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“Do not be slothful in zeal, but be burning in spirit, serving the Lord (Rom. 12:11).” For which cause I remind you to fan into flame the gift of God, which is in you through the laying on of my hands. For God has not given us a spirit of cowardice, but of power and of love and of sobermindedness” (2 Tim. 1:6-7). This week we conclude the series titled, “Burning in Spirit, Serving the Lord,” with speaking from brother Minoru Chen on various aspects of the working saints' responsibility in the church life. This meeting was held during the 2014 International Thanksgiving Day Conference in San Antonio, Texas. The original recording can be found at: https://livingtohim.com/2014/12/working-saints-fellowship-at-the-2014-international-thanksgiving-day-conference/
On today's episode of The Be Ruthless Show, I'll be covering controversial territory. Don't I always? Dr. Jay Joshi is a physician, entrepreneur, and author who was wrongfully convicted in 2018. He has since regained his medical license and become a national leader in the opioid epidemic. He has written a book about his experiences: Burden of Pain. After reporting an employee who was forging scripts under his credentials to the local police, Dr. Joshi suddenly found himself at the center of an investigation led by the DEA. Over the following months, evidence was tampered with and statements were perjured, all of which resulted in a coerced plea and a sentence of 11 months in prison. He fought to regain his medical license and reestablish his clinical practice while authoring legal briefs for prominent federal opioid cases, including the Supreme Court case, Ruan v. United States. https://www.daily-remedy.com/ Burden of Pain: A Physician's Journey through the Opioid Epidemic https://a.co/d/8IYtRVL jjoshi45@gmail.com
My next guest has one simple question when it comes to the political and clinical chaos of the opioid epidemic and that is, “Is anyone protecting the patients?” Welcome to the Author Hour ... The post Burden of Pain: Dr. Jay K. Joshi appeared first on Author Hour.
We go into a spontaneous discussion about credit cards, carrying debt, credit lines, the American financial system and more! TIMESTAMPS: (0:00) Our sponsors (4:00) The credit card game (6:00) Credit scores (8:00) Charging interest (11:00) Slippery slope of using credit (13:30) Is the credit system a scam? (20:00) Bombarded with credit card offers (22:30) Islamic countries don't have interest (26:40) Debt creating learned helplessness (28:00) The strength of the American dollar (32:00) Inflation & investments (36:30) Excessive consumerism (35:40) Skills pay the bills (42:00) Outro SPONSORS: VITAL RED LIGHT: Experience the healing power of red and infrared light therapy to rejuvenate your skin, mind, and body: Use code 2AM for 15% off! PORTAL: Finally get the sleep you've dreamed of with scientifically backed ingredients from Portal. It'll blow your mind. Use the link and code 2AM for 10% off: www.withportal.com/2AM EKSTER: Get the highest quality smart wallet on the market for up to 30% off using code 2AM in combination with this link here: https://shop.ekster.com/2ampodcast FOLLOW THE 2AM PODCAST: ALL PLATFORMS
You know the feeling. You're trying to read or write or think through a project, maybe even just respond to an email, when your attention starts to drift. You may not even notice it until you've already picked up your phone or jumped tabs, until your mind has already wandered way off-piste. This problem of distraction has become a bit of a modern-day obsession. We now fret about how to stay focused, how to avoid time-sucks, how to use our attention wisely. But it turns out this fixation of ours—contemporary as it may seem—is really not so new. My guest today is Dr. Jamie Kreiner, Professor of History at the University of Georgia. Jamie is the author of a new book titled The Wandering Mind: What Medieval Monks Tell us about Distraction. In the book, Jamie shows that Christian monks in late antiquity and the early middle ages were—like us—a bit obsessed with attention. And their understanding of attention fit within a broad and often remarkably detailed understanding of the mind. In this conversation, Jamie and I talk about why monks in this era cared so much about distraction. We discuss how they understood the relationship between mind and body; how they conceptualized memory, meditation, and mind-wandering. We discuss some of the mnemonic techniques they used, some of the graphical and textual devices that helped keep them focused, and some of the metaphors and visualization techniques they innovated. Along the way we also touch on fasting, sleep, demons and angels, the problem of discernment, the state of pure prayer, the Six Wings mnemonic device, metacognitive maneuvering, and much more. I'll just say I really enjoyed The Wandering Mind. As Jamie and I chat about here, the book illuminates an earlier understanding of human psychology that feels deeply familiar in some ways, and delightfully strange in others. I think you definitely get a sense of that in this conversation. Alright friends, on to my chat with Dr. Jamie Kreiner. Enjoy! A transcript of this episode is available here. Notes and links 4:00 – A webpage devoted to the Ark of Hugh of Saint Victor. 