan AE, Desai SK, Georgiadis AL, Tekle WG. Augmented reality enhanced tele-proctoring platform to intraoperatively support a neuro-endovascular surgery fellow. Interv Neuroradiol. 2022;28(3):277-282. doi:10.1177/15910199211035304 [https://pubmed.ncbi.nlm.nih.gov/34538166/] SAGES Digital Surgery Working Group; Ali JT, Yang G, Green CA, Reed BL, Madani A, Ponsky TA, Hazey J, Rothenberg SS, Schlachta CM, Oleynikov D, Szoka N. Defining digital surgery: a SAGES white paper. Surg Endosc. 2024 Feb;38(2):475-487. doi: 10.1007/s00464-023-10551-7. Epub 2024 Jan 5. PMID: 38180541. [https://pubmed.ncbi.nlm.nih.gov/38180541/] Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewOBGYN Oral Board Review Coures: https://behindtheknife.org/course/obgyn-oral-board-reviewEPA Playbook: https://behindtheknife.org/course/epa-playbookSurgical Instrument Flashcards: https://behindtheknife.org/course/surgical-instrument-flashcardsABSITE Review: https://behindtheknife.org/course/absite-2026-exam-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

What's really holding your law firm back isn't a lack of leads—it's how you spend your time and handle the ones you already have. In this episode, you'll learn how smart hiring, offshore staffing, and a professional intake process can free you from $10-an-hour tasks and unlock real, sustainable growth.   In this episode, Steve Fretzin and Brett Trembly discuss: Mindset shift from saving to spending for growth Early-stage law firm struggles and first key hires Offshore staffing in Latin America and founding Get Staffed Up Broken intake systems and the client's first experience with a firm Delegation, KPIs, and freeing managing partners from billable work   Key Takeaways: Clinging to a “safe” bank balance before hiring often traps owners in low-value tasks and slows growth dramatically. Hiring support—especially before you feel fully ready—is usually the only way to stop doing admin work and start focusing on higher-value activities. Law firms frequently don't need more marketing; they need to fix intake and conversion so leads actually become clients. A professional, structured intake process signals competence, builds trust, and can transform the client's experience from chaotic to “white glove.” Using KPIs, scorecards, and results-focused metrics is more effective than obsessing over every minute your remote or salaried team members work.   "Doing all the little things yourself prevents you from ever building up your money." — Brett Trembly   Check out my new show, Be That Lawyer Coaches Corner, and get the strategies I use with my clients to win more business and love your career again.   Join the Be That Lawyer Community and connect with ambitious lawyers who are serious about growing their book of business, strengthening their brand, and becoming confident, consistent rainmakers.   Ready to go from good to GOAT in your legal marketing game? Don't miss PIMCON—where the brightest minds in professional services gather to share what really works. Lock in your spot now: https://www.pimcon.org/   Thank you to our Sponsor! LEX Reception: https://www.lexreception.com/partners/bethatlawyer Rankings.io: https://rankings.io/ Lawyer.com: https://www.lawyer.com/   Ready to grow your law practice without selling or chasing? Book your free 30-minute strategy session now—let's make this your breakout year: https://fretzin.com/   About Brett Trembly: Brett Trembly, Esq., is the founding partner of Trembly Law Firm in Miami, Florida, where he focuses on business law, franchise law, and commercial litigation under the firm's mission of "Protecting the Economy, One Business at a Time." He earned his Bachelor of Arts in Communication from Eastern New Mexico University in 2005 and his Juris Doctor from the University of Miami School of Law in 2008. In addition to managing his legal practice, Trembly co-founded Get Staffed Up, a virtual staffing company that provides offshore support personnel to law firms across North America, and authored books on business growth including 24 Months to Freedom and The Danger Zones. Active in the South Florida legal community, he has served as President of the Miami Kendall Bar Association and Vice-Chair of the Florida Bar 11th Circuit Grievance Committee, earning recognition as a Florida Super Lawyer and an Inc. 5000 honoree.   Connect with Brett Trembly:  Website: https://tremblylaw.com/ LinkedIn: https://www.linkedin.com/in/bretttrembly/   Connect with Steve Fretzin: LinkedIn: Steve Fretzin Twitter: @stevefretzin Instagram: @fretzinsteve Facebook: Fretzin, Inc. Website: Fretzin.com Email: Steve@Fretzin.com Book: Legal Business Development Isn't Rocket Science and more! YouTube: Steve Fretzin Call Steve directly at 847-602-6911   Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it. 

X: @TanParkerTX @ileaderssummit @americasrt1776 @NatashaSrdoc @JoelAnandUSA @supertalk @JTitMVirginia Join America's Roundtable radio co-hosts Natasha Srdoc and Joel Anand Samy with Senator Tan Parker, the Senate Majority Leader from Texas. A successful entrepreneur, business leader in the private equity arena, Senator Parker and his colleagues have advanced key legislative measures, initiatives and pro-growth policies that have attracted businesses and families to Texas and fueled the state's economic growth. Senator Parker is the Chair of the Senate Republican Caucus, Chair of the Senate Committee on Transportation, and Vice Chair of the Senate Committee on Criminal Justice. Senator Parker is an entrepreneur, business leader, and author and editor of “Making Government Work.” He also led an initiative on the international trade front that resulted in Texas signing a trade deal with the United Kingdom. At an estimated $2.9 trillion, the Texas economy is eighth largest compared to the nations of the world, larger than Russia, Canada, Italy, and more. According to reports, it may soon surpass France's economy. The conversation highlights the state's great new success in welcoming America's new stock exchange. Senator Tan Parker played a primary legislative role in establishing and launching the Texas Stock Exchange (TXSE), partnering alongside Governor Greg Abbott and Comptroller Glenn Hegar over multiple legislative cycles to build the legal framework for the exchange. The Texas Stock Exchange completed its phased rollout on July 31, 2026, marking the full launch of production trading for all National Market System symbols at its Dallas headquarters with backing from over 50 member firms. Senator Parker championed key capital markets and corporate governance reforms designed to position Texas as a premier national financial hub. On America's 250th anniversary, Senator Parker relays how Texas and the states in America's great South are writing the Republic's next chapter by affirming conservative values and principles. americasrt.com https://ileaderssummit.org/ | https://jerusalemleaderssummit.com/ America's Roundtable on Apple Podcasts: https://podcasts.apple.com/us/podcast/americas-roundtable/id1518878472 X: @TanParkerTX @ileaderssummit @americasrt1776 @NatashaSrdoc @JoelAnandUSA @supertalk @JTitMVirginia America's Roundtable is co-hosted by Natasha Srdoc and Joel Anand Samy, co-founders of International Leaders Summit and the Jerusalem Leaders Summit. America's Roundtable radio program focuses on America's economy, healthcare reform, rule of law, security and trade, and its strategic partnership with rule of law nations around the world. The radio program features high-ranking US administration officials, cabinet members, members of Congress, state government officials, distinguished diplomats, business and media leaders and influential thinkers from around the world. Tune into America's Roundtable Radio program from Washington, DC via live streaming on Saturday mornings via 68 radio stations at 7:30 A.M. (ET) on Lanser Broadcasting Corporation covering the Michigan and the Midwest market, and at 7:30 A.M. (CT) on SuperTalk Mississippi — SuperTalk.FM reaching listeners in every county within the State of Mississippi, and neighboring states in the South including Alabama, Arkansas, Louisiana and Tennessee. Tune into WTON in Central Virginia on Sunday mornings at 9:30 A.M. (ET). Listen to America's Roundtable on digital platforms including Apple Podcasts, Spotify, Amazon, Google and other key online platforms. Listen live, Saturdays at 7:30 A.M. (CT) on SuperTalk | https://www.supertalk.fm

Episode 110: Evan "Kidd" Bogart has worn nearly every hat in the music industry. From mailroom A&R at Interscope Records to hit songwriter (Beyoncé's "Halo," Rihanna's "SOS"), artist manager, booking agent, and now buying music catalogs with Seeker and advocating for creators as Vice Chair of the Recording Academy. He's one of the rare people who has sat in nearly every seat at the table. In this episode, Elmo Lovano goes deep with Evan Bogart on both the craft and the business of music. Evan is the son of Casablanca Records founder Neil Bogart, the legendary executive behind KISS, Donna Summer, Parliament, and the Village People, and manager, Joyce Bogart Trabulus. He grew up inside the music business, tried to make it as a rapper, and worked his way up from the Interscope mailroom to the A&R department. As a teenager, he discovered Eminem and was the first person to put Em in front of Jimmy Iovine. He'd go on to sign Kara's Flowers, who later changed their name to Maroon 5. After getting sober in his early 20s, Evan reinvented himself as a songwriter, and his very first composition, "SOS" for Rihanna, went to No. 1. He followed it with the Grammy-winning "Halo" for Beyoncé, co-written with Ryan Tedder in just three hours, plus hits for Britney Spears, Madonna, Lizzo, Jason Derulo, Leona Lewis, and more. Today, Evan is the CEO of Seeker Music, the creator-led music rights, publishing, and record company he's built into a catalog of more than 19,000 copyrights and master recordings valued at roughly $400 million. The catalog includes works by Beyoncé, Miley Cyrus, One Direction, Drake, Christopher Cross, Joan Jett, Run the Jewels, and Lewis Capaldi. Named the #2 Most Innovative Music Company of 2025 by Fast Company, Seeker recently closed its inaugural $267 million asset-backed securitization with M&G Investments and announced a global distribution partnership with Virgin Music Group. If you don't know what that means, that's OK, because we break it all down. We get into how you actually value and buy a music catalog, the business of publishing and masters, how songwriter splits and royalties work, why music rights have become an institutional asset class, and how music-backed securitization deals get financed. We also dig into Evan's role as Vice Chair of the Recording Academy and Co-Chair of the GRAMMYs Songwriters & Composers Wing, where he fights for fair mechanical royalty rates, helped create the Songwriter of the Year Grammy, and is helping shape the conversation around AI and the future of music rights, creativity, and ownership. This is the deep, insider version of Evan Bogart's story. The craft, the deals, the money, and the mission. For anyone who wants to understand how the music business actually works. I hope you enjoy the conversation with my dear friend, Evan Bogart! This episode is brought to you by our friends at The Pod Company! Their portable sauna makes it easy to prioritize your health wherever you are, whether you're on tour, traveling, or at home. Use promo code ELMO to get yours for $499 instead of $999! Learn more at https://podcompany.com/ Huge thanks to our friends at DistroKid! DistroKid is the easiest and fastest way to get your music on over 150 platforms worldwide! Go to https://distrokid.com/vip/elmo to get 20% off your first year! Become a Patreon Member to stay in the loop as we post Patreon-only exclusive content, ad free episodes, and discussions about music and music careers. https://www.patreon.com/gowithelmo Please SUBSCRIBE / FOLLOW this podcast to catch new episodes as soon as they drop! Your likes, comments and shares are much appreciated! Listen to the audio form of this podcast wherever you get your podcasts: https://elmolovano.komi.io/ Follow Evan: https://www.instagram.com/kiddbogart/ Follow Go With Elmo: https://www.instagram.com/gowithelmo/ https://www.tiktok.com/@gowithelmo https://x.com/gowithelmopod Follow Elmo Lovano: https://Instagram.com/elmolovano https://x.com/elmolovano Follow Jammcard: https://www.youtube.com/@jammcard https://www.instagram.com/jammcard/ jammcard.com Learn more about your ad choices. Visit megaphone.fm/adchoices

