Podcasts about cts

Welcome to the Tour de France Femmes Podcast, from the producers of "The Time-Crunched Cyclist Podcast"CTS publishes daily Tour de France Femmes podcasts with Coaches Adam Pulford and Renee Eastman. They recap the stages, but the unique aspect of these podcasts will be coaching insights about how athletes prepare for the demands showcased in that day's stage. STAGE 9 PODCAST OVERVIEWStage 9 of the 2025 Tour de France Femmes avec Zwift was the finale of the entire race, and Coaches Renee Eastman and Adam Pulford recap the action from the stage as well as highlights from the week. They also showcase several athletes who had breakout performances or MVP rides, and discuss Alison Jackson's race day data from yesterday's Queen Stage.ASK A QUESTION FOR A FUTURE PODCASTCo-Host: Renee EastmanRenee Eastman is a CTS Premier Level Coach and has been coaching with the company for more than 20 years. She has been a professional bike fitter for 15 years and was one of the first fitters to use the Retül bike fit system. She has a master's degree in exercise science, has worked for USA Cycling, and is a 6-time Masters National Champion.Renee Eastman bio: https://trainright.com/coaches/renee-eastman/Instagram: https://www.instagram.com/renee.eastman/HOSTAdam Pulford has been a CTS Coach for nearly two decades and holds a B.S. in Exercise Physiology. He's participated in and coached hundreds of athletes for endurance events all around the world.Listen to the episode on Apple Podcasts, Spotify, Stitcher, Google Podcasts, or on your favorite podcast platformGET FREE TRAINING CONTENTJoin our weekly newsletterCONNECT WITH CTSWebsite: trainright.comInstagram: @cts_trainrightTwitter: @trainrightFacebook: @CTSAthlete

Welcome to the Tour de France Femmes Podcast, from the producers of "The Time-Crunched Cyclist Podcast"CTS publishes daily Tour de France Femmes podcasts with Coaches Adam Pulford and Renee Eastman. They recap the stages, but the unique aspect of these podcasts will be coaching insights about how athletes prepare for the demands showcased in that day's stage. STAGE 8 PODCAST OVERVIEWStage 8 of the 2025 Tour de France Femmes avec Zwift was the Queen Stage, meaning the hardest of them all. There was a big shakeup on the leaderboard, which Coaches Renee Eastman and Adam Pulford discuss. They also talk about coaching athletes on descending skills and the impact of a woman's menstrual cycle on performance and perception of effort.ASK A QUESTION FOR A FUTURE PODCASTCo-Host: Renee EastmanRenee Eastman is a CTS Premier Level Coach and has been coaching with the company for more than 20 years. She has been a professional bike fitter for 15 years and was one of the first fitters to use the Retül bike fit system. She has a master's degree in exercise science, has worked for USA Cycling, and is a 6-time Masters National Champion.Renee Eastman bio: https://trainright.com/coaches/renee-eastman/Instagram: https://www.instagram.com/renee.eastman/HOSTAdam Pulford has been a CTS Coach for nearly two decades and holds a B.S. in Exercise Physiology. He's participated in and coached hundreds of athletes for endurance events all around the world.Listen to the episode on Apple Podcasts, Spotify, Stitcher, Google Podcasts, or on your favorite podcast platformGET FREE TRAINING CONTENTJoin our weekly newsletterCONNECT WITH CTSWebsite: trainright.comInstagram: @cts_trainrightTwitter: @trainrightFacebook: @CTSAthlete

Welcome to the Tour de France Femmes Podcast, from the producers of "The Time-Crunched Cyclist Podcast"CTS publishes daily Tour de France Femmes podcasts with Coaches Adam Pulford and Renee Eastman. They recap the stages, but the unique aspect of these podcasts will be coaching insights about how athletes prepare for the demands showcased in that day's stage. STAGE 7 PODCAST OVERVIEWStage 7 of the 2025 Tour de France Femmes avec Zwift was another significant climbing day, meaning there was a hard-working breakaway, fireworks in the GC group, and a bunch of riders in the grupetto looking to save their legs for another day. Coaches Renee Eastman and Adam Pulford recap the stage and talk about the Training Stress Score (TSS) differences between the front and the back, plus the hows and whys of pro women racing multiple disciplines (i.e., road, cross, mtb), and look forward to the Queen Stage of the TDFF tomorrow.ASK A QUESTION FOR A FUTURE PODCASTCo-Host: Renee EastmanRenee Eastman is a CTS Premier Level Coach and has been coaching with the company for more than 20 years. She has been a professional bike fitter for 15 years and was one of the first fitters to use the Retül bike fit system. She has a master's degree in exercise science, has worked for USA Cycling, and is a 6-time Masters National Champion.Renee Eastman bio: https://trainright.com/coaches/renee-eastman/Instagram: https://www.instagram.com/renee.eastman/HOSTAdam Pulford has been a CTS Coach for nearly two decades and holds a B.S. in Exercise Physiology. He's participated in and coached hundreds of athletes for endurance events all around the world.Listen to the episode on Apple Podcasts, Spotify, Stitcher, Google Podcasts, or on your favorite podcast platformGET FREE TRAINING CONTENTJoin our weekly newsletterCONNECT WITH CTSWebsite: trainright.comInstagram: @cts_trainrightTwitter: @trainrightFacebook: @CTSAthlete

Welcome to the Tour de France Femmes Podcast, from the producers of "The Time-Crunched Cyclist Podcast"CTS publishes daily Tour de France Femmes podcasts with Coaches Adam Pulford and Renee Eastman. They recap the stages, but the unique aspect of these podcasts will be coaching insights about how athletes prepare for the demands showcased in that day's stage. STAGE 6 PODCAST OVERVIEWStage 6 of the Tour de France Femmes avec Zwift featured a fantastic solo win by an emerging talent. Coaches Renee Eastman and Adam Pulford recap the stage and preview Friday's stage, and also answer listener questions about bike fit for female cyclists, including why women sometimes look like they're "wrestling the bike" more than male cyclists. For even more insights, they tapped CTS Coach Jane Marshall, a 4-time MTB National Champion and mother of 2, about the changes in bike fit after pregnancy and about whether "Mom Watts" are real or a myth.ASK A QUESTION FOR A FUTURE PODCASTGuest Contributor: Jane MarshallA two-time Collegiate and two-time US Masters National Champion in cross-country mountain biking and a mom to two children, Jane Marshall has been a coach with CTS since 2006. She has competed in and prepared athletes for some of the world's most challenging events. Bio: https://trainright.com/coaches/jane-rynbrandt-marshall/ Co-Host: Renee EastmanRenee Eastman is a CTS Premier Level Coach and has been coaching with the company for more than 20 years. She has been a professional bike fitter for 15 years and was one of the first fitters to use the Retül bike fit system. She has a master's degree in exercise science, has worked for USA Cycling, and is a 6-time Masters National Champion.Renee Eastman bio: https://trainright.com/coaches/renee-eastman/Instagram: https://www.instagram.com/renee.eastman/HOSTAdam Pulford has been a CTS Coach for nearly two decades and holds a B.S. in Exercise Physiology. He's participated in and coached hundreds of athletes for endurance events all around the world.Listen to the episode on Apple Podcasts, Spotify, Stitcher, Google Podcasts, or on your favorite podcast platformGET FREE TRAINING CONTENTJoin our weekly newsletterCONNECT WITH CTSWebsite: trainright.comInstagram: @cts_trainrightTwitter: @trainrightFacebook: @CTSAthlete

Welcome to the Tour de France Femmes Podcast, from the producers of "The Time-Crunched Cyclist Podcast"CTS publishes daily Tour de France Femmes podcasts with Coaches Adam Pulford and Renee Eastman. They recap the stages, but the unique aspect of these podcasts will be coaching insights about how athletes prepare for the demands showcased in that day's stage. STAGE 5 PODCAST OVERVIEWStage 5 of the 2025 Tour de France Femmes avec Zwift saw a major shakeup in the General Classification, thanks to a significant climb and descent right before the finish. Coaches Renee Eastman and Adam Pulford recap the stage and they're joined by guest contributor Alison Tetrick, a retired World Tour rider, commentator for The Move podcast online and on Peacock, and a long-time CTS Athlete. Ali provides personal insights on the evolution of the Women's World Tour in terms of the salaries, support, and competitive level. For more on Alison, visit:https://www.alisontetrick.com/https://www.instagram.com/amtetrick/ASK A QUESTION FOR A FUTURE PODCASTCo-Host: Renee EastmanRenee Eastman is a CTS Premier Level Coach and has been coaching with the company for more than 20 years. She has been a professional bike fitter for 15 years and was one of the first fitters to use the Retül bike fit system. She has a master's degree in exercise science, has worked for USA Cycling, and is a 6-time Masters National Champion.Renee Eastman bio: https://trainright.com/coaches/renee-eastman/Instagram: https://www.instagram.com/renee.eastman/HOSTAdam Pulford has been a CTS Coach for nearly two decades and holds a B.S. in Exercise Physiology. He's participated in and coached hundreds of athletes for endurance events all around the world.Listen to the episode on Apple Podcasts, Spotify, Stitcher, Google Podcasts, or on your favorite podcast platformGET FREE TRAINING CONTENTJoin our weekly newsletterCONNECT WITH CTSWebsite: trainright.comInstagram: @cts_trainrightTwitter: @trainrightFacebook: @CTSAthlete

