Podcasts about CPM

In this episode of The Birth Lounge podcast, host HeHe discusses one of the most requested topics, Gestational Diabetes Mellitus (GDM), with midwife Melissa Chappell. Melissa, who owns Utah Birth Suites and founded Songbird Maternity, offers a holistic view on women's health and is a staunch advocate for informed consent and patient autonomy. The conversation dives deep into what GDM is, how it occurs, the importance of testing, and why the typical 50-gram glucose challenge may not always reflect reality. The duo also covers alternative testing methods, including continuous glucose monitoring, diet and exercise's role, and the impact of GDM on the baby. Melissa sheds light on the myths and truths about GDM, the implications of controlled versus uncontrolled GDM, and the risks associated with traditional medical practices, such as induction. Listeners will walk away feeling informed and empowered to engage in confident discussions with their healthcare providers. Tune in to get evidence-based insights, especially focusing on holistic and patient-centered care approaches for managing gestational diabetes.   00:00 Introduction to Gestational Diabetes 01:27 Meet Our Expert Guest: Melissa Chappell 02:33 Understanding Gestational Diabetes Mellitus (GDM) 03:03 Testing and Alternatives for Gestational Diabetes 03:53 Impact of Gestational Diabetes on Mother and Baby 10:16 Historical Perspective and Current Statistics 12:42 Challenges with Current Testing Methods 16:26 Managing Gestational Diabetes: Diet and Monitoring 24:07 Risks and Misconceptions about Big Babies 31:37 Pitocin Use and Its Implications 39:13 Increased Medical Interventions in Pregnancy 40:17 The Impact of Glucose Restriction on Babies 42:31 Research Findings on Blood Glucose Thresholds 44:24 Managing Gestational Diabetes with Diet and Exercise 48:50 Alternative Testing Methods for Gestational Diabetes 01:00:06 Understanding HbA1c and Its Limitations 01:08:04 Postpartum Care for Babies of Gestational Diabetic Mothers 01:12:42 Connecting with Melissa and Doula Training Opportunities 01:14:40 Conclusion and Final Thoughts   Guest Bio: Melissa Chappell, LDEM, CPM is a midwife and owner of two birth centers in Utah, and as well is a doula trainer of over 22 years. She is passionate about women's health from a holistic and nourishing perspective, and advocates for women's wellness in all areas of their lives. She has worked with midwives and birthing women all over the world, including in Haiti, Ethiopia, and Kenya, and loves seeing how women's lives improve with access to safe and effective midwifery care. She is the mother of 4 children and 4 grandchildren that she adores. In between catching babies, Melissa loves to explore as much of the world as she can – from international travel to exploring the mountains in her backyard. INSTAGRAM: Connect with HeHe on IG  Connect with Melissa on IG    BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone!   LINKS MENTIONED: Lily Nichols: Real Food in Pregnancy    Use code HeHe to sign up for doula education and 25% off the Birth Education Library with Melissa at https://www.melissachappell.com/   RESEARCH: https://www.cochranelibrary.com/web/cochrane/content?templateType=full&urlTitle=/cdsr/doi/10.1002/14651858.CD012394.pub3&doi=10.1002/14651858.CD012394.pub3&type=cdsr&contentLanguage=   https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-023-05779-z   Gestational diabetes and the risk of late stillbirth: a case-control study from England, UK - PubMed   https://www.cochranelibrary.com/web/cochrane/content?templateType=full&urlTitle=/cdsr/doi/10.1002/14651858.CD011624.pub3&doi=10.1002/14651858.CD011624.pub3&type=cdsr&contentLanguage=   Big Babies: the risk of care provider fear | Dr Rachel Reed  

In this episode, Dr. Rita Khan, CPM®, ARM®, and ACoM®, joins us to talk about the findings of her research project, “Effective Strategies to Improve Job Satisfaction and Reduce Property Manager Turnover”. Find knowledge for the dynamic world of real estate management at irem.org.

This $450M Money Manager Uses Stocks & Options To Gain An Edge In The Market -Meet Paul S. Stanley Managing Partner At Granite Bay Wealth ManagementGuest:Paul S. Stanley, CFP®, CPM® Managing Partner At Granite Bay Wealth Management $450M AUMWebsite: https://granitebaywm.com/Bio:Paul graduated from Bentley College with a Bachelor's in Economics and Finance. He spent the first ten years of his career working at major Wall Street firms. In 2006 he opened Granite Bay Wealth Management after realizing that independence was the only way to truly offer what was best for his clients.Paul obtained his CERTIFIED FINANCIAL PLANNER™ certification in 1999. He has successfully completed level one of the Chartered Financial Analysts (CFA®) exam. He also received his Certified Portfolio Manager (CPM®) designation through the Academy of CPM and New York University's Stern School of Business in 2022.Paul currently serves as a Selectman for the Town of Greenland, NH. He has served as an elected member of the MSAD 35 School Board, Chairman of the South Berwick Sewer District, and a board member of Marshwood Youth Baseball. He spends his free time coaching baseball and soccer, cooking, traveling, golfing, running, and playing guitar. Paul lives in Greenland, NH with his partner Colleen and her daughter Annabelle and has two grown sons: Trevor, who works as a financial advisor for Granite Bay, and Chase, who is attending the University of Tennessee in Knoxville.

Tim Wilson is the Head of Solutions at facts & feelings, a consultancy focused on helping organizations put their data to productive use through clear thinking, aligned teams, and actionable insights. A seasoned analytics leader, Tim brings over two decades of experience across enterprise BI, agency strategy, and digital analytics to help brands translate complexity into clarity.Before co-founding facts & feelings, Tim led analytics practices at multiple agencies, advised Fortune 500 companies on digital data strategy, and built out BI infrastructure at a $500M B2B tech firm. He's also the co-author of Analytics the Right Way: A Business Leader's Guide to Putting Data to Productive Use and co-host of the long-running Analytics Power Hour podcast.Whether clarifying what “success” really looks like before a new feature launch or helping teams choose the right level of analytical rigor for a given decision, Tim focuses on making data work for the business, not the other way around. He offers a practical framework for leaders overwhelmed by dashboards, and a philosophy for analysts who want to be more than just report generators.In This Conversation We Discuss: [00:39] Intro[01:15] Shifting from in-house roles to agency work[02:16] Highlighting the cost of overbuilding tech stacks[04:36] Pushing back on data-only decision making[07:13] Avoiding narrow ad metrics that mislead growth[10:08] Using AI to scale low-effort interactions smartly[12:38] Translating ideas into testable hypotheses[19:02] Differentiating high-credibility opinions in UX[20:00] Using split tests to validate costly changes[21:14] Skipping tests for clear conversion blockers[23:32] Filtering user recordings for CRO opportunities[26:13] Using logic when data can't prove causality[29:39] Measuring what actually matters in performanceResources:Subscribe to Honest Ecommerce on YoutubeIntelligent business consultancy obsessed with less and better factsandfeelings.io/Data and analytics podcast analyticshour.io/Follow Tim Wilson linkedin.com/in/tgwilsonIf you're enjoying the show, we'd love it if you left Honest Ecommerce a review on Apple Podcasts. It makes a huge impact on the success of the podcast, and we love reading every one of your reviews!

Dots Oyebolu and Cory Henke, Founder and CEO of Variable Media, discuss modern paid media intelligence. Cory shares insights from his journey via major agencies and platforms to build a data-first paid media agency. He unpacks the challenges and philosophies around attribution and campaign measurement and explains how business intelligence tools like Power BI help brands unlock deeper visibility into what really drives performance. Key Takeaways:(01:20) Cory's marketing journey.(04:36) Marketers who rely solely on in-platform data miss the bigger picture — merging CRM, web analytics and ad platforms reveals deeper insights.(07:51) Cory believes that attribution is unsolvable because great outcomes stem from many variables.(09:50) In a dynamic ad landscape, Cory emphasizes having a conservative projection and a flexible testing strategy.(11:16) For new brands, organic growth should precede paid media — proving demand without ad spend is key to long-term success.(13:03) Attribution models are biased by platform incentives; YouTube, for instance, creates halo effects that platforms often credit to search.(16:28) Cory's team customizes attribution by extracting campaign data from multiple platforms, merging it via Power BI for clearer performance storytelling.(21:31) CPM is Cory's favorite marketing metric — unlike other KPIs, it reveals raw costs and helps evaluate the efficiency of reach, regardless of engagement.(27:42) Staying top of mind and testing new formats is key as digital advertising continues to evolve beyond traditional performance metrics.Resources Mentioned:Cory Henkehttps://www.linkedin.com/in/coryhenke/Variable Media | LinkedInhttps://www.linkedin.com/company/variable-media/Variable Media | Websitehttps://variable.media/Power BIhttps://www.microsoft.com/en-us/power-platform/products/power-biCory Henke on Twitterhttps://twitter.com/CoryHenkeInsightful Links:https://online.mason.wm.edu/blog/data-analytics-in-digital-marketinghttps://www.akkio.com/post/business-intelligence-in-marketinghttps://www.netsuite.com/portal/resource/articles/erp/business-intelligence-strategy.shtmlThanks for listening to the “Marketing Leadership” podcast, brought to you by Listen Network. If you enjoyed this episode, leave a review to help get the word out about the show. And be sure to subscribe so you never miss another insightful conversation.We appreciate the enthusiasm and support from our community. Currently, we are not accepting new guest interview requests as we focus on our existing lineup. We will announce when we reopen for new submissions. In the meantime, feel free to explore our past episodes and stay tuned for updates on future opportunities.#PodcastMarketing #PerformanceMarketing #BrandMarketing #MarketingStrategy #MarketingIntelligence #GTM #B2BMarketing #D2CMarketing #PodcastAds

Summer has arrived, and with it comes refreshing iced tea, eaglet adventures, and exciting plans for the months ahead! We kick off with a spirited discussion about National Iced Tea Day, sharing our personal brewing preferences and debating the merits of sweet versus unsweet varieties. Remember those old commercials where people would fall backward into pools after a refreshing sip? We certainly do!Our eagle-watching journey continues with an exciting update: Sunny has officially fledged! After weeks of practice flaps and hovering attempts, this brave eaglet took flight on June 2nd while Gizmo continues preparing for the big moment. We draw parallels between these fledgling birds and the human experience of leaving home, noting how Sunny still returns to the nest occasionally—not unlike college students coming home for weekends.The heart of this episode features our Professional Learning Team sharing what they're most excited about for the upcoming academic year. From Bree's multilingual learner book study to Ernesto's enthusiasm for new Spanish translations of Inspiring Connections materials, the passion is palpable. Kathy Williams highlights the contemporary updates in Core Connections third edition, while others discuss summer learning events including the Building Thinking Classrooms Conference and the Academy of Best Practices for New Teachers.Between national park adventures, camping trips, favorite band concerts, and our company-wide Terrific Team Building event in September, there's plenty to look forward to personally and professionally. What are you excited about this summer? Share your plans and join us on June 24th for our next episode celebrating International Fairy Day!Send Joel and Misty a message!The More Math for More People Podcast is produced by CPM Educational Program. Learn more at CPM.orgX: @cpmmathFacebook: CPMEducationalProgramEmail: cpmpodcast@cpm.org

The conversation dives into the first chapter of 'Spent Matches', exploring the effectiveness of current church strategies in light of global trends. It confronts the brutal facts about church growth, challenges traditional assumptions about evangelism and discipleship, and emphasizes the need for a paradigm shift in leadership and ministry practices.TakeawaysThe church is becoming less effective despite growth.The Stockdale Paradox highlights the need to confront reality.Only 19 million converts a year globally is concerning.The financial sustainability of current methods is questionable.US evangelicalism is experiencing declines in key metrics.The focus should shift from form to function in ministry.Discipleship should emphasize obedience over knowledge.Leadership roles need to evolve into learning designers.The church should be seen as a community, not a building.Radical change often starts at the fringes, not the top.Resources: Resource GuideListen in another Language - !Coming Soon!

In the second part of our influencer marketing series, we shift focus from the marketer to the creator. Host ⁠⁠⁠Will Francis⁠⁠⁠ chats with ⁠Ben Kaluza⁠, a former Twitch ad ops professional turned full-time content creator. Ben shares his candid journey into content creation—from gaming streams and OBS tutorials to building a trusted multi-platform presence across TikTok, YouTube, and LinkedIn.Ben gets into what creators really need to succeed, how to balance authenticity with monetization, and how marketers can partner with them successfully. With honest takes on influencer compensation, content production, and building trust in a noisy digital space, this episode is a must-listen for anyone working with—or aspiring to become—a creator today.Listen to Part 1 with Sarah Adam who directs the B2B influencer marketing team at Wix Studio.   Ben's top 3 tips for content creators:Prioritize ideas over everythingDon't fuss over the details like hashtags or captionsKeep experimenting with formatsBen's top 3 tips for marketers:Match the content with your product, not just your audience Build great affiliate programs Use creators for unique insights and strategyTimestamps:03:00 – What Ben learned about value and CPM from Twitch and healthcare display ads06:30 – Starting content creation and streaming on Twitch08:45 – Discoverability struggles on Twitch and why TikTok became his growth engine11:00 – How monetization culture differs across Twitch and TikTok14:10 – Creator fatigue and why streaming isn't sustainable for most16:30 – Pivoting to TikTok tutorials: from opinion to practical value20:15 – High vs. low production content and platform fit28:00 – Creator vs. influencer: defining the roles30:00 – Making a living: how brand deals, pricing, and scheduling actually work38:15 – What marketers should understand when working with creators41:30 – Why paid media should back creator content46:00 – Smart strategies for gifting vs. paid partnerships51:00 – Ranking platforms: TikTok, Instagram, YouTube, LinkedIn58:30 – Tailoring content by platform for trust and reach1:05:00 – Top 3 tips for aspiring creators and top 3 tips for marketers working with them-------------------The Ahead of the Game podcast is brought to you by the Digital Marketing Institute and is available on our ⁠⁠⁠⁠⁠⁠website⁠⁠⁠⁠⁠⁠, ⁠⁠⁠⁠⁠⁠Apple Podcasts⁠⁠⁠⁠⁠⁠, ⁠⁠⁠⁠⁠⁠Spotify⁠⁠⁠⁠⁠⁠, and ⁠⁠⁠⁠⁠⁠YouTube⁠⁠⁠⁠⁠⁠.Check out the DMI's extensive digital marketing library of ebooks, toolkits, webinars, guides, templates, and more! ⁠⁠⁠⁠⁠⁠Join for free today⁠⁠⁠⁠⁠⁠.If you enjoyed this episode, please leave a review so others can find us!