What's Crack-a-Lack'n Modelgeeks! Welcome to a special IPMS USA Nationals Day 2 wrap up show!  In this special episode, after some technical difficulties, Frilldo and El Presidente sit down with Tom Clark, the Vice Chair for the 2027 IPMS USA Nationals in Huntsville Alabama. Tom gives a quick update of where they are in the process and tells the listeners what the special categories are and what the awards are going to look like.  After the interview with Tom, the Geeks give a wrap up of the Nats. They talk about what new stuff they got and what models stood out to them on the tables in the contest room.  Out from the Geeks, Later! You can still interact with us through social media, Facebook, Instagram, and email:  contact@modelgeekspodcast.comBe sure to check out our website: www.modelgeekspodcast.com.  Make sure you check out our new group / community on Facebook, The ModelGeeks Model ShackNats 2027 web site: https://ipmsnationals.orgFacebook: ipmsusanationalsWe also want to thank each of our sponsors for their support. We are very lucky to have their support. When you have the time, pay a visit to their web sites, and have a look at their fine products.Sponsors:Detail and ScaleFurball Aero-DesignTamiya USASprueBrothersBases by BillLionHeart HobbyHypersonic ModelsMatters of ScaleKotare Models Also, if you're interested in the model shows, click the link below!IPMS USA Events Page We are very fortunate to be able to join the scale modeling podcast community and are in the company of several other really GREAT podcasts. Hopefully, someday we'll earn our wings and be able to keep up with those guys!  Please check them all out at Scale Model Podcasts.Blogs:The Kit Box Sprue Pie with Frets Model Airplane MakerSupport the showModel Geeks Podcast

Perhaps you've heard one on the radio, or got one before a video online, or maybe even seen one on transit, but ads for full-body MRIs are everywhere these days. They tell you to book an appointment, selling it as a preventative measure to catch something early. But it's not something that's actually recommended by any medical association—anywhere. So why have they become so popular?  Host Caryn Ceolin is speaking with Dr. Matt Davenport, Service Chief and Vice Chair in the Department of Radiology and a professor at the University of Michigan about what a full body MRI actually is, it's potential value and harms, and if it's something that you should actually consider getting.  We love feedback at The Big Story, as well as suggestions for future episodes. You can find us:Through email at hello@thebigstorypodcast.ca Or @thebigstory.bsky.social on Bluesky Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

The remains of Theodor Herzl’s grandparents , exhumed in Serbia, are being reburied on Wednesday in Israel, 77 years after the Zionist visionary himself was laid to rest on Jerusalem’s Mount Herzl. Shimon Leib Herzl and Rivka Herzl were removed from the Jewish cemetery in Zemun, near Belgrade. KAN's Mark Weiss spoke with Dr Yizhar Hess, Vice Chair of the World Zionist Organization. (Photo: Flash90)See omnystudio.com/listener for privacy information.

Send us Fan MailThis week Jonny Ball chats to former Royal Marine David Reed MP, who started his political journey listening to this podcast!David is the Conservative Member of Parliament for Exmouth & Exeter East. He serves on the opposition front bench as Shadow Defence Whip, is a member of the International Development Committee, and Vice Chair of the APPG for Foreign Affairs.David began his career in the Royal Marines and Special Forces Support Group, serving in multiple conflict zones over seven years. He was also part of the Royal Navy Parachute Display Team and was selected for the Team GB Wingsuit Skydiving Squad.After leaving the military, he earned a First-Class degree in Business and a Master's in International Security.Before entering Parliament in 2024, David led major cyberspace development portfolios across the public and private sectors, co-founded a software engineering company, and held a senior role at BAE Systems Digital Intelligence.To find out more about him check out his website here: https://www.davidreed.uk/Support the show✅Support The Show Help Us Grow! Help us reach more veterans by donating the cost of a cup of coffee today...

Are topical steroids doing more harm than good? Board-certified dermatologist Dr. Ted Lain sits down with Dr. Allie Golant, Associate Professor and Vice Chair of Dermatology at Mount Sinai, to unpack the real risks of topical corticosteroids — and why steroid stewardship is becoming a bigger conversation in dermatology.In this episode, you'll learn:Why topical steroid overuse leads to skin thinning, striae, and hypopigmentation — especially in skin of color patientsThe dangers of "polypharmacy" when patients mix and match steroid potencies across body areasHow systemic steroid absorption can affect bone density, endocrine health, and even eye pressureWhy steroid stewardship matters across specialties, not just dermatologyHow non-steroidal alternatives like Zoryve (roflumilast) cream and foam are changing treatment for eczema and psoriasisPractical tips for talking to patients about safer, simplified treatment regimensThis episode is sponsored by Arcutis Biotherapeutics, makers of Zoryve.Got a question or topic idea? Email us at inquiry@scienceofskinsummit.comJoin us at the Science of Skin Summit — Austin, TX, September 2026, and our Longevity Meeting in Scottsdale, AZ, February 2027. Details at scienceofskinsummit.comIf you enjoyed this episode, please subscribe, leave a 5-star rating, and share it with a colleague — word of mouth is how this podcast grows!

Are topical steroids doing more harm than good? Board-certified dermatologist Dr. Ted Lain sits down with Dr. Allie Golant, Associate Professor and Vice Chair of Dermatology at Mount Sinai, to unpack the real risks of topical corticosteroids — and why steroid stewardship is becoming a bigger conversation in dermatology.Got a question or topic idea? Email us at inquiry@scienceofskinsummit.comJoin us at the Science of Skin Summit — Austin, TX, September 2026, and our Longevity Meeting in Scottsdale, AZ, February 2027. Details at scienceofskinsummit.comIf you enjoyed this episode, please subscribe, leave a 5-star rating, and share it with a colleague — word of mouth is how this podcast grows!Follow and Listen to the Podcast Here:

Eric Cantor, Vice Chair & Managing Director at Moelis & Co. and former House Majority Leader, joins Bloomberg Surveillance to discuss the supercycle in AI infrastructure, resilience in capital markets and whether Washington can manage rising deficits as private investment accelerates.See omnystudio.com/listener for privacy information.

IBM Vice Chairman Gary Cohn says, “the market became addicted to knowing what the Fed was going to do” as he discusses market reaction to Federal Reserve Chairman Kevin Warsh’s handling of the US central bank. Cohn also discusses Japan and the US Treasury Department working together to shore up the yen and the instabilities being dealt with by markets. He talks to Bloomberg's Jonathan Ferro and Lisa Abramowicz. See omnystudio.com/listener for privacy information.

Tonight on America At Night with McGraw Milhaven, David Katz, founder and principal of Katz & Associates, breaks down the political standoff surrounding Todd Blanche's nomination, examining the latest developments on Capitol Hill and what the outcome could mean for the administration and the Senate. Then, Dr. Michael Benatar, Chief of the Neuromuscular Division and Vice Chair of Clinical Research at the University of Miami Miller School of Medicine, discusses promising new research exploring whether blood tests may one day help predict ALS before symptoms appear, and what these findings could mean for earlier diagnosis, treatment and the future of ALS research. Plus, editor and author Luke Barr shares the fascinating story behind his book, The Secret History of French Cooking, exploring the people, traditions and untold history that helped shape one of the world's most celebrated cuisines. And entertainment guru Mathew Wolfe returns to break down the summer box office, discussing the biggest films, surprise hits and what audiences are watching as the summer movie season continues. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this special episode of Lessons in Leadership, Steve Adubato talks with Keith Banks, Chair, Board of Directors, Liberty Bank of New Jersey, and Thomas Scrivo, Vice Chair, Board of Directors, Liberty Bank of New Jersey, about launching a new community bank built by New Jersey leaders for New Jersey businesses. Then, Steve talks with … Continue reading Lessons in Leadership: Keith Banks and Tom Scrivo / Chief Christopher Trucillo

Former Fed Vice Chair Richard Clarida joined Bloomberg's Tom Keene and Scarlet Fu to discuss bonds and retirement.See omnystudio.com/listener for privacy information.

This interview is with Colin Eddy of NW Wine Company. In this interview, Colin talks about his growth within the industry and the growth of NW Wine Company.Colin talks about growing up in Texas and working in restaurants at an early age. When he transitioned to a big steak house, his wine journey began. This restaurant offered over 100 wines by the glass and were looking for someone to manage their wine program. Colin stepped up and got to taste a plethora of wines, even traveling around the world to taste more. When Colin realized he couldn't stay in restaurants forever, he reached out to wine reps he had worked with to switch careers. Eventually, Colin was asked to come to Oregon to work at Penner-Ash Wine Cellars until it was sold to Jackson Family Wines.James discusses his next move after losing work at Penner-Ash. Colin had known Laurent Montalieu from being at Penner-Ash and was hired at NW Wine Company through recommendations. In the 10 years he has worked with the company, they have doubled in vineyard acreage and expanded in number of employees as well. Starting in sales, Colin wanted to lead. When the company hired international sales employees, Colin rose to Senior VP of Sales. Now, he also creates his own wine at NW named after his son, Daniel Ford.Later in the interview, Colin talks about his other involvements in the Oregon wine industry. Colin has been largely involved in Oregon Pinot Camp serving as the treasurer, Vice Chair, and eventually Chair. He truly believes in the program and cannot wait to act as a mentor to future members. He was also offered a spot of the board of directors and fulfills in the role with great honor.This interview was conducted by Rich Schmidt at NW Wine Company in Dundee on July 21, 2026.

Recently, Lorri and Becky welcomed back Angela Witwer is a Democratic Michigan state representative known for her long-standing community involvement, healthcare background and leadership in state budgeting. Before entering politics, Witwer spent 22 years in clinical health care at Sparrow Hospital, working in the burn unit, pediatric rehabilitation, and later in community relations and marketing. Witwer was first elected to the Michigan House of Representatives in 2018 and currently represents the 76th District, which includes much of Eaton County. She has served as chair of the House Appropriations Committee, overseeing Michigan's state budget. Her legislative work has included securing funding for local services, supporting public education and advocating for seniors. ● When you think back to being the very first guest on Bold LeadHERs a year ago, what stands out to you about that conversation or that moment in time? ● How have you seen the podcast evolve over the past year, and what does it mean to you to return for the anniversary episode? ● In the year since that first episode, what has changed most for you as a leader? ● What's one defining moment in your public service career that continues to guide you? ● What do you believe women leaders uniquely bring to policymaking and public life? They also spoke with Rebecca O'Connell, who brings 25 years of experience leading policy initiatives that address community and private‑sector challenges across local, state, and federal government. Before joining Consumers Energy, she served as Head of Government Affairs at Lake Trust Credit Union and Vice Chair of America's Credit Unions' Legislative Committee. Her advocacy has earned national recognition, including the 2021 NAFCU Paul Revere Award and the 2023 Habitat for Humanity of Michigan Advocate of the Year Award. Rebecca has served on numerous advisory boards, including Habitat for Humanity of Michigan, the Michigan Chamber of Commerce, Inclusiv, and the Community Economic Development Association of Michigan. Her recent work includes helping establish a Michigan CDFI fund that delivered nearly $100 million to credit unions, generating a billion‑dollar impact for low‑ and moderate‑income residents. She also partnered with Habitat for Humanity to create an innovative mortgage product expanding access to homeownership. ● You've spent 25 years shaping policy across Michigan. When you look back, what moment or experience most defined the leader you are today? ● In your new role as chair of a Women's Economic initiative, what inspires you to be a champion for women in Michigan? ● The Bold LeadHERs Podcast is celebrating one year. What has been the biggest change for you this past year? ● You've worked at every level local, state, federal. What makes Michigan's policy landscape unique, especially here at the Mackinac Policy Conference? ● Which project are you most proud of, and why? ● The Michigan CDFI fund you helped champion delivered nearly $100 million in support. What did it take to make that happen?

