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CardioNerds (Dr. Jenna Skowronski [Heart Failure Council Chair], Dr. Shazli Khan, and Dr. Josh Longinow) are joined by renowned leaders in the field of AHFTC (Advanced Heart Failure and Transplant Cardiology) and mechanical circulatory support, Dr. Jeff Teuteberg and Dr. Mani Daneshmand to continue the discussion of advanced heart failure therapies by taking a deep dive into the world of durable LVADs (Left Ventricular Assist Devices). In this episode, we will review the history of ventricular assist devices, the basics of LVAD function, selection criteria for LVAD therapy, and surgical nuances of LVAD implantation. Audio Editing by CardioNerds intern, Joshua Khorsandi. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Heart Success Series PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls There have been significant advances in the field of MCS/LVAD therapy since the first implanted LVAD in the 1960s, to the first FDA approved device in the early 2000's, to now the HM3 LVAD, with the most important change being a centrifugal flow/magnetically levitated design that led to minimized hemocompatibility-related adverse events (HRAE's) (MOMENTUM 3 trial comparing HM2 and HM3). The REMATCH trial in 2001 was a pivotal trial for LVAD therapy, demonstrating that in a population of patients with advanced HF (70% IV inotrope dependent), LVAD therapy significantly improved survival at both 1 and 2 years as compared to medical therapy alone. MOMENTUM 3 trial was a landmark trial for the HM3 device, showing that in a population of end stage HF patients (86% inotrope dependent, 32% INTERMACS 1-2, and 60% DT strategy), 5-year survival with HM3 was 58% and HM3 had lower HRAE's compared with HM2. There are both patient-specific factors and surgical considerations when it comes to candidacy for LVAD therapy. RV function prior to LVAD is a key determinant for success post-LVAD Many patients being considered for LVAD may not have robust RV function, however, predicting RV failure after LVAD is exceedingly difficult. In general, it doesn’t matter how bad the RV may look on imaging; we care more about the pre-LVAD hemodynamics (look at the PAPi and RA/wedge ratio). What happens in the OR may be the most important determinant of how the RV will do with the LVAD! Notes Notes drafted by Dr. Josh Longinow. 1. Historical background of heart pumps and LVADs LVAD Evolution FDA approval year 2001 2008 2012 2017 Pump HeartMate XVE HeartMate II Heartware HVAD HeartMate III Flow/Design Features Pulsatile Technology Continuous flow Axial design Continuous flow Centrifugal design Continuous flow Full MagLev + Centrifugal design The 1960's ushered in the first ‘LVADs', when the first air-powered ‘LVAD' was implanted. It kept the patient alive for four days before the patient expired. The first generation of LVADs were pulsatile pumps The first nationally recognized, FDA approved LVAD was the HeartMate XVE (late 1990s to early 2000s, REMATCH trial). The XVE pump used compressed air (pneumatically driven) to power the pump. Prior to the XVE, OHT was the standard of care for patients with advanced, end-stage heart failure. The second and third generations of LVADs were non-pulsatile, continuous flow devices and included the HVAD, HM2, and HM3 devices. MOMENTUM 3 was a landmark trial for the HM3 device, showing that in a population of sick patients with end stage HF (86% inotrope dependent, 32% INTERMACS 1-2, and 60% DT strategy), 5-year survival with HM3 was 58% and HM3 had lower HRAE's compared with HM2. The only pump that is currently FDA approved for implant is the HM3, although other pumps are in clinical trials (BrioVAD system, INNOVATE Trial). 2. What are LVADs, and how do they work? In simplest terms, the LVAD is a heart pump comprised of several key mechanistic components: Inflow cannula Mechanical pump Outflow cannula Driveline Controller/Power source The HM3 differs from its predecessors (HM2 and HVAD) in several key ways; HM3 is placed intrapericardial whereas the HM2 was placed pre-peritoneal. Perhaps most importantly, the HM3 is a fully magnetically levitated, centrifugal flow pump, whereas the HM2 is an axial flow device. Axial flow pumps are not magnetically levitated, leading to more friction produced between the ruby bearing's contact with the pump rotors, and higher rates of hemocompatibility related adverse events (HRAEs, i.e. pump thrombosis) and the HM2 was ultimately discontinued in favor of the HM3 (MOMENTUM 3 trial). 