In this podcast we cover: What is a baseline in CPM? What is a baseline strategy in Takt? If you like the Elevate Construction podcast, please subscribe for free and you'll never miss an episode.  And if you really like the Elevate Construction podcast, I'd appreciate you telling a friend (Maybe even two

MOAT Method reference episode link Want to get on the Sunday Hustle segment? Visit www.biggerpockets.com/hustle! Podcasting can expand your horizons and grow your skills while potentially providing a steady income stream—but it requires dedication and effort to stand out in a crowded market. So, how do you get your podcast to go from a mere passion project to a lucrative side hustle? Aaron Mann is here to share his seasoned insights on making podcasting work for you, drawing on experience from small to large podcast networks. In this show, listeners will learn how to effectively start and grow a podcast by understanding the key resources needed, the time commitment involved, and the methods to stand out in a saturated industry. Everything from the basic equipment and software to using social media platforms creatively to promote and monetize your podcast. Love the idea of connecting through shared interests and making some money while at it? This episode breaks it all down. Prepare for some bonus insights as our host teases additional tips on leveraging social media creatively and exploring different ad strategies that could serve as catalysts for turning your podcast into more than just a hobby. Whether it's keeping up with the latest tools or engaging with niche communities, the benefits you'll uncover from this episode might just revolutionize your side hustle approach. In This Episode We Cover Aaron's broad experience in podcasting, from small to large scale networks Why content is king and how to ensure you have enough to sustain your podcast Platforms like Buzz Sprout, Podbean, and Captivate.fm for hosting your podcast Tools for quality recording and remote guest interviews Significant role of social media platforms like TikTok, Reddit, and Facebook Comparing baked-in ads and DAI ads The shift from flat rate to CPM for different income sources And so much more! Learn more about your ad choices. Visit megaphone.fm/adchoices

Subscribe to DTC Newsletter - https://dtcnews.link/signupIn this episode of the DTC Podcast, host Eric Dyck welcomes Avery from Ad-venturous and Taylor Cain from Pilothouse to break down key takeaways from Mother's Day campaigns and how they inform Q4 preparedness.

The most efficient frequency for TV advertising is just one impression. As controversial as that sounds, the data is clear. You need at least 2X more conversion likelihood from a second viewing to justify its cost.This week, Elena, Angela, and Rob are joined by Jordan Rossler, VP of Media Analytics, to explore why cost is the principal determinant of TV's ROI. They examine the controversial "Everything Works at Zero" principle, where any effective media becomes dramatically more efficient when you lower its cost. The team breaks down why CPM is king and how to evaluate if cheap media is still high quality.Topics covered: [01:00] The "Everything Works at Zero" principle explained[05:45] How TV pricing differs between linear and streaming[12:00] Why frequency of one is the most efficient level for TV[14:00] Creating ads that stand alone regardless of frequency[16:30] The hidden costs of targeting in TV advertising[19:00] Using ACR data to prove cost-efficient buys outperform premium ones[23:45] Debunking myths about targeting effectiveness To learn more, visit marketingarchitects.com/podcast or subscribe to our newsletter at marketingarchitects.com/newsletter.  Resources:  Reach, Revenue & ROI: The 3 Principles for Effective Advertising Report: https://www.marketingarchitects.com/blog/report-three-principles-for-effective-tv-advertising Get more research-backed marketing strategies by subscribing to The Marketing Architects on Apple Podcasts, Spotify, or wherever you listen to podcasts. 

Testing is over? What do YOU do to fill the last few days of school? We're watching eaglets!The natural world offers endless fascination when we take time to observe it closely. This week, Joel and Misty share their current obsession with tracking the Big Bear Valley bald eagles through a live nest cam, discovering the remarkable process of how eaglets prepare for their first flight.Starting with reflections on National Sunscreen Day, the hosts exchange memorable sunburn stories from childhood Disney trips to first date disasters, highlighting our evolving understanding of sun protection. What was once baby oil and reflectors has thankfully given way to proper UV protection, especially important for preserving tattoo art and preventing skin cancer.The conversation shifts to the eaglets Gizmo and Sunny, whom Joel and Misty have watched transform from helpless gray fuzzy blobs to magnificent juveniles with impressive wingspans. Contrary to what many might assume, eagles don't simply jump off the nest and instinctively know how to fly. The hosts describe watching the eaglets practice by stretching their wings, performing vigorous flapping exercises while holding onto nest materials, and, perhaps, observing other birds in flight - all preparations for that momentous first flight that could happen any day now.This eagle-watching journey sparked fascinating discussions about avian development, personal eagle encounters across the country, and lesser-known eagle facts (did you know female bald eagles are larger than males, and that these majestic birds make surprisingly squeaky calls?). The hosts share stories of magical eagle sightings from Minnesota to Kansas, reflecting on how eagle populations have made an impressive comeback in recent decades.Want to join the eagle-watching community? Check the link HERE to access the Big Bear Valley eagle cam and witness this remarkable natural phenomenon for yourself. And don't forget to tune in on June 10th for our National Iced Tea Day episode, where we'll explore the history and preparation of this refreshing summer beverage!Send Joel and Misty a message!The More Math for More People Podcast is produced by CPM Educational Program. Learn more at CPM.orgX: @cpmmathFacebook: CPMEducationalProgramEmail: cpmpodcast@cpm.org

In this episode, host Andy Smetana recaps the major announcements and innovations from OneStream's Splash 2025 conference in Nashville. From the debut of Sensible AI to hands-on tools like AI Forecasting, AI Studio, and Smart Agents, Andy breaks down how OneStream's latest capabilities are helping finance teams move faster, forecast smarter, and ditch the manual grind. Discover real-world success stories, like Endeavor Energy cutting forecast time from 2 days to 10 minutes—without a single data scientist. Whether you're already using OneStream or exploring your next CPM solution, this episode will give you a clear picture of what's now and what's next. https://www.novaadvisory.com/podcast  

Croom Precision Medical has selected Renishaw as its partner for additive manufacturing (AM) and metrology. It will use Renishaw technology throughout the production and validation of its ISO: 13485 certified medical devices. The company has found that using Renishaw's AM technology enables them to incorporate complex features into their implant designs at a commercially viable cost. They also note that Renishaw's integrated AM software, combined with its metrology solutions, helps them maintain traceability throughout their manufacturing process, which is vital in a heavily regulated environment. Background Croom Precision Medical (CPM) is at the forefront of Ireland's thriving medical device industry. Established in 1984, CPM has supplied Class I, II, and III medical devices to the orthopaedic market for over 35 years. Since these devices ultimately impact people's lives, it is crucial to implement rigorous quality procedures to ensure their safety and effectiveness during and after implantation. “We strive to achieve consistency and reliability in our manufactured products. CPM envisions becoming a centre of excellence for additive manufacturing in Ireland,” explains Patrick Byrnes, Research and Development Manager at CPM. CPM operates an integrated management system (IMS) that encompasses ISO: 9001, ISO: 13485, and ISO: 14001 accreditation. To demonstrate compliance with these standards, CPM must ensure transparency and traceability at every stage of the manufacturing process. Medical implant designs are rapidly advancing. Manufacturers are increasingly integrating novel and complex structures into these designs to enhance performance and longevity. However, creating such structures with traditional manufacturing techniques can be challenging and may not always be economically feasible. To evaluate the quality of parts, CPM conducts a series of offline tests to assess the implants' chemical, mechanical, and morphological properties. While these tests are essential for measuring the mechanical and chemical consistency of the implants, they can be time-consuming and can raise the overall cost per part. CPM's goal is to transform production so that more monitoring occurs during manufacturing. “We're looking for a red or green light, indicating whether the part is good or bad. Currently, we perform extensive offline testing, aiming to minimise it to reduce our cost of goods. We have made substantial progress in that direction over the past couple of years; there's still some work to be done, but we believe we are ahead of many of our competitors in the area of in-process monitoring,” Byrnes noted. Solution Emerging from the aerospace sector, Renishaw has a proven history of providing solutions that enhance manufacturing efficiency and part safety in highly regulated environments. CPM is applying Renishaw's technology in the medical sector for the same purpose. CPM has invested in a RenAM 500M additive manufacturing system, which it uses to 3D print medical devices in titanium. Renishaw's AM technology can create complex structures in a single manufacturing operation. For instance, CPM has begun to evaluate the use of gyroid lattices on acetabular cups, a design feature that was previously not economically feasible before their investment in AM. The resulting implants have undergone rigorous quality testing, and CPM reports notably good density and Young's Modulus values. In addition to the advanced manufacturing capabilities of AM, Byrnes emphasises that inline process monitoring is what truly sets apart Renishaw's technology and provides CPM with a competitive advantage: “The Renishaw software equips us with all the necessary information to ensure the quality of our parts, from build reports to post-processing, enabling us to trace our parts from beginning to end.” To promote quality and consistency, CPM has also selected Renishaw as its partner for precision metrology equipment, employing Renishaw technology at various stages of their testing and part validation. The team has long recognised Renishaw's reputation for producing reliable, robust metrology equipment: “When you visit multinational companies and see all the Renishaw products on the shop floor, they have a reputation for being repeatable, reliable, and capable of consistently operating in harsh environments,” commented Byrnes. CPM exemplifies how Renishaw can provide a comprehensive solution with technology that supports the manufacturing of technically ambitious parts and quality verification. Results CPM reports an increased market share, directly attributed to its investment in AM technology. “We have captured new market share in international markets, specifically in East Asia and North America, which were previously unattainable for us. Only in the last two years have these markets become accessible. We chose Renishaw as a development partner, not just as a supplier, envisioning the next few years as a strategic partnership to grow our additive manufacturing base here in Ireland.” Healthcare stands out as one of the leading industries for AM development. Although significant progress has already been made, ample room for growth still exists. CPM views Renishaw as a strategic partner in advancing AM technology. Byrnes adds, “Approaching AM for us has been a journey; it's an entirely different way of thinking. It's a more laboratory-like environment, a more cognitive approach to the process as opposed to conventional engineering.” In the coming years, CPM will continue to leverage the knowledge gained from its rigorous development programs and collaborate closely with customers and regulatory bodies to advance additive manufacturing technology and support enhancements in healthcare.

He Makes $7,000/Day with Faceless YouTube Channels (Here's How)On episode 94 of The Side Hustle Experiment Podcast  John (https://www.instagram.com/sidehustleexperiment/) and Drew  (https://www.instagram.com/realdrewd/)  we talk with Jake Rader (https://x.com/jakeradercpa).Jake is a CPA, entrepreneur, and digital media expert who's making $2K–$7K+ per day with faceless YouTube channels.Jake breaks down exactly how faceless YouTube works, how he built a portfolio of 14+ channels, and why it beats Amazon, dropshipping, and even KDP in terms of margins and risk.Whether you're brand new or an Amazon seller looking to pivot, this episode covers:✅ How to start a faceless YouTube channel from scratch✅ What niches are working right now✅ The team structure behind a 6-figure faceless YouTube business✅ Why YouTube is better than Amazon for long-term income✅ How much Jake pays for scripts, thumbnails, editing, and VO✅ Buying vs. building YouTube channels✅ How he made $400K investments into YouTube cash cows✅ CPM vs RPM explained✅ Red flags to avoid when buying a YouTube channel✅ His long-term goal to sell to private equityChapters00:00 Introduction to Faceless YouTube Channels03:02 The Process of Creating Faceless YouTube Channels06:07 Monetization Strategies and Revenue Insights08:59 Comparing YouTube to Other Business Models11:57 The Learning Curve and Key Success Factors15:04 Productivity and Mindset in Business17:53 Navigating Risks in Online Business Models20:47 The Role of Coaching and Community in Success38:11 Valuing YouTube Channels40:01 Monetization and Cash Flow Management41:59 Team Dynamics in Channel Acquisition42:34 Navigating Risks and Scams in Channel Purchases44:14 Financial Transactions in Channel Deals46:33 Successes and Challenges in Channel Performance48:08 Skills and Ideation in Content Creation50:01 Exploring Niche Markets on YouTube52:51 The Evolution of Content Consumption55:40 The Future of YouTube vs Traditional Media57:39 Personal Branding and Networking01:01:06 YouTube Growth Strategies and Analytics01:07:59 Content Relevance and Audience Engagement01:10:46 Comparing KDP and YouTube as Business Models#amazonfba #amazonfbatips #sidehustleexperimentpodcast Follow us on Instagram: https://www.instagram.com/sidehustleexperimentpodcast/ Listen on your favorite podcast platformYoutube: https://bit.ly/3HHklFOSpotify: https://spoti.fi/48RRKcPApple: https://apple.co/4bmaFOk Check out Drew's StuffInstagram: https://www.instagram.com/realdrewdTwitter: https://twitter.com/DrewFBACheck out John's StuffInstagram: https://www.instagram.com/sidehustleexperiment/Twitter: https://twitter.com/SideHustleExp FREE Resources✅ AVOID Price Tanking with The Tank Test Check List https://bit.ly/44FMt6M✅ 10 Questions to Ask A Prep Center Before Hiring Them: https://bit.ly/3K3HQK4 ✅ How to Make your first $500 Reselling: https://bit.ly/3UJS47g✅ Get the Discount Calculator: https://bit.ly/4dEhaNN  ✅ The OA Tracking Spreadsheet: https://bit.ly/4bfqupO (the spreadsheet I use to run my Amazon Business)

Logan Forsyth, co-founder of Media Scaling, has redefined how brands approach social media growth through his innovative sub-account strategy. Instead of relying on a single account, Forsyth advocates distributing short-form content across multiple sub-accounts—publishing up to 3,000 posts per month. This dramatically reduces cost per thousand views (CPM) and capitalizes on algorithm-driven discovery, turning organic content into a high-performing alternative to paid ads. It's a high-volume, high-impact approach that's helping brands achieve massive visibility with precision and efficiency. Beyond content distribution, Forsyth emphasizes the importance of structured systems, AI integration, and performance-focused remote teams. Media Scaling's operations are powered by tools like ChatGPT, used across strategy, scripting, operations, and client service. Team members are encouraged to solve problems with AI first, promoting independence and speed. Rather than chasing vanity metrics like follower counts, Forsyth urges creators to focus on content that drives real business outcomes and sustainable growth aligned with their core identity. If you're serious about scaling your brand with intention and innovation, explore the tools, strategies, and insights that Logan Forsyth and Media Scaling use daily. Visit mediascaling.com to subscribe to the Billion Views Secrets and Scaling Edge Newsletter, where you'll get exclusive access to high-performance tactics, AI workflows, and content systems that fuel real results. We're happy you're here! Like the pod?Visit our website!For the accessible version of the podcast, go to our Ziotag gallery.

