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Your hosts Amit ”I Got The” Pawa and Jeff “Tha Notorious JCG” Gadsden discuss current issues in regional anesthesia, ultrasound-guided nerve blocks, pain medicine and POCUS, while dropping some tips on how to make your regional anesthesia workflow a blocker’s delight. Each episode dives into clinical pearls, emerging research, and practical POCUS tips (along with a lot of banter and dad jokes). Ideal for anesthesiologists, pain physicians, CRNAs, and trainees—subscribe and level up your peri ...
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Fintech Hustle

Sam Kilmer & Cornerstone Advisors

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Join host Sam Kilmer, fintech advisor, in unscripted conversations with top fintech industry leaders. No planned corporate talking points, no scripts, no pitches. Just useful advice and insights. To keep it lively, Sam often brings co-hosts like author/researcher Ron Shevlin, former American Banker editor Mary Wisniewski, and former Bank Director President Al Dominick.
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In this toe-tally fascinating episode, Amit and Jeff talk ankle blocks, digital blocks, Mayo blocks, popliteal sciatic blocks, and much more. Who knew there were so many ways to block the five little piggies??! Join us every episode for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultraso…
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Recording “in the hall” at FinovateFall, host Sam Kilmer is joined by Wayne Miller ( SVP Innovation at ICBA & GP at BankTech Ventures), Tiffani Montez (Principal Analyst, EMARKETER), and Har Rai Khalsa (CEO & Co-Founder, Swaystack). They discuss what a fintech leader’s day really looks like, the urgency of AI adoption, the shaky logic of bank-issue…
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Greetings from Norway!! 🇳🇴 Amit and Jeff once again return to the GE Healthcare Block Box, this time at the ESRA25 meeting in Oslo! In this episode, we chat with Athmaja Thottungal about her motivation behind a career change, the value of healthcare coaches for preventative health, and some practical tips to chill out and engage in a "digital detox…
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Host Sam Kilmer records live from Hyatt Nashville with Steve Soukup (DefenseStorm), Todd Clark (Investifi), Erin Simpson (Encore Bank), and Karan Kashyap (Posh). They swap “day-in-the-life” notes, why AI went from “go slow” to “why aren’t we live,” practical stablecoin prep, real-time payments use cases, ERP integrations, deposit outflows to wealth…
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Two amazing interviewees in one deee-licious episode! The uber-impressive Ki Jinn Chin from the University of Toronto shares his ASRA "origin story", his thoughts on how regional anesthesia really does incorporate elements of artistry, creativity and improvisation, how long a YouTube video SHOULD be, and what he's doing with spinals these days. Fol…
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In this fascinating episode, Amit and Jeff interview Dr. Jordana Garbati, an “emoji-ologist” 😎 who has researched and lectured internationally about the use of emoji as language. For something we use every day, we sure had a lot of questions: are we using these correctly? Are there ways to be misinterpreted? Is it ok to emoji your boss? What emoji …
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Our two hosts sit down for a stimulating (yes, intended) conversation with Kwesi Kwofie from Dalhousie University in Halifax, Canada, who gets down and dirty about needle nerve contact and nerve injury. Where exactly should we put the needle when performing a supraclavicular brachial plexus block? Or...is the supraclav dead?!! Why is periplexus pre…
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In this episode of Fintech Hustle, host Sam Kilmer engages with guests Kelley Michalik, Kelli Schultz, and Stephen Baker to discuss the evolving landscape of fintech, focusing on investment trends, the integration of marketing and sales, and the competitive dynamics between community banks and megabanks. The conversation highlights the importance o…
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Amit and Jeff continue their fascinating dive into the mind and life of Admir Hadzic, author, innovator, founder of NYSORA, brewer of fine beer, bassist and sports car nut. In this episode we discuss standardization in regional anesthesia, the future of textbooks in medicine, how sedated DO patients really want to be for nerve blocks, what it's lik…
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Amit and Jeff are still (!) sweating it out in the block box, and have the good fortune to be joined by three wonderful guests: Stuart Grant from the University of North Carolina, Steve Coppens from the Catholic University of Leuven, and Gary Schwartz from Maimonides Medical Center in NYC. We cover such topics as peripheral nerve stimulation for lo…
