Shows
The Vance Crowe PodcastATR: Mandatory Country of Origin Labeling bill BACK, China deal is a letdown with rancher Casey KimbrellIn this week's Ag Tribes Report, Vance Crowe is joined by fifth-generation Texas Panhandle farmer Casey Kimbrell for a fast, candid breakdown of three stories rocking agriculture. They unpack the touted Trump–Xi "soybean breakthrough," asking whether a 25 MMT annual commitment is progress or just a return to pre-trade-war status quo. Then they wade into the renewed push for mandatory country-of-origin labeling in beef, the packer vs. rancher incentives behind the current system, and why transparency matters more than ever. They close the news block with Bill Gates' pivot from climate alarmism toward prioritizing vaccines, and what a...
2025-10-3139 min
The Vance Crowe PodcastATR: @realJohnKempf talks about what @RobertKennedyJr administration could mean for agricultureThe Ag tribes Report, hosted by Vance Crowe, discussed the impact of Donald Trump's presidency on agriculture, focusing on potential changes under the RFK administration. John Kemp, CEO of Advancing Eco-Ag, highlighted the Amish community's significant voting block, which may have influenced the Pennsylvania election. Kemp emphasized the need for market access improvements, reducing glyphosate use, and transitioning to healthier farming practices. He also discussed the potential for technological advancements in agriculture to replace chemical dependencies. The conversation also touched on the role of immigration, ethanol mandates, and the importance of farmer-led stewardship to regain public trust.
2024-11-0837 min
Without DoubtHow should Christians react to the election? It's November and the 2024 Presidential election is now in the rearview mirror. Donald Trump won the White House, with Republicans also taking a majority in the Senate and possibly keeping a majority in the House. What can Christians learn from this election cycle? How should they respond to this new administration? What are the implications for the pro-life movement? What do we do now? David and Nathan have a conversation about these things and more in an effort to help Christians think biblically about the political landscape.Time stamps:0:00 Introduction1:22...
2024-11-0845 min
RisingTim Walz ACCEPTS VP Nomination, Oprah endorses Kamala Harris, Joe Rogan, Russell Crowe slam Kamala Harris, And More: 8.22.24
'SLEEP WHEN WE'RE DEAD,' Tim Walz ACCEPTS VP Nomination: Jessica Burbank Reacts (00:00)
Oprah endorses Kamala Harris, Trump team resurfaces Winfrey's friendly letter from 2000 (08:57)
RFK Jr will drop out, endorse Donald Trump: Report (19:08)
DNC day 3, Dems shun pro-Palestine protesters: Nomi Konst (27:32)
Donald Trump says he’s brighter and ‘better looking’ than Kamala Harris. Why? (36:04)
Media backtracks on false claim that Trump told Netanyahu no cease-fire deal (47:00)
Joe Rogan, Russell Crowe slam Kamala Harris, politicians (56:08)
Matt Walsh tricks DNC goers to watch trailer of his flick, 'Am I racist?' (01:05:07)
Learn more about your ad choices. Visit megaphone.fm/adc...
2024-08-221h 15
The Hill PodcastsTim Walz ACCEPTS VP Nomination, Oprah endorses Kamala Harris, Joe Rogan, Russell Crowe slam Kamala Harris, And More: 8.22.24
'SLEEP WHEN WE'RE DEAD,' Tim Walz ACCEPTS VP Nomination: Jessica Burbank Reacts (00:00)
Oprah endorses Kamala Harris, Trump team resurfaces Winfrey's friendly letter from 2000 (08:57)
RFK Jr will drop out, endorse Donald Trump: Report (19:08)
DNC day 3, Dems shun pro-Palestine protesters: Nomi Konst (27:32)
Donald Trump says he’s brighter and ‘better looking’ than Kamala Harris. Why? (36:04)
Media backtracks on false claim that Trump told Netanyahu no cease-fire deal (47:00)
Joe Rogan, Russell Crowe slam Kamala Harris, politicians (56:08)
Matt Walsh tricks DNC goers to watch trailer of his flick, 'Am I racist?' (01:05:07)
2024-08-221h 15
The Vance Crowe PodcastAg Tribes Report: Did TX Farm Bureau sellout to CCP? Will Trump kill corn price? CO2 Eminent Domain?Rupert Williams joins host Vance Crowe to discuss how the Trump presidency could result in government handouts for farmers to compensate for a tariff war, the role the Texas Farm Bureau is playing in the question: should foreigners from places like China be able to buy Texas farmland, and what is going on with the carbon pipeline in South Dakota.Williams is the CEO of Go Farm Yourself a ‘value prediction’ tool on forward commodity prices providing farmers an unbiased, data driven, machine learning algorithm to help make decisions based on data and not emotion.The...
2024-07-2631 min
Kyle & Jackie’s O News😬 Russell Crowe gives Kyle some important unsolicited advice...TODAY'S O NEWS: Tenacious D’s attack after Donald Trump shooting When meeting Russell Crowe goes very wrong Presidential conspiracy coming out of the white house Gwyneth Paltrow’s diarrhoea drama Trump shooter’s viral high school video Famous TikToker exposes musician boyfriend for being a fraud Rebel Wilson has been sued by film producers Follow us @kyleandjackieo to keep up to date as stories break!See omnystudio.com/listener for privacy information.