3. What do the terms ‘Destination Therapy' (DT) or ‘Bridge to Transplant' (BTT) mean when it comes to LVADs? When LVADs first came on the stage, EVERYONE was a BTT; these early pumps weren't designed for long term use (I.e. REMATCH Trial, Heartmate XVE) Destination therapy means the LVAD was placed in leu of transplant because there are contraindications to transplant REMATCH trial brought about the concept of “Destination therapy”, comparing outcomes in patients (with contraindications for transplant) who received an LVAD vs optimal medical therapy Bridge to transplant means we are placing the LVAD in a patient who may not be a transplant candidate at this moment in time (is too sick, or conversely, not sick enough), but may be down the line Bridge to recovery is another term used when the LVAD is being placed for a patient we think may have a recoverable cardiomyopathy 4. What are some factors we should consider when assessing a patient’s candidacy for LVAD, in general, and from a surgical perspective? Patient factors Older age might push us towards thinking LVAD rather than transplant In general, age > 70 is the cutoff for transplant, but this is not a hard cut off and varies institution to institution In general, think about things that help predict recovery after a major surgery; Frailty and Nutritional status are important, we try to optimize these prior to LVAD implant Right ventricular function remains the Achilles heel of LV support We know that needing temporary RV support post LVAD puts you on a different survival curve than patients who don’t need RVAD support Studies have not been able to successfully predict who will develop RV failure after LVAD implantation What happens in the time between when the patient goes to the OR and when they get back to the ICU is an important determinant who might develop RV failure post LVAD Surgical techniques such as implanting the HM3 in the intra-thoracic cavity, rather than intra-pericardial may help maintain LV/RV geometry to help optimize the RV post LVAD Surgical considerations for LVAD candidacy Small, hypertrophied LV: HM3 inflow cannula is small, but small hypertrophied ventricles tend towards chamber collapse during systole causing suction, needing to run slower with lower flow rates Chest size/diameter: pumps have gotten so small now, that for adults, these have become less of a consideration BMI: low BMI used to be more of a concern with the older pumps due to where they were placed, and the relative size of the pump itself, not so much now with the smaller HM 3 pumps Calcified LV apex: would increase risk of stroke, bleeding Driveline tunneling becomes a concern in the super obese population, higher risk for driveline infections (might tunnel these driveline's shorter, and to a less fatty region of the abdomen, could even tunnel out the thoracic cavity in the super obese to limit skin motion) 5. Is there a role for MCS (i.e. temporary LVAD such as Impella) in pre-habilitation of patients prior to LVAD surgery? The theory of being able to improve systemic perfusion, decongest the organs, and make the patient feel better prior to surgery makes sense, but becomes problematic due to the lack of a hard end point/time for prehabilitation which might risk delays in surgery More likely that it can lead to delay in the surgery, with less-than-optimal benefit; you don't want to prolong the wait for surgery and increase the risk for complications prior to surgery An Impella 5.5 is currently FDA approved for 2 weeks of support, not 2 months so timing is important to keep in mind It’s unlikely that you will take a patient and convert them from a malnourished, cachectic person in 2 weeks’ time 6. Is there a role for LVAD therapy in the younger patient population? Should we be thinking of LVAD up front for these patients, with the goal of transplanting down the line? Recovery may be more likely in certain populations, particularly younger females with smaller LV's; in those populations, perhaps bridge to recovery should be the focus, optimizing them on GDMT etc. The replacement of transplant, with MCS (LVAD) in young patients has become a topic of discussion, because these pumps have become better and better, with the thinking that an LVAD could bridge a patient for 10 years or so, and they could get a transplant later It is still a big unknown, but several concerns exist Patients who get LVADs might end up with complications