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He's the founder of NYSORA, a rock-blues bassist, and a lover of fine beer and finer automobiles. We had a ton of fun chatting with Admir Hadzic about the his origin story, how he has been able to reinvent himself and his focus, and how to NOT live your life in "thirds". Over three decades, Admir has built a global educational brand while running a…
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Our star-studded guest list continues live from the GE Healthcare Block Box at ASRA Spring 25! In this episode we interview Ed Mariano, Eleni Moka, and Michael Bullock, and get their answers to such questions as: What platforms work best for social media? How do we bring RA education to under-resourced parts of the globe? What is the mechanism of t…
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Wine, flamingos, and a glass box…this is NOT your typical BILIH episode...Amit and Jeff join you from the ASRA Spring Annual Meeting 2025 in Orlando, Florida, where they recorded live interviews with over a dozen influential thinkers in regional anesthesiology. Join us as we chat and laugh with James Kim, Sandy Kopp and Nadia Hernandez over discuss…
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Forget the keynote fluff and polished demo, this episode of Fintech Hustle drops you straight onto a sun-drenched San Diego balcony with the real players of Finovate Spring 2025. Host Sam Kilmer is joined by fintech rockstars Maya Mikhailov (SAVVI AI), Jason Henrichs (Alloy Labs), and Andy Ivankovich (Baker Hill) for a breakdown of what’s actually …
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Clear!!! In the exciting conclusion to our two-parter on blocks in emergency medicine, things get real as the co-hosts debate Arun and Andrew over the ideal block for hip fracture, a slick way to reduce a shoulder dislocation, cheeky femoral blocks, and the role of fascial plane blocks in the ED. Links: The sponsor of this episode is GE Healthcare …
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Amit and Jeff are joined by Dr. Robbie Erskine from Daaaarrby, UK, sharing his immense wealth of knowledge and experience (and which Bond film is his fave) on spinal anesthesia technique and how to make ambulatory spinals work for everyone! Link to the BJA Education article on neuraxial anesthesia in patients with challenging anatomy: https://www.b…
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In this episode of the Fintech Hustle podcast, host Sam Kilmer sits down live at the AFT Spring Conference with Alex McLeod (CEO, Parlay Finance), Ben Metz (CTO/CDO, Jack Henry), and Will Bryant (COO, Quantalytix) for a high-energy conversation about the future of financial services. The panel dives into key fintech trends, including the real-world…
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Amit and Jeff are joined by two Emergency Medicine experts (and self-described Blockheads!) with a passion for keeping injured patients comfortable. Drs. Arun Nagdev and Andrew Goldsmith talk to us about the role of regional anesthesia in the ER, what blocks are high-impact, what exactly is meant by a "tube and lube rotation" for trainees, and more…
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In part 2, Amit and Jeff tackle probe positioning, needle trajectory and something called Pawa's Pleural Groan...Why is the PVB poised to have a renaissance? Should we block one level? Every level? What's the risk of pneumothorax and should this block be done in anti coagulated patients? (spoiler: 2 out of 2 hosts say YES!) Join us for all this and…
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The Acquire or Be Acquired conference was buzzing with optimism, big ideas, and strategic conversations about the future of banking. In this episode of Fintech Hustle, host Sam Kilmer and co-host Al Dominick sit down for an unscripted discussion with Margaret Hartigan (Founder & CEO, Marstone), Nikhil Lakhanpal (Co-founder, Narmi), and Todd Schell …
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In this episode, Amit and Jeff hold court while discussing the crown jewel of regional techniques, the paravertebral block. Join us for some controversies, debates and jokes while we give paravertebral anatomy and block technique the royal treatment. Join us each month for another sassy conversation about anesthesiology, emergency medicine, critica…
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The first Fintech Hustle episode of the year kicks off with host Sam Kilmer and co-host Stacy Bryant joined by industry leaders Lee Farabaugh (Monarch), Brendan Tansill (Candescent), and Hank Seale (Hapax). This lively discussion dives into the dynamic world of fintech, covering the latest trends, challenges, and opportunities shaping the industry …
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Grab an eggnog & a mince pie or two and join Amit and Jeff for a frosty and festive finale to Season 2, featuring answers to some listener questions and a joyful round of dad jokes! Links to things discussed: University of Florida study on intercostobrachial nerve block: https://pubmed.ncbi.nlm.nih.gov/35308761/ Good paper explaining how regional a…