Welcome to the Tour de France Femmes Podcast, from the producers of "The Time-Crunched Cyclist Podcast"CTS publishes daily Tour de France Femmes podcasts with Coaches Adam Pulford and Renee Eastman. They recap the stages, but the unique aspect of these podcasts will be coaching insights about how athletes prepare for the demands showcased in that day's stage. STAGE 4 PODCAST OVERVIEWStage 4 of the 2025 Tour de France Femmes avec Zwift was another sprint finish, but the mountains are coming tomorrow! Keeping athletes fueled for performance and recovery is a full-time job, and Coaches Adam Pulford and Renee Eastman check in with Kristen Arnold, MS, RDN, CSSD and Sports Dietitian for EF Education-Oatly on the team's strategies for in-race fueling, post-race recovery (including tart cherry juice), and day-to-day meal planning. Adam and Renee also discuss sweat rate testing and sweat sodium testing.RESOURCESFind a Precision Hydration Sweat Testing Center Near YouKristen Arnold's Sports Nutrition For WomenASK A QUESTION FOR A FUTURE PODCASTCo-Host: Renee EastmanRenee Eastman is a CTS Premier Level Coach and has been coaching with the company for more than 20 years. She has been a professional bike fitter for 15 years and was one of the first fitters to use the Retül bike fit system. She has a master's degree in exercise science, has worked for USA Cycling, and is a 6-time Masters National Champion.Renee Eastman bio: https://trainright.com/coaches/renee-eastman/Instagram: https://www.instagram.com/renee.eastman/HOSTAdam Pulford has been a CTS Coach for nearly two decades and holds a B.S. in Exercise Physiology. He's participated in and coached hundreds of athletes for endurance events all around the world.Listen to the episode on Apple Podcasts, Spotify, Stitcher, Google Podcasts, or on your favorite podcast platformGET FREE TRAINING CONTENTJoin our weekly newsletterCONNECT WITH CTSWebsite: trainright.comInstagram: @cts_trainrightTwitter: @trainrightFacebook: @CTSAthlete

Welcome to the Tour de France Femmes Podcast, from the producers of "The Time-Crunched Cyclist Podcast"CTS will publish daily Tour de France Femmes podcasts with Coaches Adam Pulford and Renee Eastman. They'll recap the stage, but the unique aspect of these podcasts will be coaching insights about how athletes prepare for the demands showcased in that day's stage. STAGE 3 PODCAST OVERVIEWStage 3 of the 2025 Tour de France Femmes avec Zwift  was dominated by a 4-rider breakaway containing CTS Athlete and Canadian National Champion Alison Jackson from EF Education Oatly. Although the breakaway was caught before the finish, Jackson was strong in the finale and still led out her teammate. Coach Adam Pulford reveals insights and details of her pre-TDFF training and TrainingPeaks metrics to help put her fitness and preparation in perspective for everyday athletes.RESOURCEShttps://trainright.com/cycling-training-terms-and-acronyms-explained/https://trainright.com/what-is-chronic-training-load-ctl-and-how-to-use-it-to-improve-performance/ASK A QUESTION FOR A FUTURE PODCASTCo-Host: Renee EastmanRenee Eastman is a CTS Premier Level Coach and has been coaching with the company for more than 20 years. She has been a professional bike fitter for 15 years and was one of the first fitters to use the Retül bike fit system. She has a master's degree in exercise science, has worked for USA Cycling, and is a 6-time Masters National Champion.Renee Eastman bio: https://trainright.com/coaches/renee-eastman/Instagram: https://www.instagram.com/renee.eastman/HOSTAdam Pulford has been a CTS Coach for nearly two decades and holds a B.S. in Exercise Physiology. He's participated in and coached hundreds of athletes for endurance events all around the world.Listen to the episode on Apple Podcasts, Spotify, Stitcher, Google Podcasts, or on your favorite podcast platformGET FREE TRAINING CONTENTJoin our weekly newsletterCONNECT WITH CTSWebsite: trainright.comInstagram: @cts_trainrightTwitter: @trainrightFacebook: @CTSAthlete

Welcome to the Tour de France Femmes Podcast, from the producers of "The Time-Crunched Cyclist Podcast"CTS will publish daily Tour de France Femmes podcasts with Coaches Adam Pulford and Renee Eastman. They'll recap the stage, but the unique aspect of these podcasts will be coaching insights about how athletes prepare for the demands showcased in that day's stage. STAGE 2 PODCAST OVERVIEWStage 2 of the 2025 Tour de France Femmes avec Zwift saw a new leader in the yellow jersey and a stage win from a 41-year-old racer. CTS Coaches Renee Eastman and Adam Pulford recap the stage, catch up with CTS Athlete Alison Jackson who sent in a post-stage audio clip after Stage 1, and talk about how heat acclimation works differently for female athletes compared to male athletes.RESOURCEShttps://trainright.com/ultrarunners-heat-acclimation-cheat-sheet/https://news.ultrasignup.com/your-quick-guide-to-heat-acclimation/ASK A QUESTION FOR A FUTURE PODCASTCo-Host: Renee EastmanRenee Eastman is a CTS Premier Level Coach and has been coaching with the company for more than 20 years. She has been a professional bike fitter for 15 years and was one of the first fitters to use the Retül bike fit system. She has a master's degree in exercise science, has worked for USA Cycling, and is a 6-time Masters National Champion.Renee Eastman bio: https://trainright.com/coaches/renee-eastman/Instagram: https://www.instagram.com/renee.eastman/HOSTAdam Pulford has been a CTS Coach for nearly two decades and holds a B.S. in Exercise Physiology. He's participated in and coached hundreds of athletes for endurance events all around the world.Listen to the episode on Apple Podcasts, Spotify, Stitcher, Google Podcasts, or on your favorite podcast platformGET FREE TRAINING CONTENTJoin our weekly newsletterCONNECT WITH CTSWebsite: trainright.comInstagram: @cts_trainrightTwitter: @trainrightFacebook: @CTSAthlete

Welcome to the Tour de France Femmes Podcast, from the producers of "The Time-Crunched Cyclist Podcast"CTS will publish daily Tour de France Femmes podcasts with Coaches Adam Pulford and Renee Eastman. They'll recap the stage, but the unique aspect of these podcasts will be coaching insights about how athletes prepare for the demands showcased in that day's stage. STAGE 1 PODCAST OVERVIEWCTS Coaches Renee Eastman and Adam Pulford recap the exciting finish of Stage 1 of the 2025 Tour de France Femmes avec Zwift and then discuss how elite athletes taper after their most recent training blocks or races to be fresh and ready to race at their best at the TDFF. We also hear from EF Education-Oatly's Performance Director, Emma Trott, on how her riders - including CTS Athlete Alison Jackson - tapered before the race. Finally, Renee and Adam translate the tapering strategies from elite athletes to Time-Crunched Cyclists and amateur racers so you can be fresh for your next event!RESOURCEShttps://trainright.com/tapering-week-before-race/ASK A QUESTION FOR A FUTURE PODCASTCo-Host: Renee EastmanRenee Eastman is a CTS Premier Level Coach and has been coaching with the company for more than 20 years. She has been a professional bike fitter for 15 years and was one of the first fitters to use the Retül bike fit system. She has a master's degree in exercise science, has worked for USA Cycling, and is a 6-time Masters National Champion.Renee Eastman bio: https://trainright.com/coaches/renee-eastman/Instagram: https://www.instagram.com/renee.eastman/HOSTAdam Pulford has been a CTS Coach for nearly two decades and holds a B.S. in Exercise Physiology. He's participated in and coached hundreds of athletes for endurance events all around the world.Listen to the episode on Apple Podcasts, Spotify, Stitcher, Google Podcasts, or on your favorite podcast platformGET FREE TRAINING CONTENTJoin our weekly newsletterCONNECT WITH CTSWebsite: trainright.comInstagram: @cts_trainrightTwitter: @trainrightFacebook: @CTSAthlete

Episode 408 is titled “Summer Holiday Horror” because that's what your kind hosts watched. Yes, there is an awful lot of it out there, but finding a good one isn't easy. You'll find this out if you're trying to add something new of this sort to your viewing history. Find us on Instagram where we are @chewingthescenery or easily find us on Facebook. CTS can be found on Soundcloud, Apple Music and anywhere fine podcasts can be found. Please rate, review, subscribe- it really does help new listeners find us! #horror #horrormovies #horrornerd #horroraddict #horrorjunkie #monsterkid #bmovie #scary movies #monstermovie #podcast #chewingthescenery #zombies #zombie #VHS #iknowwhatyoudidlastsummer #summercamp #fridaythe13th

