Podcasts about CPS

This week, Princess and her gravelly voice talk about Reza, MJ, GG, and their new friends. She gets into how to win against a dead woman, whether someone needs to call CPS on GG, and where the fuck is Reza's baby.

Ryan Ralston, Director of Operations at You Are The Power, joins Brian Nichols to reveal how Child Protective Services financially profits from seizing children — and why government overreach at the local level is happening to innocent families across all 50 states. With a 98-99% success rate, You Are The Power is exposing how CPS misdiagnosis, federal Title IV funding, and unelected juvenile court judges create a system that tears families apart — not to protect children, but to collect federal dollars. From eminent domain abuse targeting family farms to ordinances taxing wheelchair users, this episode breaks down the real mechanics of local government corruption and what you can do about it today. We expose the reality of a foster care system where reunification rates sit at just 15-20% — not because parents are guilty, but because there's no financial incentive to return your child. You need to hear this blueprint for fighting back: how You Are The Power's "people to policy to principle" approach has delivered over 1,000% growth in wins and reunited families that the system tried to destroy. If you believe government is supposed to protect the vulnerable, this episode will change what you think you know. CHAPTERS 0:00 - Intro: When Government Goes Wrong, You Are The Power 1:36 - Who Is Ryan Ralston? From Volunteer to Director of Operations 2:47 - What Is You Are The Power? Mission, Scope & All 50 States 5:15 - The 98-99% Win Rate: How They Win Against Local Government 6:52 - The Dark Truth: How Government Profits From Seizing Your Children 9:05 - The Weakest Targets: Medically Fragile Kids & The System Built Against Them 12:30 - Federal Funding's Dirty Secret: Why Reunification Rates Are Only 15-20% 15:10 - Medical Misdiagnosis: How Innocent Parents Get Labeled Abusers 18:48 - Epstein, Pam Bondi & America's Backwards Priorities on Child Trafficking 20:07 - The "People to Policy to Principle" Approach That's Changing Everything 23:21 - The Numbers Don't Lie: 333 Cases to 810 to 1,500 — The Growth Explosion 25:14 - Why New Media Is the Weapon Government Didn't See Coming 26:51 - Win Wire: Family Farms, Eminent Domain & Wheelchair Taxes 31:20 - Playing Offense: How You Can Help From Wherever You Are 32:23 - How to Get Involved With You Are The Power (It Takes 5 Minutes) 36:44 - Final Thoughts, Contact Info & How to Request Help LINKS SECTION

Nothing to like about Hillary Clinton. US - Iran talks continue. Afghanistan - Pakistan at war. Cuba speedboat killings. Wrong way Somali trucker who could not read English. ICE not welcome in Indianapolis. Note scam at supermarkets. Indianapolis "Public Editor" to regain trust in local media again. Alvin Bragg drops assault charge on man who was arrested for throwing ice and snowballs at the NYPD. Electing Republican prosecutors save young men's lives. Braun down to %25 popularity. Braun should veto phone ban in schools. Today’s Popcorn Moment: California parent threatened by CPS after school secretly socially transitioned her daughter. Today on the Marketplace: Winter is officially over. New Zealand wants American homebuyers Kamala shaking the hand of creepy Joe Hogsett. No more transgender drivers' licenses in Kansas. Netflix bows out of bid to buy Warner Brothers. Trump spoke too soon about inflation. TV Theme Song: Film Friday - Good Bad and the Ugly. AI hacks MexicoSee omnystudio.com/listener for privacy information.

Braun down to %25 popularity. Braun should veto phone ban in schools. Today’s Popcorn Moment: California parent threatened by CPS after school secretly socially transitioned her daughter. Today on the Marketplace: Winter is officially over. New Zealand wants American homebuyersSee omnystudio.com/listener for privacy information.

0:30 - WAR ON FRAUD 15:33 - Illegals and CDLs 38:30 - Not going to be shaken down 01:00:08 - Early voting in CPS 01:19:12 - Brian Jodice, National Press Secretary for the American Federation for Children, says demand for federal school choice is surging — so why are some governors refusing to opt in? For more on the American Federation for Children federationforchildren.org 01:33:09 - Alicia Nieves, lawyer focused on immigration and national-security issues who writes from Chicago, explains Why the Democratic Party Can’t Moderate. Follow Alicia on X @alicianieves__ 01:53:22 - Why Dan Proft is Single 02:10:21 - South Side Irish Parade Committee member Jim Smith gets you ready for the big day, spotlighting this year’s Grand Marshals, Tunnel to Towers. Buy a South Side parade T-shirt or poster and help support Tunnel 2 TowersSee omnystudio.com/listener for privacy information.

Dr. Lakshmi Rajdev and Dr. Manish Shah join the podcast to discuss the updated guideline on immunotherapy and targeted therapy in unresectable locally advanced, advanced, or metastatic gastroesophageal cancer. They share first-line and subsequent-line recommendations for both gastroesophageal adenocarcinoma and esophageal squamous cell carcinoma based on actionable biomarkers including PD-L1 expression, MMR and/or MSI, CLDN18.2 expression, and HER2 status. They note the importance of the algorithms and tables in the guidelines that provide visual illustrations and quick reference guides of the evidence-based recommendations. They also comment on ongoing and recently presented trials that may impact future guidelines in this space. Read the full guideline, "Immunotherapy and Targeted Therapy for Advanced Gastroesophageal Cancer: ASCO Guideline Update" at www.asco.org/gastrointestinal-cancer-guidelines" TRANSCRIPT This guideline, clinical tools and resources are available at www.asco.org/gastrointestinal-cancer-guidelines. Read the full text of the guideline and review authors' disclosures of potential conflicts of interest in the Journal of Clinical Oncology,  https://ascopubs.org/doi/10.1200/JCO-25-02958      Timestamps ·       00:00 – 02:15 Introduction and Overview ·       02:16 - 08:20 First-line treatment for patients with pMMR/MSS, HER2-negative gastroesophageal adenocarcinoma ·       08:21 –10:29 First-line treatment for patients with pMMR/MSS, HER2-positive gastroesophageal adenocarcinoma ·       10:30 – 14:39 First-line treatment for patients with dMMR/MSI-H, gastroesophageal adenocarcinoma ·       14:40 – 18:03 First-line treatment for ESCC ·       18:04 – 22:04 Second- and third-line therapy for gastroesophageal adenocarcinoma and ESCC ·       22:05 – 24:38 Importance of guideline ·       24:39 – 27:45 Outstanding questions and future research   Brittany Harvey: Hello and welcome to the ASCO Guidelines podcast, one of ASCO's podcasts delivering timely information to keep you up to date on the latest changes, challenges, and advances in oncology. You can find all the shows, including this one, at asco.org/podcasts.   My name is Brittany Harvey, and today I am interviewing Dr. Lakshmi Rajdev from the Icahn School of Medicine at Mount Sinai and Dr. Manish Shah from Weill Cornell Medicine, co-chairs on "Immunotherapy and Targeted Therapy for Advanced Gastroesophageal Cancer: ASCO Guideline Update." Thank you for being here today, Dr. Rajdev and Dr. Shah. Dr. Lakshmi Rajdev: Thank you. Dr. Manish Shah: Thank you for having us. It is wonderful. Brittany Harvey: And then just before we discuss this guideline, I would like to note that ASCO takes great care in the development of its guidelines and ensuring that the ASCO conflict of interest policy is followed for each guideline. The disclosures of potential conflicts of interest for the guideline panel, including Dr. Rajdev and Dr. Shah, who have joined us here today, are available online with the publication of the guideline in the Journal of Clinical Oncology, which is linked in the show notes. So then to dive into what we are here today to talk about, Dr. Shah, I would like to start first with what prompted the update to this guideline, which was previously published in 2023, and what is the scope of this updated guideline? Dr. Manish Shah: Yes, terrific. So even in the last few years, the pace of drug development in gastroesophageal cancers has just been astounding. So, what prompted this guideline is actually the practice-changing results for a new biomarker, CLDN18.2 hat was based on the GLOW and SPOTLIGHT studies, as well as a practice-changing study in HER2-positive disease where we added pembrolizumab to trastuzumab and chemotherapy for tumors that are HER2-positive and PD-L1 CPS 1 or greater. And then there were also new studies and new approvals in esophageal squamous cell cancer that you will hear about as well. So there were several studies, overall more than 5,000 patients were reported on, and that led to several new therapies, new indications, and it really necessitated this guideline. Brittany Harvey: Excellent. It is great to hear about all of these exciting updates in this space. So then to next review the key recommendations of this guideline by clinical question that the expert panel addressed. So, Dr. Rajdev, what is the recommended first-line treatment for patients with proficient mismatch repair, microsatellite stable, HER2-negative gastroesophageal adenocarcinoma? Dr. Lakshmi Rajdev: Thank you for that question. So historically, we have sort of used fluoropyrimidine and platinum doublets, which yielded a survival of about one year. More recently, immunotherapy and targeted therapy options have improved outcomes in patients with advanced esophageal and gastric adenocarcinoma, as well as squamous cell carcinoma. Patients with gastric and GE junction adenocarcinoma have a high rate of actionable alterations, so it is imperative that physicians test the following biomarkers upfront so that it can help guide therapy. The markers recommended by the ASCO panel are HER2, MMR or MSI, CLDN18.2, and PD-L1. And also, it was recommended to use NGS if feasible in this patient population. HER2, as we know, is expressed in about 15% to 25% of patients; PD-L1 expression occurs in about 80% of patients; MSI-high, deficient MMR is present in about 5% to 8% of patients; and CLDN18.2 expression is present in about 40% of patients. There is, of course, biomarker overlap. About 13% to 22% of CLDN18.2 patients are also PD-L1 positive. For patients with pMMR or microsatellite stable HER2-negative disease with PD-L1 expression greater than 1 and absence of CLDN18.2, the panel recommended a first-line therapy with fluoropyrimidine and platinum-based therapy in combination with immunotherapy. These recommendations stem from large phase 3 trials, and the agents approved in the United States are pembrolizumab, nivolumab, and tislelizumab. It has been shown that immunotherapy benefit is greater in patients with higher PD-L1 expression, and it is not possible to comment on the individual PD-L1 cutoff scores and sort of identify the optimal PD-L1 cutoff score that sort of balances benefits and harms. But what is recommended is that immunotherapy-based treatments can be offered in patients with a CPS score of greater than 1. With regard to the choice of immunotherapy agents, that is pembrolizumab, nivolumab, or tislelizumab, these agents are considered to have similar efficacy, and the selection of an agent could be based on dosing schedule, cost considerations, toxicity, and the method of administration. Typically, clinicians should avoid withholding the start of chemotherapy while awaiting biomarker testing, depending on the clinical scenario. Now, for patients with pMMR microsatellite stable disease that is HER2-negative with PD-L1 expression less than 1 and positive CLDN18.2 expression, zolbetuximab-based treatments or in combination with chemotherapy is recommended, and this is based on two global phase III randomized controlled trials, the GLOW and the SPOTLIGHT. And across both studies, the hazard ratio for the overall survival was 0.78, and similarly, there was also an improvement in progression-free survival favoring the zolbetuximab group compared to the chemotherapy group alone. An important note is that nausea, vomiting is commonly associated with zolbetuximab-based treatments, and the panel recommended prophylactic antiemetics, adjusting zolbetuximab infusion rates, pausing infusion temporarily, using non-prophylactic antiemetics, and hydration intravenously prior to discontinuation of zolbetuximab-based chemotherapy. So effective handling of the GI-related symptoms with zolbetuximab is recommended prior to discontinuation of therapy. Now, for patients with pMMR microsatellite stable HER2-negative gastric, GE junction adenocarcinoma with PD-L1 expression greater than 1 and CLDN18.2 positivity, the ones with the dual expression with CLDN18.2 as well as PD-L1 chemotherapy, the choice of therapy can be based on the degree of PD-L1 expression, the toxicity profile, the burden of symptoms, and the anticipated improvement in symptoms associated with response to treatment, the patient comorbidities, the prior medical and treatment history. So this decision needs to be made on a case-by-case basis, and these are some of the factors that we suggested that could potentially influence the choice of therapy. For patients with pMMR microsatellite stable disease that is HER2-negative and a PD-L1 expression less than 1 and an absence of CLDN18.2 expression, first-line therapy with fluoropyrimidine and platinum-based chemotherapy is recommended. So you can see we have segmented out patients based on PD-L1 expression, pMMR and microsatellite stable disease expression, and also based on CLDN expression. Brittany Harvey: Absolutely. And that first point you noted, I think is really important, that biomarker testing is really critical for treatment decision-making in this space. So then the next subgroup of patients that the panel looked at, Dr. Shah, what first-line therapy is recommended for patients with proficient mismatch repair, microsatellite stable, HER2-positive gastroesophageal adenocarcinoma? Dr. Manish Shah: So this was an update from a few years ago. So we have known for 15 years now that if you are HER2-positive, you should get trastuzumab plus chemotherapy. That was based on the ToGA trial. And the update now is based on a trial called KEYNOTE-811, where it examined the addition of pembrolizumab to trastuzumab and chemotherapy versus trastuzumab and chemotherapy, and there was a progression-free and overall survival benefit. And again, here, the biomarkers are important. If your CPS PD-L1 is less than 1, we would not recommend Pembrolizumab in that setting, so you would still get trastuzumab and chemotherapy. But if it is 1 or greater, the PD-L1 CPS score, then we do recommend pembrolizumab unless there is a contraindication to immunotherapy. The take-home message really is from the onset of diagnosis, please check your biomarkers. And I will just, it is worth repeating, it is important to check your PD-L1 status, HER2 status, mismatch repair status, and CLDN18.2 status. And then the optimal therapy, and it is outlined in the publication, is really biomarker-driven. We know that if we are able to hit the target that is overexpressed, we are going to have a better outcome. And Dr. Rajdev did mention where there is overlap, there can be a lack of data, and that is where we are with both PD-L1 positive and CLDN positive. Here we do have data in HER2-positive cases where if you are both HER2-positive and PD-L1 positive, you would combine trastuzumab and pembrolizumab for the best outcomes. Brittany Harvey: Understood. I really appreciate you detailing what is most important for each individual biomarker combination that patients may have. So then following that, Dr. Rajdev, what does the expert panel recommend for first-line treatment for patients with esophageal squamous cell carcinoma that is not amenable to definitive chemoradiation? Dr. Lakshmi Rajdev: There are three phase III randomized clinical trials that have influenced practice in patients with esophageal squamous cell carcinoma examining the benefit of immunotherapy in this patient population. The RATIONALE-306 was a randomized trial of tislelizumab plus chemotherapy with platinum and fluoropyrimidine or paclitaxel versus placebo with chemotherapy. And then you have the KEYNOTE-590, which compared pembrolizumab plus chemotherapy versus chemotherapy alone. And then you have CheckMate-648, which included comparisons of nivolumab plus chemotherapy versus nivolumab plus ipilimumab or chemotherapy. And the primary endpoints for these studies were overall survival, and they did look at subgroups with PD-L1 expression. They used TPS score greater than 1% in CheckMate-648 and PD-L1 CPS greater than 10 in KEYNOTE-590. The bottom line is that the overall hazard ratio for overall survival across this patient population was 0.72. So clearly, there is benefit in patients that express PD-L1 CPS greater than 1 for benefit for the addition of immunotherapy. Now, the benefit again in patients with a PD-L1 expression less than 1 remains limited, and so the panel has made a recommendation for using immunotherapy in combination with platinum-based chemotherapy in patients with a PD-L1 greater than 1. Again, we know that it is hard to make recommendations on what PD-L1 cutoffs are recommended in this patient population, meaning that should it be limited to patients with a PD-L1 of 1 to 4 or greater than 10? I think that the general consensus that has been gleaned from the data is that the higher the PD-L1 expression, the greater the benefit. I do want to comment on another option that is available in patients with squamous cell carcinoma compared to adenocarcinoma, and that is the combination of nivolumab and ipilimumab. Now, in CheckMate-648, nivolumab with ipilimumab was also recommended as a treatment option in patients that have a PD-L1 score of greater than 1. There was a survival benefit demonstrated with this combination compared to chemotherapy alone. And an important observation in this study is that, although there was a slightly increased rate in early death, but there was really no significant difference in PFS and OS compared to chemotherapy alone. Importantly, the treatment appeared to be pretty well tolerated by the study population. There was a notable difference in the objective response rate, which was 35% in the nivolumab plus ipilimumab group compared to patients receiving nivolumab and chemotherapy, where it was 53%. So superiority is, so the importance of chemotherapy in patients with esophageal squamous cell carcinoma is to be noted. However, there is no difference in overall survival and progression-free survival when using the combination of nivolumab and ipilimumab, and thus it affords a chemotherapy-free option for this patient population with esophageal squamous cell carcinoma and a CPS with a score of greater than 1. Brittany Harvey: Understood. I appreciate you reviewing the evidence underpinning those recommendations as well. So then the next patient population that the guideline panel addressed, what first-line therapy is recommended for patients with deficient mismatch repair, microsatellite instability-high, gastroesophageal adenocarcinoma or esophageal squamous cell carcinoma? Dr. Lakshmi Rajdev: The rate of MSI-high expression is about 3% to 7% across different studies. Now, the KEYNOTE-158 was a tumor-agnostic study in patients with non-colorectal cancers, and again, the problem with the MSI-high population, given that it is so rare, the numbers in the individual studies are fairly small. But consistent outcomes do emerge, indicating high response to immunotherapy. So in KEYNOTE-158, a response rate of about 46% was noted. The number of patients was small, it was about 24. In CheckMate-649, which is a study of chemotherapy plus or minus nivolumab in patients with advanced gastric adenocarcinoma, there was again a very small number of patients, and patients that were MSI-high or deficient MMR did experience substantial benefits with the addition of immunotherapy, with hazard ratios in the order of about 0.38. In KEYNOTE-062, again, it was a very small number of patients, again about 6% or so, and similar to CheckMate-649, a substantial benefit was noted in combination with chemotherapy, but also there were benefits noted with pembrolizumab alone. The RATIONALE-305 again was a study of tislelizumab in combination with chemotherapy and similarly showed benefits to the combination of chemotherapy plus immunotherapy in this patient population. I think that we are all aware of the dramatic benefits of immunotherapy in this particular subset of patients, deficient MMR MSI-high, and also we have seen in CheckMate-649 they did have a subset of patients that received nivolumab and ipilimumab. And in this patient population, they noted unstratified hazard ratio of 0.28. So I think that the overall consensus is that immunotherapy is a very important treatment modality in patients with deficient MMR MSI-high disease, given that a lot of the trials in gastroesophageal adenocarcinoma have utilized chemotherapy-based options, that is certainly a recommendation of the panel to use chemotherapy in combination with immunotherapy. However, on a case-by-case basis, the panel recommended immunotherapy alone as well, and given the high response rates noted in trials across different diseases as well as noted in this disease as well. Brittany Harvey: Certainly. And I appreciate you both for reviewing these first-line recommendations. So moving to later lines of therapy, Dr. Rajdev, what recommendations did the expert panel make for second or third-line therapy for gastroesophageal adenocarcinoma and esophageal squamous cell carcinoma? Dr. Lakshmi Rajdev: So, I think that the RAINBOW trial that investigated the utility of the addition of ramucirumab as second-line therapy has been around since 2014, and those results have led to the addition of ramucirumab to taxane-based therapy in the second-line setting. Based on the utilization of oxaliplatin and platinum-based therapy in the front-line setting, there may be patients that have an underlying neuropathy, and so we wanted to really include treatment options for this patient population so that an agent that is less neurotoxic could also be recommended in combination with ramucirumab. The RAMIRIS trial is one such trial where ramucirumab was combined with FOLFIRI, and it demonstrated benefit in combination with ramucirumab. So we have listed that as a potential treatment option for patients in the second-line setting who may have an underlying neuropathy or even for whatever reason that based on the toxicity profile, that needs to be the preferred option by a physician, that recommendation is new from the older guidelines that we have. With regard to the utility of PD-1 inhibitors, there really has been no benefit noted in the second-line setting with regard to overall survival or progression-free survival, so no recommendation is made for that option. I think an important study that has been recently presented is the DESTINY-Gastric04 trial, which really has been practice-changing and has led to the recommendation for trastuzumab deruxtecan in patients that have HER2-positive metastatic gastric or GE junction adenocarcinoma. Now, this is a phase III trial in patients who retained HER2-positive disease after progressing on front-line trastuzumab-based treatments, and the comparator for this trial was trastuzumab deruxtecan versus ramucirumab plus paclitaxel. There was significant improvement and progression-free survival in patients that received trastuzumab deruxtecan. The patients that were excluded from the trial are patients that have pulmonary problems, interstitial lung disease; that is one of the toxicities of this particular agent, and close monitoring and prompt initiation of therapy such as glucocorticoid treatment in patients who develop this toxicity was also highlighted by the panel. So to summarize, the new guidelines highlight the possibility of FOLFIRI plus ramucirumab as a second-line option and then trastuzumab deruxtecan as a later-line option in patients that still retain HER2 expression. And that is very important because the trial did retest patients whether they expressed HER2. As we know, in a substantial number of patients, there is downregulation of HER2, and there is emerging data that the benefit for subsequent HER2-directed therapies is best noted in patients that still retain HER2 expression. Brittany Harvey: Great. So as our listeners have heard, there are many recommendations and new treatment options for advanced gastroesophageal cancer. Dr. Shah, earlier you highlighted the importance of biomarker testing, but I would like to hear in your view, what is the importance of this guideline and how will it impact both clinicians and patients with gastroesophageal carcinoma? Dr. Manish Shah: So as we have discussed throughout this podcast, the treatment for gastroesophageal cancer, both adenocarcinoma and squamous cell cancer, is increasingly complex, increasingly biomarker-driven. And I think the value of the guideline is to place all of that into context. So it provides the data for why certain biomarkers are important, what therapies should be indicated. Not only that, but if you are able to review the guideline, it provides the details of each of these studies and summarizes them in a meta-analysis fashion to sort of give you the context, because sometimes the individual studies can be maybe a little bit discordant or confusing and the guideline attempts to harmonize all that. And then also, I think the tables are very, very interesting because they give you actual numbers in terms of how many patients over a thousand would this benefit or how many patients over a thousand would this cause harm in terms of nausea, vomiting, or other things like that. So it gives you context for helping clinicians and patients weigh the potential benefits of the novel treatment strategies against the potential adverse events. And then finally, the guideline does also provide an algorithm that you are able to follow based on the biomarkers, and those are in figures 4 and 5. So I think overall, it is a very comprehensive guideline. It intends to make more manageable a very complex subject, and you know, I really encourage our listeners to review it after listening to the podcast. Dr. Lakshmi Rajdev: If I can add to that, I think that what is also really good about the guidelines is there are quick summaries. So if someone is busy in the clinic, of course, there is the opportunity to review the data supporting the guidelines in great depth in the manuscript, but what is also really good is that there are good summaries. In the event that you are very busy, you can easily identify what the recommendations should be for that particular patient based on these summaries. Brittany Harvey: Absolutely. Listeners are encouraged to review the full guideline, including those tables and figures that may be more helpful when they are looking for something quick to look at in the clinic as well. So, as you both mentioned, there have been a number of recent practice-changing trials in this area. So I imagine there is still a lot of ongoing research as well. So Dr. Shah, what are the outstanding questions regarding treatment options for patients with locally advanced unresectable, advanced, or metastatic gastroesophageal carcinoma? Dr. Manish Shah: I think we touched upon it a little bit. The guidelines are based on the data available, and they are primarily examining one novel therapy with chemotherapy in a specific biomarker population. But as you know, the biomarkers are not either/or; you are not either CLDN18.2 positive or PD-L1 positive. A portion of patients could have dual biomarkers, and you know, I think that we are generating data on how to manage those patients. At the recent GI Symposium in January this year, the ILUSTRO trial was presented by Dr. Shitara, which looked at combining zolbetuximab and chemotherapy with immunotherapy for dual-positive biomarkers, and that is leading to a phase III study that has begun to enroll. So unanswered questions are: how do we manage dual-positive biomarkers? The other thing that was mentioned is that the current data for mismatch repair deficiency involve chemotherapy plus immunotherapy. Only squamous cell cancer is there a study with a positive non-chemotherapy kind of backbone, that is CheckMate-648 that Dr. Rajdev mentioned. As we move forward, it will be good to get data on non-chemotherapy options in certain biomarker-positive populations. And then finally, another update, which is likely to be practice-changing, is the HERIZON-GEA-01 study that looked at zanidatamab, which is another biparatopic antibody that targets HER2, and that is likely to change practice. And as that data gets published, we may look to even do a rapid update for the current immunotherapy and targeted therapy guideline that is just being published. Dr. Lakshmi Rajdev: So, if I can add to that, there are numerous ADCs that look very interesting. There are bispecific antibodies; in fact, the zanidatamab is a bispecific antibody showing improved activity in patients with HER2-positive disease. So I think there are studies from Asia looking at CLDN CAR T-based therapies. So, I think that there are a lot of novel agents and a lot of excitement in the field. We know that the bemarituzumab study, unfortunately, the FGFR2 inhibitor failed to demonstrate any benefit, but I think that there are other agents that are being explored, so there are newer targets, newer agents, ADCs, bispecifics that could potentially change the field in the future. Brittany Harvey: Yes, we will look forward to the data to address these unanswered questions and new agents and inform future guideline updates. So, I would like to thank you both for all of your work to review the evidence here and update this important guideline, and for your time today, Dr. Rajdev and Dr. Shah. Dr. Lakshmi Rajdev: Thank you. Dr. Manish Shah: Thank you. Brittany Harvey: And finally, thank you to all of our listeners for tuning in to the ASCO Guidelines podcast. To read the full guideline, go to www.asco.org/gastrointestinal-cancer-guidelines. You can also find many of our guidelines and interactive resources in the free ASCO Guidelines app, which is available in the Apple App Store or the Google Play Store. If you have enjoyed what you have heard today, please rate and review the podcast and be sure to subscribe so you never miss an episode. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.

