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In this empowering episode, Dr. Anna Cabeca, The Girlfriend Doctor, sits down with internationally respected gynecologist and menopause expert Dr. Maria Sophocles to break the silence around vaginal and vulvar atrophy, hormonal shifts, and declining intimacy in midlife. They explore why pain, dryness, and loss of desire are often normalized—and how this fuels what Dr. Sophocles calls "The Bedroom Gap." You'll learn how hormones, anatomy, stress, and communication impact pleasure, plus evidence-based strategies to restore comfort, confidence, and connection at any age. Menopause is natural. Suffering is optional—and pleasure is your birthright. ⏱️ Key Timestamps 00:00 – Welcome to The Girlfriend Doctor Show 01:45 – Why sexual medicine is missing from OB-GYN training 04:20 – What The Bedroom Gap really means 07:15 – Why women's sexual pain is often normalized 10:00 – The ABCs of sexual health: Acceptance, Being present, Communication 19:25 – Hormones, dryness, pain & loss of desire in midlife 23:10 – Vulvar anatomy & early signs women shouldn't ignore 28:15 – DHEA, estrogen & testosterone for tissue health 42:30 – Practical strategies to close the bedroom gap 58:00 – Reclaiming intimacy, confidence & pleasure at any age
Kiera is joined by Alexis Gallati, founder and lead tax strategist at Cerebral Tax Advisors, to talk about tax strategy not just for 2025 success, but 2026 and beyond. They discuss asking your CPA the right questions, shifting income from your higher tax bracket down, the Augusta rule, and a ton more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and today I am super jazzed. I have an incredible guest joining us on the podcast today ⁓ to talk about last minute tax strategies before April 15th. Like why not? I mean, hey, maybe you were like, you're not the early bird. You were like, shoot, I forgot. Like what things can I do? And so I'm super excited. Alexis Gallati, she reached out to us. ⁓ She is founder and lead tax strategist at Cerebral Tax Advisors. Ansari Real Wealth Academy. And I was so excited about this topic because I know you guys know I love to geek out about this and I have it on my vision board of tax expert ahead. Like I hate taxes. I love taxes. I believe that taxes are such a beautiful way for us to pay to be in this incredible country. But you better believe I don't want to pay a penny more than I need to. So really figuring that out just a little bit about her is she is got a dual master's degree in business administration and taxation, which is super rad because Let's be real, she gets the business side of it. She gets the taxation and we were chatting before and she was like, what people make like their top line revenue versus their take home pay are two different things. And I was like, amen sister, preach on. She's enrolled agent, NTPI fellow and certified tax strategist. She also is the author of advanced tax planning for medical professionals. She specializes in high level strategic tax planning and multi-state tax preparation for healthcare professionals and business owners. She's raised in a family of physicians and married to one. She empathizes with the financial challenges medical professionals face. This personal connection inspired her to create accessible, unbiased tax solutions tailored to their busy lives. Driven by passion and guided by cerebral thinking, Alexis forms Cerebral to help professionals keep more of their hard earned money. Amen sister. That's what we want. That's why you're here. Their approach breaks the mold of traditional financial advice, offering a unique perspective for medical professionals and business owners. So while yes, she's not 1000 % dental guys were in the healthcare world and she's so brilliant. So Alexis, welcome to the show today. How are you? Alexis Gallati (01:54) Thank you so much for having me. I'm doing very well. Hope you had a wonderful holiday season. The Dental A Team (01:58) Yes, likewise. And I was so excited when I heard that you would be a guest on our podcast. I geek out about this, Alexis, I know it's like our first day meeting, but ⁓ I just think the world of tax is such the game of monopoly. And I'm like, if you would have just told me that rule, I could have played and won the game better. But I feel like it's always as ever changing, ever evolving. And I know there were some big things that happened in 2025 that are impacting like our our taxes. And so, yeah, definitely a timely and exciting podcast to throw out there. So Alexis, I know I gave you a very welcomed ⁓ bio and intro, but yeah, tell us a little bit about who is Alexis. You're married to a physician. You're in this world of tag. How does one become obsessive about CPA? I'm truly just curious. How do you like, how does this happen? How did you become this? Alexis Gallati (02:49) Yeah, so I love law and I love money. And so when I was in undergrad, I took a tax and accounting class and loved more the tax side than the accounting side, I do admit. And so after meeting my husband in college and us starting to go through that full medical journey, was about a year and a half out from him. The Dental A Team (02:54) you Alexis Gallati (03:18) from him finishing his residency. And I really saw the writing on the wall. Even at that time, with him being in residency, about four months of his salary was going towards taxes. And I was like, that's not right. That's not right. With The Dental A Team (03:36) No. Alexis Gallati (03:38) hard he works and how hard medical community works in general. ⁓ my gosh, that's not right. So that's when I really dedicated myself to finding out, why do the Warren Buffets and the Bill Gates of the world have this really low to sometimes non-existent tax bracket? And I really dove into that tax planning. ⁓ And so, you know, what's very unique about, ⁓ you know, the way that I work and my business is that my husband and I are in the same exact position as majority of our clients. And so, yes, I'm looking for strategies for my clients, but I'm also looking for those strategies for myself. The Dental A Team (04:19) You're like, hey, it's me. I'm going to help myself out. I'm very motivated to do this. Alexis Gallati (04:25) Very motivated. And I love it. I love it. It's like you said, it's ⁓ Congress keeps us on our toes, changing the laws consistently year after year. ⁓ it's like a puzzle. Like, hey, how can I just keep more of what I'm earning? The Dental A Team (04:43) Yeah, and I, this is what I get obsessed about. what I learned, gosh, it's like, I was so naive when I started the company. was like, marketing is marketing. I just need to hire a marketer they can do everything. And then I was like, oh, there's a content marketer. There's a copywriter marketer. There's a strategist. There's a growth marketer. There's like an AEO marketer now. There's an SEO. Like you guys, this thing is like a web. They're a content marketer. And then I started realizing it's similar to CPAs and financial planners that like, I thought you hire a CPA, Alexis. Like I'm so naive to business. I'm shocked that I've made it this far. Like truly I'm proud of like the journey we've been on, but like not all CPAs are created equal. And then I realized like CPAs play by different rules. Like it's the same rule, but there's shades of gray. They're how comfortable are you with this and how uncomfortable are you with it? Like there's one CPA that told me like, here, you can totally go skiing in Tahoe. Just like put your logo on your skis and you can totally ride it off and like put your logo on your boat and you can ride it off. And then there's like the Alexis of the world was like, oh, hard pass. No, you're going to like totally get flagged. But I'm like, what rule is right? And so I realized that there are, like you said, tax strategy and for higher wealth earners. I do believe that there's a game, like you said, how did the Warren Buffett's, how did the Bill Gates, like they're not paying this. And then you get into the real estate game and you get into all these other things. You're like, how can we do this? And so Alexis, I'm just jazz. This is me being nerdy. And I'm going to ask you a bajillion questions and I can't wait. to learn. So let's kind of talk about most of your clients, what's the size of take home net pay that they do. So that way we know like what brackets were in. So that way right clients come to you. I also learned not all financial advisors take all people. I was like, I make 30 grand. They're like, great. So we're going to help you out just a little bit. And then like, when you get to this level, we'll chat with you. ⁓ tell us kind of that. And then let's dig into how do we keep more money, Alexis, legally. Alexis Gallati (06:10) I love it. The Dental A Team (06:39) I'm here for legal advice. I'm willing to go gray, but not go to jail. So that's my line. So as long as we're on the same page, I think we are, I'm here for it. Alexis Gallati (06:40) Yes. Definitely, yeah. I am more than happy to play in the gray areas. We just have to feel comfortable defending it in an audit. And so that's our line in the sand. ⁓ But yeah. The Dental A Team (06:55) Mm-hmm. She's like, this is why I went to law guys. This is why I like the law side and the CPA. I like it. I like your style. It's so unique and I just am excited. So, okay, I'm ready. Alexis Gallati (07:07) Yeah. Yeah. at Cerebral, we work with those that earn at minimum $400,000 per year in taxable income. So we have lots of businesses, which by the way, 99.9 % of our clients are medical professionals. I think we have like maybe two clients that have zero ties to the medical industry. And so the practices we work with, you know, generally range from anywhere from maybe about $700,000 in gross revenue all the way up to eight figures. So we tend to not work with those that are larger practices, that usually over 50 employees. And that's just because once you get above 50 employees, yeah, it changes quite a bit. So we're definitely in there with those smaller to medium sized practices. The Dental A Team (07:56) Tax co-changes. Yep. Amazing. No, that's super helpful. And I know we were talking before, like the average of your clients, about 700,000 like net pay is typical where you guys are at. You have some that are higher, but that minimum of 400,000, which is great because I do think that there are thresholds. ⁓ And I did learn through going through business that who Kiera needed as a tax support and advisor when I was in that 30,000 range compare and as a business owner, I thought it was so funny. Gosh, taxes, like they hurt so bad sometimes. Like, whoa, easy come, easy go. Like I've never, I've always been a W-2. So that was such a fascinating world for me. But yeah, let's dig into some of the things you've seen for the medical world. Cause I know I have friends that were physicians and they're really big on real estate. And like I took the real estate Kool-Aid and I'm just like, is this really real? There's gotta be easier ways than doing this. And so I'm just jazzed to kind of go through what are some of the things we can do now before April 15th. What are things that we can do even past April 15th to set us up for great success for 2026? So Alexis, this is your show. I'm just excited, kind of riffed us through it. Of course, I'm gonna geek out and ask probably about way more questions than you care to even be asked, but I'm really excited to learn more today. Alexis Gallati (09:20) Yeah, great. Well, yeah, I hate to be a little bit of a Debbie Downer in the beginning and that when your past December 31st, ⁓ the number of tax strategies that are available to you are before you actually go to file your tax return are limited. It's just the nature of the code. The Dental A Team (09:37) I agree. was super, when you were like, what are the tech? I was like, I want to know because most of the times like when the clock strikes midnight on December 31st, it's like game over and we start again. But yes, which is why I want to know what are like the small ones, but then also Alexis like, let's set our listeners up for like, what things can they do this year to be better prepared for it in conjunction? So yes, before April 15th, but selfishly I want to know what else can I do this year that maybe I haven't thought of. Alexis Gallati (09:52) Yeah. you The Dental A Team (10:06) because the clock hasn't struck midnight in 2026. So like we've got time. So yeah, for 2025 filing, but also for 2026 as well. Alexis Gallati (10:09) Yeah. Yeah, so let's talk about 2025 filing first. Especially if you're a business owner, there are actually a number of things that you could still put together for yourself that can impact your 2025 financials. ⁓ So even basic things like if you haven't been taking advantage of your home office deduction or ⁓ vehicle expenses ⁓ and unreimbursed business expenses. So those are expenses that you paid personally, but our business expenses. So all of those items, you can still go and report on your 2025 return. So if you haven't taken the time to sit down and say, how much should I pay in my home utilities or insurance, repairs, et cetera, and take the percentage. So let's say your home office is 7%. of your total square footage of your home. Well, then you can write off 7 % of your home expenses on your taxes. the treatment's a little bit different depending upon if you're a sole proprietorship or an S corporation. But in general, you still have that time to take advantage of that. And a lot of you might be like, oh, Alexis, it's such a little amount. I don't even know if it's worth it. Believe me. All these little things can really add up together. And easily, I usually see between $10,000 to $20,000 of really ⁓ easy to grab savings for yourself if you just take even a few hours to gather all the information. ⁓ And you can even use ⁓ personal financial apps like Monarch Money or You Need a Budget, things like that to help. organize that information for you throughout the year so it's a little more automated. The Dental A Team (12:10) Yeah, that's amazing. I do love the YNAB. You're throwing me back to like pharmacy school days of you need a budget. I was like, oh my gosh, got to answer this every time. They have updated so much, but I love that you said like 10 to 20 grand, I think is worthwhile, but more than it being pennies or dollars, I think it's the discipline of having it prepared for next year too. So that way we don't, I think it's like, well, it might not be enough this year, but I'm like, you take that this year and we compound over the next year and the next year and the next year. I think these little things to me at least, Alexis Gallati (12:15) Ha ha ha. The Dental A Team (12:41) Like I said, it's their game of monopoly. And I'm like, okay, maybe I didn't get it that time, but I'm going to take that rule and I'm going to apply it this year and the next year and the next year. So I'm even taking notes over here, guys. So Alexis, if you see me, I'm writing it like, okay, I'm going to check in on that, check in on that. So make sure, make sure that they're being taken into consideration because I don't prep my own taxes. I don't even know half the stuff. Like they just tell me. So I also think being a good steward as well and always double checking your CPA to make sure like, are we maximizing every deduction we can? Alexis Gallati (12:53) Good, I like it. Of course. Yeah. And being proactive is like you said, the number one thing because the IRS can deny deduction if you don't have that itemized receipt or you don't have the proper documentation. And 99 % of any fight with the IRS is that documentation. And I did a three year fellowship in IRS representation. So I'm obviously very focused on that tax savings, but also very focused on making sure that everything's set up properly. So if the IRS were to challenge it or even the state, you're in good hands. then that way, you can just give them the stuff and say, go away. The Dental A Team (13:51) Exactly. And I heard somebody once tell me, they're like, Kiera, it's not a matter of if I'll be audited, it's when. Like every business will most likely be audited at some point. I hope and pray like we're not. I think about that a lot of like cross my T's, dot my I's, make sure that I'm constantly trying to be compliant with things. But your wealth of knowledge on that Alexis of what things and how to become, I mean, shoot three years of IRS. Girl, you got my vote. That's impressive. And like love the love the authority piece that you're bringing to our podcast today. Alexis Gallati (14:20) Thank you. Thank you. So some other things that you're able to do before you file that tax return, and this is a big one, is retirement. So you actually have until the filing of a tax return, and that includes extensions. So for example, if you're an S corporation or a partnership, have the original due date, which is March 15th, or the extended due date, which is September 15th, to go and open and fund that retirement plan. So if you have employees, it can get obviously a little bit more complicated, but you still are able to do it and ⁓ do that employer contribution. And that's obviously really one of the lower hanging fruits when it comes to not only tax savings, but also wealth generation. The Dental A Team (15:12) Yeah, no, I love that. That's a great idea. And I think a lot of people miss that. And again, CPAs, tax strategists, wealth advisors, they're all playing in their own lanes, but how can we make sure all of them are maximizing together? Because you as a human are trying to build that wealth. So I love that. Alexis Gallati (15:30) Yeah. And don't forget as well, you know, kind of in the same vein as retirement is that health savings account. So if you had a high deductible plan throughout the year, but maybe your employer didn't actually provide a ⁓ health savings account, like so if you're a W-2, for example, or even if you're self-employed, you can still go open up your own Health Savings account through, I think Fidelity has some, ⁓ Optum Bank, HSA Bank. So there's a whole bunch of different providers out there. can just Google and find the provider that works best for you. The Dental A Team (16:07) Interesting. And I know like I just wrote that down because a lot of dentists don't have HSA. Like we are the providers for it. But hearing that that might even be a resource to attract people into your business if you were