TTM stands for Talk To Me. Where we laugh and discuss topics that some people may be afraid to talk about!
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Your sports collectibles podcast. We talk TTM (Through the Mail), collecting, autographs and more with former athletes, fellow collectors and hobby experts. New shows posted every Wednesday and Saturday.
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3 men 3 mics and 3 topics
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Welcome to Penn Medicine's TTM Academy Podcast! Send ideas for new topics to TTMtraining@pennmedicine.upenn.edu Learn more about TTM Academy: www.med.upenn.edu/resuscitation/ttm-academy.html ** TTM Academy podcasts are intended for medical education only and should not be used for clinical decision making.
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Trust The Machine produces techno. Here you can hear the archive of the TTM show and the lockdown live sessions.
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Two best friends who are previous law enforcement officers seek to highlight active missing person cases in Texas. Contact kate@thetexasmissing.org for case recommendations.
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Even in our darkest moments, it's a good reminder to know God is there. Through the active power of God, we are able to find hope and strength in overcoming TTM. As my own courage rises, I want to be more translucent for you. I will be sharing my blog posts, my stories, and tactics I have used to help me overcome TTM. Overcoming TTM does not happen in a moment. Overcoming TTM is a daily choice. Healing is a journey, it's resisting and exchanging for a better way of life. www.imperfectionatbe ...
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Join the Strangers collective on an exploration of the geeksphere. A bi-weekly podcast for fans of movies, tv, pop culture and witty banter! Each episode is hosted by a different member of the team, who sets the theme for discussion. Get involved by suggesting a theme at https://www.facebook.com/Strangerstothemultiplex
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“Things That Matter,” features insightful conversations between Pastor Brian Brodersen and various guests from around the world on important topics in theology, ministry, current events and culture.
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I'm Paul from PassACLS.com and I'm here to help you pass ACLS. Like an audio flash card, this podcast is intended to aid any medical professional preparing for an Advanced Cardiovascular Life Support (ACLS) class. Each one-to-nine minute episode covers one of the skills needed to recognize a stroke or cardiac emergency and work as a high performing team to deliver safe, quality patient care. Listening to a tip a day for 14-30 days prior to your ACLS class will help cement the core concepts t ...
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Two best friends discussing everything and anything from personal life, music, politics, Beyoncé and general silly-ness. Based in Manchester, UK.
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CBCEMP is a provider group devoted to progressive thinking and continued education in patient care and best practice. CBCEMP is non-agency affiliated, and our focus is on providers and issues that affect Boone County, MO. CBCEMP is multi-disciplinary, having members of a multitude of licensure levels and agency participation. #FOAM #FOAMed #FOAMems #EMS #EMT #Paramedic #Prehospital #CBCEMP
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Titus 2 Minute: A bite-sized podcast for Christian women
Jami Balmet: Christian Homemaker, Wife, and Mother to 2 Sets of Twin Boys
Welcome to the Titus 2 Minute - a bite sized podcast that gives you the tools, inspiration, and encouragement you need to craft a Gospel-Centered Home. Join host Jami Balmet as she interviews Christian women in all aspects of Biblical Womanhood and Homemaking!
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SHOW RETIRED NOV 2023. In each episode, Michael strives to make learning about technology both fun and informative, whilst staying focused on the topic at hand. In his quest to explore the history of technology, he also uncovers the stories behind cutting-edge tech and sometimes delves into the lives of the visionary inventors who made their mark in this tech driven world. So book a journey on the Technology Time Machine now by subscribing and following. A MICRO BREAK production. Support thi ...
