Podcasts about balint

In this week's episode of The Intercept Briefing, we examine the case of Mohsen Mahdawi, a Palestinian student whose decadelong journey toward American citizenship ended not with the oath of allegiance, but in handcuffs.On Monday, the Columbia student arrived at his long-awaited citizenship interview in Vermont. Instead, immigration agents arrested him, and he now faces deportation to the occupied West Bank.Rep. Becca Balint, D-Vt., who represents his district, is outraged and told The Intercept Briefing, “If you'll deny due process from somebody who was in this country with a green card for 10 years, who is somebody who talked about peace and connection between Palestinians and Israelis who was looking to build bridges — if this man is somehow a threat to our society, then we are down a sick path.”Mahdawi spoke to The Intercept the night before his fateful appointment and said he understood the risk he might be facing. He is now the ninth Columbia student targeted for deportation. The Trump administration has revoked or changed over a 1,000 student visas, according to Inside Higher Ed. Mahdawi's case exemplifies how immigration enforcement is being weaponized, says Balint. “ If they're so proud of what they're doing, then show your damn face, then show your ID. Then talk about what grounds you are holding this person. But it's being done in secret, and it is meant to shock and awe and to get the rest of us to remain silent. They have no evidence, they have no details, which is what we're demanding of both Secretary [Marco] Rubio and Secretary [Kristi] Noem."Immigration lawyer Matt Cameron spoke to The Intercept about the broader implications of the administration's agenda and said that this is much bigger than just students and immigrants. “ It's a message to student protesters obviously to start with, but it's a message to all of us that our free speech is a liability,” he warned.Cameron pointed to the case of Kilmar Armando Abrego Garcia, a Maryland resident who was illegally deported to El Salvador and is now imprisoned despite no criminal record. The U.S. Supreme Court has ordered the government to facilitate his return, but so far, the administration has resisted. "This is going to be one of the most important cases of our lifetimes,” said Cameron. “ Even for people who don't think they're interested in following immigration issues: This is for all of us. And you know, Kilmar Armando Abrego Garcia will be all of us pretty soon here if we don't stay on our rights.” Hosted on Acast. See acast.com/privacy for more information.

Headlines for April 16, 2025; Mohsen Mahdawi’s Abduction “Should Terrify” Us, Says VT Rep. Balint, Whose Grandfather Was Killed in Holocaust; Facebook Whistleblower Frances Haugen: Breaking Up Meta’s Monopoly Would Improve Service, Safety; “Unquestionably Unconstitutional”: Harvard Law Prof Slams Cuts as School Rejects Trump Demands

Headlines for April 16, 2025; Mohsen Mahdawi’s Abduction “Should Terrify” Us, Says VT Rep. Balint, Whose Grandfather Was Killed in Holocaust; Facebook Whistleblower Frances Haugen: Breaking Up Meta’s Monopoly Would Improve Service, Safety; “Unquestionably Unconstitutional”: Harvard Law Prof Slams Cuts as School Rejects Trump Demands

Doctors Lisa and Sara are joined by GP and Medical Educator Dr Alan Ng, working in Canada. We discuss what Balint groups are, starting from who Balint was. We go through the structure of a Balint session and why they exist in the form they do. We discuss the advantages to both Doctors and their patients of discussing cases within a Balint group and being part of a group. Discussions can help us gain a deeper understanding of the doctor-patient relationship and discover more about the dynamics and causes of our stresses in particular cases.    You can use these podcasts as part of your CPD - we don't do certificates but they still count :)   Useful resources:  UK Balint Society: https://balintsociety.org.uk/ American Balint Society: www.americanbalintsociety.org International Balint Federation: www.balintinternational.com Balint, Michael. The Doctor, His Patient and the Illness. Churchill Livingstone  1957, 1963, 2000: https://www.worldofbooks.com/en-gb/products/doctor-his-patient-and-the-illness-book-michael-balint-9780272792063 Salinsky, John and Sackin, Paul.  What Are You Feeling Doctor? Radcliffe 2000: https://www.worldofbooks.com/en-gb/products/what-are-you-feeling-doctor-book-john-salinsky-9781857754070 Joanne Reeve and the idea of ‘Knowledge Work': https://bjgplife.com/reclaiming-general-practice-tackling-our-workforce-crisis-with-wisegp/ Stojanovic-Tasic M, Latas M, Milosevic N, Aritonovic Pribakovic J, Ljusic D, Sapic R, Vucurevic M, Trajkovic G, Grgurevic A. Is Balint training associated with the reduced burnout among primary health care doctors? Libyan J Med. 2018 Dec;13(1):1440123: https://pubmed.ncbi.nlm.nih.gov/29493438/ Van Roy K, Vanheule S, Inslegers R. Research on Balint groups: A literature review. Patient Educ Couns. 2015 Jun;98(6):685-94: https://pubmed.ncbi.nlm.nih.gov/25681874/ Player M, Freedy JR, Diaz V, Brock C, Chessman A, Thiedke C, Johnson A. The role of Balint group training in the professional and personal development of family medicine residents. Int J Psychiatry Med. 2018 Jan-Mar;53(1-2):24-38. doi: 10.1177/0091217417745289. Epub 2017 Dec 13: https://pubmed.ncbi.nlm.nih.gov/29235909/ Kjeldmand D, Holmström I. Balint groups as a means to increase job satisfaction and prevent burnout among general practitioners. Ann Fam Med. 2008 Mar-Apr;6(2):138-45. doi: 10.1370/afm.813: https://pubmed.ncbi.nlm.nih.gov/18332406/ Mathers and Rowland (1997). General practice-a post-modern speciality? British Journal of General Practice, 47, 177-179: https://bjgp.org/content/47/416/177 ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com ___ This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it's release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

Vermont poultry farmers take steps to guard their animals against bird flu, which has been spreading around the country. Plus, rank-and-file lawmakers are pushing Democratic leadership to exempt military pensions for state income tax, U.S. Rep. Balint denounces a budget plan that passed the House this week, several towns will mull whether to allow ATVs on town roads, and the Stowe Foliage Arts Festival won't return this fall.

WAMC's Ian Pickus speaks with Vermont Congresswoman-at-large Becca Balint.

This segment aired on 02/19/2025.

Is President Donald Trump staging a coup?“It's certainly an attempted coup, for sure,” Rep. Becca Balint, D-Vt, told The Vermont Conversation.As Trump and billionaire Elon Musk tear through Washington firing thousands of federal workers and shuttering federal agencies, Balint has been drawn out of the halls of Congress to protest in the streets. She joined Congressional Democrats in front of the Department of Education to denounce taking “money away from our kids to give it to billionaires,” and protested in front of the Treasury Department decrying a “hostile takeover.”Speaking outside the Consumer Financial Protection Bureau last week, another agency that Trump is dismantling, Vermont's second term congresswoman said she was there to “represent rural America” and that the CFPB “is protecting all of us from the kind of fraudsters and scammers that are in the White House right now.”Balint, who is the vice ranking member on the House Judiciary Committee, has implored people to “tune in” to what Trump and Musk are doing. “Authoritarians win when we stop paying attention,” she said at the Treasury.Balint spoke with The Vermont Conversation while she was in Vermont this week.“These executive orders, these sweeping orders, many of which run afoul of federal law and the Constitution, it is difficult to look at what is happening and not come to the conclusion that in fact, they are trying to seize power away from everyday Americans, but also power away from the other two branches of government,” she said. “And we saw (Vice President) J.D. Vance this past week making statements that the president actually didn't need to listen to rulings of the court. And of course, if we don't have a checks and balances system here, then we don't have democracy as our founders envisioned it.”Balint said that her Republican colleagues have acquiesced to Trump's power grab. “Some of them seem absolutely comfortable with this because they believe in the mission of a Christian nationalist vision for this country. Some of them go along with it because they are afraid of losing their own power.”Balint bristled at the suggestion that Democrats bear some responsibility for the political turmoil. “It sticks in my craw a little bit when people talk about the Democrats, because we are not a monolith.”Vermont's lone congressional representative conceded that Democrats did not effectively address economic disparity in the runup to the 2024 election. “We have a disgusting, unconscionable wealth gap in this country, and I think that we should have been singularly focused on the needs of families who were struggling to make ends meet and continue to struggle.”Who will lead the resistance? “I understand the frustration and people are looking for one voice, and I think this is a time that is unprecedented. We are trying to fight a battle on so many different fronts right now, and so I'm really putting my head down in my two committees and figuring out how I can continue to push myself, my team, and my colleagues to be much more engaged with the people, because that is how we're going to right the ship right now. As you know, Democrats don't have the House, they don't have the Senate, they don't have the White House. We need three Republicans in the House to have a conscience right now, just three. So we're very focused on that.”“I can't tell people not to be angry or frustrated. I'm angry and frustrated,” said Balint. “I am absolutely frightened and chilled by where we are right now, and I'm not going to go along as if it's business as usual there.”Balint urged people to re-engage with politics. “I know people are exhausted. I understand why you just want to take care of you. But as much as we can encourage our friends and family, I always say just to check back in about what's happening because the stakes are incredibly high right now, and it's going to take all of us.”“I very much fear that we're heading towards a time when Trump is going to openly and actively defy a Supreme Court ruling. And we must take to the streets, all of us, we must. That's why I need people to check back in so they know what's happening.”“I feel absolutely a sense of purpose and focus right now, and that is helping me. I feel like I know what they're trying to do, and I'm not going to let them.”