able to like, don't necessarily provide it, but these are some companies that we could help our employees get if they wanted to have an HSA because I know that that's something that my husband works at a hospital. So there's an HSA there, but as sole proprietors and S-Corps, a lot of times they aren't provided. That's actually really like, I think just a great tool and resource to possibly provide to our employees, depending upon what it looks like for your business. Alexis Gallati (16:40) Yeah, definitely. And then one other thing that you ⁓ may be able to do, depending upon your state, ⁓ to help with state taxes, is go and contribute to a 529 plan, which is for education for yourself or other dependent. And some states like Georgia, Indiana, Michigan, South Carolina, there's a number of them. They allow you to make that contribution all the way up to the filing of the tax return. The Dental A Team (17:13) Interesting. I did not know that I wrote that down. That's fascinating. I love this. This is like so fun. Keep going. Alexis Gallati (17:20) Yeah. Yeah. So that, you know, is, a good, especially for, you know, higher earners. ⁓ that's kind of a good summary of what you can be doing before this, ⁓ April 15th or even the extended due date as well. ⁓ but when you start looking into 2026, who, that book, that book opens up, there is. The Dental A Team (17:39) It does, right? It's like the monopoly Bible. Like it's so big. Like how do I play the game of taxes? So I truly, and I think like for all the listeners, like the home office, the HSA, ⁓ retirement, the 529 plan, like there's still time. So go look at those things. And even if you can't contribute or do those things now, having that set up for next year, like, Alexis, truly, I'm like, I'm getting the popcorn. I'm getting my notepad. Like, I am so excited because half these things I haven't heard of. And so it's very fun to just hear different perspectives. And I do love that you've got a legal background too. I love that you're in IRS. I love that you're in medicine and healthcare and like for your own personal savings too. It's like you're the Nancy Drew of like, how can I do the most amount through all of this? It's a very fascinating perspective you bring today. Alexis Gallati (18:27) thank you. I appreciate that. yeah, when obviously when you are a W-2 employee still that your options are not as open for those that have a business. But ⁓ besides obviously retirement HSA that you can do all year, one thing that a lot of W-2 employees forget is to actually check with your employer to see what their reimbursement policy looks like. The Dental A Team (18:29) course. Alexis Gallati (18:55) because if you're maybe in a private practice with a large group, and I mean, these could even be groups that have sometimes hundreds of physicians in it, or even if it's just a hospital system, they'll have actually pretty generous reimbursement policies for things like your CME, your new loops, or going and doing your mileage in between different hospitals or clinics, things like that. So making sure that you are keeping track of those things. Obviously, if you're a business owner, you definitely want to keep track of those. But some of my favorite for those that own their own practices, my absolute favorite is hiring your kids. The Dental A Team (19:36) Of course, yeah. Alexis Gallati (19:48) It seems so basic, but believe me, there are definitely steps in place that have to be done in order to make sure they ⁓ qualify. for me, the ⁓ court tested age is seven. So I usually don't recommend my clients going and hiring their kids until they're at least that age. You can do it younger, but the old my kids are models strategy is kind of ⁓ antiquated now just because ⁓ everybody has these great cameras now on their phones. And so it's kind of devalued, being a model ⁓ for those that aren't professionals basically. ⁓ But that's a really great way to shift income from your higher tax bracket down to their non-existent tax bracket. The Dental A Team (20:21) Totally. Right? Alexis Gallati (20:40) and you can then put that money into a Roth IRA for them. And if you do that, let's say over like a 10 year period in 2026, that amount is 7,500 is the max you can put in. They're easily, by the time they're age 65, gonna have at least 2 million plus dollars in savings. So it's a really great way to create a legacy for your kids and give them a little headstart. The Dental A Team (20:48) Mm-hmm. Yeah, that's amazing. And I think so many people are like, I don't know how to help my kids with college or different things like that. And it's like, these are great ways to prepare them for the future for when they retire for things like that. I mean, how awesome I know a couple of ⁓ doctors because The bulk of our audience, Alexis, are not W-2 earners. They are self-employed, like dental practice owners. ⁓ But I know that there were several that didn't tell their kids that they had done this for them. And then the surprise when they graduated college of, we've been putting this into place for you. I mean, shoot, that money's going to go to the government or to your kids. Why not invest in your children? You're going to pay that money regardless. So ⁓ definitely think that that's such a brilliant idea. And I've heard people, they're like, their real job, like they have to have a real job. They're like a paper shredder. Like they like literally shred the paper or they open the mail or they like pick out the cards or they pick out the toys for the prize boxes, like actual legit jobs that they employ them for. But I think what an amazing gift and legacy to give your kids as well. Alexis Gallati (21:51) they Yeah, exactly. All four of my children are, obviously cerebral isn't a dental practice, but they're hired through cerebral. So that way they are earning enough to put that money into their Roth IRA. ⁓ And a lot of ⁓ my clients are like, man, I don't know what my kids can do. And like you said, there's a lot of admin work that they can do. Even a seven-year-old can. like you said, shred paper, stamp envelopes. They can help with doing their ABCs and filing things away if you're an older ⁓ practice owner and they have ⁓ still the paper file system. ⁓ yeah, it really is a wonderful way to not only teach responsibility, but also to save. ⁓ I highly recommend ⁓ doing that. And even if you have parents that you financially support, you could even The Dental A Team (22:45) Yeah. Yeah. Alexis Gallati (23:02) go and hire your parents through your practice ⁓ and write off their support. Of course, again, they need to also have a legitimate job in the business. with parents, you have to be careful if they have any benefits like social security or Medicare. Then you just want to make sure that you're not pushing them out of those benefits because of their income ⁓ or making any part of their social security taxable. So that takes a little bit more. ⁓ finesse than hiring a child. The Dental A Team (23:36) No, that's great. That's a really good idea too, because I hadn't thought about parents. I have heard about children, but you're right, parents are retired. And if there's ways that you can support and give back rather than like, again, I love the government. I am happy to pay taxes, but if there's ways that I can support my own family, ⁓ I think it's great because I'm going to pay that money anyway, but paying it to people that I love and care about is really a great idea. Alexis Gallati (24:00) Yeah. Another popular one I'm sure that you've seen on TikTok or other social media is the Augusta rule. ⁓ and this is where you're renting your home to your business. ⁓ and this is perfect example where documentation is absolutely critical. ⁓ but basically what happens is you rent your home to your business for 14 days or less. Those days do not have to be consecutive and your business gets to The Dental A Team (24:07) Mm-hmm. Alexis Gallati (24:28) right off the cost of that rent. So obviously lowers your taxes. But then you as the individual do not have to pay tax on that rental income. Now, if you do it for 15 days and you've ruined the strategy and you have to pay tax on all 15 days. So that's really important you do 14 days or less. But this is again a really great way if you have monthly board meetings, that's 12 days right there. Or if you have employee parties, if you have colleagues over in discussing business, though, as long as you have a rental agreement in place between yourself and your business, and you document through meeting minutes everything that occurred during that event, then that is the documentation that the IRS would need in order to substantiate that. strategy. And obviously a reasonable rental rate as well. The Dental A Team (25:27) Yeah, no, didn't realize, I did not realize that you needed a rental agreement. Can you expand more on that? like we check all the Airbnb's and the VRBO's in the area to see what does our house actually go for and like keep that documented every single year and then have an actual agenda and like have it in the calendar. So it's in our Google calendar. It's got an agenda. It's got a PDF didn't attach. But how does the rental agreement work? like, yeah, how do you, I didn't realize that that was a necessary piece to it. Alexis Gallati (25:57) Yeah, so you can even just use ChatGPT to create it. ⁓ But essentially what you do is it's just that agreement between the business and personal. So ⁓ you just want to think about it like any other rental that you would do. If you were to go to a conference room in a hotel, for example, or go rent that Airbnb, you're going to be signing some sort of agreement saying that this can happen. that this event can happen on this date. ⁓ you can either do one agreement for the entire year, spelling out like, here are the days that we're going to be doing these things, ⁓ or you can have an agreement for each time that it happens. The Dental A Team (26:43) Very cool. That's super helpful. Yeah, I do love the addresses for all anything people. And I mean, I've had CPAs and like, don't go crazy. Like that's where I say like check Airbnb, check VRBO like what you think your house is worth versus what market value says your house is worth. Like, let's make sure that we are accurate on that. But yeah, that's definitely an amazing one that I think is great for offices to surely do. Alexis Gallati (26:51) Yes. Yep. Go and get two to three comps. So then that way can just take an average. I feel like that's a very safe way to, ⁓ show reasonableness. You're not just like, Hey, I'm taking the highest one on the block. You know, it's taking a few of them. The Dental A Team (27:21) Totally. No, definitely agree. I love that. Okay, Alexis, what other ideas? know we're, I'm like just like sitting here. I'm like, I love this writing it down. Great ideas. What are some of the ones that like, yeah, anything else that's going to save us? Um, because like taxes are taxes and we are going to pay them, but like, what else can we do to, like you said, Bill Gates or, um, like Warren Buffett, what are the things that you found for like these higher net worth earners? Like, do they need to get into real estate and like use the big, beautiful tax bill or like, Alexis Gallati (27:23) Yeah. Okay. The Dental A Team (27:50) anything else that you've seen that like really moves the noodles or is like, no, just the small consistent things are really going to help them out. Alexis Gallati (27:57) Yes, well, they all help out. ⁓ But if you are looking for more of that, hey, Alexis, what's like Hail Mary that I can be doing to act to really save? ⁓ You can look at real estate. ⁓ That could be a whole podcast by itself. ⁓ But in general, you you tend to ⁓ get into real estate when you're not talking about like reets or things I can do through the stock market. The Dental A Team (28:14) Right. Alexis Gallati (28:26) ⁓ You're either doing like real estate syndications, ⁓ direct ownership, like long-term rentals or short-term rentals. And ⁓ each of those are treated differently and have different ways of making that ⁓ a tax deduction for yourself. So when it comes to, in general, ⁓ real estate syndications, this is where you're The Dental A Team (28:49) Mm-hmm. Alexis Gallati (28:54) buying into a partnership that maybe owns an office building. And you go in with other partners and ⁓ it's syndicated. So it's very passive. There's no way for you to write off any losses in that current year. ⁓ When it comes to direct ownership, the IRS basically says, hey, that real estate is considered passive unless you have real estate professional status or you do that short-term rental deduction or excuse me, short-term rental exclusion. And so what ⁓ happens if you can qualify for the short-term rental exclusion or real estate professional status is that those what would have been passive losses that you can't use against your current income will be considered active losses. And then you can use it against your active income, when I say active income, things like your W-2 or your business. So you're getting a current year deduction from that. And you can do cost segregation study to help accelerate depreciation. ⁓ So this is very, very much in the nutshell sort of explanation. ⁓ But it can really be a great way to lower your taxes if The Dental A Team (29:57) Mm-hmm. Yeah. Alexis Gallati (30:16) you essentially want a second job. Just know that real estate is not as passive as the social media gurus go and ⁓ try to glamorize. It really does take a lot of extra work. You want to make sure that you are following the rules properly so that you can get that tax benefit in the current year. ⁓ But if you The Dental A Team (30:19) Yeah. Alexis Gallati (30:41) do have that prerogative and you want to learn and get do things properly, then it can really save you quite a bit of money. The Dental A Team (30:48) Yeah. Are there any other things, Alexis, that are like real estate that save that much but don't require that much work? I'm asking you for the weight loss drug of taxes, please. What's our easiest way with the most amount of bang for buck that you've seen? These are the big hits that if you want, because agreed, real estate's great. If you do that short-term thing, but it is a lot of work. With the big, beautiful tax bill that came through, that 100 % depreciation is pretty fantastic. But like you said, Alexis Gallati (30:54) Yes. Mm-hmm. The Dental A Team (31:17) got to have it rented out, you got to have the pieces, you got to like reno it like there are and you have to have it done by the end of the year and like it's a stressful zone. ⁓ So are there other things that you've seen that might be like 50 or 100 or 200,000 off taxes that aren't necessary real estate? The Augustus one, yes. Like paying people, there's things but is there anything else you've found that are like some of those bigger chunks that maybe people don't think about they don't recognize? Yes of course they're going to take a little bit more work but... Alexis Gallati (31:17) You gotta work for it. The Dental A Team (31:45) that you found that could be benefits to our audience. Alexis Gallati (31:48) OK, so let's talk about my Hail Mary for tax savings. I love this one towards the end of the year because you're going to want to know, have a good idea of where your tax situation is going to end up. So I use this a lot for year end planning. And this is oil and gas. When you ⁓ invest in oil and gas, again, just like with real estate, there's a lot of different options. But my favorite is our drilling funds and this is where you invest in a partnership that owns oil and gas wells and these this allows you in that first year to Essentially write off usually somewhere between 80 to 95 percent of the investment that you've put in So let's say you invest a hundred thousand dollars Then you're getting about and let's say conservatively an eighty thousand dollar deduction that can go a against your ordinary income. So if you're W2 or your business. usually, a good rule of thumb is that, let's say, if you're putting in $100,000, you're saving $30,000 in tax. You're putting in $200,000, you're saving $60,000 in tax. And then after year one, you're earning overall, during the life of the investment, about a 2x The Dental A Team (33:10) Bye. Alexis Gallati (33:11) you put 100,000, you're getting about 200,000 back. And so it's considered a very conservative investment. And just because the length of the investment, and this is one of the cons of it, is that it's usually about a 10 to 12 year period. So it's generally only about a 7 % return on investment over the life of the investment. the great thing about it is that you let's say if you did put in that hundred thousand, you're getting that 30,000 in savings, and then you can go put that into something else that will earn you even more money. So then this is something that you can do every single year. And, you know, just depends on how much money you want to save and so that how much you put in for that investment. The Dental A Team (33:57) Gosh, that's such a good one. And these are things of like just fun, like tips and topics. Like I said, it's the rules of monopoly. I caught like, how do we play tax strategy better? Alexis, what are any like resources? I feel like you guys have some resources. Like I feel the world of tax is so daunting. And so it's like, we hear from podcasts and we hear snippets and we see TikTok and it's like real estate games. like, where do people go if they like want to dig a little bit deeper and really become like more tax expert and more tax savvy and. like tax strategy, like what are any resources you found or ways for people just to become a little bit more literate in the tax world. Alexis Gallati (34:33) Yes, so ⁓ of course I'm to do a little shameful plug. My book, The ⁓ Advanced Tax Strategies for Medical Professionals, it's really just that it's a brain dump of all different types of strategies, whether it's for your business or W-2 only, charitable, these alternative investments. And so it's really a space. The Dental A Team (34:36) as you should. Alexis Gallati (34:58) for readers to learn more about their options. So then that was the way they can go online and do more research or bring it to their current advisor. So, you know, it's just about opening those possibilities. Otherwise, you know, one resource that is really great for especially medical professionals is the White Coat