Podcasts about BMI

Share on
Share on Facebook
Share on Twitter
Share on Reddit
Copy link to clipboard
  • 1,611PODCASTS
  • 3,040EPISODES
  • 46mAVG DURATION
  • 2DAILY NEW EPISODES
  • Nov 28, 2021LATEST

POPULARITY

20112012201320142015201620172018201920202021


Best podcasts about BMI

Show all podcasts related to bmi

Latest podcast episodes about BMI

You Start Today with Dr. Lee Warren | Weekly Prescriptions to Become Healthier, Feel Better, and Be Happier.

As we approach a new year, here are some ideas to help you if you're trying NOT to be happier. 100% guaranteed to work!  Music by MercyMe (Music shared on The Dr. Lee Warren Podcast is authorized under BMI license #61063253 and ASCAP license #400010513 )   Go to my website www.wleewarrenmd.com for more information about my letter, this show, my books, and more.    

You Start Today with Dr. Lee Warren | Weekly Prescriptions to Become Healthier, Feel Better, and Be Happier.

Sometimes We Need to Adjust Our Own Attitudes IF We Want to Make Progress! Click here to download the transcript! In this episode, we'll take the bad thought biopsy results from last week and use them to accomplish real life change. We dig in under the hood and learn to lobotomize our lousy attitudes. Negative thoughts come in two categories: those there to motivate us when we need to make positive changes, and those that are the result of disordered, negative thinking. Learning to tell the difference is important if we want to become healthier, feel better, and be happier. If you want a better tomorrow, you have to make changes in your life, and you have to start today.  Music by Toby Mac (Music shared on The Dr. Lee Warren Podcast is authorized under BMI license #61063253 and ASCAP license #400010513 )   Go to my website www.wleewarrenmd.com for more information about my letter, this show, my books, and more.  

Rio Bravo qWeek
Episode 76 - Eating Disorders

Rio Bravo qWeek

Play Episode Listen Later Nov 26, 2021 22:24


Episode 76: Eating Disorders. The malaria vaccine is announced by Dr Parker, eating disorders such as anorexia and bulimia are briefly discussed by Sophia, Jeffrey and Dr Arreaza. Introduction: Introducing the malaria vaccine (RTS,S)Written by Hector Arreaza, MD; read by Tana Parker, MD.  Today is November 26, 2021.Malaria is a devastating disease that continues to kill thousands of people every year around the world. Since the year 2000, there have been 1.5 billion cases of malaria and 7.6 million deaths. In 2019, there were 229 million new cases, and 409,000 deaths, mostly children under 5 years of age.Effective vaccines for many protozoal diseases are available for animals (for example, the vaccine against toxoplasmosis in sheep, babesiosis in cows, and more.) However, vaccines for protozoal disease in humans had not been widely available … until now. The RTS,S is a vaccine against malaria approved by the European Medicines Agency in July 2015 for babies at risk, and it was rolled out in pilot projects in Malawi, Ghana and Kenya in 2019.  In October 2021, the World Health Organization announced the recommendation of this anti-malaria vaccine. The trade name of this vaccine is Mosquirix®. The vaccination is recommended for children in sub-Saharan Africa and other regions with moderate to high transmission of Plasmodium falciparum, which is considered the deadliest parasite in humans.  The approved vaccine has shown low to moderate efficacy, preventing about 30% of severe malaria after 4 doses in children younger than five years old. Implementation of vaccination is not free from challenges, and it should be executed not as the solution for the disease, but as part of the solution, along with other efforts such as mosquito control, effective health care, and more.RTS,S is an add-on to continue the fight against malaria worldwide. Hopefully we can lighten the heavy burden of malaria for more than 87 countries that suffer the severe consequences of poor control of this devastating disease. This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it's sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. ___________________________Eating Disorders. Written by Sophia Dhillon, MS3, Jeffrey Nguyen, MS3. Discussion with Hector Arreaza, MD.  This is not intended to be a comprehensive lecture on eating disorders. This episode is intended to give you basic information, hoping to motivate you keep learning about it. Let's start talking about eating disorders today, specifically anorexia nervosa and bulimia nervosa. What is an eating disorder? An eating disorder is a disturbance of eating that interferes with health. As a reminder, health is “a state of complete physical, mental and social well-being and not merely the absence of disease and infirmity.” So, an eating disorder, in a wide context, is any eating pattern that is out of what is considered “normal”, and that variation in feeding causes health problems. But in general, when we talk about eating disorders in medicine, we refer to anorexia nervosa and bulimia nervosa, but it includes also avoidant/restrictive food intake disorder, binge eating disorder, night eating disorder, pica, and rumination disorder.  ANOREXIAIn general, anorexia is characterized by immoderate food restriction, inappropriate eating habits or rituals, obsession with having a thin figure or an irrational fear of weight gain as well as distorted body self-perception. There are 2 main subtypes of anorexia: restricting type vs binge-eating/purging type. Tell us the difference between anorexia restrictive type and binge eating-purging type.Anorexia, restrictive type is when weight loss is achieved by diet, fasting and/or excessive exercise, meanwhile the binge-eating/purging type entails eating binges followed by self-induced vomiting and/or using laxatives, enemas or diuretics. These patients will have intense fear of gaining weight or becoming fat. They will have a distorted perception of body weight and shape or denial of the medical seriousness of one's low body weight.Anorexia nervosa is different than avoidant/restrictive food intake disorder. In anorexia, you have an altered perception of your body (“I'm fat”), but in avoidant/restrictive food intake disorder, your perception of your body weight and shape is not abnormal. “I'm skinny, and I'm OK with that.” This is new information for me. I thought anorexia was present always when a patient refused to eat, whether you liked your body or not.Why do people develop eating disorders? There are so many reasons why people develop eating disorders. First, it can be psychological due to low self-esteem, feelings of inadequacy or failure, feeling of being out of control, response to change (i. e. puberty) or response to stress. Second, it can be due to interpersonal issues like having trouble with family and personal relationships, difficult expressing emotions or feelings, or even history of being teased based on size or weight. Lastly, it is the social and cultural norms that we grow up in. There are cultural pressures that glorify thinness and place value on obtaining the perfect body, narrow definitions of beauty that include women and men of specific body weights and shapes. Sometimes there is no reason. Some people just get obsessed with their weight and perceive themselves as “fat”. Effect of anorexia on different parts of the bodySince these patients are scared of gaining weight, how does it affect the entire body?Anorexia can affect multiple systems in our body. Just to name a few symptoms that it can manifest as: amenorrhea, infertility, constipation, dizziness, hypothermia, bradycardia, hypotension, dry skin and even hair loss. Starvation induces protein and fat catabolism that leads to loss of cellular volume and atrophy of the heart, brain, liver, intestines, kidneys, and muscles. Cardiac: It can decrease cardiac mass, decrease cardiac chamber volumes, cause myocardial fibrosis and pericardial effusion. These manifestations are reversible if the patient gains weight. Functionally, it can cause bradycardia due to increased parasympathetic activity, hypotension, decreased heart rate variability and QT prolongation on ECG. Lungs: shortness of breath due to weakened and wasting of the respiratory muscles, pneumothorax and aspiration pneumonia. GI system: it leads to gastroparesis with bloating, constipation, severe pancreatitis and mild transaminitis. Hematologic: anemia, leukopenia and thrombocytopenia. Skin manifestations include dry/scaly skin, hair loss, acne, hyperpigmentation and acrocyanosis. You can also find lanugo, which is a very thin, light colored hair on the face and body. It is thought that the lanugo is an adaptation from the body to keep it warm. Lanugo is common in patients with anorexia nervosa or other causes of malnourishment. That's why wearing coats in warm weather can be a silent sign of anorexia. Other subtle signs include social withdrawal, fidgeting (to burn calories), and always “eating” in private.  It is important to remember that all these manifestation that Jeffrey mentioned are not present with intermittent fasting because intermittent fasting is an intermittent restriction of food, the nutritional needs are met during the “feasting” periods after “fasting”. Some may argue that intermittent fasting may promote eating disorders, but I believe intermittent fasting is just an effective treatment for obesity.Treatment plan for anorexiaThere are several treatment options for these patients. We can refer them to nutritional rehabilitation where they can supervise meals. We can refer them to psychotherapy, such as cognitive behavioral therapy or motivational interviewing. There is also a drug called Olanzapine for this condition. Sometimes, patients may need admission to the hospital. I learned recently that UCLA has an Eating Disorder Program which includes inpatient services. Some centers are very specialized and include family therapy and group therapy. Listeners, you can continue to research about anorexia, it's is fascinating. The prevalence of anorexia in the US is estimated to be 0.6%[3]. BULIMIABy definition, bulimia nervosa is when a person binge eats and then uses certain behaviors to prevent weight gain. These behaviors may include self-induced vomiting, using laxatives or diuretics, exercising excessively, or fasting and having a restrictive diet. Signs and symptoms to look forA physical examination is key. On physical presentation, these people usually can have overweight or obesity. That's the main difference with anorexia. Anorexia: skinny people, bulimia: normal weight, overweight or obesity. Regardless of their weight, these patients are malnourished. They may lack some essential nutrients causing serious health consequences. That's why nutrition cannot be assessed by BMI only. Common signs they will present with will include tachycardia, hypotension (systolic blood pressure below 90), dry skin, and hair loss. If the person uses self-induced vomiting to prevent weight gain, they may have erosion of the dental enamel from all the acid that comes up when they vomit. There may also be scarring or calluses on the dorsum side of the hand from all the acid too. Their parotid glands, that are located on the side of the jaws will also be swollen, causing a sign known as chipmunk face of bulimia.From talking to this person and getting a detailed history, we will learn of the symptoms bulimia nervosa can cause. This will include lethargy and fatigue, irregular menstrual periods in a female, abdominal pain and bloating, and constipationThis disorder really does take a toll on the body. There's plenty of complications that come with it as well. Let's try to break it down by system. GI system has the most complications: esophageal tears from the vomiting called Mallory-Weiss syndrome, which will present with bloody vomits, a loss of gag reflex, esophageal dysmotility, abdominal pain and bloating, GERD, diarrhea and malabsorption of nutrients, fatty stools known as steatorrhea, colonic dysmotility leading to constipation, irritable bowel syndrome, rectal prolapse, and pancreatitis. Cardiac: serious complication is ipeac-induced myopathy, let's spend a little time on this. Ipecac is a syrup that someone with bulimia nervosa may use to make themselves vomit. If a person uses this syrup frequently or for a long amount of time, there is a component called emetine will accumulate in muscle, including cardiac muscle. If a person uses ipecac chronically, it can be detected in the urine for up to 60 days. This will damage the heart muscles or myocardium and lead to cardiomyopathy. It will present with symptoms such as chest pain, shortness of breath, hypotension, tachycardia or bradycardia, T wave abnormalities on ECG, conduction delays, arrythmias, pericardial effusions, and even congestive heart failure. Cardiomyopathy may be irreversible. Renal system: dehydration, hypokalemia, hypochloremia, hyponatremia, and metabolic alkalosis. This could happen in patient who use diuretics as a purging mechanism. Endocrine system: Electrolytes and hormones imbalance. The endocrine system primarily impacts the reproductive and skeletal systems. Among 82 women treated for bulimia nervosa, menstrual irregularities were present in 45 percent at pretreatment and in 31 percent at 12-month follow-up. These irregularities may look like spotty or very light menstrual cycles. Cycles may be very erratic or completely absent. Skeletal system: osteopenia and osteoporosis are common with bulimia nervosa. Osteopenia means weaker and more brittle bones. Osteoporosis is more serious than osteopenia and can more easily result in fractures.The diagnosis of bulimia nervosa can usually be made clinically. And after the diagnosis with bulimia nervosa, the first step in helping them is always getting a full lab work up to see what systems to the body have been impacted. Treatment options include nutritional counseling, behavioral therapy, and even medications. If a person needs help connecting with someone that can help with this disorder, there are organizations that they can contact which will connect them with proper resources in their area. Organizations include the Academy for Eating Disorders and the National Eating Disorders Association. Bulimia nervosa is more prevalent in females than males in all age groups. In the US, adult prevalence is 1.0% and adolescent prevalence is 0.9%, with the median age of onset of 18 years. After comparing different age groups, we have seen the prevalence of bulimia nervosa has increased over time. Conclusion: Anorexia nervosa and bulimia nervosa are eating disorders that can have consequences on the health of our patients. We should know the difference between these two diseases and know the resources available in our community to assist these patients. The diagnosis may be done clinically, but you will need to order labs or imaging for a full assessment. Eating disorders are an example of the direct effect a mental illness can have in the body. In the specific case, anorexia and bulimia cause malnutrition. The treatment of these diseases requires a multidisciplinary team to treat the patient and the family as well.____________________________Conclusion: Now we conclude our episode number 76 “Eating Disorders.” We started this episode with exciting news about the new malaria vaccine, a step forward on our fight against malaria. Sophia, Jeffrey, and Dr Arreaza presented an interesting overview about anorexia and bulimia. They taught us that if a patient perceives him or herself as “fat”, but they are actually underweight, they may have anorexia. Patients with bulimia tend to have normal or above normal BMI but have periods of binging and purging. Be aware of these conditions while assessing your patients' nutritional status and treat appropriately or refer as needed. Even without trying, every night you go to bed being a little wiser.Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email RBresidency@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza, Tana Parker, Sophia Dhillon, and Jeffrey Nguyen. Audio edition: Suraj Amrutia. See you next week! _____________________References: Malaria's Impact Worldwide, Centers for Disease Control and Prevention, https://www.cdc.gov/malaria/malaria_worldwide/impact.html, accessed on November 15, 2021.  Constitution of the World Health Organization, Basic Documents, Forty-fifth edition, Supplement, October 2006, accessed on Aug 26, 2021. Accessed on November 15, 2021.  https://www.who.int/governance/eb/who_constitution_en.pdf. 12 Secret Signs of Anorexia, CBS News, August 12, 2010, https://www.cbsnews.com/pictures/12-secret-signs-of-anorexia/3/.  Hudson JI, Hiripi E, Pope HG Jr, Kessler RC. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry. 2007 Feb 1;61(3):348-58. doi: 10.1016/j.biopsych.2006.03.040. Epub 2006 Jul 3. Erratum in: Biol Psychiatry. 2012 Jul 15;72(2):164. PMID: 16815322; PMCID: PMC1892232. https://pubmed.ncbi.nlm.nih.gov/16815322/.  Mitchell, James E, MD; and Christie Zunker, PhD, CPH, CHES, Bulimia nervosa and binge eating disorder in adults: Medical complications and their management, UpToDate, October 2021. https://www.uptodate.com/contents/bulimia-nervosa-and-binge-eating-disorder-in-adults-medical-complications-and-their-management?search=Bulimia%20nervosa%20and%20binge%20eating%20disorder%20in%20adults:%20Medical%20complications%20and%20their%20management&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1 Yager, Joel, MD, Eating disorders: Overview of epidemiology, clinical features, and diagnosis, UpToDate, October 2021. https://www.uptodate.com/contents/eating-disorders-overview-of-epidemiology-clinical-features-and-diagnosis?search=Eating%20disorders:%20Overview%20of%20epidemiology,%20clinical%20features,%20and%20diagnosis&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1 Yager, Joel, MD, Eating disorders: Overview of prevention and treatment, UpToDate, October 2021. https://www.uptodate.com/contents/eating-disorders-overview-of-prevention-and-treatment?search=Eating%20disorders:%20Overview%20of%20prevention%20and%20treatment&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

You Start Today with Dr. Lee Warren | Weekly Prescriptions to Become Healthier, Feel Better, and Be Happier.

The 2021 Thanksgiving Episode Was Hard Fought Some thoughts on weeping with those who weep, on gratitude, and some worship music for Thanksgiving! Music by Matt Redman, Shane & Shane, and Tommy Walker Scripture: Colossians 3:17 and Romans 12:15 Great article from Jennifer Greenberg (Music shared on The Dr. Lee Warren Podcast is authorized under BMI license #61063253 and ASCAP license #400010513 )   Go to my website www.wleewarrenmd.com for more information about my letter, this show, my books, and more.  

You Start Today with Dr. Lee Warren | Weekly Prescriptions to Become Healthier, Feel Better, and Be Happier.

A little story about gratitude, and using time when you have it! Scripture: Colossians 2:6-7 Music by Graham Kendrick and Paul Baloche (Music shared on The Dr. Lee Warren Podcast is authorized under BMI license #61063253 and ASCAP license #400010513 )   Go to my website www.wleewarrenmd.com for more information about my letter, this show, my books, and more.    

GymCastic: The Gymnastics Podcast
Carly Patterson's Album Interpreted and Dr. Dave Tilley PT Gymnastics Myth Busters

GymCastic: The Gymnastics Podcast

Play Episode Listen Later Nov 24, 2021 115:34


CARLY PATTERSON'S ALBUM: BACK TO THE BEGINNING This episode has been commissioned by "Just an Ordinary Girl Putting Up a Fight to Get Out of This Temporary Life," who requested an episode analyzing the music of 2004 Olympic Champion, Carly Rae Patterson and her 2009 album, Back to the Beginning. We answer important questions like, which song is a metaphor for WOGA? And which one is really about Khorkina? Gymnastics Science Myth Busters with Dr. Dave Tilley PT, NCSA The internal work; therapy and/or self reflection, necessary to be healthy in our jobs and relationships Learning to have a healthy relationship with exercise after gymnastics The actual force impact of landings and falls and a yurchenko double back on the body The science behind back pain in gymnasts during puberty. Red S Syndrome (formerly Female Athlete Triad) and the damaging garbage nutrition fads hurting gymnasts. Gymnastics Myth Busted with an Dr. Dave Tilley PhD: You have to be short, young, and under-developed to be good at gymnastics and all skills have to be learned before puberty. False! We discuss the physical and psychological advantages of hormones and puberty for female gymnasts. Gymnasts and children should never weight train. False! The original study was based on children laborers and not safe, supervised weightlifting. Back pain, during puberty especially, is just a normal part of gymnastics and can't be prevented. False! We discuss the effect hormones have on ligaments and bones during healthy puberty and how coaches can help their gymnasts safely navigate this growth period. If you are overweight you will tear your achilles. False! BMI is not a factor in gymnasts achilles tears. Read the study here. Resources & References: SHIFT Movement Science and Gymnastics Education SHIFT Free Resource Lab  SHIFT Hero Lab: international online gymnastics education community Developing Powerful Athletes Pt 1  Developing Powerful Athletes Pt 2   Long Term Athletic Development Natalie Yurchenko Olympic Channel interview on yurchenko double back. Factors Associated With Achilles Tendon Rupture in Women's Collegiate Gymnastics Weight Training Safety & Performance in children and adolescents: The effectiveness of exercise interventions to prevent sports injuries (BJSM)  Youth Resistance Training International Consensus Position Statement (BJSM)  Resistance training for children and adolescents (Translational Pediatrics)  Youth Resistance Training Position Statement Paper (JSCR) Plyometric training performance in elite-oriented prepubertal female gymnasts  Effects if Resistance Training in Youth Athletes  The effects of eccentric training on lower limb flexibility: a systematic review (BJSM)  Increasing muscle extensibility: a matter of increasing length or modifying sensation? (Phys Ther)  Regular stretch does not increase muscle extensibility (Scan J Med Sci Sports) Red S Syndrome and Disordered Eating in Gymnastics: Understanding Eating Disorders in Elite Gymnastics (Clin Sports Med) Disordered Eating in Women's Gymnastics (JASP) The IOC consensus statement on RED-S (BJSM) Interaction among skeletal muscle metabolic energy systems during intense exercise (J Nutr Metab) JOIN CLUB GYM NERD  Join Club Gym Nerd for access to Behind the Scenes episodes. Buy our awesome clothing and gifts here. We have masks too! RELATED EPISODES Project K Project K: Decoding Romanian Secret Police Files on The Karolyis with Dr. Simona Petracovsch 368: No-No-Nunnoisms (Commissioned) 367: Shawn and Nastia: From Feud to Friendship (Commissioned) 365: 1988 Olympics Team Competition (Commissioned) 364: 80s Fight! (Commissioned) 327: 1993 NCAA Nationals (Commissioned) 325: Olympics of Difference Makers (Commissioned) 313: Best Floor Routines EVAH! (Commissioned) 312: 4th Is the New 1st (Commissioned) 309: Perfect Form – The O'Beirne Code (Commissioned) 308: 2004 Olympic All-Around Final (Commissioned) 306: Gymnastics Fails (Commissioned) 304: The GymCastic Olympics (Commissioned) 281: Myths, Legends, and Unexpected Moments PART 2 (Commissioned) 279: A Diva Is Magical: The Svetlana Khorkina Episode (Commissioned) 278: 2000 Sydney All-Around Final (Commissioned) 262: 1996 Olympic Event Finals (Commissioned) 258: The Fluff Cast (Commissioned) 256: 1996 Olympic All-Around Final (Commissioned) 255: 1996 Olympic Team Final (Commissioned) 252: Myths, Legends and Unexpected Moments in Gymnastics History (Commissioned) 228: Leotards (Commissioned) 225: 1992 Olympics Recap with Wendy Bruce (Commissioned) 185: 2008 Olympic All-Around Finals (Commissioned)

You Start Today with Dr. Lee Warren | Weekly Prescriptions to Become Healthier, Feel Better, and Be Happier.

Today, I'm thankful for you! Here's some thoughts from Lisa, Tata, and me last year, in preparation for Thanksgiving THIS year! Music by Tommy Walker and Don Moen (Music shared on The Dr. Lee Warren Podcast is authorized under BMI license #61063253 and ASCAP license #400010513 )   Go to my website www.wleewarrenmd.com for more information about my letter, this show, my books, and more.

Hanging @ the House Podcast
"PRO's Gem's and Rock & Roll" Episode 33 feat. Jordan Moed

Hanging @ the House Podcast

Play Episode Listen Later Nov 21, 2021 40:24


My Full Sail University family continues to show up and bring value to the community. On this episode, I had a zoom chat with my fellow alumni Jordan Moed, a singer-songwriter, guitarist, music publisher, studio owner, mixing engenieer, that has an inside scoop on BMI music. We get down to some details on what it's like being a freelance independent business owner and thriving in 2021. Jordan will be back for a special live Q&A episode in January, so leave us some questions and feedback that we can answer then, Peace. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/hanging-the-house-podcast/message Support this podcast: https://anchor.fm/hanging-the-house-podcast/support

You Start Today with Dr. Lee Warren | Weekly Prescriptions to Become Healthier, Feel Better, and Be Happier.

What if an apostle was praying for you? What do you think he would pray? We find out in Ephesians 1, and the punchline is staggering! Music by Paul Baloche (Music shared on The Dr. Lee Warren Podcast is authorized under BMI license #61063253 and ASCAP license #400010513 )   Go to my website www.wleewarrenmd.com for more information about my letter, this show, my books, and more.  

eGovernment Podcast (aac)

In der Episode 94 unterhalten sich Torsten und Andreas Reckert-Lodde über die PD ZenDiS im BMI und darüber, wie Open Source in der öffentlichen Verwaltung eine noch größere und zentrale Rolle spielen und an Bedeutung gewinnen soll unterhalten. Auch das Thema Public Money - Public Code wird in Zukunft in der deutschen öffentlichen Verwaltung eine noch größere Rolle spielen.

Crossroads Community Church Sunday Service Podcast :: Valencia, CA

To find out more about Crossroads Community Church or to connect with us, visit the following links: → lifeatcrossroads.org → facebook.com/lifeatcrossroads To give online: lifeatcrossroads.org/giveonline. CCLI License: 2915685 CCS WorshipCast License: 9466 GRANT OF LICENSE. Crossroads Community Church is granted a non-exclusive, non-transferable license during the term of the agreement to publicly play, perform, and transmit via the website noted above, any musical composition controlled by one or more of the domestic Performing Rights Organizations (ASCAP, BMI and SESAC), as stated in the CCS WORSHIPcast License Terms and Conditions.

Catholic Culture Audiobooks
St. John Henry Newman - The Patristical Idea of Antichrist | Pt. 4: The Persecution of Antichrist

Catholic Culture Audiobooks

Play Episode Listen Later Nov 19, 2021 34:49


"Here then we have a sign of Antichrist's appearance—I do not say of his instant coming, or his certain coming… still, so far as it goes, it is a preparation, a warning, a call to sober thought..." This episode is the fourth in Newman's series of lectures on The Patristical Idea of Antichrist. In this final lecture, Newman focuses his attention on the persecution that is prophesied to attend the coming of Antichrist— a persecution which, the prophecies indicate, will be more terrible than any to have come before, and will only be cut short by Jesus's Second Coming. As with any meditation upon the apocalypse, the end of this meditation is our own conversion: to chasten our attachment to this world, to be awake so as not to be deceived or seduced away from following Christ, to accept persecution for His sake, and to prepare for the day when we will stand before Him. Links The Persecution of Antichrist Full text: https://www.newmanreader.org/works/arguments/antichrist/lecture4.html Pt. 3, The City of Antichrist on Catholic Culture Audiobooks: https://www.catholicculture.org/commentary/st-john-henry-newman-patristical-idea-antichrist-pt-3-city-antichrist/ Pt. 2, The Religion of Antichrist on Catholic Culture Audiobooks: https://www.catholicculture.org/commentary/st-john-henry-newman-patristical-idea-antichrist-pt-2-religion-antichrist/ Pt. 1, The Times of Antichrist on Catholic Culture Audiobooks: https://www.catholicculture.org/commentary/st-john-henry-newman-patristical-idea-antichrist-pt-1-times-antichrist/ Go to http://www.catholicculture.org/getaudio to register for FREE access to the full archive of audiobooks beyond the most recent 15 episodes. Donate at: http://www.catholicculture.org/donate/audio Follow this link to join the Online Great Books VIP waiting list and get 25% off your first 3 months: https://hj424.isrefer.com/go/ogbmemberships/tmirus/ Theme music: 2 Part Invention, composed by Mark Christopher Brandt, performed by Thomas Mirus. ©️2019 Heart of the Lion Publishing Co./BMI. All rights reserved.