9-9:30am Sarah Scott, Deputy State Director with Americans for Prosperity New Hampshire, joins to discuss how occupational licensure laws can limit opportunity and the chances of New Hampshire passing universal education freedom accounts. 9:30-10am Niyoka Powell, Executive Director of Rhode Island Families for School Choice, updates listeners about the bipartisan coalition for education reform in the Ocean State and her candidacy for RI GOP Vice Chair 10-10:30am Mike Sylvester, Canadian political expert, talks about the USA vs Canada rivalry in hockey and politics 10:30-11am David Iglesias, State Government Affairs Associate with Libertas Institute, talks about bipartisan efforts to advocate for digital privacy, regulatory sandboxes, and healthcare affordability I will be in studio tomorrow, but all these guests will be remote. Congresswoman Balint will be in person for our interview at noon.

Charlie Sykes examines the continued erosion of law and order in America. Congresswoman Becca Balint details the Republicans' attempts to rewrite American culture.See omnystudio.com/listener for privacy information.

Becca Balint, Vermont's only U.S. Congressional member, joins Kurt & Anthony to give an update from Washington.

On this episode of The New Abnormal, Vermont Rep. Becca Balint hammers Georgia Rep. Marjorie Talor Greene over her “sickening” use of DEI to attack L.A. wildfire victims. “It's become crystal clear that the phrase DEI is used in place of much more offensive terms,” said Balint. Plus! Journalist Lois Parshley discusses her latest article, “Trump's Tech Donors Have Big Plans For Greenland.” Hosted on Acast. See acast.com/privacy for more information.

What does it take to create a product worthy of winning Mac app of the year?I interviewed the founder of Craft Docs, Balint Orosz, to find out…So this episode is a deep dive into how they work and what it takes to achieve this level of design excellence, including:What Balint looks for in systems thinkersCraft's plan to differentiate with personalizationWhat it looks like for designers to take ownershipHow designers experiment with LLMs and shadersBehind-the-scenes of their viral “quick add” featureWhat makes Craft's approach to product planning so uniqueThe challenges of designing a user-generated content producta lot moreIntroducing Craft 3

President Donald J. Trump was sworn into office Monday in Washington. Vermont's sole U.S. House representative, Rep. Becca Balint (D-Vt) attended the inauguration. She shares why she attended, her reaction to President Trump's first executive orders, and her own priorities for the new Congress.President Trump has promised to impose a 25% tariff on Canadian goods, starting Feb. 1. In response, the Canadian government has vowed to impose tariffs on U.S. goods. Ottawa-based journalist David Akin, the chief political correspondent for Global News, gives us an inside look into the current state of Canadian-American relations.Broadcast live on Tuesday, January 21, 2025, at noon; rebroadcast at 7 p.m.Have questions, comments, or tips? Send us a message or check us out on Instagram.