Investor that Dr. Dali, he has a wonderful, wonderful site and he puts out really good material. The Dental A Team (35:11) Yeah. Alexis Gallati (35:25) when it comes to not only taxes, but also for ⁓ just finances in general. And then, of course, on ⁓ CerebralTaxAdvisors.com, our website has wonderful ⁓ material that I put out all the time. There's lots of goodies there, as well as ⁓ different resources and worksheets and stuff like that. The Dental A Team (35:52) Yeah, no, that's super helpful. But Alexis, what do you find ⁓ as you go through this? Like one, how often are you meeting with your clients? Because I feel like so many CPAs and tax strategists meet with them in like December 1st and they're like, hey, you owe this much money. Is that how you guys plan? Like how should tax planning actually work? or is that normal? Like I'm just trying to find a vibe of how this should work in the industry. Alexis Gallati (36:15) Yeah. Yeah. So when a medical professional first starts working with us, I design a tax plan for them. And that's really critical because right then and there, OK, what can we be doing to dramatically lower your taxes, legally, of course, and set you up for success? And then we meet with our clients at minimum twice a year. So we do a mid-year tax projection and a year-end tax projection. The Dental A Team (36:34) course. Alexis Gallati (36:45) And especially with medical professionals, your income is so variable throughout the year, depending upon insurance reimbursements or seasonality and things like that. And so we really want to make sure that we have a good, clear understanding, good six plus months in advance. Hey, what are you going to be owing tax wise? What does cash flow look like? What quarterly estimated payments do you need to make? All of these things should not be a surprise. So that's why when I built Cerebral in the packages we have, I was really focused around how do we eliminate those surprises. The Dental A Team (37:23) Yeah, no, I love that. that's super helpful because I feel like so many just wait till December and it's like, no, like there's things I could have been doing and if I would have known. So that's super helpful. And then I think the other question is like, okay, you guys are tax strategy. Are you CPA? Are you bookkeeping? Like kind of differentiate. Are you in the financial advisor world? Like what specifically would we say I need you for XYZ, but I'm going to need these people again, like marketing, right? Like what facet of my wealth management are you? and who do I need paired with you? Alexis Gallati (37:54) Yep, so we are your tax compliance, tax planning, your bookkeeping, and CFO services, and also business advising as well. So we're able to set up entities for you ⁓ as well as provide ⁓ just a lot of the years and years of experience that we have in running businesses and seeing different types of practices, et cetera. ⁓ We are not investment advisors, so we won't say, buy Coca-Cola versus Pepsi. But we will introduce you to different investments that have tax benefits. And one very unique quality of Cerebral that's very different from other firms is that we do not take any commissions or kickbacks on any strategies we recommend or vendors we recommend. And we don't sell any products. So we're very education-based. I'm very focused on you understanding your options so you can make a educated decision on what you want to move forward with. And then we are a white glove done for you firm that will implement those strategies on your behalf and make sure they're reported properly on your tax returns. Because that's what we've found being in this industry, especially specializing in medical professionals, is there's a lot of people out there that know about these strategies. but they do not know how to implement them properly. And that honestly is 80 % of the fight when it comes to doing any of these strategies. The Dental A Team (39:26) Yeah, no, that's incredible. So, and again, this is just like naiveness on my side. Do I need a CPA or are you guys the replacement of a CPA? Alexis Gallati (39:35) Yeah, we're the replacement of CPA. We are CPAs. We are EAs. So we are taking care of your tax preparation, so personal and business. We do it all. I try to keep these packages as comprehensive as possible because I hate being nickel and dined. communication's a top priority for us. And so we don't want our clients to hesitate whatsoever to connect with us. And so that's why we don't. The Dental A Team (39:56) Totally. Amazing. Alexis Gallati (40:05) shot like I, my gosh, I just got like a bill from my attorney the other day and it was for stuff that I talked to him about like in August. I'm like, I hate those pop-up bills. So that's yeah, that's, why I try to make it as comprehensive as possible. The Dental A Team (40:10) Yep. Right. Awesome. No, that's fantastic. That's really helpful. And I know a lot of people are very nervous to switch from their CPA. CPAs, feel like we're so embedded and we trust them with our souls. Truly, I see this. ⁓ So is there complementary calls we have with you? how do we start with that? Because I know, honestly, untangling from a CPA is such a pain. It is so annoying. so ⁓ how does that process work if people want to work with you, Alexis? Alexis Gallati (40:46) So the best thing you can do is go to our website and go to the contact page. And you will ⁓ go through a very quick questionnaire to make sure that you're a good fit for us, because we also want to make sure we're a good fit for you. And we will ⁓ have a tax discovery session. And during that session, we will. We'll talk about what your needs are and what it's like to work with us. ⁓ I'm very focused on that return on investment. We actually have a guarantee. with the design of our plans that I will save you at least two times what you pay us in ⁓ tax savings or you get the plan for free. And on average, our clients actually achieve 4.5 multiple with the design of our plans. So again, it doesn't make sense for us to work together if I can't save you more than what you're paying us. The Dental A Team (41:39) That's amazing. No, that's incredible. And that's a great guarantee. And ⁓ then let's say hypothetical, we do get audited. How often do you guys go through audits and like success rate? Like I'm imagining if you were three years in IRS, you're probably pretty fantastic at that. But these are always things that I'm just curious. Like how does that work? And how often are your clients audited? And like, how is your success rate on that? And if you don't want to share this, I hope you do. We're just going to go for it. Like, yeah, I'm just going to ask the weird questions. Why not? Alexis Gallati (42:01) Yeah. I love the weird questions. They're the best. So yeah, that's one thing I can never guarantee that you won't be audited because of course there are always random audits that happen. We've only had three audits since I started Cerebral over 10 years ago. In 2014, I started Cerebral. ⁓ And ⁓ one of them was for the mortgage interest deduction. there's a limitation in that. The Dental A Team (42:18) It's incredible. Alexis Gallati (42:28) Um, and that was just, unfortunately, a client had not provided the correct information. And so we were easily able to just change it and be on our way. Um, and then another two were regarding actually real estate professional status. And that was just New York state saying, Hey, like we don't, we don't think that you're actually qualified for this. we're like, Oh, yeah, we do. Here's the paperwork. And they're like, Oh, okay. See you later. So yeah. The Dental A Team (42:50) Yeah. That's amazing. That's a huge thing. And I'm so glad I asked the question because I think for me, that's something I'm curious on of like, I get it. Like you said, you can't guarantee that, but as long as you back in, do you guys charge extra for those audits or is that part of the plan? Like, nope, we stand behind it. Like, how does that work? Cause I know there's some firms that I have chatted with and if we do get audited, it's like 375 an hour for the audit. And I'm like, okay, like I'll just plan for that. But how does that work for you guys? Alexis Gallati (43:18) Yep, so we back up all of our work and all of our packages. If you do receive a notice for anything that we prepare, you send it to us and we help you take care of it. So yeah, we 100 % back up our work. If you come start working with us and you have some a notice from a year that we didn't handle, like we didn't prepare, we'll still help you handle it. But that would be just. at our hourly rate, depending upon the extensiveness of the notice. But to go back to your original question about making that change, I 100 % get it, especially if you've been with somebody for so long. And so you just have to look at that cost benefit and see, hey, staying with this person, how much is that costing me in tax savings versus The Dental A Team (44:01) Right. Alexis Gallati (44:12) going with somebody like cerebral and we try to go and make that process as seamless as possible when it comes to getting ⁓ up to date in your history and then ⁓ getting access to your bookkeeping and getting your tax returns. ⁓ And so, because I completely understand it can be daunting, but. ⁓ Happy to have a conversation around it when we meet about the discovery session and to see if it's something you'd want to move forward with. The Dental A Team (44:43) Amazing. Alexis, has been such a great podcast and I just love meeting great individuals. I love how much you have a passion for the law and for the tax wealth and it's your own life and your own livelihood. So if people want to reach out, I know you said it before, how do they connect with you? So yeah, they can get started if they're interested. Alexis Gallati (45:01) Yeah. So you can Google us or just go to CerebralTaxAdvisors.com. And which by the way, the reason why I have cerebral is because my husband is a private practice neurosurgeon and my dad's a retired private practice neurologist. hence cerebral in the brain. So if y'all can remember. But yeah, so CerebralTaxAdvisors.com is the best way to get a hold of us. The Dental A Team (45:14) There you go. I love it. Yeah. Alexis Gallati (45:27) ⁓ And I look forward to potentially talking with y'all. The Dental A Team (45:32) Well, Alexis, thank you so much for this. And for all of you listening, I hope you take advantage between now and April 15th. I hope you just like have a conversation. I'm always pro. I love CPAs. My CPA listens to this podcast and I'm always interested in meeting new people like Alexis, chatting with them. Are there different ways that they can benefit me? Because yes, I love my CPA, but I love more than that saving money and learning new strategies that maybe I didn't know about. So Alexis, I really hope a lot of them reach out to you, connect with you and for All of you listening, thank you for listening. I'll catch you next time on the Dental A Team Podcast.
While the production of my Lowdown commentaries is high-tech, I confess that I'm antiquated.I still write each piece in longhand, applying my ballpoint to paper. This has caused bewildered glances from some who see me scribbling away in local coffeeshops and bars. Recently, one fellow sidled up and whispered: “Watch out! If they see you doin' this, they'll haul you off to the Smithsonian.”But we handwriters might not be as obsolete as the key-tappers assume. A fast-spreading grassroots movement is calling for schools to reemphasize the value of writing and printing by hand, instead of being wholly-dependent on machines. Already, 24 states – as varied as Mississippi and California– now require public schools to teach cursive handwriting in third-through fifth grades.This squares with new understanding of how brains absorb information. While keyboards are faster, the slower, more tactile act of handwriting creates longer lasing comprehension of letters – and better retention of the thoughts they convey. Neuroscientists find that rote keystrokes on a computer require little mental engagement, while physically drawing out words and ideas takes coordination of multiple areas of the brain to focus memory, eyes, and fingers on creating a written product.Just writing this piece conjured up a fond remembrance of my early childhood: Sitting on the floor of our home learning to draw the ABCs, both print and cursive, on those lined practice pads. It was both an artistic exercise and the development of a foundational tool for a life of learning.This is Jim Hightower saying… Yes, computer literacy is an indispensable element of today's childhood curriculum --- but so is the richer development of human thinking through putting pen to paper. So let's teach both!PS—Here's a post we did a couple years ago about how Hightower's work goes from handwritten on paper to whooshing through the ether into your inboxes:Jim Hightower's Lowdown is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit jimhightower.substack.com/subscribe
In "Q is for Quick to Forgive," TJ and Tory go on an adventure that invites them to extend forgiveness to their own dad. Along the way, they learn that God is quick to forgive us through Jesus—and that His forgiveness helps us forgive others with love and grace.Follow along as TJ and Tory learn about the God's unchanging character week after week with the ABCs of Theology! Season 5 and 6 follow this best-selling card set, and we just know your kids are going to love them. Shop all discipleship tools for kids ages 2 to 12 at tinytheologians.shop, and join our email list to be among the first to know about sales, new releases, and get all the podcast updates right in your inbox!Resources: The ABCs of TheologyFollow Us:Instagram | Website | Newsletter Editing and support by The Good Podcast Co. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
239: Dr. Michelle Hosp, co-author of The ABCs of CBM, explains the history of curriculum based measurement and do's and don'ts for implementing it. A must-listen for any K-3rd grade classroom teachers and all reading interventionists! Get the show notes here: https://reachallreaders.com/episode239Get my free diagnostic assessments:https://reachallreaders.com/tmm_optin/free-sample-phonemic-awareness-phonics-diagnostic-assessments/ Sign up for my free masterclass, 5 Essential Steps to Reach All Readers. Get my book, Reach All Readers! Looking for printable resources that align with the science of reading? Click here to learn more about our popular and affordable membership for PreK through 3rd grade educators.Connect with me here! Blog Instagram Facebook Twitter (X)
In "P is for Priest," TJ and Tory go on an adventure to learn what it means that Jesus is our great High Priest. They discover that as Priest, Jesus represents us before the Father—bringing us to God through His perfect life, death, and resurrection.Follow along as TJ and Tory learn about the God's unchanging character week after week with the ABCs of Theology! Season 5 and 6 follow this best-selling card set, and we just know your kids are going to love them. Shop all discipleship tools for kids ages 2 to 12 at tinytheologians.shop, and join our email list to be among the first to know about sales, new releases, and get all the podcast updates right in your inbox!Resources: The ABCs of TheologyFollow Us:Instagram | Website | Newsletter Editing and support by The Good Podcast Co. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
A U.S. Army sergeant is charged at both the state and federal level after police say a three-year-old boy was beaten because he did not want to learn his ABCs. An overnight bus ride from New York City to Washington, D.C., spirals into chaos after passengers say the driver kidnapped them and refused to take them to their scheduled destination. Drew Nelson reports.See omnystudio.com/listener for privacy information.
In this empowering episode of the Dead America Podcast, host Ed Watters sits down with Jacquie Elliot—certified life, relationship, and spiritual coach—to explore her groundbreaking system for overcoming negative self talk, known as Abusive Brain Chatter (ABC). Jacquie opens up about her own journey through emotional abuse, self doubt, and the relentless inner critic that once controlled her life. Her transformation became the foundation for her upcoming book, The Silent Bully: A Journey from Abusive Brain Chatter to Self Love, releasing this November. Jacquie breaks down the ABC method—Awareness, Belief, and Challenge—a powerful framework designed to help individuals recognize harmful inner dialogue, understand the core beliefs driving it, and challenge those patterns with compassion and truth. Through heartfelt storytelling and practical guidance, she shows how anyone can shift from self judgment to self love. Listeners will gain insight into: • What Abusive Brain Chatter is and how it forms • How negative self talk fuels unhealthy behaviors and emotional pain • The ABC method for transforming inner dialogue • Jacquie's personal journey from self criticism to empowerment • Practical steps for healing, boundary setting, and living authentically • How to embrace self worth and silence the inner bully This episode is a must listen for anyone struggling with self doubt, emotional wounds, or the weight of an overactive inner critic. Jacquie's wisdom offers a path toward peace, confidence, and genuine self love. Her message is clear: you are enough, just as you are. Keywords: Jacquie Elliot, Abusive Brain Chatter, ABC method, The Silent Bully, self love, negative self talk, emotional healing, inner critic, life coach, spiritual coach, relationship coach, personal transformation, self worth, boundary setting, Dead America Podcast, Ed Watters. 00:00 Introduction: Awakening Hearts 00:45 Meet Jacquie Elliot: Life Coach and Author 02:52 Understanding Abusive Brain Chatter 06:08 The ABCs of Overcoming Negative Self-Talk 11:24 Jacquie's Personal Journey and Transformation 18:03 Practical Steps to Self-Love and Healing 24:33 Living Authentically and Setting Boundaries 42:21 Final Thoughts and Resources 44:27 Empowering Outro: You Are Enough Website https://healingabc.com Social media links https://linktr.ee/jacquieelliott
Frenemy Trivia's Britney Shaw joins us to take on a quiz delivered by Davo's own beloved Emily. Each answer will start with a different letter of the alphabet. WIll it be filled with Awesome or just a bunch of Zingers. Only one way to find out.