This PedsCases episode will review the Canadian Paediatric Society Position Statement from November 2022, "Acute complications in children with sickle cell disease: Prevention and management". By the end of this podcast, listeners will be able to 1) understand how to prevent mortality and morbidity associated with SCD, 2) recognize and manage the common complications of SCD, and 3) know the basic principles of transfusion for patients with SCD. Today's episode was created by Audrey Slater, a fourth-year medical student at the Université de Montréal, in collaboration with the authors of the CPS statement, including Dr. Carolyn E. Beck, a hospitalist pediatrician at SickKids hospital, Dr. Evelyne D. Trottier, a pediatric emergency physician at CHUSJ, Dr. Melanie Kirby-Allen, a haematologist at SickKids Hospital, and Dr. Yves Pastore, a haematologist at CHUSJ. There are no conflicts of interest to disclose by the authors.

Dr. Ross Greene's work has profoundly shaped how so many of us think about kids' behavior and what they actually need from the adults in their lives, so I'm thrilled to welcome him back to the show to talk about his brand new book, The Kids Who Aren't Okay: The Urgent Case for Reimagining Support, Belonging, and Hope in Schools. Together, we explore the urgent need to reimagine how we support children in schools, especially as mental health concerns continue to rise. We dig into the importance of recognizing developmental variability, why meeting kids where they are is non-negotiable, and how current behavior-focused systems miss the real problems underneath. Ross also highlights the role parents and caregivers can play in advocating for meaningful change. About Dr. Ross Greene  Ross W. Greene, Ph.D., is a clinical psychologist and the originator of the innovative, evidence-based approach called Collaborative & Proactive Solutions (CPS), as described in his influential books The Explosive Child, Lost at School, Lost & Found, and Raising Human Beings. He also developed and executive produced the award-winning documentary film The Kids We Lose, released in 2018. Dr. Greene was on the faculty at Harvard Medical School for over 20 years, and is now founding director of the non-profit Lives in the Balance. He is also currently adjunct Professor in the Department of Psychology at Virginia Tech and adjunct Professor in the Faculty of Science at the University of Technology in Sydney, Australia. Dr. Greene has worked with several thousand kids with concerning behaviors and their caregivers, and he and his colleagues have overseen implementation and evaluation of the CPS model in countless schools, inpatient psychiatric units, and residential and juvenile detention facilities, with dramatic effect: significant reductions in recidivism, discipline referrals, detentions, suspensions, and use of restraint and seclusion. Dr.Greene lectures throughout the world and lives in Freeport, Maine. Things you'll learn from this episode  How kids today are facing unprecedented challenges that require new ways of thinking and responding Why developmental variability matters and why every child needs support tailored to their unique profile How schools can create more supportive ecosystems by using proactive rather than reactive approaches Why behavior is often a late signal of unmet expectations, not the problem itself How managing expectations and understanding root causes can reduce concerning behaviors Why parents' advocacy and the Collaborative & Proactive Solutions model can transform how children are supported in education Resources mentioned The Kids Who Aren't Okay: The Urgent Case for Reimagining Support, Belonging, and Hope in Schools by Dr. Ross Greene Never Too Early: CPS with Young Kids (documentary) The Explosive Child: A New Approach for Understanding and Parenting Easily Frustrated, Chronically Inflexible Children by Dr. Ross Greene Lives in the Balance (Dr. Greene's website) The B Team (Facebook group) Lost at School: Why Our Kids With Behavioral Challenges are Falling Through the Cracks and How We Can Help Them by Dr. Ross Greene Raising Human Beings: Creating a Collaborative Partnership with Your Child by Dr. Ross Greene Lost and Found: Helping Behaviorally Challenge Students (and While You're At It, All the Others by Dr. Ross Greene The Kids We Lose (documentary) How to Parent Angry and Explosive Children, with Dr. Ross Greene (Tilt Parenting podcast) Ken Wilbur Learn more about your ad choices. Visit podcastchoices.com/adchoices

Today on MetroNews This Morning: --Hancock County begins the RIF and transfer process among school employees--Berkeley County hands out discipline to more than 200 students who walked out of class in protest of ICE--Family members of troubled children tell horror stories to lawmakers about problems with CPS in West Virginia--In Sports: WVU and Marshall have important basketball games tonight 

Send me a DM here (it doesn't let me respond), OR email me: imagineabetterworld2020@gmail.com**This is a replay from Season 4 featuring Epstein survivor, Jennifer Guskin: Today I'm honored to introduce to you all: Human trafficking, mind control and satanic ritual abuse survivor and whistleblower, wife, mother, writer, and a young woman on a mission to blind the darkness with her light, Jennifer Guskin.I met Jennifer on Twitter where she has quietly been whistleblowing pieces of her story and connecting with other survivors and whistleblowers. Recently, she corroborated a new piece of her story in the comment section of a tweet made by journalist, James O'Keefe, that whistleblew a horrendous story about a current sitting member of Congress that you would all know by name who she saw being forced to partake in blackmail operations involving the rape of a child that blew up and went viral - and ever since, she has been opening up more and more about her life and experiences so that we may learn the hard truths about our world alongside her. This is one of Jennifer's first times sharing her testimony and I couldn't be more honored and grateful to get to share her incredible story with all of you.As a child, Jennifer was adopted as an infant into a family who subsequently sold her to various individuals and entities throughout her childhood. Although her memory comes in pieces, what she has remembered so far is enough to leave anyone's jaw on the floor. After going public for the first time in 2017 to whistleblow her experiences, Jennifer's life took a harrowing turn as CPS stepped in and took her perfectly healthy child out of her perfectly loving home and placed her into Foster Care where she was held hostage by the state of Maryland for 5 yeas. One only has to put two and two together to realize that this was an intentional retaliation effort to silence Jennifer into staying quiet about what she had been publicly sharing - more importantly - WHO she had been sharing about. Having been put into government-sponsored MK ULTRA-type child slavery programs, a few of Jennifer's memories we will be discussing today include being taken to Epstein Island and multiple Lolita Express type flights, being boated off to islands off Long Island to experimented on, as well as being placed in ‘gifted and talented' programs as a child. And this is just the tip of the iceberg…I have a deep admiration for Jennifer who, against all odds, continues to fight for her life, for her daughter and family, and for every child by exposing the networks, agencies and those who are involved with running and partaking in these child-trafficking blackmail operations that are in front of our face and yet remain invisible to most of society. The one thing Jennifer's abusers didn't anticipate was that her strength of spirit was stronger than any coercion and brainwashing they tried to impose on her. They thought she'd remain a victim and didn't realize they were actually raising a warrior who would one day be a part of the movement to tear down the exact systems that they had spent so much time and energy grooming her to pass on to the next generation. They didn't realize that in the process of trying to break Jennifer that the only thing that would break would be the cycle of generational trauma. CONNECT WITH JENNIFER:Twitter / X: https://x.com/CTSurvivor17Substack: https://jenniferguskin.substack.com/Truth Social: Jennifer GuskinCONNECT WITH EMMA:YouTube: https://www.youtube.com/@imaginationpodcastofficialRumble: Support the show

Issues with CPS and the state foster care system are persistent. The West Virginia Legislature faces questions on how to correct the problems that arise every year. We spoke with Dels. Jonathan Pinson, R-Mason, and Hollis Lewis, D-Kanawha, on last week's The Legislature Today to get their take on the issue. The post Lawmakers Weigh In On Foster Care Needs, This West Virginia Morning appeared first on West Virginia Public Broadcasting.

