Podcasts about Apo

„Keď človek umrie, či môže ožiť? Prečkal by som všetky dni borby, kým ma vystriedajú.“ (Kniha Jóbova 14:14) Kniha Jób rozpráva príbeh spravodlivého a verného muža, ktorý strašne trpí, pretože satan chce dokázať, že jeho spravodlivosť a vernosť vydržia len dovtedy, kým sa teší zjavnej Božej priazni. S Božím dovolením pripraví Jóba o jeho milované deti, bohatstvo, majetok i dobré zdravie. Jób však zostáva spravodlivý a verný aj uprostred svojho utrpenia, dokonca aj vtedy, keď sa proti nemu obrátia jeho žena a priatelia. Napriek tomu vôbec netuší, prečo ho postihli všetky tieto tragédie. Začína preto úprimný rozhovor s Bohom a z hĺbky svojho utrpenia sa pýta: „Keď človek umrie, či môže ožiť? Prečkal by som všetky dni borby, kým ma vystriedajú“ (Jób 14:14). Keď človek umrie, či môže ožiť? Len málo otázok je dôležitejších než táto. V skutočnosti by si ju mal položiť každý človek – alebo aspoň nejakú jej obmenu: „Čo sa so mnou stane, keď zomriem? Čo je po tomto živote?“ Skôr než som sa stal kresťanom, premýšľal som o smrti pomerne často. Nie preto, že by som bol touto témou posadnutý alebo že by som chcel zomrieť. Vtedy som veril, že keď človek zomrie, jednoducho prestane existovať. Nebol som si istý, či existuje miesto zvané nebo, a dúfal som, že neexistuje miesto zvané peklo. Dospel som k záveru, že smrť je definitívny koniec. Nikdy v živote som sa však netešil viac z toho, že som sa mýlil. Všetci vieme, že smrť raz príde, ale to zďaleka nie je koniec príbehu. Ježiš povedal: „Veru, veru, hovorím vám: Kto počúva moje slovo a verí Tomu, ktorý ma poslal, má večný život a nejde na súd, ale prešiel zo smrti do života“ (J 5:24). Vďaka tomu, čo Ježiš Kristus vykonal na kríži, a vďaka tomu, že na tretí deň vstal z mŕtvych, máme ako kresťania nádej, že po smrti vstúpime do Božej prítomnosti a budeme s Ním naveky v nebi. Preto je Ježišovo vzkriesenie jednou z najdôležitejších právd kresťanskej viery. Hneď po Jeho ukrižovaní  je to najvýznamnejšia udalosť dejín spásy. Nie je to okrajová tém. .Je to samotný základ kresťanskej nádeje. Je to skala, na ktorej stojí naša viera. Ak si vložil svoju dôveru v Krista, môžeš sa radovať a s nádejou očakávať to, čo ťa čaká po tomto živote. Zároveň však nesieš zodpovednosť podeliť sa o túto dobrú správu s ostatnými. Každý, kto vzýva Ježiša, dostane večný život. Apoštol Pavol však píše: „Ale ako budú vzývať Toho, v koho neuverili? A ako uveria v Toho, koho nepočuli? A ako počujú bez kazateľa?“ (R 10:14). Otázka na zamyslenie: Kto v tvojom živote potrebuje počuť o večnom živote, ktorý ponúka Ježiš? Greg Laurie

Duchovní svět je stejně tak reálný jako ten viditelný kolem nás. Ne vždy si ale uvědomujeme, co naše neopatrné jednání může v způsobit a jaký přesah pak mají následky do světa fyzického. Nejen o okultismu, jakožto nauce o tom „utajeném a skrytém “, bude hovořit v pořadu Klíčové slovo Radek Smetana, zástupce biskupa Apoštolské církve a vedoucí Odboru pro vzdělávání.Tento podcast můžete podpořit na https://radio7.cz

Slovo poslušnost se v dnešní době nenosí. Pro křesťana, pokud má dojít do cíle, je však poslušnost Bohu nejen výsadou, ale také důkazem lásky. S Rudolfem Vrbou z Apoštolské církve v Břeclavi se v Bohoslužbě dozvíme, proč a jak.Tento podcast můžete podpořit na https://radio7.cz

Pavel Vik - Neděle, 27. Září 2026 - Video záznam kázání Finanční dar na provoz Křesťanského centra Apoštolské církve ve Vyškově Číslo účtu: 2700499139/2010 VS: 1000 Děkujeme za vaši štědrost.

Čo sme (teda) videli a počuli, zvestujeme aj vám, aby ste aj vy mali spoločenstvo s nami. Naše spoločenstvo aby bolo s Otcom a s Jeho Synom Ježišom Kristom. (1J 1,3) Tento list napísal Ján približne sto rokov po Kristovi. Zomrel v Efeze a tam bol pochovaný. Tento cirkevný zbor založil Pavol. Aby sme porozumeli Jánovmu listu, je dôležité, aby sme niečo o meste Efezus v tej dobe vedeli. Zároveň bude zrejmé, že mnohé veci nám budú pripomínať mesto, v ktorom žijeme dnes. Tri faktory označovali mesto Efezus a zvyšok Rímskej ríše. 1. Kresťanstvo bolo vlažné. Mnohí z veriacich boli deti alebo vnúčatá prvých kresťanov. Prvý zápal, čistota a jasnosť evanjelia začínali blednúť.Tá krása začínala byť matná a šedá. Evanjelium sa stalo niečím samozrejmým. Predstavte si, aký zážitok to musel byť, keď bol Pavol v Efeze a celé mesto sa vzbúrilo. V Skutkoch apoštolov v 19. kapitole môžeme čítať o dôsledkoch Pavlovho vyučovania, o reakciách v synagóge aj o vplyve, ktorý Pavol mal, keď dva roky vyučoval v Tyranovej škole. Ale po mnohých rokoch, Pán posiela cez Jána do Efezu takýto pozdrav: Mám však proti tebe, že si opustil svoju prvú lásku. (Zj 2,4) Ježiš už dávno pred tým hovoril: „Pretože neprávosť vyvrcholí, ochladne láska mnohých.“ (Mt 24,12) Zápal pre Krista sa stratil. Kresťanský život sa stal tradíciou a formou. Niečím samozrejmým. 2. Morálka a čistý životný štýl prvých kresťanov odlišoval od ostatných. Ale ich deti a vnúčatá sa nechceli odlišovať. Chceli byť ako všetci ostatní. Veriacich nazývali svätí. To slovo znamená vyvolení, oddelení pre Boha, patriaci Chrám bol svätý. Deň pokoja bol svätý. Aj veriaci mali byť svätí. Veriaci v Efeze ale žili život plný kompromisov. Boli iní než učeníci, o ktorých Ježiš povedal: „Keby ste boli zo sveta, svet by miloval, čo je jeho; ale že nie ste zo sveta, lež ja som si vás vyvolil zo sveta, preto vás svet nenávidí.“ ( J 15,19) „Dal som im Tvoje slovo a svet ich nenávidel, pretože nie sú zo sveta, tak ako ja nie som zo sveta.“ ( J 17,14) Prišla nová generácia, ktorej cieľom bolo priateľstvo so svetom. Židovsko-kresťanská morálka bola pošliapaná a biblické normy zabudnuté. Božie normy boli považované za príliš reštriktívne. Brali radosť zo života. Božie prikázania boli napísané tak dávno a odložili ich nabok. Veď žijeme v novej dobe… Dôležité je ale povedať, že problém milovania sveta neznamená, že nemáme mať kontakt s ostatnými ľuďmi. Pavol veriacim do Korintu píše: Veď je zjavné, že ste listom Kristovým… (2Kor 3,3) Miesto Krista sme teda poslovia, akoby (vás) Boh napomínal skrze nás. Miesto Krista prosíme: Zmierte sa s Bohom! (2Kor 5,20) Musíme byť s ostatnými ľuďmi, ale naše srdce musí byť ukotvené v Bohu. Keď sa ale evanjelium o Ježišovi stane samozrejmosťou, duchovný život chradne. A keď sa v takom živote veci neobnovia, krok za krokom opúšťame život s Bohom. Toto sa dialo v Efeze. 3. Prenasledovanie nebolo nepriateľom kresťanstva v V Efeze neprichádzalo nebezpečenstvo z vonku, ale prichádzalo skrze pokušenie zvnútra. Ježiš o takýchto veciach hovoril: „Lebo povstanú falošní proroci a budú robiť veľké znamenia a zázraky, aby zviedli, ak možno, aj vyvolených. Ajhľa, predpovedal som vám to.“ (Mt 24,24-25) Apoštol Pavol starším v Efeze povedal: „Viem, že po mojom odchode pažraví vlci vtrhnú medzi vás a nebudú šetriť stádo. Aj spomedzi vás samých povstanú mužovia, ktorí budú prevrátene hovoriť, aby si priťahovali učeníkov.“ (Sk 20,29-30) Kresťanstvo neohrozoval nepriateľ, ale nebezpečenstvo, že sa pomaly, krok za krokom zmení. Že sa prispôsobí vetru času a myšlienkam padnutého človeka. Boli pokúšaní spraviť z kresťanstva viac intelektuálne a rešpektované náboženstvo, vyjadriť myšlienky v termínoch populárnej filozofie. Je nebezpečné, keď radšej chceme žiť dlho, namiesto toho, aby sme chceli žiť bohato. Väčšina ľudí chce, aby život mal nejaký obsah. Mnohí sa ale zamestnávajú hlavne tým, aby ten obsah uspokojil ich samých. Človek zabúda na to, že v živote sa darí len potiaľ, pokiaľ sme kanálom požehnania pre ľudí okolo nás. Nestrácaš azda prvú lásku…? Curt Westman

Když s lidmi mluvíme o Bohu a říkame jim, že mohou být zachráněni, vědí, z čeho vlastně? Misie je úkol křesťanů ne proto, aby si splnili svůj úkol, ale proto, aby seznámili ostatní s Božím plánem záchrany. Na Rádiu 7 přinášíme Bohoslužbu z Apoštolské církve v Brně, poselství Pavla Kölbla. Poslouchejte v ...Tento podcast můžete podpořit na https://radio7.cz

Dávid Kováč - Neděle, 20. Září 2026 - Video záznam kázání Finanční dar na provoz Křesťanského centra Apoštolské církve ve Vyškově Číslo účtu: 2700499139/2010 VS: 1000 Děkujeme za vaši štědrost.

