Podcasts about CMP

Day 1,484.Today, as Russian casualty figures continue to climb, we ask whether Moscow's long-anticipated spring offensive has already begun. We also return to the situation in Moscow, where Vladimir Putin has been absent from public view for several days, as a formerly loyal supporter issues a dramatic call for the Russian president to step down. Then we examine the significance of comments by the CIA director on Moscow's involvement with Iran, before speaking to one of Britain's leading historians of strategy about where the war now stands – and the key mistakes made by both Russia and Ukraine.Contributors:Francis Dearnley (Host on Ukraine: The Latest). @FrancisDearnley on X.Dominic Nicholls (Host on Ukraine: The Latest). @DomNicholls on X.With thanks to historian Professor Sir Lawrence Freedman.NOW IN FULL VIDEO WITH MAPS & BATTLEFIELD FOOTAGE:Every episode is now available on our YouTube channel shortly after the release of the audio version. You will find it here: https://www.youtube.com/@UkraineTheLatest CONTENT REFERENCED:Sir Lawrence Freedman's book, ‘On Strategists and Strategy: Collected Essays, 2014-2024':https://www.amazon.co.uk/Strategists-Strategy-Collected-Essays-2014-2024-ebook/dp/B0F7GFDDNF Jürgen Habermas, eminent philosopher who sought to help Germany overcome its postwar spiritual ruin (The Telegraph):https://www.telegraph.co.uk/obituaries/2026/03/15/jurgen-habermas-eminent-german-spiritual-philosopher/ Ukraine agrees to pump Russian oil to Hungary to secure EU loan (The Telegraph):https://www.telegraph.co.uk/world-news/2026/03/18/ukraine-agrees-pump-russian-oil-to-hungary-secure-eu-loan/ ‘Put him on trial': pro-Kremlin loyalist turns on Putin in rare outburst (The Guardian):https://www.theguardian.com/world/2026/mar/18/pro-kremlin-loyalist-turns-on-putin-ilya-remeslo-russia?CMP=share_btn_url Russia unveils plans to resettle occupied Ukrainian territories, media reports (Kyiv Independent):https://kyivindependent.com/russia-unveils-plans-to-resettle-occupied-ukrainian-territories-media-reports/?mc_cid=6dd8571311&mc_eid=08d0680a95 Two shipments of Russian oil and gas head to Cuba in defiance of US (Financial Times):https://www.ft.com/content/bdb055d0-62c3-445c-ba89-349c63c82c1f?syn-25a6b1a6=1 WEEKLY NEWSLETTER:Our weekly newsletter includes maps of the frontlines and diagrams of weapons, answers your questions, provides recommended reading, and gives exclusive analysis and behind-the-scenes insights.. It's free for everyone, including non-subscribers. Join here – http://telegraph.co.uk/ukrainenewsletter EMAIL US:Contact the team on ukrainepod@telegraph.co.uk . We continue to read every message, and seek to respond to as many on air and in our newsletter as possible. Hosted on Acast. See acast.com/privacy for more information.

Matt is back and we're joined by a longtime friend of the show, Carmelita Valdez McKoy to discuss Stanley Kubrick's A Clockwork Orange (1971).CMP on Instagram and BlueskyCarmelita on Bluesky, and LetterboxdMatt on Instagram, Bluesky, and LetterboxdAnthony on Instagram, Bluesky, and Letterboxd

Episode 280-Top 7 NJ Carry Guns Also Available OnSearchable Podcast Transcript Gun Lawyer — Episode Transcript Page – 1 – of 11 Gun Lawyer — Episode 280 Transcript SPEAKERS Speaker 3, Teddy Nappen, Evan Nappen Evan Nappen 00:17 I’m Evan Nappen. Teddy Nappen 00:19 and I’m Teddy Nappen. Evan Nappen 00:21 And welcome to Gun Lawyer. Hey, Teddy, guess who finally quit smoking? Teddy Nappen 00:28 You quit smoking? Evan Nappen 00:30 No. The Ayatollah Khomeini. Teddy Nappen 00:32 Oh! Evan Nappen 00:35 There you go. Actually, the thing is, we’re now in a situation where you may have seen the warnings going out about an increased, seriously increased, threat of danger in the homeland. For the, who knows, how many that the Biden administration let in, actual terrorists on the terrorist watch list, and how many unknowns and got aways, and just all those folks that have infiltrated the country that they’re warning about sleeper cells and already starting to see some incidents occurring. And I think it’s fair to say that we all need to be very vigilant, and since most of us are folks that are armed, that carry, we become an important element in the defense of our country. Evan Nappen 01:39 So, I want to talk today about practical considerations regarding firearm carry guns in New Jersey. We want to talk about the guns that are appropriate and are really some of the top most popular carry guns in New Jersey. Now, none of this means these are guns we’re going to talk about that make it that. You know, if you choose to carry any gun that you like, that’s fine. None of this is critical of any firearm that you may be carrying. I just want to talk about ones. It was inspired to talk about this from an article I found in Breitbart. Now Breitbart’s article is the “Five Concealed Carry Guns First-Time Buyers Should Consider”. (https://www.breitbart.com/2nd-amendment/2026/03/03/five-concealed-carry-guns-first-time-buyers-should-consider/) Page – 2 – of 11 Evan Nappen 02:30 and I want to. Teddy Nappen 02:32 Number one, Gyrojet pistol. Evan Nappen 02:34 Right. Definitely grab that old Gyrojet. Oh, my God. In case you don’t know what a Gyrojet is, it was, literally, a rocket firing pistol. It launched cartridges or bullets or projectiles, if you will, in a similar way that you fire rockets, not a bullet. So, it’s actually, a gyro jet gun is closer to an Iranian missile launcher, frankly, than a gun. But they were not a commercial success. They’re very collectible and fascinating. You can read more about Gyrojets online. I happen to own a Gyrojet as an example of a rocket pistol. But no, that’s not a gun I would suggest carrying in New Jersey. Evan Nappen 03:27 First of all, it’s too valuable just to carry, and the ammo is like incredibly hard to find. Each cartridge is very valuable as a collectible in and of itself. But here it is from Breitbart. Now this article is by AWR Hawkins, who’s an excellent gun writer, and as he begins the article, he says, with military action in Iran raging and concerns about staying safe stateside, we thought it would be helpful to put together a list of five concealed carry guns that first time buyers should consider. So, I’m going to, and that’s a good thought right now, what we’re dealing with. I’m going to modify from what he’s talking about, is just to carry guns in New Jersey, whether you’re first time or not a first time. There are advantages and disadvantages to a number of the firearms that they’re putting out, and we have to put in the concerns that we have in New Jersey. One of the primary concerns at the moment in New Jersey is, of course, that you can’t have a magazine that holds over 10 rounds. So, the handguns that we’re going to carry in New Jersey have to have a limitation in the magazine of 10 rounds. Now, that does not include one round in the chamber. So, in theory, you can have 10 rounds in a magazine and one round in the chamber, and you are legal in New Jersey for that carry gun. Evan Nappen 04:56 So, what happens is there are a number of handguns out there that, of course, are wonderful, wonderful guns. They are larger frame and normally hold standard magazine capacity definitely over 10 rounds. And you can start, you know, with just a Glock 19 that would have the standard magazine of 15 rounds. An excellent carry gun and super popular. But in New Jersey, putting aside, let’s just say the Glock 19 happens to fit your hand really well, and I understand that. But in reality, you’re carrying a gun that is larger than you necessarily need. Again, if it works for you, that’s fine, but it’s larger than you necessarily need, which makes it arguably somewhat less concealable. And yet you’re being limited in one of the nice features about it is that you could have the increased firepower of 15 rounds, but New Jersey stops you from that. So, you have to have a 10-round mag in your Glock 19, that’s a nine millimeter. Evan Nappen 06:04 So since New Jersey is forcing us to have 10 round mags, why not conform, at least to the degree of having a much more concealable, but just as deadly, more concealable handgun that would carry up to Page – 3 – of 11 the 10 rounds. And in our modern world today, there are a lot of excellent choices of, you know, nine millimeter and other calibers. But nine is primarily one of the most popular self-defense calibers out there at the moment that hold 10 rounds, but are very compact, very concealable. And the article lists these, and let’s talk about some. Some others that I’ll add in. Evan Nappen 06:57 They put as the number one, the Sig Sauer P365. So, the P365 is an excellent carry gun for sure, and it’s very compact. And as you know, Sig re-designed or created into the design. They designed a gun around the magazine so they could have a 10-round magazine and have a gun that is extremely compact. The P365 is striker fired, and it’s about, you know, 4.3 inches tall, about 5.8 inches long. It weighs in at about 17.8 ounces, and it comes with two 10-round mags. So, it’s New Jersey legal. There’s all kinds of you can get go MOS. It’s set up for that so you can have your sites if you get an MOS model. There are many different variations on the P365 that will have features that may fit you better. It’s a proven gun. So, it’s definitely one of the most popular and definitely a good choice for New Jersey. Evan Nappen 08:10 The next gun in the article is the Glock 43X and that’s also one of the most popular pistols in America. It’s single stack. So, what that means is the magazine loads one round on top of the other, as opposed to the SIG 365 which is kind of that double stack, where the rounds are kind of side by side in the magazine, filling it up as a box. Whereas the Glock is single, straight down in the line, and they do, and it does have a 10-round mag. The Glock is somewhat slightly larger. It’s about 6.5 inches long, and it’s about 1.1 inches in width, and about 5.04 inches in its height, tall. It weighs in at about 18.7 ounces. So, it’s a slightly heavier, slightly larger than the P365. But it’s very popular, very concealable, and it has a 10-round magazine. Evan Nappen 09:29 Now keep in mind that it’s possible for any of these guns, the Sig, or any of these two, of course, to have magazines that hold more than 10 rounds. But they’re essentially made from their creation as a 10-round gun, and that’s important in New Jersey. Because, at the moment, and hopefully this will go away, but at the moment, we’re restricted to that. So, having the concealable ability of being very, very stealthy and not being made, let’s say, as being a carrier. Because you’re concealing a firearm so well, you’re less likely to have printing and other issues where it can be kind of signaled to folks that you might be carrying, which is a good way to think when dealing with New Jersey. Because even though we have a carry permit, even though we’re legal to carry, discretion is still the word of the day. So, you want to remain discrete. Evan Nappen 10:27 Your best bet is for no one to know that you’re carrying in New Jersey, and that is both the cops and the criminals. We need to be discrete because we’ve experienced many times through the office that individuals, where their gun is somehow ID on the person, and even though they’re legal, maybe their shirt showed for a brief second, which the law actually understands can happen. It’s not a crime when that happens. But the next thing you know, police are called about somebody carrying a gun, or they believe someone has a gun, and it can escalate into all kinds of problems. So, the idea in New Jersey Page – 4 – of 11 is to be able to be armed and be armed to the max that the law allows us to be. But to keep the concealability factor and the discretion and discreteness very tight. We are NOT an open carry state. We want to make it so that that firearm gives you a tactical edge in the fact that should you need it, the use of it is, to a certain degree, giving you the advantage of surprise. So, keep that in mind. And so these guns are fitting that bill very nicely. Evan Nappen 11:42 Now the article also talks about the CZ P-10 C, which is a ported pistol. This is also a compact gun and also has the 10-round magazine. The CZ is interesting because the German army actually adopted this pistol model, you know, and so it has certain definite reliability. And a lot of folks like the ergonomics, but it, too, is polymer, and in the same kind of class as the 365 and the 43X. Again, it’s a good choice for New Jersey, should you like that gun. Now, the article talks about the Palmetto Dagger. Palmetto is a decent gun for the money. And let me tell you, they’re a bargain, that’s for sure. They are budget oriented, but they are, you know, they shoot. They’re reliable, they work and such. But the Palmetto Dagger is more along the lines of a Glock 19 and there, yeah, you can get a 10 round mag for it, and maybe you want the slightly, you know, somewhat larger frame, what we might call a medium frame. But in terms of its, you know, you can get more concealable with the other guns we’ve been talking about. It’s still a good gun out there. It’s a nice package, especially for the money. Palmetto puts out a gun that really is a bit of a bargain, honestly, for what they’re offering. But you don’t have the same compactness as the other firearms offer. Evan Nappen 13:36 And the fifth gun talked about in the article is a Ruger LCR polymer revolver. So, that is a revolver similar to, it’s essentially a snub nose .38. But in Polymer, it still can handle the plus P 38. Some folks might prefer a revolver to a semi-auto pistol. Of course, the rounds get less. You’re probably talking here about a five shot and such. But it is an excellent firearm for what it is. If you’re, if you want a wheel gun for its simplicity, it doesn’t leave cartridge cases lying around, or whatever. A revolver may be your way to go. Now, in terms of that type of revolver, the Ruger is good gun. But I happen to have a personal love of the J frame Smith, of the Smith & Wesson. You know, the J frame class, which includes the model, the original, of course, is the 36 or the Chief Special, and you get into all the variations of the J frame, on that J frame. There’s a lot of other snub .38 out there that Smith makes that would also fill the bill. These revolvers are affectionately known as pocket rockets, and they’re good guns. So, if you’re a revolver person, if you’re looking for something concealable, there are plenty of great revolvers. But if we’re talking concealability, then this is a classic. The Ruger and the Smith would fit that bill in snub nose .38. It would give you features that a revolver offers. Teddy Nappen 15:29 If the whole, I would say, for the whole article is supposed to be the idea of people like this is your first gun to buy. Like that was kind of the main focus. I lean off of for Ruger, like the very first revolver I ever got, the GP 100. That was very like, yeah, learn to work with right yourself. Evan Nappen 15:47 And revolvers are good for that. But here, the article in Breitbart is about, like, your first gun. And getting into that. I get it. But what I’m looking at here is taking this article and talking about, not Page – 5 – of 11 necessarily that it’s your first gun, but looking at guns that meet the criteria under New Jersey law, that are effective for carry, that can get you the concealability. And yeah, you know, they’re bigger revolvers that can fire even more powerful, so that you can bump up easier to a .357. You get a four inch barrel or a six inch barrel revolver and have a full size frame. Really be able to put some powerful loads, get some great target shooting and great experience. There’s something to be said for that. But when it comes to carry, we’re looking for the concealability and the stopping power. We’re looking for the ability to conform to New Jersey law and remain discrete. Evan Nappen 16:44 One of the other guns that I would like to talk about that is not mentioned in the article, but one that I happen to particularly like, is the Shadow Systems CR920 Elite. (https://shadowsystemscorp.com/cr920/) So, if you haven’t seen a Shadow System CR920, that gun is pricier, for sure. But it is really a great gun, and it is nine millimeters well as a 10-round mag. So, it fits the bill for New Jersey. They have a lot of features on it that kind of make it a highly upgraded Glock 43X to be honest. It’s very similar in the size. In fact, the holsters that would take a Glock 43X will actually work perfectly with a with the Shadow System CR920. So, it’s something to consider. If you ever had a chance to shoot shadow systems, you’ll know what I’m talking about. It is definitely a bit of an upgrade and a gun that I personally like, but all these guns will be able to serve you well and be able to protect you and your loved ones. Evan Nappen 18:03 And you can know that you can carry them lawfully under New Jersey law with your permit to carry. You stay concealed and discreet in your carry and that’s the way we as New Jersey gun carriers need to be. So, this is something to consider when talking about guns that you carry. And again, there are so many other great handguns, great calibers. None of this is saying that any of these are any better than anybody else’s. You have to look at your needs and what you want, what your budget and what you can afford. But stick to the key principles. That is that you practice, that you shoot it well, that you exercise safety, that you know the laws, that you stick to being discrete, discretion is key in New Jersey. So that you don’t end up having to call me, even though you are 100% innocent, but now we have to deal with the legal situation. You’re best bet is to do what I’m saying. Be discreet and protect yourself in that manner. Hey, let me. Teddy Nappen 18:05 Or have them all put in for the CMP, and you can carry a piece of history with yourself. Evan Nappen 18:49 Yeah, right. Well, if you want to get a nice 1911. We’re definitely upping the game here. And nothing wrong with carrying the 1911, but it is definitely a much larger firearm and very powerful, very reliable. I love my 1911. Who doesn’t? But, you know, this is a different way of thinking when it’s coming to protecting yourself. And of course, you still can max out to the 10 rounds easily with this in a compact package. So, that’s what makes these nice. Page – 6 – of 11 Evan Nappen 19:13 If you want to check out any of these guns and you want to get your practice and your training and even your certifications, well, we know no place better than WeShoot. WeShoot is a gun range in Lakewood. That’s where Teddy and I shoot, and we got our certification. They have guns there that you can try. They’ll be able to set you up with your perfect concealed carry gun and get you the training. Help you get your license as well by getting the qualifications that you need. And this is also part of the package. So, when you want to become a defender and stay a defender, you need to have the training. You need to have a place to practice, a place to shoot. And WeShoot does that very thing. They’re an indoor range in Lakewood, conveniently off the Parkway. A great place right there in Central New Jersey. So you want to check out WeShoot at weshootusa.com. Go to their website. They will absolutely be able to set you up perfectly with a firearm that meets your needs, especially in this environment where we are at war with the number one sponsor of terror. Evan Nappen 20:50 And, folks, I would find it hard to believe that they have not preempted our ability to defend ourselves by having sleeper cells and other agents that are in our country that we should expect will be looking to wreak havoc and chaos. And, you know, this was done under the, with the eyes closed of the Biden administration, primarily. President Trump for trying to clean up that, that mess that allowed that to happen, and he’s currently engaged in changing the world, changing the world where we can make such a huge difference. And it’s finally President. You know, I’ve been, as many of you have lived through 47 years of Iranian Islamic fundamentalism, terror, and all the things that it brought upon us. And it may finally, finally, be coming to an end. But it isn’t over yet, and it may very well come down to your ability and my ability, our ability, to defend ourselves right here at home. And luckily, the expansion of our ability to carry because of Bruen and forcing the issuance of carry permits, gives us this opportunity to be able to do something that, you know, half a dozen years ago, we would not have even been able to do in New Jersey. And that’s carry to protect ourselves in the face of a national security threat to our homeland. So, take advantage of that and check out weshootusa.com for your firearm needs. Evan Nappen 21:12 Let me also mention our good friends at the Association of New Jersey Rifle & Pistol Clubs. They are the state affiliate of the NRA. They are the folks fighting for our rights in Trenton and in the courts. Hopefully they’ll get that magazine ban finally overturned. We’re looking cautiously optimistic at that. So we’ll be able to actually have guns to carry more than 10 rounds. When that happens, we’ll be able to buy larger capacity magazines for our highly concealable nines that we’re currently carrying, and that will give us even more ability to defend ourselves and our loved ones and our in our country, for that matter. So the Association is hard at work. Go to anjrpc.org so you can join and be part of the solution. You’ll get email alerts. You’ll be told what shenanigans are going on down in Trenton and what case law changes are taking place. So, check out anjrpc.org, the Association of New Jersey Rifle & Pistol Clubs. Evan Nappen 24:28 And while you’re at it, make sure you pick up a copy of my book, New Jersey Gun Law. It’s the bible of New Jersey gun law. It’s over 500 pages, 120 topics, all question and answer. Make sure you have a Page – 7 – of 11 copy of that book so you can keep your gun rights and not end up in jail and turned into what I call a law-abiding criminals because of New Jersey’s insanity of gun laws. I tried to create this very user-friendly manual. Go to EvanNappen.com, EvanNappen.com, and pick up your copy today. Teddy, what do you have to share with us today in Press Checks? Teddy Nappen 25:09 Well, as you know, Press Checks are always free and well, we can all see right now that Trump’s Operation Epic Fury is going well. It’s already met multiple of the objectives and frankly, the level of damage that we have just taken out the entire Iranian Navy and the multiple sites they have hit and taking out not only the Ayatollah, the Ayatollah’s successor, who was there for seven minutes. You know, just here’s your hat, and he’s gone. And then the successor’s successor. It’s just, their leadership has been toppled. And this really sets the tone and level and power that the U.S. has. And all it took was having someone actually with the will to act. So, just going off of that, I was scrolling through AmmoLand, and I saw a very interesting article that made a good point. And this is by they just said the AmmoLand Staff. “Iran’s Power Vacuum Highlights the Importance of an Armed Citizenry”. (https://www.ammoland.com/2026/03/irans-power-vacuum-highlights-the-importance-of-an-armed-citizenry/) Teddy Nappen 26:28 So, they were referencing from the Citizens Committee for Right to Keep and Bear Arms, where they put out a press release talking about how the Iranian people’s lack of the most important safeguard of liberty that the Americans possess, the right to keep and bear arms. The Chairman of the group, Alan Gottlieb, says that Iran does not have the equivalent of our sacred Second Amendment. The Iranian people need it bad. And highlighting to what the Founding Fathers believed were the Second Amendment is the safeguard to a tyrannical rule. Everyone can agree that Iran was a tyrannical rule. It was a theocracy ran by radical, crazy clerics. You know that, and I just love every time the Left. You know the hands off Iran, Free Maduro like that. It just shows you the level of disingenuousness from the part from that party. Teddy Nappen 27:30 But just to highlight the fact, for those of you who may be living under a rock, the Iran regime has ruled for more than four decades with authoritarianism. Suppressing dissidents, jailing critics, killing them also, and slaughtering protesters. They actually were importing in Iraqi militia groups to just start gunning down protesters after Trump had taken out the, and as the protests were breaking out in Iran, prior to Epic Fury. So, as was also stated, the symbol and freedom in our nation, the symbol and freedom in a nation of slaves is the gun. Because it enshrines the ability for the people to keep the Government in check. Again, I always hear the stupid Leftist argument like, oh yeah, you really think your Second Amendment is going to help you against the F15s or the United States military? Give me a break. Every single one of us who are able to carry, it would be one of the largest standing armies in our country. Teddy Nappen 28:38 And also, I love how they make that argument. And also say, you know, an unarmed group of protesters about to overthrow the Government. So, you know. But, you know, they keep referencing Page – 8 – of 11 January 6, like it’s Chris, like it’s a Christmas holiday. But the point being is that the Second Amendment keeps these things in check. Because right now, that was the whole push, was to have the people rise up against their oppressors. Imagine what would have happened if all the Iranian people actually had access to firearms? I actually pulled the laws. So, I went and see like, okay, what was it? What was it like? What were the ways of getting people to, if you wanted to buy a gun and you were an Iranian citizen in Iran, what would you do? And it seems they’ve modeled themselves off of New Jersey. You have to obtain a gun license in Iran, and it involves several steps, including a background check, psychological examination, and firearm safety course. You have to apply for your gun permit at your local police station. They have to do criminal record, military service status, complete a psychological evaluation to ensure mental stability, taking a firearm safety course and passing a written practical exam, pay your fees, of course, and wait to be approved. So, if you do everything else, you have to be approved by higher authorities, which could take several months. Evan Nappen 30:03 It isn’t that far from what New Jersey actually requires. Jersey is virtually the Iranian totalitarian state of gun laws. Teddy Nappen 30:17 Yeah, and also, it is illegal to possess a firearm without the proper licensing, which is punishable by imprisonment and fines. Carrying a firearm without a license is punishable up to three years in prison. Evan Nappen 30:31 Wait. Only three years? In New Jersey, you can go for 10 years. So, they’re actually a little more reasonable in Iran than in New Jersey. Teddy Nappen 30:42 Yeah. And also, this is something that people need to remember. We are a nation of firearms. Firearms are enshrined in our culture. They cannot take that away, as much as the Left tries to propagandize us out of it. To give you a perspective. In Iran, this is cited from gunpolicy.org. In 2017 it was about 3.5 firearms per 100 residents, as opposed to in 2017 there are 120 firearms per 100 residents in the United States. And that was in 2017. So, imagine actually having the accessibility for firearms, actually having the ability to rise up if you ever needed to. That’s why you have all the Leftists right now flocking the gun shops, trying to buy firearms. Evan Nappen 31:30 Well, the latest, the latest numbers, we have over 500 million privately owned firearms in America. Yep, over 500 million. Teddy Nappen 31:42 We have to get those numbers up. Evan Nappen 31:43 I agree. Page – 9 – of 11 Teddy Nappen 31:44 Yes. Evan Nappen 31:44 Let’s hit that 1 billion mark. Let’s work on it, folks. Teddy Nappen 31:47 This isn’t and also this isn’t a vacuum. When you look at other dictatorships, this is the first step. This is what they do. You have to disarm the populace because they do not want any rising up, any resistance groups or militias, when you’re being an authoritarian regime. And cut to another one of Trump’s highlights of Venezuela. What did you, under the Venezuelan Government, another authoritarian regime, where they also made it nearly impossible to get firearms. Where you could apply for a license to the Venezuelan armed forces. Of course, you need a background check, training requirements, inspections. But here’s the kicker. In 2012 the Venezuelan Government suspends all legal firearm sales to private citizens. Evan Nappen 32:39 Hmm. Why would they do that? Teddy Nappen 32:41 Yeah, I wonder why? Oh, in their words, combating criminal organizations and preventing weapons from falling into the wrong hands. Evan Nappen 32:53 It wouldn’t happen to do with who was in power politically at that time? Teddy Nappen 32:58 Yeah, yeah, yeah. Former leader Maduro, no, guar, no, guar. Yeah. And also, they try to make like, there’s no explicit law banning firearm ownership, just a suspension on firearms of private citizens. I know they’re so reasonable. Oh, and they are required to register all their firearms with the Government. Oh, hmmm. I wonder why? It’s the, it’s the disingenuousness on the Left for why the Second Amendment is so important. Evan Nappen 33:37 Well, let’s answer that question for folks. And that’s because the Registration leads to the Confiscation, and that’s what registration is all about. Why do we fight registration? Because it is a step toward confiscation. Then after confiscation comes the political reality of a extermination. We’ve seen every major Holocaust preceded by these very steps when it comes to private ownership of firearms. Teddy Nappen 34:09 Yeah, and cut to any of the European countries that have just disarmed themselves. Cut to the United Kingdom, with their rapes going from 12,000 a year to 70,000 a year. Page – 10 – of 11 Evan Nappen 34:20 I mean, there’s a reason we did lend lease, and reason why they put ads in the American riflemen to please send guns to England. They even disarm themselves in the face of having to face a Nazi terror. And here, they don’t learn. They don’t learn from their prior mistakes. They continuously repeat them. Evan Nappen 34:40 Well, when they were good and ready, they were done with Winston Churchill, and they said, oh, we don’t need you anymore. That’s how it always goes. And then when things come around, they’re going to need a Churchill. And maybe, just maybe, they might learn their lesson this time. But for now, the Left, gun control will forever be the losing argument on the Left. That is a fact. They will occasionally jump out whenever there’s a mass shooting, but in this point in time, that issue is effectively won on our side. We have to be vigilant, though. Because they always try to sneak things in and go off the, unfortunately, the emotional side of our country, who just do not think logically and actually apply and try to think, oh, what would happen if we take away all these firearms? Is this actually going to solve the problem? Evan Nappen 35:37 Well, in Iran, it’s a shame that people aren’t armed, because they’d be able to take action now, especially with the efforts that the U.S. has already done to their infrastructure, militarily and politically. Right? Teddy Nappen 35:58 I want the CIA to do the, you know, the black book, and just start dropping them, like the leaflets. The ways how to like, to make the gun out of the soup can. Evan Nappen 36:10 Right. Yeah. Teddy Nappen 36:12 Or the traps you could make where it was literally, like, what is it like us use like you make a bomb out of like piss and aspirin. Evan Nappen 36:23 Hmmm. True. Well, Teddy, I want to talk about our very important segment of GOFU. GOFU is the Gun Owner Fuck Up. And the reason we talk about this is it’s expensive lessons that others have endured, that you get to learn very reasonably. You get to learn it for free from Gun Lawyer radio. So, this week, I want to talk about, and these are actual cases that come through our office that we see all the time. This has to do with lost or stolen firearm in New Jersey. You need to know that New Jersey has a law that if your firearm is lost or stolen, okay? Lost or stolen. You must report it to local law enforcement within 36 hours. So, you have a 36 hour window to report a lost or stolen firearm. You must report it to the chief law enforcement officer of the municipality where the theft occurred. Or if there’s no local police, to the State Police. Page – 11 – of 11 Evan Nappen 37:40 Now, once you report a gun as stolen or lost, there can be further ramifications on you. And I want to talk about the ramifications if you fail to report it. Let’s keep this in mind. If you fail to report a stolen gun, it is a civil penalty of $500 for the first offense. So, it is technically not a crime. It’s not necessarily. It’s quasi criminal for failing to report the stolen firearm. It’s a civil penalty of $500 for the first offense and $1000 for subsequent offenses. So, your failure to report puts you in that category. It’s not as if there is a potential jail sentence if you fail to report. Now, this doesn’t mean you shouldn’t report, necessarily, but I’m telling you what the actual penalty is. So, what happens when you report? When you report, you need to provide the make and model and serial number. Evan Nappen 38:42 But then we see ramifications from the reporting where then they may try to move, they being the Government, to take your gun licenses. Revoke your carry permit, revoke your firearms ID card, because they try to then claim that you fall under the category of Public Health, Safety, and Welfare as a danger or problem under that category. And that is it because you didn’t exercise proper care and had your gun stolen, which is, of course, how can, you know, the actions of a third party, being the thief, end up taking not just your gun but your gun rights? But New Jersey never misses an opportunity to do that. So, you need to keep in mind that even though the law requires a reporting, you may end up, from the reporting, having to have a battle over keeping your firearm license. Evan Nappen 39:38 If this happens to you, where you believe a gun is lost or stolen, the best thing to do is call an attorney right away and work through the very specific issues that may be present in your case. How it got stolen, how it gets reported as stolen, if you choose to report it as stolen. These are all issues that you want to have attorney / client confidentiality and discuss, because there can be escalation, and there can be ramifications. Then if there’s a failure to report, of course, and the gun comes up used in a crime, what are the implications from that? There’s a whole array of issues that need to be considered if you are dealing with a lost or stolen firearm. Evan Nappen 40:28 This is Evan Nappen and Teddy Nappen reminding you that gun laws don’t protect honest citizens from criminals. They protect criminals from honest citizens. Speaker 3 40:38 Gun Lawyer is a CounterThink Media production. The music used in this broadcast was managed by Cosmo Music, New York, New York. Reach us by emailing Evan@gun.lawyer. The information and opinions in this broadcast do not constitute legal advice. Consult a licensed attorney in your state. Downloadable PDF TranscriptGun Lawyer S5 E280_Transcript About The HostEvan Nappen, Esq.Known as “America's Gun Lawyer,” Evan Nappen is above all a tireless defender of justice. Author of eight bestselling books and countless articles on firearms, knives, and weapons history and the law, a certified Firearms Instructor, and avid weapons collector and historian with a vast collection that spans almost five decades — it's no wonder he's become the trusted, go-to expert for local, industry and national media outlets. Regularly called on by radio, television and online news media for his commentary and expertise on breaking news Evan has appeared countless shows including Fox News – Judge Jeanine, CNN – Lou Dobbs, Court TV, Real Talk on WOR, It's Your Call with Lyn Doyle, Tom Gresham's Gun Talk, and Cam & Company/NRA News. As a creative arts consultant, he also lends his weapons law and historical expertise to an elite, discerning cadre of movie and television producers and directors, and novelists. He also provides expert testimony and consultations for defense attorneys across America. Email Evan Your Comments and Questions  talkback@gun.lawyer Join Evan's InnerCircleHere's your chance to join an elite group of the Savviest gun and knife owners in America.  Membership is totally FREE and Strictly CONFIDENTIAL.  Just enter your email to start receiving insider news, tips, and other valuable membership benefits.   Email (required) *First Name *Select list(s) to subscribe toInnerCircle Membership Yes, I would like to receive emails from Gun Lawyer Podcast. (You can unsubscribe anytime)Constant Contact Use. Please leave this field blank.var ajaxurl = "https://gun.lawyer/wp-admin/admin-ajax.php";

