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Timely consultations relevant for family medicine, primary care, and general internal medicine topics for physicians, nurse practitioners, physician assistants, and residents. Offering CME credit for most episodes at https://ce.mayo.edu/podcast. Produced by @MayoMedEd.
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The Cardiovascular CME podcast is a new educational offering from Mayo Clinic, featuring content geared towards physicians, physician assistants, and nurse practitioners who are interested in exploring a multitude of cardiology-related topics. Tune in and subscribe to explore today’s most pressing cardiology topics with your colleagues at Mayo Clinic and gain valuable insights that can be directly applied to your practice. No CME credit offered for podcast episodes at this time.
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Mayo Clinic Ophthalmology Podcast, hosted by Dr. Erick Bothun and Dr. Andrea Tooley, takes us through the latest and greatest in ophthalmology from the lens of an academic institution, Mayo Clinic. We look forward to bringing guests from across the globe to discuss ophthalmology and various subsets of medicine.
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A weekly podcast for pharmacists, physicians, physician assistants, and nurse practitioners who are interested in learning more about clinical pharmacology topics. To claim pharmacology CE credit or to get a copy of presentation slides, visit https://ce.mayo.edu/pharmacypodcast. Produced by @MayoMedEd. Hosted by @garrett_schramm.
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"Aging Forward" brings you expert conversations on healthy aging and geriatric medicine, so you can embrace older age with vitality and joy. Learn about the science of aging and discover strategies for healthy habits, preventive care, caregiving, and living your best life.
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Lab Medicine Rounds

Mayo Clinic Laboratories

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A Mayo Clinic podcast for laboratory professionals, physicians, and students, hosted by Justin Kreuter, M.D., assistant professor of laboratory medicine and pathology at Mayo Clinic, featuring educational topics and insightful takeaways to apply in your practice.
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Mayo Clinic Healh Matters brings you the latest medical advice, news and research to help you live a happier, healthier life. Join host Kristen Meinzer in conversation with Mayo Clinic’s leading medical experts as she asks all the questions you’re eager to (or maybe even afraid to) ask, letting curiosity lead the way. Wondering if you might have ADHD? Or how your pet affects your health? Be part of an informative—and fun—discussion about one of the most important topics: your health.
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Mayo Clinic Clear Approach

Mayo Clinic Aerospace Medicine

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Mayo Clinic Clear Approach tackles medical topics important to commercial aviators, recreational pilots, or just folks interested in things that fly. Current topics from the Federal Aviation Administration (FAA), National Transportation Safety Board (NTSB), and aviation trends are explored in a serious but sometimes humorous way. Mayo Clinic Clear Approach focuses on a perspective from "the other side of the gurney." Let us navigate the storms of aeromedical certification, medical issues tha ...
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"Mayo Clinic on Nutrition" digs into the latest nutrition trends and research to help you understand what’s health, and what’s hype. Together with Mayo Clinic dietitian Tara Schmidt, we’ll unravel the complexities of modern diets, offer evidence-based nutritional advice, and debunk common myths about the things we eat. Whether you want to understand a dietary concern, manage your weight, or simply eat better, we’ll learn how to make nutrition choices to not just eat well, but be well.
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"Mayo Clinic Kids" draws on the latest pediatric research and recommendations to help you keep the kids in your life laughing and thriving. Join host Dr. Angela Mattke—a Mayo Clinic pediatrician and parent—as she tackles concerns for kids of all ages. Wondering about whether your kid should play football? Or how to talk to your kid about menstrual health? Dr. Mattke talks to leading health and wellness professionals about top-of-mind issues, so you can help your kids grow into healthy, happy ...
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Hosts, Alex Finch, MD and Venk Bellamkonda, MD explore topics relevant to the practice, education or research of emergency medicine. Enjoy interviews with people on the front lines, thought leaders from around the world, and the comedy and drama of life when it intersects with emergency care. Follow us on X: @AlwaysOnEM Email: AlwaysOnEM@gmail.com
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Leveraging the Laboratory