Apoštol Pavel přichází do Efezu – jednoho z největších a nejvlivnějších měst tehdejšího světa – a jeho služba nezačíná zázrakem, ale odmítnutím. V synagoze na něj po třech měsících vyučování narazí tvrdý odpor. Pavel se nehádá. Odchází s hrstkou učedníků do pronajaté přednáškové síně filosofa Tyranna a tam dva roky, den co den, vyučuje – v čase siesty, kdy normální lidé odpočívají.Výsledkem je, že evangelium slyší celá provincie Asie. Ne díky jednomu velkému zázraku, ale díky přes 3 000 hodinám vytrvalého, nenápadného vyučování.Kázání se ptá: Kde se v tomhle příběhu vidíte vy? Jste Pavel v synagoze, který naráží na odpor? Řemeslník Pavel, unavený a bez viditelných výsledků? Nebo Tyrannos, který má co půjčit druhým?

Co znamená být skutečně svobodný? Apoštol Pavel v závěru 10. kapitoly 1. listu Korintským odpovídá překvapivě aktuálně. Křesťanská svoboda není bezbřehá možnost dělat cokoli, ale dar, který vede k odpovědnosti, ohleduplnosti a lásce. V tomto dílu pořadu Studna slova kazatel Jiří Hurta vysvětluje, proč Pavel klade otázku, zda to, co děláme, opravdu prospívá a buduje druhé, jak se i dobré věci mohou stát poutem, a proč je nejvyšším měřítkem svobody Kristova láska.Tento podcast můžete podpořit na https://radio7.cz

2023'teki seçimlerden bu yana 19 milletvekili çeşitli partilerden (İYİP 10; Gelecek 5; CHP 2; Deva 1; Yeniden Refah 1) AKP'ye geçti. 2024 yerel seçimlerinden sonra farklı partilerden AKP'ye geçen belediye başkanlarının sayısı ise 83'ü (Yeniden Refah 35; CHP 22; İYİP 9; DEM Parti 3 ve bağımsızlar) geçti. Bir partiye oy veriyorsunuz ve sizin oyunuzla seçilen kişi, karşısında mücadele etmesini istediğiniz partiye geçiyor. İşte size demokrasi! Ama burjuva demokrasisi! Oyu verenin hiçe sayıldığı, seçilenin figüran olduğu, parayı verenin düdüğü çaldığı demokrasi!Özellikle CHP'den geçişlerde yolsuzluk operasyonlarının büyük rolü olduğu açık. AKP'ye geçen tabiri caizse operasyondan yırtıyor. Örneğin, Fatma Kaplan Hürriyet (İzmit) ve Sinem Dedetaş (Üsküdar) hapisteyken, haklarında yolsuzluk operasyonu yapılacağı iddiası olan bir dizi isim, AKP'ye geçti. Özlem Çerçioğlu (Aydın) AKP'ye geçtikten sonra "ihaleye fesat karıştırma", "edimin ifasına fesat karıştırma" ve "resmi evrakta sahtecilik" suçlamalarıyla yargılandığı davadan beraat ettirildi. Tüm bunlar AKP'nin yolsuzlukla mücadele etmediği, tam tersine yolsuzlukla suçlanan kişileri partisinde topladığı anlamına geliyor. Temiz siyaset midir şimdi bu? Hayır, bunun adı düzen siyaseti! Esas mesele kişiler ve kişilerin siyasi ahlak yoksunluğu da değil. Koskoca partiler bir bütün olarak saf değiştirmediler mi kaç defa? MHP'nin, Erdoğan'a en sert şekilde hücum eden Bahçeli'nin yönetiminde AKP'nin yanına geçişi… Sonra MHP AKP'ye yaklaştı diye partiden ayrılan Meral Akşenerlerin Erdoğan'a yanaşması… Erdoğan'a karşı köprüden önce son çıkış diye oy istenen Kılıçdaroğlu'nun yaptıkları… CHP'yi Cumhur İttifakı'na katılacak hale getirmeleri… CHP şimdi Cumhur İttifakı'na katılıyoruz dese, kimse şaşırır mı? Ama eskiden olsa, olmaz öyle şey denirdi. Doğrusu biz bu olacakları söylediğimizde, çokça yüzümüze söylendi de. Ve şimdi bu sahnenin yeni partilerinin de gelecekte benzer şeyleri yapacağını söylüyoruz. Bunu, eskisiyle yenisiyle hepsinin sermayenin ve emperyalizmin çıkarlarından asla ayrılmayan düzen muhalefeti olmasından biliyoruz! Sadece muhalefet değil. Esas en kıvrak dönüşleri iktidar cephesinden görüyoruz. Fethullahçılara, ne istedilerse verenler, sonra memleketin başına musallat edenler onlar değil mi? Bir gün “bu can bu tende kaldıkça alamazsınız” dediği Rahip Brunson'u Trump'ın bir tivitiyle teslim edenler bunlar değil mi? İsrail'e soykırımcı dedikten sonra Gazze'deki soykırımı gerçekleştiren uçakların ve tankların yakıtını gönderen muhalefet mi? Bir dönem önce nas var faiz haramdır deyip sonraki dönem emperyalizmin mutemedi İngiliz Mehmet'i hazinenin başına geçirip faizleri arşa çıkaran da bu iktidar. Seçimden önce halkı muhalefete karşı “Apo'yu çıkartacaklar” diye kışkırtıp, fabrikada, işyerinde, mahallede insanları birbirine düşüren, şimdi aynı şekilde muhalefet tarafından suçlanan da bu iktidar. İşte her seçim döneminde halkın karşısına çıkıp oy isteyen partiler bunlar! Bunlar düzen partileri! Bunlar patron partileri!İşçi emekçi arkadaş!Bu düzen siyasetinin karşısında tek bir alternatif var, o da işçi sınıfı siyasetidir. İşçi sınıfı siyaseti, dikiş tutmayan düzeni sürdürmeyi değil, bu düzeni kökten ve devrimci bir şekilde değiştirmek için işçi sınıfı iktidarını hedefleyen siyasettir! Devrimci İşçi Partisi seni gerçekçi olmaya, eski ve köhnemiş düzen siyasetinden umudunu kesmeye, yeni ve gerçekçi tek siyaset olan işçi sınıfı siyasetine çağırıyor.

Kázání na regionální bohoslužbě AC pro region (Apoštolská církev) ve Valašském Meziříčí.

„… pozorujte Apoštola a Velkňaza nášho vyznania, Ježiša.“ List Židom 3: 1 Je naozaj nevyhnutné hovoriť kresťanom, že myšlienky majú zamerať na Ježiša? Nerobí práve takéto zameranie myšlienok z človeka kresťana? Nemá každý kresťan takú skúsenosť, že sa jeho srdce naplní radosťou a odvahou, keď sa to stane? Áno, je to naozaj zvláštne, že Božích […] Hans Erik Nissen

Dávid Kováč - Neděle, 6. Září 2026 - Video záznam kázání Finanční dar na misijní fond sboru Apoštolské církve ve Vyškově Číslo účtu: 2700499139/2010 VS: 1400 Děkujeme za vaši štědrost.

Můžeme si namlouvat, že některé věci jsou jen vnější, neškodné a s naší vírou vlastně nesouvisejí. Apoštol Pavel v 10. kapitole 1. Kor. však varuje před troufalou smělostí víry, která si myslí, že může stát zároveň u Stolu Páně i u stolu démonů. Jiří Hurta vysvětluje, že vnější účast může měnit vnitřní nastavení člověka, tak jako myšlenky, kterým dovolíme, aby se zakořenily v našem nitru, utváří dál naše postoje a rozhodování. A to vše ukazuje na to, komu ve skutečnosti patříme. Neboť nelze sloužit dvěma pánům. Bůh svou věrnost a oddanost potvrdil v nové smlouvě zpečetěné Kristovou krví. Jsme i my věrni a cele oddáni jen Jemu?Tento podcast můžete podpořit na https://radio7.cz

Jaký příběh napíšeme my? 3. - Apoštol Pavel napsal, že jsme listem, který všichni mohou znát a číst. Nejsem si jistý, jestli bychom chtěli být všem známí. Být známým se někdy ve společnosti vyplácí, mít známosti může otevírat dveře, které by jinak zůstaly zavřené. Ale být známým je také zodpovědnost, a přináší to možnost kritiky, nebo dokonce nenávisti. Biblické příběhy nám ukazují ještě jiné dimenze, kde povědomí o nás hraje důležitou roli. Kde nepomůže přetvařování, nebo snaha zapůsobit šarmem a talentem. Jedna taková dimenze je doslova pekelná a přináší otázku: Jaký příběh si o nás vyprávějí v pekle? Druhá je pro změnu nebeská s otázkou: Jaký příběh o nás napíšou v nebi? Stále totiž ještě píšeme svůj příběh.

Tomáš Valer - Neděle, 30. Srpen 2026 - Video záznam kázání Finanční dar na provoz Křesťanského centra Apoštolské církve ve Vyškově Číslo účtu: 2700499139/2010 VS: 1000 Děkujeme za vaši štědrost.