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Post-Arrest Care & Targeted Temperature Management (TTM)
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The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved. Post-arrest care and recovery are the final two links in the chain of survival. Identification of ROSC during CPR. Initial patient management goals after identifying ROSC. The patient’s GCS/LOC should be evaluated to determine …
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The chain of survival for ACLS is the same as was learned in your BLS class. The beginning steps of the Cardiac Emergency and Stroke chain of survival. ACLS's timed goals for first medical contact to PCI for STEMI and door-to-needle for ischemic stroke. Characteristics of areas that have significantly better stroke and out-of-hospital cardiac arres…
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In this advice packed episode, Drew Pelto is joined by Troy Rutter in the cohost seat again to answer listener questions, share hobby news, and talk about signing etiquette in Grapher DIY!By TTMCast hosted by Jeff Baker
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H&T Reversible Causes of Cardiac Arrest: Hypokalemia & Hyperkalemia
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Heart muscle contraction and repolarization is dependent on Sodium, Calcium, Magnesium, and Potassium ions crossing cellular membranes. When a patient’s potassium levels get too low or too high, hypokalemia or hyperkalemia results respectively. Two things that may lead us to suspect hypo or hyperkalemia. Medical conditions & medications that can ca…
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When treating patients having an MI or stroke, more minutes equals more dead cells. Because the majority of strokes are the ischemic type, the treatment for stroke is similar to an MI – to reestablish perfusion to the ischemic tissues. Review the first four steps in the Stroke Chain of Survival. Time criteria for the administration of tPA (or a sim…
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Adenosine is the first IV medication given to stable patients with sustained supraventricular tachycardia (SVT) refractory to vagal maneuvers. Symptoms indicating a stable vs unstable patient. Common causes of tachycardia. Cardiac effects of Adenosine. Indications for use in the ACLS Tachycardia algorithm. Considerations and contraindications. Aden…
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Recognition of Second Degree Heart Blocks and Possible Interventions
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To pass the written ACLS exam and mega code, students need to be able to identify basic ECG dysrhythmias, including the two types of second-degree heart block. One method of ECG rhythm identification is to ask a series of questions such as: What's the rate (<60, 60-100, 101-149, or >150); Is the rhythm regular or irregular; What's the shape, width,…
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When treating patients with Acute Coronary Syndrome (ACS), MONA is an acronym sometimes used to help us remember the initial interventions. The O in MONA is Oxygen. When we should administer oxygen to ACS patients. When O2 administration is unnecessary based on an accurate pulse ox. Monitoring patient's oxygen saturation (SaO2) using a pulse oximet…
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Drew Pelto is joined once again with Troy Rutter in the co-host seat! In this week's episode, they answer listener questions, bring you hobby news, and chat with Les Wolff about his experience at the Cleveland National in More from Les!By TTMCast hosted by Jeff Baker
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Along with early defibrillation, high quality CPR with minimal interruptions is one of the two factors that has been shown to improve cardiac arrest outcomes. How do we know if high quality, effective CPR is being performed? Objective measures of good, high-quality CPR include: Compression rate; Compression depth & recoil; ETCO2; and Chest Compress…
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Review of Atropine & Dopamine for Unstable Bradycardia
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When we should use the bradycardia algorithm. The signs & symptoms of unstable bradycardia. Atropine's bradycardic dose and maximum. The use of atropine when a patient is in a second degree type II or third degree heart block. ECG changes that indicate subsequent doses of atropine are likely to be ineffective. The starting dose of Dopamine. The use…
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The tongue is the most common airway obstruction in an unconscious patient. Insertion an oropharyngeal airway helps keep the patient’s tongue from falling to the back of the pharynx, causing an airway obstruction. The oropharyngeal airway is sometimes called an OPA or simply an oral airway. Indications for using an oral airway. Contraindication for…
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Hypoxia: An H&T Reversible Cause of Cardiac Arrest
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Hypoxia is a state of low oxygen levels in the blood. Determining hypoxia using a pulse oximeter or arterial blood gasses (ABGs). A goal of ACLS is to recognize signs of hypoxia and provide timely treatment to prevent an arrest. Examples of some things that might lead us to think of hypoxia as a cause of cardiac arrest. Why we should not rely on pu…
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Sinus Tachycardia vs. Supraventricular Tachycardia (SVT)
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ECG characteristics of supraventricular tachycardia (SVT) vs. sinus tachycardia. Signs & symptoms that indicate a patient is unstable. Delivery of a synchronized shock for the treatment of unstable SVT using a biphasic vs monophasic defibrillator. Consideration for team safety while performing synchronized cardioversion. Actions to take immediately…
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S6 E28: Collector's Corner with Dan Ogilvy
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We’ve got Troy Rutter back in the co-host seat this week! Drew and Troy share hobby news and TTM returns, check in with Arron Littleton On the Road, and interview Cleveland Indians and Guardians collector, Dan Ogilvy, in this month’s Collector’s Corner!By TTMCast hosted by Jeff Baker
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When working to resuscitate a patient in sudden cardiac arrest, Epinephrine is the first IV medication we administer. When we give the first dose of epinephrine depends on whether the patient is in a shockable or non-shockable rhythm. When to give the first dose of epinephrine and its frequency for patients in asystole or PEA following the right si…
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If a person suddenly develops symptoms such as weakness, slurred or garbled speech, loss of balance, or a massive & severe headache; it’s possible they could be having a stroke. The Cincinnati Prehospital Stroke Scale. There are several conditions that can mimic a stroke. Identification & treatment of hypoglycemia or hyperglycemia. Identification &…
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Alternative Routes for Medication Administration - IO & ETT
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Most ACLS medications are given IV push. But, what happens if we can't get an IV? Why IO is better than ETT as an alternative route. The locations we should place an IO when running a code and a location we should avoid. The ACLS medications that can be given intraosseous. Where you can find more information about intraosseous access during resusci…
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EMS and Transportation to the Most Appropriate Facility
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The chain of survival for a cardiac emergency and stroke start the same: preparedness & recognition of an emergency; activation of EMS; delivery of Advanced Life Support; and transporting to the most appropriate facility. ALS ambulances are staffed with paramedics who have training in ACLS skills. Why EMS "Destination Protocols" for suspected strok…
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Performing good CPR and delivering a shock as soon as possible to a patient in Ventricular Fibrillation or pulseless V-Tach are the two most critical interventions that have been shown to increase survival from sudden cardiac arrest. Studies have demonstrated significantly better out-of-hospital cardiac arrest survival outcomes in communities with …
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S6 E27: Clemente's National Review, On the Road, and Sal Barry!
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This episode is absolutely packed with great segments! Clemente Lisi gives his review of the Cleveland National in Clemente's World, Arron Littleton joins us from California in On the Road part II, and Drew is joined by special guest co-host Sal Barry from the Puck Junk Podcast!By TTMCast hosted by Jeff Baker
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Cardiac Arrest Algorithm: Asystole & Pulseless Electrical Activity (PEA)
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For apneic patients without a carotid pulse or patients with only gasping/agonal respirations, we will follow the Adult Cardiac Arrest algorithm. For pulseless patients that the AED doesn't advise a shock, the patient's ECG shows asystole, or a non-perfusing organized rhythm (PEA), we will follow the right side of the Adult Cardiac Arrest algorithm…
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Providing good, high-quality CPR with minimal interruptions and early defibrillation are two key interventions shown to improved cardiac arrest outcomes. A training tool used in many CPR and ACLS classes is to use a song (or a song list) with a tempo of 100 to 120 beats per minute to help the person doing chest compressions maintain an adequate rat…
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A patient’s medical history will help us identify things that may be causing (or contributing) to their current condition as well as guide our decisions so we provide the safest evidence-based care possible. Examples of information obtained in a medical history that will impact the treatment we provide. There are several mnemonics and memory aids t…
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Although magnesium can be used in the treatment of other medical conditions such as eclampsia, asthma, & digitalis toxicity; for ACLS, magnesium is primarily used to treat Torsades de Pointes. Identification of Torsades on the ECG. Administration of a magnesium infusion for stable patients vs slow IV push for patients in cardiac arrest. Procainamid…
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Hypovolemia as an H&T Cause of Cardiac Arrest
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When a patient loses excessive amounts of fluids, we say that they are in a state of hypovolemia. The most obvious cause of hypovolemia is from bleeding. Bleeding can be internal or external and caused by trauma, pathology, or iatrogenic. Classic signs & symptoms of hypovolemic shock. Volume replacement with crystalloids vs blood. Connect with me: …
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S6 E26: On the Road with Arron Littleton!
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We’ve got an amazing episode for you this week! Drew is joined by returning co-host, Lee Alexander, featuring a special new segment On The Road with Arron Littleton. Drew and Lee talk Olympics opening events, autograph tips, share our exclusive Big 3 numbers, and more in this week’s show!By TTMCast hosted by Jeff Baker
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MONA is the acronym sometimes used to help us remember the interventions to consider for patients with Acute Coronary Syndrome or ACS. Morphine's use in the Acute Coronary Syndrome (ACS) algorithm. Why Morphine is helpful for patients with ACS. Contraindications and considerations for the safe administration of Morphine. Morphine as an alternative …
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Maintaining a Chest Compression Fraction (CCF) Above 80%
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Even good CPR is far less efficient at circulating blood than a functioning heart. The indicators of high-quality CPR that were identified at the 2012 AHA CPR Quality Summit in order of importance include: Chest compression fraction (CCF); Chest compression rate; Chest compression depth; Allowing for full recoil; and Adequate ventilations. Using re…
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Epinephrine and Dopamine are adrenergic agonist used in several ACLS algorithms. The use of epinephrine for severe anaphylaxis and unstable bradycardia. Review epinephrine’s effects on blood vessels and bronchioles. Why epinephrine is helpful for patients with anaphylaxis. Using an epi drip for unstable bradycardia. Epinephrine administration durin…
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Providing rescue breathing to apneic patients with a palpable pulse. Normal end tidal CO2 for patients with a pulse. Identification of cardiac arrest and our immediate actions. Providing artificial ventilations during CPR without an advanced airway vs with an advanced airway in place. Using quantitative waveform capnography to confirm placement of …
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Hypothermia as an H&T Reversible Cause of Cardiac Arrest
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Hypothermic patients aren't dead until they are warm and dead. When a patient’s core body temperature drops below 96.8 F (36 C), they are hypothermic. As the body’s temperature drops below 36 C, hypothermia may further be classified as moderate or severe: Moderate if the patient’s body core temp is between 30-34 C; and Severe if it's below 30 C. Mo…
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S6 E25: Nationals Week, More from Les, and All Star Village
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Drew and Troy bring you a special episode this week! Featuring More From Les with Les Wolff, plus a special a cameo from Arron Littleton! This extra long episode is packed with tips and info about the National, stories from the All Star Village, and lots of hobby news.By TTMCast hosted by Jeff Baker
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Calcium is one of the ions that move across the cellular membrane during cardiac contraction and relaxation. The primary use of calcium channel blockers in ACLS is for the treatment of stable, narrow complex tachycardias refractory to Adenosine and to lower the blood pressure of ischemic stroke patients with severe hypertension. Use of calcium chan…
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Post-Arrest Care & Targeted Temperature Management (TTM)
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The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved. Post-arrest care and recovery are the final two links in the chain of survival. Identification of ROSC during CPR. Initial patient management goals after identifying ROSC. The patient’s GCS/LOC should be evaluated to determine …
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Nitroglycerine is vasodilator that affects peripheral blood vessels and coronary arteries. Because of its widespread dilation effects on blood vessels, nitro can quickly lower a patient’s blood pressure, sometimes to the point of making a patient hypotensive. Assessment of vital signs prior to administering nitro is necessary to ensure patient safe…
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S6 E24: Collector’s Corner with Kevin Jairaj!