Rio Bravo qWeek
Episode 75 - Multisystem Inflammatory Syndrome

Rio Bravo qWeek

Play Episode Listen Later Nov 19, 2021 36:15


Episode 75: Multisystem Inflammatory Syndrome in Children (MIS-C).  Dr Schlaerth explains the signs, symptoms, and basic management of MIS-C. Lam explain the role of anti-obesity medications in weight management. Introduction: The Role of Drugs in Weight Loss Management    By Lam Chau, MS3, Ross University School of Medicine     Today about 70% of adult Americans are overweight or obese. Obesity is associated with increased risk of heart disease, stroke, and diabetes, among many other diseases. Studies have shown losing 5-10% of your body weight can substantially reduce your risk of cardiovascular disease.  Traditional belief is that weight loss can only be attributed to diet and exercise. While there are certainly elements of truth to that statement, medication is a safe and proven method for weight management that is often overlooked. The fact of the matter is that weight loss is an ongoing field of study with constant new research and innovations.  In June of this year, a medication named Wegovy was approved for weight loss management by the FDA. This drug is indicated for chronic weight management in patients with a BMI of 27 or greater with an accompanying weight-related ailment or in a patient with a BMI of 30 or greater. Rachel Batterham, PhD, of the Centre for Obesity Research at University College London, shared: "The findings of this study represent a major breakthrough for improving the health of people with obesity. No other drug has come close to producing this level of weight loss — this really is a game changer.” Despite breakthroughs like these, the use of medication for weight loss is still relatively low. Dr. Erin Bohula, a cardiologist and assistant professor at Harvard Medical School, believes “there are probably a few reasons for this, including cost, if not covered by insurance, and a perception these agents are not safe in light of the history with weight loss agents.” A study from 2019 examined the medical records from eight geographically dispersed healthcare organizations. They found that out of 2.2 million patients who were eligible for weight loss medication, only 1.3% filled at least 1 prescription. Weight loss is a dynamic process with many different variables. While it may not necessarily be for everyone, medication can help tremendously and is an option you should consider if you are interested in weight loss[1,2]. This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it's sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home.  ___________________________Multisystem Inflammatory Syndrome in Children (MIS-C).   By Katherine Schlaerth, MD, and Hector Arreaza, MD. History and epidemiologyMost children who get COVID-19 have either no symptoms or very mild symptoms. However, about 18 months ago, a new pediatric complication of COVID-19, possibly postinfectious, was described.  The eight children who were initially described had a clinical presentation which was similar to either Kawasaki Disease or perhaps toxic shock syndrome, and since these children had signs of a hyperinflammatory state coupled with shock, the new syndrome was named Multisystem Inflammatory Syndrome in Children, or MIS-C for short. By midsummer of 2021, the United States had about two thousand cases and 30 deaths in children under 21.  Other name for this condition is Pediatric Hyperinflammatory Shock. DiagnosisWhat are the criteria for a diagnosis of Multisystem Inflammatory Syndrome? They include:Age below 21Fever above 100.4 degrees Fahrenheit or 38 degrees centigrade for 24 hours (a subjective fever for more than 24 hours counts too). Laboratory evidence of inflammation which should include at least two of the following tests: elevated CRP, elevated ESR, elevated fibrinogen level, procalcitonin, D-dimer, ferritin, lactic acid dehydrogenase (LDH), interleukin-6, and neutrophil counts, low lymphocyte count and low albumin.Severe disease necessitating hospitalization with multisystem organs affected. The systems affected include cardiac, renal, respiratory, hematologic, gastrointestinal, dermatologic, and neurologic (at least three systems need to be involved). No creditable other diagnosis. Other symptoms include:GI complaints (diarrhea, vomiting, abdominal pain)Skin rashConjunctivitisHeadacheLethargyConfusionRespiratory distressSore throatMyalgiasSwollen hands/feetLymphadenopathyCardiac signs and symptoms include troponin/BNP elevation and arrhythmia. Findings on ECHO may include depressed LVEF, coronary artery abnormalities, including dilation or aneurysm, mitral regurgitation, and pericardial effusion. There also must be a positive test for SARS-CoV-2 and this test can be either a reverse transcriptase polymerase chain reaction (RT-PCR), serologic, or antigen testing. Exposure to someone who has had or is suspected of having had COVID-19 within the last 4 weeks also counts.  Patients with MIS-C may have predominately gastrointestinal symptoms, mucocutaneous findings, and may be hypotensive or “shocky” on presentation. Up to 80% require ICU admission. Thrombocytopenia and /or elevated transaminase levels can also be seen.  MIS-C vs Kawasaki DiseaseThe big issue in diagnosing MIS-C is the overlap with Kawasaki's disease and with toxic shock syndrome. Patients with Kawasaki Disease in their second week of illness often will have thrombosis, not thrombocytopenia. Whereas MIS-C usually affects school age children or adolescents, Kawasaki Disease is more commonly a problem in younger children, who have an average age of 2 years.  Kawasaki Disease is also more common in Asian children and MIS-C disproportionately seems to affect Black and Hispanic children.  Obesity seems to be another risk factor for MIS-C.  Kawasaki's Disease also has different cardiac manifestations from MIS-C. Coronary artery dilatation is common in Kawasaki's disease and left ventricular dysfunction in MIS-C, although sometimes coronary artery dilatation and rarely aneurisms can be noted on echocardiogram in putative MIS-C, which is why differentiation from Kawasaki's Disease is an issue.  PathophysiologyThe cause of MIS-C is probably postinfectious immune dysregulation. Only a minority of MIS-C patients are identified as having COVID-19 by RT-PCR, but most have positive tests for immunoglobulin G.  Statistically, there is a lag of 4-6 weeks between peak community cases of COVID-19 and the time at which children present with MIS-C.   Although research is being done on MIS-C, and theories abound about etiology, there is no clear-cut answer to why some children get MIS-C and the vast majority do not. In a review of the literature on MIS-C using literature from December 2019 through May 2020, gastrointestinal symptoms such as diarrhea, and abdominal pain were 4-5 times more common than cough and respiratory distress.  There was a slight preponderance of male patients and mean age was 8 ½ years. ICU admission was common and 2/3 required inotropic support, over ¼ needed respiratory help with extracorporeal membrane oxygenation warranted in 31 children. The death rate was 1.5 % of these very sick children treated in hospital.  In another smaller study, 80% had mild, but 44% had moderate to severe EKG abnormalities including coronary involvement. The good news was that coronary arteries were normal in all children after a month, and at 4-9 months, only 2-4% had mild heart abnormalities. Unfortunately, mechanisms of MIS-C as well as universal treatment is still being worked out. Published articles may be delayed due to time constraints in publishing. Other immunologic interventions do not have sufficient data. TreatmentWhat about the treatment of children diagnosed with MIS-C?Usually, a variety of specialists become involved initially. These can include pediatric rheumatology, infectious disease, cardiology, and hematology. If children with MIS-C meet criteria for complete or incomplete Kawasaki disease as well, regardless of COVID-19 testing results, IVIG and aspirin are reasonable.  Corticosteroid use must be individualized, and if used it may require a taper.  An echocardiogram can be done initially looking for coronary aneurisms and repeated in a week.  In severe cases, shock may be a presenting factor needing urgent attention. Generally, the treatments used are decided by the aforementioned consults and may consist of immunomodulating therapy, including possibly IVIG (2g/kg), and/or corticosteroids methylprednisolone (30mg/kg).  AntiviralsThe role of antiviral therapy is unclear and remdesivir should be reserved for children with acute COVID-19.  COVID-19 vaccination-associated myocarditisAnother entity which needs further evaluation is COVID-19 vaccination-associated myocarditis in adolescents. This problem is more common in young males and may occur after the administration of mRNA based COVID-19 vaccines. The presentation occurs within 2 weeks of COVID-19 vaccination, and clinical presentation can include chest pressure, abnormal biomarkers (elevated troponins), and cardiac imaging findings. It is unknown if subclinical cases occur.  COVID-19 infection in children, while usually benign, has the potential to become serious, and the association between some mRNA vaccines and the occurrence of myocarditis has yet to be thoroughly studied. We look forward to more and better data to guide the care of children and young adults in these spheres. The risk of having myocarditis is still higher with the actual COVID-19 than the COVID-19 vaccine. The incidence of myocarditis after BioNtech/Pfizer vaccine was 2.13 cases per 100,000 persons in a large study done in a large health care organization in Israel where more than 2 million people were vaccinated (that represents 0.00213%). Another US study showed that there were 77 cases per million doses of vaccines in young male, in contrast, there were 450 cases of myocarditis per million COVID-19 cases in the same age group.____________________________Conclusion: Now we conclude our episode number 74 “Multisystem Inflammatory Syndrome in Children.” Dr. Schlaerth explained that MIS-C is a work in progress in terms of pathophysiology, diagnosis, treatment, and prognosis. MIS-C and Kawasaki Disease are very similar, but, for example, GI symptoms, cardiac dysfunction, shock and multisystem dysfunction are more prominent in MIS-C than Kawasaki Disease. Whereas coronary artery aneurysms are more common in Kawasaki disease than MIS-C. Even without trying, every night you go to bed being a little wiser.Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza, Katherine Schlaerth, and Lam Chau. Audio edition: Suraj Amrutia. See you next week! _____________________References:FDA Approves New Drug Treatment for Chronic Weight Management, First Since 2014, June 04, 2021, U.S. Food and Drug Administration (FDA), https://www.fda.gov/news-events/press-announcements/fda-approves-new-drug-treatment-chronic-weight-management-first-2014. Saxon DR, Iwamoto SJ, Mettenbrink CJ, et al. Antiobesity Medication Use in 2.2 Million Adults Across Eight Large Health Care Organizations: 2009-2015. Obesity (Silver Spring). 2019;27(12):1975-1981. doi:10.1002/oby.22581. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6868321/.  Carroll, Linda, Weight-loss pills can help. So why don't more people use them? NBC News Health Care, September 2, 2018.  https://www.nbcnews.com/health/health-care/weight-loss-pills-can-help-so-why-don-t-more-n905211 World Health Organization, WHO recommends groundbreaking malaria vaccine for children at risk, October 6, 2021. https://www.who.int/news/item/06-10-2021-who-recommends-groundbreaking-malaria-vaccine-for-children-at-risk Lee, Min-Sheng et. al, Similarities and Differences Between COVID-19-Related Multisystem Inflammatory Syndrome in Children and Kawasaki Disease, Front. Pediatr., 18 June 2021, https://doi.org/10.3389/fped.2021.640118.  Gail F. Shust, Vijaya L. Soma, Philip Kahn and Adam J. Ratner, Pediatrics in Review July 2021, 42 (7) 399-401; DOI: https://doi.org/10.1542/pir.2020-004770. Jain SS, Steele JM, Fonseca B, et al. COVID-19 vaccination-associated myocarditis in adolescents. Pediatrics. 2021; doi:10.1542/peds.2021-053427.  https://pediatrics.aappublications.org/content/pediatrics/early/2021/08/12/peds.2021-053427.full.pdf.  Wilson, Clare, Myocarditis is more common after covid-19 infection than vaccination,  New Scientist, 4 August 2021, https://www.newscientist.com/article/mg25133462-800-myocarditis-is-more-common-after-covid-19-infection-than-vaccination/#ixzz79JPn2E47. Son, Mary Beth F, MD, and Kevin Friedman, MD, COVID-19: Multisystem inflammatory syndrome in children (MIS-C) clinical features, evaluation, and diagnosis, Up to Date, September 2021, https://www.uptodate.com/contents/covid-19-multisystem-inflammatory-syndrome-in-children-mis-c-clinical-features-evaluation-and-diagnosis?search=kawasaki%20vs%20misc&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1  

Cardionerds
161. Lipids: Triglycerides – EPA and DHA Deep Dive with Dr. Erin Michos

Cardionerds

Play Episode Listen Later Nov 19, 2021 34:01


CardioNerds Tommy Das (Program Director of the CardioNerds Academy and cardiology fellow at Cleveland Clinic) and Rick Ferraro (Director of CardioNerds Journal Club and cardiology fellow at the Johns Hopkins Hospital) join Dr. Erin Michos (Associate Professor of Cardiology at the Johns Hopkins Hospital and Editor-In-Chief of the American Journal of Preventative Cardiology) for a discussion about the effect of DHA and EPA on triglycerides and why DHA/EPA combinations may have exhibited limited benefits in trials. This episode is part of the CardioNerds Lipids Series which is a comprehensive series lead by co-chairs Dr. Rick Ferraro and Dr. Tommy Das and is developed in collaboration with the American Society For Preventive Cardiology (ASPC). Relevant disclosures: None Pearls • Notes • References • Guest Profiles • Production Team CardioNerds Lipid Series PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls The best intervention for heart disease is prevention! The InterHeart trial showed that 9 modifiable risk factors (dyslipidemia, smoking, hypertension, diabetes, abdominal obesity, dietary patterns, physical activity, consumption of alcohol, and psychosocial factors) predict 90% of acute myocardial infarction. So many acute events can be prevented1.Atherosclerotic vascular disease events increase across a range of triglyceride levels, even from 50-200mg/dL. So even in a relatively normal range, lower triglycerides seem to be better. Over ¼ of US adults have triglycerides over 150.While 8% of US adults take fish oil supplements, multiple meta-analyses have failed to show any benefit to the use of dietary omega-3 supplementation2. Dietary supplements these are not meant for medical use and are not studied or regulated as such! Show notes 1. What are DHA and EPA? DHA, or docosahexaenoic acid, and EPA, or eicosapentaenoic acid, are n-3 polyunsaturated fatty acids, also known as omega-3 fatty acids. These compounds have been of considerable interest for over two decades given observed association of high dietary omega-3 fatty acid intake with reduced cardiovascular events3. As both are important omega-3 fatty acids, trials on the benefits of DHA and EPA have often focused on the two compounds in combination. 2. What was the GISSI-Prevenzione Trial and why was it Important? GISSI-Prevenzione trial (Lancet 1999), was one of the earliest trials to study DHA and EPA4. In this trial, the authors evaluated the effect of omega-3 supplementation as a combination pill of DHA and EPA on cardiovascular events and death in patients with recent myocardial infarction (the last three months). Over a 3.5-year follow-up period, participants treated with DHA/EPA combination experienced a significant reduction in death, nonfatal MI, and stroke.As this was an early trial, patients were largely not on statins, as these were not supported at the time of study initiation (Only 5% were on cholesterol-lowering medications at baseline, and only 45% were on cholesterol-lowering therapy at study completion). The benefits seen in this trial may not extend to modern practice with patients on contemporary background therapy.The trial participants were also not representative of our modern patients for a variety of other reasons. 85% of participants in the trial were men. 42.2% of patients in EPA/DHA arm were current smokers, and 35.4% were prior smokers. Only 14.2% of patients had diabetes and 14.7% with BMI >30.Notably, the decrease in triglycerides in this trial was only 3%, implying that triglyceride lowering did not entirely explain the benefit in cardiovascular events seen. 3. What about the data after the GISSI-Prevensione Trial? After this positive trial for DHA/EPA in combination, subsequent trial data in support of DHA/EPA has been less robust.

You Start Today with Dr. Lee Warren | Weekly Prescriptions to Become Healthier, Feel Better, and Be Happier.

In this world, we need mercy! We need hope! Here's a look at how to find hope, with Mark Vroegop and with music by Paul Baloche. Join me with special guest Mark Vroegop, author of Dark Clouds, Deep Mercy: Discovering the Grace of Lament!  When life hits you hard, sometimes you can't find the words to pray. When you're doubting, hurting, scared, and you're wondering where God is, the prayer language of lament is exactly what you need. Here's how to talk to God when you're trying to stay out of the ditches of despair and denial, between trauma and trust.  Hope springs from truth rehearsed, and lament is how we learn to rehearse the true things of God that provide the healing and hope we need when we're hurting.  (Music shared on The Dr. Lee Warren Podcast is authorized under BMI license #61063253 and ASCAP license #400010513 )   Go to my website www.wleewarrenmd.com for more information about my letter, this show, my books, and more.  

You Start Today with Dr. Lee Warren | Weekly Prescriptions to Become Healthier, Feel Better, and Be Happier.

What Do You Do When Your Life Feels Like a War? Here are some thoughts on foxholes and faith. Music by Matt Redman (Music shared on The Dr. Lee Warren Podcast is authorized under BMI license #61063253 and ASCAP license #400010513 )   Go to my website www.wleewarrenmd.com for more information about my letter, this show, my books, and more.  

A Little Too Much with Jamie Stone
73. Anti-diet culture and wellness myth busting with personal trainer Laura Ghiacy

A Little Too Much with Jamie Stone

Play Episode Listen Later Nov 18, 2021 67:03


Jamie is back from a little break and this week she's talking with Laura Ghiacy, personal trainer and anti-diet culture advocate. Laura has 371,000 TikTok followers, and for good reason. They discuss how to have a better relationship with exercise, personal trainer red flags, why BMI is racist (and also BS!), her viral video where she proves a McDonald's cheeseburger is just as good for you as a protein cookie, commenting on someone's weight loss or weight gain and, of course, Khloe Kardashian. Follow along on IG: @itsJamieStone and @ALittleTooMuchPodcast Follow Jamie on TikTok: @itsJamieStone Don't forget to rate, review and subscribe! xo

You Start Today with Dr. Lee Warren | Weekly Prescriptions to Become Healthier, Feel Better, and Be Happier.

How do you sleep when the voices are so loud? Spend a few minutes learning how God wants you to rest, to hear His voice, and a neuroscience trick I learned from a Navy Seal.  Scriptures: I Kings 19:11-13 Psalm 127 Psalm 46:10 Music by Tommy Walker (Music shared on The Dr. Lee Warren Podcast is authorized under BMI license #61063253 and ASCAP license #400010513 )   Go to my website www.wleewarrenmd.com for more information about my letter, this show, my books, and more.    

Pharmacy Podcast Network
Intuitive Eating: Health at Every Size | Pharmacy Crossroads

Pharmacy Podcast Network

Play Episode Listen Later Nov 17, 2021 36:39


As pharmacy expands to include more healthcare services many of them are branching off into diet, nutrition and weight loss programs. As they do this it may be prudent for them to dig a bit deeper than the traditional thinking about calorie counting and the BMI index. Linda Tucker, an independent health counselor shares some ideas on rapidly expanding ideas pharmacy owners should know about. In this episode Tucker shares her reasons why she feels trying to help patient improve their health should include learning about the Heath at Every Size and Intuitive eating movements. Whether you agree or disagree, millions of Americans are involved and as a healthcare professional she feels every pharmacist should at least be aware of them. Learn more about your ad choices. Visit megaphone.fm/adchoices

Austin Music Minute – KUTX
Catch the Vibes

Austin Music Minute – KUTX

Play Episode Listen Later Nov 16, 2021 2:25


  This summer, November was officially designated as Hip-Hop History Month, prompting license and publishing company BMI to spotlight hip-hop artists across the country. You can check out playlists assembled by the BMI crew featuring countless innovative songwriters, rappers, DJ’s and producers who paved the way for emerging hip-hop artists. To celebrate here in Austin, […]

Welcome To The Horse House
Episode #76 - The GRIDiron Gang

Welcome To The Horse House

Play Episode Listen Later Nov 15, 2021 85:01


On today's episode of Welcome To The Horse House: Craig once again calls in, the boys looks at BMI, Tristan floats and alternate reality 9/11 conspiracy theory, Stephen performs faith healing at a bookstore, Rudy is compared to an American Idol superstar in a McDonalds drive thru and we are so far from The Lord's light! All of that gay bullshit and so much more on this week's episode of Welcome To The Horse House! Outro song: Goodbye by Limp Bizkit

The Hypnobirthing Podcast
Episode 36 - Plus Size Pregnancy with Laura

The Hypnobirthing Podcast

Play Episode Listen Later Nov 15, 2021 38:56


In today's episode I welcomed on Laura from Plus Size Pregnancy to talk about about the issues faced by those in bigger bodies. We talk BMI, water birth, home birth, induction and lots more! Find Laure here https://www.instagram.com/plussizepregnancy/?hl=en Follow me here https://www.instagram.com/the_nurture_nest/ Purchase my Essentials Course here https://www.tickettailor.com/events/thenurturenest/570651 Find out more about my other courses here https://thenurturenest.co.uk/courses/ 

You Start Today with Dr. Lee Warren | Weekly Prescriptions to Become Healthier, Feel Better, and Be Happier.

Self-Brain Surgery Tip #10 No is not a cuss word. You need margin and space to be efficient and do the things you commit to well. It's better to say no kindly than to say yes and then let more important things suffer.   Scripture: Matthew 5:37 Music by Tommy Walker (Music shared on The Dr. Lee Warren Podcast is authorized under BMI license #61063253 and ASCAP license #400010513 )  

Crossroads Community Church Sunday Service Podcast :: Valencia, CA

To find out more about Crossroads Community Church or to connect with us, visit the following links: → lifeatcrossroads.org → facebook.com/lifeatcrossroads To give online: lifeatcrossroads.org/giveonline. CCLI License: 2915685 CCS WorshipCast License: 9466 GRANT OF LICENSE. Crossroads Community Church is granted a non-exclusive, non-transferable license during the term of the agreement to publicly play, perform, and transmit via the website noted above, any musical composition controlled by one or more of the domestic Performing Rights Organizations (ASCAP, BMI and SESAC), as stated in the CCS WORSHIPcast License Terms and Conditions.

You Start Today with Dr. Lee Warren | Weekly Prescriptions to Become Healthier, Feel Better, and Be Happier.

Do you ever wish God would take action? Does it ever feel like He's taking a break while the world is going crazy?   Well, you're not the first one to ever feel that way. Here's a quiet time around when we beg God to take action!  This episode is in support of Tommy Walker Ministries. Check out the 2022 Drive here.    Scripture mentioned Habakkuk 1:1-5 Malachi 3:10 Music: Do It Lord by Tommy Walker (Music shared on The Dr. Lee Warren Podcast is authorized under BMI license #61063253 and ASCAP license #400010513 )  

You Start Today with Dr. Lee Warren | Weekly Prescriptions to Become Healthier, Feel Better, and Be Happier.

Self-Brain Surgery Tip #9:  A key to holding onto happiness is to decide what you believe about God BEFORE something hard happens to you. The hard things in life happen to all of us; settle your God questions 1st, & let him be there for you when it hurts. Scripture: John 16:33 Music by Lauren Daigle (Music shared on The Dr. Lee Warren Podcast is authorized under BMI license #61063253 and ASCAP license #400010513 )  

海苔熊心理話
EP227| 一生的減肥志業該如何堅持?瘦身vs雕塑又該如何選擇?

海苔熊心理話

Play Episode Listen Later Nov 12, 2021 28:08


減肥幾乎是每個人都有過的經驗,但也常常看到很多人明明看起來不胖,卻一直想減肥,肥胖有沒有一個官方標準?瘦下來後,又復胖怎麼辦? 我們今天邀請到楊式羅丹醫療集團的減肥減重醫師,楊名錦醫師,跟我們聊聊減肥的話題! - - - - - -

Ten Cent Takes
Issue 19: The Sandman Book Club (part 3)