Welcome to Season 5 of the More Math for More People podcast!!!What if high school mathematics could be truly transformed into something students find engaging, meaningful, and applicable to their lives? In this thought-provoking conversation with mathematics education experts Kris Cunningham and Kristi Martin, we dive deep into the possibilities presented in the NCTM publication "High School Mathematics Reimagined, Revitalized, and Relevant."The discussion opens doors to a reimagined approach to high school mathematics that moves beyond the traditional curriculum model. Both guests highlight the importance of mathematical modeling as a pathway to authentic learning experiences where students tackle complex, multi-variable problems without predetermined solutions. This creates space for creative thinking and problem-solving skills that transcend the classroom.However, transformation doesn't come without challenges. Kristi candidly shares her classroom experiences of struggling to surface the mathematical concepts within engaging modeling activities and the difficulty of finding relevant problems that align with required standards. Kris emphasizes the need for systemic support, including administrative understanding and professional development opportunities that give teachers space to experiment and grow.Perhaps most powerfully, both educators stress the importance of persistence through inevitable frustrations. "If you believe in it and know it's great for students, just keep trying," Kristi encourages, reminding listeners that transformation is a journey rather than a destination. The conversation serves as both inspiration and practical roadmap for anyone interested in creating mathematics education that truly prepares students for their futures rather than simply repeating practices of the past.Send Joel and Misty a message!The More Math for More People Podcast is produced by CPM Educational Program. Learn more at CPM.orgX: @cpmmathFacebook: CPMEducationalProgramEmail: cpmpodcast@cpm.org

Taking an old lady yo court despite having a permit is not good form at all, and their staff are rude and obnoxious to boot.

Bot Auto is redefining the autonomous driving industry with a pragmatic, economics-first approach. With over $45 million in funding, the company is positioning itself as a trucking company that leverages autonomous technology, rather than a technology vendor selling autonomous systems. In a recent episode of Category Visionaries, I spoke with Dr. Xiaodi Hou, CEO of Bot Auto, who shared his decade of experience in autonomous vehicles and his vision for creating a profitable business that delivers transportation capacity more efficiently than human drivers. Topics Discussed: Bot Auto's evolution from deep learning applications to autonomous trucking The strategic advantages of highway trucking over urban autonomous driving Why cost per mile (CPM) provides a better North Star metric than miles per intervention Bot Auto's business model as a trucking company first, technology company second The industry-wide challenge of rebuilding credibility after years of overpromising Projected timeline: 30 trucks by 2026, breakeven with 100 trucks by 2027 Lessons learned from previous ventures in autonomous driving The future impact of autonomous trucking on transportation infrastructure   GTM Lessons For B2B Founders: Position as a service provider, not a technology vendor: Bot Auto deliberately positions itself as a trucking company that happens to use autonomous technology, rather than an autonomous technology vendor. "Transportation itself is a service," Xiaodi explained. "Consider us as a trucking company. We are a trucking company, but in near future we will remove the human driver and then we can operate more efficiently than a traditional trucking company." B2B founders should consider whether selling a service that incorporates their technology might be more viable than selling the technology itself, particularly when customers lack the capabilities to implement complex technologies. Design for seamless ecosystem integration: Rather than requiring new infrastructure or capabilities from customers, Bot Auto designed their offering to plug directly into the existing transportation ecosystem. "The ecosystem for transportation, for trucking is already there. And if we can be a kind of a painless, transparent replacement like equivalent to a human driven truck and supply the capacity to the ecosystem, then the ecosystem is already there. We don't even need to rebuild the ecosystem," Xiaodi noted. B2B founders should design their offerings to integrate with existing workflows and systems rather than requiring customers to build new capabilities around their technology. Choose one definitive metric that drives all decisions: Bot Auto uses cost-per-mile (CPM) as their North Star metric for evaluating all business and technology decisions. "If your cost per mile is too high, no matter how experienced your partner is, or how ambitious you are, or how big your fleet is, if your cost per mile is negative, you will never make money," Xiaodi emphasized. This singular focus creates clarity across the organization. B2B founders should identify a similar "ultimate guideline" that directly ties to profitability and use it to evaluate every investment and initiative. Focus on industry-wide credibility, not competition: Xiaodi strongly rejected the notion that autonomous trucking is a competitive space. "The autonomous driving industry is facing the biggest problem that is shared by everyone. That is the credibility of the whole industry. We collectively have promised too much and we have delivered too little," he explained. Instead of positioning against other startups, Bot Auto focuses on rebuilding trust in the entire category. B2B founders in emerging categories should consider how collective credibility impacts their success more than individual positioning against similar startups. Create internal-external alignment: Bot Auto ensures perfect alignment between their internal goals and external messaging. "If your internal goal is to do something and your external presentation promises something very different, that always creates a clash of the company. Like basically you will be ending up with two companies under one stock symbol. That's very bad," Xiaodi warned. This alignment principle shapes how they communicate with investors and the market. B2B founders should ensure their internal metrics and priorities match what they promise externally, avoiding the trap of optimizing for different outcomes internally versus externally. Use early revenue to discipline innovation: Unlike many deep tech startups with distant revenue horizons, Bot Auto designed their business model to generate revenue relatively quickly. This approach creates what Xiaodi calls a "self-regulation mechanism" that forces practical decisions: "Are you going to increase or decrease the CPM based on your new invention? Sometimes people do develop a flashy technology, but as soon as they realize that they're not going to reduce our cost per mile, then this is bad technology." B2B founders should design business models that generate early revenue to provide market validation and discipline their innovation efforts.   //   Sponsors: Front Lines — We help B2B tech companies launch, manage, and grow podcasts that drive demand, awareness, and thought leadership. www.FrontLines.io The Global Talent Co. — We help tech startups find, vet, hire, pay, and retain amazing marketing talent that costs 50-70% less than the US & Europe.  www.GlobalTalent.co

On this edition of the OneStream Podcast, Chul Smith joins Peter Fugere to discuss the newly released Second Edition of the OneStream Foundation Handbook. They'll discuss how this edition reflects platform updates, along with the ongoing development of the OneStream landscape.

What happens when someone who doesn't identify as a "math person" joins a mathematics education organization? In our milestone 101st episode, Nick Love, CPM's Director of Strategic Communications, shares candid insights about navigating this territory that reveal powerful lessons about creating inclusive learning environments.After spending years in school communications without being a classroom teacher, Nick found himself surrounded by mathematics education experts—an experience he describes as both inspiring and occasionally intimidating. "It's a little bit like hanging out with giants sometimes," he admits. His stories highlight what happens when we create spaces where everyone feels welcome to engage with mathematics, regardless of their background or comfort level.Nick recounts a pivotal professional learning experience where a skilled facilitator simply asked, "What do you need to be successful in this session?" This question transformed his participation from anxiety to meaningful engagement. Rather than being tokenized, he was genuinely included in ways that honored his perspective while stretching his mathematical thinking appropriately. The experience shifted from "I don't belong here" to "I'm in with this group"—a transformation that mirrors what we hope all learners experience in mathematics classrooms.We also explore what Nick calls "the art of the nudge"—a communication approach recognizing that when people don't respond to requests, it's usually because they're overwhelmed with competing priorities rather than disinterest. This gentle persistence creates connection rather than frustration, a valuable perspective for educators working with busy students and colleagues alike.As we launch into our fifth season of the podcast, this conversation reminds us why our mission matters: creating conditions where everyone can engage meaningfully with mathematics expands possibilities for learning and belonging. Subscribe now to join us for more conversations about mathematics education that make a difference.Send Joel and Misty a message!The More Math for More People Podcast is produced by CPM Educational Program. Learn more at CPM.orgX: @cpmmathFacebook: CPMEducationalProgramEmail: cpmpodcast@cpm.org

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Send us a textCPMs are the great equalizer of marketing media. To make great decisions, you need to know how to calculate them and when to use them.In this episode of the Maven Marketing Podcast, Brandon Welch and Caleb Agee break down one of the most misunderstood metrics in all of advertising: CPM, or Cost Per Thousand (impressions). The “M” is from the Latin word “Mille” meaning thousand. Marketers love to talk about targeting and impressions, but without understanding what CPM tells you, you might be overspending without realizing it.Learn how to calculate CPMs accurately, what counts as a good CPM across different platforms, and—most importantly—how to compare medias with each other.You'll learn:The real definition of CPM and how to use itWhy CPMs are crucial in Tomorrow MarketingAverage CPM benchmarks across digital, TV, streaming, and out-of-homeThe danger of random impressions and why repetition winsHow to ask the right questions when buying mediaIf you're running any kind of advertising campaign—this is the marketing math that can make or break your ROI.Subscribe for new episodes every Monday, and email us your marketing questions at MavenMonday@frankandmaven.comFREE MARKETING AUDIT: MavenMarketingAudit.comOur Website: https://frankandmaven.com/Instagram: https://www.instagram.com/frankandmavenmarketing/TikTok: https://www.tiktok.com/@frankandmavenTwitter: https://twitter.com/frankandmavenLinkedIn: https://www.linkedin.com/company/frank-and-maven/Host: Brandon WelchCo-Host: Caleb AgeeExecutive Producer: Carter BreauxAudio/Video Producer: Nate the Camera GuyDo you have a marketing problem you'd like us to help solve? Send it to MavenMonday@FrankandMaven.com!Get a copy of our Best-Selling Book, The Maven Marketer Here: https://a.co/d/1clpm8a

“If your number one goal is to make money from your podcast, then you've already made the wrong decision.”In this episode, I break down one of the biggest myths in podcasting — that it's a quick way to make money.Too many blogs and YouTube videos will tell you to start a podcast as a “side hustle.” But here's the truth: podcasting takes time, effort, and love for the medium. If you're only in it for the money, you're likely to be disappointed.I share why traditional podcast sponsorship isn't realistic for most podcasters, what CPM actually means, and what to do instead, including dynamic ads and treating your podcast as a powerful marketing tool for your business.Key TakeawaysWhy starting a podcast just to make money is the wrong mindsetWhat CPM really means — and why most podcasters won't benefit from itThe real download numbers needed to attract sponsorsHow I use dynamic ads and a strong back catalog to monetizeA client case study: turning a niche podcast into serious business resultsChapters and Timestamps1:00 – Podcasting isn't a side hustle2:45 – What CPM is (and why it fails most podcasters)4:30 – Real download stats you should know6:00 – Why sponsorships rarely pay off8:20 – How I use dynamic ads to monetize11:30 – Client case study: small podcast, big results13:00 – Final thoughts and next stepsSend us a textSave Frustration. And time!Let my team and I save you the time and frustration it takes to edit a podcast. From start to finish, we can help you share your story with the world with minimum fuss and cost. – Niall Mackay, The Podcast GuyAudio Episodes Edited for ONLY $27! Save $127!! Book a call now!

*Content warning: medical trauma and neglect, threat of life, mature and stressful themes, pregnancy and infant loss. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources Moms Advocating For MomsS23 survivors Markeda, Kristen and Amanda have created a nonprofit, Moms Advocating for Moms, in hopes to create a future where maternal well-being is prioritized, disparities are addressed, and every mother has the resources and support she needs to thrive: https://www.momsadvocatingformoms.org/take-actionhttps://linktr.ee/momsadvocatingformoms Please sign the survivors petitions below to improve midwifery education and regulation in Texashttps://www.change.org/p/improve-midwifery-education-and-regulation-in-texas?recruiter=1336781649&recruited_by_id=74bf3b50-fd98-11ee-9e3f-a55a14340b5a&utm_source=share_petition&utm_campaign=share_for_starters_page&utm_medium=copylink Malik's Law https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB4553 M.A.M.A. has helped file a Texas bill called Malik's Law, which is intended to implement requirements for midwives in Texas to report birth outcomes in hopes of improving transparency and data collection in the midwifery field in partnership with Senator Claudia Ordaz. *Sources:American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ ACOG, Fetal Heart Rate Monitoring During Laborhttps://www.acog.org/womens-health/faqs/fetal-heart-rate-monitoring-during-labor Amniotomyhttps://www.ncbi.nlm.nih.gov/books/NBK470167/#:~:text=Amniotomy%2C%20also%20known%20as%20artificial,commonly%20performed%20during%20labor%20management. March of Dimeshttps://www.marchofdimes.org/peristats/about-us National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery North American Registry of Midwives (NARM)https://narm.org/ The Second Trimesterhttps://www.hopkinsmedicine.org/health/wellness-and-prevention/the-second-trimester#:~:text=The%20second%20trimester%20is%20the,grow%20in%20length%20and%20weight. Stages of labor and birthhttps://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/stages-of-labor/art-20046545 State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ What to Know About Cervical Dilationhttps://www.healthline.com/health/pregnancy/cervix-dilation-chart Zucker School of Medicine, Amos Grunebaum, MDhttps://faculty.medicine.hofstra.edu/13732-amos-grunebaum/publications *SWW S23 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:On SpotifyOn Apple Musichttps://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookiebooThe Webby Awards (2025)Exciting news! Something Was Wrong is nominated for Best Crime & Justice Podcast at the 2025 Webby Awards. We'd love and appreciate your support—cast your vote today!https://vote.webbyawards.com/PublicVoting#/2025/podcasts/shows/crime-justice*Please note: the first airing of this episode stated that Rachel was a CNM, she is a CPM and LM so we corrected this error within an hour of release. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In 2018, Amanda Chandler became the first licenced black Certified Professional Midwife in the state of Indiana, and in 2020 the first in Kentucky. Amanda is a trailblazer, nature lover, and birth geek extraordinaire. In this episode we talk about how closing rural hospitals' OB units impacts her work as a community midwife, her path to midwifery, career trajectory, challenging state policies, and so much more. I could think of no better way to celebrate Black Maternal Health Week than celebrating with the brilliant Amanda Chandler CPM. 