Adam Chase Rani and Christine Chen from the Get Reelisms podcast discuss their recent film experiences, including Christine's encounter with Steven Spielberg and Leonardo DiCaprio at a film screening, and her new status as an Academy member. The episode offers insights into the exclusive world of prestigious film screenings and the realities of living in Los Angeles. They also talk about the challenges of the film industry, the necessity of side hustles, and the importance of staying in the game despite the difficulties. The hosts underscore the value of life experiences and continuous learning in the filmmaking journey. The episode concludes with the announcement of an upcoming interview with writer and director Rob Spera. Hosts: Adam Rani (@adamthechase) & Christine Chen (@cchenmtf) About Christine W Chen:Christine W. Chen is a Taiwanese American filmmaker, Academy member (Short Films Branch), and versatile producer, director, and writer known for bold, character-driven storytelling. Through her production company, Moth to Flame, she has created award-winning short films, features, and branded content—including Erzulie, a feminist swamp thriller that had a limited theatrical run and now streams on major platforms. In addition to her directorial work, Christine is a seasoned DGA 1st Assistant Director and co-author of Get Reelisms and ABCs of Filmmaking, as well as the co-host of the Get Reelisms Podcast.For more information about Christine Chen: christinewchen.com About Adam Rani:Adam Chase Rani is a production designer and set dresser working in the Austin film market, bringing a sharp eye for visual storytelling and practical creativity to every project. During the pandemic, he co-founded the Get Reelisms Podcast with Christine Chen to foster community within the film industry. Together, they've built a platform that blends education, candid conversations, and industry insights to help filmmakers connect, learn, and grow. For more information go to getreelisms.com For more information on ERZULIE go to: erzuliefilm.com WEBISODE version of the PodcastTIME SUMMARY:00:00 Introduction and Movie Review00:40 Welcome to the Get Reelisms Podcast01:35 Christine's Encounter with Leonardo DiCaprio04:39 Becoming an Academy Member09:24 The Perks of Membership15:37 Networking and Meeting Industry Giants18:41 Discussing Movie Preferences19:13 Logistics of Filmmaking19:39 Experiences on Set21:05 Challenges of Filming in Mansions23:37 Living in Different Cities32:21 The Reality of the Film Industry38:30 The Impact of AI on Filmmaking39:59 Conclusion and Upcoming Guest Official Get Reelisms PageGet Reelisms Amazon StoreInstagram
Patrick and Myles talk about a tubular tabby coming up in Series 1 and what mayhap will happen in the confluence of his ABCs. We talk about what it means to be have a Versatile Heritage in 2nd edition and riff on some cool cats this week.
In "O is for Old and New Testaments," TJ and Tory go on an adventure to discover how the two parts of the Bible fit together. They learn that from beginning to end, the Old and New Testaments tell one great big story of God's redemption through Jesus Christ. Follow along as TJ and Tory learn about the God's unchanging character week after week with the ABCs of Theology! Season 5 and 6 follow this best-selling card set, and we just know your kids are going to love them. Shop all discipleship tools for kids ages 2 to 12 at tinytheologians.shop, and join our email list to be among the first to know about sales, new releases, and get all the podcast updates right in your inbox!Resources: The ABCs of TheologyFollow Us:Instagram | Website | Newsletter Editing and support by The Good Podcast Co. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
In this episode, Krissy Dilger of SRNA interviewed Dr. Vivien Xie regarding the significance of brain lesions in pediatric MOG antibody disease (MOGAD). Dr. Xie explained the autoimmune nature of MOGAD and the common occurrence of optic neuritis in young patients [00:01:28]. She described her study comparing children with optic neuritis who had brain lesions to those who did not, revealing that brain lesions often did not result in additional symptoms [00:02:41]. The findings suggested that brain lesions didn't significantly impact long-term outcomes, which may provide reassurance for patients with concerning MRI results [00:06:43]. Finally, they discussed the study's implications for better understanding different phenotypes of MOGAD and improving patient prognosis. Future research directions include more detailed MRI analysis and cognitive outcome assessment [00:12:29]. You can read about this multicenter study here:https://pubmed.ncbi.nlm.nih.gov/41167051/Vivien Xie, MD, is a pediatric neurologist and neuroimmunology fellow at Children's National Hospital and MedStar Georgetown University Hospital. Originally from Baltimore, she earned her undergraduate degree in biology from the University of Maryland, College Park and her medical degree from the University of Maryland School of Medicine. She then completed a child neurology residency at Children's National Hospital, where she discovered a passion for helping young patients and their families navigate rare and often life-long neuroimmunologic disorders. Dr. Xie's research interests include pediatric multiple sclerosis and MOG antibody–associated disease, with publications and presentations spanning national and international conferences. She is a committed academic clinician dedicated to advancing clinical trials and research initiatives to improve diagnosis and care for children with rare neuroimmunologic conditions.00:00 Introduction01:28 Understanding MOG Antibody Disease02:41 Research Motivation and Background05:33 Study Design and Methodology06:43 Key Findings and Implications12:29 Future Research Directions14:10 Conclusion and Acknowledgements
Pastor Phill Howell, visiting from Embassy Church in Elgin, Illinois, preaches that the ABCs of Psalm 145 offer adequate worship for inadequate worshippers.
Father Thomas Naval proclaims the Gospel (John 1:29-34) and breaks open the word. Words for your Way from Santiago de Compostela Catholic Church in Lake Forest, California.
This week, Rob and Paul chat about Paul's new book, “Dr. Nacho's ABCs of Patient Communication.” As many of you know, Paul is passionate about helping dentists improve communication, leadership, and practice success through simple, effective language. Paul brings years of experience as a practicing dentist, multiple-practice owner, and founder of Dental Nachos to his writing. He's excited to share his new book, a valuable resource for dentists, which is now available on Amazon. In this episode, Paul shares some highlights from his book, including the importance of patient communication in dentistry and how small word choices can dramatically impact trust, anxiety, case acceptance, and team culture. He discusses the value of replacing technical or negative language with relatable, “human-centered” phrasing that helps patients feel understood and confident in their care decisions. You can purchase Paul's book, “Dr. Nacho's ABCs of Patient Communication,” on Amazon: https://www.amazon.com/Dr-Nachos-ABCs-Patient-Communication/dp/B0DGBDMW65 Recommended resource mentioned in the episode: How to Speak – Patrick Winston (YouTube) https://www.youtube.com/watch?v=Unzc731iCUY&list=PLUl4u3cNGP60eUvXa1jfVT9BsBsqAICr_&index=1 To learn more about Paul and Dental Nachos, visit https://www.dentalnachos.com/ or connect through his educational platforms and resources. Listeners who want to reach Paul can do so at Paul@DentalNachos.com, and those who want to reach Rob can do so at Rob@RMontgomery-law.com.
With President Trump's moves to take control of Venezuela's oil production—including the seizure of incoming and outgoing oil tankers—there's been a lot of talk about the country's deep reserves of crude. But not all oil is the same, and getting the Venezuelan reserves out of the ground might be neither cheap nor simple. So who wants that oil, and what is it good for?Petroleum engineer Jennifer Miskimins joins Host Ira Flatow to drill into the ABCs of oil production and refining.Guest: Dr. Jennifer Miskimins is 2026 president of the Society of Petroleum Engineers, and head of the petroleum engineering department at the Colorado School of Mines in Golden, Colorado.Transcripts for each episode are available within 1-3 days at sciencefriday.com. Subscribe to this podcast. Plus, to stay updated on all things science, sign up for Science Friday's newsletters.
Enjoy a short preview of our latest full-length Book Club episode. Want to hear the whole thing and get 2.0 CEs for FREE? Subscribe to our Patreon today at the premium $10+ levels for that plus other bonuses! Could this best-selling self-help book actually be the best introduction to behavior analysis for a mainstream audience? Though many of us expected James Clear's "Atomic Habits" to share some lightly-spiced tips for changing behaviors, we were all impressed with the level of research and personalization that Clear put into his program for analyzing and building new behavioral habits. From a basic belief that doing a little bit of something good is better than nothing, Clear lays out some important, real-world examples of analyzing your own ABCs and sprinkles in some acceptance practice to explain an actionable series of steps to create lasting behavior change with in the areas of most significance to you. But don't take our word for it…or do, but only after a full two-hour discussion of our thoughts and in-depth review of the book. The full episode is available for 2.0 LEARNING CEUs. Patrons at the $10 and up level, as part of your subscription, you'll be able to earn these CEs for no charge! Subscribe to our Patreon today! Content discussed in this episode: Clear, J. (2018). Atomic habits: An easy and proven way to build good habits and break bad ones. Avery.
In "N is for Neighbor," TJ and Tory go on an adventure asking the question, “Who is my neighbor?” As they explore, they learn that loving our neighbor means loving God and others in a way that honors Christ—showing kindness, compassion, and care to everyone God places in our lives.Follow along as TJ and Tory learn about the God's unchanging character week after week with the ABCs of Theology! Season 5 and 6 follow this best-selling card set, and we just know your kids are going to love them. Shop all discipleship tools for kids ages 2 to 12 at tinytheologians.shop, and join our email list to be among the first to know about sales, new releases, and get all the podcast updates right in your inbox!Resources: The ABCs of TheologyFollow Us:Instagram | Website | Newsletter Editing and support by The Good Podcast Co. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
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We drill the ABCs. We practice math facts. But when it comes to kindness, we often expect it to appear fully formed, without teaching it. In this episode of Facing the Dark, Dr. Kathy Koch and Wayne Stender explore the critical difference between politeness and true kindness, drawing on psychological research, parenting wisdom, and the biblical story of the Prodigal Son. They unpack why forcing apologies can create scripts instead of sincerity, how empathy is a muscle that must be taught and practiced, and why safety always precedes compassion. This conversation challenges parents to move beyond surface-level behavior management toward heart-level formation modeling mercy, curiosity, repair, and other-centeredness. If you want to raise kids who are genuinely kind, not just well-mannered, this episode will give you clarity, conviction, and practical direction.
Harvest Bible Chapel Pittsburgh North Sermons - Harvest Bible Chapel Pittsburgh North
Introduction: John 4:23–24 - But the hour is coming, and is now here, when the true worshipers will worship the Father in spirit and truth, for the Father is seeking such people to worship him. God is spirit, and those who worship him must worship in spirit and truth. Why Should I Sing on Sundays? (Colossians 3:16) Because singing works the WORD INTO MY HEART. (Col 3:16a) Because singing encourages the HEARTS OF EVERYONE WHO HEARS ME. (Col 3:16b) Ephesians 5:19 - ...addressing one another in psalms and hymns and spiritual songs, singing and making melody to the Lord with your heart... Psalm 34:3 - Oh, magnify the LORD with me, and let us exalt his name together! Psalm 107:32 - Let them extol him in the congregation of the people, and praise him in the assembly of the elders. Psalm 100:1 - Make a joyful noise to the LORD, all the earth! Because singing voices my HEARTFELT THANKFULNESS TO GOD. (Col 3:16c) Ephesians 5:19 - ...addressing one another in psalms and hymns and spiritual songs, singing and making melody to the Lord with your heart... Sermon Notes (PDF): BLANKHint: Highlight blanks above for answers! Small Group DiscussionRead Colossians 3:16What was your big take-away from this passage / message and the entire series?What are your biggest barriers to passionately singing on Sunday mornings? How can you begin to overcome these barriers and be a more faithful worshiper?How does singing help the Word dwell in you richly?How does singing on Sundays encourage others around you? What does their singing teach you?What did Taylor mean that your greatest instrument is your heart? How is your mouth like an amplifier?BreakoutPray for one another. AUDIO TRANSCRIPT Open your Bibles to Colossians chapter 3 verse 16.Colossians chapter 3 verse 16.Have you ever gone to someone else's houseand witnessed family traditions that didn't make sense to you?You had a friend in college, I went to visit his family onceand he's a part of a family that kisses each other on the lipswhenever they say hello or goodbye.And that's not my experience at all in my family.And to be clear, I'm not judging you,that's how your family does greeting time.You are loved and we're moving on from that, okay?I also had another friend I grew up with,his family drank milk with every single meal they ate.Three meals a day, three glasses of milk a day.And they thought it was really weirdthat I didn't want to drink milk with my pizza.And I thought it was really weird that they wanted meto drink milk with my pizza.Have you ever visited a different countryand been surprised and thrown off by the customs they have?In Netherlands, the person who's throwing a birthday partycongratulates every single person in the room,not just the person having the birthday.In Japan, it is not customary to tip.If you try to leave a tip,the server will probably be very offended by that.I've talked to a lot of people who've visitedor immigrated to America,who are really thrown off that we use,how are you, not as a genuine question,but as a throwaway hello.I've been to Kenya twice,and the first time I was there, I was surprisedthat as I walked from village to village,talking to a certain man,he would hold my hand as we walked.Now guys, will we do that in America?That's never happened to me, stateside.But in Kenya, it's a sign of friendship.It's a sign that person is really listeningto what you have to say.Many traditions and customs seem to be a bit randomand mysterious.When you press people on why they carry out these traditions,they usually don't know why.They don't know the origin or rationale.I don't know, it's what we've always done.We've always had milk with our pizza.We've always eaten funyons at Thanksgiving.One tradition that doesn't really make that much sense,but I'm glad you enjoy it, Pastor Jeff.Traditions and customs can become mechanical,can become rote.If you don't know why you're doing them,it can become a mechanical processof going through the motions.And the saying can be said for Christians in the church.If you pull many professing believersas they exit a Sunday morning serviceand ask them to provide the biblical rationalefor why they did what they just did,I think you'd receive a lot of blank stares.You'd hear a lot of us and ums.You'd hear a lot of hemming and hawing.Why is that?Because they are engaging in worshipwithout thought or intention.They are going through the motions.The traditions and customs that God has laid downin His word for the family gatherings of His peoplemay seem strange.Hard to explain and a bit random.I mean, think about it.Why do we gather once a week to listen to a guy like metalk about the Bible for 30 to 45 minutes?Every few months, why do we watch people get dunked in water?At the end of this service,why will we eat a cup of bread and a thimble full of juice?Why do we do that?Why do we spend almost half of the service singing together?And that final question is particularly hardfor some Christians to answerbecause they don't like to sing on Sundays.They don't want to sing on Sundaysand they don't even know why we sing on Sundays.They don't always see the point.And maybe you were a part of the demographicthat isn't really down with singing.Maybe this biblical tradition seems odd to you.It seems mysterious.You don't know why you have to do it.So what do you do?As Pastor Jeff and Pastor Rich have said in previous sermons,you barely sing above a whisper.You tune out.You mouth the words until you're told to sit down.Or maybe you arrive intentionally lateto skip the singing portions of the service.So you slip out early to skip the final song.You just don't get singing, so you just don't sing.This is the final sermon in a series calledGod is Seeking Worshipers.In John chapter four verses 23 through 24,Jesus makes it clear what kind of worshipis God's on the lookout for.Let's listen to what Jesus has to say.He says, "But the hour is coming and is now here"when the true worshipers will worship the Father"in spirit and truth,"for the Father is seeking such people to worship Him."God is spirit and those who worship Him must worship"in spirit and truth."God is seeking those who will worship Him"in spirit and in truth."Two weeks ago, Pastor Rich dug into what it looks liketo worship God according to the truth of His word.And last week, Pastor Jeff focused on worshiping Godin spirit, you were to have passionand not cold detachment.And this morning, we're gonna focus in particularon the importance of congregational singing.Whether you can't wait to sing or you can't stand to sing,I wanna help you answer one question this morning,just one question.Why should I sing on Sundays?Why should I sing on Sundays?There are a lot of places to turn to answer this question,but there is no place that is clearer and more concisethan Colossians 3/16, just one verse.Before we continue any further,let's go to Lord and ask for His help.Please pray for me, that I'll faithfully proclaim God's