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Did you hear about the guy who tried to pay his taxes with a smile? Unfortunately for him, the IRS still prefers cash.All jokes aside, failing to file your taxes for several years is no small matter—but it's not the end of the road, either. Kevin Cross joins us today with practical steps to help you get back on track.Kevin Cross is a Certified Public Accountant (CPA) who has headed CPA firms in Florida and now Georgia. He has studied the tax code extensively and specializes in representing taxpayers before the Internal Revenue Service (IRS).Start With the Present, Not the PastThe further you fall behind, the more difficult it is to catch up. But rather than beginning with the year you first missed, he recommends filing your most recent return first—say, 2024—and working backward as needed. This shows the IRS that you're attempting to come into compliance, not ignoring your obligations.Falling behind on taxes is more common than most people think. Life events like divorce, disability, job loss, or even the rise of gig work can trigger tax complications. For example, many gig workers receive a 1099 for the first time, try to file using online software, and are shocked to discover they owe thousands. Rather than seek help, they freeze—and the following year's return also goes unfiled.Of course, COVID didn't help as many people have been struggling since then to get back on track.Do You Always Have to File?A common misunderstanding is that you must always file. If you're not going to owe anything, you don't have to file. That includes many senior citizens who live solely on Social Security.However, if you're due a refund, you have up to three years to file and claim it. Miss that window, and the refund is forfeited.Importantly, there's a difference between not filing and not paying. Sometimes you don't know what you owe—or if you owe—until you file.Even if you don't owe taxes on the sale of a primary residence, for example, the IRS won't know that unless you file. If you don't, you might receive a letter saying you owe thousands in capital gains tax—money you could've avoided paying.How to Begin the ProcessIf you're unsure how many years you've missed, a good first step is to request a Wage and Income Transcript from the IRS. This document shows all your reported income—W-2s, 1099s, Social Security, retirement distributions, and more. You can request it through the IRS website by searching for “IRS wage and income transcript.”Even with transcripts in hand, deciphering them can be complicated. That's why we strongly recommend seeking help from a CPA or tax professional familiar with IRS representation. You may not know what to do with what you find. You can find a Certified Kingdom Advisor (CKA) in your area who specializes in tax planning and preparation by going to FaithFi.com and clicking “Find a Professional”. Also, it's helpful to know that the IRS's own handbook, the Internal Revenue Manual, usually requires only the last six years of returns to be filed. That's a helpful limit for those unsure where to begin.The IRS Will Work With YouDon't let fear keep you stuck. The IRS can work with you. Options include payment plans or even an offer in compromise, which may reduce your total tax liability.Filing late taxes doesn't have to be terrifying. With the right help and a step-by-step plan, you can get back on track—and even experience peace of mind. The IRS just wants to see you trying. Start with today, and take it one step at a time.On Today's Program, Rob Answers Listener Questions:I have a TIAA retirement account from my husband's time as an adjunct professor at a local community college. It's a small amount. As I'm 76, I'm required to set aside a certain amount each year. I would like to give this to my son now so that those amounts can stay in the account and start accruing interest. Can I do that?We have a credit card balance of $15,000 with an interest rate of 11%. We try to pay $2,000 a month, but the balance keeps increasing. Part of the reason is that our 29-year-old daughter, who lives and works in London, has a card on our account. We initially gave her the card for emergencies and plane tickets home, but she's using it for other expenses, such as occasional Ubers and travel. We want to pay off this card, but we're making no progress. What can we do?Resources Mentioned:Faithful Steward: FaithFi's New Quarterly Magazine (Become a FaithFi Partner)Kevin Cross (CPA)Internal Revenue Service (IRS.gov)Wisdom Over Wealth: 12 Lessons from Ecclesiastes on Money (Pre-Order)Look At The Sparrows: A 21-Day Devotional on Financial Fear and AnxietyRich Toward God: A Study on the Parable of the Rich FoolFind a Certified Kingdom Advisor (CKA) or Certified Christian Financial Counselor (CertCFC)FaithFi App Remember, you can call in to ask your questions most days at (800) 525-7000. Faith & Finance is also available on the Moody Radio Network and American Family Radio. Visit our website at FaithFi.com where you can join the FaithFi Community and give as we expand our outreach.
On this episode, we discuss the latest products coming to Coinbase as well as top user questions about coinbase. Coinbase allows borrowing against Bitcoin for USDC loans, with rates as low as 5%, no monthly payments, and up to $1,000,000 USDC available. ~This episode is sponsored by iTrust Capital~iTrustCapital | Get $100 Funding Reward + No Monthly Fees when you sign up using our custom link! ➜ https://bit.ly/iTrustPaulGuest: Max Branzburg, Head of Consumer Product, CoinbaseBuy $50 & Get $50 for getting started on Coinbase➜ https://bit.ly/CBARRON00:00 Intro00:18 Sponsor: iTrust Capital01:20 Bitcoin backed loans03:30 Borrowed USDC can't be used for trading crypto?04:50 Coinbase One Card: Why only Bitcoin?06:45 How do you get on the list?07:53 Coinbase basic vs Regular Coinbase One09:20 Coinbase favoring Bitcoin over ETH?14:40 New customers18:30 Wen DEX trading?21:30 Coinbase prioritizing Aerodrome vs Uniswap?23:50 Will Coinbase take an added fees on DEX buys?24:06 Coinbase Fees27:30 Is Coinbase ONE Membership vs Robinhood Gold29:45 When Wallet Beta release?31:10 Account lockouts still a thing?34:40 Coinbase AI?36:00 Ready for bullrun?38:06 Outro#Coinbase #Crypto #Bitcoin~Coinbase Loans Skyrocketing
“Convinced of this, I know that I will remain, and I will continue with all of you for your progress and joy in the faith, so that through my being with you again your boasting in Christ Jesus will abound on account of me” (Philippians 1:24-25). Yesterday, Pastor Michael reflected on Paul's indifference, even hope in anticipation of his death, but also of his commitment to life for the sake of the church. In today's verses, Paul dives further into why he is committed to remaining an active part of the church that God is forming among the Gentiles. Paul's reasons for staying include the church's “progress and joy in the faith” as well as giving them reason to “boast in Christ Jesus.” Now, if you're like me, growing up reading this passage and others in Paul's corpus of letters where he makes similar statements, you might be asking yourself, “Doesn't Paul sound a bit arrogant? Does the church really live or die by Paul's presence?” Perhaps you're willing to concede that Paul, significant character that he is in the story of Scripture, may be justified in such a claim. He started a lot of churches, had a pretty compelling way of talking about Jesus, and certainly was used by God in some remarkable ways. However, Paul's confidence in the importance of his presence with the church is not rooted in his particular talents. He is not confident merely in his own gifts for the church, but the necessity of his role as part of the body of Christ as a whole. This means that the claims he makes about the progress and joy of the church, and the fact that believers can boast on account of him are words that can and should apply to any member of a church. We are likely familiar with Paul's teaching on this subject in a different letter, his letter to the Corinthian church, where in chapter 12 he speaks of the necessity of all members of the body of Christ: “Suppose,” Paul says, “the foot says, ‘I am not a hand. So I don't belong to the body.' By saying this, it cannot stop being part of the body. And suppose the ear says, ‘I am not an eye. So I don't belong to the body.' By saying this, it cannot stop being part of the body. If the whole body were an eye, how could it hear? If the whole body were an ear, how could it smell? God has placed each part in the body just as he wanted it to be . . . You are the body of Christ. Each one of you is a part of it.” The reason that Paul is convinced that he must stay with the church to encourage its progress and joy, to give it a reason to boast in Christ, is because this is true of every single member of the body. Each member of Christ's church becomes an essential part of what God is doing in the world. Are you as convicted as Paul is that you are necessary to the body of Christ? Do you go to church on Sunday morning, provide leadership as an office bearer, on a ministry team, leading youth of various ages, or volunteering in any other capacity within Immanuel or beyond its walls in the assurance that your presence makes a tangible difference–that it will lead to others' progress and joy in the faith, a reason to boast in Christ Jesus? If your answer to this is “no,” read Paul's words again. They are as true of you, no matter who you are and what your role is in Christ's body, as they were of Paul, transformative leader that he was. If your answer to this question is “yes,” what are you doing to make sure that others around you are convinced of the same truth? We are Christ's body, and we have reason to remain members of one another and remind one another of why that is significant–for the sake of mutual joy and progress in the faith. For the sake of Christ and his kingdom. So as you journey on, go with the blessing of God: May the peace of the Lord Christ go with you: wherever he may send you. May he guide you through the wilderness: protect you through the storm. May he bring you home rejoicing; at the wonders he has shown you. May he bring you home rejoicing once again into our doors.