Ten Cent Takes

Play Episode Listen Later Nov 11, 2021 77:52


Once again, we're walking the moonlit path of dreams and discussing The Sandman. In this episode, we're talking about the fifth and sixth volumes: A Game of You and Fables & Reflections.  ----more---- Mike: I don't think I'm getting a birthday present. I am relatively certain that they want to fire me out of a cannon into the sun Jessika: Hello. And welcome to Ten cent takes the podcast where we cause whiplash from rapid time leaps, one issue at a time. My name is Jessica Frasier and I'm joined by my cohost, the curious collector, Mike Thompson. Mike: Man, my collection has been growing by leaps And bounds lately. Yeah. COVID has not been kind to my closet free space.  Jessika: Oh, well, and you recently gave me my first short box, So  thing. So  Mike: I'm not sorry.  Jessika: no, don't be, I needed a place for the, my, I looked over at my, at my bookshelf one day and went, oh no, I have a lot of single issues that are just kind of sitting on a shelf. Mike: you know, you're a collector when you just have the random piles of single issues hanging out,  Jessika: I just have random piles of trade paperbacks. And just like, my counter is literally covered. Not only do I have every one of the Sandman series, just like chilling on my counter. I got, um, moon girl and, uh,  um, devil devil dinosaur, and that's just chilling. So I've just got all this stuff, like all over. Mike: Yeah, it's a, it's insidious. It takes over. your life. One issue at a time.  Jessika: Well, what better way to fill a tiny house shaped like a pirate ship than with comics. Mike: Hm. Fair.  Jessika: If you haven't listened before the purpose of our podcast is to study comic books in ways that are both fun and informative. We want to look at their coolest weirdness and silliest moments, as well as examine how they're woven into the larger fabric of pop culture and history. This episode, we are returning to our book club and we will be looking at volumes five and six of the Sandman series. If you haven't checked out the first couple episodes of the series, I highly recommend you go back and take a lesson. It's episodes 15 and 17. Mike: Yeah. And we're covering two volumes at a time.  Jessika: Yes, we are. So 15 was one and two and 17 was three and four. So you're joining us for five and six. So welcome aboard. Mike: Welcome to the deep end of the pool children. you don't get an inner tube and we don't have any water wings. Sorry.  Jessika: There's absolutely no lifeguard on duty. We are not responsible Dulce at this time. Mike: If You are enjoying our podcast, please go ahead and rate and review on whatever platform you're listening on. If that's an option it's especially helpful. If you can rate us on apple podcasts, there's a lot of discoverability, , or if you have overcast, you can always do a star for the episode and that'll push promotion as well. Or if you're a comic fan and you're liking what we're talking about, and you've got some friends who you think would actually enjoy it? as Well, please let them know any little bit helps. We really appreciate all of you who are spending your time with us. Jessika Audio: We also want to support other podcasts that we really like in this space. So this week spotlight is on the last comic shop podcast. Here's a quick review of what to expect from them. If you want us to feature your show, go ahead and drop us off.   Jessika:  before we leave into our main main topic, Mike, what is one cool thing you've read or watched? Mike: I was on hooplah the other day and I came across a new series by Jeff Lemire, who is the guy who wrote Sweet Tooth along with a bunch of other excellent. But it's called Gideon Falls and they have the first five volumes on there. it's a really interesting series. It starts off feeling kind of like a horror supernatural thriller involving a Catholic priest who comes to this town and he's very quickly wrapped up in nefarious things going on and it's really creepy. And then there's a B- story involving a guy who is in this kind of weird dystopian, urban environment, far away from the small town of Gideon falls. as the story continues, it morphs from being a, , supernatural horror murder mystery into a bit more science fiction and mad science while still keeping those original vibes. , and also there's a lot of personal tragedy involved with the main characters. That's really cool to read too, which I mean, that's what Jeff Lemire does is he writes these things that just, they make you a lot of times feel like you need to watch Schindler's list for a pick me up. They're excellent, but they are brutal at times. so after I read that, I then proceeded to read through the, what if omnibus that they had on hooplah and I needed something a little bit lighter to cleanse by.  Jessika: That's very relatable. Definitely been in that situation myself. Mike: but what about you?  Jessika: Well, I have, I recently purchased the book herding cats, which is a black and white anthology comic by Sarah Anderson Mike: like this is the woman who did hyperbole and a half, right?  Jessika: yes. Yeah. And also the one that I've spoken about before fangs. Mike: Yeah. The love story between the vampire and the werewolf.  Jessika: Aha. Aha.  Mike: Yes, I listen.  Jessika: you do, you're very good, probably multiple times because we record and then edit and relisten relisten. And this style of comic is definitely way different than the fangs one. , it's more of a simple design and it's just, it's a really fun time to begin with. I highly recommend her stuff to begin with. So hurting is a part of her Sarah scribbles collection. And if you've seen some of those strips floating around online, they're pretty cute. each page of the book is showing like a small relatable instance about daily. And it's definitely a mood booster. If you're looking for a different palette cleanser, this is definitely it, it kept me giggling the whole way through. And despite it's title, it's definitely not a whole book of cat Comics. I promise. Cause I'm not necessarily a cat person per se. I mean, they're fine, but I'm, I'm not a cat person,  but you will see some in there.  Mike: I'm more of a cat person  than you are  Jessika: You've truly are you are with your little dog  cat.  Mike: the Duchess Sprocket fonts adipose.  Jessika: Oh goodness. The names we give our pets. I swear. I think the most fun part about this book though, is that there's also a section at the back. , and it has advice to young artists and it's complete with Comics to go with the advice, which is super cute.  Mike: Oh, that's awesome. That's really cute.  Jessika: Yeah. That's really sweet. All right. Now onto the meat of our episode, this one's going to be a chunker buckle up everyone. So volume five of the Sandman series is titled a game of you and was published in 1991 and 92 it's composed of issues. 32 through 37 of the Sandman series and was written by Neil Gaiman and illustrated by Sean McManus. Colleen Duran, Brian Talbot and Stan.  We begin our tail in somewhere called the land and voices stadium may needed to find help and that the lane was in great peril and that they were waiting for the person, destined, to save them. Ultimately, one of the voices states their decision to go find the person that is supposed to save them. Meanwhile, Barbie, which was a surprise for me to see her again, is a woken by her neighbor, Wanda. And it's revealed that even though she sleeps, Barbie is unable to dream.  Mike: And we should note who Barbie and Wanda are, because the last time that we saw them was in the doll's house and Barbie at the time had been married to a yuppie named Ken who, when the dream, the vortex, was that what it was the dream for techs.  Jessika: Yeah, it was the dream vortex caused by Rosewall. Mike: Yeah. So when the dream vortex hit and. Ripping everybody's dreams into one another. There's this weird kind of overlap. Ken and Barbie had some sort of a fight. We don't know exactly what about, but it was basically, I think it was tied to the fact that Ken was, he was an eighties, yuppy, Wallstreet, wannabe, and his fantasies involved, things that Barbie found kind of testable. And then Wanda was the landlord, right?  Jessika: No, actually that was a different person,  but, um, Wanda. Yeah, Wanda's a new, person and she's in the new place. The Barbie moves to, Mike: Okay. Like I totally read that wrong. I have spent, I've spent decades thinking that Wanda was the same person as,  Jessika: I  Mike: uh,  Jessika: name now,  Mike: yeah.  Jessika: but he was, he was queer in the sense that he was like cross-dressing, but not necessarily like, he wasn't necessarily trans from my understanding. Mike: Yeah. but the other thing is that on the back of the book, I think they sit there and they refer to the drag queen. for, for this volume,  Jessika: oh, well that's just rude.  Mike: Yeah.  Jessika: That's just transphobic. Mike: yeah. Hold on. Let's, let's take a look at this now.  Jessika: Well, I am going to yell about the transphobia, so we'll , just wrap it up now. We'll get started here. Mike: Yeah, so it's literally the promo text on the back is taken apartment house, add in a drag queen, a lesbian couple, some talking animals, talking severed, head, a confused heroine and a deadly Kuku. So I don't think that's on Neil Gaiman. I think that's more DC comics than anything else,  Jessika: I agree. That was whoever was writing the cover script. Mike: but that is something that, because I read that description, I thought it was the landlord Hal from doll's house, because Hal was someone who clearly was like tight with Barbie and also had a drag persona?  Jessika: there was a one-off statement about how pal gave her be addressed to the landlord for this place where she moved to New York.  Mike: I missed that. Okay.  Jessika: It's again, one of those, you know, I'm glad I could catch something you didn't. Cause it's usually the other way round. Mike: Yeah. No,, but honestly between that and, the, uh, the promo text on the back, I thought that one had moved on from her assigned gender and was now living in her actual identity. But that was clearly not the case. And that was a little confusing to me. But the other thing is that, you know, the art style had changed. And so I wasn't sure if it was just a new artist rendering an old character. So on me.  Jessika: that's caught me a few times though, where I'm like, wait, the art's a little bit different.  Mike: Yeah.  Jessika: Am I like, is this the same character? And I had to kind of suss out who the character was , which is fine. It was easy enough,  Mike: That's kind of shocking that they sit there and still identify Wanda as a drag queen. Like these days  Jessika: yeah.  Mike: anniversary book.  Jessika: Yeah. That was very disappointing to me. didn't realize that. And that just Mike: Not great.  Jessika: Neil, that one probably wasn't Neal.  Awesome. It was God dammit.  Mike: I doubt it was like, I don't, that, reeks of marketing .  Jessika: Well, there are absolutely people who write the, the covers and whatevers. Mike: yeah.  Jessika: So Barbie is living once again, an eclectic type living situation, but has moved to New York. Like we were saying beside Wanda, her neighbors include a lesbian couple named Hazel and Foxglove and a seemingly square bear of a young woman named Thessaly and a middle-aged man named George, who seems to keep to himself for the most part. Barbie also gets very creative with her makeup for the day, painting a black and white checkerboard onto half of her face. And Wanda has decided that spite their lack of money, they should go shopping and at Tiffany's even, Mike: Yeah, I really liked Arby's makeup because it felt very much like what you see on Tech-Talk these days, which is all optical illusions and cool stuff like that. So, Neil Gaiman, oddly prescient, or the 1990s. Jessika: He's doing us good right now. So we quickly cut to the dream realm where Dream is talking with Matthew, the Raven and his son, something happening in a far part of the dream realm, that there was some sort of transition. We zip back to Barbie and Wanda who are on the subway. A woman approaches them for change and Wanda brushes her off. While Barbie throws a of quarters in her cup, the woman becomes very upset when she sees that she is sharing the subway car with a puppy and starts yelling and panicking saying that she doesn't like dogs. The dogs scare her and she exits the car. The first available stop then up the stairs and out of the subway onto the main road, still yelling about not liking dogs. She is immediately face to face with what looks like a giant yellow dog with a large mustache that had to be bigger than a bus. This thing was huge. Mike: Yes,  Jessika: And it didn't even really look like a dog, but that was probably the closest approximation to what you could call it,  Mike: it's kind of this weird amalgamation between a Saint Bernard and a lion.  Jessika: Yeah. Yeah. That's a good way to say it.  Mike: as we learn we have seen him before in Barbie's very kind of like Alison Wonderland meets Lord of the rings dreams that she was having before the events of adult's house.  Jessika: Yes. And we will definitely be talking about those  Mike: No.  Jessika: and the woman upon seeing this huge dog what's herself and then faints meanwhile, Wanda and Barbie have made it to their stop and go forward breakfast prior to their shopping spree. After being asked about the subject, Barbie explains that she hasn't been able to dream after a weird night back where she used to live. And after that point, things fell apart with her relationship with Ken, she said she stopped communicating with him anymore and they weren't really being intimate. And then Ken found another woman and was like bringing the other woman over, even though Barbie was there. It was super wack. Mike: Yeah, And I mean, I dunno, good for her for, knowing right out of that situation. Jessika: Yeah, exactly. She didn't deserve that.  Mike: No,  Jessika: So pan back to giant dog thing who is looking super rough, it. Mike: uh,  Jessika: He's still trying to complete his quest, even though he's limping along, the police are trying to cordon off the area and Barbie and Wanda are passing along that same way. Barbie recognizes her friend calls him by name Martin. And as he's trying to make his way towards her, the police fire on him from multiple angles, he falls in a heap to Barbie's feet and tells her that she needs to go back. The land needs her and gives her the serpentine, which appears to be a large pink stone in an ornate fitting on a necklace, one a pulls away as Martin dies from his injuries. She gets Barbie home and helps her into her apartment. And Barbie realizes that the necklace was from her dreams. And then her whole room fills with blackbirds who turn white, which was, that was a wild thing. And outside the door, George seems very interested in the situation and tries to ask Wanda, but she just brushes him off.  Mike: Right. And it's , kind of creepy, like his demeanor is that he seems like that weird sorta infatuated in cell who's uncomfortably interested in one of his neighbors.  Jessika: yeah, he's like at the door with his head down. He's like post Barbie.  Mike: Yeah.  Jessika: I wish you could see me, everyone. Cause I'm just like girl. then he goes and grabs a whole ass Raven and puts it in his mouth and swallows it whole and grinning the whole time and mentioned the. Mike: Yeah, by that point in time, it's not surprising that he is off in a creepy, supernatural way. there've been enough weird little hints about them throughout the issue.  Jessika: Yeah. He's just kind of a lurking most of the time, which is very strange.  Mike: Yeah.  Jessika: There's a whole lot of other apartment drama, of course. And , Hazel was taken advantage of while drunk and is now pregnant, but hasn't told her partner Fox glove. she's also pretty naive about how reproduction works in the first place, which is super depressing. Like she didn't know basic things. Mike: It felt like she was written to be unbelievably dumb about this one topic, even though she's in a queer relationship in New York, she works as a chef. And when we're first introduced to her, she seems very no bullshit because when we first meet her, it's Wanda trying to get milked for Barbie and Hazel is like, kind of. Antagonistic towards Wanda. And you're not sure if it's because she's possibly transphobic or if she's just not a morning person, because they let Wanda come in and grab some milk and it just seems like they're kind of cranky people who are not thrilled to be woken up in the morning.  Jessika: Yeah.  Yeah.  Mike: But then like later on, she has these moments that are just, literally unbelievably naive and I don't think her character was written like she should have been. I don't know. I, I'm curious if, when they do an audio book of this, if they ever get around to it, how Gaiman's going to rewrite her.  Jessika: Yeah. Same as I, I just think, yeah, there was a lot missing from this character. Just didn't feel like you said believable as a character, just in all of these different pieces to her. So Barbie is still waking out a bit about her experience and with the birds and everything else, and Martin 10 bones, all that stuff, and tries to decompress while watching TV. And she starts drifting in and out of sleep. And by extension in and out of the dream realm, Nuala actually does show up again. I know we had said prior that we weren't sure if she does, but she does, Mike: yeah. And new Allah was the ferry who had been given to Dream as a gift in volume four without her consent, by the way, it was kind of like surprise you now serve the dream Lord,  Jessika: Yeah. You're not coming home with me. Sorry. This is now your problem.  Ugh.  Mike: which, I mean like, admittedly, we all kind of wish that we could do that with our siblings at one point or another,  Jessika: well, Mike: I mean,  Jessika: my brother doesn't listen to this anymore, so it's fine. Oh goodness. So Nuala does show up and she tries to warn Barbie. That shit is about to get complicated at which point Barbie does fall asleep and passes into the dream. cut to creepy George, who is cutting himself open. He pulls open his chest, exposing his ribs, where a bunch of blackbirds had evidently been waiting and subsequently fly out of him. The other members of the apartment complex start having weird and awful dreams and the birds visit each sleeping individually individual thusly catches the bird, trying to harass her and with a glance at ignites in her hand, which affects George. This is the first real glimpse of the idea that thusly may not be the quiet innocuous individual that she first seemed to be. And she then goes to see George at his apartment wielding a kitchen knife. Mike: Yeah, I thought that was really cool. And the thing is, is that that's actually a really good example of kind of game and doing , some misdirection because he doesn't drop any hints about her. All you get the idea of is that she's extremely straight-laced and kind of nebbish for lack of a better term. Jessika: Yeah,  Mike: yeah, and then she just busts out powers and she's really not featured much before this either, which was kinda.  Jessika: yeah, And back in the. Barbie is having to reacclimate herself to her own dream character as she has only the fleeting memories of the night she spent there. And everybody in the building starts to awaken and the birds disappear. They're all shaken after their nightmares. And one by one thusly visits, the apartments of the other residents starting with Hazel and Fox glove followed by Wanda. Leslie already knew the Barbie was in trouble and Wanda used her spare key to get into Barbie's apartment at Besley's urging and Barbie was out hold still in the dream room. Leslie asked Wanda to carry Barbie to George's apartment since Wanda was quote unquote the strongest and then Hazel who I'm sorry, is just dumber than a rock points to Wanda's genitals and says, Hey, you have a thingy, which firstly, take a step back, captain obvious. And secondly, so the fuck what? Mike: Yeah. And it goes back to that thing that we were talking about with Hazelwood. It's like, she is suddenly this very, almost childlike person, even though she is a grown ass adult and a queer relationship in New York city. Like, I dunno, it's, it's not great. It feels. Very clumsy. Jessika: It sure did. And I think childlike is, is probably the best way to put it because it did feel that way. Like she was seeing something for the first time and it's like, girl, Mike: it's like you're pregnant. This isn't the first time you seen one  Jessika: seriously,  Mike: anyway.  Jessika: goodness. The party, Firenze, Georges gross poster size picture of Barbie that he has framed up on his wall  Mike: Yup.  Jessika: and is informed that Thessaly has killed George and he is in the bathtub. So Wanda's freaked out by all of this. Of course, I would also be very freaked out at this. not going to lie to you. Mike: Also we need to, we need to Go back. for a second and it's not that George is dead and in the bathtub it's oh no. George is in the bathtub and they go, oh, is he taking a shower? It's weird that he's taking a shower at 2:00 AM. And she's like, no, no, no, no. I killed him. And his body is in the bathtub and that's when the freaking out happens. Jessika: Yeah,  Mike: I thought that was great. I loved it. Jessika: I did too. Cause definitely left the door open to George's house and everyone's like, George. Hello. Mike: Yeah. No.  Jessika: Oh, of course one is freaked out and she says that she's going to leave and she physically cannot. As if by magic, Leslie also says that she is going to get George to talk and starts the disgusting process of doing so she has to remove his eyes, his face skin, and his tongue, this, she actually bid out, which was fucking as fuck. Mike: Yeah, after it looks like she's kissing his skinless face.  Jessika: Uh, yeah, was horrifying and nails these to the wall and then tells George that it's time to come back and horrifyingly. He does come back and WordStar coming from the face nail to the wall and it's gross. So thusly starts to interrogate him about his plans and he begins to tell the group the CU. Wanda is disgusted and runs to the bathroom where she vomits and the rest of the group seemingly is surprisingly calm about the whole thing. I don't know that I would be personally, so Thessaly who is now out for revenge against the cuckoo for, you know, trying to fuck with her in her sleep states that she needs some menstrual blood and asks Fox glove. And when she asks, why she has to with Besley reveals that she has not been straight in a long time, And that Hazel is pregnant, which they definitely do not have time to deal with at the moment. But hill was obviously shocked and upset by the news. And Wanda is told that she can't go onto the next part of their journey because she needs to watch Barbie. But there seems to be an underlying reason after conversing with a being that seemed to be made of light stating that she needs to seek entry into the dream realm. Mike: Oh so it's actually, um, it's the threefold goddess who the fates basically who keep on showing up throughout. So it's, it's that, mother maiden crone, who normally, when we see them, it's, they're different phases, but they're all kind of part of the same amorphous black shape. So , depending on the artist, it's like, one being, but with like, you know, the three different identities at the same time, but it's also the.  Jessika: Yeah. And I didn't get that. It was those three again, so thank you for, Mike: That's something I caught, like on my second or third read through  Jessika: Okay. Well, I feel better about a thumb. Mike: it's. I mean, it's a fleeting moment. They only show up for like a page maybe.  Jessika: Yeah, yeah. Mike: Yeah.  Jessika: meanwhile, on the street, our friend, the I don't like dogs, lady is pointing out to a passer-by that the moon is acting strange, that it had disappeared from the sky. He states that it must be an eclipse, but she says that it just left. It was not like it gradually blacked out like normal eclipse. So Wanda watches us the three women walk into the light and disappear out of the room and the moon reappears in the sky for our friend on the street, Wanda starts questioning her womanhood because she vomited during the interrogation that somehow has makes her less of a woman. But I would argue that I would do the same. That whole situation was so gnarly. Mike: Yeah. it's very pagan ritually. it feels like, old school kind of like druidic, I'm sure that someone's going to get mad at me for saying this, but , it's very pagan, a cult. I don't know the rituals, but it feels like a lot of those things that you read about and fantasy novels that are set in, like our theory and times.  Jessika: Totally. So the head then starts talking to. back in the dream realm, RB and company are making their way to their destination and have some near misses and find some other dead friends along the way the land has suffered since she has been gone, they talk about the cuckoo and how the bird lays its eggs and the nest of others. And once hatch, the young cuckoos push out the other eggs or young of the bird who initially built the nest while also fesses up to Morpheus about having warned Barbie. But he agrees that she did the right thing, princess, Barbara, and party, get to their destination, the sea and send, lose the parrot to get help. Mike: Yeah. And at this point there's only one other companion left. Who's like a, like an aardvark or an anteater.  Oh, is it okay? That was some  Jessika: It's a rat. It's like a, yeah, some rodent where it like  Mike: and a trench  Jessika: a order. Yeah.  It looks like a reporter of a pie. Mike: Yeah. And, as their journey has been going on, it's kind of like, , the group of friends in the horror movie who are slowly getting picked off one by one. and the one That always gets me is the monkey. And I can't remember his name. But he would scout ahead and then he didn't come back and Barbie at one point asks if they think that he's okay and one of them just goes no, and then they go and find his body and it's like, Hmm. Hmm. Jessika: Yeah. That was really. And back at the apartment, this was a very web flashy, one where it's very back and forth. Uh, back at the apartment, Wanda is talking to George's face and she asks him why she was left behind. He says it's because she's a man stating that the moon Magic that was used can only be used by biological women, which yikes. No, no, no, no, I don't. I don't like that one bed. And George also offhandedly states that they should be concerned about the weather. So back in the dream realm, Luiz has betrayed Barbie and brings armed guards to their hiding place on the lift. And they also killed the last remaining member of the party. So Barbie is dragged away by the guards and then is paraded through the town into a small pink house. Mike: Which is the house that she grew up.  Jessika: It is, yeah. It turns out to be a replica of her childhood home. she is also confronted by someone who appears to be her as a child, which is strange. child Barbie starts explaining that she had basically possessed her dreams and was taking over. Barbie becomes more and more visibly weak from being , in the house and around the young doppelganger. Ann Young Barbie leaves the house with her entourage of large dark plaid guards. Mike: While dragging older Barbie with her.  Jessika: Yeah. So back in New York things have started to get wild. A hurricane that had just left, turned around and heads back into town. The women walk a path of Moonlight to the dream realm where thusly fesses up that she's been around a pretty long time and starts in on her plan for revenge. I would not want to cross this lady. It did not take much for her to get pissed off enough to want to kill people. Mike: I mean, I found it pretty relatable.  Jessika: So they run across one of Barbie's failed companions who tells them that the cuckoo Barbie  Mike: Well, they come across the body and then facily resurrects them in a similar manager that she did to George.  Jessika: Correct. Mike: Yeah. And that's how they're able to get him to talk.  Jessika: So during the walk Fox glove and Hazel discuss their future and Fox glove decides to raise the child as theirs and they make up in a sense. in New York, the storm is raging. George is making terrible transphobic jokes from the wall and the woman outside has been caught in the storm. So one helps a woman get inside out of the storm, in the dream realm, young Barbie, as an acting and plan, and has gone out to the most ancient point of the land. The higher gram that's land her two companions start making their way over, but are met by young Barbie who points them over to the threat quote, unquote, stating that lose is the cuckoo and loses a parrot. I might add. So the fact that she's saying the para did it is actually kind of a good assumption to make a Kuku. Fastly goes over confirms with the bird that she is in fact, the cuckoo and strangles her and snaps her neck. when Hazel asks why she did it, she says that the bird had to be taught a lesson. The lesson was that you don't get a second chance, which yeah. Mike: Yeah, Nestle is, uh, the epitome of don't fuck around.  Jessika: yeah. found out. then young Barbie explains to Barbie and the others that the time has come to do what she had been brought here for. Back in New York are I don't like dogs. Friend is named Maisie and she is rightfully creeped out by George's face on the wall siding, bad vibes, which agreed more transphobic questions on some stories from Maisie about another trans family member she had, . It was just bad news bears. Barbie does a, she is told by young Barbie back in the dream realm and slams the porpoise teen into the large stone HIRA gram. And there's a great explosion at which point it's revealed the young Barbie is actually the cuckoo and that her goal, the whole time had been to get Barbie, to destroy the Portland teen and the high program. And then the cuckoo wouldn't be held in the land any longer breaking the spell and the land would subsequently be destroyed. So the necklace also disappears right off of Barbie's sleeping chest back in. Morphine's appears and Stacy, he created the land and puts Barbie back in control of her own mind as she had been Bewitched by the cuckoo and all of the characters of the land start filing past, ending with one dark haired and scarred woman in white, who clearly had history with dream, like every other fucking woman in here. So vessel, he tries to claim the life of the cuckoo. But dream is like, Nope. And states that he's displeased, that she's caused some major shit. Mike: Yeah, he was. If I remember, right. Dream was upset that she had trespassed into the dream realm without his permission.  Jessika: Correct? Yeah. Mike: And it's also implied that her getting the goddess to grant her and foxglove and Hazel passage to the dream realm resulted in the hurricane.  Jessika: Oh no, that was absolutely implied. Yeah. The implication was that if you pull the moon out of the sky,  you're going to fuck with the tides. Yeah. Yeah. so we turn again to New York where that storm is even fiercer than before. And then there is an explosion of weather from outside and the world starts to. In the dream realm, dream states that he owes Barbie a boon and also reveals that Rose Walker, from , our doll's house volume had partially caused this mess. During that fateful night of converging dreams. Barbie asks that she and the other three women get back safe and sound, and they are sent back and we end volume five with a funeral Wanda's funeral. Barbie was pulled from the wreckage and was able to recover, but Wanda amazi did not make it. The funeral was similarly depressing and not just because Wanda had passed away, but because they were using Wanda's dead name and it cut her hair and had put her in men's clothing. And she was buried by her family who clearly had no idea who she really was nor cared to listen to find out. And even the headstone had her dead name listed. So Barbie took out a bright shade of lipstick and wrote Wanda on the headstone Barbie dreams that she sees Wanda with a smiling pale woman wearing black. And she finally seems happy. Mike: do we ever find out where the funeral is being held? It's just, it's implied that it's vaguely south Midwest.  Jessika: She had to travel.  And it did kind of seem in the south. I don't know that we got an exact location.  Mike: Yeah. It was, it. was somewhere, very God-fearing and intolerance of people that are the least bit different.  Jessika: Yeah. Well, what were your overall impressions of this story and who are your favorite least very characters or events of the fifth? Mike: Uh, you know, this volume is a really, it's an interesting change of pace because up until now, we've gotten stories where even if dream wasn't the main character, he played a really prominent role in the narrative, even if he was sitting in the background and this time around, he really doesn't show up a lot. And when he does, it's kind of just a bookend, the story. It's funny because whenever I talk about something that Neil Gaiman wrote and I'm like, oh, it's not my favorite thing. It's still better than 95% of things that I've read. this is not one of my favorite Sandman stories. Part of it is just because it's, it does provide that, that whiplash that you get where we're pivoting back and forth between the dream realm and New York. And there is a clumsiness too, to a lot of the characters, like we've already talked about Hazel. I feel like new Haven was trying to provide a narrative where someone who is trans is human, because he has several scenes with Wanda where Wanda talks about it and is very adamant that she is a woman and the story, the narrative doesn't judge or mocker for that. But , as you said, George is gross and transphobic, which makes sense. And, Maisie that the homeless lady is kinder. but you know, there, there is still that moment of are you a man or a woman? and then she relates the story about her grandson. it's not explained if he was just very femininely gay or if he was trans. Um, but she sounds like she was supportive of him, but then , he got killed during some sort of hotel hookup, which, I mean, that was a real risk with gay culture. Like, you know, especially during that time. I think it's one of the Columbia, your stories of the overall Sandman series. I don't think it's bad, but viewed through a 20, 21 lens, I think he could stand some revision. I don't know. I, my, my opinion is pretty much my opinion, I think, has the least value in, in any conversation about gender identity, because I'm a CIS white guy.  Back on track, uh, did it, did it, uh, you know, I, I did actually really enjoy how we got to see some of the characters from the doll's house return, especially Barbie. it's really frustrating that I kept on thinking that we had seen Wanda in the doll's house. And it turns out that that was some misleading copy. That kind of made me think that like, oh, sorry. I liked how we got to see more of a strange fairies hill of a dream from that book and how it was spun out into a larger story that had a bunch of twists and turns. I don't know if I had a least favorite character, honestly, like, yeah, the Kuku is a hateful character, but I also thought it was kind of interesting that, that she was trying to kill Barbie so that she could exist. And then I don't think the cuckoo shows up again. I think the cuckoo just like bounces after this, when she flies off. I for some reason, like, I remember when I thought the KUKA was going to come back and be an even bigger batter nastier villain, but I don't think that happens. I could be wrong. It's been awhile, but I don't think it does. I thought was a really great character. Like we already talked about how, the way that they actually reveal that there's a lot more to where character and also how she is just straight out of Fox all the way through the story. and then, I guess, I guess my least favorite character is Hazel's character and it's not because of anything that was really wrong with her role in the story. It was just, she was very clumsily writ.  Jessika: Yeah, Mike: like I said, I think she just comes across as dumb at the most convenient and unbelievable times. It's just, it's too coincidental where at one point she's asking about like, oh, well, don't, you have to kill a rabbit to like, what, what was it like she was asking about like to perform an abortion or,  or  Jessika: see if you're pregnant. Cause that  Mike: yeah. Like, come on, okay.  Jessika: Yeah, actual most ridiculous thing. I know. Mike: , I don't know. Like, do you agree to disagree? Like, I feel like I might be reading too much into this just with my own thoughts, but  Jessika: Oh no I was, I was pretty disappointed in how this whole thing was written. I'm not gonna lie to you. I was disappointed in the transphobia. Let's start there.  Mike: yeah.  Jessika: It just felt like the entire volume, it may have been done with the intention of bringing to light some of the challenges that trans women face like deadnaming or of constantly being told that genitalia is what makes one, a woman or the idea that to do trans correctly, you need to get surgery or the blatant violence against trans people. But I don't think enough was done to highlight someone doing the right thing and giving example of allowing someone to just live their life genuinely. And Barbie is a good example of a somewhat decent advocate, but I wish that the lesbians in the building had done more to be open or even just not completely stupid about the situation. It just felt really TERF-y  Mike: Yeah.  Jessika: Which, you know, to, to explain for any of you who don't know a turf as it's trans exclusionary, radical feminist, which is just a way to say you don't want trans women in your fucking woman club for some fucking odd reason. Mike: Yeah, And I mean, back in 1991, when this was written, that wasn't really a thing like, gender queerness, wasn't really a known thing. It was your transsexual  like, did you ever see the movie soap dish with Sally field and Whoopi Goldberg and Elizabeth shoe and Kevin Klein?  Jessika: No.  Mike: It's a really funny movie up until the last 10 minutes, uh, where it's, it's about the cast of a soap opera and how the behind the scenes stuff is even more ridiculous than what's going on in the soap opera. It's great. But then the last 10 minutes or so it's revealed that the villain who's been pulling everyone's puppet strings, , she's , publicly humiliated by being outed on live television as a trans woman. And that's the punchline. in, 1991, This was considered wildly funny. this is an example of how our views have changed in the past 30 years. for the better where we can look at this and say, this is, this is not great.  Jessika: Yeah. I mean, it's still happening though. And that's it, it's still a very real problem within the, you know, the LGBTQ plus community.  Mike: a hundred percent.  Jessika: Yeah. It's just in the end, I felt like there were no lessons learned by the people who had been the most transphobic. Mike: Yeah, I mean, cause George, we knew was going to be terrible. , and then Hazel and Fox glove, there was no. resolution on that because by the time that they get back, Wanda's dead.  Jessika: Yeah. Yup. And which that also felt refrigerators. Like you're going to kill off the one trans person, like okay. Mike: Yeah. And there's the, the happy ending of, we see Wanda perfect. And in this amazing dress with death, waving goodbye to say farewell to Barbie, which is it's. I mean it's  Jessika: But she, but my problem with that is she looks a little bit different. Like she looks more feminine and  she looks more in it's. That's not necessarily what, and I mean, I'm not trans, so I can't speak to this experience, but to me ha, having known people and talk to their experience, that's not necessarily what they want. They don't want to be a totally different person. They just want to be them genuinely. Mike: Yeah. I mean, I certainly can't speak for people who are trans or gender fluid, or, or anything in that realm. Like that is well outside my wheelhouse. I can just say, I agree with you. It feels achy.  Jessika: Yeah. Yeah. Well, and yeah, since, no real lessons , were learned. I mean, maybe that's the real message that people don't fucking learn. And if so, thank you. That's goddamn. Depressing. Mike: Yeah. The one nice moment was when Barbie wrote Wanda's name on her tombstone and the bright lipstick, that was nice because you know, it was loud and it was flamboyant and it was very much everything about Wanda's personality, but it was really dissatisfying as an ending.  Jessika: Yeah. Yeah. I agree. Did you have a favorite art moment in this volume? Mike: I'm not sure that I had a favorite art moment, but I was really affected every time one of Barbie's friends died or where she found their bodies. like it, it genuinely made me sad. You know, I've already talked about how, when they found per natto, the monkeys corpse and how it was really sad, but Martin 10 bones and his expression right before the cop shot him, because he just looked, it was that look of, oh, I found my friend , and I've got the message, but like, it, uh, it reminded me of the time that I'd take my dog into the vet to put them down.  Jessika: Mm. Hmm. Mike: you know, and that's, it's, it's that moment where you, uh, when you're holding the dog and it's like, oh, everything's okay. And then they give him the shot and he gives you this look just fucking rips you apart every time. So not really, uh, not really a favorite moment, but definitely in effecting one.  Jessika: Oh, you're trying to get me go on to, Mike: Yeah. Um, I dunno. What about you?  Jessika: well, I really enjoyed how they did the color and line work and the moon.  Mike: Yeah, those were cool. Jessika: Yeah, it was neat to see how they use the negative space and implied shapes using lions. And it also made me feel like I was a part of the scene. There was almost like I had to shield my own eyes from the full white pages. Mike: Yeah. that was, that was neat. Jessika: any final thoughts about this volume before we move on? Mike: like I said, it's not really my favorite. I keep thinking about Hazel and Fox glove. And it's interesting because like Fox glove was, , the girlfriend of the woman who put out her own eyes with the forks or , the, the skewers and the diner,  Jessika: Yeah. Yeah. I figured you were going to bring that up. I was, I was like, how can I condense this  crazy story? Mike: Yeah. And so that, I, that was kind of a neat throwback because I remember Fox glove is like a very, it's like a throwaway name or something like that. And then I think her name is Julie shows up in the jacket that she was wearing and her eyes , are not visible during the nightmares when everyone's being plagued by the Cuckoo's Binion's. I will say that moment where Hazel and Fox glove are first in the dreaming and Fox lava sitting there and basically screaming at Hazel about getting pregnant and it feels like it's going to get real ugly. And she's like, when we get back, I'm gonna , call you all sorts of names and tell you how dumb you are and do you know how much it's going to cost for us to raise a baby. and she's like, we're going to have to buy one of those stupid expensive books to name the kid. And I was like, oh, Okay. , and then they're holding hands by the end of that page. And it's, it's sweet. that story continues actually in a couple of mini series about death, that, that game in road. And they're really good. they've got their own sense of tragedy and everything, but they're, they're solid, I don't know, it's not my favorite , but it does a lot of things that are really interesting. And I also think that it leads to some really cool stuff down the road.  Jessika: Let's move on to volume six, Mike: Okay.  Jessika: titled fables . And flections. This was originally published in single magazine form as the Sandman 29 through 31 38 through 40 50 Sandman special one and vertigo preview one between 1991 and 1993. So very much a true compilation written by Neil Gaiman illustrated by Brian Talbot, Stan wool, Craig Russell, Sean McManus, Jon Watkiss, Jill Thompson, Duncan Eagleson and Kent Williams. And this was very much a, an anthology of a bunch of different stories that didn't necessarily tie together as a, an overarching plot like previous volume did. Mike: Yeah. it's very much like dream country just with about double the cost.  Jessika: Yeah, Yeah, exactly. The first story is fear of falling. A musical theater writer and director who is wanting to give up right before his show. While sleeping. He is visited by Morpheus who ends up inspiring him to take the leap of courage. It took to finish his project to completion. Next up was destined mirrors, three Septembers and a January the story of the emperor of the United States. Here's the scene. San Francisco, 1859. Dream is drawn into a contest with his siblings, desire to spare and delirium, to see who could push a man to his death, each trying different tactics to try to lure him into one of those emotions. When Morpheus entered the scene, he basically just gave the man his exact dream. He wanted to be king and Morpheus stated that he was the emperor of the USA. He starts making proclamations about his claim to the throne and starts gaining popularity and the charity of the town around him. And he actually becomes famous for being the emperor and is even sought after, by tourists, visiting San Francisco. He has called crazy at times, but does not fall prey to madness desires, unable to tempt him as he already has everything he dreams of and despair was never in the picture. After his dreams came true. He was truly content and dream had won the contest death swoops in looking stylish as ever and leads. Mike: Yeah. And emperor Norton is actually someone who really existed in San Francisco. Like he's a part of our local history and  Jessika: I  didn't know that. Mike: yeah, no he's emperor, Joshua Norton, the imaginary emperor. he's a really cool part of San Francisco lore and I highly recommend, , reading up on him if he ever get the chance. he's one of my favorite stories about the city that. I grew up in.  Jessika: Oh, I'm definitely gonna look into that now. Cause I mean, I love just a Stone's throw away and I can't believe I've never heard that before. Mike: Yeah.  Jessika: The next story is mirrors Thermador said in England in 1794 with Morpheus, just swooping into the home of Johanna Constantine. And I'm sure that name sounds familiar in the middle of the nights and I'm not going to lie. It was really creepy when he was just like Nabu, all your people are asleep, just you and I. Sugar was like big. Nope. Mike: Yeah.  Jessika: And then he's like, Hey, I have this super dangerous mission. UN she's all, but what's in it for me. And apparently she just believes in vague promises and agrees to help with him and with his family matter that he needs a mortal to intercede in. And it. Then it is post the French revolution. The reign of terror is in full swing and Johannah gets caught sneaking through the town late at night with a decapitated head in a bag, you know, casual Mike: who hasn't been out on a Saturday night with a human head and their satchel come on.  Jessika: Mr. Al of late God. Once you got my bag, nothing you'd be interested in. So She ultimately gets picked up by the law sands head and as kept as a prisoner under a further threat, if she does not tell them where the head is, this whole thing about like her spreading superstitions or some bullshit. Mike: , Yeah, because robes Pierre was all about reason and eliminating superstition and religion. If I remember my high school history,  Jessika: you are correct. Is that whole logic piece, which he was just going off about. So she dreams a little dream and visits, Morpheus and reveals that the head is Morpheus, a son Orpheus,  so Joe had a basically says, this is your fight, but I'm in the ring little hope over here, Hugh the extra creep factor where the law rightfully figures out that she probably hit the head with all the other heads and go tell her to fetch the one they're looking for. Johanna gets the head, props it up, covers her ears. And tells Orpheus to sing. It drives the map, puts them in a trance unclear, but she is able to get away and get Orpheus to a little island paradise where he has previously been. We also come to find out that Morpheus is quite the absentee parent. , it was so sad. There was this part where Orpheus asks Johannah basically does this mean he cares about me and she's like, dunno. Mike: Yeah, it's a, anyone that's grown up with with strained relationships to their parents, like can just feel that gut.  Jessika: Yeah. The fourth story is convergence. The hunt. So we find ourselves this time in a story within a story. Uh, grandfather tells his begrudging granddaughter, a tale about a man named Vaseline who becomes obsessed with finding a Duke's daughter based on a measure painting that was given to him by a Romani peddler, as he goes off in search of this woman, he has never met. He first encounters, the Romani peddler that had given him the miniature she is dead on the forest path, that he just swoops her bag of items and moves off through the forest. He meets several characters along the way, including Baba Yaga and a tall slender librarian, each particularly interested in one of the stolen items. He was peddling one night while hunting a dearest his target is taken out by a woman of the forest who factors into the story a little bit later upon reaching the Duke's mansion. He is led to a dungeon to rot, but is saved by the tall librarian who really, really, really wanted that book because it turns out the book is from the dream realm and Morpheus would be  very, very,  displeased. Should it not be returned? Mike: We've met the librarian before in passing, he's Lucy in the librarian of the dream realm. Like he's the first one that Morpheus basically reintroduces himself to once he gets back to the dream realm preludes and Nocturnes, but like he doesn't show up a lot. , it's one of those things where he's kind of like a central figure to the dreaming, but he doesn't show up a lot in the stories. , I don't remember. I think he may have appeared in passing in season of the mists. I can't remember, but anyway, sorry. His name is Lucien. Like that's, That's all I was trying to,  right?  Jessika: So in exchange for the book, Morpheus takes Vasily to the woman's room, but when he gets there, vastly simply looks at her and gives her the necklace back saying this belongs to you later on in his life. He runs back into the woman who took down the deer while there are both in Wolf form. And at the end of the story, the granddaughter assumes that her grandfather has made up the story to assuage her from dating her current boyfriend. But an ending comment, lets the reader know that the story may have some truth after all. Mike: that was one of my favorite closing modes. I I'm not gonna lie.  Jessika: It was sweet. So our next tale distant mirrors. focuses on Julius. Caesar's next of Ken Augustus, who after a dream decides that he must live one day in the life of a beggar. So he calls upon an actor who happens to be a , little person to assist him in getting into the role for the day and show him the ropes. They start by making artificial boils on their faces and arms. They dress and rags and take to the streets in a dream, he was approached by Morpheus who knew about his troubled past being brutalized by the man. He looked up to the man, a whole empire looked up to, there was also this whole situation with there being two different futures. Augustus had read the prophecies, edited some destroyed others so that that overall people wouldn't know what was truly predicted. And so that he could make his own course of choosing by being a baker one day a year, he was not being watched by Julius and the other gods and therefore could plan without them watching after Augustus's death, the actor who had accompanied him that day wrote the story of his day with the emperor. However, the harsh details of Augustus's life remained a mystery that he himself took to. Next up. We once again, go back in time with convergence. Soft places. If you don't have whiplash yet, just wait. You will get it by the end of this episode. But this time we go to see Marco polo who was lost in the desert and having the most odd dream. He runs into a person who says his cellmate is named Marco polo and they that run into our buddy Fiddler's green or Gilbert, who we saw in the doll's house who tries to impart a lesson on Marco polo. Marco thinks that he is going to be stuck in the dreaming, but when he emerges, he is back with his father and was only a few hundred feet away from the party upon waking Marco forgets the dream. He was just a part of the Seventh story is the song of Orpheus we again, meet Orpheus this time, his head is still firmly attached to his neck and he is going to be married that day. His friend, is also at the wedding along with Morpheus and all of Morpheus as sibling. The bride reminds, era status of his long dead wife. And during the wedding, he requests a private meeting with Eurydice fading, a need for assistance. He states his intention to rape her and goes to grab her, but she needs him and runs off where she steps on and is bitten by a poisonous snake and dies right there. Orpheus realizes that she is no longer around and panics asking if something has happened to her grieving, the loss of his bride Orpheus seeks help from berserk his father than his aunt death, demanding that she bring her back death states that she cannot, that Euridice is any underworld now, and that he is unable to go and come back as he is a mortal after more prompting, she does state that she is able to just not collect him basically. And he would survive coming back from the underworld, but she also tells him that this is not what he wants and that he should go home. Or if he is however, it does the exact opposite and begins his journey to the gate death had described. So he makes his way to the underworld where he's buried across the river sticks and makes his way past Cerberus the three headed dog and through the endless amount of people in the underworld, he gets to Hades and Persephone who asked him for a song. And he asks for his wife back and plays a haunting melody that brings the underworld to a halt. Hades states that he could have his wife back, but that she will follow him as a shadow up and out of the underworld. The one rule was that he could not look behind him before he reached the exit of the underworld, or she would go back down. He made it almost all the way there, but started doubting thinking that he was the butt of Hades, this joke. But when he turned around, he saw Eurydice just before she was dragged back into the other world. Orpheus broke the surface alone and screamed understanding that he had just bought his only chance to have his bride back. Time-lapse Orpheus as many years older and living in solitude, he is visited by his mother, Kelly OB, who had a falling out with Morpheus after he would not assist Orpheus with his quest to bring back your IDC is not interested in talking with her, but she wants him. The picante are on their way and that he should leave as soon as possible. So she disappears and soon after the forest breaks out and cries, a crowd of naked women covered in wine and blood are running right towards him and ask that he take part in their rituals of sex, wine, and eating raw flesh. He states that he cannot participate as his heart belongs to someone else. And they basically say, yeah, we weren't asking. And they literally rip him apart. And eventually decapitate him, sending his head, flying into a river. He, of course can't die. So he's just stuck, literally rolling on a river. Mike: Yeah. It's very much the stories that Orpheus is known for. Everybody knows him from the story of him and URI dicey, but, surprise. There is actually a major part of Greek mythology where he gets ripped apart by boxes, insane followers  and yeah. You're I find you don't want to take part in the ritual. we're going to turn you into one of the ritual supplies and just eat. Yeah,  Jessika: Yeah, pretty much. So Orpheus the head washes a shore and Morpheus comes to see him. He wants to say, goodbye has arranged for Orpheus to be taken care of, but says the he'll never see Orpheus again. His life is his own next is convergence parliament of Rooks.. We visit Daniel and Hippolyta again, she puts Daniel down to nap and he wanders into the dream realm where he goes to the house of secrets and is with Matthew Eve and Abel Eve tells the story of Adam's three wives and Abel after Kane interrupts of course tells a very optimistic and happy version of their story, where everybody got along after all. And after all was said and done, Hippolyta has no idea that Daniel has gone anywhere while he was napping. Mike: we keep getting hints dropped about Daniel and it's gonna play out in a very big way later on.  Jessika: I'm excited. So our last story distant mirrors, Ramadan is about the king of Baghdad, who has everything. Anyone could want ruling over a prosperous city. However, something still feels wrong to him. So he goes down into the secret depths of the palace where numerous wonders were kept. You procures a ball, which holds multitudes of basically like bad vibe entities. He summons Morpheus stating that he would break the ball, therefore releasing all of the bad vibes if Morpheus didn't appear. And when he actually follows through and drops the ball, Morpheus catches, it takes it and asks, why have you summoned me in, what the fuck do you want? The king wanted to trade control of his city in order to ensure that it was going to last forever. Morpheus agreed, but in true Morpheus fashion, he put the city in a jar and left the man to be the king of a city in shambles. So Mike overall impressions of a story, favorite characters or. Mike: Yeah. like I said, this one is a lot like dream country and there's one more volume later on where we get the one-shot stories to provide us with breathers, , , from the overall narrative. They were printed, as they were in, in various orders, but then DC collected them into the different volumes in ways. That makes more sense. but it's interesting because in this case we got a collection of stories without another prolonged round of like soul crushing horror and dark fantasy. I think the anthology volumes actually do a lot to move Sandman from the realm of horror and more into the realm of fantasy, because a lot of the times the individual stories aren't as dark or, as, as brutal. like a lot of times they're a little bit more philosophical or meditative, but I liked them a lot, but I mean, I only own, two issues of Sandman like individual. and one of them is issue number eight, which is the first appearance of death. And the other one is issue 31, which is the one that features three Septembers in a January. The story about . I love that story about Norden. I think that one's great. We already talked about how he was a real person and, he is this really interesting character out of history who is both the epitome , of kind of the magic of a dream and also what you can achieve even when you're faced with a ton of tragedy, because he was actually almost, I think he was basically completely wiped out due to a bad rice shipment and he did die penniless. And at the same time, San Francisco fucking loved him. Like they kept standing, box tickets for him at the symphony on opening night He was arrested once by an officer and the judge actually did immediately dismiss him when he was brought before him. And basically said like, , as an emperor, he is never declared war. He's never tried to invade anyone. He hasn't done terrible things. Other emperors should be like him. And I loved, how desire tried to tempt him with the ghost of a, dead snake oil salesman and the other bit where it turns out he had, like a Chinese information network, , where it turns out that the Chinese populace of San Francisco, which was hugely prevalent at the time, because of the gold rush and. Other things. , I loved the idea that he actually did have , this amazing fantastical life that was already fantastical, but then there were even more elements of fantasy woven into it. and then the other one is, , the parliament of ropes. It's , the story of Cain and Abel and Eve, you know, the purlin or Rooks hits me in a personal way because the bit we're able tells the story about him and Kane and, it's what this person who, who just idolized his brother wanted from the relationship, even though they do have their own strange in certain ways loving relationship, but also Cain murders able on a regular basis throughout the series. And it made me think about, how I stopped talking to my brother a number of years ago, but I still think about him a lot. And I wish that things were different between us, like. I often wonder what things would have been like if we had wound up being slightly different people and I construct those fantasies in my head still sometimes, but yeah. honestly I like this a lot better than I like that. I like the previous volume, because it gives me a lot more to think about, um, I don't know. How do you feel about it?  Jessika: Yeah, I, you know, it's funny as I actually really liked the story of Joshua, the emperor of the United States,  Mike: Yeah.  Jessika: I really like how they kept the narrative bag, leaving the reader wavering between believing that he really had been successful in his reign as the legitimate emperor of the U S or if he was just some sweet old man who was really well-liked well-respected and generally taken care of by this town of other really eccentric. Mike: Yeah. And it turns out the truth is a little bit of both.  Jessika: Yeah, Yeah, I guess so. I mean, he did get out of, out of a core thing, huh? Mike: Well, and when he died, basically, he was going to be put in a Popper's grave. And I believe like the merchants association basically paid for a really Swank funeral and of people  came to the viewing like, you know, but thousands of people turned out for.  Jessika: what I'm going to research this  so sweet.  Mike: Hmm,  Jessika: Yeah. I thought it was really wholesome that he was just so content to have the title of emperor. He didn't have some weird power trip about colonizing or being otherwise oppressive. I would say that that was genuinely refreshing to see him just so content to be valued and validated. Oh shit. That's all I want, Mike: that's all, any of us want. Also, I liked that he hung out with mark Twain and the story, and I don't know if he and mark Twain were friends in real life, but mark Twain was a reporter in San Francisco. after he got run out of the state of Nevada,  Jessika: maybe we'll have to specifically look at up. Well, did you have a favorite art moment in this volume? Mike: I had to, I really liked the art of the hunt, which is the story of the grandfather. Cause it felt really like, it felt really scratchy and you're kind of reminded me of those old European crosshatched wood prints. And then that actually makes sense because I realized it was inked by this guy named Vince Locke. And he's this guy who he actually illustrated a bunch of tabletop role-playing games for white Wolf games in the 1990s. And then he also created the comic that the movie, a history of violence was based off of. If you remember that. Jessika: I do. Mike: but like, I always really liked his style. Like I thought it was really cool and really unique. He's done a lot of other cool stuff as well. He had a comic series called dead world that was a zombie apocalypse kind of comic. If I remember right , well, before the walking dead ever came along like, you know, 30 years. , and then there's the whole issue of Ramadan, which is the story set in Baghdad. so Ramadan was illustrated by P Craig Russell and Russell was a, the first openly gay comic creator. and he's still working today in his art style. It's just, it's one of the most fucking beautiful things you'll ever see. And it's really adaptable into a bunch o