As we head into an ever warming world, some experts and politicians are embracing a possible solution to climate change called geoengineering. Theoretically geoengineering could slow down climate change, stop it, and maybe even remove carbon from the air. It sounds like the perfect answer for a global political system that just can't stop burning fossil fuels even if it kills us all. But it might not be the easy fix we're hoping for. We talk to scientists and activists about what geoengineering is and why it could actually be a dangerous way to tackle climate change. We also dive into the moral and ethical questions of testing geoengineering technology on Indigenous lands. This episode first aired in 2023. Featuring: Basav Sen, Climate Justice Project Director at the Institute for Policy Studies Dr. Steven Zornetzer, Vice-Chair, Governing Board of Arctic Ice Project Panganga Pungowiyi, organizer for the nonprofit Indigenous Environmental Network in Alaska  Making Contact Team Episode hosts: Salima Hamirani and Jessica Partnow Executive Director: Jina Chung Engineer: Jeff Emtman Digital Media Marketing: Lissa Deonarain Music Credits Chris Zabriskie – Air Hockey Salon Bio Unit – Industrial Zone Chris Zabriskie – Take Off and Shoot a Zero Doctor Turtle – Leap Second Monplaisir – Ridiculous Monplaisir – Juan Garcia Madero  Learn More: Indigenous Environmental Network Arctic Ice Project Institute for Policy Studies Making Contact is an award-winning, nationally syndicated radio show and podcast featuring narrative storytelling and thought-provoking interviews. We cover the most urgent issues of our time and the people on the ground building a more just world.

Neal sits down with Eric Weiss, a fellow longtime builder in San Diego's startup ecosystem. Eric is a self-described “parallel entrepreneur,” founder coach, President of the Design Forward Alliance - which produces San Diego Design Week—and Vice Chair of Startup San Diego.Neal and Eric first crossed paths during the early days of San Diego's startup community, around EvoNexus and the 101 Broadway vertical campus that helped give rise to Startup Week and Startup San Diego. They revisit that era and trace Eric's unconventional path from teenage black-hat hacker to earning an MBA in entrepreneurship at SDSU, followed by roles at Raytheon, Sony and Qualcomm. He eventually made the leap into the startup world with EvoNexus company Rock My Run.At the heart of the conversation is the connective tissue that makes an entrepreneurial community work. Neal and Eric discuss what San Diego lost after COVID, why “third spaces” and professional community management matter more than a coworking lease, and Eric's tendency to step into leadership vacuums - including helping San Diego become the first U.S. city, and first binational region, named World Design Capital.Eric also makes the case that San Diego's smaller, more tightly connected network—and its constraints - can be an advantage. The conversation closes with a preview of San Diego Design Week, running September 15–20, and a sleeper taco recommendation near the marina.Key topics* The “founding cradle”: EvoNexus, The Vine, and 101 Broadway* Reformed hacker to Raytheon, Sony (PS3), and Qualcomm data science* Why he's a “parallel entrepreneur” who falls into leadership vacuums* San Diego becoming the first American World Design Capital* Opening Design Week beyond digital - fashion, architecture, interiors* Connective tissue: third spaces and professional community management* San Diego vs. the Bay: tighter networks, constraints that filter imposters* Where San Diego wins: deep tech, hardware, and life science* The investor-vs-community-builder tension of being “the picker”Links & resources* San Diego Design Week (Sept 15-20, 2026)* Design Forward Alliance* Startup San DiegoConnect on LinkedIn* Neal Bloom* Eric Weiss This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit risingtidepartners.substack.com/subscribe

