Podcasts about considerations

As promised, we welcome Jason, aka Kilgore Trout, to the podcast to spend far too long talking to Shane about one of the best games of 2024: Metaphor: ReFantazio. We get into the mechanics, the gameplay, the writing, the themes, and even spend some time talking about our favorite fast food meals. Contemporary? Kinda. Thorough? Definitely. Become a citizen of The Dive Down Nation!: http://www.patreon.com/thedivedown Show the world that you're a proud citizen of The Dive Down Nation with some merch from the store: https://www.thedivedown.com/store Upgrade your gameplay and your gameday with Heavy Play accessories. Use code THEDIVEDOWN for 10% off your first order at https://www.heavyplay.com Get 25% Cashback after 3 months of service with ManaTraders! https://www.manatraders.com/?medium=thedivedown and use coupon code THEDIVEDOWN And now receive 8% off your order of paper cards from Nerd Rage Gaming with code DIVE8 at https://www.nerdragegaming.com/ Timestamps: 0:01 - CamelStan 4:21 - Who is this guy? 6:10 - This week's episode 13:37 - So what is Metaphor: ReFantazio? 18:04 - How does this compare to Persona? 32:24 - How we played it 35:09 - Plot takes 38:50 - The Archetype system 44:50 - The combat 53:39 - Friendships 1:01:40 - Writing good 1:03:40 - Using guides and managing your calendar 1:11:30 - Politics & religion 1:25:28 - Grief 1:30:31 - What a twist! 1:34:00 - Quick topics 1:43:24 - Where this game ranks in our RPGs, and comparisons to other RPGs 1:50:08 - Public comments: Our favorite fast food meals 1:52:10 - SPOILER ZONE BEGINS 1:59:46 - What's next? 2:01:42 - Wrapping up Links from this week's episode: TenSquare3's amazing Metaphor guide: https://gamefaqs.gamespot.com/xbox-series-x/409958-metaphor-refantazio/faqs/81526/introduction Buy Metaphor for PS5: https://amzn.to/4g2nQZJ Buy Metaphor for XBOX: https://amzn.to/4gEacMv Our opening music is Nowhere - You Never Knew, and our closing music is Space Blood - Goro? Is That Your Christian Name? email us: thedivedown@gmail.com

In a candid conversation, Giants President and CEO Larry Baer shares his thoughts on the team's recent Pride Night controversy, the state of the season, and the future of the franchise. This episode is a must-listen for any Giants fan looking for insight into the inner workings of the team.The Giants have been at the forefront of LGBTQ+ inclusivity in baseball for over three decades, and Baer emphasizes that their commitment to creating a welcoming experience for all fans remains unchanged. However, the team's handling of Pride Night this year sparked controversy, and Baer acknowledges that they could have done things better. He expresses his commitment to continuing conversations with the LGBTQ+ community and moving forward in a positive direction.Baer also discusses the recent drama surrounding Rafael Devers, who refused to come out of the game in Miami, and how it was quickly and effectively addressed by the team. He credits Devers and Tony Vitello for resolving the issue and moving forward. Additionally, Baer talks about the team's trade deadline and the possibility of making significant changes to the roster.In this episode, Baer shares his thoughts on the team's current struggles, the importance of the farm system, and the potential for a rebuild. He also discusses the possibility of hosting the 2028 All-Star Game at Oracle Park and the team's commitment to giving fans a great experience. If you're a Giants fan looking for insight into the team's future, this episode is a must-listen.See omnystudio.com/listener for privacy information.

In a candid conversation, Giants President and CEO Larry Baer shares his thoughts on the team's recent Pride Night controversy, the state of the season, and the future of the franchise. This episode is a must-listen for any Giants fan looking for insight into the inner workings of the team.The Giants have been at the forefront of LGBTQ+ inclusivity in baseball for over three decades, and Baer emphasizes that their commitment to creating a welcoming experience for all fans remains unchanged. However, the team's handling of Pride Night this year sparked controversy, and Baer acknowledges that they could have done things better. He expresses his commitment to continuing conversations with the LGBTQ+ community and moving forward in a positive direction.Baer also discusses the recent drama surrounding Rafael Devers, who refused to come out of the game in Miami, and how it was quickly and effectively addressed by the team. He credits Devers and Tony Vitello for resolving the issue and moving forward. Additionally, Baer talks about the team's trade deadline and the possibility of making significant changes to the roster.In this episode, Baer shares his thoughts on the team's current struggles, the importance of the farm system, and the potential for a rebuild. He also discusses the possibility of hosting the 2028 All-Star Game at Oracle Park and the team's commitment to giving fans a great experience. If you're a Giants fan looking for insight into the team's future, this episode is a must-listen.See omnystudio.com/listener for privacy information.

"Lord, Lord" is not enough!

One of only two saints in which we celebrate their birthday and not the day they died

Pigs, dogs, and pearls, oh my!

