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Content Warning for discussion of Misogyny, Sexual Harassment, and Suicide from 7:28 - 46:49The video game industry has historically been a boys club. Men have often claimed video games as something women weren't interested in or weren't good at. In recent years that line of thinking has shifted towards inclusivity on the community side of things, but within the industry many of the old company structures are still in place, and still undervaluing and endangering women. This week, the state of California brought a suit against Activision-Blizzard for being "breeding ground for harassment". Austin, Patrick, and Cado discuss what the suit has alleged, the ways in which things haven't changed in the industry, and the ways individuals can help push for change.After the break we dive back into Boomerang X, and talk about it's wild final boss. Patrick and Austin are enjoying Death's Door, even if they both thing some of the level design could use some fine tuning. And of course, Cado is playing the PokeMOBA, Pokemon Unite.Discussed: Activision-Blizzard 7:28, Boomerang 46:49, Death's Door 1:13:29, Black Skylands 1:33:09, Ragnarok 1:35:28, Pokemon Unite 1:36:11 See acast.com/privacy for privacy and opt-out information.
Show Summary: “When you improve gut health, you also improve dental health. Adding minerals back to our body helps heal the teeth.”A beautiful set of teeth makes you more attractive and confident. And dentists have different ways to do that. One of those is dental amalgam or silver fillings. You can also buy toothpaste with high fluoride content everywhere because it can prevent cavities or tooth decay.However, silver fillings and fluoride may not be the best solution to your tooth problem. Silver fillings have fifty percent mercury which is dangerous to your health, and fluoride makes your bones very brittle. Sadly, tooth decay is not the only dental issue that exists. Mouth structure can also be a dental health problem that can affect your breathing seriously.In this episode with Dr. Michelle Jorgensen, an author, speaker, teacher, biologic/holistic dentist, and health and wellness provider, you'll find out why malnutrition is a reason for your child's inability to develop healthy teeth. Don't forget to share this with your friends and family for tips on how to understand and take care of your teeth better.Exceptional Highlight:Unfortunately, Fluoride makes the bones brittle, leading to higher rates of bone fracture.An unhealthy diet can lead to long skinny, narrow faces & noses during growth and developmental changes, making it very difficult to get air into our bodies.The tongue's job is to form the upper jaw. If the tongue is unable to go up because it's tied down to the floor of the mouth, the upper jaw then becomes narrow because it doesn't have the force of the tongue going up and spreading the job..Show Highlights: Dr. Michelle Jorgensen’s storyDr. Michelle 1:39I was a general dentist, but I was getting worse and worse while I was taking great care of people. MRIs, doctors, chiropractors, physical therapists, nobody could give me an answer. Until finally, I met another practitioner. He asked me if I had looked into mercury poisoning. He said, "It's the ones that you've been drilling out for the last 15 years with no protection, breathing it all in."What are dental silver fillings made of?Dr. Michelle 4:49The silver fillings have 50% percent mercury. If you have one today, it's 50% mercury. Everyone says silver is one of the lowest percentage ingredients, like 20% silver, 50% mercury.What is Dr. Michelle's opinion on fluoride?Dr. Michelle 21:01People started using fluoride because they found that societies with higher fluoride in their water suddenly had fewer cavities. But what they don't tell you is it also had an increased incidence of hyperfluorosis, which is this high fluoride level that also affects the bones and makes bones more brittle.How does malnutrition affect your child's teeth development?Dr. Michelle 32:22My son's teeth were so messed up when we adopted him. I found out that the maxilla, the upper jaw, is the first bone impacted by malnutrition. So his jaw didn't grow because he didn't have enough nutrition to help it grow.Important LinksIAOMTDr. Michelle Jorgensen LinkedInTotal Care DentalSupport the show (https://www.mygutsyhealth.com/gutsy-family)
Tyler Large is the founder of OC Ramps, a skateboard ramp company that makes a variety of mini ramps, halfpipes, street features, and other unique obstacles. OC Ramps makes their products in kit form but also creates custom builds, and has done so for companies like Apple, Disney, Red Bull, Nike, and others. It was a blast meeting Tyler and I learned A TON about entrepreneurship and what it takes to build a company, and I hope you will learn some too. Thanks for watching and if ya like it, GIVE IT A LIKE AND SUBSCRIBE YEET.Intro: 0:00Developing a product line from scratch: 0:55Keeping jobs in America VS overseas: 1:49Signature athlete obstacles: 3:00Growing Business with demand VS Anticipation: 3:54Maintain quality while growing your business: 5:50The importance of customer service: 8:12Don’t do something unless you’ll do it well: 13:32Finding your customer base: 14:47How the skate ramps are made (audio warning): 17:14Business expansion during covid?: 18:35The $60,000 question: 19:53“I blew almost all the ligaments in my knee”: 20:49The future of OC ramps: 30:25music by kriderInsta:https://www.instagram.com/worlds_podc...TikTok: https://www.tiktok.com/@worlds_podcas...Facebook:https://www.facebook.com/maxwell.saue...Twitter:https://twitter.com/MMsauerbrey
Today we’re going to talk about customer service research and what more than one million phone calls tells us what you’re supposed to be doing to be successful in customer service and to do that we have on with us Vikas Bhambri from Kustomer and Matt Dixon, the Head of Product and Research at Tethr. We discuss how they have gathered data of over a million customer service phone calls and the useful things we’ve learned to improve the customer experience. How writing “The Effortless Experience” has affected Matt’s career 1:49The latest research 6:06Takeaways from the data 17:43“If you’re a product person and you don’t realize, ‘Wow, my contact center gets real-time feedback on a new feature, or a new service that I’m providing.’ There’s a lack of understanding about the richness of the data that resides in the contact center environment.” 16:10https://www.linkedin.com/in/matthewxdixon/
John 4:4654 (ESV) Jesus Heals an Officials Son 46So he came again to Cana in Galilee, where he had made the water wine. And at Capernaum there was an official whose son was ill. 47When this man heard that Jesus had come from Judea to Galilee, he went to him and asked him to come down and heal his son, for he was at the point of death. 48So Jesus said to him, Unless you see signs and wonders you will not believe. 49The official said to him, Sir, come down before my child dies. 50Jesus said to him, Go; your son will live. The man believed the word that Jesus spoke to him and went on his way. 51As he was going down, his servants met him and told him that his son was recovering. 52So he asked them the hour when he began to get better, and they said to him, Yesterday at the seventh hour the fever left him. 53The father knew that was the hour when Jesus had said to him, Your son will live. And he himself believed, and all his household. 54This was now the second sign that Jesus did when he had come from Judea to Galilee.
info@podcastone.comc600a62d-f94b-42f5-bf46-4b5d0495be37Tue, 09 Feb 2021 18:09:08 PST00:13:49The
Today’s guitar villain is Herman Li. A blistering shred god heading up the Grammy-nomninated metal band Dragonforce, Herman is so good he sometimes sounds like a video game with his extremely creative and acrobatic licks, which makes sense, because THROUGH THE FIRE AND FLAMES might be the most famous video game song in the world thanks to its Guitar Hero lore. Herman has also become a major figure in the online guitar community, with his Twitch streams amassing millions of views for their fun and unique segments and guests. This one is extremely fun, so prepare to have an absolute blast on this season finale of Guitar Villains.Intro and Herman’s supervillain alter-ego: 0:00Burning Questions: 11:05Name Those Notes: 12:52S***- talking fans: 29:17Underwater guitar playing: 34:05Looking back on Herman’s instructional stage: 36:20Crying Women over DragonForce: 41:49The easiest and hardest thing about guitar: 44:02Learning to play guitar on a livestream: 49:46Herman’s favorite airplane album: 49:14Herman’s dream band: 51:20Herman’s supervillain advice: 54:08Subscribe to Herman on YouTubeHerman on TwitchSubscribe to Guitar Super System, the most popular independent guitar-learning platform on the internet: https://bit.ly/GVHL010
Paul’s Sermon in Antioch of Pisidia 13Paul and his companions set sail from Paphos and came to Perga in Pamphylia, but John left them and went back to Jerusalem.Ac 12:12; 13:6; 15:38 14They continued their journey from Perga and reached Pisidian Antioch. On the Sabbath day they went into the synagogue and sat down.Ac 9:20; 14:19,21; 16:3; 17:2; 18:4 15After the reading of the Law and the Prophets, the leaders of the synagogue sent word to them, saying, “Brothers, if you have any word of encouragement for the people, you can speak.”Mk 5:22; Ac 15:21 16Paul stood up and motioned with his hand and said, “Fellow Israelites, and you who fear God, listen!Ac 10:2; 12:17 17The God of this people Israel chose our ancestors, made the people prosper during their stay in the land of Egypt, and led them out of it with a mighty13:17 Lit with an uplifted arm.Ex 1:6; 6:6; Dt 7:6–8; Ac 7:17 18And for about forty years he put up with them13:18 Other mss read he cared for them in the wilderness;Dt 1:31; Ac 7:36 19and after destroying seven nations in the land of Canaan,Dt 7:1; Jos 14:1; 19:51; Ps 78:55; Ac 7:45 he gave them their land as an inheritance. 