High Intensity Health Radio with Mike Mutzel, MS
Obesity , Leptin & Risk of Autoimmunity: a Problem in Achieving Herd Immunity

High Intensity Health Radio with Mike Mutzel, MS

Play Episode Listen Later Nov 11, 2021 21:30


Scientists find lean subjects made protective antibodies after infection while obese subjects did not make protective antibodies—they made maladaptive autoantibodies instead. Researchers speculate that leptin plays a role in skewing the immune response toward autoimmunity after infection. Here's the details! Related: Save your seat in the upcoming Blood Work MasterClass Live Training RSVP Here: https://courses.highintensityhealth.com/store/hgwDdo2p Research, Images and Articles: https://bit.ly/3qsGYX6 Time Stamps: 0:00 Intro 0:09 Endemic Virus 0:59 Obese Don't Make Protective Antibodies 1:15 Obese people make autoantibodies 1:40 Leptin and Fat on Fire 2:40 Leptin exacerbates inflammation, autoimmunity 3:13 Study we're discussing 3:49 Make Americans Healthy Again 4:35 Blood Work MasterClass 5:30 Daniela Frasca, PhD: Obesity Hinders Immune System Response 6:10 Antibodies and BMI, C-Reactive Protein 6:43 Metainflammation and Inflammaging 7:15 Blood sugar and inflammation 8:13 Leptin and immunity 9:29 Summary of Study: immune tolerance breakdown 11:30 Lifestyle matters 12:30 Antibodies directed at fat tissue 12:52 Omega-6 Oils, Seed Oils & autoimmunity 13:50 Excess deaths related to heart disease on the rise 14:42 Image: CRP and autoantibodies 15:39 New study summary 16:21 Italy Research from fat cell spill over 16:58 Obesity is an autoimmune disease 17:05 Change your habits 17:47 Image: Behavior model Books and References: Tiny Habits: The Small Changes That Change Everything: https://amzn.to/3CbpvEQ Frasca, D., Reidy, L., Cray, C., Diaz, A., Romero, M., Kahl, K., & Blomberg, B. B. (2021). Influence of obesity on serum levels of SARS-CoV-2-specific antibodies in COVID-19 patients. Plos One, 16(3), e0245424–16.   Frasca, D., Reidy, L., Romero, M., Diaz, A., Cray, C., Kahl, K., & Blomberg, B. B. (2021). The majority of SARS-CoV-2-specific antibodies in COVID-19 patients with obesity are autoimmune and not neutralizing. International Journal of Obesity, 1–6.