1.Jána 3,19-24 19Podľa toho spoznáme, že sme z pravdy a upokojíme si pred ním srdce; 20lebo ak nás srdce obviňuje, Boh je väčší ako naše srdce a vie všetko. 21Milovaní, ak nás srdce neobviňuje, máme istotu v Bohu 22a o čokoľvek prosíme, dostaneme od neho, lebo zachovávame jeho prikázania a robíme, čo sa mu páči. 23A to je jeho prikázanie: aby sme verili v meno jeho Syna Ježiša Krista a milovali sa navzájom, ako nám prikázal. 24Kto zachováva jeho prikázania, ostáva v Bohu a Boh v ňom. A že zostáva v nás, poznávame prostredníctvom Ducha, ktorého nám dal. Milovaní. Zvesť Prvého listu Jánovho sa dotýka základov našej viery v Krista a pomáha nám nanovo premýšľať o mojom – tvojom vzťahu k Tomu, Ktorý si nás zamiloval. Takéto podnety potrebujeme, pretože stále platí výzva: „Samých seba vyskúšajte, či ste vo viere; samých seba preskúmajte“ (2K 13,5)! Podľa nášho textu nám treba skúmať predovšetkým, či „sme z pravdy“. Čo to znamená? Ak žijeme vo viere v nášho Pána, potom „sme z pravdy“. „Pravda“ v Novej zmluve – to nie sú len nejaké názory, ale je to Ten, Ktorý povedal: „Ja som pravda“ (J 14,6), a teda ide o to, aby sme sa i dnes vážne zamysleli nad tým a aby sme skúmali, nakoľko sme na onú Pravdu napojení…, nakoľko ju akceptujeme a či to vidieť aj na našich životoch. – – V texte ma zaujalo oslovenie „milovaní“. Je mojou túžbou, prianím, aby sme aj pri rôznych zložitostiach a problémoch života vedeli, že sme Bohom milovaní a že takto má byť za každých okolností formovaný aj náš vzájomný vzťah. Apoštol – uvedeným pojmom – smeruje kresťanov k modlitbe. Všimnime si začiatok a koniec toho, o čom sa Ján zmieňuje. Čítali sme: „A o čokoľvek prosíme…“ a to sa končí slovami: „…čo Mu je milé“, teda v plnej dôvere prijímajme Božie rozhodnutia! Modlitba: Pane, pomáhaj nám v tomto zložitom svete hľadať pravdu a žiť podľa nej! Amen. Pieseň: ES 317 Autor: Dušan German Som síce biedny a úbohý, ale Pán na mňa myslí. Žalm 40,18 Pavol píše: „Viem sa aj uskromniť a viem žiť i v hojnosti. Vo všetkom a do všetkého som zasvätený: byť sýty aj hladovať, mať hojnosť aj trieť núdzu. Všetko môžem v Kristovi, ktorý ma posilňuje.“ Filipanom 4,12-13 Skutky apoštolov 9,31-35 •  Modlíme sa za: Žilina (TuS) Otázky na rozjímanie: Upokojujem svoje srdce pred Bohom tým, že dôverujem Ježišovi, aj keď ma moje svedomie obviňuje? Je v mojom živote vidieť, že verím v Ježiša Krista a milujem svojich bratov a sestry? Modlím sa s dôverou, no zároveň prijímam Božie rozhodnutia a hľadám to, čo je Mu milé? Aplikácia do života: Dnes odovzdaj Bohu všetko, čo ťa vnútorne obviňuje alebo znepokojuje, a pripomeň si, že On je väčší než tvoje srdce. Potom sa pomodli za jedného človeka a prejav mu lásku konkrétnym skutkom. Dnes som vďačný za tieto 3 veci: _________________________________ _________________________________ _________________________________ Viac o vďačnosti, čo to je, prečo je dôležité byť vďačný, ako praktizovať vďačnosť nájdeš na blogu

Mit feinem Glas geht es diesmal gleich mehrfach um neue Objektive: Brightin Star bringt ein 35 mm f/1.7 APO für Leica M per Kickstarter und das ultraflache 28 mm f/2.8 nun auch in Silber. TTArtisan setzt beim neuen 85 mm f/1.8 auf Autofokus, einen ungewöhnlich niedrigen Preis und teilweise 3D-gedruckte Konstruktion. Außerdem werfen Chris und Boris einen Blick auf FerrumPix als schnellen Lightroom-Ersatz. In der Software-Ecke geht es um ON1 NoNoise AI 2027 und die Frage, wie KI beim Entrauschen Details bewahren kann. DJI erweitert seine Pocket-Kameras per Firmware unter anderem um D-Log, Zeitlupe und Cloud-Uploads. Weniger überzeugend ist dagegen der Einsatz KI-generierter Bilder in der Werbung von Kameraherstellern. Chris berichtet außerdem vom erneut fertigen Manuskript zu „Abenteuer Fotografie“ und spricht über die innere Stimme beim Fotografieren und die einfache, aber entscheidende Frage: Was interessiert Dich eigentlich wirklich? Zum Schluss geht es weit hinaus ins All: Die „Little Red Dots“ beschäftigen die Astronomie und werfen neue Fragen über das frühe Universum auf.

Pavel Vik - Neděle, 23. Srpen 2026 - Video záznam kázání Finanční dar na provoz Křesťanského centra Apoštolské církve ve Vyškově Číslo účtu: 2700499139/2010 VS: 1000 Děkujeme za vaši štědrost.

Pavel Vik - Neděle, 16. Srpen 2026 - Video záznam kázání Finanční dar na provoz Křesťanského centra Apoštolské církve ve Vyškově Číslo účtu: 2700499139/2010 VS: 1000 Děkujeme za vaši štědrost.

Když jsme unavení, zklamaní nebo nevíme, co dál, často se vracíme k tomu, co dobře známe. Apoštol Petr se vrátil k rybám — Ježíš si ho tam ale našel a připomněl mu nejen jeho poslání, ale především jejich blízký vztah. Mozaikový host Veronika Štěpánová ze CityHouse Brno v pokračování naší letní série.

Pavel Vik - Neděle, 9. Srpen 2026 - Video záznam kázání Finanční dar na provoz Křesťanského centra Apoštolské církve ve Vyškově Číslo účtu: 2700499139/2010 VS: 1000 Děkujeme za vaši štědrost.

Kázání na regionální bohoslužbě Církve pro region (Apoštolská církev) ve Valašském Meziříčí.

And we've made it to the end of the tetralogy, and we're going beyond the portrait length to talk about telephotos, which, for our purposes, are lenses that are 200mm and longer. These might not always be the first lens you reach for in your regular photography, but they are still powerful tools for events, nature, and even getting close when you can't do so safely. The lenses featured in today's show include the AI Nikkor 300mm f/4.5, AI-S Nikkor 200mm f/4, Leitz 180mm f/3.4 APO, Canon FD 300mm f/5.6, AI-S Nikkor 80-200mm f/4, Olympus 75-150mm f/4, AF Micro-Nikkor 200mm f/4, Vivtar 135mm f/2.8.

Apo et Néo prennent le contrôle cet été ! Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Dávid Kováč - Neděle, 26. Červenec 2026 - Video záznam kázání Finanční dar na provoz Křesťanského centra Apoštolské církve ve Vyškově Číslo účtu: 2700499139/2010 VS: 1000 Děkujeme za vaši štědrost.

Apo et Néo prennent le contrôle cet été ! Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Dávid Kováč - Neděle, 19. Červenec 2026 - Video záznam kázání Finanční dar na provoz Křesťanského centra Apoštolské církve ve Vyškově Číslo účtu: 2700499139/2010 VS: 1000 Děkujeme za vaši štědrost.

What happens when a $3.77 billion accounting write off wipes out nearly thirty years of profit? Dr. Matthew Preston and Dr. Thaon Simms dig into the Derrimon Trading suspension, breaking down the ERP system failure, the inventory losses, and the leadership change nobody saw coming. From Sampars supermarkets to the Draxhall land sale, they map out how Derrimon plans to survive, and whether the stock is worth buying when trading resumes.Chapters:00:00 Introduction and Why This Episode Matters02:04 What Derrimon Trading Actually Does05:02 Woodcats CFF and the Other Subsidiaries12:53 Timeline of the Delayed Audit19:02 Why the JSE Suspended Derrimon Shares20:24 Inside the ERP System Failure24:21 The 3.77 Billion Write Off Explained28:35 28 Years of Retained Earnings Wiped Out36:19 The 2021 APO and the Warning Investors Missed44:52 The New York Supermarket Roof Collapse47:00 Selling Assets to Pay Down Debt1:00:11 Is Derrimon a Buy When Trading Resumes

Cet été, Apo et Néo prennent le contrôle et on commence avec leurs épisodes du mois de juin :) Désolé pour le retard d'upload !Fox Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

„Alebo či neviete, že vaše telo je chrámom Ducha Svätého, ktorý je vo vás, ktorého máte od Boha, a že nie ste sami svoji? Veď veľmi draho ste boli kúpení! Oslávte teda Boha svojím telom i svojím duchom, čo oboje náleží Bohu.“ Prvý list Korintským 6:19–20 Občas mám pocit, že moja GPS navigácia má vlastnú hlavu. Jazdím po diaľnici a smerujem na miesto, kde som ešte nikdy nebol, keď mi zrazu povie, aby som na najbližšom zjazde odbočil doprava. Nedáva to zmysel, ale odbočím doprava. Potom mi povie, aby som odbočil doľava, tak odbočím doľava. A napokon ma zavedie späť na diaľnicu. O čo vlastne išlo? Vôbec to nedáva zmysel. Pán dal Izraelcom úžasný navigačný systém: oheň v noci a oblak cez deň. Bolo to veľmi jednoduché. Keď sa oblak pohol, pohli sa aj oni. Keď sa oblak zastavil, zastavili sa aj oni. V noci, keď sa pohol oheň, pohli sa aj oni. Keď sa oheň zastavil, zastavili sa aj oni. Možno máme pokušenie pomyslieť si: „Kiež by som mal také jasné vedenie, pretože často neviem, čo mám robiť alebo kam mám ísť.“ Ale ako veriaci v rámci Novej zmluvy máme niečo lepšie než oblak alebo oheň. Máme samotného Krista, ktorý žije v našich srdciach. Každý z nás, kto verí v Ježiša Krista, má v sebe Boha. Nepotrebujeme oheň na oblohe. Máme vo svojom živote oheň Ducha Svätého, ktorý nám dáva silu robiť to, k čomu nás Boh povolal. Ako veriaci nie sme pánmi svojho osudu. Nemáme úplnú kontrolu nad svojou duchovnou cestou. Apoštol Pavol napísal: „Alebo či neviete, že vaše telo je chrámom Ducha Svätého, ktorý je vo vás, ktorého máte od Boha, a že nie ste sami svoji? Veď veľmi draho ste boli kúpení! Oslávte teda Boha svojím telom i svojím duchom, čo oboje náleží Bohu.“ (1K 6:19–20) Pán nás povedie cestou, ktorou chce, aby sme išli. Niekedy nám Jeho vôľa nebude dávať zmysel. Niekedy sa môže zdať, akoby sa Boh snažil zničiť všetku našu radosť. Časom si však uvedomíme, že Boh od začiatku vedel, čo robí. Na rozdiel od GPS navigácie si v tomto živote nemôžeme jednoducho zadať cieľové súradnice. Je to preto, že nemáme tušenie, kam nás Boh povedie. Nezastaví nás to však v plánovaní. Môžeme sa pokúšať určiť miesto, kde by sme chceli skončiť alebo kde plánujeme skončiť. Ako však hovorí staré židovské príslovie: „Človek plánuje a Boh sa smeje.“ Príslovia 19:21 to vyjadrujú takto: „Je veľa myšlienok v srdci človeka, ale rada Hospodinova sa uskutoční.“ GPS navigácie nemajú vždy pravdu, ale Boh áno. Božia cesta je vždy tá správna. Otázka na zamyslenie: Ako môžeš dôverovať Božej ceste, aj keď ti nedáva zmysel? Greg Laurie

Cet été, Apo et Néo prennent le contrôle et on commence avec leurs épisodes du mois de juin :) Désolé pour le retard d'upload !Fox Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Cet été, Apo et Néo prennent le contrôle et on commence avec leurs épisodes du mois de juin :) Désolé pour le retard d'upload !Fox Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Dávid Kováč - Neděle, 12. Červenec 2026 - Video záznam kázání Finanční dar na provoz Křesťanského centra Apoštolské církve ve Vyškově Číslo účtu: 2700499139/2010 VS: 1000 Děkujeme za vaši štědrost.