We say thank you to current Cancer Stories host, Dr. Lidia Schapira, and welcome Cancer Stories new host, Dr. Mikkael Sekeres. TRANSCRIPT Dr. Lidia Schapira: Hello and welcome to JCO's Cancer Stories: The Art of Oncology, which features essays and personal reflections from authors exploring their experience in the field of oncology. I'm your host, Dr. Lidia Schapira, a Professor of Medicine at Stanford University, and with me today is Dr. Mikkael Sekeres, who is a Professor of Medicine and the Chief of the Division of Hematology at the Sylvester Comprehensive Cancer Center in Miami. In this episode, we will be discussing his new role as the host for the JCO Cancer Stories: The Art of Oncology podcast. Mikkael, welcome to our podcast and thank you for joining me today. Dr. Mikkael Sekeres: Lidia, what an absolute delight it is to be here with you. And I have to confess, it's also intimidating to think about taking this over from you, given the amazing job you've done over the past few years. Dr. Lidia Schapira: Well, thank you so much for that. This podcast originated as a bit of a dare. When Steve Cannistra, back in 2017, said ‘no' to some idea that I had for changing or expanding the section and issued the dare of why don't you do a podcast instead? And back in 2017, I had no idea. And we were less used to podcasts, so I trained myself. And then this beautiful new form sort of emerged just from my idea and dream of giving our listeners and our readers something new to chew on and to reflect on. Dr. Mikkael Sekeres: Well, it turned out to be prescient, didn't it? I can't tell you how many people I know, especially here in Miami, where we do tend to get caught in traffic and have a long commute time. I'm sure that never happens to you in Palo Alto. Dr. Lidia Schapira: Of course not. Dr. Mikkael Sekeres: But people listen to a lot of podcasts and it's a great way to catch up on personalities and on books and on the news. So good for you. I'm so happy you took the dare and ran with it. Dr. Lidia Schapira: Yes. And the first thought I had was to make it a bit artsy. So we started, for the first couple of years of rounding up everybody we knew who was an actor or had a voice that they used for their art or trade and asked them to read the essays or poems before we had the conversation with the author. Now, we have our own voice actor, so we know what we're going to get every week, and we're not looking for people and knocking on doors and asking very busy actors to donate their time. So it has evolved, as has the writing really. So I wondered if you can reflect a little bit on how you see this section both in the journal and also the conversations we're having in this podcast change and evolve over the years. Dr. Mikkael Sekeres: Let's be honest, we're both writers, right? So as a writer, you're always looking for an outlet for your work. And there aren't a lot of outlets in medical journals. Yet there's this huge audience of doctors and nurses and pharmacists and social workers who read these journals and have this incredible experience with this deluge of humanity we see every single day. So this is an incredible thing, that Art of Oncology was even created a couple decades ago and provided this outlet for people. And what I have noticed is that people have become more daring. So let's play on the dare that you took up to even start this podcast. They've become more daring in what they're willing to write about and in how vulnerable they're willing to be in print. I've seen this in my own career, in my own writing, where 20 years ago I came out of fellowship and very cautiously started to write about some of the experiences that I had. But it was cautious and used more professional language and didn't get into some of the vulnerabilities that we face in treating patients and that we experience in ourselves and in our colleagues. But I think people have been willing to share more of themselves, particularly in the last decade. Dr. Lidia Schapira: I totally agree with you. And one of the things that I've noticed is that we have younger writers and younger authors who are now taught, even during their medical training and postgraduate work, that writing as a way of processing emotionally difficult experiences or sharing interesting thoughts or coming together as a community is really important to create the kind of community of thoughtful practitioners that we need to sustain us while we do this difficult work. So we are having more and more submissions and published work from very young colleagues, trainees. And I find it very interesting, sort of this multi-generational way of expressing the contact with very ill patients and sometimes very moving to think back on the first time you gave bad news for those of us who may have done it a hundred thousand times. Dr. Mikkael Sekeres: So I think you're spot on about this. We're getting younger authors. We're getting folks who are early career, mid career. Now, we're receiving essays from folks who are at the end of their career and want to reflect on that career. And people we wouldn't have expected would write these vulnerable essays either. I wonder if some of the pieces we're getting from younger authors stems from the fact that fellowship programs are finally paying attention to the experience of being a fellow and being a trainee. Dr. Lidia Schapira: Oh, my goodness. It was staring at them all this time. I think when you were a fellow a long time ago, you were one of the advocates of having fellows talk to one another about their experience, right? Dr. Mikkael Sekeres: You have an incredible memory. During our fellowship, we started a Balint Physician Awareness Group. So there's this movement started by the Ballint, a husband and wife team to start to get healthcare providers to reflect on their experience and share that experience with each other to build a community of support. And we started this in our fellowship. And you can imagine the initial reaction to this among the fellowship directors was, “Why do you need that? What do you think you're doing? There's no place for that.” Dr. Lidia Schapira: “And we need our time to train them on the science.” This is maybe an extra. Right? I think many of us have felt that trying to advance anything that deals with humanism or the human side of providing care is considered maybe optional. And I think you and I have been pushing against that for a long time. Dr. Mikkael Sekeres: I think that's exactly right. What I think legitimized it a little bit is we got funding for it from The Schwartz Foundation. We then actually published a study looking at it in JCO because the fellows in our program spent time at two different hospitals. So it was by design, this crossover study where half the fellows got the intervention of the Balint group and half didn't. And it turns out, lo and behold, they actually felt better and had a better experience as a fellow when they had the intervention. Dr. Lidia Schapira: Yeah. It's so interesting that we had to turn it into a randomized control trial or whatever design you picked, but you needed to fit it into the section of the journal that respected the logic and process of scientific research. But that brings me to another point, I think, that we have talked about so much, but I think it's important for us to share with listeners. And that is that the section of the journal that we've created now, it used to be When the Tumor Is Not the Target, and we've shortened the title. The Art of Oncology is not a section for papers that address research or where there is no methods and results section. It is intentionally meant to be different from the rest of the journal. Is that how you see it, too? Dr. Mikkael Sekeres: Oh, my word. Absolutely. And our reviewers occasionally will have a submission that is more of a classic article in how it's structured, and our reviewers will push against it. And sometimes we're able to get back to the author and say, could you write this in a different way, something that's more reflective of Art of Oncology? I think it's meant to be, I don't want to say a break from the way other articles are written, but maybe a different style, a different way of using your brain and reading these articles. And we've seen that they're popular. Sometimes they are the most read article, even in JCO, in a given week, which, of course, we share with each other and gloat a little bit when that happens. Dr. Lidia Schapira: Yes, and it doesn't have to be the article that made you cry. It can also be the article that made you think. That's been my intention as the editor for this section for the last 10 years. I've tried to be very intentional instead of bringing to our readership articles that delve into different parts of this lived experience of giving care. Some are moving more towards ethical conflicts. Some are moving more towards the emotional labor of the work. But some bring out different voices and different perspectives. And I'm proud to say that the submissions we get really come from all over the world. So I wonder, Mikkael, as you're entering into this role now, your decade as editor for this section and host for our podcast is how you view the editorial process. How does your team help the authors bring their best article forward? Dr. Mikkael Sekeres: I took the lead from you, and I'm not saying that just to blow wind in your sail, but you have always given feedback to authors, whether it's a request for a revision and acceptance or turning a piece down. That's been helpful, that's been thoughtful, that's been empathic. And in the end, I know that your goal has always been with these reviews, to give the author advice moving forward. I've tried to take a page out of your book by doing that as well. I go into every piece you shared with me that you do the same thing. When I get a submission, I look at it and I'm so excited about what could be there, what truth this could reveal, what angle of thinking about something that I've never thought about before. And our reviewers go into it the same way as well. These are folks who have read hundreds, if not thousands of essays. They themselves are readers. They're writers. They've had submissions accepted to Art of Oncology. They're looking for pieces that reflect a great truth that we all realize sometimes it's a great truth that no one wants to talk about, and this is the first time somebody's talking about it. Those are the best pieces. When you read it and say, “I thought the same thing,” Or, “I had the exact same experience and no one's ever talked about it before.” We're looking for good writing. We're looking for pieces that are focused on a patient. And you and I have both given talks on narrative medicine. And one of the slides I have in my talk is to remind people that the patient is the most important person in the room and to make that piece focused on the patient's experience and, of course, the writer's reaction to that experience. But in the end, it's all about our patients and their experience. And we're looking for, as you mentioned, perspectives that we haven't seen before. So we want to hear from people who are in training. We want to hear from people in different stages of their careers, people who practice in different settings, people who bring different cultural backgrounds to their own perspective on the practice of oncology. Dr. Lidia Schapira: And if I may point something out to our listeners, you are an artist in being able to bring the bedside verbatims to the page and make them live. I've always admired that in your writing, Mikkael. Can you tell us a little bit about your process for writing and how the role of the editor varies or is different from the role of the writer? Because I've learned a lot about editing, and I think the editor is an interpreter, in a way. I'm fascinated. I was brought up in a household where we spoke four languages, and I was always fascinated by trying to find the right word in a language and struggling with all of that. And I think some of my love for editing, which is different from my love for writing or reading, comes from that, from trying just to find the right word or trying to respect the voice of the author and make it even better or more artistic. Can you tell us a little bit about your process and your relationship to language and writing and editing? Dr. Mikkael Sekeres: It's great to hear you come from a family where you spoke four languages. I am an unfortunate monoglot. I'm terrible with foreign languages. But I come from a family of English majors. My dad was a journalist for the Providence Journal in Rhode island, then an editor for 10 years. My mom was an English major as well. So I always think that as parents, our job is to impart one employable skill to our kids so they don't live in our basement forever. Dr. Lidia Schapira: That's what my father thought, and that's why I'm a doctor and not a philosopher. Dr. Mikkael Sekeres: We joke that we moved to Miami, so there is no basement they can live in. But I always felt in my family, the employable skill was writing. I grew up and when I went to med school, I think, we put on this armor of the language we're learning, and we're very uncomfortable and nervous about the skills that we have. So we use this language to separate ourselves from our uncertainty around medicine. I distinctly remember at one point talking to my parents and saying something that was very complex, using medicalese. And they said to me, “Why are you talking to us like this? We're your parents. You don't have to use that language. Just use language we can understand.” And that always resonated with me. That was kind of a North Star moment for me. That's what's guided my writing. And I have so much respect for the words that my patients use. And I think that's why I try to incorporate it in my essays as well. I always try to have my patient's voice literally there in their words as a focal point. I think as an editor, we go into a piece and we want to learn something. In the end, essays either educate or entertain, and ideally both. So we want to come out of a piece, we want to be either emotionally moved or we want to learn something and hopefully both things. And if I'm reading a piece as an editor and one of those two criteria have been satisfied, then I think it's a piece that's worth giving feedback to and advising revision. But I'm curious. I want to turn this a little bit, Lidia, because you're the one who always asks the questions. Dr. Lidia Schapira: I love asking questions. Dr. Mikkael Sekeres: So I'd like to ask you a question. When did you get started as a writer and a reader? And has that interest and skill changed over the course of your career? Dr. Lidia Schapira: Yes, I must say, I've always been a reader. That's my idea of heaven is a place with an enormous amount of books and a good espresso machine, just to give you an idea. So books have always provided companionship to me. They've provided community. I'm very happy living in a world of ideas, and I love art, and I love the sound of words and beautiful words put together beautifully. So that's basically reading and thinking, to me, are very closely aligned. And I also love and come from a culture, a society where conversation was valued. And I'm very sad that we don't anymore. We don't converse in our typical academic settings because we're so busy, and our language is mostly turned into units of efficiency. So I love the idea of communicating through language. Words, spoken words, things we listen to, things we read, things we write. My relationship to writing has been very undisciplined and inconsistent. And for all the years that I was an editor for this section, I found myself sort of inhibited from writing. And from the moment that I passed the baton on to you, I've been gushing. So I'm working on a book, and hopefully it'll be the first of several. But I've sort of kept my writing very private, and I've only been able to do it when I have a lot of time and no pressure. I'm not the kind of disciplined writer who can set aside time every day to write. I just can't do that. I need to be totally empty and free and be able to disagree with myself and erase a thousand words written on a page because they're just not good enough and start again. Dr. Mikkael Sekeres: I'm fascinated by that comment that you just made. What is it about being an editor that you feel has inhibited you from writing? Dr. Lidia Schapira: I think I was just busy. I was busy, again, immersing myself in the words that I needed to respond to and in the creative process of transforming essays into their best possible publishable form. And I think that's how I've interpreted the work of editors. I have tremendous respect for editors. I now need one to help me with my own work. But I think editors play an incredible role. And I am very happy that you view this role as something that is joyful. And I know that you have the amazing talent to do it. So I'm just very happy that we've made this transition. Dr. Mikkael Sekeres: Can I suggest that you've been giving as an editor also, because I think that your guidance to authors is precious? It's so valuable. Writers are so desperate to have that kind of caring advice. And I wonder if you've devoted all of your creative juices to doing that for the past 10 years at the expense of not being able to write yourself. So I'm so thrilled that you have the opportunity now. I will be the first person to buy your book, to write a review for your book. I can't wait to read it. Dr. Lidia Schapira: We've got a blurber. So now I need a good editor and a therapist, and I'm on my way. So on that note, I think it's time for us to end this lovely conversation, although we could go on for a long time. For our listeners. I want to thank you for having listened to me all these years, and I'm delighted that Dr. Sekeres will continue this wonderful program. And I look forward to listening while I drive, while I walk, and while I just simply am. Thank you for listening to JCO's Cancer Stories: The Art of Oncology. Don't forget to give us a rating or review and be sure to subscribe so you never miss an episode. You can find all of the ASCO shows at asco.org/podcasts. And thank you Mikkael. Dr. Mikkael Sekeres: Thank you so much, Lidia.   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.   Like, share and subscribe so you never miss an episode and leave a rating or review.   Guest Bio: Dr. Mikkael Sekeres is a Professor of Medicine and the Chief of the Division of Hematology at the Sylvester Comprehensive Cancer Center in Miami.  