that become contraindication to transplant down the line (stroke, sensitization etc) Patients and providers are more hesitant because of the more recent iteration for the UNOS criteria for OHT listing which no longer gives patients with an uncomplicated LVAD higher priority, and therefore they could end up waiting a longer time for a heart after undergoing LVAD References Rose EA, Gelijns AC, Moskowitz AJ, et al. Long-term use of a left ventricular assist device for end-stage heart failure. N Engl J Med. 2001;345(20):1435-1443. doi:10.1056/NEJMoa012175 Mehra MR, Uriel N, Naka Y, et al. A Fully Magnetically Levitated Left Ventricular Assist Device – Final Report. N Engl J Med. 2019;380(17):1618-1627. doi:10.1056/NEJMoa1900486 Mancini D, Colombo PC. Left Ventricular Assist Devices: A Rapidly Evolving Alternative to Transplant. J Am Coll Cardiol. 2015;65(23):2542-2555. doi:10.1016/j.jacc.2015.04.039 Mehra MR, Goldstein DJ, Cleveland JC, et al. Five-Year Outcomes in Patients With Fully Magnetically Levitated vs Axial-Flow Left Ventricular Assist Devices in the MOMENTUM 3 Randomized Trial. JAMA. 2022;328(12):1233-1242. doi:10.1001/jama.2022.16197 Rose EA, Moskowitz AJ, Packer M, et al. The REMATCH trial: rationale, design, and end points. Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure. Ann Thorac Surg. 1999;67(3):723-730. doi:10.1016/s0003-4975(99)00042-9 Kittleson MM, Shah P, Lala A, et al. INTERMACS profiles and outcomes of ambulatory advanced heart failure patients: A report from the REVIVAL Registry. J Heart Lung Transplant. 2020;39(1):16-26. doi:10.1016/j.healun.2019.08.017 Mehra MR, Netuka I, Uriel N, et al. Aspirin and Hemocompatibility Events With a Left Ventricular Assist Device in Advanced Heart Failure: The ARIES-HM3 Randomized Clinical Trial. JAMA. 2023;330(22):2171-2181. doi:10.1001/jama.2023.23204 Mehra MR, Nayak A, Morris AA, et al. Prediction of Survival After Implantation of a Fully Magnetically Levitated Left Ventricular Assist Device. JACC Heart Fail. 2022;10(12):948-959. doi:10.1016/j.jchf.2022.08.002 Bhardwaj A, Salas de Armas IA, Bergeron A, et al. Prehabilitation Maximizing Functional Mobility in Patients With Cardiogenic Shock Supported on Axillary Impella. ASAIO J. 2024;70(8):661-666. doi:10.1097/MAT.0000000000002170
Lauren Shannon has been living in Japan for over 25 years and is a partner at Arigato Tours. Lauren shares Kyoto’s unique take on sushi, creative Matcha dishes, and the massive Nishiki market. Plus, a deep dive into sake. [Ep 378] Show Notes: Destination Eat Drink food and travel guides Destination Eat Drink YouTube channel Arigato Travel website
Join us on the latest Whisper in the Wing from Stage Whisper, as we welcome on the playwright/producer George Ayres and the assistant director/actress Tish Brandt, to talk about their upcoming show, Destination. This was a fabulous show to learn all about, and we had a blast gaining some wonderful insight form our guests. To be sure you tune in and turn up for this great show!DestinationMarch 5th-8th@ Chain Theatre Tickets and more information are available at destinationplay.eventbrite.com And be sure to follow our guests to stay up to date on all their upcmoing projects and productions:destinationplay.eventbrite.com@destination.playJoin us on the latest Whisper in the Wing from Stage Whisper, as we welcome on the playwright/producer George Ayres and the assistant director/actress Tish Brandt, to talk about their upcoming show, Destination. This was a fabulous show to learn all about, and we had a blast gaining some wonderful insight form our guests. To be sure you tune in and turn up for this great show!DestinationMarch 5th-8th@ Chain Theatre Tickets and more information are available at destinationplay.eventbrite.com And be sure to follow our guests to stay up to date on all their upcmoing projects and productions:destinationplay.eventbrite.com@destination.play
Destination 2026, Houston's Countdown to the Cup, with Glenn Davis! Houston updates, Scotland Kilts, Infantino speaks Glenn's take on cultural ownership of soccer in Houston Brian Sciaretta, American Soccer Now, on USMNT and youth in MLS The Dynamics of a short tournament.
Brad Evans and Pat Boyle continue the game of Hot or Cold from last segment, discussing which one of the Quarterback needy teams makes the most sense for Kirk Cousins, will Michael Penix be under center for the Falcons to start next season, and are oddsmakers sleeping on Cade Cunningham in the MVP market?