As colorectal cancer rates rise among younger adults, surgeons are increasingly caring for patients with rectal cancer who are pregnant or hoping to preserve future fertility. With more individuals delaying childbearing, balancing effective cancer treatment with fertility preservation and maternal–fetal safety has become an important clinical challenge. This timely topic was recently highlighted by Dr. Sharon Suwanabol during a presentation at the American Society of Colon and Rectal Surgeons annual meeting 2026. In this episode, we explore the intersection of rectal cancer, fertility, and pregnancy through a multidisciplinary, case-based discussion. We review how surgery, chemotherapy, and pelvic radiation can affect fertility and sexual function in both men and women, and why early counseling and referral to reproductive endocrinology specialists are essential. The discussion also emphasizes that evaluation and treatment during pregnancy can often be performed safely, with care individualized based on tumor stage, gestational age, and the patient's goals and values. Hosts and discussants ·      Dr. Betelhem Yohannes, General surgery resident at the University of Washington ·      Dr. Griffen Allen, General surgery resident at the University of Washington  ·      Dr. Raga Siddharthan, Assistant Professor of Surgery in the Section of Colorectal Surgery at the University of Washington  ·      Dr. Stacey Cohen, Professor in the Division of Hematology and Oncology at the University of Washington and a gastrointestinal medical oncologist at Fred Hutch Cancer Center, specializing in colorectal and other GI cancers. Learning objectives ·      Describe the impact of rectal cancer surgery on fertility, sexual function, and future childbearing potential. ·      Review the effects of chemotherapy and pelvic radiation on reproductive health and fertility preservation. ·      Discuss available fertility preservation strategies and the importance of early pre-treatment counseling and referral. ·      Recognize the diagnostic challenges of rectal cancer during pregnancy, including overlapping gastrointestinal symptoms. ·      Review appropriate staging and workup considerations for suspected rectal cancer in pregnant patients. ·      Discuss multidisciplinary management strategies for rectal cancer during pregnancy, including individualized treatment sequencing. ·      Examine ethical and patient-centered considerations when balancing maternal cancer treatment and fetal outcomes. References  Siegel RL, Wagle NS, Star J, Kratzer TB, Smith RA, Jemal A. Colorectal cancer statistics, 2026. CA Cancer J Clin. 2026;76(2):e70067. doi:10.3322/caac.70067 [https://pubmed.ncbi.nlm.nih.gov/38240409/] Pregnancy at Age 35 Years or Older: ACOG Obstetric Care Consensus No. 11. Obstet Gynecol. 2022;140(2):348-366. doi:10.1097/AOG.0000000000004873 [https://pubmed.ncbi.nlm.nih.gov/35640237/] Stal J, YI SY, Cohen-Cutler S, et al. Fertility Preservation Discussions Between Young Adult Rectal Cancer Survivors and Their Providers: Sex-Specific Prevalence and Correlates. Oncologist. 2022;27(7):579-586. doi:10.1093/oncolo/oyac052 [https://pubmed.ncbi.nlm.nih.gov/35708892/] Druvefors E, Myrelid P, Andersson RE, Landerholm K. Female and Male Fertility after Colectomy and Reconstructive Surgery in Inflammatory Bowel Disease: A National Cohort Study from Sweden. J Crohns Colitis. 2023;17(10):1631-1638. doi:10.1093/ecco-jcc/jjad079 [https://pubmed.ncbi.nlm.nih.gov/37341355/] Ito M, Tsukada Y, Watanabe J, et al. Long-term survival and functional outcomes of laparoscopic surgery for clinical stage I ultra-low rectal cancers located within 5 cm of the anal verge: A prospective phase II trial (Ultimate trial). Ann Surg. Published online April 1, 2024. doi:10.1097/SLA.0000000000006290 [https://pubmed.ncbi.nlm.nih.gov/38629555/] Teh WT, Stern C, Chander S, Hickey M. The impact of uterine radiation on subsequent fertility and pregnancy outcomes. Biomed Res Int. 2014;2014:482968.  Johnson GGRJ, Park J, Helewa RM, Goldenberg BA, Nashed M, Hyun E. Total neoadjuvant therapy for rectal cancer: a guide for surgeons. Can J Surg. 2023 Apr 21;66(2):E196-E201. doi: 10.1503/cjs.005822. PMID: 37085291; PMCID: PMC10125160. [https://pubmed.ncbi.nlm.nih.gov/37085291/] Naren G, Guo J, Bai Q, Fan N, Nashun B. Reproductive and developmental toxicities of 5-fluorouracil in model organisms and humans. Expert Rev Mol Med. 2022 Jan 31;24:e9. doi: 10.1017/erm.2022.3. PMID: 35098910; PMCID: PMC9884763. [https://pubmed.ncbi.nlm.nih.gov/35098910/] National Comprehensive Cancer Network. (2026). NCCN Clinical Practice Guidelines in Oncology: Rectal Cancer (Version 2.2026). Retrieved from NCCN Guidelines for Rectal Cancer [https://www.nccn.org/guidelines/guidelines-detail?category=1&id=1449] Oktay, Kutluk M.D., Ph.D.. Expert Commentary on Fertility Preservation in Colorectal Cancers: Current State and Practical Tips for the Cancer Practitioner. Diseases of the Colon & Rectum 63(6):p 726-727, June 2020. | DOI: 10.1097/DCR.0000000000001688 [https://pubmed.ncbi.nlm.nih.gov/32479532/] Stal J, YI SY, Cohen-Cutler S, et al. Fertility Preservation Discussions Between Young Adult Rectal Cancer Survivors and Their Providers: Sex-Specific Prevalence and Correlates. Oncologist. 2022;27(7):579-586. doi:10.1093/oncolo/oyac052 [https://pubmed.ncbi.nlm.nih.gov/35708892/] Gentile G, Ciccarone M. Management of fertility preservation in young female patients with gastrointestinal cancer: A case series and systematic literature review. Curr Probl Cancer. 2025;57:101221. doi:10.1016/j.currproblcancer.2025.101221 [https://pubmed.ncbi.nlm.nih.gov/39598263/] Saif MW. Management of colorectal cancer in pregnancy: a multimodality approach. Clin Colorectal Cancer. 2005;5(4):247-256. doi:10.3816/ccc.2005.n.035 [https://pubmed.ncbi.nlm.nih.gov/16183863/] Rogers JE, Dasari A, Eng C. The Treatment of Colorectal Cancer During Pregnancy: Cytotoxic Chemotherapy and Targeted Therapy Challenges. Oncologist. 2016 May;21(5):563-70. doi: 10.1634/theoncologist.2015-0362. Epub 2016 Mar 21. PMID: 27000464; PMCID: PMC4861360. [https://pubmed.ncbi.nlm.nih.gov/27000464/] Jiang Q, Hua H. Fertility in young-onset colorectal patients with cancer: a review. Oncologist. 2024;29(10):e1237-e1245. doi:10.1093/oncolo/oyae141 [https://pubmed.ncbi.nlm.nih.gov/39292850/] Dolmans MM, Hollanders de Ouderaen S, Demylle D, Pirard C. Utilization rates and results of long-term embryo cryopreservation before gonadotoxic treatment. J Assist Reprod Genet. 2015;32(8):1233-1237. doi:10.1007/s10815-015-0533-z [https://pubmed.ncbi.nlm.nih.gov/26162569/ Moawad NS, Santamaria E, Rhoton-Vlasak A, Lightsey JL. Laparoscopic Ovarian Transposition Before Pelvic Cancer Treatment: Ovarian Function and Fertility Preservation. J Minim Invasive Gynecol. 2017;24(1):28-35. doi:10.1016/j.jmig.2016.08.831 [https://pubmed.ncbi.nlm.nih.gov/27599763/] Fish R. Ovarian transposition in rectal cancer: uncertain benefit at a high price. Colorectal Dis. 2022;24(6):706-707. doi:10.1111/codi.16086 [https://pubmed.ncbi.nlm.nih.gov/35191146/] Ribeiro R, Baiocchi G, Moretti-Marques R, Linhares JC, Costa CN, Pareja R. Uterine transposition for fertility and ovarian function preservation after radiotherapy. Int J Gynecol Cancer. 2023;33(12):1837-1842. Published 2023 Dec 4. doi:10.1136/ijgc-2023-004723 [https://pubmed.ncbi.nlm.nih.gov/38104863/] Haggar F, Pereira G, Preen D, et al. Maternal and neonatal outcomes in pregnancies following colorectal cancer. Surg Endosc. 2013;27(7):2327-2336. doi:10.1007/s00464-012-2774-6 [https://pubmed.ncbi.nlm.nih.gov/23645367/] Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