Mayo Clinic Laboratories

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A Mayo Clinic podcast for administrators, outreach managers, and laboratory professionals hosted by Jane Hermansen, outreach manager at Mayo Clinic Laboratories, on how to best leverage and optimize the laboratory for patients, clients, and staff. Note: Podcasts will not play back on Internet Explorer. Please use an alternative web browser or listen from your mobile device on a preferred listening app.
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Mayo Clinic is a unique place: the culture, the values, the people. "Mayo Clinic Employee Experiences" explores the experiences of Mayo Clinic staff as they navigate life personally and professionally. Sharing these experiences increases understanding of others and ultimately contributes to finding connections, belonging and inclusion at work.
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Take a journey through the bowels of your GI tract with Dr. Sameer Islam! Based out of Lubbock, Texas and trained at the Mayo Clinic, Dr. Islam provides insights and answers to the problems his patients see on a daily basis.
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Simply PM&R

Mayo Clinic

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Stay on top of your practice with podcasts from Mayo Clinic. Concise, relevant conversations with Mayo Clinic Physical Medicine and Rehabilitation experts. Working to add quality back to life.
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Join the conversation around Growth, Resilience, Inspiration, and Tenacity in medicine. We'll address the growing need for improved clinician wellness and development for a gender-balanced leadership healthcare team. Follow us on Twitter @MayoGRIT
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This podcast series focuses on in-depth conversations with researchers and physicians on discoveries and emerging science in precision medicine. Each episode features lively discussion between a Mayo Clinic colleague and guest from an external institution. We welcome your questions and comments, please email us at precisionpod@mayo.edu
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Welcome to the Wellness Connection MD podcast, where Dr. McMinn and Coach Lindsey become your partners on a quest for optimal wellness. Simply stated, our goal is to bring to you up-to-date, honest, vetted, unbiased, evidence-based information about health and wellness, along with practical solutions, in order to empower you to overcome your healthcare challenges, and to optimize your health in mind, body, and spirit. As our population ages, and we are faced with an alarming epidemic of chro ...
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The Calories is a three-part miniseries about calorie counting and weight loss. After losing 100 pounds in 2015, Max Lasser started to understand why just being told to "eat healthy and exercise" hadn't been working for him for the past 12 years. In interviews with four experts from the Mayo Clinic, Mt. Sinai hospital and more, The Calories outlines why losing weight is so hard and why calorie counting might make it just a little bit easier.
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Radiology Podcasts | RSNA

The Radiological Society of North America

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Radiology Podcast Editor Linda Chu, MD and guests discuss recently published research in the January 2021 Issue of Radiology. Subscribe today on Apple Podcasts, Google Play, Spotify, or ask Alexa to "play Radiology podcasts on TuneIn".
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KERCasts

KER Unit

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Victor Montori and other members of the Knowledge and Evaluation Research (KER) Unit at Mayo Clinic have conversations with people who are making difference in making care fit in the lives of patients. We talk about advocacy, practice and research, and we do so while we discover a bit about what makes these great people make the contributions they make. Most of the original episodes were broadcaster live so there is a section at the end when they answer questions from the public. To learn mo ...
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Aging Forward Podcast

Hosted by: Christina Chen, MD

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A podcast highlighting topics and conversations related to healthy aging and Geriatric medicine from experts in the field of geriatrics and community medicine at Mayo Clinic. Whether you are a learner/trainee, currently practicing in the healthcare field, a caregiver, or perhaps someone who is simply interested in learning more about the science of aging and how to improve your health span and quality of life- this podcast is for you.
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Gain insights from leaders as they discuss their experiences guiding the organizations that make Medical Alley the epicenter of health innovation and care. Join us for conversations with top healthcare CEOs, startup entrepreneurs, and other experts in healthcare community who are doing innovative work right here in Medical Alley.
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Long Live The Brains (LLTB) was created by Dr. Philip Tipton, a neurologist at the Mayo Clinic; and, it is currently produced & co-hosted by Dr. Tipton & Kandice Jacobs Robinson, Florida licensed funeral director and Dementia Friendly America Champion. Both Dr. Tipton & Kandice have a passion for neurodegenerative diseases, such as Alzheimer's and Parkinson's. These diseases are particularly cruel and can impair how a person moves, thinks, and responds to their environment. Neurodegenerative ...
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Is It Serious?