If heart disease runs in your family, you may be wondering whether your genetics have already determined your future health.     The good news is that even when certain risk markers are inherited, there are still powerful lifestyle strategies that can help support healthy arteries and long-term cardiovascular wellness.     On today's show, I want to go over what Apo(a) is, why it matters, and why having elevated levels doesn't necessarily mean you're destined for cardiovascular disease.     You'll learn the lifestyle strategies that can help reduce overall risk, including nutrition, exercise, blood sugar management, inflammation control, and key biomarkers that provide a more complete picture of heart health beyond cholesterol alone.     So tune into today's Cabral Concept 3793 to discover how to lower your Apo(a) heart risk naturally and take control of the factors that matter most for long-term heart health.     Enjoy the show, and let me know your thoughts! - - - For Everything Mentioned In Today's Show: StephenCabral.com/3793 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Deut 3:16;Josue 12:2; Isa 43:10; Deut 6:4; Juan 10:30-33; 2 Cor 3:17; Mateo 3:16-17;28:19; 2 Cor 13:14;Efe4:4-6;Mateo 1:23;Oseas 12:3-5;Apo 19:11-14;Colo 1:1, 16-21;Ju8:58,1:1;Mateo6:6.“Escrituras tomadas de la Nueva Biblia de las Américas (NBLA), Copyright © 2005 por The Lockman Foundation. Usadas con permiso; todos los derechos reservados." www.NuevaBiblia.com

If heart disease runs in your family, you may be wondering whether your genetics have already determined your future health.     The good news is that even when certain risk markers are inherited, there are still powerful lifestyle strategies that can help support healthy arteries and long-term cardiovascular wellness.     On today's show, I want to go over what Apo(a) is, why it matters, and why having elevated levels doesn't necessarily mean you're destined for cardiovascular disease.     You'll learn the lifestyle strategies that can help reduce overall risk, including nutrition, exercise, blood sugar management, inflammation control, and key biomarkers that provide a more complete picture of heart health beyond cholesterol alone.     So tune into today's Cabral Concept 3793 to discover how to lower your Apo(a) heart risk naturally and take control of the factors that matter most for long-term heart health.     Enjoy the show, and let me know your thoughts! - - - For Everything Mentioned In Today's Show: StephenCabral.com/3793 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Welcome back to our weekend Cabral HouseCall shows!   This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track!   Check out today's questions:    Ann: Hi Dr. Cabral! If no one has told you today you are making a huge difference in the world :). Thank you . My Apo-a is 35.5, and my cardiologist said that I could take a B Complex and that would help lower it. I know you cant give any medical advice, but I know in the past I have head you say its genetic so I was wondering if it was you or your family would you take Activated B Complex to try to lower your Apo-a? By the way- I started taking Proteolytic Enzymes with out changes in my (generally good) diet and exercise, and my LDL went down about 15% even though my cardiologist said supplements like that dissolve in the stomach and would never make it to where they need to to work.... Another reason we all trust your advice ! Thanks again have a great day!      Sarah: I've been dealing with gut issues for about five years, mainly bloating. I suspected gluten might be a factor, so I had testing done. My bloodwork showed I carry the celiac gene, but I tested negative for celiac, and an endoscopy also confirmed no celiac disease. However, both of my children have been diagnosed with celiac—one has symptoms and the other is asymptomatic. I recently discovered your gluten/dairy digestive enzyme and was wondering—would it be okay to take something like that before eating gluten? Or should I be avoiding gluten altogether just in case I could still have celiac or develop it? I'm also assuming that people with confirmed celiac shouldn't take gluten enzymes and instead need to strictly avoid gluten. Just looking for some guidance, thank you!      Sherrie: Good day Mr. Cabral, First off thanks for changing mine and my families lives! I was wondering whats the best route to take if you have black/bags under your eyes and you are a 33 year old female? It happens quite often and I was wondering what I should to do fix it? I am assuming running one of the labs first and going from there but which one should I take and what is some general guidelines to help with the issue. Thanks again for always having advice/guidance.      Mitchell: Hi Dr Cabral! My sister who is 26 recently got diagnosed with Primary sclerosing cholangitis. They told her that it is untreatable but we know that they claim that about a lot of treatable diseases. What advice/protocols/nutrition and supplements would you give to your sister to help tackle this disgnosis? Any help is appreciated, thanks!       Summer: Hi Dr. Cabral! I wrote in a few months ago about what I thought was a cherry angioma, but mentioned it was growing rapidly despite trying a number of ways to remove it myself…  I finally reluctantly went to the dermatologist after you and my practitioner suggested it and found out it was a benign pyogenic granuloma. It was removed very quickly and easily. I researched a bit myself, but I'm curious what causes them in your opinion and how to avoid more? I do have a handful of small cherry angioma's. I wonder if the two are connected somehow? I'm a 36 year old female and stay on top of my health with seasonal detoxes, Mediterranean diet, and a healthy mindful lifestyle. Thanks for all you do! I love being able to ask you questions and follow-ups anytime they pop up! Many blessings to you!      Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!      - - - Show Notes and Resources: StephenCabral.com/3760 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Send us Fan MailIn S2E15, we kick things off with Robby's garage run-in with a rattlesnake and Slinky's questionable attempt to claim the kill. From there, we get into gas prices and the proposed federal gas tax suspension, remember the freedom of riding bikes everywhere as kids, talk LEGO side hustles, APO shipping restrictions, and finish with an update on Ian's house purchase—and Robby's very subtle message for the current owners. Support the show

PODCAST del Sábado 2 de Mayo de 2026.1ra Hora1. Dos Mundos en Uno, por Alfa y Omega.2. Marcos Cap. 1 Predicación de Juan el Bautista y de Jesús.3. Análisis IA del Rollo: DIVINO ORIGEN DEL NÚMERO HUMANO (2da Parte - 5).2da Hora:4. Humildes son Primero. El Tercer Mundo, por Alfa y Omega.5. Marcos Cap. 2 Jesús sana a un paralítico, Leví, Ayuno Espigas.6. Análisis IA del Rollo: DIVINO ORIGEN DEL NÚMERO HUMANO (2da Parte - 6 y 7).3ra Hora:7. La Prueba de la Vida. El Pedido. Los creadores del sistema, por Alfa y Omega.8. Marcos Cap. 3 Hombre mano seca. Multitudes. 12 Apóstoles. Blasfemia. Hermanos y Madre.9. Análisis IA del Rollo: DIVINO ORIGEN DEL NÚMERO HUMANO (2da Parte - 8).

Bílý dům proti Apoštolskému paláci. Americký prezident kontra americký papež. Dva mocní muži, jeden zásadní spor. O výklad války, o roli Vatikánu. Nenabourá slovní přestřelka mezi Trumpem a Lvem XIV. vztahy v katolické církvi? Téma pro Tomáše Petráčka, katolického kněze, teologa a církevního historika z Univerzity Hradec Králové. Ptá se Matěj Skalický.Všechny díly podcastu Vinohradská 12 můžete pohodlně poslouchat v mobilní aplikaci mujRozhlas pro Android a iOS nebo na webu mujRozhlas.cz.

Apóyate en Sus Promesas | Pastor José Campuzano

„Od začiatku tejto vládnej koalície je toto pre nich téma číslo jeden. Nie je ňou konsolidácia, dane či životná úroveň“, hovorí politológ Radoslav Štefančík, keď komentuje akciu Kajúcnik. „Im prioritne ide o to, aby sa vysporiadali s ľuďmi, ktorí im pozerali na prsty“, dopĺňaPo vojne na Ukrajine sa začala ďalšia – tá v Iráne. A ak pre ňu uviazli tisíce Slovákov v neistote síce dovolenkových destinácií, no nebezpečne blízko konfliktu; ak rozkolísala cenovú istotu ropy či plynu, či naháňa strach útokmi na spojencov z Európskej únie či Nato, Slovensko a jeho premiér má iné starosti. Len deň od jej začiatku sa na špeciálnej tlačovej konferencii – v nedeľu ráno - zaoberá kajúcnikmi či prokurátorom Šúrekom. O dva dni na to si toho istého Šúreka odviedla armáda kukláčov najatých policajnou inšpekciou. Podobne to urobili s časťou čurillovcov. Neskôr sa ukázalo, že aj pre údajné „lámanie“ kajúcnikov vo väzbe. Kajúcnikov, ktorí nedávajú spávať obžalovanému policajnému exprezidentovi Tiborovi Gašparovi.Odchádza týždeň, keď na policajnom prezídiu odhalili bustu inému exprezidentovi policajtov Milanovi Lúčanskému, obvinenému zo závažnej trestnej činnosti.Či týždeň, keď prezident rozhodol o osude šéfa SIS Pavla Gašpara za dopravnú nehodu na nepriznanom aute. Obišiel s mesačnou zrážkou platu.A vláda tiež rozhodla, že zruší pôvodne rušenie Úradu na ochranu oznamovateľov korupcie. Stálo by ju to stovky miliónov z Plánu obnovy.A aby to nebolo len o koaličných vodách, pozrieme sa aj na Michala Šimečku, ktorý obchádza slovenské krčmy.S politológom Radoslavom Štefančíkom.Podcast pripravil Jaroslav Barborák.