2024-07-1626 min
The Vance Crowe PodcastParenting, Fashion, & Creating A Platform For Ag Jobs With Jessie JarvisJessie Jarvis is a western fashionista and owner of, "Of the West." She is a mom, a wife, and a highly motivated individual that has unique insight into how to connect the Ag world to much needed workers.Vance Crowe sits down with Jessie to discuss the evolution of parenting, the benefits and challenges of being into fashion, and how Jessie started her company, "Of the West", a platform for connecting both employers and employees to each other within the ag world.Mentioned: - Building a Brand Story by Donald Miller ( https://amzn.to/3U...
2024-05-221h 13
Podcast of ExBEMPodcast of ExBem: Episode 68 : Closing the "Sale"I once thought that having made a diagnosis and recommended its treatment that I could now move to the next patient. Experience has taught me however, that it is now that the crucial work begins.
2023-04-0421 minPodcast of ExBEMPodcast of ExBem: Episode 67 : Why Artificial Intelligence Can't Do my Job (Yet)Ready or not artificial intelligence is here. Does this mean that physicians are soon to be out of a job? On this episode I explain why our positions are secure, at least for now....
2023-03-0117 minPodcast of ExBEMPodcast of ExBem : Episode 66 : Lessons From My Patient ExperienceAfter a month to process my emergency appendectomy, on this episode I describe my "take aways" from my encounter, or should I say collision, with modern American medicine.
2023-01-3018 minPodcast of ExBEMPodcast of ExBem: Episode 65 : The Other End of the Stethoscope- When the Doctor Needs a DoctorI have had little experience being a patient... until now. On this episode I share what it was like on the other end of the stethoscope, or in my case the scalpel.
2023-01-0318 min
The Author Your Brand ShowHacks that Drive Sales with Donald BurnsWant to learn how to drive sales without overspending? Then you won't want to miss this episode of the Author Your Brand Show, where three-time best-selling author Donald Burns will be sharing some of his top hacks. From identifying your ideal customer to using social media effectively, Donald will be sharing actionable tips that you can use to boost your sales without breaking the bank. So, if you're looking for some practical advice on how to increase your sales without increasing your budget, be sure to tune in to this episode of the Author Your Brand Show.
2022-12-1226 minPodcast of ExBEMPodcast of ExBem: Episode 64 : The "Product" That We SellHospital administration continually reminds me that emergency medicine is a business. If so, this begs the question - what are we selling? On this episode I describe why my recent experience suggests that what we are selling is not really what our patients are looking to buy.
2022-12-0220 minPodcast of ExBEMPodcast of ExBem: Episode 63 : What an Emergency Physician is NotEnormous pressure is being applied to turn emergency departments and the specialists who run them into something the were not meant to be. This shift in focus threatens both our medical system and our patients. On this episode I describe these changes and their origins.
2022-11-0121 minPodcast of ExBEMPodcast of ExBem: Episode 62: Requiem for a PandemicOn this episode I present an epitaph for the Coronavirus pandemic. I describe how and why it ended and discuss how we were convinced to make sacrifices and fight in a war that never existed.
2022-10-0821 minPodcast of ExBEMPodcast of ExBem: Episode 61 : A Remedy for a Sick SocietyAfter two episodes spent defining the problem, on this offering I outline a prescription to treat our sick society. We have the tools, do we have the will to try something new?
2022-09-0122 minPodcast of ExBEMPodcast of ExBem: Episode 60 : The Illness Sickening Our SocietyIf recent events reflect an American society that has become sick, what is the illness affecting us and how did it arise? On this episode I argue that our attempts to engineer a " Great Society" have collided with human nature and the results have not been those expected.
2022-08-0221 min
Briefly LegalWest Virginia vs. EPA Part II: U.S. Supreme Court Applies the Major Questions Doctrine to Limit EPA Regulatory AuthorityOn June 30, 2022, the U.S. Supreme Court ruled in a 6-3 opinion that Congress did not give the EPA authority to set greenhouse gas emissions standards for existing power plants under Section 111(d) of the Clean Air Act (CAA). Energy, Environment & Natural Resources Practice Group member Donald K. Shandy returns to Briefly Legal to discuss the Court’s ruling and its application of the Major Questions Doctrine to limit EPA’s regulatory authority. He also discusses what the ruling means for administrative agency power more broadly, and the scenarios in which EPA can still regulate emissions under other sections of t...
2022-07-2218 minPodcast of ExBEMPodcast of ExBem: Episode 59 : Curing a Sick SocietyDo recent events prove that our society is sick? I believe that they do. Does 40 years of experience caring for sick individuals justify my comentary discussing why it is sick and what can be done to cure it? Decide for yourself.
2022-07-0121 minPodcast of ExBEMPodcast of ExBem: Episode 58: Burnout RevisitedEmergency physicians report the highest levels of burnout among medical specialities. So how am I still tolerating and even enjoying (sometimes) going off to work after forty years? On this episode I explain why I've been lucky.