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In this episode of Fintech Hustle, Sam gathers his team of co-hosts (Ron Shevlin, Stacey Bryant, Al Dominick and Mary Wisniewski) to reflect on the key themes and highlights from the past year in the fintech industry, by looking back at memorable moments from the podcast over the last 12 months. They discuss the significance of deposits, the role o…
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In this engaging conclusion of our two-parter, we continue to share some laughs with the amazing Tanya Selak while discussing the value of SoMe collaboration, how to set boundaries when things get rough, and why she's NOT quitting Twitter (X) quite yet. In the meantime, Amit quotes Vanilla Ice, while Tanya seeks redemption as she gets another shot …
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In this episode of the Fintech Hustle podcast, host Sam Kilmer and co-host Mary Wisniewski sit down with guests Parilee Wang (Alloy), Charles Potts (ICBA, BankTech Ventures), and Joe Cody (Q2) to chat about the exciting world of fintech. They dive into what a typical day looks like for fintech pros, how banking and tech are blending, and why respon…
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Amit and Jeff welcome special guest Tanya Selak from Wooleng....Woolloongo....from Australia. Tanya shares her ideas on the role of regional anesthesia in contemporary practice, how and who we should be training procedural skills in anesthesia, and possibly wins the joke-off with the lads. Join us each month for another sassy conversation about ane…
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In this episode of the FinTech Hustle podcast, host Sam Kilmer and co-host Al Dominick engage with industry leaders Melissa Kopp (Neural Payments), Sarah Fankhauser (DCI), and Jacob Bouer (Array) at the AFT Fall Summit. The conversation explores their daily experiences in the FinTech sector, insights gained from the conference, especially from Apri…
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In this episode of the Fintech Hustle podcast, host Sam Kilmer and co-host Stacey Bryant chat with Barb MacLean (Coastal Community Bank), Danny Payne (Jack Henry), and Nick Evens (Curql Collective) at the Finovate Fall conference about their roles in the fintech industry. They discuss topics such as enabling community banks through technology, mode…
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In the exciting conclusion of our abdominal wall block series, Amit and Jeff dive into QL blocks (and more!)...what's the deal with QL 1, 2 & 3? Does it REALLY get the whole abdomen? What is a Tequila block and how can I get one cuz it sounds delicious!? Join us for all this and a heapin' helping of the usual dad jokes... Link to Jeff's QL video: h…
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Is it advantageous to mix local anesthetics? Should we perform blocks in asleep patients? Why is the 'tucked vs untucked' scrub debate so fierce? 🤔 Join Amit and Jeff as they dive into these controversial issues and more! Things we referenced during this episode: Link to interscalene mixing study: https://pubmed.ncbi.nlm.nih.gov/21156983/ Link to i…
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In this episode of Fintech Hustle, host Sam Kilmer and co-host Mary Wisniewski are joined by a panel of guests including Allison Cerra (Alkami), Laura Broderick (Abrigo), Sam Das (TruStage Ventures), and Brian Bauer (Revio), where they discuss the impact of generational shifts on financial institutions, the need for data strategy and AI implementat…
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Join Amit and Jeff for a continuing discussion on belly blocks--we take a deep dive on external oblique intercostal block, find out WHY rectus sheath block is just so darn easy and fun to do, and entertain offers of tummy massages... Link to External Oblique Intercostal Block video: https://youtu.be/EftwBnMVHOI?si=RC_ARcjCq0fuIGA1 Link to rectus sh…
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In this conversation, Sam Kilmer, Ron Shevlin, Nicky Senyard (Fintel Connect), and Ted Brown (Digital Onboarding) discuss the role of CEOs and founders in the fintech industry. They talk about the evolving nature of the CEO role and the importance of building a strong team. They also discuss the challenges and opportunities in the banking industry,…
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Amit & Jeff are joined by special guest star Jonny Wilkinson from Northampton as we discuss the role of nerve blocks in the intensive care unit: Which blocks? Who does them? Which patients benefit? How do we best teach these? Laughs were had, sound effects were shared, but no possums were injured in the making of this episode. The Northampton Criti…