SPECIAL ANNOUNCEMENTStarting Saturday, July 26, CTS will publish daily Tour de France Femmes podcasts with Coaches Adam Pulford and Renee Eastman. They'll recap the stage, but the unique aspect of these podcasts will be coaching insights about how athletes prepare for the demands showcased in that day's stage. EPISODE OVERVIEWRespect is a touchy subject, but this is not a touchy-feely, woo-woo episode of the podcast. In true "Time-Crunched Cyclist Podcast" fashion, Coach Adam Pulford gives actionable, pragmatic advice on how athletes can change their physical, emotional, and competitive habits to act with greater respect and, in turn, unlock greater performance. When you respect your body, you give it what it needs and pay attention to good and bad days. When you respect your emotions, you gain insights that help you adjust training to align important workouts and performance tests with productive emotional states. And when you respect the competition, you can always feel good about the outcome, win or lose.RESOURCESPlacebo Effect:The power of the placebo effect - Harvard HealthSelf Talk:The Dangers of Negative Thinking and How to Master Positive Self-TalkSelf-talk During Sport - Advantage or Detriment - BelievePerform - The UK's leading Sports Psychology WebsiteGolden Rule:The Golden Rule | Internet Encyclopedia of PhilosophyASK A QUESTION FOR A FUTURE PODCASTHOSTAdam Pulford has been a CTS Coach for nearly two decades and holds a B.S. in Exercise Physiology. He's participated in and coached hundreds of athletes for endurance events all around the world.Listen to the episode on Apple Podcasts, Spotify, Stitcher, Google Podcasts, or on your favorite podcast platformGET FREE TRAINING CONTENTJoin our weekly newsletterCONNECT WITH CTSWebsite: trainright.comInstagram: @cts_trainrightTwitter: @trainrightFacebook: @CTSAthlete

De aandeelhouders van tankopslagbedrijf CTS zitten middenin een GROTE ruzie met de ontslagen bestuurder Gert. Dat schreef het FD afgelopen maandag. Gert is weggestuurd na een inval van de Fiod, wegens vermoedens van fraude. Wat het nog ingewikkelder maakt: Gert heeft zo'n 25 procent van de aandelen van CTS in handen. En die moet hij –volgens de statuten- verkopen. Gert wil daar 3,3 miljoen euro voor, maar het bod op die aandelen is een STUK MINDER: 19.000 euro.

Have you or someone you know recently developed SUUUPPPPEERRRR POWERRRRSSS? For Episode #186 of CTS our great friend Nick made his return to the solo guest scene of CTS. It was a first for us as a guest finally joined us on our segment, “This or That,” this time incorporating everyone from superheroes to antiheroes and villains in one category. We also discuss the DC franchise reboot and its lead off film centering over the Man of Steel, Christopher Reeve as Superman, John Cena as an actor, magic, Jack in the Box tacos, & SO MUCH MORE!

OVERVIEWTime-Crunched Cyclists have to get creative to integrate training into their busy lives. We get plenty of listener questions about various options for adding training hours to a busy schedule. In Episode 257 of "The Time-Crunched Cyclist Podcast", Coach Adam Pulford and co-author of "The Time-Crunched Cyclist" book, coach Jim Rutberg, discuss how and whether to integrate bicycle commutes and indoor cycling desks into your training.TOPICS COVEREDQuestion 1: How can I use my 30-60 minute commutes to improve my cycling training?Question 2: I can potentially add about 5 hours of low intensity training to my program by pedaling at a cycling desk in my office. Are these hours beneficial and worth the effort?ASK A QUESTION FOR A FUTURE PODCASTGuestJim Rutberg has been an athlete, coach, and content creator in the outdoor sports, endurance coaching, and event industries for more than 20 years. He is the Media Director and a coach for CTS and co-author of several training and sports nutrition books, including Training Essentials for Ultrarunning with Jason Koop, Ride Inside with Joe Friel, and The Time-Crunched Cyclist with Chris Carmichael. He writes for trainright.com and his work has appeared in Bicycling, Outside, Men's Health, Men's Journal, Velonews, Inside Triathlon, and on numerous websites. A graduate of Wake Forest University with a Bachelor of Science degree in Exercise Physiology, Jim resides in Colorado Springs, Colorado, with his two sons, Oliver and Elliot. He can be reached at jrutberg@trainright.com or @rutty_rides on Instagram.HOSTAdam Pulford has been a CTS Coach for nearly two decades and holds a B.S. in Exercise Physiology. He's participated in and coached hundreds of athletes for endurance events all around the world.Listen to the episode on Apple Podcasts, Spotify, Stitcher, Google Podcasts, or on your favorite podcast platformGET FREE TRAINING CONTENTJoin our weekly newsletterCONNECT WITH CTSWebsite: trainright.comInstagram: @cts_trainrightTwitter: @trainrightFacebook: @CTSAthlete

Episode 407 pays a visit to an inmate you may have forgotten about. Horace Pinker. That's right- we're talking about Wes Craven's “Shocker” (1989). “Why haven't I watched/re-watched/ever heard of this one?” you might ask. Maybe “Scream” erased this one from your mind. Whatever the case, check it out and join your hosts for a parole hearing! Find us on Instagram where we are @chewingthescenery or easily find us on Facebook. CTS can be found on Soundcloud, Apple Music and anywhere fine podcasts can be found. Please rate, review, subscribe- it really does help new listeners find us! #horror #horrormovies #horrornerd #horroraddict #horrorjunkie #monsterkid #bmovie #scary movies #monstermovie #podcast #chewingthescenery #zombies #zombie #VHS #wescraven #mitchpileggi #peterberg #slasher #shocker #horacepinker

From a 15% Trans-Pacific volume drop to an unclear U.S. tariff deadline, uncertainty dominates the trade landscape. In this week's episode of Supply Chain Secrets, Lars and Caroline unpack alarming CTS data, sharp spot rate shifts, and a dramatic Red Sea attack on a commercial vessel. Will July 9 spark a global trade war—or more mixed messaging? Tune in to understand how shifting demand, container imbalances, and geopolitical flashpoints are reshaping global shipping in real time. 

Ekco, one of Europe's leading security-first managed service providers, has announced that it has acquired Adapt IT, a Cork-headquartered IT managed service provider (MSP). The new deal, which is Ekco's sixth acquisition in two years, brings Ekco's total acquisition investment to €57 million within this timeframe. In business for more than 20 years, Adapt IT employs 37 people at its Cork location, serving customers in the small-and-medium-sized enterprises (SME) market. Its 300-strong customer base operates in industries such as manufacturing, retail, hospitality, legal, and finance. The deal bolsters Ekco's ability to support fast-growing SMEs with unified, secure, and scalable technology solutions. The acquisition of Adapt IT brings Ekco's global headcount to more than 1,000 employees and adds a seventh Irish location to its growing regional network. In addition to its three sites in Dublin, Ekco now operates in Cork, Waterford, and Laois, as well as across the UK, Netherlands, South Africa, and Malaysia. Adapt IT's expertise in Microsoft solutions will strengthen Ekco's modern working service offering for its customers, and its MSP focus will further build upon Ekco's existing managed service capabilities. Adapt IT's customer base will now benefit from Ekco's suite of advanced cloud services, automation expertise, and cybersecurity capabilities in areas including security information and event management (SIEM), security operations centres (SOC), and backup. As the cybersecurity regulatory landscape continues to evolve, Ekco will also provide peace of mind through its compliance services. Additionally, Adapt IT's teams will be able to avail of comprehensive upskilling, certification, and continuous learning opportunities to keep pace with industry demand. The deal is the latest in Ekco's wider acquisition strategy for growth and brings the total number of businesses acquired by Ekco in the last two years to six. Earlier this year, the company announced the purchase of Predatech, a UK-based cybersecurity consultancy. In 2024, it added UK legal IT specialist CTS to its portfolio of companies. 2023 saw the additions of MSPs Radius and Bluecube, as well as cloud migration and cybersecurity specialist iSystems. Cian Prendergast, CEO at Ekco MSP, said: "The acquisition of Adapt IT is the latest move in our aggressive expansion strategy which targets key acquisitions combined with sustained business growth. This strategy reflects an investment in innovation that will make us in Ekco, and our acquired companies, stronger as a result. We're building a modern, security-first MSP that helps ambitious businesses to operate with confidence and resilience. "Adapt IT, like us, is a cloud-first business that reflects our culture and has had tremendous success in building a nationwide customer base. By bringing our two companies together, we will enhance our regional footprint in a location where we see vast opportunities for our expansion, while also combining our knowledge and services to pioneer the demands of the modern enterprise. It strengthens our position as the go-to IT partner for businesses who want the reliability of a national partner with the responsiveness of a local team." John Levis, Managing Director, Adapt IT, said: "We are delighted to join the Ekco group, an Irish-founded business which is on an impressive growth trajectory. This will enable us to continue to deliver top-tier services to businesses, backed up by the skills and resources of a larger group. We are seeing that even smaller businesses are seeking enterprise-grade IT and cybersecurity solutions - Ekco's expertise will help us to meet this growing demand as the volume and complexity of cyber threats continues to rise." See more stories here.

Episode 406 finds your hosts discussing “Humanist Vampire Seeking Consenting Suicidal Person”, a 2023 French Canadian Horror Comedy. Go ahead, watch this movie and give the episode a listen! Find us on Instagram where we are @chewingthescenery or easily find us on Facebook. CTS can be found on Soundcloud, Apple Music and anywhere fine podcasts can be found. Please rate, review, subscribe- it really does help new listeners find us! #horror #horrormovies #horrornerd #horroraddict #horrorjunkie #monsterkid #bmovie #scary movies #monstermovie #podcast #chewingthescenery #zombies #zombie #VHS#humanistvampireseekingconsentingsuicidalperson #vampire #canadianhorror #frenchhorror

Episode 405 is about a 1965 science fiction movie called “Frankenstein Meets the Space Monster”. It may be considered a “B-Movie” by most, but that doesn't make it a bad movie. Well, it's still bad, but very entertaining. Does this movie know what it is? Your hosts seem to think so! Find us on Instagram where we are @chewingthescenery or easily find us on Facebook. CTS can be found on Soundcloud, Apple Music and anywhere fine podcasts can be found. Please rate, review, subscribe- it really does help new listeners find us! #horror #horrormovies #horrornerd #horroraddict #horrorjunkie #monsterkid #bmovie #scary movies #monstermovie #podcast #chewingthescenery #zombies #zombie #VHS #frankensteinmeetsthespacemonster #marilynhannold #loucutell #jameskaren

CTS 6 YEAR ANNIVERSARY EPISODE

Many clinical decision rules exclude elderly patients from the derivation cohorts. So the question remains unanswered do all elderly patients need cervical spine CTs in the setting of trauma? What if they have no symptoms? This recap of a journal club article explores the incidence of significant cervical spine fractures in elderly patients.