6:30 – For a detailed (and positive) review essay about The Wandering Mind, see here. 11:30 – The Redwall books, by Brian Jacques, are well known for featuring elaborate feasts. An article about some of the best of these. 18:30 – For more on how the body was understood in the early Christian world, see The Burden of the Flesh. 26:30 – Text written continuously is known as scripta continua. 27:30 – Articles that celebrate medieval marginalia can be found here, here, and here. 40:00 – An article about the Six Wings mnemonic. For more on mnemonic techniques in the medieval world, see Mary Carruthers' book. 53:00 – On the idea of “pure prayer,” see the book, The Ladder of Prayer and the Ship of Stirrings. 57:30 – Dr. Kreiner's next book, which comes out in January 2024, is a translation of some of John Cassian's work on distraction. Dr. Kreiner's book recommendations can be found in a recent article here. Many Minds is a project of the Diverse Intelligences Summer Institute, which is made possible by a generous grant from the Templeton World Charity Foundation to UCLA. It is hosted and produced by Kensy Cooperrider, with help from Assistant Producer Urte Laukaityte and with creative support from DISI Directors Erica Cartmill and Jacob Foster. Our artwork is by Ben Oldroyd. Our transcripts are created by Sarah Dopierala. Subscribe to Many Minds on Apple, Stitcher, Spotify, Pocket Casts, Google Play, or wherever you listen to podcasts. You can also now subscribe to the Many Minds newsletter here! We welcome your comments, questions, and suggestions. Feel free to email us at: manymindspodcast@gmail.com. For updates about the show, visit our website or follow us on Twitter: @ManyMindsPod.
As myeloproliferative neoplasms (MPNs) carry a heavy symptom burden which can significantly impact a patient's quality of life, hear how multidisciplinary care and psycho-social support can help alleviate this burden for patients. In this episode, CANCER BUZZ speaks with Sarah Everette, LCSW and oncology social worker at Baptist Health Louisville in Kentucky about how these types of support and coordination can optimize care for patients with myeloproliferative neoplasms. “If we get patients into physical therapy or occupational therapy early in their treatment, it helps with outcomes; it helps them [patients] not decondition so easily, especially for elderly populations. However, not only addressing their physical symptoms, but also their mental and emotional health [is important] too, because we know that we are not just caring for one aspect of the person but the whole person.” -Sarah Everette, LCSW Sarah Everette, LCSW Oncology Social Worker Baptist Health Louisville Louisville, KY Resources: Myeloproliferative Neoplasms (cancersupportcommunity.org) The Psychosocial and Financial Aspects of Treating Myelofibrosis (accc.org) National Comprehensive Cancer Network (NCCN) Guidelines: Myeloproliferative Neoplasms
Today we talk about all things fitness. What does it mean to be fit? Is physical fitness something that all Christians need? Why should we pursue fitness and is there ever a danger to pursuing physical fitness? Today Heather digs into how fitness and health aren't always synonymous. She also talks about how fitness can help us fulfill our calling and serve God with our bodies. But, she shares from her own experience with pursuing fitness at the expense of her health and how this kind of pursuit of fitness wasn't about being fit to serve the Lord better, but was for a more futile purpose. Heather also looks at what scripture says about fitness in our physical body and fitness from a spiritual sense--readiness to do what God has called and asked us to do. She poses several questions for those of every fitness level to examine their own hearts, lives, and relationship with fitness to find a place of greater peace and spiritual health. Ready for Christian body image coaching? Visit: www.improvebodyimage.com to find out more or grab a ten minute coaching call to see if coaching is right for you. Have you joined our Facebook community yet? Join the Body Image Help for Christian Women group here: https://www.facebook.com/groups/764271297116024 Don't forget to snag your copy of The Burden of Better while it's still just .99 on Kindle. Learn more here: https://www.improvebodyimage.com/burden-of-better-book-for-christian-women-on-comparisonSee omnystudio.com/listener for privacy information.