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In this episode of Fintech Hustle, Sam Kilmer interviews Pam Kaur (BankTech Ventures), Julie Muhn (Finovate), and Christian Widhalm (Bloom Credit) at Finovate Spring. They discuss various topics including bank technology, fintech innovation, credit data infrastructure, attracting the next generation of customers, regulations, and the future of bank…
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Rectus, subcostal and TAP...oh my! In this episode, Amit and Jeff tackle belly blocks, and discuss anatomy, clinical decision-making, and their own tips learned the hard way for how to make the most out of abdominal fascial plane blocks. Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS…
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Your patient had a latte six hours ago...is their stomach empty? BUT IS IT? Don't fret...there's a quick way to find out. In this tasty episode, Amit and Jeff digest the ins and outs of gastric point of care ultrasound (POGUS), how to reduce the risk of aspiration, discuss challenges with fasting guidelines, and answer some listener questions and c…
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Sam Kilmer and co-host Stacey Bryant catch up with industry legend Mark Forbis (THL Partners), Tiffany Matthews (Tyfone) and Jeff Harper (Fintegrate) at the AFT Spring Summit 24 to throw down on various topics related to the fintech industry. They discuss their day-to-day experiences, including the challenges and opportunities they encounter, highl…
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Amit and Jeff continue their tour of the upper limb, focusing on blocking the distal branches around the elbow, forearm and wrist. Also in this episode: discussion of listener questions about LAST, sharing of failed block stories, and somehow, weirdly, a reference to Paris Hilton. Join us each month for another sassy conversation about anesthesiolo…
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Amit and Jeff take a tour of the brachial plexus, offering insights, stories, tips and "hold-nothing-back" hot takes regarding best blocks for the upper extremity... Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultrasound guided nerve blocks, acute pain, patient saf…
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The latest Fintech Hustle podcast takes an adventurous spin as we carpool through the desert with fintech rock stars Nathaniel Harley, Kelly Brown, Sue Salecky, and Erin Simpson. Recorded between sessions at banking's premier conference, Acquire or Be Acquired, Sam Kilmer and co-host Al Dominick dig into our guests' conference takeaways to uncover …
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In this Season 1 festive finale, Amit and Jeff round out the year by reflecting on previous fave moments from the podcast, answer some listener questions, and count down the 12 days of Block-mas...Happy Holidays! Join us each month for another sassy conversation about anesthesiology, emergency medicine, critical care, POCUS, pain medicine, ultrasou…
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Samantha Paxson from Co-op Solutions and Nathan Baumeister of Z-Suite join Sam and Mary to discuss aligning growth strategies with consumer needs. You'll also get a peek into Samantha's philanthropic journey with Shades Up for Kids, blending personal passion with the credit union ethos. Samantha and Nathan share stories from the trenches on fosteri…
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What's in a name? That which we call iPACK by any other name would...well, actually, we're not sure. In this controversial episode Amit and Jeff debate (and disagree!) about proper naming conventions, the value of eponyms, and who has the right to name blocks. Stay tuned for CAPS, PECS, RAPTIR, SPANK, and more... Join us each month for another sass…
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Ever wondered what happens behind the scenes of the FinTech Hustle podcast? This special flashback episode pulls back the curtain as we, your hosts Sam Kilmer, Mary Wisniewski, Ron Shevlin, Al Dominick, and the usually behind-the-scenes Bailee Wishart, journey through our favorite podcast moments, featuring key moments from former guests Kara Parke…
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Sam Kilmer and co-host Al Dominick are joined by Infinant’s Sarah Howell and Numerated’s Dan O’Malley at the JAM FINTOP Summit in Nashville. The lively unscripted chat explores how to cope with executive naysayers, cultivating courage as a changemaker and promising fintech trends. Al and Sam don't disappoint with their signature style: Pocket squar…
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Amit & Jeff dive into blocks for shoulder surgery, going deep on innervation and exploring a variety of techniques to keep your shoulder patients happy and pain-free. Plus some shout outs, listener questions and a return of the word "gumph" (feel free to suggest alternative spellings...). Join us each month for another sassy conversation about anes…
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