20This all took about 450 years. After this, he gave them judges until Samuel the prophet.Jdg 2:16; 1Sm 3:20; Ac 3:24 21Then they asked for a king, and God gave them Saul the son of Kish, a man of the tribe of Benjamin, for forty years.1Sm 8:5; 9:1; 10:1 22After removing him,1Sm 15:23,26; 16:13 he raised up David as their king and testified about him, ‘I have found David the son of Jesse to be a man after my own heart,13:221Sm 13:14; Ps 89:201Sm 13:14; Ps 89:20 who will carry out all my will.’ 23“From this man’s descendants, as he promised, God brought to IsraelPs 132:1; Mt 1:1; Lk 2:11; Ac 13:32 the Savior, Jesus.13:23 Other mss read brought salvation 24Before his coming to public attention, John had previously proclaimed a baptism of repentance to all the people of Israel.Mt 3:1; Mk 1:4; Lk 3:3; Ac 1:22; 19:4 25Now as John was completing his mission, he said, ‘Who do you think I am? I am not the one. But one is coming after me, and I am not worthy to untie the sandals on his feet.’Mt 3:11; Mk 1:7; Lk 3:16; Jn 1:20,27; Ac 20:24 26“Brothers and sisters, children of Abraham’s race, and those among you who fear God, it is to us that the word of this salvation has been sent.Ac 4:12; 5:20 27Since the residents of Jerusalem and their rulers did not recognize him or the sayings of the prophets that are read every Sabbath, they have fulfilled their words by condemning him.Lk 24:27; Ac 3:17 28Though they found no grounds for the death sentence, they asked Pilate to have him killed.Mt 27:22–23; Ac 3:14 29When they had carried out all that had been written about him, they took him down from the tree and put him in a tomb.Mt 27:59; Lk 23:53; Ac 5:30 30But God raised him from the dead,Mt 28:6; Ac 2:24 31and he appeared for many days to those who came up with him from Galilee to Jerusalem, who are now his witnesses to the people.Mt 28:16; Lk 24:48; Ac 1:3 32And we ourselves proclaim to you the good news of the promise that was made to our ancestors.Ac 5:42; 26:6; Rm 4:13; 9:4 33God has fulfilled this for us, their children, by raising up Jesus, as it is written in the second Psalm: You are my Son; today I have become your Father. 13:33 Or I have begotten you 13:33 Ps 2:7 Ps 2:7; Heb 1:5; 5:5 34As to his raising him from the dead, never to return to decay, he has spoken in this way, I will give you the holy and sure promises of David.13:34Is 55:3Is 55:3; Ac 13:30,37 35Therefore he also says in another passage, You will not let your Holy One see decay.13:35Ps 16:10Ps 16:10; Ac 2:27 36For David, after serving God’s purpose in his own generation, fell asleep,Ac 7:60; 1Co 11:30; 15:6,18,20,51; 1Th 4:13–15 was buried with his fathers, and decayed,1Kg 2:10; Ac 2:29; 13:22; 20:27 37but the one God raised up did not decay. 38Therefore, let it be known to you, brothers and sisters, that through this man forgiveness of sins is being proclaimed to you.Lk 24:47; Ac 2:38 39Everyone who believes is justified13:39 Or freed, also later in this versethrough him from everything that you could not be justified from through the law of Moses.Rm 3:28; 10:4 40So beware that what is said in the prophets does not happen to you: 41 Look, you scoffers, marvel and vanish away, because I am doing a work in your days, a work that you will never believe, even if someone were to explain it to you.”13:41 Hab 1:5Is 29:14; Hab 1:5 Paul and Barnabas in Antioch 42As they were leaving, the people13:42 Other mss read they were leaving the synagogue of the Jews, the Gentiles urged them to speak about these matters the following Sabbath. 43After the synagogue had been dismissed, many of the Jews and devout converts to Judaism followed Paul and Barnabas, who were speaking with them and urging them to continue in the grace of God.Ac 11:23; 14:22 44The following Sabbath almost the whole town assembled to hear the word of the Lord.13:44 Other mss read of God 45But when the Jews saw the crowds, they were filled with jealousy and began to contradict what Paul was saying, insulting him.Ac 18:6; 1Th 2:16; 1Pt 4:4; Jd 10 46Paul and Barnabas boldly replied, “It was necessary that the word of God be spoken to you first. Since you reject it and judge yourselves unworthy of eternal life, we are turning to the Gentiles.Mt 21:43; Ac 3:26; 18:6; 22:21; 28:28 47For this is what the Lord has commanded us: I have made you a light for the Gentiles to bring salvation to the ends of the earth.”13:47Is 49:6Is 42:6; 49:6; Lk 2:32 48When the Gentiles heard this, they rejoiced and honored the word of the Lord, and all who had been appointed to eternal life believed. 49The word of the Lord spread through the whole region. 50But the Jews incited the prominent God-fearing women and the leading men of the city. They stirred up persecution against Paul and Barnabas and expelled them from their district.Ac 14:2,19; 2Tm 3:11 51But Paul and Barnabas shook the dust off their feetMt 10:14; Mk 6:11; Lk 9:5; Ac 18:6 against themAc 14:1,19,21; 16:2; 2Tm 3:11 and went to Iconium. 52And the disciples were filled with joy and the Holy Spirit.
We can’t stay here anymore week 8 "Paul and Barnabas scatter." Preparing for the Mission Field 1Now in the church at Antioch there were prophets and teachers: Barnabas, Simeon who was called Niger, Lucius of Cyrene, Manaen, a close friend of Herod the tetrarch,Mt 14:1; Ac 4:36; 11:19,22,27; 1Co 12:28 and Saul. 2As they were worshiping13:2 Or were ministering to the Lord and fasting, the Holy Spirit said, “Set apart for me Barnabas and Saul for the work to which I have called them.”Ac 8:29; 9:15; Rm 1:1; Gl 1:15 3Then after they had fasted, prayed, and laid hands on them, they sent them off.Ac 6:6; 14:26 The Mission to Cyprus 4So being sent out by the Holy Spirit, they went down to Seleucia, and from there they sailed to Cyprus. 5Arriving in Salamis, they proclaimed the word of God in the Jewish synagogues. They also had John as their assistant.Ac 9:20; 12:12 6When they had traveled the whole island as far as Paphos, they came across a sorcerer, a Jewish false prophet named Bar-Jesus.Mt 7:15; Ac 8:9 7He was with the proconsul, Sergius Paulus, an intelligent man. This man summoned Barnabas and Saul and wanted to hear the word of God.Ac 18:12; 19:38 8But Elymas the sorcerer (that is the meaning of his name) opposedEx 7:11; 2Tm 3:8 them and tried to turn the proconsul away from the faith.Ac 6:7; 8:9 9But Saul — also called Paul — filled with the Holy Spirit, stared straight at Elymas 10and said, “You are full of all kinds of deceit and trickery, you son of the devilMt 13:38; Jn 8:44 and enemy of all that is right. Won’t you ever stop perverting the straight pathsHs 14:9; 2Pt 2:15 of the Lord? 11Now, look, the Lord’s hand is against you.Ex 9:3; 1Sm 5:6–7; Ps 32:4; Heb 10:31 You are going to be blind, and will not see the sun for a time.” Immediately a mist and darkness fell on him, and he went around seeking someone to lead him by the hand. 12Then, when he saw what happened, the proconsul believed, because he was astonished at the teaching of the Lord.Ac 13:49; 15:35–36 Paul’s Sermon in Antioch of Pisidia 13Paul and his companions set sail from Paphos and came to Perga in Pamphylia, but John left them and went back to Jerusalem.Ac 12:12; 13:6; 15:38 14They continued their journey from Perga and reached Pisidian Antioch. On the Sabbath day they went into the synagogue and sat down.Ac 9:20; 14:19,21; 16:3; 17:2; 18:4 15After the reading of the Law and the Prophets, the leaders of the synagogue sent word to them, saying, “Brothers, if you have any word of encouragement for the people, you can speak.”Mk 5:22; Ac 15:21 16Paul stood up and motioned with his hand and said, “Fellow Israelites, and you who fear God, listen!Ac 10:2; 12:17 17The God of this people Israel chose our ancestors, made the people prosper during their stay in the land of Egypt, and led them out of it with a mighty13:17 Lit with an uplifted arm.Ex 1:6; 6:6; Dt 7:6–8; Ac 7:17 18And for about forty years he put up with them13:18 Other mss read he cared for them in the wilderness;Dt 1:31; Ac 7:36 19and after destroying seven nations in the land of Canaan,Dt 7:1; Jos 14:1; 19:51; Ps 78:55; Ac 7:45 he gave them their land as an inheritance. 20This all took about 450 years. After this, he gave them judges until Samuel the prophet.Jdg 2:16; 1Sm 3:20; Ac 3:24 21Then they asked for a king, and God gave them Saul the son of Kish, a man of the tribe of Benjamin, for forty years.1Sm 8:5; 9:1; 10:1 22After removing him,1Sm 15:23,26; 16:13 he raised up David as their king and testified about him, ‘I have found David the son of Jesse to be a man after my own heart,13:221Sm 13:14; Ps 89:201Sm 13:14; Ps 89:20 who will carry out all my will.’ 23“From this man’s descendants, as he promised, God brought to IsraelPs 132:1; Mt 1:1; Lk 2:11; Ac 13:32 the Savior, Jesus.13:23 Other mss read brought salvation 24Before his coming to public attention, John had previously proclaimed a baptism of repentance to all the people of Israel.Mt 3:1; Mk 1:4; Lk 3:3; Ac 1:22; 19:4 25Now as John was completing his mission, he said, ‘Who do you think I am? I am not the one. But one is coming after me, and I am not worthy to untie the sandals on his feet.’Mt 3:11; Mk 1:7; Lk 3:16; Jn 1:20,27; Ac 20:24 26“Brothers and sisters, children of Abraham’s race, and those among you who fear God, it is to us that the word of this salvation has been sent.Ac 4:12; 5:20 27Since the residents of Jerusalem and their rulers did not recognize him or the sayings of the prophets that are read every Sabbath, they have fulfilled their words by condemning him.Lk 24:27; Ac 3:17 28Though they found no grounds for the death sentence, they asked Pilate to have him killed.Mt 27:22–23; Ac 3:14 29When they had carried out all that had been written about him, they took him down from the tree and put him in a tomb.Mt 27:59; Lk 23:53; Ac 5:30 30But God raised him from the dead,Mt 28:6; Ac 2:24 31and he appeared for many days to those who came up with him from Galilee to Jerusalem, who are now his witnesses to the people.Mt 28:16; Lk 24:48; Ac 1:3 32And we ourselves proclaim to you the good news of the promise that was made to our ancestors.Ac 5:42; 26:6; Rm 4:13; 9:4 33God has fulfilled this for us, their children, by raising up Jesus, as it is written in the second Psalm: You are my Son; today I have become your Father. 13:33 Or I have begotten you 13:33 Ps 2:7 Ps 2:7; Heb 1:5; 5:5 34As to his raising him from the dead, never to return to decay, he has spoken in this way, I will give you the holy and sure promises of David.13:34Is 55:3Is 55:3; Ac 13:30,37 35Therefore he also says in another passage, You will not let your Holy One see decay.13:35Ps 16:10Ps 16:10; Ac 2:27 36For David, after serving God’s purpose in his own generation, fell asleep,Ac 7:60; 1Co 11:30; 15:6,18,20,51; 1Th 4:13–15 was buried with his fathers, and decayed,1Kg 2:10; Ac 2:29; 13:22; 20:27 37but the one God raised up did not decay. 38Therefore, let it be known to you, brothers and sisters, that through this man forgiveness of sins is being proclaimed to you.Lk 24:47; Ac 2:38 39Everyone who believes is justified13:39 Or freed, also later in this versethrough him from everything that you could not be justified from through the law of Moses.Rm 3:28; 10:4 40So beware that what is said in the prophets does not happen to you: 41 Look, you scoffers, marvel and vanish away, because I am doing a work in your days, a work that you will never believe, even if someone were to explain it to you.”13:41 Hab 1:5Is 29:14; Hab 1:5 Paul and Barnabas in Antioch 42As they were leaving, the people13:42 Other mss read they were leaving the synagogue of the Jews, the Gentiles urged them to speak about these matters the following Sabbath. 