wordand I will pray for you, that you will faithfully receive it.Father, we come to you and we thank youfor this most important appointment of the week.This isn't the throwaway time that we can take or leave,Lord, it is the time we come togetherto worship your holy name.Come around your word to be challenged, to be convicted,to be encouraged, to be lifted up,to be pointed to your Son, Jesus Christ.We thank you in advance for what you will doand we pray more than anythingthat you would be pleased with what we do today,that you would be worshiped in spirit and in truth.And we ask all this in Jesus' name, amen.So Colossians is a New Testament letterwritten by the Apostle Pauland it is focused on the supremacy of Christ in all things.Christ is better than anything or anyone.Life is from Him, life is through Him, and life is for Him.In chapter three of Colossians,Paul calls the Colossians to live in light of who Christ isand where He is seated.Christ is Lord and He is seated in heaven,so we are called to submit to His heavenly standards.To be able to put on new clothes,you have to take off your old clothes.Or to put on the new self, you are to put off the old self.You are to put off old, ungodly attitudes and behaviorsso you can put on new and godly behaviors.In verse 12, Paul says the Colossiansare to put on compassionate hearts.And in verse 15, he says, "Let the peace of Christrule in your hearts."Then in verse 16, our passage for today,Paul says there to have worshipful and thankful hearts.And you and I are called to have these worshipful hearts as well.Why is that?What's the result?Well, worshipful and thankful hearts bless God.It blesses others, and it will bless you as well.Now that we have that background in mind,let's answer our main question.Why should I sing on Sundays?Why should I sing on Sundays?Number one, because singing works the word into my heart.Because singing works the word into my heart.Let's read Colossians chapter 3 verse 16."Let the word of Christ dwell in you richly,teaching and admonishing one another in all wisdom,singing psalms and hymns and spiritual psalmswith thankfulness in your hearts to God."Let's focus on that beginning chunk."Let the word of Christ dwell in you richly."What does that mean?It means that your copy of God's word doesn't gather duston your bedside table.The words on these pages, don't just stay on these pages.The word of God finds a place in your heart.It lives within you.Scripture digs down deep into the very core of your beingto change how you think, how you feel, how you love,how you act, and how you react.How does this happen?It happens by reading the word.It happens by studying the word, meditating upon the word.I'm packing what it means and how it applies to your life.It involves writing notes in the margins,jotting down questions, highlighting verses,becoming a student of God's word.But according to Paul, this also happens through singing.And that may surprise you because you don't see the connection just yet.How does singing work the word into your heart?How does singing cause the word of Christ to dwell in you richly?Because lyrics set to music is the most effective methodof memorization and internalization.We all know this to be the case, right?In other areas of life.How did you learn the ABCs?Through your song, right?Prove it to me.ABCD.Very good. Very good.Wow. As a kid, how did you learn the basics of anatomy?Head, shoulders, knees, and toes, knees, and toes.Head, shoulders, knees, and toes, knees, and toes.Eyes and ears and mouth and nose.Head, shoulders, knees, and toes, knees, and toes.We're all cleaning up.Clean up, clean up.Everybody everywhere.Look at you guys.Those lessons are dwelling in you richly to this day.Do you see the point?Growing up in the church, I learned a lot of important biblical factsthrough songs.If you know the song I'm going to sing, please sing it with me.Zacchaeus was a wee little man, and a wee little man was he.He climbed up the ladder in the country,the Lord he called to see, and the Savior asked him to pray.He looked up in the street, and the Lord said,"Zacchaeus, you come down, for I'm going to your house today,for I'm going to your house today."The B-I-B-L-E. Yes, that's the book for me.I stand alone on the word of God, the B-I-B-L-E.Isn't it astounding how much biblical truth can be containedin such simple and childlike songs?I sang these songs 30 years ago, and they still dwell in my heart richly.They worked the word into my heart.How arrogant we can be as adults by believing that we maturepast the need to learn and love the word of God through song.Do you feel that way right now?Do you think that the sermon is the only aspect of the Sunday servicethat teaches you something?That's just not true.Every single aspect of the service teaches you God's word.At harvest, we read the word, we preach the word, we pray the word,we see the word in baptism in the Lord's Supper, and we sing the word.All of these elements cause the word of Christ to dwell in you richly.All of these elements work the word into your heart.This is why it's important that we only sing what God's word says.And thankfully, Paul tells us what to sing in this verse.He gives us three types of songs, Psalms, hymns, and spiritual songs.Psalms are self-explanatory, right?He's talking about the 150 songs and prayers in the Old Testament book of Psalms.When you sing the Psalms, you're singing God's own word back to him.It's like you're speaking God's language.You're using his own divine vocabulary.And when Paul references hymns in this verse, he's not talking about the hymnsas we understand them in 2026.Remember Paul's writing about 2,000 years ago.He's not commanding us to buy old dusty hymns off eBaythat have this singing sheet and all the parts for men and women.But what is he saying?Well, back in his day, hymns were a pagan practice.Hymns were sung to a false God, a famous hero, or a military leader.These hymns were focused on a particular person.Paul is Christianizing and retrofitting this pagan practice for the church.He's saying instead of singing to that lame guy who's not as cool as you think he is,instead of singing to that bloodthirsty general,instead of singing to that false God, praise the Lord God Almighty.Praise him for who he is.Praise him for his sovereignty.Praise him for his glory.Praise him for his majesty.Praise him for his majesty.Praise God for who he is.And most likely spiritual songs were songs of personal testimony.If hymns mainly emphasize who God is,spiritual songs focus on what God has done for you,what he is doing for you, and what he will do for you in the future.Praise God that he gave you another day to worship him and to serve him.How many of us woke up today going, "Ugh, today's going to be terrible.I don't want to do this."Instead of doing that, praise him that he gave you breath in your lungs.Praise him that he has forgiven all of your sin past, present, and future.Praise him that he delivered you from the domain of darknessand has transferred you to the kingdom of his beloved Son.Praise him that he will never, ever let go of you, no matter what you do.Praise God for all the good gifts he has given to you.That is Psalms and hymns in spiritual songs.Why does Paul give us this breakdown of songs?In the past, did you ever make someone a mixtape?Did you ever burn someone a CD?Or for you teenagers who have no idea what I'm talking about?Have you ever made a playlist and shared it with someone else?Why did you do that?Because you wanted that person to experience the songs that you love.You wanted that person to get out of the rut of listening to that same kind of songover and over and over again.That's what Paul is doing here.He's giving the Colossians a godly mixtape, a CD.He's sharing a heavenly playlist with them.He wants to keep them from singing the same type of song over and over and over again.It's often said that variety is a spice of life.Variety is also the spice of worship.God wants to be worshiped by the inspired classics of the Psalms.He also wants to be worshiped as Pastor Jeff just read to us from Psalm 96 with a new song.He wants to be worshiped for who he is.But he also wants to be worshiped for what he does, what he has done, and what he will do.Singing these types of songs will keep us from only emphasizing the truth and missing spiritor only emphasizing spirit and missing the truth.Sticking to this list of songs will cause you to worship in spirit and in truthbecause both are needed to truly worship God.So much damage can be done.If the sermons we hear on Sundays get an A+ in theology,but the songs we sing receive a failing grade.Well, why is that?Because you'll remember the words you sing on Sundayfar longer than the words you hear from the pastor's mouth.If you don't believe me, have you ever been with a Christian on their deathbed?I gotta tell you, they don't invite their pastors then to repreach their favorite sermons.What do they do instead?They sing worship songs that are lodged in their brains and stuck in their hearts.As tired and as feeble as these saints feel, they belt out amazing grace in Christ alone.Crown Him with many crowns.It is well, blessed assurance.Biblically rich songs have the power to instruct your intellect.Spark your passions, engage your emotions, and involve your body.When the Word of Christ dwells in you richly, it will flow out of your mouth freely.Do you begrudgingly sing?Do you barely sing?Do you refuse to sing?If you've answered any of those questions with a yes,I want you to come to grips with what you're truly sacrificing.You are laying aside the blessing of knowing and loving the Word of Godon every single level of who you are as a person, physically, emotionally, and spiritually.You are cutting your spiritual growth off at the knees.You're saying, "I'm going to mature this far and no farther."You are cutting yourself off from a major source of the Word of Christ dwelling in you richly.Of the Word being worked into your heart.You are hurting yourself.But the damage doesn't just end with you.If you have a negative view of singing, you will negatively affect others around you.But in Colossians 3, 16, Paul shows us the opposite as well.If you have a positive view of singing, you will positively affect others around you.Let's read verse 16 for a second time."Let the Word of Christ dwell in you richly, teaching and admonishing one another in all wisdom,singing psalms and hymns and spiritual songs with thankfulness in your hearts to God."Why should I sing on Sundays?Second reason, because singing encourages the hearts of everyone who hears me.Because singing encourages the hearts of everyone who hears me.Paul says that we as a church should be teaching and admonishing who?One another in all wisdom, singing psalms and hymns and spiritual songs.He shares an almost identical truth in Ephesians 519.He says the believer should be addressing one another in psalms and hymns and spiritual songs.Pastor Rich and Pastor Jeff have made it clear over the past few weeks that the primary audienceof our worship is who?God, first and foremost, our worship is for and before the Lord.Again, He is the primary audience.But according to Paul, there is a secondary audience of our singing.And who is that secondary audience?One another.Every single person in this room, that person in front of you, those people behind you,those people next to you.To be clear, you're not worshiping other people as you sing.You are only worshiping God, but you are instructing and teaching others as you sing.The goal isn't to impress, the goal is to instruct.By singing, you are reinforcing the glorious truths of God's Word.By singing, you are warning, admonishing others to avoid the consequences of disobeying God's Word.You are playing an important role of the working of the Word into their hearts.You are playing an important role of the Word of Christ dwelling in their hearts, richly.Do you understand that Sunday morning is not your private worship time with God?Yes, it is personal, but it's by no means private.You are commanded to have your private worship time with God throughout the week.As you read the Bible, as you pray, as you fast,Sunday morning is the corporate worship time of God's people.It's not just about you and Jesus, it's about us and Jesus.Why is it so important that we gather together and we sing together?Why do we do that?Well, one pastor puts it this way.The people of God sing together because they have been saved together.And we see this truth in the book of Exodus.In Exodus 12 and 13, the Israelites are let go from slavery in Egypt.They're guided by the very presence of God.But then what happens?Pharaoh changed his mind to the armies of Egypt.Go after the Israelites.But God rescues them.He makes the Red Sea's part.He takes them through the water.Then those waters drown the Egyptian army.The Israelites are saved together by God.How do they respond to being saved together?According to Exodus 15, they sing together.Their voices become one communal voice to their God and their Savior.And we see this in the Psalms.There is a ton of "I," "me," "my," and "my" language in the Psalms.But there are 346 appearances of "we," "our," "us," as well.Again, it's not just private.It's corporate.In Psalm 343, David gives this command,"O magnify the Lord with me.Let us exalt his name together."Psalm 107.32."Let them extol him in the congregation of the people,and praise him in the assembly of the elders."Paul commands the Colossians and the Ephesiansto sing to the Lord together because they have been savedby the blood of Jesus Christ together.You and I are commanded to sing together because we have been savedby the blood of Jesus Christ together.You were not rescued and redeemed from your sinto be your own spiritual island by yourself.You were rescued and redeemed to be a part of the holy people of God,to be adopted into the family of God.You are not an only child.You have a countless number of brothers and sisters across this globeand throughout human history.But let's focus on our church for a minute.If you are a member at harvest,you have committed yourself to the holiness and maturityof the brothers and sisters you have in this roomand in the other service.By becoming a member,you have acknowledged that your faithful attendance,your active participation contributes to the unity and purity of this church.You have chosen to link arms with these peopleand marched through this evil world towards heaven together.You have agreed that I'm going to build up and encourage these peoplebecause they are my family.Do you realize that this service isn't just something you can slip in and slip out of?This is your family.This is a family gathering and you are here to encourage others,not just to be encouraged yourself.So how do you encourage others around you?You sing with passionate enthusiasm.You cannot teach and admonish other people around you with their singingif other people around you cannot hear your singing.You know what this means?This means that you do not have the biblical right to opt out of singing.You do not have God's permission to mumble or mouth the words you see on the screens.You are not given a hall pass from God to come late or to leave early.You are not allowed to be a conscientious objector during the worship set.I know exactly what some of you are thinking right now.I know you are internally sweating and thinking,"Pastor Taylor, you just don't get it.I have a horrible singing voice and I don't want anybody to hear me."Does God expect you to be a trained musician or a world-class vocalist to sing?I sure hope not because you all just heard my voice a few minutes agoand I fall way short of that standard.Does God command you to sing well in Scripture?He calls you to sing, period.Psalm 100 verse 1, "Make a joyful noise to the Lord all the earth."Can your mouth make noise?Make noise to your mouth by saying yes.Can your mouth make noise?Can you make that noise sound joyful?Even better than you are the perfect person to sing to the Lordto encourage other people in this room with your singing.All of you are not expected to stand on stage and lead the worship time,but you are expected to instruct others during the worship timeas you sing from where you stand.How many of you watched Elf last month before Christmas?Very few of you.Wow, okay, this may be harder for you than I thought.What is Buddy the Elf's singing advice for Christmas?The best way to spread Christmas cheer is..."Lose your mouth for all of the years."I'm going to steal that quote and use it for corporate worship.The best way to spread Christian cheer is..."Lose your mouth for all of the years."I read a study recently that laid out two markers of a healthy church.They're obviously way more than just two,but these two were the focus of the study.The first one was children.Children are being born.Children are being discipled.That discipleship is being reinforced in the life of the church,as Pastor Jeff often says, "Children are a sign of life."How are we doing with that first marker here at Harvest?If you're wondering, just count how many kids almost knock you over after the service is over.Here's the second mark.The second mark is "Men who sing."How are we doing with that one?I got to tell you, not as well as the first.I know what some of you might be thinking."Taylor, singing on Sundays just seems a little feminine.It doesn't seem very masculine to me."That's interesting.You didn't seem to have that same objectionwhen you were singing "Take Me Out to the Ball Game"at the pirate game this past summer.So let me understand this.It's masculine to sing about going to a baseball game,but it's feminine to sing to the Lord God Almighty.You didn't seem to have that same objectionwhen you were singing in the shower this morning,or singing in the car the way to work last week.You didn't seem to have this objectionwhen you were singing at the top of your lungswhen you saw your favorite band in concert.So let me get it straight.All those things are masculine,but singing to Jesus Christ,who laid down his own life to save yours, that's feminine.Do you see how ridiculous that objection iswhen you really think about it?Moses sang, "Are you more masculine than Moses?When was the last time you were used by Godto defeat the mightiest army on the planetand to lead a bunch of complaining people to the wilderness?"David sang to the Lord and even danced to himas we saw last week."Are you more masculine than David?You were killed a giantor ruled over God's chosen nation?Jesus sang in the Gospels.Are you more masculine than Jesus?Your entire life cannot compare to one secondof the masculinity Jesus displayedduring his time on this earth."Men, please stop making excuses