In this news-style episode, Simon and Dan break down Citrini Research’s The 2028 Global Intelligence Crisis—a “note from the future” dated June 30, 2028 that frames the most bullish AI adoption path as a surprisingly bearish outcome for the real economy. They walk through the core feedback loop: companies deploy AI to boost productivity and margins, layoffs rise (especially in white-collar roles), consumer spending weakens, and the cycle reinforces itself—creating what the piece calls “ghost GDP,” where productivity climbs but wages and demand don’t keep up. From there, the duo digs into the sectors Citrini argues get hit first and hardest: SaaS (seat contraction + customers using AI as renewal leverage), the intermediation layer (agents shopping travel, subscriptions, insurance, delivery, and more), and even payment rails as AI agents chase lower-cost settlement via stablecoins. They also connect the dots to private credit and insurance flywheels—where mark-to-model portfolios can look stable until forced selling and capital needs expose stress—and what rising unemployment could mean for housing in once “prime” white-collar markets. Tickers discussed: V, MA, AXP, DFS, PYPL, AMZN, WMT, EXPE, UBER, DASH, SHOP, GOOGL, PLTR, TRI, OWL, APO, BN, KKR, CRM, ADBE, AIG Citrini research report Subscribe to our Our New Youtube Channel! Check out our portfolio by going to Jointci.com Our Website Our New Youtube Channel! Canadian Investor Podcast Network Twitter: @cdn_investing Simon’s twitter: @Fiat_Iceberg Braden’s twitter: @BradoCapital Dan’s Twitter: @stocktrades_ca Want to learn more about Real Estate Investing? Check out the Canadian Real Estate Investor Podcast! Apple Podcast - The Canadian Real Estate Investor Spotify - The Canadian Real Estate Investor Web player - The Canadian Real Estate Investor Asset Allocation ETFs | BMO Global Asset Management Sign up for Fiscal.ai for free to get easy access to global stock coverage and powerful AI investing tools. Register for EQ Bank, the seamless digital banking experience with better rates and no nonsense.See omnystudio.com/listener for privacy information.

What does it take for a 100-year-old, campus-based organization to stay relevant in a world of virtual chapters, AI search tools, and shrinking higher education enrollments?And in an era of time poverty, information overload, and eroding trust, how can associations help young leaders not only serve—but truly thrive?In this episode of Associations Thrive, host Joanna Pineda interviews Bob London, FASAE, CAE, Executive Director of Alpha Phi Omega (APO). Bob discusses:How APO develops leadership skills through service on nearly 300 campuses, measuring long-term success by how alumni improve their communities after graduation.Why APO focuses exclusively on leadership, fellowship, and service, and how its partnership model with universities differentiates it from other campus organizations.How APO has endured for 100 years by attracting students who are committed to improving their communities, regardless of political or cultural turbulence.The bold decision to remove “campus-based” from APO's vision statement, and what that means for the future of the organization.Why time is APO's biggest barrier to membership, and how the organization helps students manage “time poverty.”How Bob fosters a culture of calendar control and focused work within his staff, encouraging everyone yo protect their “golden hours.”APO's successful $6.5 million capital campaign, combining cash and planned giving to secure the next 100 years while keeping student membership costs to just $85 for a lifetime.Why foresight thinking is now embedded in APO's board culture, and how scenario exercises and agenda restructuring have shifted the board's focus toward long-term plausible futures.The signals Bob is watching closely: disruption in higher education and the explosion of information overload.References:APO Website

 Ryan Strachan is back!