43After the synagogue had been dismissed, many of the Jews and devout converts to Judaism followed Paul and Barnabas, who were speaking with them and urging them to continue in the grace of God.Ac 11:23; 14:22 44The following Sabbath almost the whole town assembled to hear the word of the Lord.13:44 Other mss read of God 45But when the Jews saw the crowds, they were filled with jealousy and began to contradict what Paul was saying, insulting him.Ac 18:6; 1Th 2:16; 1Pt 4:4; Jd 10 46Paul and Barnabas boldly replied, “It was necessary that the word of God be spoken to you first. Since you reject it and judge yourselves unworthy of eternal life, we are turning to the Gentiles.Mt 21:43; Ac 3:26; 18:6; 22:21; 28:28 47For this is what the Lord has commanded us: I have made you a light for the Gentiles to bring salvation to the ends of the earth.”13:47Is 49:6Is 42:6; 49:6; Lk 2:32 48When the Gentiles heard this, they rejoiced and honored the word of the Lord, and all who had been appointed to eternal life believed. 49The word of the Lord spread through the whole region. 50But the Jews incited the prominent God-fearing women and the leading men of the city. They stirred up persecution against Paul and Barnabas and expelled them from their district.Ac 14:2,19; 2Tm 3:11 51But Paul and Barnabas shook the dust off their feetMt 10:14; Mk 6:11; Lk 9:5; Ac 18:6 against themAc 14:1,19,21; 16:2; 2Tm 3:11 and went to Iconium. 52And the disciples were filled with joy and the Holy Spirit.Mt 5:12; Jn 16:22; Ac 2:4 “The Gospel washes away our old identity” "The Antioch church was diverse yet Unified.... hungry and passionately pursuing the spirit.... Generous and wholly Unselfish."
Episode 50 with Henry and Dylan—Today they're discussing what they learned through the first 50 episodes of the podcastDishin' out Smart Nonsense about:The summary: Lessons on life and success from Episode 1 to 49The fundamental truths on how to succeedLife is too serious, be casualLinksDear 2045 | Smart Nonsense Pod #1Friend Chats: Should you vault out of finance? | Smart Nonsense Pod #31Ian Lapham: The hidden backdoor to success | Smart Nonsense Pod #43The Parable of the Mexican Fisherman10 Simple Steps To The Perfect Interview | Neil StraussRework by David Heinemeier Hansson and Jason FriedReady, Fire, Aim by Michael MastersonThe 4-Hour Workweek by Tim Ferriss The Game by Neil StraussHow I Built This with Guy Raz | NPR10,000,000! | Marques BrownleeCasey Neistat | YouTubeMatt D'Avella | YouTubeMoney Heist | NetflixDerek SiversBasecampTubeBuddyZoomZencastrCitadel [Heads up: Sometimes we get a $ kickback from these recs, so if you buy, thanks for supporting the pod.]Here's the full Show Notes.Watch Henry's last YouTube video.Read Dylan's last blog post.
Transcription:Russ Cox 0:03What we soon found out was that we were posting that on YouTube. Employees were watching it regularly. But what we also found out is it in a vacuum of information, they were forwarding the link to their family members and to other people. And it became a very good community communication as well. To the point we even had media watching it.Gary Bisbee 0:22That was Russell Cox, President and CEO of Norton Healthcare commenting on the benefit of his daily video for Norton caregivers, which quickly went viral in Louisville for their families, the Board of Directors, local media, and the Louisville community. I'm Gary Bisbee, and this is Fireside Chat. Russ is only the fifth CEO in Norton's history. We'll track Russ from his first job as a teacher and explore lessons learned that he uses to this day. All health systems have seen telehealth visits explode as has Norton. Russ provides a unique answer to the question of whether telehealth visits will recede along with COVID and which demographic will benefit from them and why? Let's listen.Russ Cox 1:05You look at folks who have mobility issues, immunosuppressed people that have transportation issues. I think our patients have always had the muscle to do telehealth they've just never had to flex it. And COVID made them flex it and made them actually say I've got this I can do it.Gary Bisbee 1:20Our conversation includes reference to the community dismay at canceling the Louisville institution, the Kentucky Derby, the importance to maintain needed surgeries and treatments in the face of a crisis like COVID, how Norton invested in its employees so that they could focus on Norton's patients, characteristics of a leader in a crisis, and the fundamental learning from COVID. I'm delighted to welcome Russ Cox to the microphone. Well, good afternoon, Russ and welcome.Russ Cox 1:32Thanks very glad to be here.Gary Bisbee 1:55We're always pleased to have you at the microphone. Most of us are generally familiar With Norton Healthcare, but probably not in as much detail as we'd like to be so could you please describe Norton Healthcare for us?Russ Cox 2:08Yeah, sure, Gary. We're in Louisville, Kentucky. We sit in a metropolitan area with a population of about 1.2 million people. We have five hospitals that are geographically located within 13 miles of each other, the furthest to reporter 30 miles. So we operate very much as a system where about two and a half billion dollar system that probably the most meaningful statistic for you to think about where Norton healthcare is in loyal is that we have about a 55% market share, which is really a good thing. It's many things but it's a responsibility when you really think about it.Gary Bisbee 2:42Right, but quite amazing. How would you characterize the culture of Norton Healthcare?Russ Cox 2:49The culture of Norton Healthcare really goes back a long way when you go back to the beginning of Norton Healthcare. We've only ever had five CEOs. I'm the fifth one. So there's been very few CEOs, folks who stay around a long time, and we go back to Wade Mounts who was the first CEO who was the very first president of AHA and really did some great things in the Hall of Fame. And you come right on through to Jim Petersdorf who was very focused on measurable quality. Then come right on through that Steve Williams, the CEO prior to me, we were the very first organization to post every quality score on our website when we did that 12 years ago. So transparency is part of the culture, very community based, our Board of Trustees all sit right here and live in Louisville, Kentucky. So it's a very community-centric, very transparent, very trusted asset in the community.Gary Bisbee 3:40Actually, I was at AHA when Wade was chairman officer so I go way back with Norton and your leaders.Russ Cox 3:47Sadly, we lost Wade this year.Gary Bisbee 3:48Really? Okay.Russ Cox 3:49We lost him the first week of March. He had a great life. He lived 93 years and he was healthcare through and through.Gary Bisbee 3:56We'll get into the COVID outbreak in a little bit, but could you describe your main priorities before the COVID outbreak?Russ Cox 4:03We were in the beginning of a brand new approved strategic plan that really had great focus on extending access even further in our community and had a strong emphasis and platform on telehealth for convenience, for reach, for being able to extend our nearly 2000 on the medical staff 1500 employed position and provider platform that we really felt was a great opportunity. It turned out to be a great thing that we were because we certainly needed it sooner than we thought we would, but we were all about pushing access. We were all about looking for ways that we could personalize and make the convenience much better for the consumer. I think everybody had that focus going into it, but it just really was taking on a bigger role in how we advocate for patients and getting access to specialty services for patients who lived out further in Woodland in Kentucky. So again, it was fortuitous that we had such a focus on the virtual model. And we had already begun construction of that and already begun preparing for that way. So we were able to accelerate very quickly when this COVID-19 issue came about.Gary Bisbee 5:14Absolutely good timing. Let's turn to you for a minute. Russ. It's always fun to get the background of the CEO, the health system, so a lifelong resident of Louisville ever think about going elsewhere?Russ Cox 5:25Oh, sure. I had the opportunity to in my early days. I worked with what was Humana, the hospital company, and then it became an insurance company and then it became Galen. And then it became Columbia HCA and then it became HCA. I had the opportunity to relocate to Nashville, Tennessee with HCA and I actually did live there on a temporary basis for about a year and a half, two years. But I've always considered Nashville a very dynamic city from the standpoint of what the Frist family has done for entrepreneurship and healthcare and how so many interesting things have happened in healthcare in Nashville. So I'd say Nashville would be up on that list.Gary Bisbee 6:02Of course, we all think about Louisville we think about the Kentucky Derby. Seems like you and the Norton executives are all active in Kentucky Derby week. This year didn't happen, probably what the first time in a long time that the Kentucky Derby wasn't held?Tim Pehrson 6:19It absolutely was. And it's just another one of those signs of how different things are because we can't even imagine the first Saturday in May is just absolute tradition in our state and in the country. And for it not to happen this year was just devastating, both mentally and from a financial perspective to our community. So we're certainly hopeful that it can be run in September, we're not sure whether or not we're going to be able to be there to watch it in person. But these are different times and we understand that we all have to adapt and adjust and we certainly are going to be supportive of fire brother and at Churchill Downs and hopefully we get through this and things get back to normal.Gary Bisbee 7:00Well, what do you like best about Louisville?Russ Cox 7:02You know, I'd have to say here that one of the things that have always attracted me to Louisville is the strong healthcare DNA and Humana. David Jones and Wendell Cherry started up a hospital company here from scratch that turned into what you still know is Humana but in a different configuration. It's all about insurance and on the payer side and Medicare Advantage, we've had a lot of firsts that happened in this community in healthcare. If you go back to hand transplants and you know, a competitor hospital if you go to the first pediatric heart transplant that was done at Norton Children's Hospital. And there's been a whole lot of things that have happened in our community that have really made that DNA strong and such a vibrant part of the community. And I think that's always been an attraction. I'll tell you the other thing that you have to appreciate about