Choosing a Trustee: Why Naming Your Kid May Be a Mistake — Marguerite Lorenz Short answer: Naming your child as trustee, executor, or agent under your power of attorney is the default choice for most American families — and it is frequently the wrong one. In this episode of Wealth Actually, host Frazer Rice talks with California Licensed Professional Fiduciary and Master Certified Independent Trustee Marguerite Lorenz about why roughly two-thirds of American adults still have no estate plan, why the job of a trustee is far more intimate and technical than families expect, and how to decide between a family trustee, a bank or trust company, and an independent professional trustee. https://youtu.be/56bzuORe8YI Episode Overview: Who Will Actually Run Your Plan? Most estate planning conversations stop at the documents. Marguerite Lorenz argues the documents are the easy part. The hard part is staffing — deciding who steps in when you can no longer make new decisions, and whether that person can absorb the technical, financial, and emotional weight of the job. Lorenz has served as trustee, executor, agent under power of attorney for finance, and agent for health care for hundreds of families since 2003. She is the author of three books — Luck or Control? The Life-Improving Power of Estate Planning, How to Be a Successful 90-Year-Old, and the newly updated Ethics for Trustees 2.0 — and she is Vice-Chair of the Independent Trustee Alliance. Her framing line, and the one that should stick with every listener: “If you don’t get your estate plan done, you’re suing your family. You’re making them go to court. And who would want to make anyone else go to court?”— Marguerite Lorenz This is the second time Marguerite has joined the show. Her first appearance covered the mechanics of individual trusteeship: EP.75 — Individual Trusteeship with Marguerite Lorenz. Key Takeaways •Only about a third of American adults have any written estate plan — and Lorenz argues half of those plans would not actually function when needed. •Professionals are barely better than the public. When Lorenz polls rooms of attorneys, CPAs, and financial advisors, roughly one-third raise their hands for a complete, up-to-date, ready-to-go plan. •The trustee role is intimate, not administrative. A trustee sees your paperwork, your bills, your medications, and your bedroom. “Who is going to be the first person in your bedroom when you are no longer able to make new decisions?” •Incapacity, not death, is the long tail. Many people live for five or six years unable to make new decisions. The trustee’s job often runs during your lifetime, not just after it. •A professional trustee can be temporary. Lorenz recounts stepping in for a client during cancer treatment, providing a full accounting, and stepping back down when he recovered — then serving again after his death. Would your child step back down? •Estate planning is about preferences, not predictions. “Our power in estate planning is not prediction, it’s setting our preferences” — and preferences can only be set while you are competent. •Quality of life belongs in the plan. Not just tax, legal, and financial terms — but how you want to live, where you want to live, and what small things matter (for Lorenz, an international selection of dark chocolate). •Digital assets are now a core trustee problem. Phones, social accounts, and daily transactions all require someone with access and authority. •A will does nothing while you are alive. “The will doesn’t operate at all if you go to the hospital and you haven’t granted authority to anyone.” •Cost is usually overestimated. Both an estate plan and an independent professional trustee typically cost far less than probate court. •Revisit every five years. Calendar a five-year check-in with your attorney to review law changes, marriages, divorces, births, and deaths. Chapters and Timestamps •[00:00] Cold open: “If you don’t get your estate plan done, you’re suing your family.” •[00:32] Welcome back — introducing Marguerite Lorenz, California trustee and author •[01:14] Luck or Control? — why fear keeps families from finishing an estate plan •[02:22] What a full-time trustee actually sees: trustee, executor, agent for finance, agent for health care •[03:49] Why families default to naming a child — and where that breaks down •[05:00] The skill set nobody screens for: negotiation, calm, empathy, and grief •[05:40] Case study: serving as temporary trustee through a client’s cancer treatment — and stepping back down •[07:51] Why even attorneys need their own attorney: nobody is objective about their own circumstances •[09:09] The five-year estate plan check-in as a life milestone •[09:39] How to Be a Successful 90-Year-Old — living well to the very end •[10:20] The “black box” problem: privacy, dignity, and care in your own home •[11:54] Preferences over predictions — planning for your future vulnerable self •[13:40] Rewriting an advance health care directive after hundreds of hospital bedsides •[16:13] The statistics: only a third of adults — and only a third of professionals — are actually ready •[17:47] Frazer’s challenge to advisors: you can’t advise well if you aren’t practicing what you preach •[18:22] The first question in Luck or Control?: “Hey professional, do you have your estate plan done?” •[19:21] Ethics for Trustees 2.0 — what’s new in the updated audio and PDF edition •[20:27] Family trustee vs. bank trustee vs. independent professional trustee •[21:52] The looming crisis: the great wealth transfer, incapacity, and digital assets •[24:54] Documenting the “why” behind hard trustee decisions •[25:23] Probate courts overrun, bioethics committees, and next-of-kin defaults •[26:54] Where to find the books, the podcast, and the Independent Trustee Alliance directory About the Guest: Marguerite Lorenz, MCIT, CLPF Marguerite Lorenz is a California Licensed Professional Fiduciary (CLPF #319) and a Master Certified Independent Trustee (MCIT). She has served as Trustee, Executor, Agent for Finance, and Agent for Health Care for more than 200 families since 2003 as managing partner of Lorenz Private Trustees. Marguerite is Vice-Chair of the Board of the Independent Trustee Alliance, past Chair of the California Professional Fiduciaries Bureau Advisory Committee, and host of the Plan For This podcast. She is the author of Luck or Control? The Life-Improving Power of Estate Planning, How to Be a Successful 90-Year-Old, and Ethics for Trustees 2.0. About the Host: Frazer Rice Frazer Rice is the author of Wealth, Actually: Intelligent Decision-Making for the 1% and host of the Wealth Actually podcast, where he interviews experts, entrepreneurs, and commentators on preserving assets and enjoying wealth. Resources and Links Mentioned •PlanForThis.com — Marguerite’s books, the Plan For This podcast, and a free First Steps toolkit. Ethics for Trustees 2.0 is now exclusive to this site (audio + PDF bundled with purchase). •TrusteeAlliance.com — the Independent Trustee Alliance directory for locating certified independent trustees by state. •Marguerite Lorenz on LinkedIn •California Professional Fiduciaries Bureau — state licensing for professional fiduciaries •Related episode: EP.75 — Individual Trusteeship with Marguerite Lorenz •Related episode: What If You Are Named in a Will or Trust? Frequently Asked Questions Should I name my child as trustee? Not automatically. A child understands the family but may lack the technical skill to handle tax, legal, financial, and medical decisions — and may be grieving or in conflict with siblings at the exact moment judgment is required. Marguerite Lorenz notes that a trustee must be a good negotiator, stay calm under pressure, set aside personal feelings, and enforce rules the grantor set. She also raises a test most families never consider: if you recover, would your child voluntarily step back down and hand you a full accounting? What is the difference between a family trustee, a corporate trustee, and an independent trustee? A family trustee is a relative or friend serving in a personal capacity, usually unpaid and untrained. A corporate trustee is a bank or trust company with institutional infrastructure, minimum account sizes, and staff turnover. An independent professional trustee is a licensed or certified individual — like a California Licensed Professional Fiduciary — who serves full-time, carries a succession plan, and can often be engaged at a lower cost than families expect. The Independent Trustee Alliance maintains a national directory of independent trustees. What does a trustee actually do while I am still alive? A trustee acting during incapacity manages assets, accounts for every dollar, handles taxation, pays bills, coordinates care, and increasingly manages digital assets such as phone-based transactions and social media accounts. Lorenz emphasizes that many people live for five or six years unable to make new decisions, so the trustee’s lifetime role is often longer and more demanding than the post-death administration. How often should I update my estate plan? Roughly every five years, or sooner after a major life event such as marriage, divorce, birth, death, a liquidity event, or a change in tax law. Lorenz recommends putting a five-year reminder in your phone to call your attorney and ask what has changed in the law and in your life. What happens if I go to the hospital without an estate plan? The hospital and its bioethics committee will do the best they can and will look for next of kin to make decisions for you — potentially people with whom you have never discussed your personal wishes. A will does not help here, because a will only operates after death. Financial and health care powers of attorney are what grant someone authority while you are alive. Is an estate plan expensive? Usually less than people assume, and materially less than probate court. Lorenz makes the same point about professional trustees: “Independent individual professional trustees cost a lot less than you think also. And you need to ask, because this is your life we’re talking about.” Do financial professionals have their own estate plans? Often not. When Lorenz polls audiences of attorneys, CPAs, and financial advisors, only about a third report having a complete, up-to-date, ready-to-go plan — barely better than the general public. Her challenge to the profession is that clients will increasingly ask advisors directly: “Do you have your estate plan completed?” Pull Quotes “Our power in estate planning is not prediction, it’s really about setting our preferences.” “Who’s going to be the first person in your bedroom when you are no longer able to make new decisions?” “I’m not in charge. I’m a servant-manager.” “Once I get my estate plan done and updated, I don’t think about it anymore. My head space is so clear because everything I was worried about has been thought about, considered, allowed, and put down in writing.” Full Transcript Transcript lightly edited for clarity. Timestamps are approximate. [00:00] Marguerite Lorenz: You know, if you don’t get your estate plan done, you’re suing your family. You’re making them go to court, right? And who would want to make anyone else go to court? [00:08] Announcer: Welcome back to the Wealth Actually podcast, the show that features experts, entrepreneurs, and commentators that will give you the right knowledge, planning, and guidance so you can preserve your assets and enjoy your wealth. Learn more and subscribe today at wealthactually.com. This podcast is for educational and entertainment purposes. It is not investment, legal, nor tax advice and does not represent the opinion of the employers of the host or guests. [00:32] Frazer Rice: Welcome back. Friend of the podcast Marguerite Lorenz is on the podcast this week. She’s a California trustee and has a new book called Luck or Control? out. We’re going to talk a little bit about fiduciary matters and what it takes to have good staffing within your estate plan. Welcome back, Marguerite. [00:54] Marguerite Lorenz: Thank you, Frazer. [00:55] Frazer Rice: Since the last time you were on, you have a couple of books out and we’ve gotten to see each other a couple of times with the Independent Trustee Alliance. Let’s talk a little bit about the new book that you just published and what you’re trying to do with it. [01:14] Marguerite Lorenz: So that book is Luck or Control? The Life-Improving Power of Estate Planning. And I wrote it because I’ve seen hundreds and hundreds of families really struggle with how this is going to get done, and many people don’t get their estate plan done at all because they’re so afraid. They don’t know what to expect, they don’t want to talk about their mortality, they don’t want to have serious conversations with their loved ones. And if we don’t have those conversations, we really lose all control when we need it the most — when that medical crisis happens or when life changes in a big way. [01:52] Frazer Rice: No question about it. And I went through the book and it’s an important read, because for those people who really have to get their affairs in order and feel stuck for some reason, I think you do a good job of laying out why you need to get unstuck and then how to take a couple of steps to initiate those conversations and get the important things down so that you can then have the deeper conversations that help out later on as you’re structuring things. What part of your experience being a full-time trustee helped to inform all of this? [02:22] Marguerite Lorenz: Well, as a trustee professionally, I’ve met with lots of different families in lots of different circumstances. And for many of them they’ve named me, and so I’m serving in that role. It’s not just trustee; it’s trustee, executor, agent on the power of attorney for finance, and even as agent for health care. And so that’s a very intimate job. It’s a job where you end up seeing someone’s entire life, or as much as you can of another person — their paperwork, how they do things, how they pay their bills, how they live, what medications they take. It’s really very intimate. And I think a lot of us assume that our children know us and they’ll do what we want them to do. But the thing is that it’s very likely you haven’t lived with your children in the same household for decades. And now you’re asking them to come back, drop their life, and come in and be that person for you. Be the person who’s going to protect your privacy, be that person who’s going to protect the way you want to live. And they may disagree with the way you want to live. They may actually have issues with some of the choices that you’ve made or how you’ve proceeded. So now, in addition to having a medical challenge where you’re not able to make new decisions — maybe temporarily, maybe permanently — now you have someone who wants to run the show or actually be in charge. In my job as a professional trustee, I’m not in charge. I’m a servant-manager. I’m really taking the trustor’s wishes and how they’ve structured things and really looking at that to be sure that I can continue it as best I can with all the changes that have occurred. [03:49] Frazer Rice: One of the things we were talking about before we got on board, and something we’ve discussed generally through the Independent Trustee Alliance, is that people who are asked to serve in those roles usually are family members. And for people who are uninitiated in the field, that seems like an obvious choice, because they’re really trying to put somebody in there who understands the family. But as you and I know, they may not be necessarily qualified to deal with the technicalities of the different roles that we just discussed. But also, the idea of taking on the emotional toll of these new conditions can be something different and unapproachable for many people. [04:30] Marguerite Lorenz: Well, I think it helps to kind of look at some of those issues. So you might have more than one child. Even if you have an only child, these issues apply. And now you’ve been in the hospital and you’re expecting this person to deal with your tax, legal, financial, and medical decisions. This person has to be a good negotiator. This person has to be calm when there’s issues that arise, and they may have feelings — they may be grieving that things have changed for themselves and in their relationship with you. So I think to be really empathetic and to be really kind and compassionate, we have to get our own stuff in order so that we can really have a good experience for our last days. And again, some of these roles that I’ve served in have been temporary. Let me give you an example. I worked with a gentleman whose wife had passed away because of cancer. She had been gone about two years and he himself was diagnosed with cancer. So he already knew what that might be like, right? She had already had chemotherapy; he was right there with her through all of that experience. Well, now faced with it himself, he said, “In order for me to do this, I don’t have a partner. I need somebody who’s going to deal with the business of my life so that I can focus on my health.” He named me as his trustee. I became active. I reported to him because he was still able to receive those reports. He was certainly mentally able, but physically it was really hard. He was exhausted most of the time. And he was going to grief support for the loss of his wife and going to chemotherapy treatments. So you can imagine just how full his day was. So we’re into this two years. He met a woman at grief support. He was feeling better because the treatment worked, and he decided he wanted to travel the world before he died. And he married this woman, and they were very happy together. And he asked if he could be trustee again. So — I’m a professional trustee. It’s part of my duty to step back and step down when the trustor who wants to be trustee again wants that job back. So I gave him a full report, he had an accounting, he knew exactly what had happened during my term. He went on with his life, and then he passed away and I became trustee again. So I just wanted people to know that it could be temporary. It’s not necessarily a permanent job. Would your child step back down? [07:14] Frazer Rice: No question. Once in the role, sometimes it’s difficult to get out of it. But you did the right thing in terms of getting an accounting, making sure that your duties stopped when you were told to get off, and then when you were ready to come back on, that those sightlines are very clear. And that’s what comes with talking to a professional like you. You understand those parts so that you’re not having things bleed from one role into another and having liability issues or misunderstandings with the next generation. [07:51] Marguerite Lorenz: Right. And let’s talk about working with professionals from the beginning. We don’t know what we don’t know. And even attorneys need to go to an attorney to get their estate plan done. There may be attorneys who disagree with that, but none of us can be truly objective about our own circumstance. And we need someone who’s going to ask us some tough questions and really help us figure out: what is our intention? How do we feel about this? What’s important to us? So, getting my own estate plan done — I was a single mom in a new profession. I had just become a fiduciary and I had just learned about estate planning. I was learning so much at that time and realized, every time I drive on the freeway, I’m risking my children’s future. I’m their only parent. What can I do about that? So estate planning isn’t just about money, and it isn’t just about death. It’s also about taking an inventory. What do I have? What have I accomplished? Who do I love? What do I really care about? And once we get to have those kinds of conversations, our whole perspective on life improves. And I’ve used my own estate plan, every time I’ve gone to update it, as sort of a milestone check — where am I now? [09:09] Frazer Rice: Maybe the standard procedure is every five years to check in and make sure that life has not advanced as far as divorce, deaths, new kids, marriages, things like that, to make sure that the plan is in place. And it’s a great milestone to reflect on things. And then, as we move up the ladder wealth-wise, if there are changes in tax laws and things like that, it’s important to make sure that the plan understands that change and is able to accommodate what’s going on on that front. Let’s take that as a segue. You have another book that you came out with, How to Be a 90-Year-Old — or a well-functioning 90-year-old. [09:36] Marguerite Lorenz: How to Be a Successful 90-Year-Old. [09:39] Frazer Rice: More than well-functioning — actually successful. How to Be a Successful 90-Year-Old. I have not read that yet, so tell us a little bit about what’s going on there. [09:47] Marguerite Lorenz: Well, I want everyone to have that blue ribbon feeling at the end of their lives. And I picked 90 because I have had clients that have reached a grand old age of over 100. My last client passed at 105. So it is possible to live well until the very end. And I’ve been working with people for over 20 years that are much older than me, who have lots of wisdom and experience to share. Their stories are important. So for people that are serving as trustee — whether you’re a family member trustee or you’re a professional — this book might be helpful, because I actually talk about the relationships with those clients. And I also talk about some things we could do now so that life is simpler, better, and more comfortable when we might need some help. And that’s another barrier that a lot of us have. We have this barrier to having someone come into our home and help us. Our home is our sanctuary, it’s our private space. But I want everyone who’s listening right now to just think about it: who’s going to be the first person in your bedroom when you are no longer able to make new decisions? And do you want that person to see everything that might be in your bedroom? Many, many adults have what I call a black box. We have something that’s private that really, really we keep to ourselves. But everything gets exposed once you are not able to care for yourself. So then what? Well, many people want to stay in their home no matter what, as long as possible. So imagine, if you will — some of my clients have lived in the same home for 30, 40, 50 years. And now they have to get care. Can we arrange to have that care in their home? So this exploration is really about living well to the very end. There are some really great tips, things I’ve learned from my 90-plus-year-old clients that I’ve employed and deployed for myself. [11:23] Frazer Rice: Just as an example there — I’m a ripe old age of 53 shortly. The idea of getting things in place while you’re at the peak of your powers, and you don’t have the difficult decision of having the car keys taken from you, or being in a home that isn’t appropriate for you anymore, meaning you don’t have the necessary safeguards for showers and stairs and things like that. Do you get into that, as far as trying to look five years ahead to make sure that the things that you can do now in a more comfortable environment take place before maybe the emergency happens and then all of a sudden we say, “Oh my gosh, we’ve got to do a complete overhaul here”? [11:54] Marguerite Lorenz: Well, as you know, Frazer, our power in estate planning is not prediction, it’s really about setting our preferences. And if we don’t do that while we feel good, while we’re competent, while we’re thinking clearly, we don’t get a chance to express that or do that once we’ve lost our competence. So this is really important — that I’m thinking about my future vulnerable self. I’ll give you a small example for me personally: dark chocolate is part of my life. I like having an international selection of dark chocolate and I don’t want the same kind every day. I feel the nuances and the taste and the flavors; it’s important to me. For some people that might be wine, for other people it might be fine literature. It really depends on what you’re into. Well, our estate plan can be just about tax, legal, and financial stuff, but it really should be more. It should be about our quality of life. And that’s really what I’m instructing and what I’m talking about in a very warm, personal way in How to Be a Successful 90-Year-Old. And even in Luck or Control?, I want people to understand the function of the documents. So we talk about the documents and what they’re supposed to do to assist your person. But you have to have a person. And you might choose to have a trust company or a bank serve as your trustee, you might have a family member, you might have an individual like me — an independent trustee. You can find more independent trustees at the Independent Trustee Alliance. But the point is: how do I want to live? Who do I want to have help me? What does that help look like? Well, you might not know all the answers right now, but if you begin now, your eyes open to different possibilities. I’ll give you an example: I have visited lots of hospitals. I’ve been to people’s bedsides many, many times. I’ve learned that there are certain procedures I’m just not willing to go through. So in my mind I had to update my advance health care directive to basically say: this shell that I’m in, the case I walk around in, the machine that I live in, needs to be kept alive long enough so that my boys can say goodbye. And that’s not for me, that’s for them. But I don’t want it to go on interminably. [15:00] Marguerite Lorenz: So I’m pretty specific in my documents about what I want. So I’m hoping to help people have a little perspective — use that energy you have, use the power that you have right now to make decisions for yourself, and allow yourself the opportunity to update your estate planning documents from time to time, so that what you learn goes into your documents, and what you decide and what your intention is, is clear. [15:23] Frazer Rice: One of those points that you bring up that I think is important is that you can be a really good user of professional services with some forethought. To muse a little bit about what the end of life looks like is somewhat an unpleasant thought, if you feel like you’ve got less than your full faculties and that ends up being your future. But thinking about that and putting some planning around it, and real ideas about what you want others to take away from your end of life, in many ways I think is a great way to really get the documents put in place and reduce tension and questioning later, and any ambiguity that there might have been ahead of time. [16:13] Marguerite Lorenz: Well, that’s the thing too that we don’t necessarily consider when we avoid estate planning. And I’m talking to all the professionals who listen to you, Frazer. The percentage of professionals who have their estate plans completed might be just a little bit more than the average person, but only a third of American adults have any kind of written plan — and I would argue that half of them are not really going to work. And when I speak to professional groups — attorneys, CPAs, financial advisors and so on — I get that same raise of hands: only about a third of them have a complete, up-to-date, ready-to-go estate plan. Why do I need it ready to go? Because I don’t know what’s going to happen or when. So yes, it is hard to contemplate the end of our lives; it’s not something we want to think about. But how do you stop thinking about it? How do you stop worrying about it? You do everything you can about it right now, and then you set it aside. And our cell phones are so powerful that I can put in my calendar five years from now to call my attorney and ask if anything’s changed in the law, and to consider then if I need to think about anything that might have changed in my life that I want to update. So once I get my estate plan done and updated, I don’t think about it anymore. I’m so relieved. My head space is so clear, because everything I was worried about has been thought about, considered, allowed, and put down in writing. And now I don’t worry anymore. [17:47] Frazer Rice: I scolded a group of financial professionals I was giving a talk to. I asked probably a similar question, which was: how many of you have your estate plan documents up to date? And they all shot up, out of shame. I said, “How many of you have looked at them within the last two years?” And then that shot down to about a third, maybe less. I just said, “Shame on you.” People are looking to you for help on these things and you’re not leading by example. And so — point taken, and not just the trusts and estates lawyers, but for everybody else around the ecosystem. To not go through that exercise yourself — you can’t possibly advise correctly if you’re not practicing what you’re preaching. [18:22] Marguerite Lorenz: Well, here’s my challenge, and here’s my challenge to every professional in our mutual space: bank trust officers, administrators, paralegals, everybody. In Luck or Control? and on planforthis.com, which is where you can find my books and get a free First Steps toolkit, the first question is, “Hey professional, do you have your estate plan done?” It’s the first question. Why? Because I want to be sure I’m dealing with somebody who has some empathy for the emotional decisions I’m going to have to make. I want someone on my team that understands what this feels like — not just the wise, tax-smart decisions that they made. It’s a whole package. And so I’m putting it out there and I’m saying: I’m challenging everyone in our mutual space. Make sure you have your estate plan done, because more and more clients are going to be asking you, “Do you have your estate plan completed?” [19:21] Frazer Rice: So then let’s talk about your third book, which is sort of an update — and we talked about it in the previous podcast that we did a while ago, and I’ll have that in there — which is Ethics for Trustees. What’s in the update? I know it’s now in an audio version, which I haven’t sampled yet but I’m sure it’s really good. What’s new now versus when it first came out? [19:54] Marguerite Lorenz: So I’ve simplified it a bit, because I recognize that each of us can look up the probate code for the state that we live in, and it was really much more of a California-specific book. Look, I’m a California Licensed Professional Fiduciary and I’m also a Master Certified Independent Trustee. So having the audiobook, and also having it in PDF form, I think is very helpful for people so they can make notes, take a certain page with them. And the book now is exclusively available at planforthis.com. And when you purchase it, you’re getting both the audio and the PDF version. [20:27] Frazer Rice: Cool. Well, we’ll make sure that’s in the show notes. Let’s take the last little bit of time we have here and talk about the decision to have an individual trustee — and by individual, I mean family trustee — versus a more professional trustee, whether it’s an individual or a bank trustee. You and I sort of nod our heads in agreement every time we talk on this topic, and I’ve done podcasts with others where I feel this looming crisis is coming, where people put all these documents together in trusts and then they staff them with people who may be initially qualified, barely, but then six months after the ink is dried, their interest wanes, their technical capability wanes, life intervenes, something different happens — and the problems just multiply at that point. I guess my big question is — and from the Independent Trustee Alliance, where there is a group of people who can operate as a trustee without having to go to a bank — how bad do you think this problem could get? We have this great wealth transfer and we have a lot of assets shifting, not just from the ultra-high-net-worth but regular people shifting to the next generation, with people at the wheel of these structures that I don’t think really understand what’s going on. How bad could this get? [21:52] Marguerite Lorenz: In my view, we’re not just dealing with a transfer of wealth — because that’s where a lot of people focus. Where’s the money going, right? It’s going from one generation who died and then the money’s going to the next generation. But in that interim — and by the way, many people live for years unable to make new decisions for themselves. So it’s during their lifetime that they might need their trustee to step in, not just after they die. And that’s really important to consider: that you might need someone for five or six years when you need someone to make decisions. What kind of decisions? You have digital assets, you have your social media accounts, you might be doing transactions on your phone all day every day — but someone else will need to get into your phone to actually do those things, maybe. Is that somebody you want from your family to do that for you? Maybe you still say yes. But that family member has to have the ability to enforce the rules that you’ve set in your trust. They need to communicate really well with other people. And they have to set aside their own feelings. They have to put you first. And that’s a big challenge. So when you think about the word fiduciary — and I know that the financial industry has used the word a lot — the technical aspect of that is that I’m putting my needs aside and putting that trustor, that person who created the trust, their needs first. Then I also have to consider their beneficiaries and the future of those beneficiaries. So I’m dealing with transactions and having to account for every single penny of where the funds are now and where they’re going, what the assets are, what the character of those assets are. I have to deal with all the taxation that goes with that. I have to manage those assets. So that’s one set of skills, right? But then there’s the softer skills about communicating with other people and understanding their doubts and their concerns, and not taking that personally, and putting things in writing. So this is a big job. It’s not the simple job that it might have been at one point, where someone just wrote a will on their cocktail napkin and said, “Okay, I’m leaving you all my money.” The will doesn’t operate at all if you go to the hospital and you haven’t granted authority to anyone to be that person for you, to go to your house, get you some clean underwear and socks and bring it to the hospital for you. So I think we have to look at our lives as more complex. It’s not just driving a car; it’s deciding where that car goes, and if the car is maintained, and is the car clean, and can we have other people in the car with you? There are just so many decisions that I’ve had to make for other people that I don’t take any of this lightly — and nor should anyone who’s writing their estate plan. You need that attorney to ask you those questions and walk you through your day-to-day, so you can keep your day-to-day as long as possible. [24:54] Frazer Rice: Well, the other part too is the people who assume those roles — and I’ve been in it too — when you are asked to make tough choices, sometimes you have to make tough choices that favor one person over another, and you may be called to account for that. And the idea of keeping diligent records and writing — in a sense putting down the reasoning behind what you’re doing and making sure that everyone, to the extent it’s possible, understands the why of what’s happening — I think that is going to help people really save themselves some issues going forward when those tough choices have to be made. [25:23] Marguerite Lorenz: You know, if you don’t get your estate plan done, you’re suing your family. [25:27] Frazer Rice: Ah — good way to put it. [25:29] Marguerite Lorenz: You’re making them go to court, right? And who would want to make anyone else go to court? I mean, it’s just such a sad thing. And by the way, our courts are overrun with people that did no planning. And none of it happens quickly. So if you end up hospitalized and you haven’t selected a person, then the hospital and their bioethics committee is going to do the best they can. They’re going to ask for next of kin to make decisions for you — people that you may never have discussed your personal life with now have to be making decisions for you. So I’m asking people to be a little more proactive. I know you’re busy. I know it costs money to get an estate plan — probably less than you think, and certainly less than probate court would cost. A lot less than probate court would cost. Independent individual professional trustees cost a lot less than you think also. And you need to ask, because this is your life we’re talking about. I’m good. I have my plan, I keep up to date with my successors. I have a succession plan that’s worked beautifully. I’ve tested it. I know. And that’s why I can be so calm and so confident everywhere I go in my life. I’m feeling so good and so happy. Well, I want that for everyone. I want everyone to have that calm, true confidence that comes with knowing you’ve done everything you possibly can for yourself and the people you love. [26:54] Frazer Rice: Terrific. Marguerite, how do people get the books? How do people find you and your podcast, the Independent Trustee Alliance, and any other points of contact? [27:04] Marguerite Lorenz: Great, thank you. So planforthis.com is where you can find the books, where you can find me. We do have a podcast that has some wonderful discussions, case studies, and other topics to help people better understand the choices that they have. The Independent Trustee Alliance has a wonderful directory to find all kinds of professionals, but especially independent trustees, and you can find that at trusteealliance.com. And I’m going to be out there — I’m on LinkedIn. Come find me, connect with me. And Frazer, once again, thank you so much for the opportunity to visit with you. [27:40] Frazer Rice: Oh, it’s always great to get your expertise. And you bring a great sense of empathy to what can be a very technical and dollar-driven process. And I think the empathy, when it gets avoided or missed, there’s something really lost. So I really value your perspective on it. Thank you so much. [28:00] Announcer: This podcast is for educational and entertainment purposes. It is not investment, legal, nor tax advice and does not represent the opinions of the employers of the host or guest. Subscribe to Wealth Actually on Apple Podcasts, Spotify, Youtube or wherever you listen — and if this episode was useful, share it with the person you have named in your documents. https://www.amazon.com/Wealth-Actually-Intelligent-Decision-Making-1-ebook/dp/B07FPQJJQT/