Following Episode 4 on Propaganda, we take aim at a crucial evangelical pillar: patriarchy. Patriarchy designed specifically around religious convictions to ultimately control the bodies of women and children. It’s also a tool to support authoritarian leadership explaining the rationale behind why evangelicals overwhelmingly support authoritarian governments: it’s what they practice in their own churches. Episode 5 welcomes three exciting guests. Cait West, author of Rift, opens our conversation by sharing her story growing up in the Christian Patriarchy Movement. CPM has developed an enterprise that pulls in billions of dollars in revenue from their materials overtly supporting the values of Christian patriarchy. Cait shares her journey escaping what she would ultimately describe as a cult, but in reality looks like a lot of conservative churches out there. How to attune to your bodies and trust your intuition are two important attributes for folks still stuck in the clutches of malformed churches. Liz Cooledge Jenkins is my second guest. She is the author of Nice Churchy Patriarchy. We discuss how evangelical churches hide their patriarchy; how they might look ‘cool’ on the outside, but in fact operate with the same tools of patriarchy behind the veil. Finally, DL Mayfield returns from Episode 4 to conclude a conversation about patriarchy and the intersections of white supremacy with eugenics. “There is no finish line to healing even though we want to be in a place where you’re perfectly happy. And there is a lot of resources now to minimize symptoms and heal from it. What worked for me was trauma therapy, which is different than talk therapy….” Cait West “[In patriarchy] there’s encouragement to not trust your gut, and encouragement not to talk to other women about unequal power structures.” Liz Jenkins “America has this horrific history of white supremacist patriarchal aims including in the realm of eugenics.” D.L. Mayfield Episode 5 – Chapters (00:00) – Introduction (04:40) – Introducing Cait West (09:20) – The size of Christian Patriarchy Movement including Goddard, IBL, Vision Form…. (12:20) – How to notice all that ain’t right in churches that love patriarchy. (18:00) – Pathways of healing from religious patriarchy. (30:00) – Introducing Liz Jenkins (32:00) – Chatting about patriarchy that’s not so ‘in your face’. (36:30) – Culture problems in parachurch and socialization. (40:20) – Returning to a conversation with DL Mayfield. (42:00) – DL on eugenics. (46:00) – DL Mayfield teasing out aspects of liberation from malformed intersections of patriarchy. (54:30) – Outro Featuring your host, Rohadi (from Rohadi.com). Rohadi’s books can be found here, including his latest publication, When We Belong. Reclaiming Christianity on the Margins. Special guests in Episode 5: Cait West – Author of Rift. A Memoir of Breaking Away from Christian Patriarchy Cait West lives in Grand Rapids, Michigan. Her work has been published in The Revealer, Religion Dispatches, Fourth Genre, and Hawaii Pacific Review, among others. As an advocate and a survivor of the Christian patriarchy movement, she serves on the editorial board for Tears of Eden, a nonprofit providing resources for survivors of spiritual abuse, and cohosts the podcast Survivors Discuss. Find out more. Substack | Instagram | TikTok Liz Jenkins – Author of Nice Churchy Patriarchy. If you’d like to read more, check out her now-occasional blog, her Substack, and/or her book Nice Churchy Patriarchy. Find Liz via Instagram: @lizcoolj and @postevangelicalprayers. Author/Podcaster – D.L. Mayfield D.L. Mayfield (they/them) is a podcaster and author. After a decade of writing for Christian spaces, they now write primarily about issues of neurodivergence and healing from high-control religion. D.L. and their partner Krispin Mayfield are currently working on a multimedia publishing project entitled STRONGWILLED, which is available on Substack. You can read along here. Bumper music by Daniel Wheat.

Hoje o Futeboteco recebe o vocalista do CPM 22, Badauí, para o episódio 218 do podcast Tomando Uma.REDES SOCIAIS:Instagram:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/futebotecotv/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Twitter:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://twitter.com/FutebotecoTV⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/futebotecotv⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠TikTok:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.tiktok.com/@futebotecotv?⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Kwai:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.kwai.com/@futebotecoTV⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠------------------------------------------------------------APRESENTADORES:Rodolfo Gomes⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/rodox_gomes⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Felipe Oliveira⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/felipe_futeboteco⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠DIREÇÃO:Lucas Henrique⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/heylucao_⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠PRODUÇÃO:João Rodrigues⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/joaor_r⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

In this episode, David Meit, CPM® and ARM®, Principal of Oculus Realty, talks to us about serving as an expert witness in property management. Find knowledge for the dynamic world of real estate management at irem.org.

First, it's National Rubber Eraser Day! So get your Pink Pearls out and celebrate!!Then, we continue our conversation with Dr. Nicole Joseph of Vanderbilt University about the mathematical experiences of Black girls, revealing how they navigate spaces where they face unique challenges at the intersection of race and gender. Her research shows that Black girls are disproportionately affected by school disciplinary policies while simultaneously battling stereotypes about who belongs in mathematics.Joseph's Black Feminist Math Pedagogies framework offers a revolutionary approach to mathematics education that honors both academic rigor and social connection. She challenges traditional notions of what "serious" math learning looks like, showing how Black girls thrive in environments that allow for laughter, collaboration, and relationship-building alongside challenging problem-solving. This transformative approach requires teachers to create classroom communities where critical conversations about justice and equity can flourish.One message resonates clearly: curriculum alone cannot address educational inequities. Creating truly inclusive mathematics classrooms requires teachers who understand the complexities of students' identities and design learning environments where all students feel they belong. Academy of Best Practices is happening in San Diego, CA on Aug 4-8! Find applications for the Academy for New Teachers and Veteran CPM Teachers HERE! Deadline is May 10.Send Joel and Misty a message!The More Math for More People Podcast is produced by CPM Educational Program. Learn more at CPM.orgX: @cpmmathFacebook: CPMEducationalProgramEmail: cpmpodcast@cpm.org

In this special bonus episode of From the Front Lines, IREM's Senior Director of Government Affairs, Ted Thurn, talks to Toni Harris, CPM® and ARM®, about advancements made in fair housing, its challenges, and what members can do to support fair housing. Toni Harris serves on the IREM Board of Directors and is the Founder and CEO of K.A.T. Professional Development Services and SVP of Business Development with Riparian Capital Partners. Find knowledge for the dynamic world of real estate management at irem.org.

First, we launch into Mathematics and Statistics Awareness Month. But we don't need to tell YOU how important this is!!Then we have part one of a conversation with Dr. Nicole Joseph of Vanderbilt University. Dr. Nicole Joseph takes us on a profound journey into the heart of mathematics education, revealing how identity shapes learning experiences, particularly for Black girls. Drawing from her personal story of being moved to an honors math class after her mother confronted a teacher who repeatedly overlooked her raised hand, Joseph illuminates how pivotal classroom moments can transform a student's relationship with mathematics forever.The conversation dives deep into mathematics identity – that powerful construct encompassing both how we perceive ourselves as math learners and how others perceive us. Joseph explains how a teacher's belief in a student's potential can completely reshape their mathematical self-concept, while negative experiences can cement a lifelong belief of "not being a math person" despite successfully using math in everyday life.Most compellingly, Joseph unpacks the structural barriers that contribute to Black girls' underrepresentation in mathematics. From the patriarchal culture of mathematics departments lined with portraits of white male mathematicians to the misinterpretation of Black girls' classroom behaviors like question-asking as weakness rather than engagement, these barriers systematically exclude talented students from advanced mathematical opportunities.Her research on adultification bias reveals how Black girls are often held to adult standards while being denied the developmental understanding afforded to their white peers, creating additional obstacles to mathematics achievement. This conversation challenges listeners to reconsider how implicit biases manifest in classroom interactions and how we might create more inclusive mathematical spaces.Continue the conversation and connect with Dr. Joseph:Thread and Instagram: @nicolemjoseph3Facebook: nicolemichellejosephSend Joel and Misty a message!The More Math for More People Podcast is produced by CPM Educational Program. Learn more at CPM.orgX: @cpmmathFacebook: CPMEducationalProgramEmail: cpmpodcast@cpm.org

Josh Sebo (COO of OfferVault), Adam Young (CEO of Ringba), industry legend Harrison Gevirtz and special guest Roman Karpov (Business Development Manager at HilltopAds) discuss:- AI Dating Offers (Pros & Cons)- How to promote AI Dating offers- Psychology behind people that are using AI Dating services- CPM vs. CPC vs. CPA- RTB- Different Ad Formats and which ones work bestFollow Us:OfferVault:WEBSITE: https://www.offervault.com/FACEBOOK: https://www.facebook.com/offervaultINSTAGRAM: https://www.instagram.com/offervaultmarketing/TWITTER: https://www.twitter.com/offervaultLINKEDIN: https://www.linkedin.com/company/offer-vault/Adam Young: RINGBA: https://www.ringba.comRINGBA's INNER CIRCLE: https://try.ringba.com/inner-circle/FACEBOOK: https://www.facebook.com/ringbaINSTAGRAM: https://www.instagram.com/adamyoung/TWITTER: https://www.twitter.com/arbitrageLINKEDIN: https://www.linkedin.com/in/capitalistHarrison Gevirtz:INSTAGRAM: https://www.instagram.com/affiliate/LINKEDIN: https://www.linkedin.com/in/harrisongevirtz/Roman Karpov:HILLTOPADS: https://hilltopads.com/INSTAGRAM: https://www.instagram.com/hilltop.ads.network/

In this insightful episode of Hoots on the Ground with No Bullshido, Adam Hoots is joined by Hal Macomber, a respected leader, coach, and influential figure in the field of Lean Construction. Hal shares over 35 years of experience pioneering Lean practices, offering profound insights into continuous flow construction, human-centered leadership, and the power of engaging frontline workers. Hal reflects on the industry's progress, emphasizing that while Lean has made significant strides, substantial work remains to integrate its core principles universally. He introduces the concept of "Continuous Flow Construction," explaining the critical importance of designing projects with a clear operational rhythm or "Takt," thereby dramatically improving efficiency and reducing project duration. Key insights from this episode include: How continuous flow construction, designed around Takt time, can revolutionize project delivery by dramatically reducing cycle times, sometimes from weeks to mere hours. The essential role of operational science, including Little's Law, the Law of Bottlenecks, the Law of Variation, and Kingman's Formula, in enhancing production planning and control. The true meaning of "Kaizen," emphasizing personal and collective growth through continuous learning and improvement, extends beyond simply eliminating waste. The critical need to equip trade workers, whom Hal respectfully refers to as "performers," with the skills, mindset, and agency to execute Lean principles in the field effectively. The limitations of traditional scheduling methods (e.g., CPM) necessitate the adoption of collaborative, inclusive scheduling practices that fully integrate Lean methodologies. Hal highlights the transformational power of true worker agency and engagement, urging leaders to foster environments where frontline workers actively contribute to problem-solving and continuous improvement. He challenges conventional wisdom by asserting that push methods are never beneficial, advocating instead for a system based entirely on pull and flow. Through stories and practical advice, Hal and Adam encourage listeners to shift from rigid, hierarchical structures toward empathetic, human-centered approaches that harness the full potential of every team member. This episode is a crucial listen for construction leaders, Lean practitioners, and anyone passionate about driving deep, sustainable improvement through genuine human engagement and systemic thinking. NOTABLE EPISODE QUOTES: “Continuous flow construction isn't just about efficiency; it's about human engagement and empowerment.” – Hal Macomber “Real Kaizen is using every opportunity to grow ourselves, not just the system.” – Hal Macomber “Don't just respect people—respect human nature.” – Hal Macomber   ABOUT HOOTS ON THE GROUND PODCAST:The Lean Builder's absolutely, positively NO Bullshido podcast. Join host Adam Hoots and his guests as they dig deep into topics that matter most to those in the field. With stories from the trenches, lessons learned, and plenty of laughter, this podcast is for the men and women doing the hands-on work of construction. RESOURCE LINKS MENTIONED IN THIS EPISODE: ·        The Lean Builder | Blog, book, resources, news, and events. ·        Toyota Kata | Methodology for systematic continuous improvement. ·        Little's Law, Law of Variation, Law of Bottlenecks, and Kingman's Formula (overview of all laws) | Operational science fundamentals. GUESTS FEATURED IN THIS EPISODE: ·        Adam Hoots | LinkedIn  | Podcast host, Lean Construction Shepherd at ConstructionACHEsolutions. ·        Hal Macomber | LinkedIn  | Lean construction pioneer, influential Lean coach, and mentor.

In this recast episode of the Birth Lounge Podcast, host HeHe and certified professional midwife Melissa Chapel dive into candid discussions about pregnancy, labor, and postpartum. The podcast offers a wealth of evidence-based information, understanding the importance of feeling pressure during labor, and recognizing the difference between intermittent and constant rectal or vaginal pressure. Melissa also addresses the controversial practice of being asked not to push if a doctor isn't present. Both emphasize the significance of mental and emotional preparedness in labor. The episode concludes with insights into laboring down, resting stages during labor, and navigating hospital protocols. This episode is a must-listen for expecting parents, laboring mothers, and professionals supporting childbirth. 01:23 Free Class: Avoiding C-Sections and Reducing Tearing 03:10 Part Two: Interview with Midwife Melissa Chapel 03:33 Understanding the Urge to Push 10:00 Navigating Hospital Birth Challenges 20:30 Understanding Cervical Dilation 21:15 Factors Affecting Cervical Changes 23:22 The Role of Fear in Labor 26:21 Mental and Emotional Barriers 27:34 The Importance of Acceptance in Birth 31:25 Laboring Down: Rest and Be Thankful 35:24 Navigating Hospital Births 38:03 Resources and Support for Birth 40:32 Conclusion and Final Thoughts Guest Bio: Melissa Chappell, LDEM, CPM is a midwife and owner of two birth centers in Utah, as well as a doula trainer of over 20 years. She is passionate about women's health from a holistic and nourishing perspective, and advocates for women's wellness in all areas of their lives. She has worked with midwives and birthing women all over the world, including in Haiti, Ethiopia, and Kenya, and loves seeing how women's lives improve with access to safe and effective midwifery care. She's the owner of Fresh Melissa, a company dedicated to creating tasty treats that are also healthy. She is the mother of 4 children and 3 grandchildren that she adores. In between catching babies, Melissa loves to explore as much of the world as she can – from international travel to exploring the mountains in her backyard. SOCIAL MEDIA: Connect with HeHe on IG  Connect with HeHe on YouTube   Connect with Melissa on IG    BIRTH EDUCATION: Get HeHe's Free Class to Avoid C-Section   Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone!   LINKS MENTIONED: Connect with Melissa here!   

In this episode of CPM Customer Success, host Andy Sana welcomes back Dave Collins, Director of Solutions Consulting at OneStream Software, for a deep-dive discussion into one of the most common comparisons finance teams are making today: OneStream vs. Anaplan. Dave breaks down the core differences between modular “connected planning” tools like Anaplan and OneStream's unified, extensible CPM platform. They explore: • The scalability limitations of cube-based models • How OneStream eliminates technical debt through unification • Real-world examples of organizations transitioning from Anaplan to OneStream • Integration and data quality strategies that actually work • Why AI, automation, and built-in financial intelligence are reshaping performance management Whether you're an FP&A leader, IT stakeholder, or evaluating CPM solutions across your organization, this episode offers strategic insight to help you make a smarter, future-ready decision.

Jeffrey Specter, with his extensive experience in radio and digital entrepreneurship, has played a pivotal role in transforming how content creators approach monetization. As the digital content landscape evolves, he has observed a significant shift from broad, mass-market audiences ("oceans") to niche, targeted audiences ("ponds"). This shift has driven the need for new monetization strategies that allow creators to generate revenue without relying on large audiences or traditional ad models like CPM, which often fail to benefit smaller creators. To address these challenges, Specter introduced CodeADX, an innovative commission-based platform that enables content creators to earn a percentage of sales they generate, rather than being dependent on audience size. This approach allows creators to choose brands that align with their niche and values, promoting products in ways that resonate with their specific audience. CodeADX's integration with platforms like Shopify makes it easier for creators to track and manage sales, offering a more flexible and effective monetization model compared to traditional advertising. For content creators looking to explore new ways to monetize their work and unlock their full earning potential, CodeADX provides the tools and resources needed for success. Visit CodeADX to learn more about how the platform can help you start earning commissions from the sales you generate, while maintaining complete control over your brand partnerships. We're happy you're here! Like the pod? Visit our website! Start your trial on Simplified. Schedule a consult, get on the mailing list, and learn more about my favorite tools and programs via https://www.yourbrandamplified.com

Last week, the Chicago Sun-Times lost 20% of its workforce, as public media faces funding threats from Washington. So what's ahead for one of the largest non-profit media companies in the country? Reset sits down with Melissa Bell, CEO of Chicago Public Media, to learn how this will affect what readers and listeners can expect from CPM's newsrooms. For a full archive of Reset interviews, head over to wbez.org/reset.