Louisville is that it's not a parochial community at all. We've had people we've had physicians relocate here, we've had all kinds of people relocate here. The one thing they say is you can be as involved in the city as you want to be. It's a very welcoming, very open, very willing to let you be involved in anything you want. It doesn't matter what your last name is here. It really just matters what your passion is. And it's been a great thing for this community. I think it's it's helped us get through this particular time as well.Gary Bisbee 8:14Now, I know from past discussions that you were a teacher earlier in your career, was that your first job after college?Russ Cox 8:22Actually, it was, I was certain that I wanted to be an attorney. I had been accepted to three law schools. My father had paid a $500 deposit for me to attend one. I clerked the summer of my senior year in college and came home and said, "Oh my god, I can't do this." This is not like what lawyers look like on TV at all. And it was a good experience that I never will forget. My father told me that I said, I'll pay you back to $500. And he said, don't worry about that. $500 to find out what you don't want to do is a good investment. I graduated from undergraduate and taught school for two years and taught Middle School of all things. So I often say that if you can be prepared five days a week for middle school students, you can do anything in healthcare, because it's a different kind of challenge. But I did that while I went to graduate school and was able to then find myself working in the early 80s. For Humana in its early days as well, in the Human Resources function there. So I jumped into healthcare in 1982, after having been a teacher for two years and had a good background and obviously Training and Education and Human Resources area, and the rest was kind of history. It was such a growing company back then. And the opportunities for somebody to come in and really develop and really grow were great because it was growing so fast. They needed people and Mr. Jones and Mr. Cherry were not afraid to throw you in the deep end and help you learn how to swim. That's exactly what they did with me and it's been good for me, I still say that I call upon those teaching skills on a daily basis, Gary,Gary Bisbee 9:55Well, the other skill may be what you learned at Humana. Can you share with us? What lessons did you learn there that you've carried on to Norton?Russ Cox 10:05There's so many things to transfer both ways, the investor/own side of it. And let's just put this at the top of it. Both places put the patient at the very center of every decision that they make. And I never saw a decision made at Humana that was in any way detrimental to a patient. As a matter of fact, it was always about the patient. So there's a lot of similarities that are there. I think the differences that you have to think because you have a responsibility to shareholders. We have a responsibility to bondholders, but we can be a little bit longer-term thinking the not for profit side. And I think that's an advantage. You can be more strategic from the long perspective. I think that when you're investor-owned, you have to think about what am I doing that will increase value over the next 90 days. Now, that's not to say that everything's that way. But you get a report card every 90 days, and that's a pretty serious report card. So I learned to think in terms of how can we improve a situation and get it done quickly? How can we expedite? I think I also learned a whole lot about measurability because in the investor/owned side, it was very important that you be quantitative, that you get the right data to make decisions with. And I think that's played over into the not for profit side, currently. But I think it took a little bit longer to get to that place. So there's a lot of things that have transferability. But at the end of the day, we're all very similar in how we approach patient care.Gary Bisbee 11:30Let's turn to the COVID-19 crisis. What was the surge or the profile of the surge in Louisville?Russ Cox 11:40Well, it's been an interesting time for us. Obviously, we anticipated a larger surge than what we actually experienced. And hopefully, if we're going to want to say that we took enough very appropriate action quickly and made certain that certain things happen. We had a very, very strong, newly released Governor Andy Bashir, who really took a great leadership position in the state and made sure that while the decisions weren't always popular to shut things down earlier to stop things from happening, that it was the right thing to do. So we were able to preempt a whole lot of what that surge could have been, we were all prepared for it. What we've really seen is more of a less than expected surge that we would hardly call a surge and it's flattened into what we now are calling a steady plateau. We're seeing about the same numbers come in and go out on a daily basis. So our new abnorma...l is I'm calling because I don't think anything will be normal again... but our new abnormal is that we're probably likely going to have in our system 40 to 50 COVID positive patients on the inpatient side, every day for a while. We were fortunate that we didn't see a whole lot of event utilization. We were prepared for that. But we always had plenty events, most of our obviously more serious patients on the inpatient side, we're in the ICU. So we monitor those days very carefully. But it's been a pretty steady sort of run over the past two to three weeks. And hopefully as things begin to open up, we'll be able to see that steadiness continues. We hope that it doesn't create a spike. But we're prepared for that. If it does, and hopefully by continuing to do the things that we're doing, we'll continue to see that gradual decline.Gary Bisbee 13:20Building on that we've seen that there's a lack of information and probably disinformation going around how have you communicated with the community, Russ?Russ Cox 13:31Well, we've taken a multi-pronged approach to how we communicate. We knew in early March that this was going to be different and we were going to have to do some things very differently. So one of the things we did is I started recording a video once a day, about 10 to 12 minutes where I was 100% transparent with employees gave them exactly the numbers of people that were coming in. How many of them were positive, how many of them were impatient, where they were, how many employees we tested, how many employees were positive. We gave how many people were Were out on medical furlough, how many people have returned from furlough, then we would use what was left of the 10 to 12 minutes to talk about significant shifts in policy that we needed to make whether it be a restricting visitation, whether it be utilization of PPE. I took the last two or three minutes and we set up an email where people could send in questions and we just tried to run through questions that people had sent in as quickly as we could. What we soon found out was that we were posting that on YouTube. Employees were watching it regularly. But what we also found out is it in a vacuum of information, they were forwarding the link to their family members to other people, and it became a very good community communication as well. To the point we even had media watching it. And again, 10 to 12 minutes is about all you can do. The players don't have time, but what we found was that people were watching it at home, letting their spouse watch it at home. And so it was a very effective sort of communication. We send it to all of our physicians, all 16,300 employees got link to that on a daily basis. This afternoon I'll film number 72 in a row of doing that. And it's been one of those good things that we've been able to do because people will watch that video, people tend to get an email and only glaze through it and not get some of the details. So we've really tried to extrapolate what is it that people really need to know to do their job the next day. So that's been very effective. The other thing we've done is we've worked very effectively with local and state governments to make sure that they had our information that we were helping them in any way that they needed possible to get messages out. When you have 55% market share, you have an opportunity to leverage that. We're an epic, EMR. We've got my chart, we were able to leverage my chart to really improve telehealth. We went from probably 250 telehealth visits in February to the month of April, we had 18,000 telehealth visits. So we were able to use that to communicate with patients as well. We did zoom media availabilities once a week where we would just again, be very transparent. Take any questions that the press had. I just felt like that our history of transparency and a responsibility that we have to make sure that we're providing as much information as we can for the public really required us to take an hour out of a week or whatever, and just sit down with the media and say, here's what we're saying, here's what we think, what can we answer for you? We leverage social media as much as it could be possibly leverage during this time, as I'm sure everyone did. But my goal for our organization was to be accused of over-communicating. I think that's one of the things you learn for being a teacher sometimes is that sometimes you've got to be repetitive, repetitive, repetitive, as they say for students to learn and sometimes for the public to understand we have to just continue to they use that message I'd really like to have $1 for every time I said, make sure you wash your hands, make sure you social distance, make sure you cough it to your elbow. Make sure you don't go to your eyes and nose with your fingers. I mean, I could give these speeches over and over again, but we just made it our goal to over-communicate. I also should add that we included our Board of Trustees in those videos. And that was probably one of the smarter things that we did because it sure made board meetings a lot easier. They would watch that video every day and be able to keep up with what we were doing and how we're doing it. So we got a board meeting and we didn't have to recreate everything that had happened over the past month. It's an effective tool.Gary Bisbee 17:26Well, it's 72 videos, you're going to be quite a personality around Louisville. If you need an agent Russ just let me know I'm available.Russ Cox 17:36I didn't say the news was always good. I was delivering. We did learn from that too, Gary. That if you are palms up with your employees and tell him exactly how it is and it's pretty hard for me to stand in front of that camera last month and say, folks, the month of April, we're going to lose $80 million. But it was very much a rallying cry for everybody to say