How do you choose your repertoire? Is it the same rubric for every choir? Or does it vary? What’s on your list? Enjoy this short, bonus episode where I was able to squeeze in a short discussion on choral programming with the two guest clinicians at the Kantorei KC Summer Choral Institute. Dr. Clelyn Chapin … Continue reading "Car Thoughts: Programming Considerations with Chantae Pittman and Clelyn Chapin"

When does a fast, aggressive cut (rapid fat loss) beat a long, slow one?The answer depends on your body fat, your training, your timeline, your history with dieting, and whether you are perimenopausal or over 40.This episode revisits rapid fat loss and the case for a strict, short diet when the slow-and-sustainable default doesn't work as well for you (or simply because you want to use it). Make sure to download my FREE Rapid Fat Loss guide to follow along with the episode.We examine the research on how to lose fat quickly without losing muscle, including studies on rate of loss, protein during a steep deficit, and protein needs for people lifting weights. Learn what a structured protein-sparing protocol with built-in refeeds actually involves, why strength training and protein are so important for preserving your muscle (and thus losing fat), where metabolic adaptation fits in, and the clear line between a smart aggressive cut and a crash diet.This episode is designed for adults over 40 who lift, track their food, and want to know whether they are the exception to the "slow" fat loss rule.Download the free Rapid Fat Loss Guide with my step-by-step 14-day protocol. This is an aggressive dieting plan for serious lifters only who know how to build muscle and track their food. It includes everything you need to know to lose, on average, 3-5 lbs (or more) of pure fat in just 2 weeks:https://witsandweights.com/freeTimestamps:0:00 - Slow fat loss and the adherence problem 4:57 - The case for moderate fat loss 8:05 - When going slow stops working 10:46 - What a structured aggressive cut looks like 12:38 - Protein and carbs as muscle insurance 15:47 - Scheduled refeeds and how they work 18:05 - Strength training during a cut 19:16 - Water loss, fat loss, and using it as a tool 20:30 - Step-by-step rapid fat loss guide 21:54 - Preserving muscle on a steep deficit 26:12 - Refeeds, diet breaks, and metabolic adaptation 28:33 - Who an aggressive cut is for (and NOT for) 32:25 - Considerations in perimenopause and over 40 34:12 - Bonus: Deficit to make your fat loss easierMentioned:Eat More Lift Heavy - the 26-week coached program where adults over 40 build the nutrition and training skills to preserve muscle, lose fat, and manage their physique for life, where we can guide you through any fat loss phase (rapid or not) and make sure the results LAST

Father Larry speaks directly to Bill about today's Gospel but pretends its not about Bill

Do you have a balanced fear?

 Guest: Erin Moore MD https://www.instagram.com/skinmdsea/?hl=en   Host: Serv Wahan MD DMD https://www.drwahan.com/     content  type Interview  primary  goal Educational  summary In this insightful interview, board-certified dermatologist Erin Moore discusses common skincare myths, the effectiveness of peptides, retinol, SPF, and the dangers of unregulated injectables. Gain expert advice on how to optimize your skincare routine and avoid costly mistakes.  keywords skincare, dermatology, peptides, retinol, SPF, Botox, anti-aging, skin health, skincare products, sun protection, tanmaxing, redlight mask, ghk copper, botox in a bottle, erin moore, serv wahan, Dr Wahan  key  topics Effectiveness of topical peptides and their role in skin architecture Differences between retinol and tretinoin (Retin-A) and their use in anti-aging The real impact of SPF levels and proper sunscreen application Risks associated with unlicensed injectable peptides and DIY treatments The role of red light therapy and other emerging skincare technologies  guest  name Erin (Board Certified Dermatologist) Titles Debunking Skincare Myths with a Dermatologist: Peptides, Retinol, and SPF Explained The Truth About Anti-Aging: Expert Tips on Peptides, Botox, and Sun Protection  sound bites "Most people don't use enough sunscreen." "Red light therapy can help with inflammation." "Red light can worsen melasma." Chapters 00:00 Understanding SPF: The Great Debate 03:34 Peptides in Skincare: Do They Work? 07:16 The Myth of Botox in a Bottle 10:12 Combining Skincare Ingredients: What Works? 12:55 The Cost of Skincare: Is It Worth It? 16:21 Injecting Peptides: Risks and Realities 21:00 AI vs. Social Media: Where to Find Reliable Advice? 23:03 Building a Skincare Routine on a Budget 26:05 Retinol vs. Retin-A: Understanding the Differences 27:49 The Power of Retinoids 31:11 Understanding Skin Reactions to Retinoids 36:38 The Science of Tanning and Tan Maxing 40:16 Red Light Therapy: Benefits and Considerations      