The Wealthy Woman's Podcast | Save Money, Invest, Build Wealth, Manage Money, Overspending, Finances
Click Here to Sign up for the Get Out of Debt Without Giving Up Your Summer Vacation Masterclass. Click Here to book your complimentary Financial Clarity Consultation. Ready to finally Stop Overspending?Start The Stop Overspending Course today → Click here to enroll. Grab the Free Training:How to Build Wealth WITHOUT Going On A Strict Budget → Click here to watch now. Click Here to open an Account with Ally Bank Using My Referral Link. Follow Me on Instagram → @germainefoleycoaching
In today's solo episode of Community Kristina is diving into one of the most common questions entrepreneurs ask us when they make a pivot in business: Should I start a new account?Whether you're navigating a niche change, starting something fresh in your life, or wondering if your engagement is low because your audience just isn't aligned anymore, this episode is for you. Kristina unpacks the two biggest account-related decisions: do I have a personal and business brand, and when it might be time to build something new on social media?Key takeaways in this episode:Why personal and business brands both matter—and how to balance them.When a new account is a smart move (and when it's not).How to leverage collaborative posts to expand your reach.The secret to fixing low engagement without starting over.It is important to build a brand that grows with you so that you don't find yourself starting over down the line!If you've ever asked yourself “should I just start a new social account?” — Make sure you don't miss this one!Mentioned In Episode:Join the Social Business Club: use the code PODCAST for your first month for $1.The Wellness LabSend me a text!Support the showFor Your Information: • Host your podcast on Buzzsprout! •Use Code ‘PODCAST' For Your First Month For $1 Inside The Social Business Club • Join our favourite scheduling platform Later • FLODESK Affiliate Code | 50% off your first year! Don't forget to come say hi to us on Instagram @thesocialsnippet, join the Weekly Snippet or follow us on any social media platform! Website . Instagram . Facebook . Linkedin
In today's episode, I'll be sharing the strategies I'm using to revive my IG account after totally ghosting for months. I'm sharing how I plan to increase my engagement and reconnect with my audience. PLUS a couple of quick content creation tips to make the return process easier and help avoid burnout. IG: https://www.instagram.com/sixfigurehoney/
Bruce and Gaydos discuss the latest information regarding the Empowerment Scholarship Account program, including how money is being spent.
Did you know that Social Security has an online portal? Outreach Coordinator Dana Hentschel speaks with Public Benefits Specialist Tyler McCullar about this portal, how to create an account, and why everyone (even those under 65) should have an account.
Tell your smart speaker to "Play One Oh Three One Austin"
'He did not get up to talk about his party, his cause, his interest or his office', wrote J. C. Ryle of George Whitefield. 'He was perpetually telling you about your sins, your heart, Jesus Christ, the Holy Ghost, the absolute need of repentance, faith, and holiness, in the way that the Bible presents these mighty subjects.' This week we turn our attention to a man who, by God's grace, became a means in the salvation of thousands of souls in the eighteenth century. Featured Resources: – David Campbell, 'George Whitefield: The Power of the Gospel', Banner of Truth Magazine, Issue 699 (December 2021). – Bob Thomas (collator, introduction), 'Encouragement from the Eighteenth Century: Extracts from Arnold Dallimore's Biography of George Whitefield', Banner of Truth Magazine, Issue 737 (February 2025). Resources on Whitefield: Dallimore, Arnhold, George Whitefield: The Life and Times of the Great Evangelist of the 18th Century Revival (2 volumes, clothbound, 1232 pages, also available as single volumes) Philip, Robert, The Life and Times of George Whitefield (paperback, 588 pages) Vandoodewaard, Rebecca, The Man Who Preached Outside (board book) Select Sermons of George Whitefield, With an Account of His Life by J. C. Ryle (paperback, 200 pages) Explore the work of the Banner of Truth: www.banneroftruth.org Subscribe to the Magazine (print/digital/both): www.banneroftruth.org/magazine Leave us your feedback or a testimony: www.speakpipe.com/magazinepodcast
#255 Leadership | In this episode, Dave is joined by Kelly Hopping, CMO of Demandbase, a B2B company known for pioneering account-based marketing. Kelly leads a 70+ person marketing org that spans brand, demand gen, product marketing, events, and SDRs, and she shares exactly how she structures and operates that team to drive results.Dave and Kelly cover:How to design and run a full-funnel marketing team that includes SDRs, content, field, and brand, and keep them aligned on pipelineThe annual planning strategy Kelly uses to balance short-term targets with long-term positioning (including what changes quarter to quarter)How her team is using AI right now and what she's doing personally to stay sharp as the pace of change acceleratesWhether you're a first-time CMO or just trying to scale your B2B marketing engine, this one is packed with insights from someone who's operating at a high level.Timestamps(00:00) - – Intro (03:08) - – What Demandbase actually does (05:08) - – How the Demandbase marketing team is structured (07:38) - – Who owns what: brand, content, demand, SDRs (10:08) - – Account-based marketing + broad demand gen (12:38) - – What a CMO actually does at this stage (15:08) - – Kelly's early CMO learning curve (18:08) - – Planning your first 90 days as a CMO (20:08) - – Balancing pipeline today vs. positioning for tomorrow (22:38) - – What changed between a bad Q4 and strong Q1 (27:19) - – How Kelly thinks about yearly pipeline pacing (30:19) - – Staying relevant in a fast-moving MarTech world (32:49) - – Why marketers need to work like product teams (36:19) - – “I am the ICP”: Why product marketing works better (37:49) - – Kelly's #1 job as CMO: Make sales love marketing (40:19) - – Becoming a peer to product and revenue leaders (42:49) - – Best-performing channel right now: in-person events (44:19) - – Brand, attribution, and pipeline are all connected (45:49) - – How Kelly's team is using AI today (47:19) - – The future of marketing roles in an AI-powered world (49:49) - – Why she's still learning new AI tools herself (52:19) - – Why AI is fun again for marketers (53:19) - – Closing thoughts Send guest pitches and ideas to hi@exitfive.comJoin the Exit Five Newsletter here: https://www.exitfive.com/newsletterCheck out the Exit Five job board: https://jobs.exitfive.com/Become an Exit Five member: https://community.exitfive.com/checkout/exit-five-membership***Today's episode is brought to you by Knak. Email (in my humble opinion) is the still the greatest marketing channel of all-time.It's the only way you can truly “own” your audience.But when it comes to building the emails - if you've ever tried building an email in an enterprise marketing automation platform, you know how painful it can be. Templates are too rigid, editing code can break things and the whole process just takes forever. That's why we love Knak here at Exit Five. Knak a no-code email platform that makes it easy to create on-brand, high-performing emails - without the bottlenecks.Frustrated by clunky email builders? You need Knak.Tired of ‘hoping' the email you sent looks good across all devices? Just test in Knak first.Big team making it hard to collaborate and get approvals? Definitely Knak.And the best part? Everything takes a fraction of the time.See Knak in action at knak.com/exit-five. Or just let them know you heard about Knak on Exit Five.***Thanks to my friends at hatch.fm for producing this episode and handling all of the Exit Five podcast production.They give you unlimited podcast editing and strategy for your B2B podcast.Get unlimited podcast editing and on-demand strategy for one low monthly cost. Just upload your episode, and they take care of the rest.Visit hatch.fm to learn more
Leo Donovan, CEO of WEEE Ireland, discusses the WEEE Annual Report for 2024.
Hour one of DJ & PK for June 16, 2025: Johnny Russell, Real Salt Lake Pablo Mastroeni, Real Salt Lake Matt Babcock, Babcock Hoops
The government body that collates data about flooding is the Australian Rainfall and Runoff and recently they updated their guides to account for climate change. The organisation finds what was previously thought of as a worst-case scenario, 20 per cent rain increase annually by the end of the century, is now a best-case scenario.