ALL FIRED UP
Body Liberation Through Photos With Lindley Ashline

ALL FIRED UP

Play Episode Listen Later Nov 10, 2021 53:48


My guest this week is the fierce and fabulous Lindley Ashline, fat-positive photographer and body liberation activist, who has literally BANNED the weight loss industry from using her stock photos. In this glorious episode, Lindley tells how she pushed back when a diet company tried to do just that! The AUDACITY of diet companies and the weight loss industry is next level, but they were no match for Lindley! Join us for a completely fired up, inspiring conversation with a woman who takes no bullshit, AND takes staggeringly awesome photos! Show Transcript Intro: Welcome to All Fired Up. I'm Louise your host, and this is the podcast where we talk all things anti-diet. Have diet culture got you in a bit of rage/ is the injustice of the beauty ideal? Getting your nickers in a twist? Does fitspo make you want to spitspo? Are you ready to hurl if you hear one more weight loss tip? Are you ready to be mad, loud and proud? Well, you've come to the right place. Let's get all fired up. Hello, passionately pissed off people of diet culture. I am so excited for some episode of All Fired Up. And thank you to all of the listeners who send messages of outrage to me via email louise@untrapped.com.au. If something about diet culture is really getting your go, let me know about it, get it off your chest. And who knows, we might be able to rant about it here on All Fired Up. And if you are a listener, don't forget to subscribe, so you don't miss episodes when they pop out. And while you're at it, why not leave us a lovely five star review and rating wherever you listen to your podcast, because the more five star reviews we get, the more people listen, the quicker diet culture topples, and then I can go and become a florist. As the COVID crisis unravels, more and more people are banging on about the relationship between weight and health. And if that's really getting up your nose and you want a strong resource to help you push back against that, and you want something for free; look no further then now wonderful ebook, ‘Everything you've Been Told About Weight Loss is Bull Shit' co-written by me and the wonderful Dr. Fiona Willer, anti-diet dietician, and general all-round awesome person. In this ebook, we are busting wide open the diet culture bullshit myths about this relationship. Because when you look under the hood and scratch the surface just a tiny, tiny bit, we see that all of this BMI stuff is complete bullshit, and it's great to have a booklet in which all of the scientific evidence to support the health at every size and anti-diet approaches can be presented to people who are still upholding the greatest injustice when it comes to health. So have a look for the ebook, it's at untrapped.com.au, and a little popup will happen, and you can download it from there. Give it to all your friends and all your family. Put it in their stockings for people for Christmas, give it away, trick or treating for Halloween. Hell you know, give it away instead of Easter eggs, just get it out there to as many people as possible because just so over this groaning insistence that size is all accounts when it comes to health. If you're looking for more free stuff and you're struggling with your relationship with your body, because let's face it – who doesn't in diet culture. Have a look at the Befriending Your Body eCourse, which is completely free. You can find that on untrapped_au on Insta. In this course, basically you'll get like an email from me for 10 days. Every day for 10 days, you get a lovely little email from me talking through the wonderful skill of self-compassion, which is essentially literally learning how to become your body's best friend and become your own best friend as you wade through the of diet culture. So have a look for that course, as I said, it's on Instagram, it's completely free. What have you got to lose? Huge shout out to all of the Untrapped community. Untrapped is my online community and masterclass for all things anti-diet. Untrapped has been around since 2017. And we have built ourselves into this wonderful online group of fierce and fantastic people. If you are struggling with your relationship with food, with how you are moving, with your body, with just generally trying to get along in diet culture with all of the pressure that's heaped upon us every day and you're just absolutely sick of dieting; have a look at our Untrapped course and community because we would really love to have more people join us. You can find it at untrapped.com.au. Louise: Okay, let's get into the nitty-gritty. Shall we? I'm so excited in this episode, I'm having this awesome conversation with fat activist, photographer, author, and cat mom, Lindley Ashline. Lindley is the creator of Body Liberation Photos and does some really amazing ethically produced diverse stock photos of people in larger bodies. And, oh my gosh, how much do we actually need this kind of stuff. So I had the most amazing ranty conversation with Lindley. You are going to absolutely love her. So without further ado, here's me and Lindley. Lindley, thank you so much for coming on the show. Lindley: Oh, thanks for having me. I'm so excited to be here. Louise: Me too. So tell me, what's firing you up at the moment? Lindley: Well, when we were emailing back and forth talking about doing this podcast episode you had said, I want to hear what's firing you up, and I would love to hear you talk about stock photos, which are photos that can be used for marketing that people buy from other people. And also, wondering if you've experienced any diet culture co-opting of your work. And I immediately said, I have all that put together because I do have the stock photo website where I sell my photos. And most of my clients, my stock photo customers are health at every size oriented, or anti-diet, or body positivity folks who are marketing their small businesses. But the other day there is a diet that is probably familiar to you, that is very big here in the United States, that is called Whole30. Louise: Whole30, is that the Brene Brown one? Was she doing that? Lindley: Oh, I don't know. Louise: I'm sorry. Lindley: That's very, very trendy here. So, someone from Whole30, the company that runs that diet bought some of my stock photos. Louise: Oh no. Lindley: To use for an event. And I know this because I reacted to that. I'm a small business, so I do sell a decent number of stock photos, but I'm not at the point where I don't see every order as it comes in. So every time someone buys something from me, I get an email, of course, and I'm always curious, who's buying things. So I saw this such-and-such a name @whole30.com. And I said, wait a minute. Because not only do I not want… my photos are, they're mostly people in larger bodies or fat bodies. When I use the word fat, I'm using it as a neutral descriptor of people's bodies and not an insult. You don't have to use that word for yourself, but I have reclaimed it and many other people have too. Louise: That's such a beautiful way of putting it. Thank you. Lindley: Oh, thank you. Yeah, it's like saying that I'm a medium height, or if I were tall or short, I have long hair. It's just a descriptor. But the people who appear in those photos, they are in vulnerable bodies themselves. They are often people of color. They are people in very large bodies; people who experience a lot of discrimination and stigma just by living in their bodies. And not only do I not want those bodies being used to represent diet… Louise: Yeah, like they're not before photos. Lindley: Yeah. No, but also when I started creating stock photos, I worked with a lawyer to create my license that you are bound by when you buy these photos, you have to agree that you're going to respect this license to use the photos, and in the license, it specifies that you cannot use them to promote diets. Louise: You are terrific. So they're buying it in breach of your licensing already. Lindley: Yeah. If I'm going to set out to create body-positive and fat-positive stock photos, and work with people who are in marginalized bodies to start with; I can't allow those photos to be used in ways that will hurt people. Louise: How dare they. They have the audacity. Lindley: I was very fired up speaking into the theme. Oh, I was fired up and I said, no, how you. I immediately messaged my best friend and said, how dare they. And so, I emailed her, I issued her a refund. So here's what I did; I issued her a refund for the money that she's paid. I deleted her account. I couldn't delete the account, so I changed her password on her. I couldn't delete it, but I could change the password. And then I emailed her and said I have refunded your money, you may not use these photos, my license prohibits you from doing so. And that's that. Louise: So, did she respond to you? Lindley: Well, to make it even better, she had put her work email address in when she placed the order. But for her billing address, she was using a corporate credit card. So she had put as the email for the credit card, she had put in the corporate address. So I emailed her, but I CC'd the whole company. Louise: Oh my God. That's fantastic. Lindley: CC'd headquarters@whole30.com. I'm sure that maybe just a random assistance, someone deleted it, but like, I'm sure it didn't go to all the employees, but that was very satisfying. Louise: That is very satisfying. So she did email? Lindley: Yeah, she emailed right back and sent me kind of an indignant email. And she did say that they wouldn't use the photos. I keep meaning to go check and see if they actually did. But she was very indignant because she said we were going to use these for an event to promote body positivity next month, and I guess we won't. And I'm like, yeah, I guess you won't. Louise: What are you doing in the field of so-called body positivity if you're a diet company? Lindley: And that's the co-opting, that aspect of it. Because now, like Weight Watchers has changed its name formally to WW. What does that even mean? Like, we all know it's Weight Watchers, we're not stupid Louise: Well, they think that we might be. Do you remember in the eighties when Kentucky Fried Chicken decided to improve its brand by going to KFC, because then it wouldn't be fried. Lindley: But it's still fried chicken. Louise: Yeah. And this is still like, we want your money. Lindley: Yeah. And they've realized that people are wising up. Louise: We know that their diets are shit. Lindley: Yeah. They don't work, and in fact, they're worse for you, for your health than not dieting than being at a stable weight. Louise: Yeah. And then they're like, well, we can't have that, so let's launch into the field that grew around resistance to us, and let's nick everything, including their stock imagery. And how dare they run a body positivity event when they're in the business of shrinking bodies. Lindley: And as we move forward in time, you're going to see more and more of this because there is a lot of profit in telling people to love their bodies while selling them products because you made them hate their bodies. And in the body positivity movement, it's really rampant. If you look at Dove, Dove is one of the first companies to really monetize at a grand scale the body positivity movement. In the last decade, they've done a bunch of very high profile feel good, “love your body no matter what,” you can't see me, but I'm making really sarcastic hand gestures right now. Louise: Yeah, I'm loving it. Lindley: I mean, you can see me, but our listeners will be able to. But all these love your body just the way you are things, but at the same time, they're selling skin lightning cream to people of color. Louise: How dare they? Lindley: And they're selling wrinkle cream or whatever. Louise: Anti-aging, right? Lindley: Yeah, so it's very two-faced. Louise: Yeah, they were just changing the marketing where baiting and switching people on a global scale. And I agree. I think we're going to see more and more and more of it, but it's also like kind of core at the same time, because the fact that these big nasty wolves are coming to sniff at your door means that you are the one with the power, right. Body positivity movements are the ones who are driving the direction of – like the increasing level of diversity that's happening around the planet. I think they're just getting a bit desperate. Lindley: I mean, these are dinosaurs – that meteorite is coming. And I want to say too, for our listeners, I want to acknowledge, because you don't hear this stated enough, how traumatic, like full-on psychologically traumatic it is for both us as a culture and for people as individuals to be told for hundreds of years that their bodies, particularly fat bodies, and particularly women's bodies, but all bodies are bad in their natural states. And then have a generation of companies turn around and tell us that it's our fault for not loving those bodies. That's trauma. That is trauma – culturally and individually. So I want to be very clear that if you don't love your body, which most people don't, I have days I do and days I don't, but if you don't love your body, that is not on you, that is on hundreds of years of culture driving up and product power, so it's not you. Louise: It's the system. Lindley: Yeah. And you're not individually possible for fixing that, unless you want to. Louise: I'm so glad you're here. You are on fire and I love it. Lindley: I get so angry at the scam that's been perpetuated. Louise: Yes, that's exactly what it is. It's a giant gaslighting scam that turns us against ourselves and each other. And when we kind of hit body size as a measure of worth, it's really damaging and divisive. I really want to ask how you got to this point. Lindley: I got mad. Louise: Yeah, how did you get mad? Like, how did you come to have this amazing idea to start the body liberation stock photography stuff, and come to it with so much conviction to protect people who have been marginalized? Lindley: Well, it's been a process of about – it took about 10 years to go from being very, very sort of normal person invested in diet culture, sort of very mainstream, to being very passionately anti-diet and doing this activism work. In 2007, thereabouts, I discovered I had been on the website live journal for a very long time. At that point, it was like a pre-Facebook. Louise: The dark days of early internet. Lindley: Yeah. And I had stumbled across this group called Fatshionista. So like fashionista, but with fat folk. And it was such a revelation because here were these mostly women who were in large bodies in very large bodies who were being styling and confident and walking around in horizontal stripes. Louise: Oh my God. Lindley: And tight fitting outfits and colorful outfits and just living their lives confidently. And I just lurk for a really long time. But from there I started discovering… so the pre-cursor, these of foundation of the body positive movement is the fat acceptance movement, which started in the 1960s and has been the backbone of all of this. So this was a little bit before body positivity became a thing. And I found these fat acceptance blogs, where they were talking about the science of weight loss and why scientifically it doesn't work. And I had been in this state that I think many people sort of existed where they're like, well, it's fine to say, love your body, but my body is big. My body is not okay. Like, that might be cool for other people, like maybe other people deserve to be confident. But something about… Louise: Gosh, that is like, when you said that, that is like where so many of us are stuck. Like it's okay for everyone else and I love the idea of diversity and I love the idea that large and small and everyone in between can exist, but my body. I can't get there. Lindley: Yeah. And so, when I learned the science and the fact that somewhere around 98% of diets fail and that people gain the weight back, I started to feel like I'd been scammed. I'd been raised my whole life to believe that if I could just be good enough and strong enough and have enough willpower and do the right things for long enough, then I too would be thin and healthy and fabulous and have the life I'd always dreamed of and all those other things you see in diet ads, and it turned out none of that was true. Louise: It's bullshit. Amazing. Lindley: I started to get annoyed and then gradually I got mad, and then I got really mad. Louise: Excellent. Lindley: And then I started doing my own activism work because it was so tragic to see people that I love trapped in that system and be lied to. And so, I started speaking out – just a little bit, just a little bit. Like, I'd post something on my Facebook about, “Hey, we know that diets don't work because of science.” Louise: Yeah. I mean, like in tiny little writing. Lindley: Yeah. And that's really scary when you start doing it because it's so counter to what we think we know. So in about 2015, I was in a really crappy job, after a series of really crappy jobs, corporate full-time jobs. And I said, you know what, I got to a breaking point. And I said, “I'm done. I want to take my photography and turn it into a full-time business.” Louise: So you'd learned photography for a while. Lindley: Yeah. Well, I've done nature photography for many, many years, but I had never photographed people. Louise: Interesting. Lindley: So I took a year and I took a bunch of classes online and then I learned to photograph people. So in 2015, I quit that job. And I want to acknowledge my privilege here. I am a white cisgender straight woman who lives in the United States, and my husband is my financial safety net, so I was able to take that. I also have a part-time job as well, but I was able to take that leap because of my privilege. And so, I've always… Louise: Because you have some security, yeah. Lindley: There's not a lot of path that is open to everyone, and so I always want to acknowledge that. Louise: Yeah, it is really important, but I also think it's kind of fabulous that there are people who are able to do that because what you've done is create something for so many people. Lindley: And if you had asked me a decade ago, if you had said maybe in 10 years, how you feel about being a full time, small business person, photographer and activist, and I would've laughed in your face. Because at this point I have enough experience speaking out that I often sound very confident and powerful. Louise: You do, you sound really fired up and it's fantastic. Lindley: Which is wonderful, but that is not where I came from. Louise: So you took it on. Lindley: Yeah, I came from a very meek sort of very nice lady, southern sweet background, where you never disagreed with anybody to their face. Not to their face… Louise: Disagree behind their back with a cup of tea. Lindley: Yeah. That's how we do it in the south, the Southern US, we smile at your face and then snip at you behind your back. But like, I wasn't brought up in a way where I was allowed to access anger or to even believe that I felt it. Louise: It's part of the, like, part of the gaslighting of diet culture is that it uses other gaslighting of being raised female, and like, just be nice and shut up and don't rock the boat. And if you're mad, it's probably a period, right – it's not worthy. Lindley: Yeah. And it's very threatening to a lot of people, too, particularly when someone in a fat body is angry, that's very threatening because we are expected to shut up and take it. And so, I do get a lot of trolling. I've had some threats, but thankfully I'm not yet high profile enough to really be getting a lot of that. But it there's been some unpleasantness. Louise: It's really terrible. What you were saying about the science stuff and speaking up about the science, its that's sort of, my pathway was through the science as well, initially as well as like the massive sense of social justice and eating disorder work as well. But I'm so aware, and when I talk about the science, so if we were in the same room talking about the science, it's possible that my voice would be listened to more, even though we're talking about exactly the same thing, because our body sizes are different, which is ridiculous because actually you've got more lived experience alongside the science, so it's kind of like what the… Lindley: Yeah, yeah. We consider it culturally, we consider a thin body or a thinner body to be a credential, just like a degree. I was actually talking about this on Instagram literally last night that we consider thin body is to be a credential. So even though I live in this body and I have experience with this body, in general, I am considered as much of an authority on this body as someone who is in a more socially acceptable body. Louise: Which is so weird, it's like being like, oh, I'm the expert on same sex relationships, but I'm completely head show. Why would that credential be? Lindley: Yeah. Again, when marginalized people are allowed to speak and allowed to be angry and allowed to be believed, it's very threatening to the status quo. So it's easier to, I mean, again, both at a cultural level and an individual level, it's easier to assume that I am lying or that I'm exaggerating or that I am unacceptably angry or unacceptably sad or whatever, so that it blunts the impact of what I'm saying. Louise: Yeah, it's easy to dismiss something you don't agree with. Lindley: Right. I had someone who is in an average size body for here to the US. A maybe US 14, 16, which I think in Aussie size is about a 12. Louise: I have no idea because sizes confuse me. Lindley: I think the Aussie sizes run one size lower, I think. But anyway, at any rate, someone who is of average size here in the US. And often I find, again, I am speaking for my US experience. I'm not speaking for the whole planet, but I often find that folks who are of the average size because of the nature of our culture, think that they are much larger or much farther along that spectrum. So I often find that there's people who are of average size assume that the way that they are treated is the same way that people much larger than they are, are treated – which is not accurate. Louise: But it's about that unconscious, like they don't know the privilege they have. Lindley: Yeah, because it's a spectrum. I live in a very large body, but I am nowhere in near the extreme end of the fatness spectrum. There are many, many people who are larger than I am. And then I have privilege over those people because I can still get clothes that are… I can't get them in person. I mostly have to buy online, but I can still get clothing that's commercially made. Even if it's not the clothing I would prefer, and even if it doesn't fit very well, I can still find clothing somehow. But this was a person who I think wasn't quite ready to understand that that is a spectrum. Louise: And that's real. Lindley: And I had written this, I was recently diagnosed with a new to me health condition that has been quite challenging and that I am pursuing treatment for. And the treatment for that condition, it is a stigmatized condition. I'm not going to go into details, but it is a stigmatized condition, and it is a condition that is correlated with larger bodies. We don't have any scientific evidence that it is caused by being in a larger body, but it is correlated. And so, as someone who now has condition, there's sort of a double stigma and there it's been very challenging to get treatment. Louise: So you're stuck in the whole stigmatizing, like, medical condition stuff where they're like, “Oh, you've got this condition. If your body was different, you wouldn't have this condition,” Which is really not an interesting conversation, but it seems to be one that keeps on happening. Lindley: Right. Right. And so, this is something that I have been dealing with for a while now. Just pursuing treatment and it's taken much longer than it should have. And I was talking on my personal Facebook about the challenges of getting this health condition addressed and the ways in which some of those challenges have been caused by people reacting to my body size by fatphobia, plain and simple. And this person who has been listening to me speak for years and who is very earnest and was clearly trying very well intentioned. Because this was not the same experience that this other woman had had in her life, she approached me and wrote me a long message about how I was basically bringing all this on myself. Louise: Oh, bringing all of what on yourself? Lindley: That maybe I was just imagining that people were treating me poorly. Louise: Oh ouch. Oh dear. Lindley: Because I was putting out negative energy into the world, and so my poor treatment was my own fault. And there was a time in my life that I would've been devastated and I would've believed her. I would've gone, “Oh no, maybe because I'm in a fat body, maybe I am putting some kind of energy out into the world that maybe I just, oh no, it's all my fault.” Louise: Oh wow. Lindley: And my friend Brandy, calls this confidence magic. Louise: Good time. Lindley: Yeah. She said she calls it confidence magic because she is also in a very large body. And quite often, when we talk about the way we're treated it, the retort is, well, if you were just acted more confident, if you were just friendlier, if you just did X, Y, Z. But mostly, if you just acted more confidently, then people wouldn't treat you that way. And it's entirely possible that for someone who is in a smaller than ours body, that works. Maybe it does work if you're in a smaller body. But I want to be very that there is nothing I can do or not do that will make my body not an oppressed body. It doesn't matter what kind of energy I put out into the world, I don't deserve to be treated poorly, especially for the size of my body. Louise: It's putting emphasis back onto you, it puts it back onto you and it takes the focus away from the person who's being the dick head. Lindley: Right. My oppression is never my fault, period. And so now I asked her to sit down and really look at that discomfort because the problem was that she had reached a point where she couldn't imagine that people actually get treated the way that I was describing. And so, it was so uncomfortable to realize that her experience was universal, that she sort of flipped over into this default state of, oh no, you must have done it to yourself, because it it's so hard to think. It is hard to think about people you like being mistreated. And it's easier to think that it must somehow be under their control it, that it [unclear28:21] behavior. Louise: Exactly. I was going to say that it's a locus of control problem. If we can locate the problem within us, then we feel like it's controllable and that we can do something about it. But to actually kind of recognize that this is structural, this is big. And we can be as kind and nice and put as much positive energy crystals out to the universe as possible and it won't change fatphobia. Lindley: Yeah. And unfortunately, this particular person was not receptive to being asked to reevaluate what she was saying, and so she wandered off and I haven't seen her since. But it really illustrates that when we start learning about systems of oppression, it can be really uncomfortable. As an America, I have had to do a lot of work around racism and a lot of learning, and as a very white person, that is very uncomfortable. But also, I feel like it's part of my job on this planet. Louise: We're not always supposed to be comfortable. Lindley: Yeah. And it's okay to be uncomfortable, especially when you're learning; you have to learn to sit with it. Louise: Yeah. Gosh, like there's so much that you have to deal with, when all you're really wanting to do is get on Facebook and talk about it. Lindley: I just want to whine on Facebook, and now too, my personal Facebook, because I have so many professional connections there, it is up being a hybrid. It is a hybrid space. When I'm speaking there, half of the folks who are in my sphere are there because of my work, so it's never really personal. And that is a boundary that I chose. I could choose to maintain my Facebook to be much, much smaller and more closed, and so I do have to be aware that I'm sort of speaking to a hybrid audience there, but sometimes you just want to get on Facebook and gripe too. Louise: You want to have a good old Facebook page and just get supported. That's kind of what we want to. Lindley: Right. But yeah, it's so important that all recognize that when we are treated badly for something about ourselves or related to something about ourselves, that's not ever our fault. Louise: Ah, such a good message. And the solution isn't to be kinder to the person who's being the dick head. Lindley: Yeah. I don't owe someone who is oppressing me, who is treating me badly based on the size of my body. I don't owe them in anything. I don't owe them an explanation. I don't owe them kindness. I don't owe them education. The only thing I owe is to myself to minimize the harm done to me. And if I give them anything beyond that, that's a gift. Louise: Yeah. Ah, God, what you're saying is so important, it's going to resonate with so many listeners. I just know it. Lindley: I hope so. It's time to stop blaming ourselves for the way that we're treated. Louise: Yes. Yes. And just last week, one of my clients was talking to me about a health interaction here in Australia with yet another person who is kind of locating the problem, same story. There's a person who's lived for a very long time in a larger body, tried every diet under the sun, the body's not going to change size. Now there's a health condition that needs urgent attention, and this person has been told very nicely that the problem is their body size. And they're actually experiencing delays to the actual treatment, while they are referred to a “obesity clinic” to address the problem of their size. And the emphasis there for this person, this health profession was being kind – it was being said to me in a nice way, which was a revelation for this person, because they've been treated so unkindly, but people can still be kind and still be a dick head. Lindley: Yeah. Oh yeah. Like a doctor, many years ago now; the doctor who lied to me about my health numbers so that she could put me on an off-label medication to try to make me lose weight. And so, she told me I had a condition that I did not have so that she could prescribe me a medication to actually try to make me smaller. She was so nice about it. I assure you; she was kind and sweet and gentle while she lied to me and gave me an unnecessary medication for a decade. Oh, she was very nice though. Louise: I have no words, that is dreadful, but this brings us right back to that Whole30 thing, right. I'm sure their body positive event would be full of kindness and niceness and fairy wings. But what the fuck are they doing? They're selling a diet. Lindley: Yeah. And you can, you can put as much lipstick on that pig as you want, but it's still going to be a pig. And I understand that pigs are smart, sweet, intelligence animals, they're still going to be a pig. Louise: That's right. You know, shit rolled in glitter is still shit. Lindley: Yeah, it's still terrible. Louise: So I've looked at your website and there's the most beautiful photo of a woman in a larger body, in a chair, in a garden, and oh, it is stunning. It is such a beautiful photo. And there are many, many photos like that. And I really want to talk to you about your photography, like how you got… so you got angry at the science, you got all fired up, you started to take pictures of people and now ended it up in this body liberation photography. So tell me about that and how you feel that photographing larger bodies is such an important piece? Lindley: Yeah, there are two sides to the photography. The one side is the stock photos, and for that I'm finding people who most of those folks are not models. They're just regular folks that I find in various ways. And then I'd also do offer client photo sessions; boudoir photography and portrait photography and business branding like business photos, and so there's sort of the two sides of it. And I started out doing the client photography because when I quit my full-time job, that seemed like the most obvious path to take income-wise at the time. And a couple of years later, there's a stock photo company, a very famous one called Getty images, based out of New York – when you see red carpet photos and you see really high quality stock photos that big companies use, those are often from Getty. They are very large and powerful. And they released, I think it was in 2017, they released a special stock photo collection. That was a body positive collection. And it got a ton of press. And I got really excited because we need – the more of that in the world, the better. But I went to go look at the photos and it turned out that they were mostly people who are again, in the US average size, which again is much larger than model size body. It was still different, but it wasn't particularly representative. And also, the photos were very expensive and they were also for editorial use only. And in stock photo lingo, that means that you can't use them for marketing. Louise: Okay. Lindley: What on earth was the whole point of that? Louise: What are they folding? Lindley: What a wasted opportunity. And so once again, I got mad and I said, I can do that, so I did. Louise: And you went like the full spectrum of body sizes, and identities, and cultures and genders, it's like everything, basically humans. Lindley: Yeah. When I am looking for models for the stock photos, and again, most of these people aren't trained models, but when you pose, you become one. So now these folks can all say that they're, that they're models too, which is cool. But I am always looking for the largest possible bodies to represent because I'm the only one on the planet doing this work right now, photographing very fat people – the only one. And I look forward to the day when that's not true. I look forward to the day when I have tons of competition. Louise: When it's not a niche or a specialty. Lindley: Yeah. And it turns out that many of the people who come to work with me on that basis are also people of color, are also LGBT+, or they're folks, or they have a mental illness, or they have a disability. They bring these other identities with them, and so I have the honor of being able to represent those things as well. Lots of folks in eating disorder recovery. Louise: Yes. And so, how did someone, like, if someone wants to do a stock photo with you, do they approach you or do you like follow people in shopping centers and ask them? What do you do? Lindley: It's been a combination. I have an email list that I maintain. And if you would like to be on that list, I am in Seattle, Washington in the US. But if you're ever visiting or you want to be on my list just in case, you are welcome to contact. We'll put that in the show notes, but I do have an email list that I send out model calls to, at least in non COVID 19 times. And then, I did once follow a coworker into a work bathroom; I was doing a corporate contract at a big company, and I had kept running into this woman, she was just lovely and seemed, I don't like you can tell when you're washing your hands at a bathroom sink beside someone, but she seemed very nice. And she was right in the demographic I represent. And so finally I followed her into the bathroom one day and I said, “I'm so sorry if this is creepy, and you can tell me to leave at any point and I will leave and never talk to you again. But I do photography and I'd love to have you as a model.” And she came and modeled for me, and it was wonderful. Louise: That is so gorgeous. Lindley: But yeah, it's a combination. When I started out, I was finding people on Craigslist, which is an American website, the classified ads, so it is just been a combination. Louise: Fantastic. Have you heard of Obesity Canada? Lindley: I'm aware that they exist. I've tried not to get tangled. Louise: That's pretty gross. It's pretty eww. Well, actually, I'm not sure who has released it, but they're kind of like this O organization up there who have this stock photos collection. Lindley: Oh yeah. It's another one of those weird co-opting things. Louise: Yeah. Yeah. And they work very closely with our friends at Novo Nordisk who are releasing all the weight loss drugs, and trying to take over the whole world. Lindley: Of course. Louise: Yes. But those I guess they're competition for you in a way. Lindley: Well, yeah, in a way. There's also a free collection on a website called Unsplash of our own bodies. And those photos are lovely and they are free to use, unlike my photos, which are not free because I need to eat. Louise: Imagine that! Lindley: Yeah. My models have the choice of, they can either choose a living wage money or for every hour that they are modeling or they can choose to be paid in photos. Many of them are very poor and they need the money, so I'm happy to pay them. But everybody involved in mine gets paid a living wage, which is why the photos aren't free because I get paid a living wage too. But yeah, there are some collections out there that do compete, which is fine. Again, we need all the representation we can get. Louise: We too, but I guess it's ethics, isn't it? And because I think that some of the people who are being photographed for those stock photos associated with the O organizations use members of their so-called patient groups, who are people who – that's another kind of section of my podcasts, people who are being encouraged by the weight loss industry to promote body positivity in the name of getting better public healthcare for weight loss surgeries and the like. So, it's really nice to hear about the ethics of you treat the people that you work with. Lindley: Yeah. When I'm photographing people, because again, almost everyone who comes to me… now, sometimes I'll get people who are just like, I'm ready. Let's do it. I love my body. I'm ready to show it off. Let's do the thing. Louise: How often does that happen? Lindley: It's rare, but it's cool. That's fun too. But most of the people who come to me, they're nervous. These are bodies – we live in these bodies that are not considered okay. And now here's this girl with a camera pointed it at you going, “No, you're great.” That's very disconcerting. And so, we do a lot of coaching. We do a lot of… I tell people like they get to control when they're done, whether they need a bathroom break or they're hungry or they just need to not have a camera pointed at them. It's a very warm and friendly environment because that's the only way to be ethical about this. And if nothing else, if you're unhappy, it's going to show in the photos. Louise: Yeah, of course. Lindley: So I have a vested interest in keeping you relaxed too. But these organizations releasing these photos is another example of this smiling oppression because it doesn't matter. Louise: What a beautiful way of putting it. Lindley: It doesn't matter how nice you are about it; if you're trying to erase me, and if you're trying to get me to pay you for surgeries or drugs or meal plans or meals or whatever, or weigh-ins, whatever that are not evidence-based. And you can tell I'm all fired up about this, come back to our theme again, because it doesn't matter how nice you are about it. Louise: You're still a dick head. Lindley: I know all about nice, but nice is not kind and kind is not anti-oppressive. Louise: Yeah, we've got to stop this bullshit. Yeah, I love that term “smiling oppression”. Yeah, if people are being nice to you and trying to represent you, and simultaneously trying to eradicate you; that's bullshit. Lindley: Yeah. I mean, again, I talk about being Southern because it's very relevant here because I have an ancestor who owned a slave, who owned another human being. That was a couple hundred years ago, so I had no idea whether that person was nice to their slave. I wouldn't have any way of knowing. Louise: It doesn't matter. Lindley: Yeah, it doesn't matter. In the south, one of the things that I was taught in history classes in school was that slavery wasn't it really all that bad because people were nice to their slaves and let them live in the house, and I'm not going to repeat the rest of it. It is very… Louise: Oh my God, that's just, yeah. Lindley: Yeah. And I had to learn better as an adult. But just because, and I'm not comparing slavery and fatphobia, they are not the same thing. They are not the same oppression. It doesn't matter how nice I am to you' if I am hurting you, if I'm stepping on your foot while smiling and asking you about the weather, the proper response is, “Hey, get off my foot.” Louise: Yeah. Right. Oh God, so many people need to hear this, and it's so good to hear how fired up you are. Lindley: We're being lied to, and we're continuing to be lied to by people who want to present, particularly weight loss surgery is now the big new thing, but it's still not evidence-based. We know that the side effects are really horrific, that a lot of people die. And then most people who even have that surgery gain the weight back. I know somebody who's had it twice and the doctor is pushing her to have it a third time because it didn't work. I mean, she lost the weight and then she regained it right back because that's what human bodies do – they protect. Louise: Our bodies are amazing. They're smarter than the weight loss surgeons. Lindley: Yeah. My body says, “I see a famine coming. We're hungry, I need to protect you.” That's what our bodies are doing. Louise: And I love that the photography that you do highlights the beauty inherent in diversity. And like that picture of the woman in the backyard, she is by no means small and she is just absolutely, like, there is just such beauty in that photo. A lot of the people that I work with really can't see that beauty in their own body and really don't even look at their own body, and that's where I guess photography can open up. Like, what are you trying to do for people when you take their photo, when you're aware of that much, like avoidance or disgusted or all of that stuff that people get stuck on when it comes to their own body? Lindley: Well, again, there's, there's kind of two facets. There is often when client come to me, generally the folks who are modeling for stock photos, because they are aware that those photos will be used publicly and sold, so there's an extra layer there of not only being willing to see yourself, but to know that many, many, many other people are going to see these. So generally, the folks who model for stock photos are maybe a little more ready for that. But a lot of the clients who come to me, maybe they haven't had a photo of themselves since their wedding day, or maybe they haven't had one since high school, or maybe they're always in the back of photos, or they're the ones behind the camera because they can't stand to be in front of it. And for those people, when I started doing this, I didn't know the term for it, but the term is exposure therapy. This is not a process that I'm qualified to coach at this point, generally, this is ad hoc, people do it for themselves. But people will often take their finished photos, and we've always look at them together. We always go through them together, both from that's… I mean, it's part of my sales process. It's business, we look at them together because people are buying products with them. But also for support, I think your photos are amazing, and I know that you will too, but I'm still going to be there to metaphorically hold your hand while we look at them. But then people take them home, and they'll look at them for just a minute. And then the next day they'll look at them for two minutes, and they will expose exposure therapy themselves. That's the coolest thing because they're teaching themselves to look at their own bodies. And then the other facet of that is that you saw that photo of the woman in the chair, in my backyard. I'm very lucky to have overgrown backyard to put people in. Louise: You have a nice backyard. Lindley: And we had the behind the scenes of that photo is that I had sheets hung up all over around her because the back of my backyard is open to the next area behind, so I had sheets hung up all over for privacy because she is very nude. So, you saw that photo on the website and it made a difference for you. You remembered it. And so the other facet is that you can… I don't know what the verb is. You can expose your therapy yourself by finding photos of people who are either look like you, like have your similar body type or are bigger or have visible disabilities, or basically by exposing yourself to all kinds of bodies, not just the ones that you kind of get forced fed by the media. You can do this process for yourself without necessarily having to look at photos of yourself. Although eventually you will also want to look at your own body, but you can do so much just by looking at people of actual bodies; look at them. Louise: Not in a creepy way – maybe in a creepy way. Lindley: I mean, maybe don't go staring at people in the grocery store. Louise: Don't follow people into the bathrooms at pools. Lindley: Yeah, please don't follow people around staring at them, but the internet is a wonderful place to stare at other bodies. Louise: Yeah. And actually, you raise a really good point because I think it's, well, 20 years into my foray into like the non-diet stuff. And I think me, even in the mid two thousands, looking at that same photo, I wouldn't have had the same reaction of just like being struck by the beauty because I hadn't done all of that. Like, I do surround myself with lots and lots of pictures of, like we've got naked women all over this house and my kids make a point of warning their friends, and I'm pretty sure my dad does think I'm a lesbian, which is okay, because I'm exposing him to diversity, but it's the exposure, exposure to diversity. If we see ourselves everywhere, represented everywhere and see other people represented everywhere, nothing strikes us as wrong, and then the beauty can grow. Lindley: Yeah. You know, what we are exposed to inn our regular lives, without taking efforts otherwise is a very narrow slice of humanity. And the more we see people… the more we see all different kinds of bodies, the more normal they become. The more we can see the beauty in those bodies as opposed to those bodies and out of bounds, or wrong, or transgressive, and the more you can expose yourself, the faster it will work. Louise: Yeah. And do you think that the last place that that kind of appreciation happens is your own body? Lindley: I think it depends for people. I think for some people, yes. I think for some people, body is the least, like theirs is the last place that happens. And I don't know, you know, I'm not in other people's heads, so I don't know whether that correlates with how outside the mainstream your own body is or not. Louise: Yeah, I do think there's something in that, but to keep going. So you are basically encouraging us all to take modes of ourselves. Lindley: Oh, yeah. Take some new selfies, seriously. Start in the bath. Like if you have access to like a bubble bath, because then you can like take pictures of your toes, like pointing delicately up from the bubbles and it's the least offensive nude in the world and it's really safe. And then you turn that camera around or use your use the other camera on your phone. Don't electrocute yourself please. Louise: Don't live stream it. Lindley: You take a photo of like if you have cleavage and you want to see that cleavage, like you do the bubbles and the cleavage. Again, I'm making hand gestures that you can't see so you don't imagine. And you do like the coy bubbles and the cleavage and you like camp it up. And then from there, you get out the bath and you dry off or not, I don't know your life. And you start putting that camera on a timer and you do whatever makes you happy if that's nudes or a costume or a Godzilla suit, I don't care – as long as you're seeing yourself. Louise: I love it. It sounds really playful. Lindley: Yeah. It doesn't have to be… like, there is a lot. And if you are an eating disorder recovery there a chance that you have been exposed to some of these exercises already on body image. There is a ton of resources out there on things like mirror work, where you're looking into mirror and seeing yourself and lots of… like, I have a whole book of journaling prompts about body image. There's a ton of resources out there, but just taking a selfie and deleting it, you can delete it. You don't have to keep it. Louise: You don't have to put it on Facebook. Lindley: You don't have to share it. I know that some people will start like a secret Instagram that is just them sharing selfies just to have them out into the world, but you don't have to, you don't have to do any of that. Louise: You don't have to perform this. Yeah, this is fast, this is good stuff. Lindley: Just like anything you can do. But again, you're not obligated to, this is not a moral imperative. You don't have to do selfies. You don't have to do nudes. You don't have to love your body. It's great if you can respect your own body, but there's no particular moral good in it other than that, you deserve it. None of these – I'm not giving you marching orders. I'm giving you some options, but like we get to do you. Louise: Lindley, thank you so much. This conversation has been immense and everything and awesome. Thank you for everything that you're putting out there in the world and for being so fired up. Lindley: Yeah, thank you. Such a joy to get to come in and talk about what I'm really head up about. Louise: Yeah, it's truly terrific. And I hope that your health condition gets properly addressed and that you feel better soon. Lindley: Thank you. Louise: All right. Thank you. Outro: What a dead set legend. Thank you so much, Lindley, I just adored that conversation and thank you everybody for listening. So if you are looking to learn more about Lindley and all of her amazing work, you can find her at bodyliberationphotos.com or on Insta @ bodyliberationwithlindley. And don't forget that her name has a silent D in it. So it sounds like Lindley, but it's L I N D L E Y. Okay everyone, that's all for this week's episode, I will see you soon, I promise. Take really good care of yourself in the meantime, trust your body, think critically, push back against diet culture, untrap from the crap. Resources Mentioned Find out more about Lindley here Follow Lindley on Insta @bodyliberationwithlindley