Rep. Becca Balint discusses her priorities around housing issues, as well as how she hopes to work across the aisle and be fearless as she enters her second term in the House of Representatives.

Ready to diversify outside the stock market? EquityMultiple brings you streamlined real estate investing. Access vetted, cash-flowing opportunities from anywhere. Start today, with just $5K, at equitymultiple.com____________We're excited to bring you a 2024 favorite for this holiday season! For this holiday season, we're thrilled to present a 2024 favorite! In this special rerun of episode 319, Dr. Megan Melo, a family medicine and obesity medicine specialist, sits down with Dr. Bradley Block to share her insights on overcoming physician overwhelm.  Interviewed by Dr. Bradley Block, Dr. Melo opens up about her journey in medicine, the transformative role of life coaching, and her strategies for addressing perfectionism and people-pleasing tendencies that often affect healthcare professionals. She highlights the importance of recognizing and addressing the root causes of stress and overwhelm to maintain both personal wellness and professional effectiveness.More on Dr. Megan Melo:Dr. Megan Melo is a board-certified physician in family medicine and obesity medicine, practicing at Finney Primary Care and Wellness in Seattle. Alongside her medical career, she is a certified life coach and a certified Daring Way facilitator, with a focus on the work of Brené Brown. She is also a Balint instructor, based on the teachings of psychoanalyst Michael Balint. Dr. Melo is passionate about helping fellow physicians navigate the complexities of their profession without succumbing to overwhelm and burnout. She is the host of the "Ending Physician Overwhelm" podcast, where she shares her expertise in managing perfectionism, people-pleasing, and setting healthy boundaries.Website:Welcome Dr. Megan Melo MD – Phinney Primary Care & WellnessMegan Melo, MD Family and Obesity Medicine - YouTube Did you know?You can also be a guest on our show? Please email me at brad@physiciansguidetodoctoring.com to connect or visit www.physiciansguidetodoctoring.com to learn more about the show!Socials:@physiciansguidetodoctoring on FB @physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

Today, we have the pleasure of speaking with Dr. Bálint Várkuti, a distinguished expert in the field of neuromodulation. Dr. Várkuti is the founder and CEO of CereGate, a pioneering company developing brain-computer interface technologies—referred to as computer-brain interface technologies—that aim to enhance neuromodulation therapies. Before founding CereGate, Dr. Várkuti made significant contributions to image-guided DBS programming solutions at Brainlab. With over a decade of experience in neurotechnology and the medical device industry, his work focuses on designing innovative interfaces between technology and the human brain to improve patient outcomes. For those familiar with DBS, you'll understand the nuances here: when stimulation of the super-dynamic nucleus in DBS is set too high, patients often experience a tingling or irritating sensation due to overstimulation of sensory fibers. Typically, this side effect is avoided. However, Dr. Várkuti had a groundbreaking insight: This sensation represented a channel of information with the brain – and one could make use of it! In a nutshell, CereGate leverages these overlooked pathways, using them in a patterned and complex way to transmit information that the brain can decode. This approach opens up new possibilities for interfacing with the brain, which we find truly fascinating: This concept that CereGate is exploring might just be the start of a much larger field of innovation.

Becca Balint, Vermont's lone U.S. Congressional Representative, joins Kurt & Anthony to give an update from Washington.

Let us know what you think - text the show!On this week's show:Happy National Gazpacho DayAdam hates Front Porch ForumVermont endures record fall wildfire damage100 acres in SoBu now protectedPhil Scott cuts down his own xmas treeSanders, Welch and Balint seek reversal of decision to cut hours at Vermont Layoffs begin at federal immigration center in Essex. Employees fear more UVM Medical Center  rally against cutsSpay/neuter program saves money for pet ownersForest Service issues draft management plan for 72,000 acres in RutlandVisits to Vermont's state-owned historic sites reach 22-year high -Police say they believe Vermonter abducted in Philippines has died Water Bond Could Cost Burlington $225 Million |Government Seeks New Owner for Montpelier's Federal Building |Cortina Inn sanctioned Surveillance towers along the Canadian border(54:38) Break music:  Tommy Crawford - “EVACUATION”https://tommycrawford.bandcamp.com/track/evacuationBernie Sanders look alike contestDo you want to join a VT school board? No assistant attorney in RutlandPrivate fireworks show shut downFirst chicane season in Notch ruled a success Brattleboro to get an expensive bridgeTrouble ferments around Vermont distilleryCanada Post strike will affect NEK folksYou can drink outside at North Chair Brewing(1:28:04) Break music:  Roost.World - “Get to Work”https://roost.bandcamp.com/track/get-to-work-full-band Scumbag mapThieves target Kia vehicl es in South BurlingtonBrattleboro woman, 22, pleads guilty to 13 charges Violent Bennington AssaultsDeadly shooting in BristolBerlin burglarStabbing suspect turns himself inFake gun flashed in road rage incidentSwanton man arrested after high-speed chase and crash Fair Haven apartment blaze leads to resident's arrestThanks for listening!Follow us on Facebook: facebook.com/VermontCatchup Follow Matt on twitter: @MatthewBorden4 Contact the show: 24theroadshow@gmail.comOutro Music by B-Complex

In this episode of INVEST IN HER, host Catherine Gray is joined by Dr. Eva Balint, a dynamic physician executive, entrepreneur, investor, advisor, and executive coach. Dr. Balint is the Founder and Chief Medical Officer of EB Healthcare Consulting, where she specializes in driving excellence in healthcare delivery and empowering female physician leaders. With an impressive background that spans research at Stanford, leadership roles in major healthcare organizations, and advisory positions for tech startups, Dr. Balint has a wealth of knowledge and experience to share about transformational journeys in healthcare and beyond. Together, Catherine and Dr. Balint explore the transition from corporate leadership to entrepreneurship, diving into the challenges and opportunities that come with building a business from the ground up. They discuss how Dr. Balint's expertise in value-based care and organizational growth translates into entrepreneurial success and why healthcare innovation plays a critical role in shaping the future. Whether you're an aspiring entrepreneur or a seasoned professional looking for inspiration, this episode offers actionable insights and empowering stories. Tune in to discover how you, too, can harness your skills to make a meaningful impact.   www.sheangelinvestors.com    Follow Us On Social Facebook @sheangelinvestors Twitter (X) @sheangelsinvest Instagram @sheangelinvestors & @catherinegray_investinher LinkedIn @catherinelgray & @sheangels  

Abby and Patrick welcome writer and scholar Jordan Stein to tackle a fundamental psychoanalytic concept that's also a fundamentally slippery one: fantasy. What, exactly, are these things we call “fantasies,” which arise in a liminal zone between what we consciously, intentionally imagine and what seems to come to us, unbidden, from the unconscious? How do fantasies straddle the gaps between the real world as we understand it, scenarios we know to be impossible, and things we try, nonetheless, to envision otherwise? How is fantasy different from desire? And above all, how what does fantasy reflect our understandings of other people, living or dead, whom we may “know” only via the popular imagination, as cultural figures, and yet who come to play crucial roles in our own self-fashioning and navigation of life events? Jordan's wonderful new book, Fantasies of Nina Simone, offers a perfect springboard for pursuing these questions, while also casting new light on the biography, oeuvre, and legacy of an artist whose ability to give literal voice to so many different characters and fantasies has few other parallels in twentieth century music. Abby, Patrick, and Jordan's conversation ranges widely through Simone's work, from her classic songbook standards to her transformational covers of singers as from Bob Dylan to Sinatra to the Bee Gees, and explores what we know, and what we can only fantasize about, her personal transformations, political engagements, and singular expressions of joy, loneliness, yearning, and so much more.Books by Jordan Alexander Stein: Fantasies of Nina Simone, Avidly Reads Theory, When Novels Were Books.A Spotify playlist for Fantasies of Nina Simone is available at: https://open.spotify.com/playlist/6QUnsR5Pl8qbQ1jzqYLb0a Have you noticed that Freud is back? Got questions about psychoanalysis? Or maybe you've traversed the fantasy and lived to tell the tale? Leave us a voicemail! (646) 450-0847A podcast about psychoanalysis, politics, pop culture, and the ways we suffer now. New episodes on Saturdays. Follow us on social media: Linktree: https://linktr.ee/ordinaryunhappiness Twitter: @UnhappinessPod Instagram: @ordinaryunhappiness Patreon: patreon.com/OrdinaryUnhappiness

(Rebroadcast 11/29/24)This episode is the first episode of Civic Yarn, a short-lived project by John Hagen and Olga Peters. The episode was filmed on July 28, 2021 at ORCA Media in Montpelier. Brattleboro's BCTV provided editing and music. Episode description: Senate Pro Tem Sen. Becca Balint and Speaker of the House Jill Krowinski share funny and poignant stories about serving in the state legislature. The leaders discuss how the January 6 riots in DC cast a long shadow over the 2021 session. Balint describes how a high school history class sparked her desire to run for office. Krowinski outlines the life experiences that prepared her for the role of Speaker.Watch the video at BCTV's website: https://www.brattleborotv.org/montpelier-happy-hour/civic-yarn-ep1-rep-jill-krowinski-and-sen-becca-balint/

The Nation's Jeet Heer talks to us about the Democratic Party's rebuilding efforts. Congresswoman Becca Balint examines how to push back against Trump's agenda.See omnystudio.com/listener for privacy information.