Chronic diarrhea affects approximately 6–7% of adults, and the vast majority of cases are noninfectious. The most common causes are irritable bowel syndrome with diarrhea and functional diarrhea. A systematic approach matters: • Screen with CBC, CMP, fecal calprotectin, IgA-tTG • Identify alarm features • Biopsy for microscopic colitis when needed • Start with lifestyle + low-FODMAP • Escalate to targeted therapy thoughtfully Precision in diagnosis leads to precision in therapy.   #Gastroenterology #InternalMedicine #EvidenceBasedMedicine

Bientôt deux ans après la « parenthèse enchantée » des Jeux olympiques et paralympiques de Paris 20204, la ministre des Sports, de la Jeunesse et de la Vie Associative, Marina Ferrari a averti les acteurs concernés aux Jeux d'hiver à Milan-Cortina après le départ annoncé du directeur général des Alpes 2030 Cyril Linette : « Ce projet doit avancer dans le sens du collectif ». D'autant plus qu'Edgar Grospiron et Pierre-Antoine Molina du comité d'organisation des Jeux des Alpes françaises 2030 ont été auditionné ce mardi 24 février par la commission de la Culture au Sénat pour faire le point sue la crise de gouvernance. Maintenant que la loi Olympique pour les JO d'hiver dans les alpes françaises a été votée le 5 février 2026 à l'Assemblée nationale pour accélérer les procédures, les premiers appels d'offres ont d'ores-et-déjà été lancés. Il faudra attendre ensuite le retour du Conseil constitutionnel, saisi par les groupes politiques La France Insoumise (LFI) et Ecologistes contre la loi le 13 février. Le COJOP dirigé par Edgard Grospiron devra ensuite délivrer selon les exigences du Comité international olympique (CIO) une carte des sites en juin prochain lors d'une commission exécutive. Un point est acquis : le texte voté définit une enveloppe de 1,3 milliards d'euros au total. Le COJOP responsable de la planification reçoit 462 millions d'euros. La Solideo société de livraison qui produit elle l'ensemble des équipements et des espaces pour l'olympiade reçoit 869 millions d'euros. D'autres financements sont prévus mais doivent être obtenus avec le démarchage d'entreprises comme Orange, EDF ou groupe BPCE. Le sénateur centriste des Hautes-Alpes Jean-Michel Arnaud et membre de la Commission mixte paritaire (CMP) est clair sur le sujet financier. Il vient de le réaffirmer au Sénat : « Il ne faut pas de dépassement financier. » Sur les 37 articles du projet de loi voté sans grande difficulté, les deux derniers concernent l'héritage des Jeux de Paris 2024, visent à mettre en place les dispositions du contrat de ville hôte, signé en avril par les régions, le CNOSF et le CIO, et faciliter le lancement des aménagements nécessaires aux Jeux. Par ailleurs, l'article 5 stipule que « les régions Auvergne-Rhône-Alpes et Provence-Alpes-Côte d'Azur peuvent accorder une garantie afin de compenser, le cas échéant, le solde déficitaire constaté lors de la liquidation du Cojop Alpes 2030. » Ecoutons le sénateur centriste des Hautes-Alpes (144 000 habitants) Jean-Michel Arnaud de profession exploitant agricole et président de l'association des maires de France (AMF) des Hautes-Alpes.