Ariel Nachman & Joey Brenneman

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Welcome to “Is It Serious?,” a conversational podcast where two top doctors pull back the curtain on the American healthcare system and answer all of your health concerns, one question at a time. Our doctor hosts, Jean Luc Neptune, MD and Mark Lewis, MD, share their medical knowledge in a fun, lighthearted chat while also getting to the root of the “question of the day.” They will discuss a range of topics covering everything from complex health issues to the absurdity of drug commercials. T ...
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The paradigm concept podcast is about all things that will help you run a productive and profitable oral surgery practice. On this show you will find new, efficient, and innovative ways to run your health care practice or business. Hear from top leaders in the oral surgery industry, CEOs of large corporations, and process owners. Paradigm Oral Health is comprised of elite, contemporary practices that are the leaders in their communities. We are an organization led and owned by surgeons passi ...
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Faces of Digital Health is a podcast about digital health, exploring how different healthcare systems adopt technologies in healthcare. Its aim is to satisfy curiosity about different cultures, identify barriers to success in different countries and finding answers and advice for accelerating the success of digital health entrepreneurs.
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The Doctor's Life

Dianne Ansari-Winn MD brings you discussions with doctors and researchers w

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The Doctor’s Life podcast features lively and candid discussions with fellow doctors and scientists on how to achieve success in clinical medicine and non-clinical careers while staying healthy in mind, body and spirit and living a rich, purposeful life. Your host, Dianne Ansari-Winn, MD, MPH is a Board Certified Anesthesiologist and nationally recognized author, speaker, and coach. Dr. Dianne is known for her powerful and practical coaching, which she shares with her exclusive one-on-one ph ...
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The Psychology Talk Podcast is a unique conversation about psychology around the globe. Your hosts Dr. Scott Hoye and licensed clinical professional counselor Kyle Miller talk about psychology with mental health practitioners and experts to keep you informed about issues and trends in the industry. Scott & Kyle also discuss mental health advocacy and work towards reducing the stigma of mental illness. Self, community, and quality of life: it's all about psychology. When you listen in, you mi ...
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Welcome to Doctor Mark Rowe's Podcast In The Doctor's Chair. Find out more at www.drmarkrowe.com our podcasts release a week early there and you can read hundreds of articles or watch videos on various topics. A Medical Doctor, Author, Tedx Speaker, Expertise in Burnout Prevention & Lifestyle Medicine. I Encourage & Support People To Live Their Best Lives Through Optimising Wellbeing, Vitality & Health Span.
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Nursing in America