Na 35. filmskem festivalu Liffe je glavno nagrado vodomec že drugo leto zapored osvojil madžarski režiser. Tokrat je to Bálint Szimler, režiser filma Črna pika, ki je bil premierno prikazan poleti na festivalu v Locarnu. Črna pika je režiserjev celovečerni prvenec, v njem pa pod drobnogled vzame madžarski izobraževalni sistem in prek njega komentira stanje madžarske družbo širše. Žirija je v svoji utemeljitvi nagrade vodomec zapisala, da gre za "briljantno delo z otroškimi igralci (in celotno zasedbo),prefinjeno in suvereno režijo ter predvsem bogastvo smisla". Z režiserjem se je za oddajo Razgledi in razmisleki pogovarjala Petra Meterc.

What will American tax policy look like in 2025?In today's Congressional Corner, Vermont Congresswoman Becca Balint, a Democrat at-large, wraps up her conversation with WAMC's Ian Pickus. This interview was recorded November 15th.

Democrats aren't holding a lot of cards heading into 2025.In today's Congressional Corner, Vermont Congresswoman Becca Balint, a Democrat at-large, speaks with WAMC's Ian Pickus. This interview was recorded November 15th.

Election post-mortems continue.In today's Congressional Corner, Vermont Congresswoman Becca Balint, a Democrat at-large, speaks with WAMC's Ian Pickus. This interview was recorded November 15th.

In this podcast episode, Bela Musits engages in a conversation with Simon and Sawyer Balint, delving into their adventure of returning their sailboat, a Passport 40, to the United States after their inaugural Atlantic crossing. Prior to their journey, this aspect had not been given much thought, as planning the crossing monopolized their attention. Various options were contemplated by this father and son team, including sailing the boat back themselves, employing a captain and crew for the return voyage, leaving the boat in the UK or Europe for a few years of continued sailing, selling the boat in the UK, or opting for the transportation of the boat via a freighter. Throughout the episode, a detailed exploration of the factors influencing their decision-making process unfolds. Be sure to tune in for this enlightening conversation. If you would like to support the podcast, we now have a Patreon page.  Just go to Patreon.com/sailingtheeast.   Our podcast is now also available on YouTube, just search for “Sailing the East” https://www.youtube.com/@sailingandcruisingtheeast We love to hear from you, our listeners, send us your questions, comments, and suggestions at sailingtheeast@gmail.com.  If you know someone that would be an interesting guest on the show, please reach out to us and let us know—wishing you fair winds, and calm seas. Bela and Mike --- Support this podcast: https://podcasters.spotify.com/pod/show/bela-l-musits/support

After a failed gubernatorial run in 1982, Madeleine Kunin secured 50% of the vote in her second run in 1984, winning against her Republican challenger. John J. Easton, Jr. Forty years ago, Kunin became the first and only woman to Vermont's highest-elected office. She's also the first and only Jewish person to serve as Vermont's Governor."I think the women's movement gave me the idea that women could do anything," Kunin said. "And I wanted to be involved in public events, and being in Vermont politics seemed more accessible. We had a small group of people at that time who encouraged each other to do things larger than their personal lives, and I took that seriously."When reflecting on the career of former Vermont Gov. Madeleine Kunin, it's natural to focus on her historic “firsts.” Once in office, she appointed the first woman to Vermont's Supreme Court, Denise Johnson, She then appointed Mollie Beattie to the Department of Forest, Parks and Recreation, who would go on to become the first woman Director of the United States Fish and Wildlife Service. The influence her leadership has had on generations of women. This legacy continued when, two years ago, Becca Balint was elected as Vermont's first female representative in Congress. Balint's election ended Vermont's distinction as the only state never to have elected a woman to Congress.Broadcast live on Thursday, November 14, 2024, at noon; rebroadcast at 7 p.m.Have questions, comments, or tips? Send us a message or check us…

In this podcast episode, Bela Musits engages in a conversation with Simon and Sawyer Balint, delving into the modifications they implemented on their Passport 40 sailboat in preparation for their maiden Atlantic crossing. The discussion revolves around the adjustments made to enhance safety and expand their sailing capabilities across a wider spectrum of wind angles and speeds.  And the trips they took prior to the crossing to refine their systems and techniques. Moreover, the podcast explores how seemingly minor alterations in sailing angle or speed can significantly impact the duration of their journey, potentially reducing a 20-day voyage by 1 to 2 days. The discussion also revolves around the meticulous modifications they implemented on their vessel to ensure optimal performance and safety during their first Atlantic crossing. Simon and Sawyer share their experiences and insights gained from previous sailing trips, highlighting the importance of refining systems and techniques before embarking on such a challenging endeavor. They delve into the various adjustments they made to enhance their sailing capabilities across a wider spectrum of wind angles and speeds, enabling them to harness the power of the wind more effectively. The podcast explores how seemingly minor alterations in sailing angle or speed can significantly impact the duration of their journey. By optimizing their sail configurations and trimming techniques, they were able to reduce their estimated 20-day voyage by an impressive 1 to 2 days. This demonstrates the profound impact that seemingly small adjustments can have on a long-distance sailing expedition. This father and son team provide detailed accounts of the specific modifications they made to their Passport 40 sailboat. These modifications included installing a new self-steering system, optimizing their sail inventory, and upgrading their navigation and communication equipment. They discuss the rationale behind each modification and how it contributed to their overall sailing experience. Moreover, the podcast delves into the psychological and emotional aspects of preparing for and undertaking such an ambitious voyage. Simon and Sawyer candidly share their hopes, fears, and motivations, offering listeners a glimpse into the mindset of sailors who dare to chase their dreams on the open ocean. Throughout the episode, Bela Musits skillfully guides the conversation, asking probing questions and facilitating a lively exchange of ideas between the Balint's. The podcast is a testament to the passion and dedication of these accomplished sailors, providing valuable insights and inspiration for aspiring adventurers and seasoned sailors alike. If you would like to support the podcast, we now have a Patreon page.  Just go to Patreon.com/sailingtheeast.   Our podcast is now also available on YouTube, just search for “Sailing the East” https://www.youtube.com/@sailingandcruisingtheeast We love to hear from you, our listeners, send us your questions, comments, and suggestions at sailingtheeast@gmail.com.  If you know someone that would be an interesting guest on the show, please reach out to us and let us know—wishing you fair winds, and calm seas. Bela and Mike --- Support this podcast: https://podcasters.spotify.com/pod/show/bela-l-musits/support

Fredrik talks to Balint Erdi about the web framework Ember. Where did Ember come from, what stands out about it today, how do new features get into the framework, and how is development being made more sustainable? Plus: Balint's experiences organizing Emberfest, and quite a bit of appreciation for the Ruby and Ember communities in general. The episode is sponsored by Cursed code - a half-day conference with a halloween mood taking place on October 31st, in central Gothenburg. Thank you Cloudnet for sponsoring our VPS! Comments, questions or tips? We a re @kodsnack, @tobiashieta, @oferlundand @bjoreman on Twitter, have a page on Facebook and can be emailed at info@kodsnack.se if you want to write longer. We read everything we receive. If you enjoy Kodsnack we would love a review in iTunes! You can also support the podcast by buying us a coffee (or two!) through Ko-fi. Links Balint JSP - Java server pages ZODB - Python object database Ruby Ruby on rails Convention over configuration ORM Active record Ember Angular Yehuda Katz Emberfest Balint's (first!) book - Rock & roll with Ember.js Ember data Support us on Ko-fi! Classes in Javascript Internet explorer 6 Handlebars Glimmer Controllers in Ember Ember addons Ember RFC:s Codemods React native Tree shaking Webpack Embroider Vite Cursed code - sponsor of the episode Poppels cursedcode.se - to read more and buy tickets The Embroider initiative The Ember initiative Ember CLI Ember core teams Emberconf devjournal.balinterdi.com Ember community links Ember guides Ember checkup - Balint's productized consulting service Titles These two decades I'm a web guy Just one thing It'a always useful Rails carried me over Ember was in flux Javascript didn't have classes Emberisms Nowadays I like explicitness more Everything needs to be imported A change they would like to see in the framework (The) Emberfesting Fellow emberino We don't do drama

Are you feeling the pressure of hustle culture? Do you dream of running a successful business without sacrificing your personal life and well-being? It's time for you to build a SOFT business. In today's episode, I'm chatting with Molly Balint, the creator of the SOFT. Business Movement. If you've ever struggled with burnout, or felt like the […] The post 174: Building a SOFT Business with Molly Balint appeared first on Laylee Emadi | Coach for Creative Educators.