Bientôt deux ans après la « parenthèse enchantée » des Jeux olympiques et paralympiques de Paris 20204, la ministre des Sports, de la Jeunesse et de la Vie Associative, Marina Ferrari a averti les acteurs concernés aux Jeux d'hiver à Milan-Cortina après le départ annoncé du directeur général des Alpes 2030 Cyril Linette : « Ce projet doit avancer dans le sens du collectif ». D'autant plus qu'Edgar Grospiron et Pierre-Antoine Molina du comité d'organisation des Jeux des Alpes françaises 2030 ont été auditionné ce mardi 24 février par la commission de la Culture au Sénat pour faire le point sue la crise de gouvernance. Maintenant que la loi Olympique pour les JO d'hiver dans les alpes françaises a été votée le 5 février 2026 à l'Assemblée nationale pour accélérer les procédures, les premiers appels d'offres ont d'ores-et-déjà été lancés. Il faudra attendre ensuite le retour du Conseil constitutionnel, saisi par les groupes politiques La France Insoumise (LFI) et Ecologistes contre la loi le 13 février. Le COJOP dirigé par Edgard Grospiron devra ensuite délivrer selon les exigences du Comité international olympique (CIO) une carte des sites en juin prochain lors d'une commission exécutive. Un point est acquis : le texte voté définit une enveloppe de 1,3 milliards d'euros au total. Le COJOP responsable de la planification reçoit 462 millions d'euros. La Solideo société de livraison qui produit elle l'ensemble des équipements et des espaces pour l'olympiade reçoit 869 millions d'euros. D'autres financements sont prévus mais doivent être obtenus avec le démarchage d'entreprises comme Orange, EDF ou groupe BPCE. Le sénateur centriste des Hautes-Alpes Jean-Michel Arnaud et membre de la Commission mixte paritaire (CMP) est clair sur le sujet financier. Il vient de le réaffirmer au Sénat : « Il ne faut pas de dépassement financier. » Sur les 37 articles du projet de loi voté sans grande difficulté, les deux derniers concernent l'héritage des Jeux de Paris 2024, visent à mettre en place les dispositions du contrat de ville hôte, signé en avril par les régions, le CNOSF et le CIO, et faciliter le lancement des aménagements nécessaires aux Jeux. Par ailleurs, l'article 5 stipule que « les régions Auvergne-Rhône-Alpes et Provence-Alpes-Côte d'Azur peuvent accorder une garantie afin de compenser, le cas échéant, le solde déficitaire constaté lors de la liquidation du Cojop Alpes 2030. » Ecoutons le sénateur centriste des Hautes-Alpes (144 000 habitants) Jean-Michel Arnaud de profession exploitant agricole et président de l'association des maires de France (AMF) des Hautes-Alpes.

2月にシリーズAラウンドでGCPからリード出資させていただいた化学産業の情報基盤をつくるSotas株式会社の代表取締役社長・吉元裕樹さんをゲストにお迎えしました。化学メーカー、自動車メーカー、そしてITスタートアップと多彩なキャリアを歩んできた吉元さんが、なぜ日本の基幹産業であり、巨大かつ伝統的な「化学業界」のDXに挑むことになったのか。「Sotas化学調査」や「Sotasデータベース」を展開し、市場の強い要望に引っ張られる形で圧倒的なPMFを達成。売上成長率2800%という急成長を遂げ、さらにはサプライチェーンを統合する国家プロジェクト（CMP）にスタートアップとして唯一選出されるに至った背景には、業界への深いリスペクトと、「日本の製造業の競争力を強化したい」という強い熱意がありました。シリーズAでの10億円の資金調達を経て、SaaSの枠を超えた「コングロマリット化」とデータ基盤の社会実装へと突き進むSotasの現在地と、これからの挑戦について深掘りしています！■概要Sotas事業概要吉元さん自己紹介創業の経緯ー「化学業界への恩返し」から始まった、未開拓の巨大産業DXへの挑戦Sotasが挑む化学業界の課題と、VCから見たテーマの魅力市場の要望に引っ張られてたどり着いた「圧倒的PMF」と、国家プロジェクト選出の舞台裏SaaS事業から顧客の収益ドライバー創出へ。Sotasの求める人物像■参考プレスリリース：化学産業の情報基盤をつくるSotas、シリーズAラウンド1stクローズで 10億円の資金調達を実施https://prtimes.jp/main/html/rd/p/000000028.000107222.html■プロフィールSotas株式会社 代表取締役 吉元 裕樹DIC、日産自動車、ITスタートアップを経て、2022年にSotas株式会社を創業。化学とITの知見を生かし、化学産業の各課題を解決するSaaS事業を展開。現在「Sotas化学調査」「Sotasデータベース」の2サービスの開発・提供を行う。また、サービス間のデータ連携による提供価値を複層化、化学産業の全体最適を目指している。「ウラノス・エコシステムの実現のためのデータ連携システム構築・実証事業」の大型実証にも採択。GCP パートナー エムレ 湯浅 秀和GCP Value-up Professional 水野 由貴

Just like the work of sterile processing, HSPA certifications are robust, relevant, and constantly evolving. The process of keeping certification exams and requirements up to date involves years of work, the expertise of subject matter experts (SMEs), and the input of thousands of current certification holders. HSPA's rigorous test development process ensures that each certification holder is ready to meet the modern demands of their job and the increasing complexity of the healthcare field. In episode 144, host Casey Czarnowski speaks with Siri Sorensen, Director of Certification and Membership with HSPA, about updating HSPA certifications. Siri reviews each step in the process—job analysis, desk study, task force meeting, validation survey, and SME meetings—as well as the role of the Certification Council. She also explains a new eligibility requirement of the Certified Healthcare Leader (CHL) certification, which requires CHL holders to meet one of three flexible pathways, each designed to recognize the diverse backgrounds and experiences of SP professionals. Listen to learn about the collaborative nature of the HSPA certifications accredited by the ANSI National Accreditation Board (ANAB). Siri Sorensen Director of Certification and Membership HSPA Siri Sorensen, MA, CAE, ICE-CCP, PMP, CMP, has served HSPA for more than twelve years. In her current role, she oversees the development, maintenance and administration of the Association’s four accredited certification programs, serving more than 60,000 individuals, as well as the CCSVP certification for vendors and suppliers. Her accomplishments include being awarded the Deborah Sexton Education Scholarship (PCMA, 2019) and recognition as a Forty Under 40 honoree (Association Forum, 2018). Her career has focused on effective and meaningful work with associations and nonprofits. Earn CE Now

We Like Shooting - Ep 648 This episode of We Like Shooting is brought to you by: C&G Holsters (Code: WLSISLIFE) Gideon Optics (Code: WLSISLIFE) Primary Arms Flatline Fiber Co (Code: WLS15) Bowers Group (Code: WLS) Mitchell Defense (Code: WLS10) Guests: Chris from C&G Holsters https://www.candgholsters.com/ Text Dear WLS or Reviews +1 743 500 2171 New Public notes page. GEAR CHAT Shooting Times' Most Interesting Pistols: Engineering Marvels Spotlighted (Shawn)Shooting Times highlights a curated selection of the most intriguing pistols, emphasizing their unique mechanical innovations and engineering prowess. These firearms stand out for rarity and technical features that push design boundaries. The article showcases models blending historical significance with modern rarity. Walker's Shot 2026: Shake-Awake Ear Pro Revolution (Shawn)Walker's unveils innovative electronic ear protection at SHOT 2026 with a shake-awake activation feature that powers on instantly upon movement, eliminating battery drain from constant readiness. This engineering marvel combines rarity in motion-sensing tech with superior noise suppression for shooters. Designed for reliability in dynamic environments, it's a game-changer for hearing safety. Shot Show's Most Intriguing Suppressors: Engineering Marvels Unveiled (Shawn)Shooting Times highlights standout suppressors from Shot Show, emphasizing innovative designs and rare mechanical features from top manufacturers. These models push boundaries in sound suppression, durability, and modularity for firearms enthusiasts. Focus is on technical specs and unique engineering that sets them apart in a crowded market. BULLET POINTS Zero Tool: Compact Brass Rod for Zeroing Red Dots on Pistols (Nick)The Zero Tool is a precision-engineered brass rod designed specifically for zeroing red dot sights on pistols without removing the optic. It features a hardened steel tip for durability and fits snugly into the optic's mounting screw hole to adjust windage and elevation accurately. Ideal for gunsmiths and enthusiasts seeking a reliable, non-marring zeroing solution. Shadow Systems Unleashes Axio: The 2011 Killer Redefining Striker-Fired Pistols (Shawn)Shadow Systems has debuted the Axio, a groundbreaking striker-fired pistol designed to challenge the 2011 platform with superior ergonomics and modularity. Featuring an aluminum frame, interchangeable grip modules, and optics-ready slide, it aims to deliver 2011-style performance in a lighter, more versatile package. The Axio is positioned as a game-changer for serious shooters seeking customization without the complexity of traditional 2011s. Coreleader Biotech HEM Hemp Bandage: Revolutionary Bleeding Control Shot for 2026 (Shawn)Coreleader Biotech introduces the HEM Hemp Bandage, a tourniquet-style bleeding control device designed as a single-use ‘shot' for rapid hemorrhage management. Made from industrial hemp fibers, it expands upon contact with blood to form a clot-promoting seal, ideal for tactical and medical emergencies. The product aims to outperform traditional gauze by providing faster, more effective hemostasis in high-stakes scenarios. Hydration Goop: Game-Changing Electrolyte Paste at SHOT Show 2026 (Shawn)At SHOT Show 2026, a innovative hydration product called ‘Hydration Goop' was showcased, offering a thick, paste-like electrolyte solution for rapid rehydration during intense activities. Unlike traditional drinks or powders, this goop is designed for quick consumption without spilling or needing water mixing. It's positioned as essential gear for shooters, hunters, and outdoor enthusiasts facing dehydration in the field. Backdraft Suppressors: Cutting-Edge Suppressors for Peak Performance (Shawn)Backdraft Suppressors specializes in high-performance firearm suppressors designed for superior sound reduction and durability. Their products emphasize innovative baffle designs and materials for reliable field use across various calibers. Ideal for shooters seeking practical, battle-tested suppression without compromise. Drone Round: The Shot Rifle Cartridge That Takes Down UAVs (Shawn)The Drone Round is a specialized 12-gauge shotgun cartridge designed to neutralize small drones by dispersing a cloud of projectiles. Developed for counter-UAS defense, it launches from standard shotguns and creates a wide impact zone to shred drone rotors and electronics. Ideal for security teams facing aerial threats in urban or perimeter settings. Lyman Enters Suppressor Game with Affordable Sonicore Line (Shawn)Lyman, the iconic reloading and gunsmithing brand, has launched the Sonicore suppressor line targeting budget-conscious shooters. These direct-thread suppressors are designed for .22LR rifles and pistols, emphasizing ease of use and affordability without compromising on sound reduction. Available in multiple thread pitches, they aim to make suppressed plinking accessible to a wider audience. HiViz Expands FastDot H3 Sight Sets at SHOT Show (Shawn)HiViz Shooting Systems announced expansions to their FastDot H3 green fiber optic sight sets at SHOT Show, targeting rifles, shotguns, and handguns. New models include sets for popular platforms like AR-15s, 1911s, and pump shotguns, featuring the H3 green fiber optic for quick target acquisition. These sights emphasize durability and visibility in various lighting conditions. CMP Revives Vintage Firearms at SHOT 2026 with New-Old Stock Gems (Shawn)The Civilian Marksmanship Program (CMP) showcased a lineup of new-old-stock (NOS) firearms at SHOT 2026, including rare M1 Garands, carbines, and other military surplus classics. These untouched pieces from decades past are now available for civilian purchase through CMP's sales program. The display highlighted their pristine condition and historical significance for collectors and shooters. Spyrt Worldwide's 3-Liter Ukrainian Spirit Limited Howitzer Edition Vodka from Refurbished Powder Tubes (Shawn)Spyrt Worldwide unveiled a limited-edition 3-liter vodka bottle shaped like a Ukrainian howitzer powder charge tube, crafted from refurbished artillery casings. The design honors Ukrainian resilience, with each bottle made from actual refurbished powder charge tubes sourced from Ukraine. It's positioned as a collector's item blending military heritage with premium Ukrainian grain spirit. GUN FIGHTS No one stepped into the arena this week. WLS IS LIFESTYLE GOING BALLISTIC Anti-Gunners Pivot to New Narrative on Pretti Shooting to Push Gun Control (Savage)Anti-gun activists are attempting to reframe the fatal shooting of Minnesota lawmaker Melissa Hortman—initially dubbed the ‘Pretti shooting'—by emphasizing the shooter's legally owned firearms rather than his criminal history or prior threats. The article critiques this shift as a desperate tactic amid failures in states like Virginia and Minnesota to pass sweeping gun bans. It highlights how gun control groups ignore facts that don't fit their agenda, such as the shooter's AR-15 being grandfathered under existing laws. Atrius Development Group Calls on Industry to Unite Against ATF Pistol Brace Rule (Savage)Atrius Development Group has issued an urgent call to action for the firearms industry to join a consolidated lawsuit challenging the ATF's pistol brace rule. The group aims to streamline legal challenges by centralizing efforts, reducing fragmentation and costs for manufacturers and users. This move seeks to efficiently contest the rule's overreach on pistol braces and stabilizing devices. Hawaii Democrats Escalate Carry Restrictions Ahead of Supreme Court Pistol Permit Ruling (Savage)Hawaiian Democrats are advancing legislation to impose additional restrictions on concealed carry permits just before a pivotal Supreme Court decision on the state's draconian pistol licensing process. The bills would require applicants to demonstrate a ‘special need' for self-defense and mandate annual renewals with ongoing justification. This move aims to fortify Hawaii's restrictive gun regime amid looming federal scrutiny. Media Ignores Study: More Guns, Less Crime Across America (Savage)A recent study confirms John Lott's ‘More Guns, Less Crime' thesis, showing states with higher concealed carry rates experience lower violent crime. Despite robust data from 1990-2022 covering all 50 states, mainstream media has largely overlooked the findings. The research highlights permitless carry states leading in gun ownership while posting the lowest murder rates. Giffords Org Admits 2nd Amendment Rights Are Fundamental While Slamming ICE Agent Shooting (Shawn)The Giffords Law Center acknowledged that Second Amendment rights are fundamental but criticized ICE agent Alex Pretti for allegedly violating gun laws during a fatal shooting. The organization highlighted Pretti's prior legal troubles and pushed for stricter enforcement amid the incident's political fallout. This comes as debates intensify over federal agents' gun rights and accountability. REVIEWS Review: Jesse k from WI (krista)Jesse k asks: Did you gentlemen see that the next DCC audio book has a release date on audible?? May 12th 2026. Possibly you are reading this right b4 then. While Discount Dan's, Salvage System, and Mage Tank was quite good, in my quest to find the next best thing to DCC I think I finally found it. Narrated by the voice of Carl, also by soundbooth theater….go listen to Riftside and tell me that Rock the violence loving bloodthirsty talking hammer isn't Jeremy…. Review: Josh from TX (krista)5 squares. Long time listener, first time reviewer. What is there to say? Its like hanging out with all your autist friends. Great times. Josh  by Listener (krista)Peter J – 5 squares, with everything crazy going on in the gun industry and the US politics, it's nice to hear the hard things with a dark comedic twist. With that said Jeremy is right.

Send us a textIn this episode, PRSA CEO Matthew Marcial joins host Jason Mudd to discuss the ethical use of AI in PR and key insights for communicators.Tune in to learn more!Meet our guest:Our episode guest is Matthew Marcial, CEO of the Public Relations Society of America. He leads PRSA's strategic priorities, focusing on advancing the profession and guiding communicators through emerging challenges, including the ethical use of artificial intelligence.Five things you'll learn from this episode:1. The biggest ethical risks with generative AI in PR2. The “Promise and Pitfalls” principles every PR team should adopt 3. How smart PR teams are using AI without crossing ethical lines4. PRSA's role in helping professionals navigate the fast-changing AI landscape5. Tips for rising PR pros who want to lead the profession forwardQuotables“As a leader, you really need to be able to set clear expectations with your team around what the role of AI is and what it is for your organization.” — Matthew Marcial“Being comfortable with that, sharing, and training across your teams is really going to help leverage that (AI) insight and expertise.” — Matthew Marcial“I think that as a communicator, putting out anything that compromises your reputation is going to be a risk.” — Matthew Marcial“We are taking a bolder voice on issues that impact our members, the industry, and the profession.” — Matthew Marcial“The best way to learn is through trial and error.” — Jason MuddIf you enjoyed this episode, please take a moment to share it with a colleague or friend. You may also support us through Buy Me a Coffee or by leaving us a quick podcast review.More about Matthew MarcialMatthew Marcial, CAE, CMP, is the CEO of the Public Relations Society of America, the nation's leading organization for public relations and communications professionals. Appointed in March 2025, he leads PRSA's strategic priorities, focusing on advancing the profession, supporting member growth, and navigating emerging challenges, such as the ethical use of artificial intelligence. With more than 20 years of association leadership experience, Matthew is a frequent speaker on ethical leadership and professional development and has recently led sessions across PRSA's regional districts on the organization's AI Ethics Guide for PR professionals.Guest's contact info and resources:Matthew Marcial on LinkedInPRSA websitePRSA's Promise and Pitfalls: Ethical AI GuidePRSA's DEI ToolkitPRSA's Membership | Promo Code for Listeners: PRPROD25Support the show On Top of PR is produced by Axia Public Relations, named by Forbes as one of America's Best PR Agencies. Axia is an expert PR firm for national brands. On Top of PR is sponsored by ReviewMaxer, the platform for monitoring, improving, and promoting online customer reviews.

Send us a textOur key issues for 2026:1. Mental Health Goes Operational Mental health is no longer fringe in workers' comp. Our real challenge now is operationalizing access to timely, evidence-based mental health care so it supports recovery instead of becoming a barrier.2. End of Healthcare Subsidies = Cost Shifting RiskWith federal funding changes, i.e., the loss of funding tied to healthcare subsidies and the Substance Abuse and Mental Health Services Administration (SAMHSA), watch closely for cost shifting into workers' compensation, a pattern the industry has seen before.3. CMS Civil Monetary Penalties. This is a brand-new layer in the Medicare Secondary Payer landscape. CMS is expected to release CMP documentation in March. 4. Complex Claims = The Biggest Opportunity.  Early identification of red flags, faster access to evidence-based care, and better education for claims professionals prevent complexity → chronicity → runaway costs.5. Presumptions Are Expanding. Presumptions continue to shift the burden of proof to employers, especially for PTSD, firefighter cancer, and potential infectious disease claims, with high cost and policy implications. 6. Employee Well-being & “Quiet Cracking.” Quiet cracking, marked by disengagement, burnout, and feeling stuck, is emerging as employees remain overloaded and unsupported. Organizations that treat wellbeing as a core risk management strategy see stronger engagement, faster recovery, and lower overall costs.⚡ Rapid-Fire WatchlistDEI & Diversity – Organizations that lean into diversity perform better and attract stronger talent.Education & Mentorship – The next generation of WC professionals needs mentorship from experienced leaders. Explore mentor/mentee programs. Artificial Intelligence (AI) – It's time to embrace adaptation. Education is key to using AI wisely. Challenge yourself to adapt as AI is changing rapidly and becoming more integrated in our daily lives. Self-Leadership as a Core Competency – Especially for claims professionals. Self-leadership improves empathy, self-regulation, and decision-making.California Premium Increases – California is an outlier worth watching as other states stabilize or decline.