Kiera is joined by the tooth-healer himself, Jason Dent! Jason has an extensive background in pharmacy, and shares with Kiera where his pharmaceutical experience has bled over into dentistry. This includes the difference between anti-quag and anti-platelet and which medications are probably safe, what to do to shorten the drag time in the pharmacy, how to write prescriptions most efficiently, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and today is a really awesome and unique day. It is, think the second time I've had somebody in the podcast studio with me live for a podcast and it's the one and only Jason Dent. Jason, how are you? I'm doing well. Good morning. Thanks for having me. It is crazy. I I watch Instagram real like this all the time where people are like in the podcast and they're hanging out on two chairs and couches and now look at us. We're doing it. Cheers. Cheers.   That was a mic cheer for those of you who are only listening, but yeah, Jace, how does this feel to be on the podcast? It's weird. Like I was not nervous at all talking about it. I got really nervous as soon as you hit play. So if I stumble over my words, please forgive me ahead of time. Well, Jason, I appreciate you being on the podcast because marketing had asked me to do a topic about teledentistry and I was like, oh shoot, that's like not my forte at all. so   You and I were actually chatting in the hot tub. call it Think Tank session and you and I, we have a lot of good ideas that come from that Think Tank. A lot of business. no phones. That's why. We do leave our phones out. But I was talking to Jason and this is actually a podcast we had talked about quite a while ago. Jason has a lot of information on pharmacy. And if you don't know, Jason isn't really, we were going through all of it last night. It's kind of a mock in the tub. And I think it's going to be great because I feel like this is an area, I'm working at Midwestern and   knowing about how dentists, pharmacology was surely not your favorite one. Jason actually helps a lot of dentists with their clearances. And so we were talking about it and I like it will just be a really awesome podcast for you guys to brush up on pharmacology, different things from a pharmacist's side. So Jason, welcome. Thank you. Yeah, no, we were talking about it and here's like, what should I talk about on the podcast next? I have all these different topics and she's like, what do you know? And the only real interaction I have with dentists is doing clearances for procedures. We get them all the time, which makes sense.   Lots of people are on blood thinner, I've always told Kiera, like, hey, I could talk about that. Like, that's kind of a passion of mine. I'm not a dentist. Or my name is Jason Dent. So in Hebrew, Jason means tooth. No, no, no, sorry. Nerves are getting to me. Jason means healer and Dent means tooth. So my name means tooth healer. So, here's a little set. Hold on, on, hold Can we just talk about? I brought that up before you could talk about it more. So.   My name means tooth healer but I did not become a dentist. I know you wanted me to become a dentist. did. I don't know why. I enjoy medicine. I know what you're going to get to already. The things you're going to ask me. There's been years of this. But nevertheless, that's my name. We'll get that out of the way. But you did give me a great last name. So I mean, it's OK. You're All is fair and love here. SEO's up for that. But yeah, Jason, I'm going to get you right into the show. And I'm going to be the host. And we're going to welcome to the podcast show. Jace, how are you?   Good, good, good. Good, good, good. So by getting into clearances, right? This is what you're kinda talking about with you know, before we get to clearances, I actually wanted Jason, for the listeners who don't know you, who haven't talked to you, who don't know, let's kinda just give them like, how did you go from, Kiera wanted you to be a dentist, to now Jason, you are on the podcast talking as our expert on pharmacy. fantastic. I've always really loved medicine, a ton. As a kid getting headaches and taking Excedrin, like you just feel like a miserable pile of crap.   and then you take two pills and all of a sudden you feel better. Like that's amazing, like how does that happen? Also getting ear aches as a kid, just being in so much pain and then taking some medicine and you start feeling a lot better. I always had a lot of appreciation for that. I've always been mechanically inclined. I went to, started doing my undergrad and took biology and learned about ATP synthase, which is a spinning enzyme that's inside the mitochondria, like a turbine engine. I used to work on small engines on my dirt bike and thought that is so cool. So I really got wrapped up into chemistry.   All the mechanics of chemistry really pulled me in. I'm not getting goosebumps. checking. I usually get goosebumps when I think about chemistry. But it's so cool. You think an engine's awesome, like pistons and camshafts and pressures, the cell is the same thing. It's not as loud, so it's not as cool. But it's fascinating. that's why we're like. ⁓   chemistry and really got into coagulation. So I did my residency after pharmacy school. we went to Arizona for three years. ⁓ You did and your main focus, you were never wanting to be the guy behind the counter. No, I haven't done that. Yeah. No, I love them though. I've always really want to go clinical. ⁓ But I love my retail ⁓ pharmacists. They're amazing resources. And ⁓ I use the retail pharmacist every day still to this day, but I went more the clinical route, really love the chemistry aspect of it.   did my doctorate degree and then I did my residency in Reno. Reno's kind That's how we got here everybody. Welcome to Reno. Strategically placed because I was really interested in critical medicine and where we're located we cover a huge area. So we pull in to almost clear, we go clear to Utah, clear to California, all of Northern Nevada. We get cases from all over. So we actually are kind like the first hub of care for lot of areas. So we really get an eclectic mixture of patients that come in that need-   all kinds of different cases that are coming to them. So it's what I really wanted. So I did my residency in critical care there. And then for the next 10 years, I worked in vascular medicine with my final five years being the supervisor of the clinic. Ran all the ins and outs of that. So my providers, two doctors were on our view. So when we talk about dentistry, talk about production, those kinds of things, totally get it. My doctors were the exact same way, my vascular providers. ⁓   There's some pains there, right? You wanna be seeing patients as much as possible, being able to help as many people, keeping the billing up. And had other nurse practitioners, four practitioners, a fleet of MAs, eight pharmacists. We also had that one location we had, going off the top of my head, I think we had eight locations running as well. And we took care of all the different kinds of vascular cases that came to us. Most common was blood clots, ⁓ which is just a...   which is an easier way of saying VTE. There's so many different ways to say a blood clot. Like you might hear patients say, I've had a PE or a DVT or a venous thromboembolism or a clot in my leg, right? They're all clots, but in different locations. Same with an MI, and MI can be a clot as well. ⁓ there's a lot of, everybody's kind of saying the same thing, but sometimes the nomenclature can make it sound hard, but it really is actually pretty simple.   No. And Jason, I love that you went through, you've been in like, and even in your, ⁓ when you were getting your doctorate, you were in the ER. You also worked in retail pharmacy. remember you having a little sticker on your hand. And retail pharmacy, I have a lot of respect for those guys. They have a lot of pressure on them. and then you also, ⁓ what was that test that you had to take that? I don't know. You were like studying forever for it. ⁓ board certification for, ⁓ NABP. Yeah. So I did that board certification as well.   And now you've moved out of the hospital side onto another section in your career. Now in the insurance, right? So it's really, really interesting. So now I'm on the other side reading notes and evaluating clinical appropriateness and trying to help patients with getting coverage and making those kinds of determinations. So yeah, I've really jumped all over. Really love my clinical days. I know. don't I don't I do miss them. But yeah, kind of had a good exposure to a lot of.   pharmacy a lot a lot of dentists actually with all the places that come through which Jason I really appreciate that and honestly I know you are my spouse and so it's fun to have you on but when I go into conversations like this I don't know any of this information and so finding experts and Jason I think here's me talk more about dentistry and my business than I do hear about him on pharmacy so as we were chatting about this I really realized you are a wealth of knowledge because you've been on the clinical side so you've done a lot of patient care and you've seen how   medications interact and I know you've had a few scares in your career and ⁓ you've known some physicians that have had a few scares and ⁓ you've seen plenty of patients pass away working in the ER and gosh in Arizona drownings were such a big deal. I remember when you were in the ER on your rotations I'd be like who died today? Like tell me the stories and you've really seen and now going on to the insurance side I felt like you could just be such a good wealth of knowledge because I know dentists are sometimes so   I would say like maybe just a little more anxious when it comes to medications. I know that dental students from Midwestern were like here was like four months and we had to like pass it, learn it. And Jason, you've done four years plus clinical residency, plus you've been in it. And something I really love about Nevada Medicine is they've been so collaborative with you.   like your heart, your cardiologist, they diagnose and then they send to you to treat with medicine and... Yeah, I've been really lucky being here in Reno too. The cardiology team has been amazing to work with. We started a CHF program, sorry, congestive heart failure program for patients. So we would collaborate with cardiologists. They'd see the cardiologists and then they send them to the pharmacist to really manage all the medications. So there's pillars of therapy ⁓ called guideline directed medical therapy and the pharmacist would take care of all that. So that's gonna be your...   your beta blockers, your ACEs, your ARBs, your Entresto, which would be a little bit better, spironolactone. So just making sure that all these things are dosed appropriately, really monitoring the heart, and make sure that patients are getting better. we've had real positive outcomes when the, sorry, this is totally off topic. do, talk about that study. When we looked at when patients were coming to see our pharmacists in our clinic that we started up, the patients were half as likely to be readmitted. And this was in 2018, and our pharmacists,   We're thinking about all the medications. We're usually adjusting diabetes medications too at the same time. Just kind of naturally just taking care of all the medications because we kind of got a go ahead from the providers, a collaborative practice agreement that we could make adjustments to certain medications within certain parameters. So we weren't going rogue or maverick, but we were definitely trying to optimize our medications as much as possible. And then years later, some studies came out with, I'm sure you've seen Jardins and Farseegh. not trying to, I'm not.   I don't get any kickback from them. I have no conflicts to share. But because our pharmacists were really optimizing that medication, those medications were later shown to reduce hospitalizations and heart failure, even though they're diabetes medications. Fascinating. So it wasn't really the pharmacists. It was just the pharmacists doing as much as they can with all the tools that were in front of them. And then we found out that the patients were going back to the hospital.   half as much as regular patients. So, yeah, being here, it's been so amazing to work with providers here. the providers here want help, want to help patients, don't have an ego. I mean, I just, it's awesome. I love it. I do love how much I think Jason sees me geek out about dentistry and I watching Jay's geek about his pharmacy and how much he loves helping patients. And ⁓ really that was the whole idea of, all right.   Dentistry has pharmacy as a part of it. And I know a lot of dentists are sending in clearances and I know working in a chair side, it would be like, oh no, if they're on warfarin or on their own blood clot, you guys, honestly don't even know half of what I'm talking about because this is not my jam, which is why Jason's here. But I do know that there was always like, well, we got to talk with their provider. And so having Jason come in and just kind of explain being the pharmacist that is approving or denying or saying yes or no to take them off the blood thinners in different parts, because you have seen several dental   I don't know what they're called. What is it? Clarence's? that what comes to you? don't even know. All day my mind, it's like, here is the piece of paper that gets mailed to you to the pharmacist and then you mail it back. So whatever that is. But Chase, let's talk about it because I think you can give the dentist a lot of confidence coming from a pharmacist. What you guys see on that side. When do you actually need to approve or disapprove? Let's kind of dig into that. Yeah. Well, first of all, I think I'm not a replacement for any kind of clinical judgment whatsoever. Every patient's different. But the American Diabetes Association, you   I work with diabetes a lot. American Dental Association has some really great guidelines on blood thinners and I would always reference them. I actually looked at their website today. Make sure I'm up to speed before I get back on this again. They have resources all around making decisions for blood thinners. And I think the one real important thing in putting myself in the shoes of a dentist or any kind of staff that's around a patient that's in a chair, if they say I'm on a blood thinner, right, a flag goes up. At least in my mind, that's what goes up.   Like, okay, how do we get across this bridge? And I think the important thing to really distinct right then when they say they're on a blood thinner is that is kind of a slang word for a lot of different medications, right? Like it's the overarching word that everybody pulls up saying, I'm on a blood thinner. It's like, okay, but I don't know what say. It's like, I have a car. You're like, okay, do you have a Mazda? Do you have?   Toyota, Honda, what do you have? or even worse it'd be like saying I have a vehicle, right? So when somebody says they're on a blood thinner, it opens up a whole box of possibilities of what they're Blood thinners are also, doesn't, when they're taking these types of medications that are quote unquote a blood thinner, it doesn't actually thin the blood, like adding water to the blood, if that makes sense, or like thinning paint, or like thinning out a gravy, right? It doesn't do the same thing. Blood thinners, really what they're doing is they're working on the blood, which.   which is really cool, try not to tangent on that. ⁓ When they're working on the blood, it's not thinning it per se, but it's making it so that the proteins or platelets that are in it can't stick together and make a cloth quite as easy. So whenever somebody's on a blood thinner, I usually ask, what's the name of the blood thinner that you're on? It's not bad that they use that slang, that's okay, on the same page, but it's really broken into two different classes. There's anticoagulant and antiplatelet.   And a way to kind of remember which is which, when residents would come through our clinics, the way that I teach them is a clot is like a brick wall. You know, it's not always a brick wall. Usually the blood is a liquid going through. But once they receive some kind of chemical message, it starts making a brick wall with the mortar, which is the concrete between the and the bricks, the two parts. When it's an anti-quagent, it's working on that mortar part. When it's an anti-platelet, it's working on the bricks part, right? You need both to make a strong clot or strong brick wall.   But if you can make one of them not work, obviously like if your mortar is just water, it's not working, right? You're not gonna make a strong brick wall. So that's kind of the two deviants right there. So that's what I do in my mind real quickly to find out because antiplatelets are usually, so that's gonna be like your Plavix, Ticagrelor, Brilinta. And hold on, antiplatelets are bricks? Good job, bricks. They're the bricks. And so the reason I was thinking you could remember this because I'm, antiplatelets, it's a plate and a plate is more like a brick.   And anti coagulant, I don't know why quag feels like mortar to me, like quag, like, know, it's like slushy in the blood, like it's coagulating. It's a little bit of that, like, honestly, I'm just thinking like coagulated blood is a little bit more mortar-ish. And so platelet is your plate, like a brick, and anti-quag is like.   the gilly between the bricks. Okay, okay, I got it. Yeah, so there's an exception to every rule, but when they're on that Don't worry, this is Kiera, just like very basic. You guys are way smarter listening to this, and that's why Jason's here. No, no, you helped me pass pharmacy school. When we were doing all the top 200, you helped me memorize all know what flexorill is, all right? That's a muscle relaxant. Cyclo? I don't know that part. It's a cyclo, because you guys are cycling and flexing. I don't actually know. just know it's a muscle relaxant, so that's about as far as I got. When we're looking at antitick platelets, so that's the brick part, so that's going to be your, you know,   Hecagrelor, Breitlingta, Clopidogrel is the most common one. It's the cheapest one, so probably see that one the most. Those, I mean, there's an exception to every rule, but that's generally being used after like a stent's placed in the heart. It can be used for VTE, there's some out there, but that's pretty rare. But also for some valves that are placed in the hearts, it can be used for that as well. So antiplatelet, really thinking more like a cardiac event, right? Like I said, there's always an exception to every rule, but that's kind of where my mind goes real quickly, because we're gathering information from the patient.   They're on anticoagulant. Those are like going to be the new ones that you see commercials for all the time. So Xeralto, Alequis, those are the two big ones right now. They're replacing the older one. And also we were supposed to do a disclaimer of this is current as of today because the ADA guidelines do change. this will be current as of today. And Jason, as a pharmacist, is always looking up on that. I had no clue that you are that up to speed on dental knowledge. so just throwing it out there that if you happen to catch his podcast,   a few years back that obviously check those guidelines for sure. But the new ones are the Xarelto and Eloquist. They're replacing the older ones of warfarin. Warfarin's been around for a really long time. We've seen that one. Those are anti-coagulants. So when you're looking, when a patient says that, generally they're on that medication because they've possibly had a clot in the past or they have a heart condition called atrial fibrillation. Those are kind of the two big ones. Like I said, there's always caveats to it, but that's kind of where my mind goes real quickly. And then,   as far as getting patients cleared, the American Dental Association has really good resources on their website. You can look at those and they're always refreshing that up. They even say in their own words that there's limited data around studying patients in the dental chair and with anticoagulants or anti-platelets. It's pretty limited. There's a few studies, some from 2015, some from 2018. There's one as recent as 2021, which is nice. But really, all of those studies come together and it's really more of an expert consensus.   And with that expert consensus, they have kind of simplified things for dentistry, which is really nice. ⁓ comparing that to, we have more data for like total hip replacement, total knee replacement. We have a lot of data and we know really what we should be doing around then. But going back to dentistry, we don't have as much information, so they always say use clinical judgment, but they do give some really great expert guidance on that. So if a patient's on an anticoagulant, ⁓   they generally recommend that it doesn't need to be stopped unless there's a high bleeding risk for a patient. as a provider or as a clinician in the practice, you can be looking at high bleeding risk. Some things that make an oral procedure a little bit lower risk is one, it's in the compressible site, right? Like we can actually put pressure on that site. That's the number one way to stop bleeding is adding pressure. It's not like it's in the abdominal cavity where we can't get in and can't apply pressure. So number one, that kind of reduces the bleeding risk.   is number one. Two, we can add topical hemostatic agents. Dentists would know that better than me. There's a lot of topical ways to do that. So not only pressure, but there's those things as well. And also, but there are some procedures that are a little bit more likely to bleed. And that's where you and dentists would come in hand in What's the word in APO? Oh, the APOectomy. I got it right. Good job. like, didn't you tell me last night that the ADA guideline was like what?   three or four or more teeth? great question. So you can extract one to three teeth is what their expert consensus One to three teeth without. Without really managing or stopping anticoagulation or doing anything like that. I think that's some good guidance from them. I'm gonna add a Jasonism on that though. So with warfarin, I do see why dentists would be a little bit more conservative or worried about stopping the warfarin because warfarin isn't as stable as these newer agents. Warfarin, the levels.   quote unquote levels can go really high, they can go really low. And if the warfarin levels are high, they're more likely to bleed. So I do think it makes sense to have a really recent INR. That's how we measure what the warfarin's doing. I think that makes a lot of sense, but the ADA guidelines really go into the simplification version of all these blood thinners. Generally, it's recommended to not stop them because the risk of stopping them outweighs the benefit of stopping them in almost every case. Almost every case.   ⁓ So when you're with that patient, right, they say I'm on a blood thinner, finding out which kind of blood thinner that they're on, you find out that they're on Xeralto, right? How long have you been on Xeralto for? I've been on it for years. You don't know exactly why, but if they haven't had any recent bleeding, you're only gonna remove one tooth. ⁓ You can do what's called a HasBlood score. That kind of looks at the bleeding risk that they'd have. That'd be kind of going a notch above, but in my mind, removing one tooth isn't a real serious bleeding risk. I'd love to hear from my dentist friends if they...   disagree, right, but ADA says one to three tooth removals, extractions, that's the fancy word. Extractions, yeah, for extracting teeth out. Is not really that invasive. Sure. It's not that high risk, so it's usually perfectly fine. So if a patient was on Xarelto, ⁓ no other, this is in a vacuum, right? I'm not looking at any other factors, which you should be looking at other factors. I would be perfectly fine to just remove one to two.   And when those clearances come in, because dentists do send them, talk about what happens. You guys were working in the hospital and you guys would get these clearances all the time. do. We get them so often. I mean, we get like four or five a day. We'd love to give it to our students, student pharmacists, and ask them what to do. And they would usually look up the American Dental Association guidelines and come up with something. We're like, yep, that's what we say too. In fact, we say it so many times a day that we have a smart phrase.   which just blows in the information real quickly and faxes it right back to the So it's like a copy paste real quick. So what I wanted to point out when Jason told me this is dentists like hearing this and learning this, this can actually save you guys a ton of time to be able to be more confident, to not need to send those clearances on. And we were actually talking last night about how I think this might be a CYA for dentists. like, as we were talking, I think Jason, you seeing so many other aspects of medicine, like you've literally seen patients die, you've seen other areas.   And so coming from that clinical vantage point, we were realizing that dentists, we are so blessed to live in an injury. I enjoy dentistry because possibly there's someone dying, not super high, luckily in dentistry. The only time that I have actually had a doctor have a patient pass away, and it was only when they were completely sedated and doing ⁓ some other things, but that was under the care of an anesthesiologist. And so that's really our high, high risk. And so hearing this, Jason,   That was one of the reasons I wanted him to come on is to give you doctors more confidence of do we have to always send to a pharmacist? I mean, hearing that on the pharmacy side, they're just sending these back and not to say to not see why a to not cover this because you might be questioning like, well, do I really need to? But you also were talking about some other ways of so number one, you guys are just going to copy back the 88 guidelines. So so 88 guidelines. Yeah. And I think that that gives a lot of confidence to a provider or a dentist is that you can go to the 88 guidelines and read them, right? Like you're listening to some   nasally monotone pharmacist on a podcast. Rumor has it, people love him at the hospital. were like, you're the voice, he's been told he has a good radio So for the clinic, I was the voice. Like, yeah, you've reached the vascular clinic, right? And they're like, oh my gosh, you're the voice. But sorry, you me distracted. That'll be your next career, Jace. You're going to be a radio host. OK. I would love that. I love music. But you're hearing from a nasally guy, but you can actually read the ADA guidelines. You just go right to the ADA, click on Resources, and under Resources, it has the   around anticoagulants, I think that's the best way to get a lot of confidence about it because they have dentists who are the experts making calls on these. I'm just reiterating what they say, but I think it makes a lot of sense to help providers. And the reason why my heart goes out to you as well is having the providers that used to work underneath me, they're always looking for our views, which is a fancy way of making sure that they're drilling and filling. Can I say that? Yeah, can say drilling and filling. They're being productive, right? They're being productive, right?   They're always looking to make sure if a patient's canceling, like get somebody in here. Like I need to be helping people all day long. That's how I, we keep the lights on. That's how I help as many people. And so if you have a patient coming in the chair and it has an issue, they say I'm on Xeralto. Well, you can ask real quickly, why are you on Xeralto? I had a clot 10 years ago. my gosh. Well, yeah, we're pretty good to go. Then I'm not worried. We're only removing one tooth or we're just doing a cavity or a cleaning. Something like that. Shouldn't be an issue whatsoever because there's experts in the dental. ⁓   in the dental society, the ADA guidelines that recommend three teeth or less, minimally invasive. They really recommend if it's gonna be really high bleeding risk. And clinically, that's where you would come in, ⁓ or yourself. know, apioectomy is one that's like on the fence line. I don't know where implants set. though, and like we were talking, implants aren't usually like a date of procedure. Most people aren't popping in, having tooth pain, and we're like, let's do an implant. Now sometimes that can be the case, but typically that one's gonna have   a few other pieces involved. And so that is where you can get a clearance if you want to. ⁓ But we were really looking at this of like so many dentists that I know that you've seen will just send in these clearances because they are. And I think maybe a way to help dentists have more confidence is because you know, I love routines. I love to not have to remember things. So why don't we throw it in, have the team member set it up where every quarter we just double check the ADA guidelines. Are there any updates? Are there any other things that we need to do on that? That way you can just see like   getting into the language of this, of what do I need to do? Because honestly, you guys, know pharmacy was not a big portion for it, so, recommending different parts, but I think this is such a space where you can have confidence, and there's a few other things I wanna get to, and I you- I some pearls too. Okay, go. I'm so when she get me into talking about drugs, I'm not gonna stop. So, some other things around that too is these newer blood thinners like Xarelto Eloquist, they now have reversal agents, so a lot of providers in the past were really worried about bleeding because we can't turn it off. We can turn those off. Warfarin has reversal as well, right?   So I'm looking at these patients. It's really low risk. It's in the mouth, generally speaking. Very rarely are they a high bleeding risk. Now if you're doing maxillofacial surgery, this does not apply, right? This does not apply whatsoever. you're like general dentist, you're pediatric dentist. Yeah, yeah, and it's kind of on the fly. So just trying to really help you to be able to take care of those patients on the moment, have that confidence, look at the ADA guidelines, have that in front of you. I don't think it's a bad thing to ever...   check with their provider if you need to. If you're thinking, I feel like I should just check with the provider, I would never take that away from you. But I just want to kind of steer towards those guidelines that I have to help. But what did you want to share? No, yeah, I love that. And I think there were just a few other nuggets that we were chatting about last night that can help dentists just kind of get things passed a little bit easier. So you were mentioning that if they were named to their cardiologist, what was it? was like, who is the last? Great question. Yeah, when a patient's on a blood thinner,   It could be prescribed by the cardiologist. It could be prescribed by the family provider or could have been punted to like a vascular clinic like where I was working. It can go to any of those. And when you send that fax, right, if it goes to the cardiologist and it's supposed to go to the family care provider, like it just kind of goes, goes nowhere, right, from there. So I think it's a really good idea to find out who prescribed it last. If the patient doesn't know who prescribed their blood thinner last, you can call their pharmacy. I call pharmacies all day long.   I have noticed in the last year, they are way easier to get a hold of, which has made my job a lot easier, working on the insurance portion. So reaching out to the pharmacy, finding out who that provider is and sending it to them, because they should be able to help with that. I thought that was a good shift in verbiage that you had of asking instead of like the cardiologist, because that's who you would assume was the one. But you said like so many times you guys would take care of them, and then they go back to family practitioner, and you guys would get the clearances, but you couldn't clear because you weren't overseeing. So just asking the patient.   who prescribed their medication for them last time. That way you can send the clearance to the correct provider. then- And they might not know. You know patients, right? They're like, I don't know, my mom's or else, I don't know who gave it to me. Somebody told me I need to be on this. But at least that could be another quick thing. And then also we were talking last night about-   ⁓ What are some other things that dentists can do when like writing scripts to help them get what I think like overarching theme of everything we discussed is one how to help dentists have less I think drag through pharmacy. ⁓ Because pharmacy can take a little while and so perfect we now know the difference between anti-quag and anti-platelet. We know which medications are probably safe. We know we can check the ADA guidelines so that we were not having to do as many clearances. We also know if they're on a medication to find out and we do need a clearance.   who we can go to for the fastest, easiest result. And now, in talking about prescriptions, you had some really interesting tips that you could share with them. Yeah, so with writing prescriptions, right, pharmacies are pharmacies. So I'm not gonna say good thing or bad thing. There are challenges working with pharmacies. I'm not gonna play that down at all. ⁓ If you're writing prescriptions and having issues and kickbacks from pharmacies, there's some interesting laws around ⁓ writing prescriptions. Say that you're trying to ⁓ prescribe   augmentin, you know, 875 BID, and you tell the patient, hey, I want you to take this twice a day for seven days, and then you put quantity of seven, because you're moving fast, right? You want it for seven days, quantity of seven. Quantity would actually be 14, right? It's not that big of a deal. Anybody with common sense would say if you're taking a pill for twice a day for seven days, you need 14 tablets. But LAHA doesn't allow pharmacists to make that kind of a change, unfortunately. They have to follow what you're saying there. So you're going to get a...   An annoying callback that says, you wrote for seven tablets. I know you need 14. Is that OK? Just delays things, right? So ⁓ I really like the two letters QS. That's Q isn't queen. S isn't Sam. Yeah. It stands for quantity sufficient. So you don't have to calculate the amount of any medication that you're doing. So for me, as a pharmacist, when I was taking care of patients, I hated calculating the amount of insulin they would need for an entire month. So I would say.   Mrs. Jones needs 15, I'd say 15 units ⁓ QD daily. ⁓ And then I say QS, quantity sufficient, ⁓ 90 day supply through refills. So the pharmacy can then go calculate how much insulin that they need. I don't have to even do that. So anytime you're prescribing anything, I like that QS personally. So that lets the pharmacy use ⁓ common sense, as I like to call it, instead of giving you a call. I think that's super helpful. I also thought of one thing too.   going back to blood thinners is when it's kind of like a real quick, like they're not gonna have you stop the blood thinner at all. like you're seeing if you can stop the blood thinner for a patient, there's some instances it's just not gonna happen. And that's whenever they've been, they've had a clot or a stroke or a heart attack within the last three months. Three months. Yeah, that's kind of like the.   Because so many people are like, they had a heart thing like six years ago. And so I think a lot of my dentists that I worked with were like, we got to stop the blood thinners. But it sounds like it's within three months. Yeah, well, I'm just the time. Like this is general broad strokes. What I'm just trying to say is when you want to expect a no real quick. Got it. Right. So because benefits of stopping a blood thinner within those first three months of an event is very, very risky versus the, you know, the benefit of reducing a little bit of blood coming out of the mouth. Right. Like that's not that bad.   when somebody's had a stroke or a heart attack or pulmonary embolism, a clot in the lung, like we can't replace the lung, heart or brain very easily. We can replace blood a lot better. We've got buckets of it at most hospitals have buckets of it, right? So I'm always kind of leaning towards I'd rather replace blood than tissue at all times. So that's kind of a quick no. If they've had one those events in the last three months, we are really, really gonna watch their brain instead of getting.   root canal, right? Like really worried about them. So you'll just say no. And they could the dentist still proceed with the procedure or would you recommend like a three month wait? Or is it provider specific way the pros and cons because sometimes you need to get that tooth out. Great question. think then it's going to come into clinical. That's that's when you send in the clearance, right? Like, and it's great to reach out to the provider who's managing it for you. But I think it's kind of good to know exactly when you get a quick no quick no is going to be less than three months.   ⁓ Or when it's going to be like a kind of a typical, yeah, no problem. If it's been no greater than six months, they're on the typical anticoagulants or alto eloquence. Nothing crazy is going on for them. You're only removing two teeth. This is very, very low risk. But again, I'd urge everybody to read the ADA guidelines. That way you feel more comfortable with it. I'm not as eloquent as they do. They do a real good job. So I don't want to take any of their credit. I think they do a real good job of simplifying that and making you feel confident with providing.   more timely care for patients. Which is amazing. And Jayce, one last thing. I don't remember what it was. You were talking about the DEA and like six month rule. yeah. Let's just quickly talk about that and then we'll wrap this because this is such a fascinating thing for me last night. Yeah. So when comes to prescribing controlled substances, most providers have to have a DEA license. OK. First of all, though, what's your take on dentist prescribing controlled substances? ⁓ I don't think, you know, I worked on the insurance side of things. Right. And I look at the requirements for the   as the authorizations, what a patient, the criteria a patient needs to hit in order to qualify for certain medications. A lot of times for those controlled substances, they have pretty significant issues going on, like fibromyalgia or cancer-related pain or end-of-life care versus we don't, in all my scanning thread, I don't have a ⁓ perfect picture memory. Sure. But I don't usually see oral.   pain in there. There is some post-operative pain that can be covered for those kind of medications but I really recommend to keep those lower and in fact in a lot of our criteria it recommends you know have they tried Tylenol first, they tried, have they filled NSAIDs or are they contraindicated with the patient. So really they should be last line for patients in my two cents but there's always going to be a caveat to the rule right? Of course. comes through that has oral cancer and you're taking   like that would make sense to me. Got it, so then back to the DEA. Yeah, okay. Okay, ready. So as a provider, you should be checking the, if you're doing controlled substances, you should be checking the prescription drug monitoring program, or sometimes called the PDMP, looking to see if patients are getting ⁓ controlled substances from another provider. So it's really just a check and balance to make sure that they're not going from provider to provider to getting too many narcotics and causing self harm or harm to others.   And so with checking that PDMP before prescribing, I think a lot of providers do that. A lot of softwares that I'm aware of, EMRs, electronic medical records, sometimes have links so that you can do that more quickly. However, I don't think it's as intuitive that they need to be checking that every six months in some states. And like here in Nevada, you're supposed to be checking it every six months, not for a patient, but for your actual DEA registration to see if anybody else is prescribing underneath you. Because if you don't check that every six months, you could get in some serious trouble with...   not only DEA, but even more the Board of Pharmacy and your state. Now, I don't know all 50 states, so I check with your state to see if you need to be checking that every six months, but set an alarm just to check that real quickly, keep your nose clean. ⁓ I've had providers, I've had to remind to do that. And if somebody was using your account, prescribing narcotics, you'd never know unless you went and checked that PDMP.   Yeah, I remember last night you were like, and if that was you, I would not want to be you. The Board of Pharmacy is going to be real excited to find you. So that was something where I was like, got it. So, and we all know I'm big on let's make it easy. And Jason, I love that you love this so much and you just brought so much value today. And like also for me, it's just fun to podcast. fun. Yeah. But I got a nerd out on my world a little bit. Bring it into yours. I work with dentists or at least you know, when I was working in Vascular Clinic all day long. Great questions that would come through. Yeah.   So I think for all of us, as a recap on this is number one, I think setting yourself ⁓ some cadences. So maybe every quarter we check our ADA guidelines and we check our, what is it, PDMP. PDMP. so each state, so they call it Prescription Drug Monitoring Program. We need that. Yeah, but there are different acronyms in different states, though. That's just what it's called in Nevada. I forget what it is in California, but you can check your state's prescription monitoring program, make sure that opioids aren't being prescribed under your name. Got it. So we just set that as a cadence.   We know one to three teeth most likely if they're on a blood thinner is According to the 88 as of today is good to go You know things that are going to get a quick know are going to be within the last three months of the stroke the heart attack or the Clot I'm thinking like the pulmonary embolus. Yeah, that's what we're trying to prevent   Those are gonna be quick knows and then if we're prescribing, let's do QS. We've got quantity is sufficient so that we're not getting phone calls back on those medications that we are. And then on narcotics, just being a bit more cautious. Of course, this is provider specific and in no way, or form did Jason come on here to tell you you are the clinical expert.   Jason's the clinical expert on medications. And if you guys ever have questions, I know Jason, you geek out and you want to talk to people so that anyone wants to chat shop. Be sure to reach out and we'll be able to connect you in. we've even talked about possibly, so let me know listeners. You can email in Hello@TheDentalATeam.com of ask a pharmacist anything. I talked to Jason. I was like,   We'll just have them like send in questions and maybe get you back on the podcast or we do a webinar. But any last thoughts, Jace, you've got of pharmacy and dentistry as we as we wrap up today? No, I think that's pretty much it. So check the ADA guidelines. I think it's really good to have cross communication between professions. Right. If you're working with the pharmacy, CVS, Walgreens or something like that or Walmart, I know that it can be challenging. Right. They're under different pressures. You're under different pressure. So I think ⁓ just coming in with an understanding, not being angry at each other.   you know what mean, is super beneficial and working together. When it comes to it, every dentist that I've talked to is actually worried about their patient. Every pharmacist that I've worked with is really worried about the patient as well. So we're trying to accomplish the same thing, but we have different rules and our hands are bound in different ways that annoy each other, right? Like I know Dr. Jones, want 14 tablets, but you said seven. And I know Common Sense says I should give them 14, but I've got to make that change.   knowing that their hands are tied by the law. They can't use as much common sense, which is aggravating. I mean, that's why I love what I gotta do here. I gotta just kind of help a lot more and use common sense and improve patient care. But those kinds of things I think are really beneficial as you work together and then not being so afraid of blood thinners, right? So I think those guidelines do a great job of giving you confidence and not worrying about the side effects. And there's a lot of things that you can do locally for bleeding.   You have a lot of control over that. I think that's pretty cool, the tools they have. Yeah. And at the end of the day, yes, you are the clinician. You are the one who is responsible for this. so obviously, chat, but I think collaborating, talking to other pharmacists, talking to them in your state, finding out what are the state laws, things like that I think can be really beneficial just to give you peace of mind and confidence. And again, dentistry, are maybe a bit more risk adverse because luckily we don't have patients dying That's great thing. Yeah, that's fantastic. I want my dentists to be risk adverse. I think so too. But Jason, I appreciate you being on the podcast today.   And for all of you listening, ⁓ more confidence, more clarity, more streamline to be able to serve and help our patients better. if we can help you in any way or you've got more questions, reach out Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast.  