AMN Healthcare International

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Inspirational conversations with inspirational nurses from all over the world who have made a new life in the United States - they reveal how they did it, and provide insider info you won’t find anywhere else. Here you’ll find all the knowledge and inspiration to live out your own American dream! You’ll also hear from experts, giving expert advice about making the transition yourself. If you’re thinking about making the step to living and working as a nurse in the USA, then why not enlist th ...
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Welcome to the Doctor Money Matters podcast. I am your host Dr. Tarang Patel, a practicing diagnostic radiologist in Phoenix, AZ. I started this podcast as a way to share knowledge about financial matters as they relate to health care professionals. We spent many years learning about the science and art of providing patient care but most of us have relatively little knowledge about reaching financial well being. I know that I had no formal training in setting up investment accounts, negotiat ...
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Many date the start of the field of Sleep Medicine to the discovery of REM sleep by Eugene Aserinsky and Nathaniel Kleitman in 1953. But was it actually discovered 27 years earlier by Russian investigators? In this podcast Dr. Michael Silber discusses the fascinating story of how REM sleep was identified and what this means for Sleep Medicine.…
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Around 20% of adults between ages 40 and 79 are taking five or more prescription drugs—and for older adults, the numbers are likely even higher. Our relationship to medication can change over the years: our bodies take longer to clear them from our system, and in some cases, side affects from medications lead to even more prescriptions! On this epi…
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Hosts: Chatura Alur, M.D., M.P.H. | Meghan G. Theofiles, M.D. Guest: Jenna N. Wygant, APRN, C.N.P., D.N.P. Welcome to our OB/GYN mini-series! “Help me OB/GYN! You’re my only hope”. Sometimes we encounter unexpected pregnancies as healthcare professionals and clinicians. To help us “skill-up” for those conversations, we have Jenna N. Wygant, APRN, C…
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America Out Loud PULSE with Dr. Vaughn & Dr. Tankersley – It has been several months since we spoke to anyone who recently received another poisonous shot. Hardly anyone is rolling up their sleeves for any more of the jabs. It's not because of a successful campaign by those on our side; it's because the vast majority of the American public doesn't …
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Nate Johnson, PharmD, BCPS discusses updates in the pharmacologic treatment for psoriasis. For more pharmacy content, follow Mayo Clinic Pharmacy Residency Programs @MayoPharmRes. You can also connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on X @MayoMedE…
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Journal Club with Dr. Ray Iezzi: To peel or not to peel ILMs during ERM surgery, the PEELING study, and findings of the NIGHT study for patients with Choroideremia We discuss two articles today with vitreoretinal surgeon Dr. Ray Iezzi: Pros and cons of internal limiting membrane peeling during epiretinal membrane surgery: a randomised clinical tria…
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Nothing says summer like fun in the sun. But that can also give us cancer! In fact, skin cancer is the most common form of cancer in the U.S. — one in every five Americans will develop it. So how do we enjoy the sun, soak up its benefits, and stay safe? On this episode of Health Matters, we talk with dermatologist Dr. Naiara Sbroggio Barbosa about …
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IV Agents to Improve Echo Images, Value, and Safe Administration Guest: Jeremy Thaden, M.D. Guest: Mays Ali, M.D. Hosts: Kyle Klarich, M.D. In this podcast we will review current and evolving indications for UEA use in the clinical and research setting. They will review Mayo Clinic’s practice for UEA administration, commonly encountered UEA side-ef…
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Ischemic heart disease is a leading cause of morbidity and mortality. While atherosclerotic coronary artery disease (CAD) is the focus of most outpatient and inpatient evaluations for cardiovascular symptoms, up to two thirds of patients suffer from myocardial ischemia with non-obstructive coronary arteries (INOCA). Patients with INOCA have unique …
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Roughly half the world's population will experience periods at some point in their life. Some people dread them. To others, they’re a rite of passage. And periods can range all over the place: light, heavy, long, short, frequent, irregular — everyone’s is unique. But how do you help your kid navigate getting theirs and understand when something’s w…
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Many of us have reached for a sweet or salty treat out of loneliness, anxiety, or stress. But where does the emotional impulse to eat come from? And does what we eat impact our mood too? Find us online at Mayo Clinic Press for more health and wellness articles, podcasts and books. Do you have feedback, questions or topic suggestions? Email us at mc…
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Read our book, The Score That Matters https://amzn.to/3XxHi7p Full show notes at www.LearningLeader.com Sustaining Excellence Good get at getting stuff done Make a change from an expert to a learning machine Apply to be in my Learning Leader Circle Leadership is: Teaching – sharing with others what they need to know, how to do something Mentoring -…
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Nurses Out Loud with Nurse Michele, RN – Our nation faces a critical challenge: the loss of self-governance and the rise of elite rule. Understanding the limits of government and embracing civic responsibility are essential for preserving freedom. By focusing on constitutional principles and personal involvement, we can reclaim control of our commu…
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Looking 4 Healing Radio with Dr. Jana Schmidt – A study recently published in the Journal of Neurophysiology found that muscles respond to simple thoughts of exercise; simply imagining exercise can stimulate the muscles to delay atrophy and even get stronger. This is evidence that the brain and body are more entwined than separate. Focusing only on…