2022-06-0229 minPodcast of ExBEMPodcast of ExBem: Episode 57: The Voice of AuthorityThings seem to go more smoothly when the "voice of authority" can be trusted to guide us along. But can it? Not if opposing viewpoints are ignored or repressed.
2022-05-0122 minBriefly LegalWest Virginia vs. EPA: An Environmental Regulations Case with Broad Implications for Agency PowerPending before the U.S. Supreme Court, West Virginia v. EPA focuses on the Obama administration’s Clean Power Plan (CPP), which sparked controversy when promulgated in 2015 for using generation shifting measures. Energy, Environment & Natural Resources Practice Group members Alyssa Gillette and Donald K. Shandy discuss the procedural background of the case regarding the Environmental Protection Agency’s power to govern CO2 emissions from existing power plants by using “outside-the-fenceline” measures, and touch on the implications a ruling could have on agency power more broadly. About Alyssa Gillette and Donald K. Shandy Additional Resources: Gavel to Gavel...
2022-04-0820 minPodcast of ExBEMPodcast of ExBEM: Episode 56 :The Butterfly EffectCan insights inspired by butterflies help us avoid the chaos that too often reigns in our emergency departments? On this episode I discuss "the butterfly effect" and why respecting it can help protect emergency physicians and patients alike.
2022-04-0121 minPodcast of ExBEMPodcast of ExBEM: Episode 55 : An Unexpected Education, Part TwoAn emergency physician must know what to do under trying circumstances. But before this can be done , he must first know what is happening and when to do something must be done. On this episode, I relate how I began to learn these skills working a part time job in medical school.
2022-03-0120 minPodcast of ExBEMPodcast of ExBEM: Episode 54 : An Unexpected Education, Part OneAs I struggled to become an effective emergency physician, I realized that my only hope was to put into practice the many lessons I had learned along the way. I now realize that everything I needed to know, I did not learn in medical school alone. On this episode I discuss other experiences that gave me the tools that I now use every day in my practice, and for that matter, my life.
2022-01-3120 minPodcast of ExBEMPodcast of ExBEM: Episode 55 : Remembering Why I Go To WorkOn this episode I kick off the fifth year of the podcast by reflecting upon what has made spending my adult life practicing emergency medicine a satisfying endeavor. After several offerings recounting concerns about my specialty, it is time to celebrate some of the reasons I go to work.
2022-01-0120 minPodcast of ExBEMPodcast of ExBEM: Episode 52- Emergency Medicine: Heading the Wrong Direction? Part 4: Finding the Zebras or Herding the Horses?What percentage of the patients that we admit to the hospital do we harm? On this episode I reveal why when those charged with making the decision to admit forget the answer to this question, our specialty and our whole medical system pay the price.
2021-11-2921 minPodcast of ExBEMPodcast of ExBEM: Episode 51 - Emergency Medicine: Heading the Wrong Direction? Part 3The hypothesis: Emergency physicians are providing less effective care now than twenty years ago. The Proof: longer wait times, more overcrowding, more cost, less job satisfaction. Who's to blame: us (among others) In this episode I take a hard look inward and discuss where emergency medicine has sabotaged itself.
2021-11-0122 minPodcast of ExBEMPodcast of ExBEM: Episode 50 - Emergency Medicine: Heading the Wrong Direction? Part 2Covid 19 has exposed a dirty little secret that emergency physicians have helped keep for decades- there is not enough to go around. Unfortunately the way things are headed, those best equipped to deal with the reality of limited medical resources are being pushed aside - with predictable consequences.
2021-09-2422 minPodcast of ExBEMPodcast of ExBEM: Episode 49 - Emergency Medicine: Heading the Wrong Direction?The specialty of Emergency Medicine sprang into being in order to fill a need. I'm concerned that we've lost sight of that need as we train those to whom we will pass the torch. On this episode I begin a discussion of how and why our specialty developed and why keeping our fragile medical system afloat rests on our shoulders.
2021-08-3020 minPodcast of ExBEMPodcast of ExBEM: Episode 48 - Is There Really an "Opiate Crisis"? -Part 3Pretending that there exists an "opiate crisis" obscures our society's real, much more difficult health crisis. On this episode I discuss what these real problems are and why accepting the delusion that opiates are the issue is leading us down a treacherous path.
2021-07-2623 minPodcast of ExBEModcast of ExBEM: Episode 47 - Is There Really an "Opiate Crisis"? -Part 2Overdose deaths have tripled since our society acknowledged and declared war on an "opiate crisis". Not surprising since much bigger problems are to blame. In this episode I outline why beginning with the false premise that opiates are to blame only obscures our understanding of our troubles and thwarts our efforts to achieve positive change.
2021-07-0218 minPodcast of ExBEMPodcast of ExBEM: Episode 46 - Is There Really an "Opiate Crisis"?Unquestionably Americans are tragically dying of drug overdoses each day. In this episode I explain why calling this an "opiate crisis" is a smokescreen that obscures the problem making it more difficult to solve and perhaps making it worse.