Anissa Polverari, the business development leader for non-profit NEMT service model CTS joins Enterprise Radio. She will discuss the efforts to connect with leading … Read more The post Transportation, Healthcare and the Underserved: Eliminating Transportation “Deserts” appeared first on Top Entrepreneurs Podcast | Enterprise Podcast Network.

Dr. Nathan Pennell and Dr. Cheryl Czerlanis discuss challenges in lung cancer screening and potential solutions to increase screening rates, including the use of AI to enhance risk prediction and screening processes. Transcript Dr. Nate Pennell: Hello, and welcome to By the Book, a monthly podcast series for ASCO Education that features engaging discussions between editors and authors from the ASCO Educational Book. I'm Dr. Nate Pennell, the co-director of the Cleveland Clinic Lung Cancer Program and vice chair of clinical research for the Taussig Cancer Center. I'm also the editor-in-chief for the ASCO Educational Book.  Lung cancer is one of the leading causes of cancer-related mortality worldwide, and most cases are diagnosed at advanced stages where curative treatment options are limited. On the opposite end, early-stage lung cancers are very curable. If only we could find more patients at that early stage, an approach that has revolutionized survival for other cancer types such as colorectal and breast cancer.  On today's episode, I'm delighted to be joined by Dr. Cheryl Czerlanis, a professor of medicine and thoracic medical oncologist at the University of Wisconsin Carbone Cancer Center, to discuss her article titled, "Broadening the Net: Overcoming Challenges and Embracing Novel Technologies in Lung Cancer Screening." The article was recently published in the ASCO Educational Book and featured in an Education Session at the 2025 ASCO Annual Meeting. Our full disclosures are available in the transcript of this episode.  Cheryl, it's great to have you on the podcast today. Thanks for being here. Dr. Cheryl Czerlanis: Thanks, Nate. It's great to be here with you. Dr. Nate Pennell: So, I'd like to just start by asking you a little bit about the importance of lung cancer screening and what evidence is there that lung cancer screening is beneficial. Dr. Cheryl Czerlanis: Thank you. Lung cancer screening is extremely important because we know that lung cancer survival is closely tied to stage at diagnosis. We have made significant progress in the treatment of lung cancer, especially over the past decade, with the introduction of immunotherapies and targeted therapies based on personalized evaluation of genomic alterations. But the reality is that outside of a lung screening program, most patients with lung cancer present with symptoms related to advanced cancer, where our ability to cure the disease is more limited.  While lung cancer screening has been studied for years, the National Lung Screening Trial, or the NLST, first reported in 2011 a significant reduction in lung cancer deaths through screening. Annual low-dose CT scans were performed in a high-risk population for lung cancer in comparison to chest X-ray. The study population was comprised of asymptomatic persons aged 55 to 74 with a 30-pack-year history of smoking who were either active smokers or had quit within 15 years. The low-dose CT screening was associated with a 20% relative risk reduction in lung cancer-related mortality. A similar magnitude of benefit was also reported in the NELSON trial, which was a large European randomized trial comparing low-dose CT with a control group receiving no screening. Dr. Nate Pennell: So, this led, of course, to approval from CMS (Centers for Medicare and Medicaid Services) for lung cancer screening in the Medicare population, probably about 10 years ago now, I think. And there are now two major trials showing an unequivocal reduction in lung cancer-related mortality and even evidence that it reduces overall mortality with lung cancer screening. But despite this, lung cancer screening rates are very low in the United States. So, first of all, what's going on? Why are we not seeing the kinds of screening rates that we see with mammography and colonoscopy? And what are the barriers to that here? Dr. Cheryl Czerlanis: That's a great question. Thank you, Nate. In the United States, recruitment for lung cancer screening programs has faced numerous challenges, including those related to socioeconomic, cultural, logistical, and even racial disparities. Our current lung cancer screening guidelines are somewhat imprecise and often fail to address differences that we know exist in sex, smoking history, socioeconomic status, and ethnicity. We also see underrepresentation in certain groups, including African Americans and other minorities, and special populations, including individuals with HIV. And even where lung cancer screening is readily available and we have evidence of its efficacy, uptake can be low due to both provider and patient factors. On the provider side, barriers include having insufficient time in a clinic visit for shared decision-making, fear of missed test results, lack of awareness about current guidelines, concerns about cost, potential harms, and evaluating both true and false-positive test results.  And then on the patient side, barriers include concerns about cost, fear of getting a cancer diagnosis, stigma associated with tobacco smoking, and misconceptions about the treatability of lung cancer. Dr. Nate Pennell: I think those last two are really what make lung cancer unique compared to, say, for example, breast cancer, where there really is a public acceptance of the value of mammography and that breast cancer is no one's fault and that it really is embraced as an active way you can take care of yourself by getting your breast cancer screening. Whereas in lung cancer, between the stigma of smoking and the concern that, you know, it's a death sentence, I think we really have some work to be made up, which we'll talk about in a minute about what we can do to help improve this.  Now, that's in the U.S. I think things are probably, I would imagine, even worse when we leave the U.S. and look outside, especially at low- and middle-income countries. Dr. Cheryl Czerlanis: Yes, globally, this issue is even more complex than it is in the United States. Widespread implementation of low-dose CT imaging for lung cancer screening is limited by manpower, infrastructure, and economic constraints. Many low- and middle-income countries even lack sufficient CT machines, trained personnel, and specialized facilities for accurate and timely screenings. Even in urban centers with advanced diagnostic facilities, the high screening and follow-up care costs can limit access. Rural populations face additional barriers, such as geographic inaccessibility of urban centers, transportation costs, language barriers, and mistrust of healthcare systems. In addition, healthcare systems in these regions often prioritize infectious diseases and maternal health, leaving limited room for investments in noncommunicable disease prevention like lung cancer screening. Policymakers often struggle to justify allocating resources to lung cancer screening when immediate healthcare needs remain unmet. Urban-rural disparities exacerbate these challenges, with rural regions frequently lacking the infrastructure and resources to sustain screening programs. Dr. Nate Pennell: Well, it's certainly an intimidating problem to try to reduce these disparities, especially between the U.S. and low- and middle-income countries. So, what are some of the potential solutions, both here in the U.S. and internationally, that we can do to try to increase the rates of lung cancer screening? Dr. Cheryl Czerlanis: The good news is that we can take steps to address these challenges, but a multifaceted approach is needed. Public awareness campaigns focused on the benefits of early detection and dispelling myths about lung cancer screening are essential to improving participation rates. Using risk-prediction models to identify high-risk individuals can increase the efficiency of lung cancer screening programs. Automated follow-up reminders and screening navigators can also ensure timely referrals and reduce delays in diagnosis and treatment. Reducing or subsidizing the cost of low-dose CT scans, especially in low- or middle-income countries, can improve accessibility. Deploying mobile CT scanners can expand access to rural and underserved areas.  On a global scale, integrating lung cancer screening with existing healthcare programs, such as TB or noncommunicable disease initiatives, can enhance resource utilization and program scalability. Implementing lung cancer screening in resource-limited settings requires strategic investment, capacity building, and policy interventions that prioritize equity. Addressing financial constraints, infrastructure gaps, and sociocultural barriers can help overcome existing challenges. By focusing on cost-effective strategies, public awareness, and risk-based eligibility criteria, global efforts can promote equitable access to lung cancer screening and improve outcomes.  Lastly, as part of the medical community, we play an important role in a patient's decision to pursue lung cancer screening. Being up to date with current lung cancer screening recommendations, identifying eligible patients, and encouraging a patient to undergo screening often is the difference-maker. Electronic medical record (EMR) systems and reminders are helpful in this regard, but relationship building and a recommendation from a trusted provider are really essential here. Dr. Nate Pennell: I think that makes a lot of sense. I mean, there are technology improvements. For example, our lung cancer screening program at The Cleveland Clinic, a few years back, we finally started an automated best practice alert in our EMR for patients who met the age and smoking requirements, and it led to a six-fold increase in people referred for screening. But at the same time, there's a difference between just getting this alert and putting in an order for lung cancer screening and actually getting those patients to go and actually do the screening and then follow up on it. And that, of course, requires having that relationship and discussion with the patient so that they trust that you have their best interests. Dr. Cheryl Czerlanis: Exactly. I think that's important. You know, certainly, while technology can aid in bringing patients in, there really is no substitute for trust-building and a personal relationship with a provider. Dr. Nate Pennell: I know that there are probably multiple examples within the U.S. where health systems or programs have put together, I would say, quality improvement projects to try to increase lung cancer screening and working with their community. There's one in particular that you discuss in your paper called the "End Lung Cancer Now" initiative. I wonder if you could take us through that. Dr. Cheryl Czerlanis: Absolutely. "End Lung Cancer Now" is an initiative at the Indiana University Simon Comprehensive Cancer Center that has the vision to end suffering and death from lung cancer in Indiana through education and community empowerment. We discuss this as a paradigm for how community engagement is important in building and scaling a lung cancer screening program.  In 2023, the "End Lung Cancer Now" team decided to focus its efforts on scaling and transforming lung cancer screening rates in Indiana. They developed a task force with 26 experts in various fields, including radiology, pulmonary medicine, thoracic surgery, public health, and advocacy groups. The result of this work is an 85-page blueprint with key recommendations that any system and community can use to scale lung cancer screening efforts. After building strong infrastructure for lung cancer screening at Indiana University, they sought to understand what the priorities, resources, and challenges in their communities were. To do this, they forged strong partnerships with both local and national organizations, including the American Lung Association, American Cancer Society, and others. In the first year, they actually tripled the number of screening low-dose CTs performed in their academic center and saw a 40% increase system-wide. One thing that I think is the most striking is that through their community outreach, they learned that most people prefer to get medical care close to home within their own communities. Establishing a way to support the local infrastructure to provide care became far more important than recruiting patients to their larger system.  