Occupational licensing places enormous burdens on people who want to use their skills in the marketplace. State-level reform efforts have been slow going. Kentucky Republican state Representative Steven Doan and the Pacific Legal Foundation's Steven Slivinski comment. Hosted on Acast. See acast.com/privacy for more information.
Today's devotion is written by Susanna Spencer.
Reality check: nobody finds a sponsor. You have to make a sponsor.So today, I want to focus this podcast on how you can be an agent of change, actively involved in this generative and dynamic process.Related links:How to Find a Sponsor at Work to Advance Your CareerHow to Have Effective Networking MeetingsHow to Follow Up to Build RelationshipsHow to Get a Male MentorHow to Tap Your Network and Ask for HelpHow to Be a Leader People Actually LikeIs Mentorship in Remote Workplaces Actually More Equitable and Accessible?When Your Job Search Makes You Feel Like a Burden
Get to know someone really well and you’ll discover, almost without fail, that it is often a struggle for them to get out of bed in the morning. Is that true for you? Don’t miss a conversation with professor and author Alan Noble. He has written a compelling book about the “burden” and “gift” of living. Hear the encouragement on Chris Fabry Live.
From Eden to Eternity, the Bible tells one big story of redemption. And this year we're walking through God's divine story chronologically. Today we are journeying through Psalm 3-4, 12-13, 28, and 55 and exploring God's sovereign plan as the events of Scripture unfold and point to Jesus. Today, you can follow along with us in Eden to Eternity: The Chronological Story of Scripture Study Vol. 2, on page 94. Visit The Daily Grace Co. for the Eden to Eternity bundle and for more beautiful products that will equip you on your journey to knowing and loving God more. Follow @dailygracepodcast on Instagram for exclusive podcast content and @thedailygraceco for all things The Daily Grace Co. Subscribe to the Daily Grace Podcast on iTunes or Spotify. And, read the Bible in a year with us in the Bible App.
Esther Schreiber married her sweetheart Eddi and enjoyed a busy life until he was diagnosed with young onset dementia a decade ago. Eddi, 68, is now almost completely non verbal. As he slowly lost his caring personality, Esther's caregiving demands became all consuming. Now, the trailblazer draws inspiration and emotional support from other spouses.
In Genesis 2:25, we read how Adam and Eve were in the garden and "naked and unashamed." But most women with body image issues aren't experiencing this kind of freedom in their intimate lives. Just thinking about being "naked and unashamed" is nerve-wracking for most of us. But the truth is: What your body looks like has little to do with how well you can connect with your husband in the bedroom. If having a "hot" body meant great sex and great marriages, then Hollywood would be the mecca of great relationships. And, yet? That's not what we see playing out there. What is sex designed for? Does sex require us to look a certain way in order to enjoy it? Sex isn't supposed to be "Look at me" but how can we join together and love each other well. On today's show Heather makes three observations about this Genesis 2:25 verse. She discusses all the ways we've absorbed culture's messages around sex and our bodies and how they hurt our intimate lives. Heather also digs into how culture teaches us to strive for being "naked and unashamed" in every area of life. But what if this goal is misguided? Could it be that the only context in which we are designed to be naked without any shame is in the context of marriage after we've become one flesh with another person? What's our motivation to be naked and unashamed? Heather encourages you through this episode that intimacy issues are rarely about our bodies, which gives us great hope for better marriages and sex lives--no matter how our bodies age or change. Other resources: Dr. Juli Slattery was on the show last year talking about sex, body image, and marriage. Listen to that episode here. Coaching is open! Learn more at: www.improvebodyimage.com If you need help sorting through body image in marriage issues, book your session today. The Burden of Better is available for only .99 on Kindle for one more week. Check it out here and learn more. See omnystudio.com/listener for privacy information.