This sermon was preached by Pastor Jimmy Macharia at Harvest Family Church HQThis is our year of Growth!You can give via the following methods; Buy goods and services Till No. 5178933. Paybill number 795194 Account number Purpose: tithe,offering,building Office number 0717062464
Drop 1: An EIP for GDPR-compliant privacy https://ethresear.ch/t/a-pathway-for-gdpr-data-management-privacy-for-ethereum/22567Drop 2: Tether WDKhttps://docs.wallet.tether.io/Drop 3: Conta Global Matera https://br.cointelegraph.com/news/matera-announces-partnership-with-circle-and-will-launch-global-account-without-iof-and-with-usdc-for-banks-and-fintechs-in-brazilTether plans to open-source Bitcoin mining OShttps://cointelegraph.com/news/tether-bitcoin-mining-software-open-sourceBank of America is Reportedly Launching its Stablecoin Soonhttps://beincrypto.com/bank-of-america-stablecoin-development-started/Stripe acquires crypto wallet infrastructure provider Privyhttps://decrypt.co/324674/payments-giant-stripe-acquire-crypto-firm-privyPayPal USD (PYUSD) Plans to Use Stellar for New Use Caseshttps://stellar.org/press/paypal-pyusdFelix Protocol launched USDhl, a new stablecoin powered by M0, on Hyperliquidhttps://x.com/m0foundation/status/1932838292023849464Crypto infrastructure Clarity Act gets bipartisan support from 2 House Committeeshttps://www.ledgerinsights.com/crypto-infrastructure-clarity-act-gets-bipartisan-support-from-2-house-committees/Coinbase card marks first Amex endeavor in crypto: bitcoin cashbackhttps://www.coinbase.com/en-gb/creditcardConduit partners with Braza bank for real time FX on stablecoinshttps://conduitpay.com/blog/conduit-partners-with-braza-group-to-enable-real-time-onchain-fx. Redes sociais / comms.. https://blockdropspodcast.xyz/.. Instagram.com/blockdropspodcast.. Twitter.com/blockdropspod.. Blockdrops.lens .. https://warpcast.com/mauriciomagaldi.. youtube.com/@BlockDropsPodcast.. Meu conteúdo em inglês twitter.com/0xmauricio.. Newsletter do linkedin https://www.linkedin.com/build-relation/newsletter-follow?entityUrn=7056680685142454272.. blockdropspodcast@gmail.com
ICYMI: Hour Two of ‘Later, with Mo'Kelly' Presents – Tips on making your Google account almost impossible to hack, Apple's new product announcements & a review of the new Peelable plates on ‘Tech Thursday' with regular guest contributor; (author, podcast host, and technology pundit) Marsha Collier…PLUS – A look at Boston Dynamics Breakdancing Robot AND thoughts on a questionable story involving a “seasoned hiker” that was allegedly “killed by a bear” - on KFI AM 640…Live everywhere on the iHeartRadio app & YouTube @MrMoKelly
ICYMI: ‘Later, with Mo'Kelly' Presents – Tips on making your Google account almost impossible to hack, Apple's new product announcements & a review of the new Peelable plates on ‘Tech Thursday' with regular guest contributor; (author, podcast host, and technology pundit) Marsha Collier - on KFI AM 640…Live everywhere on the iHeartRadio app & YouTube @MrMoKelly
Keywords: 2 Corinthians,Book of 2 Corinthians,Revival, Character Of God,Free Sermons, Video Sermons, Jesus Christ, What Is The Gospel, Sermon Index, What Is The Truth, kjv bible, Audio Bible, Bible, God, God's Love, Scriptures, Holy Bible, Prophets, Apostles, KJV, Jesus,Christ, audiobook, book, holy life, love, bible verses, king james bible audio, audio bible KJV, king james bible online audio, bible audio, online bible kjv, audio bible kjv, daily bible verse, bible verse of the day, KJV audio, Remastered, Best Version, Jesus Christ, Holy Spirit, Holy Ghost, The Chosen, Salvation, Saved, Christian, Suffering Servant, Arm of the Lord, Plants Roots, Despised Rejected, Sorrows, Peace War, Crucifixtion, The Cross, Violence, Judgement, Master Servant, Life Death, Old Testament, Exposed, Music, Education, Great Tribulation, Endtimes, Top Bible Verses, Bible Topic Prayer, Evangelicalism, bible study, Word of God, scripture, scriptures, Matthew Henry's biblical commentary, bible commentary, Matthew Henry commentary, God's Word, Matthew Henry, studying the Bible, understanding the Bible, God, Father, Son, Holy Spirit, Spiritual, Hope, Jesus Answers Prayer, Answers to Prayer, Prayer, Pray, God Answers Prayer⚠️ Support our ministry: https://ko-fi.com/jesusanswersprayers❓️ How does this chapter apply to you?
In today's episode, I talk about how traders can establish their position size for a small account. Whether it be less than a thousand or a little bit more, Ryan provides practical guidelines for determining how you can trade multiple positions and the right mindset to have to put yourself in the best position for success.Be sure to check out my Swing-Trading offering through SharePlanner that goes hand-in-hand with my podcast, offering all of the research, charts and technical analysis on the stock market and individual stocks, not to mention my personal watch-lists, reviews and regular updates on the most popular stocks, including the all-important big tech stocks. Check it out now at: https://www.shareplanner.com/premium-plans
This week, Sasha Orloff and Worldpay Chief Product Officer Cindy Turner explore the shifting digital payments landscape—from stablecoins and agentic tech to global trends in account-to-account payments, regional behaviors, regulatory influences, and innovations like buy now, pay later. -- SPONSORS: Notion Boost your startup with Notion—the ultimate connected workspace trusted by thousands worldwide! From engineering specs to onboarding and fundraising, Notion keeps your team organized and efficient. For a limited time, get 6 months of Notion AI FREE to supercharge your workflow. Claim your offer now at https://notion.com/startups/puzzle Puzzle
Matthew Brown who made various claims on the Weaponized podcast has now opened a Twitter account. He has been making some big claims on the account. One of those is about advanced AI. Kristian Harloff gives his thoughts. #alien #aliens #ufo #uap #ai
The Trump Administration is looking to incentivize parents with "Trump Accounts". In these accounts, The U.S. Government will put $1,000 into an tax-deferred investment accounts for parents to contribute to. Greg and Holly discuss what these accounts are and if this will actually move the needle on birthrates or if this is too little too late.
There is a twofold sense of sin. The one is general and notional; whereby a man knows what sin is, that himself is a sinner, —that he is guilty of this or that, these or those sins; only his heart is not affected proportionably to that discovery and knowledge which he hath of these things. The other u active and efficacious. The soul being acquainted with the nature of sin, with its own guilt in reference unto sin in general, as also to this or that sin, is universally influenced by that apprehension unto suitable affections and operations.
A new MP3 sermon from The Narrated Puritan is now available on SermonAudio with the following details: Title: The Saint Under Depths on Account of Sin Subtitle: The Forgiveness of Sin Speaker: John Owen Broadcaster: The Narrated Puritan Event: Audiobook Date: 6/12/2025 Bible: Psalm 130:3 Length: 20 min.
Today's MadTech Daily looks at publishers seeing a drop in traffic as a result of Google's AI tools, Mars' $1.7bn global media account being pulled from WPP and given to Publicis, as well as Meta's plans to acquire a stake in Scale AI for $14.8bn.
Teacher fired for an Only Fans account full 2377 Thu, 12 Jun 2025 19:01:02 +0000 XPqIbN54zJTC2RmZtnjfz6koBWG85y31 news MIDDAY with JAYME & WIER news Teacher fired for an Only Fans account From local news & politics, to what's trending, sports & personal stories...MIDDAY with JAYME & WIER will get you through the middle of your day! © 2025 Audacy, Inc. News False https://player.amperwavepodcasting.com?feed-link=https
Join me as I chat with Jack Friks to discuss driving free traffic to mobile apps through organic social media marketing on Instagram and TikTok. He details a specific approach that involves creating a fresh account, studying successful content in your niche, and consistently posting while iterating on formats until finding one that generates significant views. Jack emphasizes that success requires patience, often taking 30-100 posts before finding a winning formula. Timestamps: 00:00 - Introduction and overview 01:52 - What viewers will learn from the episode 03:21 - Explanation of organic social media marketing approach 05:30 - How to find content ideas and formats 10:53 - Account warming and posting strategy 18:29 - Converting attention into actual app users 20:15 - Using AI to generate content ideas Key Points: • Jack Friks shares his journey from making zero to $20k/month using organic social media marketing for his mobile apps • The strategy involves creating a new account, finding viral content formats in your niche, and consistently iterating • Properly "warming up" a new account is crucial before posting content to avoid algorithm penalties • Converting views to app downloads requires strategic calls-to-action without making content feel like advertisements Link to Jack's Guide: https://x.com/jackfriks/status/1856013303169847470 LCA helps Fortune 500s and fast-growing startups build their future - from Warner Music to Fortnite to Dropbox. We turn 'what if' into reality with AI, apps, and next-gen products https://latecheckout.agency/ BoringMarketing — Vibe Marketing for Sale: http://boringmarketing.com/ Startup Empire - a membership for builders who want to build cash-flowing businesses https://www.skool.com/startupempire/about FIND ME ON SOCIAL X/Twitter: https://twitter.com/gregisenberg Instagram: https://instagram.com/gregisenberg/ LinkedIn: https://www.linkedin.com/in/gisenberg/ FIND JACK ON SOCIAL X/Twitter: https://x.com/jackfriks Instagram: https://www.instagram.com/jackfriks Youtube: https://www.youtube.com/@jackfriks0
Recorded live at the Treasury 360° Nordic conference in Stockholm, Eleanor Hill (TMI) hosts Netta Christensen, Carlo Macri (A.P. Moller - Maersk), and Truls Gustafsson (BNP Paribas) in an audible case study exploring how Maersk managed multiple European geographies through a single Euro account. Discover how SEPA and virtual accounts enable treasury centralisation without sacrificing local agility, optimise liquidity, reduce complexity, and enhance pan-European financial control - offering key insights for scaling treasury operations across Europe.