ALL LINKS: https://swolenormous.com

Worry about today and not tomorrow

Chaunsy Weisensel discusses the implications of 2025 tax law changes and the refunds some are receiving, plus considerations for your refund. Later Jeff joins the show to examine the slow fade to retirement and why you may want to collect social security while you're still working. Then Chaunsy wraps up the show with the Creative Planning process and what you can expect from your initial meetings.

"We typically think of the disease progressing for our higher-risk patients because many of them already start with increased blasts or a lot of dysplasia. And they have these chromosomal variants that make them prone to evolving into acute myeloid leukemia (AML). With them, we can anticipate that they are going to progress to AML. And that's what we're trying to prevent. It's kind of like a biologic evolution and not a switch," ONS member Sara Tinsley-Vance, PhD, APRN, AOCN®, nurse practitioner and quality-of-life researcher at Moffitt Cancer Center in Tampa, FL, told Lenise Taylor, MN, RN, AOCNS®, TCTCN™, oncology clinical specialist at ONS, during a conversation about long-term myelodysplastic syndrome (MDS) considerations for oncology nurses. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0  Earn 0.75 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at courses.ons.org by June 19, 2027. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to management of long-term side effects related to myelodysplastic syndrome and its treatment. Episode Notes  Complete this evaluation for free NCPD.  ONS Podcast™ episodes: Episode 415: Myelodysplastic Syndrome Treatment Considerations for Oncology Nurses Episode 411: An Overview of Myelodysplastic Syndrome for Oncology Nurses Episode 256: Cancer Symptom Management Basics: Hematologic Complications Episode 220: Oncologic Emergencies 101: Febrile Neutropenia and Sepsis Clinical Journal of Oncology Nursing articles:  Exploring Experiences of Bereaved Caregivers of Older Adult Patients With Acute Myeloid Leukemia Family Caregiver Preparedness: Developing an Educational Intervention for Symptom Management Incorporating Nurse Navigation to Improve Cancer Survivorship Care Plan Delivery Oncology Nursing Forum article: An Integrative Review of Sex Differences in Quality of Life and Symptoms Among Survivors of Hematologic Malignancies ONS book: BMTCN® Certification Review Manual (second edition) ONS course: Psychosocial Dimensions of Cancer Care™  ONS Learning Libraries:  Survivorship Learning Library Hematology, Cellular Therapy, and Stem Cell Transplantation Survivorship Care Plan Huddle Card American Association of Colleges of Nursing End-of-Life Nursing Education Consortium (ELNEC) American Cancer Society: Living As a Myelodysplastic Syndrome Survivor American Society of Hematology Aplastic Anemia and MDS International Foundation: MDS Toolkit Blood Cancer United: Myelodysplastic Syndromes Family Caregiver Alliance HealthTree Foundation Inspire: MDS Support and Discussion Community Myelodysplastic Syndromes Foundation To discuss the information in this episode with other oncology nurses, visit the ONS Communities.  To find resources for creating an ONS Podcast club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode "When our higher-risk patients have disease-related progression, their [malignancy] can transform to AML. And we know this occurs in about one-third of our patients and is one of the most serious late effects. Even in lower-risk disease, we have this worsening marrow failure with or without increasing blast, where [patients] may have just started out with anemia, then they also develop neutropenia and thrombocytopenia. And as those counts worsen, we usually know that their disease is progressing." TS 2:47 "The golden rule is looking at the blood count but also looking at the patient and how they're doing over time. The backbone of MDS monitoring is the complete blood cell count with the differential. What you're looking for is trends over time. How many units of blood are they receiving, what threshold are you going to transfuse them at, and how many units of blood are they getting at a time? ... And then paying attention to the absolute neutrophil count for infection risk. [Another] really important piece of when you look at the differential with patients is seeing if they have any abnormal cell counts. Do they have circulating blasts? Are those monocytes going up? If you start to see blasts circulating or increasing monocytes, then their disease could be changing, even if they have low-risk disease." TS 15:58 "For lower-risk disease, we're paying more attention to their quality of life, how the patient's tolerating therapy, trying to help them stay safe over the long haul, and starting them on iron chelation if it matches that patient and they can have access to those drugs. ... For higher-risk disease, if the patient's goal is to be cured and not to progress to AML, you want to get them to transplant if that's [also] one of their goals. If they do evolve into AML, try and see what treatment matches best for them." TS 22:28 "You want to start early for patients who have febrile neutropenia—that's really important when a patient is an hour or two away from a center where they can get started on antibiotics. So, you have to think outside the box. What can we do to keep them safe? ... I know this group in Alaska that's in our advisory meetings and they try to facilitate transportation to Seattle. That's the closest academic center to them. Collaborating with telemedicine appointments, starting earlier, developing that strong relationship with patients, and contacting them between visits [can help patients living in rural areas]." TS 25:22 "I think the biggest [psychosocial challenge] I see is a lot of unmet anxiety and depression counseling. A lot of times, [patients are] losing their place in their family because they're the ones that need all the help now. Also, the uncertainty that goes along with the diagnosis. There is communication skills counseling, and End-of-Life Nursing Education Consortium (ELNEC) has a lot of training for communication skills and how to really talk to patients. Not that we take the place of a psychologist, but just being able to talk to somebody can go a long way. And if we can get training for that, we can help more patients." TS 31:15

