POPULARITY
13 episodes with Alterations
8 episodes with Alterations
37 episodes with Alterations
6 episodes with Alterations
115 episodes with Alterations
19 episodes with Alterations
4 episodes with Alterations
4 episodes with Alterations
4 episodes with Alterations
6 episodes with Alterations
6 episodes with Alterations
4 episodes with Alterations
6 episodes with Alterations
5 episodes with Alterations
6 episodes with Alterations
18 episodes with Alterations
3 episodes with Alterations
4 episodes with Alterations
The Creative ReUse Center in Norfolk gathered volunteers to alter donated dresses and suits for students to wear to the LGBTQ+ prom.
Glad to have you listening with us today! Join Ms. Sarah as she reads about the myths and legends from ancient Greeks from one of her personal books! This reading is from the very back of a Collector's edition copy of "Tales of Heroes, Gods & Monsters. Greek myths & Legends" which is by Dr. Steve Kershaw. We hope you enjoy these classic tales!Today we continue with the Roman Myths. Roman Myths share a lot of stories with Greek Myths, so here we are only covering the major differences. I honestly don't know much about this section as I've had a horrible headache while editing this together. That and as per usual this part had a lot more tricky names and words than usual but Sarah gave it her best shot with some of the pronunciations. We apologize for what we get horrible wrong, but hope you still enjoy!- Check out the Library Systems official website where you can find links to free resources, school and career guides, and news about our upcoming events! https://www.pawls.org/ -Follow us on YouTube and enjoy our backlog of digital story hours and other great content! https://www.youtube.com/@pawls365 Original background track is The Talons Of Adventure, The Antlers Of Romance by Doctor Turtle, music from the freemusicarchive.orghttps://freemusicarchive.org/music/Doctor_Turtle/none_given_1561/Doctor_Turtle_-_You_Um_Ill_Ah1/The Talons Of Adventure, The Antlers Of Romance by Doctor Turtle is licensed under a Attribution 4.0 International License.Alterations were made by us to make it fit the length of our content.#library #books #pawlskids #kidsstorytime
Glad to have you listening with us today! Today we have Ms. Sarah reading "A Dragon for Hanukkah by Sarah Mlynowski" where a little girl celebrates Hanukkah and shares with us the gifts she was given over the course of the Holiday. This is a holiday I know too little about so it was great seeing the illustrations in this cute book!As always this book was selected from our library! Kids and Parents can read along with us, in this read aloud story time! Be sure to check out your local Library to check out what books they may have! If you prefer E-Books, sign into the Hoopla or Libby app using your Library Card and follow along from there!- Check out the Library Systems official website where you can find links to free resources, school and career guides, and news about our upcoming events! https://www.pawls.org/ -Follow us on YouTube and enjoy our backlog of digital story hours and other great content! https://www.youtube.com/@pawls365Original background track is Concerto for Two Violins by Bach.Alterations were made by us to make it fit the length of our content.Brought to you from the Pike-Amite-Walthall Library system.#library #books #pawlskids #kidsstorytime
Glad to have you listening with us today! Join Ms. Sarah as she reads about the myths and legends from ancient Greeks from one of her personal books! This reading is from the very back of a Collector's edition copy of "Tales of Heroes, Gods & Monsters. Greek myths & Legends" which is by Dr. Steve Kershaw. We hope you enjoy these classic tales!Today we continue with the Roman Myths. Roman Myths share a lot of stories with Greek Myths, so here we are only covering the major differences. I honestly don't know much about this section as I've had a horrible headache while editing this together. That and as per usual this part had a lot more tricky names and words than usual but Sarah gave it her best shot with some of the pronunciations. We apologize for what we get horrible wrong, but hope you still enjoy!- Check out the Library Systems official website where you can find links to free resources, school and career guides, and news about our upcoming events! https://www.pawls.org/ -Follow us on YouTube and enjoy our backlog of digital story hours and other great content! https://www.youtube.com/@pawls365 Original background track is The Talons Of Adventure, The Antlers Of Romance by Doctor Turtle, music from the freemusicarchive.orghttps://freemusicarchive.org/music/Doctor_Turtle/none_given_1561/Doctor_Turtle_-_You_Um_Ill_Ah1/The Talons Of Adventure, The Antlers Of Romance by Doctor Turtle is licensed under a Attribution 4.0 International License.Alterations were made by us to make it fit the length of our content.#library #books #pawlskids #kidsstorytime
Glad to have you listening with us today! Today we have Ms. Sarah reading a story about a wonderful snowman and the coming spring!As always this book was selected from our library! Kids and Parents can read along with us, in this read aloud story time! Be sure to check out your local Library to check out what books they may have! If you prefer E-Books, sign into the Hoopla or Libby app using your Library Card and follow along from there!- Check out the Library Systems official website where you can find links to free resources, school and career guides, and news about our upcoming events! https://www.pawls.org/ -Follow us on YouTube and enjoy our backlog of digital story hours and other great content! https://www.youtube.com/@pawls365Original background track is Concerto for Two Violins by Bach.Alterations were made by us to make it fit the length of our content.Brought to you from the Pike-Amite-Walthall Library system.#library #books #pawlskids #kidsstorytime
Glad to have you listening with us today! Join Ms. Sarah as she reads about the myths and legends from ancient Greeks from one of her personal books! This reading is from the very back of a Collector's edition copy of "Tales of Heroes, Gods & Monsters. Greek myths & Legends" which is by Dr. Steve Kershaw. We hope you enjoy these classic tales!Today we continue with the Roman Myths. Roman Myths share a lot of stories with Greek Myths, so here we are only covering the major differences. I honestly don't know much about this section as I've had a horrible headache while editing this together. That and as per usual this part had a lot more tricky names and words than usual but Sarah gave it her best shot with some of the pronunciations. We apologize for what we get horrible wrong, but hope you still enjoy!- Check out the Library Systems official website where you can find links to free resources, school and career guides, and news about our upcoming events! https://www.pawls.org/ -Follow us on YouTube and enjoy our backlog of digital story hours and other great content! https://www.youtube.com/@pawls365 Original background track is The Talons Of Adventure, The Antlers Of Romance by Doctor Turtle, music from the freemusicarchive.orghttps://freemusicarchive.org/music/Doctor_Turtle/none_given_1561/Doctor_Turtle_-_You_Um_Ill_Ah1/The Talons Of Adventure, The Antlers Of Romance by Doctor Turtle is licensed under a Attribution 4.0 International License.Alterations were made by us to make it fit the length of our content.#library #books #pawlskids #kidsstorytime
Glad to have you listening with us today! Today we have Ms. Sarah reading a story about a spooky ghost named Wolfgang, and you should read along for sure this time since this book if full of really cute and fun illustrations!As always this book was selected from our library! Kids and Parents can read along with us, in this read aloud story time! Be sure to check out your local Library to check out what books they may have! If you prefer E-Books, sign into the Hoopla or Libby app using your Library Card and follow along from there!- Check out the Library Systems official website where you can find links to free resources, school and career guides, and news about our upcoming events! https://www.pawls.org/ -Follow us on YouTube and enjoy our backlog of digital story hours and other great content! https://www.youtube.com/@pawls365Original background track is Concerto for Two Violins by Bach.Alterations were made by us to make it fit the length of our content.Brought to you from the Pike-Amite-Walthall Library system.#library #books #pawlskids #kidsstorytime
This week we are talking about things needed to prepare for your alteration process. Note that you do not need a strapless bra - pads will be sewn into your dress. Your seamstress will guide you on this. For daily content, follow @weddingfashionexpert on Instagram! www.weddingfashionexpert.com www.lovellabridal.com FOLLOW @WEDDINGFASHIONEXPERT ON SOCIAL: Instagram & TikTok SUBSCRIBE ON YOUTUBE! NEW Episode every Wednesday for #WeddingWednesday READ MY BOOK FREE DOWNLOADS Online Education for Wedding Professionals Speaking & Appearances SHOP MY AMAZON STORE GET SOCIAL WITH LOVELLA: Instagram: @lovellabridal @lovellaplus TikTok: @lovellabridal Pinterest
Glad to have you listening with us today! Today we have Ms. Sarah reading Soy Sauce by Laura G. Lee which is a savory story about delicious and rich sauce!As always this book was selected from our library! Kids and Parents can read along with us, in this read aloud story time! Be sure to check out your local Library to check out what books they may have! If you prefer E-Books, sign into the Hoopla or Libby app using your Library Card and follow along from there!- Check out the Library Systems official website where you can find links to free resources, school and career guides, and news about our upcoming events! https://www.pawls.org/ -Follow us on YouTube and enjoy our backlog of digital story hours and other great content! https://www.youtube.com/@pawls365Original background track is Concerto for Two Violins by Bach.Alterations were made by us to make it fit the length of our content.Brought to you from the Pike-Amite-Walthall Library system.#library #books #pawlskids #kidsstorytime
Glad to have you listening with us today! Continuing with "Library Support" where I talk about and walk you though various parts of using the library or other related content. Today I will be introducing you to Hoopla! Another great free resource for you to use to get all of your reading, listening and watching content that you desire. I hope you enjoy and let me know if you have any suggestions or requests!- Check out the Library Systems official website where you can find links to free resources, school and career guides, and news about our upcoming events! https://www.pawls.org/ -Follow us on YouTube and enjoy our backlog of digital story hours and other great content! https://www.youtube.com/@pawls365 Original background track is The Talons Of Adventure, The Antlers Of Romance by Doctor Turtle, music from the freemusicarchive.orghttps://freemusicarchive.org/music/Doctor_Turtle/none_given_1561/Doctor_Turtle_-_You_Um_Ill_Ah1/The Talons Of Adventure, The Antlers Of Romance by Doctor Turtle is licensed under a Attribution 4.0 International License.Alterations were made by us to make it fit the length of our content.#library #books #pawlskids #kidsstorytime
Drs. Sabari and Yu discuss the molecular landscape of HER2-mutant lung cancer, including its genomic characteristics, common co-mutations, and differences between HER2 mutations and HER2 amplification. This discussion also explores the prevalence and clinical patterns of HER2 mutations, their oncogenic mechanisms, their impact on tumor behavior and metastases, and potential environmental or genetic contributors to their development.