In this episode of the AAOS Now Podcast, host Ahmed Emara, MD, speaks with Nathan Mesko, MD, FAAOS, to explore the limits of orthopaedic surgery and the difficult decisions surrounding “heroic” measures.  Dr. Mesko draws on 13 years of experience in orthopaedic oncology and joint reconstruction to unpack what "heroic" really means in surgery. He argues that heroism has less to do with technical difficulty – ”can I perform this procedure” – and more to do with what a patient is being asked to endure to reach a surgeon's envisioned outcome. Throughout the conversation, Dr. Mesko returns to a central idea: Surgical capability should always be outpaced by wisdom. He walks through how to recognize when the push toward a heroic operation is being driven by the surgeon rather than the patient, and he offers concrete techniques for having honest, humane conversations with patients around amputation, cancer diagnoses, and end of life. He also discusses the emotional toll of these decisions, including guilt, escalation of commitment, and how surgeons can build the humility and self-forgiveness needed for a sustainable career. The episode closes with a personal story that illustrates why staying present with a patient and not turning away from them, even after a frustrating conversation, can matter even more than the surgery itself. Key topics covered: Defining "heroic" measures in orthopaedic surgery and how that threshold shifts over a surgeon's career as the surgeon matures, including the evolution from saying "yes" to every procedure to knowing when to say "no” The challenges of actually getting informed consent for maiming or life-altering procedures, such as sacral resections and proximal femoral replacements, given the challenge of explaining to patients how much the procedure will impact their daily life Recognizing when surgical momentum is being driven by the surgeon rather than the patient, including escalation of commitment and the sunken cost fallacy in surgical decision-making The value of physically equalizing the conversation, such as pulling up a chair and sitting down rather than towering over the patient, to build trust and openness The importance of listening to patients before recommending treatment options to ensure that the treatment aligns with the patient's goals and personal wishes Strategies for guarding against unnecessary repeat interventions, including peer consultation and pausing after setbacks Rethinking success in orthopaedics beyond X-rays and implant longevity, including patient-reported outcomes Managing surgeon guilt, self-forgiveness, and separating outcomes from the integrity of the decision-making process The importance of never leaving a patient without a clear next step or follow-up plan Listeners are encouraged to reflect not only on how they operate, but on how and why they decide to operate at all. Host: Ahmed Emara, MD, member, AAOS Now Editorial BoardGuest: Nathan Mesko, MD, FAAOS, Vice Chair of Global Clinical Operations, Center Director for Orthopaedic Oncology, and Associate Professor, departments of Orthopaedics (Integrated Surgical Institute) and Hematology/Oncology, Cleveland Clinic