The Perfect Prayer

The eye leads us to action

The conversation covers updates on DevNet 5, issues with PTC attestations, the impact of the peering bug, the transition to using QUIC as the default transport, and proposed changes to the beacon API and builder execution requests. The conversation covers a proposal for pre-aggregating attestations at the source, addressing concerns about network efficiency, validator privacy, and impact on large operators. The discussion also delves into the potential impact on aggregators and the need for further study on the number of aggregators and committee size.TakeawaysDevNet 5 updates include issues with Prism and Grandine, triggered by a malicious lost start client.PTC attestation issues stem from determining duties with the head state and sending attestation for different branches.The peering bug led to isolated nodes and incorrect attestation from Nimbus blocks.The transition to using QUIC as the default transport is a topic of discussion, with concerns about the impact on network stability.Proposed changes to the beacon API and builder execution requests aim to address issues with deposits and caching.Pre-aggregating attestations at the sourceImpact on network efficiency and validator privacyChapters00:00 DevNet 5 Updates29:52 Transition to Using QUIC as Default Transport50:21 Proposed Changes to the Beacon API and Builder Execution Requests01:00:24 Introduction to Pre-Aggregating Attestations01:10:28 Discussion on Large Operators and Aggregators01:20:47 Considerations for Committee Size and Aggregator Numbers

Episode 1000 of The Professional Left opens with the countdown finally hitting zero — and instead of a victory lap, Driftglass and Blue Gal do exactly what they've been doing for 999 episodes: explain the thing hiding in plain sight that everyone else is too polite, too complicit, or too invested in the status quo to say out loud. The Trailer Trash Woodstock that took over the White House lawn gets put in its proper historical context — not as something shocking and new, but as the entirely predictable result of decades of Republican appeasement of its worst impulses, a straight line running from Rush Limbaugh's Lincoln Bedroom sleepover to the rubble of the East Wing. A brief but devastating tour through PBS's Friday night ritual of performative Both Siderism — featuring everyone's favorite human pretzel, David Brooks — makes the case that the cage match on the White House lawn and the quiet dinner-table tones of public television are actually serving the same purpose for two different audiences. And after 1000 episodes of being told they were alarmists, crackpots, and too angry, Driftglass and Blue Gal are still here, still right, and just getting started.Stay in Touch! Email: proleftpodcast@gmail.com Website: proleftpod.com Support via Patreon: patreon.com/proleftpod or Donate in the Venmo App @proleftpodMail: The Professional Left, PO Box 9133, Springfield, Illinois, 62791Support the show

Featuring an interview with Prof Martin Reck, including the following topics: Case: A woman in her mid 70s with extensive-stage small cell lung cancer (ES-SCLC) experiences a strong response to first-line chemoimmunotherapy and maintenance lurbinectedin/atezolizumab (0:00) Biology of small cell lung cancer and pharmacodynamics of systemic treatment (3:25) Considerations with maintenance therapy for ES-SCLC (9:31) Considerations with immunotherapy for ES-SCLC (13:12) Curability of SCLC with systemic therapy (15:17) Data with chemoimmunotherapy for patients with poor performance status (25:55) Future developments in therapy for SCLC (30:11) Rapid fire: Small Cell 101 (35:45) CME information and select publications  

In today's episode, we welcomed Brad Haverkos, MD, to discuss evolving management and treatment adherence strategies in cutaneous T-cell lymphoma (CTCL). Dr Haverkos is an associate professor of medicine-hematology at the University of Colorado in Anschutz School of Medicine in Aurora. In the exclusive interview, Dr Haverkos outlined treatment approaches across early-stage and advanced CTCL, identified strategies for identifying disease progression in this patient population, and spoke about how clinicians manage mogamulizumab-kpkc (Poteligeo)-associated rash.

Welcome to Greek News Global for 18 June 2026, with legendary Greek-Australian journalist, John Mangos. In this bulletin; Turkey delays consideration of Blue Homeland, Prime Minister Mitsotakis flags cheaper fuel. Italy supports the return of the Parthenon Marbles, and a deadly fish wreaks havoc in Dodecanese.Send us Fan MailSupport the showEmail us at ouzotalk@outlook.comSubscribe to our Youtube: https://www.youtube.com/@OuzoTalkFollow us on Facebook: https://www.facebook.com/OuzoTalkFollow us on Instagram: https://www.instagram.com/ouzo_talk/

The Rebbe addresses the administration of the Yeshiva in Lod regarding timely reporting of student evaluations, advising not to delay due to external considerations. He also references correspondence about a fundraiser's trip and building repairs, encouraging continued dedication. https://www.torahrecordings.com/rebbe/igroskodesh/007/005/2002

In this episode we answer emails from Peter, Alejandro, and Anderson.  We discuss retiring early and related family, work and community considerations, various portfolio and tax considerations and gambling problems, AI-driven portfolio tweaking, when simplicity applies, and share a fast way to summarize old episodes with NotebookLM.   And reference our Top of the T-shirt Campaign (Part Deux!) for the Father McKenna Center.Links:  Father McKenna Center Donation Page (please mention Risk Parity Radio in the comment section with your donation):  Donate - Father McKenna CenterNotebookLM Summary of Chad's Question from Episode 478 -- "Mastering Portfolio Distributions":  NotebookLM - Portfolio Distribution MechanicsBreathless Unedited AI-Bot Summary:Quitting a high-paying job sounds like a math problem until you try living inside the decision. We hear from a 37-year-old parent with $1.3 million invested, a paid-off home, and a growing sense that learning about early retirement has made work feel unbearable. We walk through what those numbers actually support, why a 5% withdrawal rate can look fine on a spreadsheet but feel risky for a young family, and why expenses often rise as kids move toward the teen years and college. Our goal is to replace vague fear with concrete planning and a bigger, more realistic buffer.From there we get tactical: how to think about asset allocation as one unified portfolio across taxable and retirement accounts, how tax efficiency should influence what goes where, and what options exist for accessing retirement money earlier than 59.5. We dig into Roth conversion timing, and we clear up a major misconception about 72(t) distributions by explaining how splitting IRAs can make the tool far more flexible than people assume.Then we zoom out to portfolio construction. We explain why many formal “risk parity” or Ray Dalio all-weather style proposals end up bond-heavy, why that design often expects leverage, and why our retirement-oriented approach favors diversified building blocks like equities, Treasury bonds as recession insurance, gold, and managed futures. We also answer two more emails: one on using Google NotebookLM to generate a visual summary of rebalancing, and another on leveraged ETFs, AI recommendations, and moving-average trading rules, including why complexity can create tax headaches and ugly drawdowns.If you got value from this, subscribe, share the show with a friend who is rebuilding their plan, and leave a review so more DIY investors can find Risk Parity Radio.Support the show