The Mandalorian (Season 3) x Matthew 5:16Your daily crossover of faith and fandom! Experience daily Biblical encouragement from nerdy Christian podcasters, bloggers and content creators. Join the Nerd of Godcast community at www.NOGSquad.com
Conformity impacts our perception of reality. Having the tools and opportunities to manage our own life provides an excellent chance to develop independence and confidence. Individuals who possess self-reliance are better equipped to overcome challenges and find solutions independently.If you are in a crisis or think you have an emergency, call your doctor or 911. If you're considering suicide, call 1-800-273-TALK to speak with a skilled trained counselor.RADICALLY GENUINE PODCASTRadically Genuine Podcast Website Twitter: Roger K. McFillin, Psy.D., ABPPInstagram @radgenpodTikTok @radgenpodRadGenPodcast@gmail.comADDITIONAL RESOURCES6:00 - Self-Reliance & Other Essays - Kindle edition by Ralph Waldo Emerson. Politics & Social Sciences12:00 - Immanuel Kant - Wikipedia12:30 - Amazon.com: Mattias Desmet: books, biography, latest update17:30 - Booker T. Washington - Wikipedia18:00 - Burden of Proof - Owen Benjamin22:30 - Difference Between Fact and Theory | Compare the Difference Between Similar Terms25:00 - Baby Boomers, Generation ‘X' and Generation ‘Y' in the Workplace33:00 - Education systems can stifle creative thought. Here's how to do things differently | World Economic Forum39:00 - 16 Virtue Signaling Examples (2023)42:00 - Raise Self-Reliant Children | Psychology Today47:30 - How Thinking Like An Immigrant Made Me Successful1:04:00 - Roger's 7 steps to learn how to trust yourself Let go of the past Accept certain things to be true Understand that your emotions are gifts Perfection is the enemy of progress Life is time limited Be curious The opinions of others hold little if any value
Episode 324 – Marcus Vik of Invent Animate joins the show! We get into how he got to join the band after leaving his old project Aviana, writing and recording the new album, and the inspiration and meaning behind the lyrics. We also talk about the what it's like to live on a different continent than the rest of his band, since he is from (and lives in) Sweden when the rest of the members live In Texas. The new album “Heavener” out now everywhere! Are you a rock fan? Now is your chance to WIN unique classic rock items like Vintage Led Zeppelin tickets, Jimi Hendrix memorabilia and rare Rolling Stones prints! All you have to do is head over to legendsofrock.io and sign up with your email address! AND there's a lot more to come! No catch, just some very rare prizes to giveaway! Head over to legendsofrock.io for more info. This episode is brought to you by OPEN YOUR EARS RECORDS. Right now they are busy dropping absolute bangers like new material from Western Canada's The Burden. The new album "Terminal" is out now, giving you that epic post-hardcore sound that I KNOW you crave. Stream it everywhere and pick up the vinyl at OYErecs.com. Learn more about your ad choices. Visit megaphone.fm/adchoices
What does it mean to be Nosei B'ol Im Chaveiro?
In this episode, Pastors Sean and Jim discuss Matthew 19:13–15. Watering Seeds is a ministry of Covenant Reformed Presbyterian Church (PCA) in Asheville, NC. You can learn more and hear our sermons on our website: www.covenantreformed.net/sermons. You can also find our sermon recordings on Sermon Audio. --- Send in a voice message: https://podcasters.spotify.com/pod/show/covenantchurch/message
In today's About 7 Minutes of Scripture episode, Heather explores how the message of the Gospel can specifically encourage us around our specific body and food issues. We have so many messages coming at us, and every day we choose to believe certain things are true and certain things aren't true. We can choose to believe that carbs are bad or that intermittent fasting is the best way to live. We can choose to believe that more exercise is always better or that taking a rest day is akin to laziness. We can choose to believe all of these things based on the words of people on the Internet, influencers who tell us their ways are best and we follow them. But, what about the greatest influencer of all? What about Jesus and His word and His Truth? Why is it sometimes harder to believe that the Gospel is enough to pronounce us worthy and accepted? How can we believe the Gospel and its message as easily as we believe the messages of human influencers? Today, Heather explores the first part of 1 John 4. Look it up to follow along or read later. Check out the Burden of Better on Kindle for only .99 starting May 1st! (Amazon affiliate link) Do you need Christian body image coaching? You can connect with Heather or schedule a free ten-minute call here.See omnystudio.com/listener for privacy information.
We discuss many different healthcare challenges on this podcast and we share potential solutions. The one area we haven't discussed enough is the administrative burden on the healthcare ecosystem. This burden is felt by all stakeholders including members, health plans and clinicians. When I refer to administrative burden, I am not just referring to prior authorizations. I am speaking about the additional documentation associated with closures of gaps in care, HCC coding and more. With us today is Jon Zimmerman, CEO of Holon Solutions. Holon provides an end-to-end platform that helps clinicians efficiently manage all the activities of patient flow from scheduling to prior auth to patient engagement and insights about the population being managed. This isn't a traditional office administrative platform, as it includes AI to drive workflows and next best actions. The platform was designed on the idea that healthcare should feel human and that people should take priority over process. Holon also assists health plans and other stakeholders as well. Let's hear more from Jon about Holon and how this company is making a positive impact in the healthcare ecosystem.