In exciting news, "End Lung Cancer Now" has partnered with the IU Simon Comprehensive Cancer Center and IU Health to launch Indiana's first and only mobile lung screening program in March of 2025. This mobile program travels around the state to counties where the highest incidence of lung cancer exists and there is limited access to screening. The mobile unit parks at trusted sites within communities and works in partnership, not competition, with local health clinics and facilities to screen high-risk populations. Dr. Nate Pennell: I think that sounds like a great idea. Screening is such an important thing that it doesn't necessarily have to be owned by any one particular health system for their patients. I think. And I love the idea of bringing the screening to patients where they are. I can speak to working in a regional healthcare system with a main campus in the downtown that patients absolutely hate having to come here from even 30 or 40 minutes away, and they'd much rather get their care locally. So that makes perfect sense.  So, under the current guidelines, there are certainly things that we can do to try to improve capturing the people that meet those. But are those guidelines actually capturing enough patients with lung cancer to make a difference? There certainly are proposals within patient advocacy communities and even other countries where there's a large percentage of non-smokers who perhaps get lung cancer. Can we expand beyond just older, current and heavy smokers to identify at-risk populations who could benefit from screening? Dr. Cheryl Czerlanis: Yes, I think we can, and it's certainly an active area of research interest. We know that tobacco is the leading cause of lung cancer worldwide. However, other risk factors include secondhand smoke, family history, exposure to environmental carcinogens, and pulmonary diseases like COPD and interstitial lung disease. Despite these known associations, the benefit of lung cancer screening is less well elucidated in never-smokers and those at risk of developing lung cancer because of family history or other risk factors. We know that the eligibility criteria associated with our current screening guidelines focus on age and smoking history and may miss more than 50% of lung cancers. Globally, 10% to 25% of lung cancer cases occur in never-smokers. And in certain parts of the world, like you mentioned, Nate, such as East Asia, many lung cancers are diagnosed in never-smokers, especially in women. Risk-prediction models use specific risk factors for lung cancer to enhance individual selection for screening, although they have historically focused on current or former smokers.  We know that individuals with family members affected by lung cancer have an increased risk of developing the disease. To this end, several large-scale, single-arm prospective studies in Asia have evaluated broadening screening criteria to never-smokers, with or without additional risk factors. One such study, the Taiwan Lung Cancer Screening in Never-Smoker Trial, was a multicenter prospective cohort study at 17 medical centers in Taiwan. The primary outcome of the TALENT trial was lung cancer detection rate. Eligible patients aged 55 to 75 had either never smoked or had a light and remote smoking history. In addition, inclusion required one or more of the following risk factors: family history of lung cancer, passive smoke exposure, history of TB or COPD, a high cooking index, which is a metric that quantifies exposure to cooking fumes, or a history of cooking without ventilation. Participants underwent low-dose CT screening at baseline, then annually for 2 years, and then every 2 years for up to 6 years. The lung cancer detection rate was 2.6%, which was higher than that reported in the NLST and NELSON trials, and most were stage 0 or I cancers. Subsequently, this led to the Taiwan Early Detection Program for Lung Cancer, a national screening program that was launched in 2022, targeting 2 screening populations: individuals with a heavy history of smoking and individuals with a family history of lung cancer.  We really need randomized controlled trials to determine the true rates of overdiagnosis or finding cancers that would not lead to morbidity or mortality in persons who are diagnosed, and to establish whether the high lung detection rates are associated with a decrease in lung cancer-related mortality in these populations. However, the implementation of randomized controlled low-dose CT screening trials in never-smokers has been limited by the need for large sample sizes, lengthy follow-up, and cost.  In another group potentially at higher risk for developing lung cancer, the role of lung cancer screening in individuals who harbor germline pathogenic variants associated with lung cancer also needs to be explored further. Dr. Nate Pennell: We had this discussion when the first criteria came out because there have always been risk-based calculators for lung cancer that certainly incorporate smoking but other factors as well and have discussion about whether we should be screening people based on their risk and not just based on discrete criteria such as smoking. But of course, the insurance coverage for screening, you have to fit the actual criteria, which is very constrained by age and smoking history. Do you think in the U.S. there's hope for broadening our screening beyond NLST and NELSON criteria? Dr. Cheryl Czerlanis: I do think at some point there is hope for broadening the criteria beyond smoking history and age, beyond the criteria that we have typically used and that is covered by insurance. I do think it will take some work to perhaps make the prediction models more precise or to really understand who can benefit. We certainly know that there are many patients who develop lung cancer without a history of smoking or without family history, and it would be great if we could diagnose more patients with lung cancer at an earlier stage. I think this will really count on there being some work towards trying to figure out what would be the best population for screening, what risk factors to look for, perhaps using some new technologies that may help us to predict who is at risk for developing lung cancer, and trying to increase the group that we study to try and find these early-stage lung cancers that can be cured. Dr. Nate Pennell: Part of the reason we, of course, try to enrich our population is screening works better when you have a higher pretest probability of actually having cancer. And part of that also is that our technology is not that great. You know, even in high-risk patients who have CT scans that are positive for a screen, we know that the vast majority of those patients with lung nodules actually don't have lung cancer. And so you have to follow them, you have to use various models to see, you know, what the risk, even in the setting of a positive screen, is of having lung cancer.  So, why don't we talk about some newer tools that we might use to help improve lung cancer screening? And one of the things that everyone is super excited about, of course, is artificial intelligence. Are there AI technologies that are helping out in early detection in lung cancer screening? Dr. Cheryl Czerlanis: Yes, that's a great question. We know that predicting who's at risk for lung cancer is challenging for the reasons that we talked about, knowing that there are many risk factors beyond smoking and age that are hard to quantify. Artificial intelligence is a tool that can help refine screening criteria and really expand screening access. Machine learning is a form of AI technology that is adept at recognizing patterns in large datasets and then applying the learning to new datasets. Several machine learning models have been developed for risk stratification and early detection of lung cancer on imaging, both with and without blood-based biomarkers. This type of technology is very promising and can serve as a tool that helps to select individuals for screening by predicting who is likely to develop lung cancer in the future.  A group at Massachusetts General Hospital, represented in our group for this paper by my co-authors, Drs. Fintelmann and Chang, developed Sybil, which is an open-access 3D convolutional neural network that predicts an individual's future risk of lung cancer based on the analysis of a single low-dose CT without the need for human annotation or other clinical inputs. Sybil and other machine learning models have tremendous potential for precision lung cancer screening, even, and perhaps especially, in settings where expert image interpretation is unavailable. They could support risk-adapted screening schedules, such as varying the frequency and interval of low-dose CT scans according to individual risk and potentially expand lung cancer screening eligibility beyond age and smoking history. Their group predicts that AI tools like Sybil will play a major role in decoding the complex landscape of lung cancer risk factors, enabling us to extend life-saving lung cancer screening to all who are at risk. Dr. Nate Pennell: I think that that would certainly be welcome. And as AI is working its way into pretty much every aspect of life, including medical care, I think it's certainly promising that it can improve on our existing technology.  We don't have to spend a lot of time on this because I know it's a little out of scope for what you covered in your paper, but I'm sure our listeners are curious about your thoughts on the use of other types of testing beyond CT screening for detecting lung cancer. I know that there are a number of investigational and even commercially available blood tests, for example, for detection of lung cancer, or even the so-called multi-cancer detection blood tests that are now being offered, although not necessarily being covered by insurance, for multiple types of cancer, but lung cancer being a common cancer is included in that. So, what do you think? Dr. Cheryl Czerlanis: Yes, like you mentioned, there are novel bioassays such as blood-based biomarker testing that evaluate for DNA, RNA, and circulating tumor cells that are both promising and under active investigation for lung cancer and multi-cancer detection. We know that such biomarker assays may be useful in both identifying lung cancers but also in identifying patients with a high-risk result who should undergo lung cancer screening by conventional methods. Dr. Nate Pennell: Anything that will improve on our rate of screening, I think, will be welcome. I think probably in the future, it will be some combination of better risk prediction and better interpretation of screening results, whether those be imaging or some combination of imaging and biomarkers, breath-based, blood-based. There's so much going on that it is pretty exciting, but we're still going to have to overcome the stigma and lack of public support for lung cancer screening if we're going to move the needle. Dr. Cheryl Czerlanis: Yes, I think moving the needle is so important because we know lung cancer is still a very morbid disease, and our ability to cure patients is not where we would like it to be. But I do believe there's hope. There are a lot of motivated individuals and groups who are passionate about lung cancer screening, like myself and my co-authors, and we're just happy to be able to share some ways that we can overcome the challenges and really try and make an impact in the lives of our patients. Dr. Nate Pennell: Well, thank you, Dr. Czerlanis, for joining me on the By the Book Podcast today and for all of your work to advance care for patients with lung cancer. Dr. Cheryl Czerlanis: Thank you, Dr. Pennell. It's such a pleasure to be with you today. Thank you. Dr. Nate Pennell: And thank you to our listeners for joining us today. You'll find a link to Dr. Czerlanis' article in the transcript of this episode.  Please join us again next month for By the Book's next episode and more insightful views on topics you'll be hearing at the education sessions from ASCO meetings throughout the year, and our deep dives on approaches that are shaping modern oncology. Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Follow today's speakers:     Dr. Nathan Pennell    @n8pennell   @n8pennell.bsky.social Dr. Cheryl Czerlanis Follow ASCO on social media:     @ASCO on X (formerly Twitter)     ASCO on Bluesky    ASCO on Facebook     ASCO on LinkedIn     Disclosures:    Dr. Nate Pennell:        Consulting or Advisory Role: AstraZeneca, Lilly, Cota Healthcare, Merck, Bristol-Myers Squibb, Genentech, Amgen, G1 Therapeutics, Pfizer, Boehringer Ingelheim, Viosera, Xencor, Mirati Therapeutics, Janssen Oncology, Sanofi/Regeneron       Research Funding (Institution): Genentech, AstraZeneca, Merck, Loxo, Altor BioScience, Spectrum Pharmaceuticals, Bristol-Myers Squibb, Jounce Therapeutics, Mirati Therapeutics, Heat Biologics, WindMIL, Sanofi    Dr. Cheryl Czerlanis: Research Funding (Institution): LungLife AI, AstraZeneca, Summit Therapeutics