for why you can't sing.Sing for the sake of your wife.Sing for the sake of your kids.Sing for the sake of the church.Your silence is deafening and destructive.Harvest, we should be teaching and admonishing one anotherand all wisdom by singing psalms and hymns and spiritual songs.We should be instructing and encouraging one anotherby how we sing.This starts at an individual leveland it has corporate ramifications.You have no idea how big of an impactyour singing has on the people around you.And you have no idea how much their singinghas an impact on you.Imagine that there is a woman in the seat in front of youwho is fighting a losing battle with a serious illness.Yet every single Sunday she is worshiping the Lordwith hands lifted high.Does that teach you something?That teaches you that God is worthy of your praiseeven when your physical strength is being sapped from your body.Imagine that there is a dad down the aisle from youwho just lost his son.Yet he is still worshiping the Lord with tears in his eyesand sorrow in his heart.Doesn't that teach you something?That teaches you that the Lord gives and the Lord takes away.Blessed be the name of the Lord.That group of teenagers in the intersectionis rejecting the worldly desire to look coolby worshiping God with reckless abandon.Doesn't that teach you something?That teaches you that age doesn't always equal maturityand they can set you an example to follow.Please sing.Sing to encourage your own heartbut also sing to encourage the hearts of other people around you.Why should I sing on Sundays?Final reason.Because singing voices my heart felt thankfulness to God.Because singing voices my heart felt thankfulness to God.Singing blesses you.Singing blesses others.But most importantly, singing blesses God.Let's read verse 16 and a third and final time.Let the word of Christ dwell in you richlyteaching and admonishing one another in all wisdom.Singing psalms and hymns and spiritual songswith thankfulness in your hearts to God.Once again, Paul shares a very similar truth in Ephesians 519.He says that you should sing and address other Christians in songwhile making melody to the Lord with your heart.You realize that your mouth isn't your primary instrument of praise.It's your heart.Your heart is where everything starts.Your heart is where your passions live.Your heart is where your emotions reside.What is in your heart will come out of your mouth.Your heart is like a guitar or a keyboard.While your mouth is a speaker.Your mouth amplifies what is inside.Your mouth amplifies what is in your heart.If your heart is full of negativity and complaining,what will come out of your mouth?Negativity and complaining.If your heart is full of love and praise to the Lord,what will be amplified by your mouth?Love and praise to the Lord.You were made to worship God.And God has revealed that he loves to be sung to.And if you refuse to sing to him,you were refusing to give him the love and thanks that he deserves.At this point, you may be waving the white flag.Okay, Taylor, I get it.I get it.You and other pastors can stop selling me.These sermons have convinced me.I just sing a little bit louder.Fine, I guess I'll sing.Is that honoring to the Lord?You know, my wife has revealed to me that she loves flowers.And she feels loved by me whenever I give her flowers.But imagine that she loves flowers.But imagine I come home after service with a frown on my faceand shove some flowers in her arms and say, "There you go.Will you stop bugging me about the stupid flowers?I did what you wanted.You're not getting more until your birthday.Hope you enjoy it."Would my wife feel very loved by that?I shouldn't buy my wife flowers because I have to.I should buy my wife flowers because I love her and I want to.And the same way, singing to the Lord shouldn't be viewed as something you have to do.It should be viewed as something you want to do.It should be your greatest joy to verbally and physically express the love you feel for him on the inside.And if that's not how you feel, there's a problem going on that you should address.The worship team can make their way forward.God is seeking worshipers.God is seeking those who will worship him in truth.God is seeking those who will worship him in spirit.God is seeking those who will worship him in song.How do you feel about this job description?How do you feel about being a full-time worshiper of God?Some of you in this room are not a worshiper of God.You have not yet trusted in Christ.You are worshiping yourself.You are living for yourself.Let me ask you something.How is that working out for you?I'm guessing not very well.You may think you're happy.You may act happy, but you know something is missing.You know something is wrong.You know there is someone far greater than you who deserves the glory and honor that you're hogging for yourself.This person is God who reveals himself most clearly to the person and work of his Son.Jesus came to this earth to serve sinners.Choose to serve him for all of eternity.Jesus humbled himself by dying on the cross to pay the penalty for sin,even though he was and still is fully perfect and sinless.Choose to exalt him forever and ever.Jesus will not turn you away if you come to him with genuine faith and repentance.Choose to believe in him.Stop believing in yourself.Choose to worship him.Stop worshiping yourself.The role of a full-time worshiper is being offered to you.Accept that job offer.Others of you have accepted that job offer in the past,but you haven't been carrying out your responsibilities lately.Maybe you've been making excuses for why you can't sing.Maybe you've been distracted by a million other things you sit in this service and you're not focusing on Jesus Christ.Maybe you're not truly singing with passionate enthusiasm.If you're honest, you would say, "I've been lazy in my worship."If that's true, let me give you one final exhortation.If Jesus Christ rose from the dead on a Sunday morning, 2000 years ago,you can get up bright and early every Sunday to worship his holy namewith every ounce of energy and passion that you have.It's not too late.You can do it right now.You can do it today.Others of you have been faithful and you've been consistent in your worship.Obviously, it's not perfect, but you have been consistent.If that's you, keep it up.Keep up the good work.Do not waver in the job that God has saved you to carry out.We spend a lot of time talking about singing.Let's actually stand.Let's actually sing.Stand and do what you are made to do.Do what you are saved to do.Do what you should want to do.Let's sing to the Lord.
Welcome Brave Lovers! In today's episode, our hosts interviewed couples therapist and author of the upcoming book 'The Cost of Quiet', Colette Fehr. Colette shares her wisdom and years of experience with us on the true cost of conflict avoidance in a relationship. She defines avoidant behavior as actions that prevent connection from yourself or your partner. Colette bravely shares with us how the end of her first marriage led her to examine her own conflict avoidance and conditioning that quiet and keeping the peace was best but ultimately a silent relationship killer. In her book, Colette shares the ABCs every couple needs to practice: Acting in the face of fear, Be vulnerable and Communicate assertively. If these aren't skills you possess or are sometimes hard to come by, she reminds us that they can be strengthened through practice and repetition. The more we do something we are afraid of the less scary it feels! Visit her website www.colettejanefehr.com to pre-order a copy and for more free resources on ways to improve communication with your love! Lovers be brave! Learn more about your ad choices. Visit megaphone.fm/adchoices
Psalm 119 Songs for Sinners Donate to Support The Journey
Beginner Strength Program Begins 1/12/26! - Want to get stronger without getting hurt or bored to tears? Our 8-Week Program guarantees results! Join today! - https://www.digitalbarbell.com/strengthmadesimpleMost people don't struggle with strength training because they're lazy.They struggle because they're doing way more than they need to.Too many exercises.Too much variety.Too much “hardcore” stuff that looks impressive… and delivers very little.In this episode, we break strength training down into three simple principles that actually work — and explain why simplicity isn't a limitation, it's a feature.The ABCs of Strength Training:A — Adherence - The most underrated variable in fitness.One great workout doesn't build strength. One great week doesn't either. Consistency over time does.If your program leaves you wrecked, sore, and dreading the next workout, it's not sustainable — and eventually, you quit. If you can't stick to it, nothing else matters.B — BasicsThe “boring” lifts that build real strength.Squats - Deadlifts - Presses - Rows - Chin-ups - Pull-upsYou don't need 30 exercises..You need to get better at the ones that recruit the most muscle and demand real effort.Don't confuse soreness with progress. And don't avoid effective exercises just because they aren't flashy.C — Continue to AddThis is where results come from. Strength improves when you gradually increase the challenge over time — not when you do random workouts and hope for the best.That can mean: Adding weight - Adding reps - Adding sets (strategically) - Better control and cleaner reps - More range of motion - Less rest with the same work. - But none of that works if you don't track what you're doing.The big takeaway:Strength training meets you where you are.It's not about lifting insane weight or training like a lunatic.It's about:✔ Doing a program you enjoy✔ Showing up consistently✔ Training the right movements✔ Pushing yourself appropriately✔ And adding a little more over timeSimple. Effective. Sustainable.
It's the 4th annual edition of the year A to Z with Craig Bozic. In the second of two parts, the boys go over some things that got their attention this year in dynasty fantasy.Subscribe to Dynasty Sports Life for great dynasty talk about four dynasty sports. Follow on twitter at @dynsportslife. Email at dynastysportslife@gmail.com
When sharing the Gospel, there are many tools you can use. You can hand out tracks or share the ABCs of salvation, but the most powerful tool in your belt is sharing your testimony. There was a point when you did not know Christ, and now you do. Today, Pastor Bill teaches that sharing your testimony shows people that there was a time when you were just as lost and confused as they are, but Jesus called out to you, and you were rescued from yourself. Let your testimony be a powerful tool that can change hearts.
When sharing the Gospel, there are many tools you can use. You can hand out tracks or share the ABCs of salvation, but the most powerful tool in your belt is sharing your testimony. There was a point when you did not know Christ, and now you do. Today, Pastor Bill teaches that sharing your testimony shows people that there was a time when you were just as lost and confused as they are, but Jesus called out to you, and you were rescued from yourself. Let your testimony be a powerful tool that can change hearts.
Happy Mindful Monday Everyone!In this week's epsiode, our host Allie Brooke sits down with C. Vicki Gold, PT, MA. Vicki Gold is a retired physical therapist who is proud to say she turned 80 in September of '24. Her background was rich in both clinical and academic experiences, including serving as Director of a Physical Therapist Assistant Program in NYC. She also has had extensive experience in a large variety of mind-body approaches to physical and mental well-being, including yoga, tai chi, Pilates, Alexander, and Feldenkrais Techniques. Vicki is a perpetual student of personal growth and transformation, and is a graduate of many trainings through Landmark Worldwide. Vicki and her husband, Tom, relocated from Long Island, NY, to the Foothills of NC, where Vicki completed a book meant to educate, empower, and inspire people to “Age Safely, Wisely, and Well,” which just happens to be the book's title! The title goes on to say that it is “A Movement and Mindset Guide for Older Adults,” however is relevant to adults of all ages. The book comprises many of the tips, tricks, strategies, and skills Vicki gathered over her many years as a therapist and as a woman. It also has several collaborators from specialties like fall-prevention, aging in place, nutrition, etc. Vicki's mission now is to encourage listeners to learn their ABCs to look, feel, and function optimally – at every age!In this epsiode we talk about:The "ABCs" of Optimal Function: Vicki breaks down her signature framework for looking, feeling, and functioning at your best,proving that vitality isn't a matter of age, but a matter of alignment.The Evolution of a Healer: From clinical Physical Therapy in NYC to mind-body mastery (Yoga, Tai Chi, and Pilates); a look at how integrating various modalities creates a holistic path to wellness.Movement + Mindset: The Duo for Longevity: Why a book about aging well required more than just physical exercises, and how our internal dialogue dictates our external physical capabilities.Reimagining 80: Breaking the "Fade Out" Mold: Vicki shares the reality of entering her ninth decade with more purpose and energy than ever, challenging the societal expectations of what "getting older" looks like.The Power of One Word: A deep dive into the specific vocabulary that can instantly shift an adult's motivation, helping them move from a "default" life to one of intentional design.Becoming a Perpetual Student: How Vicki's journey through personal transformation trainings (like Landmark) allowed her to pivot in her 70s and write her book in the foothills of North Carolina.Building Your Aging Village: The importance of collaboration—from nutrition to fall prevention—in creating a sustainable, safe, and joyful legacy. How To Connect w| VickiLINK TO BOOK: https://thera-fitness.com/the-book/FACEBOOK: https://www.facebook.com/TheraFitnessLINKEDIN: https://www.linkedin.com/in/cvickigoldptma/INSTAGRAM: https://www.instagram.com/c.vicki.gold/ABC FREEBIE PDF The Growth METHOD. FREE Membership◦ Join Here! 1:1 GROWTH MINDSET COACHING PROGRAMS!◦ Application Form What are the coaching sessions like?• Tailored weekly discussion questions and activities to spark introspection and self-discovery.• Guided reflections to help you delve deeper into your thoughts and feelings.• Thoughtfully facilitated sessions to provide maximum support, accountability, and growth.• Please apply for a FREE discovery call with me!• Allie's Socials• Instagram:@thegrowthmindsetgal• TikTok: @growthmindsetgal• Email: thegrowthmindsetgal@gmail.comLinks from the episode• Growth Mindset Gang Instagram Broadcast Channel• Growth Mindset Gang Newsletter • Growth Mindset Gal Website• Better Help Link: Save 10%SubstackDonate to GLOWIGloci 10% off Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Navigating the Challenges of Independent Filmmaking: Insights from '25 Cats from Qatar' DirectorIn this episode of the Get Reelisms podcast, hosts Adam Chase Rani and Christine Chen welcome back indie documentary filmmaker Mye Hoang to discuss her latest film '25 Cats from Qatar.' Mye shares her experiences and challenges while touring the film, dealing with distribution, and employing innovative strategies like in-person screenings and merchandise sales to engage audiences and fundraise for cat rescues. The conversation also delves into the importance of passion in filmmaking, the difficulties of marketing independent films, and the increasingly fragmented media landscape. The episode is filled with heartfelt moments, practical advice, and insights into the world of indie filmmaking. Hosts: Adam Rani (@adamthechase) & Christine Chen (@cchenmtf) About Christine W Chen:Christine W. Chen is a Taiwanese American filmmaker, Academy member (Short Films Branch), and versatile producer, director, and writer known for bold, character-driven storytelling. Through her production company, Moth to Flame, she has created award-winning short films, features, and branded content—including Erzulie, a feminist swamp thriller that had a limited theatrical run and now streams on major platforms. In addition to her directorial work, Christine is a seasoned DGA 1st Assistant Director and co-author of Get Reelisms and ABCs of Filmmaking, as well as the co-host of the Get Reelisms Podcast.For more information about Christine Chen: christinewchen.comAbout Adam Rani:Adam Chase Rani is a production designer and set dresser working in the Austin film market, bringing a sharp eye for visual storytelling and practical creativity to every project. During the pandemic, he co-founded the Get Reelisms Podcast with Christine Chen to foster community within the film industry. Together, they've built a platform that blends education, candid conversations, and industry insights to help filmmakers connect, learn, and grow.Guest: Mye Hoang is a Los Angeles–based producer and director, best known for her feature documentary Cat Daddies (2022), which she directed, produced, and edited. She previously produced acclaimed indie projects such as Man from Reno and I Will Make You Mine, and launched her career with the coming-of-age narrative Viette (2012). A longtime advocate for Asian-American cinema, Hoang also founded the Asian Film Festival of Dallas and served as Artistic Director of the San Diego Asian Film Festival.. For more information go to getreelisms.com For more information on ERZULIE go to: erzuliefilm.com WEBISODE version of the Podcastgetreelisms.com 00:00 Introduction to the Challenges of YouTube Filmmaking00:36 Meet the Hosts and Special Guest01:53 Touring with '25 Cats from Qatar'10:20 The Cat Crisis in Qatar14:05 Behind the Scenes: Filming in Qatar25:36 The Bigger Picture: Animal Welfare and Distribution Challenges39:03 The Challenge of Competing with Streaming Giants39:28 The Struggle for Financial Viability in Filmmaking42:12 The Reality of Self-Distribution and Live Events44:50 The Importance of Merchandise Revenue47:39 The Difficulties of Independent Film Promotion52:07 The Impact of Social Media and Algorithms57:39 The Frustrations of Booking Theaters and Festivals01:10:34 The Value of Human Connection in Filmmaking01:11:34 Encouragement and Final Thoughts Official Get Reelisms PageGet Reelisms Amazon StoreInstagram
The ABCs of the Gospel have become a REAL staple of the Mid-East Prophecy Updates. Why? Because Pastor JD truly BELIEVES what he's teaching...he believes that the return of Christ is right around the corner. We need to follow his lead and begin sharing the Gospel even more than we are now. We want to see as many people as possible join us in the rapture.