Autonomous trucking has long promised a more efficient, scalable future for freight. But making it real requires more than bold ideas—it takes precision, discipline, and a deep understanding of operations.In this episode of Building Better, Brandon Bartneck talks with Dr. Xiaodi Hou, founder and CEO of Bot Auto. They explore how Bot Auto is approaching Level 4 autonomous driving, the importance of cost per mile as a success metric, and what it means to build a lean, high-performing team in a complex industry.Xiaodi shares how his leadership style has evolved, why collaboration is more powerful than competition, and why being realistic—and still optimistic—matters more than hype.About Building Better:Building Better with Brandon Bartneck focuses on the people, products, and companies creating a better tomorrow, often in the transportation and manufacturing sectors. Previously called the Future of Mobility podcast, the show features real, human conversations exploring what leaders and innovators are doing, why and how they're doing it, and what we can learn from their experiences. Topics include manufacturing, production, assembly, autonomous driving, electric vehicles, hydrogen and fuel cells, leadership, and more.About Bot Auto:Bot Auto is a Level 4 autonomous trucking company offering Transportation as a Service (TaaS) through its AI-driven autonomous truck fleet. Founded by Dr. Xiaodi Hou, Bot Auto combines visionary leadership, top-tier engineering talent, and industry expertise to revolutionize the transportation industry. Headquartered in Houston, Texas, the company aims to create lasting impact by expanding transportation capacity, integrating with existing freight networks, and addressing the driver shortage while minimizing disruption.About Xiaodi Hou:Dr. Xiaodi Hou is the Founder and CEO of Bot Auto, and an internationally recognized expert in autonomous vehicles, artificial intelligence, machine learning, and computer vision. He holds a Ph.D. in Computation and Neural Systems from Caltech and a Bachelor's in Computer Science from Shanghai Jiao Tong University. Before founding Bot Auto, he co-founded TuSimple and served as CTO and CEO. His work has been featured in Wired, Forbes, and TechCrunch, and he has spoken at events such as Web Summit and Nvidia's GTC.Key Takeaways:Bot Auto is building for long-term success in autonomous trucking, not short-term hypeCost per mile (CPM) is a better metric than miles per intervention (MPI)Operational execution is critical for scalable autonomyThe tech ecosystem is maturing, but real-world integration still requires nuanceA small, agile team with deep focus can outperform a larger oneIndustry collaboration builds trust and accelerates progressPublic perception and trust are just as important as technical progressChapters:Introduction to Bot Auto and Autonomous TruckingThe Vision Behind Bot AutoUnderstanding the Ecosystem and TechnologyOperational Challenges in Autonomous DrivingOrganizational Structure and Team DynamicsCost Per Mile vs. Miles Per InterventionLeadership Evolution and Industry PerspectiveThe Future of Autonomous DrivingLinks & Resources:Learn more about BOT Auto: Company WebsiteConnect with Xiaodi Hou: LinkedInShow Notes: brandonbartneck.com/buildingbetter/xiaodihouConnect with Building Better:Apple PodcastsSpotifyGoogle Podcasts

An airhacks.fm conversation with Volker Simonis (@volker_simonis) about: early computing experiences with Schneider CPC (Amstrad in UK) with Z80 CPU, CP/M operating system as an add-on that provided a real file system, programming in Basic and Turbo Pascal on early computers, discussion about gaming versus programming interests, using a 9-pin needle printer for school work, programming on pocket computers with BASIC in school, memories of Digital Research's CP/M and DR-DOS competing with MS-DOS, HiMEM memory management in early operating systems, programming in Logo language with turtle graphics and fractals, fascination with Lindenmayer systems (L-systems) for simulating biological growth patterns, interest in biology and carnivorous plants, transition to PCs with floppy disk drives, using SGI Iris workstations at university with IRIX operating system, early experiences with Linux installed from floppy disks, challenges of configuring X Window System, programming graphics on interlaced monitors, early work with HP using Tickle/Tk and python around 1993, first experiences with Java around version 0.8/0.9, attraction to Java's platform-independent networking and graphics capabilities, using Blackdown Java for Linux created by Johan Vos, freelance work creating Java applets for accessing databases of technical standards, PhD work creating software for analyzing parallel text corpora in multiple languages, developing internationalization and XML capabilities in Java Swing applications, career at Sun Microsystems porting MaxDB to Solaris, transition to SAP to work on JVM development, Adabas and MaxDB, reflections on ABAP programming language at SAP and its database-centric nature Volker Simonis on twitter: @volker_simonis

In this recasted episode of The Birth Lounge podcast, host HeHe welcomes midwife Melissa Chapel to discuss critical topics for expecting parents. They dive into the intricacies of cervical checks, including when they are necessary and how to navigate them in hospital settings. Melissa shares her extensive experience, emphasizing the importance of educated and informed decisions, advocating for oneself, and recognizing the difference between early and intense pushing urges. HeHe emphasizes that birth is an intuitive process and encourages listeners to trust their bodies. Various strategies for maintaining confidence and reducing fears in labor are discussed, ensuring an empowered birth experience.  01:24 Free Class to Avoid C-Section 03:10 Introducing Melissa Chapel: Midwife Extraordinaire 03:50 Navigating Late Labor and Pushing 04:28 Melissa's Journey and Day-to-Day Life 07:03 The Role of Cervical Exams in Labor 12:41 Advocating for Your Birth Preferences in the Hospital 19:03 Empowering Women's Instincts 20:04 Navigating Cervical Exams 20:55 Understanding Labor Progression 24:48 The 5-1-1 Rule and Hospital Transition 29:19 Early Urge to Push: What to Do 34:54 Conclusion and Final Thoughts Melissa Chappell, LDEM, CPM is a midwife and owner of two birth centers in Utah, as well as a doula trainer of over 20 years. She is passionate about women's health from a holistic and nourishing perspective, and advocates for women's wellness in all areas of their lives. She has worked with midwives and birthing women all over the world, including in Haiti, Ethiopia, and Kenya, and loves seeing how women's lives improve with access to safe and effective midwifery care. She's the owner of Fresh Melissa, a company dedicated to creating tasty treats that are also healthy. She is the mother of 4 children and 3 grandchildren that she adores. In between catching babies, Melissa loves to explore as much of the world as she can – from international travel to exploring the mountains in her backyard.   INSTAGRAM: Connect with HeHe on IG  Connect with Melissa on IG    BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone!   Connect with Melissa here!   

Is your finance team stuck in spreadsheets, waiting for an ERP upgrade to improve reporting and forecasting? You might be putting the cart before the horse. In this episode of the CPM Customer Success Podcast, host Andy Smetana of Nova Advisory dives into the critical question: Should you implement CPM (Corporate Performance Management) or ERP first? Many companies assume ERP is the backbone of their business, but finance leaders know that transactions alone don't drive insights. Andy shares why leading with CPM, powered by OneStream, is the smarter, faster, and more strategic choice for finance teams looking to eliminate manual processes, accelerate decision-making, and gain a single source of truth. Hear real-world success stories—like how Mexico's largest logistics company streamlined 15 ERPs with OneStream—and discover how an EPM-first approach can transform finance without waiting for a multi-year ERP overhaul.  

First, it's Awkward Moments Day! So we have... well... an awkward opening to the podcast by Joel and Misty... Then!What happens when students who struggle with math suddenly start asking for MORE math problems? When they eagerly show their work to administrators and connect classroom concepts to real-world situations? This transformation isn't magic—it's the result of the Inspirations and Ideas (I&I) curriculum being implemented by passionate educators like Lisa Milner from Armada School in Michigan.Lisa shares her journey from skepticism to enthusiasm about CPM's approach, describing how winning the I&I Initiative allowed her to attend comprehensive training at the National Teacher Institute. The impact on her classroom has been nothing short of remarkable. "These kids trust me and their classmates," Lisa explains. "They're not afraid to say 'I don't know' or 'how did you do this?'... they're cheering each other on."The I&I curriculum creates a safe learning environment where students previously hindered by math anxiety now thrive through collaborative problem-solving, reflective journaling, and engaging launches. Beyond just helping students in the support class, Lisa has observed these same students becoming leaders in their regular math courses—participating more actively, helping peers, and showing improved performance on assessments. For educators frustrated by traditional intervention approaches that emphasize remediation over engagement,  I&I offers a transformative alternative focused on building deep mathematical understanding and student confidence. Applications for the I&I Initiative are due by May 1st, with winners receiving fully-funded travel to the National Teacher Institute from June 23-27 in Salt Lake City. Apply here.Send Joel and Misty a message!The More Math for More People Podcast is produced by CPM Educational Program. Learn more at CPM.orgX: @cpmmathFacebook: CPMEducationalProgramEmail: cpmpodcast@cpm.org

Jim Rea marks ProView's 40th anniversary, reflecting on his journey from early CPM software to innovative RAM-based databases. He shares experiences with industry leaders, discusses his pioneering software like SuperView, and recalls adapting to early Macintosh programming challenges, emphasizing entrepreneurship and sustained relevance in tech. (1)  Today's edition of MacVoices is supported by MacVoices Live!, our weekly live panel discussion of what is going in the Apple space as well as the larger tech world, and how it is impacting you. Join us live at YouTube.com/MacVoicesTV at 8 PM Eastern 5 PM Pacific, or whatever time that is wherever you are and participate in the chat, or catch the edited and segmented versions of the show on the regular MacVoices channels and feeds. Show Notes: Chapters: Links: Celebrating the 40th Anniversary of ProVUE at MacWorld Expo! Guests: Jim Rea built his own computer from scratch in 1975, started programming in 1977, and has been an independent Mac developer continuously since 1984. He is the founder of ProVUE Development, and the author of Panorama X, ProVUE's ultra fast RAM based database software for the macOS platform. He's been a speaker at MacTech, MacWorld Expo and other industry conferences. Follow Jim at provue.com and via @provuejim@techhub.social on Mastodon. Support: Become a MacVoices Patron on Patreon      http://patreon.com/macvoices      Enjoy this episode? Make a one-time donation with PayPal Connect: Web:      http://macvoices.com Twitter: http://www.twitter.com/chuckjoiner      http://www.twitter.com/macvoices Mastodon:      https://mastodon.cloud/@chuckjoiner Facebook:      http://www.facebook.com/chuck.joiner MacVoices Page on Facebook:      http://www.facebook.com/macvoices/ MacVoices Group on Facebook:      http://www.facebook.com/groups/macvoice LinkedIn:      https://www.linkedin.com/in/chuckjoiner/ Instagram:      https://www.instagram.com/chuckjoiner/ Subscribe:      Audio in iTunes      Video in iTunes      Subscribe manually via iTunes or any podcatcher: Audio: http://www.macvoices.com/rss/macvoicesrss      Video: http://www.macvoices.com/rss/macvoicesvideorss