hey, at least I know what it is. And at least I feel like we have a plan to figure this out. And we did our best to make sure that every day, and it got us through some PPE issues to hearing, because we had PPE problems just like everybody else did. I mean, I literally would go on the video every day and say, here's how many of these we have, here's what our burn rate is, we're going to need to reuse these and we're going to need to use ultraviolet rays to sanitize these masks, and you're going to need to use them the next day and I bring in somebody from our infectious control to actually talk about this will work and you need to trust it. So it has so many uses that I would do it all over again, I think that was the one strategy that really did make a big difference for us.Gary Bisbee 18:41If we could dig into telemedicine, you made the point that your virtual strategy was a priority pre-COVID, and that played well into what came post-COVID. How do you see televisits growing from here?Russ Cox 18:59I think they'll grow. There's going to be circumstances where the face to face visit with a provider is always going to be the best possible way to do it. But there's going to be a real need for telehealth and increase telehealth going forward because we have so many people who fit into this higher risk category. And until we have a reliable vaccination, we're going to have people who shouldn't be out and about. So leveraging this and the good news is one of those categories of at-risk are elderly people. The good news is that elderly people have been introduced to technology to communicate with their grandchildren and their children. So telehealth now feels very natural to a whole lot of people who in the past, wouldn't it use telehealth? So, you look at folks who have mobility issues, immunosuppressed people that have transportation issues. I think our patients have always had the muscle to do telehealth, they've just never had to flex it. And COVID made them flex it and made them actually say, hey, I've got this I can do it. So we're pretty excited. We last week announced a concept that I'm very excited about and really it just came from understanding more about telehealth. We're building the first permanent drive through testing diagnostic site that I think we've ever seen. We certainly have none of them in this region. And I don't know if there's any in the country, but we saw how telehealth works so well. And we realized, hey, if we could almost if you could think of a Jiffy Lube concept, but for healthcare, we're gonna have three bays where people could pull up, they can have lab work done. They can have diagnostics done. They can have tests, they can have vaccinations, and we learned a lot that if you can do it in your car, you can have a telehealth visit, get the orders, go get your lab work and your car and not have to leave your car and not have to come into medical office buildings or labs and interact with people. And we can put two people in Pampers for the whole day and save PPE. So we're moving up telehealth to the next iteration of testing diagnostics for an express drive-thru and walk-up perspective that we think will help drive even more telehealth. So I think we have to look at how do we get ahead of the curve on this because the circumstances that we're in may change, but the memory of the patient is not going to change for a long time. And if we have spikes, we're going to need this capacity. If we have another virus of some kind, which is altogether possible, we're going to need this skill set. We're going to need these kinds of opportunities with telehealth and travel through testing to make people feel very comfortable with continuing to use. So yeah, I'm very bullish on telehealth and drive-thru and walk-up permanent testing sites. Be interesting to see how it works.Gary Bisbee 21:35Yeah, for sure. Well, that's a terrific initiative and on Norton's part, one quick question there. Do you think insurance companies will continue to reimburse for televisits the way they have during the crisis?Russ Cox 21:48We certainly advocated for this during the time we've worked with all of our political leaders that we know we've worked with our payers. It will be a shame if they don't because we're able to make a difference in so many people's lives that otherwise won't come in. And I've tried to convince some payers along the way that we will probably lost some people that will never get to come to again. And that's going to be to their benefit. So hopefully, they'll see the wisdom in continuing to invest in good reimbursement levels for telehealth, but I'm going to be honest with even if they don't, the consumer is not going to let us discontinue this service. I really think that it's a whole different world that we're living in as it relates to patient and patient advocacy around how they want to receive health care.Gary Bisbee 22:33Let's turn to a story that's not quite as attractive and that is surgeries, particularly elective surgeries, you make the point that we might be a captive of our own terminology. Why don't you dig into that a bit? If you could, Russ?Russ Cox 22:46We've always known the importance of surgical procedures, diagnostic procedures, and the like on hospitals. I don't think in my careers, and I've been in it since '82, that it's ever been hammered home more than it was when we were forced to discontinue those kinds of services because it's a severing of the cord, if you will, with the patient in many ways to not be able to do those things. Not to mention what it does to your revenue stream. But I really do feel like we're a victim of our own nomenclature at times because the word elective, so often go to the mind of a consumer or the mind of the general public that all we did was cosmetic procedures. And that's so wrong. All we did really was delay procedures that needed to be done. And they got categorized as elective and pretty soon everyone's arguing over what elective is, and I think that was a learning for us all in this that we need to really examine how we define surgeries that need to be done. And all we did was delay which many times put the patient in a compromised position. What is elective about a person needing spine surgery with horrific back pain? What's the elective about a knee replacement? If the person has a blood infection in that joint, there is nothing elective about that. But we found ourselves arguing about what's elective and what is just really has to be done. It certainly was an eye-opener for us. As I mentioned earlier, we lost $80 million in the month of April. And a whole lot of that goes to the fact that we couldn't do surgeries, we couldn't do procedures. We never laid anybody off. We never reduced anybody's pay, we made the conscious decision that we were going to invest in our employees and that we were going to ask them to focus on patients and focus on staying ready when the patients came back, and we were going to fight through it together. So it all added up to not a good financial result. But the culture of our organization is better for the fact that we stood by our employees and I think physicians have noticed that I think that as they make decisions as to where they want to practice in the future, they're going to remember to take care of their employees. So we're glad to see that we're able to return to 100% of elective surgery starting tomorrow. We were at 50% for the past two weeks. We saw a very strong willingness for patients and physicians to come back. We were worried. I think one of the lessons I learned here is that you can't just tell patients, trust us, it's safe. They expect us to say that. They think oh, of course, you're gonna say it safe. But what we have to do is tell them how it's different. And so our communication strategy has been to communicate with patients how it's different. You're going to get your temperature taken before you come in the door, you're going to be asked to put a mask on, you're going to be asked to only have one visitor with you, when you're here. We clean all of our areas with UV ray machines, we're not going to have waiting areas with chairs that are not six feet apart. So we've worked very hard on building trust back by not just saying trust us, but by saying here's what's different. We're encouraged our fear at times that what I'm seeing right now and feeling good about is just a backlog of necessary surgery that is enthusiastic, we come back so I think we'll know a whole lot more over the next four to six weeks is to the general public's willingness to read Return to those procedures. We've done a lot of research, I think that everybody knows that they're more comfortable returning to ASC than they are to hospitals that have procedures. So we've done everything we can to communicate what we're doing and how we're doing it and to get people to places where they're going to be comfortable with a procedure with the surgery being done.Gary Bisbee 26:19Following up on the economic story, how do you see 2020 ending up? And how do you see '21 ending up given there's so many variables here that it's just impossible to figure out?Russ Cox 26:32It really is. I have to say that I'm very pessimistic for the rest of 2020. Simply because I think that it could have everything from spikes to another surge to still some reticence on the part of patients to come back as quickly as we would hope. I think it's going to be a difficult slog for us. Well, let me say that the Cares Act has made a difference for us. For us getting $43 million is significant. It doesn't make up for the revenue we lost. But it helps. And it's certainly something that we didn't count on or expect. So I think that's been a good thing for hospitals and healthcare organizations to at least have that assist going forward. We don't know how much more that's coming if he's coming. But that would always certainly be welcomed and help. I like to think that payers are going to understand that they've done very well during this time. And that hopefully, they'll see their way fit to help us through this time as we go forward. So might be crazily optimistic on that. But I think these are different times. I think that it's in everyone's best interest to be some shared help along the way. So I'm more optimistic that if we're able to do the things that we're doing and sustain the behaviors and activities that we're in right now that 2021 can be a year that we maybe not return to the levels where we have been in the past, but that we begin to calibrate more towards what we're used to.Gary Bisbee 27:54We've touched on this several times before today, but let me ask that question directly if I can, what are the characteristics of a leader in a crisis? What should they be?Russ Cox 28:06I'm going to go back to what I said earlier, I think it's number