Welcome back to Not Just Us with Luz and Martha! This week we start off with a moment of silence for the passing of a celebrity of the chisme world. We also discuss how a walk-to-walk inspired today's episode. For one of us a normal morning walk into work got a little interesting and motivating. A meaningful sticker on a car that said "You are not a burden" designed with flowers caught our eye. Tune in as we interpret what this sticker meant for us and how it affected us. We would like to remind you we are not professionals and if you need help seek help there are a lot of resources. We are on Instagram and Facebook @NotJustUsPodcast --- Support this podcast: https://podcasters.spotify.com/pod/show/notjustus/support
Piedmont Church String Band, Piedmont Community Church, Piedmont, California
Dearest Listeners, I spent some time comparing the cost versus reward of writing out show notes each week. As someone who watches movie trailers before I fully commit to any film, I can understand the desire to have a hint of what's coming in each episode before you take time to listen. However, as someone whose very soul is sucked dry each time I attempt to write a captivating script that gives you details you could easily find by checking out each guest's social media and/or website, I have determined the cost is greater than the reward. This week I sat down with Mikella Van Dyke, and you can check her out using the links below. If it wasn't worth listening to we wouldn't be releasing it, so go listen and let us know what you think. We value your feedback and we pray this episode is as much a gift to you listening as it was for us recording it! Connect with Mikella Van Dyke Facebook || Instagram Connect with Chasing Sacred Website || Instagram Connect with hey girl podcast Instagram || Facebook || Twitter Connect with Bethany Website || Instagram || Facebook
4/30/23-Dr. Phillip Burden-Stand Firm In The Full Armor Of God-Praying Diligently by Sermons from FBCOzark
Chaz and Davron attempt to lead Envy from the escaping refugees; as Talice and Zek'kar's demons catch up to them. Kenon Pearce as DM Jordache Richardson as Chaz and Brad Nikki Richardson as Talice and Sally ISHNAR/KALCRIN HOMEBREW SETTING by Kenon Pearce Sound editing by Kenon Pearce and Nikki Richardson Kenon Pearce @mr_fugufish Jordache Richardson @jdash24 Nikki Ri @thenikkiri Website: totrpodcast.com Twitter: @totrcast Facebook: @topoftheround Instagram: @topoftheround Thank you to our Executive C2 Producers! HOLDEN RAY Wanna talk to the cast? Check out our private Discord! https://discord.gg/qshNJJfKRr Go to our website for MERCH! https://www.totrpodcast.com/merch-store.html#/ Find/Review us on Podchaser: https://www.podchaser.com/podcasts/top-of-the-round-808056 Support us on Patreon: https://www.patreon.com/topoftheround Buy us a cup of coffee on Ko-fi: https://ko-fi.com/topoftheround Join our Facebook Group! https://www.facebook.com/groups/476203760792265/ TOTR WIKIPEDIA! https://topoftheround.fandom.com/wiki/Top_of_the_Round_Wiki LIGHT OF THE HOPELESS BY NICK HIGHAM https://www.nickjhigham.co.uk/ Music Courtesy of epidemicsound.com: The Burden of Time by Experia Frightening Notion by Dream Cave Sunstorms by Alan Carlson-Green Blue Light by Anthony Earls Enter the Facility by Eden Avery Nobody Bothers by Edward Joe Myers A Dolphin Serenade by Josef Bel Habib The Most Important Treasure by Josef Bel Habib Village in Ruins by Experia Adapted by Dark by Hampus Naeselius Arriving in Ancient Rome by Kikoru Edge of Fear by Farrell Wooten Soon Enough You'll See by Trailer Worx The Grit by Dream Cave Our Last Stand by FormantX Jungle Thrill by Bonnie Grace Anxiety Attack by Bonnie Grace Did They Lose Us by Experia Bite Marks by Eludent Fear of the Dark by Etienne Roussel Rise From the Shadow by Hampus Naeselius Under the Surface by Flouw We Will Not Yield by Bonnie Grace Car Trouble by Trevor Kowalski Asylum by Dream Cave Misfeasance by Jon Sumner Prodrome by Jo Wandrini Thunderface by Jon Sumner False Entrance by Jon Sumner Full Momentum by Chrisoffer Moe Ditlevsen Over the Edge by Hampus Naeselius A Mother's Wrath by Dream Cave This is Our Land by Bonnie Grace