Robert Kelly

The resounding win by the progressives will leave the unpopular conservative president in a difficult situation

This week, Bobby is joined by Jersey Shore cast member Vinny G. They talk about getting on Jersey Shore originally and the reboot, Vinny's time as

This week Bobby sits down with Jordan Jensen and Ian Fidance. They talk about good therapists vs bad therapists, how Ian and Jordan started their

This week, Bobby sits down with Justin Silver and Anthony DeVito to talk about their worst comedy shows, Jews vs Italians and Dogs. #animals #dogs #sorry

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This week Bobby sits down with actor Ethan Suplee to talk about their weight loss journeys, Ethan's acting career, and how comedians have more freedom than actors.

This week Bobby sits down with Joe DeRosa, Keith Robinson & Aaron Berg to talk about the proper term for trans people, Kevin Hart winning the Mark Twain award, and fatties for Palestine.

This study was designed to analyze the departmental changes in transitioning the Emergency Department (ED)-run Observation Medicine Unit's routine noninvasive cardiac evaluation from the traditional standard-of-care procedures to coronary computed tomography angiography (CCTA).While the routine use of CCTA for the evaluation of chest pain has been deemed feasible and safe, provider confidence appears apprehensive, and ordering patterns appear reluctant to change.We conducted a retrospective analysis of data from two risk-matched cohorts of ED patients who presented with symptoms suggestive of acute coronary syndrome (ACS) but without ischemic electrocardiogram (ECG) changes or positive troponin. Endpoints included length of stay, major adverse cardiovascular event (MACE) rates at 28 days, recidivism rate, and downstream findings on coronary catheterization.The adoption of CCTA led to a significant reduction in the length of stay for patients in the ED-run Observation Medicine Unit. Provider and nursing education initiatives were crucial in overcoming initial resistance and improving the implementation of CCTA. Post-education, there was a marked increase in the volume of CCTA performed and a decrease in the length of stay, enhancing overall departmental throughput.The results suggest that CCTA offers a reliable and efficient diagnostic alternative to traditional noninvasive tests, with high diagnostic accuracy contributing to faster decision-making and reduced need for invasive procedures. Continuous education for providers and nursing staff was essential to ensure adherence to the new protocol and improve clinical outcomes.Transitioning to CCTA for routine noninvasive cardiac evaluation in the ED-run Observation Medicine Unit demonstrated significant efficiency and diagnostic accuracy benefits. Successful implementation requires targeted educational efforts to ensure competency and confidence among healthcare providers. The findings support the integration of CCTA into standard clinical practice for the evaluation of chest pain in the emergency setting, with future research needed to validate these results in broader patient populations and assess long-term outcomes.

Despite Trump’s tough talk, he has done more to harm long-term border security than any politician in recent memory. In torpedoing a bipartisan border deal earlier this year, he deprived

Despite Trump's tough talk, he has done more to harm long-term border security than any politician in recent memory. In torpedoing a bipartisan border deal earlier this year, he deprived those of us committed to border security of the tools we need, like more Border Patrol agents, advanced drug detection technology, and desperately needed immigration judges and staff, among much else.