Comment développer les compétences psychosociales (CPS) de nos élèves sans trahir nos valeurs éducatives ? Au-delà des outils et des séquences toutes faites, se pose la question de l'éthique : quelle intention pédagogique porte vraiment nos pratiques ?Avec Christine Ferron, nous explorons les enjeux profonds liés au développement des CPS à l'école, entre responsabilité collective, prévention, émancipation et cohérence éducative. À l'horizon 2037, cette génération pourrait être la première à bénéficier d'un accompagnement continu en CPS… à condition que l'on garde le cap.► Retrouvez ÊtrePROFNotre site web : https://tinyurl.com/siteweb-etreprof Instagram : http://bit.ly/instagram-etreprof Facebook : http://bit.ly/facebook-etreprofHébergé par Ausha. Visitez ausha.co/politique-de-confidentialite pour plus d'informations.

In this powerful conversation, I sit down with Dr. Ross Greene, clinical psychologist and creator of the Collaborative and Proactive Solutions (CPS) model, to unpack why traditional rewards and punishments often make behavior worse — not better. We dive deep into why "because I said so" stops working, what your child's frustration is actually communicating, and how to shift from authoritarian control to collaborative leadership that builds trust, accountability, and critical thinking.   If you've ever thought, "Why is this not working anymore?" this episode will give you a radically different lens — and practical tools you can use immediately.     Timeline Summary [0:00] Why power struggles are so common in parenting [2:00] Introducing Dr. Ross Greene and the CPS model  [6:17] Why rewards and punishments don't solve the real problem  [8:33] Concerning behavior as a frustration response  [12:04] The 3-step collaborative problem-solving process explained  [16:19] Real-life example: solving teeth brushing battles with a 3-year-old  [30:56] Curfew conflict and how to navigate teenage resistance  [37:16] How collaborative parenting builds critical thinking  [41:56] Why authoritarian parenting may cause long-term harm  [47:06] Developmental variability — why every child is different  [49:23] Why noncompliance is informative, not defiance  [56:31] Accountability through collaboration — not punishment      Five Key Takeaways Concerning behavior is a signal, not a character flaw. It communicates an unsolved problem.  Rewards and punishments modify behavior — they don't solve the underlying issue.  The 3-step CPS process (Empathy, Define Adult Concern, Invitation) reduces conflict and builds trust.  Noncompliance is information. It tells you an expectation may exceed your child's current skill set.  Collaborative leadership builds accountability, emotional regulation, and critical thinking.      Links & Resources Dad Edge Alliance Preview Call: http://thedadedge.com/preview Dad Edge Business Boardroom (Mastermind): https://thedadedge.com/mastermind Dr. Ross Greene — Lives in the Balance (Free Resources): https://livesinthebalance.org Episode Show Notes & Resources: https://thedadedge.com/1442   Closing Remark   If this episode challenged how you think about discipline, accountability, and leadership at home, don't just sit on it — put it into practice. Try the empathy step tonight. Lead with curiosity. Solve one unsolved problem.   If this conversation impacted you, please rate, review, follow, and share the podcast. The way we parent today shapes the leaders of tomorrow.   From my heart to yours — go out and live legendary.

"AHR isn't just a product show, it's where you see the future of the trade taking shape in real time." "Training, technology, and community are finally moving at the same speed." "Exhausting in the best possible way, that's how you know it was a great show." Fresh off the floor of AHR Expo 2026 in Las Vegas, the TruTech Tools team jumps on the mic to share firsthand impressions from one of the HVAC industry's biggest gatherings. From Ginny's perspective as a first-time attendee navigating miles of booths and crowds, to seasoned takes from Eric, Sue, Billy, and you, the conversation blends product insights with the human side of the event. AHR once again proved to be equal parts technology showcase, relationship builder, and industry pulse check. The team highlights standout innovations across tools and test instruments. Knipex impressed with precision German-engineered hand tools, while NAVAC, CPS, and other manufacturers expanded digital manifold and smart probe ecosystems. Uni­weld's move into smart tools, new battery-platform flexibility, and firmware-driven analyzers signaled the continued shift toward connected diagnostics. Thermal imaging advances by testo, high-accuracy electrical measurement from UEi, and training simulators also reinforced how fast field technology is evolving. Beyond products, the episode underscores the culture of the trade. From Tactical Awards recognition to High-Performance Hangout networking and young entrepreneurs launching companies at 18, the future of HVAC felt energized. The conversation closes with reflections on industry momentum, BetterHVAC's growing traction, and a shared sense that innovation, education, and community are accelerating together.   This episode was recorded in February 2026.  

On this episode of Best Bets for Pets, host Michelle Fern tackles an important topic for anyone who travels with their pet — especially the more than 800,000 U.S. truck drivers who bring their dogs (and sometimes cats) along for the ride. Volvo Trucks North America has partnered with the Center for Pet Safety to conduct the first-of-its-kind evaluation of pet safety in a Class 8 long-haul truck — and the results may surprise you. Michelle speaks with Chris Stadler of Volvo Trucks about the all-new Volvo VNL, which passed the pet safety assessment, including strength-tested anchor points compatible with CPS-certified harnesses and carriers, an industry-leading battery-powered Parking Cooler that keeps pets comfortable up to eight hours without idling, and innovative sleeper-cab design features that support safe pet travel. Whether you drive a big rig or a family SUV, this episode highlights crucial lessons about securing pets, managing temperature, and raising the bar for travel safety for our four-legged co-pilots.EPISODE NOTES: Big Rigs & Barking Co-Pilots - Volvo: Raising the Bar on Pet Travel SafetyBecome a supporter of this podcast: https://www.spreaker.com/podcast/best-bets-for-pets-the-latest-pet-product-trends-pets-animals-pet-life-radio-original--6667904/support.

Welcome to Church Pew Sports Ep 201  - Chasing The Olympic Dream with Leah Neset & Artem Markelov With the Winter Olympics dominating the sports world this week, we're talking with a young couple dreaming of representing Team USA in 2030 - Leah Neset & Artem Markelov, a young couple with a stunning figure skating resume: CAREER ACCOMPLISHMENTS World Junior champions (2024) Junior Grand Prix Final champions (2023) U.S. junior champions (2024, '23, '22) Now, Leah and Artem have their sights set on 2030 and know it will be a grueling journey to get there. You'll love their enthusiasm, passion, and desire to honor the Lord as they share the ins and outs of the hyper competitive world of pairs figure skating! This week's CPS Starting Host Lineup: Bill Hobson David Collins --------- Did you know you can now WATCH Church Pew Sports on our new YOUTUBE Channel? You can listen to EVERY episode of CPS by visiting Churchpewsports.com/ We would love to hear your thoughts, comments, and questions. Reach out to us at: churchpewsports316@gmail.com Stay connected to Church Pew Sports on Facebook and Twitter @CPewsSports316  

Episode 98 - Murdock and Marvel: 2024 Can comics survive without big-screen movies to prop them up?  Yes, it appears they can.  It was another great year for comics in stores, even as the pop-culture phenomenon of the MCU seems to have largely died.  The Year in Comics  Comics in Other Media Comic Sales Notable Comics Top Comic News Notable Passings Marvel Eisner Awards Dan's Favorite The Year in Daredevil  Appearances: Daredevil v8 #3-14, Daredevil: Black Armor #1-4, Daredevil: Gang War #1-4, Daredevil Omnibus #3, Giant-Size Daredevil #1, Daredevil: Woman Without Fear #1-4, Venom War: Daredevil #1, Daredevil Epic Collection #7, Avengers Epic Collection #11, Amazing Spider-Man Collection #10, Defenders Epic Collection #2, Scarlet Witch #5, Dazzler Omnibus and the Deadly Hands of Kung-Fu: Gang War graphic novel.  Writer: Saladin Ahmed (#3-7, #9-14), Ahmed, Erica Schultz, Elsa Sjunneson, Ann Nocenti, D. G. Chichester, and Ty Templeton (#8)  Pencils: Aaron Kuder and Farid Karami (#3), German Peralta (#4), Karami (#5), Kuder (#6-7 and #11-12), Kuder, Jan Bazaldua, Eric Koda, Stefano Raffaele, Ken Lashley, Tommaso Bianchi and Ty Templeton (#8), Juann Cabal (#9-10), Chris Campana (#13), Luigi Zagaria (#14)  Inks: Cam Smith and Farid Karami (#3), German Peralta (#4), Karami (#5), Kuder (#6-7 and #11-12) Kuder, Jan Bazaldua, Eric Koda, Stefano Raffaele, Ken Lashley, Tommaso Bianchi and Ty Templeton (#8), Juann Cabal (#9-10), Craig Yeung (#13), Luigi Zagaria (#14)  Matt Murdock is living as Father Matt, devoting himself to St. Nicholas Youth Home, which is suddenly facing shutdown over financial and other disagreements with the church despite its bills being secretly paid by Elektra. When Matt aggressively defends a girl from attackers, it's clear Daredevil's instincts are still right under the surface — even if he's trying to bury that life.  A mysterious demonic force possesses Elektra and turns her against Matt. During their fight, his lost memories begin resurfacing — her name, their past, everything. He frees her through prayer, but the entity warns they're only the first wave. Matt refuses to abandon the priesthood, yet the pull of Daredevil grows stronger.  Online smears claim St. Nick's is a criminal training ground, bringing police and CPS to the door. As Daredevil, Matt traces the lies to Ben Urich and the Daily Bugle — who's shockingly possessed by a demon — and learns about a new gang called The Heat rising under Bullseye. Matt begins realizing these possessions aren't random.  The pattern clicks when She-Hulk is also overtaken. After Matt frees her, Doctor Strange arrives with the truth: the Seven Deadly Sins have manifested as demons, and they followed Matt back from Hell. Strange sends him on a spiritual trial that returns him to New York wearing a white Daredevil suit, symbolizing a holy war rather than street justice.  Trying to stop the spread, Matt clashes with a demon-controlled Wolverine (Lust) in a brutal, city-spanning fight. Instead of winning through force, Matt prays and drives the demon out. Proving faith is his greatest weapon in this new battle.  Meanwhile, gang war erupts in Hell's Kitchen. Daredevil and Elektra confront The Heat and Bullseye, only to discover Wilson Fisk is backing the operation — who is also supernaturally empowered by the demon of Greed, which makes him stronger and more cunning than ever. This was part of a 60th anniversary issue that will be this week's spotlight.  At St. Nick's, Jason — a troubled boy whose father died in a past Daredevil-related disaster — learns Matt's secret and runs away, believing Daredevil ruins lives. Bullseye manipulates the boy while demonic forces begin directly attacking the orphanage.  After repeated setbacks, Matt confronts a painful truth: he's been guilty of greed too, trying to keep both lives — priest and vigilante. Accepting he can't do both, he burns his clerical clothes and offers one final prayer, choosing to serve God the only way left to him — as Daredevil.  As the year closes, Jason is still missing and there's whispers of a monster haunting Hell's Kitchen. Matt is fully back in the mask full time and appears determined to take on whatever is coming.  This Week's Spotlight: Daredevil Volume 8 issues #8 (#670 LGY) from June 2024 “Introductory Rites Part 8” Recap Why We Picked This Story Daredevil Rapid Fire Questions The Takeaway The takeaway is back, just long enough to say comics seem to have hit a new level of popularity post-pandemic, and that popularity has the potential to grow even more. Questions or comments We'd love to hear from you!  Email us at questions@comicsovertime.com or find us on Twitter @comicsoftime. ------------------ THANKS TO THE FOLLOWING CREATORS AND RESOURCES  Music: Our theme music is by the very talented Lesfm.  You can find more about them and their music at https://pixabay.com/users/lesfm-22579021/.  The Grand Comics Database: Dan uses custom queries against a downloadable copy of the GCD to construct his publisher, title and creator charts.  Comichron: Our source for comic book sales data.  Marvel Year By Year: A Visual History  DC Comics Year By Year: A Visual Chronicle  https://en.wikipedia.org/wiki/List_of_films_based_on_English-language_comics  https://en.wikipedia.org/wiki/List_of_Marvel_Comics_superhero_debuts  https://comicbookreadingorders.com/marvel/event-timeline/  https://www.comic-con.org/awards/eisner-awards/past-recipients/past-recipients-1990s/ 

Seeking Divorce Assistance in These Locations? Our Team Can Help!   Riverside: https://bit.ly/4lYPO9o Corona: https://bit.ly/44gJROv Irvine: https://bit.ly/3EvvQSL San Diego: https://bit.ly/4lOg85X Palm Desert: https://bit.ly/4jNWZzc   Founded in 2021, Reel Fathers Rights APC is a Nationally Recognized Family Law Firm that focuses exclusively on representing Men and Fathers in Family Court in California. RFR boasts over 300 years of combined family court experience and was recognized as the top law Firm on the Inc 5000 List for 2025. RFR attorneys have earned dozens of awards and certifications from being named Certified Family Law Speicialist by the State Bar of California to being named Rising Stars by Best Lawyers and Ones to Watch by Super Lawyers. RFR attorneys are equipped to handle everything from contentious Child Custody disputes to high profile, high-stakes divorce, and defense of serious Domestic Violence Allegations. RFR is the go-to attorney for Men and Fathers in California Family Courts. You can learn more about Reel Fathers Rights and their services on our website www.reelfathersrights.com.   Mark Reel Jr. is the Founder and CEO of Reel Fathers Rights APC. Since 2021, Mark and RFR have represented thousands of Men and Fathers in California Family Courts. Mark has been named One to Watch by Best Lawyers and a Rising Star by Super Lawyers. He has also been recognized by Inc on their Ince 500 list of fastest growing companies as well as Elite Lawyer and Expertise.com   About This Episode: In early 2026, Jim Edmonds secured sole physical custody of his children after a legal battle with ex-wife Meghan King, triggered by allegations that she administered unprescribed Ritalin to their son. Following a CPS investigation initiated by a mandatory school reporter and a previous restraining order involving Jim's current wife, Courtney, a December 2025 settlement resulted in the children moving to Tennessee to live with Jim full-time. This case mirrors California legal procedures, where the Department of Children and Family Services (DCFS) investigates similar reports via a Section 3027 report to determine if allegations are founded, which can lead to emergency custody shifts and restricted visitation.

Renue Healthcare https://Renue.Healthcare/ToddYour journey to a better life starts at Renue Healthcare. Visit https://Renue.Healthcare/Todd Bulwark Capital https://KnowYourRiskPodcast.comBe confident in your portfolio with Bulwark! Schedule your free Know Your Risk Portfolio review. Go to KnowYourRiskPodcast.com today. Alan's Soaps https://www.AlansArtisanSoaps.comUse coupon code TODD to save an additional 10% off the bundle price.Bonefrog https://BonefrogCoffee.com/ToddGet the new limited release, The Sisterhood, created to honor the extraordinary women behind the heroes.   Use code TODD at checkout to receive 10% off your first purchase and 15% on subscriptions.LISTEN and SUBSCRIBE at:The Todd Herman Show - Podcast - Apple PodcastsThe Todd Herman Show | Podcast on SpotifyWATCH and SUBSCRIBE at: Todd Herman - The Todd Herman Show - YouTubeEpisode Links:”It's none of your business how a child wants to inhabit their body!” Says Rep. Lee Snodgrass (D) She then compares teen girls suffering from gender dysphoria who opt for injections of testosterone & radical double mastectomies to folks getting spray tans & designer sneakers.Kentucky Governor Andy Beshear cites Bible to defend veto of ban on gender treatments for minors; Kentucky's Democratic Governor Andy Beshear cited the Bible while defending his veto of "anti-LGBTQ legislation" banning gender treatments for minors."People criticize me for dating a trans woman. Saying that I am a homosexual for doing so."What a SCAM. An DNP finally admits that gender affirming hormones are "relieving dysphoria" because they're literally modulating the levels of neurotransmitters IN THE BRAIN.  Meanwhile the lab rats think they feel better because now they're "passing."  And when this modulation induces illness, it's blamed on dysphoria or the patient, and used to justify additional prescriptions and procedures. - DNP stands for Doctor of Nursing Practice, a terminal, practice-focused doctoral degree for nurses, designed to prepare experts in advanced clinical practice, leadership, and evidence-based care to improve patient outcomes. It differs from a PhD in nursing by focusing on applying research rather than generating new research.Parents in Southern California lost custody of their children because they didn't want their child to “transition” - “She wouldn't call her daughter a male, and CPS took her child.”Mother of missing Washington student pleads with state lawmakers

This episode of Joe Oltmann Untamed hits hard from the jump: Joe fires back at Denver9's Kyle Clark after a viral clip calls him out as a liar and a tool for the left's agenda. We break down the ugly truth, Democrats shielding predators, weakening protections for kids, and weaponizing the media to keep the American people in the dark. Joe lays it bare: these aren't mistakes, they're deliberate moves to keep power and control.Then we turn to the quiet nightmare in rural Pennsylvania with Phil Lather, owner of Moon Shadow Inn & Resort. Phil built a solid business for 25 years without a single ticket until the Wayne County courts allegedly turned on him. Property seizures without a hearing, judges and lawyers colluding, assets taken, due process denied he's lost his Harley, his truck, his guitars, even family heirlooms. He's filed complaints with the state supreme court and disciplinary board and gotten crickets in return. Phil's raw story is a warning: if this can happen to a law-abiding small-business owner in one county, it can happen anywhere.We close with the bigger picture Chuck Schumer still calling voter ID “Jim Crow 2.0” while 76% of Black Americans support it, a trans state rep in New Hampshire fighting to keep men out of women's restrooms, a Maryland nurse trying to sic CPS on high school kids for starting a Turning Point chapter, and a former liberal in Portland waking up to the madness after moving from Pittsburgh. The left's grip on government, media, and institutions is real and it's suffocating everyday Americans. Tune in for the unfiltered truth and the fight to take it all back.