Keep your spiritual life offline!

Join our hosts as they sit down with author and industry leader John Hargrave to discuss his book, The Intelligent Crypto Investor, and explore how traditional financial frameworks can be reimagined on-chain. Listen in as we explore key trends, emerging economic levers and how enduring investing principles can be applied to DeFi—alongside important considerations and practical approaches for navigating an evolving ecosystem. Episode Topics: [0:00] Intro [1:25] John's story [5:24] Building a crypto community [7:19] The Intelligent Crypto Investor [12:21] Designing an investor scorecard [17:05] Transparency on-chain [18:55] Exploring tokenomics [24:56] Considerations for standardization [26:37] Risk frameworks [28:48] Final thoughts and outro Stay connected with us beyond the podcast by following FCAT on, Instagram, LinkedIn, and X, where we share additional insights and updates on all things emerging tech. Whether you're crypto-curious or have a crypto foundation, Fidelity may have your next career opportunity. EXPLORE NOW. Please remember: this podcast is solely for informational and educational purposes and is not investment, tax, legal or insurance advice. Digital assets are speculative and highly volatile and you should conduct thorough research before you invest. To learn more, visit: FCATalyst.com FMR LLC. © 2026 FMR LLC. All rights reserved. Chapters (00:00:00) - Intro(00:01:25) - John's story(00:05:24) - Building a crypto community(00:07:19) - The Intelligent Crypto Investor(00:12:21) - Designing an investor scorecard(00:17:05) - Transparency on-chain(00:18:55) - Exploring tokenomics(00:24:56) - Considerations for standardization(00:26:37) - Risk frameworks(00:28:48) - Final thoughts and outro

The episode opens with a welcome to the podcast and introductions to the panelists. It highlights their diverse expertise in mineral metabolism, applied nutrition, and industry insights. (00:00 – 02:38) The discussion begins with a deep dive into the mechanisms of mineral absorption, focusing on epithelial barriers and transporters. The panel discusses how minerals like magnesium are absorbed across the rumen wall. Moreover, they explore how antagonists interfere with absorption and introduce the concept of measuring bioavailability under field conditions. (04:35 – 10:13) From there, the conversation shifts to practical dairy nutrition strategies, including how to manage macro minerals and antagonists within the diet. The panel discusses the importance of water quality and alternative magnesium sources. Additionally, they share effective calcium strategies for supporting fresh cows and reducing metabolic challenges. (11:36 – 16:48) The panel then explores mineral interactions and balance, including the concept of mineral homeostasis and the role of skeletal calcium reserves. They challenge traditional thinking around calcium-to-phosphorus ratios. Furthermore, they examine key interactions between potassium, magnesium, and sodium that can impact absorption and overall animal health. (18:59 – 24:42) As the episode continues, the discussion turns to the future of agricultural research, including the growing role of genomics in shaping nutrient requirements. The panel also addresses ongoing challenges in funding and education. Additionally, they discuss the broader influence of policy and corporate investment on the direction of scientific research. (26:03 – 32:43) Attention then shifts to diagnostics and emerging tools, where the panel discusses biomarkers and enzyme-based approaches for tracking bioavailability. They also emphasize the importance of proper blood sampling timing. Additional topics include phosphorus binders, zeolite-based diets, and unanswered questions around the evolutionary role of magnesium. (33:48 – 38:34) The episode concludes with a focus on holistic mineral management, emphasizing the importance of integrating scientific understanding into practical feeding decisions. The panel shares final insights and key takeaways for improving mineral nutrition programs. In summary, they also support long-term dairy cow performance. (41:20 – 42:38) Please subscribe and share with your industry friends. Invite more people to join us at the Real Science Exchange virtual pub table. Please be sure to register for our upcoming Real Science Lecture Series webinars. Finally, if you want one of our Real Science Exchange t-shirts, screenshot your rating, review, or subscription. Then, email a picture to anh.marketing@balchem.com. Include your size and mailing address. As a result, we'll mail you a shirt.

Do you see Jesus hidden in your enemy's soul?

Fins, Fur and Feathers: Working in Extension Row Crops Damaged by Weather Monitoring New World Screwworm for Dairy Producers   00:01:05 – Fins, Fur and Feathers: Working in Extension: Beginning the show is Joe Gerken and Drew Ricketts from K-State with part of their Fins, Fur and Feathers podcast episode where they discuss their involvement in Extension and what Extension provides for Kansans. Fins, Fur and Feathers wildlife.k-state.edu   00:12:05 – Row Crops Damaged by Weather: Tina Sullivan and Logan Simon, K-State Extension agronomists, continue today's show as they talk about the recent weather damage to wheat, corn and soybeans. Considerations for Storm-Damaged Wheat Assessing Storm Damage in Corn: Defoliation, Root Lodging and Green Snap   00:23:05  – Monitoring New World Screwworm for Dairy Producers: K-State dairy specialist Mike Brouk ends the show as he provides an update on the New World screwworm and how dairy producers can better protect livestock through continual monitoring and evaluation.      Send comments, questions or requests for copies of past programs to ksrenews@ksu.edu.   Agriculture Today is a daily program featuring Kansas State University agricultural specialists and other experts examining ag issues facing Kansas and the nation. It is hosted by Shelby Varner and distributed to radio stations throughout Kansas and as a daily podcast.   K‑State Extension is a short name for the Kansas State University Cooperative Extension Service, a program designed to generate and distribute useful knowledge for the well‑being of Kansans. Supported by county, state, federal and private funds, the program has county Extension offices statewide. Its headquarters is on the K‑State campus in Manhattan. For more information, visit Extension.ksu.edu. K-State Extension is an equal opportunity provider and employer.