Why do children need real heroes, clear villains, and fairy tales that tell the truth?Author Haley Stewart joins Into the Truth to explore how stories shape children's imagination, prepare them for the Gospel, and why today's Disney falls short. From Tolkien and Jane Austen to Harry Potter and the Brothers Grimm, this is a call to reclaim storytelling that forms virtue and reveals eternal truths.✏️ Haley's Substack: https://haleystewart.substack.com/

Accettare di sprecare un 10% dell'energia prodotta da sole e vento, potrebbe essere il modo più semplice per aumentare il contributo delle rinnovabili alla produzione elettrica, evitando di incorrere in costi infrastrutturali eccessivi. L'idea di buttare via dell'energia può apparire malsana, e questo è sicuramente vero in un sistema energetico in cui per produrla bisogna bruciare combustibili pagati a caro prezzo come gas o petrolio. Ma in un sistema caratterizzato da costi marginali pari a zero (tipici di rinnovabili come fotovoltaico ed eolico) potrebbe essere molto più conveniente che non investire in sistemi di accumulo che evitino di sprecarne anche una sola goccia. Sovrapprodurre potrebbe quindi essere conveniente in un sistema fondato su fonti non programmabili. Ne parliamo con Maurizio Delfanti, professore di Sistemi Energetici del Politecnico di Milano, Coordinatore del CTS di Italia Solare.

In this episode of ASTCT Talks, Dr. Shernan Holtan welcomes Andrew Lin, Manager of Clinical Pharmacy Services of Adult BMT and CTS at Memorial Sloan Kettering Cancer Center, to discuss the evolving role of tacrolimus levels in GVHD prophylaxis within the post-transplant cyclophosphamide (PTCy) era. They explore findings from a recent retrospective study examining whether higher tacrolimus levels offer added protection against GVHD, what this means for toxicity and patient outcomes and how these insights are shaping dosing strategies. The conversation also looks ahead to future research areas, including MMF optimization and the potential for simplified, patient-centered prophylaxis regimens.

【本期简介】2025年Mountain Fuji100, Joaquin Lopez（华金·洛佩斯）,一位来自拉丁美洲，厄瓜多尔的顶尖越野跑运动员成为了今年的冠军:17:48:40。同时这一成绩创下了自2012年赛事创办以来的最快纪录，新的历史最佳。在这次来中国的分享中，中国越野跑朋友们给他起了一个很邻家的绰号：金哥。Joaquin Lopez出生于厄瓜多尔首都基多，自幼在高山环境中长大，对户外运动充满热情。他从13岁开始跑步，并逐渐成长为一名职业越野跑运动员。在20岁时参加了第一场50公里越野跑比赛，并取得了胜利。从那此后，他专注于越野跑，并在UTMB等国际大赛中取得了优异成绩。金哥还分享了他的训练方法和策略，强调了在高海拔地区的训练对其越野跑生涯的重要性。他表示，未来将继续挑战自我，争取在更多国际大赛中取得好成绩，并计划在厄瓜多尔以及其他拉丁美洲国家推广越野跑运动。【主播】楥子、深焦镜头【嘉宾】Joaquin Lopez（华金·洛佩斯）— 凯乐石FUGA 精英运动员【Timeline】01:55 Joaquin Lopez（华金·洛佩斯）自我介绍，讲述他的出生地、成长环境、对运动的热爱，和哥哥对他的影响。 （以下简称为金哥）05:55 金哥讲述了他从旅游行业转向职业越野跑运动员和教练的经历。 11:06 金哥与CTS团队的合作和他的训练方法。21:40 金哥为UTMB所做的准备：三场不同类型的比赛31:40 媛子和金哥讨论了金哥的团队和他们在比赛中的角色。 38:40 金哥的营养策略，他的营养训练和比赛中的经验。 46:10 对未来比赛的规划48:10 金哥对厄瓜多尔越野跑社区的影响和对拉丁美洲越野跑的看法54:00 金哥在日本、中国香港和厄瓜多尔比赛和越野跑社群观察的体验。 56:50 金哥与KAILAS 凯乐石的合作和他的未来职业规划。欢迎大家全网搜索并关注、收听及收看越Talk越野的 “越野Talk” BGM: Vuelvo a nacer en Ecuador - Javier Neira剪辑：越野Talk

OVERVIEWColin Izzard and Adam Pulford have more than 45 years of coaching experience between them. In this casual conversation between two old friends and colleagues, they pull back the curtain on how the coaching process works, how it differs from a training plan or AI-generated program, and how coaching has changed for the better with the introduction of new technologies - including artificial intelligence. ASK A QUESTION FOR A FUTURE PODCASTLINKS/RESOURCESLearn About Cycling Coaching with CTSSchedule a no-charge, no-commitment consultation with a CTS CoachGUESTColin Izzard graduated from Syracuse University in 1998 with a BS in Exercise Physiology and Biomechanics. He served as the Head Coach for USA Swimming Teams as well as working at UNC Chapel Hill as a swimming and strength coach. He joined CTS as a coach in the early 2000s, developed CTS's first regional center in Asheville/Brevard NC, and mentored, developed, and trained dozens of coaches. Other fun projects have included writing stage races for Zwift and working with Training Peaks to help develop WKO 4 software. He served as a bike fit/sports science advisor for the Hincapie Racing Team, Columbia Es Passion Professional Cycling Team, The Toronto Maple Leafs NHL Team, and Trek Regional Factory Programs. HOSTAdam Pulford has been a CTS Coach for nearly two decades and holds a B.S. in Exercise Physiology. He's participated in and coached hundreds of athletes for endurance events all around the world.Listen to the episode on Apple Podcasts, Spotify, Stitcher, Google Podcasts, or on your favorite podcast platformGET FREE TRAINING CONTENTJoin our weekly newsletterCONNECT WITH CTSWebsite: trainright.comInstagram: @cts_trainrightTwitter: @trainrightFacebook: @CTSAthlete

6.2 Engine Failure details 2015 Nissan Sentra Failing Transmission 06 Escape Ac Failure 20 Jeep Wrangler LED DRL Failure 2011 CTS fixing lots of stuff. We interview CRC about some of their best products and why we use them. 

Episode 404 is called “Wolfman Extravaganza” and the name says it all. Your hosts get together and talk about all three of the movies bearing the name “Wolf Man” or “Wolfman”. As an added bonus, they also discuss the 2024 “Werewolves”. So- break out your moonscreen and suspend your disbelief, because it's going to be a hell of a ride! Find us on Instagram where we are @chewingthescenery or easily find us on Facebook. CTS can be found on Soundcloud, Apple Music and anywhere fine podcasts can be found. Please rate, review, subscribe- it really does help new listeners find us! #horror #horrormovies #horrornerd #horroraddict #horrorjunkie #monsterkid #bmovie #scary movies #monstermovie #podcast #chewingthescenery #zombies #zombie #VHS #wolfman #werewolves #universalmonsters

Join us for the newest episode of How to Speak Maintenance!