Catholic Culture Audiobooks
Pope Pius XI - Casti Connubii: On Christian Marriage | Pt. 3

Catholic Culture Audiobooks

Play Episode Listen Later Nov 10, 2021 40:55


“As history testifies, the prosperity of the State and the temporal happiness of its citizens cannot remain safe and sound… where the very fountainhead from which the State draws its life, namely, wedlock and the family, is obstructed by the vices of its citizens.” Pope Pius XI's Casti Connubii contains truths about marriage forgotten even by many faithful Catholics. With this third installment, we finally conclude our reading of one of the greatest encyclicals ever written. In the first episode, we heard Pius describe the nature of marriage, and of the wonderful law and will of God respecting it. In the second episode, we listened to Pius' strong rebuke of the errors and impending dangers to marriage, already evident in 1930, when this encyclical was promulgated. In this third and final episode, Pope Pius will propose the suitable remedies with which to counteract the many attacks on marriage and the family. Links: Casti Connubii Full Text: https://www.catholicculture.org/culture/library/view.cfm?id=3370 Go to http://www.catholicculture.org/getaudio to register for FREE access to the full archive of audiobooks beyond the most recent 15 episodes. Donate at: http://www.catholicculture.org/donate/audio Theme music: 2 Part Invention, composed by Mark Christopher Brandt, performed by Thomas Mirus. ©️2019 Heart of the Lion Publishing Co./BMI. All rights reserved.

Pivot Point with Joseph DeBeasi
Episode 72 with John DeNicola

Pivot Point with Joseph DeBeasi

Play Episode Listen Later Nov 10, 2021 62:28


John DeNicola is an American songwriter and producer. He is best known for co-writing the song "(I've Had) The Time of My Life", for which he won both an Academy Award and a Golden Globe Award, as well as receiving a Grammy nomination, in 1988. In 1989 he was the co-winner of ASCAP Awards' "Most Performed Songs from Motion Pictures" for "Time of My Life" as well as for "Hungry Eyes", another song from the film. Listen in as John tells Joseph about his latest release and the early days of analog recording.

time producers american ucla luck grammy engineers universal studios guitar singer pbs village disney joker hell sense8 soul podcasts hbo bbc films academy awards voice general hospital new mexico santa fe grimm titanic abc once upon a time defiance sylvester stallone mary poppins returns p!nk dirty dancing alpha nancy drew avatar golden globes john williams kung fu birdman face off music festivals watchman eureka omen hairspray alphas matrix avengers age of ultron my life first man unbroken abyss tony awards boston university ride groundhog day sixteen film festivals se7en florence price batwoman discovery channel composers leverage duke ellington george walker american sniper hometown david mamet breakdown la confidential earthquakes back to the future under siege riverdale music editor motion pictures manchurian candidate google podcasts wanted blindspot michael giacchino baraka bob hope we belong bmi rocky balboa game music conductors samuel coleridge taylor william grant still jeff russo matt moran pat benatar american utopia bernard herrmann atticus ross mission hill adventures in odyssey chronos into the dark alan pakula jerry goldsmith ascap awards david seltzer fugitive lana wachowski samsara albert hughes midnight texas student films voice over artist days of our lives nathan barr jon taylor pivot points touching evil berklee college of music dead presidents hungry eyes dan navarro rob simonsen as good as it gets guest house tom fleischman young and the restless kristin linklater had the time hughes brothers michael stearns bad boys for life allen hughes ron fricke katie leigh book of eli matrix 4
The One Away Show
Ep 84 Full

The One Away Show

Play Episode Listen Later Nov 9, 2021 51:34


Rick Jones is “Captain” and Chief Creative Officer of FishBait Solutions, LLC, a lifestyle marketing, sponsorship and event-marketing consultancy and properties representation agency with an emphasis on college sports, country music, outdoor sports, food festivals and American Heritage clients. He founded the predecessor agency FishBait Marketing in 2003. He is also a managing partner at EngageMint, a firm that helps teams create and implement better fan engagement processes, and recently launched FishBaitBiz.com, an online resource to help small business owners become more successful and profitable. Rick is a leading expert on marketing, corporate sponsorship, events, sales techniques, team building, small business consulting, tourism, and travel. Over the course of his pioneering career, Rick has worked with many of the world's leading corporations, such as MasterCard and UPS, on the development and implementation of sports and entertainment programs. These include World Cup Soccer, The Olympic Games, and the NCAA Basketball Tournament, among countless others. Clients Rick is currently working with include Werner Co., Dollar General, Capital One, JTV, CMA, BMI, Opry Entertainment Group, The Mascot Hall of Fame, and The Country Music Hall of Fame, among others. Rick published his first book, ANALOG ADVICE IN A DIGITAL WORLD: A BABY BOOMER'S WORDS OF WISDOM FOR THE MILLENNIAL GENERATION in 2017 and released his second book, THE BUSINESS TITHE in 2019.

Fierce Fatty Podcast
104: BMI, the Fat Spectrum and Who Is Classed as Fat?

Fierce Fatty Podcast

Play Episode Listen Later Nov 9, 2021 59:24


Do you know why the BMI is racist? Who gets to claim the awesome title of “fat”? What the heck is “death fat”? Answers coming your way, rat bastard! Episode show notes: http://www.fiercefatty.com/104 Free Training: The 4 Simple Steps to Feel Confident in Your Body and Around Food ... Even If You Believe It's Not Possible! https://event.webinarjam.com/channel/org The BMI is Racist and Useless By Christine Byrne: https://www.huffpost.com/entry/bmi-scale-racist-health_l_5f15a8a8c5b6d14c336a43b0 Inclusive Language For Higher-Weight People by Ragen Chastain: https://weightandhealthcare.substack.com/p/inclusive-language-for-higher-weight?r=c8nqp&utm_campaign=post&utm_medium=web&utm_source= The Problem with Person-First Language by Rachel Cohen-Rottenberg: https://thebodyisnotanapology.com/magazine/the-problem-with-person-first-language/ The Fat Spectrum by Fluffy Kitten Party: https://fluffykittenparty.com/2021/06/01/fategories-understanding-smallfat-fragility-the-fat-spectrum/  

Air Health Our Health
Asthma, obesity, and air pollution with Dr. Holguin

Air Health Our Health

Play Episode Listen Later Nov 8, 2021 17:26


Today I am joined by Dr. Fernando Holguin, the Director of the Clinical and Research Asthma Program and the Executive Director of the Colorado School of Public Health's Latino Research and Policy Center. We discuss the interaction of asthma, obesity and air pollution today, with a particular focus on how it impacts Latino communities in the United States. Patients with asthma who are obese often struggle to get a diagnosis since their trouble breathing is attributed to their weight. Once people are obese, asthma in some can be more challenging to control, and their body may also be more affected by air pollution. Obesity is extremely complex with many inputs, and there is much more we need to learn. Dr. Holguin is working hard on this research, and shares what he has learned with us today. We also discuss what can be done at the individual and community level to improve our health, with a focus on taking manageable steps. To Do 1- Decrease processed foods in the diet, add more vegetables, fruit and whole grains to the diet. 2- Work for clean air in your home and community. 3- If you or someone in your family is coughing regularly or has shortness of breath, talk to your doctor about it. A diagnosis is very important! 4- Learn more about asthma risk factors and triggers- see the Twitchy Airways Club section of the website. 5- As always, stop smoking! Click here if you need help to quit. 6- Calculate your BMI here, if it is over 25, you may be overweight. If it is over 30, you may have obesity and be at risk for a more severe impact from air pollution. Talk to your doctor about what steps may be most important for your health. ----------------------------------------------------------------------------------------- Visit blog post for more information, or go to airhealthourhealth.org. Follow and comment on Facebook page and Instagram. Record a question or comment on the Anchor podcast site or send an e-mail via the website. --- Send in a voice message: https://anchor.fm/airhealthourhealth/message

You Start Today with Dr. Lee Warren | Weekly Prescriptions to Become Healthier, Feel Better, and Be Happier.

If You Keep Making the Same Mistakes, Don't Give Up! Quiet time around mistakes. Colossians 3:13 Music by Unspoken  Go to my website www.wleewarrenmd.com for more information about my letter, this show, my books, and more.   (Music shared on The Dr. Lee Warren Podcast is authorized under BMI license #61063253 and ASCAP license #400010513 )    

Crossroads Community Church Sunday Service Podcast :: Valencia, CA

To find out more about Crossroads Community Church or to connect with us, visit the following links: → lifeatcrossroads.org → facebook.com/lifeatcrossroads To give online: lifeatcrossroads.org/giveonline. CCLI License: 2915685 CCS WorshipCast License: 9466 GRANT OF LICENSE. Crossroads Community Church is granted a non-exclusive, non-transferable license during the term of the agreement to publicly play, perform, and transmit via the website noted above, any musical composition controlled by one or more of the domestic Performing Rights Organizations (ASCAP, BMI and SESAC), as stated in the CCS WORSHIPcast License Terms and Conditions.

Diet Starts Tomorrow
Have You Ever Been Fat Shamed By Your Doctor? Ft. Marisa Kabas

Diet Starts Tomorrow

Play Episode Listen Later Nov 7, 2021 46:23


This week Sami is joined by writer Marisa Kabas. They start off by discussing Marisa's experience dealing with weight stigma in heath care and having to diagnosis herself. They also discuss feeling judged by doctors who can't see past their weight, being haunted by doctors who won't stop showing us their BMI charts, and why it's important to always advocate for yourself. They also talk about hospital bills, what pituitary tumors are, and functional medicine. Finally, they read some listener submitted stories about weight bias in medicine.

ASCO Guidelines Podcast Series
Endocrine Toxicities: Management of irAEs Guideline (Part 6)

ASCO Guidelines Podcast Series

Play Episode Listen Later Nov 5, 2021 14:06


An interview with Dr. Jennifer Mammen from Johns Hopkins University, author on “Management of Immune-Related Adverse Events in Patients Treated With Immune Checkpoint Inhibitor Therapy: ASCO Guideline Update.” She discusses the identification, evaluation, and management of endocrine toxicities in patients receiving ICPis, including thyroid-related irAEs, primary AI, hypophysitis, and diabetes in Part 6 of this 13-part series. For more information visit www.asco.org/supportive-care-guidelines   TRANSCRIPT [MUSIC PLAYING] SPEAKER: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. [MUSIC PLAYING] BRITTANY HARVEY: Hello and welcome to the ASCO Guidelines Podcast Series brought to you by the ASCO Podcast Network, a collection of nine programs covering a range of educational and scientific content and offering enriching insight into the world of cancer care. You can find all the shows, including this one, at asco.org/podcasts. My name is Brittany Harvey, and today, we're continuing our series on the management of immune-related adverse events. I am joined by Dr. Jennifer Mammen from Johns Hopkins University in Baltimore, Maryland, author on Management of Immune-Related Adverse Events in Patients Treated With Immune Checkpoint Inhibitor Therapy: ASCO Guideline Update and Management of Immune-Related Adverse Events in Patients Treated with Chimeric Antigen Receptor T-Cell Therapy: ASCO Guideline. And today, we're focusing on endocrine toxicities in patients treated with immune checkpoint inhibitor therapy. Thank you for being here, Dr. Mammen. JENNIFER MAMMEN: My pleasure, Brittany. BRITTANY HARVEY: First, I'd like to note that ASCO takes great care in the development of its guidelines and ensuring that the ASCO conflict of interest policy is followed for each guideline. The full conflict of interest information for this guideline panel is available online with the publication of the guidelines in the Journal of Clinical Oncology. Dr. Mammen, do you have any relevant disclosures that are related to these guidelines? JENNIFER MAMMEN: I do not. BRITTANY HARVEY: OK. Thank you. Then, to start us off, what are the immune-related endocrine toxicities addressed in this guideline? JENNIFER MAMMEN: Yeah. So irAEs affect the thyroid and the pituitary most commonly. But we also addressed the possibility of primary adrenal toxicity and also the emerging toxicity of insulin-dependent type 1 diabetes, which, while rare, can present with grade 4 toxicity in the form of diabetic ketoacidosis. BRITTANY HARVEY: Understood. Then, starting with adverse events affecting the thyroid, what are the key recommendations for identification, evaluation, and management of thyrotoxicosis? JENNIFER MAMMEN: So thyrotoxicosis after ICI exposure is almost entirely due to subacute thyroiditis. That's a transient inflammation of the thyroid gland that causes a few weeks of high levels of thyroid hormone, followed by at least several weeks of hypothyroidism as the stores of thyroid hormone are replenished. In the irAE context, many patients do not ever actually recover adequate thyroid function and will remain hypothyroid, requiring thyroid hormone long term. Because the thyrotoxicosis is transient and results from the release of preformed thyroid hormone, anti-thyroid drugs do not help and actually can even make the hypothyroidism phase worse. Therefore, the treatment is really supportive care with beta blockers in particular to control symptoms of the hypothyroidism, such as tachycardia, tremor, or anxiety. BRITTANY HARVEY: In addition to those points for thyrotoxicosis, what are the key recommendations for primary hypothyroidism? JENNIFER MAMMEN: Yeah. So primary hypothyroidism is very common both in the general population and now in this population as a result of thyroiditis. Many patients might actually already be on thyroid hormone when starting immunotherapy. When the pituitary is working, the pituitary hormone thyrotropin or TSH is a reliable indicator of the adequacy of thyroid hormone replacement. And the goal is to use a dose of thyroid hormone that maintains the TSH in the mid reference range, generally between 1 and 3 million international units per liter. When a patient is first presenting or diagnosed with hypothyroidism, for example, in that second phase of thyroiditis, a weight-based dose can be used to estimate the needed replacement dose. For those with higher BMI, generally, an ideal body weight rather than an actual body weight gives a better estimate. And those specific recommendations are in the guidelines. Proton pump inhibitors, calcium/iron supplementation, or GI inflammation can all decrease the absorption of thyroid hormone. And so even the thyroid hormone is really common, and many oncologists are used to managing it, it can be tricky in these patients if there's issues with malabsorption. And so, therefore, an endocrinology consultation can be helpful to titrate and ensure that the dosing is adequate. Once that adequate dose, that stable dose is found, if other factors don't change, dose requirements are generally quite stable and can be monitored annually either by a primary care physician or an oncologist. BRITTANY HARVEY: Great. Those are important points. Then, addressing the immune-related adverse event that impacts the pituitary, what are the key recommendations for identification, evaluation, and management of hypophysitis? JENNIFER MAMMEN: So hypophysitis is inflammation of the pituitary, as you said. And although there are five hormone systems at risk, it's actually most common that the thyroid and the adrenal gland axes are what are affected. The diagnosis is made by a combination of assessing the pituitary hormone and the primary hormone, in this case, the thyroid hormone and cortisol along with the TSH and ACTH, which is the pituitary hormone that regulates the adrenal gland. With primary gland failure, as we said, the pituitary hormones will be elevated. But in hypophysitis, the problem actually comes from the pituitary. And so TSH and ACTH will be low or inappropriately normal for the low primary thyroid hormone level. There are several key points for oncologists who might need to initiate therapy before the patient can see endocrinology. First, thyroid hormone increases the metabolism of cortisol. And so if you've diagnosed central hypothyroidism due to hypophysitis, it's really important to replace cortisol, if needed, before replacing thyroid hormone, because in someone with both deficits, thyroid hormone alone can precipitate an adrenal crisis. Thus, the ASCO Guidelines really emphasize the need to assess both before starting thyroid hormone and also give the option to use steroids empirically, if needed, since the diagnosis can be sorted out later by an endocrinologist. A second important point is that headaches, visual changes, and diabetes insipidus, which is loss of fluid and generally marked by hypernatremia, those are much more common with metastatic disease in the pituitary rather than hypophysitis. And so such symptoms should really prompt a pituitary MRI when they're found in the setting of hormonal losses. The management of central hypothyroidism is similar to that of primary hypothyroidism. But as I said, the TSH is no longer a reliable marker for adequate replacement. So the goal, then, shifts from a TSH in the reference range to a free T4 at the upper half of the reference range. Adrenal insufficiency, as with thyroid hormone insufficiency, is managed by physiologic hormone replacement, and that's best done using hydrocortisone. This is a short-acting steroid that can be given in a way to imitate the natural diurnal rhythm. We use 2/3 of the dose in the morning and 1/3 in the early afternoon, allowing levels to fall as they naturally would overnight. Dose-titration is based on symptoms. And usually, 15 to 25 milligrams of a total daily dose is adequate to control symptoms from adrenal insufficiency. I do think all patients should see endocrinology at some point if they have been diagnosed with hypophysitis because they do need education on sick day rules, otherwise known as stress dosing, and also to be instructed on wearing an emergency alert bracelet or necklace or something. Long-acting steroids can be used for patients who have adherence problems. And of course, those long-acting steroids are more appropriate for the treatment of any other irAE that a patient may develop. While on higher doses of prednisone, patients can discontinue hydrocortisone and then restart it when the prednisone dose is weaned down below 5 milligrams daily. If there's a question about whether the central adrenal insufficiency is from hypophysitis or due to suppression after weaning off high-dose exposure, use of hydrocortisone because of the diurnal rhythm actually allows the adrenal axis to recover normally. And so after weeks, you can test for adrenal recovery using a morning endogenous level 24 hours after the last dose is given, which is another advantage to using the hydrocortisone mode of hormone replacement. BRITTANY HARVEY: Understood. And I appreciate you highlighting those key points for oncologists. Then, following that, what are the key recommendations for primary adrenal insufficiency? JENNIFER MAMMEN: Yeah. So primary adrenal insufficiency, you'll see the ACTH elevated just like in primary thyroid disease, and the cortisol will be low. Again, this situation is actually much more common with metastatic disease, and therefore, imaging is called for if you find that pattern of hormonal changes. It's been case-reported to happen with irAEs, but in general, this is incredibly rare. The management of hydrocortisone replacement for people with primary adrenal insufficiency is really the same as for hypophysitis. We're using hydrocortisone with that diurnal physiologic replacement pattern. Primary adrenal insufficiency, however, also generally results in the loss of mineralocorticoid function. And so most patients also need at least a low dose of fludrocortisone replacement. BRITTANY HARVEY: OK. And then the last adverse event addressed in the endocrine toxicity section of this guideline, what are the key recommendations for identification, evaluation, and management of diabetes? JENNIFER MAMMEN: Yeah. So diabetes in this patient population is very tricky because so many of these patients are getting high-dose steroids as part of their chemotherapy regimens, and this can cause a lot of hyperglycemia. And I think it's actually easy to become complacent about seeing blood glucoses in the 200s. And in fact, most of the hyperglycemia will be just that, secondary to steroid exposure and worsening type 2 diabetes. It can be managed with a titration of routine medications. But they are now increasingly less rare but still rare events of acute loss of pancreatic function, presumably autoimmune, that can be accompanied by life-threatening diabetic ketoacidosis. And the challenge for oncologists, I think, is to have a low enough threshold to investigate a suspicious pattern of hyperglycemia, for example, hyperglycemia with complaints of polyurea or, on physical exam, a more rapid respiratory rate that could indicate compensation for metabolic acidosis. So it's really a question of being a good clinician and taking the diabetes in context and not just assuming that it's due to steroid exposure. This is, I think, important because, like I said, diabetic ketoacidosis can be a grade 4 emergency, and patients can end up in the intensive care unit, needing a lot of intervention, which if we have a higher suspicion in clinic, we might be able to avert by getting rapid communication with endocrinology, starting people on insulin and that kind of an approach. BRITTANY HARVEY: Definitely. A common theme with these toxicities seems to be early identification is key. So thank you for reviewing the high-level recommendations for each of these toxicities. In your view, how will these recommendations for the management of endocrine toxicities impact both clinicians and patients? JENNIFER MAMMEN: Yeah. So I think making diagnoses in the hormonal systems can be complex and does require attention to the interactions, like we were talking about, between the pituitary and the primary gland. It's not something that oncologists necessarily have front of mind. And yet hormone replacement is actually quite straightforward. Once the need for it is recognized, since there's no side effects from replacing a hormone at an appropriate dose, it's just a replacement. And so, therefore, rapid diagnosis and initiation of hormone replacement can really allow patients to continue immunotherapy with a very minimal disruption, even in the face of an endocrine irAE. Although at our institution the close coordination between treating oncologists and endocrinologists is available, that's certainly not true everywhere. And I think that the ASCO Guidelines are designed to try and help oncologists make these diagnoses and initiate therapy to stabilize patients and even allow them to continue treatment while awaiting any necessary consultations, even in the case of thyroiditis, perhaps, managing what's a self-limited event and then moving on, which reduces the burden on patients with other priorities to focus on. BRITTANY HARVEY: Great. Those are very important points. So I really want to thank you for all of your work on these guidelines. And I appreciate you taking the time to speak with me today, Dr. Mammen. JENNIFER MAMMEN: It's my pleasure. BRITTANY HARVEY: And thank you to all of our listeners for tuning in to the ASCO Guidelines Podcast Series. Stay tuned for additional episodes on the management of immune-related adverse events. To read the full guideline, go to www.asco.org/supportive-care-guidelines. You can also find many of our guidelines and interactive resources in the free ASCO Guidelines app available in iTunes or the Google Play store. If you have enjoyed what you've heard today, please rate and review the podcast and be sure to subscribe so you never miss an episode. [MUSIC PLAYING]