Summary In this Pain Exam Podcast episode, Dr. David Rosenblum discusses a journal club article on low volume neurolytic retrocrural celiac plexus blocks for visceral cancer pain. The study reviewed 507 patients with severe malignancy-related abdominal pain, with data retained for 455 patients at the 5-month mark. Dr. Rosenblum explains that the procedure involves injecting 3-5ml of 6% aqueous phenol at the T12-L1 level under fluoroscopic guidance, with an average procedure time of 16.3 minutes. The study found significant pain relief lasting up to six months, reduced opioid consumption, and improved quality of life for patients with primary abdominal cancer or metastatic disease. Dr. Rosenblum shares his personal experience with celiac plexus blocks, including the trans-aortic approach he trained on, and mentions his interest in ultrasound-guided approaches. He also announces upcoming teaching engagements at ASPN, Pain Week, and other conferences, as well as CME ultrasound courses available through nrappain.org. Additionally, he mentions a new community page on the website where users can share board preparation information, though he emphasizes that remembered board questions should not be posted as he is a board question writer himself. Pain Management Board Prep Ultrasound Training REGISTER TODAY! Create an Account and get Free Access to the PainExam- NRAP Academy Community Highlights Introduction and Upcoming Events Dr. David Rosenblum introduces the Pain Exam Podcast and shares information about upcoming events. He mentions teaching ultrasound at ASPN in July, attending Pain Week in September, and participating in the Latin American Pain Society conference. Dr. Rosenblum also promotes his CME ultrasound courses available at nrappain.org and mentions he's considering organizing another regenerative medicine course in fall or winter. He offers private training for those wanting more intensive ultrasound instruction. Board Prep Community Announcement Dr. Rosenblum announces a new community page on the nrappain.org website for board preparation. He explains that registered users can access free information and keywords relevant to board exams. He emphasizes that users should not post remembered questions as this would be inappropriate, noting that he himself is a board question writer for various pain boards. Dr. Rosenblum mentions that a post about phenol in this community inspired today's podcast topic. Journal Article Overview on Celiac Plexus Block Dr. Rosenblum introduces a journal article on low volume neurolytic retrocrural celiac plexus block for visceral cancer pain, a retrospective review of 507 patients with severe malignancy-related abdominal pain. He explains that the study assessed pain relief provided by this procedure, its duration, reduction in daily opioid consumption, and quality of life improvements. The patients received neurolytic blocks without previous diagnostic blocks due to multiple comorbidities, which Dr. Rosenblum acknowledges is sometimes necessary with very sick patients despite the typical preference for diagnostic blocks before neurolysis. Dr. Rosenblum's Personal Experience with Celiac Plexus Blocks Dr. Rosenblum shares his personal training experience with trans-aortic celiac plexus blocks, where a needle is inserted through the aorta after confirming no plaques or aneurysms are present. He describes it as a safe and effective procedure despite sounding intimidating. He mentions he's only performed a handful of these procedures and doesn't do many now as an outpatient pain doctor. Study Methods and Results Dr. Rosenblum details the study methods, noting that of 507 patients studied, data for 455 was retained at the end of the review. Patients were evaluated before and after the neurolytic retrocrural celiac plexus block under fluoroscopic guidance. Assessment included procedure duration, pain scores (0-10 scale), daily opioid consumption, and quality of life improvement. Follow-up was completed six months after the procedure, showing improved pain scores, reduced opioid consumption, and better quality of life throughout the study period. Some pain returned during months 4-6 due to disease progression and the anticipated duration of the neurolytic agent. The study noted a 6.7% initial vascular contrast uptake during the procedure while using digital subtraction angiography with fluoroscopy. Study Limitations and Conclusions Dr. Rosenblum discusses the study's limitations, including the need for a larger sample size and a prospective trial with a control group, though he acknowledges this is unrealistic given the patient population. He mentions that a proven quality of life questionnaire would be beneficial, and that comparing alcohol, phenol, and RF thermocoagulation would be interesting to evaluate duration effects and side effects. The study concluded that low volume neurolytic retrocrural celiac plexus block with phenol is safe, providing up to six months of pain relief for abdominal pain due to primary malignancy or metastatic spread. Detailed Procedure Technique Dr. Rosenblum explains the detailed procedure technique used in the study. The retrocrural celiac plexus was targeted at L1 level with aim towards T12. Anterior and posterior radiographic imaging aligning the spinous process of T12-L1 junction was used with 15-20 degree oblique rotation. Local anesthetic (1% lidocaine with sodium bicarbonate) was infiltrated along the injection path. A 22 or 25 gauge 3.5-7 inch curved spinal needle was used depending on patient body habitus. Dr. Rosenblum notes he typically uses a 6-inch Chiba needle or 25 gauge spinal needle for such procedures. Procedure Execution and Monitoring Dr. Rosenblum continues describing the procedure, noting that the needle was advanced to the anterior border of T12-L1 under multiple imaging views. Contrast dye studies verified spread and location, with digital subtraction angiography used to check for intravascular uptake. A test dose of 1ml of 0.5% bupivacaine with epinephrine per site was administered, which Dr. Rosenblum finds interesting as he typically doesn't mix bupivacaine with epinephrine. After confirming no vascular uptake, 3-5ml of 6% aqueous phenol was injected in 1ml aliquots while communicating with the patient. The average procedure time was 16.3 minutes with minimal or no sedation. Patients remained prone for 30 minutes afterward to avoid neuroforaminal spread, as phenol is heavier and more viscous than alcohol. Post-Procedure Care and Study Evaluation Dr. Rosenblum explains that patients were monitored in recovery for one hour for adverse events and their ability to eat and void easily. They were discharged once hospital post-anesthetic criteria were met and received a follow-up call 24 hours later. Dr. Rosenblum praises the study and notes that the procedure looks similar to a lumbar sympathetic plexus block, which is also a sympathetic block. Ultrasound Considerations and Alternative Approaches Dr. Rosenblum shares his interest in ultrasound-guided celiac plexus blocks but acknowledges concerns about bowel perforation. He mentions a conversation with an interventional radiology colleague who suggested a transhepatic approach. Dr. Rosenblum recalls scanning a very thin patient where the aorta was easily visible and close to the anterior abdominal wall, making the celiac plexus potentially accessible if bowel perforation, liver bleeding, or gallbladder perforation could be avoided. He shares an experience with a patient suffering from severe pancreatitis pain who received temporary relief from a paravertebral thoracic nerve block at T8-T10, noting that paravertebral blocks provide some sympathetic spread. Conclusion and Community Resource Reminder Dr. Rosenblum concludes by recommending the article, noting its well-written analysis and graphs showing morphine consumption dropping over months following the procedure. He suggests neurolytic procedures are underutilized because they sound intimidating. He again encourages listeners to check out the community he created with separate chat rooms for regenerative medicine, regional anesthesia, and pain boards, where users can share keywords but not specific board questions. Dr. Rosenblum reminds listeners about upcoming courses and his website resources, mentions an upcoming PRP lecture, and asks for five-star reviews if listeners enjoy the podcast. The episode ends with a standard medical disclaimer. Reference https://www.painphysicianjournal.com/current/pdf?article=NTQwOA%3D%3D&journal=113
Tani and Auk are right... There is no better time to be a mountain biker! In this episode, the boys recap the Bike and BBQ event at the shop, the opening of all the local bike parks and take a deep dive into the new wireless Shimano XTR components! #mountainbiking #mtb #mtblife #bosch #boschmotors #transitionbikes #mondrakerbikes #ebike #ebikelife #ocmtba #shimano #XTR #downhillmtb #lovethebikeyouride #thepathbikeshop #smoqued #bbq