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Listen to our great show this week to hear a fantastic Collector’s Corner interview with Sports Photographer, Editor, and Collector, Kevin Jairaj! Kevin shares his experience across all steps of the card making process. Drew and Troy talk hobby news, TTM returns, and our Exclusive Big 3 from GemRate.com…
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This week, Drew is joined by Co-host Troy Rutter to bring you hobby news and your regular favorite segments. Featuring Clemente's World! with Clemente Lisi talking hockey, soccer, and more!By TTMCast hosted by Jeff Baker
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Drew and Troy cohost this episode, bringing you helpful tips and tricks for prepping cards for the mail in our Grapher DIY! Segment. As always, they talk hobby news, answer listener questions, and share their TTM Returns.By TTMCast hosted by Jeff Baker
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Another great show for you this week! Drew Pelto is joined once again by Troy Rutter talking TTM returns, hobby news, and more!By TTMCast hosted by Jeff Baker
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S6 E20: Collector's Corner with Doug Barnes
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1:10:52
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Drew and Troy are back with another great episode answering questions from listeners and sharing their TTM returns. Featuring our conversation with longtime Topps Heritage collector, Doug Barnes, in Collector's Corner!By TTMCast hosted by Jeff Baker
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S6 E19: "Buckle Up, it's Going to be Fun!"
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Drew is joined by cohost Arron Littleton today! They answer listener questions, cover hobby news, and share their TTM returns. Featuring Clemente's World! with Clemente Lisi who talks about Stanley Cup Finals, soccer sets, and Joe Pavelski's retirement.By TTMCast hosted by Jeff Baker
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S6 E18: Grapher DIY! Large item TTMs and other signing Tips & Tricks
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This week, Drew is joined by co-host Troy Rutter! Featuring a great Grapher DIY segment where Drew shares helpful TTM tips and tricks he picked up from sending out over 3,600 TTMs. They answer listener questions and cover mailing large items and signing on photographs in this episode.By TTMCast hosted by Jeff Baker
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S6 E17: More from Les! Tom Brady Signing and Overpriced Autographs
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It's your favorite day of the week! We're back this Saturday with another great show! This episode, Drew is joined by cohost Arron Littleton as they share hobby news and TTM successes. They talk with hobby expert Les Wolff about the recent Brady signing and other overpriced signatures in our More From Les segment! Have thoughts about the show? Cont…
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S6 E16: Collector's Corner with Josh Durham
1:10:23
1:10:23
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This week, we have a special guest, Josh Durham, in Collector's Corner! He and Drew chat about collecting in the Texas area and how Josh shares his love of baseball with his son. Drew and Troy also bring you all your favorite segments with this week's hobby news and their TTM successes.By TTMCast hosted by Jeff Baker
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S6 E15: Clemente's World! Stanley Cup, Connor Bedard, Upper Deck
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1:09:07
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Drew and Troy are back with another great show for you this week! They share their mailbox successes, hobby news, and our exclusive Big 3 numbers from GemRate.com. Featuring Clemente’s World with Clemente Lisi, discussing the Stanley Cup Playoffs, the Connor Bedard Box Set, and the new Upper Deck Extended Series.…
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The episode you have all been waiting for. Join us as we deep dive into everything Cowboy Carter. Yeehaaaw! Instagram: https://www.instagram.com/teamtoomuchpodcast/By Dom & Iben
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Season 6 Episode 14: More from Les - Fanatics & the future of the hobby
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This week Drew is joined by guest co-host Arron Littleton as they share sports collectibles news, our exclusive Big 3 numbers from GemRate, and their TTM returns. Featuring a great More from Les segment with Les Wolff, talking the future of the hobby under Fanatics!By TTMCast hosted by Jeff Baker
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Season 6 Episode 13: Collector's Corner with Andrew Loewe and Big 3 with Ryan Stuczynski!
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This episode features a special guest cohost, Paul Buxton! We've got a fantastic Collector's Corner segment with Andrew Loewe this week! Drew is also joined by GemRate's Ryan Stuczynski for our exclusive Big 3 Segment. Great segments fill the lucky Baker's Dozen thirteenth episode of Season 6.By TTMCast hosted by Jeff Baker
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Season 6 Episode 12: Clemente's World! Hockey Rookies
1:09:39
1:09:39
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We're back with another great show for you! This week, Drew and Troy are joined by Clemente Lisi in Clemente's World! Listen to join their conversation about Hockey Rookies (other than Connor Bedard) to keep an eye on. Drew and Troy also cover all your favorite segments and share their TTM successes for the week!…
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