In this SRNA “Ask the Expert” episode, GG deFiebre spoke with Dr. Michael Levy and Dr. Benjamin Greenberg about optic neuritis and how it is most often linked to multiple sclerosis but can also be idiopathic or associated with MOGAD and NMOSD. They compared differences across these conditions (including age patterns, bilateral involvement, severity, exam findings, and typical recovery), outlined diagnostic workups such as MRI, antibody testing, and spinal fluid studies, and reviewed acute treatments [03:14]. The discussion also covered emerging therapies like Pivikto for neuroprotection and efgartigimod alfa to lower IgG as a potential alternative to plasma exchange, and examined challenges in remyelination and stem-cell delivery approaches like Q-Cells while cautioning against unproven stem cell clinics [11:57].Benjamin M. Greenberg, MD, MHS is a Professor and the Cain Denius Scholar in Mobility Disorders in the Department of Neurology [https://utswmed.org/why-utsw/departments/neurology/] at UT Southwestern Medical Center in Dallas, Texas. He currently serves as the Vice Chair of Translational Research and Strategic Initiatives for the Department of Neurology. He is also the interim Director of the Multiple Sclerosis Center [https://utswmed.org/locations/aston/multiple-sclerosis-and-neuroimmunology-clinic/] and the Director of the Neurosciences Clinical Research Center. In addition, he serves as Director of the Transverse Myelitis and Neuromyelitis Optica Program and the Pediatric Demyelinating Disease Program [https://www.childrens.com/specialties-services/specialty-centers-and-programs/neurology/demyelinating-disease-program] at Children's Medical Center. Prior to his recruitment to UT Southwestern in 2009, Dr. Greenberg was on the faculty of the Johns Hopkins Division of Neuroimmunology, serving as the Director of the Encephalitis Center and Co-Director of the nation's first dedicated Transverse Myelitis Center. Dr. Greenberg splits his clinical time between adult and pediatric patients at William P. Clements Jr. and Zale Lipshy University Hospitals, Parkland, and Children's Medical Center. His research focuses on better diagnosing, prognosticating, and treating demyelinating diseases and nervous system infections. He also coordinates clinical trials to evaluate new treatments to prevent neurologic damage and restore function to affected patients. Michael Levy, MD, PhD is a recognized neurologist with over 15 years of clinical and research expertise in rare neuroimmunological disorders. He established the Neuroimmunology Clinic and Research Laboratory at Massachusetts General Hospital and is the Research Director in the Division of Neuroimmunology and Neuroinfectious Disease. Previously, Dr. Levy was on the faculty at Johns Hopkins University and was the founding Director of their Neuromyelitis Optica Clinic. Clinically, Dr. Levy cares for patients with MOG antibody disease (MOGAD), neuromyelitis optica spectrum disorder (NMOSD), and idiopathic transverse myelitis (TM). Dr. Levy is also the principal investigator (PI) on numerous patient studies and drug trials for new and improved treatments for these disorders. In 2022, Dr. Levy became the lead principal investigator for the two worldwide clinical trials in MOG antibody disease. In the lab, Dr. Levy's research focuses on the development of animal models of NMO and MOG with the goal of tolerization as a sustainable long-term treatment. Dr. Levy has more than 200 peer-reviewed research articles, reviews and editorials, and 3 patents covering NMO tolerization therapy, TM diagnostics, and stem cell regeneration approaches.00:00 Welcome01:02 Optic Neuritis Basics02:27 Causes and Percentages03:14 MS vs NMO vs MOG06:07 Workup and Testing07:51 Acute Attack Treatment09:30 Recovery and Vision Measures11:57 Pivikto Neuroprotection15:30 Efgartigimod vs Plasma Exchange17:59 Repair vs Remyelination20:15 Q-Cells and Stem Cell Delivery22:22 Closing

Date: July 9, 2026 Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care Medicine at Mayo Clinic Arizona. Aaron is a full-time multidisciplinary intensivist and is the medical student clerkship director for critical care.  Today's episode is a […] The post SGEM Xtra: Ferraris, Friends, and First Responders – Lessons Learned from Watching Magnum, P.I. first appeared on The Skeptics Guide to Emergency Medicine.

Charlotte Smith presents a panel discussion programme at the Royal Welsh Show, asking 'what's the best use of land in Wales?' With the Cabinet Minister for Rural Resilience and Sustainability in the Welsh Government, Llyr Gruffydd; hill farmer and social media influencer, Gareth Wyn Jones; Dominic Hampson Smith, Vice Chair of Wales Young Farmers Clubs; and Rachel Sharp, Director at Wildlife Trusts Wales.Produced by Beatrice Fenton.

In this episode, we are joined by Sid Voorakkara, Port of San Diego Board Commissioner and Vice Chair of the Port's Environmental Advisory Committee. Sid shares his experience in advocacy and public service, the power of networks and perseverance, and local outreach efforts that connect students and communities to San Diego Bay. We explore Port of San Diego priorities including the Maritime Clean Air Strategy, the Blue Economy incubator, Pond 20 wetlands restoration and mitigation bank, and workforce development to create high-wage regional jobs. Sid highlights concrete project examples and cross-jurisdictional collaboration with city, state, and federal partners. For environmental professionals, Sid offers practical takeaways on presenting data and stories, engaging with agencies on decision-making, and advancing equitable, resilient solutions for San Diego Bay's future.

Tabitha Isner, Vice-Chair of the Alabama Democratic Party, FINALLY joins the program, and it's weird. See omnystudio.com/listener for privacy information.

In this episode of SurgOnc Today, Dr. Patricio Polanco from Atrium Health Wake Forest University School of Medicine and Dr. Rebecca Snyder from MD Anderson Cancer Center, Chair and Vice-Chair of the HPB Disease Site Working Group, are joined by Dr. Caitlin Hester from University of Miami and Dr. Greg Sacks from NYU Grossman School of Medicine. On today's episode, we will be discussing some of the most exciting research and topics discussed at this year's AHPBA 2026 annual meeting in Miami, Florida. Abstracts: https://www.sciencedirect.com/journal/hpb/vol/28/suppl/S1

The government hopes the measure which comes into effect today will support greater investment. Drew Banerjee, Vice Chair of VFX Ireland one of Ireland's largest visual effects studio.

Kevin Denis, Principal and Owner of Work-at-Height, Vice Chair of the ANSI/ASSP Z359 Committee and lead of our Standards-Based User Group on fall protection, joins us to discuss the current state of fall protection, gaps that exist and how safety professionals can properly address fall hazards. He shares how the Z359 standards can help employers and safety professionals find fall protection solutions for different environments and provide workers the protection they need to stay safe at height.

Francis Fukuyama, Linda Chavez, and Rachel Janfaza join Yascha Mounk to discuss what a radical liberal agenda might look like today. In this week's episode of The Good Fight Club, Yascha Mounk, Francis Fukuyama, Linda Chavez, and Rachel Janfaza explore whether Gen Z's political instincts are genuinely liberal, what a renewed liberalism needs to reclaim from the republican tradition, and how to rebuild a culture of public-spiritedness in an age of anti-establishment politics.  Francis Fukuyama is the Olivier Nomellini Senior Fellow at Stanford University and the founder of American Purpose. His latest book is Liberalism and Its Discontents. Linda Chavez is the Vice Chair of the Renew Democracy Initiative, founded by Garry Kasparov. She previously served in the Reagan administration and has been a syndicated columnist and political commentator for decades. Rachel Janfaza is the founder of Up and Up, where she researches and writes about the political beliefs and cultural attitudes of Gen Z. This conversation was recorded at the Liberalism for the 21st Century conference in Washington, D.C., which is organized by the Institute for the Study of Modern Authoritarianism. If you have not yet signed up for our podcast, please do so now by following ⁠⁠⁠this link on your phone⁠⁠⁠. Email: leonora.barclay@persuasion.community Podcast production by Jack Shields and Leonora Barclay. Connect with us! ⁠⁠⁠Spotify⁠⁠⁠ | ⁠⁠⁠Apple⁠⁠⁠ X: ⁠⁠⁠@Yascha_Mounk⁠⁠⁠ & ⁠⁠⁠@JoinPersuasion⁠⁠⁠ YouTube: ⁠⁠⁠Yascha Mounk⁠⁠⁠, ⁠⁠⁠Persuasion⁠⁠⁠ LinkedIn: ⁠⁠⁠Persuasion Community Learn more about your ad choices. Visit megaphone.fm/adchoices

Zetta Thomelin is an author, therapist, coach and recognized leader in the field of hypnotherapy. She is Chair of the British Association of Therapeutic Hypnotists, Vice Chair of the UK Confederation of Hypnotherapy Organisations, and serves as a trustee for the Research Council for Complementary Medicine. She also served as CEO of Children with AIDS Charity and Vice Chair of Mama Biashara, a charity supporting grassroots projects in Kenya. She is the author of four books: The Trauma Effect - Exploring and resolving inherited trauma, Genes Don't Lie – DNA results and family secrets, Self-Help? Self-Hypnosis! and The Healing MetaphPrior to her career in therapy, Zetta worked in the media as a Director of Chronos Group Publishing and as Group Head at News International, working mainly on The Times and The Sunday Times.   Zetta's websiteZetta's booksinstagram: @thomelinzetta X:@zettathomelin website www.zettathomelin.comBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-trauma-therapist--5739761/support.---Thank you for listening!If you want to support the show, I've got three options and every bit helps.$5.00 PayPalhttps://www.paypal.com/ncp/payment/NPKS32G8KVSN2$10.00 PayPalhttps://www.paypal.com/ncp/payment/495AMDFXQFC3L$15.00 PayPalhttps://www.paypal.com/ncp/payment/M7V5RREUKVD8JThank you to our Sponsors: Jane App - use code GUY1MO at https://janesoftware.partnerlinks.io/ngvcwcxqt2jx-4afv8i (https://jane.app/book_a_demo)Rebound - https://hellorebound.com/ttBeducated - Complete the quiz for one month free https://beduc.at/pd2629-traumatherapist