En "Equipo de investigación" el programa que presenta Gloria Serra celebra su 15 aniversario hablando de la secta "La luz del mundo". Manuel Carballal nos cuenta los antecedentes de esta secta y como su actual líder Naasón Joaquín García, quien se presenta como «Apóstol de Jesucristo», está cumpliendo condena en la cárcel por abusos sexuales de menores.

Andrew Pollard is one of those kids that grew up at Alta and had the mountain as his babysitter/playground.  And while it took Andrew a little longer to become a name in the ski industry--compared to his pro skier friends and classmates, Andrew eventually made it to the top.  But what's different and cool about Andrew's story is that he's not just a skier; he's also, an artist, a DJ, freeride coach, and in the podcast, he has no filter.  All of this makes for a fun episode and Andrew's little sister Jackie asks the Inappropriate Questions. Andrew Pollard Show Notes: 4:00: 100 Hours from Home, Mongolia, no Skimo for Apo, reeling it in, family story, Alta crew, and exit strategy advice from Greg Harms   21:00: Ski Idaho: With 19 mountains, a ton of snow and no lift lines, why wouldn't you Visit Idaho Stanley:  The brand that invented the category! Only the best for Powell Movement listeners.  Check out Stanley1913.com   Best Day Brewing:  All of the flavor of your favorite IPA or Kolsch, without the alcohol, the calories or sugar. 24:00: His thoughts on FIS putting Freeride in the Olympics, TGR, Sage, the influence of Seth Morrison, and hating self-promotion     40:30: Elan Skis:  Over 75 years of innovation that makes you better. Thermic Heated Socks:  If you have cold feet, there's nothing better than thermic Outdoor Research: Click here for 25% off Outdoor Research products (not valid on sale items or pro products) 43:00: Broke Americans on the FWT, money, and skiing with strategy   50:00: Inappropriate Questions with Jackie Pollard