Vermont Public hosted a debate on Tuesday with candidates for Vermont's seat in the U.S. House of Representatives. It was the first in a series of debates and candidate interviews ahead of the general election on Nov. 5th.Incumbent Congresswoman Becca Balint, a Democrat from Brattleboro, is running for a second term. She previously represented Windham County in the Vermont Senate. Her challenger is Mark Coester, a Republican from Westminster. He is a small business owner with a background in fishing, logging, and sugaring.During the debate, the candidates disagreed on nearly every topic, including climate change, foreign policy and the role of the federal government in addressing rising health care costs and solutions to the affordable housing shortage.

Madam Policy welcomes champion and advocate for mental health services and LGBTQ+ rights as well as a fighter for all things Vermont, U.S. Representative Becca Balint (D-VT). Rep. Balint joins Madam Policy hosts Dee Martin and Ihna Mangundayao to discuss her key policy priorities for Vermont including housing, healthcare, and climate issues. Tune in as former middle school teacher, Rep. Balint, gives her take on whether teaching members of congress or teaching middle schoolers is more challenging. Tune in to hear more about the Congresswoman's journey and the importance of being the first openly gay person to represent Vermont in Congress. Want to know how Rep. Balint cultivates bipartisan support for some of the most critical issues facing our nation? Then listen now!

Becca Balint, Vermont's only Representative in Congress, joins Kurt & Anthony to give an update from Washington.

MSNBC's Lawrence O'Donnell examines how Trump expressing his hatred of Taylor Swift could help him lose his presidential aspirations. The Groundwork Collective's Lindsay Owens educates us on price gouging, including VP Harris's plans to fight it. Democracy Forward's Skye Perryman details how her organization is pushing back against Republicans' constant overreach of power. As a bonus, we have a portion of a conversation from Democracy Forward's event at the DNC with Congresswoman Becca Balint, Congresswoman Jasmine Crockett, and Congressman Maxwell Frost.See omnystudio.com/listener for privacy information.

Welcome to our voter education series for queer women: Made It Out (to the polls), in collaboration with LPAC. This limited series will air on Thursdays for 6 weeks, but we wanted to share one episode on our regular Tuesday slot to show you what it's about. This episode, Vermont State Representative Becca Balint discusses Project 2025 - she explains what it is, how real of a threat it is to the LGBTQ community and what we can do to stop it. We want Made It Out (to the polls) to be a safe, collaborative and engaged space where we can all discuss so we invite conversation in the comments but, as always, we ask that you do so with care. Please follow our guest @beccabalintvt and follow LPAC @teamLPAC  For all other inquiries, please email madeitout@mgmt-entertainment.com  Learn more about your ad choices. Visit podcastchoices.com/adchoices

Will the government shut down at the end of the month? In today's Congressional Corner, Vermont Congresswoman Becca Balint, a Democrat at-large, wraps up her conversation with WAMC's Ian Pickus.

The first Harris-Trump debate is over, and it's not clear if there will be a second. In today's Congressional Corner, Vermont Congresswoman Becca Balint, a Democrat at-large, speaks with WAMC's Ian Pickus.