Episode 210: Heat Stroke BasicsWritten by Jacob Dunn, MS4, American University of the Caribbean. Edits and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice. Definition:Heat stroke represents the most severe form of heat-related illness, characterized by a core body temperature exceeding 40°C (104°F) accompanied by central nervous system (CNS) dysfunction. Arreaza: Key element is the body temperature and altered mental status. Jacob: This life-threatening condition arises from the body's failure to dissipate heat effectively, often in the context of excessive environmental heat load or strenuous physical activity. Arreaza: You mentioned, it is a spectrum. What is the difference between heat exhaustion and heat stroke? Jacob: Unlike milder heat illnesses such as heat exhaustion, heat stroke involves multisystem organ dysfunction driven by direct thermal injury, systemic inflammation, and cytokine release. You can think of it as the body's thermostat breaking under extreme stress — leading to rapid, cascading failures if not addressed immediately. Arreaza: Tell us what you found out about the pathophysiology of heat stroke?Jacob: Pathophysiology: Under normal conditions, the body keeps its core temperature tightly controlled through sweating, vasodilation of skin blood vessels, and behavioral responses like seeking shade or drinking water. But in extreme heat or prolonged exertion, those mechanisms get overwhelmed.Once core temperature rises above about 40°C (104°F), the hypothalamus—the brain's thermostat—can't keep up. The body shifts from controlled thermoregulation to uncontrolled, passive heating. Heat stroke isn't just someone getting too hot—it's a full-blown failure of the body's heat-regulating system. Arreaza: So, it's interesting. the cell functions get affected at this point, several dangerous processes start happening at the same time.Jacob: Yes: Cellular Heat InjuryHigh temperatures disrupt proteins, enzymes, and cell membranes. Mitochondria start to fail, ATP production drops, and cells become leaky. This leads to direct tissue injury in vital organs like the brain, liver, kidneys, and heart.Arreaza: Yikes. Cytokines play a big role in the pathophysiology of heat stroke too. Jacob: Systemic Inflammatory ResponseHeat damages the gut barrier, allowing endotoxins to enter the bloodstream. This triggers a massive cytokine release—similar to sepsis. The result is widespread inflammation, endothelial injury, and microvascular collapse.Arreaza: What other systems are affected?Coagulation AbnormalitiesEndothelial damage activates the clotting cascade. Patients may develop a DIC-like picture: microthrombi forming in some areas while clotting factors get consumed in others. This contributes to organ dysfunction and bleeding.Circulatory CollapseAs the body shunts blood to the skin for cooling, perfusion to vital organs drops. Combine that with dehydration from sweating and fluid loss, and you get hypotension, decreased cardiac output, and worsening ischemia.Arreaza: And one of the key features is neurologic dysfunction.Jacob: Neurologic DysfunctionThe brain is extremely sensitive to heat. Encephalopathy, confusion, seizures, and coma occur because neurons malfunction at high temperatures. This is why altered mental status is the hallmark of true heat stroke.Arreaza: Cell injury, inflammation, coagulopathy, circulatory collapse and neurologic dysfunction. Jacob: Ultimately, heat stroke is a multisystem catastrophic event—a combination of thermal injury, inflammatory storm, coagulopathy, and circulatory collapse. Without rapid cooling and aggressive supportive care, these processes spiral into irreversible organ failure.Background and Types:Arreaza: Heat stroke is part of a spectrum of heat-related disorders—it is a true medical emergency. Mortality rate reaches 30%, even with optimal treatment. This mortality correlates directly with the duration of core hyperthermia. I'm reminded of the first time I heard about heat stroke in a baby who was left inside a car in the summer 2005. Jacob: There are two primary types: -nonexertional (classic) heat stroke, which develops insidiously over days and predominantly affects vulnerable populations like children, the elderly, and those with chronic illnesses during heat waves; -exertional heat stroke, which strikes rapidly in young, otherwise healthy individuals, often during intense exercise in hot, humid conditions. Arreaza: In our community, farm workers are especially at risk of heat stroke, but any person living in the Central Valley is basically at risk.Jacob: Risk factors amplify vulnerability across both types, including dehydration, cardiovascular disease, medications that impair sweating (e.g., anticholinergics), and acclimatization deficits. Notably, anhidrosis (lack of sweating) is common but not required for diagnosis. Hot, dry skin can signal the shift from heat exhaustion to stroke. Arreaza: What other conditions look like heat stroke?Differential Diagnosis:Jacob: Presenting with altered mental status and hyperthermia, heat stroke demands a broad differential to avoid missing mimics. -Environmental: heat exhaustion, syncope, or cramps. -Infectious etiologies like sepsis or meningitis must be ruled out. -Endocrine emergencies such as thyroid storm, pheochromocytoma, or diabetic ketoacidosis (DKA) can overlap. -Neurologic insults include cerebrovascular accident (CVA), hypothalamic lesions (bleeding or infarct), or status epilepticus. -Toxicologic culprits are plentiful—sympathomimetic or anticholinergic toxidromes, salicylate poisoning, serotonin syndrome, malignant hyperthermia, neuroleptic malignant syndrome (NMS), or even alcohol/benzodiazepine withdrawal. When it comes to differentials, it is always best to cast a wide net and think about what we could be missing if this is not heat stroke. Arreaza: Let's say we have a patient with hyperthermia and we have to assess him in the ER. What should we do to diagnose it?Jacob: Workup:Diagnosis is primarily clinical, hinging on documented hyperthermia (>40°C) plus CNS changes (e.g., confusion, delirium, seizures, coma) in a hot environment. Arreaza: No single lab confirms it, but targeted testing allows us to detect complications and rule out alternative diagnosis. Jacob: -Start with ECG to assess for dysrhythmias or ischemic changes (sinus tachycardia is classic; ST depressions or T-wave inversions may hint at myocardial strain). -Labs include complete blood count (CBC), comprehensive metabolic panel (electrolytes, renal function, liver enzymes), glucose, arterial blood gas, lactate (elevated in shock), coagulation studies (for disseminated intravascular coagulation, or DIC), creatine kinase (CK) and myoglobin (for rhabdomyolysis), and urinalysis. Toxicology screen if history suggests. Arreaza: I can imagine doing all this while trying to cool down the patient. What about imaging?-Imaging: chest X-ray for pulmonary issues, non-contrast head CT if neurologic concerns suggest edema or bleed (consider lumbar puncture if infection suspected). It is important to note that continuous core temperature monitoring—via rectal, esophageal, or bladder probe—is essential, not just peripheral skin checks. Arreaza: TreatmentManagement:Time is tissue here—initiate cooling en route, if possible, as delays skyrocket morbidity. ABCs first: secure airway (intubate if needed, favoring rocuronium over succinylcholine to avoid hyperkalemia risk), support breathing, and stabilize circulation. -Remove the patient from the heat source, strip clothing, and launch aggressive cooling to target 38-39°C (102-102°F) before halting to prevent rebound hypothermia. -For exertional cases, ice-water immersion reigns supreme—it's the fastest method, with immersion in cold water resulting in near-100% survival if started within 30 minutes. -Nonexertional benefits from evaporative cooling: mist with tepid water (15-25°C) plus fans for convective airflow. -Adjuncts include ice packs to neck, axillae, and groin; -room-temperature IV fluids (avoid cold initially to prevent shivering); -refractory cases, invasive options like peritoneal lavage, endovascular cooling catheters, or even ECMO. -Fluid resuscitation with lactated Ringer's or normal saline (250-500 mL boluses) protects kidneys and counters rhabdomyolysis—aim for urine output of 2-3 mL/kg/hour. Arreaza: What about medications?Jacob: Benzodiazepines (e.g., lorazepam) control agitation, seizures, or shivering; propofol or fentanyl if intubated. Avoid antipyretics like acetaminophen. For intubation, etomidate or ketamine as induction agents. Hypotension often resolves with cooling and fluids; if not, use dopamine or dobutamine over norepinephrine to avoid vasoconstriction. Jacob: What IV fluid is recommended/best for patients with heat stroke?Both lactated Ringer's solution and normal saline are recommended as initial IV fluids for rehydration, but balanced crystalloids such as LR are increasingly favored due to their lower risk of hyperchloremic metabolic acidosis and AKI. However, direct evidence comparing the two specifically in the setting of heat stroke is limited. Arreaza: Are cold IV fluids better/preferred over room temperature fluids?Cold IV fluids are recommended as an adjunctive therapy to help lower core temperature in heat stroke, but they should not delay or replace primary cooling methods such as cold-water immersion. Cold IV fluids can decrease core temperature more rapidly than room temperature fluids. For example, 30mL/kg bolus of chilled isotonic fluids at 4 degrees Celsius over 30 minutes can decrease core temperature by about 1 degree Celsius, compared to 0.5 degree Celsius with room temperature fluids. Arreaza: Getting cold IV sounds uncomfortable but necessary for those patients. Our favorite topic.Screening and Prevention:-Heat stroke prevention focuses on public health and individual awareness rather than routine testing. -High-risk groups—elderly, children, athletes, laborers, or those on impairing meds—should acclimatize gradually (7-14 days), hydrate preemptively (electrolyte solutions over plain water), and monitor temperature in exertional settings. -Communities during heat waves need cooling centers and alerts. -For clinicians, educate patients with CVD or obesity about early signs like dizziness or nausea. -No formal "screening" exists, but vigilance in EDs during summer surges saves lives. -Arreaza: I think awareness is a key element in prevention, so education of the public through traditional media like TV, and even social media can contribute to the prevention of this catastrophic condition.Jacob: Ya so heat stroke is something that should be on every physician's radar in the central valley especially in the summer time given the hot temperatures. Rapid recognition is key. Arreaza: Thanks, Jacob for this topic, and until next time, this is Dr. Arreaza, signing off.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! References:Gaudio FG, Grissom CK. Cooling Methods in Heat Stroke. J Emerg Med. 2016 Apr;50(4):607-16. doi: 10.1016/j.jemermed.2015.09.014. Epub 2015 Oct 31. PMID: 26525947. https://pubmed.ncbi.nlm.nih.gov/26525947/.Platt, M. A., & LoVecchio, F. (n.d.). Nonexertional classic heat stroke in adults. In UpToDate. Retrieved September 7, 2025, from https://www.uptodate.com/contents/nonexertional-classic-heat-stroke-in-adults. (Key addition: Emphasizes insidious onset in at-risk populations and the role of urban heat islands in exacerbating classic cases.) Heat Stroke. WikEM. Retrieved December 3, 2025, from https://wikem.org/wiki/Heat_stroke. (Key additions: Details on cooling rates for immersion therapy, confirmation that anhidrosis is not diagnostic, and fluid titration to urine output for rhabdomyolysis prevention.)Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.
It's the 4th annual edition of the year A to Z with Craig Bozic. In the first of two parts, the boys go over some things that got their attention this year in dynasty fantasy. Subscribe to Dynasty Sports Life for great dynasty talk about four dynasty sports. Follow on twitter at @dynsportslife.Email at dynastysportslife@gmail.com
THE BALANCED MOMTALITY- Pelvic Floor/Core Rehab For The Pregnant and Postpartum Mom
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In episode 176 of the Get Reelisms Podcast, hosts Adam Chase Rani and Christine Chen discuss the demanding nature of film production and how it impacts their personal lives. They share behind-the-scenes insights into their recent filmmaking experiences, particularly focusing on the rise and intricacies of vertical short-form dramas. The hosts also delve into the challenges faced due to industry changes, including differing set hours and the widespread adoption of data-driven content creation. Additionally, they touch upon the cultural dynamics influencing current popular content and express concerns on how these trends might shape future media consumption. Despite the struggles, both hosts reflect on the evolving landscape with optimism for the future of creative expression in filmmaking. Hosts: Adam Rani (@adamthechase) & Christine Chen (@cchenmtf) About Christine W Chen:Christine W. Chen is a Taiwanese American filmmaker, Academy member (Short Films Branch), and versatile producer, director, and writer known for bold, character-driven storytelling. Through her production company, Moth to Flame, she has created award-winning short films, features, and branded content—including Erzulie, a feminist swamp thriller that had a limited theatrical run and now streams on major platforms. In addition to her directorial work, Christine is a seasoned DGA 1st Assistant Director and co-author of Get Reelisms and ABCs of Filmmaking, as well as the co-host of the Get Reelisms Podcast.For more information about Christine Chen: christinewchen.com About Adam Rani:Adam Chase Rani is a production designer and set dresser working in the Austin film market, bringing a sharp eye for visual storytelling and practical creativity to every project. During the pandemic, he co-founded the Get Reelisms Podcast with Christine Chen to foster community within the film industry. Together, they've built a platform that blends education, candid conversations, and industry insights to help filmmakers connect, learn, and grow. For more information go to getreelisms.com For more information on ERZULIE go to: erzuliefilm.com WEBISODE version of the Podcastgetreelisms.com Official Get Reelisms PageGet Reelisms Amazon StoreInstagram
It's a Winter Break Rewind of the How Preschool Teachers Do It Podcast episode about the ABCs of Challenging Behavior. We are taking you all the way back to episode 96! Come listen, learn, and enjoy this blast from the podcast past!Check out our website: https://www.howpreschoolteachersdoit.com/Be sure to like our Facebook page: https://www.facebook.com/howpreschoolteachersdoitLearn more about Cynthia's work, including professional development, family education, and consulting opportunities: https://hihello.com/hi/cindyterebush-RXMBKA
In this episode of Healthy Mind Healthy Life, host Sayan sits down with Jacquie Elliott to break down why holiday stress and family dynamics can crank up your inner critic. Fast. Jacquie reframes “self criticism” as abusive brain chatter. A deeper pattern of emotional self-abuse that fuels low self-worth, comparison and people-pleasing. You'll learn her ABCs framework to interrupt the spiral, rebuild self-respect and practice self-love in a practical way through awareness, belief and challenge. About the Guest: Jacquie Elliott is a certified spiritual and relationship coach, seasoned radio host and motivational speaker. She's the author of The Silent Bully: A Journey from Abusive Brain Chatter to Self-Love, and teaches simple tools to shift from “tornado head” into boundaries, presence and a healthier inner relationship. Key Takeaways: Name the inner critic for what it is. Jacquie calls it “abusive brain chatter”. Not just negative thoughts but a pattern that bullies, belittles and gaslights you, especially during holiday pressure and family triggers. Use the ABCs framework in real time. A is Aware: notice the script and write it down. B is Belief: reconnect to a loving inner source through journaling, meditation, prayer or a grounding ritual. C is Challenge: replace old core beliefs like “I'm not enough” with one sentence that is 10% kinder and more true. Watch for “Tornado Head”. That spiral where one mistake becomes a whole identity story. The reset is to return “home” to the present moment and get heart centered before you problem solve. Make self love practical. Start with 2 to 3 minutes of meditation. Journal both voices. List your top values and check alignment. Take small actions that build self respect and reduce shame. Build momentum with micro wins. Random acts of kindness and gratitude can create a dopamine lift that supports consistency, confidence and healthier boundaries. Holiday reminder. You do not need perfect mindset. You need a tool you will actually use when things get loud, tense or triggering. How Listeners Can Connect With Jacquie: Website: https://www.healingabc.com/ https://www.jacquieelliottclc.com/ Book: The Silent Bully: A Journey from Abusive Brain Chatter to Self-Love (linked via her website. Also mentioned as available on Amazon in the episode) Want to be a guest on Healthy Mind, Healthy Life? DM on PM . Send me a message on PodMatch DM Me Here: https://www.podmatch.com/hostdetailpreview/avik Disclaimer: This video is for educational and informational purposes only. The views expressed are the personal opinions of the guest and do not reflect the views of the host or Healthy Mind By Avik™️. We do not intend to harm, defame, or discredit any person, organization, brand, product, country, or profession mentioned. All third-party media used remain the property of their respective owners and are used under fair use for informational purposes. By watching, you acknowledge and accept this disclaimer. Healthy Mind By Avik™️ is a global platform redefining mental health as a necessity, not a luxury. Born during the pandemic, it's become a sanctuary for healing, growth, and mindful living. Hosted by Avik Chakraborty.storyteller, survivor, wellness advocate.this channel shares powerful podcasts and soul-nurturing conversations on: • Mental Health & Emotional Well-being • Mindfulness & Spiritual Growth • Holistic Healing & Conscious Living • Trauma Recovery & Self-Empowerment With over 4,400+ episodes and 168.4K+ global listeners, join us as we unite voices, break stigma, and build a world where every story matters.