We start by discussing the difficult reality of intentional abandonment with 1Xtra's Fee Mak. We also hear from fitness influencer Ashley Cain, with the launch of his new BBC Three series, Into The Danger Zone. We then get into embracing heritage on stage with actress Cherrelle Skeete, who is leading in The National Theatre's play, Alterations.
Glad to have you listening with us today! Today we have Ms. Sarah reading Bella Ballerina by Sharon Draper which is a sweet story about a little girl who loves being a ballarina!As always this book was selected from our library! Kids and Parents can read along with us, in this read aloud story time! Be sure to check out your local Library to check out what books they may have! If you prefer E-Books, sign into the Hoopla or Libby app using your Library Card and follow along from there!- Check out the Library Systems official website where you can find links to free resources, school and career guides, and news about our upcoming events! https://www.pawls.org/ -Follow us on YouTube and enjoy our backlog of digital story hours and other great content! https://www.youtube.com/@pawls365Original background track is Concerto for Two Violins by Bach.Alterations were made by us to make it fit the length of our content.Brought to you from the Pike-Amite-Walthall Library system.#library #books #pawlskids #kidsstorytime
Glad to have you listening with us today! Join Ms. Sarah as she reads about the myths and legends from ancient Greeks from one of her personal books! This reading is from the very back of a Collector's edition copy of "Tales of Heroes, Gods & Monsters. Greek myths & Legends" which is by Dr. Steve Kershaw. We hope you enjoy these classic tales!Today we touch on Roman Myths. Roman Myths share a lot of stories with Greek Myths, so here we are only covering the major differences. This is short summary of the Underworld. This part had a lot more tricky names and words than usual but Sarah gave it her best shot with some of the pronunciations. We apologize for what we get horrible wrong, but hope you still enjoy!- Check out the Library Systems official website where you can find links to free resources, school and career guides, and news about our upcoming events! https://www.pawls.org/ -Follow us on YouTube and enjoy our backlog of digital story hours and other great content! https://www.youtube.com/@pawls365 Original background track is The Talons Of Adventure, The Antlers Of Romance by Doctor Turtle, music from the freemusicarchive.orghttps://freemusicarchive.org/music/Doctor_Turtle/none_given_1561/Doctor_Turtle_-_You_Um_Ill_Ah1/The Talons Of Adventure, The Antlers Of Romance by Doctor Turtle is licensed under a Attribution 4.0 International License.Alterations were made by us to make it fit the length of our content.#library #books #pawlskids #kidsstorytime
Glad to have you listening with us today! Today we have Ms. Sarah reading Jonty Gentoo which is a book about a little penguin going on a trip around the world! We've had this book on the channel before but we hope you can still enjoy it being read by someone new!Sorry for the late upload! We're having difficulties with scheduling here at the library and hopefully will be caught back up here soon! We apologize and thank you for your patience.As always this book was selected from our library! Kids and Parents can read along with us, in this read aloud story time! Be sure to check out your local Library to check out what books they may have! If you prefer E-Books, sign into the Hoopla or Libby app using your Library Card and follow along from there!- Check out the Library Systems official website where you can find links to free resources, school and career guides, and news about our upcoming events! https://www.pawls.org/ -Follow us on YouTube and enjoy our backlog of digital story hours and other great content! https://www.youtube.com/@pawls365Original background track is Concerto for Two Violins by Bach.Alterations were made by us to make it fit the length of our content.Brought to you from the Pike-Amite-Walthall Library system.#library #books #pawlskids #kidsstorytime
Alterations to US policy under the Trump administration concerning shipbuilding and trade, discussions regarding a ceasefire in Ukraine, employment statistics from Australia, Federal Reserve interest rate decisions, and significant election-related transformations within Singapore. Synopsis: A round up of global headlines to start your day by The Business Times. Written by: Howie Lim / Claressa Monteiro (claremb@sph.com.sg) Produced and edited by: Claressa Monteiro Produced by: BT Podcasts, The Business Times, SPH Media --- Follow Lens On Daily and rate us on: Channel: bt.sg/btlenson Amazon: bt.sg/lensam Apple Podcasts: bt.sg/lensap Spotify: bt.sg/lenssp YouTube Music: bt.sg/lensyt Website: bt.sg/lenson Feedback to: btpodcasts@sph.com.sg Do note: This podcast is meant to provide general information only. SPH Media accepts no liability for loss arising from any reliance on the podcast or use of third party’s products and services. Please consult professional advisors for independent advice. Discover more BT podcast series: BT Mark To Market at: bt.sg/btmark2mkt WealthBT at: bt.sg/btpropertybt PropertyBT at: bt.sg/btmktfocus BT Money Hacks at: bt.sg/btmoneyhacks BT Market Focus at: bt.sg/btmktfocus BT Podcasts at: bt.sg/podcasts BT Branded Podcasts at: bt.sg/brpod BT Lens On: bt.sg/btlenson See omnystudio.com/listener for privacy information.
Glad to have you listening with us today! I want to start doing this series that I want to call "Library Support" where I talk about and walk you though various parts of using the library or other related content. I want to start with this episode being focused on Project Gutenberg and we will use the website to find and read chapter one of Bram Stokers Dracula. This is part 2 of this reading, please listen to part 1 if you haven't, but otherwise I hope you enjoy. As usual let me know if you have any suggestions or requests!- Check out the Library Systems official website where you can find links to free resources, school and career guides, and news about our upcoming events! https://www.pawls.org/ -Follow us on YouTube and enjoy our backlog of digital story hours and other great content! https://www.youtube.com/@pawls365 Original background track is The Talons Of Adventure, The Antlers Of Romance by Doctor Turtle, music from the freemusicarchive.orghttps://freemusicarchive.org/music/Doctor_Turtle/none_given_1561/Doctor_Turtle_-_You_Um_Ill_Ah1/The Talons Of Adventure, The Antlers Of Romance by Doctor Turtle is licensed under a Attribution 4.0 International License.Alterations were made by us to make it fit the length of our content.#library #books #pawlskids #kidsstorytime
Glad to have you listening with us today! Today we have Ms. Sarah reading Rescue Cat, a cute story about a kitty who decides to run away! This one is short and sweet, but we hope you enjoy!Sorry messy uploads, we're still having difficulties with scheduling here at the library but will hopefully be caught back up here soon! We apologize and thank you for your patience.As always this book was selected from our library! Kids and Parents can read along with us, in this read aloud story time! Be sure to check out your local Library to check out what books they may have! If you prefer E-Books, sign into the Hoopla or Libby app using your Library Card and follow along from there!- Check out the Library Systems official website where you can find links to free resources, school and career guides, and news about our upcoming events! https://www.pawls.org/ -Follow us on YouTube and enjoy our backlog of digital story hours and other great content! https://www.youtube.com/@pawls365Original background track is Concerto for Two Violins by Bach.Alterations were made by us to make it fit the length of our content.Brought to you from the Pike-Amite-Walthall Library system.#library #books #pawlskids #kidsstorytime
Glad to have you listening with us today! I want to start doing this series that I want to call "Library Support" where I talk about and walk you though various parts of using the library or other related content. I want to start with this episode being focused on Project Gutenberg and we will use the website to find and read chapter one of Bram Stokers Dracula. I hope you enjoy and let me know if you have any suggestions or requests!- Check out the Library Systems official website where you can find links to free resources, school and career guides, and news about our upcoming events! https://www.pawls.org/ -Follow us on YouTube and enjoy our backlog of digital story hours and other great content! https://www.youtube.com/@pawls365 Original background track is The Talons Of Adventure, The Antlers Of Romance by Doctor Turtle, music from the freemusicarchive.orghttps://freemusicarchive.org/music/Doctor_Turtle/none_given_1561/Doctor_Turtle_-_You_Um_Ill_Ah1/The Talons Of Adventure, The Antlers Of Romance by Doctor Turtle is licensed under a Attribution 4.0 International License.Alterations were made by us to make it fit the length of our content.#library #books #pawlskids #kidsstorytime
Jo Johnson's explorations in sound have ranged from free-form punk with Huggy Bear in the 90s, to underground techno in the 00s, and, for the last decade, deeply expressive electronic minimalism that pays tribute to the many women who pioneered this genre. She has released with respected labels including Further Records and Mysteries of the Deep in the US and Frequency Domain and Castles in Space in the UK. Her latest project, Alterations, is a 'slow' album that she is recording and self-releasing track-by-track throughout 2025. For the fourth edition of Waves, Jo Johnson presents a mix of absolute celestial beauty, building delicately with deep and lush ambiance into a trip of interstellar melodies, this is the perfect way to start your week off right. Follow: https://soundcloud.com/werkhouse https://jojohnson.bandcamp.com/ https://www.instagram.com/jojohnson.tinysilences/
Glad to have you listening with us today! Todays story is a Staff Selects read by me, Douglas! It is "The Helping Sweater" which is a sweet book about a little girl learning to help others, full of adorable art along the way!Sorry for the late upload! We're having difficulties with scheduling here at the library and hopefully will be caught back up here soon! We apologize and thank you for your patience.As always this book was selected from our library! Kids and Parents can read along with us, in this read aloud story time! Be sure to check out your local Library to check out what books they may have! If you prefer E-Books, sign into the Hoopla or Libby app using your Library Card and follow along from there!- Check out the Library Systems official website where you can find links to free resources, school and career guides, and news about our upcoming events! https://www.pawls.org/ -Follow us on YouTube and enjoy our backlog of digital story hours and other great content! https://www.youtube.com/@pawls365Original background track is Concerto for Two Violins by Bach.Alterations were made by us to make it fit the length of our content.Brought to you from the Pike-Amite-Walthall Library system.#library #books #pawlskids #kidsstorytime
Mickey-Jo recently headed to the National Theatre in London to see their latest production, a new staging of Michael Abbensetts' ALTERATIONS.The play stars Arinzé Kene and is directed by Lynette Linton in its largest ever staging, with additional material contributed by Trish Cooke.Check out this new review for Mickey-Jo's thoughts on this production, its performances, and what it has to say about immigration, identity, and the black experience in 1970s Britain.•00:00 | introduction02:19 | synopsis05:56 | characters / themes11:43 | creative choices15:14 | performances•About Mickey-Jo:As one of the leading voices in theatre criticism on a social platform, Mickey-Jo is pioneering a new medium for a dwindling field. His YouTube channel: MickeyJoTheatre is the largest worldwide in terms of dedicated theatre criticism, where he also share features, news and interviews as well as lifestyle content for over 75,000 subscribers. Since establishing himself as a theatre critic he has been able to work internationally. With a viewership that is largely split between the US and the UK he has been fortunate enough to be able to work with PR, Marketing, and Social Media representatives for shows in New York, London, Edinburgh, Hamburg, Toronto, Sao Pãolo, and Paris. He has also twice received accreditation from the world renowned Edinburgh Festival Fringe. His reviews and features have also been published by WhatsOnStage, for whom he was a panelist to help curate nominees for their 2023 and 2024 Awards as well as BroadwayWorldUK, Musicals Magazine and LondonTheatre.co.uk. He has been invited to speak to private tour groups, at the BEAM 2023 new musical theatre conference at Oxford Playhouse, and on a panel of critics at an event for young people considering a career in the arts courtesy of Go Live Theatre Projects. Instagram/TikTok/X: @MickeyJoTheatre
Glad to have you listening with us today! Join Ms. Sarah as she reads about the myths and legends from ancient Greeks from one of her personal books! This reading is from the very back of a Collector's edition copy of "Tales of Heroes, Gods & Monsters. Greek myths & Legends" which is by Dr. Steve Kershaw. We hope you enjoy these classic tales!Sorry for the late upload! We're having difficulties with scheduling here at the library and hopefully will be caught back up here soon! We apologize and thank you for your patience.Today we touch on Roman Myths. Roman Myths share alot of stories with Greek Myths, so here we are only covering the major differences. This section of the book is an almost first person account of the fall of Troy!- Check out the Library Systems official website where you can find links to free resources, school and career guides, and news about our upcoming events! https://www.pawls.org/ -Follow us on YouTube and enjoy our backlog of digital story hours and other great content! https://www.youtube.com/@pawls365 Original background track is The Talons Of Adventure, The Antlers Of Romance by Doctor Turtle, music from the freemusicarchive.orghttps://freemusicarchive.org/music/Doctor_Turtle/none_given_1561/Doctor_Turtle_-_You_Um_Ill_Ah1/The Talons Of Adventure, The Antlers Of Romance by Doctor Turtle is licensed under a Attribution 4.0 International License.Alterations were made by us to make it fit the length of our content.#library #books #pawlskids #kidsstorytime
Drs. Amy Mathers and Julie Ann Justo join Dr. Erin McCreary to talk all things Stenotrophomonas maltophilia, a water-loving organism and frequent colonizer. Hear from the experts on why this organism is so difficult to treat, which agents have in vitro activity, and how to optimize antimicrobial regimens, including the use of combination therapy, in the setting of true infections. This medical education was provided by an unrestricted grant from Shionogi. References: Infectious Diseases Society of America 2024 Guidance on the Treatment of Antimicrobial-Resistant Gram-Negative Infections. Clin Infect Dis. 2024 Aug 7:ciae403. doi: 10.1093/cid/ciae403. PMID: 39108079. Clinical challenges treating Stenotrophomonas maltophilia infections: an update. JAC Antimicrob Resist. 2022 May 5;4(3):dlac040. doi: 10.1093/jacamr/dlac040. PMID: 35529051. Alterations of the Oral Microbiome and Cumulative Carbapenem Exposure Are Associated With Stenotrophomonas maltophilia Infection in Patients With Acute Myeloid Leukemia Receiving Chemotherapy. Clin Infect Dis. 2021 May 4;72(9):1507-1513. doi: 10.1093/cid/ciaa778. PMID: 32544947. An Overview of the Treatment of Less Common Non–Lactose-Fermenting Gram-Negative Bacteria. Pharmacotherapy. 2020 Sep;40(9):936-951. doi: 10.1002/phar.2447. PMID: 32687670.
Join Ms. Sarah in story-time as she reads "An Adventure for Lia and Lion" as little Lia goes out seeking a big furry friend!Sorry for the late upload! We're having difficulties with scheduling here at the library and hopefully will be caught back up here soon! We apologize and thank you for your patience.As always this book was selected from our library! Kids and Parents can read along with us, in this read aloud story time! Be sure to check out your local Library to check out what books they may have!Original background track is Concerto for Two Violins by Bach.Alterations were made by us to make it fit the length of our content.Brought to you from the Pike-Amite-Walthall Library system.-Check out the library systems website for free resources, guides, and news about upcoming events! https://www.pawls.org/ -Follow us on YouTube and enjoy our backlog of digital story hours and other great content! https://www.youtube.com/@pawls365#library #books #pawlskids #kidsstorytime
Dr. Jyoti Patel is back on the podcast to discuss the updates to the living guideline on therapy for stage IV NSCLC with driver alterations. She shares updated recommendations in the first- and second-line settings for patients with stage IV NSCLC and classical EGFR mutations, and the impact of these updates for clinicians and patients. We also look to the future to discuss ongoing developments in the field. Read the full living guideline update “Therapy for Stage IV Non-Small Cell Lung Cancer With Driver Alterations: ASCO Living Guideline, Version 2024.3” at www.asco.org/living-guidelines. TRANSCRIPT This guideline, clinical tools, and resources are available at http://www.asco.org/living-guidelines. Read the full text of the guideline and review authors' disclosures of potential conflicts of interest in the Journal of Clinical Oncology, https://ascopubs.org/doi/10.1200/JCO-24-02785 Brittany Harvey: Welcome to the ASCO Guidelines Podcast, one of ASCO's podcasts delivering timely information to keep you up to date on the latest changes, challenges and advances in oncology. You can find all the shows including this one at asco.org/podcasts. My name is Brittany Harvey and today I'm interviewing Dr. Jyoti Patel from Northwestern University, co-chair on “Therapy for Stage IV Non-Small Cell Lung Cancer With Driver Alterations: ASCO Living Guideline, Version 2024.3.” It's great to have you back on the show today, Dr. Patel. Dr. Jyoti Patel: Thanks so much. Happy to be here. Brittany Harvey: And then before we discuss this guideline, I'd like to note that ASCO takes great care in the development of its guidelines and ensuring that the ASCO Conflict of Interest Policy is followed for each guideline. The disclosures of potential conflicts of interest for the guideline panel, including Dr. Patel, who has joined us here today, are available online with the publication of the guideline and in the Journal of Clinical Oncology, which is linked in the show notes. So then, to dive into the content of this update, Dr. Patel, this clinical practice guideline for systemic therapy for patients with stage IV non small cell lung cancer with driver alterations is living, meaning that it's continuously reviewed and updated. So what data prompted this latest change to the recommendations? Dr. Jyoti Patel: Thanks so much. So it's really been an exciting time in the treatment of EGFR lung cancer, particularly this past year has required us to rethink approaches to front- and second-line therapy. In this particular update, we examined what patients in the front-line setting may be offered by their clinicians. And so we're talking about the population of classical EGFR mutations, so exon 19 and exon 21 L858R substitution. And so certainly for this population, osimertinib has a high level of evidence and should be offered to all patients at the time of diagnosis when they present with advanced disease. Our last update included a recommendation that patients could also get platinum doublet chemotherapy with osimertinib or osimertinib alone. This current recommendation also introduces another alternative therapy and that's the combination of amivantamab plus lazertinib. And so now, clinicians are faced with three really good options for their patients with EGFR exon19 deletion or L858R. Brittany Harvey: It's great to hear that there's this advance in the space, particularly for patients with these classical EGFR mutations that you mentioned. So what should clinicians know as they implement these new first-line recommendations? Dr. Jyoti Patel: I think it's become more complex than ever. Certainly, we know again that patients should get osimertinib in the frontline setting. But we've been kind of stuck at progression-free survival that's between a year and a half and two years. And so we've really been looking at opportunities to intensify therapy. So one could certainly be with chemotherapy or switching over to amivantamab, the bispecific antibody that targets EGFR and MET plus lazertinib, an oral TKI that's very similar in structure to osimertinib. And