On this episode of Destination on the Left, I talk with Clare Marie Ritter, Motorcoach Coordinator at the historic Penn Wells Hotel and Lodge in rural Pennsylvania. She shares her experience positioning a smaller, less well-known destination. We talk about the foundations of successful collaborations and why building a supportive network has been crucial to her success. Clare brings vivid examples of successful collaborations, from multi-state itineraries to connecting with neighboring museums, that prove even "off the beaten path" destinations can thrive with teamwork and creative thinking. What You Will Learn in This Episode: How Clare Marie Ritter found her way into the tour and travel industry through volunteering and local connections Why positioning a rural destination requires creative marketing strategies, including focusing on attractions and experiences What collaborative partnerships across borders (including state lines) look like, and how Clare uses those relationships to build group itineraries How thinking outside the box has helped Clare identify unique attractions that appeal to group travelers Clare creates fresh itineraries and creative connections in a rural area Best practices when establishing collaborations and building genuine personal connections Expanding Itineraries Clare's passion for history and her beginnings at a local motel led her down a path of helping visitors discover the hidden corners of her rural Pennsylvania home. She realized that promoting a hotel meant first selling the destination itself. After all, you can have the best, most fancy property in the world, but without a reason to come, your marketing is going to fall on deaf ears. Clare recognized the need to think outside the box by promoting local attractions and extending the visitor journey. She formed partnerships with unique local experiences, including a horse-drawn wagon ride through the canyon, small maple producers, and boutique chocolate factories, then widened her lens, working with regional attractions across state lines. She built partnerships with attractions like the Corning Museum of Glass, just 45 minutes away, reaching into New York for collaborative opportunities. The Power of Networks and Creative Collaboration Networking and partnerships play a major role in the success of rural tourism. For Clare, professional networking at organizations like the American Bus Association and regional groups provides contacts, ideas, and new opportunities. You never know where the next fruitful partnership might come from. One standout example is an itinerary co-created with counterparts in Corning and Jamestown, NY, and Coudersport, PA. Together, these small destinations developed a loop that incorporated art, comedy, local history, and natural beauty. Selling this unique cross-state experience has opened doors and filled itineraries with unexpected connections. Looking Ahead: Innovation and Nostalgia With renewed interest in nostalgic travel and more experiential, off-the-beaten-path destinations, Clare is excited about her latest project, which is developing a Route 6 motorcoach itinerary to showcase small towns along this historic road. This initiative dovetails perfectly with America's 250th anniversary, offering travelers fun themed journeys full of history and local flavor. Resources: Website: pennwells.com LinkedIn Personal: https://www.linkedin.com/in/clare-marie-ritter-0a4306237/ LinkedIn Business: https://www.linkedin.com/company/wellsboro-hotel-company/ We value your thoughts and feedback and would love to hear from you. Leave us a review on your favorite streaming platform to let us know what you want to hear more of. Here is a quick tutorial on how to leave us a rating and review on iTunes!
Draft tandem Jeremy Nygaard and JD Cameron team up for a podcast to discuss prospects on their way to the big leagues and the MLB draft, produced by Theo Tollefson. 0:00 Intro 3:30 Spring Training Musings 8:30 Jamie's #9 - Andrew Morris 12:30 All of our #10s - Kendry Rojas 16:40 Theo's #11 - Hendry Mendez 22:16 Jeremy's #12 - Quentin Young 27:00 Theo's #12 - Ryan Gallagher 32:00 Jeremy's #13 - Brandon Winokur 35:24 Theo's and Jeremy's #14 - Kyle DeBarge 40:00 Jamie's #17 - Khadim Diaw 43:45 Theo's #18 - CJ Culpepper 46:43 Jeremy's #19 - Enrique Jimenez 50:15 Theo's #19 - James Ellwanger 51:56 Jeremy's #20 - Marco Raya 52:30 Theo's #20 - Billy Amick 53:50 Jamie's #18 - Adrian Bohorquez You can support the show by downloading it from wherever you get your podcasts, including iTunes and Spotify. If you enjoy the content, consider leaving us a five-star rating and review in addition to sharing or retweeting DTS-related content. You can follow us on Twitter @DTS_POD1, @Jeremynygaard, @J_D_Cameron, and @TheodoreTollef1. We're now on Bluesky @destinationtheshow.bsky.social. You can also find full episodes and clips of our shows on our YouTube page @DestinationTheShow.
Aujourd'hui, Élina Dumont, intervenante sociale, Antoine Diers, consultant auprès des entreprises, et Charles Consigny, avocat, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.