Recently, in the U.S., there's been a wave of self described democratic socialists running for and winning elected office.There is the improbable case of Zohran Mamdani who won his New York mayoral campaign. But there are other high profile races where establishment incumbents are being unseated by much younger insurgents. From Denver to New York, Washington D.C. to Seattle.Even here in Canada, NDP leader Avi Lewis is a long-time self-described democratic socialist. According to new Gallup polling, “socialism” is officially viewed more favourably among democratic voters than “capitalism.” It's a big shift from where we were not too long ago. So what exactly is democratic socialism? How does it differ from socialism, communism, or social democracy? Why has it returned now? And what does its resurgence reveal about this hour of history?Bhaskar Sunkara is the president of The Nation magazine, founder and editorial director of Jacobin, the former Vice-Chair of the Democratic Socialists of America and the author of books including ‘The Socialist Manifesto: The Case for Radical Politics in an Era of Extreme Inequality.'For transcripts of Front Burner, please visit: https://www.cbc.ca/radio/frontburner/transcripts

Sy Lorne, Senior Advisor and former Vice Chair and Chief Legal Officer at Millennium Management as well as a former General Counsel of the SEC, joins the show for a wide-ranging conversation on the evolution of securities enforcement from the inside out. The headline topic is shadow insider trading — the SEC's push to extend liability to trades in economically related securities, what Panuwat actually changed, and how a major hedge fund builds compliance around the doctrine. Sy also walks through what he's seen across his career at the SEC, Salomon Brothers, Munger Tolles, and now on the buy side, including how enforcement priorities really get set and what stays constant from one administration to the next.

if you have any feedback, please send us a text! Thank you!Dr. Beth Duggan, Vice Chair of faculty development at UAB, and Dr. Daryl Oakes, Stanford Associate Dean of Post Graduate Medical Education, speak on ways anesthesiologists can escape being pigeonholed to instead craft a fulfilling and sustainable career.

Date: July 9, 2026 Reference: The ARISE FLUIDS Investigators. Vasopressors or Fluids in Early Septic Shock. NEJM June 2026.  Guest Skeptic: Dr. Aaron Skolnik is an Assistant Professor of Emergency Medicine at the Mayo Clinic Alix School of Medicine and Vice Chair of Critical Care Medicine at Mayo Clinic Arizona.  He is board-certified in Emergency […] The post SGEM#514: Every Time You Go Away (and survive alive for 90 days) – Is It Due To A Restricted Fluid Strategy with Early Vasopressors? first appeared on The Skeptics Guide to Emergency Medicine.

Nurse Erica welcomes back past podcast guest, Matthew @themassholemcguido, and two Massachusetts Nurses Association representatives, Jim McCarthy and Jennifer DeVincent. This episode dives into the upcoming nurses' strike at Massachusetts General Brigham and Women's Hospital and MGB Home Care, scheduled for July 8th, 2026, making it the largest nursing strike in state history. The discussion explores the issues of staffing, overuse of travel nurses, wages, workplace safety, violence against healthcare workers and reporting culture. The guests share insights on negotiation dynamics, systemic disrespect and the future of nursing in Boston. The episode touches on union busting, patient safety concerns surrounding scab nurses of questionable qualifications, and the impact on hospital operations. They also explore past strike actions, political support, and the importance of transparency in healthcare. And perhaps most disturbing of all, the guest reveals nurses now having to take over chaplain services at night.    Thank you to Nurses Uncorked Sponsor, Dr. Lorre Laws PhD, RN. Please visit drlorrelaws.com/assessment  for free nurse specific trauma assessment.   Advertise on the show! Email with the subject NURSES UNCORKED SPONSOR to: nursesuncorked@gmail.com   Become a Patron! Gain early access to episodes, ad-free episodes, exclusive bonus content, giveaways, Zoom parties, shout-outs, and much more. https://patron.podbean.com/nursesuncorkedpodcast ETSY Shop:  Stop Healthcare Worker Violence! https://www.etsy.com/shop/TheNurseErica   Guests: Matthew/TheMassHoleMcGuido: www.instagram.com/themassholemcguido/ www.tiktok.com/@themcguidonurse  Jim McCarthy, RN, Vice Chair, Massachusetts Nurses Association Jennifer DeVincent, RN, Massachusetts Nurses Association Representative Chapters: 00:00 Patron Shoutouts and Introductions 04:33 Reasons Behind the Largest Strike in Massachusetts History 09:45 The Impact of Nurse Wages and Working Conditions 11:02 Pink Collar Professions in Crisis 16:30 Negotiation Breakdown and Union Solidarity 19:20 The State of Healthcare in Massachusetts 24:10 Safety Concerns and Reporting Culture 25:30 Escalating Violence in Healthcare Settings 28:30 Security Failures and Patient Safety 31:47 The Impending Strike: Strategies and Lockouts 34:35 The Role of Media in Healthcare Advocacy 40:52 Concerns Over Scab Nurses and Patient Safety 51:31 Hospital Management Preparation for Strikes 59:30 Chaplain Services Cuts on Night Shift 1:00:54 Ethical Concerns in Patient Care 1:09:45 Historical Context of Nursing Strikes 1:14:00 Community Support and Political Action   Resources: Massachusetts Nurses Association - https://www.massnurses.org/ Help the podcast grow by giving episodes a like, download, follow and a 5 ️ star rating! Please follow Nurses Uncorked at: tiktok.com/nurses-uncorked https://youtube.com/@NursesUncorkedL   You can listen to the podcast at: podcasts.apple/nursesuncorked spotify.com/nursesuncorked podbean.com/nursesuncorked iheart.com/nurses-uncorked   Follow Nurse Erica:  @TheNurseErica on TikTok, Instagram, Facebook and YouTube! https://www.youtube.com/@thenurseerica9094 https://www.instagram.com/the.nurse.erica/   DISCLAIMER: This Podcast and all related content published or distributed by or on behalf of Nurse Erica or Nurses Uncorked Podcast is for informational, educational and entertainment purposes only and may include information that is general in nature and that is not specific to you. Any information or opinions expressed or contained herein are not intended to serve as legal advice, or replace medical advice, nor to diagnose, prescribe or treat any disease, condition, illness or injury, and you should consult your health care professional regarding all matters concerning your health, including before beginning any exercise, weight loss, or health care program. If you have, or suspect you may have, a health-care emergency, please contact a qualified health care professional for treatment. The views and opinions expressed on Nurses Uncorked do not reflect the views of our employers, professional organizations or affiliates. Any information or opinions provided by guests, experts or hosts featured within website or on Nurses Uncorked Podcast are their own; not those of Nurse Erica or Nurses Uncorked LLC. Accordingly, Nurse Erica and Nurses Uncorked cannot be responsible for any results or consequences or actions you may take based on such information or opinions. All content is the sole property of Nurses Uncorked, LLC. All copyrights are reserved and the exclusive property of Nurses Uncorked, LLC.