- State Rep Jim Murphy lays out the plan to follow through on Republicans have been promising us this year.- A Turning Point USA chapter has been reported to CPS... despite no abuse being committed. - Cong. Bob Onder gives the congressional update. - Congrats to Alton High School graduate Ty'Ohn Trimble: now a Harlem Globetrotter!See omnystudio.com/listener for privacy information.

Welcome to Church Pew Sports Ep 200 - Olympic Drama And Halftime Morality The Super Bowl and the Olympics collide in this high-energy episode of Church Pew Sports, where we connect sports to life and faith. Fresh off a Seahawks Super Bowl victory, the conversation dives into team culture, leadership, resilience, and what makes a championship locker room different. From defensive dominance to a blue-collar quarterback story, this episode explores how unity, humility, and identity shape winning teams — and why those same traits matter in our spiritual lives. The guys also unpack Super Bowl commercials, youth group watch parties, and the balance between cultural moments and Christian fellowship. Then it's off to the Winter Olympics — breaking down Lindsey Vonn's legacy, U.S. women's hockey dominance, drone coverage innovation, and the ongoing debate: Is curling a sport or a game? Along the way, there's sharp (and humorous) critique of NBC's Olympic coverage, commentary on sports media narratives, and a thoughtful conversation about celebrity conversions and the danger of looking to halftime performers for spiritual leadership. This episode blends championship football, Olympic excellence, sports culture, and biblical discernment into one wide-ranging discussion that reminds listeners: we love sports — but our ultimate allegiance belongs elsewhere. We talk sports. We talk faith. We talk culture. We connect it all.   This week's CPS Starting Host Lineup: Bill Hobson Pastor Paul Miller Pastor Adam Lightbody --------- Did you know you can now WATCH Church Pew Sports on our new YOUTUBE Channel? You can listen to EVERY episode of CPS by visiting Churchpewsports.com/ We would love to hear your thoughts, comments, and questions. Reach out to us at: churchpewsports316@gmail.com Stay connected to Church Pew Sports on Facebook and Twitter @CPewsSports316  

In this episode, Dan is joined by Kara Church to discuss her comeback following neck injury in D1 swimming and lessons learned along the way.Kara Church is a former Division I swimmer who competed at the University of Kansas and Texas Christian University (TCU). After battling stress fractures and a significant C4–C6 neck injury, she rebuilt her career through a back-to-basics rehab approach and went on to break school records in the 500 free. A psychology graduate with a background in criminal justice, Kara now works within the CPS system and continues to compete as a marathon runner. Follow her journey at @karachurch.Season 7 of the Braun Performance & Rehab Podcast is proudly supported by Pura Health, bringing ultrasound into every clinician's hands. Learn more at purahealth.net and @pura.health_ultrasound.Additional support provided by Firefly Recovery, the official recovery partner of Braun Performance & Rehab (recoveryfirefly.com), and Dr. Ray Gorman of Engage Movement. Learn how to grow your income beyond sessions—follow @raygormandpt on Instagram and DM “Dan” for a free breakdown of the blended practice model.Episode Affiliates: MoboBoard (BRAWNBODY10), AliRx (DBraunRx), MedBridge (BRAWN), CTM Band (BRAWN10), Ice Shaker (affiliate link).If you enjoyed this episode, share it with someone who would benefit and leave a 5-star review.Explore more from Dan at linktr.ee/braun_pr.

The second Part of Sir Brian Leveson's Independent Review of the Criminal Courts was published last week but largely overlooked in light of the Mandelson scandal.    In this week's episode Ken Macdonald KC and Tim Owen KC are joined by Sir Brian to discuss the details of his mammoth, Part 2 Report and to get his response to the very strong criticisms from both the legal profession, the judiciary and politicians from all sides to his first Report on jury reform.  Sir Brian's Second Report covers a vast range of issues which, if enacted in full, certainly do have the potential to achieve radical change in the way our criminal justice system functions.  His recommendations include the creation of a Criminal Justice Adviser to the Prime Minister with the aim of co-ordinating a single vision for the currently fragmented criminal justice agencies (police, courts service, CPS and prisons); a National Listing Framework to reduce the number of ineffective hearings; the setting up of remote hearings by default for preliminary hearings in the Crown Court and first hearings in the magistrates courts to reduce travel to and from court centres; vastly increased use of AI for case management; legal aid reforms and numerous other significant changes to promote increased efficiency.  Are Sir Brian's recommendations really new?  And what are the chances of the Government embracing them in full, as he urges them to do, alongside increased funding for the justice system and implementation of the structural reforms to jury trial explained in his first Report?     For anyone interested in reading the full report, click here...  https://www.gov.uk/government/publications/independent-review-of-the-criminal-courts-part-2  Learn more about your ad choices. Visit megaphone.fm/adchoices

Watch on YouTube: https://youtu.be/PRzMngG8TQw In Dysphoria – Part 2, Mark and Amber Archer continue their bold breakdown of the most suppressed documentary they've ever released. This episode exposes how gender ideology, activist groups, government agencies, and schools are increasingly targeting families—and why biblical truth is being silenced even inside the Church. You'll hear firsthand accounts from parents, journalists, and whistleblowers who have faced intimidation, CPS threats, and coordinated activism for refusing to affirm gender confusion in children. This episode is a parental advisory and a call to discernment, grounded firmly in Scripture and reality. If you missed Part 1, we strongly recommend starting there.

Mikey, Andrew, Tyler, and Blake take an hour of questions live from CK Exclusives subscribers, including: ⁃How would the SAVE Act affect local and state elections if it passes? ⁃Why doesn’t CPS and its many abuses get talked about more in U.S. politics? ⁃What are everyone’s Super Bowl predictions? ⁃Who should Trump pardon? Become an Exclusives subscriber and ask the team a question on-air by going to members.charliekirk.com. Watch every episode ad-free on members.charliekirk.com! Get new merch at charliekirkstore.com!Support the show: http://www.charliekirk.com/supportSee omnystudio.com/listener for privacy information.

Mikey, Andrew, Tyler, and Blake take an hour of questions live from CK Exclusives subscribers, including: ⁃How would the SAVE Act affect local and state elections if it passes? ⁃Why doesn’t CPS and its many abuses get talked about more in U.S. politics? ⁃What are everyone’s Super Bowl predictions? ⁃Who should Trump pardon? Become an Exclusives subscriber and ask the team a question on-air by going to members.charliekirk.com. Watch every episode ad-free on members.charliekirk.com! Get new merch at charliekirkstore.com!Support the show: http://www.charliekirk.com/supportSee omnystudio.com/listener for privacy information.

0:30 - Fired WaPo workers protest 12:40 - Ald. Rossana Rodriguez=Sanchez (33rd Ward) on CPS student ICE protestors: raising the society we're going to have in a decade 33:16 - Notoriously Lizzie arrested 56:36 - Bob Kraft Super Bowl ad 01:15:16 - C. Steven Tucker of HealthInsuranceMentors.com on Trump Rx and the major healthcare reforms coming soon that could make a big difference. 01:34:30 - Senior Counsel at the Article III Project, Will Chamberlain, says The Fix is in as anti-ICE judges stall immigration enforcement. Follow Will on X @willchamberlain 01:50:38 - Founder/CIO of Perry International Capital Partners, James Perry: You wouldn’t know it from the news but the stock market is only 2% from all time high numbers. For more on Perry International Capital Partners 02:11:44 - Open Mic Friday!See omnystudio.com/listener for privacy information.

Welcome to Church Pew Sports Ep 199 - NIL Hits High School: Faith, Fairness & the Future of Student-Athletes Name, Image, and Likeness has officially arrived in Michigan high school sports—and it's opening the door to big questions that go far beyond the playing field. In this episode of Church Pew Sports, the conversation centers on what NIL really means for student-athletes, schools, families, and communities, and how these changes challenge us to think carefully about integrity, fairness, and purpose. With special guest Lorne Plante from State Champs Network, the discussion explores how the Michigan High School Athletic Association is navigating NIL with intentionally narrow rules designed to protect education-based athletics. While only a small percentage of high school athletes are likely to benefit, the ripple effects could be significant—especially when it comes to recruiting concerns, enforcement challenges, and the growing pressure on young athletes to build a personal brand.  The episode also shifts to the national stage with a timely Super Bowl preview, breaking down the unique challenges of the biggest game in sports, from coaching experience to the business machine behind Super Bowl week. Along the way, there's room for lighter moments—Super Bowl snacks, sports gripes, and honest takes on where professional sports sometimes lose their moral compass. As always, Church Pew Sports connects the dots between sports, faith, and everyday life—reminding listeners that purpose, character, and calling matter far more than name recognition or financial opportunity.   This week's CPS Starting Host Lineup: Bill Hobson David Collins --------- Did you know you can now WATCH Church Pew Sports on our new YOUTUBE Channel? You can listen to EVERY episode of CPS by visiting Churchpewsports.com/ We would love to hear your thoughts, comments, and questions. Reach out to us at: churchpewsports316@gmail.com Stay connected to Church Pew Sports on Facebook and Twitter @CPewsSports316  