one, two, and three, a good communicator, and a communicator that's willing to share everything that they know. And everything that I say, I think is important for people to know. And be willing to do it in a way that is very palms up, very transparent. And that creates a sense of stability and calm. I think the mistake that a lot of leaders make during this time is to get so buried in the details of execution on operations around things that they forget that just communicating that we're going to be fine. We are going to get through this and that we do have a plan and that we're going to tell you about that every day and be willing to say to people, it's going to change because the situation is gonna change and just watch us every day. Listen every day and if you have concerns, we set up a hotline one 800 number for if you have concerns about PPE call this and it will get it resolved to date. If you're not feeling good call employee helpline. It's one central line here. But I think communication I just go back to, it sounds so easy to say all communication is so important. What I found during this time is you cannot communicate too much. And you need to be out there regularly. They need to be able to see your face and not just read an email, they need to be able to see the emotion that you feel. They need to understand that you're very much into this and that you're very much about making certain that they're safe, that they have the tools they need to do their job, and that they can take care of patients. I've become a big believer in that anything in everything that you can do. To communicate is very important and I haven't it hasn't been lost on me that you're not just communicating with your employees. you're communicating with their families in the morning information they're able to share with their families, the more secure their families feel about that person coming to work and putting themselves in harm's way every day.Gary Bisbee 30:09Well said, Russ, this has been a terrific interview, we appreciate your time, I'd like to ask one final question. That is this idea of new normal, you make the point that we're not going to see normal again. But what comes to your mind in changes in the delivery system as a result of COVID that you would like to see?Russ Cox 30:29Flexibility. I think there's going to be a list of terms that we hate going forward and I'm going to put in an abundance of caution on that list. I hate that term. I feel like I've used it so many times and it's become so trite but new normal is another one that I hate, but I think the new normal if you will, is flexibility. We've got to meet patients where they are. Some are going to want those telehealth opportunities, some are going to want to come to the office. Some are going to want to delay care. How do we stay in touch with them? Some are going to want to do it virtually, we established a virtual hospital during this time, it's been a great success. We were able to discharge people into this virtual hospital where they had a virtual visit every day from their provider, and we were able to monitor their vitals remotely. So we're just going to have to meet people where they are and have a flexible approach to saying, How do you best interact with us, and what makes you most comfortable, what makes you feel the best about it? What makes you feel the safest? So my new normal and the thing that I preach here every day is meeting that patient where they are and having a flexible enough model that we can accommodate whatever it is that they choose, and however it is they choose to interface with us,Gary Bisbee 31:41Russ, thanks so much for your time today. Norton is lucky to have you and we've enjoyed very much having you on the show.Russ Cox 31:48Appreciate being here. Appreciate the great work of the Academy and look forward to us all being able to get back together again someday.Gary Bisbee 31:55This episode of Fireside Chat is produced by Strafire. Please subscribe to Fireside Chat on Apple Podcasts or wherever you're listening right now. Be sure to rate and review Fireside Chat so we can continue to explore key issues with innovative and dynamic healthcare leaders. In addition to subscribing and rating, we have found that podcasts are known through word of mouth. We appreciate your spreading the word to friends or those who might be interested. Fireside Chat is brought to you from our nation's capital in Washington DC, where we explore the intersection of healthcare politics, financing, and delivery. For additional perspectives on health policy and leadership. Read my weekly blog Bisbee's Brief. For questions and suggestions about Fireside Chat, contact me through our website, firesidechatpodcast.com, or gary@hmacademy.com. Thanks for listening.
This week, Fiona is joined by David for ‘Mars Colony’, a sci-fi political roleplaying game about personal failure and government, written by Tim C Koppang and published by TCK roleplaying.‘Mars Colony’ is an RPG designed specifically for two players. One player takes on the role of the colony’s appointed “saviour,” while the other is responsible for all the various problems that are plaguing the citizens of Mars. As the game progresses, the saviour will face a constant struggle between competence and failure, honesty and deception.You can buy ‘Mars Colony’ and download game resources on the TCK roleplaying website.Timestamps:Content note: 00:00:00Episode start: 00:01:11Intro: 00:01:20Overview: 00:02:45Setup: Stage 1: Creating Fear Cards: 00:04:51Fear Card Creation: 00:05:19Setup: Stage 2: Creating political parties: 00:06:57Political parties creation: 00:07:34Setup: Stage 3: Creating key governor characters: 00:10:55Creating key governor characters: 00:11:27Set up: Stage 4: Tokens: 00:16:04Tokens: 00:16:35Set up: Stage 5: The saviour chooses a political party: 00:16:49The saviour chooses a political party: 00:16:59Set up: Stage 6: Creating Kelly’s sympathy: 00:17:17Creating Kelly’s sympathy: 00:17:44Set up: Stage 7: Creating colony health markers: 00:20:00Creating colony health markers: 00:20:20Start of ‘Mars Colony’ oneshot/Opening vignette: 00:21:56Framing scenes: 00:25:20Scene 1: Opposition scene 1: 00:26:21Progress scenes: 00:32:50Scene 2: Progress scene 1: 00:34:27Failure, deception, humiliation & scandal: 00:36:37First deception: 00:38:43Second deception: 00:41:36Scene 3: Personal scene 1: 00:44:36Scene 4: Opposition scene 2: 00:49:56Scene 5: Progress scene 2: 00:59:59Scene 6: Personal scene 2: 01:08:06Scene 7: Opposition scene 3: 01:13:32Scene 8: Progress 3: 01:22:06Outro and credits: 01:31:17CreditsThe 'What Am I Rolling?' podcast was created, recorded and edited by Fiona Howat.The WAIR logo was created by Fiona Howat.This episode’s players were Fiona Howat and David T. Cox.This episode’s RPG one-shot was ‘Mars Colony’, a sci-fi political roleplaying game about personal failure and government, written by Tim C Koppang and published by TCK roleplaying. You can buy ‘Mars Colony’ and download game resources on the TCK roleplaying website.The theme music was '8-bit march' by Twin Musicom (twinmusicom.org), licensed under a Creative Commons 4.0 License.The additional music in this episode was ‘Fortress Europe’ by Dan Bodan and ‘Lord of the Dawn’ by Jesse Gallagher.If you want to find out more about the podcast, check out the 'What Am I Rolling?' podcast website: www.WAIRpodcast.com.Fancy getting in touch? Email the podcast at whatamIrollingpodcast[@]gmail.com.Follow the podcast on Twitter and Instagram (@WAIR_Podcast) for the latest news on episodes.#AdventurersNeedNotApply
Okay so the title of this episode is a bit tongue in cheek. Really, it’s more about — Bad Reasons to Give Up On Your Coaching Business. For the Show Notes on this episode go to https://prosperouscoach.com/49The truth is there are several good reasons why a coach might choose to give up on their coaching business but they all fall under one overarching reason … that it’s not a priority.It’s been said that timing is everything. When you’re undertaking something big, timing matters.I’ve shared in a few earlier episodes that when a coach is interested in hiring me to help them develop their coaching business from niche to messages to offers and website – all the little and big details – I ask several questions to see if they are ready to do this.Most of the time people can sense they’re ready and we’re off on the path, dreaming it up together.Now, I’ve known coaches who dropped their coaching business because …· they found out they were pregnant and their priorities changed· they had a health crisis and their priorities changed· they got a job offer and their priorities changed· their partner lost a job and their priorities changedYou get the picture. Priorities changing is the only good reason to give up on your coaching business.I’ve helped some coaches realize that entrepreneurship is not for them. It’s truly not for everyone.The reality is it’s a HUGE endeavor to launch a business and then grow it. It takes a certain kind of crazy. The kind of crazy that’s about vision, drive, ambition, and risk-taking.I am definitely crazy. Not only did I launch my business 20 years ago before there was a known pathway to building a successful coaching, but I’ve also remade my business to fit who I am 4 times now.I love entrepreneurship so much that I love to see other people choose it for themselves. It’s a lifestyle. It’s a work-style preference.Entrepreneurship may be the only place where you can fully bring all that you are to the table.You are the script-writer, the executive, the director, and you have the lead role. To me that’s thrilling. It gets me out of bed in the morning. Not only innovating and pivoting in my own business but also helping my clients develop those essential entrepreneurial skills.A lot of people don’t realize. You aren’t born an entrepreneur. You transform yourself into one when something is important enough to you.It’s worth it to figure stuff out piece by piece and day by day. But no coach has to do that all alone. There’s a village of guides, peers and support systems.So what are the other good reasons for giving up? There aren’t any. If it’s not for changing priorities, giving up on your coaching business is giving up on yourself.Don’t let this be you.I say this with love and compassion. I have been where you are. The absolutely only difference between you and me is time.· I’ve spent loads of money on training without results.· I’ve been confused and discouraged.· I have been fired by a few clients.· I’ve flubbed Discovery Sessions.· I’ve had failure launches.· I’ve had lean years.I even thought about giving up a few times. But I did not.Success doesn’t come without a few “failures”. Because I stuck with this:· I’ve had many windfall years and exceeded my lawyer husband’s income.· I increasingly have attracted more ideal clients for me.· I’ve done all the fancy pants events and been the big name.·&nbs