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Energetic Health Institute Radio with Jolene Goring, CHN – Energy doesn’t have to come from a coffee cup. By embracing these natural energy boosters, you’ll feel more vibrant and focused throughout the day. Remember, small habits make a big difference when it comes to nurturing lasting energy. Start with one or two of these strategies and build fro…
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The Constitution Study with Host Paul Engel – The Department of Defense has lost track of $20 trillion over the past 18 years, raising serious concerns about government accountability. Meanwhile, inflation is still a problem, with the CPI at 2.5%, not reflecting critical areas like food and energy where prices are rising sharply. It's clear that th…
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In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., interviews Shannon Strader, D.O., a resident in cellular therapy at Mayo Clinic in Rochester, Minnesota, to discuss trailblazing new connections in medicine. Timestamps: 0:00 Intro 00:56 Can you share your story with our listeners of how you connected the dots between physical medicine…
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Unleashed: The Political News Hour with Chris Cordani – It is Journalism 101 not to take a government official’s word or press release as a reportable fact without confirmation. Despite the shoddy reporting, Muir insisted the poll’s claim is an irrefutable truth when “fact-checking” Trump. ABC surely has enough resources to send a snoop or two out …
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Truth Be Told with Booker Scott – Last week a Pakastani man made his first court appearance after being charged with multiple felonies. The man, with ties to Iran, had plans to assassinate American political leaders, including former President Donald Trump. This week, Trump was in a live X Space to talk about his ideas for the future of crypto and …
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Medical device companies often lag behind other industries in adopting advanced technologies, such as artificial intelligence (AI), to digitally transform their organizations throughout the total product life cycle. In this episode of the Medical Alley Podcast, experts from MDIC, FDA, and more, share their insights on the current landscape of digit…
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The National Security Hour with Col. John Mills Ret. – The world is on the brink of chaos, with America losing its grip on national security at home and abroad. After my visit to Taiwan, it’s clear they are ready to fight for themselves, but the U.S. is failing to provide what they've already paid for. Meanwhile, corruption, open borders, and globa…
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The Dean’s List with Host Dean Bowen – Parents in Montgomery County, Maryland, are fighting back against a school board policy that mandates LGBTQ-inclusive storybooks for elementary students without an opt-out option. United by their faiths, parents argue these topics are too complex for young children and have taken their battle to the courts, ho…
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After Dark with Hosts Rob & Andrew – Now that two attempts have been made on Trump’s life, you would think the rhetoric would be toned down, but it hasn’t. Democrat presidential candidate VP Kamala Harris and her running mate Tim Walz and the media continue pushing the Project 2025 hoax and that Trump will be a dictator on day one and end democracy…
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The Tom Renz Show – Kamala Harris’s debate performance is filled with dishonesty from start to finish. Despite her attempts to distract, she provides no real substance. Meanwhile, the US dollar is rapidly losing its status as the world’s reserve currency, with gold-backed BRICS rising in power. As our economy edges toward collapse, another corrupt …
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Nurses Out Loud with Kimberly Overton, BSN, RN – In this episode, I explore the unwavering power of hope during the darkest days of the COVID-19 pandemic. Through stories of patients and healthcare workers, we reflect on resilience in the face of fear and uncertainty. Joined by Craig Andrews, who survived a near-death experience, we discuss how hop…
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The National Security Hour with Edward Haugland – Dr. Franco Musio joins me to analyze the complexities of groupthink ideology within the Democrat Party. We explore the psychology behind support for Kamala Harris, media influence, and the political unity on the left. Delving into the neurobiology of groupthink, we assess its impact on the 2024 elec…
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Energetic Health Institute Radio with Carmen Adams, CHN – Just as sailors must adjust their sails to navigate changing winds, we, too, must adapt to the shifts in our personal and professional landscapes. Life’s unpredictable nature demands flexibility and resilience. When faced with obstacles or detours, the key is to adjust our strategies rather …
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In this episode of “Answers From the Lab,” William Morice II, M.D., Ph.D., CEO and president of Mayo Clinic Laboratories, is joined by special guest Donald Thomas, M.D., a rheumatologist and lupus researcher. They discuss how Mayo Clinic Laboratories’ suite of innovative lupus testing, offered in collaboration with Progentec Diagnostics, is enhanci…
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The Constitution Study with Host Paul Engel – Politicians lie, but lately, it's like they’re taking political steroids. From rigging elections to media manipulation, it’s becoming more blatant. Kamala Harris and her supporters ignore past statements, expecting us to accept their current narratives. Social media platforms also tilt the scales in fav…
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The Dean’s List with Host Dean Bowen – Unfortunately, American Exceptionalism has ceased to be taught in many public school classrooms. It has become a concept of the past. While teachers are burning out and students are fleeing the public schools, would things change if American Exceptionalism came back into teaching vogue? Teacher burnout is quic…