Originally aired in June 2019 as our 73rd episode, we still often think back to this amazing first conversation we had with Dr. Stuart Fischbein and Midwife Blyss Young!Now, almost 6 years later, the information is just as relevant and impactful as it was then. This episode was a Q&A from our Facebook followers and touches on topics like statistics surrounding VBAC, uterine rupture, uterine abnormalities, insurance companies, breech vaginal delivery, high-risk pregnancies, and a powerful analogy about VBACs and weddings!Birthing Instincts PatreonBirthing BlyssNeeded WebsiteHow to VBAC: The Ultimate Prep Course for ParentsFull Transcript under Episode Details Meagan: Hey, guys. This is one of our re-broadcasted episodes. This is an episode that, in my opinion, is a little gem in the podcast world of The VBAC Link. I really have loved this podcast ever since the date we recorded it. I am a huge fan of Dr. Stu Fischbein and Midwife Blyss and have been since the moment I knew that they existed. I absolutely love listening to their podcast and just all of the amazing things that they have and that they offer. So I wanted to rebroadcast this episode because it was quite down there. It was like our 73rd episode or something like that. And yeah, I love it so much. This week is OB week, and so I thought it'd be fun to kick-off the week with one of my favorite OB doctor's, Stuart Fischbein. So, a little recap of what this episode covers. We go over a lot. We asked for our community to ask questions for these guys, and we went through them. We didn't get to everything, so that was a bummer, but we did get to quite a bit. We talked about things like the chances of VBAC. We talked about the chances of uterine rupture and the signs of uterine rupture. We talked about inducing VBAC. We talked about uterine abnormalities, the desire of where you want to birth and figuring that out. And also, Blyss had a really great analogy to talk about what to do and how we're letting the medical world and insurance and things like that really contemplate where we or dictate where we are birthing. I love that analogy. You guys, seriously, so many questions. It's an episode that you'll probably want to put on repeat because it really is so great to listen to them, and they just speak so directly. I can't get enough of it. So I'm really excited for you guys to dive in today on this. However, I wanted to bring to your attention a couple of the new things that they've had since we recorded this way back when. I also wanted to point out that we will have updated notes in the show notes or updated links in the show notes so you can go check, them out. But one of the first things I wanted to mention was their Patreon. They have a Patreon these days, and I think that it just sounds dreamy. I think you should definitely go find in their Patreon their community through their Patreon. You can check it out at patreon.com, birthinginsinctspodcast.com and of course, you can find them on social media. You can find Dr. Stu at Birthing Instincts or his website at birthinginsincts.com. You can find Blyss and that is B-L-Y-S-S if you are looking for her at birthingblyss on Instagram or birthinblyss.com, and then of course, you can email them. They do take emails with questions and sometimes they even talk about it on their podcast. Their podcast is birthinginsinctspodcast.com, and then you can email them at birthinginsinctspodcast@gmail.com, so definitely check them out. Also, Dr. Stu offers some classes and workshops and things like that throughout the years on the topic of breech. You guys, I love them and really can't wait for you to listen to today's episode.Ladies, I cannot tell you how giddy and excited I have been for the last couple weeks since we knew that these guys were going to record with us. But we have some amazing, special guests today. We have Dr. Stuart Fischbein and Midwife Blyss Young, and we want to share a little bit about them before we get into the questions that all of you guys have asked on our social media platforms.Julie: Absolutely. And when Meagan says we're excited, we are really excited.Meagan: My face is hot right now because I'm so excited.Julie: I'm so excited. Meagan was texting me last night at 11:00 in all caps totally fan-girling out over here. So Dr. Stu and midwife Blyss are pretty amazing and we know that you are going to love them just as much as we do. But before we get into it, and like Meagan said, I'm just going to read their bios so you can know just how legit they really are. First, up. Dr. Stuart Fischbein, MD is a fellow of the American College of Obstetrics and Gynecology, and how much we love ACOG over here at The VBAC Link He's a published author of the book Fearless Pregnancy: Wisdom and Reassurance from a Doctor, a Midwife, and a Mom. He has peer-reviewed papers Home Birth with an Obstetrician, A Series of 135 Out-of-Hospital Births and Breech Births at Home, Outcomes of 60 Breech and 109 Cephalic Planned Home and Birth Center Births. Dr. Stu is a lecturer and advocate who now works directly with home birthing midwives. His website is www.birthinginsincts.com, and his podcast is Dr. Stu's Podcast. Seriously guys, you need to subscribe.Meagan: Go subscribe right now to their podcast.Yeah. The website for his podcast is drstuspodcast.com. He has an international following. He offers hope for women who cannot find supportive practitioners for VBAC and twin and breech deliveries. Guys, this is the home birth OB. He is located in California. So if you are in California hoping for VBAC, especially if you have any special circumstance like after multiple Cesareans, twins or breech presentation, run to him. Run. Go find him. He will help you. Go to that website. Blyss, Midwife Blyss. We really love them. If you haven't had a chance to hear their podcast guys, really go and give them a listen because this duo is on point. They are on fire, and they talk about all of the real topics in birth. So his partner on the podcast is Blyss Young, and she is an LM and CPM. She has been involved in the natural birth world since the birth of her first son in 1992, first as an advocate, and then as an educator. She is a mother of three children, and all of her pregnancies were supported by midwives, two of which were triumphant, empowering home births. In 2006, Blyss co-founded the Sanctuary Birth and Family Wellness Center. This was the culmination of all of her previous experience as a natural birth advocate, educator and environmentalist. The Sanctuary was the first of its kind, a full-spectrum center where midwives, doctors, and other holistic practitioners collaborated to provide thousands of Los Angeles families care during their prenatal and postpartum periods. Blyss closed the Sanctuary in 2015 to pursue her long-held dream of becoming a midwife and care for her clients in an intimate home birth practice similar to the way she was cared for during her pregnancies. I think that's , why Meagan and I both became doulas. Meagan: That's exactly why I'm a doula. Julie: We needed to provide that care just like we had been cared for. Anyway, going on. Currently, Blyss, AKA Birthing Blyss, supports families on their journey as a birth center educator, placenta encapsulator and a natural birth and family consultant and home birth midwife. She is also co-founder of Just Placentas, a company servicing all of Southern California and placenta encapsulation and other postpartum services. And as ,, she's a co-host on Dr. Stu's Podcast. Meagan: And she has a class. Don't you have a class that you're doing? Don't you have a class? Midwife Blyss: Yeah. Meagan: Yeah. She has a class that she's doing. I want to just fly out because I know you're not doing it online and everything. I just want to fly there just to take your class.Midwife Blyss: Yeah, it's coming online.Meagan: It is? Yay! Great. Well, I'll be one of those first registering. Oh, did you put it in there?Julie: No, there's a little bit more.Meagan: Oh, well, I'm just getting ahead.Julie: I just want to read more of Blyss over here because I love this and I think it's so important. At the heart of all Blyss's work is a deep-rooted belief in the brilliant design of our bodies, the symbiotic relationship between baby and mother, the power of the human spirit and the richness that honoring birth as the rite of passage and resurrecting lost traditions can bring to our high-tech, low-touch lives. And isn't that true love? I love that language. It is so beautiful. If I'm not mistaken, Midwife Blyss's website is birthingblyss.com.Is that right? And Blyss is spelled with a Y. So B-L-Y-S-S, birthingblyss.com, and that's where you can find her.Midwife Blyss: Just to make it more complicated, I had to put a Y in there.Julie: Hey. I love it.Meagan: That's okay.Julie: We're in Utah so we have all sorts of weird names over here.Meagan: Yep. I love it. You're unique. Awesome. Well, we will get started.Midwife Blyss: I did read through these questions, and one of the things that I wanted to say that I thought we could let people know is that of course there's a little bit more that we need to take into consideration when we have a uterus that's already had a scar.There's a small percentage of a uterine rupture that we need to be aware of, and we need to know what are the signs and symptoms that we would need to take a different course of action. But besides that, I believe that, and Dr. Stu can speak for himself because we don't always practice together. I believe that we treat VBAC just like any other mom who's laboring. So a lot of these questions could go into a category that you could ask about a woman who is having her first baby. I don't really think that we need to differentiate between those.Meagan: I love it. Midwife Blyss: But I do think that in terms of preparation, there are some special considerations for moms who have had a previous Cesarean, and probably the biggest one that I would point to is the trauma.Julie: Yes.Midwife Blyss: And giving space to and processing the trauma and really helping these moms have a provider that really believes in them, I think is one of the biggest factors to them having success. Meagan: Absolutely. Midwife Blyss: So that's one I wanted to say before you started down the question.Meagan: Absolutely. We have an online class that we provide for VBAC prep, and that's the very first section. It's mentally preparing and physically preparing because there's so much that goes into that. So I love that you started out with that.Julie: Yeah. A lot of these women who come searching for VBAC and realize that there's another way besides a repeat Cesarean are processing a lot of trauma, and a lot of them realized that their Cesarean might have been prevented had they known better, had a different provider, prepared differently, and things like that. Processing that and realizing that is heavy, and it's really important to do before getting into anything else, preparation-wise.Meagan: Yeah.Midwife Blyss: One of the best things I ever had that was a distinction that one of my VBAC moms made for me, and I passed it on as I've cared for other VBAC mom is for her, the justification, or I can't find the right word for it, but she basically said that that statement that we hear so often of, "Yeah, you have trauma from this, or you're not happy about how your birth went, but thank God your baby is healthy." And she said it felt so invalidating for her because, yes, she also was happy, of course, that her baby was safe, but at the same time, she had this experience and this trauma that wasn't being acknowledged, and she felt like it was just really being brushed away.Julie: Ah, yeah.Midwife Blyss: I think really giving women that space to be able to say, "Yes, that's valid. It's valid how you feel." And it is a really important part of the process and having a successful vaginal delivery this go around.Dr. Stu: I tend to be a lightning rod for stories. It's almost like I have my own personal ICAN meeting pretty much almost every day, one-on-one. I get contacted or just today driving. I'm in San Diego today and just driving down here, I talked to two people on the phone, both of whom Blyss really just touched on it is that they both are wanting to have VBACs with their second birth. They were seeing practitioners who are encouraging them to be induced for this reason or that reason. And they both have been told the same thing that Blyss just mentioned that if you end up with a repeat Cesarean, at least you're going to have a healthy baby. Obviously, it's very important. But the thing is, I know it's a cliche, but it's not just about the destination. It's about the journey as well. And one of the things that we're not taught in medical school and residency program is the value of the process. I mean, we're very much mechanical in the OB world, and our job is to get the baby out and head it to the pediatric department, and then we're done with it. If we can get somebody induced early, if we can decide to do a C-section sooner than we should, there's a lot of incentives to do that and to not think about the process and think about the person. There's another cliche which we talk about all the time. Blyss, and I've said it many times. It's that the baby is the candy and the mother's the wrapper. I don't know if you've heard that one, but when the baby comes out, the mother just gets basically tossed aside and her experience is really not important to the medical professionals that are taking care of her in the hospital setting, especially in today's world where you have a shift mentality and a lot of people are being taken care of by people they didn't know.You guys mentioned earlier the importance of feeling safe and feeling secure in whatever setting you're in whether that's at home or in the hospital. Because as Blyss knows, I get off on the mammalian track and you talk about mammals. They just don't labor well when they're anxious.Julie: Yep.Dr. Stu: When the doctor or the health professional is anxious and they're projecting their anxiety onto the mom and the family, then that stuff is brewing for weeks, if not months and who knows what it's actually doing inside, but it's certainly not going to lead to the likelihood of or it's going to diminish the likelihood of a successful labor.Julie: Yeah, absolutely. We talk about that. We go over that a lot. Like, birth is very instinctual and very primal, and it operates a very fundamental core level. And whenever mom feels threatened or anxious or, or anything like that, it literally can st or stop labor from progressing or even starting.Meagan: Yeah, exactly. When I was trying to VBAC with my first baby, my doctor came in and told my husband to tell me that I needed to wake up and smell the coffee because it wasn't happening for me. And that was the last, the last contraction I remember feeling was right before then and my body just shut off. I just stopped because I just didn't feel safe anymore or protected or supported. Yeah, it's very powerful which is something that we love so much about you guys, because I don't even know you. I've just listened to a million of your podcasts, and I feel so safe with you right now. I'm like, you could fly here right now and deliver my baby because so much about you guys, you provide so much comfort and support already, so I'm sure all of your clients can feel that from you.Julie: Absolutely.Dr. Stu: Yeah. I just would like to say that, know, I mean, the introduction was great. Which one of you is Julie? Which one's Meagan?Julie: I'm Julie.Meagan: And I'm Meagan.Dr. Stu: Okay, great. All right, so Julie was reading the introduction that she was talking about how if you have a breech, you have twins, if you have a VBAC, you have all these other things just come down to Southern California and care of it. But I'm not a cowboy. All right? Even though I do more things than most of my colleagues in the profession do, I also say no to people sometimes. I look at things differently. Just because someone has, say chronic hypertension, why can't they have a home birth? The labor is just the labor. I mean, if her blood pressure gets out of control, yeah, then she has to go to the hospital. But why do you need to be laboring in the hospital or induced early if everything is fine? But this isn't for everybody.We want to make that very clear. You need to find a supportive team or supportive practitioner who's willing to be able to say yes and no and give you it with what we call a true informed consent, so that you have the right to choose which way to go and to do what's reasonable. Our ethical obligation is to give you reasonable choices and then support your informed decision making. And sometimes there are things that aren't reasonable. Like for instance, an example that I use all the time is if a woman has a breech baby, but she has a placenta previa, a vaginal delivery is not an option for you. Now she could say, well, I want one and I'm not going to have a C-section.Julie: And then you have the right to refuse that.Dr. Stu: Yeah, yeah, but I mean, that's never going to happen because we have a good communication with our patients. Our communication is such that we develop a trust over the period of time. Sometimes I don't meet people until I'm actually called to their house by a midwife to come assist with a vacuum or something like that. But even then, the midwives and stuff, because I'm sort of known that people have understanding. And then when I'm sitting there, as long as the baby isn't trouble, I will explain to them, here's what's going to happen. Here's how we're going to do it. Here's what's going on. The baby's head to look like this. It not going be a problem. It'll be better in 12 hours. But I go through all this stuff and I say, I'm going to touch you now. Is that okay? I ask permission, and I do all the things that the midwives have taught me, but I never really learned in residency program. They don't teach this stuff.Julie: Yeah, yeah, yeah, absolutely. One of the things that we go over a lot to in our classes is finding a provider who has a natural tendency to treat his patients the way that you want to be treated. That way, you'll have a lot better time when you birth because you're not having to ask them to do anything that they're not comfortable with or that they're not prepared for or that they don't know how to do. And so interviewing providers and interview as many as you need to with these women. And find the provider whose natural ways of treating his clients are the ways that you want to be treated.Dr. Stu: And sometimes in a community, there's nobody.Julie: Yeah, yeah, that's true.Meagan: That's what's so hard.Dr. Stu: And if it's important to you, if it's important to you, then you have to drive on. Julie: Or stand up for yourself and fight really hard.Meagan: I have a client from Russia. She's flying here in two weeks. She's coming all the way to Salt Lake City, Utah to have her baby. We had another client from Russia.Julie: You have another Russian client?Meagan: Yeah. Julie: That's awesome. Meagan: So, yeah. It's crazy. Sometimes you have to go far, far distances, and sometimes you've got them right there. You just have to search. You just have to find them.So it's tricky.Midwife Blyss: Maybe your insurance company is not gonna pay for it.Meagan: Did you say my company's not gonna pay for it?Midwife Blyss: And maybe your insurance company.Meagan: Oh, sure. Yeah, exactly.Midwife Blyss: You can't rely on them to be the ones who support some of these decisions that are outside of the standards of care. You might have to really figure out how to get creative around that area.Meagan: Absolutely.Yeah. So in the beginning, Blyss, you talked about noticing the signs, and I know that's one of the questions that we got on our Instagram, I believe. Birthing at home for both of you guys, what signs for a VBAC mom are signs enough where you talk about different care?.Dr. Stu: I didn't really understand that. Say that again what you were saying.Meagan: Yep. Sorry. So one of the questions on our Instagram was what are the signs of uterine rupture when you're at home that you look for and would transfer care or talk about a different plan of action?Dr. Stu: Okay. Quite simply, some uterine ruptures don't have any warning that they're coming.There's nothing you can do about those. But before we get into what you can feel, just let's review the numbers real briefly so that people have a realistic viewpoint. Because I'm sure if a doctor doesn't want to do a VBAC, you'll find a reason not to do a VBAC. You'll use the scar thickness or the pregnancy interval or whatever. They'll use something to try to talk you out of it or your baby's too big or this kind of thing. We can get into that in a little bit. But when there are signs, the most common sign you would feel is that there'd be increasing pain super-cubically that doesn't go away between contractions. It's a different quality of pain or sensation. It's pain. It's really's becoming uncomfortable. You might start to have variables when you didn't have them before. So the baby's heart rate, you might see heart rate decelerations. Rarely, you might find excessive bleeding, but that's usually not a sign of I mean that's a sign of true rupture.Midwife Blyss: Loss of station.Dr. Stu: Those are things you look for, but again, if you're not augmenting someone, if someone doesn't have an epidural where they don't have sensation, if they're not on Pitocin, these things are very unlikely to happen. I was going to get to the numbers. The numbers are such that the quoted risk of uterine rupture, which is again that crappy word. It sounds like a tire blowing out of the freeway. It is about 1 in 200. But only about 5 to 16%. And even one study said 3%. But let's just even take 16% of those ruptures will result in an outcome that the baby is damaged or dead. Okay, that's about 1 in 6. So the actual risk is about 1 in 6 times 1 in 200 or 1 in 1200 up to about 1 in 4000.Julie: Yep.Dr. Stu: So those are, those are the risks. They're not the 1 in 200 or the 2%. I actually had someone tell some woman that she had a 30% chance of rupture.Julie: We've had somebody say 50%.Meagan: We have?Julie: Yeah. Jess, our 50 copy editor-- her doctor told her that if she tries to VBAC, she has a 50% chance of rupture and she will die. Yeah.Meagan: Wow.Julie: Pretty scary. Dr. Stu: And by the way, a maternal mortality from uterine rupture is extremely rare.Julie: Yeah, we were just talking about that.Dr. Stu: That doctor is wrong on so many accounts. I don't even know where to begin on that.Julie: I know.Dr. Stu: Yeah. See that's the thing where even if someone has a classical Cesarean scar, the risk of rupture isn't 50%.Julie: Yep.Dr. Stu: So I don't know where they come up with those sorts of numbers.Julie: Yeah, I think it's just their comfort level and what they're familiar with and what they know and what they understand. I think a lot of these doctors, because she had a premature Cesarean, and so that's why he was a little, well, a lot more fear-based. Her Cesarean happened, I think, around 32 weeks. We still know that you can still attempt to VBAC and still have a really good chance of having a successful one. But a lot of these providers just don't do it.Dr. Stu: Yeah. And another problem is you can't really find out what somebody's C-section rate is. I mean, you can find out your hospital C-section rate. They can vary dramatically between different physicians, so you really don't know. You'd like to think that physicians are honest. You'd like to think that they're going to tell you the truth. But if they have a high C-section rate and it's a competitive world, they're not going to. And if you're with them, you don't really have a choice anyway.Julie: So there's not transparency on the physician level.Dr. Stu: So Blyss was talking briefly about the fact that your insurance may not pay for it. Blyss, why don't you elaborate on that because you do that point so well.Midwife Blyss: Are you talking about the wedding?Dr. Stu: I love your analogy. It's a great analogy.Midwife Blyss: I'm so saddened sometimes when people talk to me about that they really want this option and especially VBACs. I just have a very special tender place in my heart for VBAC because I overcame something from my first to second birth that wasn't a Cesarean. But it felt like I had been led to mistrust my body, and then I had a triumphant second delivery. So I really understand how that feels when a woman is able to reclaim her body and have a vaginal delivery. But just in general, in terms of limiting your options based on what your insurance will pay for, we think about the delivery of our baby and or something like a wedding where it's this really special day. I see that women or families will spend thousands and thousands of dollars and put it on a credit card and figure out whatever they need to do to have this beautiful wedding. But somehow when it comes to the birth of their baby, they turn over all their power to this insurance company.And so we used to do this talk at the sanctuary and I used to say, "What if we had wedding insurance and you paid every year into this insurance for your wedding, and then when the wedding came, they selected where you went and you didn't like it and they put you in a dress that made you look terrible and the food was horrible and the music was horrible and they invited all these people you didn't want to be there?"Julie: But it's a network.Midwife Blyss: Would you really let that insurance company, because it was paid for, dictate how your wedding day was? Julie: That's a good analogy.Midwife Blyss: You just let it all go.Meagan: Yeah. That's amazing. I love that. And it's so true. It is so true.Julie: And we get that too a lot about hiring a doula. Oh, I can't hire a doula. It's too expensive. We get that a lot because people don't expect to pay out-of-pocket for their births. When you're right, it's just perceived completely differently when it should be one of the biggest days of your life. I had three VBACs at home. My first was a necessary, unnecessary Cesarean.I'm still really uncertain about that, to be honest with you. But you better believe my VBACs at home, we paid out of pocket for a midwife. Our first two times, it was put on a credit card. I had a doula, I had a birth photographer, I had a videographer. My first VBAC, I had two photographers there because it was going to be documented because it was so important to me. And we sold things on eBay. We sold our couches, and I did some babysitting just to bring in the money.Obviously, I hired doulas because it was so important to me to not only have the experience that I wanted and that I deserved, but I wanted