Jamie Holmes is with Movement Mortgage and he and Pat discuss deals they’ve made together, along with the ins and outs of the mortgage industry. Jamie also discusses playing soccer for a Division 1 college and playing professionally as well. This is also a special episode in that, CJ Couch (our podcast producer) makes his first appearance. Enjoy! How Pat and Jamie met and their first couple of business deals- 1:30 Movement Mortgage’s business philosophy- 3:16Maintaining a positive perspective- 9:52The importance of dealing with adversity- 14:21How playing professional soccer prepared him for going into the mortgage business- 18:20The pros and cons of college- 23:10The importance of working for a company that you fit in with: 35:34Jamie’s non profit “Feet In Need”- 37:13The importance of pursuing a passion project- 39:49The first six months of working in mortgages- 41:31How important it is to maintain a good personality with every client- 45:30How Movement Mortgage markets their company- 47:33Contact Jamie:Phone- (904)742-4302Website- https://movement.comEmail- contactus@movement.com
Jamie Holmes is with Movement Mortgage and he and Pat discuss deals they’ve made together, along with the ins and outs of the mortgage industry. Jamie also discusses playing soccer for a Division 1 college and playing professionally as well. This is also a special episode in that, CJ Couch (our podcast producer) makes his first appearance. Enjoy! How Pat and Jamie met and their first couple of business deals- 1:30 Movement Mortgage’s business philosophy- 3:16Maintaining a positive perspective- 9:52The importance of dealing with adversity- 14:21How playing professional soccer prepared him for going into the mortgage business- 18:20The pros and cons of college- 23:10The importance of working for a company that you fit in with: 35:34Jamie’s non profit “Feet In Need”- 37:13The importance of pursuing a passion project- 39:49The first six months of working in mortgages- 41:31How important it is to maintain a good personality with every client- 45:30How Movement Mortgage markets their company- 47:33Contact Jamie:Phone- (904)742-4302Website- https://movement.comEmail- contactus@movement.com
This week on "State of Wonder," exclusive sessions with singer-songwriter Josh Ritter and the epic band Typhoon, new ideas to preserve Portland's arts spaces, musician Laura Veirs branches into podcasting and children's books, and more.City Council Seeks to Preserve Arts Spaces with New ProposalsSo many Oregon cities are going through catalytic change because of rising real estate costs, and the front-line casualties include galleries, stages, clubs and artist studios. Most recently, Artists Repertory Theatre in Portland proposed selling half its building. At a work session this week, Portland City Council showed signs it may be ready to take action with a list of about two dozen recommendations for preserving arts and creative space, ranging from creating a new zoning category for creative spaces to an arts concierge in City Hall and giving arts groups priority pick of surplus city real estate.Former RACC Director Eloise Damrosch on the Future of Portland Arts - 4:19In the seventeen years that Eloise Damrosch was at the helm of the Regional Arts and Culture Council, she had a 10,000-foot view of the seismic changes in the city’s arts scene. She retired in 2017, paving the way for an executive search, now in its eighth month. It’s clear that the task ahead for the next generation of arts leaders is a heavy lift. Damrosch joined us this week to talk about her time at RACC and about this list of ideas on preserving creative space from commissioners Nick Fish and Chloe Eudaly.Live opbmusic Session with Typhoon - 11:49The band Typhoon is back this week with "Offerings," another record of songs made with finesse and ferocity. But this new release finds frontman and songwriter Kyle Morton going to strange and dark places, as it imagines one man’s descent into memory loss and madness. With as many as eleven musicians, this band has never lacked for ambition, but the high-concept music in “Offerings” raises the bar. The Silent Film Classic "The Passion of Joan of Arc" Gets a Soaring Live Soundtrack - 25:10For years, one of the worlds greatest films was thought lost, only to be discovered in a custodial closet in Norway. Carl Dreyer’s 1928 silent film, “The Passion of Joan of Arc,” will be screened at the Arlene Schnitzer Concert Hall on Jan. 26 in a most unique way: Portland Youth Philharmonic’s chamber orchestra will perform Richard Einhorn’s oratorio “Voices of Light” live to accompany the film, along with a slew of soloists and vocal ensembles including the female vocal ensemble In Mulieribus and three Portland State University choirs. We spoke with the composer Richard Einhorn and PYP's musical director David Hattner, who conducted a similar production in New York City in 2006 to glowing reviews. The "New York Times" asked whether it was Einhorn's "Voices of Light" that accompanied the film, or the film that accompanied the music?Musician Laura Veirs on Her Children's Book and New Podcast - 35:08In 2018, Portland singer-songwriter Laura Veirs puts down her guitar and picks up the interview mike for a new podcast, "Midnight Lightning," where she talks to musician moms, charting all the insane things they do to keep their careers and families on track. From rootsy pickers to funk rockers, there’s one thing they all have in common, she says: “Guilt. That was the main thing everyone said. They feel guilty. Especially the touring moms. And then gratitude. ‘I’m grateful I get to do this.’” Veirs also tells us about the children’s book she just published about an early folk singer, “Libba: The Magnificent Musical Life of Elizabeth Cotten.”Josh Ritter Plays Sisters - 44:46Singer-songwriter Josh Ritter is coming to Central Oregon for a concert at the Sisters Folk Festival Winter Concert Series on Jan. 23. The Idaho native’s a big get for them. In addition to his accomplishments as a musician, Ritter also wrote a "New York Times" best-selling novel in 2011, "Bright’s Passage," about a farm boy caught up in World War I. We listen back to a conversation and performance on OPB’s Think Out Loud the year the book came out.
*We apologize for the sound quality on this recording.* This is the 16th class on the book of Hebrews. This Bible class was taught at the Pilot Point Church in Pilot Point Texas. The following is the outline of the class. Christ the Mediator of a New Covenant The old covenant was inadequate and faulty, the new covenant is complete will never age The old covenant was inadequate because of its nature/law of works. The old covenant was inadequate because of its national/civil function and administration. The old covenant was faulty because its membership did not know God – had to be taught about God. The old covenant was faulty because once you sinned God could not make you right with that covenant. The old covenant was faulty because it was not designed to last forever. The Place of Jesus Ministry Hebrews chapter 9 9 Now the first covenant had regulations for worship and also an earthly sanctuary. 2A tabernacle was set up. In its first room were the lampstand and the table with its consecrated bread; this was called the Holy Place. 3Behind the second curtain was a room called the Most Holy Place, 4which had the golden altar of incense and the gold-covered Ark of the Covenant. This ark contained the gold jar of manna, Aaron’s staff that had budded, and the stone tablets of the covenant. 5Above the ark were the cherubim of the Glory, overshadowing the atonement cover. But we cannot discuss these things in detail now. 1 Kings 6 (NIV) 14So Solomon built the temple and completed it. 15He lined its interior walls with cedar boards, paneling them from the floor of the temple to the ceiling, and covered the floor of the temple with planks of juniper.16He partitioned off twenty cubits at the rear of the temple with cedar boards from floor to ceiling to form within the temple an inner sanctuary, the Most Holy Place. 17The main hall in front of this room was forty cubits[i] long. 18The inside of the temple was cedar, carved with gourds and open flowers. Everything was cedar; no stone was to be seen. 19He prepared the inner sanctuary within the temple to set the ark of the covenant of the LORD there. 20The inner sanctuary was twenty cubits long, twenty wide and twenty high. He overlaid the inside with pure gold, and he also overlaid the altar of cedar. 21Solomon covered the inside of the temple with pure gold, and he extended gold chains across the front of the inner sanctuary, which was overlaid with gold. 22So he overlaid the whole interior with gold. He also overlaid with gold the altar that belonged to the inner sanctuary. Leviticus 16 11“Aaron shall bring the bull for his own sin offering to make atonement for himself and his household, and he is to slaughter the bull for his own sin offering. 12He is to take a censer full of burning coals from the altar before the LORD and two handfuls of finely ground fragrant incense and take them behind the curtain. 13He is to put the incense on the fire before the LORD, and the smoke of the incense will conceal the atonement cover above the tablets of the covenant law, so that he will not die. 14He is to take some of the bull’s blood and with his finger sprinkle it on the front of the atonement cover; then he shall sprinkle some of it with his finger seven times before the atonement cover. Hebrews 9 (NIV) 6 When everything had been arranged like this, the priests entered regularly into the outer room to carry on their ministry. • 7But only the high priest entered the inner room, and that only once a year, and never without blood, which he offered for himself and for the sins the people had committed in ignorance. • 8The Holy Spirit was showing by this that the way into the Most Holy Place had not yet been disclosed as long as the first tabernacle was still functioning. • 9This is an illustration for the present time, indicating that the gifts and sacrifices being offered were not able to clear the conscience of the worshiper. • 10They are only a matter of food and drink and various ceremonial washings—external regulations applying until the time of the new order Matthew 27 45From noon until three in the afternoon darkness came over all the land. 46About three in the afternoon Jesus cried out in a loud voice, “Eli, Eli,[c] lema sabachthani?” (Which means “My God, my God, why have you forsaken me?”).[d] 47When some of those standing there heard this, they said, “He’s calling Elijah.” 48Immediately one of them ran and got a sponge. He filled it with wine vinegar, put it on a staff, and offered it to Jesus to drink. 