February 6, 2026 ~ Chris Renwick, Lloyd Jackson, and Jamie Edmonds discuss Senator Jim Runestad's push for CPS reform. Runestad highlights tragic failures and a bill to allow media and legislators access to case information. Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dr. Deb Muth 0:03Welcome back to let’s Talk Wellness. Now, I’m your host, Dr. Deb. If you’re a woman who’s doing everything right, eating clean, exercising, taking supplements, yet you still feel exhausted, inflamed, or like your body suddenly stopped cooperating, this episode is for you. Today’s conversation challenges one of the biggest myths in women’s health. That midlife struggles are just about hormones or worse, just part of aging. My guest today is Dr. Deb Heald, a naturopathic physician with one of the most fascinating backgrounds I’ve ever encountered. Yeah, she’s got a really diverse background, which is kind of exciting. She’s been an ER nurse, a stockbroker, a Silicon Valley data analysis, teaching machines to learn from microbiome research. And yes, she holds an mba, too. But it was her own menopause crash that changed everything. When the protocols she had been teaching stopped working for her, her, she didn’t double down on templates or trends. She did what she was trained to do. She followed the data and what she discovered reframed menopause, metabolism and women’s longevity in a completely different way. This isn’t about willpower. It’s not about another diet, and it’s definitely not about copying what worked for someone else. It’s about learning to listen to your body and finally understanding what it’s been trying to tell you and all along. So grab your cup of coffee or tea, settle in, and let’s dive into this amazing conversation about women’s health and menopause. And right after our guest is arriving with us, we’re going to get a word from our sponsor quick here. And then we are going to come right back to having this conversation with Dr. Deb Heald. Ladies, it’s time to reignite your vitality. Primal Queen supplements are clean, powerful formulas made for women like you who want balance, strength, and energy that lasts. Get 25% off@primal queen.com Serenity Health. Because every queen deserves to feel in her prime. But okay. All right. Welcome back, everybody. I am here with my new friend, Dr. Deb Heald. And she has such an amazing background, like I shared with you a few minutes ago. But I would love for her to give us her insight in how she got where she did, because it’s rare that you find somebody with a data background and a medical background. So, Dr. Dove, welcome. Dr Deb Heald 2:30Thank you. I am so glad to be here, and it’s a real privilege to meet you. Dr. Deb Muth 2:34I feel the same way. Dr Deb Heald 2:35Yeah, it’s. I think that the more of us that start to think and practice this way, the easier it’s going to be for women going forward. Because it’s not easy. Dr. Deb Muth 2:44It is not easy. I mean, I’ve been in this industry a long time, over 25 years. And every time I think it’s getting easy, it’s getting harder for a variety of reasons. It’s the medical system, it’s the. The clients we work with are sicker. It’s taking longer to get them to a place where they feel good. There’s just so many variables these days. So tell me a little bit about what got you here. Dr Deb Heald 3:06Well, I made the decision when I was graduating from high school to be a nurse instead of a teacher, because those were really still the two options that were common for women. I thought about medicine at that point, but my sister convinced me that if I would spend all that time learning and practicing medicine, I might not be as good of a mom. So I took the path of nurse, because nurse works around kids schedules and that sort of thing. I’d only been practicing about six months before I thought, oh my gosh, there has to be more to it than this, and toyed with the idea of starting med school at that point, but then married and started having children, and I just sort of fell into that pattern. But I typically work emergency room. There was a short stent in the post anesthesia recovery room as well. And emergency room was a place where western medicine actually shone. Right. People come in, they are no longer capable of functioning, they’re having a heart attack, they lost limb. Whatever else, they do need the, the bells and the whistles of western medicine. But when you think about it, western medicine was derived out of the Civil War where you didn’t have to say what’s the cause of the problem. It was a bullet or a bayonet, and it was, it was about patching up the soldiers and getting them back on the front line so they could continue to fight. And naturopathic medicine, which had been a lot around for an awful lot longer than that, just didn’t work in the battlefield then. The assessment was done in the early 1900s as to which style of medicine got people back to work faster. The Flexner report was all about how corporations could maximize the value of employees. And naturopathic medicine didn’t win because nutritional fixes take a long time. Taking away somebody’s stress so that they can just function more capably is. It’s a, It’s a big ask, right? So the funding of naturopathic medicine went away and western medicine became all that we knew. So in context to the emergency room, it worked. But when I saw the same person coming in, having their third heart attack, I just thought, how is this happening? Has no one told this person what, what’s going on in their lifestyle that’s creating this environment for them to continue to have heart attacks? And so that’s when I made the switch. And that was after 17 years in practice as a nurse to head on over to the naturopathic side. There was a little bit of a, a segue there, but we’d need a much longer interview to get into the details of that. I was a stock broker for six years. Anyway, when I jumped into the idea of med school, it didn’t make sense to be practicing the same thing that was already being practiced because I saw where it worked and I saw where it was failing. So hopped into the naturopathic tract. I also had one child that had a lot of physical and emotional ailments that western medicine couldn’t solve. Their answer to everything was putting her on amoxicillin. And I, I just absolutely could not convince the medical system that she didn’t have a deficiency of antibiotics, but that was their only solution. And so while she was on the antibiotics, her sinuses were clear, her sleep apnea was not an issue, and she appeared better, but her microbiome got decimated. She was on antibiotics for seven years. So, yeah, so my pursuit down the naturopathic pathway was in large part to try and figure out what else could be done for my daughter. And I did take her to a naturopath or I embarked on the field myself. And her GP threatened to call social services. Oh my gosh, yes. Dr. Deb Muth 6:22You hear these stories, I’ve heard these stories from clients before over really dumb things that they’re going to call CPS for. And it always blows my mind that we think it’s appropriate to call CPS on somebody who’s truly not injuring their child. Dr Deb Heald 6:38So anyway, that started my 17 year path in the naturopathic realm. And after, after I’ve been in practice about 10 years, an opportunity came up to move to Silicon Valley and research the microbiome and then take what we were learning from the microbiome and program it into AI. So I did that for a few years and it was amazing. There was a huge disconnect between the funding model and what its expectations were and what the research was able to do. There was a time gap, there was a funding gap. And so I thought, medicine doesn’t understand what’s important to business. And Business isn’t understanding what’s critical to research. So I went and did my MBA and wanted to be able to be the translator between those two worlds. And then the pandemic hit and then. Dr. Deb Muth 7:24Everyone’S life got turned upside down, right? Dr Deb Heald 7:26Yeah. Yeah. So I’m back in private practice. My, my practice always tended to be more autoimmune focused, which is predominantly women and predominantly middle aged women. But through my own experience of menopause and looking at how I assisted people that were in menopause before I was, you know, that the success rate wasn’t as high as it needed to be. And I started to really drill down into the biochemistry behind what was going on and then also realized that my menopause was very different than even my sister’s menopause. There we were, the same genetic template, the same lived environment, though very different lived experiences in that environment. And realized that we have to find ways to make it relevant to the person in front of us. And it’s not so much which herbs will or won’t work historically, it’s how is this person’s body responding in the immediate term to the diet we’ve put them on, to the nutritional plan we’ve suggested to the supplements, and because we’ve come so far in the data world, our whoop straps or aura rings or whatever else, there’s so many devices that are actually able to let us know whether somebody’s burning carbs or fat in this moment or ketones. We can see how an individual’s body is responding and course correct right now. And it isn’t that a ketogenic diet may not be helpful down the road. It’s right now it’s actually putting more stress on your body than it’s already under, which puts you into fight flight, which stops you from burning fat. So, and it’s not just the burning fat, it’s the inflammation. Right. So our food is completely void of nutrients. And we used to have 24 inches of topsoil, now we’ve got, so who’s eating four times the number of vegetables that we, we used to eat to get the same number of nutrients? We’re just not. And our environment is so full of plastic and chlorine molecules and just toxins that our liver says, I have no idea what that is, I have no idea how to detoxify it. And we can’t, we can’t clean the air around us. We can put air filters in our homes and try not to live under pulp mills. But the world is just becoming a Much more aggressive place to live. Dr. Deb Muth 9:33So it definitely is. I mean from the time that you and I grew up to the time that we have now, we have over 75,000 new chemical in just that short period of time. And honestly, as you and I both know, these chemicals have never been tested for this long term use or the way we’re using it, or how much we’re using them or exposing them to our kids that’s never been tested to see how safe they truly are. Dr Deb Heald 10:01I have to apologize to my children and all of the children of that generation. We use latex baby bottles that were plastic line and we linked them up in the microwave. So the wave of endocrine disruption that’s coming at us from practice feeding our infants plastic, it’s a different world. And so we have to approach it just in a completely different way. And you know, menopause shouldn’t be a disease or a state of dis ease, but it is because we’re so depleted. And women used to have predictable stresses and now because most of us are working outside of the home, many are have children that have, how do I want to put this confounders. The number of kids that are neurodiverse and the, the ext work that that creates in a household is unbelievable. So moms typically carrying most of that and then all the guilt that goes with it because moms do guilt, our nervous systems are completely fry, right? So we’re in a constant state of low level fight flight and it changes every single other biochemical process in our body. So when we hit the hormone depletion of menopause, every organ system is profoundly affected. And then we do see more autoimmune diseases cropping up. We do see more inflammatory conditions turning into organ systems not working. And the medical system is. I don’t, I hate to say this, but it’s decades from being able to figure this out. So in the immediate term, what can we do for every woman out there and, and help surround them with community? That’s the other thing that’s really missing. How often do we go next door and have tea or coffee with our neighbors? Dr. Deb Muth 11:41You don’t anymore? Dr Deb Heald 11:42No. So where’s the community supporting you? Dr. Deb Muth 11:45You don’t have one unless it’s online. And then if it’s online, you know how that goes. You can have some support and you can have not support and you can have people be really rude to you. But that support is not the same as having the neighbor next door that you can call on that you can go over and just get out of your house for a few moments and have somebody truly support you. And, and I think back in the day that’s what women did, women supported women. And today there’s so much competition that women are no longer supporting each other. We’re many times tearing women down and judging them and accusing them of doing things that aren’t right for their career, their family, their husband, their this, their that. It could go any way or any shape, but we’ve stopped supporting women in the decisions that they make, whether it’s to be at home or to work or do both or to not have children or to have children. We were just chatting earlier before we came on about having children late in life. That support is completely gone, at least from what I’ve been seeing and hearing, hearing in my practice and what I’m seeing around me. Dr Deb Heald 12:48So another form of depletion. Right. So right. Deplete. Our, our society is. And it’s a wonder we’re upright at all. And all of the other pressures that we take on. We’ve just come through the holiday season and having to have the holidays just so, so that everybody else thinks we’re doing a good job. So our family is enjoying themselves at the cost of our sanity. And the shame that goes with feeling like you’re not enough. Dr. Deb Muth 13:14Yeah. And for your family and your kids to just be like, I don’. Time to come, I don’t have time to do this. I, I hear this every day. You know, families that women mostly that are creating these beautiful experiences for their kids and their relatives. And then at the last minute you have one that calls and says I can’t come and another one that calls and says I have to go to my in laws or I have to go here, I have to go there. And then again we go back to this guilt of what did I do wrong as a woman, as a mother, to not have everybody be with me for the holidays. And I’ve worked so hard to create this environment, beautiful experience for them, for nobody to care but me. Dr Deb Heald 13:53Yes. Dr. Deb Muth 13:53And then that just depletes us more. Dr Deb Heald 13:55So, and then, and then you hit the, your breaking point and you go see your doctor who first of all doesn’t, doesn’t have the time. And I, I can’t call doctors practicing in the world today because you might be scheduled for 15 minutes, but they’re running late. I, I knew a physician quite well who in the wintertime was so busy in Canada with cold and flus, he’d see a hundred people a day. Yeah. So Sitting in front of him, trying to say, so devastated inside because of this happening or that happening. They, they don’t have or take the time to address what’s really going on there. So the number of times people say to me, you’re the first person that has actually sat and listened to me. Dr. Deb Muth 14:36And yeah, I get that same thing. And that’s, that’s part of what natural medicine is. How do you get to know somebody and understand what’s happening to them if you don’t hear their stories? Dr Deb Heald 14:45Agreed. So it’s, it’s a tricky world for women to navigate, so we have to be here for each other. And where I’m sitting right now in practice is literally just helping women replete themselves and looking at the different organ systems or the organelles within the systems that, that being supplied with what they need. And where do we start with this woman? You know, it’s not everybody that needs to have their GI tract optimized first, though. That’s a pretty common one for a lot of women that feel like they’re going out of their minds. We have to start with brain. But everything we do to, to make the environment better for the brain function also makes everything better for the cardiac function and the muscle function. But it’s, it’s just so misunderstood. And then when we get into the, the metabolism, which is where most women end up coming in, is, why am I gaining weight? Right. And so the weight is the physical manifestation that finally breaks them. But what caused them to be gaining weight is also impacting their brain and their heart and their liver and their, their entire system. It’s just, that’s the thing that finally made them come and get help. But when we look at how metabolism comes to a screeching halt in menopause, it’s a wonder that we can carry on at all. Dr. Deb Muth 16:00Yeah. So at what age do you think women should start paying attention to their situation, to their data, and not just their symptoms? Dr Deb Heald 16:0830 way, way, way before you hit menopause, let’s have a strong baseline. Let’s see what’s happening in your early adult life that is putting you into a state that right now you’ve got the tolerance to fix, but over a longer period of time is going to lead to inflammation and dysfunction. And I’m seeing my nieces actually start to pay attention and my daughter to, to their health in a different way. And I think the wearables have a huge amount to do with that. Right. So if you went out last night and celebrated and you’re paying any Attention to a recovery score. And you see that that fourth tequila took three days for you to recover from. Maybe next time don’t have four. Yeah, right. Dr. Deb Muth 16:58One or two, Right? Yeah. Dr Deb Heald 17:00Yeah. Lack of sleep. How does that actually impact you? For how many days? Something that is not. Not the best choice, though. If you’re eating well, 80% of the time, you’re way ahead of the curve. But when you. When you eat something that upsets your system, you can know that right now, literally, if you’re watching heart rate and you eat something that’s inflammatory to you, your heart rate will go up by six or seven beats a minute almost immediately. And that’s a little thing saying your immune system just kicked in. Is this the right thing for you to eat? So the. The more people pay attention without obsessing, and especially on the food thing, I don’t want to create disordered eating for people, but getting to know your body, getting to know its tolerance, and then as women start to have children, how did those tolerances change? Well, they’ll change profoundly because your sleep just disappeared. Yeah, right. If nothing. Dr. Deb Muth 17:54And your hormones changed and everything else is different. And I think that’s a really great point about the wearables. Like, people can get really obsessed with that data, but I don’t think people really understand how to use the data appropriately. You know, like, if you’re eating something that you don’t normally eat or you’re eating something that you know is somewhat inflammatory, you know, it’s the holidays. I’m gonna have some chips. I’m gonna have, you know, some cheese. I’m gonna have some nuts. I’m gonna have a variety of things. That’s really where you want to check your data, right? You know, your. You’re doing something that’s outside of the norm. And we all kind of know, like, I’m puffier, I’m swollen, my brain’s a little foggy. Maybe I have more pain. That’s the time you really want to tune in and say what’s happening? And then start tracking that. Draw the line so that, you know, like, this is the food that bothers me. Because sometimes it can be a healthy food. It doesn’t always have to be a bad food. You know, it can be a healthy food. I have patients that are allergic to lettuce, and they wonder why they’re gaining weight when they’re dieting, and all they’re doing is eating salad. Salads, and you find out they have an allergy to lettuce, and they take that out and their weight goes right back to normal. So it doesn’t have to necessarily always be a bad thing. But using that data appropriately could really make a huge difference. Dr Deb Heald 19:07And making informed choices. Dr. Deb Muth 19:08Yeah. Dr Deb Heald 19:09I was born with a dairy allergy. One of the proteins in milk. And so, and gosh, in the, in the early 60s there weren’t options for formulas that weren’t dairy based. So I was raised on evaporated milk because the heating process in evaporating the, the fluid out of the milk broke down this particular protein. So how I don’t have diabetes, I do not know. But I will elect sometimes to eat Manchego cheese and I know that tomorrow I’m going to pay for it. But I’m making an informed decision today to do it or I’m making an informed decision today. Not. Yeah, right. And so giving people the power, I think the data is power when you know how to use it. And so when women have pregnancies later in their reproductive cycle, seeing how fast that pregnancy taxation on hormones and then the, when the pregnancy concludes and the hormones fall through the floor, I have seen so many women whose ovaries never recover, they start perimenopause literally in that postpartum period. And so knowing that and making sure that you are getting, you know, the sleep that you need, making sleep kind of your, your one non negotiable. There are other things that you’ll sacrifice instead. But maybe sleep’s the most important thing to you or maybe your, your nutrition’s the most important thing. And the wearables will help you determine where you’ve got that play and where you don’t. And so making sure at a much younger age that you’re building muscle mass. We get a lot away for a really long time with being skinny fat. So we look little and everybody assumes, we assume that we’re in shape, but we’re not consciously developing the muscle mass. And for women that’s critical because when our hormones turn off and our metabolism slows down for all of the reasons that it does, the only thing that’s going to drive your metabolism in a non estrogen environment are chemicals that made in muscles. And without the muscle mass, your metabolism will stay slow. Without the muscle mass, you’re not going to have the strength to prevent falls. So if you think at 55 you can start to build muscles, it’s a really big ask. Dr. Deb Muth 21:26Yeah, it’s tough. Dr Deb Heald 21:28And testosterone is the hormone that we need to build muscle mass. And through menopause and postmenopausally most of our Testosterone is getting converted to estrogen. So starting at that point, it’s just too late. So once again, let’s go back to the 30 year old and what are you doing on a regular basis to build and maintain muscle? Dr. Deb Muth 21:49Yeah, when you’re in your prime is when we should be looking at these things. We shouldn’t be waiting until our health and our life age is declining to all of a sudden say, okay, now I’ve got to biohack my way back to being 30 at 50 or 60, because A, it’s much harder to do and B, for a lot of women you don’t ever do it correctly and so you’re trying to mimic that time frame, but it’s, it’s a major challenge for sure. Dr Deb Heald 22:15And then back to these kids that we fed plastic from day one. What are their menopause is going to be like? Because the, all that plastic will disrupt their estrogen receptors and we don’t know what impact it’s having on ovaries directly. The stronger that they can be, the more nourished they can be before their menopause starts, the further ahead they’re going to be. So this isn’t, it’s not just really targeting women that are 45 and older. It’s literally all women really need to be taking it into their own hands because the medical system, like I said so far, is not. And I’m not sure when they will. But we don’t have to wait for the medical system. There are things we can do every single day that are going to help us stay in control of our, our health. I can tell you that. Health span. Dr. Deb Muth 23:02Health span, Correct. And I, I see a lot of young people and there is maybe one out of ten of the young people that I see that have normal hormone levels for their age. I start testing hormones on young women and men around 20, unless there’s a need to do it sooner. But I want to see what they are at their peak. And I have men, young men in their 20s and 30s that have a testosterone level of 100 to 300, when they should be closer to 800, 900. I have young women who can’t peak an estrogen above 50 at 20, when in mid cycle when they should be closer to 100, 150, they’re making no progesterone, they’re making minimal to no testosterone for women. And so when we ask what has this environment done to those young women and men that we have, it’s completely destroyed their hormonal function. They are not at peace and then we wonder why they sit around and have no motivation or drive. I have young men in their 20s with no sex drive. They’re just kind of asexual beings. They don’t even look at a woman and get excited. Women don’t look at men and get excited. There’s none of that that’s happening because they’re lacking these hormones that allow them to do that. And then we wonder what is that going to do to them at menopause? Well, what is it doing to them now? You know, it is creating damage. Those hormones are necessary for cognitive function and bone health and cardiovascular health and all of that. And we’re not asking the right questions, I’m afraid. Dr Deb Heald 