The watercooler TV show is back, thanks to the runaway success of The Pitt. We're joined by friend-of-the-pod and fellow Pitt-head, Miguel Nacianceno, for a SPOILERFUL deep dive into the countless intubations, crikes, and chaotic CTs of its fantastic first season.PLUS: a content catch-up with Sinners, Drop, and a quick look back at The White Lotus Season 3.Follow us on Twitter ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@endslatepod⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, or join our Facebook group ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/groups/endslate⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for a safe space discussion on pop culture.For inquiries and feedback, email us at endslatepod@gmail.com

Jeff Pierce is a former professional cyclist and the current CEO of Carmichael Training Systems (CTS). In Jeff's distinguished cycling career, he rode for team 7-11, the first American to ride the Tour De France and in 1987, Jeff became just the third American to win a stage of the Tour De France on the final stage on the Champs-Elysees.   In his current role as CEO of CTS, Jeff is responsible for the overall operations and direction of CTS. In this episode, host Rick Prince chats with Jeff about the coaching landscape and how it has evolved over the years – as well as where it is heading. Questions covered in this episode include:1.       Please tell our listeners about your sport background as well as your career post being a pro cyclist2.       What was the coaching landscape like while you were racing professionally?3.       How has training technology changed the coaching profession over the years?4.       What are some of the main reasons that athletes hire coaches at CTS?5.       What do you think the increase in demand of qualified coaches is due to?6.       Are there any significant trends that you see in the coaching landscape at CTS?7.       To be a successful coach, what are some of key qualities that athletes are looking for, as well as you as the head of CTS?8.       What are some current challenges that the coaching profession faces?9.       Where to you see the coaching profession in 5-10 years with respect to its evolution?Lastly, as CTS is largely one of the first to legitimize the profession of endurance sports coaching, what do you attribute its longevity to? 

Episode 403 is like a folk tale from a different time and place. Wait, this film is literally those things exactly! “Savage Hunt of King Stahk” (1980) is a Soviet Union drama-horror set in the remote Belarusian woodlands in the late 19th century. Find us on Instagram where we are @chewingthescenery or easily find us on Facebook. CTS can be found on Soundcloud, Apple Music and anywhere fine podcasts can be found. Please rate, review, subscribe- it really does help new listeners find us! #horror #horrormovies #horrornerd #horroraddict #horrorjunkie #monsterkid #bmovie #scary movies #monstermovie #podcast #chewingthescenery #zombies #zombie #VHS #savagehuntofkingstahk #sovietmovies #valerirubinchik #borisplotnikov #elenadimitrova

OVERVIEWSo many athletes are focused on training in Zone 2, but they don't realize "Zone 2" means different things depending on which training system you use. There is a 3-Zone system, a 5-Zone system, a 7-Zone system, and even more! Two of the most popular are 3-Zones, championed by researcher Dr. Stephen Seiler, and a 7-Zone system used by CTS and many other coaching groups. In Episode 241 of "The Time-Crunched Cyclist Podcast", Coach Adam Pulford answers a listener question about how an athlete can compare or use more than one training zone methodology, and what "Zone 2" means in a 3-Zone system compared to a 7-Zone system.TOPICS COVEREDWhy training zones were created7-Zone system compared to a 3-Zone systemUsing aerobic decoupling to evaluate aerobic conditioningPractical advice for athletes trying to use training zonesASK A QUESTION FOR A FUTURE PODCASTLINKS/RESOURCESComplete Guide to Polarized Training with Dr. Stephen SeilerZones Calculator Overview – TrainingPeaks Help CenterCalculator Compare: https://docs.google.com/spreadsheets/d/1aptCiqhjm6Fn7vG6P50AX54pW1P7XdVWx-lCARzNA5U/edit?gid=965771708#gid=965771708Episode #170 “Leveraging Lab and Field Testing to Create a Bigger Aerobic Engine” https://podcasts.apple.com/us/podcast/trainright-podcast/id1494799053?i=1000634902218Aerobic Decoupling: https://help.trainingpeaks.com/hc/en-us/articles/204071724-Aerobic-Decoupling-Pw-Hr-and-Pa-HR-and-Efficiency-Factor-EFAre You Fit? All About Aerobic Endurance and DecouplingEpisode #169 Metabolic Testing:https://podcasts.apple.com/us/podcast/trainright-podcast/id1494799053?i=1000634127336Tim Cusick:https://podcasts.apple.com/us/podcast/trainright-podcast/id1494799053?i=1000468063825HOSTAdam Pulford has been a CTS Coach for nearly two decades and holds a B.S. in Exercise Physiology. He's participated in and coached hundreds of athletes for endurance events all around the world.Listen to the episode on Apple Podcasts, Spotify, Stitcher, Google Podcasts, or on your favorite podcast platformGET FREE TRAINING CONTENTJoin our weekly newsletterCONNECT WITH CTSWebsite: trainright.comInstagram: @cts_trainrightTwitter:

Episode 402 is about a prequel to a horror classic. “Apartment 7A” (2024) tells you all about a character you never really got to meet at the beginning of “Rosemary's Baby” (1968). Is this a story that really needed to be told? Would we all have been left to wonder otherwise? Listen and find out! Find us on Instagram where we are @chewingthescenery or easily find us on Facebook. CTS can be found on Soundcloud, Apple Music and anywhere fine podcasts can be found. Please rate, review, subscribe- it really does help new listeners find us! #horror #horrormovies #horrornerd #horroraddict #horrorjunkie #monsterkid #bmovie #scary movies #monstermovie #podcast #chewingthescenery #zombies #zombie #VHS #apartment7a #rosemarysbaby #juliagarner #diannewiest #prequel

OverviewWe love checking out what the pros are riding, but "normal" riders aiming to finish the Leadville 100 MTB in under 9 hours or under 12 hours have different needs on race day. Ten-time LT100 finisher, coach, and author Jim Rutberg talks with 3-time finisher Adam Pulford about the best bikes, equipment choices for the 2000+ riders behind the race leaders. And, since they're both coaches, they throw in a bunch of training, nutrition, and race strategy tips as well.Key topics in this episode:Challenges of Leadville 100 courseIs Leadville a drop-bar bike course?Best Bike Setup for Leadville 100How much suspension do you need?Bottles or hydration pack?What about a hardtail MTB?Wheels and Tires for Leadville 100Crank length for mountain bikingMTB, Gravel, or Road shoes and pedals?Training and Nutrition tips for Leadville 100LINKS5 Race Bikes from the 2022 Leadville 100 - PinkbikeTech Week – Bike & Tire Guide for the Stages Cycling Leadville Trail 100 MTBRoundup: The mountain bikes of Leadville - VeloXC vs Trail Bike Geo: Trail vs cross-country mountain bikes: Which is right for you? | BikeRadarASK A QUESTION FOR A FUTURE PODCASTGuestJim Rutberg has been an athlete, coach, and content creator in the outdoor sports, endurance coaching, and event industries for more than 20 years. He is the Media Director and a coach for CTS and co-author of several training and sports nutrition books, including Training Essentials for Ultrarunning with Jason Koop, Ride Inside with Joe Friel, and The Time-Crunched Cyclist with Chris Carmichael. A graduate of Wake Forest University with a Bachelor of Science degree in Exercise Physiology, Jim resides in Colorado Springs, Colorado, with his two sons, Oliver and Elliot. He can be reached at jrutberg@trainright.com or @rutty_rides on Instagram.HostAdam Pulford has been a CTS Coach for nearly 20 years and holds a B.S. in Exercise Physiology. He's participated in and coached hundreds of athletes for endurance events all around the world.Listen to the episode on Apple Podcasts, Spotify, Stitcher, Google Podcasts, or on your favorite podcast platformGET FREE TRAINING CONTENTJoin our weekly newsletterCONNECT WITH CTSWebsite: trainright.comInstagram: @cts_trainrightTwitter: @trainrightFacebook: @CTSAthlete

It's been some years since we last had these fellas on the pod, and a whole lot has happened in both of their shops since our last hang. So it's time to catch up with Rodney from DLH, and Miles from Miles T-shirts. Topics of discussion include: 4 day work weeks, how fast shops evolve, hair plugs, upgrading equipment, disc golf, towel prints, updating your financials, moving your shop, third party HR, diving into outbound sales, CTS, Miles' shirt reviews, garment printability, and Merch Madness.

Carpal tunnel syndrome is one of the most common nerve compression issues—but how can massage and manual therapy help? In this in-depth episode, Whitney Lowe and Til Luchau break down the anatomy, risk factors, and assessment strategies for carpal tunnel syndrome, exploring its causes, differential diagnosis, and effective hands-on approaches. They discuss the importance of nerve mobility, client education, and activity modifications to relieve symptoms and improve function. Whether you're a hands-on therapist looking to refine your treatment strategies, or someone experiencing wrist and hand discomfort, this episode offers valuable insights into understanding and managing carpal tunnel syndrome.