Michael brings a favourite film from the 1980s. Is there only one? It's Highlander. Below: images of the 'Lego' models discussed in the intro. T-shirts can be found here – https://www.redbubble.com/people/ufocast Email the show – ufocast@yahoo.com

Go beyond what you've been asked to do

Please pray for more laborers in the vineyard because the harvest is indeed plenty!

Learn how to say NO!

He must increase and I must decrease

If God is the Lord--worship Him!

Welcome to Ep 163: Low Tech, No Tech Accessibility Considerations with Sarah Silverman. Sarah Silverman, PhD is an independent faculty developer and instructor of Disability Studies. As an autistic educator, she has a personal stake in Neurodiversity as well as extensive college teaching and faculty development experience. Her interests include accessible and feminist pedagogy, Universal Design for Learning (UDL) and the history of the neurodiversity movement. Her book Classroom Mindscapes: An Introduction to Neurodiversity for Educators is forthcoming from the University of Oklahoma Press in September. In this conversation, Sarah and I discuss options for faculty members who are considering low tech, no tech, or more analog classroom activities or educational environments. We talk about access friction and decisions that might need to be considered in order to meet the needs of current students with competing access and technology needs. Sarah has been recently working on this topic and will have an upcoming workshop on this on July 21st. If you are listening to this podcast before or after that date in 2026, you'll be able to find the sign-up or the results of that session in this episode's resource section just before the transcript on ThinkUDL.org. You'll also be able to find the other resources we mention throughout the conversation there.

Considerations for those in leadership positions. All In Gospel Podcast is a chapter by chapter, verse by verse, in depth bible study where we seek to understand God's Word.All In Gospel is recorded live at Calvary Chapel with Pastor Seann Dikkers. You can support this study at anchor.fm/allingospel, ⁠⁠⁠⁠⁠⁠⁠⁠ccwhitebear.com.

Don't be a "private" Christian!

Antibiotics are frequently prescribed in dental care, yet evidence suggests they are often unnecessary and can expose patients to significant risks, including Clostridioides difficile infection. This course reviews appropriate antibiotic use in dental settings, including indications, preferred treatment options, and safety concerns associated with specific agents. You will be better prepared to support evidence-based antibiotic use, identify opportunities for intervention, and collaborate with dental colleagues to promote antimicrobial stewardship. HOSTRachel Maynard, PharmDGameChangers Podcast Host and Lead, Clinical & Partnership Education, CEimpactGUESTJulie Goldberg, DDSSenior Dental Risk SpecialistPharmacists Mutual Insurance Group Pharmacists, REDEEM YOUR CPE HERE!CPE is available to Health Mart franchise members onlyTo learn more about Health Mart, click here: https://join.healthmart.com/PRACTICE RESOURCEReceive the exclusive Practice Resource to use as a reference guide for this episode by enrolling in the course. Click here to enroll!CPE INFORMATION Learning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Describe appropriate indications for antibiotic use in common dental conditions.2. Compare antibiotic options used in dental care, including safety considerations and risks associated with specific agents.Rachel Maynard and Julie Goldberg have no relevant financial relationships to disclose.0.075 CEU/0.75 HrUAN: 0107-0000-26-224-H01-PInitial release date: 6/8/2026Expiration date: 6/8/2027Additional CPE details can be found here.

Presence, preparation, and promise

Do we fully accept scripture even when it touches a nerve?

We are not living in paradise!

This is an excerpt from our Masterclass on How to Raise an Ambassador Owl. We added this lesson after fielding many questions about quarantine procedures, and wanted to ensure that an ambassador owl would still have a viable start to their career in conservation education. Here we cover specific signs of illness, potential practices that can lead to stress, and what to do if your facility puts your new ambassador under strict quarantine protocols. For visuals, you can check out our video.    For the full Masterclass, check out https://avianbehavior.thinkific.com/courses/owl-ambassador For more classes in our subscription based online learning program, use the code AVIAN for a free 14 day trial https://avianbehaviorlab.com For free resources, including our podcast, blog, and best practice guidelines, check out https://avian-behavior.org    

In this episode we answer emails from Mark and Eric.  We discuss managing finances through aging, dementia, and what happens when the family's primary money manager can't manage anymore. Then we challenge popular fear-based retirement thinking and explain why hoarding wealth can be a bad strategy for well-being and relationships.Links:Fairfax CASA Donation Page:  Donate - Fairfax CASAFather McKenna Center Donation Page:  Donate - Father McKenna CenterArticle On Fear- and Hoarding-Based Planning:  The Many Utilities of Retirement - Articles - Advisor PerspectivesA Better Approach To Spending In Retirement That Avoids Fear-Based Hoarding And Maximizes Well-Being:  RPR Episode 436 Illustrated: The Two Halves of Your Financial LifeBreathless Unedited AI-Bot Summary:What's the real plan if the person running the budget and investments can't do it anymore? Not “someday.” Not “we'll figure it out.” We talk through the unglamorous but essential side of retirement planning and DIY investing: continuity. That means account access, fewer scattered institutions, clear instructions, and a system your spouse can operate even if they'd rather be in the garden than staring at spreadsheets.We share practical steps that reduce chaos fast: consolidate accounts, use joint ownership where it makes sense, keep a password manager, and maintain a simple net worth sheet with a second tab that explains what to do and why. We also connect the dots to estate planning basics like power of attorney and why writing an investor policy statement can be a gift to the people who may need to step in later.Then we pivot to a deeper issue behind a lot of retirement advice: fear. We respond to an article that tries to justify hoarding as a retirement “utility,” and we argue that optimizing your life around fear of running out can turn money into a stand-in for therapy. Instead, we lay out what actually improves long-term well-being: stronger relationships, experiences that create flow, buying back your time, and charitable giving, all while still keeping your finances durable.Subscribe, share this with someone who manages the money in your family, and leave a review so more DIY investors can find the show. What would you put in your one-page continuity plan?Support the show