Chondromalacia patella (CMP), sometimes called “runner's knee”, is a degenerative condition involving softening and breakdown of the patellar articular cartilage, most often due to abnormal patellofemoral mechanics, muscular imbalance or repetitive micro-trauma. It commonly presents with anterior knee pain worsened by stair descent, squatting, running or prolonged sitting. Diagnosis relies on clinical evaluation supported by imaging (especially magnetic resonance imaging) to assess cartilage integrity and patellar alignment. Most patients improve with long-term conservative therapy focused on quadriceps strengthening, hip stabilisation and activity modification. Surgical intervention is reserved for persistent, symptomatic cases or significant maltracking. Early recognition helps prevent progression to patellofemoral osteoarthritis. In this episode, Dr Roger Henderson looks at how best to recognise the condition in our surgeries and the best plan of action for our patients.Access episode show notes containing key references and take-home points at:https://gpnotebook.com/en-GB/podcasts/musculoskeletal-medicine/ep-190-chondromalacia-patella.Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.

Dr. Marcus Pinto joins us to break down how to evaluate new numbness, tingling, and foot pain with simple bedside tests that separate true neuropathy from common mimics. Practical steps, key red flags, and a high-yield lab strategy give primary care and non-neuro clinicians a clear path forward.• distinguishing positive vs negative symptoms• using location and constancy to sort causes• recognizing stocking–glove vs focal patterns• bedside “eyes closed” test for persistence• neuropathic pain descriptors vs mechanical pain• autonomic clues: gastroparesis and orthostatic hypotension• gait, heel–toe walking, and reflex triage• light touch, pinprick, temperature, and vibration methods• when vibration beats proprioception• ulcers as a marker of severity and healing issues• chronicity clues: atrophy, high arches, hammered toes• targeted labs: CBC, CMP, HbA1c, lipids, B12, B1, B6, copper, zinc• when to order EMG and what to avoid• metabolic health and neuropathy progressionFind our work at theneurotransmitters.com and on X at neuro_podcastSend us a textUnderstanding Hypophosphatemia: Recognition, Diagnosis, and TreatmentEndocrine experts distinguish Hypophosphatemia from osteoporosis & osteomalaciaListen on: Apple Podcasts SpotifySupport the show Check out our website at www.theneurotransmitters.com to sign up for emails, classes, and quizzes! Would you like to be a guest or suggest a topic? Email us at contact@theneurotransmitters.com Follow our podcast channel on

What happens when hospitality stops being about service—and starts being about care?  That's the question I'm exploring this week on Eating at a Meeting Podcast LIVE with Lindsay Martin-Bilbrey, CMP, CEO of Nifty Method Marketing + Events and longtime event strategist, chef, and hashtag#eventprof who's worn just about every hat in the business. From executive kitchens to corporate boardrooms, Lindsay knows the difference between a meal that's memorable and one that's merely managed. To her, safe, sustainable, and inclusive food and beverage experiences aren't separate goals—they're the natural outcome of a culture built on care, communication, and connection. Together, we'll talk about what it takes to create culinary ecosystems where: ▶︎ Teams are trained and empowered—not just compliant. ▶︎ Sustainability includes people as much as the planet. ▶︎ Inclusion starts long before the menu is printed. Lindsay will share lessons from her time leading both event agencies and restaurant kitchens—why aligning front- and back-of-house teams is the key to guest trust, how authentic sustainability impacts revenue, and what it looks like when care becomes a business strategy. Because the guest experience only works when the team experience does too. Join the conversation that connects it all—from the first site visit to the final plate.

Jeanne, cadre de santé, a été harcelée par sa hiérarchie à l'hôpital, ce qui l'a poussée à changer de travail après 38 ans de service. Elle a pris un nouveau poste en pédopsychiatrie dans un CMP, où elle découvre un environnement différent et stimulant malgré les défis. Jeanne est satisfaite de sa reconversion et se sent épanouie dans son nouveau rôle. Chaque soir, en direct, Caroline Dublanche accueille les auditeurs pour 2h30 d'échanges et de confidences. Pour participer, contactez l'émission au 09 69 39 10 11 (prix d'un appel local) ou sur parlonsnous@rtl.frHébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Episode 391 of the John1911 Podcast is now live:   The CMP surplus shotguns.  ICE Agent shoots to the face. The Ghost Fleet is on the run. The DonRoe Doctrine. Why the US wants Greenland. Trump is changing the world.       Danny & Marky John1911.com "Shooting Guns & Having Fun"

Double Tap Episode 443 This episode of Double Tap is brought to you by: Midwest Industries, Primary Arms, Die Free Co., Night Fision, Second Call Defense, Bowers Group, and Swampfox Optics   Welcome to Double Tap, episode 443! Your hosts tonight are Jeremy Pozderac, Aaron Krieger, Nick Lynch, and me Shawn Herrin, welcome to the show! Text Dear WLS or Reviews +1 743 500 2171 - Dear WLS Chuckin Abox - Hello, I just bought a g-force jawbone 9mm AR9?PCC? It's got a 5.5"" barrel ,an adjustable pistol brace, and takes glock mags. Two questions. What gideon optic would you recommend and what pistol brace would you recommend. Use case will be home defense/truck gun. P.S. No Notes P.P.S. A guy just asked Jeremy if he remembered a cab driver outside ft.leonard wood with a gimpy arm. That guy owns a bar now called bottoms up and big louie's strip club is now Uranus Fudge Factory owned by the same guy Louie lol P.P.PS. I worked at Big Louie's adult store next to the strip club from 01-04 so it's very possible I sold Jeremy his gay porn back in the day.     Harold Ballzanya - I've recently moved to an area that has an indoor shooting range. Outside of normal safety rules, what are some things I should consider before going my first time. Is it acceptable to walk in with your gun in its holster, or should it be in a case. Can I use a holster at all, should it be left on the table when not firing? Are shotguns okay? I'm sure these rules can be answered by a range officer for each individual range but I don't want to come in looking like an idiot. Also what sort of range etiquette is there to be expected of me?     Baklava of Balaklava - Not that many years ago any review of a Turkish gun would be full of comments saying people would never buy a gun from that country as long as the islamofascist tyrant Erdogan was in power. This never seems to happen anymore. What happened with American gun buyers? Erdogan hasn't become less islamofascist or tyrannical in his old age - quite the contrary. And all Turkish foreign sales help continue the dictatorship. Are there countries where the regime is such that the panel would never buy a weapon produced there?     Ed - With all the new guns and gear gun-tubers and social media influencers talk about do you guys feel pressured into carrying all the new stuff? On one hand, I like idea appendix carrying a 17-rd comped pistol with light, optic and extra mag, but I find it to be bulky and uncomfortable most of the time. On the other hand, the simplicity of a pocket snubby or 380 is convenient and comfortable but it's not mainstream.   The winner of this week's swag pack is ED! To win your own, go to welikeshooting.com/dashboard and submit a question!   Gun Industry News Century Arms Introduces AP5-N & AP5P-N “Navy” 9mm Pistols Analysis: Century Arms updates their roller-delayed blowback line with "Navy" models (AP5-N and AP5P-N) featuring a threaded barrel (1/2x28 & tri-lug), ambidextrous lower receiver housing, and an extended safety selector. The AP5P-N is the compact "K" style variant. Price / Availability: ~$1,499.99 - $1,599.99 / Available now. The Hush Puppy Returns: B&T's Slide-Locking Sig P226 & P365 Analysis: B&T revives the "Hush Puppy" concept with modified Sig Sauer P226 and P365 pistols featuring a slide-lock device to eliminate action noise. The P226 kit includes a wipe-based suppressor, Romeo-X Pro optic, and subsonic ammo. Price / Availability: ~$2,999.00 (P226 Kit) / Available now (Limited/Exclusive). Bergara Gets Into the Silencer Game with the BTi30 Analysis: Bergara enters the suppressor market with the BTi30, a lightweight .30 caliber titanium silencer (12.9 oz). It features industry-standard HUB mounting (1.375x24), a muzzle-indexing mount, and swappable vented or sealed end caps to manage gas flow. Price / Availability: $1,099 MSRP / Available now. Galco Releases Brush Hog Holster Analysis: A field-ready belt holster made from premium steerhide, designed for outdoor carry. It features a protective flap with a glove-friendly release tab to secure the firearm against brush and debris while accommodating red dot optics. Price / Availability: $179.00 / Available now. CMP to Start Selling Surplus Shotguns Analysis: The 2026 National Defense Authorization Act (NDAA) includes a provision authorizing the Civilian Marksmanship Program (CMP) to sell surplus U.S. military shotguns (e.g., Remington 870s, Mossberg 500s) to the public, similar to their M1 Garand and 1911 programs. Price / Availability: Pricing TBD / Sales expected to begin after Army transfer (likely late 2026). Palmetto State Armory Adds Sabre BT5 Mini Inconel Suppressors Analysis: PSA expands its Sabre suppressor line with the BT5 Mini, a compact 5.56mm can 3D-printed from Inconel 718. It utilizes the "Plan B" taper mount standard and is designed for extreme durability and flash reduction in a short package. Price / Availability: $799.99 / Available now.   Before we let you go - Join Gun Owners of America   Tell your friends about the show and get backstage access by joining the Gun Cult at theguncult.com.   No matter how tough your battle is today, we want you here fight with us tomorrow. Don't struggle in silence, you can contact the suicide prevention line by dialing 988 from your phone. Remember - Always prefer Dangerous Freedom over peaceful slavery. We'll see you next time!   Nick - @busbuiltsystems | Bus Built Systems Jeremy - @ret_actual | Rivers Edge Tactical Aaron - @machinegun_moses Savage - @savage1r Shawn - @dangerousfreedomyt | @camorado.cam | Camorado  

What if your client's “normal” labs are hiding mitochondrial breakdown, immune dysfunction, and early insulin resistance? In this episode, Dr. Ritamarie exposes why the standard lab panels so many practitioners rely on are failing and walks you through the functional markers that actually reveal root-cause imbalances.You'll learn how to detect early metabolic imbalances, what markers to prioritize for inflammation and detox stress, and how to combine genetics with advanced testing to create truly personalized healing plans. This episode will help you connect the dots and become the practitioner who sees what others miss.What's Inside This Episode?Why “normal” CBC, CMP, and lipid panels rarely explain fatigue, brain fog, or weight gainThe 3 types of dysfunction standard labs always overlookCritical immune and mitochondrial markers to catch early burnout and chronic inflammationFunctional ranges and “gray zone” patterns that reveal trouble before red flagsHow genetics can guide smarter test selection (even without expensive panels)Overlooked tools for catching methylation, detox stress, and early insulin resistanceWhy GGT, uric acid, and homocysteine might be your most powerful early-warning toolsHow to interpret functional trends over time and avoid falling into the “normal trap”Resources and Links:Download the transcript hereDownload our FREE Comprehensive Blood Chemistry Guide Join the Next-Level Health Practitioner Facebook group here for free resources and community supportVisit INEMethod.com for advanced health practitioner training and tools to elevate your clinical skills and grow your practice by getting life-changing results.Check out other podcast episodes here

Recorded live from the 100% Pure New Zealand booth at IMEX America, this episode of Eating at a Meeting explores how Aotearoa is redefining event dining through connection, culture, and conscious hospitality. Host Tracy Stuckrath sits down with Lauren Blakey from the New Zealand International Convention Centre and Natalie Fulton, CMP from Tourism New Zealand to uncover how Māori traditions of kai and kōrero (food and conversation) are inspiring authentic event experiences rooted in wellness, sustainability, and inclusion. From carbon net-zero venues and reusable cup programs to zero-proof wines and allergen-aware menus, discover how New Zealand's food and beverage philosophy is creating meaningful change—one meal at a time.

As everyone is seeing their electricity bills rise, the opportunity to speak with Our Power Maine came up. I'm speaking with the Executive Director Seth Berry, and Policy and Communications Fellow Isabelle Winstead - just days after  they succeeded in pausing what seemed to many as a huge increase in Maine's CMP (Central Maine Power) rates. It's historic to halt the monopoly of a utility like this, and they are very happy to share why they are so passionate about helping Mainers to have other options. And don't feel left out if you're not in Maine - Our Power is in several states, and even if not, you can reach out to Our Power Maine and they'll get you in touch with someone to help.Seth and Our Power Maine are focused on transparency and energy democracy, and with good reason. He brought up the Halloween storm of 2017, and I said I started saving all the electric bills I received after that storm, because CMP sent me 3 bills in 1 month. We talked about Maine Community Power Cooperative (MCPC), and breaking the monopoly that CMP has with Maine's energy. MCPC offers up to 20% savings for CMP customers. This conversation was enlightening and encouraging, and I hope you'll reach out to them, to learn more about how we can take our own power backOur Power site: https://ourpowermaine.org (remember, you don't need to be a Maine resident to ask questions!)They're on Instagram here: https://www.instagram.com/ourpowerme/On Facebook here: https://www.facebook.com/ourpowermaine/And Linkedin here: https://www.linkedin.com/company/our-power-maine/Another resource is https://www.efficiencymaine.com/Send me a message!Support the showLike this episode? Send me a message! Please follow the podcast on Instagram here YouTube channel Email me at amysgardenjam@gmail.com Amy's Garden Jam site (podcast has its own tab on this site!) Amy's email newsletter: How Do I Get There From Here by Jane Bolduc - hear more at https://www.janebolduc.com/Podcast cover by Becca Kofron- follow here on Instagram here https://www.instagram.com/skate_cute_but_loud/ and check out her awesome art projects. Grounded in Maine Podcast is hosted by Buzzsprout, the easiest podcast hosting platform with the BEST customer service! Learn more at https://www.buzzsprout.com/?referrer_id=1851361 You can support this podcast one time (or many) with the Buy me a coffee/Hot Chocolate link here: https://www.buymeacoffee.com/groundedinmaine Grounded in Maine Podcast is sponsored by ESG Review. Learn more about the good they're doing at https://...

Ce lundi 22 décembre, l'échec de la CMP et le retour de la loi spéciale ont été abordés par Christian Saint-Étienne, économiste, Ludovic Desautez, directeur délégué de la rédaction de La Tribune, et Victor Lequillerier, économiste et vice-président du Think Tank "BSI Economics", dans l'émission Les Experts, présentée par Raphaël Legendre sur BFM Business. Retrouvez l'émission du lundi au vendredi et réécoutez la en podcast.

Ce vendredi 19 décembre, le Budget 2026 dans les mains de la CMP et EDF qui relève le devis des réacteurs EPR2, ont été abordés par Jean-Marc Vittori, éditorialiste aux Echos, Stéphane Van Huffel, fondateur de SVH Conseil, et Gilles Raveaud, maître de conférence à l'Institut d'Etudes Européennes de Paris-8 Saint-Denis, dans l'émission Les Experts, présentée par Raphaël Legendre sur BFM Business. Retrouvez l'émission du lundi au vendredi et réécoutez la en podcast.

Imagine arriving at an event and knowing exactly what's on your plate—before you even step into the event venue. No guessing. No awkward questions. No fear of being left out. That's the vision behind Maritz 's new Event Menus. Designed to provide attendees a clear view of meal options—including key dietary restrictions and allergens—these digital menus help guests plan with confidence while making food an integrated part of the event experience. On next week's Eating at a Meeting Podcast LIVE, I'm talking with Emily Thibodeau, CMP, CITP, Vice President of Event Management, and Katie Rennegarbe, CIS , Manager of Technology Solution Design at Maritz. Together, we'll explore: ▶︎ How Event Menus are changing the way attendees interact with F&B ▶︎ Why visibility into dietary options builds trust and belonging ▶︎ How tech + hospitality can work hand-in-hand to create safer, more inclusive experiences ▶︎ What planners can learn from building accessibility into menu design from the start Emily brings her expertise in event management strategy, while Katie—deeply involved in the tech behind Event Menus—will share how Maritz brought this innovation to life. Food is one of the most human parts of an event. Let's talk about how digital solutions can make it safer, smarter, and more inclusive.

In this episode, recorded live at TSAE's New Ideas Annual Conference in San Antonio, hosts Steven Stout, FASAE, CAE, and Katy Markert sit down with Christian Malesic, MBA, CAE, CMP, IOM, an eight-time CEO with more than 28 years of leadership experience. Christian shares his remarkable path from Air Force officer to association executive, highlighting the strategies and mindset that have guided his success in organizational turnarounds. He discusses the critical role of strong governance, financial discipline, and relationship-building in driving meaningful change, while also reflecting on his passion for nonprofit work and lifelong learning. Packed with practical insights and real-world experience, this conversation offers valuable guidance for both emerging and seasoned association leaders. Better by Association is produced by Association Briefings.   Show Notes Christian D. Malesic, MBA, CAE, CMP, IOM is an eight-time CEO with over 28 years of experience. He motivates audiences as a speaker, trainer, & lecturer and moves needles as a Turnaround CEO, consultant, and recognized expert in Association Management. His peers continue to recognize his servant's heart with numerous national and state awards from various organizations for many and varied industry accomplishments. Most notably, he was heralded in 2012 as the nation's Best New Executive Officer and is the 2024 Dallas / Fort Worth Association (DFWAE) Executive of the Year and the 2025 CAE of the Year. With over two dozen nationally published “business-best-practices” articles to his name, Christian is also a resourceful & accomplished executive. He has served on 22 different local, regional, and national Boards himself. He received his MBA with distinguished honors from Shippensburg University of Pennsylvania plus three bachelor's degrees in: Electrical Engineering & Government from Lehigh University and Business Administration with a Concentration in Marketing from Elizabethtown College. Christian is a Certified Association Executive (CAE), a Certified Meeting Professional (CMP), and is a graduate of the prestigious Institute for Organizational Management (IOM), the most highly respected program nationwide for Association Management. He is a current member in good standing of the Texas Society of Association Executives (TSAE) and the Dallas / Fort Worth Society of Association Executives (DFWAE).