when you're talking to a patient, it's really a conversation about balancing efficacy with toxicity. Unfortunately, as we know, there aren't that many free lunches. And so if we think about what a patient is hoping for in their therapy and how we can further personalize treatment options, really is important to look at some of the analyses for this study. So in the study of amivantamab plus lazertinib, we know that there were increased toxicities with a combination of both therapies. In fact, up to 75% of patients had over grade 3 toxicities, versus about 43% of patients with osimertinib monotherapy. And we know if we look back at FLAURA2, almost two thirds of patients with osimertinib and chemotherapy had grade 3 toxicities, compared to 27% of patients with osimertinib alone. So we certainly see an increase in toxicities. Then we have to ask ourselves, are those paper toxicities or ones that really impact patients? And we know that amivantamab, for example, causes significant cutaneous toxicities. With both of these therapies, whether it's chemotherapy or adding amivantamab, there's the burden of infusional visits and increased time in the doctor's office. Certainly with chemotherapy, there can be an increased incidence of myelosuppression. And so when we're thinking about advising our patients, certainly we need to talk about the toxicities. But one thing that we've been able to do is to look at the patients that were included in this trial. And what we really find is that in higher risk cohorts, particularly those that we know historically have done less well with standard osimertinib, so patients, for example, with CNS metastasis, for those patients with co-mutations, it may be that that additive benefit is significant. And so one example I think would be from the MARIPOSA study, again, the study of amivantamab and lazertinib versus chemotherapy. What we can say is that patients who had co-mutations, so patients with EGFR mutations as well as TP53, lazertinib and amivantamab led to a hazard ratio of 0.65 compared to osimertinib alone. So that was 18.2 months versus 12.9 months. And so this may be really important to patients. And we also see conversely that patients with wild type TP53, so those patients who didn't have the mutation, probably had equivalent survival regardless of therapy. So certainly, we need to prospectively study some of these high-risk cohorts. We've only seen progression-free survival in these studies. And so at this juncture, we can advise our patients about toxicity, the improvements in certain categories of progression-free survival, but we really still don't know how this pans out in overall survival. In many of these studies, all patients do not necessarily cross over to the study arm and so they may have lost the benefit of subsequent therapy. Brittany Harvey: Absolutely. It's very important to talk about that balance of benefits and risks and particularly those toxicities that you discussed. So I appreciate reviewing that recommendation and the considerations for clinicians for first-line therapy. This update also included a second-line treatment update. What is that update for patients with EGFR alterations? Dr. Jyoti Patel: So this is where it gets super tricky because we have a frontline option with amivantamab and now we've had an update in the second line option. So what we said is that for patients who have progressed on an EGFR TKI, and in the United States, certainly that's predominantly osimertinib, or those in other parts of the world that may have gotten an earlier generation TKI, but do not have evidence of T790M or other targetable mutations, we can offer patients chemotherapy with or without amivantamab. And so certainly we have seen that this again leads to improved survival. There have also been a number of studies looking at incorporation of PD-L1 and anti-VEGF therapies. And what we can say, I think pretty clearly is that multiple phase 3 trials have really shown no benefit of the addition of PD-1 to platinum chemotherapy. But there are some emerging bispecific antibodies that may target PD-1 as well as VEGF, or combinations of antibodies that target both of those pathways that may improve outcome. At this juncture, I think we feel that the evidence surrounding chemotherapy plus amivantamab is strongest, but there is certainly work in this space that will be of interest. Now, what happens if your patient received amivantamab and lazertinib in the frontline setting and then has progression? And so we're trying to understand resistance mechanisms and opportunities for treatment. What the panel decided to recommend, based on the available evidence, was that certainly those patients should get platinum-based chemotherapy, but there may also be a role for antivascular endothelial growth factor targeting therapy such as bevacizumab in patients in whom it would be safe. Brittany Harvey: Great. I appreciate you detailing those recommendations when it gets complicated in the second-line setting. So what should clinicians know as they implement these second-line recommendations too? Dr. Jyoti Patel: So certainly the frontline setting matters significantly. So if a patient gets osimertinib in the frontline setting, we generally suggest that patients undergo repeat testing to see if they have another targetable mutation. If they don't, then I think preferred therapy would be chemotherapy with or without amivantamab. And amivantamab leads to a significant improvement in progression-free survival and response rate at the cost of increased risk of toxicity. For patients who get FLAURA2 in the frontline setting, chemotherapy plus osimertinib, it's a little bit of an unclear space. Those patients most likely would get docetaxel with or without ramucirumab. But there are other agents that we hope to have available to our patients in the near future. For patients who receive amivantamab and osimertinib, we recommend that those patients get chemotherapy probably with anti-VEGF as demonstrated by multiple trials that have shown the improved progression-free survival with introduction of an anti-VEGF agent. And we've seen evidence of amivantamab in the third line setting, so it is likely that this question about sequencing really takes center stage in our next set of trials. When you're talking to a patient, I think again, it's absolutely important to discuss: What are their goals? How symptomatic or how fast is their progression? Are there ways in which patients may benefit from spot treatment oligoprogression such as radiation? When is the right time for introduction of amivantamab and when do we think patients need chemotherapy? Is it up front or predominantly in the second-line setting? Brittany Harvey: Definitely. And then you've just touched on the goals of treatment for individual patients. So in your view, what does this update mean for patients with stage IV non-small cell lung cancer and an EGFR alteration? Dr. Jyoti Patel: For patients, this is a time in which shared decision making really needs to take center stage. So our best patients are those patients that are best informed not only about their disease but also have a good understanding about what is important to them and their families in terms of care. And so bringing that shared understanding to the table again helps us think about this particular cancer as more of a journey rather than just a one off treatment. Therapy will hopefully be prolonged, and so it's absolutely important that we address toxicities, make therapies more tolerable, again, with the shared goal of living long and living well. Brittany Harvey: Absolutely. Those are key points to making sure that patients are living both longer and have a good quality of life during that time as well. So then, before you mentioned the possibility of future sequencing trials and other ongoing developments. What additional studies or future directions is the panel examining for future updates to this living guideline? Dr. Jyoti Patel: So certainly we're thinking about trials that look at, for example, cfDNA clearance. So are there patients that do well and can we detect that early on without having to intensify therapy on day 1 so it may be that we add chemotherapy a little bit later. I think really exciting are some of the new bispecific. The HARMONi-A trial was a trial in China of a novel bispecific, ivonescimab. And this drug targets both PD-1 and VEGF and it was combined with chemotherapy. And this trial found almost a doubling of progression-free survival with this drug in combination chemotherapy in an EGFR patient population. That study is being planned and being run in the United States to see if we have similar outcomes with a more diverse population. So certainly that's exciting. There are a number of antibody drug conjugates that are being studied in the post-chemotherapy setting as well. And I think we'll likely soon see a better understanding of what co-mutations and burden of disease really mean when we're thinking about assigning treatment. So which patients, again, need intensification of therapy and which patients may do really well on just an oral agent that they're taking at home with more tolerable toxicity than dual treatment. Brittany Harvey: Yes, we'll look forward to continued developments in these fields and seeing some of those studies come to fruition. So with that, I want to thank you for your work to rapidly and continuously update this guideline, and thank you for your time today, Dr. Patel. Dr. Jyoti Patel: Thanks so much, Brittany. It's really an exciting time for lung cancer and we hope that these updates really help physicians decide the best treatments for their patients. Again, it's a rapidly evolving landscape which is fantastic, but it does become more cumbersome to stay ahead of the literature. Brittany Harvey: Definitely. And so we appreciate your time and the panel's time spent reviewing this literature and providing this much needed information to clinicians everywhere. So finally, thank you to all of our listeners for tuning into the ASCO Guidelines podcast. To read the full guideline, go to www.asco.org/living-guidelines. You can also find many of our guidelines and interactive resources in the free ASCO Guidelines app available in the Apple App Store or the Google Play Store. If you have enjoyed what you've heard today, please rate and review the podcast and be sure to subscribe so you never miss an episode. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.
Dr. Lyudmila Bazhenova joins us again to share the newest changes to the living guideline on therapy for stage IV NSCLC without driver alterations. She discusses new evidence reviewed by the panel and changes to second-line recommendations for patients with good performance status and HER2 overexpression, and what these updates mean in practice. We discuss ongoing evidence generation as we await further updates to these living guidelines. Read the full living guideline update “Therapy for Stage IV Non-Small Cell Lung Cancer Without Driver Alterations: ASCO Living Guideline, Version 2024.3” at www.asco.org/living-guidelines. TRANSCRIPT This guideline, clinical tools, and resources are available at http://www.asco.org/living-guidelines. Read the full text of the guideline and review authors' disclosures of potential conflicts of interest in the Journal of Clinical Oncology, https://ascopubs.org/doi/10.1200/JCO-24-02786 Brittany Harvey: Hello and welcome to the ASCO Guidelines podcast, one of ASCO's podcasts delivering timely information to keep you up to date on the latest changes, challenges and advances in oncology. You can find all the shows, including this one, at asco.org/podcasts. My name is Brittany Harvey and today I'm interviewing Dr. Lyudmila Bazhenova from University of California San Diego Moores Cancer Center, co-chair on “Therapy for Stage IV Non–Small Cell Lung Cancer Without Driver Alterations: ASCO Living Guideline, Version 2024.3.” It's great to have you back on the show today, Dr. Bazhenova. Dr. Lyudmila Bazhenova: It's my pleasure to be here as always. Brittany Harvey: Great. Then before we discuss this guideline, I'd like to note that ASCO takes great care in the development of its guidelines and ensuring that the ASCO Conflict of Interest Policy is followed for each guideline. The disclosures of potential conflicts of interest for the entire guideline panel, including Dr. Bazhenova, who has joined us here today, are available online with the publication of the guide in the Journal of Clinical Oncology, which is linked in the show notes. So then to dive into the content here, first, this living clinical practice guideline for systemic therapy for patients with stage IV non-small cell lung cancer without driver alterations has frequent updates to the recommendations. What prompted this latest update? Dr. Lyudmila Bazhenova: Living ASCO guidelines are created to keep up with rapidly changing evidence which affect treatment of our patients with lung cancer. As a committee, we review published literature on a specific topic at the regular intervals and determine if it alters any recommendations. This time, upon our literature review, we felt that there are new data that requires an update in the guidelines and therefore the guidelines were updated. Brittany Harvey: Great. Thank you for that updated information. So then it looks like the panel updated recommendations for second line and subsequent treatment options for patients with good performance status and HER2 overexpression. What is that updated recommendation from the panel? Dr. Lyudmila Bazhenova: Yes, this is correct. We now added an extra recommendation for patients with stage IV non-small cell lung cancer who have overexpression of the protein called HER2. HER2 overexpression with 2+/3+ level via immunohistochemistry is seen in approximately 8% to 20% of patients with lung cancer. And the data behind our recommendation comes from the DESTINY-Lung01 trial where patients with HER2 overexpression were treated with trastuzumab deruxtecan. And we saw that if patients with stage IV non-small cell lung cancer had a HER2 IHC score of 3+, overall response rate was seen at 53% and median duration of response was 6.9 months and, therefore, that in our opinion qualified for updated recommendation. We are still waiting for additional results that will be released later on another clinical trial where we see preliminary data presented at the World Conference of Lung Cancer in 2024. They looked at 36 patients also with HER2 overexpression and saw the overall response rate of almost 45%. It is important to highlight in this smaller study that a majority of the patients in the study were actually having EGFR mutation and the response rate in those patients who had an EGFR mutation was higher than the response rate in patients without EGFR mutations who just had a HER2 overexpression. So for now this is updated in the guidelines, but we will wait for additional data or formal publication of a World Lung Conference presentation and see if those recommendations need to be changed. Brittany Harvey: Understood, and I appreciate you providing the context of some of those ongoing developments as well. So then what should clinicians know as they implement this updated recommendation? Dr. Lyudmila Bazhenova: Number one, we should all start from remembering to test for HER2 via immunohistochemistry. There is a slight difference in what considers HER2 positive in lung versus breast. In lung, we use what's called the gastric scoring and the difference is the circumferential versus non circumferential staining of the membrane. And number two, immunohistochemistry is not always included in next generation sequencing panels. So when you order your next generation sequencing, I think it's important to know if your company that you're using is testing for HER2 via immunohistochemistry. And if it's not, make sure that you find a company that does or work with your local pathology department to make sure that this testing is offered. It is also important to know the difference between HER2 overexpression and HER2 exon 20 insertion mutation even though the treatment for those two abnormalities is the same, which is trastuzumab deruxtecan. But the benefit that you can cite your patients and the rigor of the literature supporting the usage of trastuzumab deruxtecan in mutation versus overexpression is different. Brittany Harvey: Yes. And as you mentioned, it's essential that, in the first place, patients are actually receiving the testing so that we know if they're eligible for these treatment options. So what additionally does this change mean for patients with stage IV non-small cell lung cancer and HER2 overexpression? Dr. Lyudmila Bazhenova: So for patients, it adds another treatment modality which is now FDA approved. So if there are patients listening to me, make sure that your physician has tested your tumor for HER2 overexpression. So I think proactive asking of your physician would be very appropriate in this situation. Brittany Harvey: Absolutely. And then earlier you mentioned an ongoing trial that the panel was looking to for the future. But what other additional trials did the panel review during this guideline update and what is the panel examining for future updates to this living guideline? Dr. Lyudmila Bazhenova: So at this point we reviewed three additional studies. The results of those studies did not make it into a change in guidelines. So we reviewed the HARMONi-2 trial. HARMONi-2 trial so far does not have an official publication and, as per our strategy on how we come up with ASCO guidelines, we need to wait for an official publication. So this is one thing we're going to be expecting in the future. Once this is published, we will review it and decide if we need to make an additional change in recommendations. For those of you who are not aware, HARMONi-2 trial used bispecific monoclonal antibody against VEGF and PD-1 and was a phase III randomized trial comparing their investigational product which is called ivonescimab over pembrolizumab for patients with PD-L1 more than 50. And again, we are waiting for the final publication to make our recommendation. The second trial we reviewed was a LUNAR trial and the LUNAR trial looked at addition of tumor treating fields to chemotherapy or immunotherapy in patients whose cancer progressed with platinum doublet. The key point about this study is that immunotherapy was not required to be administered in a first line setting which is a current standard of care in the United States. And even though the study met their primary endpoint of overall survival, there were more benefits in patients who were immunotherapy naive in the second line. And we felt that given the potential lifestyle implication of wearing a device for 18 hours per day, and the lack of evidence in immunotherapy-pretreated population, and the absence of data in the first-line setting where we currently using immunotherapy in the United States, we felt that there is insufficient data to definitely recommend addition of tumor treating fields to systemic chemotherapy for most patients. And we are waiting for additional trials that are ongoing in this setting to formalize or change our recommendations. And we also reviewed- the final study that we reviewed was TROPION-Lung01. TROPION-Lung01 study was a phase III study in post platinum doublet setting which compared efficacy of Dato-DXd and docetaxel and trials showed improvement in progression free survival but not in overall survival. And progression free survival benefit was more pronounced in non-squamous carcinoma histology subgroup and we felt that the results do appear promising, but the strength of evidence which was based on unplanned subgroup analysis was not sufficient enough to make a change in treatment recommendation at this time. Brittany Harvey: I appreciate your transparency on why some of that data did not prompt a change to recommendations at this time. And additionally, we'll look forward to those future published results and potential incorporation of new data into future versions of this living guideline. So, I want to thank you so much for your work to rapidly and continuously update this guideline and for your time today, Dr. Bazhenova. Dr. Lyudmila Bazhenova: It is my pleasure. Thank you so much. Brittany Harvey: And thank you to all of our listeners for tuning in to the ASCO Guidelines Podcast. To read the full guideline, go to www.asco.org/living-guidelines. You can also find many of our guidelines and interactive resources in the free ASCO Guidelines app available in the Apple App Store or the Google Play Store. If you have enjoyed what you've heard today, please rate and review the podcast and be sure to subscribe so you never miss an episode. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity or therapy should not be construed as an ASCO endorsement.
Glad to have you listening with us today!Todays story by Ms. Sarah is "At Our Table" which is a sweet book about a cozy family dinner.Sorry for the late upload! We're having difficulties with scheduling here at the library and hopefully will be caught back up here soon! We apologize and thank you for your patience.As always this book was selected from our library! Kids and Parents can read along with us, in this read aloud story time! Be sure to check out your local Library to check out what books they may have! If you prefer E-Books, sign into the Hoopla or Libby app using your Library Card and follow along from there!- Check out the Library Systems official website where you can find links to free resources, school and career guides, and news about our upcoming events! https://www.pawls.org/ -Follow us on YouTube and enjoy our backlog of digital story hours and other great content! https://www.youtube.com/@pawls365Original background track is Concerto for Two Violins by Bach.Alterations were made by us to make it fit the length of our content.Brought to you from the Pike-Amite-Walthall Library system.#library #books #pawlskids #kidsstorytime
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/VMG865. CME/MOC/NCPD/CPE/AAPA/IPCE credit will be available until February 5, 2026.Targeting PIK3CA/AKT1/PTEN and Other Alterations in HR+, HER2- MBC: Navigating the Evidence and Guidance for Use In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an independent educational grant from AstraZeneca.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/VMG865. CME/MOC/NCPD/CPE/AAPA/IPCE credit will be available until February 5, 2026.Targeting PIK3CA/AKT1/PTEN and Other Alterations in HR+, HER2- MBC: Navigating the Evidence and Guidance for Use In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an independent educational grant from AstraZeneca.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/VMG865. CME/MOC/NCPD/CPE/AAPA/IPCE credit will be available until February 5, 2026.Targeting PIK3CA/AKT1/PTEN and Other Alterations in HR+, HER2- MBC: Navigating the Evidence and Guidance for Use In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an independent educational grant from AstraZeneca.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/VMG865. CME/MOC/NCPD/CPE/AAPA/IPCE credit will be available until February 5, 2026.Targeting PIK3CA/AKT1/PTEN and Other Alterations in HR+, HER2- MBC: Navigating the Evidence and Guidance for Use In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an independent educational grant from AstraZeneca.Disclosure information is available at the beginning of the video presentation.
Episode 211 NPTEFF Gait Step Length Alterations
Now for the next in our regular slots here on RNIB Connect Radio highlighting what is on offer at the National Theatre in London for blind and partially sighted people with audio description. Our Toby Davey was joined again by David Bellwood, Head of Access at the National Theatre to chat about a few up-coming audio described shows at the National Theatre and a couple that are available online with audio description too via NTatHome.com. Audio described performances included: Lynette Linton Directing Michael Abbensetts' seminal comedy, illuminating the Guyanese experience of 1970s London and the aspirations and sacrifices of the Windrush generation in ‘Alterations' 'Alterations' audio described performances - Saturday 15 March, 2.30pm, touch tour 12.30pm and Friday 28 March, 7.30pm, touch tour 5.30pm, national Theatre's Lyttleton Theatre. Then to the return to the National Theatre of ‘Dear England', James Graham's Olivier-Award winning examination of nation and game which reflects on Gareth Southgate's final chapter as England manager. ‘Dear England' audio described performances - Saturday 12 April, 2pm, touch tour 12noon and Friday 23 May, 7.30pm, touch tour 5.30pm, National Theatre's Olivier Theatre. From NTAtHome.com with audio description David recommended ‘The Hot Wing King' and ‘Dear Octopus' both available from NTAtHome.com. To find out more about the National Theatre's audio description offer and services for blind and partially sighted people do either call the NT on 020 7452 3961 or visit the NT website - https://www.nationaltheatre.org.uk And for more about NTatHome.com and to view many theatre productions online with audio description do visit - https://www.ntathome.com (Image shows National Theatre logo, A capital N and T in black against a white background)
In this episode, we dive straight into the essentials of wedding attire alterations with Cora Mercer from Tailored in White. Discover actionable tips on how to save money on tailoring while ensuring your attire fits like a glove on the day of. Cora explains the intricacies behind alteration costs, gives advice on handling size changes, and shares the best bustling techniques to enhance both comfort and style. She also covers when to seek out a tailor and the expected timeline for the alteration process. Listen in for invaluable insights that will help you navigate wedding attire adjustments smartly and creatively! Want to listen to us Ad-free? Click HERE to become a premium subscriber. What you will learn The Importance of Tailoring: Why proper fitting should be a key aspect of your wedding planning. Bustling Techniques: How to choose the right bustling for your dress and the importance of practicing before the big day. Cost Factors: Understanding what drives the cost of alterations and how to budget for them. Accommodating Changes: Tips for handling alterations related to pregnancy or weight loss. Undergarments and Structure: The role of undergarments and built-in support in enhancing the fit and look of your wedding attire. Fabric Considerations: How different materials and details like lace and beading affect the tailoring process. Preservation Tips: Advice on preserving your gown post-wedding, whether for sentimental reasons or practical future use. Links We Referenced Tailored in White Website Tailored in White on Tik Tok Tailored in White on Instagram Pinterest: @tailoredinwhite The Big Wedding Planning Podcast is... Hosted and produced by Michelle Martinez & Shaun Gray Music by Steph Altman of Mophonics On Instagram @thebigweddingplanningpodcast and be sure to use #planthatwedding when posting, so you can get our attention! Easy to get in touch with. Email us at hello@thebigweddingplanningpodcast.com or Call and leave a message at 415-723-1625 and you might hear your voice on an episode Learn more about your ad choices. Visit megaphone.fm/adchoices
This week, we had the pleasure of sitting down with Carol Olson, the owner and creative genius behind Alterations by Carol, a studio that's redefining what's possible in the world of sewing and design. Carol's deep love for sewing and costume design has grown into a successful business, where she helps brides, prom-goers, and clients of all kinds achieve the perfect fit for their big moments. In this episode, we explore: ✨ How Carol turned her passion for sewing into a business. ✨ Her favorite part of working with brides and getting to know the stories behind their wedding days. ✨ The incredible versatility of her services—from wedding gowns to vintage gown restyling, prom attire, and everyday alterations. ✨ What it's like to serve over 400 happy clients in her new studio since opening in 2023. Get inspired by Carol's journey and discover how her expertise ensures every garment is tailored to perfection. Whether you're a bride preparing for your wedding, looking for prom dress magic, or just need to transform your wardrobe, Carol has you covered.
Ready to ground yourself in proven wisdom as you step into 2025? This conversation lights the way forward.In this illuminating episode, Myra Lewin shares her insights on what Ayurveda looks like in our modern world. Interviewed by Samantha, Myra delves into the origins of this 5,000-year-old science and how its core principles remain relevant today, beyond wellness trends and quick fixes.What does it mean to be aligned with the roots of Ayurveda? Ever wondered if you're getting the real deal or a Westernized version of Ayurveda? From dosha quizzes to quick-fix herbs, Myra and Samantha uncover the common pitfalls of modern adaptations and explore what it means to practice Ayurveda in its most potent form. They cut through the confusion, exploring how these ancient practices have evolved, what's been influenced by western thought, and how to recognize teachings that honor Ayurveda's original principles and efficiency.Topics covered:The origins and evolution of Ayurvedic wisdom.How colonialism influenced the way Ayurveda is practiced today.Spotting the difference between pure and diluted teachings.Why spiritual connection matters in healing and is often overlooked.Simple, powerful ways to honor Ayurveda's original intention and feel the true potency and benefits.Happy New Year!Enrollment for our 200-hour Ayurvedic Health Advisor and 600-hour Ayurvedic Health Counselor trainings are open all year. If leading others on the path of healing feels like your dharma, we invite you to book a free 1:1 call here with a member of our team so you can determine if one of our trainings is the right fit for you.Thanks for tuning in to the Everyday Ayurveda and Yoga at Hale Pule podcast. If this series inspires you to live a more holistic and balanced lifestyle, we invite you to join our free private community, the Hale Pule Sangha. Need a reset for your digestion and your life? Check out our 4-week Agni Therapy program - It includes Ayurveda and Yoga practices, a 1:1 consultation, energy work, a private support group, and a library of Q&As with Myra to support your healing process.If you enjoyed this podcast and received value from it, we'd appreciate if you left a heartfelt review. It supports our mission at Hale Pule and helps us reach more people.
References Guerra, DJ 2024. Biochemistry lectures de novo. Zevon, W. 1980. "Empty Handed Heart" https://open.spotify.com/track/2jqAdzGsLts2SPcDxNjqGJ?si=a3d0cf83804641c3 Manfred Mann [solo], Colin Pattenden, Peter Thomas .1976 "The Road to Babylon" https://open.spotify.com/track/7cUBAZwaFjPkdEkFMAGy7Y?si=210544d489544d29 Haydn, Michael. 1794. Excerpts from his Catholic Masses https://open.spotify.com/album/67v4gHJdnVWAn4erEtbuIc?si=3FHMYbRGQJaTHGbqYHHo8Q --- Support this podcast: https://podcasters.spotify.com/pod/show/dr-daniel-j-guerra/support
TSP content is for entertainment purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified healthcare provider with any questions you may have regarding a medical condition.FDA Text for disclaimer.This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.Laura Eisenhower is a Researcher, Author and an Astrologer. She is an internationally acclaimed speaker who has presented her work world wide. Laura is the great-granddaughter of President Dwight David Eisenhower and she reveals Exopolitical information about his administration that has been largely held in secrecy. She is considered by many to be one of North Americas leading researchers and experts on: Health, Exopolitics, Alchemy, Metaphysics, Astrology and Galactic History. Laura works to free us from the 3-D holographic time-loop, False Archonic systems and Military Industrial Complex and exposes hidden agendas so we can take our power back. Laura Eisenhower Website:https://cosmicgaia.org/Laura Eisenhower Rumble Channels:https://rumble.com/user/LauraEisenhower13https://rumble.com/c/LauraEisenhowershow support for the Typical skeptic podcast https://paypal.me/typicalskepticmedia cashapp $kalil1121 venmo @robert-kalil or buy me a coffee at https://buymeacoffee.com/typicalskeptic
In this week's episode we'll learn more about how clonal hematopoiesis affects prognosis in patients with telomere biology disorders, consider recently uncovered molecular subtypes of extracutaneous juvenile xanthogranulomas, and discuss a clinical trial of the BCMA-CD3 bispecific antibody teclistamab in patients with relapsed/refractory multiple myeloma who have received previous BCMA-targeted therapy.Featured Articles:Clonal landscape and clinical outcomes of telomere biology disorders: somatic rescue and cancer mutationsRecurrent CLTC::SYK fusions and CSF1R mutations in juvenile xanthogranuloma of soft tissueEfficacy and safety of teclistamab in patients with relapsed/refractory multiple myeloma after BCMA-targeting therapies
In a conversation with CancerNetwork® during Pancreatic Cancer Awareness Month, Tanios S. Bekaii-Saab, MD, spoke about various developments in the pancreatic cancer treatment field. Throughout the discussion, Bekaii-Saab weighed the benefits of currently available chemotherapeutic regimens for patients with metastatic disease, discussed research on the potential for precision medicine in those with KRAS wildtype pancreatic ductal adenocarcinoma (PDAC), and detailed ongoing initiatives to improve outcomes among those with RAS mutations and other targetable genomic alterations. Bekaii-Saab is the David F. and Margaret T. Grohne Professor of Novel Therapeutics for Cancer Research, chair and consultant in the Division of Hematology and Medical Oncology at Mayo Clinic in Arizona, and co-leader of Advanced Clinical and Translational Science at Mayo Clinic Cancer Center. Given the prevalence of RAS mutations and other alterations in patients with pancreatic cancer, Bekaii-Saab especially emphasized the use of genomic analysis to inform personalized treatment decision-making in the field. Screening patients to detect aberrations such as microsatellite instability-high tumors, BRAF 600E mutations, KRAS G12C mutations, and NRG1 fusions can open the door for the development and use of targeted agents, which may consequently improve patient outcomes. Looking ahead, Bekaii-Saab noted the need to adapt the therapies that have shown activity in the later stages of the disease to earlier treatment settings. Although “great work” has been achieved with chemotherapy and surgical techniques, he highlighted the importance of bringing targeted agents to earlier lines of therapy to further increase the likelihood of positive outcomes for patients. “I have never been more optimistic. I'm always the eternal optimist, but I'm even more optimistic today that we're going to move the needle for our patients with pancreatic cancer and continue to enhance that likelihood of living longer, having a better quality of life, or even increasing the level of a cure for this cancer,” Bekaii-Sabb stated. “Certainly, the future looks bright. We're chipping away, one drug at a time. We can now remove that whole concept of nihilism in pancreatic cancer and look quite optimistically on the future.”
Paul Wheatley-Price, BSc, MBChB, MD, FRCP (UK) / Parneet K. Cheema, MD - Addressing Key Challenges to Improve Outcomes in Patients With NSCLC With Rare Actionable Genomic Alterations
In this episode, I'm joined by Anna, the talented and compassionate owner of The Heart-Centered Seamstress. Anna shares how she transformed her passions for sewing and holistic wellness into a business dedicated to providing not only stunning bridal alterations, but also a calming and supportive environment for brides-to-be. If you're a bridal seamstress, a wedding industry professional, or a bride-to-be seeking a more holistic approach to your wedding preparations, this conversation is packed with insights on balancing passion with purpose, infusing wellness into your work, and finding joy in the small, intentional moments. In this episode: Anna's Journey into Sewing. Anna's story of realizing her passion for both sewing and wellness, leading her to create a business focused on both. How Anna integrates wellness techniques like Reiki, energy balancing, and meditation into her fittings, giving brides a peaceful and supportive experience. The importance of creating a safe, empathetic space where brides can truly be themselves, turning fittings into a comfortable and memorable experience. Anna's approach to balancing work and personal wellness to avoid burnout, and her advice for other seamstresses and entrepreneurs on prioritizing rest as part of a healthy business strategy. Tips on finding your niche in the world of seamstresses. How Anna is celebrating "No-Stress November" Connect with Anna: Instagram: https://www.instagram.com/theheartcenteredseamstressWebsite: https://www.theheartcenteredseamstress.com/ Connect with Nadine: Check out the exclusive private podcast series, Fitting Packages 101: https://enchanting-sun-77080.myflodesk.com/privatepodcast Become a member: https://secretsofabridalseamstresspodcast.com/membership Instagram: https://www.instagram.com/secretsofabridalseamstress/ TikTok: https://www.tiktok.com/@nadinebozeman YouTube: https://www.youtube.com/@secretsofabridalseamstress
Dr. Lyudmila Bazheova share the latest updates to the ASCO living guideline on therapy for stage IV non-small cell lung cancer with driver alterations. She discusses changes for patients with EGFR driver alterations in both the first- and second-line setting, and reviews the evidence supporting these updated recommendations, from trials such as MARIPOSA, MARIPOSA-2, CheckMate 722, and KEYNOTE-789. Stay tuned for future updates to this continuously updated guideline. Read the full update, “Therapy for Stage IV Non-Small Cell Lung Cancer With Driver Alterations: ASCO Living Guideline, Version 2024.2.” at www.asco.org/living-guidelines. TRANSCRIPT This guideline, clinical tools, and resources are available at http://www.asco.org/living-guidelines. Read the full text of the guideline and review authors' disclosures of potential conflicts of interest in the Journal of Clinical Oncology, https://ascopubs.org/doi/10.1200/JCO-24-02133 Brittany Harvey: Hello and welcome to the ASCO Guidelines podcast, one of ASCO's podcasts delivering timely information to keep you up to date on the latest changes, challenges and advances in oncology. You can find all the shows, including this one at asco.org/podcasts. My name is Brittany Harvey and today I'm interviewing Dr. Lyudmila Bazhenova from University of California San Diego Moores Cancer Center, lead author on “Therapy for Stage IV Non-Small Cell Lung Cancer With Driver Alterations: ASCO Living Guideline, Version 2024.2.” Thank you for being here, Dr. Bazhenova. Dr. Lyudmila Bazhenova: It is my pleasure. Brittany Harvey: Then, before we discuss this guideline, I'd like to note that ASCO takes great care in the development of its guidelines and ensuring that the ASCO Conflict of Interest Policy is followed for each guideline. The disclosures of potential conflicts of interest for the guideline panel, including Dr. Bazhenova, who has joined us on this episode today, are available online with the publication of the guideline update in the Journal of Clinical Oncology, which is linked in the show notes. So then, to kick us off on the content here, Dr. Bazhenova, this living clinical practice guideline for systemic therapy for patients with stage IV non-small cell lung cancer with driver alterations is being updated routinely as a living guideline. So what prompted the update to the recommendations in this latest version? Dr. Lyudmila Bazhenova: Living ASCO Guidelines are developed to keep up with rapidly changing evidence which affect treatment of our patients with lung cancer. In this recently published guideline, we reviewed new evidence for patients with metastatic lung cancer harboring driver alterations. We reviewed evidence from four published studies, MARIPOSA, MARIPOSA-2, CheckMate 722 and KEYNOTE-789 that resulted in updated guidelines. Brittany Harvey: Great. And then based off those four trials that you just mentioned, what are the updated recommendations for patients with stage IV non-small cell lung cancer and an EGFR exon 19 deletion or exon 21 L858R substitution? Dr. Lyudmila Bazhenova: In the previous guideline, we detailed FLAURA 2 study which was presented and published in the past. In this guideline, we specifically highlighted a phase 3 MARIPOSA trial which took patients with untreated advanced non-small cell lung cancer which harbored classical EGFR mutations such as EGFR deletion 19 and L858R. In this study, patients were randomly assigned to receive amivantamab plus lazertinib or osimertinib or lazertinib alone. And the study showed that the primary endpoint which was progression-free survival was longer with amivantamab plus lazertinib compared to osimertinib, and numerically the progression free survival was 23.7 months with ami-lazertinib versus 16.6 months with osimertinib which was statistically significant. The challenge that we have to face when discussing that option with our patients is increased toxicity with amivantamab and lazertinib combination. For example grade 3 treatment adverse events were 75% with amivantamab and lazertinib and 43% with osimertinib. So this will require shared decision making between our patients and ourselves. We also noticed in the guidelines that there was a subgroup analysis of that study showing