Bank of Ireland is warning customers about a dramatic increase this week in reports and cases of an attempted 'safe account' scam. Customers should be on particular alert for fraudulent texts that attempt to lure them into to calling a fake 'bank' phoneline - where the account holder is then duped into transferring funds to their secondary account, in most cases Revolut, and in turn a 'safe account', which is controlled by a fraudster. Reports of the scam to Bank of Ireland's fraud line and Text Checker service have been on the increase since the start of the year and this week have shown an alarming increase, with daily reports this week over 10 times the number of those reported weekly in April and May. How it works: Customer gets a text message to their phone, requesting that they call a phone number about a suspicious transaction/or activity. The texts claim to be from Bank of Ireland and can drop into the thread of a genuine BOI text: "Did you login from a new device?"; "Do you recognise this transaction?"; or "A transaction for [value] to [merchant] was declined and your card has been placed on hold" - followed by "if this was not you / if you don't recognise this / etc. please call us back on [callback phone number]. Callback numbers are usually landline numbers including 01 / 1800 / regional codes. The callback number will be answered by someone claiming to be from Bank of Ireland, and that there has been suspicious transactions and the customer's account is compromised. The victim is then asked if they have a Revolut / or other secondary account. If they say yes, they are told that they should move all the money in their BOI account into their own Revolut account/ or secondary account. The fraudster doesn't ask for access to the customer's account, and do not ask for any security details like PIN's or codes - avoiding common 'red flags' associated with fraud. The victim is then told they then need to move their money from their Revolut account to a new 'safe' account. Nicola Sadlier, Head of Fraud, Bank of Ireland said: "We have been seeing a concerning pattern in the increase of this type of fraud. This week's escalation has resulted in the highest number of reports in a single day of this particular type of fraud, so we need our customers and the general public to be vigilant and recognise the warning signs. "Our main advice is to look out for these texts and do not call back. And remember that Bank of Ireland will never ask you to move your money to another account to keep it safe. If you think you have been a victim of fraud, call the bank's fraud team immediately on the 24/7 freephone line 1800 946 764". What Bank of Ireland customers can do If in doubt, call your trusted numbers, phone number on back of your physical card or from phone contact details in your mobile App. See more stories here. More about Irish Tech News Irish Tech News are Ireland's No. 1 Online Tech Publication and often Ireland's No.1 Tech Podcast too. You can find hundreds of fantastic previous episodes and subscribe using whatever platform you like via our Anchor.fm page here: https://anchor.fm/irish-tech-news If you'd like to be featured in an upcoming Podcast email us at Simon@IrishTechNews.ie now to discuss. Irish Tech News have a range of services available to help promote your business. Why not drop us a line at Info@IrishTechNews.ie now to find out more about how we can help you reach our audience. You can also find and follow us on Twitter, LinkedIn, Facebook, Instagram, TikTok and Snapchat.
Summary In this Pain Exam Podcast episode, Dr. David Rosenblum discusses a journal club article on low volume neurolytic retrocrural celiac plexus blocks for visceral cancer pain. The study reviewed 507 patients with severe malignancy-related abdominal pain, with data retained for 455 patients at the 5-month mark. Dr. Rosenblum explains that the procedure involves injecting 3-5ml of 6% aqueous phenol at the T12-L1 level under fluoroscopic guidance, with an average procedure time of 16.3 minutes. The study found significant pain relief lasting up to six months, reduced opioid consumption, and improved quality of life for patients with primary abdominal cancer or metastatic disease. Dr. Rosenblum shares his personal experience with celiac plexus blocks, including the trans-aortic approach he trained on, and mentions his interest in ultrasound-guided approaches. He also announces upcoming teaching engagements at ASPN, Pain Week, and other conferences, as well as CME ultrasound courses available through nrappain.org. Additionally, he mentions a new community page on the website where users can share board preparation information, though he emphasizes that remembered board questions should not be posted as he is a board question writer himself. Pain Management Board Prep Ultrasound Training REGISTER TODAY! Create an Account and get Free Access to the PainExam- NRAP Academy Community Highlights Introduction and Upcoming Events Dr. David Rosenblum introduces the Pain Exam Podcast and shares information about upcoming events. He mentions teaching ultrasound at ASPN in July, attending Pain Week in September, and participating in the Latin American Pain Society conference. Dr. Rosenblum also promotes his CME ultrasound courses available at nrappain.org and mentions he's considering organizing another regenerative medicine course in fall or winter. He offers private training for those wanting more intensive ultrasound instruction. Board Prep Community Announcement Dr. Rosenblum announces a new community page on the nrappain.org website for board preparation. He explains that registered users can access free information and keywords relevant to board exams. He emphasizes that users should not post remembered questions as this would be inappropriate, noting that he himself is a board question writer for various pain boards. Dr. Rosenblum mentions that a post about phenol in this community inspired today's podcast topic. Journal Article Overview on Celiac Plexus Block Dr. Rosenblum introduces a journal article on low volume neurolytic retrocrural celiac plexus block for visceral cancer pain, a retrospective review of 507 patients with severe malignancy-related abdominal pain. He explains that the study assessed pain relief provided by this procedure, its duration, reduction in daily opioid consumption, and quality of life improvements. The patients received neurolytic blocks without previous diagnostic blocks due to multiple comorbidities, which Dr. Rosenblum acknowledges is sometimes necessary with very sick patients despite the typical preference for diagnostic blocks before neurolysis. Dr. Rosenblum's Personal Experience with Celiac Plexus Blocks Dr. Rosenblum shares his personal training experience with trans-aortic celiac plexus blocks, where a needle is inserted through the aorta after confirming no plaques or aneurysms are present. He describes it as a safe and effective procedure despite sounding intimidating. He mentions he's only performed a handful of these procedures and doesn't do many now as an outpatient pain doctor. Study Methods and Results Dr. Rosenblum details the study methods, noting that of 507 patients studied, data for 455 was retained at the end of the review. Patients were evaluated before and after the neurolytic retrocrural celiac plexus block under fluoroscopic guidance. Assessment included procedure duration, pain scores (0-10 scale), daily opioid consumption, and quality of life improvement. Follow-up was completed six months after the procedure, showing improved pain scores, reduced opioid consumption, and better quality of life throughout the study period. Some pain returned during months 4-6 due to disease progression and the anticipated duration of the neurolytic agent. The study noted a 6.7% initial vascular contrast uptake during the procedure while using digital subtraction angiography with fluoroscopy. Study Limitations and Conclusions Dr. Rosenblum discusses the study's limitations, including the need for a larger sample size and a prospective trial with a control group, though he acknowledges this is unrealistic given the patient population. He mentions that a proven quality of life questionnaire would be beneficial, and that comparing alcohol, phenol, and RF thermocoagulation would be interesting to evaluate duration effects and side effects. The study concluded that low volume neurolytic retrocrural celiac plexus block with phenol is safe, providing up to six months of pain relief for abdominal pain due to primary malignancy or metastatic spread. Detailed Procedure Technique Dr. Rosenblum explains the detailed procedure technique used in the study. The retrocrural celiac plexus was targeted at L1 level with aim towards T12. Anterior and posterior radiographic imaging aligning the spinous process of T12-L1 junction was used with 15-20 degree oblique rotation. Local anesthetic (1% lidocaine with sodium bicarbonate) was infiltrated along the injection path. A 22 or 25 gauge 3.5-7 inch curved spinal needle was used depending on patient body habitus. Dr. Rosenblum notes he typically uses a 6-inch Chiba needle or 25 gauge spinal needle for such procedures. Procedure Execution and Monitoring Dr. Rosenblum continues describing the procedure, noting that the needle was advanced to the anterior border of T12-L1 under multiple imaging views. Contrast dye studies verified spread and location, with digital subtraction angiography used to check for intravascular uptake. A test dose of 1ml of 0.5% bupivacaine with epinephrine per site was administered, which Dr. Rosenblum finds interesting as he typically doesn't mix bupivacaine with epinephrine. After confirming no vascular uptake, 3-5ml of 6% aqueous phenol was injected in 1ml aliquots while communicating with the patient. The average procedure time was 16.3 minutes with minimal or no sedation. Patients remained prone for 30 minutes afterward to avoid neuroforaminal spread, as phenol is heavier and more viscous than alcohol. Post-Procedure Care and Study Evaluation