Cloak by Christoffer Moe Ditlevsen In War We Shall Rise by Experia Smoke and Ashes by Experia A Breach in the Wall by Dream Cave Insomnia Hallucinations by Experia Not the Same Smile by Piper Ezz Forlorn by Martin Klem Lost in Desire by John Barzetti Tunnels by Farrell Wooten Ready, Set, Roulette by Jon Bjork Ritual Mole Sacrifice by Lennon Hutton Beyond Outer Orbits by Experia Devils On the Doorstep 3 by Fredrik Ekstrom Fluxure by Ethan Sloan Weapon of Choice by Fabien Tell Backfire by Jon Sumner Tyranny by Dream Cave The Storage by Lennon Hutton The Clearing by Golden Anchor 669X by Lennon Hutton Alleys of Darkness by Phoenix Trail They Say I'm Mad by Mary Riddle Tales of the Uncanny by Prozody Tarmac Radiation by Ethan Sloan In Case of Two Emergencies by Christian Andersen Ceres by Lennon Hutton Shattered Past by John Barzetti Exploited Particles by Prozody Between Two Worlds by Farrell Wooten A Soul Without a Mind by Eludent Breath of Death Part 1, Just Run, and Lucerna by Sergey Cheremisinov License: http://creativecommons.org/licenses/by/4.0/ Free Music Archive: Sergey Cheremisinov The following music was used for this media project: Music: NewsSting by Kevin MacLeod Free download: https://filmmusic.io/song/4124-newssting License (CC BY 4.0): https://filmmusic.io/standard-license The following music was used for this media project: Music: Through The Sinister Gate by Justin Allan Arnold Free download: https://filmmusic.io/song/10751-through-the-sinister-gate License (CC BY 4.0): https://filmmusic.io/standard-license The following music was used for this media project: Music: Wastes Of Europa by Tim Kulig Free download: https://filmmusic.io/song/9871-wastes-of-europa License (CC BY 4.0): https://filmmusic.io/standard-license The following music was used for this media project: Music: That Mirror Is Disturbing by Tim Kulig Free download: https://filmmusic.io/song/9332-that-mirror-is-disturbing License (CC BY 4.0): https://filmmusic.io/standard-license The following music was used for this media project: Music: The End by Alexander Nakarada Free download: https://filmmusic.io/song/4859-the-end License (CC BY 4.0): https://filmmusic.io/standard-license The following music was used for this media project: Music: Hyperdrive Out by Tim Kulig Free download: https://filmmusic.io/song/10525-hyperdrive-out License (CC BY 4.0): https://filmmusic.io/standard-license The following music was used for this media project: Music: Lost In The Dark by Steven OBrien Free download: https://filmmusic.io/song/10010-lost-in-the-dark License (CC BY 4.0): https://filmmusic.io/standard-license The following music was used for this media project: Music: Creepy Piano Ambience by Tim Kulig Free download: https://filmmusic.io/song/8725-creepy-piano-ambience License (CC BY 4.0): https://filmmusic.io/standard-license The following music was used for this media project: Music: Day of Chaos by Kevin MacLeod Free download: https://filmmusic.io/song/3620-day-of-chaos License (CC BY 4.0): https://filmmusic.io/standard-license The following music was used for this media project: Music: Around The Corner (Loopable) by Dave Deville Free download: https://filmmusic.io/song/10776-around-the-corner-loopable License (CC BY 4.0): https://filmmusic.io/standard-license The following music was used for this media project: Music: Drowning Monas by Tim Kulig Free download: https://filmmusic.io/song/9331-drowning-monas License (CC BY 4.0): https://filmmusic.io/standard-license The following music was used for this media project: Music: Dead Spaces by Tim Kulig Free download: https://filmmusic.io/song/9319-dead-spaces License (CC BY 4.0): https://filmmusic.io/standard-license