2021-05-3020 minBriefly LegalForever Chemicals: What They are and What is being Done to Minimize Their ImpactYou may not have heard about a class of synthetic compounds broadly referred to as PFAS, but these artificial substances can be found in the blood stream of approximately 90% of Americans at any given time and some have been known to cause health problems and an increased risk for certain cancers. Energy, Environment & Natural Resources Practice Group members Donald K. Shandy and Tim Sowecke discuss forever chemicals’ broad use in consumer products and why state regulation may be critical in order to protect public health.About Donald K. Shandy and Tim SoweckeConnect with Crowe & Du...
2021-05-2626 minPodcast of ExBEMPodcast of ExBEM: Episode 45- Coronavirus: Lessons Learned in 2020- Part FourWhat will be the aftermath of the coronavirus pandemic? On this episode I offer predictions regarding what to expect as we survey the post Covid 19 landscape. The central theme : we ain't seen nothing yet...
2021-05-0222 minPodcast of ExBEMPodcast of ExBEM: Episode 44 - Coronavirus: Lessons Learned in 2020- Part ThreeOne year ago there was no data or experience to guide us as we struggled to defend ourselves against the Covid 19 pandemic. We therefore relied on our leadership's best guesses. In this episode I argue that it is time for individuals use the lessons learned in 2020 to replace guesswork and decide for themselves how best to protect themselves and their families.
2021-03-3122 minPodcast of ExBEMPodcast of ExBEM: Episode 43 - Coronavirus: Lessons Learned in 2020- Part TwoIn the year since the first patients with Covid 19 arrived in our emergency departments, physicians have learned some hard lessons about treating this disease. In this second installment of my "state of the pandemic address" I discuss what works...and what doesn't.
2021-03-0221 minPodcast of ExBEMPodcast of ExBEM: Episode 42 - Coronavirus: Lessons Learned in 2020- Part OneData collected in 2020 has allowed us to paint an objective picture of the Covid 19 pandemic that seems quite different than the portrayal fed to us by the mainstream media. What this data shows and why it is distorted by the evening news are explored on this months offering.
2021-01-3021 minThe Vance Crowe PodcastDavid Goodhart; Somewhere Vs. Anywhere people; the conflict between classesDavid Goodhart is the author of the "The Road To Somewhere" a book that describes how western societies have been divided by the aspiration and decisions of young people choosing to go away to college or stay in their hometown. His heretical book caught Britain by storm as it was published just as the world watched Brexit happen and Donald Trump be elected. Goodhart and Vance Crowe discuss the Somewhere vs. Anywhere people, the story of the Tower of Babel, and highlight new ideas regarding the Intransigent Minority and the student loan crisis as a...
2021-01-101h 20Podcast of ExBEMPodcast of ExBEM: Episode 41 - How People Die : Part TwoThe rate of successful resuscitation of patients having a cardiac arrest in the hospital have not improved during the last 40 years that hospital personnel have been relying on ACLS protocols. In this episode I discuss why ACLS fails and what it will take to move forward.
2021-01-0523 minPodcast of ExBEMPodcast of ExBEM: Episode 40 - How People Die : Part OneEver thought in detail about how people die? I suppose that for most this morbid subject is not dwelled upon, but for 40 years it has been a big part of my job. Experience has taught me that people die in many ways. And this is a problem since most medical personnel are trained to understand one model of the dying process and it is one that they are unlikely to often encounter. On this podcast I outline a different scheme for understanding this process that will finally allow caregivers to progress beyond ACLS.
2020-12-0424 minPodcast of ExBEMPodcast of ExBEM: Episode 39 - ACLS and the Myth of Cardiac ArrestWhat happens when non emergency specialists provide recommendations to guide emergency care? Spoiler alert: ...nothing good. And no better (or worse) example of this exists than ACLS.
2020-11-0118 minPodcast of ExBEMPodcast of ExBEM: Episode 38 - Corona Crisis 10- The 2020 Crisis Is Over!The Coronavirus Crisis is over. The justification for its existence has evaporated. Ignorance and fear have been replaced by data and reason. All that was left was for someone to declare it dead. And on this episode I do just that.
2020-09-2724 min
Society Owes Me A Gen-X Podcast: The 90sC is for Cameron Crowe's High SchoolStone the crows! Lily and Hannah chat Gen-X golden gods, rock heroes and an classic ingenues in this episode of the podcast, all wrapped up in the charming, cheeky and cheerful letter C! It's like, so dope. Whatever.
Cameron Crowe, Fast Times at Ridgemont High, 1982, Jennifer Jason Leigh, Pheobe Cates, Judge Reinhold, Sean Penn, Jackson Browne, Somebody's Baby, Led Zeppelin, Kashmir, Tom Petty and The Heartbreakers, American Girl, No Doubt, Just a Girl, Tragic Kingdom 1995, The Mighty Mighty Bosstones, Someday I Suppose, Radiohead, Fake Plastic Trees, The Bends 1995, The Eagles, Life in the Fast Lane, Hotel California 1976, Guns N' Ros...
2020-09-011h 11Podcast of ExBEMPodcast of ExBEM: Episode 37 - Corona Crisis 9- Achieving Safety from Covid 19As Americans struggle to return to normalcy, we are constantly told what we must do to be safe. These instructions come at us from all directions and are numerous, wide-ranging, and inconsistent. In this episode I reveal the secret to safety from Covid 19 (and everything else).
2020-08-3123 minPodcast of ExBEMPodcast of ExBEM: Episode 36 - Corona Crisis 8- Purging the Propaganda to Get RealThe media continues to sow fear by distorting the truth. As the coronavirus pandemic predictably and inevitably spreads, the misconceptions resulting from these lies poisons rational decision making both in individuals and society as a whole. Emerging evidence supports an understanding of the pandemic contrary to the doomsday scenarios popularized by the TV and internet.
2020-07-3118 minThe Vance Crowe PodcastZheng Wang Cross-Cultural Negotiations Expert; on U.S China Conflict and cultural misunderstandingsVance Crowe interviews his graduate school mentor, Zheng Wang. They discuss cultural interpretations about masks, and why China and the US have different Coronavirus results. Zheng Wang taught me a great deal about other ways of thinking about the world. He took far more interest in my work than any other professor I've ever met. He pushed me to submit higher quality work, he taught me different emotional and social frameworks to use to better understand conflict, and he made me understand the world in a much more nuanced way. Vance and Zheng Wang discuss the core of th...
2020-07-261h 04
AmericastDonald & GhislaineWhy did the president "wish her well"?President Trump restarted his coronavirus briefings and almost stuck to the script, apart from a rather surprising comment about Ghislaine Maxwell. And why federal agents are on the streets of Portland, and could soon be in Chicago. Also, why does the health of Ruth Bader Ginsburg matter to the election?Studio Director: Emma Crowe
Producer: Harriet Noble
Editor: Dino Sofos
2020-07-2233 minPodcast of ExBEMPodcast of ExBEM: Episode 35 - Recovering from ColorblindnessAs an old white guy , I haven't had to consider how racism has shaped me. But an odd thing happened as I became agitated watching the recent unrest....I started to sense that the protesters might be right. They compelled me to revisit my beliefs, and on this episode I discuss some that have crumbled under the scrutiny.
2020-06-3022 minPodcast of ExBEMPodcast of ExBEM: Episode 34 - Corona Crisis 7- America Awakens - Ready or Not , Here We Come!Despite significant concerns, our nation is reopening. Now is the time to employ the "doctors best test" as we share the environment with corona virus. There will be rough water ahead, not simply a second wave. But by allowing ourselves not to be certain we can adjust our course frequently and keep our heads above water.
2020-06-0423 minPodcast of ExBEMPodcast of ExBEM: Episode 33 - Corona Crisis 6 - The Wrong Reasons for Doing the Right ThingAmericans are asking "when is enough enough"? If we are to successfully unlock our national lockdown , we must first unravel the twisted truths used to convince us to support this policy. In this episode I illuminate the "little white lies" that became the wrong reasons for doing the right (and ultimately successful) thing.
2020-05-1324 minPodcast of ExBEMPodcast of ExBEM: Episode 32 - Corona Crisis 5 - The "life-saving" ventilator?We see them on the newscasts, our emotionally distraught politicians, pleading for ventilators - our "missiles in the war against Coronavirus". Without expanding our supply people will die. So with enough of them people will live, right? On this episode I reveal how this lie, that is being fed by the media to a public hungry to trust its leaders, is only likely to worsen outcomes.
2020-04-2724 minPodcast of ExBEMPodcast of ExBEM Episode 31: Corona Crisis 4 - How the Media Has Failed on TestingThe internet and TV report that corona virus tests are crucial but also scarce - so they must give an advantage to individuals trying to survive the pandemic, right? (kind of like having lots of toilet paper). Testing is important but not for the reasons that the media implies and misconceptions about testing continue to abound. So here is a reality check.
2020-04-1617 minPodcast of ExBEMPodcast of ExBEM Episode 30: Corona Crisis 3 - The Real Reason to Stay HomeWhether or not it is the medias's intent to distort the truth, the fact that it does has left most Americans encumbered with misconceptions that block an effective understanding of all things Corona. In this episode I discuss the lockdowns enforcing social isolation, that are necessary for now, but not for the reason that people have been led to believe. And why understanding the real reason is essential for moving forward.
2020-04-0817 minPodcast of ExBEMPodcast of ExBEM Episode 29: Corona Crisis 2 - How the Media Twists the Truth (And Why You Should Care)If your window on the world is provided by popular media, then the chances are great that your initial contact with the Corona Crisis has left you infected with misconceptions about the pandemic. In this presentation I discuss how this happens and why being burdened with these misconceptions is harmful.
2020-03-3120 minPodcast of ExBEMPodcast of ExBEM Episode 28: Coronageddon! What's Old is New Again, or Something Different?The Corona virus crisis has gripped, perhaps strangled our society. Is this event the unprecedented medical apocalypse that the evening news and our political leaders are portraying? It is a big deal but some historical perspective is necessary to balance our understanding of this pandemic. I present observations from the trenches we are preparing as we face this unknown .
2020-03-2117 minPodcast of ExBEMPodcast of ExBEM Episode 27 : Flawed Medical Thinking: Part 3 - Hypertension as a Future , Not Immediate, RiskI have argued that high blood pressure is not a disease but a sign - so a sign of what , exactly? In this entry I explain why it is difficult to convince my colleagues to abandon the idea that high blood pressure is an imminent threat and how I reshape my patient's thinking regarding this vital sign .
2020-03-0418 minPodcast of ExBEMPodcast of ExBEM Episode 26: Flawed Medical Thinking: Part 2 - The Myth of the Bad Blood PressureIt widely acceppted that high blood pressure is bad and causes heart attacks, strokes and and host of other maladies. Although this idea has intuitive appeal and is so widely held as to have become "common knowledge", the problem is that this belief is wrong. In this podcast I discuss how this fallacious idea distorts our understanding and ultimately harms our patients.
2020-01-3118 minPodcast of ExBEMPodcast of ExBEM Episode 25: Flawed Medical Thinking: Part One -Effect or Cause? ( Why vital signs can't be treated)To understand the mysteries of medicine we are taught basic concepts we then use construct cognitive frameworks that allows us to interpret information, make predictions and formulate interventions. But what if the original concepts are wrong? Experience has proven to me that many dogmatically held beliefs in medicine are flawed and negatively impact patient care. In this episode I begin an analysis of this important problem.
2019-12-3116 minPodcast of ExBEMThe Physical Exam : Integral or Archaic (Part 2)Can a non critically ill patient's physical exam yield information that is not more precisely derived from laboratory testing, imaging, or other technology? Certainly. In this episode, I discuss aspects of the physical exam that remain not only clinically relevant, but essential to understanding a patients pathology.
2019-12-0118 min
History Author ShowDonald E. McInnis – She’s So Cold: Murder, Accusations and the System that Devastated a FamilyNovember 18, 2019 - What if you woke up to find your 12-year-old daughter dead, and the local police destroyed your house looking for evidence to pin the murder on your innocent son? Attorney Donald E. McInnis introduces us to the real-life family that endured this nightmare in She's So Cold: Murder, Accusations and the System that Devastated a Family.
On a winter day in 1998, the town of Escondido, California, awoke to the terrible news that 12-year-old Stephanie Crowe had been brutally savaged by a knife-wielding killer. Putting the verdict first and trial afterwards like the Queen of Hearts, investigators launched an...
2019-11-1857 min
History Author ShowDonald E. McInnis – She's So Cold: Murder, Accusations and the System that Devastated a FamilyNovember 18, 2019 - What if you woke up to find your 12-year-old daughter dead, and the local police destroyed your house looking for evidence to pin the murder on your innocent son? Attorney Donald E. McInnis introduces us to the real-life family that endured this nightmare in She's So Cold: Murder, Accusations and the System that Devastated a Family. On a winter day in 1998, the town of Escondido, California, awoke to the terrible news that 12-year-old Stephanie Crowe had been brutally savaged by a knife-wielding killer. Putting the verdict first and trial afterwards like the Queen of Hearts, investigators launched an...
2019-11-1857 minPodcast of ExBEMThe Physical Exam : Integral or Archaic?If we are being honest, most emergency physicians will admit that our physical exams have become subservient to technology as we evaluate our patients. Does this mean that the physical exam is now just an archaic ritual? Not so fast, my friends. In this episode I describe those aspects of my physical examination I still fine crucial as I care for critically ill patents.
2019-10-3121 minPodcast of ExBEMPodcast of ExBEM Episode 22: Forty years of change in Emergency Medicine- The Bad (Part 3)The big reveal! The top two negative changes to befall the practice of emergency medicine are finally unveiled. How these have evolved and why they constitute a powerful malignant influence is examined.
2019-10-0116 minPodcast of ExBEMPodcast of ExBEM Episode 21: Forty Years of Change in Emergency Medicine- The Bad (Part 2)I move on to discussion of the "big ticket item" changes that have impacted the practice of emergency medicine one the last four decades. I outline what drives these changes and how they errode the quality of care provided in our emergency departments .
2019-09-0115 minPodcast of ExBEMForty Year of Change in Emergency Medicine - The Bad (Part 1)Forty years of experience have allowed me to develop skills and acquire knowledge that make the practice of Emergency Medicine a bit easier. Thank goodness for that, since many other factors have appeared through the years that have had the opposite effect. So with this episode, let the bitchin' begin!
2019-07-3020 min
Talk World RadioTalk Nation Radio: Donald McInnis on Miranda Rights for ChildrenDonald E. McInnis is the author of She's So Cold: Murder, Accusations, and the System that Devastated a Family. He is a California criminal defense attorney, and he represented one of the three accused boys, Aaron Houser, in the Stephanie Crowe murder case. Over the span of his 40-year legal career, Mr. McInnis has worked alternately for the prosecution and for the defense, having served as a deputy district attorney for two California counties and as a deputy public defender for one California county during his early professional years. His website is https://donaldmcinnis.com
2019-07-0929 minPodcast of ExBEMForty Years of Change in Emergency Medicine-The GoodDuring four decades of emergency medicine practice much has changed. In this podcast I describe what my experience has taught are some of the most beneficial changes that have improved the day-to-day practice of emergency medicine.
2019-06-3020 minPodcast of ExBEMQuieting the Boogeyman-Defending against Defensive MedicineThe boogey man's voice that is forever urging us to tread cautiously is a part of us, so how can we escape his influence? We can't. But we can balance it, making it less oppressive and allowing us to practice more confidently and less defensively. I present several strategies that experience has taught me to accomplish this.
2019-06-0120 minPodcast of ExBEMThe Origins of Our Boogie MenWe go to work each day accompanied by a boogie man whose ceaseless demands that we be cautious can become overbearing. His influence sows seeds of doubt and nurtures within us a paralyzing anxiety that interferes with our decision-making and can expose our patients to harm. In this episode I discuss his genesis.
2019-04-2918 minPodcast of ExBEMForsaking "Do no harm" for "Keep your job"How did we get to a point where emergency specialist's are having to choose between providing patient care or being sanctioned by their employers and hospitals? In this episode I conclude my discussion of the hijacking of the management sepsis by the surviving sepsis campaign and how this harms unsuspecting patients.
2019-03-3119 min
Big Picture of the Old TestamentPodcast of ExBEM Episode 15: How Sepsis Was Reinvented To Sell A DrugIn the early 2000's a pharmaceutical giant began a marketing campaign that re-defined sepsis and its management. In this episode are review this sordid interaction between money and medicine.
2019-03-0116 minPodcast of ExBEMHow's sepsis was reinvented to sell a drugIn the early 2000's a pharmaceutical giant began a marketing campaign that re-defined sepsis and its management. In this episode are review this sordid interaction between money and medicine.
2019-03-0116 minBig Picture of the Old TestamentPodcast of ExBEM Episode 14: The Evolution of Sepsis Management - Marching Backward?During my 30 year practice of emergency medicine, sepsis has transitioned from being a descriptive term for a patient being overwhelmed by infection into a distinct disease process. Unfortunately this has lead to serious problems. In this episode I discuss my experience witnessing this transition and how is this change evolved.
2019-01-3020 minPodcast of ExBEMThe Evolution of Sepsis Management - Marching Backward?During my 30 year practice of emergency medicine, sepsis has transitioned from being a descriptive term for a patient being overwhelmed by infection into a distinct disease process. Unfortunately this has lead to serious problems. In this episode I discuss my experience witnessing this transition and how is this change evolved.
2019-01-3020 minBig Picture of the Old TestamentPodcast of ExBEM Episode 13: Going Beyond "There's Nothing Wrong With You"Many patients present to our emergency departments with worrisome symptoms, but we physicians can find no objective evidence that they have disease. In this episode, I present a hypothesis to explain what is causing this confusing situation. By offering our patients an understandable explanation for what is happening to them we can more effectively reassure them and begin the journey toward relief.
2018-12-3122 minPodcast of ExBEMGoing Beyond "There's Nothing Wrong With You"Many patients present to our emergency departments with worrisome symptoms, but we physicians can find no objective evidence that they have disease. In this episode, I present a hypothesis to explain what is causing this confusing situation. By offering our patients an understandable explanation for what is happening to them we can more effectively reassure them and begin the journey toward relief.
2018-12-3122 minBig Picture of the Old TestamentPodcast of ExBEM Episode 12: "Seeing" Invisible DiseaseEach day emergency physicians see patients whose potentially serious symptoms cannot be explained after comprehensive evaluations. These patients seemingly have invisible disease. Many such patients return repeatedly convinced they have, as yet, undiagnosed dire medical conditions. Just what is going on?
2018-12-0116 minPodcast of ExBEM"Seeing" Invisible DiseaseEach day emergency physicians see patients whose potentially serious symptoms cannot be explained after comprehensive evaluations. These patients seemingly have invisible disease. Many such patients return repeatedly convinced they have, as yet, undiagnosed dire medical conditions. Just what is going on?
2018-12-0116 minBig Picture of the Old TestamentPodcast of ExBEM Episode 11: Eliminating the "Poor Historian"We must extract critical information from those who come to us despite difficult circumstances. In this episode I discuss lessons derived from taking 200,000 histories from patients and identify several questions that have helped me clarify confusing patient encounters.
2018-10-3118 minBig Picture of the Old TestamentPodcast of ExBEM Episode 11: Eliminating the "Poor Historian"We must extract critical information from those who come to us despite difficult circumstances. In this episode I discuss lessons derived from taking 200,000 histories from patients and identify several questions that have helped me clarify confusing patient encounters.
2018-10-3119 minBig Picture of the Old TestamentPodcast of ExBEM Episode 11: Eliminating the "Poor Historian"We must extract critical information from those who come to us despite difficult circumstances. In this episode I discuss lessons derived from taking 200,000 histories from patients and identify several questions that have helped me clarify confusing patient encounters.
