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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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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Targeted Temperature Management (TTM) & Post-Arrest Care
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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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In atrial fibrillation (A-Fib) and atrial flutter (A-Flutter) the electrical impulse for cardiac contraction is in the atria but isn't the normal pacemaker of the heart, the SA node. The ECG characteristics of A-Fib and A-Flutter. Recognition and treatment of unstable patients in A-Fib/Flutter with rapid ventricular response (RVR). Suggested energy…
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We're excited to share our much anticipated appraisals episode featuring More from Les with Les Wolff! We hope you enjoy this fun episode, packed with hobby news, TTM Returns, and Les's expertise.By TTMCast hosted by Jeff Baker
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Tablets & Toxins as a H&T Reversible Cause of Cardiac Arrest
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As an ACLS provider you do not need to be familiar with all of the different signs of various types of poisoning. You should be able to obtain a history and know to order toxicology. The majority of toxins don’t have a specific antidote. There are a few toxins for which we have emergency interventions and ACLS providers should be familiar with. Rev…
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The ACLS algorithms are designed to make it easier to remember the key interventions we should deliver, and the order in which they should be delivered, to provide the best evidence-based care possible. Generally speaking, if there’s a change in a patient’s condition, we should ensure we’re using the correct algorithm. Three key points to remember …
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Beta blocking medications attach to Beta receptors to inhibit or “block” the effects of epinephrine (adrenaline)and norepinephrine in the body. The primary locations of Beta I, II, and III receptors. Effects of epinephrine & norepinephrine’s stimulation of beta receptors on the heart. Beta blockers effects on the heart. When we should consider the …
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This episode we are reviewing the use of advanced airways in the adult cardiac arrest algorithm. When we should consider insertion of an advanced airway for patients in a shockable vs non-shockable rhythm. In addition to an endotracheal tube (ETT), other ACLS advanced airways include the Laryngeal Mask Airway (LMA) and the Laryngeal Tube airway. Th…
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Our primary focus immediately following return of spontaneous circulation (ROSC) is aimed at ensuring adequate perfusion of the patient’s vital organs and decreasing cerebral damage. Post-arrest goals for O2 saturation, ETCO2, and BP/MAP. Indications for use of an antiarrhythmic after ROSC. Determining which antiarrhythmic to use post cardiac arres…
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S6 E33: Collector's Corner with Belinda Wheeler!
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Drew and Troy are back with another fun-filled episode, featuring a fantastic Collector's Corner segment with longtime collector and founder of WannaShuffle, Belinda Wheeler!By TTMCast hosted by Jeff Baker
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Hydrogen Ions as a H&T Reversible Cause of Cardiac Arrest
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Hydrogen ions is on one of the Hs in ACLS's H&T reversible causes of cardiac arrest. When considering hydrogen ions as a cause, what we’re looking at is the patient’s pH, or acid/base balance, and conditions that affect it. The body's normal pH. Using patient history, ABGs, & labs to determine acidosis or alkalosis. Common conditions/causes that ma…
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Code Flow Using the Adult Cardiac Arrest Algorithm
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Being the team leader during a cardiac arrest is challenging. Using an algorithm helps by standardizing & prioritizing our interventions using an If/Then methodology. Review of BLS steps for determining if rescue breathing or CPR is needed and use of an AED for patients in cardiac arrest. If the patient is in a non-shockable rhythm on the ECG such …
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For patients exhibiting symptoms consistent with myocardial ischemia, Aspirin is the first medications we should consider along with morphine, oxygen, and nitroglycerine; if indicated & safe. Aspirin's mechanism of action & benefits for Acute Coronary Syndrome (ACS) patients. Contraindications and considerations for aspirin’s use. The dose and rout…
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To pass ACLS, you will need to be able to identify common rhythms on a monitor during your mega code and ECG strips on your written exam. If you don't normally monitor patients as part of your job, I suggest two things: 1. Find a system for ECG interpretation that works well for you; and 2. Practice reading ECGs every day for a few weeks before you…
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In the Adult Cardiac Arrest algorithm, we should administer an antiarrhythmic medication to patients in V-Fib or pulseless ventricular tachycardia approximately two minutes after the first dose of epinephrine. The two first-line ACLS antiarrhythmics that are generally used are Amiodarone and Lidocaine. Review of Lidocaine dosing and administration …
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S6 E32: Clemente's World! Upper Deck, Fanatics Fest, and More
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Drew talks with Clemente Lisi in Clemente's World about the 2024-2025 Upper Deck MVP hockey set and his experience at Fanatics Fest. Troy is once again in the co-host seat as we cover all your favorite segments!By TTMCast hosted by Jeff Baker
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The tongue is the most common airway obstruction in an unconscious patient. For patients with a decreased level of consciousness that can't control their airway, yet have an intact gag reflex, the nasopharyngeal airway (NPA) should be used as an alternative to the oropharyngeal airway (OPA). Examples of when a NPA should be considered. Contraindica…
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Tamponade as an H&T Reversible Cause of Cardiac Arrest
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When blood, or other fluids, accumulate in the sac around the heart it’s called a cardiac tamponade or pericardial tamponade. The effects of tamponade on the electrical system and chambers of the heart. Cardiac tamponade can be acute or chronic and caused by traumatic, iatrogenic, or pathological etiologies. Common traumatic events, medical procedu…
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Team Leader and Use of Quick Reference Cards
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Two things have changed in recent years to aid students that don't use ACLS in their daily practice. 1. The role of the team leader; and 2. The ability to use your quick reference cards. The team leader is responsible for assigning tasks and overall direction of the team but can & should ask team members for help. Using closed-loop communication to…
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The Importance of Early CPR & Defibrillation
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Two factors to cardiac arrest survivability that have been clearly shown to make the biggest difference is continuous, high-quality CPR and early defibrillation. The most common dysrhythmia present during the first few minutes of cardiac arrest is ventricular fibrillation (VF). The chance of successful defibrillation decreases every minute that pas…
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Quantitative Waveform Capnography Use in ACLS
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Quantitative waveform capnography is used in ACLS as a way to confirm good CPR and placement of an endotracheal tube; identify return of spontaneous circulation; and during post-cardiac arrest care. We can use waveform capnography with, and without, an advanced airway in place. Monitoring end tidal CO2 during rescue breathing. Use of capnography to…
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S6 E31: Crash Course in Card Grading
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In this lucky 31st episode on the 31st, Drew and Troy answer listener questions and give their recommendations for getting your cards graded. They also bring you hobby news, our exclusive Big 3 grading numbers, and more!By TTMCast hosted by Jeff Baker
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Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT. Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients. Commonly used vagal techniques. A less common technique to stimulate the vagus nerve is the dive reflex. Indication…
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Energy Settings for Defibrillation & Synchronized Cardioversion
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Remembering all the different energy setting needed for synchronized cardioversion and defibrillation used to be confusing for a lot of people. Defibrillators can be broken down into three basic categories: 1. Automated External Defibrillator (AED); 2. Biphasic defibrillators; and 3. Monophasic defibrillators. Use of an AED to rapidly deliver a sho…
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Identification and Treatment of Unstable Bradycardia
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Patients with a heart rate less than 60 are bradycardic. Some people can have a resting heart rate in the 40s without any compromise. For others, a heart rate of 50 or less could signify the need for immediate intervention and warrants additional assessment. Signs & symptoms that indicate a bradycardic patient is unstable. Monitoring oxygen saturat…
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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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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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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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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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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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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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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
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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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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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