that the patients with a higher disease burden, central nervous metastasis or brain metastasis as well as disease which considered to be a higher risk such as commutation, for example, p53 and liver metastasis, they might benefit from intensified therapy. However, another thing that we are highlighting in the guideline is that at this point we do not know how the intensification of therapy will change overall survival of our patients. So one needs to take into account increased toxicity with that combination. Brittany Harvey: So then Dr. Bazhenova, in addition to those updates for first line therapy, what are the updated recommendations for second line therapy? Dr. Lyudmila Bazhenova: For patients who have progressive disease on osimertinib or other EGFR tyrosine kinase inhibitors, we also updated our guidelines highlighting MARIPOSA 2 study. In the MARIPOSA 2 study, patients were assigned to chemotherapy versus amivantamab plus lazertinib plus chemotherapy versus amivantamab plus chemotherapy. And both of the amivantamab arms showed superiority in progression-free survival compared to chemotherapy alone arm and therefore this becomes an additional treatment option for our patients who develop resistance to osimertinib. In addition, we also updated the results which highlight the lack of efficacy of immunotherapy in the patients who progressed on osimertinib. There were two studies that we highlighted. One of them was a CheckMate 722 which randomly assigned patients with metastatic non-small cell lung cancer whose cancer has progressed on EGFR tyrosine kinase inhibitor to receive either chemotherapy or chemotherapy plus nivolumab which is an immune checkpoint inhibitor. And the second study was KEYNOTE-789 which had a very similar study design. Again, patients who progressed on EGFR TKI also were assigned to receive chemotherapy plus pembrolizumab or chemotherapy alone and in both of those studies there was no improvement in progression-free survival when adding immunotherapy to chemotherapy. So for all your patients who are progressing on EGFR tyrosine kinase inhibitors and you're thinking if additional immunotherapy is necessary, we now have two randomized phase 3 studies telling us that immunotherapy should not be used in addition to chemotherapy for patients who develop progression on osimertinib. Brittany Harvey: Understood. I appreciate you talking about the evidence that supports these latest recommendations from the expert panel. So then you've already touched on this a little bit in mentioning shared decision making and discussing toxicity with these new therapies, but what should clinicians know as they implement these new recommendations and how do these new recommendations fit into the previous recommendations made by the panel? Dr. Lyudmila Bazhenova: Our previous recommendations did not include a MARIPOSA trial, so did not include amivantamab and lazertinib. So in our current guidelines for patients with newly diagnosed treatment-naive EGFR classical mutations, we have three options. Number one is osimertinib, number two is osimertinib plus chemotherapy based on the FLAURA study that we highlighted in the prior version of the guidelines. And the third is amivantamab plus lazertinib. At this point, we do not have any randomized head-to-head studies of those combinations with an exception of FLAURA 2 which is osimertinib plus chemo versus osimertinib. And so the decisions will have to be made on a cross-trial comparison, taking into account patient wishes if they would like to receive chemotherapy or amivantamab plus lazertinib, understanding that this combination will result in increased toxicity. Brittany Harvey: Absolutely. I appreciate you detailing those considerations. So then finally, what do these new options mean for patients with non-small cell lung cancer and an EGFR alteration? Dr. Lyudmila Bazhenova: As a patient, it is important to also be aware of what options we have and have a direct dialogue with the physician, with the treating physician, trying to understand what option will fit with each individual patient's goals, life goals, as well as toxicity concerns. Brittany Harvey: Definitely. It's always great to have more options for patients and it's also important to discuss all of those options with their clinician as well. So I want to thank you so much for your work on this update and thank you for your time today, Dr. Bazhenova. Dr. Lyudmila Bazhenova: My pleasure. Brittany Harvey: And thank you to all of our listeners for tuning in to the ASCO Guidelines podcast. To read the full guideline, go to www.asco.org/living-guidelines. You can also find many of our guidelines and interactive resources in the free ASCO Guidelines app which is available in the Apple App Store or the Google Play Store. If you have enjoyed what you've heard today, please rate and review the podcast and be sure to subscribe so you never miss an episode. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.
Dr. Evan Noch interviews Drs. Nathan Leclair, David Raleigh and Olga Anczukow about their recent manuscript entitled: "RNA splicing as a biomarker and phenotypic driver of meningioma DNA methylation groups", published online in Neuro-Oncology in August 2024.
It's time to discuss and demystify the new format of the Champions League draw and the potential impact on the competition. Into The Net F.C. has mixed feelings about the format, with one host expressing dislike for the change. We discuss the advantages and disadvantages of the new format, including the potential for more upsets and surprises with a brief touch on the history of the Champions League and how it has evolved over the years. We conclude by discussing the upcoming matches and the challenges various teams face. Find Into The Net F.C. ANYWHERE YOU GET YOUR PODCAST! Hit that subscribe/follow button and don't forget to hit that notification bell!Follow me on X (Twitter)@BearManofTX and @BearTX_podcastWant to donate?Venmo: @BearSportsWriterCashApp: $AlexAlKazzazYou can even donate on YouTube with a Super Thanks! (@BearofTexas)SPONSORSHIPS:Into The Net F.C. is proudly partnered with Fanatics. Fanatics is your #1 place for fan apparel! Fanatics offers over 500,000 items from all the top brands from the NFL, NBA, MLB, NHL, and SO MUCH MORE! Looking to shop at Fanatics? Use Into The Net F.C.'s link: https://fanatics.93n6tx.net/playmakerzPro Wrestling fans! WWE shop.com is now part of the Fanatics experience! Looking to shop at WWE shop.com? Use Into The Net F.C.'s link:wwe-shop.sjv.io/monarchchaosInto The Net F.C. is now proudly brought to you by Paramount Plus. Paramount Plus allows you to stream the Champions League, the Europa League, and the Europa Conference League. Plans start at $4.99 per month and you can cancel at any time. Subscribe now and get a free trial. Looking to sign up? Here's the link: https://paramountplus.qflm.net/playAnd finally, Into The Net F.C. is proudly brought to you by Lids. Lids.com is the leader and #1 destination for hats, gear, and everything that moves you. Represent your team, your town, and your style with a snapback, adjustable, strap back, or beanie from thousands of college and pro teams.Looking to shop at Lids? Use this link: https://lids.7q8j.net/playAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Stay true to who you are. Don't change colors for the crowd you are in.
Today on the Wedding Planning Podcast, we're doing a thorough review of wedding dress alterations, styling & accessories, & post-wedding preservation ideas, and so much more. Our conversation covers the dress alterations process in detail, including pricing, money-saving tips, a timeline for when to get started, and alternative options for having your dress altered. We also cover: What's a bustle, do I need one, and how much does it cost? (article on bustling I mentioned in today's show can be found here) Styling and shape wear options like bras, corsets, and compression garments, The importance of COMFORTABLE SHOES, Getting your dress home & last minute wrinkle patrol (the handheld steamer I mentioned can be found here) And some creative ways to preserve and / or repurpose your gown after the wedding. I hope you love it, and congratulations on that beautiful dress! Cheers, Kara PS - A special THANK YOU to this week's show sponsors, who made this free weekly episode possible: Enjoy early access to ad-free episodes each week when you subscribe to WEDDING PLANNING PODCAST PREMIUM in Apple Podcasts. Get professional help planning your dream honeymoon when you email susan@susanstravelservices.com . Don't forget to mention the Wedding Planning Podcast for $50 off your booking. FREE Wedding Websites designed by independent artists? Yes please! Get started building your wedding website today with www.weddingplanningpodcast.co/minted and take advantage of exclusive listener perks on save the dates, invitations & more. Shop Etsy for one-of-a-kind wedding day details, personalized just for you >>> www.weddingplanningpodcast.co/etsy
The Evidence Based Chiropractor- Chiropractic Marketing and Research
In today's episode, we delve into a groundbreaking new study that explores brain changes following spinal adjustments. We'll unpack the study "The Application of Spinal Manipulation Results in Alterations in Thalamic Neural Metabolites Among Patients Experiencing Nonspecific Chronic Low Back Pain." This research illuminates how chiropractic adjustments can significantly affect brain function and pain perception, offering deeper insights into the mechanisms behind the relief and functional improvements our patients experience.Episode Notes: The Application of Spinal Manipulation Results in Alterations in Thalamic Neural Metabolite among Patients Experiencing Nonspecific Chronic Low Back PainJane is an online platform for health and wellness practitioners that makes it simple to book, chart, schedule, bill, and get paid. I you're ready to get started, click here and use the code EBC1MO for a 1-month grace period on your new account.The Best Objective Assessment of the Cervical Spine- Provide reliable assessments and exercises for Neuromuscular Control, Proprioception, Range of Motion, and Sensorimotor-Integration. Learn more at NeckCare.comInterested in ShockWave technology? I built a practice using StemWave and can't recommend it enough. Learn more at- https://gostemwave.com/theevidencebasedchiropractor Patient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!
Discussing the difference between wedding dress alterations, modifications, and custom changes. People often get them confused and mixed up. Giving you all the details on this topic in this week's video! For daily content, follow @weddingfashionexpert on Instagram! www.weddingfashionexpert.com www.lovellabridal.com FOLLOW @WEDDINGFASHIONEXPERT ON SOCIAL: Instagram & TikTok SUBSCRIBE ON YOUTUBE! NEW Episode every Wednesday for #WeddingWednesday READ MY BOOK FREE DOWNLOADS Online Education for Wedding Professionals Speaking & Appearances SHOP MY AMAZON STORE GET SOCIAL WITH LOVELLA: Instagram: @lovellabridal @lovellaplus TikTok: @lovellabridal Pinterest
© 2020-2025 Ivy Podcast Discovery LLC