In this "ABCs of MOGAD" episode, "Steroid Dependence," Krissy Dilger of SRNA was joined by Dr. Eoin Flanagan from the Mayo Clinic in Rochester, MN. They began with a summary of how steroids are used to manage MOG antibody disease, particularly during acute attacks [00:01:25]. Dr. Flanagan described the mechanics of steroids in reducing brain inflammation and the importance of early treatment [00:04:14]. They discussed the concept of steroid dependence and the complications that arise when tapering down the steroid dose [00:05:46]. Dr. Flanagan highlighted alternative treatments to manage steroid dependence and emphasized the importance of working closely with healthcare providers to safely reduce steroid use over time [00:09:42].Eoin Flanagan, MB, BCh is a Professor of Neurology and Consultant in the departments of Neurology and Laboratory Medicine and Pathology at the Mayo Clinic (Rochester, MN). He completed his medical school training at University College Dublin in Ireland in 2005. He did a medical residency in Ireland and then completed neurology residency, fellowships in neuroimmunology and a master's in clinical and translational science at Mayo Clinic (Rochester, MN). He works in the Autoimmune Neurology and Multiple Sclerosis Clinics and the Neuroimmunology Laboratory at the Mayo Clinic.His clinical expertise and research are focused on inflammatory myelopathies and their imaging patterns, myelin oligodendrocyte glycoprotein (MOG) antibody associated disorder, neuromyelitis optica spectrum disorders, autoimmune encephalitis, paraneoplastic neurologic disorders, and multiple sclerosis. He is principal investigator on an NIH RO1 grant studying MOG antibody associated disorder.00:00 Introduction01:25 Understanding Steroids in MOG Antibody Disease04:14 Steroid Dosage and Administration05:46 Steroid Dependence in MOGAD Patients09:42 Managing Steroid Dependence14:02 Balancing Inflammation Control and Steroid Risks17:31 Conclusion
A highlight from Exceptional Sessions at the 2025 Midyear Clinical Meeting & Exhibition, this episode discusses agencies and organizations other than USP that impact how we handle Compounded Sterile Preparations. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.
In our newest episode in our Tutorial series, we're joined by special guest (and SLP), Judy Southey to get the ABCs of PECS. Like, did you know saying, "Hand me a PEC" demonstrates a total misunderstanding of the acronym? Or, more importantly, the steps involved in training the usage of PECS for increasing verbal behavior? What comes first, second, last and what common misconceptions about PECS can interfer with the development of functional language? More questions, we've got the answers! This episode is available for 1.0 LEARNING CEU. Articles discussed this episode: Robertson, M. & Harris, T. (2024, December 30th). How to best determine if an autistic individual is using an effective communication system. Autism Spectrum News. https://autismspectrumnews.org/how-to-best-determine-if-an-autistic-individual-is-using-an-effective-communication-system Wannapaschaiyong, P., Vivattanasinchai, T., & Wongkwanmuang, A. (2025). Predictors of successful Picture Exchange Communication System training in children with communication impairments: Insights from a real-world intervention in a resource-limited setting. BMJ Paediatrics Open, 9, 1-13. doi: 10.1136/bmjpo-2024-003282 Ganz, J.B., Mason, R.A., Goodwyn, F.D., Boles, M.B., Heath, A.K., & Davis, J.L. (2014). Interaction of participant characteristics and type of AAC with individuals with ASD: A meta-analysis. American Journal on Intellectual and Developmental Disabilities, 119, 516-535. doi: 10.1352/1944-7558-119.6.516 If you're interested in ordering CEs for listening to this episode, click here to go to the store page. You'll need to enter your name, BCBA #, and the two episode secret code words to complete the purchase. Email us at abainsidetrack@gmail.com for further assistance.
Romans 16:1–16 Have you ever wondered what Paul meant when he wrote, "Greet each other with a sacred kiss" (Romans 16:16)? Explore the beauty of the body of Christ in Romans 16. Join Pastor Chuck Swindoll as he explains key qualities of a healthy church community. Prioritize the ABCs of authentic love to combat the loneliness and isolation of today!
Romans 16:1–16 Have you ever wondered what Paul meant when he wrote, "Greet each other with a sacred kiss" (Romans 16:16)? Explore the beauty of the body of Christ in Romans 16. Join Pastor Chuck Swindoll as he explains key qualities of a healthy church community. Prioritize the ABCs of authentic love to combat the loneliness and isolation of today!
If you've ever felt like raising kids and staying healthy are competing priorities, this episode will change how you think about both.We're bringing together six of our most powerful conversations on parenting — from applying the Five Factors to family life, to helping kids navigate adversity, to designing environments where healthy choices happen naturally.Last week, we published an essay called Your Ceiling Becomes Their Starting Point **— a complete guide to building healthy family habits.This compilation episode is the raw material behind that essay: years of conversations about how to raise resilient kids while maintaining your own health.We explore the frameworks, tactics, and daily practices that transform abstract principles into real family culture.
The holidays are definitely a time when many families and children experience overstimulation, picky eating, chaos, and sibling bickering, which can lead to holiday family stress. What if we could experience God as Emmanuel (God With Us) even in the midst of the mess? Hear from Stacy Bellward as she reads one of the Connected Families blog posts, which will prepare you with a plan to set your kids up for success at your next holiday gathering! Key Takeaways: Develop empathy for common behavior challenges for kids during the holidays Uncover the good news in all of the chaos Learn about the positive behavior and identity-building tool: ABCs of Affirmation Mentioned in this Podcast: Blog Post – 3 Steps to Prepare Kids for Holiday Family Gatherings Blog Post – How to Handle Unsolicited Parenting Advice From Family ABC's of Affirmation Check out our website for more resources to support your parenting! This podcast was made possible by members of The Table, whose monthly support creates a ripple effect of change for generations to come. We'd love to have you take a seat at The Table! Love the podcast? Leave a review to help other parents discover the show! Guest Bio: Lynne Jackson is one of the Co-Founders of Connected Families. As a parent coach and mom of three intense kids herself, Lynne has walked alongside hundreds of parents to encourage and bring hope. She is also a research enthusiast and loves leaning into the brain science and research to better equip parents and caregivers. Most importantly, as a follower of Christ, she brings biblical wisdom, abundant grace, and a “no shame” policy. © 2025 Connected Families .stk-f2d3afc-inner-blocks{justify-content:center !important}.stk-f2d3afc{background-color:#FFFFFF !important;padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important}.stk-f2d3afc:before{background-color:#FFFFFF !important}.stk-f2d3afc-container{box-shadow:0px 2px 20px 0px rgba(30,63,82,0.2) !important}.stk-f2d3afc .stk-block-hero__content{min-height:500px !important} .stk-003c800{margin-bottom:0px !important} .stk-bdbb14f-container{margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important} .stk-34c2a71 .stk-img-wrapper{width:100% !important;height:500px !important}@media screen and (max-width:689px){.stk-34c2a71 .stk-img-wrapper{height:300px !important}} .stk-3de77b7{align-self:center !important}.stk-3de77b7-container{max-width:450px !important} .stk-43c1b4c .stk-block-heading__text{color:var(--theme-palette-color-4,#1e3f52) !important}Know your strengths. Your best mom or dad instincts are exactly what your kids need. So identify them. Take the free Parenting Strengths Assessment. .stk-c7e9046 .stk-button{background:var(--theme-palette-color-1,#ee6c4d) !important}.stk-c7e9046 .stk-button:hover:after{background:var(--theme-palette-color-2,#98c1d9) !important;opacity:1 !important}.stk-c7e9046 .stk-button__inner-text{font-size:21px !important;color:var(--theme-palette-color-8,#ffffff) !important;font-weight:600 !important}@media screen and (max-width:999px){.stk-c7e9046 .stk-button__inner-text{font-size:21px !important}}FREE PARENTING STRENGTHS ASSESSMENT
On this episode of Healthy Mind, Healthy Life, host Avik sits down with Dr. James Perdue, known globally as the Professor of Perseverance. At 19, one football hit dislocated three vertebrae in his neck, leaving him a quadriplegic and facing doctors who told his family he would be a burden and should be placed in a nursing home. Instead of collapsing, James built a new playbook for life. He breaks down his simple but uncompromising ABC framework for overcoming adversity. Accept adversity, Begin battling, Conquer the challenge. This is a direct conversation about grief, denial, rehab fatigue, and the moment he stopped chasing a “cure” and chose a future built on education, purpose and service. If you are navigating injury, disability, burnout or any life altering event, this episode gives you clear language, grounded mindset tools and a no excuses invitation to own your life narrative. About The Guest : Dr. James Perdue is a motivational speaker, best selling author, award winning educator, life coach and globally known as the Professor of Perseverance. After a catastrophic football injury left him a quadriplegic at 19, he spent years in hospitals, rehab centers and deep denial. Instead of accepting the role of “burden,” he built a life of impact through education, speaking and coaching. His core message. accept adversity, begin battling, conquer challenges. James now helps audiences worldwide move from victim mindset to active ownership of their future. Key Takeaways: Adversity does not need your approval. it needs your acceptance. James is clear that accepting a life changing injury does not mean liking it. It means acknowledging reality so you can take responsibility and move. His ABC framework is deliberately simple. A. Accept adversity. B. Begin battling. C. Conquer the challenge. If you can remember the alphabet up to C, you can remember the system. Acceptance is a process, not a moment. James spent about five years in denial and depression, yet he kept trying therapies, rehabs and strength work during that time. Progress and grief can coexist. After 18 different rehabs, he stopped chasing walking as the only “win” and shifted to education and life design. College, a degree and a future he could actually live became the new definition of success. Family mindset matters. his family chose a positive, solution oriented lens, doing hours of home physical therapy together instead of internalizing the “nursing home” recommendation. Ownership is non negotiable. once you are up, dressed and in your chair or body for the day, James insists it is your responsibility to use tools, the internet, communities and education to build the best life available to you. How Listeners Can Connect With Dr. James Perdue Dr. James keeps it simple. Search “Professor of Perseverance” on Google. Website You will find him on Facebook, LinkedIn, YouTube and his own podcast under that name. Listeners can explore his talks, books and coaching through those platforms and reach out for speaking and collaboration by using the Professor of Perseverance branding online. About Healthy Mind By Avik™ Want to be a guest on Healthy Mind, Healthy Life? DM on PM. Send me a message on PodMatch DM Me Here: https://www.podmatch.com/hostdetailpreview/avik Disclaimer: This video is for educational and informational purposes only. The views expressed are the personal opinions of the guest and do not reflect the views of the host or Healthy Mind By Avik™️. We do not intend to harm, defame, or discredit any person, organization, brand, product, country, or profession mentioned. All third party media used remain the property of their respective owners and are used under fair use for informational purposes. By watching, you acknowledge and accept this disclaimer. Healthy Mind By Avik™️ is a global platform redefining mental health as a necessity, not a luxury. Born during the pandemic, it has become a sanctuary for healing, growth, and mindful living. Hosted by Avik Chakraborty. storyteller, survivor, wellness advocate. this channel shares powerful podcasts and grounded conversations on. Mental Health and Emotional Well being Mindfulness and Spiritual Growth Holistic Healing and Conscious Living Trauma Recovery and Self Empowerment With over 4,400+ episodes and 168.4K+ global listeners, we unite voices, break stigma and build a world where every story matters. Subscribe and be part of this healing journey. Contact Brand. Healthy Mind By Avik™Email. join@healthymindbyavik.com | podcast@healthymindbyavik.comWebsite. www.healthymindbyavik.comBased in. India and USA Open to collaborations, guest appearances, coaching and strategic partnerships. Let's connect to create a ripple effect of positive impact. 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What if every triumph and disaster you face is just a temporary imposter - neither defining you nor derailing you?In this episode, we explore Rudyard Kipling's timeless poem "If" and uncover how emotional intelligence, resilience, and warrior-like composure can help you navigate life's highest highs and lowest lows with grace.We dive into the mindset that lets you stay centered when others panic, rebuild humbly when things crumble, and risk freely without being attached to outcomes - so you can live with intentionality and purpose no matter what comes your way.
Jamison Price returns to discuss his new guide on self-mastery, "On Dragons, Lions, & Wolves."He shares three metaphors that define the path from inner transformation to outer impact: facing your dragons (the shame, addiction, and fear within), chasing your lions (the external threats that demand courage), and taming your wolves (integrating strength and wisdom to belong).This conversation explores why self-actualization isn't the end goal—it's shared-actualization, becoming someone dangerous to darkness and dependable in the light.
What if the problem isn't your problems — it's how you're categorizing them?In this episode, we share a five-category framework for complaints (from drizzle to hurricane) that will change how you respond to life's challenges. Learn how to calibrate your emotional responses, stop suffering from small stuff, and build the resilience you need when real storms hit.The wisdom is in the calibration. Most things don't matter at all, and the things that do matter matter a ton. Learn the difference.
What does ‘socialism' mean to a generation that grew up with COVID… not the Cold War? How have the compounding effects of college protests, financial insecurity, and student loan debt shaped a culture? This is… The ABCs of the Culture Wars. For the next few weeks, Brittany breaks down the history, subtext, and evolving meanings of the buzzwords you hear all over the news and social media. Today we're talking about the S-word: Socialism. And why the word has gained new meaning for a younger generation looking for relief. Brittany is joined by Axios senior politics reporter Holly Otterbein and head of Teen Vogue's politics section, Lex McMenamin.Follow Brittany Luse on Instagram: @bmluseFor handpicked podcast recommendations every week, subscribe to NPR's Pod Club newsletter at npr.org/podclub.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy