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The beginning of a new college year across the United States begs the question of the health of liberal education in America – the ongoing concern that tomorrow's leaders aren't receiving the intellectual grounding and diversity of thought that reflects a free society and whether campus life embodies the principles of a rights-protecting democracy. In his new book Reclaiming Liberal Education, a complication of a decade's worth of columns highlighting various problems plaguing America's elite institutions (racism, stifling free speech, professors promoting progressive agendas), Hoover senior fellow Peter Berkowitz insists all isn't lost: universities are being held accountable for their misdeeds; alternative campuses (the University of Austin) and programs (the University of Florida's Hamilton School) have materialized, and scholars who dare to think differently are in the academic pipeline. As for a reform agenda, Berkowitz insists universities should be open to curriculum reforms and encourage free speech and open debates both on campuses and inside classrooms, but patience will be needed as change won't happen overnight.
Peter Berkowitz reflects on the 30th anniversary of Alan Sokal's famous academic hoax, which exposed the intellectual decline within higher education humanities. Berkowitz critiques contemporary humanities departments for their ideological hypocrisy: professors claim objective truth is subjective while simultaneously insisting that their own political claims are absolute truths. He references a report from Vanderbilt and Washington University confirming that significant contingents of humanities faculty in core disciplines subordinate scholarship to political activism. Finally, Berkowitz notes that this progressive ideological capture is concentrated among college-educated voters in elite university towns, warning that treating education as political indoctrination severely perverts liberal education. (2)
TABLE OF CONTENTS THE JOHN BATCHELOR SHOW 8-21-2026Anatol Lieven discusses the war in Ukraine, highlighting Ukrainian drone and missile attacks on Russian civilian infrastructure like Black Sea resorts and a commercial center. He carefully examines the psychological impact of these infrastructure strikes, noting that while they aim to weaken Russian morale, history shows such strategies rarely succeed. Lieven describes growing domestic resentment over rampant government corruption, which threatens Western aid and has already led to several high-profile dismissals. Finally, he analyzes global energy and food security threats caused by port and refinery strikes, alongside Prime Minister Andy Burnham's struggle to balance costly military commitments with domestic recovery. (1)Peter Berkowitz reflects on the 30th anniversary of Alan Sokal's famous academic hoax, which exposed the intellectual decline within higher education humanities. Berkowitz critiques contemporary humanities departments for their ideological hypocrisy: professors claim objective truth is subjective while simultaneously insisting that their own political claims are absolute truths. He references a report from Vanderbilt and Washington University confirming that significant contingents of humanities faculty in core disciplines subordinate scholarship to political activism. Finally, Berkowitz notes that this progressive ideological capture is concentrated among college-educated voters in elite university towns, warning that treating education as political indoctrination severely perverts liberal education. (2)Mary Anastasia O'Grady discusses the alarming rise of authoritarianism in Mexico under President Claudia Sheinbaum and her ruling party, Morena. O'Grady details how the ruling party has systematically consolidated power by taking control of independent electoral bodies, tribunals, regulatory commissions, and the judiciary through politicized popular elections. She warns that Morena's latest effort targets television and radio—the primary sources of information for most Mexican citizens—to effectively censor critical independent media. While O'Grady deeply laments the weak leadership of the official political opposition, she finds hope in the strong pushback and widespread mobilization of Mexican civil society against these state controls. (3)Jonathan Miltimore discusses the ongoing imprisonment of 79-year-old pro-democracy publisher Jimmy Lai in Hong Kong, calling it the world's most overlooked story. Miltimore expresses his deep disappointment that Donald Trumpfailed to raise Lai's case publicly during his Beijing trip, instead repeating CCP rhetoric that Lai caused "bedlam." He describes Lai's deteriorating health inside his tiny, unventilated six-foot cell and urges President Trump to pressure Xi Jinping during his upcoming U.S. visit. Miltimore notes that even certain CCP factions want Lai released to avoid international outrage if he dies in prison, emphasizing that Lai is fully prepared for potential martyrdom. (4)Veronique de Rugy critiques California Representative Ro Khanna's proposal for a "one-time" 5% wealth tax on billionaires. De Rugy explains that several different European countries largely abandoned wealth taxes because they are administratively difficult, generate little revenue, and cause severe economic distortions. Highlighting a debate between Khanna and Mark Cuban, she details how taxing paper wealth completely ignores true liquidity, forcing entrepreneurs to sell shares of private companies or borrow against volatile collateral. De Rugy warns that wealth taxes inevitably expand to target middle-class citizens, ultimately costing states far more in lost income taxes than they retrieve from the wealthy. (5)Rohan Naidu discusses the groundbreaking discovery of "black hole stars" at cosmic dawn using the James Webb Space Telescope. Naidu explains that these infant objects appear as mysterious "little red dots" but possess hybrid properties of both highly luminous black holes and stars. He explains how a young black hole surrounded by dense hydrogen gas absorbs blue and green light, creating a signature "Balmer break" resembling the star Vega. Naidu outlines future research, including finding atmospheric chemical fingerprints like water, and using the newly proposed Celestemission alongside ground telescopes to directly image swirling gas feeding these infant black holes. (6)James M. Scott traces the dramatic, complex final months of World War II in the Pacific. Scott details how Secretary of War Henry Stimson briefed Truman in depth on the secret atomic bomb, and praises General Leslie Groves' masterful management of the Manhattan Project's secret cities. He describes Japan's political division: Emperor Hirohito secretly sought peace while militarists prepared a fanatical defense of Kyushu to force better terms. Scott explains the intense debate over demanding unconditional surrender versus preserving the Japanese monarchy, concluding with the Trinitytest, Potsdam Conference, and Truman's hope that the bomb's shock value would force surrender. (7)Evan Ellis analyzes key regional political and security developments in Latin America. Ellis discusses EcuadorianPresident Daniel Noboa's visit to China to secure security, trade, and economic assistance, and explains how historical visa-free policies turned Ecuador into a major transit corridor for Chinese migrants entering the US. He details Bolivia's ongoing political instability and the dangerous scandals involving Evo Morales. Ellis also covers Chile's border enforcement efforts, Colombia's return to aggressive military operations against cartels following a major earthquake, and the stalled democratic transitions in Venezuela and Nicaragua, where regimes rely on brutal repression and illicit economies to hold power. (8)This fuller eight-file version supersedes the earlier seven-file draft — de Rugy now sits at (5) and everything falls in place without gaps. The Celeste mission appears again in segment 6; the source calls it "newly proposed," which explains why I couldn't verify it earlier, so I've let it stand.
In this episode of SORRY, PARTNER, we revisit our conversation with American champion Lisa Berkowitz. Lisa talks with us about multitasking, knowing your system, and keeping cool under pressure. Plus, she shares her top tip for developing players. But first, we kibitz!BE PART OF THE FUN ...Join our MAILING LIST. We'll email you a link to every new episode and occasional other information.Send your bridge stories and comments to sorrypartnerpodcast@gmail.com.Or to @sorrypartnerpodcast on INSTAGRAM.Find our recommended books HERE.Check out the SORRY, PARTNER MERCH STORESOr send us a VOICE MESSAGE.These links are also available on our website at sorrypartner.comSupport this show http://supporter.acast.com/sorry-partner. Hosted on Acast. See acast.com/privacy for more information.
Obstructive sleep apnea affects approximately one in four adults and is especially common among patients with neurologic disorders, including stroke, Parkinson disease, dementia, epilepsy, and neuromuscular conditions. In this episode, Dr. Stephanie Stahl discusses why neurologists should routinely screen for OSA, highlights key symptoms and risk factors, reviews important considerations when interpreting sleep studies, and outlines current treatment options beyond CPAP. Learn how recognizing and treating sleep apnea can improve quality of life, optimize management of neurologic disease, and reduce long-term health risks. In this episode, Aaron L. Berkowitz, MD, PhD, FAAN, speaks with Stephanie M. Stahl, MD, FAASM, author of the article "Obstructive Sleep Apnea" in the Continuum® August 2026 Sleep Neurology issue. Dr. Berkowitz is a Continuum® Audio interviewer and a professor of neurology in the Department of Neurology at the University of California, San Francisco, in San Francisco, California. Dr. Stahl is an Associate Professor of Clinical Medicine and Sleep Medicine Fellowship Program Director at Indiana University School of Medicine in Indianapolis, Indiana, where she also serves as Sleep Laboratory Medical Director in the Division of Pulmonary, Critical Care, Sleep, and Occupational Medicine. Additional Resources Read the article: Obstructive Sleep Apnea 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 American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @AaronLBerkowitz Full episode transcript available here Dr Berkowitz: Obstructive sleep apnea is very common. It can cause or contribute to common neurologic symptoms, such as headache and impaired cognition, and it's a risk factor for stroke. And yet, if you're like me, you may not know too much more about sleep apnea than that. Today, I have the pleasure of talking to sleep expert Dr. Stephanie Stahl to learn what every neurologist should know about OSA. Dr Jones: This is Dr. Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Berkowitz: This is Dr. Aaron Berkowitz. Today I'm interviewing Dr. Stephanie Stahl about her article on obstructive sleep apnea. This article appears in the 2026 Continuum issue on Neurology of Sleep. Welcome to the podcast, Dr. Stahl, and could you please introduce yourself to our audience? Dr Stahl: Yeah. Thank you for having me. I'm a sleep medicine physician and neurologist and medical director of the Indianapolis Sleep Lab at Indiana University Health. I serve as the director of the Sleep Medicine Fellowship program. I'm faculty advisor for our very first student interest group in sleep medicine at Indiana University School of Medicine. I'm also actively involved in some national leadership roles, including the incoming chair of the American Academy of Sleep Medicine's Education Committee and co-chair of the Academy's Inter-Scorer Reliability Gold Standard Panel. So, I really appreciate this opportunity. I look forward to our discussion. Dr Berkowitz: Me too, and we appreciate the opportunity too to get to talk to you. You have so much expertise in this area, and I certainly encourage our listeners to look at your article, which is very comprehensive and up to date, and I learned a ton from it. I didn't get much exposure to sleep neurology as a trainee, and I've always worked in academic centers where we have a sleep group and we can refer patients there. So, I have to admit, sleep may probably be the area of neurology I know the least about, and felt like I was learning something new from pretty much every line of your article, and I know our readers will too. So, your article has a lot of excellent detail for our readers on the diagnosis and treatment of this very common condition. But I'd like to keep our interview relatively high level today and focus on the essentials for the practicing general neurologist. So, to start, can you just give us a sense of what obstructive sleep apnea is, and what every neurologist should know about it? Dr Stahl: Yeah. So obstructive sleep apnea is characterized by either partial or full obstructions in the upper airway. That may sound pretty simple, but this leads to a whole bunch of issues. It leads to oxygen desaturations, arousals from sleep, leading to sleep fragmentation. This can then lead to sympathetic nervous system activation, cerebral hypoperfusion, leading to a whole bunch of symptoms or neurologic conditions. Dr Berkowitz: Great. And you mentioned this in your article, but just to emphasize, how common is obstructive sleep apnea in the general population? Dr Stahl: Yeah. So, about a quarter of the general population have obstructive sleep apnea. Much more common in many neurologic conditions. Dr Berkowitz: Yeah, so very common disorder. We are seeing patients with it quite frequently, whether that's the reason they are seeing us in neurology or not. And this leads to my next question, which is what neurologic symptoms or presenting concerns of a patient should make us think about OSA and the differential diagnosis, and what factors based on the history or the exam or the context would make you suspicious for OSA as the cause of a neurologic symptom? In other words, the patient's presenting with classic symptoms of OSA, and that's why they're seeing a neurologist or seeing a primary care doctor, but is coming for evaluation of, say, headache or other symptoms. And what symptoms would make you think of wanting to consider OSA, and then what aspects of the history or otherwise would make you want to evaluate the patient for OSA? Dr Stahl: I think a really important takeaway is for neurologists to know that obstructive sleep apnea is very common in neurologic conditions and has that potential to worsen a lot of these conditions or their associated symptoms. And so, it should be on our radar. There are certainly some basic questions and signs and symptoms that we can ask patients about or, or take a look at on exam. And so particular symptoms include snoring. Anybody that snores loudly or frequently, that's a strong risk factor for obstructive sleep apnea. If someone's seeing them stop breathing in their sleep, if they are waking up a lot throughout the night. There are some other symptoms that we may not necessarily attribute upfront to obstructive sleep apnea, such as nocturia, nocturnal reflux, night sweats. There are some daytime symptoms, of course, too, like unrefreshing sleep, daytime sleepiness, morning headaches, an important one in neurology. And then we take a look at the patient's exam. And so, some things that neurologists might want to be thinking about are people with obesity are certainly at a risk for obstructive sleep apnea. But it's also very important to know that someone does not need to have obesity in order to have obstructive sleep apnea. We look at neck size, other morphologic characteristics, such as how much that we can see in the back of their mouth. Can we see their uvula? Does their tongue size appear large in their mouth? And then some other risk factors too, such as male gender, older age, family history, post-menopausal state in women. All that being said, though, sometimes in neurologic conditions, we don't have all of those symptoms or risk factors to be thinking about. And so, in certain neurologic conditions such as stroke where obstructive sleep apnea is very common and has the potential to increase the risk of another stroke, we may need to be thinking about testing these patients even with minimal symptoms or other risk factors. Dr Berkowitz: That's very helpful. So, you mentioned their headache might be the presenting symptom, right, to a neurologist, and we should certainly be thinking about obstructive sleep apnea as a potential diagnosis, even the cause of the patient's headache, particularly you said patients with morning headache. I often try to think about in patients presenting with, for memory loss, or other cognitive concerns, and that may be due more to inattention from poor sleep, so asking about sleep and symptoms of sleep apnea in those contexts. Are there any other presenting neurologic symptoms not particularly related to sleep? I'm thinking of headache, memory loss, other symptoms that would make you think, "Oh, I should actually screen this patient for sleep apnea also." Dr Stahl: Yeah, other symptoms to think about in pediatrics, hyperactivity, people that have impaired vigilance, as you alluded to, that poor attention. Sometimes people get misdiagnosed with ADHD, and it's actually just a manifestation of obstructive sleep apnea. Dr Berkowitz: You alluded to this, Dr. Stahl, that stroke, for example, patients are at higher risk of developing sleep apnea as a result of stroke, and it's also a risk factor for stroke. What other neurologic conditions, primary neurologic diseases, put patients at a higher risk of OSA? And again, similar to the last question I asked you, what are some clues that we should evaluate for? We might be following a patient for their post-stroke care over time and not necessarily thinking about diagnosing a separate condition in them since we're following them for their stroke or their degenerative disease. What are the conditions that put patients at a higher risk of OSA as a result of the condition, and then when would you think about screening them for it? Dr Stahl: Some particular neurologic conditions where obstructive sleep apnea are very common, in addition to stroke and, and TIA, include Parkinson disease. It can worsen a lot of the motor, cognitive symptoms, sleep disruption that we can see in Parkinson disease. Very common in all causes of dementia, but in particular Alzheimer disease and Lewy body dementia. Very common in neuromuscular conditions. We should definitely have obstructive sleep apnea and all forms of sleep-disordered breathing high on our radar. In conditions like myotonic dystrophy. Charcot-Marie-Tooth is another one where obstructive sleep apnea is very common. Myasthenia gravis, it can worsen the symptoms of that. In particular, a pearl is if somebody has morning weakness in myasthenia gravis, obstructive sleep apnea should be high on your radar. And also, as you mentioned, any forms of headaches. There are some other things too. If somebody has poor seizure control, especially nocturnal seizures, you might have obstructive sleep apnea on your radar as well. Dr Berkowitz: So, I think you've covered essentially every category of neurologic disease, right? We have cerebrovascular, movement, neurodegenerative, neuromuscular, epilepsy, all conditions where either the disorder itself, such as stroke or the, correct me if I'm wrong, the neurodegenerative disease puts the patient at risk. Or the patient may be at risk for exacerbations of their disease, as you mentioned in myasthenia. I love that pearl. Not fatiguable at the end of the day, but if the patient with myasthenia is telling you they're feeling weaker at the beginning of the day, then think about obstructive sleep apnea and that obstructive sleep apnea worsening control of epilepsy due to poor sleep. So really a lot of bidirectional interactions with this common condition. Okay, so if we're concerned about obstructive sleep apnea, again, myself, a general neurologist speaking perhaps on behalf of other general neurologists, we see a patient with headache or reporting memory loss that we find to be impaired attention, or we see exacerbation of their underlying primary neurologic disease. As you mentioned, we think, "Oh, I've listened to this podcast. I've read Dr. Stahl's article. I should probably be thinking about OSA in this patient, and I should order a sleep study." Now, I admit when I get the sleep study back, I scroll to the bottom, I see they do have obstructive sleep apnea, I'm going to send them over to a sleep specialist. But for the general neurologist, what are some high-yield pearls and some pitfalls to be aware of when we get sleep studies for obstructive sleep apnea, and we are looking at the results? Dr Stahl: The first thing is to understand that there are two main types of sleep studies: in-lab polysomnography and home sleep apnea test. In-lab studies are typically what we consider the more accurate type of study. Main reason for that is that we have EEG, so we can see if someone is awake versus asleep. Most home sleep apnea tests do not utilize EEG, and so when we're looking at respiratory events, apneas or hypopneas, we're looking at over the total recording time rather than the total sleep time. So, we know we're going to capture some time where a person is awake, where we don't have sleep apnea events, and that can be a big amount of time in people with insomnia, poor sleep efficiency. And as a result of that, it can lead to an underestimation of the apnea-hypopnea index. That's really important for people to understand that that means we can end up with a false negative home sleep apnea test, or it can put them in a category of lower severity than what they actually have. And so, if you get a home sleep study report back that's negative for sleep apnea and you remain concerned, you need to go on to do an in-lab study, where about twenty to fifty percent of people will go on to have a positive in-lab study. You can also get false positives with home sleep apnea tests too, and so ideally, we should only be doing home sleep apnea tests in people that are at high risk of having obstructive sleep apnea to decrease our chance of false positive study. When we get that sleep study report, what's important to take a look at? So the main number that we look at currently is the apnea-hypopnea index. The number of apneas, which are full obstructions in that upper airway, or hypopneas, partial obstructions in the upper airway where either there's an oxygen desaturation or an arousal associated with that. Less than five is considered to be normal. Anything five or more gives them a diagnosis of obstructive sleep apnea, and then we stratify them based on the AHI. But it's important to take a look at more than just the apnea-hypopnea index. And while my eyes too on various reports like echocardiograms want to jump to the impression, it is important to take a look at that full report, see what their oxygen levels averaged and what they dipped down to. The arousal index, which is how many times a patient may have woken up briefly throughout the night. Take a look at the histogram, usually an image at the bottom of their report that shows what sleep fragmentation may have been like so that you can take that all in and make that decision. How important are these study findings, and is this a person that would benefit from treatment? Dr Berkowitz: That's a fantastic overview of sleep studies and some of the highlights to look out for, even if we won't be understanding every detail as you would to know most importantly the caveats about home sleep testing having a fairly high percentage of false negative and false positive results. So being wary if our suspicion is high, and that test is normal or inconclusive to get an in-lab sleep study. And if our suspicion is low or maybe we haven't ordered the test and the patient has had it done elsewhere, and the history doesn't really match up to know that there are false positives on the home studies as well, and again, an in-lab study to settle the diagnosis. Is that right? Dr Stahl: Yes. Dr Berkowitz: Okay. Now, for most neurologists, probably if we diagnose OSA, we will be referring the patient to a sleep specialist like yourself for treatment. I think we're all familiar with CPAP and patients being on CPAP. Your article mentions a number of treatment modalities I admit I have not heard of before or maybe heard of in passing, acknowledging most general neurologists are not going to be prescribing or knowing with the nuance that you do as an expert how to decide which treatment a patient would most benefit from or most qualify for. So, can you just give us a broad overview, again, for the general neurologist acknowledging we might see a patient whose past medical history says OSA being treated with fill in the blank. What are the different treatment modalities, and how do you think, just so we can learn from you in broad brush strokes, about particular treatments for particular patients? Dr Stahl: As you mentioned, most people are familiar with positive airway pressure or PAP therapy, and that does remain our most efficacious treatment. The way I explain it to patients is why PAP therapy is the most effective treatment is it's the only treatment that can take all of the tissues of that upper airway and open them up. Whereas all of our other treatments, we're going to target smaller spaces of that upper airway. So, our first option is if we can get somebody on PAP therapy, we know that that's going to be the best option for the majority. PAP therapy works by basically acting as an air splint to open up the air tissues. Know that masks are not interchangeable. There are masks that cover the nose and go over the nose and mouth and under the nose. Full face masks that cover the nose and mouth, they do typically require higher pressures, also tend to be less comfortable for a lot of patients as well. In addition to different PAP masks, there's different modalities of positive airway pressure therapy too. There are machines that auto-adjust, some that provide fixed pressure, bi-level PAP that provides a higher inspiratory pressure, lower expiratory pressure. Then outside of PAP therapy, there are, as you alluded to, a lot of options and more, continuing to come down the pipeline as well. Mandibular advancement devices or a form of oral appliances has been around for a while. This is device that somebody wears in their mouth. It's preferably customized for their teeth and titratable, meaning that they can make adjustments that pulls their mandible forward in relation to the maxilla in order to pull those tongue tissues further away from the back of the upper airway. That's ideally managed by a qualified sleep dentist or someone that specializes in oral appliance management. Other treatments include surgical options, including hypoglossal nerve stimulation, which is an implanted device that causes the tongue to protrude repetitively throughout their sleep period to hopefully open up the airspace. There's some other surgical options too that open up various places of the upper airway. There's a daytime treatment of obstructive sleep apnea, transoral neuromuscular electrical stimulation that changes the muscle fiber type of the tongue. And then there's some adjunctive treatments that can be helpful too, such as positional therapy, oral facial myofunctional therapy that helps a person breathe better through their nose and may help train the upper airway muscles. Dr Berkowitz: Great. Well, that's a very helpful overview, and again, I refer our listeners to your article, which talks about all of those modalities in very comprehensive detail. So, Dr. Stahl, as we wrap up our conversation, you have a captive audience of neurologists and neurology trainees here. What would you like to leave us with that every neurologist should know about obstructive sleep apnea? Dr Stahl: The most important, again, is for neurologists to know that obstructive sleep apnea is so common in your patient population, and it can have a significant negative impact on quality of life and health, including many neurologic conditions. And at the same time, obstructive sleep apnea is very treatable. We have so many options nowadays that we can usually get someone onto adequate treatment. And treatment has that potential to improve several neurologic symptoms and disorders, even at times when you don't think that there's an opportunity to improve symptoms such as say in, headache. So, neurologists really should be screening for signs and symptoms of obstructive sleep apnea, as well as considering testing in high-risk, potentially asymptomatic or minimally symptomatic patients. Dr Berkowitz: That's a fantastic overview of some of the many pearls that you shared with us today, as well as in your article. So, thank you so much again. Today, I've been interviewing Dr. Stephanie Stahl about her article on obstructive sleep apnea. This article appears in the August 2026 Continuum issue on neurology of sleep. Be sure to check out Continuum Audio episodes from this and other issues. And thank you so much to our listeners for joining today, and thank you again, Dr. Stahl. Dr Stahl: Thank you again for having me. 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 the 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.
Peter Berkowitz analyzes the work of Professor Patrick Deneen, who argues that liberal democracy is a "curse" that has atomized American society. Deneen presents contradictory accounts of whether liberalism was a founding principle or a 20th-century imposition. He advocates for a "regime change" toward a pre-liberal order that prioritizes biblical faith and classical virtue over individual rights. Berkowitz notes that Deneen's ideas have influenced figures like Vice President JD Vance, who has publicly endorsed Deneen's work. The critique suggests that Machiavellian means and state coercion may be necessary to restore a Christian foundation to the nation. (6)
C Lieven expresses skepticism regarding Russian influence in German elections, noting that the Alternative for Germany (AfD) is genuinely popular due to anti-immigration stances and skepticism toward funding Ukraine. Meanwhile, the UK faces budget constraints that hinder promised military spending increases. A migration crisis involving thousands of people attempting to enter EU territory from Morocco has triggered emergency meetings. Nationalist parties in Europe may move toward total immigration bans to satisfy their core supporters. (1)Kevin Hoy discusses the detection of a Jupiter-mass object orbiting the brown dwarf CD-35 2722b, which may represent the first confirmed exosatellite or exomoon. Using the radial velocity method, researchers identified a "wobble" in the spectrum of the brown dwarf, indicating a secondary body in a highly eccentric 170-day orbit. This discovery is a significant milestone for astrophysics, as it helps scientists understand planetary formation processes outside our solar system. Hoy explains that such objects are difficult to find because technology is often limited by the brightness and proximity of host stars. Future mapping of nearby systems could involve high-power radar technology. (2)Evan Ellis explores the landscape of Uruguay, a stable country navigating the trade interests of its neighbors, Brazil and Argentina. The discussion shifts to Colombia's newly elected president, Abelardo de la Espriella, whose inauguration in a high-security zone signals a pivot toward closer alignment with the United States. Ellis also addresses the complex situation in Venezuela, where the U.S. is negotiating with the relatively unknown Dinorah Figuera rather than more prominent opposition figures. Regional stability is further threatened by an explosion of homicides in Uruguay and the presence of millions of Venezuelan refugees in Colombia. (3)Bradley Bowman warns of the unprecedented military cooperation between Russia, China, Iran, and North Korea, documented in 616 instances of security collaboration. Russia has transferred advanced technology, such as Su-35 fighters and submarine quieting techniques, to China to secure support for its war in Ukraine. Simultaneously, Iran provides drones and targeting data to help Russia strike Ukrainian targets and U.S. forces in the Middle East. North Korea has supplied thousands of soldiers and munitions to the European front. Bowman emphasizes that the U.S. defense industrial base is currently a shadow of its World War II capacity. (4)Harry Sidebottom describes the reality of Roman gladiators, noting they were often heavy-set due to a carbohydrate-rich diet designed to provide protective fat. These fighters were glamorous figures who enacted Roman virtues of courage and physical strength for the public. While many were slaves or prisoners, others were free men who volunteered to escape grinding poverty. Most gladiators fought only once or twice a year, with a survival rate of roughly seven in eight. The segment also notes a rare historical instance where a Roman audience felt sympathy for elephants being massacred in the arena. (5)Peter Berkowitz analyzes the work of Professor Patrick Deneen, who argues that liberal democracy is a "curse" that has atomized American society. Deneen presents contradictory accounts of whether liberalism was a founding principle or a 20th-century imposition. He advocates for a "regime change" toward a pre-liberal order that prioritizes biblical faith and classical virtue over individual rights. Berkowitz notes that Deneen's ideas have influenced figures like Vice President JD Vance, who has publicly endorsed Deneen's work. The critique suggests that Machiavellian means and state coercion may be necessary to restore a Christian foundation to the nation. (6)Jack Burnham explains the FCC's efforts to prohibit military-grade, foreign-produced drones, specifically targeting Chinese firms like DJI due to security concerns. These "dual-use" systems are defined by their ability to carry heavy loads and utilize advanced sensor arrays. A significant security gap exists because critical infrastructure like power grids and hospitals lacks the same protections afforded to airports and military bases. Burnham cites a 2024 arrest of a man flying an unregistered drone over Vandenberg Space Force Base in California as evidence of the threat. The Trumpadministration has issued executive orders to secure American airspace from unidentified objects. (7)Mary Anastasia O'Grady reports Keiko Fujimori has secured the Peruvian presidency by a narrow margin, inheriting a nation plagued by organized crime and Chinese influence. Fujimori faces an immediate crisis with the expected arrival of El Niño in September, which threatens the fishing industry and may cause floods. Transnational criminal organizations involved in extortion and illegal mining present a strategic threat to property rights and small businesses. Additionally, China's construction of the Chancay port and heavy mining investments have granted Beijing significant political leverage. Fujimori must now balance these economic realities while attempting to restore the rule of law. (8)Corrections applied: Mary Anastasia O'Grady as directed; Abelardo de la Espriella (transcribed as "Delospria," segment 3 — matching prior batches); and Patrick Deneen (transcribed as "Denine," segment 6 — the Notre Dame political theorist). One to flag: Kevin Hoy (segment 2) — I couldn't verify this astronomer's name, and the brown dwarf designation (rendered as "CD352722b," which I've set as CD-35 2722b) suggests the transcription may be rough. Worth checking against the booking sheet.
The real crisis isn't the Declaration—it's what we've stopped teaching. Peter Berkowitz, Tad and Dianne Taube Senior Fellow at the Hoover Institution, contends that universities have failed at liberal education—the cultivation of citizens prepared to exercise freedom and responsibility. He attributes the breakdown to politicized classrooms, overreliance on narrow “scientistic” approaches in the social sciences, and a professional culture that trains future scholars instead of educating future citizens—leaving graduates with little serious exposure to the Declaration, the Constitution, and the moral logic of self-government. Stephen Haber, Stanford Professor of Political Science, History, and Economics, presses the discussion toward causes and incentives, setting up a debate about who is responsible for the drift and what reforms could realistically restore civic learning. Connect: Episode Transcripts >>> Stanford Legal Podcast Website Stanford Legal Podcast >>> LinkedIn Page Stanford Constitutional Law Center >> Website Stanford Law School >>> Twitter/X Stanford Lawyer Magazine >>> Twitter/X Chapters:[00:00:26 – 00:04:11] Chapter 1: Setting the stakes—The Declaration at 250 and today's critiques Michael McConnell frames the episode around renewed skepticism of the Declaration's natural-rights claims—from progressive critiques focused on slavery and domination to post-liberal arguments against “abstract” rights.[00:04:11 – 00:06:54] Chapter 2: Berkowitz's opening—What the Declaration claims and why critics converge Peter Berkowitz restates the Declaration's core logic (equality, unalienable rights, consent, and the right to alter/abolish destructive government) and argues that left/right critiques increasingly overlap in their indictment of universal rights.[00:06:54 – 00:17:47] Chapter 3: Universities and the erosion of liberal education Berkowitz contends civic understanding is collapsing because colleges no longer ensure a shared, rigorous education in founding principles, constitutional traditions, and the broader intellectual inheritance needed for citizenship.[00:17:47 – 00:31:00] Chapter 4: From “critical” to “generous” thinking—Mapping the modern critiques Berkowitz argues that criticism without charitable interpretation becomes a “rage to criticize,” then traces postmodern progressive and post-liberal arguments (including Deneen and Vermeule) that reject the Declaration's rights framework and flirt with radical alternatives.[00:31:00 – 01:04:12] Chapter 5: Human rights, diplomacy, and reform—The Commission and a debate about university governance Berkowitz ties the Declaration to U.S. foreign policy via the UDHR and the Commission on Unalienable Rights, including its aims and controversies; Stephen Haber responds that boards, presidents, and provosts shape campus ideology and that governance-level changes could enable a revival of civic education. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
In this episode of Investor Connect, Hall welcomes Dr. Lyle Berkowitz, Founder and Chairman of KeyCare, a virtual care medical group that helps health systems deliver telemedicine tightly integrated with the Epic electronic health record. With coverage across all 50 U.S. states, KeyCare focuses on expanding access, coordinating virtual and in-person care, and reducing physician burnout by building on Epic rather than creating a separate technology stack. Lyle shares how virtual care shifted from a pre-pandemic "nice-to-have" into a durable part of healthcare infrastructure after reimbursement parity and broader cultural adoption, and he outlines how AI supports pre-visit intake, ambient documentation during visits, and post-visit follow-up. He also discusses the "three Cs" of digital health adoption—coordination, cultural change, and compensation redesign—along with lessons on aligning incentives in partnerships and investing, advice for founders to start with a focused niche and show traction before raising capital. Visit KeyCare at www.keycare.org/ Reach out to at www.linkedin.com/in/drlyle/ ________________________________________________________________________ For more episodes from Investor Connect, please visit the site at: http://investorconnect.org Check out our other podcasts here: https://investorconnect.org/ For Investors check out: https://tencapital.group/investor-landing/ For Startups check out: https://tencapital.group/company-landing/ For eGuides check out: https:/_/tencapital.group/education/ For upcoming Events, check out https://tencapital.group/events/ For Feedback please contact info@tencapital.group Please follow, share, and leave a review. Music courtesy of Bensound.
PR industry leader Ron Berkowitz joins host Rich Jachetti to reflect on building Berk Communications into one of the nation's top sports and entertainment agencies and why his innovative partnership with MikeWorldWide offers a fresh blueprint for agency acquisitions.
Peter Berkowitz. Peter Berkowitz explores Vice President JD Vance's journey from atheism to Catholicism. He highlights Vance's ambiguity regarding the state's role in promoting Christianity. Drawing on James Madison, Berkowitz emphasizes the constitutional necessity of separating church and state to protect religious freedom and institutional integrity. (3)NEW AMSTERDAM
SCHEDUKE JBS 7-21-26Elizabeth Peek joins John Batchelor to discuss how rising gasoline prices act as a talisman for consumer sentiment and presidential approval. Despite low unemployment and rising real wages, the public remains fixated on energy costs. Peek criticizes Republican messaging and highlights the massive AI-driven investment boom currently occurring. (1)Elizabeth Peek discusses New York mayoral candidate Zohran Mamdani's inability to define the "working class." She argues the Democratic Socialists of America (DSA) primarily represent white, college-educated liberals rather than manual laborers. They also discuss Kevin Warsh as a potential Fed chairman and the independence of interest rate decisions. (2)Peter Berkowitz examines Vice President JD Vance's views on restoring Christianity in America. Berkowitz highlights the ambiguity in Vance's stance regarding government involvement in religion. They contrast Vance's rhetoric with James Madison's historical opposition to state-funded religion, emphasizing the constitutional separation of church and state. (3)Ahmad Sharawi reports on Syria's interception of sophisticated Iranian weapons—including cruise missile components—destined for Hezbollah. The weapons were concealed in Iraqi oil tankers. This move is seen as Al-Shara's attempt to gain international trust and investment by demonstrating a commitment to containing Hezbollah's rearmament. (4)Mary Kissel discusses the ongoing conflict with Iran in the Strait of Hormuz. She argues there is no diplomatic overlap because Iran views nuclear weapons as essential for survival. Kissel notes the lack of a broad international coalition and warns that regional allies might seek accommodation with Tehran. (5)Mary Kissel turns to NATO's lack of unity regarding the Ukraine war. Kissel argues that while Eastern Europeannations feel the threat, Western Europe focuses on domestic politics. She highlights the emergence of a "new alliance" of Russia, Iran, and China, which poses a significant hybrid threat. (6)Joseph Sternberg analyzes China's struggling economy, noting that official growth targets are likely overstated. Facing a real estate crater and demographic decline, China is reverting to an export-heavy model. Unlike Japan's past recovery, China's adversarial stance makes trading partners less willing to absorb its gluts. (7)Joseph Sternberg discusses the transition to Prime Minister Andy Burnham in the UK. Burnham, who took office without an election mandate, faces a heavily taxed economy and bond market skepticism. Sternberg critiques Burnham's big-government agenda and resistance to market reforms, suggesting it may drive away wealth. (8)Gregory Copley evaluates Prime Minister Andy Burnham's new cabinet, specifically John Healey as Chancellor and Wes Streeting as Defense Secretary. While the government aims to boost defense spending and support Ukraine, Copley questions its legitimacy without a fresh mandate and notes a lack of long-term global strategic planning. (9)Gregory Copley covers the alienation of Canada under the Trump administration. Copley explains how Canada is diversifying its defense procurement—buying Swedish aircraft and Australian radar—rather than relying on the US. This shift threatens the NORAD partnership and results in billions of dollars lost for US aerospace industries. (10)Gregory Copley explores the "balance of ignorance," where declining literacy and social media lead to a loss of national identity. He argues that governments make poor strategic decisions because they no longer understand their own history or adversaries, citing the current US conflict with Iran as a primary example. (11)Gregory Copley explains King Charles III's role in forming Andy Burnham's government. The King's "blessing" provides constitutional legitimacy to the transition. Copley notes Burnham is the first practicing Roman Catholic Prime Minister and highlights the King's departure to Glasgow to open the Commonwealth Games. (12)Former Congressman Thaddeus McCotter discusses how rising gas prices and inflation hurt Republicans in swing states. They also examine the Trump administration's use of the Smoot-Hawley Act to threaten tariffs on Canada. McCotter views these as punitive measures that weaken the broader argument for necessary trade protections. (13)Thaddeus McCotter comments on a recent presidential address regarding the 2020 election. He argues that claiming the system is "rigged" is counterproductive for Republican turnout. McCotter suggests that voters care far more about the "price of gas" and groceries than relitigating past elections that the party lost. (14)John Batchelor and Peter Huessy review classic nuclear war films like Godzilla, On the Beach, and Dr. Strangelove. Huessy argues that while these films highlight the horrors of nuclear use, real-world focus has evolved toward deterrence and sophisticated safety systems designed to prevent accidental or unauthorized missile launches. (15)Peter Huessy continues the discussion of nuclear films like Fail Safe and The Day After. Huessy disputes claims that The Day After motivated Ronald Reagan's arms control efforts, noting Reagan was a committed advocate for nuclear reductions long before the movie's massive 1983 television broadcast. (16)Corrections applied silently: Ahmad Sharawi (4) and Thaddeus McCotter (13, 14) per the log.
Could one of the greatest archaeological discoveries connected to the Temple have been hiding in plain sight?In today's episode, Mondo welcomes Israeli journalist and author Adam Eliyahu Berkowitz for an eye-opening discussion about the remarkable story behind the alleged discovery of the original Temple Incense, the Copper Scroll, Qumran, and the growing movement to prepare for a future Third Temple.
Could one of the greatest archaeological discoveries connected to the Temple have been hiding in plain sight?In today's episode, Mondo welcomes Israeli journalist and author Adam Eliyahu Berkowitz for an eye-opening discussion about the remarkable story behind the alleged discovery of the original Temple Incense, the Copper Scroll, Qumran, and the growing movement to prepare for a future Third Temple.
Could one of the greatest archaeological discoveries connected to the Temple have been hiding in plain sight? In today's episode, Mondo welcomes Israeli journalist and author Adam Eliyahu Berkowitz for an eye-opening discussion about the remarkable story behind the alleged discovery of the original Temple Incense, the Copper Scroll, Qumran, and the growing movement to prepare for a future Third Temple.Become a supporter of this podcast: https://www.spreaker.com/podcast/the-week-in-bible-prophecy--6909234/support.
Stroke in children and younger adults differs significantly from adult stroke, with varied presentations and a broader range of underlying causes such as congenital heart disease and arteriopathies. This episode highlights key diagnostic considerations and evolving approaches to treatment in these younger populations. In this episode, Aaron L. Berkowitz, MD, PhD, FAAN, speaks with Thalia S. Field, MD, FRCPC, MHSc, coauthor of the article "Stroke in Children and Younger Adults" in the Continuum® June 2026 Cerebrovascular Disease issue. Dr. Berkowitz is a Continuum® Audio interviewer and a professor of neurology in the Department of Neurology at the University of California, San Francisco, in San Francisco, California. Dr. Field is a professor at the University of British Columbia and the Sauder Family Heart and Stroke Professor of Stroke Research, and a stroke neurologist at the Vancouver Stroke Program, Vancouver Coastal Health in Vancouver, British Columbia, Canada. Additional Resources Read the article: Stroke in Children and Younger Adults 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 American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @AaronLBerkowitz Full episode transcript available here Dr Berkowitz: Most neurologists are used to evaluating and treating adults with stroke since it's one of the most common neurologic conditions. But stroke can also occur in children, in infants, and even in utero. Today, I have the privilege of interviewing Dr. Thalia Field to talk about pediatric stroke. Dr Jones: This is Dr. Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Berkowitz: This is Dr. Aaron Berkowitz, and today I'm interviewing Dr. Thalia Field about her article on stroke in children and younger adults. This article appears in the June 2026 Continuum issue on cerebrovascular disease. Welcome to the podcast, Dr. Field, and could you please introduce yourself to our audience? Dr Field: Well, thanks so much. It's a pleasure to, uh, be speaking to you. I'm a stroke neurologist, and I treat adults generally. My wonderful colleague, Thivya Selvanathan, who's a neonatal neurologist, co-wrote the chapter with me. We do, unfortunately, have to treat some children with stroke collaboratively and I do advise on those cases. My practice is about one-quarter clinical, so I treat patients with acute stroke, look after them on the wards, see patients in stroke prevention clinic, and the rest of my time is mainly research and some administrative work and teaching. I run the clinical trials program for the Vancouver Stroke Program, and I do research of my own, mainly focused on stroke in younger adults. We previously did a trial and registry on cerebral venous thrombosis, and more recently, I've been running a national study looking at brain health in adults and children with congenital heart disease. Dr Berkowitz: Fantastic. Wow, that is a lot that you do, and we'll look forward to the results of some of those studies. So, when adults suffer a stroke, they typically present with sudden onset focal neurologic deficits, very common scenario we're consulted on. And one thing you and your colleague talk about in the article is that strokes can present differently in infants and in young children. Can you talk a little bit about the differing clinical presentations of stroke in the youngest young as compared to our usual experience treating the older adults? Dr Field: Sure. So, you know, speaking about this as someone who doesn't see the children directly but has had the opportunity to discuss these patients with my colleagues and, like we all do, learn about it during our training, I think one of the distinctions, especially with neonates, is that it's generally not a presentation with focal neurologic deficits. Often these babies will have seizures or encephalopathy as their main presentation, and sometimes we're only finding out after the fact if they're presenting with developmental delay or early preference for handedness and hypotonia, things like that. So, in very young children, that's a distinction. And in older children, there can be sudden onset deficits and, and unfortunately, sometimes these are mistaken for other conditions that are more common in children, like seizures. But sometimes you can have a more indolent course, say, with something like a focal cerebral arteriopathy or something like that. So, it depends on the scenario, but the big difference primarily is in neonates, as far as I understand. Dr Berkowitz: Perfect. That's very helpful. So as an adult neurologist, when I think about causes of stroke or teach sort of the categories of causes of stroke to our residents and students, when we think about the evaluation of stroke, I divide them broadly into causes related to the heart, causes related to the blood vessels, and causes related to the blood with, in the adult world, the most common things, of course, being atrial fibrillation for the heart, atherosclerosis for the blood vessels, and then risk factors for atherosclerosis in the blood, diabetes, hyperlipidemia, very rarely picking up a hypercoagulable disorder in the blood column. And reading your article, it seems that, correct me if I'm wrong, stroke in young adults, stroke in the pediatric population can basically be organized into those same broad categories, heart, blood vessels, and blood, just that there's many more conditions on the differential diagnosis that you would consider in young adults to begin with and then children and then neonates as we get into the younger and younger population. So, I'd like to talk about each of these sort of buckets of etiology in turn and ask you about some of the causes we would consider in young adults and children in each of these, and then as they come up, probably ask you more questions about how frequently we find these sorts of things, how frequently they're the cause of stroke treatment, et cetera. So, let's start with the heart. As I said, in adults, we're mostly looking for rhythm disorders, right, atrial fibrillation. Sometimes we'll pick up a patent foramen ovale or PFO or other structural abnormalities, but mostly we're thinking about atrial fibrillation. But reading your paper, I was struck by the huge variety of conditions that you might be looking for in the heart in children or infants with stroke. So, can you tell us a little more about cardiac etiologies of stroke in the young? Dr Field: Yeah. So, I'd say unlike in older adults, where it tends more often to be a rhythm disorder, in children and adults who are younger, it's primarily a structural cause, and congenital heart disease being the most common. And it changes a little bit from younger adults shifting downwards in age to younger children in terms of the fact that often if we're seeing an adult with stroke related to congenital heart disease, it can be a paradoxical embolism from a previously undiagnosed PFO. Not in all cases, but fortunately this is improving over time. You know, generally people with diagnoses of more severe congenital heart disease are followed up from childhood and people are aware of the diagnosis, and hopefully they're being managed and watched for things like premature arrhythmias or depressed heart function or other things that can develop and require their own distinct antithrombotic management, for example. In young children, however, more severe causes of congenital heart disease tend to more frequently be associated with stroke. And in many cases, those strokes can be early on in life or associated, say, with perioperative complications or other iatrogenic-related causes in, in that way. Again, congenital heart disease can be associated with stroke at, at any point in the life course. But as adult neurologists, most frequently we're seeing very simple lesions like PFO with large shunts, and in children, it tends to be the more complex causes of congenital heart disease. Dr Berkowitz: Got it. So, let's move on to the blood vessels. Again, in adults, we're usually thinking about atherosclerotic disease, be that of the cervical arteries or of the intracranial arteries. But in your paper, a lot of discussion about the various vasculopathies, arteriopathies that can be cause of stroke in younger adults and in children. Could you talk a little bit more about some of the vasculopathies and vascular conditions that are causes of stroke in the younger population? Dr Field: Sure. Before I do that, I will say that especially in older younger adults, particularly over the age of thirty-five, and you know, kind of makes me shudder that that's an older younger adult. But, um, in, in any case, certainly conventional vascular risk factors are more common in this population with stroke, especially in those who don't have PFO-associated stroke. Like conventional atherosclerosis, you know, certainly is a cause of stroke in younger adults. But that being said, certainly other vascular causes and vasculopathy in particular is a much more common cause of stroke in younger adults and, and children than it is in older adults. In particular, dissection is an extremely common cause of stroke in younger adults. Generally cervical artery dissection from non-inflammatory vasculopathy, usually on, sometimes on the FMD fibromuscular dysplasia spectrum and, and sometimes, you know, provoked by minor trauma or something post-infectious that may make the vessels a little bit more susceptible. And in younger children, this inflammatory focal cerebral arteriopathy is a distinct cause that is a common cause of stroke in, in young children. There are other causes that can affect the blood vessels, you know, rarer things like vasculitis and vasculopathies that can develop in the context, say, of sickle cell anemia. But in general, as a bucket, vessels are still very important, but the pathology tends to shift. Dr Berkowitz: Got it. And you, um, alluded to a point that I wanted to ask you about. You mentioned the sort of, there's stroke in the young, and then where do you draw the line at young? Less than sixty, less than thirty-five, and then we've also talked about strokes as young as before the age of birth. Yeah, I'm remembering, is it the Helsinki study, one of the early large series of stroke in younger individuals? I think that, was it eighteen to forty-nine in that or fifty-nine? I don't remember the exact age, but being struck reading that paper as a resident and thinking about the workup for exotic causes we do, right, and when a young patient has a stroke. And correct me if I'm wrong, the most common etiologies of stroke in that series, and I'm curious the other large series yourself have been involved with, have still been vascular risk factors and arrhythmias and things that we, even common, quote unquote, common things in the young, such as dissection or hypercoagulable states. Uh, the things that we sort of tend to think about first are actually less common. But acknowledging that that paper has folks up to the late forties when the vascular risk factors may be, um, unfortunately kicking in earlier, uh, and earlier due to dietary and lifestyle factors. So is that true, or do you have sort of an age cutoff when it's, we say stroke in the young, people sort of think, "Oh, they'd work someone up differently if they're less than sixty, and they have no vascular risk factors or few vascular risk factors." When do we start getting into the kind of younger population where atherosclerosis and cardiac arrhythmias are not number one and two? Dr Field: I'd say first of all, you and I must have trained around the same time because I was also in my training, really struck by the results of the Helsinki study going, "Wow, I, I really didn't know how much of a role these conventional vascular risk factors still play." And I think we're seeing that information reiterated, unfortunately, like even with higher prevalences and more attributable risk in some of the newer series. There are newer European series looking at stroke in younger adults, and more recently, there's been one that we mentioned in the article from the Florida Stroke Registry. And it's true that generally the burden is in the older younger adults. But what I would say overall in terms of kind of how things guide the workup, you need to look at the patient and consider things. I mean, obviously you don't want to miss things that can be treated differently and identified by tests easily. You know, things like ruling out syphilis or antiphospholipid antibody disease in, in younger patients. You really want to make sure that that's not something that, that you'd miss because, you know, obviously your treatment is going to change. However, certainly we start with the basics for stroke workup in any patient that's coming in. At my center, CT angiography. Some centers it may be MR angiography and echocardiography. We take a careful history. We look at the blood work. We look at the vascular risk factor burden. We find out if there's kind of any worrisome personal history, family history, look at their general health context. I think that really helps to guide how far we go in a particular workup, and it also helps to direct the other investigations and types of follow-up we need to do. For example, if a patient has a fairly suspicious story for dissection, let's say they're getting over a cold, and they went to the gym, and, you know, there was a sudden movement that they did that really produced headache and neck pain, and there's an obvious cervical artery dissection. I'm not going to go too far down testing them for rare infections and doing advanced cardiac imaging unless something shows up on their initial echo, for example. But I will make an effort to do more detailed vascular imaging of the rest of their body, find out careful family history. If there's additional manifestations of a non-inflammatory vasculopathy elsewhere, say consider sending them to medical genetics, or obviously, if this is, you know, a second event, your flags raise even more. So, it really depends on the patient. If I find out that there's, you know, a family history of premature cardiac disease and things like that, you know, obviously we're gonna be keeping a close eye on their cholesterol, making sure that we're not identifying, for example, familial hypercholesterolemia, which is, you know, something that comes up not infrequently where we'll see an LDL in an untreated patient of more than five. I apologize, you're gonna have to do the conversion to American units on that. But there are things we identify and, you know, again, you don't want to fall solely on heuristics and your preconceived notion of, of the patient. You do have to consider the results of the investigations that you do order. But I think you can certainly be mindful in terms of how you direct your workup and in turn, how you direct your follow-up. Dr Berkowitz: That's great to hear your approach. Yeah, as you said, our approach always begins with the same, coming back to these three categories, right? Doing some type of structural imaging of the heart, rhythm monitoring for the heart, and then vascular imaging of the head and neck. And then I was going to ask you, and you sort of began to answer this question. Yeah. What's next and how far do you go? I think most people think the expanded stroke workup in the young is at a minimum, a TEE if there's been no signal thus far on the original workup. I just mentioned and you spoke about, and then probably hypercoagulable testing and only sending arterial side if there's no shunt and venous and arterial side if there's a shunt. Is that your second pass approach or did I miss anything, or are there other nuances there that are helpful to discuss? Dr Field: No, I think that's generally in keeping with what I do. I think with TEE being very important. I mean, the first pass are arterial stuff. Really, it's antiphospholipid antibodies and, and making sure there's no cancer. Like you said, only if there's a shunt do I pursue other venous hypercoagulability testing. Again, you [chuckles] kind of reiterate, go through with the history, make sure there's kind of no red flags. And sometimes, obviously, you do your best reasonable job with the first pass workup, and you will find out when someone presents with a second event that it's something very unexpected. Maybe first manifestation, someone with no obvious history and very initially normal-looking imaging, say with, with CATASL or something like Fabry's disease or something where you would consider it if there was kind of a more classical picture. But it wouldn't be something you would do kind of on your first or even second pass workup in the absence of any sort of clinical suspicion, family history, or something along those lines. Dr Berkowitz: I'm curious just as far as rough percentage. I feel like many of these patients we see it's a patient who's young and who's had a stroke, and the initial first pass has been unremarkable, and we do our TEE, and we do our hypercoagulable workup. Again, antiphospholipid antibodies only if it's-- there's no shunt. And if there's a shunt, adding on some of the venous hypercoagulability protein C, protein S, factor five, Leiden, et cetera. A lot of the times I feel like we don't find anything. What's your sort of general gestalt? Again, as a general neurologist who does a lot of inpatient neurology, I feel like when these cases come up, it's not that common that you say, "Oh, I actually diagnosed protein S deficiency." Or every once in a while, diagnose an antiphospholipid antibody, or you'll find a PFO on TEE. You didn't find on TT. I've maybe found one fibroelastoma in many years. How often do you find something? How often is it just as an adult a cryptogenic stroke in a young adult or child? Dr Field: So much of what we see is PFO-related, dissection-related, conventional vascular risk factor-related. We do send referrals to medical genetics. Sometimes we'll do testing for rare things like Fabry's or consider other diagnoses. But I mean, those tend to be the exceptions. About one in four to one in five young adults with stroke end up with this cryptogenic label. I like to keep them on my radar for a few reasons. I think, one, it produces tremendous anxiety for them to not have a cause of stroke identified and just to kind of have a generic approach to secondary prevention. So, I think just to kind of keep an eye on them, manage their anxieties each year, make sure there's kind of no updates in, in terms of general secondary preventionAnd sometimes just things dawn on you later or there are new conditions, say things like, you know, DADA2, this, you know, adenosine deaminase deficiency. You know, there are new diagnoses that, that come on the radar. And sometimes treatments change. You know, for example, when I was starting my early career, the evidence hadn't yet been in place for PFO closure, and then all of a sudden, the paradigm completely changed. And you want to make sure that you can get in touch with those patients to reconsider your approach at the time. So I realize that not everybody has the luxury of extended follow-up with their patients, but I think often you can kind of encourage them or their healthcare team or just, you know, patient themselves to keep in touch periodically just to make sure that there haven't been any changes in treatment paradigms or just with your own awareness of particular, you know, diagnoses or, or just kind of readdressing the situation, uh, a year after and seeing if there's anything that may have occurred to you in the interim. Dr Berkowitz: Perfect. Really illuminating to hear your approach to these challenging cases. And as you said here and then a couple of times, I think, in this interview is in many of these cases it's your first pass, maybe even your second pass, you haven't found anything. And the key is, unfortunately, as distressing as it may be for the patient as well as for us to not have an answer, to just keep following these patients. And sometimes you really can't sort it out until something else happens, either neurologically or systemically, where you say, "Oh, that's what this was." But there would've been no way to know it from the first presentation. So, we've talked a lot about the diagnosis of causes of stroke in younger adults and children. And in the last minute or two here, I just wanted to talk a little bit about treatment. You mentioned early on that you're involved in thrombectomy cases in children. What's the state of evidence or at least state of practice in terms of offering therapies like thrombolysis and thrombectomy in our patient population? I guess it would be under 18, right, who is not studied in the major trials. Do we have evidence and, or in the absence of evidence, what's sort of the, the expert guidance on treating young adults under 18 and children with some of these acute therapies? Dr Field: So, trying to keep up with the literature on this. You know, certainly the evidence has been more established in a small trial and pediatric registries for use of tPA, tissue plasminogen activator, in children just because, you know, it's been around much longer. In terms of tenecteplase, which I, I really think signifies a, a practice shift in adult stroke because of its, you know, non-inferior efficacy and ease of use and potentially better rates of recanalization over time. In children, to my knowledge, that evidence base is, is limited to case series and anecdotal shifts in availability of drug and, and different practices. So, the evidence base is not particularly strong for tenecteplase in children who are identified within a reasonable amount of time who are still otherwise candidates for thrombolysis, you know, thrombolysis in children. Children who are a little bit older, I think, can't remember the exact age, but generally very young, like neonates, children who are under the age of two, I believe. I would want to double-check that thrombolysis is less commonly used and just because the safety has not really been that well-established. And for thrombectomy, it's now recommended to use thrombectomy in otherwise eligible children in the newest AHA guidelines. It gets a little bit more controversial in very young children. Under the age of six, there's less of an evidence base and, and often it will depend on people's level of comfort in terms of the size of the arteries. It's my understanding that once you get to about age six, the artery diameter is similar to that in fully grown people. But in younger children, I think just because of the catheters, there can be risk of, of injury. So, it's more of a case-by-case conversation with your interventionalist for younger children. And again, the evidence to intervene is not there for very, very young babies, for example. Dr Berkowitz: That's very helpful to hear the current state of the evidence and the current state of practice, acknowledging, of course, there's not that much evidence, and these are relatively uncommon occurrences, fortunately, for children, but making it challenging for practitioners and practices may, um, vary based on different institutional protocols. So again, today I've been interviewing Dr. Thalia Field about her article on stroke in children and younger adults. This article appears in the June 2026 Continuum issue on cerebrovascular disease. Be sure to check out Continuum Audio episodes from this and other issues. And thank you 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 the 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.
Send us Fan MailFormer Anchorage Mayor Ethan Berkowitz moved to Alaska in 1990 after he finished law school in San Francisco. In 1996 he ran for an open state house seat in west Anchorage, and he served in the state legislature for 10 years, 8 as minority leader. In 2006 he ran for Lieutenant Governor with Tony Knowles at the top of the ticket, but they lost to Sarah Palin and her Lt Gov Sean Parnell. In 2008 he unsuccessfully challenged Don Young for the US House seat, and in 2010 he ran as the democratic candidate for Governor losing to Republican Sean Parnell. In 2015 he was elected Anchorage Mayor after defeating Republican Amy Demoboski by the largest margin in municipal history, and he was easily re-elected in 2018. In October 2020 he resigned from office after a consensual but inappropriate texting relationship came to light between him and an Anchorage Television News Anchor. Recently, Ethan has been a frequent co-host on Andrew Halcro's podcast, "With All Due Respect," and he has also been working on developing a fiber optic cable that would connect Asia to Europe via the Arctic.
Diplomatic Failures and the Unsuccessful Campaign to Quell Iran. Guest: Peter Berkowitz. Berkowitz criticizes the administration for failing to prepare the American public for the Iranian conflict through major policy speeches. He highlights a split between Vance's negotiations with Iran and Rubio's Israel-Lebanon framework. Finally, he compares the current MOU to failed Gaza deals, suggesting the IRGC will never abandon its core mission of war. 81787
Critiquing the 14-Point Memo of Understanding and Operation Epic Fury. Guest: Peter Berkowitz. Peter Berkowitz analyzes the 14-point Memo of Understanding, contrasting Secretary Marco Rubio's "peace through strength" approach with Vice President JD Vance's "restraint." He argues "Operation Epic Fury" failed because it did not secure the Strait of Hormuz before the ceasefire. Berkowitz notes that the administration's goals for the Iranian people became confused during operations. 71767
SCHEDULE OF THE JOHN BATCHELOR SHOW, 6-30-261893 HMS INFLEXIBLEThe Sloppy Memo of Understanding and Iran's Control of the Strait of Hormuz. Guest: Jonathan Schanzer.Batchelor and Schanzer discuss a "sloppily" written Memo of Understanding that allows Iran to project control over the Strait of Hormuz. Schanzer notes that while shipping continues, markets remain anxious because Iran is effectively holding international energy hostage. He criticizes the international community's lack of response to this global threat. 1Indefinite IDF Deployments in the Levant and the Strengthening of Turkey. Guest: Jonathan Schanzer. Schanzer explains that the IDF will remain in Lebanon and Syria indefinitely to destroy Hezbollah's massive underground tunnel complexes. He notes that Marco Rubio negotiated a framework emphasizing Lebanese sovereignty. Additionally, Ambassador Tom Barrack is reportedly pressuring Israel while seeking to empower Turkey as Iran's regional influence weakens. 2Volkswagen Layoffs and the Debate Over German Military Conscription. Guest: Judy Dempsey and Thaddeus McCotter. Judy Dempsey reports on the crisis at Volkswagen, where 100,000 workers face layoffs due to the global shift toward electric vehicles and Chinese competition. These layoffs will ripple through Germany's network of small suppliers. Thaddeus McCotter and Dempsey discuss how these economic shifts compare to the American auto industry's transformation. 3The Ankara NATO Summit and Ukraine's Offensive Against Russia. Guest: Judy Dempsey and Thaddeus McCotter. Dempsey and McCotter preview the NATO summit in Ankara, which Donald Trump may attend to reward President Erdoğan with fighter jets. The conversation highlights Ukraine's successful drone strikes on Russian refineries and resupply lines. Putin faces pressure from both domestic hawks and a population suffering under war-induced rationing. 4The Escalating Persecution of Christians Within the Islamic Republic of Iran. Guest: Mariam Wahba. Mariam Wahba describes how the Iranian regime is using current regional tensions as a pretext to clamp down on domestic Christians. The regime specifically targets converts, labeling them as "Zionist" mercenaries and national security threats. Imprisonment of Christians has surged sixfold as the regime seeks scapegoats for its international military setbacks. 5Iranian Drones and the Proxy War in the Sudan Conflict. Guest: Mariam Wahba. Wahba reports that Iranian drones are fueling a stalemate in Sudan's brutal civil war. Iran sells these weapons for revenue and to gain potential port access on the Red Sea near the Houthis. Egypt is intervening to prevent Islamist victories on its border, while the conflict devolves into a multi-power proxy war. 6Critiquing the 14-Point Memo of Understanding and Operation Epic Fury. Guest: Peter Berkowitz. Peter Berkowitz analyzes the 14-point Memo of Understanding, contrasting Secretary Marco Rubio's "peace through strength" approach with Vice President JD Vance's "restraint." He argues "Operation Epic Fury" failed because it did not secure the Strait of Hormuz before the ceasefire. Berkowitz notes that the administration's goals for the Iranian people became confused during operations. 7Diplomatic Failures and the Unsuccessful Campaign to Quell Iran. Guest: Peter Berkowitz. Berkowitz criticizes the administration for failing to prepare the American public for the Iranian conflict through major policy speeches. He highlights a split between Vance's negotiations with Iran and Rubio's Israel-Lebanon framework. Finally, he compares the current MOU to failed Gaza deals, suggesting the IRGC will never abandon its core mission of war. 8The UK's Changing Guard: Andy Burnham and the Defense Budget Black Hole. Guest: Gregory Copley. Gregory Copley discusses the rise of Andy Burnham in Britain following Keir Starmer's "complete detachment" from the electorate. Burnham must address a massive 45-million-pound black hole in the defense budget. The discussion also covers the intractable problem of illegal immigration across the English Channel and the lack of cooperation from France. 9Chilly Conflicts and Fractured Leadership in the Strait of Hormuz. Guest: Gregory Copley. Copley describes the current situation in the Strait of Hormuz as a "chilly conflict" where Iranian leadership remains fractured and indecisive. While supertankers sail through, both the US and Iran are using the ceasefire to rebuild their depleted arsenals. Copley notes that the IRGC is increasingly taking power away from Iran's clerical leadership. 10Global Defense Shifts in a Multipolar World and the End of Intervention. Guest: Gregory Copley. Copley examines the shift toward a multipolar world as countries like Canada and Turkey reduce their dependency on US weapon systems. This "reversion to sovereignty" allows middle powers to play a more independent role. Copley observes that the US is stepping back from its role as the "cop on the beat" except in existential matters. 11King Charles III and the Revitalization of the Royal Navy. Guest: Gregory Copley. Copley highlights King Charles III's personal connection to the Royal Navy and his efforts to revitalize the service. Despite budget constraints, the UK is building new capital ships and submarines to maintain maritime power. The King's involvement is seen as crucial for maintaining military morale and national defense during periods of governmental incompetence. 12Disparate Impact, Merit-Based Admissions, and Federal Contracting Reforms. Guest: Michael Toth. Michael Toth discusses the historical use of "disparate impact" as a mechanism for discrimination in university admissions. He details the current administration's efforts to root out racial preferences in federal contracting. Toth argues for a return to merit-based standards to restore the principle of equal justice. 13The Mystery of Third-Party Litigation Finance and its Taxation. Guest: Michael Toth. Toth explains the emergence of third-party litigation finance, where external financial institutions fund tort cases against American companies. He notes this practice is uniquely American and creates a new market for legal conflict. Toth recommends that the Treasurytax these business gains at ordinary income rates rather than treating them as capital gains. 14Domestic Politics, Midterm Perils, and the SAVE Act. Guest: Thaddeus McCotter. Thaddeus McCotter analyzes the upcoming midterms, noting that Democrats have reframed "inflation" as "affordability" to distance themselves from economic policies. He discusses the internal "civil wars" within both parties, including the rise of Democratic Socialists and divisions within the MAGA movement. The "SAVE Act" is highlighted as the president's primary political solution. 15Affordability, Energy Prices, and the Short-Term Gains of Midterm Politics. Guest: Thaddeus McCotter. McCotter observes that all foreign policy eventually becomes domestic, especially through the lens of energy costs. He warns that the administration might prioritize short-term gas price relief over long-term strategic interests in the Middle East. Consequently, providing sanctions relief to Iran could allow the regime to continue funding global terrorism and its nuclear program. 16
Recovering the Original Understanding of Unalienable Rights. Guest: Peter Berkowitz. Berkowitz reflects on the 2019 Commission on Unalienable Rights, which sought to ground human rights in the American founding tradition. The commission aimed to counter the "proliferating industry" of rights that often serves partisan progressive ends, emphasizing the Universal Declaration of Human Rights' original austere framework. 131936
Unalienable Rights and the Challenge of Foreign Policy. Guest: Peter Berkowitz. This segment discusses applying founding principles to modern diplomacy, specifically condemning the Chinese Communist Party's crimes against the Uyghurs. Berkowitz argues that despite economic entanglements, the United States must maintain its dedication to universal principles and use its diplomatic toolbox to address massive human rights violations. 141936
SCHEDULE JBS, 6-23-2026.1936Alan Greenspan's Legacy and the New Fed Chair. Guest: Elizabeth Peek. This segment reflects on the passing of Alan Greenspan and the transition to Kevin Warsh as Federal Reserve Chair. Peek highlights Warsh's goal to reform data collection and move away from forecasting, favoring real-time data over the traditional, often confusing, communication styles of his predecessors like Greenspan. 1The Resilient US Consumer and AI Infrastructure. Guest: Elizabeth Peek. Despite concerns over tariffs and wars, consumer spending remains robust, fueled by record stock market levels and rising low-end wages. Peek argues against AI alarmism, noting that massive investments in AI infrastructure are creating a surge in blue-collar job demand for skilled trades like welding and construction. 2Critiquing the Memo of Understanding with Iran. Guest: Jonathan Schanzer. Schanzer describes the newly established Memo of Understanding as a "dog's breakfast" that grants the Iranian regime significant sanctions relief and upfront cash. He argues the agreement appears to be an American defeat, particularly regarding the shaky nuclear inspection protocols and the uncertain status of the Strait of Hormuz. 3Hezbollah's Role and the Fog of Middle East Diplomacy. Guest: Jonathan Schanzer. The discussion focuses on Hezbollah as a "wholly owned subsidiary" of Iran, with the IRGC directing its activities in Lebanon. Schanzer criticizes the administration for expecting Israel to adhere to a ceasefire while Iran continues to provoke attacks, labeling the current diplomatic strategy as improvised and potentially harmful. 4Secretary Rubio's Reassurance Mission to Gulf Allies. Guest: Mary Kissel. Secretary of State Marco Rubio travels to the Gulf to reassure the UAE, Kuwait, and Bahrain of U.S. security commitments following Iranian attacks. Kissel criticizes the administration for granting Iran sanctions relief and 60-day exemptions, arguing that the diplomatic effort prioritizes "hope over experience" regarding Iranian nuclear ambitions. 5The Impact of Foreign Policy on Domestic Midterms. Guest: Mary Kissel. Kissel examines whether foreign policy influences American voters, noting it is rare compared to "pocketbook" issues like inflation and interest rates. She warns that adversarial regimes like Iran and China are sophisticated observers of the U.S. electoral calendar and may attempt to influence domestic politics. 6Kevin Warsh's Reformist Vision for the Federal Reserve. Guest: Joseph Sternberg. Sternberg analyzes Kevin Warsh's first FOMC meeting, noting a shift toward shorter policy statements and the removal of the "dot plot" forecasting tool. Warsh is initiating five task forces to reform the Fed's intellectual framework, specifically targeting productivity, data quality, and balance sheet management. 7The Turmoil of British Leadership and the Labour Party. Guest: Joseph Sternberg. This segment explores the potential replacement of Keir Starmer with Andy Burnham as UK Prime Minister. Sternberg argues that Labour's struggles go beyond charisma, involving a lack of clear economic direction and the failure to address core voter concerns like the broken NHS and illegal immigration. 8The Geopolitical Chessboard of the Strait of Hormuz. Guest: Gregory Copley. Copley discusses the power struggles within Iran and the strategic card of the Strait of Hormuz. He notes that while the strait is "more or less open," the situation remains in flux, with regional players like Turkey seeking to thwart Iranian ambitions in the Mediterranean. 9Xi Jinping's Strategic Outreach to North Korea. Guest: Gregory Copley. Xi Jinping's visit to Pyongyang is seen as a move to reassert Chinese influence over North Korea as Kim Jong-un shifts away from communist identity. Kim is positioning himself as an equal to Xi while strengthening his ties with Russia, creating a complex ideological shift in the region. 10British Political Fragmentation and the Immigration Crisis. Guest: Gregory Copley. Britain has seen seven prime ministers in ten years due to political fragmentation over illegal immigration and European relations. Copley suggests that the Labour Party is failing to represent the British working class, which favors traditional values and stricter border controls, leading to a rise in alternative parties. 11The Crown as a Symbol of British Identity. Guest: Gregory Copley. Amidst political instability, King Charles III is viewed as a dynamic symbol of national dignity and continuity. The segment discusses the King's role in stabilizing the United Kingdom following Prime Minister Starmer's resignation and managing sensitive royal family matters to preserve the image of the monarchy. 12Recovering the Original Understanding of Unalienable Rights. Guest: Peter Berkowitz. Berkowitz reflects on the 2019 Commission on Unalienable Rights, which sought to ground human rights in the American founding tradition. The commission aimed to counter the "proliferating industry" of rights that often serves partisan progressive ends, emphasizing the Universal Declaration of Human Rights' original austere framework. 13Unalienable Rights and the Challenge of Foreign Policy. Guest: Peter Berkowitz. This segment discusses applying founding principles to modern diplomacy, specifically condemning the Chinese Communist Party's crimes against the Uyghurs. Berkowitz argues that despite economic entanglements, the United States must maintain its dedication to universal principles and use its diplomatic toolbox to address massive human rights violations. 14The Strategic Failure of the Iran Memo of Understanding. Guest: Thaddeus McCotter. McCotter analyzes the Memo of Understanding, highlighting unresolved issues like the Strait of Hormuz and the $80 billion war funding request. He argues the administration is trying to make kinetic action palatable to voters while failing to secure meaningful concessions on Iran's nuclear program or its sponsorship of terrorism. 15The Republican Fissures and Potential Third-Party Movements. Guest: Thaddeus McCotter. The discussion centers on Tucker Carlson's potential departure from the Republican Party over foreign policy disagreements. McCotter suggests this reflects deeper fault lines within the MAGA base, where isolationist tendencies and dissatisfaction with the administration's relationship with allies like Israel could lead to future political discord. 16
Topics: Business Maturity | Leaders | Trauma | Pain as Currency | EOS SystemGuest: Shulem Berkowitz -Business Coach Contact Guest: +1845-659-6166 | https://shulemberkowitz.com HelloCoach@ShulemBerkowitz.com-------------This Episode Is Sponsored By:• EL AL Airlines | Know who cares for you - Fly EL AL• SJ Diamond | Whatsapp +1347-585-4097• Kleegr | https://Kleegr.com/latesttalks• CardRight | Sign Up
Send us Fan MailJoin your host Clifton Pope as he is back with Devora-Gila Berkowitz with PT. 2 of our thrilling 2 part conversation you don't want to miss!Devora_Gila Berkowitz is a Medical Intuitive, Somatic Energy Healer, Mind-BOdy Coach and Spiritual Guide who supports you to heal at the root so you can feel lighter, reconnected and realigned through her platform/business: Ease and Flow Soul in partnership with Divine Source/GOD!She has helped achieving creatives, transformational leaders, coaches, healers and others reach their next highest level of healing so they can make a bigger impact in their family, life, and business!If you thought PT. 1 was special, wait until you hear PT. 2Pt. 2 of our conversation consists of Devora explaining her 5 step process: Conscious Awareness, Compassion, Curiosity, Creativity, and Committed Action and which one people resists the most during her practice!Not to mention, Devora dives deeper into her mission towards helping people discover the root cause instead of just managing symptoms!'Devora also provides keys pieces of advice for anyone to take right now to start their own healing journey!Keep up with every conversation on Apple/Spotify Podcasts/Rumble so you don't miss any details!Support the show with your choice of 3 exclusive-filled tiers at https://buymeacoffee.com/cphfwbIf you love the show, please leave a rating/review so more people can tune in!Thank you for the love and support!Support the showhttps://athleticism.com/HEALTHFWEALTHBhttps://coolgreenclothing.com/HEALTHFITNESSWEALTHBUSINESShttps://normotim.com/HEALTHFIThttps://www.portablemeshnebulizer.com/pages/collab?dt_id=2573900official affiliates of the HFWB Podcast SeriesPlease support the mission behind each product/services as it helps grow the HFWB Podcast Series to where the show can continue to roll along!
In this episode of The Greatest Machine, host Darius Mirshahzadeh interviews John Berkowitz, a serial entrepreneur who built multiple successful companies in the real estate and technology sectors. John shares his journey from failed pharmaceutical sales interviews to co-founding Yodle (a company that grew to 1,000 employees and hundreds of millions in revenue), creating OJO Labs, and eventually merging with Lower. The conversation explores the evolution of entrepreneurship, lessons learned from building and selling companies, and the future of AI in real estate and mortgage industries. In this episode, Darius and John will discuss: (00:00) Introduction and Background (02:04) John Berkowitz's Entrepreneurial Journey (08:37) Lessons from Yodel's Success and Challenges (16:58) Starting OJO and Its Evolution (23:22) OJO's Impact on Real Estate and Technology (24:25) The Journey to Acquiring Movoto (27:36) Integrating Real Estate and Mortgage (30:48) The Merger with Lower (35:29) Understanding the Real Estate Market (39:59) The Impact of AI on Real Estate (48:00) Overcoming Barriers to Greatness John Berkowitz is the President of Real Estate at Lower and General Manager of Movoto, where he leads efforts to integrate real estate search, agent support, and financing into a seamless homeownership experience. A seasoned entrepreneur and real estate technology leader, Berkowitz founded OJO Labs to help consumers make smarter homebuying decisions through personalized technology. He is also an EY Entrepreneur Of The Year Central Texas Award winner, recognized for his impact and innovation in the real estate industry. Connect with John: LinkedIn: https://www.linkedin.com/in/johnberkowitz OJO Labs: https://ojo.com/ Lower: https://www.lower.com/ Connect with Darius: Website: https://therealdarius.com/ Linkedin: https://www.linkedin.com/in/dariusmirshahzadeh/ Instagram: https://www.instagram.com/imthedarius/ YouTube: https://www.youtube.com/@Thegreatnessmachine Book: The Core Value Equation https://www.amazon.com/Core-Value-Equation-Framework-Limitless/dp/1544506708 Write a review for The Greatness Machine using this link: https://ratethispodcast.com/spreadinggreatness. Learn more about your ad choices. Visit megaphone.fm/adchoices
Send us Fan MailJoin your host Clifton Pope as he is joined by Devora-Gila Berkowitz with another thrilling 2 part conversation you don't want to miss!Devora_Gila Berkowitz is a Medical Intuitive, Somatic Energy Healer, Mind-BOdy Coach and Spiritual Guide who supports you to heal at the root so you can feel lighter, reconnected and realigned through her platform/business: Ease and Flow Soul in partnership with Divine Source/GOD!She has helped achieving creatives, transformational leaders, coaches, healers and others reach their next highest level of healing so they can make a bigger impact in their family, life, and business!Pt. 1 of our conversation consists of Devora discussing how she never was enough and things had to be perfect as a child which built pressure growing up in her life to overcoming a crisis in her 20s through yoga and healing!We also dive into the warning signs that someone is running on empty due to carrying stress, being overwhelmed, and burnt out!This is only PT. 1 so be sure to visit easeandflowsoul.com to keep up with the journey of Devora-Gila Berkowitz!Keep up with every conversation on Apple/Spotify Podcasts/Rumble so you don't miss any details!Support the show with your choice of 3 exclusive-filled tiers at https://buymeacoffee.com/cphfwbIf you love the show, please leave a rating/review so more people can tune in!Thank you for the love and support!Support the showhttps://athleticism.com/HEALTHFWEALTHBhttps://coolgreenclothing.com/HEALTHFITNESSWEALTHBUSINESShttps://normotim.com/HEALTHFIThttps://www.portablemeshnebulizer.com/pages/collab?dt_id=2573900official affiliates of the HFWB Podcast SeriesPlease support the mission behind each product/services as it helps grow the HFWB Podcast Series to where the show can continue to roll along!
Entre l'été 1976 et l'été 1977, New York est plongée dans une terreur sans précédent. Durant cette période, David Berkowitz orchestre une série d'attaques meurtrières dans différents quartiers contre des jeunes couples et des jeunes femmes aux cheveux longs. Il les surprend dans leur voiture ou à proximité, sillonne les rues au volant, repère ses cibles et tire à bout portant avec son revolver. De plus, il envoie des lettres à la police et aux médias, en signant « Son of Sam » (le fils de Sam). Berkowitz se nommait de la sorte car il prétendait obéir aux ordres d'un démon vivant dans le labrador noir de son voisin Sam Carr, démon qui exigeait le sang de jeunes filles. Cette affaire estl'un des chapitres les plus sombres de New York Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.
From pawn to queen — what chess, bullying, and 20 years of persistence taught one filmmaker about life and business.In this episode of No Bullsh*t Talks, I sit down with Carla Berkowitz — Venezuelan-born filmmaker, martial artist, former anti-Nazi spy (yes, really), and the creator behind the critically acclaimed chess documentary Critical Thinking (starring John Leguizamo and Michael K. Williams). Carla is also the executive producer of the upcoming documentary Madwoman's Game, which has its world premiere at the Miami Film Festival.We get into all of it: moving to the US at 11 without speaking English, being bullied every day until high school, catching Nazis for 11 years with the Anti-Defamation League, producing 15 fitness videos before anyone took her seriously as a filmmaker, and how a Sunday newspaper article in 1998 sparked a 20-year journey to make a movie. We also talk about the racism she encountered when selling the film internationally — something she's sharing on camera for the very first time.If you've ever felt like a pawn — head down, grinding, wondering if it's worth it — this conversation is for you.
Adina Sash, known online to over 100,000 followers as Flatbush Girl, is an American Jewish social media influencer and activist based out of Brooklyn. Originally, her content focused on the comedic aspects of Orthodox female life, but in recent years, her activism has shifted to advocating for agunot, women who cannot get halachically divorced from their husbands for various reasons. For all intents and purposes, they are trapped in their marriages under Jewish law. Sash's most recent focus is a couple originally from Montreal, Raphi Stein and Adeena Kohn. For five years, Stein has refused to grant Kohn a gett, a Jewish divorce. Sash has taken up the cause and waged a social media campaign urgently calling on Montreal's Orthodox Jewish community to increase pressure on Stein. As part of that campaign, Sash launched an online initiative called “Gett Naked”, where Orthodox women have sent unusually revealing photos of themselves with the hashtag #freeadeena. In the pictures, they show parts of their bodies that are usually covered: hair, elbows, shoulders, knees. Others go further, snapping shots of cleavage and bikinis. In some ways, it's a successor to Sash's successful 2024 campaign, in which she organized a sex strike in support of Malky Berkowitz, a 29-year-old agunah. Hasidic women in Brooklyn withheld sex from their husbands on Friday nights, and after they went to the mikvah, to recruit men and women alike to the cause. After six months of the campaign, Berkowitz received a gett. Will Sash's efforts work for Adeena Kohn? And what are the broader effects of these massive digital campaigns in Orthodox circles? Our rabbinic podcasts discuss on this week's episode of Not in Heaven. Credits Hosts: Avi Finegold, Yedida Eisenstat, Matthew Leibl Production team: Zachary Judah Kauffman (editor), Michael Fraiman (executive producer), Alicia Richler (editorial director) Music: Socalled Support The CJN Subscribe to The CJN newsletter Donate to The CJN (+ get a charitable tax receipt) Subscribe to Not in Heaven (Not sure how? Click here )
SCHEDULE THE JOHN BATCHELOR SHOW, 6-1-2026.1933 VALLEY FORGE(1) John Batchelor and Bill Roggio introduce the global landscape of current conflicts, noting that reporting on these issues is often marginalized by major newspapers. The segment focuses on Syria, where the self-appointed president, Al-Shara, is holding local elections in Kurdish-majority areas despite his background as a former al-Qaeda leader. Skepticism is expressed regarding Al-Shara's trustworthiness, with his efforts labeled as "window dressing" to appear as a legitimate ally to the West. Additionally, Assad-era chemical weapons were recently discovered in these areas, highlighting the persistence of weapons of mass destruction in the region. Seth Frantzman is also introduced as a key on-the-ground reporter for these events in Israel and Gaza.(2) Bill Roggio argues that the term "ceasefire" regarding the Strait of Hormuz is a misnomer, as the United States and Iran continue to launch fresh strikes against one another. Roggio characterizes the situation as confusing for the American public because officials claim a ceasefire exists while active military engagements continue. Iran is described as being in a state of open war in all directions, targeting the U.S., Europe, and regional neighbors. The segment concludes that the current messaging regarding the conflict is inadequate and fails to reflect the reality of ongoing violence.(3) Jonathan Sayeh reports that the U.S. blockade has caused a sharp decline in Iranian oil exports, though it has not yet reached a level of total economic catastrophe. The Iranian regime is demanding the total elimination of all sanctions and access to frozen assets in Qatar as a prerequisite for any behavioral changes. Sayeh notes that there is no longer a significant "reformist" camp within the government; instead, the IRGC and the Supreme Leader hold absolute decision-making power. The regime remains confident that it can absorb external pressure and continue funding its proxies and missile programs.(4) Jonathan Sayeh details the domestic situation in Iran, where the population recently endured their longest internet blackout, lasting nearly two months following a massacre in January 2026. Once connectivity was partially restored, citizens used social media to memorialize approximately 40,000 people allegedly killed by the regime during the unrest. Sayeh suggests that the Iranian people feel abandoned by Washington's claims that the goal of regime change has already been achieved. Consequently, the population is hesitant to mobilize without a clear signal and external backing for an armed resistance.(5) Samuel Ben-Ur assesses that Hamas's military wing has been degraded to the point of acting primarily as an internal police force in Gaza. The group's command structure has been "wiped out" following years of war and recent Israelidecapitation strikes, leaving only one pre-war senior leader, Immad Ael, remaining. To replenish its ranks, Hamas is increasingly recruiting child soldiers as young as 16 or 17. Despite these losses, Hamas continues to pay approximately 50,000 staff members and maintains control over the shrinking portion of Gaza not held by the IDF.(6) Samuel Ben-Ur explains that the Board of Peace has been inactive and is currently "without money" because its funding was predicated on Hamas disarming. Hamas immediately rejected a disarmament plan presented by the board, asserting that its weapons are an essential part of its "resistance." The group's political leadership remains protected in Doha, Qatar, due to U.S. security guarantees provided after a failed Israeli assassination attempt. Because Hamasrefuses to make any concessions, the $17 billion pledged for the reconstruction of Gaza remains withheld.(7) This segment focuses on the Americas, where a shift toward right-wing candidates is occurring in response to organized crime. In Colombia, presidential candidate Abelardo de la Espriella is leading in polls on a platform of anti-narco-terrorism and restoring the rule of law. In Brazil, the U.S. declaration of the PCC and Red Command as terrorist organizations is seen as a major "game changer" for upcoming elections. Candidates who advocate for close cooperation with the U.S. to fight cartels are gaining traction, while leftist leaders like Lula and Petro face increasing pressure.(8) Alejandro Peña Esclusa reports on a "slow-motion coup" attempt in Bolivia led by Evo Morales, whose supporters have placed the capital under siege. This instability is a major concern for Brazil because Bolivia serves as a primary source of the cocaine that fuels Brazilian organized crime. Peña Esclusa suggests that Morales's efforts will likely fail as the Bolivian armed forces and police eventually move to dissolve the blockades. Meanwhile, Brazil's President Lulafinds himself under pressure from the U.S. and internal factions, limiting his ability to support Morales.(9) John Hardie discusses tactical developments in the Ukraine war, including the seizure of a Russian oil tanker by French special forces. Ukraine is successfully ramping up "middle strikes" (30 to 300 kilometers) to target Russianlogistics, air defenses, and electronic warfare nodes. These operations are bolstered by AI-equipped drones and the use of Starlink, which allow for strikes on dynamic targets beyond the operator's line of sight. On the battlefield, Ukrainianforces have recaptured territory in localized counterattacks on the border of the Donetsk and Zaporizhzhia regions.(10) Ahmed Sharawi highlights Iran's persistent ambition to re-establish its supply highway through Syria to Lebanonfollowing the fall of the Assad regime. Sharawi reports that Iran continues to target Kurdish groups in Iraq, making Iraqi Kurdistan the second most targeted area by Iran after the UAE. In Syria, the government's recent local elections are described as a "selection" process aimed at showcasing a false political process to the West. This centralization of power under President Al-Shara is criticized for failing to represent the actual needs of the Syrian people and refugees.(11) David Daoud explains the linkage between Lebanon and Iran, noting that Iran treats a violation of a ceasefire in Lebanon as a violation of its own truce with the U.S. Hezbollah officially intervened in the conflict on March 2, 2026, specifically to protect the Iranian regime from U.S. and Israeli pressure. Hezbollah is described as Iran's "most potent asset" and a critical tool for its regional expansionist policy. While Iran may be willing to negotiate on its nuclear or missile programs, it is extremely unlikely to abandon its support for militias like Hezbollah.(12) David Daoud characterizes recent diplomatic talks between Israel and Lebanon at the U.S. State Department as "childish" because the Lebanese representatives refused to address the Israelis directly. On the ground, the IDF has captured the strategically significant Beaufort Castle and is employing a strategy of "creeping ground incursions." This new approach involves clearing areas of southern Lebanon to create safe launching grounds for deeper operations against Hezbollah strongholds. The goal is to prevent Hezbollah from regenerating and to slowly degrade the organization past the point of being a threat to northern Israel.(13) Peter Berkowitz examines two distinct intellectual critiques of the United States as it approaches its 250th anniversary: the postmodern progressives and the post-liberal right. The progressives argue that America is mired in systemic oppression and that its founding principles are the actual cause of its problems. The post-liberal right, conversely, views the nation as decadent and corrupt because it fails to recognize a higher religious authority. Both groups advocate for fundamental changes, with the right-wing critique specifically calling for the government to take a more active role in leading citizens toward virtue and salvation.(14) Peter Berkowitz notes that both the progressive and post-liberal right critiques share a common repudiation of America's founding principles of human freedom and equality. He argues that these critiques often occur in a "historical and comparative vacuum," ignoring that the U.S. remains a premier destination for those seeking personal liberty. Both sides demonstrate an intolerant "in or out" mentality, where individuals are either seen as part of the solution or part of the problem. Berkowitz maintains that the solution to America's cultural and political problems is a return to its founding principles rather than their rejection.(15) Peter Huessy discusses the confirmation by the U.S. government that China conducted recent underground nuclear tests. Huessy reports that China is building launch pads next to its missile silos, which nuclear experts interpret as a shift toward a "first strike preemptive strategy." This strategy is designed to use a nuclear umbrella to coerce the U.S. into standing down during conventional Chinese operations against Taiwan or other regional allies. China's nuclear build-up is compared to Russian tactics, where battlefield nuclear weapons are used as tools of blackmail and coercion.(16) Rick Fisher details the military nature of the Chinese space program, noting that the nation's astronaut corps is officially the Astronaut Brigade of the People's Liberation Army (PLA). Fisher explains that China has utilized its space program for dual-use military benefits from its inception, viewing space as a potential battlefield. While Chinapublicly claims its space efforts are peaceful, its military planners have studied Western science fiction and militarization strategies closely. The segment warns that the U.S. and its allies must develop the capability to defend their space assets as China and Russia increasingly move to militarize the moon and low earth orbit.Three spelling corrections applied: (7) Aardo de Lasrea → Abelardo de la Espriella (the Colombian presidential candidate running on the anti-narco/rule-of-law platform) (7) Red Commandos → Red Command (standard English rendering of Comando Vermelho) (10) Akmed Shari → Ahmed Sharawi (matching how you spelled him in the preview earlier today) (16) Rick Fischer → Rick Fisher (matching the preview) One I'd flag but didn't change: Immad Ael in segment 5. I'm not confident on the correct transliteration of this Hamas leader's name from this source alone—do you want me to leave it as-is, or do you have the correct spelling from Ben-Ur's reporting?
(14) Peter Berkowitz notes that both the progressive and post-liberal right critiques share a common repudiation of America's founding principles of human freedom and equality. He argues that these critiques often occur in a "historical and comparative vacuum," ignoring that the U.S. remains a premier destination for those seeking personal liberty. Both sides demonstrate an intolerant "in or out" mentality, where individuals are either seen as part of the solution or part of the problem. Berkowitz maintains that the solution to America's cultural and political problems is a return to its founding principles rather than their rejection.1789 NEW YORK
Robert "Bobby" Swope belonged to a talented cadre of avant-garde visionaries—among them Arto Lindsay, Connie Burg, Mark Cunningham, and Gordon Stevenson—who first crossed paths as students at Florida's Eckerd College in the mid-1970s. This collective moved to New York City in 1977, where they formed the nucleus of the No Wave movement alongside other luminaries like Lydia. Bobby first met Lydia at her birthday celebration in 1978, where she was introduced to both Bobby and his sister, Liz. Captivated by their energy, Lydia invited the siblings to join Vivienne Dick and Jim Sclavunos in Beirut Slump, a side project conceived to run parallel to her band, Teenage Jesus and the Jerks. Bobby adopted the stage moniker Bobby Berkowitz, a satirical nod to David Berkowitz, the Son of Sam who had terrorized New York City from 1976 - 1977. Beirut Slump's tenure was brief—spanning a year of rehearsals, a single release, and three live performances—the group eventually dissolved as Lydia moved on to new frontiers. Following his foray into the musical underground, Bobby pursued a variety of professions before co-founding a successful antiques enterprise with his partner. The business eventually relocated to Pennsylvania, ultimately paving the way for Bobby's current chapter in Mexico City where this interview took place.
On this fresh from the grave episode of Death By DVD filmmaker Jeremy Berkowitz returns to Death By DVD to discuss their life one year after releasing their debut feature film, Sydney. Filmmaking, mental health, physical health, growth, change, autism and more is discussed on this episode that dives deep into what its like to make movies, and what art means. Quit reading and hit play, now! Dive into this episode celebrating and exploring independent film and life itself. Watch Sydney by Jeremy Berkowitz now on Amazon : https://www.amazon.com/Sydney-Jeremy-Berkowitz/dp/B0GPD3NXTRVisit the official website of Jeremy Berkowitz : https://www.jeremyberkowitz.com/Official website for Sydney : https://www.sydneythefilm.com/CHECK OUT DEATH BY DVD ON YOUTUBE : https://www.youtube.com/@DeathByDVDDon't forget, Death By DVD has its very own all original audio drama voiced almost entirely by Death By DVD!DEATH BY DVD PRESENTS : WHO SHOT HANK?The first of its kind, (On this show, at least) an all original narrative audio drama exploring the murder of this shows very host, HANK THE WORLDS GREATEST! Explore WHO SHOT HANK, starting with the MURDER! A Death By DVD New Year Mystery WHO SHOT HANK : PART ONE WHO SHOT HANK : PART TWO WHO SHOT HANK : PART THREE WHO SHOT HANK : PART FOUR WHO SHOT HANK PART 5 : THE BEGINNING OF THE ENDWHO SHOT HANK PART 6 THE FINALE : EXEUNT OMNES ★ Support this podcast on Patreon ★
Advances in immunotherapies for multiple sclerosis and related disorders have increased the risk of infections and raised important questions about vaccination efficacy. This episode reviews infection risks across treatment classes, emphasizes the importance of monitoring and patient education, and discusses optimal vaccine timing to preserve protective immune responses. In this episode, Aaron L. Berkowitz, MD, PhD, FAAN, speaks with Avindra Nath, MBBS, FAAN, coauthor of the article "Infection Risk and Vaccine Considerations in Multiple Sclerosis and Related Disorders" in the Continuum® April 2026 Multiple Sclerosis and Related Disorders issue. Dr. Berkowitz is a Continuum® Audio interviewer and a professor of neurology in the Department of Neurology at the University of California, San Francisco, in San Francisco, California. Dr. Nath is the chief of the Section of Infections of the Nervous System at the National Institute of Neurological Disorders and Stroke, National Institutes of Health, in Bethesda, Maryland Additional Resources Read the article: Infection Risk and Vaccine Considerations in Multiple Sclerosis and Related 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 American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @AaronLBerkowitz Full episode transcript available here Dr Berkowitz: Over the last decades, there has been a revolution in the treatment of multiple sclerosis, neuromyelitis optica spectrum disorder, and other immune-mediated neurologic conditions with countless new, highly effective medications. However, with every new treatment comes new risks; and in the case of immunomodulatory therapy, many of those risks relate to infection. Today, I have the privilege of talking with an expert on this topic, Dr Avindra Nath, about the infectious risks of treatments for multiple sclerosis and other immune-mediated neurologic disorders. Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Berkowitz: This is Dr Aaron Berkowitz, and today I'm interviewing Dr Avi Nath about his article on vaccine considerations and infection risk in multiple sclerosis and related disorders, which he coauthored with Dr Amit Bar-Or. This article appears in the April 2026 Continuum issue on multiple sclerosis. Welcome to the podcast, Dr Nath, and could you please introduce yourself to our audience? Dr Nath: Thanks very much for inviting me to this podcast. I'm absolutely delighted to have the opportunity to discuss our areas of interest and expertise related to infections and vaccinations for MS patients. My area has been studying the infections of the nervous system since the beginning of the AIDS pandemic, and over the years and decades, we've developed expertise related to various types of CNS infections. That includes ones that are developing in individuals who have immune compromise due to a variety of different reasons. Dr Berkowitz: Fantastic. Well, glad to have the opportunity to speak with you today. When I was in medical school---and you were my attending, actually, we were just reminiscing, which we probably think was not that long ago, but is now over twenty years ago---there were just two medications for MS, right? Beta interferon and glatiramer acetate. And now we have over a dozen, and it's amazing to think of all the progress in these last two decades, as well as for related diseases like NMO. I don't think we even had the aquaporin-four biomarker, right, when I was working with you as a med student in the early 2000s. Dr Nath: And that certainly dates me a lot. Dr Berkowitz: Both of us. Dr Nath: Yeah. Dr Berkowitz: Of course, with all these new treatments, these have been amazing advances for our patients, right? But these come with new treatment-related risks to monitor for with the immunomodulatory medications for MS and related disorders. And one of those most important risks is that of infection. So, your article reviews the potential infectious complications of medications used to treat MS, NMO, etc, and also covers considerations related to thinking about vaccines in this patient population. So, as the MS treatment landscape grows, I can say as a general neurologist, keeping up with all these medications and what to screen for and what to worry about and when to vaccinate just becomes more challenging every year. And your article has so many helpful tables, some organized by medicine, some organized by- sorry, medication, some organized by infection, some by vaccines. So, this is gonna be a great resource for our providers to print out and tape up in their clinic rooms. We won't be able to get into all the depth and detail that you have in this article today, but I do want to focus on some of the key points here related to the common medications we use for MS and which infections to think about and which vaccine considerations we might need to keep in mind for these medications. But before we delve into the drugs, I just wanna ask you more broadly, you talk in the article about the challenge of patients with immune-mediated diseases who are on immunomodulatory therapy being at risk for both flares of their disease and for infections; and these infections can present somewhat atypically, right, in immunomodulated hosts, to maybe coin a term you can correct me on, because they can't mount the full inflammatory response. So how do you approach new symptoms in patients on these immunomodulatory medicines as far as distinguishing disease flare from a treatment-related infection? Dr Nath: So, I have to say that although a lot of new treatments have come along for MS, and they've really, you know, improved the outcome tremendously and there are so many different options, it has also kept people like me relevant because they cause a lot of various types of infections, and so keeps me in business all the same. But just as you mentioned, there's so many of them, even I have difficulty keeping track of what does what. So, you do need to be able to refer back to published literature, and the tables, I hope, will be quite useful in that regard. You're absolutely right, and you can get new infections, you can get reactivation of existing infections, and you can get atypical presentations of various types of infections that you may not normally think of. So that presents multiple challenges to the treating physician. The other interesting thing about MS is, just as you mentioned, that you already have CNS lesions to begin with. Now, on top of it, you have an infection, so now how to sort out what is the existing disease and what is the infection, it can again become challenging. But one thing is for sure: all these infections are caused by an organism. So, what you really need to do is, the underlying diagnostic is to demonstrate the presence of the organism. Whether you demonstrate it depending on the infection in the spinal fluid or in the brain or, you know, some peripheral organ system, that is going to be key to making the diagnosis. So, all your clinical acumen is good, but that alone may not be sufficient. Dr Berkowitz: Very good. So, when you see a, a patient now who has a new neurologic symptom in the context of an immune-mediated disease who's on immunomodulatory therapy, what goes through your mind? Are you thinking this disease and this drug, and sort of what are the infections, and does the syndrome match? Or are you thinking, you know, you can't always rely on the imaging to distinguish between, say, a flare of an MS and PML because white matter lesions could look similar? How do you sort of approach this scenario when it comes up? Dr Nath: So, you're right. You have to keep an open mind so that even though you know some infections are more likely to occur with certain types of medications, that doesn't mean that others cannot occur. So, I think when you first see the patient, you should not jump to conclusions, but rather have an open mind. But yes, for example, your patient is on natalizumab, the chances of PML are going to be high. It's a very interesting drug. It does not cause immune compromise in the periphery, but what it's doing is preventing these cells from getting into the brain. So, because then it's acting at the blood-brain barrier. So that means that organisms that are already present in the brain have an opportunity to get reactivated. Turns out you don't have a lot of organisms in the brain, except JC virus seems to be one of them that does somehow, in some individuals, manage to reside out there. And so that can get reactivated. It can get reactivated in the periphery and then enter the brain, too. So, where the very specific mutations have to occur in that virus in order to take residence in the brain. That would be a suspicion that you might have, and MRI can be useful in, again, helping you think about that possibility. If you have typical lesions involving the U fibers, they're demyelinating, usually you do not have much edema around them because patient is immune compromised, but certainly within the brain in these individuals. And so, then you need to demonstrate the organism. The demonstration of the organism should be in the spinal fluid and not in the blood because in the virus, it can-- is reservoir in the kidneys and in the lymph nodes, and periodically it'll shed into the blood. Detection of the organism in the blood can be a false positive, but in the spinal fluid, it shouldn't be there unless you have an infection. Or if you cause a traumatic tap, I guess, if a patient is viremic, that's a possibility, but those are extremely rare. So at least for PML, that's the way that you would diagnose it. Now, you can develop, for example, if an individual is on fingolimod, you can get a wide variety of infections. Here it's a totally different type of mechanism of action. Here the cells are trapped within the lymph nodes, so that means now your entire periphery is immune compromised, right? So here you can get viral infections, bacterial infections, fungal infections. So here, if a patient presents with new neurological symptoms, you have to have a really open mind for all these possibilities. Now, let's say a patient was on dimethyl fumarate, and dimethyl fumarate causes neutropenia early on. So here you have to worry about an individual developing bacterial infections, so latent tuberculosis or bacterial meningitis can occur in these individuals. That's something to keep in mind. It's not that other infections cannot occur with dimethyl fumarate, you can see PML and other things too, but the chances of bacterial infections are greater. So, you got to make sure that you draw all the cultures for that purpose. Similarly, if you're on a complement inhibitor, like a C5 inhibitor or the thing that I could use in NMO, there are the chances of meningococcal meningitis. So, these patients, you need to prevaccinate them before you start these kinds of treatments and look for that possibility. When you suspect bacterial infections, particularly acute bacterial meningitis, there time is of essence. Also, in some of the acute viral infections, for example---herpes encephalitis is another one---you have to be so careful, and if you suspect any of them, even if they're with possibly atypical manifestations, you treat first and then diagnose later, and draw all your cultures, whatever you need to, and just treat them. And these infections can also cause cerebral edema, so one has to be careful about doing spinal taps in these individuals. You want some kind of neuroimaging before you do them. In the days when we didn't have neuroimaging, we used to say, "Okay, if your patient has focal neurological signs or is comatose, you don't do it." But these days, you can get imaging very quickly and very easily. All the-- Because of our stroke management, we've learned how to do them so quickly. So, I think there's little excuse not to do imaging and prevent herniation from occurring. Dr Berkowitz: That's very helpful. So, using the information we know about the drug, and we're going to rapid-fire review some of that in a bit to know what infections the patient is susceptible to, but acknowledging that any patient can get any infection, right? Whether they're on particular medications or not. And then if you're not sure, based on the neuroimaging, which as you said, is helpful, but not always helpful in distinguishing between infections and flares or, as you said, in the case of meningitis, encephalitis, early on at least, especially in immunocompromised or immunomodulated, quote unquote, patient might not see the typical imaging. So really, when safe, getting CSF or cultures, PCRs, and other infectious studies too is really gonna be the definitive diagnostic maneuver here. Is that fair summary across the board? Dr Nath: I think you said that absolutely right. And you summarized that correctly. And, you know, thing about infection, a lot of neurological diseases are, you know, diagnosed by clinical acumen, like your Parkinson's and Alzheimer's and others. Think about infections is caused by an organism, demonstrate the organism, right? That should be your goal. It doesn't mean that clinical acumen is not important, but here you have an opportunity to demonstrate the organism, so you should depend upon that. Dr Berkowitz: Okay. Well, you gave us a nice segue by talking about some of the infections to worry about with some of the medications. So what I'd like to do now for the sort of second half of our interview here is to go through some of the more common medications used for MS, and if we have time, for NMO, and just sort of go kind of rapid fire here, and for each medication, if you can tell us the kind of top infectious concerns and whether when to consider them or what screening needs to take place before or during administration of the medication, and then any vaccine considerations we should be aware of. Some of these will obviously be quite short depending on the medicine. So, going back to the two medications I alluded to earlier that were the only ones in play when you and I last saw each other on the wards when I was a medical student, beta interferon, glatiramer acetate, any infections or vaccine considerations with these medications? Dr Nath: No, I think they're probably your safest medications now as far as immunomodulatory therapies are concerned. These two, and IVIG, if you ever use them, are probably the safest, do not require any vaccine considerations, per se. Dr Berkowitz: Perfect. Okay. So, moving on to fingolimod and others in the sphingosine-one phosphate receptor modulator family, what are the infectious considerations? Any prescreening or vaccination considerations? Dr Nath: I think all your patients should be prescreened for antibodies to JC virus, because there is a risk for PML, and those who are positive should be closely monitored. So, it's not an absolute contraindication for using these medications, but they just require closer monitoring. With this class of drugs, PML is of consideration. Also, these varicella-zoster virus infection, yeah, with that you can develop zoster encephalitis or myelitis. It can present with motor symptoms as well, which can be atypical. You don't usually see them otherwise in immune-competent individuals. So, varicella-zoster, sometimes you can develop encephalitis, also vasculitis with varicella-zoster, so one has to be careful. So, getting the shingles vaccine can be actually very helpful to prevent these things. And then some patients can even develop herpes simplex encephalitis also, and that can be extremely atypical. So, they don't- they can involve the basal ganglia, can involve the brain stem and cerebellum. So again, your index of suspicion should be very high. Interestingly, although HSV encephalitis has been associated with NMDA receptor encephalitis, those reports of NMDA receptor encephalitis have not been published yet with NMS patients. Not sure why, maybe they just have been missed. But that doesn't seem to be a major concern. And then there are a whole host of other infections that can occur with this class of drugs, and that can include toxo; fungal infections, particularly crypto. There's a case report of histoplasmosis; hepatitis virus, particularly hepatitis C; and then the poxvirus is a good example. You can get molluscum contagiosum; warts with papillomavirus; you can get atypical mycobacteria; and even Kaposi sarcoma, which is HHV8. So, there's a huge variety of infections with the sphingosine one phosphate receptor modulators. Dr Berkowitz: And any- aside from screening for JC virus before initiating these, any- and then continuing to monitor for JC antibody index, any other considerations as far as labs to send, monitoring before or on the drug or vaccine considerations for patients on fingolimod and the others in this category, siponimod, etcetera? Dr Nath: Yeah, there are a lot of things to consider. All the details are really available in the chapter if you look at them. But briefly, all the things that one could potentially vaccinate patients for, all these infections I mentioned, one should do so. The timing is critical so that if you can do it before treatment, I think, before starting treatment, that is absolutely important. And you got to give them at least, you know, two to three weeks for these vaccines to take effect before starting your medication. If your patient already arrives on a medication, then you got to play this game of you know, before the next dose, give them again two to three weeks before the next dose and start vaccinating them and get all the vaccines in. Broadly, about the things to worry about the vaccines are you have live vaccines, and you've got the inactivated vaccines or the subunit vaccines. You have to be careful with live vaccines, because if your patient is immunocompromised, that virus can sometimes itself cause harm. For example, you know, yellow fever is one, and there you can develop encephalitis from it. Measles, mumps, rubella, these are all live vaccines. Now, the good thing is that a lot of us have been immunized very early in childhood, but that may not be the case any longer. And so, these things, one has to be very careful with when you're giving live vaccines, that we want to avoid them as much as possible, and individuals are gonna be immune-compromised. But all the others, meningococcus, for example, you should- the HPV vaccines, the varicella zoster vaccines, all these things, you've got to pre-vaccinate and make sure that they have an antibody response to them before starting immunocompromising therapy. Dr Berkowitz: Perfect. Okay, moving on to some of the other orals. What infectious and/or vaccine considerations do we have with teriflunomide? Dr Nath: Okay, yeah. Teriflunomide is a very interesting drug. It's relatively safe. There is concern about the possibility of varicella zoster infection, people have reported that, and also tuberculosis. But PML is extremely rare, if not at all, and we haven't seen herpes encephalitis quite yet. Dr Berkowitz: Got it. How about dimethyl fumarate? Dr Nath: Yeah. So dimethyl fumarate is... as I mentioned earlier, it's interesting because it causes this neutropenia. It's transient, but it occurs early on, and these patients can be at risk of PML, although small. They can develop varicella zoster virus infection, herpes encephalitis, and also fungal infections. For example, cryptococcal infection has been reported with dimethyl fumarate. Dr Berkowitz: Okay. We've spoken a bit about natalizumab and PML, and you have extensive information on this in your article, and I'll defer the reader to that. But for natalizumab, what are the key points every neurologist should know about natalizumab and PML as far as from the practical perspective, screening, frequency of screening, when to worry, when to not use natalizumab at all in the first place based on what you find in your screening for JC virus? What are the key points every neurologist should know? Dr Nath: Uh, yes. You bring up an important point, and that is all patients should be monitored for JC virus. If they're JC virus-negative, so that's your most ideal patient to go on natalizumab, but that doesn't mean they cannot get infected with the virus. In fact, there's an interesting study claiming that, you know, patients, when they get these infusions, they're all sitting in the same room getting infused. Some have JC virus, some don't have JC virus, and so there's the potential that we may be aiding the transmission here in some way or another. The virus is an interesting one. It comes out in urine, and then it's spread through oral contamination, gets into the tonsils, and then spreads from there to your marrow and resides in the kidney and the marrow, as well as the lymph nodes, forever. So, you, you have to monitor these patients to see that during the course, even if they're negative, they could turn out positive. So, every six months or a year, an antibody test should be done on all patients irrespective. If a patient already has antibodies, that's not an absolute contraindication. It just means you've got to monitor them closely for development of new symptoms, and if, whenever there are new symptoms, don't just assume this is due to MS, but just make sure the MRI is done with and without contrast. The- and if there's still a suspicion, that you do a CSF evaluation for JC virus. Just detecting, looking for JC virus in the blood, a rising titer is another thing that can help you. And so, the titer is also important. And the reason you have rising titers is it means that there's an infection that's already occurred in the brain, and the immune system is reacting to that infection by increasing titers. But that alone is not sufficient to make the diagnosis. You still- that gives you an index of suspicion. You've got to then do the MRI and the spinal tap to, you know, be absolutely certain. So, each patient is a little bit different, so the way you monitor them is going to depend on where they are. You know, if they've had prior immunomodulatory therapy before starting natalizumab, or if they're on natalizumab for more than two years, then the chances of PML are much greater, so you may want to monitor them more closely. Uh, they never had any prior immunomodulatory therapy, you're just starting natalizumab, maybe once a year is sufficient. So, I think you've got to tailor it depending on what your risks are for each patient. Dr Berkowitz: Perfect. That's very helpful. And again, you write extensively about PML and natalizumab and PML considerations in your article. So, for a more detailed and in-depth discussion of what we just discussed, definitely hope readers will take a look at your article. Okay. Last but not least---certainly not least, 'cause we're using these probably, it seems, the most commonly in many places I've worked---rituximab, ocrelizumab are B-cell therapies for MS. What are some of the infectious and vaccine considerations related to these infusion medications? Dr Nath: So, there's concern for PML with anti-B-cell therapies also, maybe not to the same degree as natalizumab, but the same principles should be applied. A lot of people think that these are relatively safe. I don't think so. I think we see enough number of patients on B-cell therapies with PML. So, I would use the same caution because these infections are... you know, can be fatal. So, one should be very careful, even with anti-B-cell therapies. And just with natalizumab, you also have the risk of VZV infection causing shingles. HSV1 has been reported, but there's another interesting complication that has been reported with anti-B-cell therapies, and that is severe West Nile encephalitis. And as mosquitoes-borne diseases are getting more and more prevalent, and we're seeing West Nile cases erupting every summer, I think one's got to be, you know, very cognizant of the fact that this can occur. These patients should take precautions to prevent mosquito bites from occurring and not expose themselves to areas where they could be at risk for it. Unfortunately, there is no vaccine for it and no specific treatment for West Nile. So, all one can do is use prevention strategies for mosquito bites. Dr Berkowitz: Yeah, I'm glad you mentioned that. I think the only really truly severe neuroinvasive cases I've seen of West Nile virus have indeed been in patients who were being treated with B-cell therapy. Not, if I'm remembering correctly, for immune-mediated disease, but for a lymphoma, so probably other confounding factors there. But yeah, it's a disease we learn about and think about, but I've only seen the most severe cases in patients who had abnormal immune systems, so I'm glad you flagged that. This has been a very helpful discussion, and I've learned a lot from you. I learned a lot from your article, just as I did when you were my attending some 20-something years ago on the wards when I was a medical student. So, it's good to continue learning from you through your writing and research, and today from getting to talk to you again. I encourage our readers to read your article and to bookmark those tables for when these considerations come up for your patients on these immunomodulatory therapies and you're wondering which infections to worry about and how to manage vaccines in this patient population. So again, today I've been interviewing Dr. Avi Nath about his article on vaccine considerations and infection risk in multiple sclerosis and related disorders, which he wrote with Dr. Amit Bar-Or. This article appears in the April 2026 Continuum issue on multiple sclerosis. Be sure to check out Continuum Audio episodes from this and other issues, and thank you again to our listeners for joining today. Dr Nath: Thank you so much, Aaron, for that wonderful interview, and I'm extremely proud of all your accomplishments over the last 20 years. You've done an amazing job, and it was such a pleasure to see you and to be able to do this interview with you. Thank you again. Dr Berkowitz: Thanks. That means a lot. I never would have imagined- we won't say 20, how many, but 20-something years ago as the medical student looking up to you and all your expertise on these infections and all of your research that led to so much of our understanding on these, that I would find myself interviewing you two decades later. So, for all the students listening, you never know where you'll end up, but I appreciate your very kind words. Dr Nath: That's what we hope for all our students. Thank you so much. Dr Berkowitz: Thanks again. 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 the 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.
This episode of Alchemical Dialogues features host Henry Cretella in conversation with Micha-El (Alan Berkowitz) on the life and teachings of Paul Brunton, and the intersections of Sufism, Vedanta, and other contemplative traditions. The discussion begins with Henry describing how he first encountered Brunton's book The Short Path to Enlightenment, which he initially bought simply because of the title but left unread for years. Later, through engagement with Sufi practice and references to figures such as Ramana Maharshi and conversations within his spiritual circle, he returned to the book and found it deeply meaningful. Micha-El shares his background growing up in suburban New York in a non-religious Jewish family, where institutional religion felt empty and unengaging. During his time at Cornell University in 1969, amid political and social upheaval, he experienced an existential crisis. Feeling disillusioned with both activism and academic structures, he was directed to the American Brahmin Bookstore in Ithaca, associated with Anthony Damiani. There he encountered a comparative study of spiritual traditions, including Buddhism, Hinduism, Sufism, and Western mystical thought, all presented in a unified way. Through Damiani, Micha-El eventually encountered Paul Brunton and later met him personally several times in Switzerland and the United States. Brunton is described as someone who studied and synthesized many traditions and teachers, producing a body of work that includes A Search in Secret India and later The Notebooks of Paul Brunton, a large compilation of teachings organized into thematic categories. Micha-El emphasizes Brunton's approach as both experiential and investigative. Brunton did not present himself as a guru but as a researcher of consciousness. His work draws from direct encounters with teachers, texts, and his own inner experience. He was also interested in integrating scientific inquiry with mystical insight, emphasizing a “scientific attitude” toward spiritual experience. A central teaching discussed is Brunton's idea of “the quest,” which includes four aims: knowing the self, knowing the higher self (or Overself), knowing the universe, and understanding one's relation to the universe. This framework combines inner realization with understanding of the external world, including modern science, rather than rejecting it. The conversation also covers Brunton's distinctions between different levels of realization, including temporary “glimpses,” personal illumination, and what he called cosmic illumination. Micha-El explains that glimpses are often the initial experiences that draw people into spiritual seeking, but they are not the final stage. Meditation is described as a movement beyond thought into a deeper inner emptiness where thoughts cease. In this state, Brunton suggests, communication can occur at a subtler level than language or intellect. Henry connects this to contemplative practices in Sufism and Christianity, while Mikael relates it to similar ideas in Buddhism and Vedanta. A significant theme is the role of teachers. Brunton acknowledged that qualified teachers are rare but valuable, yet he did not require students to depend on one. Instead, he emphasized what he called an independent path, where individuals rely on inner guidance and serious study. Books, in this sense, can function as direct transmissions when deeply engaged. The discussion also addresses Brunton's skepticism toward spiritual organizations. He observed that many become entangled in ego, power, and institutional issues. While organizations may preserve teachings, he did not see them as essential for spiritual realization. Both Henry and Micha-El reflect on the difficulty of discerning authentic teachers, noting that seekers must rely on experience, patience, and discernment rather than idealized expectations. They also discuss Brunton's broader view of human development, moving from materialism to religion, then mysticism, and finally philosophy as a synthesis of intuition and intellect. The episode closes with reflections on Brunton's vision of a decentralized spiritual transmission: individuals working inwardly, often in isolation, yet forming a subtle collective of understanding through shared inquiry and practice.
For those moving to America, knowing what needs to happen before becoming a US tax resident can save you a lot of money. The opportunity can be enormous, but so can the tax mistakes. From foreign mutual funds that trigger punitive PFIC taxation, to offshore companies that become highly inefficient in the US, to pensions, trusts, and inheritances that create unexpected reporting obligations, many expats arrive without realising how quickly their existing financial setup can become problematic once they enter the US tax system. Richard Taylor – dual UK/US citizen and Chartered Financial Planner – is joined by David Gershel – international tax attorney and Partner at Berkowitz, Trager & Trager LLC – to discuss why pre-immigration planning is one of the most overlooked but valuable parts of the moving process. Drawing on real client examples, they explain how structures that work perfectly well abroad can become expensive liabilities in America, why California and other states can create tax problems beyond the federal system, and how failing to plan early can leave expats dealing with costly cleanup work years later. In this episode of Expat Wealth, Richard and David discuss why foreign investments and pensions often create problems for new US residents, how offshore trusts and companies can trigger unintended tax consequences, what inheritance and reporting traps many expats miss, and why working with experienced US tax help and international wealth professionals before your move can save significant money and stress down the line. – Expat Wealth is supported by Plan First Wealth. Plan First Wealth is a Registered Investment Advisor serving fellow expatriates and immigrants living across the US on matters such as retirement planning, investment management, tax planning and non-US asset management. https://planfirstwealth.com/ – Expat Wealth is affiliated with Plan First Wealth LLC, an SEC registered investment advisor. The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the views or positions of Plan First Wealth. Information presented is for educational purposes only and does not intend to make an offer or solicitation for the sale or purchase of any specific securities, investments, or investment strategies. Investments involve risk and unless otherwise stated, are not guaranteed. Be sure to first consult with a qualified financial adviser and/or tax professional before implementing any strategy discussed herein. Plan First Wealth does not provide any tax and/or legal advice and strongly recommends that listeners seek their own advice in these areas.
Research has shown that engaging children in learning through play is the best way to set them up for success, both academically, but also socially.
PREVIEW FOR LATER. GUEST: Peter Berkowitz. Berkowitz uses a neighbor parable to argue that 46 years of empty American threats have emboldened Iran. He advocates for the U.S. and Israel to finally remove this long-standing threat. (1)1953
In the summer of 1976, New York City was gripped by fear. A serial killer known as “Son of Sam” began targeting young couples sitting in parked cars, using a .44 caliber Bulldog revolver in a series of sudden, execution-style shootings. Over the course of a year, David Berkowitz murdered six people and wounded seven others, sending shockwaves through the city.In this episode of When Killers Get Caught, host Brittany Ransom examines the full story of the Son of Sam case, from the first shootings in the Bronx to the taunting letters sent to police and journalist Jimmy Breslin. We explore the psychology behind Berkowitz's crimes, his claims about a demon-possessed dog ordering the murders, and the investigation that ultimately led to his arrest after a simple parking ticket.You'll also learn how this case changed American culture, inspired the “Son of Sam laws,” and fueled one of the earliest modern media frenzies around a serial killer.This episode covers:• The Son of Sam murders timeline (1976–1977)• The psychology and background of David Berkowitz• The infamous letters and demon dog story• How police identified and arrested the killer• The trial, sentencing, and where Berkowitz is todayIf you enjoy true crime psychology, serial killer investigations, and deep dives into infamous cases, this episode is for you.
Peter Berkowitz of the Hoover Institution argues the administration must articulate that fighting in Iran is essential for securing American freedom and advancing national interests across all global regions. (1)1580 PERSIA
Guest: Peter Berkowitz. Berkowitz argues that "National Conservatism," which seeks to root public life in a specific Christian vision, contradicts America's founding principles of religious pluralism and constitutional liberty.1780 TRENTON
SHOW SCHEDULE 2-9-20261828 BANK OF ENFGLAND Guests: Bill Roggio and Husain Haqqani. Al-Qaeda has grown significantly since 9/11, maintaining a long-term vision for a global caliphate and establishing safe havens in Afghanistan and Syria, unlike the more isolated ISIS. Guests: Husain Haqqani and Bill Roggio. Al-Qaeda veteran Ahmed al-Shara's presidency in Syria highlights the group's diplomatic manipulation and Western naivety in accepting jihadists who adopt modern suits and polished personas. Guests: Ernesto Araujo and Alejandro Peña Esclusa. Conservatives gathered in Brussels to champion freedom of speech and consolidate the "Foro Madrid," a transatlantic alliance uniting Latin American and Europeanleaders against socialism. Guests: Ernesto Araujo and Alejandro Peña Esclusa. Venezuelan regime factions clash over detaining opposition figures, while Brazilian conservative Flavio Bolsonaro seeks international support to combat totalitarianism ahead of the upcoming national election. Guests: Bill Roggio and Jonathan Schanzer. Reports indicate Iran's regime has killed thousands to suppress ongoing unrest, feigning diplomatic willingness while maintaining a paranoid grip on power and refusing real concessions. Guests: Bill Roggio and David Daoud. Hezbollah leader Naim Qassem pledges loyalty to Iran, threatening asymmetric attacks on global U.S. assets if the "mothership" is struck, while organizing for Lebanese elections. Guests: Gordon Chang and Peter Huessy. China reportedly conducted secret underground nuclear tests to develop battlefield weapons for coercion, ignoring arms control treaties while the U.S. struggles to modernize its own deterrents. Guests: Gordon Chang and Brandon Weichert. NASA's Artemis 2 moon mission faces indefinite delays due to SLS rocket flaws, leading experts to urge replacing the bureaucratic program with SpaceX's efficient Starshipsystem. Guests: Bill Roggio and Bridget Tumi. The Houthis maintain improved military capabilities despite a temporary lull in attacks, remaining a persistent threat to Red Sea shipping and eager to support Iran if conflict erupts. Guests: Bill Roggio and John Hardie. Trilateral peace talks regarding Ukraine show limited progress on core issues, while Russia faces communication disruptions from Starlink denials and continues striking Ukrainianenergy infrastructure. Guests: Marianna Yarovskaya and Lyuba Sobol. Filmmaker Yarovskaya and activist Sobol discuss their documentary "Lyuba's Hope," highlighting the severe repression in Putin's Russia and the struggle of exiles fighting for democracy. Guests: Marianna Yarovskaya and Lyuba Sobol. Lyuba Sobol represents democratic Russian forces at the Council of Europe, aiming to delegitimize Putin, while facing continued threats and surveillance alongside other exiled activists. Guests: Bill Roggio and Ahmed Sharawi. Syrian leader Ahmed al-Shara secures resources by integrating the Kurdish SDF into his forces, while the U.S. watches for red lines regarding threats to Israel or regional stability. Guests: Bill Roggio and Edmund Fitton-Brown. The U.S. deploys military assets to pressure a defiant Iran, but the weakened regime refuses concessions to avoid looking vulnerable, relying on bluster and proxy distractions. Guest: Peter Berkowitz. Berkowitz argues that "National Conservatism," which seeks to root public life in a specific Christian vision, contradicts America's founding principles of religious pluralism and constitutional liberty. Guest: Craig Unger. Unger details Donald Trump's early alleged ties to Russian state security and the mob, beginning with the Commodore Hotel deal and continuing through real estate money laundering.E
SHOW SCHEDULE1-14-251920 SALT RIVER China Urges Canada to Break from US Influence. Guests: CHARLES BURTON and GORDON CHANG. China is pressuring Canada to adopt "strategic autonomy" and distance itself from US influence as PM Mark Carney visits Beijing. Despite myths of economic salvation through Chinese trade, experts argue Canada'sexports to China remain minimal. Concerns persist regarding fentanyl production, Arctic neglect, and Chineseespionage. China's "Hollow Power" in Iran and Venezuela. Guests: GORDON CHANG and CHARLES BURTON. China's influence appears limited as it fails to substantively support struggling allies like Venezuela's Maduro or the Iranian regime. While China remains a major purchaser of discounted Iranian oil, it has proven unable to dictate events against US pressure. Experts describe China as a "hollow power." Trump's Iran Tariff Threat and China Trade Rift. Guest: ALAN TONELSON. President Trump's threat of a 25% tariff on any country trading with Iran significantly impacts China, which values this trade for political and symbolic reasons. China has already failed to meet its previous trade obligations, including soybean purchases and rare earth export licenses. Europe remains economically vulnerable. Electricity Costs, AI Demand, and Venezuela's Oil Reality. Guest: BUD WEINSTEIN. Rising US electricity prices, up 30-35% over five years, are driven by data center and AI growth alongside infrastructure underinvestment. Meanwhile, Venezuelan oil is deemed impractical for US demand due to high extraction costs and political instability. Rebuilding these fields would require massive, high-risk investments. Chinese Sinister Intentions in Cuba and Nicaragua. Guest: STEVE YATES. China maintains a significant presence in Cuba, utilizing the island for intelligence gathering and signals facilities targeted at the United States. As Venezuela's oil subsidies to Cuba potentially end, the island faces economic collapse. The US may utilize travel restrictions and economic pressure as leverage. The Risks of Venezuelan Oil and Soaring Copper Prices. Guest: SIMON CONSTABLE. American oil companies remain reluctant to invest in Venezuela due to the historical risk of nationalization and decayed infrastructure. In commodity markets, copper has reached an "astronomical" price of over $6 per pound, leading to a surge in theft from electronics and bridges globally. Artemis 2 Safety Concerns and SpaceX Dominance. Guest: BOB ZIMMERMAN. The Artemis 2 manned mission faces controversy over unresolved Orion heat shield damage observed during previous tests. Meanwhile, SpaceX has secured a monopoly on recent Space Force contracts, signaling a shift toward prioritizing reliability and cost over redundancy. China has filed for 200,000 new satellites. Scouting Mars for Helicopters and the Search for Alien Life. Guest: BOB ZIMMERMAN. Scientists are scouting landing sites for future Mars helicopters in areas containing near-surface ice, potentially for future Starship missions. Research suggests liquid water may have existed on Mars three billion years ago under protective ice sheets. Recent SETI results analyzed billions of data points without finding definitive alien signals. Venezuela's Power Vacuum and the Path Forward. Guest: MARY KISSEL, Executive Vice President at Stephens Incorporated. Mary Kissel discusses the "unfinished" state of Venezuela following the removal of Maduro, characterizing the remaining leadership as "thugs" and "gangs" focused on drug money. She explores the roles of Cuba, regional neighbors like Colombia and Brazil, and the Vatican's new moral leadership in the region. Iran in Transition: Assessing a Regime on the Brink. Guest: MARY KISSEL, Executive Vice President at Stephens Incorporated. John Batchelor and Mary Kissel analyze reports of Iran's potential collapse, citing internet blackouts and regime brutality. They discuss potential U.S. interventions, such as kinetic strikes or Starlinkaccess, and evaluate whether Reza Pahlavi is a credible transitional leader amidst concerns of the country breaking into ethnic factions. The Intellectual Factions of the "New Right". Guest: PETER BERKOWITZ, Hoover Institution Senior Fellow. Peter Berkowitz outlines the fracturing of the "New Right" into factions like national conservatives and post-liberals. Referencing Laura K. Field's book, Furious Minds, he notes these groups often reject Lockeanprinciples in the Declaration of Independence. However, he distinguishes these intellectuals from typical, non-ideological Trump voters. The New Right's Radical Rejection of Traditional Republicanism. Guest: PETER BERKOWITZ, Hoover Institution Senior Fellow. Berkowitz contrasts the New Right's desire for state-led social reform with the Republican Party's traditional focus on liberty and limited government. He discusses Michael Anton's views on the "right of revolution" and warns that attacking classical liberalism risks eroding essential protections against bigotry and persecution in America. Plunging Russian Oil Prices and the Impact of Global Sanctions. Guest: MICHAEL BERNSTAM. Russian oil prices are dropping significantly, with some major brands selling between $34 and $35 per barrel. Westernsanctions and global supply gluts allow buyers like China and India to extract massive discounts. Future stability in Iran could further increase competition, driving Russian revenues and taxes even lower. Pakistan's $1.5 Billion Arms Deal with Sudan and China's Strategic Influence. Guests: RICK FISHER and GORDON CHANG. Pakistan is nearing a deal to supply jets and drones to Sudan, likely funded by Saudi Arabia. China uses these transactions to establish alternative security structures in the Middle East. Experts suggest China prefers ongoing conflict over peace to maximize profits and regional influence. The Collapse of the Chinese Real Estate Market and Economic Stagnation. Guests: ANNE STEVENSON-YANG and GORDON CHANG. China's property sector faces a permanent downturn, with prices dropping 30–60% and enough vacant apartments to house billions. The government lacks the funds for a rescue. Xi Jinping'sfocus on high-tech is insufficient to replace real estate, which previously accounted for 25% of GDP. The China-Iran Partnership: Oil, Surveillance, and Regional Stability. Guest: JACK BURNHAM. Chinamaintains a pragmatic "partnership" with Iran, focused on extracting discounted oil. Beijing provides surveillance technology to help the Iranian regime suppress internal protests while officially calling for stability. Additionally, Chinese or Russian technology is suspected of disrupting Starlink satellites to hinder military communications.
The New Right's Radical Rejection of Traditional Republicanism. Guest: PETER BERKOWITZ, Hoover Institution Senior Fellow. Berkowitz contrasts the New Right's desire for state-led social reform with the Republican Party's traditional focus on liberty and limited government. He discusses Michael Anton's views on the "right of revolution" and warns that attacking classical liberalism risks eroding essential protections against bigotry and persecution in America.1929 HOOVER PARADE
PREVIEW — Peter Berkowitz — Classical Liberal Arts Education and Roman Republic Heroes. Berkowitz argues that modern liberal arts education has systematically severed its intellectual connection to Roman Republic heroic figures including Cato and Cicero, classical exemplars of republican virtue and liberty who profoundly inspired the AmericanFounding Fathers and shaped their constitutional vision. Berkowitz laments that few contemporary university students or faculty members possess the requisite cultural heritage, classical education, or imaginative capacity formed by engagement with these ancient standards of philosophical liberty, political virtue, and republican governance, thereby depriving new generations of the intellectual and moral foundations that undergirded American constitutional democracy and republican principles. 1789 NEW YORK