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Truth Be Told with Booker Scott – With the second assassination attempt on Donald Trump in just over 60 days, I find it hard to believe there will be any Kumbaya moment in the country's future. If the plan was for the American people to be divided, congratulations, that plan has worked better than the one of the white hats. “We got it all,” Donald …
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Dr. Li-Meng Yan w/ The Voice of Dr. Yan – Noteworthy, on the CCP poster, CA Governor Newsom is in the center, which demonstrates the high aspirations of the CCP for him. California is the state with the largest Chinese-American community, with very deep social, cultural, economic, and trade ties with China. San Francisco is also home to the oldest …
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Unleashed: The Political News Hour with Nate Cain – In this episode, I expose Big Tech's manipulation of information, drawing parallels to Orwell’s Nineteen Eighty-Four. We dive into Kamala Harris’ campaign tactics, the media's silence on a Trump assassination attempt, and discuss the fight against child trafficking with Dr. Juliette Engel. These a…
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Nurses Out Loud with Melissa Schreibfeder, BSN, RN – The U.S. leads the world in cesarean sections, with 33% of births ending in surgery. Maggie Leo, a Certified Professional Midwife, shares insights on the benefits of home birth, the importance of understanding the physiological birth process, and how a holistic approach to prenatal care can lead …
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Energetic Health Institute Radio with Dr. Meg Montañez Davenport, BCHN – Detoxing is about removing the toxic influence of a narcissist from your life and regaining control over your own thoughts and feelings. It’s not just about cutting off contact; it’s about healing the wounds caused by gaslighting and rebuilding your sense of self. This process…
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Looking 4 Healing Radio with Nichola Burnett – Nichola's transformation had everything to do with Sai Baba and his teachings. Sai Baba stated that he had nothing to do with religion or starting a new religion but that he had everything to do with right living and modeling to us how to be in this world but not of this world. His countless humanitari…
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Butt Honestly is back with another unfiltered episode featuring Dr. Carlton and Dangilo! This week, Dr. Carlton spills the tea about his appearance on the Gun Oil Podcast, while Dangilo teases what's next after the wild ride that was Slutter Camp. The guys dive into some juicy listener reviews before tackling a steamy voicemail about participating …
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Unleashed: The Political News Hour with Chris Michaels – Laura Loomer faces an unprecedented attack from the left over her research into Democrat corruption tied to Donald Trump. Kamala Harris is being pushed as a potential president before the 2024 election, and media censorship, driven by AI, looms large. The political landscape is shifting, with…
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Truth Be Told with Booker Scott – As is the case with almost every government program, transparency and accountability are never included. Between the two programs, Americans committed fraud from their own government in the amount of $500 billion. An astronomical amount has been slow to collect and will never fully be recovered. The DOJ has been bu…
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The National Security Hour with Col. Mike and Dr. Mike – This week reveals the chaos in Washington as the Biden administration, with Democratic and Republican support, continues to damage America. The Trump-Harris debate is a farce, while billions pour into foreign wars. The military faces corruption with pay raise favoritism, as Democrats work to …
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The Dean’s List with Host Dean Bowen – Today, I explore the significance of the Mayflower's voyage, the Pilgrims' pursuit of religious freedom, and how understanding true American history can shape education. We also delve into South Carolina's Supreme Court decision to block a fund that would have provided scholarships for students, offering insig…
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Looking 4 Healing Radio with Dr. Bryan Ardis – And just how close are we really to another global pandemic? The media is talking about it, and the WHO is talking about it. This radio show is not for victims. It is for those who want to be proactive and make sure their health is as healthy as possible for as long as possible. If you like playing the…
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Nurses Out Loud with Jodi O’Malley MSN, RN – Join me, Jodi O’Malley, as we celebrate the relaunch of The Truth Movement, a faith-based community empowering women to step boldly into their calling. Together, we build confidence spiritually, mentally, and physically, while supporting one another on our journeys. Discover how you can be part of this i…
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Dr. Paul Alexander Liberty Hour – For some to suggest that it can affect the election is bullshit. Bullocks. That I must be silent. It's dangerous to say that. I cannot be or will be. To say ‘wait until after’ the election is more dangerous. We have had 4 to 5 years of recklessness and then silence. Trump and Harris (Biden) campaigns (not one menti…
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The McCullough Report with Dr. Peter McCullough – Virtually every American has been exposed to the SARS-CoV-2 Spike protein either through COVID-19 infection or vaccination, and because the vaccines are ineffective, many have had both exposures. As a result, the Spike protein and possibly the antibodies raised against it are producing a burden of d…
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Energetic Health Institute Radio with Angela Bulaga CHN – Migraines with an “aura” can cause visual changes, such as seeing bright or flashing lights, zigzag lines, or blind spots. Sensory changes such as tingling, numbness, or pins and needles in the face, hands, or arms. Difficulty speaking and/or slurred or jumbled speech. Motor changes such as …
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