“You face conflict every single day of your life. There's conflict that you love and conflict that you're not so enamored of, and the conflict that you love, you have no problem with.” – Dana Lynn Bernstein Today's featured author is a mom, wife, black belt martial artist, ICF Certified Executive and Conflict Resolution Coach, and the founder of Dare to Live Brave, LLC, Dana Lynn Bernstein, PCC, MA, CMP, PMP, CPQC. Dana and I had a fun on a bun chat about her first book, “It's the Thought That Counts: Mastering the Art of YOU vs. you”, the importance of self-awareness, what helps you to manage conflict, and more!Key Things You'll Learn:What inspired Dana to become a published author, and her journey to getting it doneWhat she learned about herself through publishing her bookHow a chance encounter led her to study conflict resolutionHow smaller everyday choices can mirror larger conflictsSome tips for being more comfortable with conflictDana's Site: https://danalynnbernstein.com/Dana's Book: https://a.co/d/8Bnp04hThe opening track is titled, “Unknown From M.E. | Sonic Adventure 2 ~ City Pop Remix” by Iridium Beats. To listen to and download the full track, click the following link. https://www.patreon.com/posts/sonic-adventure-136084016 Please support today's podcast to keep this content coming! CashApp: $DomBrightmonDonate on PayPal: @DBrightmonBuy Me a Coffee: https://www.buymeacoffee.com/dombrightmonGet Going North T-Shirts, Stickers, and More: https://www.teepublic.com/stores/dom-brightmonThe Going North Advancement Compass: https://a.co/d/bA9awotYou May Also Like…Ep. 899 – How to Turn Disputes into Growth Opportunities with Kat Newport: https://www.goingnorthpodcast.com/ep-899-how-to-turn-disputes-into-growth-opportunities-with-kat-newport/Ep. 585 – “Ceasefire” with Chip Nightingale (@chipnightingale): https://www.goingnorthpodcast.com/ep-585-ceasefire-with-chip-nightingale-chipnightingale/Ep. 428 – “Hard Conversations” with Dr. Brad Johnson (@bjcommunicates): https://www.goingnorthpodcast.com/ep-428-hard-conversations-with-dr-brad-johnson-bjcommunicates/211 – “Tough Conversations” with David Wood (@_playforreal): https://www.goingnorthpodcast.com/211-tough-conversations-with-david-wood-_playforreal/Ep. 411 – “Name That Mouse” with David Wood (@_focusceo): https://www.goingnorthpodcast.com/ep-411-name-that-mouse-with-david-wood-_focusceo/Ep. 1028 – The CEO's Compass with Deborah Coviello (@DropinCEO): https://www.goingnorthpodcast.com/ep-1028-the-ceos-compass-with-deborah-coviello-dropinceo/Ep. 779 – Speaking to Influence with Dr. Laura Sicola (@LauraSicola): https://www.goingnorthpodcast.com/ep-779-speaking-to-influence-with-dr-laura-sicola-laurasicola/Ep. 760 – From Bonham to Buddha and Back with Clementine Moss: https://www.goingnorthpodcast.com/ep-760-from-bonham-to-buddha-and-back-with-clementine-moss/Ep. 679 – “Rock Gods & Messy Monsters” with Diane Hatz (@dianehatz): https://www.goingnorthpodcast.com/ep-679-rock-gods-messy-monsters-with-diane-hatz-dianehatz/Ep. 360 – “Beyond Lovelyville” with Dr. Lin Morel (@drlinmorel): https://www.goingnorthpodcast.com/ep-360-beyond-lovelyville-with-dr-lin-morel-drlinmorel/

What we put on the table does more than feed guests — it fuels their energy, focus, and capacity to belong. That's the perspective Yush Sztalkoper, CMP, founder of NeuroSpark+, brings to this special episode of Eating at a Meeting Podcast LIVE from IMEX America in Las Vegas.  With two decades in corporate events and her lived experience with ADHD and parenting a twice-exceptional child, Yush knows that inclusion isn't just about access to the room — it's about access to regulation, energy, and choice once you're there. For neurodivergent attendees, food is a nervous system intervention. When menus lack labels, variety, or whole-food options, you're not just excluding diets, you're excluding capacity. Designing meals for nourishment is designing for belonging. In our conversation, we'll explore: ▶︎ Why whole foods, clear labeling, and variety unlock authentic participation ▶︎ How circadian rhythms and meal timing support energy throughout long event days ▶︎ The role of protein-forward, minimally processed choices in regulating the nervous system ▶︎ Why training staff in neutral language — "We've got options for everyone" — builds inclusion ▶︎ How normalizing opt-outs reminds us: food is optional, belonging isn't For event planners and hospitality pros, this episode is a call to action: inclusion doesn't just live in your registration system — it lives on your menus and in the way your team serves them.

In this week's Gaslit Nation, Andrea and Kyiv-based journalist Terrell Starr discuss how American corporate oligarchs act like authoritarian regimes. It's a lot like Trump, Kushner, and their real estate buddy Steve Witkoff's plan to sell out Ukraine to Russia. Once again we're reminding you that the war against oligarchy here at home is global.  Amazon, one of the 37 donors who helped bankroll Trump's illegal and unnecessary ballroom, was exposed in an investigation by Rolling Stone for possibly causing a cancer cluster near one of its data centers in Oregon, an allegation the company denies, because they know, under Kremlin-backed mass-murdering Trump, escalating a war for oil in Venezuela, they will get away with it. This is the same Jeff Bezos who celebrated in the White House with Trump, Kushner, and the Saudis who murdered Washington Post writer and Saudi dissident Jamal Khashoggi. Democracy doesn't just die in darkness; it dies under cheap gold fixtures and chandeliers. We also discuss why both Trump and Putin need a war in Venezuela to distract from their corruption at home, how oligarch ownership of the press continues to hollow it out, and how much more Americans can take of this abuse and gaslighting. And yet, amid all this lawlessness, democracy defenders around the world are fighting back. Bolsonaro's escape plan got foiled as he faces 27 years in prison, New Yorkers joined other American cities and towns in shutting down Trump's gestapo, and MAGA continue to be punished for voting for him–with a recent poll showing one in four Trump voters are disappointed or regret their vote. Join us for Gaslit Nation's bonus show out Thursday as we debate whether America is ready for a woman president–and how to stop Kushner and Ivanka from winning the MAGA succession war to install Ivanka with the help of their dictator friends. To listen and join our community of supporters, be sure to subscribe at the Truth-teller ($5/month level) or higher. Thank you to everyone who supports our independent journalism. Your support keeps us going and gives us the freedom to tell the truth.  Join our community of listeners and get bonus shows, Q&A sessions, invites to exclusive events like our Monday political salons at 4pm ET over Zoom, ad free listening, group chats with other listeners, ways to shape the show, and more! Sign up at Patreon.com/Gaslit! EVENTS AT GASLIT NATION: December 1st 4pm ET – Deaf Republic by Ilya Kaminsky + Total Resistance by H. Von Dach – Poetry and guerrilla strategy: tools for survival and defiance. Minnesota Signal group for Gaslit Nation listeners in the state to find each other: available on Patreon. Vermont Signal group for Gaslit Nation listeners in the state to find each other: available on Patreon. Arizona-based listeners launched a Signal group for others in the state to connect, available on Patreon. Indiana-based listeners launched a Signal group for others in the state to join, available on Patreon. Florida-based listeners are going strong meeting in person. Be sure to join their Signal group, available on Patreon. Gaslit Nation Salons take place Mondays 4pm ET over Zoom and the first ~40 minutes are recorded and shared on Patreon.com/Gaslit for our community Show Notes:   Article that Terrell references in the episode: 'What's the Big Deal?' Ask Trump Voters on Russia Hacking Report https://www.nytimes.com/2017/01/07/us/russia-hacking-election-trump-voters.html?unlocked_article_code=1.5k8.LzM3.Aqyb_HChdz9L&smid=url-share   "In his book Berlin: the Downfall 1945, Beevor described how Russian soldiers would gang rape not just German women but the starving and emaciated survivors of concentration camps and slave-labour factories." https://bsky.app/profile/andreachalupa.bsky.social/post/3m6ubnaxavk2h   "This exposé is breathtaking. Witkoff and Kushner do not just have conflicts of interest - thy are deeply woven into a web of Russian influence peddling by "investments". Money, personal ties and geopolitics have become indistinguishable." https://bsky.app/profile/joerglau.bsky.social/post/3m6yvn5n6g22i   Rolling Stone investigation into Amazon data center in Oregon polluting water, leading to mysterious cancers and miscarriages https://www.rollingstone.com/culture/culture-features/data-center-water-pollution-amazon-oregon-1235466613/   "According to the US Coast Guard, the year prior to Trump changing our policy to summary execution, only 21% of the vessels interdicted by them off the coast of Venezuela suspected of trafficking drugs had drugs on board. The other 79% had nothing. But now we just kill them all." https://bsky.app/profile/ronfilipkowski.bsky.social/post/3m6zh6tznsk27 Make Money Not War: Trump's Real Plan for Peace in Ukraine The Kremlin pitched the White House on peace through business. To Europe's dismay, the president and his envoy are on board. https://www.wsj.com/world/russia/russia-u-s-peace-business-ties-4db9b290   Not A Bad Week For Ukraine Truth, Democracy and Corruption, Possible High Command Changes, Are European Gloves Coming Off? https://phillipspobrien.substack.com/p/weekend-update-161-not-a-bad-week?r=1tgexa&utm_medium=ios&triedRedirect=true   Jared Kushner's double life Kushner has resumed his role as a top Trump foreign policy advisor while expanding his business partnership with the Saudi government. https://popular.info/p/jared-kushners-double-life   Meet all 37 White House ballroom donors funding the $300 million build, including Silicon Valley tech giants, crypto bros and the Lutnicks https://fortune.com/2025/10/26/37-white-house-ballroom-donors-funding-300-million-build-tech-ceos-trump/   "This is what it looks like when billionaires own the media." https://x.com/DarrigoMelanie/status/1995566687249465706   Trump Envoy Has Financial Ties With Former Adviser to Putin's 'Money Man' Now Leading Kremlin Peace Talks: Steve Witkoff's real-estate empire is bankrolled by a former adviser to Kirill Dmitriev, head of Russia's sovereign wealth fund and a key architect of Moscow's Ukraine negotiations https://bylinetimes.com/2025/12/01/trump-envoy-has-financial-ties-with-former-adviser-to-putins-money-man-now-leading-kremlin-peace-talks/   Dictatorship-era army officers and supporters rally in Argentina in latest sign of political shift https://apnews.com/article/argentina-military-junta-dictatorship-javier-milei-plaza-de-mayo-6122d6d7541141badaf78522efd42fd9   Layoff announcements surged last month: The worst October in 22 years https://www.cnn.com/2025/11/06/economy/job-layoff-announcements-challenger   A year on from Trump's victory, resistance is everywhere https://www.theguardian.com/commentisfree/2025/nov/09/trump-resistance-is-everywhere?CMP=share_btn_url   Ivanka Trump Sat in Vladimir Putin's Chair and Spun Around When at Kremlin, President's Former Associate Says https://www.newsweek.com/ivanka-putin-chair-spun-kremlin-931754   Ivanka Trump Was In Contact With A Russian Who Offered A Trump-Putin Meeting: Her contact said a meeting between Trump and Putin could expedite a Trump tower in Moscow. https://www.buzzfeednews.com/article/anthonycormier/ivanka-trump-putin-moscow-meeting-michael-cohen-tower   Admiral Overseeing Caribbean Mission to Retire after One Year in Role https://news.usni.org/2025/10/16/admiral-overseeing-caribbean-mission-to-retire-after-one-year-in-role   "Prospera Honduras is a Zone for Employment & Economic Development (ZEDE) backed by Peter Thiel. Trump plans to pardon the former Honduran president who championed ZEDES b4 his drug trafficking conviction. Honduras current outgoing president has tried to eliminate ZEDES, an obstacle for Prospera." https://bsky.app/profile/did:plc:we7sidyj3b5or2r7trtpfzt7/post/3m6ungpja622f   Terrell Starr Substack: https://terrellstarr.substack.com/  

(Recorded 11/29/2025 in person at my place.)Ryan and I interview my friend Andy D. We talk about his theater experiences such as being part of Sac City's productions and voice acting, his time at CMP, his Instagram drink reviews, and his pizza table tower. Check out Andy's YouTube channel here: https://www.youtube.com/@asianspeedyboi8291

Dr. Vincenz Czerny performed the world's first breast augmentation in Vienna on 24th November, 1893. After removing a benign tumour via a mastectomy, Czerny addressed the asymmetry left behind by innovatively transplanting a non-cancerous lipoma from his patient's lower back to reconstruct her breast. Czerny's work was cutting-edge for its time (pun intended): it wasn't until the Second World War, in the era of curvier pin-up girls, that cosmetic surgery began to become widespread, alongside the rise of silicone. The breakthrough came in 1962, when American surgeons Frank Gerow and Thomas Cronin developed the first silicone breast implant, tested on a Texas woman named Timmie Jean Lindsay, who agreed to the surgery only after being promised an ear-pinning as a bonus. Arion, Rebecca and Olly uncover the story of breast surgery, both reparative and cosmetic; explain how early attempts at the art resulted in unfortunate outcomes like “paraffinomas”; and reveal why a dog named Esmeralda has an historic place in pantheon of historic boob jobs… Further Reading: • 'Breast implants: the first 50 years' (The Guardian, 2012): https://www.theguardian.com/lifeandstyle/2012/jan/11/breast-implants-50-years?CMP=twt_gu • ‘From supersized to a more natural look: The evolution of breast implants' (CNN, 2021): https://edition.cnn.com/style/article/evolution-of-breast-implants/index.html • 'Breast Implant Options for Augmentation & Reconstruction (Graphic)' (Cleveland Clinic, 2021): https://www.youtube.com/watch?v=twsPcwxNSQQ Learn more about your ad choices. Visit podcastchoices.com/adchoices

The full story behind our 2025 Grid Life Street Mod Championship season. After the struggles of 2024, we came back with a vengeance - 8 events, 5 straight wins, 7 lap records, and the most reliable car in Street Mod.In this extended season recap, Dewey, Dylan, Graham (Boosted Performance Tuning), and Forklift break down everything that happened behind the scenes: building our first sequential transmission, solving the turbo issues at Road Atlanta, the data analysis systems that changed everything, and that incredible rain-soaked victory at Pitt Race.Topics covered:Sequential transmission development and tuning challengesEvery event breakdown from CMP to Pitt RaceTechnical upgrades: suspension geometry, power steering, front diffThe criticism we faced and how we proved everyone wrongBehind-the-scenes logistics and team dynamicsOur systematic approach to data analysis and driver feedbackPlans for 2026: electronic wastegate, motorsport ABS, and morePlus: Terrible steak dinners in castles with Bucky Lasek, windshield explosions, trailer disasters, and why 38°F is the perfect temperature for Pitt Race.This isn't just about winning - it's about the work, the team, and the process that made it possible.#GridLife #TimeAttack #StreetMod #Subaru #Championship #Motorsports

In this episode, we're talking about one of the most powerful tools you already have but probably aren't using enough: redeciding.Redeciding is the moment you pause, question the default, and choose again—on purpose. It's how you reinvent yourself, your parenting, your routines, and your reactions… without blowing up your whole life.I share a few recent moments that pushed me to look at my old stories (like “I'm bad at tech” or “I can't learn new things”) and what changed when I stopped believing them. This is the work we do in CMP: noticing the patterns that keep us stuck and choosing something better.In this episode:Why you're allowed to start over anytimeHow tiny decisions create massive reinventionThe stories we inherit—and how to let them goWhat to do when you feel stuck in old parenting habitsHow to redesign your relationship with each childWhy failures are evidence of growth, not proof of inadequacyYou're not stuck. You're just one redecision away from a different outcome.Let's make the last two months of the year the best ones yet.Go connect with your kids. And let's reinvent together.

The people who transform their lives? They're not smarter than you. They're not more motivated. They're not reading more books or listening to more podcasts.They're the ones showing up every single week to get coached on their real life.Here's what I've discovered after seven years of teaching Connect Method Parenting: you can understand every concept I teach and still find yourself yelling when your kid won't put their shoes on Tuesday morning.There's this massive gap between knowing what to do and being able to do it in the moment when you're triggered.What closes that gap isn't more information. It's the weekly rhythm of learning something, watching it get applied to someone else's situation, then trying it in your own life. That's it. Learning, repetition, application.That's why I'm doing Pivot Live, eight weeks where we meet every Wednesday at 1 PM Eastern starting November 16th. Small group. Cameras on. You're committing to show up.You'll mess up Monday morning. You'll bring it to our call Wednesday. We'll work through it together. And Thursday you'll handle it differently.If you're new to CMP, you'll go through the Pivot week by week with the group. If you've already done it, come as a repeater and just bring whatever you're working on.The details: $199 for 8 weeks | First lesson November 16th, first call November 19th | Register at https://cmp.works/pivotIn the next episode, I'll break down the actual CMP concepts we'll be diving into.Learn more here --> https://connectmethodparenting.comNext Steps: Leave a review if you've been enjoying the CMP Podcast My Book: https://cmp.works/1xs My IG: https://cmp.works/ista