Autoimmune cerebellar ataxia and other autoimmune movement disorders encompass a broad spectrum of different clinical syndromes, antibodies, and immunopathophysiologic mechanisms. Given the overlap between phenotypes and antibodies, panel testing in serum and CSF is recommended. In this episode, Gordon Smith, MD, FAAN, speaks with Bettina Balint, MD, author of the article “Autoimmune Movement Disorders,” in the Continuum August 2024 Autoimmune Neurology issue. Dr. Smith is a Continuum® Audio interviewer and professor and chair of neurology at Kenneth and Dianne Wright Distinguished Chair in Clinical and Translational Research at Virginia Commonwealth University in Richmond, Virginia. Dr. Balint is an assistant professor for clinical research on complex movement disorders and Parkinson's diseases, a consultant neurologist, the head of the Department of Movement Disorders, and co-lead for the Centre for Movement Disorders and Functional Neurosurgery in the Department of Neurology at the University Hospital Zurich in Zurich, Switzerland. Additional Resources Read the article: Autoimmune Movement Disorders Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @gordonsmithMD Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, which features conversations with Continuum's guest editors and authors who are the leading experts in their fields. Subscribers to the Continuum journal can read the full article or listen to verbatim recordings of the article and have access to exclusive interviews not featured on the podcast. Please visit the link in the episode notes for more information on the article, subscribing to the journal, and how to get CME.   Dr Smith: This is Dr Gordon Smith. Today, I'm interviewing Dr Bettina Balint about her article on ataxia and other autoimmune movement disorders, which appears in the August 2024 Continuum issue on autoimmune neurology, which is a highly anticipated and exciting issue. Dr Balint, welcome to the podcast, and, perhaps, you can just introduce yourself to our audience and tell us a little bit about your practice and how you became interested in this topic.   Dr Balint: Thank you, Gordon, for having me. I am an assistant professor for clinical research in complex movement disorders and Parkinson's disease at the University of Zurich and the Head of the Movement Disorders Department at the University Hospital in Zurich. So while I'm originally German (from Heidelberg), I have now been to Switzerland since end of 2021.   Dr Smith: So, you know, how many movement disorder chiefs have a focus on autoimmune movement disorders? I found that really interesting. Most of the movement disorder folks I interact with, their primary interest is in neurodegeneration.   Dr Balint: Very good question. Even so, I never asked myself that question, really, but I think I'm the only one with this designated focus as such. Many people come from the neurology angle - most of them. Even so, movement-disorder people really welcome this field and are interested, but I think somebody who has dedicated their interest and time to it? I think I can't actually think of many other people.   Dr Smith: Yeah, I think it's really cool, and, of course, autoimmune neurology is the flavor of the day these days, right? I mean, I remember when I was at the University of Utah, we were recruiting Stacy Clardy (who I think many of our listeners will know). I remember thinking, you know, she's never going to be busy. How many of these autoimmune problems are there, really? And she was, like, deluged when she came. These are really common problems. I guess that was one question I had for you. You know, we think of these as rare disorders, and when we look at the article, you have these tables of these antibodies, and a lot of them are pretty uncommon – but, cumulatively, how common are autoimmune movement disorders?   Dr Balint: It's a very difficult question, because we don't have good epidemiological data. And if you look at series, I mean, most papers addressing this issue come actually from the ataxia field. And then, depending on where you look at, you might find varying numbers, and they might be also influenced by the fact that they come from ataxia centers with own certain biases. Even so, it's very close to my heart, but, I also still think it's overall very rare. So, in my practice, I see all sorts of movement disorders, and overall, they're still quite rare, but the point is that they are treatable and have important management implications, so you want to be sure not to miss any of them.   Dr Smith: Well, maybe we can go to that next. Part of the challenge here, of course, is there's just so many of these different syndromes and antibodies. Are there pearls that you can provide our listeners that would help them guide when they should be thinking about these disorders when they confront a patient with a particular phenotype? Like ataxia, for instance - you know, there are certain aspects of the clinical scenario that should trigger, “Wow, this might be an autoimmune problem”.   Dr Balint: So, in general, I would say there are certain scenarios where you would want to think of an autoimmune etiology in your differential. One is a very characteristic phenotype. So, speaking broadly in terms of movement disorders, stiff-person spectrum disorders have a very characteristic phenotype which you need to recognize, and then you will be able to see it when a patient enters. Important phenotypes to know which are very characteristic are faciobrachial dystonic seizures, for example, with anti-GA1 antibodies, or pseudofinalistic movements in non-REM sleep is IgLON5 antibodies, leg myoclonus is CASPR2 antibodies. I don't want to necessarily enumerate all the scenarios. The point here is there are some characteristic phenotypes where you would think of autoimmune neurology. Another scenario where you would think of autoimmune, for example, the context of late-onset paroxysmal movement disorders. So, classically, when we think of paroxysmal dyskinesia, we think of a group of genetic disorders, but if somebody develops a paroxysmal movement disorder later in life in adulthood, then you would think of autoimmune neurology, and this applies also in the context of episodic ataxias. Another red flag might be a propensity to autoimmunity. For example, somebody with type one diabetes and vitiligo coming in for cerebellar ataxia, of course, you would think of anti-GAD ataxia. And, similarly, if somebody has recently been diagnosed with a cancer and develops a rapidly disabling syndrome, of course, then you would think of a paraneoplastic autoimmune disorder. And with autoimmune syndrome, there are some symptoms which are also like tell-tale signs. So, for example, somebody with a stiff-person spectrum disorder, an ataxia with long-lasting diarrhea over months, losing weight - investigations haven't found anything, then you would think of DPPX antibodies or celiac disease. Or, if you have, like, a neuropathic pain which is otherwise not explained, then you might think of CASPR2 antibodies in somebody with a cerebellar ataxia. So, there are some features of some antibodies. (Again, I will not now list all of them which might point you to a diagnosis.) Then, of course, another scenario which is important, I think, is if you have a hemisyndrome without a structural lesion on imaging. Classically, neurologists are trained to think of a hemisyndrome - we look for a lesion on the contralateral side. But if you have, like, for example, a hemichorea without a lesion or a hemiataxia without a lesion, one should also think of an autoimmune disorder with antibodies. And then, more generally, of course, if you have changes on brain MRI or information on CSF, of course, if the clinical cause is more rapidly progressive - and last, but not least, if somebody does not really fit into our categories of the degenerative symptoms or metabolic syndromes or functionality disorders, then, of course, one should just take a step back and think, could it be something autoimmune? Having said that, if I may, I just want to say that, I mentioned that rapid disease course, and on the other hand, it's important to stress that a slowly progressive disease cause does not exclude an autoimmune etiology.   Dr Smith: So, that was a great summary. Thank you. I don't know if you're familiar with the term “Aunt Minnie” (something I learned in medical school and radiology). There are certain findings that are “Aunt Minnie”, you know what “Aunt Minnie” looks like, and if you see these particular findings, you should really think about a specific disease - and I think you gave a lot of pearls in that answer, so I appreciate that. This may seem like a bit of a random question, but it's interesting that there are some of these phenotypes that do replicate genetic phenotypes, and you used episodic ataxia, which, in a younger individual, we think of a spectrum of various genetic disorders. Is that random, or are there instances where the underlying mutation in a genetic disorder actually serves as a target for autoimmunity in a later-onset autoimmune problem? Not that the mutation causes autoimmunity, but are there shared targets - in one disease it's the mutation, and another, there's an antibody that binds to the protein, for instance?   Dr Balint: That's an excellent topic, and even though it's not addressed in the Continuum article, I actually covered this in an article in Brain from 2018, where we also discuss parallels (immunogenetic parallels) with targets seen in genetic disease or in autoimmune disease, and there are actually some examples for cerebellar ataxia, and some of the targets are, indeed, the same for the antibodies and mutation. And some targets are a little bit more difficult, because for those, the antibodies would probably not be pathogenic, but it's more like an autoimmune overall target but it's T-cell mediated. But, for example, water-gated, um, calcium channels - we have antibodies and we have mutations. Or, another example would be glycine receptor antibodies give you acquired hyperekplexia, whereas the mutations give you hereditary hyperekplexia. So, there is, indeed, a bit of an overlap between autoimmune and genetic disorders, but often, also, like, the age at onset (because that might be the next question, the age at onset), and maybe family history and associated features, should help to distinguish the two. I think more from the pathophysiological point interesting, rather than clinically too confusing.   Dr Smith: Wow, that's really cool. So, another question I have is regarding antibody panels, right? And so, I think, oftentimes (at least around here), folks confronting an unusual phenotype will send the Mayo panel - they'll send autoimmune encephalitis or a paraneoplastic panel – and, you know, I think one of the challenges I have thinking about the spectrum of phenotypes that you described, I mean, if you recognize “Aunt Minnie”, then you know where to go, but it seems to me that there's a lot of these that maybe folks don't recognize “Aunt Minnie”. What is the diagnostic utility and pearls and pitfalls of ordering these panels when you're not really certain? In other words, is there a risk of a false positive if the pretest probability is low? So, I guess that's a long question, but do you have guidance about when we should and maybe when we should not be ordering these panels? So, you know, undifferentiated ataxia that's chronically progressive - should we be sending a panel or not? Patients who are later-onset acute, maybe so. So, what's the guidance on when to order the panel?   Dr Balint: It's a tricky topic also for many people in our practice, because, of course, as you said, we don't want to miss something, but, indeed, with any test which you order with a low pretest probability and which is not quite appropriate, you might have false positives, and that might cause much additional trouble in security, or maybe unnecessary and invasive immunotherapy with adverse effects – so, it's really important to think well about antibody testing. And, generally speaking, like always in medicine, we shouldn't order random tests, and antibody panels and neuronal antibodies are not designed as a screening test, so you need to have a phenotype and a reasonable suspicion - and clinical acumen is really key, and that's why also the article is so much focused on the phenotype. It's clearly not that any movement disorder patient who enters the outpatient clinic should get a blood test for antibodies that will likely cause harm, and it has been shown that these antibodies can be falsely positive, both in other diseases but also in healthy controls, and much depends also on which tests you use (but, let's not go into too much detail over here) - so, generally speaking, I would say if you have a suspicion of an autoimmune disease clinically (I mentioned some scenarios where you would think of an autoimmune disorder). And then, ataxias are, of course, a bit tricky, because often, we don't have too many other handles there, and there's still also a significant number of acquired late-onset ataxia where we don't know what the cause is. I think in the ataxia scenario, if I don't have a good answer or explanation, I would order antibody tests a bit more freely - I mean, if you do it properly, you do the serum and the CSF, and that also increases your sensitivity but also the specificities, so I wouldn't then just do the serum, but then go for serum and CSF. In other movement disorders, it depends also a little bit on the phenotype. So, somebody with a phenotype fitting well with Parkinson's disease, I wouldn't do any testing. Somebody with clear PSP phenotype without any red flags or not-fitting features, it is very unlikely to have an antibody finding, and this has been shown also in cohorts. But, if you have something which is not fitting in the phenotypes - for example, you have somebody where you think it might be a PSP phenotype with predominantly axial Parkinsonism falls, but you notice that the oculomotor disturbance is not a vertical gaze palsy, but a horizontal gaze palsy – so, it's not really fitting phenotype as you know it. That's a scenario where would probably think of antibody testing. Then, if you do the testing theorem - and CSF, in general, is gold standard - there are some antibodies where theorem is good enough (like, for example, with aquaporin-4 antibodies), but the reason why we do serum and CSF, as I mentioned, is the increased sensitivity and specificity. And nowadays, in the antibody world, we have something similar to the genetics - we have the variant of unknown significance and in the neurology world, we coin the term “antibody of unknown significance” to also give a name to the problem that, sometimes, we get a test result and it is difficult to interpret. Another handle over there would be to try to confirm the test result in another test method. So for example, if you have a cell-based assay with an antibody finding, you would like to confirm that on immunohistochemistry - the staining pattern is in keeping with that.   Dr Smith: So, Bettina, that was a really great and comprehensive answer to the question with a lot of pearls packed into it, and I think the idea that, you know, oftentimes, it's helpful to do both serum and CSF testing is important - also looking for staining to further confirm the diagnosis. And, I think one of the things that I was struck by in your response was the example of a PSP patient who instead of vertical gaze palsy had horizontal gaze palsy as a red flag, and I think a lot of our listeners are probably familiar with the idea that maybe hyperkinetic movement disorders might be autoimmune, or certainly rapidly progressive ataxia, but at least I don't think of Parkinsonian syndromes as often. I know there are some that we need to consider. Maybe you can give us some pearls about when we should consider antibody testing in a patient who has a Parkinson syndrome?   Dr Balint: So, I will not cover now the paraneoplastic Parkinsonian syndromes (because they typically develop as rapidly that you would anyway think about it, hopefully), but go more into those conditions which might mimic degenerative disease - and one of the most interesting antibodies in this regard is IgLON5, and you will be aware that it has been discovered in 2014 in patients who shared a characteristic sleep movement disorder (non-REM parasomnia). The spectrum has broadened a lot, and one possible manifestation is that it could come into the differential of Parkinsonian syndromes - so, for example, if you have axial Parkinsonism and a gaze palsy, you are in a PSP phenotype, but the red flag would be maybe if the eye movement disorders are not really fitting with the PSP phenotype. Also, in PSP patients, we don't expect parasomnias at night. If the bed partner is, for example, complaining that the patient is moving in his sleep and doing movements, then this would be a red flag, and in this context, you would think of IgLON5. IgLON5 could also give you Parkinsonism and cerebellar ataxia, and they might have dysautonomia, and, of course, with a sleep movement disorder, you are now in the ballpark of MSA phenotypes; however, if there are additional features (like, for example, fasciculations) which you don't expect in MSA, that would be, again, the red flag. So, typically, even in those differentials, there are some red flags on handles which would point you to the diagnosis - it is not that it completely mimics the phenotype of our default degenerative disease, but, sometimes, you need to hunt a little bit for those handles.   Dr Smith: So, Bettina, that's really interesting. I wanted to ask you about IgLON5, and in particular, the sleep phenotype, but, you know, I wonder whether there's a risk of just confusing this with REM sleep behavior disorder and a chronic Parkinsonian syndrome - what's the time course of this, and any other wisdom in terms of how to differentiate it from, you know, a more common neurodegenerative problem?   Dr Balint: So, the spectrum of sleep disorders in IgLON5 is actually a bit broad. The characteristic thing is the non-REM sleep parasomnia with the finalistic fine movements, but classic REM sleep behavior disorder has also been reported in these patients. And one of the tricky things is IgLON5 is a slowly progressive disease (some patients had symptoms for a decade prior to diagnosis), so it's really an important differential of autoimmune disease - but as mentioned, the features not fitting in, and they are typically also the cardinal features. So, gaze palsies are very frequent, ptosis, bulbar symptoms, vocal cord palsy, sleep movement disorders which might not fit to the original phenotype, and breathing problems (for example) so severe that they require a tracheostoma – so, these are some red flags which would alert you to this diagnosis of anti-IgLON5 disease.   Dr Smith: I'm curious, Bettina, how do you keep up on all of this and keep it all straight? Right, there's a lot of information, and as I was reading your article, you've got these wonderful tables - and in fact, this whole issue for our listeners feels that way. I've read several of these articles now, and I'm just curious what your strategy is to stay up to date and stay organized. You have to be very organized to be an autoimmune neurologist, it seems to me.   Dr Balint: And having a little bit of OCD helps clearly, as always, in neurology. I think it is just that I started to be interested in this area for a while and I have in my head the clinical phenotype to most important associated antibodies, and as the field continues, I just add up on that panel. But, I don't want people to be discouraged - you're right, many antibodies, but I think the point is not to know each and every antibody but to know in which scenario to think of an autoimmune syndrome and then to know where to look it up.   Dr Smith: Well, I think that's a great way of ending our conversation, Bettina. I think your article does a great job of that, and one of the things I love about Continuum is these articles serve as point-of-care tools. I think our conversation will also serve as a useful framework, because I think you've talked a lot about how to organize your thinking, and, you know, pearls for when we should be thinking about these disorders which are uncommon, but you certainly don't want to miss one because the therapy can be very effective. So, Bettina, thank you so much for joining me. This has been a really great conversation.   Dr Balint: Thank you so much, Gordon. Thank you very much for your good questions.   Dr Smith: So, again, today, I've had the great pleasure of interviewing Dr Bettina Balint, whose article on ataxia and other autoimmune movement disorders appears in the most recent issue of Continuum, which is on autoimmune neurology. Be sure to check out Continuum Audio episodes from this and other issues. And thanks to our listeners for joining us today.   Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use this link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at Continpub.com/AudioCME. Thank you for listening to Continuum Audio.

Do you strive to build a successful business online and a beautiful life offline? If so, you will absolutely love today's conversation with Molly Balint.Molly Balint, the founder of the SOFT business movement, is a dedicated mentor, speaker, and Instagram strategist. She teaches women how to build a soft business of their own, blending thriving online ventures with a beautiful offline presence. Moving away from toxic hustle culture and the "boss babe" ideal, Molly helps women uncover meaningful work and become soft leaders who make a significant impact.In our conversation, Molly and I explore the SOFT business movement and the importance of a softer, more sustainable approach to business and social media. We tackle the pressures of hustle culture, the need for clarity and authenticity in messaging, overcoming limiting self-beliefs, and the transformative power of vulnerability. Remember, your business doesn't need to change the world or look like anyone else's online presence. The real value comes from sharing your unique story with your audience.No more playing small or hiding in the shadows—the world needs more of what you have to offer. Soft doesn't mean weak; it truly represents a new form of strength in business. Molly offers practical advice on balancing work you love with effective social media strategies. I know that you will appreciate Molly's refreshing transparency and vulnerability in this episode. Be sure to check out her SOFT business school if you're ready to embrace this approach in your business!____ Connect with Molly on Instagram @molly.balintLearn more about Molly by visiting her websiteConnect with me on InstagramLearn more about booking a Biz Therapy session and working together by visiting my website

You're listening to Voices of Your Village, and today I get to bring you such an incredible guest. I got to hang out with Congresswoman Becca Balint to chat about improving mental health outcomes through government funding. Representative Balint is a mom, a teacher, a progressive leader who comes to Washington ready to fight for working families. Becca's the first woman and openly LGBTQ plus person to represent her home state of Vermont. She's the daughter of a working class mother and immigrant father, and Becca is deeply committed to defending American democracy and protecting vulnerable communities. While the majority leader of the Vermont State Senate, Becca led the passage of the first gun safety laws in the state's history aimed at keeping Vermont children, communities, and survivors of abuse safe. She received her B .A. from Smith College in Northampton, Mass., graduating magna cum laude in Phi Beta Kappa. Becca earned her Master's in Education from Harvard University in 1995 and her Master's in History from the University of Massachusetts at Amherst in 2001. She's married to noted attorney and opera singer Elizabeth Wohl. Together they have two children, Abe and Sarah, who are 16 and 13, and an adorable dog named Wheelie. They live in Brattleboro, Vermont, and it was such a pleasure to get to hang out with the Congresswoman. She just gets it, like it's so real, and she cares about mental health. And we got to have such a rad discussion about that and what it looks like for there to be funding, and what that would mean for us as a nation if we funded mental health supports. We talk about early childhood education and the role that that plays in supporting mental health long -term. I am so grateful for those who dedicate their lives to trying to make our nation and our world for our tiny humans better. Thanks, Congresswoman. Stay tuned for the end when Rachel and I hang and chat about the episode, breaking it down for you in real life. All right, folks, let's dive in.  Connect with Becca: Instagram: @repbeccab  Website: https://balint.house.gov/ Connect with us: Instagram: @seed.and.sew  Podcast page: Voices of Your Village Seed and Sew's Regulation Quiz: Take the Quiz Order Tiny Humans, Big Emotions now!  Website: seedandsew.org Music by: Ruby Adams and  Bensound Learn more about your ad choices. Visit megaphone.fm/adchoices

A 100-year-old Vermont veteran receives the Legion of Honor for his service in northern France during World War II. Plus, two state senators are suing Gov. Scott over his appointment of an interim education secretary lawmakers had initially rejected, Rep. Balint files legislation designed to prevent what she calls deceptive small donor fundraising tactics, workers at an Essex Junction Starbucks say they'll try to unionize, Green Mountain Transit adds five new electric buses to its Chittenden County fleet, and this week's heat wave could lead to more cyanobacteria blooms in ponds and lakes this summer.

Molly and I literally met at a bar. We were both waiting for our rooms to be ready at the hotel Alt Summit was being held at. We were hungry and tired from our cross-country flights. I never would have spoken. Thank goodness Molly did. I love it when you meet a friend. Molly is such a JOY. I know y'all are going to love her.Molly Balint is a business mentor, speaker, multi-passionate creative, people connector, and founder of the SOFT business movement. She helps women who are ready to ditch hustle culture create a SOFT Business of their own--one that is fluid and flexible and values both a profitable business online and a beautiful life offline. Her mentorship and SOFT Business School helps women uncover the meaningful work they are meant to do, and find their unique voice to help them stand out in a saturated online world. Molly embraces her own SOFT life on her family's 300 acre farm in Maryland with her husband, four girls, and little flock of sheep.Learn more about Molly at her website www.mollybalint.com or follow her on Instagram @molly.balint---Check out the Nothin' But Fine blog and website.Follow us on social media: Instagram Facebook Twitter YouTube Want everything in your inbox? Subscribe to the Nothin' But Fine newsletter!

The Farm Bill is taking shape.In today's Congressional Corner, Vermont Congresswoman Becca Balint, a Democrat at-large, wraps up her conversation with WAMC's Ian Pickus. This interview was recorded May 23.

How secure is Speaker Johnson?In today's Congressional Corner, Vermont Congresswoman Becca Balint, a Democrat at-large, continues her conversation with WAMC's Ian Pickus. This interview was recorded May 23.

The border is back on the front burner. In today's Congressional Corner, Vermont Congresswoman Becca Balint, a Democrat at-large, speaks with WAMC's Ian Pickus. This interview was recorded May 23.

MSNBC's Lawrence O'Donnell parses Donald Trump's craven attempt to play both sides of his abortion stance. Congresswoman Becca Balint examines the Comstock Act and the effect it could have on reproductive health for women across America. Congressional candidate Whitney Fox talks about her run against one of Congress's most unhinged MAGA Republicans.See omnystudio.com/listener for privacy information.