it documented and I wanted it to be able to remember it well and look back on it fondly. We see that especially in Utah. I think we have this culture where women just don't-- I feel like it's just a national thing, but I think in Utah, we tend to be on the cheap side just culturally and women don't see the value in that. It's hard because it's hard to shift that mindset to see you are important. You are worth it. What if you could have everything you wanted and what if you knew you could be treated differently? Would you think about how to find the way to make that work financially? And I think if there's just that mindset shift, a lot of people would.Meagan: Oh, I love that.Dr. Stu: If you realize if you have to pay $10,000 out of pocket or $5,000 or whatever to at least have the opportunity, and you always have the hospital as a backup. But 2 or 3 years from now, that $5,000 isn't going to mean anything.Julie: Yeah, nothing.Meagan: But that experience is with you forever.Dr. Stu: So yeah, women may have to remember the names of their children when they're 80 years old, but they'll remember their birth.Julie: Well, with my Cesarean baby, we had some complications and out-of-pocket, I paid almost $10,000 for him and none of my home births, midwives, doula, photography and videography included cost over $7,000.Meagan: My Cesarean births in-hospital were also more expensive than my birth center births.Julie: So should get to questions.Dr. Stu: Let's get to some of the questions because you guys some really good questions.Meagan: Yes.Dr. Stu: Pick one and let's do it.Meagan: So let's do Lauren. She was on Facebook. She was our very first question, and she said that she has some uterine abnormalities like a bicornuate uterus or a separate uterus or all of those. They want to know how that impacts VBAC. She's had two previous Cesareans due to a breech presentation because of her uterine abnormality.Julie: Is that the heart-shaped uterus? Yeah.Dr. Stu: Yeah. You can have a septate uterus. You can have a unicornuate uterus. You can have a double uterus.Julie: Yeah. Two separate uteruses.Dr. Stu: Right. The biggest problem with a person with an abnormal uterine shape or an anomaly is a couple of things. One is malpresentation as this woman experienced because her two babies were breech. And two, is sometimes a retained placenta is more common than women that have a septum, that sort of thing. Also, it can cause preterm labor and growth restriction depending on the type of anomaly of the uterus. Now, say you get to term and your baby is head down, or if it's breech in my vicinity. But if it's head down, then the chance of VBAC for that person is really high. I mean, it might be a slightly greater risk of Cesarean section, but not a statistically significant risk. And then the success rate for home birth VBACs, if you look at the MANA stats or even my own stats which are not enough to make statistical significance in a couple of papers that I put out, but the MANA stats show that it's about a 93% success rate for VBACS in the midwifery model, whereas in the hospital model, it can be as low as 17% up to the 50s or 60%, but it's not very high. And that's partly because of the model by which you're cared for. So the numbers that I'm quoting and the success rates I'm quoting are again, assuming that you have a supportive practitioner in a supportive environment, every VBAC is going to have diminished chance of success in a restrictive or tense environment. But unicornuate uterus or septate uterus is not a contraindication to VBAC, and it's not an indication of breech delivery if somebody knows how to do a breech VBAC too.Julie: Right.Dr. Stu: So Lauren, that would be my answer to to your question is that no, it's not a contraindication and that if you have the right practitioner you can certainly try to labor and your risk of rupture is really not more significant than a woman who has a normal-shaped uterus.Julie: Good answer.Meagan: So I want to spin off that really quick. It's not a question, but I've had a client myself that had two C-sections, and her baby was breech at 37 weeks, and the doctor said he absolutely could not turn the baby externally because her risk of rupture was so increasingly high. So would you agree with that or would you disagree with that?D No, no, no. Even an ACOG statement on external version and breech says that a previous uterine scar is not a contraindication to attempting an external version.Meagan: Yeah.Dr. Stu: Now actually, if we obviously had more breech choices, then there'd be no reason to do an external version.The main reason that people try an external version which can sometimes be very uncomfortable, and depending on the woman and her parody and certain other factors, their success rate cannot be very good is the only reason they do it because the alternative is a Cesarean in 95% of locations in the country.Meagan: Okay, well that's good to know.Dr. Stu: But again, one of the things I would tell people to do is when they're hearing something from their position that just sort of rocks the common sense vote and doesn't sort of make sense, look into it. ACOG has a lot. I think you can just go Google some of the ACOG clinical guidelines or practice guidelines or clinical opinions or whatever they call them. You can find and you can read through, and they summarize them at the end on level A, B, and C evidence, level A being great evidence level C being what's called consensus opinion. The problem with consensus, with ACOG's guidelines is that about 2/3 of them are consensus opinion because they don't really have any data on them. When you get bunch of academics together who don't like VBAC or don't like home birth or don't like breech, of course a consensus opinion is going to be, "Well, we're not going to think those are a good idea." But much to their credit lately, they're starting to change their tune. Their most recent VBAC guideline paper said that if your hospital can do labor and delivery, your hospital can do VBAC.Julie: Yes.Dr. Stu: That's huge. There was immediately a whole fiasco that went on. So any hospital that's doing labor and delivery should be able to do a VBAC. When they say they can't or they say our insurance company won't let them, it's just a cowardly excuse because maybe it's true, but they need to fight for your right because most surgical emergencies in labor delivery have nothing to do with a previous uterine scar.Julie: Absolutely.Dr. Stu: They have to do with people distress or placental abruption or cord prolapse. And if they can handle those, they can certainly handle the one in 1200. I mean, say a hospital does 20 VBACs a year or 50 VBACs a year. You'll take them. Do the math. It'll take them 25 years to have a rupture.Meagan: Yeah. It's pretty powerful stuff.Midwife Blyss: I love when he does that.Julie: Me too. I'm a huge statistics junkie and data junkie. I love the numbers.Meagan: Yeah. She loves numbers.Julie: Yep.Meagan: I love that.Julie: Hey, and 50 VBACs a year at 2000, that would be 40 years actually, right?Dr. Stu: Oh, look at what happened. So say that again. What were the numbers you said?Julie: So 1 in 2000 ruptures are catastrophic and they do 50 VBACs a year, wouldn't that be 40 years?Dr. Stu: But I was using the 1200 number.Julie: Oh, right, right, right, right.Dr. Stu: So that would be 24 years.Julie: Yeah. Right. Anyways, me and you should sit down and just talk. One day. I would love to have lunch with you.Dr. Stu: Let's talk astrology and astronomy.Yes.Dr. Stu: Who's next?Midwife Blyss: Can I make a suggestion?There was another woman. Let's see where it is. What's the likelihood that a baby would flip? And is it reasonable to even give it a shot for a VBA2C. How do you guys say that?Meagan: VBAC after two Cesareans.Midwife Blyss: I need to know the lingo. So, I would say it's very unlikely for a baby to flip head down from a breech position in labor. It doesn't mean it's impossible.Dr. Stu: With a uterine septum, it's almost never going to happen. Bless is right on. Even trying an external version on a woman with the uterine septum when the baby's head is up in one horn and the placenta in the other horn and they're in a frank breech position, that's almost futile to do that, especially if a woman is what I call a functional primary, or even a woman who's never labored before.Julie: Right. That's true.Meagan: And then Napoleon said, what did she say? Oh, she was just talking about this. She's planning on a home birth after two Cesareans supported by a midwife and a doula. Research suggests home birth is a reasonable and safe option for low-risk women. And she wants to know in reality, what identifies low risk?Midwife Blyss: Well, I thought her question was hilarious because she says it seems like everybody's high-risk too. Old, overweight.Julie: Yeah, it does. It does, though.Dr. Stu: Well, immediately, when you label someone high-risk, you make them high-risk.Julie: Yep.Dr. Stu: Because now you've planted seeds of doubt inside their head. So I would say, how do you define high-risk? I mean, is 1 in 1200 high risk?Julie: Nope.Dr. Stu: It doesn't seem high-risk to me. But again, I mean, we do a lot of things in our life that are more dangerous than that and don't consider them high-risk. So I think the term high-risk is handed about way too much.And it's on some false or just some random numbers that they come up with. Blyss has heard this before. I mean, she knows everything I say that comes out of my mouth. The numbers like 24, 35, 42. I mean, 24 hours of ruptured membranes. Where did that come from? Yeah, or some people are saying 18 hours. I mean, there's no science on that. I mean, bacteria don't suddenly look at each other and go, "Hey Ralph, it's time to start multiplying."Julie: Ralph.Meagan: I love it.Julie: I'm gonna name my bacteria Ralph.Meagan: It's true. And I was told after 18 hours, that was my number.Dr. Stu: Yeah, again, so these numbers, there are papers that come out, but they're not repetitive. I mean, any midwife worth her salt has had women with ruptured membranes for sometimes two, three, or four days.Julie: Yep.Midwife Blyss: And as long as you're not sticking your fingers in there, and as long as their GBS might be negative or that's another issue.Meagan: I think that that's another question. That's another question. Yep.Dr. Stu: Yeah, I'll get to that right now. I mean, if some someone has a ruptured membrane with GBS, and they don't go into labor within a certain period of time, it's not unreasonable to give them the pros and cons of antibiotics and then let them make that decision. All right? We don't force people to have antibiotics. We would watch for fetal tachycardia or fever at that point, then you're already behind the eight ball. So ideally, you'd like to see someone go into labor sooner. But again, if they're still leaking, if there are no vaginal exams, the likelihood of them getting group B strep sepsis or something on the baby is still not very high. And the thing about antibiotics that I like to say is that if I was gonna give antibiotics to a woman, I think it's much better to give a woman an antibiotics at home than in the hospital. And the reason being is because at home, the baby's still going to be born into their own environment and mom's and dad's bacteria and the dog's bacteria and the siblings' bacteria where in the hospital, they're going to go to the nursery for observation like they generally do, and they're gonna be exposed to different bacteria unless they do these vaginal seeding, which isn't really catching on universally yet where you take a swab of mom's vaginal bacteria before the C-section.Midwife Blyss: It's called seeding.Dr. Stu: Right. I don't consider ruptured membrane something that again would cause me to immediately say something where you have to change your plan. You individualize your care in the midwifery model.Julie: Yep.Dr. Stu: You look at every patient. You look at their history. You look at their desires. You look at their backup situation, their transport situation, and that sort of thing. You take it all into account. Now, there are some women in pregnancy who don't want to do a GBS culture.Ignorance is bliss. The other spelling of bliss.Julie: Hi, Blyss.Dr. Stu: But the reason that at least I still encourage people to do it is because for any reason, if that baby gets transferred to the hospital during labor or after and you don't have a GBS culture on the chart, they're going to give antibiotics. They're going to treat it as GBS positive and they're also going to think you're irresponsible.And they're going to have that mentality that of oh, here's another one of those home birth crazy people, blah, blah, blah.Julie: That just happened to me in January. I had a client like that. I mean, anyways, never mind. It's not the time. Midwife Blyss: Can I say something about low-risk?Julie: Yes. Midwife Blyss: I think there are a lot of different factors that go into that question. One being what are the state laws? Because there are things that I would consider low-risk and that I feel very comfortable with, but that are against the law. And I'm not going to go to jail.Meagan: Right. We want you to still be Birthing Bless.Midwife Blyss: As, much as I believe in a woman's right to choose, I have to draw the line at what the law is. And then the second is finding a provider that-- obviously, Dr. Stu feels very comfortable with things that other providers may not necessarily feel comfortable with.Julie: Right.Midwife Blyss: And so I think it's really important, as you said in the beginning of the show, to find a provider who takes the risk that you have and feels like they can walk that path with you and be supportive. I definitely agree with what Dr. Stu was saying about informed consent. I had a client who was GBS positive, declined antibiotics and had a very long rupture. We continued to walk that journey together. I kept giving informed consent and kept giving informed consent. She had such trust and faith that it actually stretched my comfort level. We had to continually talk about where we were in this dance. But to me, that feels like what our job is, is to give them information about the pros and cons and let them decide for themselves.And I think that if you take a statistic, I'm picking an arbitrary number, and there's a 94% chance of success and a 4% chance that something could go really wrong, one family might look at that and say, "Wow, 94%, this is neat. That sounds like a pretty good statistic," and the other person says, "4% makes me really uncomfortable. I need to minimize." I think that's where you have to have the ability, given who you surround yourself with and who your provider is, to be able to say, "This is my choice," and it's being supported. So it is arbitrary in a lot of ways except for when it comes to what the law is.Julie: Yeah, that makes sense.Meagan: I love that. Yeah. Julie: Every state has their own law. Like in the south, it's illegal like in lots of places in the South, I think in Washington too, that midwives can't support home birth if you're VBAC. I mean there are lots of different legislative rules. Why am I saying legislative? Look at me, I'm trying to use fancy words to impress you guys. There are lots of different laws in different states and, and some of them are very evidence-based and some laws are broad and they leave a lot of room for practices, variation and gray areas. Some are so specific that they really limit a woman's option in that state.Dr. Stu: We can have a whole podcast on the legal decision-making process and a woman's right to autonomy of her body and the choices and who gets to decide that would be. Right now, the vaccine issue is a big issue, but also pregnancy and restricting women's choices of these things. If you want to do another one down the road, I would love to talk on that subject with you guys.Julie: Perfect.Meagan: We would love that.Julie: Yeah. I think it's your most recent episode. I mean as of the time of this recording. Mandates Kill Medicine. What is that the name?Dr. Stu: Mandates Destroy Medicine.Julie: Yeah. Mandates Destroy Medicine. Dr. Stu: It's wonderful.Julie: Yeah, I love it. I was just listening to it today again.Dr. Stu: well it does because it makes the physicians agents of the state.Julie: Yeah, it really does.Meagan: Yeah. Well. And if you give us another opportunity to do this with you, heck yeah.Julie: Yeah. You can just be a guest every month.Meagan: Yeah.Dr. Stu: So I don't think I would mind that at all, actually.Meagan: We would love it.Julie: Yeah, we would seriously love it. We'll keep in touch.Meagan: So, couple other questions I'm trying to see because we jumped through a few that were the same. I know one asks about an overactive pelvic floor, meaning too strong, not too weak. She's wondering if that is going to affect her chances of having a successful VBAC.Julie: And do you see that a lot with athletes, like people that are overtrained or that maybe are not overtrained, but who train a lot and weightlifters and things like that, where their pelvic floor is too strong? I've heard of that before.Midwife Blyss: Yep, absolutely. there's a chiropractor here in LA, Dr. Elliot Berlin, who also has his own podcast and he talks–Meagan: Isn't Elliott Berlin Heads Up?Dr. Stu: Yeah. He's the producer of Heads Up.Meagan: Yeah, I listened to your guys' special episode on that too. But yeah, he's wonderful.Midwife Blyss: Yeah. So, again, I think this is a question that just has more to do with vaginal delivery than it does necessarily about the fact that they've had a previous Cesarean. So I do believe that the athletic pelvis has really affected women's deliveries. I think that during pregnancy we can work with a pelvic floor specialist who can help us be able to realize where the tension is and how to do some exercises that might help alleviate some of that. We have a specialist here in L.A. I don't know if you guys do there that I would recommend people to. And then also, maybe backing off on some of the athletic activities that that woman is participating in during her pregnancy and doing things more like walking, swimming, yoga, stretching, belly dancing, which was originally designed for women in labor, not to seduce men. So these are all really good things to keep things fluid and soft because you want things to open and release rather than being tense.Meagan: I love that.Dr. Stu: I agree. I think sometimes it leads more to not generally so much of dilation. Again, a friend of mine, David Hayes, he's a home birth guy in South Carolina, doesn't like the idea of using stages of labor. He wants to get rid of that. I think that's an interesting thought. We have a meeting this November in Wisconsin. We're gonna have a bunch of thought-provoking things going on over there.Dr. Stu: Is it all men talking about this? Midwife Blyss: Oh, hell no.Julie: Let's get more women. Dr. Stu: No, no, no, no, no.Being organized By Cynthia Calai. Do you guys know who Cynthia is? She's been a midwife for 50 years. She's in Wisconsin. She's done hundreds of breeches. Anyway, the point being is that I think that I find that a lot of those people end up getting instrumented like vacuums, more commonly. Yeah. So Blyss is right. I mean, if there are people who are very, very tight down there. The leviators and the muscles inside are very tight which is great for life and sex and all that other stuff, but yeah, you need to learn how to be able to relax them too.Julie: Yeah.Meagan: So I know we're running short on time, but this question that came through today, I loved it. It said, "Could you guys both replicate your model of care nationwide somehow?" She said, "How do I advocate effectively for home birth access and VBAC access in a state that actively prosecutes home birth and has restrictions on midwifery practice?" She specifically said she's in Nebraska, but we hear this all over the place. VBAC is not allowed. You cannot birth at home, and people are having unassisted births.Julie: Because they can't find the support.Meagan: They can't find the support and they are too scared to go to the hospital or birth centers. And so, yeah, the question is--Julie: What can women do in their local communities to advocate for positive change and more options in birth where they are more restricted?Dr. Stu: Blyss. Midwife Blyss: I wish I had a really great answer for this. I think that the biggest thing is to continue to talk out loud. And I'm really proud of you ladies for creating this podcast and doing the work that you do. Julie: Thanks.Midwife Blyss: I always believed when we had the Sanctuary that it really is about the woman advocating for herself. And the more that hospitals and doctors are being pushed by women to say, "We need this as an option because we're not getting the work," I think is really important. I support free birth, and I think that most of the women and men who decide to do that are very well educated.Julie: Yeah, for sure.Midwife Blyss: It is actually really very surprising for midwives to see that sometimes they even have better statistics than we do. But it saddens me that there's no choice. And, a woman who doesn't totally feel comfortable with doing that is feeling forced into that decision. So I think as women, we need to support each other, encourage each other, continue to talk out loud about what it is that we want and need and make this be a very important decision that a woman makes, and it's a way of reclaiming the power. I'm not highly political. I try and stay out of those arenas. And really, one of my favorite quotes from a reverend that I have been around said, "Be for something and against nothing." I really believe that the more. Julie: I like that.Midwife Blyss: Yeah, the more that we speak positively and talk about positive change and empowering ourselves and each other, it may come slowly, but that change will continue to come.Julie: Yeah, yeah.Dr. Stu: I would only add to that that I think unfortunately, in any country, whether it's a socialist country or a capitalist country, it's economics that drives everything. If you look at countries like England or the Netherlands, you find that they have, a really integrated system with midwives and doctors collaborating, and the low-risk patients are taken care of by the midwives, and then they consult with doctors and midwives can transfer from home to hospital and continue their care in that system, the national health system. I'm not saying that's the greatest system for somebody who's growing old and has arthritis or need spinal surgery or something like that, but for obstetrics, that sort of system where you've taken out liability and you've taken out economic incentive. All right, so how do you do that in our system? It's not very easy to do because everything is economically driven. One of the things that I've always advocated for is if you want to lower the C-section rate, increase the VBAC rate. It would be really simple for insurance companies, until we have Bernie Sanders with universal health care. But while we have insurance companies, if they would just pay twice as much for a vaginal birth and half as much for a Cesarean birth, then finally, VBACS and breech deliveries would be something. Oh, maybe we should start. We should be more supportive of those things because it's all about the money. But as long as the hospital gets paid more, doctors don't really get paid more. It's expediency for the doctor. He gets it done and goes home. But the hospital, they get paid a lot more, almost twice as much for a C-section than you do for vaginal birth. What's the incentive for the chief financial officer of any hospital to say to the OB department, "We need to lower our C-section rate?" One of the things that's happening are programs that insurance, and I forgot what it's called, but where they're trying, in California, they're trying to lower the primary C-section rate. There's a term for it where it's an acronym with four initials. Blyss, do you know what I'm talking about?Midwife Blyss: No. Dr. Stu: It's an acronym about a first-time mom. We're trying to avoid those C-sections.Julie: Yeah, the primary Cesarean.Dr. Stu: It's an acronym anyway, nonetheless. So they're in the right direction. Most hospitals are in the 30% range. They'd like to lower to 27%. That's a start.One of the ways to really do that is to support VBAC, and treat VBAC as Blyss said at the very beginning of the podcast is that a VBAC is just a normal labor. When people lump VBAC in with breech in twins, it's like, why are you doing that? Breech in twins requires special skill. VBAC requires a special skill also, which is a skill of doing nothing.Julie: Yeah, it's hard.Dr. Stu: It's hard for obstetricians and labor and delivery nurses and stuff like that to do nothing. But ultimately, VBAC is just a vaginal birth and doesn't require any special skill. When a doctor says, "We don't do VBAC, what he's basically saying, or she, is that I don't do vaginal deliveries," which is stupid because VBAC is just a vaginal delivery.Julie: Yeah, that's true.Meagan: Such a powerful point right there.Julie: Guys. We loved chatting with you so much. We wish we could talk with you all day long.Meagan: I would. All day long. I just want to be a fly on your walls if I could.Julie: If you're ever in Salt Lake City again--Meagan: He just was. Did you know about this?Julie: Say hi to Adrienne, but also connect with us because we would love to meet you. All right, well guys, everyone, all of our listeners, Women of Strength, we are going to drop all the information that you need to find Midwife Blyss and Dr. Stu-- their website, their podcast, and all of that in our show notes. So yeah, now you can find our podcast. You can even listen to our podcast on our website at thevbaclink.com/podcast. You can play episodes right from there. So if you don't know-- well, if you're listening to this podcast, then you probably have a podcast player already. But you know what? My mom still doesn't know what a podcast is, so I'm just gonna have to start sending her links right to our page.Meagan: Yep, just listen to us wherever and leave us a review and head over to Dr. Stu's Podcast and leave them a review.Julie: Subscribe because you're gonna love him, but don't stop listening to him us because you love us too. Remember that.Dr. Stu: I want to thank everybody who wrote in, and I'm sorry we didn't get to answer every question. We tend to blabber on a little bit asking these important questions, and hopefully you guys will have us back on again.Meagan: We would love to have you.Julie: Absolutely.Meagan: Yep, we will.Julie: Absolutely.Meagan: YeahClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