Dr. Pedro Barata and Dr. Aditya Bagrodia discuss the evolving landscape of testicular cancer survivorship, the impact of treatment-related complications, and management strategies to optimize long-term outcomes and quality of life. TRANSCRIPT:  Dr. Pedro Barata: Hello and welcome to By the Book, a podcast series from ASCO that features engaging conversations between editors and authors of the ASCO Educational Book. I'm Dr. Pedro Barata. I'm a medical oncologist at University Hospitals Seidman Cancer Center and associate professor of medicine at Case Western Reserve University in Cleveland, Ohio. I'm also an associate editor of the ASCO Educational Book. We all know that testicular cancer is a rare but highly curable malignancy that mainly affects young men. Multimodal advances in therapy have resulted in excellent cancer specific survival, but testicular cancer survivors face significant long term treatment related toxicities which affect their quality of life and require surveillance and management. With that, I'm very happy today to be joined by Dr. Aditya Bagrodia, a urologic oncologist, professor, and the GU Disease Team lead at UC San Diego[KI1]  Health, and also the lead author of the recently published paper in the ASCO Educational Book titled, "Key Updates in Testicular Cancer: Optimizing Survivorship and Survival." And he's also the host of the world-renowned BackTable Urology Podcast. Dr. Bagrodia, I'm so happy that you're joining us today. Welcome. Dr. Aditya Bagrodia: Thanks, Pedro. Absolutely a pleasure to be here. Really appreciate the opportunity. Dr. Pedro Barata: Absolutely.  So, just to say that our full disclosures are available in the transcript of this episode.  Let's get things started. I'm really excited to talk about this. I'm biased, I do treat testicular cancer among other GU malignancies and so it's a really, really important topic that we face every day, right? Fortunately, for most of these patients, we're able to cure them. But it always comes up the question, "What now? You know, scans, management, cardio oncology, what survivorship programs we have in place? Are we addressing the different survivorship piece, psychology, fertility, et cetera?" So, we'll try to capture all of that today. Aditya, congrats again, you did a fantastic job putting together the insights and thoughts and what we know today about this important topic. And so, let's get focused specifically about what happens when patients get cured. So, many of us, in many centers, were fortunate enough to have these survivorship programs together, but I find that sometimes from talking to colleagues, they're not exactly the same thing and they don't mean the same thing to different people, to different institutions, right? So, first things first. What do you tell a patient perhaps when they ask you, "What can happen to me now that I'm done with treatment for testicular cancer?" Whether it's chemotherapy or just surgery or even radiation therapy? "So, what about the long term? What should I expect, Doctor, that might happen to me in the long run?" Dr. Aditya Bagrodia: Totally. I mean, I think that question's really front and center, Pedro, and really appreciate you all highlighting this topic. It was an absolute honor to work with true thought leaders and the survivorship bit of it is front and center, in my opinion. It's really the focus, you know, we, generally speaking should be able to cure these young men, but it's the 10, 15, 20 years down the way that they're going to largely contend with. The conversation really begins at diagnosis, pre-education. Fortunately, the bulk of patients that present are those with stage one disease, and even very basic things like before orchiectomy, talking about a prosthetic; we know that that can impact body image and self esteem, whether or not they decide to receive it or not. Actually, just being offered a prosthetic is important and this is something, you know, for any urologist, it's kind of critical. To discussing fertility elements to this, taking your time to examine the contralateral testicle, ask about fertility problems, issues, concerns, offer sperm banking, even in the context of a completely normal contralateral testicle, I think these things are quite important.  So if it's somebody with stage one disease, you know, without going too far down discussing adjuvant therapy and so forth, I will start the conversation with, "You know, the testes do largely two things. They make testosterone and they make sperm." By and large, patients are going to be able to have acceptable levels of testosterone, adequate sperm parameters to maintain kind of a normal gonadal state and to naturally conceive, should that be something they're interested in. However, there's still going to be, depending on what resource you look at, somewhere in the order of 10-30% that are going to have issues. Where I think for the stage one patients, it's really incumbent upon us is actually to not wait for them to discuss their concerns, particularly with testosterone, which many times can be a little bit vague, but to proactively ask about it every time. Libido, erectile quality, muscle mass maintenance, energy, fatigue. All of these are kind of associated symptoms of hypogonadism. But for a lot of kids 18-20 years old, it's going to be something insidious that they don't think about. So, for the stage one patients, it absolutely starts with gonadal function. If they are stage two getting surgery, I think the counseling really needs to center around a possibility for ejaculatory dysfunction. Now, for a chemotherapy-naive, nerve-sparing RPLND, generally these days we should be able to preserve ejaculatory function at high volume centers, but you still want to bring that up and again kind of touch base on thinking about sperm banking and so forth before the operation, scars, those are things I think worth talking about, small risk of ascites. Then, I think the intensity of potential long term adverse effects really ramps up when we're talking about systemic therapy, chemotherapy. And then there's of course some radiation therapy specific elements that come up. So, for the chemotherapy bits of it, I really think this is going to be something that can be a complete multi-system affected intervention. So, anxiety, depression, our group has actually shown using some population resources that even suicidality can be increased among patients that have been treated for germ cell tumor. You know, really from the top down, tinnitus, hearing changes, those are things that we need to ask about at every appointment. Neuropathy, sexual health, that we kind of talked about, including ED (erectile dysfunction), vertigo, dizziness, Raynaud's phenomenon, these are kind of more the symptoms that I think we need to inquire about every time. And what we do here and I think at a lot of survivorship programs is use kind of a battery of validated instruments, germ cell tumor specific, platinum treated patient specific. So we use a combination of EORTC questions and PROMIS questions, which actually serves as like a review of systems for the patient, also as a research element. We review that and then depending on what might be going on, we can dig into that further, get them over to colleagues in audiology or psychology, et cetera.  And then of course, screening for the hypertension, hyperlipidemia, metabolic syndrome with basically you or myself or somebody kind of like us serving, many times it's the role of the PCP, just making sure we're checking out, you know, CBC, CMP, et cetera, lipid parameters to screen for those kind of cardiac associated issues along with secondary malignancies. Dr. Pedro Barata: So that's super comprehensive and thorough. Thank you so much. Actually, I love how you break it down in a simple way. Two functions of the testes, produce testosterone and then, you know, the problem related to that is the hypogonadism, and then the second, as you mentioned, produce sperm and of course related to the fertility issues with that.  So, let's start with the first one that you mentioned. So, you do cite that in your paper, around 5-10% of men end up getting, developing hypogonadism, maybe clinical when they present with symptoms, maybe subclinical. So, I'm wondering, for our audience, what kind of recommendations we would give for addressing that or kind of thinking of that? How often are you ordering those tests? And then, when you're thinking about testosterone replacement therapy, is that something you do immediately or are there any guidelines into context that? How do you approach that? Dr. Aditya Bagrodia: So, just a bit more on digging into it even in terms of the questions to ask, you know, "Do you have any decrease in sexual drive? Any erectile dysfunction? Are your morning erections still taking place? Has the ejaculate volume changed? Physically, muscle mass, strength? Have you been putting on weight? Have you noticed increase in body fat?" And sometimes this is complicated because there's some anxiety that comes along with a cancer diagnosis when you're 20, 30 years old, multifactorial, hair loss, hot flashes, irritability. Sometimes they'll, you know, literally they'll say, "You know, my significant other or partners noticed that I'm really just a little bit labile." So I think, you know, there's the symptoms and then checking, usually kind of a gonadal panel, FSH, LH, free and total testosterone, sex hormone binding globulin, that's going to be typically pretty comprehensive. So if you've got symptoms plus some laboratory work, and ideally that pre-orchiectomy testosterone gives you some delta. If they started out at an 800, 900, now they're 400, that might be a big change for them. And then, when you talk about TRT (Testosterone Replacement Therapy) recommendations, you know, Pedro, yourself, myself, we're kind of lucky to be at academic centers and we've got men's health colleagues that are ultra experts, but at a high level, I would say that a lot of the TRT options center around fertility goals. Exogenous testosterone treats the low T, but it does suppress gonadal function, including spermatogenesis. So if that's not a priority, they can just get TRT. It should be done under the care of a urologist, a men's health, an endocrinologist, where we're checking liver chemistries and CBCs and a PSA and so forth. If they're interested in fertility preservation, then I would say engaging an endocrinologist, men's health expert is important. There's medications even like hCG, Clomid, which works centrally and stimulate the gonadal access. Niche scenarios where they might want standard TRT now, and then down the way, 5, 7 years, they're thinking about coming off of that for fertility purposes, I think that's really where you want to have an expert involved because there's quite a bit of nuance there in recovery of actual spermatogenesis and so forth.  To kind of summarize, you got to ask about it. Checking it is, is not overly complicated. We do a baseline pre-orchiectomy and at least once annually, you can tag it in with the tumor markers, so it's not an extra blood draw. And if they have symptoms of course, kind of developed, then we'll move that up in the evaluation. Dr. Pedro Barata: Got it. And you also touch base on the fertility angle, which is truly important. And I'm just curious, you know, a lot of times many of us might see one, two patients a year, right, and we forget these protocols and what we've got to do about that.  And so I'm interested to hear your thoughts about when you think about fertility, and how proactive you get. In other words, who do you refer for the fertility clinic, for a fertility preservation program? You know, do all cases despite getting through orchiectomy or just the cases that you're going to, you know you're going to seek chemotherapy at some point? What kind of selection or it depends on the chemo, like how do you do that assessment about the referral for preservation program that you might have available at UCSD? Dr. Aditya Bagrodia: Yeah, I mean I feel really fortunate to sit on the NCCN Testis Cancer Guidelines. It's in there that fertility counseling should be discussed prior to orchiectomy. So 100% bring it up. If there are risk factors, undescended testicles, previous history of fertility concerns, atrophic contralateral testicle, anything on the ultrasound like microlithiasis in the contralateral testicle, you kind of wanna get it there. And then again, there's kind of niche scenarios where you're really worried, maybe get a semen analysis and it doesn't look that good, arrange for the time of orchiectomy to have onco-testicular sperm extraction from the, quote unquote, "normal" testis parenchyma. You know, I think you have to be kind of prepared to go that route and really make sure you're doing this completely comprehensively.  So pre-orchiectomy all patients. Don't really push for it too hard if they've got a contralateral testicle, if they've had no issues having children. There's some cost associated with this, sperm banking still isn't kind of covered even in the context of men with cancer. If they've got risk factors, absolutely pre-orchiectomy. Pre-RPLND, even though the rates of ejaculatory dysfunction at a high-volume center should be low single digits, I'll still offer it. That'd be a real catastrophe if they were in that small proportion of patients and now they're going to be reliant on things like intrauterine insemination, where it becomes quite expensive.  Pre-chemo, everybody. That's basically a standard these days where it should be discussed and it's kind of amazing currently, even if you don't have an accessible men's health fertility clinic, there are actually companies, I have no vested interest, Fellow is one such company where you can actually create an account, receive a FedEx semen analysis and cryopreservation kit, send it back in, and all CLIA certified, it's based out of California. The gentleman that runs it, is a urologist and very, very bright guy who's done a lot of great stuff for testis cancer. So, even for patients that are kind of in extremis at the hospital that kind of need to get going like yesterday, we still discuss it. We've got some mechanisms in place to either have them take a semen analysis over to our Men's Health clinic or send it off to Fellow, which I think is pretty cool and that even extends to some of our younger adolescent patients where going to a clinic and providing a sample might be tricky.  So, I think bringing it up every stage, anytime there's an intervention that might be offered, orchiectomy, chemo, surgery, radiation, it's kind of incumbent on us to discuss it. Dr. Pedro Barata: Gotcha. That's super helpful. And you also touch base on another angle, which is the psychosocial angle around this. You mentioned suicidal rates, you mentioned anxiety, perhaps depression in some cases as well as chronic fatigue, not necessarily just because of the low testosterone that you can get, but also from a psychological perspective. I'm curious, what do the recommendations look like for that? Do these patients need to see a social worker or a psychologist, or do they need to answer a screening test every time they come to see us and then based on that, we kind of escalate, take the next steps according to that? Do they see a psychologist perhaps every so often? How should that be managed and addressed? Dr. Aditya Bagrodia: It's an excellent question and again, these can be rather insidious symptoms where if you don't really dig in and inquire, they can be glossed over. I mean, how easy to say, "Your markers look okay, your scans look okay. See you in six months," and keep it kind of brief. First off, I think bringing it up proactively and normalizing it, that, "This may be something that you experience. Many people do, you're not alone, there's nothing kind of wrong with you." I also think that this is an area where support groups can be incredibly useful. We host the Testicular Cancer Awareness Foundation support group here. They'll talk about chemo brain or just like a little bit of an adjustment disorder after their diagnosis. Support groups, I think are critical. As I mentioned, we have a survivorship program that's led by a combination of our med oncs, myself on the uro-onc side, as well as APPs, where we are systematically asking about essentially the whole litany of issues that may arise, including psychosocial, anxiety, depression, suicidality. And we've got a nice kind of fast path into our cancer center support services for these young men to meet with a psychologist. If that isn't going to be sufficient, they can actually see a psychiatrist to discuss medications and so forth. I do think that we've got to screen for these because, as anticipated from diagnosis, those first 2 years, we see a rise. But even 10, 15 years out, we note, compared to controls, that there is an increased level of anxiety, depression, suicidality that might not just take place at that initial acute period of diagnosis and treatment. Dr. Pedro Barata: Really well said. Super important.  So I guess if I were to put all these together, with these really amazing advances in technology, we all know AI, some of us might be more or less aware of biomarkers coming up, including microRNA for example, and others, like as I think of all these potential long term complications for these patients, look at the future, I guess, can we use this as a way to deescalate treatment where it's not really necessary, as a way to actually prevent some of these complications? Like, how do we see where we're heading? As we manage testicular cancer, let's say, within the next 5 or 10 years, do you think there's something coming up that's going to be different from what we're doing things today? Dr. Aditya Bagrodia: Totally. I mean, I think it's as exciting as a time as there's ever been, you know, maybe notwithstanding circa 1970s when platinum was discovered. So microRNAs, which you mentioned, you know, there's a new candidate biomarker, microRNA-371. We are super excited here at UCSD. We actually have it CLIA-certified available in our lab and are ordering these tests for patients kind of in their acute stage, you know, stage one and surveillance, stage two, post-RPLND, receiving chemotherapy. And essentially this is a universal germ cell tumor specific biomarker, except for teratoma, suffice it to say 90% sensitive and specific. And I think it's going to change the way that we diagnose and manage patients. You know, pre-orchiectomy, that's pretty straightforward. Post-orchiectomy, maybe we can really decrease the number of CT scans that are done. Maybe we can identify those patients that basically have occult disease where we can intervene early, either with RPLND or single cycle chemo. Post-RPLND, identify the patients who are at higher risk of relapse that may benefit from some adjuvant therapy. In the advanced setting, look at marker decline for patients in addition to standard tumor markers. Can we modulate their systemic therapy?  So, the international interest is largely on modifying things. There's really cool clinical trials that we have for stage one patients, that treatment would be prescribed based on a post-orchiectomy microRNA. I think the microRNAs are really exciting. Teratoma remains an outstanding question. I think this is where maybe ctDNA, perhaps some radiomics and advanced imaging processing and incorporating AI may allow us to safely avoid a lot of these post-chemo RPLNDs. And then identification using SNPs and so forth of who might be most susceptible to some of the cardiac toxicity, autotoxicity and personalizing things in that way as well. Dr. Pedro Barata: Super exciting, right, what's about to come? And I agree with you, I think it's going to change dramatically how we manage this disease.  This has been a pleasure sitting down with you. I guess before letting you go, anything else you'd like to add before we wrap it up? Dr. Aditya Bagrodia: Yeah, first off, again, just want to thank you and ASCO for the opportunity. And it's easy enough to, I think, approach a patient with the testicular germ cell tumor as, "This is an easy case. We're just going to do whatever we've done. Go to the guidelines that says do X, Y, or Z." But there's so much more nuance to it than that. Getting it done perfectly, I think, is mandatory. Whatever we do is an impact on them for the next 50, 60, 70 years of their life. And I found the germ cell tumor community, people are really passionate about it. If you're ever uncertain, there's experts throughout the country and internationally. Ask somebody before you do something that you can't undo. I think we owe it to them to get it perfect so that we can really maximize the survivorship and the survival like we've been talking about. Dr. Pedro Barata: Aditya, thanks for sharing your fantastic insights with us on this podcast. Dr. Aditya Bagrodia: All right, Pedro. Fantastic. Appreciate the opportunity. Dr. Pedro Barata: And also, thank you to our listeners for your time today. I actually encourage you to check out Dr. Bagrodia's article in the 2025 ASCO Educational Book. We'll post a link to the paper in the show notes. Remember, it's free access online, and you can actually download it as well as a PDF. You can also find on the website a wealth of other great papers from the ASCO Educational Book on key advances and novel approaches that are shaping modern oncology.  So with that, thank you everyone. Thank you, Aditya, one more time, for joining us. Thank you, have a good day. Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Follow today's speakers:         Dr. Pedro Barata  @PBarataMD   Dr. Aditya Bagrodia @AdityaBagrodia Follow ASCO on social media:         @ASCO on X (formerly Twitter)         ASCO on Bluesky        ASCO on Facebook         ASCO on LinkedIn         Disclosures:      Dr. Pedro Barata:  Stock and Other Ownership Interests: Luminate Medical  Honoraria: UroToday  Consulting or Advisory Role: Bayer, BMS, Pfizer, EMD Serono, Eisai, Caris Life Sciences, AstraZeneca, Exelixis, AVEO, Merck, Ipson, Astellas Medivation, Novartis, Dendreon  Speakers' Bureau: AstraZeneca, Merck, Caris Life Sciences, Bayer, Pfizer/Astellas  Research Funding (Inst.): Exelixis, Blue Earth, AVEO, Pfizer, Merck   Dr. Aditya Bagrodia: Consulting or Advisory Role: Veracyte, Ferring  

Send us a text

Ken Siders, CMP is ETA's Senior Environmental Consultant. He is the past Vice President of Environmental Services at Housecheck. Ken has over 20 years working as an environmental Consultant doing projects around the world including for the Navy, Air Force and TSA. He is also a Commercial and Residential Building Contractor and an Expert Witness specializing in Structural Environmental Disaster Response and Essential Responder Services. This presentation chronicles a challenging three-year project journey at Word of Life Church, titled 'Word of Life Church The Saga Ends”, stemming from complex moisture intrusion following hurricane damage to a unique multi-layer roof system. Referencing standards such as the IICRC S-500, this case highlights the critical steps and obstacles encountered from initial assessment through legal challenges. The presentation will detail the project's key phases, including the intricate initial moisture intrusion and physical building inspections, the meticulous monitoring and documentation of the drying process, and the significant delays and disputes encountered while seeking necessary funding from the insurance company. The narrative culminates in the critical deposition phase, where the project's technical findings and procedures were rigorously examined. Attendees will gain invaluable insights into the paramount importance of thorough documentation and strict adherence to peer-reviewed industry standards like the IICRCS-500 when managing complex restoration projects, particularly those involving potential insurance litigation. In conclusion, the 'end' of this saga underscores how diligently prepared documentation serves as essential evidence, validating proper restoration processes and navigating legal challenges often faced in large-scale, disputed claims.