Dr. Rosenblum explains that patients were monitored in recovery for one hour for adverse events and their ability to eat and void easily. They were discharged once hospital post-anesthetic criteria were met and received a follow-up call 24 hours later. Dr. Rosenblum praises the study and notes that the procedure looks similar to a lumbar sympathetic plexus block, which is also a sympathetic block. Ultrasound Considerations and Alternative Approaches Dr. Rosenblum shares his interest in ultrasound-guided celiac plexus blocks but acknowledges concerns about bowel perforation. He mentions a conversation with an interventional radiology colleague who suggested a transhepatic approach. Dr. Rosenblum recalls scanning a very thin patient where the aorta was easily visible and close to the anterior abdominal wall, making the celiac plexus potentially accessible if bowel perforation, liver bleeding, or gallbladder perforation could be avoided. He shares an experience with a patient suffering from severe pancreatitis pain who received temporary relief from a paravertebral thoracic nerve block at T8-T10, noting that paravertebral blocks provide some sympathetic spread. Conclusion and Community Resource Reminder Dr. Rosenblum concludes by recommending the article, noting its well-written analysis and graphs showing morphine consumption dropping over months following the procedure. He suggests neurolytic procedures are underutilized because they sound intimidating. He again encourages listeners to check out the community he created with separate chat rooms for regenerative medicine, regional anesthesia, and pain boards, where users can share keywords but not specific board questions. Dr. Rosenblum reminds listeners about upcoming courses and his website resources, mentions an upcoming PRP lecture, and asks for five-star reviews if listeners enjoy the podcast. The episode ends with a standard medical disclaimer. Reference https://www.painphysicianjournal.com/current/pdf?article=NTQwOA%3D%3D&journal=113
The Wealthy Woman's Podcast | Save Money, Invest, Build Wealth, Manage Money, Overspending, Finances
Episode WebsiteClick Here to Sign up for the Get Out of Debt Without Giving Up Your Summer Vacation Masterclass. Click Here to book your complimentary Financial Clarity Consultation. Ready to finally Stop Overspending?Start The Stop Overspending Course today → Click here to enroll. Grab the Free Training:How to Build Wealth WITHOUT Going On A Strict Budget → Click here to watch now. Click Here to open an Account with Ally Bank Using My Referral Link. Follow Me on Instagram → @germainefoleycoaching
Have you ever felt puzzled by how trial reels actually work, or wondered what type of content actually pops off for non-followers? You're not alone! I've been experimenting with trial reels since they first launched, testing out different hooks and content styles, and I'm here to share what's really working. We'll explore why storytelling and clear elevator pitch style intros just might be the secret sauce for trial reels, plus I'll walk you through my step by step process so you can test, duplicate, and optimize your content with ease. There's no magic one size fits all code, but I'll break down exactly how to find the formula that works for you, and how to repeat it. In this episode we'll be covering:Tips for using Instagram trial reels to test content before sharing with your main feed.How to duplicate reels for both trial reels and your public Instagram feed.The importance of clear, storytelling hooks that introduce your account and vibe.Prompts and ideas for trial reels, including POV introductions and personalized captions.Testing multiple reel variations and analyzing which ones actually gain traction.Other episodes you might have missed:Episode 060: Nail Your Short Form Videos with This Simple FormulaEpisode 061: Use The Relatable Expert Hook to Create Your Next Helpful ReelEpisode 063: Was That an Ad? Even the Big Brands are Making it PersonalEpisode 064: POV: They're hitting follow… Immediately.Send a message!Sign up for Reels Lab Join the Social Squad Society Love this conversation? Tap the follow button so you never miss an episode. Connect with me over on Instagram!
Chemical Safety, Cultivated Meat, and Our Health More than 95 percent of human exposure to industrial pollutants like dioxins and PCBs comes from fish, other meat, and dairy. Cultivated meat can be ‘clean' in comparison and healthier for you, other animals and the planet. Listen to today's episode written by Dr. Michael Greger at NutritionFacts.org. #vegan #plantbased #plantbasedbriefing #altproteins #cultivatedmeat #antibioticresistance #mercurypoisining #maha #animalag #toxins #bioaccumulation #foodchain ============================ Original post: https://nutritionfacts.org/blog/chemical-safety-cultivated-meat-and-our-health/ ========================== Related Episodes Use Search Field where you listen (or at PlantBasedBriefing.com/episodes) and enter ‘cultivated' or ‘alt protein' 1058: [Part 2] MAHA's ‘Natural' Foods Obsession Doesn't Account for the Way We Actually Eat https://plantbasedbriefing.libsyn.com/1058-part-2-mahas-natural-foods-obsession-doesnt-account-for-the-way-we-actually-eat-by-jessica-scott-reid-at-sentientmediaorg 1057: [Part 1] MAHA's ‘Natural' Foods Obsession Doesn't Account for the Way We Actually Eat https://plantbasedbriefing.libsyn.com/1057-part-1-mahas-natural-foods-obsession-doesnt-account-for-the-way-we-actually-eat-by-jessica-scott-reid-at-sentientmediaorg 960: [Part 2] How Big Meat Worked to Rebrand in 2024 — Using Disinformation https://plantbasedbriefing.libsyn.com/960-part-2-how-big-meat-worked-to-rebrand-in-2024-using-disinformation-by-jessica-scott-reid-at-sentientmediaorg 959: [Part 1] How Big Meat Worked to Rebrand in 2024 — Using Disinformation https://plantbasedbriefing.libsyn.com/959-part-1-how-big-meat-worked-to-rebrand-in-2024-using-disinformation-by-jessica-scott-reid-at-sentientmediaorg 379: The Significant, Unalloyed Goodness of Replacing Animal Agriculture https://plantbasedbriefing.libsyn.com/379-the-significant-unalloyed-goodness-of-replacing-animal-agriculture-by-dr-karthik-sekar-at-aftermeatbookcom 351: “Processed” is a Useless, Empty Descriptor of Food. https://plantbasedbriefing.libsyn.com/327-processed-is-a-useless-empty-descriptor-of-food-by-dr-karthik-sekar-at-aftermeatbookcom ===================== End of Medicine Documentary: https://www.theendofmedicine.com/ ============================ Dr. Michael Greger is a physician, New York Times bestselling author, and internationally recognized speaker on nutrition, food safety, and public health issues. A founding member and Fellow of the American College of Lifestyle Medicine, Dr. Greger is licensed as a general practitioner specializing in clinical nutrition. He is a graduate of the Cornell University School of Agriculture and Tufts University School of Medicine. He founded NUTRITIONFACTS.ORG is a non-profit, non-commercial, science-based public service provided by Dr. Michael Greger, providing free updates on the latest in nutrition research via bite-sized videos. There are more than a thousand videos on nearly every aspect of healthy eating, with new videos and articles uploaded every day. His latest books —How Not to Age, How Not to Die, the How Not to Die Cookbook, and How Not to Diet — became instant New York Times Best Sellers. His two latest books, How to Survive a Pandemic and the How Not to Diet Cookbook were released in 2020. 100% of all proceeds he has ever received from his books, DVDs, and speaking engagements have always and will always be donated to charity. ============================== FOLLOW THE SHOW ON: YouTube: https://www.youtube.com/@plantbasedbriefing Spotify: https://open.spotify.com/show/2GONW0q2EDJMzqhuwuxdCF?si=2a20c247461d4ad7 Apple Podcasts: https://podcasts.apple.com/us/podcast/plant-based-briefing/id1562925866 Your podcast app of choice: https://pod.link/1562925866 Facebook: https://www.facebook.com/PlantBasedBriefing LinkedIn: https://www.linkedin.com/company/plant-based-briefing/ Instagram: https://www.instagram.com/plantbasedbriefing/
This sermon was preached by Pastor Jimmy Macharia at Harvest Family Church HQThis is our year of Growth!You can give via the following methods; Buy goods and services Till No. 5178933. Paybill number 795194 Account number Purpose: tithe,offering,building Office number 0717062464