2018-10-3119 minPodcast of ExBEMEliminating the "poor historians" from our practiceWe must extract critical information from those who come to us despite difficult circumstances. In this episode I discuss lessons derived from taking 200,000 histories from patients and identify several questions that have helped me clarify confusing patient encounters.
2018-10-3119 minPodcast of ExBEMThe Best Test?Wouldn't it be great if there were a test available that could reliably tell the emergency physician how far down the slippery slope toward death the unstable patient before him/her had progressed? Oh wait, we have one. Why are we are being told not to use it?
2018-09-2918 minPodcast of ExBEMDefending our role as expertsOur specialty faces threats from without and from within. In this episode these threats are further examined and methods of defending our specialty and ourselves are discussed.
2018-08-3020 minPodcast of ExBEMThe Greatest Threat to Emergency MedicineAlthough younger emergency physicians may not recognize it, our specialty is under siege. From the perspective of 30 years of practice I discuss how the primary skill which makes a specialists is becoming devalued in a misguided quest help us "improve our practice" by those who have other agendas.
2018-08-0221 minPodcast of ExBEMThe Real Solution to the Addiction crisisPressure is mounting for physician support for "medically assisted treatment" for those with addiction. Unfortunately, in actuality, this strategy results in disease perpetuation, keeping our patients dependent and sick. True recovery however is possible and enjoyed by millions. In this episode I outline the components of effective treatment of addiction and how the emergency physician can introduce these concepts when their patient expresses interest in achieving recovery.
2018-07-0325 minPodcast of ExBEMUnderstanding and Diagnosing AddictionAre emergency physicians missing an opportunity to diagnose a potentially life-threatening disease because we have no clear understanding of the nature of that disease? I believe that this is the case but that it doesn't have to be this way.
2018-05-3122 minPodcast of ExBEMThe Art of Treating PainDespite what emergency physicians have been led to believe, treating symptoms is important...just ask your patients. What's more is that it is no one size fits all. In this podcast I reveal the secrets to pain management you won't hear elsewhere.
2018-05-0218 minPodcast of ExBEMThe nonemergency emergency - asymptomatic high blood pressureIn this podcast I conclude my discussion of hypertension and describe management of patients whose only reason for coming to the emergency department is a disturbing reading from their home blood pressure monitoring devices.
2018-04-0215 minPodcast of ExBEMIs my hypertensive patient about to explode?What if everything you thought you knew about something as basic as high blood pressure turned out to be wrong? In this episode I discuss my experience with a seismic shift in my understanding of hypertension and how this has fundamentally changed my practice.
2018-02-2821 minPodcast of ExBEMIt is time to move beyond ACLSLet the heresy begin! In this month's episode I discussed how my experience of running thousands of codes has convinced me that training hospital personnel in ACLS is doing more harm than good for our patients.
2018-01-2923 min
Podcast of ExBEMPodcast of ExBEM Episode 1 Intro and BurnoutIn this inaugural episode I discuss the concept of experience based emergency medicine practice. I also offer three important lessons learned from 35 years experience that have been essential in combating burnout.
2018-01-0124 min
The Truth Be Told Podcast - Hip Hop Podcast - Album ReviewsKanye vs Jay Z, Drake vs Pusha T, Azealia vs Russell Crowe & The Walking Dead CLICK HERE TO SUPPORT US ON PATREON In this episode we talk about the Kanye West & Jay Z beef and what the issue might be. What would happen with a Watch The Throne 2, what would've been the sequel to Niggas in Paris and more. We also talked about the debate last week, bad hombres, why people don't like Donald Trump and some of the Wikileaks coming out against Hillary Clinton. DDoS attacks shut down big parts of the internet and we don't like it. And when conservative media creates the war between media and truth.
2016-10-251h 31
Nick CroweE=MC2 - Big Audio Dynamite (Cover)-The ConoCover Version of Big Audio Dynamite track "E=MC2"
This song was inspired by films directed by Nicolas Roeg, including Performance (written & co-directed by Donald Cammell), Walkabout, Don't Look Now, The Man Who Fell to Earth, and Insignificance. Its lyrics refer directly to many of them.
2015-09-0305 min
How Positive Are You PodcastEpisode 102: Freedom to Practice Medicine – Drs. Jane Orient and Donald Miller Defend the Hippocratic Oath to ‘Do No Harm’Whether you're “positive” or “negative,” how unbiased will a doctor's judgment on your condition be? Drs. Jane Orient and Donald Miller expose the dire, Kafka-esque situation in American medicine that two independent medical associations address.
2015-05-1852 minHow Positive Are You PodcastEpisode 102: Freedom to Practice Medicine – Drs. Jane Orient and Donald Miller Defend the Hippocratic Oath to ‘Do No Harm’Whether you're “positive” or “negative,” how unbiased will a doctor's judgment on your condition be? Drs. Jane Orient and Donald Miller expose the dire, Kafka-esque situation in American medicine that two independent medical associations address.
2015-05-1852 min