49The rest said, “Now leave him alone. Let’s see if Elijah comes to save him.” 50And when Jesus had cried out again in a loud voice, he gave up his spirit. 51At that moment the curtain of the temple was torn in two from top to bottom. The earth shook, the rocks split Hebrews 9 (NIV) 10They are only a matter of food and drink and various ceremonial washings—external regulations applying until the time of the new order 11But when Christ came as high priest of the good things that are now already here,he went through the greater and more perfect tabernacle that is not made with human hands, that is to say, is not a part of this creation. The Son’s Sacrifice is Superior to the O.T. Sacrifice Hebrews chapter 9:12-10:18 Hebrews 9 (NIV) 11But when Christ came as high priest of the good things that are now already here,[a] he went through the greater and more perfect tabernacle that is not made with human hands, that is to say, is not a part of this creation. 12He did not enter by means of the blood of goats and calves; but he entered the Most Holy Place once for all by his own blood, thus obtaining eternal redemption. 9This is an illustration for the present time, indicating that the gifts and sacrifices being offered were not able to clear the conscience of the worshiper. Hebrews 9 (NIV) 13The blood of goats and bulls and the ashes of a heifer sprinkled on those who are ceremonially unclean sanctify them so that they are outwardly clean. 14How much more, then, will the blood of Christ, who through the eternal Spirit offered himself unblemished to God, cleanse our consciences from acts that lead to death, so that we may serve the living God! 15For this reason Christ is the mediator of a new covenant, that those who are called may receive the promised eternal inheritance—now that he has died as a ransom to set them free from the sins committed under the first covenant. For I will forgive their wickedness and will remember their sins no more. Hebrews 9 16In the case of a will, it is necessary to prove the death of the one who made it, 17because a will is in force only when somebody has died; it never takes effect while the one who made it is living. (NIV) 16For where a covenant is, there must of necessity be the death of the one who made it. 17For a covenant is valid only when men are dead, for it is never in force while the one who made it lives. • (NASB) Hebrews 9 (NASB) 18Therefore even the first covenant was not inaugurated without blood. • 19For when every commandment had been spoken by Moses to all the people according to the Law, he took the blood of the calves and the goats, with water and scarlet wool and hyssop, and sprinkled both the book itself and all the people, 20saying, “THIS IS THE BLOOD OF THE COVENANT WHICH GOD COMMANDED YOU.” 21And in the same way he sprinkled both the [v]tabernacle and all the vessels of the ministry with the blood. 22And according to the [w]Law, one may almost say, all things are cleansed with blood, and without shedding of blood, there is no forgiveness. Matthew 26 (NASB) 27And when He had taken a cup and given thanks, He gave it to them, saying, “Drink from it, all of you; 28for this is My blood of the covenant, which is poured out for many for forgiveness of sins. Hebrews 9 23Therefore it was necessary for the copies of the things in the heavens to be cleansed with these, but the heavenly things themselves with better sacrifices than these. 24For Christ did not enter a holy place made with hands, a mere copy of the true one, but into heaven itself, now to appear in the presence of God for us; Subscribe to the podcast: {Apple Podcasts}{Stitcher}{Google Play}{IHeartRadio}
Oregon Playwright Shoots True With 'The Gun Show' - 1:15“The Gun Show” tells five stories about guns drawn from the life of the award-winning playwright E.M. Lewis. She grew up in rural Oregon, where she was surrounded by guns, and she learned to shoot on a date with her husband-to-be. But then she found herself on the other end of a barrel during a robbery, followed by two other deeply troubling experiences, one of which ended in the death of her husband. Suffice it to say, she knows firsthand the whole range of emotions guns elicit, and her one-man (yes, a man plays her) show is a powerful and provocative ride of humor and emotion. It stars Vin Shambry at Coho Theater through Oct. 1.Portland's Living Room Explodes With Art This Weekend - 11:45This weekend, Portland’s Pioneer Courthouse Square will transform into a three-day art party. Libby Werbel of the Portland Museum of Modern Art — or P-MOMA — will take over through the Square’s cool new residency series, Houseguest, bringing in visual artists and performers like Portland punk royalty Fred & Toody Cole and San Francisco dynamo Dynasty Handbag for all day entertainment from 11am to 7pm.Werbel's also programming the Works, the raucous nightly afterparty for PICA’s Time Based Art Festival, on Friday, Sept. 9 with some of her Houseguest performers and a few choice Portland artists like the Strange Babes DJ trio.Portland Musician Admits To Attempted Rape On Facebook - 22:37Last weekend, a Portland musician who plays in several bands made a shocking admission on his Facebook page. Joel Magid described in graphic terms how he’d tried to rape a woman, until, he says, a friend intervened. A torrent of responses exploded across social media, and the story got picked up from San Francisco to London. We spoke with some people in the Portland music scene who had strong thoughts on the post and on the broader music culture that is not always helpful to victims of sexual violence. A Jazz Life: Paul Knowles Remembers The Cotton Club - 32:20The music venue that set the rhythm of life for black Portlanders during the 1960s was the Cotton Club in Northeast Portland on Vancouver Avenue. And the man who made the Cotton Club happen has shared several stories with KMHD Jazz Radio’s oral history project, A Jazz Life. Today we’re bringing you one about the early days at the club.The Final Works Of NW Icon Rick Bartow - 35:40Rick Bartow, one of the region’s most accomplished artists, passed away in April. His boldly colorful, emotive, and idiosyncratic works refused to be contained by medium or style or even species. Inspired by his Native American heritage and travels to Mexico, Japan, and beyond, his works depicted beings that blended human and animal, creatures on the cusp of the material and the spiritual world. Bartow’s final months were his most productive, and Froelick Gallery is now showing them in an exhibition called “Sparrow Song.” We talked with gallerist Charles Froelick, a longtime friend of Bartow’s, in February, about Bartow's final months and his legacy.The Real Bob Ross: Meet The Man Behind Those Happy Trees - 43:49The hypnotic voice, the poofy hair, the beard: Bob Ross passed away more than 20 years ago, but apparently he’s as timeless as the happy trees he painted on his PBS show, “The Joy of Painting.” Time to get out those oil paints: Netflix is streaming episodes, which got NPR producer Danny Hajek thinking, what’s Bob’s story.
Spoilers Contained! Game of Thrones - Season Four Recap Starring: Peter Dinklage, Nikolaj Coster-Waldau, Lena Headey, Emilia Clarke, Kit Harington, Aidan Gillen, Charles Dance, Natalie Dormer, Liam Cunningham, Stephen Dillane, Carice van Houten, Alfie Allen, John Bradley, Jack Gleeson, Isaac Hempstead-Wright, Rory McCann, Sophie Turner, Maisie Williams, Gwendoline Christie, Jerome Flynn, Conleth Hill, Iwan Rheon, Pedro Pascal, and Iain Glen Jessica and Dean's Discussion Notes Daenerys' taleLeadership v. conqueringNaughty dragonsPillar and the stones?Accidental crucifixionsOld slave out of work - 09:27Jorah MormontBanging on gravesThe Eyrie - 17:11Jessica's love of BaelishLannister - Tyrell tug o' warWhere is Littlefinger going - 24:14The Boltons and the North - 27:50Moat CailinCheering for Ramsay?A broken GreyjoyJessica's change of heart with Stannis - 33:53Will Stannis smash the Boltons?You know nothing Jon Snow - 39:35Karl Tanner v. Jon SnowRelax with the rape - 42:15The battle at the wallSam Tarly's romanceMance Rayder's fateBran's north of the wall shenanigans - 49:13Jojen's deathWeening you into fantasyVagina smoke monsterRemote control HodorPeter Pan with fireballsTurn your cart aroundThe Hound and Arya - 56:49The countryside dangers under Joffrey's rulePracticing ways to die?Safety? Where's that? - 1:03:36Tough to cheer against BrienneOberyn Martell - 1:08:24Jessica was positive Oberyn would be a big character going forwardTyrion's championThe Mountain that RidesJoffrey's death - 1:16:11Dinklage's acting chopsTyrion's speech - 1:20:23Bronn doesn't take the fightCersei stands up to TywinJaime Lannister's loyalty to Tyrion - 1:26:40Tyrion's pit-stop on his road to escapeShae's deathTywin's weak liesTyrion's deep hatred of Tywin at the endVarys' decision to join Tyrion on the ship ContactEmailSpeak Pipe Subscribe to LSG's "Game of Thrones Podcast"iTunesRSS: http://gotonlsg.libsyn.com/rss(Cut and paste RSS address into podcasting app search function) Subscribe to LSG's "The Walking Dead Podcast"iTunesStitcherRSS: http://twdonlsg.libsyn.com/rss(Cut and paste RSS address into podcasting app search function) Subscribe to LSG's "The Science Fiction Film Podcast"iTunesStitcherRSS: http://sciencefictionfilmpodcast.libsyn.com/rss(Cut and paste RSS address into podcasting app search function) SupportPatreonWebsite
Works for violin, cello, and piano performed by the Claremont Trio.Mozart: Piano Trio No. 3 in B-flat Major, K. 502Mendelssohn: Piano Trio No. 1 in D minor, Op. 49The piano trio—an ensemble of violin, cello, and piano—was one of the great innovations of classical and Romantic chamber music. Before that time, composers wrote for similar groups of instruments, but the pieces rarely gave equal prominence to the three players. Classical and Romantic composers shifted the balance of the trio by giving equal weight to all three players and putting equal thought into each instrument’s part. In fact, Mendelssohn made extensive revisions after completing the first draft of his Piano Trio No. 1, adding more elaborate and technically challenging passagework to up the ante for the pianist. Mozart was a true father of the piano trio genre, and his B-flat trio is considered one of his best contributions, chock full of tuneful melodies arranged with grace and balance to show off all three members of the trio to their best advantage.
You Are There presents "Tom Thumb" 11/27/49The events of August 28, 1830. A race of steam vs. horsepower, with a surprise winner. The program features recordings of the actual "Tom Thumb," recorded in Baltimore. Nelson Olmsted, Guy Sorel, Santos Ortega, Arthur Vinton, Douglas Edwards, Ned Calmer, Don Hollenbeck, Bill Leonard, Irve Tunick (writer), John Dietz (director), Werner Mishel (documentary unit supervisor), Carl Frank.