Episode 401 finds your hosts welcoming you back with a recent favorite, “The Substance”. Considering that horror cinema has become an embarrassment of riches, why not talk about one of the best? Join your kind hosts in a lively discussion, won't you? Find us on Instagram where we are @chewingthescenery or easily find us on Facebook. CTS can be found on Soundcloud, Apple Music and anywhere fine podcasts can be found. Please rate, review, subscribe- it really does help new listeners find us! #horror #horrormovies #horrornerd #horroraddict #horrorjunkie #monsterkid #bmovie #scary movies #monstermovie #podcast #chewingthescenery #zombies #zombie #VHS #demimoore #thesubstance #margaretqualley #coraliefargeat

This week's EYE ON NPI is neither-here-nor-there - it's STMicroelectronics' ST25R200 NFC/HF RFID Reader IC (https://www.digikey.com/en/product-highlight/s/stmicroelectronics/st25r200-nfc-hf-rfid-reader-ic) a simple but powerful NFC/RFID reader and writer chip that will let you add a contactless interface to your next design. Thanks to the high power RF stage and dual antenna support, you can avoid the frustration of "where do I tap??" by giving you plenty of surface area for successful transactions. We're big fans of intuitive RFID/NFC interfaces using tags, they come in all sorts of sizes and shapes (https://www.adafruit.com/product/365) from standard business cards to microtags that can fit in a manicure (https://www.adafruit.com/product/2800). They don't require a battery, and can store up to a few KB of data, including encrypted/secured data sections so as to make the tag 'trustworthy'. They're often used for small-money transactions like copy shops, laundromats and public transport, where speed is important and we can store value on the card. Or for identification like access cards. With proper design, they'll work up to 4 inches away from a reader, don't suffer from corrosion or contact wear or affected by water/humidity. Reading and writing RFID/NFC tags, which use 13.56MHz as a carrier frequency, requires a proper chip that can handle the requirements of blasting enough RF signal to 'power' the tag, then transmit a command and receive the response before the quiescent power runs out. If you have a big antenna, this isn't too hard - but the real challenge is to manage it with a small antenna. That's the nice thing about the ST25R200 (https://www.digikey.com/short/5ttf9ptj) - it has powerful output drivers so even mini wearable-sized antennas work well. You can configure the outputs to be one differential or two single-ended antenna coils. If you want to design your PCB antenna, we recommend ST's website for NFC inductance calculations (https://eds.st.com/antenna/#/) it will let you determine the inductance based on width, height, copper thickness and trace width so you get maximum power transfer. The ST25R200's connection to the controller is over standard 4-pin SPI, so you can use any microcontroller or microcomputer with 4 pins available. An IRQ line is also handy to 'wake on card detect'. Other than that, the interface is fairly low level: registers are used to configure the RF section and encoding but otherwise, data is transmitted or received via two FIFO buffers. This makes the chip easy to adapt to the various sub-protocols and standards (https://nfc-forum.org/build/specifications) designed by competing RFID companies: ISFO14443A/NFC-A, ISO14443B/NFC-B, ISO15693/NFC-V, NFC Forum T1T, T2T, T4T, and T5T tag types, and proprietary protocols, such as Kovio, CTS, and B'. In order to make your life easier when it comes to implementation, ST has released RFAL an RF/NFC abstraction layer (https://www.st.com/en/embedded-software/stsw-st25rfal004.html) that is written in pure C so that it can be ported to any platform or compiler. To get started quickly we recommend the STEVAL-25R200SA evaluation board (https://www.digikey.com/en/products/detail/stmicroelectronics/STEVAL-25R200SA/25701817) which comes with a USB debug STLink interface, SMTable module, 4 pluggable antenna options including one flex PCB printed antenna, and two micro-tags for testing. If you want to integrate RFID/NFC 'touchless' support to your next design, the ST ST25R200 NFC/HF RFID Reader IC (https://www.digikey.com/short/5ttf9ptj) is small, inexpensive, and fast to get started with minimal external components, and ready-to-go drivers. And best of all the chips are in stock right now at DigiKey for immediate shipment. Order the ST25R200 (https://www.digikey.com/short/5ttf9ptj) and an eval board today and you can tap your way to contactless communication by tomorrow afternoon!

In this episode I lay out a basic framework of high intensity training for Ultrarunners that we use here at CTS. To watch the YouTube version, please visit https://youtu.be/X49k_rfNQgQ

Episode 400 is, well, our 400th episode! Join your dear hosts in a lively discussion about what movies, actors and directors that make us the fans we are. Listen to our lists about all the good and bad horror movies we've covered. It's like book club without all the pesky reading! Find us on Instagram where we are @chewingthescenery or easily find us on Facebook. CTS can be found on Soundcloud, Apple Music and anywhere fine podcasts can be found. Please rate, review, subscribe- it really does help new listeners find us! #horror #horrormovies #horrornerd #horroraddict #horrorjunkie #monsterkid #bmovie #scary movies #monstermovie #podcast #chewingthescenery #zombies #zombie #VHS #400thepisode #episode400 #the400club

25% off www.acinfinity.com - use code GROWCAST15 - BEST time of year to stock up on a new setup! FAT PACKS at www.growcastpodcast.com/growcast-seed-co Peach Smash is coming with fat packs, and the freebies are mostly CTS fems... Members get additional $20 off per pack. 42% off www.rootedleaf.com - use code GROWCAST - stock up on the carbon based, no PH nutrients! MARK YOUR CALENDARS - Grand Pheno Hunt Round Two coming on 2/15/25. Make sure you're in Membership.

Hoy en #LaEncerrona: 👮‍♂️🔫 La seguridad peor que nunca: Falsos operativos y armas incautadas por la policía volvieron a los criminales en las calles. 🚉CONFIRMADO: Se concretó el negocio de los trenes. MTC extenderá la concesión al "hermanito" de Rafael López Aliaga. ADEMÁS: Nuevo fake news sobre la detención de Marco Sifuentes. 💸 ¿Eres trabajador dependiente y aún no sabes cuánto te toca de CTS? Hoy te explicamos todo lo que necesitas saber. **** ¿Te gustó este episodio? ¿Buscas las fuentes de los datos mencionados hoy? SUSCRÍBETE en http://patreon.com/ocram para acceder a nuestros GRUPOS EXCLUSIVOS de Telegram y WhatsApp. También puedes hacerte MIEMBRO de nuestro canal de YouTube aquí https://www.youtube.com/channel/UCP0AJJeNkFBYzegTTVbKhPg/join **** Únete a nuestro CANAL de WhatsApp aquí https://whatsapp.com/channel/0029VaAgBeN6RGJLubpqyw29 **** También estamos en TokyVideo https://www.tokyvideo.com/user/marcosifuentes/videos **** Para más información legal: http://laencerrona.pe

Shauna the Tax Goddess, CPA, MTax, CTC, CTS, is a two-time published author who founded Tax Goddess Business Services in 2004, a 100% digital firm with an expert team of more than 65 people around the globe that has saved their clients over $1 Billion in taxes! Shauna is a sought-after speaker who advises business owners, investors, and entrepreneurs to create plans of action to increase their bottom line, reduce costs, significantly reduce taxes, increase cash flow, and perform what-if scenario options so that owners know what decisions to make and which paths are best suited to their particular situation.    Before starting her own company, Shauna had garnered experience and sharpened her skills working with leading corporations such as KPMG and American Express. She is a Certified Public Accountant (AZ) with a master's degree in Taxation and is ranked in the top 1% of Tax Strategists in the entire country (per AICTC).  Her resourcefulness and mastery in her field have led her to be featured by numerous top broadcast media platforms such as Forbes, CNN Money, Daily Herald, Big News Network, Entrepreneur, CBS, FOX, ABC, Sonoran Living, The List, The Connect Show, The Arizona Republic and many more!   In this episode, we talked to Shauna about finding the right tax professional for your situation, tax preparer versus a tax strategist, available options to save on taxes, her book “The 6% Life”, how CPAs and tax strategists collaborate, tax strategies for real estate investors, and much more.   Announcement: Learn about our Apartment Investing Mastermind here.   Tax Strategies;   02:18 Shauna's background; 05:44 Seeking the right tax professional; 11:57 Tax preparer vs. tax strategist; 14:24 Options to save on taxes; 18:35 About her book, "The 6% Life"; 22:59 How tax strategists and CPAs collaborate; 27:05 Tax strategies for real estate investors; 32:03 Round of Insights   Announcement: Download our Sample Deal package here.   Round of Insights   Apparent Failure: Running out of money frequently earlier. Digital Resource: Cash Goblin. Most Recommended Book: The 4-Hour Workweek. Daily Habit: Getting up early and spending time with her pets. #1 Insight for saving on your taxes: If you have kids, it's all about them.   Contact Shauna: Website   Thank you for joining us for another great episode! If you're enjoying the show, please LEAVE A RATING OR REVIEW,  and be sure to hit that subscribe button so you do not miss an episode.

Annabelle Bitterman was our 2024 Central Texas Showdown (472 miles) 1st place female, which was also good enough to secure 3rd overall. This was her third time participating in a Texas Showdown Series event. Her first bikepacking race was the 2023 Central Texas Slowdown (297 miles) and was our 1st place female finisher. Next she signed up for the 2024 East Texas Slowdown (280 miles) where she was our 3rd place female finisher. She only started riding bikes seriously a few years ago and was quickly bit by the cycling bug and was further hooked by the cycling community. Hailing out of Austin, TX she's found a robust community of other rad cyclists that continue to ignite her passion for throwing a leg over the top tube and go for long rides. Those long rides led her to find ways to continually challenge herself which is when she discovered the Texas Showdown Series. Since then, she's become a staple at the events and a staple on our podiums. On today's episode we take a deep dive into CTS, ETS, and Annabelle's experience as a relatively new cyclist who's looking to challenge herself on her bike.  EPISODE SPONSORS Follow My Challenge USA ~ The preferred gps tracking service for the Texas Showdown Series New Patrons  Pierre Delecto Ryan Staffen Join them won't you? Now is a great time to sign up at Patreon.com/bikesordeath!

Standing desks, CTS, and more.