Summary In this Pain Exam Podcast episode, Dr. David Rosenblum discusses a journal club article on low volume neurolytic retrocrural celiac plexus blocks for visceral cancer pain. The study reviewed 507 patients with severe malignancy-related abdominal pain, with data retained for 455 patients at the 5-month mark. Dr. Rosenblum explains that the procedure involves injecting 3-5ml of 6% aqueous phenol at the T12-L1 level under fluoroscopic guidance, with an average procedure time of 16.3 minutes. The study found significant pain relief lasting up to six months, reduced opioid consumption, and improved quality of life for patients with primary abdominal cancer or metastatic disease. Dr. Rosenblum shares his personal experience with celiac plexus blocks, including the trans-aortic approach he trained on, and mentions his interest in ultrasound-guided approaches. He also announces upcoming teaching engagements at ASPN, Pain Week, and other conferences, as well as CME ultrasound courses available through nrappain.org. Additionally, he mentions a new community page on the website where users can share board preparation information, though he emphasizes that remembered board questions should not be posted as he is a board question writer himself. Pain Management Board Prep Ultrasound Training REGISTER TODAY! Create an Account and get Free Access to the PainExam- NRAP Academy Community Highlights Introduction and Upcoming Events Dr. David Rosenblum introduces the Pain Exam Podcast and shares information about upcoming events. He mentions teaching ultrasound at ASPN in July, attending Pain Week in September, and participating in the Latin American Pain Society conference. Dr. Rosenblum also promotes his CME ultrasound courses available at nrappain.org and mentions he's considering organizing another regenerative medicine course in fall or winter. He offers private training for those wanting more intensive ultrasound instruction. Board Prep Community Announcement Dr. Rosenblum announces a new community page on the nrappain.org website for board preparation. He explains that registered users can access free information and keywords relevant to board exams. He emphasizes that users should not post remembered questions as this would be inappropriate, noting that he himself is a board question writer for various pain boards. Dr. Rosenblum mentions that a post about phenol in this community inspired today's podcast topic. Journal Article Overview on Celiac Plexus Block Dr. Rosenblum introduces a journal article on low volume neurolytic retrocrural celiac plexus block for visceral cancer pain, a retrospective review of 507 patients with severe malignancy-related abdominal pain. He explains that the study assessed pain relief provided by this procedure, its duration, reduction in daily opioid consumption, and quality of life improvements. The patients received neurolytic blocks without previous diagnostic blocks due to multiple comorbidities, which Dr. Rosenblum acknowledges is sometimes necessary with very sick patients despite the typical preference for diagnostic blocks before neurolysis. Dr. Rosenblum's Personal Experience with Celiac Plexus Blocks Dr. Rosenblum shares his personal training experience with trans-aortic celiac plexus blocks, where a needle is inserted through the aorta after confirming no plaques or aneurysms are present. He describes it as a safe and effective procedure despite sounding intimidating. He mentions he's only performed a handful of these procedures and doesn't do many now as an outpatient pain doctor. Study Methods and Results Dr. Rosenblum details the study methods, noting that of 507 patients studied, data for 455 was retained at the end of the review. Patients were evaluated before and after the neurolytic retrocrural celiac plexus block under fluoroscopic guidance. Assessment included procedure duration, pain scores (0-10 scale), daily opioid consumption, and quality of life improvement. Follow-up was completed six months after the procedure, showing improved pain scores, reduced opioid consumption, and better quality of life throughout the study period. Some pain returned during months 4-6 due to disease progression and the anticipated duration of the neurolytic agent. The study noted a 6.7% initial vascular contrast uptake during the procedure while using digital subtraction angiography with fluoroscopy. Study Limitations and Conclusions Dr. Rosenblum discusses the study's limitations, including the need for a larger sample size and a prospective trial with a control group, though he acknowledges this is unrealistic given the patient population. He mentions that a proven quality of life questionnaire would be beneficial, and that comparing alcohol, phenol, and RF thermocoagulation would be interesting to evaluate duration effects and side effects. The study concluded that low volume neurolytic retrocrural celiac plexus block with phenol is safe, providing up to six months of pain relief for abdominal pain due to primary malignancy or metastatic spread. Detailed Procedure Technique Dr. Rosenblum explains the detailed procedure technique used in the study. The retrocrural celiac plexus was targeted at L1 level with aim towards T12. Anterior and posterior radiographic imaging aligning the spinous process of T12-L1 junction was used with 15-20 degree oblique rotation. Local anesthetic (1% lidocaine with sodium bicarbonate) was infiltrated along the injection path. A 22 or 25 gauge 3.5-7 inch curved spinal needle was used depending on patient body habitus. Dr. Rosenblum notes he typically uses a 6-inch Chiba needle or 25 gauge spinal needle for such procedures. Procedure Execution and Monitoring Dr. Rosenblum continues describing the procedure, noting that the needle was advanced to the anterior border of T12-L1 under multiple imaging views. Contrast dye studies verified spread and location, with digital subtraction angiography used to check for intravascular uptake. A test dose of 1ml of 0.5% bupivacaine with epinephrine per site was administered, which Dr. Rosenblum finds interesting as he typically doesn't mix bupivacaine with epinephrine. After confirming no vascular uptake, 3-5ml of 6% aqueous phenol was injected in 1ml aliquots while communicating with the patient. The average procedure time was 16.3 minutes with minimal or no sedation. Patients remained prone for 30 minutes afterward to avoid neuroforaminal spread, as phenol is heavier and more viscous than alcohol. Post-Procedure Care and Study Evaluation Dr. Rosenblum explains that patients were monitored in recovery for one hour for adverse events and their ability to eat and void easily. They were discharged once hospital post-anesthetic criteria were met and received a follow-up call 24 hours later. Dr. Rosenblum praises the study and notes that the procedure looks similar to a lumbar sympathetic plexus block, which is also a sympathetic block. Ultrasound Considerations and Alternative Approaches Dr. Rosenblum shares his interest in ultrasound-guided celiac plexus blocks but acknowledges concerns about bowel perforation. He mentions a conversation with an interventional radiology colleague who suggested a transhepatic approach. Dr. Rosenblum recalls scanning a very thin patient where the aorta was easily visible and close to the anterior abdominal wall, making the celiac plexus potentially accessible if bowel perforation, liver bleeding, or gallbladder perforation could be avoided. He shares an experience with a patient suffering from severe pancreatitis pain who received temporary relief from a paravertebral thoracic nerve block at T8-T10, noting that paravertebral blocks provide some sympathetic spread. Conclusion and Community Resource Reminder Dr. Rosenblum concludes by recommending the article, noting its well-written analysis and graphs showing morphine consumption dropping over months following the procedure. He suggests neurolytic procedures are underutilized because they sound intimidating. He again encourages listeners to check out the community he created with separate chat rooms for regenerative medicine, regional anesthesia, and pain boards, where users can share keywords but not specific board questions. Dr. Rosenblum reminds listeners about upcoming courses and his website resources, mentions an upcoming PRP lecture, and asks for five-star reviews if listeners enjoy the podcast. The episode ends with a standard medical disclaimer. Reference https://www.painphysicianjournal.com/current/pdf?article=NTQwOA%3D%3D&journal=113
In today's episode, an ongoing concern - where should you store your cash? One of Clark's favorite children (discount brokers) has just launched a new offering worthy of your attention. Also today, dealing with debt collectors. Some are legit, some not so much. Know what to do if the debt is indeed yours, or if it is a mistake. Clark has key information for handling collectors in a way that protects your rights and your credit. Vanguard Cash Plus: Segment 1 Ask Clark: Segment 2 Debt Collectors: Segment 3 Ask Clark: Segment 4 Mentioned on the show: Vanguard Cash Plus Account | Vanguard Uni - One Toll Pass. 19 States. Car Insurance Archives - Clark Howard Association for Independent Agents | IIABA How To Send a 'Drop Dead' Letter to a Collection Agency What to Do When You're Being Harassed About an Old "Zombie Debt" We've still got some protections against medical debt collectors National Association of Estate Planners & Councils - NAEPC What Is a Fiduciary Financial Advisor and Do I Need One? What's the Best Way To Exchange Dollars for Foreign Currency? What Is a Backdoor Roth IRA? Clark.com resources Episode transcripts Community.Clark.com / Ask Clark Clark.com daily money newsletter Consumer Action Center Free Helpline: 636-492-5275 Learn more about your ad choices: megaphone.fm/adchoices Learn more about your ad choices. Visit megaphone.fm/adchoices
We begin with the lawsuit California is bringing against President Donald Trump. Trump has announced a key feature of his “big, beautiful bill” for newborns. Health and Human Services Secretary Robert F Kennedy Jr. has dismissed top vaccine experts. A potential presidential candidate in Colombia is in critical condition after he was allegedly shot by a teenager. Plus, a judge has ruled on Justin Baldoni's defamation lawsuit. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Jerry starts with the Red Sox hitting 5 HRs to beat the Yankees and take the series. Aaron Judge hit 2 HRs in the loss. The Yankees X feed used a Brandon Tierney song about Anthony Volpe, but did not give him credit.