Preach the Gospel (truth) free and clear without political references

Interview starts at 30:30   Unveiling Earth's Hidden Mechanisms: A Deep Dive with Roger Cunningham Join us as we explore groundbreaking theories on Earth's past, including the enigmatic inversion, the role of ancient monuments aligned with mysterious poles, and the scientific implications of the Earth's magnetic and rotational shifts. This episode offers a compelling blend of scientific insights, historical mythology, and cutting-edge hypotheses about our planet's dynamic history. It's not doomer prediction but a call to re-examine evidence across disciplines. Main Topics: The scientific and cultural significance of ancient megalithic monuments and their alignments with the supposed ancestral North Pole. The Earth rotation hypothesis (ECDO) and its evidence from geological, archaeological, and satellite data. The impact of geomagnetic excursions and cosmic events on climate, sea levels, and civilization resets. The questioning of mainstream climate models and the validation of internal geophysical processes as primary heat sources. The potential role of ancient knowledge and features like spiral motifs and star alignments in understanding Earth's past rotations and pole shifts. https://x.com/EthicalSkeptic theethicalskeptic.com   Become a Lord or Lady with 1k donations over time. And a Noble with any donation. Leave Serfdom behind and help Grimerica stick to 0 ads and sponsors and fully listener supported. Thanks for listening!! Help support the show, because we can't do it without ya. https://www.simulationmaps.com/#products Suite of Interactive Maps! DisasterMap, VolcanoSim, AsteroidSim, ShipwreckMap, UFOMap etc https://www.amazon.com/Unlearned-School-Failed-What-About/dp/1998704904/ref=sr_1_3?sr=8-3   Support the show directly: https://open.spotify.com/show/2punSyd9Cw76ZtvHxMKenI?si=ImKxfMHgQZ-oshl499O4dQ&nd=1&dlsi=4c25fa9c78674de3 Watch or Listen on Spotify https://grimericacbd.com/ CBD / THC Gummies and Tinctures http://www.grimerica.ca/support https://www.patreon.com/grimerica http://www.grimericaoutlawed.ca/support   Our audio book website: www.adultbrain.ca Check out our next trip/conference/meetup - Contact at the Cabin www.contactatthecabin.com www.grimerica.ca/shrooms and Micro Dosing Darren's book www.acanadianshame.ca Join the chat / hangout with a bunch of fellow Grimericans Https://t.me.grimerica grimerica.ca/chats   Discord Chats https://itunes.apple.com/ca/podcast/grimerica-outlawed Sign up for our newsletter https://grimerica.substack.com/ SPAM Graham = and send him your synchronicities, feedback, strange experiences and psychedelic trip reports!! graham@grimerica.com Purchase swag, with partial proceeds donated to the show: www.grimerica.ca/swag Send us a postcard or letter http://www.grimerica.ca/contact/ Episode ART - Napolean Duheme's site http://www.lostbreadcomic.com/ MUSIC https://brokeforfree.bandcamp.com/ - Something Galactic Felix's Site sirfelix.bandcamp.com - Should I     In this episode: Roger Cunningham discusses his book on the inversion theory and the hidden mechanisms driving Earth's historical cataclysms (00:01). Insights on the rapid rise of book sales and the signature signing process (00:21). The technical details behind ancient site alignments with the hypothesized North Pole (02:36). Scientific confirmation of city and monument alignments to NP prime and the implications for understanding Earth's magnetic history (04:23). The significance of ancient star motifs and their correlation to Earth's rotational changes over millennia (15:06). Evidence from geophysical data supporting the hypothesis of a shifted North Pole and its impact on climate and civilization (31:37). The critique of current climate science, with a focus on internal Earth processes over surface-level models (36:34). The ongoing debates about Earth's growth, tectonics, and the potential for frequent pole flips over millions of years (44:53). Considerations of ancient mythology, biblical references, and mythic ages tied to Earth's cyclical upheavals (52:33). The outlook on UFOs, UAPs, and the scientific openness to non-human intelligences from a geophysical and extraterrestrial perspective (66:57). Practical insights for modern survival strategies in light of catastrophic Earth events and geological shifts (74:07).  

A snapshot of heaven

In this episode of Maximize Your Hunt, host Jon Teater discusses the critical aspects of land management for hunting properties, focusing on the importance of roads, effective design strategies, and erosion control. He emphasizes that well-maintained roads are essential for accessibility and efficiency in property management. The conversation also covers water management techniques and the significance of planning for year-round property use to ensure successful hunting seasons. Takeaways Roads are essential for property management and access. Proper road design minimizes erosion and maintenance costs. Water management is crucial for property health. Erosion control techniques can significantly impact land use. Investing in infrastructure enhances property value. Year-round property management leads to better hunting outcomes. Understanding the landscape is key to effective design. Avoid unnecessary expenses by planning road systems carefully. Utilize natural resources for effective erosion control. Focus on continuous improvement for hunting properties.   Social Links https://whitetaillandscapes.com/ https://www.facebook.com/whitetaillandscapes/ https://www.instagram.com/whitetail_landscapes/?hl=en Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.