In this special bonus episode of From the Front Lines, IREM President Dawn Carpenter, CPM®, talks to nationally recognized physician and media personality, Dr. Drew Pinsky, who will be speaking at PropertyCon 2025 in April. His keynote is titled: “Building Resiliency in a Chaotic World”. Find knowledge for the dynamic world of real estate management at irem.org.

"Disclaimer: I'm not at all suicidal, and if any discourse herein convinces you suicide's a good option for you, you probably went wrong somewhere."Community challenge!"Sorry if this reads like a paralysis question; it's relevant to how I might live out the faith to which I'm in the process of converting: Would suicide violate UPB so long as anyone in creation loved or depended upon the person committing it? I should think that would definitely constitute forcing a win/lose situation. What if we're given that, and also, literally no other party would be immediately affected? The suicide would, I guess, "only" be depriving the world of some potential utility they could provide. There are people like this today (from a secular perspective). Is it just then kind of a lame and ugly thing to do (i.e, not aesthetically preferable) and far from being really wrong?""How can a smart writer write dumb characters? Can a professional gifted painter paint something similar to what a 5-year-old would paint or similar to an inexperienced adult's painting? Can Freddy sing badly? Can Gilmour play guitar like he never held one in his hands before?""Funding your enemies:"I pay for a YouTube Premium subscription. The main benefit is no ads, which saves time. And YT also has the widest range of video content on a range of subjects. "However - I also view YT as a corrupt organization that has censored and defamed good people including the one and only Stefan Molyneux"Am I not supporting my enemy? "I could cancel my premium subscription, but then end up paying with my time by watching ads (and driving CPM ad revenue for YT at the same time). "More broadly, how should I think about 'funding my enemies'? When (if ever) is this moral or just?"Thanks Stef

This comprehensive guide to legal TV ads breaks down exactly how top firms dominate their markets through broadcast television. From the science of media buying to performance tracking, Sarah reveals the strategies that turn TV campaigns into case-generating machines. As streaming reshapes how people watch, she shows why broadcast television remains essential for personal injury law firms and shares the tactics that maximize ROI. Master legal marketing strategies that drive law firm growth. Get Chris' latest book, Personal Injury Lawyer Marketing: From Good to GOAT.  In this episode of Personal Injury Mastermind, Rankings VP of Media Sarah Parisi delivers the definitive guide to TV advertising for law firms - covering everything from rate negotiation to creative strategy. If you've ever wondered about the real cost of TV advertising, how to measure performance, or what makes campaigns succeed, this is your masterclass in traditional media. We discuss: Why daytime direct response ads deliver the highest ROI for law firms How to negotiate TV rates effectively (and what CPM should be your target) Strategic scheduling: optimal frequency and time slots for maximum impact The real cost of market entry in major DMAs Performance tracking systems that prove TV campaign effectiveness Creative strategies that build memorable brands Managing exclusivity and competitive separation in crowded markets When to avoid remnant inventory and why it can hurt your brand Guest Details Sarah Parisi is the VP of Media at Rankings.io, bringing 15 years of media buying expertise to help law firms build lasting brands. Her experience spans traditional and digital media, with a focus on data-driven campaign optimization for maximum ROI. Sarah Parisi: LinkedIn Chris Dreyer and Rankings Details Chris Dreyer is the CEO and founder of Rankings.io, the elite legal digital marketing agency.  Rankings: Website, Instagram, Twitter Chris Dreyer: Website, Instagram Newsletters: The Dreyer Sheet  Books: Personal Injury Lawyer Marketing: From Good to GOAT; Niching Up: The Narrower the Market, the Bigger the Prize Work with Rankings: Connect Time Stamps 00:00 Intro  Additional Episodes You Might Enjoy 80. Mike Papantonio, Levin, Papantonio, & Rafferty — Doing Well by Doing Good 84. Glen Lerner, Lerner and Rowe – A Steady Hand in a Shifting Industry 101. Pratik Shah, EsquireTek — Discovering the Power of Automation 134. Darryl Isaacs, Isaacs & Isaacs — The Hammer: Insights from a Marketing Legend 104. Taly Goody, Goody Law Group — Finding PI Clients on TikTok 63. Joe Fried, Fried Goldberg LLC — How To Become An Expert And Revolutionize Your PI Niche 96. Brian Dean, Backlinko — Becoming a Linkable Source 83. Seth Godin — Differentiation: How to Make Your Law Firm a Purple Cow 73. Neil Patel, Neil Patel — Digital A New Approach to Content and Emerging Marketing Channels