Summary In this episode, Wayne Marcel interviews Arman Mamyan, a tech founder with extensive experience in blockchain and DeFi. They discuss Arman's journey from traditional software engineering to the world of blockchain, focusing on NFTs and DeFi. Arman shares insights on bridging traditional finance with crypto, the importance of critical thinking in navigating the crypto space, and the need for improved user experiences in blockchain applications. They also touch on Arman's upcoming projects and the collaborative spirit within the blockchain community. Follow Arman on LinkedIn: https://www.linkedin.com/in/arman-mamyan/ Follow Arman on X: https://x.com/primarchdev Takeaways Arman has over a decade of experience in tech and blockchain. He transitioned from traditional software engineering to blockchain in 2019. Arman co-founded Covrent to facilitate trust in crypto transactions. The crypto industry faces manipulation and skepticism from traditional finance. Critical thinking is essential in the crypto space to discern truth from noise. User experience is crucial for mass adoption of blockchain technology. Account abstraction is a promising innovation for improving user experience. Building community and collaboration is vital for the growth of the blockchain industry. Arman emphasizes the importance of helping newcomers in the crypto space. The blockchain community exhibits a unique spirit of altruism and collaboration. Chapters 00:00 Introduction to Arman Mamyan 09:56 Bridging Traditional Finance and DeFi 15:03 The Importance of Critical Thinking 19:53 Innovations in User Experience and Account Abstraction 25:01 Future Projects and Community Building
What happens when your nonprofit receives a transformational gift—seemingly out of the blue? In this episode, change management expert Michael Randel joins Tosca Bruno-van Vijfeijken to explore what nonprofits can learn from the MacKenzie Scott giving wave. Together, they discuss how to prepare for sudden funding growth, what risks to avoid, and how to communicate wisely during a time of high visibility and high stakes.Guest BioFounder and Principal of Randel Consulting AssociatesLong-standing consultant in nonprofit change management and scalingResearcher on philanthropic giving and leadership dynamicsRegular advisor to mission-driven organizations facing major transitionsWe Discuss:Michael's research into nonprofits that received large-scale gifts from MacKenzie ScottWhy divisiveness after a big gift was less common than expectedHow to manage sudden scaling and increase organizational readinessThe value of a “quiet phase” in your communication strategyHow to plan for the eventual “financial cliff” once funding is spentWhy this moment calls for both bold leadership and intentional restraintQuotes:“One day, 10 million dollar suddenly landed in our bank account.”“Should we be careful what we wished for?”Resources:Michael Randel's LinkedIn pageRandel Consulting Associates LinkedIn pageRandel Consulting AssociatesGet insider tips to overcome the 5 most common problems facing leaders during change - download hereMackenzie Scott has donated part of her fortune to over 2,000 organizations doing amazing work. What are they doing with all this newfound money? - download here
Let the Dead Bury the Dead sheds new light on the investigation, legal proceedings and the phenomenon of the DC Madam, from a witness to history. Drawing from his direct involvement in the case—as well as from a significant array of primary historical materials never before seen by the public--the author will illustrate that there was nothing normal about how the charges against the late Deborah Jeane Palfrey were applied, quite the contrary.Become a supporter of this podcast: https://www.spreaker.com/podcast/the-opperman-report--1198501/support.
Send us a textDownload study notes for this chapter.Download study notes for this entire book.**********Scriptures taken from the Holy Bible, New International Version ®, NIV ® Copyright © 1973, 1978, 1984, 2011 by Biblica, Inc. Used with permission. All rights reserved worldwide.The “NIV”, “New International Version”, “Biblica”, “International Bible Society” and the Biblica Logo are trademarks registered in the United States Patent and Trademark Office by Biblica, Inc. Used with permission.BIBLICA, THE INTERNATIONAL BIBLE SOCIETY, provides God's Word to people through Bible translation & Bible publishing, and Bible engagement in Africa, Asia Pacific, Europe, Latin America, the Middle East, and North America. Through its worldwide reach, Biblica engages people with God's Word so that their lives are transformed through a relationship with Jesus Christ.Support the show
The story of Pentecost in Acts 2 is brimming with rich imagery and hyperlinks from the Hebrew Bible. God's Spirit dramatically fills a house of Jesus' followers like a wind, and fire burns over the disciples' heads as they begin speaking languages from across the known world! What is happening here, and how is it a fulfillment of God's promises? In this re-released episode from our 2018 Luke-Acts series, Jon and Tim trace the significance of Pentecost, revealing how God's presence now dwells within his people and empowers them to advance his Kingdom mission.CHAPTERSFire at Pentecost and the Place Where Heaven and Earth Meet (0:00–2:15)The Fiery Arrival of the Promised Helper (2:15–11:27)Overlaying Ancient Stories of God's Presence (11:27–24:12)Peter's Speech to the Crowd (24:12–31:13)Recovering the Exiles (31:13–35:37)OFFICIAL EPISODE TRANSCRIPTView this episode's official transcript.REFERENCED RESOURCES“Pentecost: Acts 1-7” from our Luke-Acts video seriesActs (Zondervan Exegetical Commentary on the New Testament) by Eckhard J. SchnabelThe Acts of the Risen Lord Jesus: Luke's Account of God's Unfolding Plan by Alan J. ThompsonYou can view annotations for this episode—plus our entire library of videos, podcasts, articles, and classes—in the BibleProject app, available for Android and iOS.Check out Tim's extensive collection of recommended books here.SHOW MUSIC“Color Pallette 90” by Dan Koch“Do it Right” by Dan Koch“Fall Back” by Dan KochBibleProject theme song by TENTSSHOW CREDITSThis episode was originally produced in 2018 by Jon Collins, Dan Gummel, and Matthew Halbert-Howen. Production of today's re-release is by Lindsey Ponder, producer, and Cooper Peltz, managing producer. Tyler Bailey is our supervising engineer. JB Witty does our show notes, and Hannah Woo provides the annotations for our app. Our host and creative director is Jon Collins, and our lead scholar is Tim Mackie. Powered and distributed by Simplecast.
In today's episode of Reddit Podcast, a wild Karen Demands My Disney Plus Account! You won't believe how this one ends! Sit back, relax, and enjoy this binge-worthy Reddit podcast, featuring Karen freakouts, entitled people stories, and pro revenge tales.
Preview: Colleague Jim McTague observes that Ozempic and Kind may account for a drop in food spending and an increase in health spending. More later. 1960
Melvyn Bragg and guests discuss Korea's brief but significant period as an empire as it moved from the 500-year-old dynastic Joseon monarchy towards modernity. It was in October 1897 that King Gojong declared himself Emperor, seizing his chance when the once-dominant China lost to Japan in the First Sino-Japanese War. The king wanted to have the same status as the neighbouring Russian, Chinese and Japanese Emperors, to shore up a bid for Korean independence and sovereignty when the world's major powers either wanted to open Korea up to trade or to colonise it. The Korean Empire lasted only thirteen years, yet it was a time of great transformation for this state and the whole region with lasting consequences in the next century…With Nuri Kim Associate Professor in Korean Studies at the faculty of Asian and Middle Eastern Studies at the University of Cambridge and Fellow of Wolfson CollegeHolly Stephens Lecturer in Japanese and Korean Studies at the University of EdinburghAnd Derek Kramer Lecturer in Korean Studies at the University of SheffieldProducer: Simon TillotsonReading list:Isabella Bird Bishop, Korea and her Neighbors: A Narrative of Travel, With an Account of the Recent Vicissitudes and Present Position of the Country (first published 1898; Forgotten Books, 2019)Vipan Chandra, Imperialism, Resistance and Reform in Late Nineteenth-Century Korea: Enlightenment and the Independence Club (University of California, Institute of East Asian Studies, 1988)Peter Duus, The Abacus and the Sword: The Japanese Penetration of Korea, 1859-1910 (University of California Press, 1995)Carter J. Eckert, Offspring of Empire: The Koch'ang Kims and the Colonial Origins of Korean Capitalism, 1876–1910 (University of Washington Press, 1991)George L. Kallander, Salvation through Dissent: Tonghak Heterodoxy and Early Modern Korea (University of Hawaii Press, 2013)Kim Dong-no, John B. Duncan and Kim Do-hyung (eds.), Reform and Modernity in the Taehan Empire (Jimoondang, 2006)Kirk W. Larsen, Tradition, Treaties, and Trade: Qing Imperialism and Chosŏn Korea, 1850-1910 (Harvard University Asia Center, 2008)Yumi Moon, Populist Collaborators: The Ilchinhoe and the Japanese Colonization of Korea, 1896-1910 (Cornell University Press, 2013)Sung-Deuk Oak, The Making of Korean Christianity: Protestant Encounters with Korean Religions, 1876-1915 (Baylor University Press, 2013)Eugene T. Park, A Family of No Prominence: The Descendants of Pak Tŏkhwa and the Birth of Modern Korea (Stanford University Press, 2020)Michael E. Robinson, Korea's Twentieth-Century Odyssey: A Short History (University of Hawaii Press, 2007)Andre Schmid, Korea Between Empires, 1895-1919 (Columbia University Press, 2002)Vladimir Tikhonov, Social Darwinism and Nationalism in Korea: The Beginnings, 1880s-1910s (Brill, 2010)In Our Time is a BBC Studios Audio Production