Pratap Chatterjee, executive director of CorpWatch, joins us to discuss their latest report, MAGA Inc., which identifies the Crypto Czars, the Tech Titans and the Prison Profiteers who have bankrolled and benefited the most from Donald Trump's corrupt regime. Then, Ralph welcomes Elliot Negin, executive editor of Money Trail to talk about how Donald Trump is trying to turn Washington DC into a monument to himself.Pratap Chatterjee is an investigative journalist, producer and executive director of CorpWatch, an organization that works to promote environmental, social and human rights by holding multinational corporations accountable for their actions. He is the author of several books, including Verax: The True History of Whistleblowers, Drone Warfare, and Mass Surveillance, Halliburton's Army, and Iraq Inc.: A Profitable Occupation.Palantir is really critical to understanding how the surveillance state works, especially in identifying people to deport and locations and people to kill in Trump's new wars overseas, such as in Iran…Palantir's data analytical capabilities are actually extremely simplistic and terrible. But when it comes to looking for an easy solution, that's what Palantir offers. And they've been able to offer this to the Trump administration—to have them speed up their political plans such as deportation, such as waging war against Iran by giving them easy answers.Pratap ChatterjeeThe biggest company behind the cryptocurrency used by criminals and drug dealers and gun traffickers has come out of the shadows, into the light, thanks specifically to the credibility offered by the Trump administration. And so this is really a sea change.Pratap ChatterjeeElliott Negin, executive editor of the Substack newsletter Money Trail, is an award-winning writer, illustrator and publication designer. Prior to co-founding Money Trail in February 2025, he was the managing editor of American Journalism Review, editor and art director of Public Citizen and Nuclear Times magazines, a news editor at NPR, and a regular contributor to HuffPost and the Union of Concerned Scientists' Equation. His freelance articles have appeared in The Atlantic, Common Dreams, The Hill, L.A. Progressive, The Nation, Scientific American, the Washington Post and other publications.It turns out that there is a government-owned ballroom less than a mile from the White House that would serve the purposes of a state dinner, which is one of the only events that you would need a ballroom for. If Trump builds a ballroom, it will not be used probably 360 days out of the year… To have a building that big that's going to be sitting empty for all that time makes no sense whatsoever.Elliott NeginRight now, the cost of this ballroom has been escalating… And half of it's supposed to be covered by taxpayers. Give credit to Public Citizen. It did a report that found out that more than half the donors that were identified as donating to the project when it was pegged at $400 million (including Amazon, Lockheed Martin, Palantir) have gained contracts with the federal government worth more than $50 billion in the last six months. That's a hell of a return on investment.Elliott NeginNews 7/3/26* Our top stories this week are the Colorado primaries. First, DSA-backed insurgent Melat Kiros successfully ousted 29-year incumbent Democratic Congresswoman Diana DeGette in the state's first congressional district, winning in a surprise blowout of over 13 points. Kiros, a 29-year old Tigrayan-American lawyer and PhD student, was fired from Sidley Austin – a “biglaw” firm in 2023, after she “posted an open letter defending students protesting Israel's war in Gaza from charges of antisemitism,” per Colorado Newsline. Axios reports many House Democrats, speaking anonymously, have bemoaned DeGette's loss, with one accusing Kiros of trafficking in “performative politics,” but Usamah Andrabi, spokesperson for Justice Democrats, one of the main groups that backed Kiros, put it simply when he said “If DeGette didn't deserve a primary, Denverites wouldn't have elected Melat” by double digits.* Also in Colorado, state Attorney General Phil Weiser easily defeated Senator Michael Bennet in the primary to succeed Jared Polis as Governor. While Weiser did run to Bennet's left, the real victory for progressives is that Bennet finishing out his own term means the Colorado Democratic establishment won't be able to appoint someone – likely a centrist member of the House – to replace him, per Axios. Meanwhile, John Hickenlooper, a Colorado Democratic institution won his primary as well, fending off a challenge from his left by state Senator Julie Gonzales. However, Gonzales came within 6 points of Hickenlooper, according to Colorado Public Radio, a tantalizingly close margin. Moreover, not only has Hickenlooper vowed that this would be his final Senate term, many are speculating that Bennet himself won't run when his term ends in 2028. That is all to say, it is possible we have not seen the last of Ms. Gonzales.* Speaking of Gonzales, much has been made of the fact that she “softly” distanced herself from DSA as she launched her primary campaign, per Colorado Pols. Perhaps maintaining that organizational relationship would not have resulted in her victory, but the stunning successes of DSA-backed candidates – including Melat Kiros in Colorado – speaks to the group's impressive organizational muscle. In fact, the group can boast of winning yet another seat in the New York State Assembly, with Maurice “Mo” Brown declaring victory against longtime incumbent Assemblyman Bill Magnarelli in the 129th Assembly District. Magnarelli held the seat for 30 years. Brown won by just over 100 votes after all the absentee and affidavit votes were tallied, according to Syracuse.com. With Brown's victory, DSA will send 16 members to Albany next session, nearly doubling its presence across both chambers of the state legislature.* More impressive than the electoral victories however is the fact that DSA members in office are delivering on their campaign promises. Most notably, in New York City, Mayor Zohran Mamdani has successfully forced a vote through the Rent Guidelines Board to enact a rent freeze for the Big Apple's 1 million rent-stabilized apartments, Time reports. These units make up a whopping 27% of the city's housing stock and house around 2 million people. Mamdani's predecessor, the corporate-friendly Democrat Eric Adams, pushed through rent hikes via the guidelines board, raising the rent by 12.6% over the course of his term in office. Mamdani called this the “relief that working people across our city deserve.” This move has, predictably, drawn the ire of landlords and their industry representatives, but there is no denying that the people of New York City voted for Mamdani in large part for this exact policy and he delivered.* In Congress, another socialist – Alexandria Ocasio-Cortez – is fighting for key amendments to the must-pass National Defense Authorization Act. These run the gamut from prohibiting the transfer of weapons to countries hampering the delivery of humanitarian aid, such as Israel, to demanding that the Secretary of Defense conduct declassification reviews or release unclassified reports on American assistance to the dictatorship in Brazil and the coup in Chile, barring Pentagon funds from being used to enforce sanctions on Cuba, and many more. As the scope of national legislation has narrowed in recent decades, amendments to massive flagship funding bills like the NDAA have become a primary means of getting legislation through the gridlock. It is very encouraging to see AOC take advantage of this mechanism to force votes on these issues.* Of course, the centrists will not simply cede power to the left without a fight. Yahoo reports 13 Democratic House members and candidates have signed onto what they are calling the “Promise to America,” consisting mainly of vague commitments to principles like “Growth, Competition, and Broad Prosperity,” or “Safety, Security, and Human Dignity.” They have also stepped up their rhetoric, saying “there's going to be a war” between themselves and the new crop of progressive and DSA lawmakers, per Fox News. Of course, this all makes one wonder whether the Democrats would be in this position at all if they were this confrontational with the Republicans instead of their own voter base.* Another emerging theater of combat between the center and the left is the Congressional Hispanic Caucus. The CHC is led by the lame duck New York Congressman Adriano Espaillat, who was defeated in his primary by Darializa Avila Chevalier. Both Espaillat and Avila Chevalier – or DAC as she has come to be known – are Dominican, despite Espaillat's last-minute smear campaign calling her Haitian, and she plans to join the CHC once she takes her seat in the House. Yet, POLITICO reports the CHC is divided about admitting DAC. While no member is going so far as to say outright that she should not be admitted, many, such as CHC Whip Sylvia Garcia of Texas, are saying things like if DAC is “aligned with all our priorities and all our legislative programs, we would welcome her.” Of course this raises the question of if she is not, would they still welcome her. The all-Democratic CHC has previously barred the entry of Republican Hispanic Congressman Carlos Curbelo of Florida and the Congressional Black Caucus barred Espaillat himself from joining after a feud between him and former Congressman Charles Rangel. In addition to DAC's accession, the CHC will also have to decide on a new leader with Espaillat gone. The Vice-Chair, Darren Soto of Florida, may lose reelection due to redistricting in Florida, leaving the seat up for grabs.* In more Florida-related news, on June 25th Florida Governor Ron DeSantis formally announced the closure of “Alligator Alcatraz” the immigrant detention facility much hyped in the early days of the second Trump administration. While DeSantis claims that the facility had simply “fulfilled the role it was designed to serve,” there is an alternate story being told in the native community. Native News Online has published a statement by Judith LeBlanc (Caddo), executive director of Native Organizers Alliance, which highlights that the facility was constructed and operated “in violation of the sovereign rights of the Miccosukee Tribe, who took the government to court for illegally constructing the center without their consultation or consent,” and hailed the closure as “a victory for human rights and Tribal Sovereignty.” The statement further decried “The administration's violent crackdown on migrant communities” as “an affront to all we stand for as Native peoples.”* Turning further south, the Guardian is out with a chilling story concerning the death of Monika Silva Koniuszek, a Polish anti-corruption activist, who was supposedly investigating self-dealing within the ruling Noboa family of Ecuador. According to her colleagues, Silva Koniuszek was investigating “Noboa Trading, the fruit conglomerate belonging to the family of the rightwing president, Daniel Noboa.” Specifically, they said she had been pursuing allegations that “several tonnes of cocaine had been seized in Noboa Trading banana containers,” and that “high-ranking Ecuadorian judicial officials were stalling the investigations.” Additionally, “Shortly before she was killed, she told friends that she had delivered a dossier of allegations to the US embassy in Quito.” Koniuszek was found dead with a noose around her neck, and Ecuador's interior minister announced that she had died by suicide even before the autopsy results were released. Once those results came out, they contradicted this claim, finding that her cause of death was “a blow to the head and strangulation.”* Finally, in neighboring Colombia, leftist candidate Ivan Cepeda, who lost the recent presidential election, has called on the people of that country to engage in mass civil disobedience, according to Jorge Bastidas, a Colombian Congressman and member of Cepeda's party. Specifically, Cepeda is demanding that the Colombian people not recognize the presidency of Abelardo de la Espriella unless and until he meets certain demands, including renouncing his U.S. nationality, disproving claims that he is a CIA collaborator, and vowing not to persecute and extradite his political opponents including outgoing President Gustavo Petro. Cepeda has stressed that this mass action, if pursued, will be peaceful.This has been Francesco DeSantis, with In Case You Haven't Heard. Get full access to Ralph Nader Radio Hour at www.ralphnaderradiohour.com/subscribe

This episode is part of our comprehensive Decipher the Guidelines Series covering the 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes.  The following question refers to Section 5.2.1 of the 2025 ACS Guidelines. The question is asked by Thomas Jefferson medical student and CardioNerds Academy Intern Dr. Grace Qiu, answered first by Henry Ford Interventional cardiology fellow and member of the CardioNerds Interventional Cardiology Council Dr. Li Pang, and then by expert faculty Dr. Michelle O'Donoghue. Dr. O'Donoghue is a cardiologist, senior investigator with the TIMI Study Group, and Associate Professor of Medicine at Harvard Medical School who holds the McGillycuddy-Logue Endowed Chair in Cardiology at Brigham and Women's Hospital. She was the Vice Chair of the Writing Committee for the 2025 ACS Guidelines. Question #2 A 63-year-old woman presented to the emergency room for chest pain. She described having exertional chest pain for the past two months and had an episode of severe pain after dinner 3 days ago. She went to bed and slept it off.  She told her children today at a family gathering, and was immediately brought to the ED by her daughter. She has a history of hypertension and hyperlipidemia. She was asymptomatic and normotensive in the ED. Labs show a down-trending troponin and an elevated NT-proBNP but are otherwise unremarkable. Her ECG showed Q waves with ST elevation in V2-V4. She was treated with aspirin and heparin drip, and taken to the cath lab. Coronary angiogram showed complete proximal LAD occlusion with right-to-left collaterals, without significant residual disease elsewhere. She remains asymptomatic and is stable, both hemodynamically and electrically. What is the next best step with regard to reperfusion and anti-thrombotic management? A Proceed with primary PCI to LAD  B Medical management with aspirin and enoxaparin  C Medical management with aspirin and clopidogrel D Medical management with aspirin and ticagrelor   Answer #2 Explanation  The Correct answer is D In patients who are stable with STEMI and have a totally occluded infarct-related artery >24 hours after symptom onset and are without evidence of ongoing ischemia, acute severe HF, or life-threatening arrhythmia, PPCI should not be performed due to lack of benefit. (Class 3, LOE B-R) The benefit of PPCI begins to diminish after >12 hours from symptom onset, but there appears to be continued benefit through approximately 24 hours.  In stable asymptomatic patients with an occluded artery >48 hours after symptom onset, routine PCI has not been shown to be beneficial in the absence of ongoing ischemia. The relative utility of routine PCI for asymptomatic patients with STEMI between 24 and 48 hours from symptom onset is less rigorously tested. PCI is not recommended for an occluded infarct-related artery if the patient is asymptomatic and has a completed infarct. MACE outcomes were similar in those with an occluded infarct-related artery who underwent medical therapy versus those who underwent PCI 3 to 28 days after an MI (Occluded Artery Trial [OAT]), and results were no different at 7-year follow-up. Similar findings were noted in the DECOPI (Desobstruction Coronaire en Post-Infarctus) trial, which enrolled patients with an occluded artery and Q waves on the ECG presenting 2 to 15 days after symptom onset. However, coronary revascularization should be considered for patients with late presentations with continued signs and symptoms of ischemia, including cardiogenic shock, acute severe HF, persistent angina, and life-threatening arrhythmias.  Main Takeaway In patients who are stable with STEMI who have a totally occluded infarct-related artery >24 hours after symptom onset and are without evidence of ongoing ischemia, acute severe HF, or life-threatening arrhythmia, PPCI should not be performed due to lack of benefit. Guideline Loc. Section 5.2.1 

Donna Ockenden's report on Nottingham NHS maternity scandal is out today, revealing 'horrendous' failings. It involves cases of negligence, cover ups, racial disparities and avoidable deaths. To discuss Britain's maternity services countrywide and whether change is really achievable, Natasha Feroze speaks to the Chair and Vice Chair of the APPG on Birth Trauma – Rosie Duffield and Jack Rankin. Become a Spectator subscriber today to access this podcast without adverts. Go to spectator.co.uk/adfree to find out more.For more Spectator podcasts, go to spectator.co.uk/podcasts.Contact us: podcast@spectator.co.uk Hosted on Acast. See acast.com/privacy for more information.

Congressman Josh Gottheimer (NJ-5), Vice Chair of the Problem Solvers Caucus and a member of the House Intelligence and Financial Services Committees, joins Donny for a candid conversation on antisemitism, Israel, and the Democratic Party's identity crisis. Gottheimer explains why he calls out double standards on the left toward figures like Hasan Piker while also condemning Nick Fuentes and Candace Owens on the right, breaks down the Iran nuclear deal and Hezbollah's threat to U.S. national security, and weighs in on a controversial Maine Senate primary. The pair also dig into AI policy and national security, the rise of democratic socialism among young voters, the 2026 midterms, early 2028 presidential contenders like Cory Booker and Josh Shapiro, and why bipartisanship has become politically toxic in Washington. A must-listen for anyone following Israel-Iran tensions, antisemitism in American politics, AI regulation, and the future of the Democratic Party. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Ben Carson spent nearly 30 years as the director of Pediatric Neurosurgery at the Johns Hopkins Children's Center, and pioneered surgeries never been done before, including performing the first separation of twins conjoined at the back of the skull. He has served as the 17th Secretary of the U.S. Department of Housing and Urban Development, and is being awarded his second Presidential Medal of Freedom, which is the nation's highest civilian honor. Dr. Carson has also been appointed to serve as Vice Chair on President Trump's Religious Liberty Commission, an important commission Dr. Phil also has been appointed to serve on, alongside Dr. Carson, and the other distinguished members. Dr. Phil sits down to discuss what Dr. Carson believes are the biggest threats to religious liberty in the United States, and what he is doing to help educate and inspire young students learn about America's founding principles and history.Sponsored by: Get up to $20,000 in FREE Gold & Silver with a qualified purchase. Text ASKPHIL to 50505 or visit https://DrPhilgold.comSponsored by: Don't wait! If you're on Medicare or will be soon, reach out to Chapter: Call: (352)-845-0659 or go to https://askchapter.org to learn about your Medicare options and get help finding ways to save money.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.