Discovery leads to innovation. Innovation usually leads to changes in processes. But that doesn't always equate to better. Or not necessarily as a replacement.You may have seen a commercial or two for a commercial product where a walking and talking white box depicts the ease and comfort for checking for colorectal cancer at home. The insinuation is that anyone can simply send in a sample of their “#2” and find out if they have anything to worry about regarding cancer in the lower gastrointestinal tract.But at what cost is this substitute for the gold standard of colonoscopy screening actually to the patient? What are the accuracy comparisons? What to make of a positive or negative result?Ken & Eric dive in and discuss the commercial pitch for this method of using fecal DNA vs visual inspection of the colon and what actually might be overlooked for the unsuspecting patient who is trying to remain healthy.Join us on RUMBLE & LOCALS for RAW GCP! USE code GCPFREE for a month of FREE RAWHttps://kbmdhealth.com/rawHttps://kbmdhealth.com/rumbleBonus Notes covered in this episode:Does Cologuard detect polyps?Yes, Cologuard can detect polyps. However, the detection of large polyps (the precursors to colon cancer) is less than half as accurate as a colonoscopy.Is the Cologuard test as effective as a colonoscopy?No, the Cologuard test is not as effective as a colonoscopy. Detecting and removing polyps is critical to colon cancer prevention, and Cologuard only detects large precancerous polyps 42% of the time. A colonoscopy detects the same polyps 95% of the time and they are removed during the same procedure.What does Cologuard detect?Cologuard can detect 92% of cancers and 42% of large precancerous polyps, the precursor to colon cancer.What does it mean if your Cologuard test is positive?If the Cologuard test is positive, it may mean that colon cancer or polyps are present. After a positive Cologuard test a colonoscopy is required for a definitive answer. The Cologuard test has a 13% false-positive rate, which means 1 in 10 positive tests will incorrectly identify cancer or polyps.Does Cologuard detect cancer?Yes, the Cologuard test can detect cancer 92% of the time. However, prevention of colon cancer is better than identifying it once you have it. The best way to prevent colon cancer is by identifying and removing precancerous polyps that don't turn into cancer later. Cologuard only finds 42% of large, dangerous polyps that can turn into colon cancer.Can patients use Cologuard instead of a colonoscopy?Cologuard is not designed to be a replacement for a colonoscopy, even though advertisements may suggest otherwise. 58% of the time, dangerous precancerous polyps are not detected with Cologuard, which is significantly less effective than a colonoscopy. However, Cologuard may be an option for some patients who insist on not getting a colonoscopy or those not healthy enough to have a colonoscopy. Even a 42% chance of detection is better than no detection at all.References for this episode:Uptodate.com- colon cancer screening guidelinesItzkowitz SH, Ahlquist DA. The case for a multitarget stool DNA test: a closer look at the cost effectiveness model. Gastroenterology. 2017;152(6):1620–1621Johnson DH, Kisiel JB, Burger KN, et al. Multitarget stool DNA test: clinical performance and impact on yield and quality of colonoscopy for colorectal cancer screening. Gastrointest Endosc. 2017;85(3):657–665.e1.Zauber A, Knudsen A, Rutter CM, et al. Evaluating the Benefits and Harms of Colorectal Cancer Screening Strategies: A Collaborative Modeling Approach. AHRQ Publication No. 14-05203-EF-2. Rockville, MD: Agency for Healthcare Research and Quality; October 2015.Knudsen AB, Zauber AG, Rutter CM, et al. Estimation of Benefits, Burden, and Harms of Colorectal Cancer Screening Strategies: Modeling Study for the US Preventive Services Task Force. JAMA 2016; 315:2595.Cost-effectiveness of a multitarget stool DNA test for colorectal cancer screening of Medicare beneficiaries Steffie K. Naber ,Amy B. Knudsen ,Ann G. Zauber,Carolyn M. Rutter,Sara E. Fischer,Chester J. Pabiniak,Brittany Soto,Karen M. Kuntz,Iris Lansdorp-VogelaarRex DK, Boland CR, et al. Colorectal cancer screening: Recommendations for physicians and patients from the U.S. Multi-Society Task Force on Colorectal Cancer. GI Endosc. 2017; 86(1):18-33.
Homily for the 3rd Sunday of Easter delivered by Fr. Doug Spina.
Homily for Confirmation delivered by Bp. Eduardo Nevares.
Homily for the 3rd Sunday of Easter delivered by Fr. Williams Abba.
Homily for Divine Mercy Sunday delivered by Dcn. Bill Schneider.
Homily for Holy Thursday delivered by Fr. Williams Abba.