The Whole Health Cure
"The Catching Point Transformation" with David Prologo, MD

The Whole Health Cure

Play Episode Listen Later Nov 5, 2021 29:56


David Prologo, MD is a Christian, a Husband, a Father, and a Fighter. He is a dual board-certified interventional radiologist and obesity medicine specialist.  Dr. Prologo has spent more than twenty years specifically analyzing the phenomenon of diet attrition—why do diets always fail? More importantly, when they do fail, why do we blame the patients for that failure?  That journey led Dr. Prologo to perform first in human advanced interventional procedures to manage obesity, diabetes, and other metabolic conditions. It further led to the identification of the catching point—a clear pivot point beyond which calorie restriction and exercise are easier for patients. Dr. Prologo has been recognized nationally and internationally for his work, including features on The Today Show, in the Washington Post, on Capitol Hill, in numerous in peer-reviewed journal publications, countless web based invited expert articles, and much more.  He currently lives in Atlanta, Georgia with his wife and two children. Dr. Prologo continues to advocate for those who are in pain or struggle with weight loss – particularly driving an agenda of acceptance, inclusion, and love.   In this conversation Dr. Prologo talks about his recent clinical trial that quickly gained attention, which involved freezing the hunger nerve. Dr. Prologo shares why and how this trial was effective in helping patients with weightloss long term. We then transition the conversation to weightloss in general: why do most diets fail, how does a physiology of an overweight patient differ from the one with normal BMI, willpower relevance, success factors and introduce the notion of the catching point. Dr. Prologo elaborates on the science, lessons learned and his experience of working with his patients, which he also summarized in his upcoming book "The Catching Point Transformation" available for preorder today. Tune in to learn more! To learn more please visit:Visit the site and preorder the book here.Website www.drprologo.comTwitter https://twitter.com/jdprologoInstagram https://www.instagram.com/jdprologo/Facebook https://www.facebook.com/jdprologoLinkedin https://www.linkedin.com/in/j-david-prologo-md-fsir-abom-d-40071861/ This podcast is brought to you by Emory Lifestyle Medicine & Wellness. To learn more about our work, please visithttps://bit.ly/EmoryLM 

You Start Today with Dr. Lee Warren | Weekly Prescriptions to Become Healthier, Feel Better, and Be Happier.

Self-brain surgery tip #8: Doubt is not a symptom of faithlessness. It says, “I don't know,” & is a fork in the road. Fear says, “No.” Faith says, “Yes.” Doubt isn't weakness; it's an opportunity to trust in the Yes. Scripture: Romans 4:18 Go to my website www.wleewarrenmd.com for more information about my letter, this show, my books, and more.   Music by Zach Williams  (Music shared on The Dr. Lee Warren Podcast is authorized under BMI license #61063253 and ASCAP license #400010513 )

Fertility Friendly Food
A Candid & Balanced Conversation about Weight & Fertility | Episode 44

Fertility Friendly Food

Play Episode Listen Later Nov 3, 2021 21:38


Trigger warnings:  weight, weight-centric discussions, eating disorders and miscarriage are mentioned in this episode.In this candid conversation, I dive into all things weight and fertilityHow does weight impact fertility for females and males?Should you aim for weight loss or gain?When is it NOT the right time to lose weight on your TTC journey?BMI cut-offs and fertility treatment access: the issuesA non-diet approach to fertility nutritionI sincerely hope this brings you some perspective on what can be a really loaded topic in the fertility space.Want to book in a Fertility Nutrition Intensive? Limited spots available! Click here.Welcome to Fertility Friendly Food The Podcast! I'm Stefanie, expert fertility dietitian and nutritionist, founder of The Dietologist, here to help inspire and empower you with factual nutrition information about women's and men's health, hormones and fertility & pregnancy. A virtual nutrition practice dedicated to women's health, fertility & pregnancy.Book a session with The Dietologist team to work on optimising your health and fertility using effective dietary and lifestyle strategies here.Or, for a cost-effective, 100% online fertility nutrition program you can start straight away, sign up for The Waiting Game, my 30-day program designed to improve your chances of falling pregnant using evidence-based diet and lifestyle strategies.Disclaimer: The information presented in this podcast is not to be replaced by personalised medical or dietetic advice, please speak to your health care professional before making any diet or lifestyle changes. The Dietologist and its guests do not accept any liability for any harm or damages that occur from following any of the suggestions in these podcast episodes.Save your seat in the next FREE Fertility Masterclass, '4 Fertility Diet Mistakes You're Making and What to do Instead' here (spots fill fast!): https://bit.ly/fertility-nutrition-masterclass Download my FREE ultimate pre-conception lifestyle checklist for him and for her at: https://pages.thedietologist.com.au/checklist Shop my range of meal plans, eBooks and cookbooks at: https://thedietologist.com.au/shop/ Website: thedietologist.com.au Want to work one-on-one? Apply for a Complimentary Discovery Call Instagram: @the_dietologist and @endo.dietitian  Facebook: @thedietologist and @endo.dietitian Facebook Group: Fertility Friendly Food by The Dietologist Twitter: @the_dietologist Subscribe, leave a rating and review in Apple Podcasts and share the love with a friend or family member who may enjoy the show!

You Start Today with Dr. Lee Warren | Weekly Prescriptions to Become Healthier, Feel Better, and Be Happier.

One way to succeed in No-Slip November is to stop putting mountains in our own way. Here are some thoughts from Hebrews 12:12-13 on making level paths for our feet. Music from Elevation Worship (Music shared on The Dr. Lee Warren Podcast is authorized under BMI license #61063253 and ASCAP license #400010513 )  

Pivot Point with Joseph DeBeasi
Episode 71 with Alan Chapell

Pivot Point with Joseph DeBeasi

Play Episode Listen Later Nov 3, 2021 51:23


How does one become a tech privacy attorney and a musician? How do you go to Mumbai to find your way? This is the story of Alan Chapell. Growing up on the multi-ethnic streets of Stamford, Connecticut, Alan Chapell was exposed to a multitude of music – playing piano and trumpet before the age of six and at age 15 recording with the legendary producer Jimmy ienner (Dirty Dancing, KiSS, etc) Along with his musical success, Alan has carved out a niche as an attorney . . . advising tech companies on privacy issues. When the producers of HBO's Silicon Valley consider creating a character to lampoon your role in the tech space, you know you've made it.

producers ucla luck engineers universal studios guitar singer pbs village disney joker mumbai hell sense8 soul podcasts hbo bbc films voice general hospital new mexico santa fe connecticut grimm titanic abc once upon a time defiance sylvester stallone mary poppins returns silicon valley p!nk dirty dancing alpha kiss nancy drew avatar john williams kung fu birdman face off music festivals watchman eureka omen hairspray alphas matrix avengers age of ultron first man unbroken abyss tony awards boston university ride groundhog day sixteen film festivals se7en florence price batwoman discovery channel composers leverage duke ellington george walker american sniper hometown david mamet breakdown la confidential earthquakes back to the future under siege riverdale music editor manchurian candidate google podcasts wanted blindspot michael giacchino baraka bob hope we belong bmi rocky balboa game music conductors samuel coleridge taylor william grant still jeff russo matt moran pat benatar american utopia bernard herrmann atticus ross mission hill adventures in odyssey chronos into the dark alan pakula jerry goldsmith david seltzer fugitive lana wachowski samsara albert hughes midnight texas student films voice over artist days of our lives nathan barr stamford jon taylor pivot points touching evil berklee college of music dead presidents hungry eyes dan navarro rob simonsen as good as it gets guest house tom fleischman young and the restless chapell kristin linklater hughes brothers michael stearns bad boys for life allen hughes ron fricke katie leigh book of eli matrix 4
Software Social
A Conversation with Kevin Sahin, Co-Founder of ScrapingBee