If you or someone you know needs extra support to survive Trump's economic warfare on the American people, to find help near you, enter your zip code in findhelp.org. For decades, Christian nationalists have insisted that controlling women's bodies is a moral crusade. What Irin Carmon shows in her blistering new book, Unbearable: Five Women and the Perils of Pregnancy in America, is that this crusade doesn't just target abortion, it poisons every aspect of pregnancy care in America and forces authoritarianism into our homes and doctor visits. Whether you want to be pregnant or don't, the system is designed to remind you who's in charge: not you. Carmon, an award-winning journalist and coauthor of Notorious RBG, was eight months pregnant when the Supreme Court, stacked with MAGA Mullahs handpicked by a Christian nationalist movement, tossed aside Roe v. Wade. The ruling didn't just ban abortion in swaths of the country; it unleashed slavery-era lawfare, rampant state censorship, and cruelty even for people desperate to carry pregnancies safely. Through the harrowing stories of five women across America, Carmon exposes a healthcare system warped by Christian nationalism. In Alabama, women risk their lives because doctors fear prosecution. In supposedly progressive New York, indifference and red tape mean patients still face shocking neglect. It turns out the war on women is not confined to "red states," it's everywhere, and it threatens our very democracy. What keeps Unbearable from sinking into despair are the moments of solidarity: the defiant doctors, advocates, and ordinary people resisting the grip of religious extremism. This is not just a book about pregnancy. It's a warning: America has allowed Christian nationalism to turn women's bodies into a battlefield. And until we call it what it is–a war on women–nothing will change. Want to hear Gaslit Nation ad-free? Join our community of listeners for bonus shows, exclusive Q&A sessions, our group chat, invites to live events like our Monday political salons at 4pm ET over Zoom, and more! Sign up at Patreon.com/Gaslit! Show Notes: Unbearable Five Women and the Perils of Pregnancy in America By Irin Carmon https://www.simonandschuster.com/books/Unbearable/Irin-Carmon/9781668032602 Opening clip: "AOC: There was a day before his presidency, and there will be a day after — and it belongs to us." https://bsky.app/profile/acyn.bsky.social/post/3m45o2k6uf22o Lawmakers float a nationwide basic income experiment that would cover the cost of a 2-bedroom apartment https://www.businessinsider.com/federal-monthly-basic-income-program-bill-2025-10 "Democratic socialist candidates are looking to gain ground in various city governments this fall, including Cleveland and Detroit, as well as New York City." https://bsky.app/profile/boltsmag.org/post/3m44llxm3vu2x Western intelligence agencies eye neo-fascist fight clubs: 'an international white supremacist movement': Security services are monitoring 'active clubs' as they move across borders to spread their extremist ideology https://www.theguardian.com/world/2025/oct/19/neo-fascist-fight-active-clubs-white-supremacy?CMP=share_btn_url Studies indicate that addressing financial insecurity through an Universal Basic Income (UBI) could effectively curb crime rates, potentially reducing costs associated with incarceration and law enforcement https://research.binghamton.edu/ResearchDaysPosters/uploads/5831_Wang_Susanna.pdf "Lightfoot's recently announced guaranteed basic income program will provide monthly $500 cash transfers to 5,000 of Chicago's most in-need households in a city in which 34 percent of Black residents live below the federal poverty line. Although this is, for now, only a small-scale pilot project, policies like Chicago's have the potential to substantially reduce violent crime." https://slate.com/news-and-politics/2022/03/how-cash-transfer-programs-prevent-violent-crime.html Everywhere basic income has been tried, in one map: Which countries have experimented with basic income — and what were the results? https://www.vox.com/future-perfect/2020/2/19/21112570/universal-basic-income-ubi-map EVENTS AT GASLIT NATION: November 3rd 4pm ET – Deaf Republic by Ilya Kaminsky + Total Resistance by H. Von Dach – Poetry and guerrilla strategy: tools for survival and defiance. Minnesota Signal group for Gaslit Nation listeners in the state to find each other: join here. Vermont Signal group for Gaslit Nation listeners in the state to find each other: join here. Arizona-based listeners launched a Signal group for others in the state to connect, available here. Indiana-based listeners launched a Signal group for others in the state to join, available here. Florida-based listeners are going strong meeting in person. Be sure to join their Signal group, available here. Have you taken Gaslit Nation's HyperNormalization Survey Yet? Gaslit Nation Salons take place Mondays 4pm ET over Zoom and the first ~40 minutes are recorded and shared on Patreon.com/Gaslit for our community

Chris McAuley writes prose novels, magazine short stories, video and tabletop games, and audio dramas. Together with Bram Stoker's Great-Grand nephew Dacre Stoker, he has created the StokerVerse franchise. He has penned the sequel to Dracula, which will be released by Scar Comics later this year. He also collaborated with Babylon 5 actress Claudia Christian to create a science fiction universe currently being fleshed out and coming along nicely as a series of games, novels, and comic books. In addition to this, Chris has worked on Doctor Who, Star Wars, and, most recently, the Terminator franchise.Accolades:Chris has earned the Reggie Bannister Award for excellence in Horror writing and is nominated for a similar science-fiction award. CMP will publish Blood & Verse – the collaboration with Jeff Oliver and Dan Verkys. This is his first foray into the world of Lovecraftian poetry.Other Credits Include:– Dracula The Return: Cult of the White Worm. This is the only official comic book sequel to Bram's Stoker's Dracula, co-written by Bram Stoker's great-grandnephew Dacre Stoker.– Dracula: Dark Reign: A video game set in the StokerVerse franchise (co-owned by Chris McAuley and Dacre Stoker). Play Jonathan Harker as he escapes Castle Dracula and beyond the pages of Bram Stoker's original novel-Star Trek: Encounters: Chris has worked with the legendary Star Trek actor Walter Koenig to craft an original story set in the Star Trek universe for Paramount's Star Trek Encounters Magazine.– Dark Legacies: A comic book series co-created with Sci-Fi legend Claudia Christian (Babylon 5). Illustrated by 2000AD / Preacher / The Boys comic book artist, the Legendary Glenn Fabry.– Doctor Who: Chris has contributed stories in recent Doctor Who annuals and anthology books. He has also written audio dramas set in Doctor Who and now writes for The Doctor Who Magazine. Current series showrunner Russell T. Davis has recently congratulated him for his work.– The Terminator: Chris has written for the official Terminator and Terminator 2 RPGs. His stories are now considered canon in the universe by the franchise owners Studio Canal. He is also currently working on another ‘top secret' Terminator project!Classic Monsters Audio Range: Chris has written several horror audios featuring classic monsters such as Dracula, The Phantom of the Opera, and the Wolfman and published by BBV, best known for their ‘Worlds of Doctor Who' range.The StokerVerse RPG: A Tabletop RPG set in the massively successful world of the StokerVerse. It's a gothic horror franchise based in Bram Stoker's universe, co-owned and created by Chris and Dacre Stoker. This was published by Nightfall Games and illustrated by 2000AD / Warhammer legendary artist Clint Langley.Three Musketeers Vs. Cthulhu: Set in the Renaissance era and featuring Lovecraft's famous monsters, this is a novel, comic book, and now Tabletop RPG series. Published by Chaosium Games – one of the largest role-playing game companies in the world – who also own the ‘Call of Cthulhu' game rangeMan O War: Working with the legendary William Shatner, this comic book adventure boldly takes readers to Mars, where a wealthy industrialist attempts to unravel a conspiracy threatening to take down the Earth's government.Along with all of this, Chris is a regular contributor to prestigious magazines and anthologies such as Lovecraftinia, Madame Grey's Book of Horror, Schlock, Doctor Who: Cosmic Masque, Phantasmagoria, Time and Space Magazine and has also edited several books in the horror and science fiction genre. Support this show http://supporter.acast.com/houseofmysteryradio. Hosted on Acast. See acast.com/privacy for more information.

Even 2 guys down, the CMP crew carry on. Join us as we talk with Rob with Brew Builds.

As event planners, we know that food and beverage is rarely just a line item—it's an experience, a connector, and sometimes a challenge. In this week's Eating at a Meeting LIVE, I'm gathered a group of event planners — Janet C. Hoppenstein, CMP, Shannon Ryan, CMP, and Julie Wong, CMP — for an open conversation about how they navigate ordering F&B for their events: what guides their decisions, what concessions or compromises they make, and how they think about the attendee experience when planning menus. We'll talk about: ▶︎ How budget, inclusivity, sustainability, and logistics come into play ▶︎ What they wish venues and caterers understood better ▶︎ How attendee expectations are changing—and how planners are adapting Whether you're a planner yourself or part of a catering or venue team, this conversation will offer insights that can help you deliver better, more thoughtful food and beverage at your next event. Join me and bring your own questions or stories to the chat!

Churches, including the missions ministries, tend to evaluate themselves based on metrics from previous years. The same metrics, without reference to an external objective benchmark. Sound familiar? The Church Missions Profile is your ticket to clearer standards. Visit SendForward.org and click on the Church Missions Profile link to learn more. The episode replays and overview of the first three categories (out of 12) in the CMP: church leaders, missions team, and indvidual participation.

CMP discusses Texas Woodworking Festival and how tools have evolved over the years. Oh, and Tyler and Steve are here as well....lol

We Like Shooting Episode 630 This episode of We Like Shooting is brought to you by: Midwest Industries, Gideon Optics, RMA Defense, XTech Tactical, Die Free Co., and Mitchell Defense   Welcome to the We Like Shooting Show, episode 630! Our cast tonight is Jeremy Pozderac, Aaron Krieger, Nick Lynch, and me Shawn Herrin, welcome to the show!   Gear Chat Shawn - Poncho Vibes Wool Ponchos - code: wlsislife Shawn - Holosun Goodies Unboxed Holosun Box of treats Bullet Points Shawn - CMP Auctions Transition to GunBroker.com to Support Future Marksmen GunBroker.com has partnered with the Civilian Marksmanship Program (CMP) to host CMP's auctions on its platform, enhancing support for competitive shooting and related programs. This partnership allows the CMP to reach a wider audience and ensures that proceeds from auctions benefit non-profit initiatives focused on firearms training and education. The collaboration is expected to foster growth in the shooting community and promote responsible firearm ownership. Nick - Bus Built EBT Gun Fights Step right up for "Gun Fights," the high-octane segment hosted by Nick Lynch, where our cast members go head-to-head in a game show-style showdown! Each contestant tries to prove their gun knowledge dominance. It's a wild ride of bids, bluffs, and banter—who will come out on top? Tune in to find out! WLS is Lifestyle Luth-AR Expands Offerings with New "Black Licorice" Chamber Option Luth-AR has launched a new product, Black Licorice, designed as a complimentary accessory for AR15 rifle kits. This fat-free, naturally flavored licorice, made in the USA, will include a donation to Second Amendment organizations with each purchase. The product aims to appeal to gun enthusiasts by combining a unique snack experience with support for gun rights. Aaron's Alley Going Ballistic When "Violence Interrupters" Turn into Carjackers: The Real Crime Stories A Chicago violence interrupter has been sentenced to 22 years for his involvement in carjackings, raising eyebrows about the effectiveness of such programs. This incident could further fuel skepticism among gun advocates regarding the strategies employed to curb violence, as it highlights a failure in the very initiatives intended to protect communities. When Legal Guns Cause Panic: A Bolt Action Breakdown A sniper in Dallas used a legally obtained bolt action rifle for the incident, raising questions about gun laws and the effectiveness of current regulations on responsible gun ownership. This event has reinvigorated debates within the gun community regarding the implications of legal firearm possession and the focus on law-abiding citizens versus criminals. "Another Day, Another Gun-Free Zone Tragedy" A tragic church shooting resulted in four fatalities, two from gunfire. The incident raises concerns within the gun community as advocates may face renewed calls for stricter regulations, despite the ongoing debates surrounding Second Amendment rights. "From Hero to Zero: When Gun Control Advocates Rewrite History" A U.S. Marine veteran has been identified as the alleged shooter and arsonist in a Michigan church incident, causing concern around the narrative that veterans are a threat. This event may reinforce the ongoing debate about gun rights and could provoke further attempts by gun control advocates to impose restrictions, even as it highlights the need for a nuanced discussion about mental health and violence rather than vilifying responsible gun ownership. Media Hysteria: CNN's Inflated Mass Shooting Count Hits 324 CNN's report of "324 mass shootings" in 2025 may be an attempt to amplify fears around gun violence, but such claims often face scrutiny for accuracy. This portrayal likely fuels ongoing debates in the gun community regarding the interpretation and misuse of statistics in gun control discussion...

Today's vibe: totally different—and kind of wild. I pressed a little “Create audio summary” button inside NotebookLM (after loading my CMP book + Pivot material), and it generated a 20-minute conversation distilling Connect Method Parenting using only my sources. I listened and thought: ok, parents ask me for this kind of quick, clear overview all the time…so I'm sharing it with you as a bonus episode.You'll hear:The core pain point from thousands of parent notes: “I hate yelling. It feels like it's the only thing that works.” (Oof. I've been there.)Why connection, not louder consequences—is the lever (think: attachment is the fuel line).The 4 CMP mindset pillars:Gardener > SculptorYou, Not Them (extreme ownership without self-blame)Behavior = Feedback (curiosity over judgment)Compassionate Alpha (strong & kind leadership)The self-regulation tools you can use today:STEAR (spot the split-second thought that drives the blow-up)PEACE (pause, download the thoughts, allow the feelings → mad-to-sad shift)The connection builders: six minutes that matter, 1:1 child-led time (aka “no teaching allowed”).Handling conflict without losing closeness:The Circle of Big Emotions (three exits for frustration)The Seen & Heard “sandwich”: See → (Set/Play/Pivot) → BridgeWhy this is a marathon, not a magic wand—and why small, consistent reps change everything.Why share an AI episode? Because it's a crisp, neutral pass through my own material, and for some of you, hearing it summarized like this will make the lights turn on. If it feels a little “whoa,” same. Tell me if it's awesome or weird. I want your take.Join me for the No Yell Workshop, a 2-hour live class where you'll learn the real reason parents yell and walk away with a customized plan to stop. Happening Sept 25th at noon ET (with replay included)

Get ready for ADHA's Annual Conference returning to California for the first time in 25 years! ADHA Director of Meetings, Leah Johnson, joins host Matt Crespin with everything you need to know before heading to Long Beach, Oct. 4-6. Discover exciting new events including Colgate's Science Hub demo, fireside chats, free professional headshots, rapid-fire education sessions, beach cleanup, and celebrations. Plus AI transforms you into a dental hygienist Barbie at the Malibu-themed reception and much more! Get Leah's insider details for first-time attendees, hands-on learning, community service events and navigating the event. From travel logistics to the Foundation's Wellness Challenge listen in to maximize your ADHA25 experience! Guest: Leah Johnson, CMP, DES, Director of Meetings & Corporate Development, ADHA Foundation  Host: Matt Crespin, MPH, RDH, FADHA https://www.adha2025.org  

On Wednesday night, Charlie Kirk, an influential rightwing activist and Donald Trump ally, was shot dead at a university campus in Utah. The US president immediately blamed the ‘radical left' but failed to mention rising violence against Democrats. This week, Jonathan Freedland speaks to the Guardian's Washington DC bureau chief, David Smith, about the increase in political violence in the country