24:29Yeah. And, and even if we can see that the gonads are producing the hormones, what’s going on on the cellular membrane level with all those pollutants that the cell can’t absorb them? Dr. Deb Muth 24:43Right. Dr Deb Heald 24:43So anyway. What a mess. Dr. Deb Muth 24:45Yeah, it is. Dr Deb Heald 24:45And, and here’s the thing is it boils down to the naturopathic principles. Improve food, how can we improve sleep, how can we help people manage stress more effectively and, and encourage people to be exercising. I mean, this stuff is gold. Yeah. Dr. Deb Muth 25:01And it’s things that you could do very simply. We don’t, you don’t need to build a, you know, ten thousand dollar gym in your basement to do this. There are ways that you can do this very easily for no cost at home. You just need to get the motivation and the drive and understand how to do it. Dr Deb Heald 25:17Yes. And with the resistance bands that are absolutely available everywhere, even if you’re traveling, you can throw a band in your suitcase and do just the tiniest little bit of muscle reinforcement while you’re away. Dr. Deb Muth 25:32It’s so much simpler than we think. We make it very complicated. Dr Deb Heald 25:35But then also the thing that’s missing when you’re doing it at home can be that motivation. So how do we make this important enough that it’s, it is non negotiable for people? They wake up and they do, they woke, woke up a little bit late. So today Maybe they do 10 minutes, not 20, but just be doing something. Right. Dr. Deb Muth 25:54Yeah. You got to get moving it, you know, sitting around on the couch isn’t moving. You know, you have to get up, you have to move. Even if you’re sitting at your desk and you get a little bike thing underneath your desk that you can put into pedal, you know, you’re moving. It’s not weight bearing, but you’re moving. And that weight bearing exercise is so important to Us. Dr Deb Heald 26:17How does this become something that’s sexy? Dr. Deb Muth 26:21Yeah, that’s what we need to make it right. Dr Deb Heald 26:24Yes. Even, even in the realm of food, when people decide to go onto an exclusionary eating plan, so they’re, they’re going to go keto. So excluding anything that is carbohydrate based in their diet, there are a few people healthy enough to do that and they generally can do it healthfully for a short period of time. But to stay on that type of diet for a long time, that’s where I love the wearables. It’s sort of like the same thing when people are vegetarian or vegan, it’s very, very hard. It has to be a very conscious process to stay healthy as a vegetarian or a vegan. Because your liver has so many things to do. It has 500 functions that it carries on at all moments every day. And when you eliminate animal protein, you’re now also asking it to manufacture other protein and amino acid sequences on top of everything else it’s going to do. So when you make a decision like that, what are you going to eliminate from your world to take some of the burden off of your liver so it has the capacity to do extra work and you have to do these negotiations or you just end up being depleted. But the communities that are vegetarian or vegan to a greater degree and keto to a greater degree have support. You can join all sorts of online groups for people that are following these restrictive type of diet. Being an omnivore, which is eating not bread but carbohydrate in the form of vegetables and fruits, and getting some animal protein, some plant based protein, healthy fats, not the processed fats. There’s no support group for being an omnivore. Dr. Deb Muth 28:05No, there’s that. Dr Deb Heald 28:07So it isn’t one that people are going to opt into necessarily. Because who’s going to support you through your healthy eating choices? Dr. Deb Muth 28:15What are some of the biggest advancements you’re seeing right now in whole body healing that actually move the needle for us that just aren’t fancy trends but actually work? Dr Deb Heald 28:25It’s back to that individual monitoring of what’s going on. So for women that want to lose weight and go on a calorie restricted or carbohydrate restricted diet and they are deciding that they’re going to exercise at the same time. If you are in a rested state, when you go to sleep, your body will burn from fat. In the rested state, if you’re in a stressed state, it needs carbohydrate, it needs Instant energy, right? To. To break down fat into a usable fuel. Takes the liver about eight steps to burn carbohydrate. It’s instant. So when you’re stressed, you’ll burn carbs. When you’re resting or relaxed, you’ll burn fat. But if somebody goes to bed in a stressed state, they opened an email that annoyed them. They are wondering why their child came home late again. Whatever. You go to bed in a stress state, you’ll burn carbs all night long. You wake up in the morning already in a stress state. You decide you’re going to exercise in a fasted state because somehow it got imprinted in our head that you’re supposed to be fasting when you exercise to get the best benefit, and you decide to do intervals, which are a huge stress on your body, an intentional stress on your body. You’re already stressed. Stress. How much fat are you going to burn in that process? None. None. Dr. Deb Muth 29:45And you don’t have any carbs left to burn. Dr Deb Heald 29:48Right. So guess what you burn now? Muscle. Dr. Deb Muth 29:50Muscle. Dr Deb Heald 29:51So here we are working out to try and build muscle, but instead we’re breaking muscle down. So if people can use the biometric data to say, I’m in a stress state, and I know that because my heart rate is higher, or I’m using a device that can actually show how much carbon dioxide I’m exhaling. So if you’re exhaling a lot of carbon dioxide, it means you’re burning carbs. You don’t exhale carbon. You don’t need to exhale carbon dioxide if you’re burning fat as your energy store, it’s not a byproduct of fat. So if you’re already in a stress state, you can either change the type of exercise that you want to do today, so doing more of an endurance exercise, or you can eat and then do your concept. Dr. Deb Muth 30:31What. Dr Deb Heald 30:32So that’s where I’m seeing the improvement is when people are actually starting to collect their data and I interpret it for them until they can start to make those. Those correlations themselves. What. What do I need to eat right now? What do I need? What type of exercise do I need to do right now? And in everybody’s day, there is an ideal time for them to eat carbs. But for a great number of women through Perry and postmenopause that eat carbohydrates, in the evening, they get these big sugar spikes or from eating the carbs, blood sugar. And then about the time they’re going to bed, maybe an hour or two after they go to bed, their blood sugar drops and their body thinks, oh my gosh, we’re starving and it goes into a stressed state. So all night long from that point on, they’re breaking down muscle to create carbohydrate energy so that their stress system can be satisfied that they’re not starving to death. So it’s, it’s not that they can’t eat carbs, it’s that eating them in the evening is putting their body into a stressed state. But at lunchtime it might be fine. And it isn’t even eliminating every single simple carbohydrate or every, I’m going to say treat. We are a reward based society, so the treats are a thing. But maybe it means that if you want to have something sweet after a meal, you do that at lunch and your data will tell you, personally, I would eat, I’m going to call it healthy snacks in the evening mostly because I was bored, certainly not because I was in a starvation state and I started paying attention to my own data and I don’t snack in the evening anymore because it throws my sleep completely off track and it puts me into that stressed, burning carbs all night state. And it’s completely contradictory to my health plan going forward. My parents were, my dad was very long lived, he lived to 93. My mom passed at 84. But I have to say I don’t want the last 15 years of life that either of them had. Just. Yeah, at one point I think my mom thought the family vehicle had flashing red lights on the top of it because she was in an ambulance so often. So I don’t want that. And if I’m doing something that on a routine basis, this is confounding my plan for health span, I have to revisit that. I have to say to myself, you said that you’re, you know, maintaining your health is more important than maintaining your length of life. Look at what you’re doing to your body every single time you eat in the evening. Dr. Deb Muth 33:08If you had to choose one data point that really made the difference for people with a wearable or a device that completely changed how you understood menopause and all of this eating pattern, what would it be through the, through the data lens? Dr Deb Heald 33:22Heart rate variability. Yeah. And so that’s. And certain devices, well, a lot of devices measure it. Some of them are more meticulous with what time frame they’re capturing the variation in heart rate. And I guess for the listeners, we should talk about what heart rate variability is. If your heart rate is beating 72 times a minute, which used to be considered the norm. If you’re in a stressed state, if your sympathetic nervous system or your adrenaline nervous system is driving the bus, every single heartbeat in that minute will be the exact same distance between the beats. When you’re in a relaxed state, it still might be beating at 72 times a minute, but one beat might come a little bit earlier, the next one a little bit later, and there’s more variation between the time between the heartbeats. And that shows that you’re in a relaxed or adapting state. When we’re in fight flight, we’ve got one mission and that’s just staying alive. When we’re in that rest digest, it’s like if it’s a little bit slow, it doesn’t matter because I’ll just speed the next one up. And we’ve got the ability to adapt second to second. So if we are measuring heart rate variability in somebody and in it’s low, it means that they’re in that stressed nervous system state more of the time. And it causes you to burn carb more often than fat, even though fat’s a much better energy store. And the byproducts of carbohydrate combustion cause free radical stress to our body oxidation and inflame organ systems. So the more time we can spend not in fighting flight, the more healthy we will be. And so if you’re using some devices, they’re measuring your heart rate variability through a 24 hour period. So when you are in the peak of your stressed state, your heart rate variability will be little. And then when you’re in a relaxed state, it will be more. And on a 24 hour scale, it looks like you’ve got more heart rate variability. Some of the devices narrow it down to measuring your heart rate variability in the first five minutes after you come out of deep sleep. So there’s way less variability in that number. So the number will be lower than a 24 hour measure, but it’s more accurate. And so I like to, I like to narrow it down to that. But if somebody’s using a device that does it the other way, let’s just compare apples with apples. And so if your heart rate variability is improving, it’s improving. Dr. Deb Muth 35:58So that’s awesome. And that’s an easy thing to be able to measure for people. Dr Deb Heald 36:02It’s on most watches that are measuring biometrics and it’s definitely on the rings and the bands and all of the things. So just working to improve that. And if you’ve had your heart rate variability at a certain level. And then today it’s much lower. Literally just do that process in your head. What was different about yesterday? Oh, I lost my job or I ate from a buffet or whatever it is. And then the next time it has that same fall, see if the trigger for it correlated. And it’s literally just teaching us to pay attention to when our body’s in a state of stress because we’re so used to it that we don’t know anymore. The body’s screaming at us, but we’ve just become so numb to the changes to our body that we think it’s normal. Dr. Deb Muth 36:58Right. Because most of us, let’s realistically are walking out around in a State of Stress 24, 7. The only time you’re at quote, unquote rest is when you’re sleeping, if you’re lucky enough to be doing that. But we think we are because we’re not conscious anymore. And we think our body’s resting, but it may not be. Dr Deb Heald 37:17That’s right. So we are in a state of unconsciousness. But if, if we are burning carbohydrate while we’re sleeping, we are not getting into that restorative state, which means your liver is being distracted and isn’t able to do its peak detox at night. Here’s the thing. Our body is supposed to make cholesterol for us between 1am and 4am and if we’re in a stress state, the mechanism that limits the time that the body manufactures cholesterol to those three hours, that mechanism gets turned off. Off. So the body now manufactures cholesterol 24 hours a day. Oops. Dr. Deb Muth 37:53We wonder why it’s always high. Dr Deb Heald 37:55So, and, and it has everything to do with not getting into restorative sleep. So why are we getting into restorative sleep? Dr. Deb Muth 38:02Right. Well, because we’re constantly stressed and we’re not eating properly. Dr Deb Heald 38:06There we go. So we’re back to sleep and food and exercise and stress management. Dr. Deb Muth 38:11Yeah. Is there an easy way for people to. To pull their data out of their devices that they can look at it as a picture so that they can kind of see maybe the last week or the last two weeks and really start to dig in and see what that data means? Dr Deb Heald 38:29Yes. Almost all wearables now have an app attached to them. So when they know where to go to find the data, it will almost always, in an app, pull it up. But what I’m seeing now is almost all the wearables have some type of AI integration where you can literally, on the app, type in, please show Me, my heart rate variability over the last two weeks. And it’ll just populate on the app a graph. What we’re doing with biometric data and the science and the availability of analysis of that data is mind blowing. I think it could be more effective at improving people’s health than anything that we’re going to see happen in a hospital or in a pharmaceutical company’s research lab. Dr. Deb Muth 39:12Yeah, I think AI has a lot of great benefits in the medical world like this. Compiling data, looking at data over a period of time. We all know, you and I both, we’ve done research. You know, how long it takes to comb through the research and to find things and to try to put it all together. And when AI can be used to help us hack that in a shorter period of time, we are going to make new discoveries so much faster that are going to help people in ways that we’ve never seen before. Dr Deb Heald 39:46It’s the perfect indication for AI. And even when I was working with it back in 2017, oh my gosh, it was just barely an embryo back then. And the whole premise behind it was we still need the, the clinical brains, yes, to point out the relevance of the data, but the AI can take care of all of the mundane stuff that none of us like doing anyway, and it can do it instantaneously. And at this point, we still need the clinicians to show where that’s relevant. Dr. Deb Muth 40:19We started using AI this last year to look at our own data. I have data going back almost 25 years of patients that we’ve seen and protocols that we’ve done. And we wanted to see, of all the protocols that we’ve used over the years, which ones actually worked compared to those that didn’t and how much better outcome and how quickly, because we wanted to see, can we make our protocols better and which ones just should we be abandoning that just are not working for the majority of the people. And we started combing our data and it’s been incredible because it’s easy for us, us to, to see the client and think, gosh, this is working, and so I’ll use it on this person and this person and this person. But then you lose sight of those little intricacies of, well, it worked on this person at this age, but it didn’t work on this person who had this or they didn’t have the combination of these two things. And now we’re being able to see all of that so that we can get people better, faster just by simply knowing the data. Dr Deb Heald 41:20Well, and it isn’t Even so much protocols that need to be scrubbed. It’s. If you’ve got somebody on a protocol, there’s real time data to say continue or pause. This isn’t the way it should. That’s my least favorite word in the entire language but should be going, so what’s different about this person or what was different about their yesterday that we’re. We’re not seeing what would encourage us to continue. And, and every single individual has different needs at different times. Even, even twins. Right. With the studies are amazing. And when any difference in their environment they manifest completely differently. So it’s not genetics. Dr. Deb Muth 42:10No. It’s epigenetics. Dr Deb Heald 42:11Right. Dr. Deb Muth 42:11It’s our environment that changes our genetics and that is the difference. Dr Deb Heald 42:17So looking at the genes is one thing, but looking at somebody’s actual response to an intervention in lifetime. This isn’t blood work that’s going to be done every three months. This is, this is what form of exercise should I do right now or should I eat or not eat before I do it. It’s. I think that’s where medical science to me is the most exciting is literally putting the power back into the hands of the human. Dr. Deb Muth 42:46And honestly, from a client perspective, if you don’t learn this and you don’t learn how to hack your day to day stuff, there is nothing that Dr. Heald or myself can really help you with to make you get where you want to go. Like we have the information, we have the knowledge, we can teach you. But you have to be willing to learn this to hack your like life every single day to get to the optimization that you’re looking for. Because trying to depend on somebody like us to tell you what to do every day is unrealistic. It’s just not going to happen. Dr Deb Heald 43:17Agreed. Yeah. It’s almost gamifying your health. But if that’s what it takes, let’s do it. Dr. Deb Muth 43:23Yeah, why not? Why not have some fun with it. Dr Deb Heald 43:25I love waking up and seeing not so much. I can tell by the way I feel how deep my sleep was. My brain’s either foggy or it’s not. Yeah. But I still love looking at the data and then saying, oh, I did do that yesterday. And to me it’s, it’s a game in the morning to open my app and see how yesterday actually manifested in my ability to get rest last night. Dr. Deb Muth 43:53Yeah, it’s so true. I, I did some traveling on Tuesday and we have a little snow. The weather was bad. What normally should have taken me four hours to get somewhere took me seven. There was a crash on the freeway. We got diverted and like the entire drive was completely white knuckled. Right. And so by the time I arrived where I needed to go, it was 12:30 in the morning and I was super stressed. I kind of relaxed a little bit and then I went to bed and I woke up the next, I didn’t sleep well. I was up almost all night. I was up till probably four in the morning before I finally fell asleep. And it took me two days to recover from that stressor and, and I laid low and I rested. It was the holiday, it wasn’t a big deal. But when it takes you that like you have to be conscious, it took me two days to bounce back from that. And we have stressors like that that happen maybe not at that magnitude every single day, but if you’re not paying attention to how long it’s taking you to recover, that is a huge disservice. Because what are we going to do as women? We’re going to put push through. Right. We need to take care of the kids, we need to work, we need to take care of our parents, we need to check on this person, we need to do this, we need to do that and we’re just going to keep pushing in that state of stress, not realizing that that’s the last thing that we should be doing. Dr Deb Heald 45:08And so there will be non negotiables in that when and which generation where our near adult or adult kids still need us and our parents are, are still needing assistance. Maybe it just means don’t do the intense work up to day move, but just pair it back. Or if your partner suggests inviting the neighbors over for appetizers and drinks like not tonight sweetie. Right. Like literally just drawing the line because you said it. Well, we, we will just push through. Yeah. It’s our future health that we’re sacrificing when we do that. And I do not want to spend my last 15 years sick. I do not want to spend my last, last however many 15 minutes in, in a care facility. Right. Dr. Deb Muth 45:54You and me both, we both know how those are. No, that’s a non negotiable for me. Dr Deb Heald 45:59Agreed. And so when, when people are thinking, well, I know it matters but I can pay attention to it later or it costs money to do this and I’d rather not spend that money. Let’s just price out what one month in a nursing home is going to cost. Dr. Deb Muth 46:13Yeah, you’re going to spend it on the front end or the back end. You get to choose how you’re going to do that and what that’s going to look like for you. Dr Deb Heald 46:20So if that’s some wearables and some guidance up front, let’s do it. And my hope is that when we are more aware of what our behaviors do to our physical body, we’ll also start to tune into the physical signs that’s been sending us all the way along. So we don’t have to be dependent on some band on our wrist. But if you eat something that that’s triggering your immune system, you’ll pay attention to the fact your nose is running. You won’t just wipe it and carry on. It’s literally a histamine release unless it’s hot soup. But it’s saying, this is going to inflame you a little bit. Are you okay with that? And when we start to treat our bodies like the temples that they are, we won’t need the wearables. Right? We’ll say, oh, I’m starting to feel tired. So what that means is I’m going to go to bed. I’m not going to turn on a Netflix series. I’m not going to dive into some project for work that I’d like to get off my plate. My body’s asking for rest right now. So let’s do it. Dr. Deb Muth 47:23I love that this has been such a great conversation. How can people find you and work with you if they’re interested? Dr Deb Heald 47:30I agree. This has been an amazing conversation. I hope that we can do it again. I have a website which is is doctorhealed.com r h E-A-L-D.com I’m on Instagram. That’s Dr. Deb healed. And just direct message me and we will see what we can do. Dr. Deb Muth 47:48I love that. Thank you so much for joining me today. Dr Deb Heald 47:51Well, thank you for hosting and it was just an amazing, amazing time on this. Yeah. Friday morning. Dr. Deb Muth 47:58I agree. Thank you. Dr Deb Heald 47:59Okay, take care. Dr. Deb Muth 48:00This is the part of our conversation I hope you sit with. Because if there’s one truth that keeps coming up not just in today’s episode, but across thousands of women’s stories, it’s this. The body isn’t broken. You haven’t failed, and you’re not imagining what you’re feeling. You have just been taught to follow templates instead of trust data, to chase fixes instead of understanding function, and to silence symptoms instead of listening to them. My hope is that today’s conversation gave you permission to stop guessing and start getting curious about your body’s needs and how to thrive in this episode. If it resonated with you. Please take a moment to subscribe, follow and share. It was someone who needs to hear it. It means the world to us and it really helps us get in front of the eyes of more people. You can find let’s Talk Wellness now on YouTube, Spotify and wherever you listen to podcasts. And remember, healing doesn’t just start with another diagnosis. It starts when you finally feel seen and empowered to take your health back. Until next time, I’m Dr. Deb and this is let’s Talk Wellness Now. Dr. Deb Muth 49:08Welcome to let’s Talk Wellness now, where we bring expert insights directly to you. Please note that the views and information shared by our guests are their own and do not necessarily reflect those of let’s Talk Wellness now, its management or our partners. Each affiliate, sponsor and partner is an independent entity with its own perspectives. Today’s content is provided for informational and educational purposes only and should not be considered specific advice, whether financial, medical, or legal. While we strive to present accurate and useful information, we cannot guarantee its completeness or relevance to your unique circumstances. We encourage you to consult with a qualified professional to address your individual needs. Your use of information from this broadcast is entirely at your own risk. By continuing to listen, you agree to indemnify and hold let’s Talk Wellness now and its associates, harmless from any claims or damages arising from the use of this content. We may update this disclaimer at any time and changes will take effect immediately upon posting or broadcast. Thank you for tuning in. We hope you find this episode both insightful and thought provoking. Listener discretion is advised. The post Episode 255 – Advancements in naturopathic medicine and whole-body healing first appeared on Let's Talk Wellness Now.

0:30 - Subham Patil, Indian student, attacked on Red Line 15:47 - Homan presser 37:58 - Pro troller Josh Seiter, representing the FARTs, bamboozles AWFL 57:06 - Chairman of Whalen Global Advisors, Chris Whalen, on new Fed Chair Kevin Warsh: He was the only choice and he understands how this "temple" works. Chris is also editor for The Institutional Risk Analyst theinstitutionalriskanalyst.com 01:12:24 - Paul Vallas, former CEO of CPS and former candidate for mayor, on the new federal scholarship program and CTU's War on Chicago’s Children. Follow Paul on X @PaulVallas 01:31:22 - Kevin Coyne, chairman of the DuPage GOP: JB Pritzker is every IL republicans opponent. Join the DuPage GOP for their Lincoln Day Dinner - Friday February 27 - for more details dupagegop.com/2026-lincoln-day-dinner 01:51:01 - Senior writer for the Washington Examiner & cohost of the “You’re Wrong” podcast, David Harsanyi: Protest Culture Is Annoying and Un-American. Check out David’s most recent book The Rise of BlueAnon: How the Democrats Became a Party of Conspiracy Theorists 02:06:36 - Open Mic Friday!See omnystudio.com/listener for privacy information.

This episode is really about one thing: deciding when “no sales yet” actually means something. Because in real accounts, non-converting spend isn't some small inefficiency. It's often 30 percent of spend. Sometimes it's 50. I've seen it hit 80 percent. Ten thousand dollars in ad spend, eight thousand going to search terms that never convert.What changes the way you look at this is separating converting behavior from non-converting behavior. If you include all the wasted spend in your averages, you end up judging new keywords against a broken baseline. Instead, you want to look at what your converting traffic normally does and use that as your benchmark.Another big takeaway is that not all keywords deserve the same level of patience. Branded terms might convert every couple of clicks. Competitor terms might need fifty clicks before you see a sale. If you use one rule across the board, you'll end up killing keywords that were slow, not bad.We'll see you in The PPC Den!

Welcome to Church Pew Sports Ep 198  - Coach Talk - Cignetti Leadership, Belichik Snub, Knight's Legacy We have a special guest from Hoosier land to talk about the incredible turnaround under Coach Cignetti, his memories of Bobby Knight, and the joy of having an undefeated national championship in Indiana. We also talk about the bizarre snub of Bill Belichik by the Pro Football Hall of Fame and rank the various "all star games" in order of watchability. Lots of fun on this one, with a little bit of everything - including brief tennis talk! This week's CPS Starting Host Lineup: Bill Hobson Pastor Paul Miller David Collins Pastor Kevin Boaz --------- Did you know you can now WATCH Church Pew Sports on our new YOUTUBE Channel? You can listen to EVERY episode of CPS by visiting Churchpewsports.com/ We would love to hear your thoughts, comments, and questions. Reach out to us at: churchpewsports316@gmail.com Stay connected to Church Pew Sports on Facebook and Twitter @CPewsSports316  

Note: This episode was originally released on June 7, 2023.Over the last two episodes, I told you the story of Alexavier Pedrin, whose six years were marred by family turmoil, alleged abuse and neglect, and CPS involvement. On February 11, 2023, Alexavier was found dead in his family's rented home in Medary, Wisconsin with multiple inflicted injuries and Xanax in his system. Three months later, his father's girlfriend, 31-year-old Josie Dikeman, was finally arrested and charged with Alexavier's murder.For this episode, I had the honor of speaking with two close members of Alexavier's maternal family: his cousin, Raven Holzer, and his aunt, Annie Anderson, who are dedicated to keeping Alexavier's memory alive, giving him a voice, and protecting other kids like Alexavier.This is part three of the infuriating story of Alexavier Pedrin. Links discussed in today's episode:Anderson family GoFundMe campaign: https://www.gofundme.com/f/rjfpz-justice-for-alexJustice for Alexavier on Facebook: https://www.facebook.com/profile.php?id=100090123498090 Justice for Alexavier on TikTok: https://tiktok.com/@justice.alexavierPhotos related to today's episode can be viewed on Facebook: https://www.facebook.com/sufferthelittlechildrenpodYou can also follow the podcast on:Instagram: https://www.instagram.com/sufferthelittlechildrenpodYoutube: https://www.youtube.com/c/sufferthelittlechildrenpodcastTikTok: https://www.tiktok.com/@STLCpodMy Linktree is available here: https://linktr.ee/stlcpodVisit the podcast's web page at https://www.sufferthelittlechildrenpod.com.By supporting me on Patreon, you'll also access rewards, including a shout-out by name on the podcast and exclusive rewards. Visit www.patreon.com/STLCpod.You can also support the podcast at www.ko-fi.com/STLCpod.**New! Become a member of my channel for perks, ranging from a shout-out, members-only chat emoji, and loyalty badges to other rewards. Click here: https://www.youtube.com/channel/UCogRWoIzWMy7TX5PuX18smQ/joinJoin my Spreaker Supporters' Club: https://www.spreaker.com/podcast/suffer-the-little-children--4232884/supportThis podcast is researched, written, hosted, edited, and produced by Laine.Music for this episode is licensed from https://audiojungle.net.Subscribe to Suffer the Little Children:Apple Podcasts: https://podcasts.apple.com/us/podcast/suffer-the-little-children/id1499010711Google Podcasts: https://playmusic.app.goo.gl/?ibi=com.google.PlayMusic&isi=691797987&ius=googleplaymusic&apn=com.google.android.music&link=https://play.google.com/music/m/I5mx3lacxpdkhssmk2n22csf32u?t%3DSuffer_the_Little_Children%26pcampaignid%3DMKT-na-all-co-pr-mu-pod-16Spreaker: https://www.spreaker.com/show/suffer-the-little-children Pandora: https://www.pandora.com/podcast/suffer-the-little-children/PC:61848?part=PC:61848&corr=podcast_organic_external_site&TID=Brand:POC:PC61848:podcast_organic_external_siteSpotify: https://open.spotify.com/show/0w98Tpd3710BZ0u036T1KEiHeartRadio: https://iheart.com/podcast/77891101/ ...or on your favorite podcast listening platform.If you see something, say something. https://childhelp.org

Note: This episode was originally released on June 2, 2023.In the last episode, I began telling you the story of six-year-old Alexavier Pedrin, whose short life was filled with constant family turmoil and frequent involvement by various CPS agencies in his home state of Wisconsin and others. After Alexavier's mom went to prison, his father eventually stopped letting her side of the family see their son, allowing the abuse and neglect Alexavier allegedly suffered at the hands of his father's girlfriend run rampant.In this episode, I'll tell you about the police's welfare check on Alexavier the night before his death; the circumstances surrounding his death on February 11, 2023; the resulting police investigation, and the very recent arrest of a woman who took the responsibility for caring for Alexavier but never should have been allowed near children in the first place. This is part two of the infuriating story of Alexavier Pedrin. Links discussed in today's episode:Anderson family GoFundMe campaign: https://www.gofundme.com/f/rjfpz-justice-for-alexJustice for Alexavier on Facebook: https://www.facebook.com/profile.php?id=100090123498090 Justice for Alexavier on TikTok: https://tiktok.com/@justice.alexavierPhotos related to today's episode can be viewed on Facebook: https://www.facebook.com/sufferthelittlechildrenpodYou can also follow the podcast on:Instagram: https://www.instagram.com/sufferthelittlechildrenpodYoutube: https://www.youtube.com/c/sufferthelittlechildrenpodcastTikTok: https://www.tiktok.com/@STLCpodMy Linktree is available here: https://linktr.ee/stlcpodVisit the podcast's web page at https://www.sufferthelittlechildrenpod.com.By supporting me on Patreon, you'll also access rewards, including a shout-out by name on the podcast and exclusive rewards. Visit www.patreon.com/STLCpod.You can also support the podcast at www.ko-fi.com/STLCpod.**New! Become a member of my channel for perks, ranging from a shout-out, members-only chat emoji, and loyalty badges to other rewards. Click here: https://www.youtube.com/channel/UCogRWoIzWMy7TX5PuX18smQ/joinJoin my Spreaker Supporters' Club: https://www.spreaker.com/podcast/suffer-the-little-children--4232884/supportThis podcast is researched, written, hosted, edited, and produced by Laine.Music for this episode is licensed from https://audiojungle.net.Subscribe to Suffer the Little Children:Apple Podcasts: https://podcasts.apple.com/us/podcast/suffer-the-little-children/id1499010711Google Podcasts: https://playmusic.app.goo.gl/?ibi=com.google.PlayMusic&isi=691797987&ius=googleplaymusic&apn=com.google.android.music&link=https://play.google.com/music/m/I5mx3lacxpdkhssmk2n22csf32u?t%3DSuffer_the_Little_Children%26pcampaignid%3DMKT-na-all-co-pr-mu-pod-16Spreaker: https://www.spreaker.com/show/suffer-the-little-children Pandora: https://www.pandora.com/podcast/suffer-the-little-children/PC:61848?part=PC:61848&corr=podcast_organic_external_site&TID=Brand:POC:PC61848:podcast_organic_external_siteSpotify: https://open.spotify.com/show/0w98Tpd3710BZ0u036T1KEiHeartRadio: https://iheart.com/podcast/77891101/ ...or on your favorite podcast listening platform.If you see something, say something. https://childhelp.org

*Note: This episode was originally released on May 30, 2023.In 2011, 19-year-old Josie Dikeman was accused of child neglect after her boyfriend's one-year-old daughter suffered a skull fracture and a brain injury in her care. That charge was dropped. Two years later, she was convicted in a separate child neglect case regarding the same little girl, by then age three, who had been returned from foster care only to become malnourished and suffer fractured hands and feet while in Josie and her boyfriend's care.After Josie moved in with her new boyfriend, Derek Pedrin, forming a large, blended family with seven children, loved ones began reporting concerns that Josie was abusing or neglecting Derek's son, Alexavier. Derek and Josie began refusing to let Alexavier's maternal family see him. On February 10 of this year, police performed a welfare check at the family's request, finding Alexavier asleep and very drowsy, but supposedly fine. Fifteen hours later, police returned to the home, where six-year-old Alexavier was pronounced dead.This is part one of the infuriating story of Alexavier Pedrin. Links discussed in today's episode:Anderson family GoFundMe campaign: https://www.gofundme.com/f/rjfpz-justice-for-alexJustice for Alexavier on Facebook: https://www.facebook.com/profile.php?id=100090123498090 Justice for Alexavier on TikTok: https://tiktok.com/@justice.alexavier Photos related to today's episode can be viewed on Facebook: https://www.facebook.com/sufferthelittlechildrenpodYou can also follow the podcast on:Instagram: https://www.instagram.com/sufferthelittlechildrenpod Youtube: https://www.youtube.com/c/sufferthelittlechildrenpodcast TikTok: https://www.tiktok.com/@STLCpod My Linktree is available here: https://linktr.ee/stlcpod Visit the podcast's web page at https://www.sufferthelittlechildrenpod.com. By supporting me on Patreon, you'll also access rewards, including a shout-out by name on the podcast and exclusive rewards. Visit www.patreon.com/STLCpod. You can also support the podcast at www.ko-fi.com/STLCpod.**New! Become a member of my channel for perks, ranging from a shout-out, members-only chat emoji, and loyalty badges to other rewards. Click here: https://www.youtube.com/channel/UCogRWoIzWMy7TX5PuX18smQ/joinJoin my Spreaker Supporters' Club: https://www.spreaker.com/podcast/suffer-the-little-children--4232884/support This podcast is researched, written, hosted, edited, and produced by Laine.Music for this episode is licensed from https://audiojungle.net. Subscribe to Suffer the Little Children:Apple Podcasts: https://podcasts.apple.com/us/podcast/suffer-the-little-children/id1499010711Google Podcasts: https://playmusic.app.goo.gl/?ibi=com.google.PlayMusic&isi=691797987&ius=googleplaymusic&apn=com.google.android.music&link=https://play.google.com/music/m/I5mx3lacxpdkhssmk2n22csf32u?t%3DSuffer_the_Little_Children%26pcampaignid%3DMKT-na-all-co-pr-mu-pod-16Spreaker: https://www.spreaker.com/show/suffer-the-little-children Pandora: https://www.pandora.com/podcast/suffer-the-little-children/PC:61848?part=PC:61848&corr=podcast_organic_external_site&TID=Brand:POC:PC61848:podcast_organic_external_siteSpotify: https://open.spotify.com/show/0w98Tpd3710BZ0u036T1KEiHeartRadio: https://iheart.com/podcast/77891101/ ...or on your favorite podcast listening platform.If you see something, say something. https://childhelp.org

In this brief episode, we discuss how the Covid medical tyranny is now in the hands of CPS. We'll be back on Thursday, January 29th. God bless you. Email: thefacthunter.comWebsite: thefacthunter.com

Sen. Eric Tarr talks about public education funding. Can private and public education co-exist in WV? Sen. Jay Taylor is calling for major reforms for CPS. The pressures on high school student athletes. Brad McElhinny reports from the state capitol. 

A three-year-old boy didn't move when his grandparents tried to wake him up.By the time police arrived, it was clear he hadn't simply died in his sleep.Matthew Maison's death exposed years of ignored warnings, repeated reports to CPS, and a system that kept returning him to the same home despite visible injuries and escalating abuse.This episode follows what happened to Matthew, the adults, like his mother Amanda Maison, who were supposed to protect him, and the seven-year fight that finally led to murder charges.Plus stick around for the aftershow with the case of Jonathan ​Schmitz.************************************************************************************************Podcast Promo: Darkcast Network*************************************************************************************************Do you have thoughts about this case, or is there a specific true crime case you'd like to hear about? Let me know with an email or a voice message: https://murderandlove.com/contactFind the sources used in this episode and learn more about how to support Love and Murder: Heartbreak to Homicide and gain access to even more cases, including bonus episodes, ad-free and intro-free cases, case files and more at: https://murderandlove.com~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Please take some time to Rate, Share, Subscribe!