Software Social

Play Episode Listen Later Nov 2, 2021 56:25


Follow Kevin! https://twitter.com/SahinKevinCheck out ScrapingBee: https://www.scrapingbee.com/AUTOMATED TRANSCRIPTColleen Schnettler  0:00  This episode of Software Social is sponsored by Hey Check It. Does your website performance keep you up at night? The creators behind Hey Check It started it for this very reason—peace of mind about their sites and the sites they manage. Hey Check It is a website performance monitoring and suggestion tool focused on SEO, accessibility, uptime, site speed and content. It includes AI-generated SEO, data, spelling and grammar checking, custom sitemaps, and a number of other tools. If you're managing multiple websites, check their agency plans with public facing dashboards to meet your clients' needs. Start a free trial today at HeyCheckIt.comMichele Hansen  0:39  Hey, welcome back to Software Social. We're doing another interview this week. I am so excited to have Kevin Sahin with me. He is co-founder of ScrapingBee. Kevin, welcome to software social.Kevin Sahin  0:57  Well, thank you, Michele, I'm excited to be here.Michele Hansen  1:01  So this kind of came about because I was on Twitter, as I often am. And I noticed, I think it was actually someone tweeted about MicroConf Europe, which I had been really wanting to go to, but conflicted with a friend's wedding. So we couldn't go. So I was just sort of following and watching everything unfold on Twitter and tweeted about how peer your co founder was, was giving a talk. And he mentioned how scraping DEA offered free API credits to customers who are willing to jump on a 15 minute call with them. And you guys ask them questions like, what else have you tried, and my interest immediately perked up. And really wanted to talk to you about those calls you had and what you learned from them, and what that added for the business. But before we jump into that, perhaps you should say for a moment, just what scraping be. Is and, and whatnot. And?Kevin Sahin  2:09  Sure. So um, so basically scraping the is an API for web scraping. When you are extracting data from the web, you often have the two same problems, which are, there are more and more websites that are using JavaScript frameworks like Vue js, react, etc. And so you have to render the page inside a web browser. And this is kind of, it's a pain to manage, especially at scale. Because you have to, you know, there are lots of DevOps skills that you need. You need big servers, you need lots of things. And it's really handy to have, you know, a headless browser accessible with a simple API call. The other thing that you have to do when you scrape the web at scale, is to manage proxies. So you can you probably need proxies for many different reasons. For example, let's say that you are extracting data from ecommerce website. Well, most ecommerce websites are internationalized, meaning that if you access the website from an IP address in Europe, you will have the prices in euro if you access the IP address or the website from an IP address in the US you will have prices in dollars. So you need some kind of proxy management system. The other thing is IP rate limit. Some websites are limiting the number of pages you can access per day from a single IP address if you need to access more pages, you need more IP addresses etc, etc. And so we bundled this inside a single API which is scrapingMichele Hansen  4:04  so I love how you're solving that because we have felt that pain personally. So I've kind of talked a little bit in the past about how my husband dies first project that was what so the one well, not at first, but the one right before geocoder that basically funded Juco was this mobile app called what's open nearby where you could open it up and see grocery stores convenience stores and coffee shops that were open near you. And how we ran that in the back end was we had a ton of scrapers running of like grocery store, you know Starbucks, whatever like their websites, scraping the hours off of them and we like just all the time there's issues you know, the parsers breaking or you get blocked or actually the the sort of recent side project we did Keren, which allowed people to get an alert when a grocery pick slot opened up on a on a grocery stores website because of COVID and everything that was also powered by scrapers basically and the back end. And so I have I have personally felt the pain of, you know, the impacts when when when, you know, scraping goes wrong or you know it can get frustrating at times.Kevin Sahin  5:29  Yeah, that's I mean, there are the, the story behind scraping is that we, we personally experienced some of those frustrations, because p&i like before launching scraping beam, we started our career in two different startups that were heavily relying on web scraping. In the business, I was working on a startup in France, which is kind of a mix between mint.com in the US and plaid.com. So for those who don't know, it's a bank account aggregation software's sublet, that comm is an API that allows third party to access your bank account. And means that comm is a bank account aggregation, personal finance management app. And so at this startup, I was really exposed to all of these issues. And Param, he was working for a real estate startup, a real estate data startup in France. And so there will relying on scraping lots of real estate portals. So we both, you know, experienced lots of these issues regarding how to handle headless browsers, how to handle proxies, how to, you know, handle blocks, etc, etc. So that was something we, we knew a little about,Michele Hansen  7:16  I love how you started with a pain that you had. But also as, as you've run the business, you're also actively reaching out to your customers to understand what they were trying to do, what problems they were having, and how they were solving those problems. So I wonder if you can kind of take us back to when you like, how did those emails come about where you were reaching out to people like, like, what what kind of prompted that?Kevin Sahin  7:47  Yeah. So that we quickly realized that we really knew when I say that we knew a little about it, it's not an a few million. Because we really knew a little about the different web scraping use cases each time. I mean, from the beginning, when we launched the API we like from day one, I'd say, we realized that some users, we're scraping, have had some use cases that we never imagined. So we quickly realized that we had to get them on the phone and knew more about about it, understand their businesses, what kind of data they they needed, what frequency for what we use case, etc, etc. But the problem that we had is that at the beginning, so we had we had the banner on the dashboard, covering that, if they had any question, they could schedule a call with me. But nobody was scheduling any call. So maybe, maybe the banner was wasn't, I mean, the copy wasn't great, maybe. The CTA wasn't clear, I don't know. But the fact is, nobody was getting any call with me. And we also had an email sequence where we, we had a few links to my county. But it wasn't working. I mean, sometimes we had a trial scheduling a call, but it was not very, not a lot. And and then we we had this idea of offering more 10x more free API calls. Then the trial offered. And then instantly, we started to get a lot of calls. So many that I had to, you know, delete some availability in my week, because I was just doing calls every day all day. And, and it was great because we will learn so much we, I mean, we will learn so many different use cases that we never thought about. For example, I don't know, we, we, we had so many diverse people. So for example, university researchers that were scraping the web for all kinds of research projects. We had government agencies that were scraping the web, to automate automatically detect security frauds. That's all those kinds of use cases we could never invented them, we like, I don't see any other way we could have learned all of this, then, you know, calling our customers and, and developing a relationship with them. And by the way, this, I mean, there are many benefits to these calls. It's not just about, you know, discovering their needs, but it's also building relationships, especially when you are one month old startup. Because, you know, it's really hard to sell your product, especially with enterprise customers, you know, government agencies, universities, etc, etc. When you say, yeah, we were launched a month ago, there's a bit of a trust issue. And developing the relationship, a relationship with them, really helped. Like, in the seven months, after our launch, we signed a big enterprise customer. And I think that we never could have done this without, you know,having them on the call. It also helped in many other ways. For example, I mentioned the the, the university researchers, we granted them free credits to the API for their research project. And like a few weeks or months later, they mentioned us in the University website, which is great for many reason for SEO for authority, etc, etc. So, I mean, there was like, it took me a lot of time to take these calls, but the, the benefits is a like, it's really worth it. And I'm glad we did.Michele Hansen  13:44  It's so interesting how you say that you You not only learn so much about why people need something like scraping be in the first place. But it also built this trust with your customers when you're very you're very new company, and they really didn't have a lot of reason to to trust you. And even though the purpose of them maybe was not, you know, making these sales, it really led to them down the road. All because you took 15 minutes to understand what they were trying to do and what they had been using before.Kevin Sahin  14:23  Yeah. Most of the time, it was more than 15 minutes, by the way. Like, especially when the conversation was getting technical. Because even those scraping visas, simple REST API, there's a whole you know that they often needed. Advice advices about how to implement it on their side. Meaning how to you know Do the scraping pipeline, the scheduling, the data storage, the error monitoring, the maintenance of the scrapers how to what kind of libraries they could use, etc, etc. So I, we we spent a lot of time with this. Sometimes this was a bit too much like, for example, when you spend one hour advising the technical team of your prospect and that that at the end, they don't end up being a customer. It's a bit frustrating. But at the same time, it was really I mean, it was a as a two months old startup, it's a really competitive advantage, I'd say that to be able to take the time to really advise and guide the prospect in the implementation. So and it really helped us to sign the first customers.Michele Hansen  16:24  I'm curious, do you remember the exact questions that you asked people?Kevin Sahin  16:30  Yes, I remember. It's not. I didn't ask a lot. But I was asking them about their, what their company is doing. What? Why they want to scrape data? I mean, is it part? Is it something that is part of their core product core business? Or is it some side thing? The, the the kind of website that they needed to extract data from the frequency? And why like, what did they tried so far? Why did it didn't it worked? Why are your other looking for another solution? Etc, etc. So that, like these five questions, or the most important one, I thinkMichele Hansen  17:35  it sounds like those questions came out of your own genuine curiosity, because you had some awareness of the some some things people might do with scraping from your own experiences. But you were aware that that was not the whole universe of things that people might possibly do. And so you genuinely did not know what the other things people why people might be doing it and what else they might be doing.Kevin Sahin  18:03  Yeah, exactly. And, and we were pretty lucky to realize this early. Because, you know, you're always tempted to just see things through your own experience. But we, as I said, early on, we, we realized all those kind of use cases we had no idea about. And so we got pretty curious about it pretty early.Michele Hansen  18:43  And in so many ways, that reminds me of how I got interested in customer research in the beginning, too, because when we launched geocode, do you know it? I mean, so it came out of our own needs, actually, because that that app I mentioned finding grocery store hours, it would show people a map, and we needed coordinates in order to show that map. And, and so it came out of our own need there. But we're not, you know, neither of us has a background in geography or geographic data analysis, GIS, any of that stuff. And when we launched and people were, you know, reaching out to us, and they're asking for us to do things, we would ask them why because we genuinely did not know because we were not do geographic information systems, people. We weren't steeped in this world. So it was as much about how do we expand our product? As you know, but what why do you want to do it in the first place? Because I just I just don't know. And following that curiosity, yeah.Kevin Sahin  19:48  And so um, the geocode IO, you launched this how many years ago,Michele Hansen  19:58  we launched in January of 2014. So we are Coming up on eight years this January. Wow, congrats. almost a decade of, you know, a couple more years. But yeah, it's kind of wild. snuck up on me.Kevin Sahin  20:17  That's a that's cool. And so how did you when you launched in 2014? What, how did you get your first customers.Michele Hansen  20:34  So we were our first customer for that app, because the app was making about like three or $400 a month in ad revenue. And basically, the idea of do codea was that, you know, we could basically if we released it as an API and threw a wall in front of it, maybe other people would pay to keep the server's going for it. And then we would, we could still keep our app going, and then not basically not be paying for for this geocoding API, rather than paying you know, a major provider, you know, 10s of 1000s of dollars a year, which we didn't. So we had, you know, two little digitalocean droplets that it was running on for 20 bucks a month. And that was our goal was to make 20 bucks a month. So we then, you know, put it on, you know, we talked talked to some other friends who are developers and had them test it out, and then put it on Hacker News. And that was how we got that initial wave of feedback, we had 1000s of signups. Most I mean, that traffic doesn't stick around, like, you look at analytics graph, and it's just like, you just we basically have to filter out our launch, because it's just, it totally breaks the graph. And but we made, we ended up making $31 that month, that that first month,Kevin Sahin  21:55  sorry, trade paid for the Digital Ocean droplet,Michele Hansen  21:59  we were over the moon, because we had made more money than we spent on it. And to us, that was a wild success.Kevin Sahin  22:10  And so how did you like, after this initial hack on your success? How did you continue to, you know, acquire customers and develop the company.Michele Hansen  22:25  So I think in the early days, it was a lot of, you know, when people expressed that they had problems that we solved, trying to be there, so I spent hours, you know, replying to stuff on Stack Overflow. And, you know, whenever something came up on Hacker News, someone asking about geocoding, whatever, we would always like pop in there, or on Twitter, or just kind of trying to be in the places where people were already looking for something like this. Of course, we had we had a website, but I don't, it wasn't super built out, you know, with, you know, case studies and example customers and testimonials and, you know, stuff like that, basically, it's for like documentation for for a long time. But um, yeah, I basically spent a lot of time on StackOverflow trying to sort of, you know, neutrally, like reply to questions and kind of, yeah, keep people coming to us,Kevin Sahin  23:33  and how, like, how did he did evolve? Like, right now, where, where does your customer are coming from?Michele Hansen  23:43  That's a really good question. Because I don't always know. We don't do a ton with analytics. But pretty much we're very SEO based. So it's still that idea that someone is already frustrated. They're already trying to find something for geocoding. Or for you know, they need you need mentioned academic researchers. So we have a lot of customers who are academic researchers, because in the US, in order to connect to any government datasets, you need this thing called a FIPS code. And you can only get that FIPS code if you have the coordinates for the address. And then the government data will be at that FIPS code level, which is basically sort of like the block. So for example, if a researcher is they know they need FIPS codes to connect to some data, there'll be googling it and so is to have tons and tons of landing pages showing people how you need to convert addresses to FIPS codes. Here's how you can do with our API. Here's how you can upload a spreadsheet. You know, if you need congressional districts, here's how you can do it. If you need time zones, here's how you can do it. And it's very content driven. On the SEO side, we we still do a little bit of replying to stuff on StackOverflow I don't think I've done that for months if not, you know like not really Really anymore? Um, pretty much it's it's about, you know, being there when someone is already looking for something.Kevin Sahin  25:08  No, we that's something that we, we also did in the beginning of scraping be. We answered Korra questions, not a lot, not a lot of Stack Overflow but a little bit, and then on forums on Twitter and indie hackers, etc, etc. And just like you like now most of our customers are coming from SEO, I'd say 90%. And we've been really focusing on that, since the beginning, we launched the blog, and even before the product was launched, so I think that our first blog was in May 2019. And we launched in August 2019. So you really treated SEO as a, like our main acquisition channel,Michele Hansen  26:17  and seems like you guys are, I don't know if you're quite like freemium. But you I noticed on your site that it says you can get started with 1000, free API calls, no credit card required. You know, in many ways, I feel like, you know, I think I think it's, you know, freemium is not a pricing model. It's a marketing tactic. And I very much feel like, you know, that combination of SEO and freemium is a huge part of why we have been able to attract customers, because people can try it out without, you know, without having to talk to us first, they can see if this is the product they need, and then they're like, okay, like, we're ready to ready to sign up, and you don't feel like you don't have to sell as hard when you have that combination of SEO and freemium, because people can just figure out for themselves if it's what they need.Kevin Sahin  27:22  Yeah, exactly. And there is only one thing that is very specific to API's. It's that in many companies, and so I learned this with the customer interviews, the developers do not necessarily have access to the company credit cards. And having a free trial without credit card is really something that can boost the activation. Because if the developer has to ask is n plus one or n plus two for a credit card? And maybe he's like, it's going to bother the developer, he's not even going to try the service, or it's going to slow things down because he needs the approval, etc. So having the free credits on the trial is really something that helped us. And I don't I don't see any, I mean, I see many drawbacks of not having it. I don't see many benefits of having, you know, a credit card. They will follow the trail when you're doing when you have an API business.Michele Hansen  28:45  Yeah, exactly. And then you know, the developers they can they're trying to get their work done. They can try it out for themselves, see if it works. And then if it is something that's going to work for them, then like they're the one selling your product within the company. You don't have to be emailing all the CTOs and directors and everything being like, Hello, we're scraping me and this is what we do. Like, it's already there. Developers within the company who are like, hey, like, we've got this project. We've got this deadline, I need to use this thing. I already tried it. It works like can you like, like, yeah, give me the card. Let's go. Let's get this over with. Exactly. Yeah. And I'm curious when you did those calls, you said you gave them free API credits? How many did you give them for those calls?Kevin Sahin  29:28  How many API credits Yeah, I mean, it was at least 10,000 acre grades, sometimes even more, depending on there. So the thing you have to keep in mind is that one API creates isn't equal to one API call. Because the the cost of the API call is depending on the parameters that you use with your API call, and it can cost up to 25 API credits per call, so it goes up quickly.Michele Hansen  29:59  Yeah. So but so basically, I'm just wondering what the, the cost to that, uh, you know, there's the cost of those interviews, but also basically like, you know, because sometimes, you know, often recommend if you're doing call somebody know, give them a 10 or $25. Amazon gift card, and I'm just kind of curious like what thatKevin Sahin  30:20  wasn't? It was not much, I'd say, but I don't have a precise figure to give you I don't know, but probably less than $1 per per 10,000. I mean, they don't even they don't like most of them didn't use the whole 10,000 free credit. So I don't think but not much. So theseMichele Hansen  30:48  customer interviews cost you maybe less than $1. Yeah, each, which actually wasn't a cash outlay, because you're just giving them credits. Half an hour, maybe an hour of your time, depending on how technical their questions were. But down the line could lead to these enterprise sales. And the customers really trusting you in a way that they maybe would not have had you not spent this time and given them those credits.Kevin Sahin  31:19  Yeah, I can't even give you a precise numbers. The first month in August 2019, we signed our first enterprise customer for seven or $800, a month after one of those calls.Michele Hansen  31:37  Wow. Do you know how many of these calls you did? You mean, you mentioned you to them over 18 months? But I'm curious if you have aKevin Sahin  31:44  I did a lot in the beginning, I'd say probably 200, something like that.Michele Hansen  31:55  And I'm curious, you know, you said you you did this for? Like, are you still doing these calls? Or?Kevin Sahin  32:01  I am but so right now, we don't offer free credits anymore. We just have some links in our email sequences. And on the website. If for the trial, period, when customers have questions that cannot be answered, with our knowledge base or recommendation. And now I would say that maybe I have four or five calls per week. Maximum.Michele Hansen  32:38  Yeah, that's, that's awesome. Yeah, I'm still sort of, you know, the the calls came about because you were just you were curious about why does anyone need this thing we made this very similar to us. And I'm curious of, you know, as as, as you were, maybe thinking about doing that, like, like, the questions you asked, you know, are very much, you know, sort of quintessential jobs to be done questions. And I'm curious, what kind of understanding you had of customer research. Before you started doing this?Kevin Sahin  33:25  I would say zero.Michele Hansen  33:30  facet came out organically.Kevin Sahin  33:33  Yeah. I mean, no, I, like, I probably read a few blog posts about how to do customer interviews. It's just not like it was a, you know, a bit of both customer interviews and sales call. So but I mean, I'm not I'm not a salesperson. I don't, I was just, you know, trying to see if, what the customer problems were and if scraping me was a good fit to solve these problems. And if it was, then I would honestly, tell them told them that I thought scripting was the best solution for them. And if it wasn't, then I just told them to. I mean, actually, I told them what if scripting wasn't the solution, I often told them what the solution was. So if I had to refer them to a specific software or consultant or whatever, I did it. And yeah, dog came, I'd say, semi organically. I had some notions about the customer. interviews and sales gold that no experience at all.Michele Hansen  35:05  Fascinating you just kind of dove like head, you know, sort of headfirst into it. And I mean, it seems like it's really helped your your business and help you understand like, like why people need scraping and how you can help them and lead to these enterprise customers and you guys are in tiny seed likeKevin Sahin  35:30  yeah, definitely it really helped.Michele Hansen  35:33  That's awesome. Cool. So I'm curious, you had mentioned that you also had some questions about geocoding. And I wanted to make sure we got time to get Yeah, soKevin Sahin  35:45  So I'm curious about the letter. So first of all, where are you based?Michele Hansen  35:50  So we are in Denmark now. But when we launched geocode, do we live? Actually, we lived in Washington, DC. We lived in Arlington, Virginia, which is just outside DC until July of 2020. So so now we're in Denmark.Kevin Sahin  36:07  Alright, that's cool. And yeah, so the question I had is, you know, the usual what, what led you to? to geocode? So you've answered this a little bit, but what what were you doing before? How did you find the date? You know, did you did some consulting on the side? Was it a side project, etc, etc. Found the stories, always fascinating.Michele Hansen  36:37  Yeah, so um, so I kind of mentioned a little bit. So we had this mobile app, which is making a couple 100 bucks a month in ad revenue. This is like 2012 2013. And we need a geocoding for it. And we ran into a point where we basically couldn't use Google anymore, because they didn't have pay as you go at the time, it was either 2500 for free per day, or enterprise contract, and we just needed 5000. So we had to, basically sort of rolled our own geo coder that was very rudimentary. And we kind of talked about this problem that we had, you know, not being able to store the data and whatnot. And, you know, developer friends had the same problem, made an API, put it on Hacker News, $31, the first month kind of vary, and got tons of feedback from people ask them, you know, why they wanted to do what they needed to do. So started, you know, adding those features as people needed them, like a big thing for us early on was was the ability to upload a spreadsheet. And I think we made our first sort of, you know, higher end sale, May of 2014. So a couple months after, and that was, I mean, that wasn't really adding that that we called the unlimited plan, which at the time was 750 a month was huge part of our growth. But so from that, the beginning as a side project, and it stayed a side project until I went full time, which is October of 2017. So currently celebrating my four year full time anniversary. I was I was a product manager before Okay, yeah, yeah, I was I was specifically like in Well, I was a first I was an operations manager that I was a technical project manager do work managing like WordPress website, builds that agency. And then I really wanted to to like dig my teeth into things. So I transitioned into being a product manager, which led into then doing product development, which is sort of where my heart is, which is how I got into customer research to is doing product development and launching a lot of stuff that didn't work out just like learning that you really need to talk to prospects and if you want something to succeed, learn that the hard way. me so I went full time 2017 and then my husband he and we're like, oh, you know, if I go full time, like it's gonna you know, maybe take some of the load off and make things a little easier. Except you know, I was full time so then our response to our customer response times got better, you know, and we actually grew more and so we're like, Okay, well now husband needs to go full time. And this is February of 2018. And he went to his boss and was like, you know, it's time for me to go full time on this thing. And his boss was like, No, and we're like, this is an interesting negotiating position to be in so he ended up going part time part salary but keeping health insurance which in the US is huge. And, but he eventually went full time by September of 2018, because I mean, basically the more we worked on it, the more you know, the better the product. Got. Yeah. And?Kevin Sahin  40:02  And yeah, did you? Do you have any employees?Michele Hansen  40:08  No, I have a VA, but we don't have any employees.Kevin Sahin  40:12  Okay, so you are very lean? Yeah, yeah, weMichele Hansen  40:15  we focus a lot on, you know, automating as many things as we can. And I think that's one reason, you know, we talking earlier about, you know, SEO and free tier and not having to, you know, sort of, you know, do cold outreach and reach out to companies. You know, partly it's because, you know, that's kind of the sort of workflow I like, when I'm starting up with a product, I like to be able to test it out, see if it works, not have to talk to anybody, like I hate when I have to have a demo to figure out if something is what I needed to do. But also, because we just don't have the time to be, you know, reaching out to people and pitching them, because it's just the two of us, but and that's also, like, a conscious decision on our part, like, we could hire another rep, or we could hire, you know, a salesperson or whatever. But we also just, we, we kind of like how calm it is with just the two of us. So SoKevin Sahin  41:06  you said, Yeah, so basically, you plan to stay just the two of you and not hire in the future.Michele Hansen  41:15  Yeah, that's the plan.Kevin Sahin  41:17  Okay. That's, I mean, there are many founders that, like, this situation that don't really like to manage employees, etc, etc. So that's great, that's working for you.Michele Hansen  41:37  I'm a very, I'm just very product driven. Like, that's what I really love doing is, is product work. And I also I do enjoy, like, sales work, too. So like my time, you know, my sort of favorite things to work on are both product and, you know, customer research and whatnot. And then also doing, like sales and negotiations. And, and yeah, if we had employees, you know, I would be spending time managing employees. And I just, I don't know, I just that that's just not really where my, my heart is. It's not in being a manager, it definitely is for some people. ButKevin Sahin  42:20  yeah, I can relate toMichele Hansen  42:21  that. Yeah.Kevin Sahin  42:25  Yeah, that's, I mean, that's, I don't have much experience managing employees. But for our blog, I worked with a lot of freelancers, you know, different kind of freelancers, constants, writers, editors, some Freelancer to help me with the SEO link builders, etc, etc. And I mean, it's really hard to hire, to manage to keep employees motivated. I mean, it's, it's pretty hard.Michele Hansen  43:10  Yeah, it's a lot of time. And, you know, I think from my own experiences, and you know, those of you know, people I know, like, having a manager who doesn't love being a manager, who, you know, doesn't love, like developing people, and helping them grow, and all that kind of stuff, like, there are people who genuinely love that those people should be managers, those of us who, you know, are a little bit more reluctant on it and enjoy other things. I think it's okay, if we allow ourselves to, to not be managers. And, you know, I sometimes think that there's this, this assumption that, that, that you have to grow and that you have to hire in order to grow. Is this sort of this baked in assumption, and I think there's a little bit of like, judgment sometimes around companies that don't hire because people like, oh, like, you're not a real company, if you don't have any employees or whatnot. I reject that. Like, I think if you can find a way to run a company, and it's successful and gives you the life you want, and for some people that involves employees, and some people it doesn't, and that's Yeah, exactly. And some people you know, it involves, like, I think, I guess, you know, my, my VA is is is you know, a contractor, like a lot of people have a lot of contractors working with them. But you know, having that responsibility also of covering someone's paycheck can, you know, can lend a lot of stress to running a business and some people like that stress and some people don't and I don't understand that like that. Yeah, I think that that sort of leadership component of it is is challenging and I sort of, you know, I asked myself, like whether I feel like at some point I could want to be a leader like that with employees. But quite frankly, I don't feel ready. You know, maybe in another season of life, I will be but at this point, you know, yeah.Kevin Sahin  45:25  Yeah. I mean, I, as I say, I totally relate to this, because it's, I mean, for me personally, I don't I don't think I totally agree with you with the fact that there is this assumption of growth and hiring and, and even sometimes raising funds, like, you have to you have to grow, you have to raise fund you have to hire, it's kind of, you know, a vanity metric in the startup ecosystem, how many employees do you have? To try etc. And, I mean, many companies that I mean, either don't hire at all or hire just, you know, a really small team, and that are doing totally fine, where the founders are happy, the employees are happy, everyone's happy. And, yeah, it's. And on the other side, there are many companies raising funds, hiring, and growing like crazy, whether founders are not happy at all, and stressed andMichele Hansen  46:43  yeah, I think, you know, that's something we, as founders, we have the decision to run our businesses in a way that, you know, to design the business. Right. And, and, you know, and for me, part of, you know, designing that business is it's, you know, setting it up in a way that, that we're running it in a way that we enjoy, and we enjoy working together. And it sounds like you and I really like working together, too.Kevin Sahin  47:12  Yeah. I mean, we've been, we've been, so we know each other since high school. So we, we've been working on many project, back in high school, and then side projects in college and the beginning of our career together. So yeah, it's been. And that's was the, it was great, because when we founded the company, we had this whole history of working together, of knowing how to talk to each other to, you know, divide the work based on, you know, what we are good at what we'd like to do, etc, etc. So it was pretty, I'd say, you know, a fluid, the work relationship.Michele Hansen  48:09  Sounds like you learned a lot from that that first side project you did together with him about how you can work together. I'm curious what that project was.Kevin Sahin  48:19  There were many projects, I'd say the most. The biggest one with a Chrome extension that we launched. I don't remember the year 2016, I'd say or 17. It was called shop tourist, it was a Chrome extension that could where users could save products on ecommerce websites that they were interested to buy. And our we had some scrapers in the backend that would refresh the price every day. And if the price dropped it send an email with a note with the with an alert that said, Hey, this product dropped 25% this night. You can buy it here. And then there was some affiliated links on the email. And like, we, we had some pretty good success marketing it on Reddit. Like we launched the we posted a Reddit post one day and it got 1000s of upvotes. And we like to overnight we got a few 1000 users on the app. And yeah, and the funny thing is that we realized Is that some customers? No, it was not customers, some users sorry. were added adding hundreds of products on their list. And we, we told ourselves, it's kind of strange, because why would I mean, unless it's, you know, the person is on the buying spree or is a has a buying problem. It's kind of weird to save, you know, hundreds of products with different variations of the same. I don't know, a T shirt or whatever. And so we realized that it was ecommerce owners that were monitoring their competitors, with our app, and they were doing it because our app was free. There were some b2b SaaS that were doing it, but it was very expensive. And so we saw an opportunity there. And we launched our first real company, pricing, but and it was a price monitoring app for ecommerce owner. And we did this in 2018. And it was a failure, we managed to get it from zero to 500, or 1000, in monthly recurring revenue. But we failed to grow it from there. And we knew nothing about marketing to ecommerce owners, or to ecommerce in general, except the previous experience we had with this little side project. And so we, we managed to sell it to one of the biggest player in this field, which which is priced to spy.com. And it's funded, what would become scraping be later. And the great thing about this failure is that with pricing, but we we had to scrape a lot of websites. So no, we had these those problems about JavaScript rendering, headless browsers, proxies, etc. So we like, we knew exactly that one, like this one kind of use case for scraping me.Michele Hansen  52:48  So interesting. And I feel like I hear so many similarities in our stories, but something that stands out to me not only how you were, you were able, you know that so that pricing bot, you know, ostensibly failed. But you were able to carry through that expertise you built in building scrapers, and understanding how difficult that can be and the problems with that. But what also carried through is I'm struck by how it seems you have this curiosity about user behavior. And you know, people were doing something and you're and you're like, Oh, that's interesting, why are they adding hundreds of products all of a sudden, and you allowed yourself to follow that, and I think that's such, like, such a great quality, and a founder to not only notice when something is strange, you know, but but follow it, you know, you could have shut your brain off that like, Oh, these people probably just have a spending problem and basically judge, right? And you could have just sort of left it at that. But instead of stopping at judgment, you instead be like, I wonder why they're doing it and follow that thread, you know, follow this sort of cookie crumbs and figure it out. Oh, it's because they're doing this ecommerce thing. Okay, well, maybe we can like pivot into doing that and then it didn't really work out but you got acquired and then you're able to use that funds to start scraping be but you had that understanding of your own use cases for scraping. And again, you were like, Why do people need this? Let me go figure it out. And you just allow yourself to follow that curiosity. And I I just love that.Kevin Sahin  54:33  Yeah, I mean, that was um, it was really a great experience. I mean, the the like, even though it was hard, you know, to fail, and both p&i we didn't. Like we had to fund the business ourselves. So it was a very hard Financially but the experience the learnings were really worth it.Michele Hansen  55:06  Yeah. It sounds like it. I feel like I could talk to you all day about this. This has been so much fun. Um, thank you so much for for coming on. I I know from this conversation that this is not going to be the last time I talked to you. So So this has been really enjoyable.Kevin Sahin  55:33  Thank you. Yeah, same for me. Thank you a lot. And maybe see you next time. I still have many questions around the geo coder, yo. And I'd like to, I'd love to talk more about it.Michele Hansen  55:52  Yeah. Hey, I'm always always happy to talk about your cardio. Cool. So if people want to know more about you keep up with what you're doing on Skype and BMI and whatnot. Where should they go?Kevin Sahin  56:03  They can go to my Twitter. It's @SahinKevin. And yeah.Michele Hansen  56:12  Awesome. Well, if you enjoyed listening to this episode, please like Kevin, and I know. And you can find us on Twitter at @softwaresocpod. Thanks. Thanks, Michele.

You Start Today with Dr. Lee Warren | Weekly Prescriptions to Become Healthier, Feel Better, and Be Happier.

Self-Brain Surgery Tip #7: When you make a mistake, admit it to yourself and correct it going forward. Excuses build the false idea in your brain that it's not really your fault, and you'll be more likely to do it again. Own it, recalibrate, move forward and you'll be happier! It's No-Slip November friend! In the Bible, we read of how the Israelites turned an 11-day trip into a 40-year-long journey through the desert. And many of us are tired of covering the same ground over and over in our lives instead of finally breaking through to where God wants us to go.  So it's time to use that self-brain surgery tip, stop making excuses, and get after it! Are you with us? Scriptures Mentioned: Hebrews 12:1 Deuteronomy 1:1-8   Music from Building 429 (Music shared on The Dr. Lee Warren Podcast is authorized under BMI license #61063253 and ASCAP license #400010513 )    

You Start Today with Dr. Lee Warren | Weekly Prescriptions to Become Healthier, Feel Better, and Be Happier.

A Short Thought About Where to Look When You Can't See a Path Forward Scripture: 2 Chronicles 20:12- "We do not know what to do, but our eyes are on you." Music by Shane & Shane and Casting Crowns (Music shared on The Dr. Lee Warren Podcast is authorized under BMI license #61063253 and ASCAP license #400010513 )  

You Start Today with Dr. Lee Warren | Weekly Prescriptions to Become Healthier, Feel Better, and Be Happier.

When Life Hits You Hard, What Do You Do Next? Click here to download the pdf transcript of this episode!   When life hits you hard, sometimes you don't know what to do next. In this episode, we'll find out.    The Dr. Lee Warren podcast is brought to you by I've Seen the End of You: A Neurosurgeon's Look at Faith, Doubt, and the Things We Think We Know, available from Waterbrook/Penguin Random House for pre-order now everywhere books are sold. Don't forget to support your local booksellers!   Go to my website www.wleewarrenmd.com for more information about my letter, this show, my books, and more.   Music by Tommy Walker (Check out his video and devotional here   Also check out our friends Kristin Smedley and Mary Fran Bontempo's great podcast, Brilliantly Resilient! (I was a guest on their show in August of 2020!)   (Music shared on The Dr. Lee Warren Podcast is authorized under BMI license #61063253 and ASCAP license #400010513 )

You Start Today with Dr. Lee Warren | Weekly Prescriptions to Become Healthier, Feel Better, and Be Happier.

Loss, sudden or those we see coming, can crush our spirits Here is a prayer for those hurting, whether acutely or chronically.  Scriptures mentioned: Proverbs 13:12 Psalm 34 Music by Danny Gokey (Music shared on The Dr. Lee Warren Podcast is authorized under BMI license #61063253 and ASCAP license #400010513 )  

The Tailored Life Podcast
Ep. 665 - How Much Do Genetics Matter?

The Tailored Life Podcast

Play Episode Listen Later Oct 25, 2021 46:27


The goal of this podcast is to tackle the long debated and internal burning question we all have... Do genetics matter? And if so, how large of a role do they play in the results we see? Well the truth is, yes they do. But how much they matter is where most people are actually pretty incorrect, because they matter FAR less than we often make it seem or allow ourselves to believe. In fact, it's mostly just an excuse to not work hard based on what the research actually shows. However we're going to dive into genotypes, epigenetics, polygenetics, and what the research says about all of these things, in regards to strength and performance, hypertrophy, as well as fat loss and obesity. ---- Join The Tailored Trainer (TCM's Membership Site) to gain full access to daily programming and a private coaching forum for guidance. Get a 7 Day FREE Trial HERE ASK CODY YOUR QUESTION HERE Check Out Free Guides and E-Books HERE Head over to http://buylegion.com/boomboom enter code boom boom at checkout to save 20%, start earning loyalty points, and supplementing with the top supplement company on the market. For training equipment, visit www.giantlifting.com and use promo code: TCM5 to save 5% on purchases. ---- Shownotes: SHOWNOTES: Genetics vs. Epigenetics GENETICS: Genetics is the study of how different qualities, called traits, are passed down from parents to child. Genetics helps explain what makes you unique, why family members look alike, and why some diseases run in families. When we trace the paths of these qualities, we are following packages of information called genes. EPIGENETICS: Epigenetics is the study of how your behaviors and environment can cause changes that affect the way your genes work. Unlike genetic changes, epigenetic changes are reversible and do not change your DNA sequence, but they can change how your body reads a DNA sequence. Maybe it's all in your head…? Learning One's Genetic Risk Changes Physiology Independent of Actual Genetic Risk 2 groups, told either they have good or bad genes for aerobic fitness… regardless of the accuracy of information told to the individuals, performance followed what they believed/were told. It DOES matter, for performance and strength, mostly. ACTN3 Genotype is Associated with Human Elite Athletic Performance Specific gene seen in majority of elite sprinters vs. endurance athletes. However… that's ONE out of 22 genes. Which still leaves 95% up to chance: Genetics of muscle strength and power: polygenic profile similarity limits skeletal muscle performance “Using typical genotype frequencies, the probability of any given individual possessing an "optimal" polygenic profile was calculated as 0.0003% for the world population.” Ok ok… what about with fat loss? FTO genetic variants, dietary intake and body mass index: insights from 177,330 individuals This is the gene most associated with obesity risk that the scientific literature is currently aware of. But it's independent effect is only about 0.3 BMI points, which corresponds to about 2.2lbs of scale weight. It's tied to higher BMI and dietary protein intake. FTO genotype and weight loss: systematic review and meta-analysis of 9563 individual participant data from eight randomised controlled trials “These findings show that individuals carrying the minor allele respond equally well to dietary, physical activity, or drug based weight loss interventions” This means that although it may set you up for a worse starting point, it won't affect your weight loss journey or progress. Remember, this AGAIN, is a polygenetic situation - there are MANY genes that affect weight loss and obesity, this is merely one out of many (which means counteracting is possible). How about for muscle growth? Fitness and strength responses to distinct exercise modes in twins: Studies of Twin Responses to Understand Exercise as a THerapy (STRUETH) study “Our findings indicate that (i) individual responsiveness differs between exercise modalities; (ii) low-responders to one mode may be ‘rescued' by switching to an alternate mode of exercise; and (iii) genes may not play as large a role, as previously estimated from cross-sectional data, for exercise training adaptation.” Genetic determinism of fiber type proportion in human skeletal muscle About 45% of muscle fiber dominance is determined by genetic makeup. Much of the rest is determined by childhood, which can be considered epigenetics in a way. However this leaves less IN our control to change… but this is just your starting point, NOT your progress to be made. In other words, genetics may play a role in the speed at which you succeed but not necessarily the definitive process of improving. Your mindset plays a role here, too… you can placebo yourself! (“Expectancy”) Mind over milkshakes: mindsets, not just nutrients, determine ghrelin response Two groups were drinking milkshakes, both which were 380 calories but the shakes had different labels on them. One read 620 calories and one read 140 calories. After drinking the shakes, the researchers monitored their ghrelin levels (hunger hormone, which often triggers more hunger) and satiety signals. The participants who drank the 620 calorie labeled shake had lower ghrelin levels and reported feeling full and satisfied. The group with the 140 calorie labeled shake had the opposite! Even though both shakes were in fact the exact same, nutritionally speaking. Anabolic steroids: the physiological effects of placebos Researchers took 15 lifters and had them train for seven weeks, telling them that the people who get the best results would be given free steroids. In 7 weeks, the lifters put a combined total of ~22 pounds on their bench, military press, seated press, and squat, on average. They then took 6 of the participants to join the “steroid” trial. They told them they were taking 10mg/day of Dianabol, but they were really just taking placebo pills. They trained for another 4 weeks and put a combined total of ~100 pounds on those same 4 lifts, meaning their rate of progress increased almost 8x just because they thought they were on steroids. Conclusion In both cases, it takes consistency and patience. Which is why most studies on this suck… it just takes too long. Genetics play a big role in responsiveness and starting points. So some may have a slight head start compared to others, but much of it is luck - if you just happen to find the style of training that matches your makeup early on and spend a lot of time doing it, you're winning the lottery for your physique. There's no accurate way of testing this, so we're wasting our time stressing about what we cannot control. You can, somewhat, trick your mind into believing you have great genetics… so focus on your mindset most! Find a training style you enjoy, stick with it diligently and be patient - if it works really well after 3-6 months, stick to it. If not, switch it up. Genetics play a role in fat loss but it's so minor that it's really just an excuse at this point. ---- Apply for our World Renowned Coaching Program, RIGHT HERE. Remember to join our private FB community, RIGHT HERE. As Featured on: Huffington Post, Bodybuilding.com, The PTDC, Dr. John Rusin, Muscle For Life, HLHL, iN3, OPEX Fitness and More… ---- Apply For Coaching: bit.ly/Coaching-App Get Your Free Copy of The Nutrition Hierarchy, HERE Learn How We Coach: Read This Case Study Article Top 4 Episodes: - Nutritional Periodization - Nutrition FAQ - Training FAQ - My Story ---- You can get access to ALL of our content in one place, now: www.tailoredcoachingmethod.com/links/ Check out all of our e-books by visiting www.tailoredcoachingmethod.com/products/ Tailored Coaching Method Coaching Info: www.tailoredcoachingmethod.com/online-coaching/ ---- Social Links: Blog – http://www.tailoredcoachingmethod.com/blog
 Facebook - https://www.facebook.com/tailoredcoachingmethod
 Instagram - https://www.instagram.com/tailoredcoachingmethod/ YouTube - https://www.youtube.com/TailoredCoachingMethod Podcast Youtube - https://www.youtube.com/channel/UCX9qbTBGTioX8tZLCmE6TIQ Email – info@tailoredcoachingmethod.com