Ataxia is a neurologic symptom that refers to incoordination of voluntary movement, typically causing gait dysfunction and imbalance. Genetic testing and counseling can be used to identify the type of ataxia and to assess the risk for unaffected family members. In this episode, Katie Grouse, MD, FAAN, speaks with Theresa A. Zesiewicz, MD, FAAN, author of the article “Ataxia” in the Continuum® August 2025 Movement Disorders issue. Dr. Grouse is a Continuum® Audio interviewer and a clinical assistant professor at the University of California San Francisco in San Francisco, California. Dr. Zesiewicz is a professor of neurology and director at the University of South Florida Ataxia Research Center, and the medical director at the University of South Florida Movement Disorders Neuromodulation Center at the University of South Florida and at the James A. Haley Veteran's Hospital in Tampa, Florida. Additional Resources Read the article: Ataxia Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Grouse: This is Dr Katie Grouse. Today I'm interviewing Dr Theresa Zesiewicz about her article on ataxia, which appears in the August 2025 Continuum issue on movement disorders. Welcome to the podcast, and please introduce yourself to our audience.  Dr Zesiewicz: Well, thank you, Dr Grouse. I'm Dr Theresa Zesiewicz, otherwise known as Dr Z, and I'm happy to be here. Dr Grouse: I have to say, I really enjoyed reading your article. It was a really great refresher for myself as a general neurologist on the topic of ataxia and a really great reminder on a great framework to approach diagnosis and management. But I wanted to start off by asking what you feel is the key message that you hope our listeners will take away from reading your article. Dr Zesiewicz: Yes, so, thanks. I think one of the key messages is that there has been an explosion and renaissance of genetic testing in the past 10 years that has really revolutionized the field of ataxia and has made diagnosis easier for us, more manageable, and hopefully will lead to treatments in the future. So, I think that's a major step forward for our field in terms of genetic techniques over the last 10 years, and even over the last 30 years. There's just been so many diseases that have been identified genetically. So, I think that's a really important take-home message. The other take-home message is that the first drug to treat Friedreich's ataxia, called omaveloxolone, came about about two years ago. This was also a really landmark discovery. As you know, a lot of these ataxias are very difficult to treat. Dr Grouse: Now pivoting back to thinking about the approach to diagnosis of ataxia, how does the timeline of the onset of ataxia symptoms inform your approach? Dr Zesiewicz: The timeline is important because ataxia can be acute, subacute or chronic in nature. And the timeline is important because, if it's acute, it may mean that the ataxia took place over seconds to hours. This may mean a toxic problem or a hypoxic problem. Whereas a chronic ataxia can occur over many years, and that can inform more of a neurodegenerative or more of a genetic etiology. So, taking a very detailed history on the patient is very important. Sometimes I ask them, what is the last time you remember that you walked normal? And that can be a wedding, that can be a graduation. Just some timeline, some point, that the patient actually walked correctly before they remember having to hold onto a railing or taking extra steps to make sure that they didn't fall down, that they didn't have imbalance. That sometimes that's a good way to ask the patient when is the last time they had a problem. And they can help you to try to figure out how long these symptoms have been going on. Dr Grouse: I really appreciate that advice. I will say that I agree, it can sometimes be really hard to get patients to really think back to when they really started to notice something was different. So, I like the idea of referencing back to a big event that may be more memorable to them. Now, given that framework of, you know, thinking through the timeline, could you walk us through your approach to the evaluation of a patient who presents to your clinic with that balance difficulties once you've established that? Dr Zesiewicz: Sure. So, the first thing is to determine whether the patient truly has ataxia. So, do they have imbalance? Do they have a wide base gait? That's very important because patients come in frequently to your clinic and they'll have balance problems, but they can have knee issues or hip issues, neuropathy, something like that. And sometimes what we say to the residents and the students is, usually ataxia or cerebellar symptoms go together with other problems, like ocular problems are really common in cerebellar syndromes. Or dysmetria, pass pointing, speech disorder like dysarthria. So, not only do you need to look at the gait, but you should look at the other symptoms surrounding the gait to see if you think that the patient actually has a cerebellar syndrome. Or do they have something like a vestibular ataxia which would have more vertigo? Or do they have a sensory ataxia, which would occur if a person closes his eyes or has more ataxia when he or she is in the dark? So, you have to think about what you're looking at is the cerebellar syndrome. And then once we look to see if the patient truly has a cerebellar syndrome, then we look at the age, we look at---as you said before, the timeline. Is this acute, subacute, or chronic? And usually I think of ataxia as falling into three categories. It's either acquired, it's either hereditary, or it's neurodegenerative. It can be hereditary. And if it's not hereditary, is it acquired, or is it something like a multiple system atrophy or a parkinsonism or something like that? So, we try to put that together and start to narrow down on the diagnosis, thinking about those parameters. Dr Grouse: That's really a helpful way to think through it. And it is true, it can get very complex when patients come in with balance difficulties. There's so many things you need to think about, but that is a great way to think about it. Of course, we know that most people who come in to the Movements Disorders clinic are getting MRI scans of their brains. But I'm curious, in which cases of patients with cerebellar ataxia do you find the MRI to be particularly helpful in the diagnosis? Dr Zesiewicz: So, an MRI can be very important. Not always, but- so, something like multiple system atrophy type C where you may see a hot cross bun sign or a pontine hyperintensity on the T2-weighted image, that would be helpful. But of course, that doesn't make the diagnosis. It's something that may help you with the diagnosis. In FXTAS, which is fragile X tremor/ataxia syndrome, the patient may have the middle cerebellar peduncle sign or the symmetric hyperintensity in the middle cerebellar peduncles, which is often visible but not always. Something like Wernicke's, where you see an abnormality of the mammillary bodies. Wilson's disease, which is quite rare, T2-weighted image may show hyperintensities in the putamen in something like Wilson's disease. Those are the main MRI abnormalities, I think, with ataxia. And then we look at the cerebellum itself. I mean, that seems self-evident, but if you look at a sagittal section of the MRI and you see just a really significant atrophy of the cerebellum, that's going to help you determine whether you really have a cerebellar syndrome. Dr Grouse: That's really encouraging to hear a good message for all of us who sometimes feel like maybe we're missing something. It's good to know that information can always come up down the line to make things more clear. Your article does a great review of spinal cerebellar ataxia, but I found it interesting learning about the more recently described syndrome of SCA 27B. Would you mind telling us more about that and other really common forms of SCA that's good to keep in mind? Dr Zesiewicz: Sure. So, there are now 49 types of spinal cerebellar ataxia that have been identified. The most common are the polyglutamine repeat diseases: so, spinocerebellar ataxia type 3 or type 2, type 6, are probably the most common. One of the most recent spinocerebellar ataxias to be genetically identified and clinically identified is spinocerebellar ataxia 27B. This is caused by a GAA expansion repeat in the first intron of the fibroblast growth factor on chromosome 13. And the symptoms do include ataxia, eye problems, downbeat nystagmus, other nystagmus, vertical, and diplopia. It appears to be a more common form of adult-onset ataxia, and probably more common than was originally thought. It may account for a substantial number of ataxias, like, a substantial percentage of ataxias that we didn't know about. So, this was really a amazing discovery on SCA 27B. Dr Grouse: Now a lot of us I think feel a little anxious when we think about genetic testing for ataxia simply because there's so many forms, things are changing quickly. Do you have a rule of thumb or a kind of a framework that we can think of as we approach how we should be thinking about getting genetic testing for the subset of patients? Dr Zesiewicz: Sure. And I think that this is where age comes into play a lot. So, if you have a child who's 10, 11, or 12 who's having balance problems in the schoolyard, does not have a history of ataxia in the family, the teachers are telling you that the child is not running correctly, they're having problems with physical education, that is someone who you would think about testing for Friedreich's ataxia. A preteen or a child, that would be one thing that would be important to test. When you talk to your patient, it's important to really take a detailed family history. Not just mom or dad, but ethnicity, grandparents, etc. And sometimes, once in a while, you come up with a known spinal cerebellar ataxia. Then you can just test for that. So, if a person is from Portugal or has Portugal background and they have ataxia and the parents had ataxia, you would think of spinal cerebellar ataxia type 3. Or if they're Brazilian, or if the person is from a certain area of Cuba and mom and dad had ataxia and that person has ataxia, you would think of spinal cerebellar ataxia type 2. Or if a person has ataxia and their parent had blindness or visual problems, you may be more likely to think of spinal cerebellar ataxia type 7, for example. If they have that---either they have a known genetic cause in in the family, first degree family, or they come from an area of the world in which we can pinpoint what type we think it is---you can go ahead and get those tests. If not, you can take an ataxia comprehensive panel. Many times now, if you take the panel and the panel is negative, it will reflex to the whole exome gene sequencing, where we're finding really unusual and more rare types of ataxia, which are very interesting. Spinal cerebellar ataxia type 32, spinal cerebellar ataxia type 36, I had a spinal cerebellar ataxia type 15. So, I think you should start with the age, then the family history, then where the person is from. And then, if none of those work out, you can get a comprehensive panel, and then go on to whole exome gene sequencing. Dr Grouse: That's really, really useful. Thank you so much for breaking that down in a really simple way that a lot of us can take with us. Pivoting a little bit now back towards different types of acquired ataxias, what are some typical lab tests that you recommend for that type of workup? Dr Zesiewicz: Again, if there's no genetic history and the person does not appear to have a neurodegenerative disease, we do test for acquired ataxias. Acquired ataxias can be complex. Many times, they are in the autoimmune family. So, what we start with are just basic labs like a CBC or a CMP, but then we tried to look at some of the other abnormalities that could cause ataxia. So, celiac disease, stiff person syndrome. So, you would look at anti-glutamic acid decarboxylase antibodies, Hashimoto's---so, antithyroglobulin antibodies or antithyroperoxidase antibodies would be helpful. You know, in a case of where the patients may have an underlying neoplasm, maybe even a paraneoplastic workup, such as an anti-Hu, anti-Yo, anti-Ri. A person has breast cancer, for example, you may want to take a paraneoplastic panel. I've been getting more of the anti-autoimmune encephalitis panels in some cases, that were- that are very interesting. And then, you know, things that sometimes we forget now like the syphilis test, thyroid-stimulating test, take a B12 and folate, for example. That would be important. Those are some of the labs. We just have on our electronic chart a group of acquired labs for ataxia. If we can't find any other reason, we just go ahead and try to get those. Dr Grouse: Now, I'm curious what you think is the most challenging aspect of diagnosing a patient with cerebellar ataxia? Dr Zesiewicz: So, for those of us who see many of these patients a day, some of the hardest patients are the ones that---regardless of the workup that we do, we've narrowed it down, it's not hereditary. You know, they've been through the whole exome gene sequencing and we've done the acquired ataxia workup. It doesn't appear to be that. And then we've looked for parkinsonism and neurodegenerative diseases, and it doesn't appear to be that either; like, the alpha-synuclein will be negative. Those are the toughest patients, where we think we've done everything and we still don't have the answer. So, I've had patients in whom I've taken care of family members years and years ago, they had a presumed diagnosis, and later on I've seen their children or other family members. And with the advent of the genetic tests that we have, like whole exome gene sequencing, we have now been able to give the patient and the family a definitive diagnosis that they didn't have 25 years ago. So, I would say don't give up hope. Retesting is important, and as science continues and we get more information and we make more landmark discoveries in genetics, you may be better able to diagnose the patient. Dr Grouse: I was wondering if you had any recommendations regarding either some tips and tricks, some pearls of wisdom you can impart to us regarding the work of ataxia, or conversely, any big pitfalls that you can help us avoid? I would love to hear about it. Dr Zesiewicz: Yeah, there's no easy way to treat or diagnose ataxia patients. I've always felt that the more patients you see- and sounds easy, but the more patients you see, the better you're going to become at it, and eventually things are going to fall into place. You'll begin to see similarities in patients, etc. I think it's important not only to make sure that a person has ataxia, but again, look at the other signs and symptoms that may point to ataxia that you'll see in a cerebellar syndrome. I think it's important to do a full neuroexam. If a person has spasticity, that may point you more towards a certain type of ataxia than if a person has no reflexes, for example, that we see in Friedreich's ataxia. Some of the ocular findings are very interesting as well. It's important to know if a person has a tremor. I've seen several Wilson's disease cases in my life with ataxia. They're very important. I think a full neuroexam and also a very detailed history would be very helpful. Dr Grouse: Tell us about some promising developments in the diagnosis and management of ataxia that we should be on the lookout for. Dr Zesiewicz: The first drug for Friedreich's ataxia was FDA-approved two years ago, which was an NRF2 activator, which was extremely exciting and promising. There are also several medications that are now in front of the FDA that may also be very promising and have gone through long clinical trials. There's a medication that's related to riluzole, which is a medication used for amyotrophic lateral sclerosis, that has been through about seven years of testing. That is before the FDA as well for spinal cerebellar ataxia. Friedreich's ataxia has now completed the first cardiac gene therapy program with AAV vectors, which- we're waiting for full results, but that's a cardiac test. But I would assume that in the future, neurological gene therapy is not far behind if we've already done cardiac gene therapy and Friedreich's ataxia. So, you know, some of these AAV vector-based genetic therapies may be very helpful, as well as ASO, antisense oligonucleotides, for example. And I think in the future, other things to think about are the CRISPR/Cas9 technology for potential treatment of ataxia. It is a very exciting time, and some major promising therapies have been realized in the past 2 to 3 years. Dr Grouse: Well, that's really exciting, and we'll all look forward to seeing these becoming more clinically applicable in the future. So, thank you so much for coming to talk with us today. Dr Zesiewicz: Thank you. Dr Grouse: Again, today I've been interviewing Dr Theresa Zesiewicz about her article on ataxia, which appears in the August 2025 Continuum issue on movement disorders. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Episode 381 of the John1911 podcast is now live:   Sorry about the newsletter issues.  50BMG steel targets. The SIGNIFICANT rise in Trans violence.  Global Strike Command - The M18 is back.  LMT makes 6.5CM official.  Super super weird F-35 crash.  Thinking even more about the INEOS Grenadier.  Australia bans...machetes and licenses now. Good grief. Fact - Lesbians responsible for 100% of space crime.  FN 249s snared up in cartel straw purchase.        Marky John1911.com "Shooting Guns & Having Fun"

As women enter perimenopause and menopause, hormonal shifts—declining estrogen, progesterone, and testosterone—can ripple through nearly every system in the body, impacting bone density, cardiovascular health, metabolism, brain function, and sexual wellbeing. Misinterpretation of past research left millions fearful of hormone therapy, yet newer evidence shows that bioidentical hormones, started within a specific “window of opportunity,” can protect the heart, brain, bones, and quality of life. Supporting this transition in a woman's life also means addressing nutrition, gut health, stress, sleep, and strength training—powerful tools that work alongside hormones to restore vitality. With the right knowledge and care, this phase of life can be transformational, leading to renewal, resilience, and long-term health protection. In this episode, I explore, along with Dr. Mary Claire Haver and Dr. Cindy Geyer, how we can shift our thinking of peri-menopause and menopause to one of renewed health and vitality. Mary Claire Haver, MD, FACOG, CMP, is a board-certified Obstetrician and Gynecologist, Certified Culinary Medicine Specialist, and Menopause Society Certified Menopause Practitioner. A graduate of Louisiana State University Medical Center with residency at the University of Texas Medical Branch, she is the founder of Mary Claire Wellness, a clinic dedicated to comprehensive menopause care. In 2023, she launched ThePauseLife.com, a global resource for menopausal women, and became a #1 New York Times bestselling author with The New Menopause. Her first book, The Galveston Diet (2023), reflects her passion for evidence-based lifestyle strategies to support women's health. With over 4 million social media followers, Dr. Haver is a leading voice in “demystifying menopause,” empowering women to self-advocate and thrive through every stage of midlife. Dr. Cindy Geyer received her bachelor of science and her doctor of medicine degrees, with honors, from the Ohio State University. She completed residency in internal medicine at Strong Memorial Hospital in Rochester, N.Y. and is triple board certified in internal medicine, integrative medicine and lifestyle medicine. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN to save 15%. Full-length episodes can be found here: Your Guide to Menopause: What to Expect and How to Thrive Menopause Relief: Hormone Tips Every Woman Needs To Know Is Hormone Replacement Therapy in Menopause Helpful or Harmful

In this episode, we shine a spotlight on insulin—an often overlooked but crucial hormone that plays a central role in metabolism and overall health. While blood sugar gets a lot of attention, insulin is the key regulator behind it, influencing energy storage, fat metabolism, and cellular function. We explore how insulin resistance develops, the early signs to watch for, and why it's so important to address this root issue to prevent chronic disease. We also discuss how ketogenic and low-carb diets can help regulate insulin levels, improve metabolic flexibility, and support weight management. This episode provides clear, functional insights into insulin's role and practical strategies for balancing it through nutrition and lifestyle, making it a must-listen for anyone interested in metabolic health and disease prevention. Also in this episode:  Keto Reset Program - Enrollment opens 8/28! Episode 76 Getting to the root of insulin resistance What is insulin and why does it matter? What is insulin resistance? What causes insulin resistance? How does it develop on a cellular level?  What are signs and symptoms of insulin resistance? How do we test for insulin resistance? Fasting insulin

Happy Russia Military Transport Aviation Day, everyone! This June 1st, all Nazi hunters celebrated as Ukraine destroyed 34% of Russia's warplanes. We're throwing a Gaslit Nation block party, featuring an old friend from the war, warning the world what comes next.  Splitting his time between the frontline in Ukraine and his animal sanctuary in South Africa, conservationist Lionel De Lange runs aid to animals and people alike on the frontlines of Russia's genocidal invasion, including shooting down drones at night. We discuss how World War III has already started; Russia's recent attempts to bomb Chernobyl to weaponize its radioactive waste against Ukraine and broader Europe; the recent disappointing elections in Poland; Zelensky's brilliant Operation Spider's Web that will live in history books; and why Putin is a dead man walking.  This week's bonus show focuses on how to protect our rights in a time of lawlessness, featuring insights from Leah Litman of the Strict Scrutiny podcast and author of Lawless: How the Supreme Court Runs on Conservative Grievance, Fringe Theories, and Bad Vibes, and why everyone should watch the livestream of George Clooney's Goodnight, and Good Luck on June 7th.  Thank you to everyone who supports the show – we could not make Gaslit Nation without you!  Want to enjoy Gaslit Nation ad-free? Join our community of listeners for bonus shows, ad-free episodes, exclusive Q&A sessions, our group chat, invites to live events like our Monday political salons at 4pm ET over Zoom, and more! Sign up at Patreon.com/Gaslit! EVENTS AT GASLIT NATION: June 16 4pm ET – Keira Havens of Citizens' Impeachment joins our salon to discuss the growing movement to impeach Donald Trump.  June 30 4pm ET – Book club discussion of Lillian Faderman's The Gay Revolution: The Story of the Struggle NEW! Arizona-based listeners launched a Signal group for others in the state to connect, available on Patreon. Indiana-based listeners launched a Signal group for others in the state to join, available on Patreon. Florida-based listeners are going strong meeting in person. Be sure to join their Signal group, available on Patreon. Have you taken Gaslit Nation's HyperNormalization Survey Yet? Gaslit Nation Salons take place Mondays 4pm ET over Zoom and the first ~40 minutes are recorded and shared on Patreon.com/Gaslit for our community Show Notes: “The PayPal Mafia”: Meet the South African Oligarchs Surrounding Trump, from Elon Musk to Peter Thiel https://www.democracynow.org/2025/2/10/elon_musk_doge_south_africa_apartheid Trump Taps Palantir to Compile Data on Americans: The Trump administration has expanded Palantir's work with the government, spreading the company's technology — which could easily merge data on Americans — throughout agencies. https://www.nytimes.com/2025/05/30/technology/trump-palantir-data-americans.html The Shocking Far-Right Agenda Behind the Facial Recognition Tech Used by ICE and the FBI: Thousands of newly obtained documents show that Clearview AI's founders always intended to target immigrants and the political left. Now their digital dragnet is in the hands of the Trump administration. https://www.motherjones.com/politics/2025/04/clearview-ai-immigration-ice-fbi-surveillance-facial-recognition-hoan-ton-that-hal-lambert-trump/ 'Russian bombers are burning en masse' — Ukraine's SBU drones hit 'more than 40' aircraft in mass attack, source says https://kyivindependent.com/enemy-bombers-are-burning-en-masse-ukraines-sbu-drones-hit-more-than-40-russian-aircraft/ Trump still ‘open' to meeting Putin and Zelenskyy; Russia rejects unconditional ceasefire – as it happened https://www.theguardian.com/world/live/2025/jun/02/ukraine-russia-istanbul-talks-vladimir-putin-voldymyr-zelenskyy-latest-news-live?utm_source=dlvr.it&utm_medium=bluesky&CMP=bsky_gu Curtis Yarvin's Plot Against America: https://www.newyorker.com/magazine/2025/06/09/curtis-yarvin-profile?utm_social-type=owned&utm_brand=tny Trump's image of dead 'white farmers' came from Reuters footage in Congo, not South Africa https://www.reuters.com/world/africa/trumps-image-dead-white-farmers-came-reuters-footage-congo-not-south-africa-2025-05-22/ Musk Takes Stephen Miller's Wife—as Trump Aide Rage-Tweets https://www.thedailybeast.com/musk-takes-stephen-millers-wifeas-trump-aide-rage-tweets/?utm_medium=socialflow&utm_campaign=owned_social&source=TDB&via=FB_Page&utm_source=facebook_owned_tdb&fbclid=IwY2xjawKlaapleHRuA2FlbQIxMQBicmlkETE2NDZCMG9NM2dOSFU5S1pDAR7384ziZGmp4sVCXoBU-SJd5L0hk9-SmD8wC7QaL0SH9EuinWQA5ZeNuXW8ow_aem_RnI6u7CVeXAc2hZZFo63AQ