#foryou #podcast #ad MERCH: https://were-all-insane.myshopify.com/?srsltid=AfmBOoruQag2m9PMZyrMfyyl8t9xxjwn3mCd-5qt5zjHYYKL31Dt_0fK TIMELINE: Don't let another year go by feeling less than your best. Grab 30% off your first month of Mitopure Gummies at https://timeline.com/insane30 Ari's adoption was supposed to save her life — but instead exposed her to abuse, neglect, and deep rejection. Taken in by family while her parents were gone, Ari grew up never being accepted for who she truly was, especially as a lesbian. This is a raw conversation about the dark side of adoption, family betrayal, and the lasting damage of being punished for your identity. Time Stamps: 00:00:00 — What happens when a child is adopted while both parents are incarcerated or addicted? 00:02:10 — What is it like growing up bouncing between homes as a young child? 00:04:05 — How does growing up in an image-obsessed household affect a traumatized child? 00:06:00 — Why do some parents prioritize appearance over a child's emotional needs? 00:08:20 — How do controlling parents react to LGBTQ families and friendships? 00:10:45 — Why do some parents fear their child being gay before the child even knows? 00:13:00 — How do abandonment issues form when a parent frames themselves as a savior? 00:15:05 — What happens when a teen is forced to come out during a moment of fear? 00:17:30 — How is religion weaponized against LGBTQ children? 00:19:00 — What does emotional abandonment look like after coming out? 00:21:10 — How does isolation become a punishment for queer teens? 00:23:15 — Why doesn't punishment or control change someone's sexuality? 00:25:30 — What does it mean when a parent becomes violent over “white lies”? 00:27:40 — How does humiliation become a tool of control in abusive households? 00:29:50 — Why do teens run away when emotional abuse escalates? 00:32:10 — What actually happens when CPS gets involved in family conflict? 00:34:20 — Why do abuse survivors minimize their experiences when authorities ask? 00:36:30 — What does it feel like to learn you were never legally adopted? 00:38:45 — Why do children return to abusive homes even after escaping? 00:41:00 — How does financial control replace emotional care in toxic families? 00:43:10 — Why do abusive parents spread lies to isolate one child from the family? 00:45:20 — How does parental manipulation damage sibling relationships? 00:47:30 — Why do abuse patterns repeat in adult romantic relationships? 00:49:45 — How does childhood trauma shape attachment and self-worth in adulthood? 00:52:00 — What happens when adult children go no-contact with a parent? 00:54:20 — Why do adult children still crave validation from abusive parents? 00:56:40 — How do survivors grieve a parent who is still alive? 00:59:00 — What does healing look like after going no-contact? 01:02:30 — How do survivors redefine family after losing their parent relationship? 01:06:00 — How do you accept that a parent may never change? If you have a unique story you'd like to share on the podcast, please fill out this form: https://forms.gle/ZiHgdoK4PLRAddiB9 or send an email to wereallinsanepodcast@gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Chicago's domestic violence cases surged last year, even as overall violent crime dropped. BlockClub Chicago's Mina Bloom, Borderless Magazine's Katrina Pham, and host Jacoby Cochran are breaking down the latest numbers. Plus,  Ald. Vazquez and Fuentes want clarity on Welcoming City violations, CPS enrollment declines continue, and Chicago is under an extreme cold watch.  Good News: Femdot's Ramova Show, “Oh, Mary!” coming to Chicago, and $33 Million Community Development Grants Want some more City Cast Chicago news? Then make sure to sign up for our Hey Chicago newsletter.  Follow us @citycastchicago You can also text us or leave a voicemail at: 773 780-0246 Learn more about the sponsors of this Jan. 23 episode:  Chicago Theater Week Broadway in Chicago Window Nation Teatro Zinzanni Become a member of City Cast Chicago. Interested in advertising with City Cast? Find more info HERE 

In this episode, Andrea is joined once again by retired detective and medical child abuse expert Mike Weber to discuss a case that closely mirrors patterns we saw in season 6 of the show. The conversation centers on a caregiver who presented a child as chronically and mysteriously ill, resulting in repeated hospitalizations and invasive medical interventions.  Together, Andrea and Mike examine the systemic failures that allowed the abuse to continue despite prior warnings, including gaps in CPS oversight, lack of training, and reluctance to act without a catastrophic trigger.  * * * Try out Andrea's Podcaster Coaching App: https://studio.com/apps/andrea/podcaster Order Andrea's book The Mother Next Door: Medicine, Deception, and Munchausen by Proxy.  Click here to view our sponsors. Remember that using our codes helps advertisers know you're listening and helps us keep making the show!   Subscribe on YouTube where we have full episodes and lots of bonus content.  Follow Andrea on Instagram: @andreadunlop Buy Andrea's books here.  For more information and resources on Munchausen by Proxy, please visit MunchausenSupport.com The American Professional Society on the Abuse of Children's MBP Practice Guidelines can be downloaded here. Learn more about your ad choices. Visit podcastchoices.com/adchoices

     Slam The Gavel welcomes back Wren Byrd to the podcast. Wren was last on the podcast Season 5, Episode 213. Today we discussed what has changed in regards to the system and how parents are treated, especially during litigation. We also discussed why there is no enforcement of laws ALREADY in place.     Wren brought up the book, "The Family Law Professional's Field Guide to HIGH CONFLICT LITIGATION; Dynamics, Not Diagnoses by Benjamin D. Garber, PhD, Dana Prescott, JD, LMSW, PhD and Chris Mulchay, PhD. The American Bar Association is endorsing it. Where can this lead while training judges to do the right thing by all families and their children?To Reach Wren Byrd:  info@foundingmoms.orgSupportshow(https://www.buymeacoffee.com/maryannpetri)Maryann Petri: dismantlingfamilycourtcorruption.comhttps://www.tiktok.com/@maryannpetriFacebook:  https://youtube.com/@slamthegavelpodcast?si=INW9XaTyprKsaDklhttps://substack.com/@maryannpetri?r=kd7n6&utm_medium=iosInstagram: https://www.instagram.com/guitarpeace/Pinterest: Slam The Gavel Podcast/@guitarpeaceLinkedIn: https://www.linkedin.com/in/maryann-petri-62a46b1ab/  YouTube:  https://www.youtube.com/@slamthegavelpodcasthostmar5536  Twitter https://x.com/PetriMaryannEzlegalsuit.com   https://ko-fi.com/maryannpetrihttps://www.zazzle.com/store/slam_the_gavel/aboout*DISCLAIMER* The use of this information is at the viewer/user's own risk. Content on this podcast does not constitute legal, financial, medical or any other professional advice. Viewer/user/guest should consult with the relevant professionals. IRS CIRCULAR 230 DISCLOSURE: To ensure compliance with requirements imposed by the Internal Revenue Service, we inform you that any U.S. federal tax advice contained in this communication (including any attachments) is not intended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code or (2) promoting, marketing or recommending to another party any transaction or matter addressed herein. Reproduction, distribution, performing, publicly displaying and making a derivative of the work is explicitly prohibited without permission from content creator. The content creator maintains the exclusive copyright and any unauthorized copyright usage is strictly prohibited.  Podcast is protected by owner from duplication, reproduction, distribution, making a derivative of the work or by owner displaying the podcast. Owner shall be held harmless and indemnified from any and all legal liability.Support the showSupportshow(https://www.buymeacoffee.com/maryannpetri)http://www.dismantlingfamilycourtcorruption.com/

 Today's Witness Wednesday is a story I read on Facebook today. I felt it was a great example of how God works through people and brings them together in the most unusual ways. We might not always understand what God is doing, or why He has brought certain people into our lives, but He always has a plan. The plan might not unfold for years, but one day it will make sense. I am sure the biker in this story had no idea his weekly visits to the Children's hospital would end the way they did. But I am sure it all makes sense to him now. Here is his story.I'm a 58-year-old biker named Mike. I've got tattoos covering both arms, a beard down to my chest, and I ride with the Defenders Motorcycle Club.I volunteer at the Children's Hospital every Thursday, reading books to sick kids. It's something our club started doing fifteen years ago after one of our brothers' granddaughters spent months in pediatric oncology.Most kids are scared of me at first. I get it. I'm big and loud and look like I should be in a motorcycle gang movie, not a children's hospital. But once I start reading, they forget about how I look. They just hear the story.That's what I thought would happen with Amara.I walked into room 432 on a Thursday afternoon in March. The nurse had warned me this was a new patient. Seven years old. Stage four neuroblastoma. No family visits in the three weeks she'd been admitted."No family at all?" I'd asked.The nurse's face had gone tight. "Her mother abandoned her here. Dropped her off for treatment and never came back. We've been trying to reach her for weeks. CPS is involved now but Amara doesn't have any other family. She's going into foster care once she's stable enough to leave.""And if she's not stable enough?"The nurse looked away. "Then she'll die here. Alone."I stood outside room 432 for a full minute before I could make myself go in. I've read to dying kids before. It never gets easier. But a kid dying completely alone? That was a new kind of hell.I knocked softly and pushed open the door. "Hey there, I'm Mike. I'm here to read you a story if you'd like."The little girl in the bed turned to look at me. She had the biggest brown eyes I'd ever seen. Her hair was gone from chemo. Her skin had that grayish tone that means the body is struggling. But she smiled when she saw me."You're really big," she said. Her voice was small and raspy."Yeah, I get that a lot." I held up the book I'd brought. "I've got a story about a giraffe who learns to dance. Want to hear it?"She nodded. So I sat down in the chair next to her bed and started reading.I was halfway through the book when she interrupted me. "Mr. Mike?""Yeah, sweetheart?""Do you have any kids?"The question hit me hard. "I had a daughter. She passed away when she was sixteen. Car accident. That was twenty years ago."Amara was quiet for a moment. Then she asked, "Do you miss being a daddy?"My throat tightened. "Every single day, honey.""My daddy left before I was born," she said matter-of-factly. "And my mama brought me here and never came back. The nurses say she's not coming back ever."I didn't know what to say to that. What do you say to a seven-year-old who's been abandoned while dying?Amara kept talking. "The social worker lady said I'm going to go live with a foster family when I get better. But I heard the doctors talking. They don't think I'm getting better.""Sweetheart—""It's okay," she said. Her voice was so calm. Too calm for a seven-year-old. "I know I'm dying. Everyone thinks I don't understand but I do. I heard them say the cancer is everywhere now. They said maybe six months. Maybe less."I set the book down. "Amara, I'm so sorry."She looked at me with those huge eyes. "Mr. Mike, can I ask you something?""Anything, honey."She looked at me with those huge eyes. "Mr. Mike, can I ask you something?""Anything, honey.""Will you be my daddy… until I die?"The room went still. Even the monitors seemed to hush. I felt every one of my fifty-eight years settle on my shoulders like lead.I opened my mouth, but nothing came out at first. All I could see was my own daughter's face at sixteen, laughing in the rear-view mirror the last time I ever saw her alive. All I could feel was the hole that had lived in my chest ever since.Amara didn't blink. She just waited, small and brave and impossibly calm.I wanted to say yes. God help me, I wanted to say yes so badly my bones ached. But I was just a rough old biker who showed up once a week with picture books. I rode loud, drank hard, and still woke up some nights yelling my dead daughter's name into an empty house. What did I know about being anyone's father again, even for a little while?I swallowed the rock in my throat. “Honey… I'd be honored. But I gotta be honest with you—I'm not very good at this daddy thing anymore. I might mess it up.”Her whole face lit up like sunrise. “That's okay. You can practice on me.”And just like that, I had a daughter again.The nurses cried when I told them. The social worker cried harder when I said I wanted temporary custody, medical guardianship, whatever paperwork existed that would let me take her home if she ever got strong enough, or stay by her side every single day if she didn't. The club showed up in force—twenty-five Harleys rumbling into the hospital parking lot, scaring the security guards half to death until they saw the stuffed animals strapped to every bike.We turned room 432 into something that didn't look like a hospital room anymore. One of the guys brought a pink bedsheet set his old lady had bought by mistake. Another brought a tiny leather vest with “Daddy's Girl” stitched on the back. Somebody hung fairy lights. Somebody else smuggled in a puppy that definitely wasn't allowed (just for ten minutes, but Amara laughed so hard she had to go back on oxygen).Every Thursday became every day. I read her the giraffe book until we both had it memorized, then we moved on to Charlotte's Web, then Harry Potter. When her hands got too weak to hold the book, I held it for both of us. When the pain got bad, I climbed into that little bed and let her fall asleep on my chest while I hummed old Johnny Cash songs my own daughter used to love.The doctors kept shaking their heads, saying they couldn't explain it. Her scans weren't getting better, exactly—but they weren't getting worse as fast as they should have. Six months became nine. Nine became a year.On the morning of her eighth birthday, Amara woke up and said, clear as day, “Daddy, I dreamed I was running. My legs worked and everything.”I kissed the top of her fuzzy head. “Then we're gonna make that happen, baby girl.”Two weeks later the oncologist called me into his office, eyes wide, holding films up to the light like he couldn't believe what he was seeing. “The tumors in her spine… they're shrinking. I've never—” He stopped, cleared his throat. “We're seeing significant regression. I don't know how to explain it.”I knew how. It was love. Plain, stubborn, loud, tattooed love.Eighteen months after the day she asked a scary biker to be her daddy “until she died,” Amara walked out of that hospital on her own two legs, holding my hand, wearing her tiny leather vest and a grin bigger than the sky.The club threw her a welcome-home party that shook the neighborhood. There were ponies. There was a bouncy castle. There was cake the size of a Harley wheel. And when the sun went down and the firepit was roaring, Amara climbed into my lap, looked up at the stars, and whispered, “Daddy?”“Yeah, baby?”“I don't think I'm gonna die for a long time now.”I held her tight enough to feel both our hearts beating. “Good,” I said, voice cracking like an old man's should. “Because I'm just getting started being your dad.”She's fifteen now. Still cancer-free. Still calls me Daddy every single day. Still sleeps in those same pink bedsheets we took from room 432.And every Thursday, rain or shine, we ride back to Children's Hospital together—me on my Harley, her on the back holding on like she's been doing it her whole life—and we read stories to the new kids who are scared and hurting.Because some things are worth more than the years you get.I am so grateful that this man said yes to the little girl's questions and that God brought them together. I am grateful that God is in every situation and that he saved both of these people from all the loneliness they were feeling. I am grateful to God for her miraculous healing.  God is so good. He is in every situation. If you can't find the good in your situation, that just means God's not done yet. www.findingtruenorthcoaching.comCLICK HERE TO DONATECLICK HERE to sign up for Mentoring CLICK HERE to sign up for Daily "Word from the Lord" emailsCLICK HERE to sign up for my newsletter & receive a free audio training about inviting Jesus into your daily lifeCLICK HERE to buy my book Total Trust in God's Safe Embrace

In recent years, Washington state has made two major policy changes to keep more birth families together. Since then, fewer kids in Washington have been taken from their birth families, especially infants. But over the same time period, more babies and children from families who’ve been investigated by child welfare workers have died. That’s why critics say those changes have made children less safe and should be reversed. Read the full story: Washington made it harder for CPS to separate families. Critics say kids are less safe Thank you to the supporters of KUOW, you help make this show possible! If you want to help out, go to kuow.org/donate/soundsidenotes Soundside is a production of KUOW in Seattle, a proud member of the NPR Network.See omnystudio.com/listener for privacy information.

The Phillies miss out on Bo Bichette and appear to be running it back. The Eagles are bounced in the first round, but changes seem to be on the horizon. Gary does Through The Beers, the Flyers and Sixers are reeling, and someone dies for the second time.  You can catch Corner Pub Sports live on Friday nights at 8:15pm (EST) on their Facebook and YouTube pages (@cornerpubsports)

Are you a grandparent considering adoption after fostering, or wrestling with what's truly best for the children in your care? Are you navigating the complex emotional, legal, and financial realities of kinship guardianship, while managing the challenges of parenting later in life? If you've ever wondered how to create a loving, secure future for your grandchildren against all odds, you're not alone.I'm Laura Brazan, and on this episode of 'Grandparents Raising Grandchildren: Nurturing Through Adversity,' we dive deep into the foster-to-adopt journey—sharing honest stories of heartbreak, resilience, and creativity in the face of a system often stretched to breaking. Special guest Rachel Fulginiti spent more than a decade navigating infertility, fostering, and adoption, ultimately building her family through unwavering determination and hope. Together, we'll discuss the hard truths of adopting when you're an older caregiver, building a supportive “tribal village,” facing trauma, and learning to let go of expectations to embrace what's truly possible.Whether you're grappling with permanency, searching for resources, or simply seeking community, this podcast is your guide. Tune in for practical strategies, healing conversations, and inspiration from grandparents who are rewriting their family stories—one courageous step at a time. Join us and discover you're part of a community 2.7 million strong, still nurturing, still here, and still shaping the future.Send us a textHello! Thank you for creating this podcast. It is a blessing to my life in this season

0:30 - Reaction to ICE shooting in MN 39:13 - more reaction 01:01:50 - Yes, fraud 01:22:58 - National Chairman of the Election Transparency Initiative & former deputy secretary of DHS, Ken Cuccinelli, breaks down the Minneapolis shooting and argues the left thrives on confrontation and harassment. 01:44:40 - Former CEO of CPS and former candidate for mayor, Paul Vallas: We literally have an apartheid school system in Chicago - it's about time for a justice department investigation. Follow Paul on X @PaulVallas 02:03:26 - Daniel DePetris, fellow at Defense Priorities and a syndicated foreign affairs columnist at the Chicago Tribune and Newsweek, on Venezuela and what the U.S. is really planning for Greenland. Follow Daniel on X @DanDePetris 02:21:45 - Christian Toto, host of “The Hollywood in Toto Podcast ”: Why George Clooney (and Hollywood) Should Fear Bari WeissSee omnystudio.com/listener for privacy information.

ICAN lead counsel Aaron Siri, esq., breaks down ACIP's historic decision to end the recommendation of universal Hepatitis B vaccination at birth for babies of healthy, Hep-B–negative mothers—moving it to age 2 months and “shared decision making.” He details major gaps in the safety data, evidence of harm buried in our federal injury programs, and an ethical crisis in the U.S. of pressuring parents to vaccinate their children under threat of CPS. Siri also contrasts U.S. policy with nations like mandate-free Denmark, which recommends far fewer vaccines while enjoying better health outcomes.Become a supporter of this podcast: https://www.spreaker.com/podcast/the-highwire-with-del-bigtree--3620606/support.