Ce mois-ci, direction le quartier de Shibuya et de son arrondissement éponyme, au coeur de la Capitale japonaise. Son histoire, son ambiance bouillonnante, ses projets urbains titanesques et notre sélection de visites incontournables sont à l'ordre du jour. Une émission en présence de Marjorie, Kelly et Charly pour découvrir ou redécouvrir ce quartier iconique en pleine métamorphose. 04:56 Présentation du quartier de Shibuya et de son arrondissement (histoire, géographie, accès, hébergement, travaux)37:55 Le top des visites à faire01:11:00 Conclusion
On aimerait que comprendre suffise. Qu'un déclic, un exercice, une prise de conscience transforme tout. Surtout quand la vie nous presse — un projet bébé, un rêve à concrétiser, un besoin urgent d'apaisement.Mais notre cerveau ne fonctionne pas en mode “résultats immédiats”.S'il a appris pendant des années à survivre, à contrôler, à serrer les dents, il ne change pas en quelques essais. Les neurosciences le montrent : il apprend par répétition, régularité, expériences vécues dans le corps.La vraie transformation est discrète.Aller mieux, c'est :• réagir un peu moins fort,• se calmer un peu plus vite,• se juger un peu moins,• se comprendre un peu mieux.Le rituel des petits progrès : chaque semaine, demandez-vousQu'est-ce qui va un peu mieux ?Qu'ai-je fait de différent ?Qu'est-ce qui m'a aidée à me sentir en sécurité ?Même minuscule, un progrès compte. Les petits changements d'aujourd'hui construisent les grandes transformations de demain.
Beat Migs! We ask the rockaholics about the iconic places they've always wanted to visit.
Selamat sejahtera! Today, travel medicine specialists Drs. Paul Pottinger & Chris Sanford answer your travel health questions, including:Do Germ and Worm recommend against non-essential travel to the USA now?Tsetse flies–what's the best repellent?How can I reduce muscle aches after hiking?Artificial Intelligence (AI) and travel medicine: too soon?Nipah Virus traveler screening: Update and advice.Did cold water really give me a migraine... and did a plane ride really help?Scabies! How to avoid, and what to do?Is caving the same as spelunking–and how to stay safe for both?We hope you enjoy this podcast! If so, please follow us on the socials @germ.and.worm, subscribe to our RSS feed and share with your friends! We would so appreciate your rating and review to help us grow our audience. And, please visit our website: germandworm.com where you can find all our content and send us your questions and travel health anecdotes. Or, just send us an email: germandworm@gmail.com.Our Disclaimer: The Germ and Worm Podcast is designed to inform, inspire, and entertain. However, this podcast does NOT establish a doctor-patient relationship, and it should NOT replace your conversation with a qualified healthcare professional. Please see one before your next adventure. The opinions in this podcast are Dr. Sanford's & Dr. Pottinger's alone, and do not necessarily represent the opinions of the University of Washington or UW Medicine.
Retrouvez Rothen s'enflamme de 18h à 20h sur RMC.
Experience four-season RV travel in Sun Valley, Idaho, where mountain adventure meets small-town rhythm beneath the towering Sawtooth Mountains. In this episode, we roll into one of the Pacific Northwest's most iconic basecamps for RVers and explore why Sun Valley is a year-round destination worth returning to again and again.From sunrise over Bald Mountain to golden evenings under wide Idaho skies, you'll discover what makes this valley feel cinematic in every season. Winter brings world-class skiing and snowboarding on Bald Mountain, quiet campgrounds, and crisp alpine air. Spring opens rushing rivers and uncrowded trails. Summer stretches long with biking the Wood River Trail, fly fishing on Silver Creek, hiking high ridgelines, and outdoor concerts. Fall delivers glowing aspens, cool mornings, and fewer crowds for a slower, more intentional RV experience.We also cover practical insights for RV travelers, including campground access, scenic drives, seasonal planning tips, and how to balance outdoor adventure with time exploring nearby Ketchum. If you're searching for the best RV destinations in Idaho, four-season camping inspiration, or a true mountain basecamp for your home on wheels, this episode will help you plan your next unforgettable stop in Sun Valley.Send a textSign up for our Newsletter Please follow the show so you never miss an episode. We ask that you also kindly give the show a rating and a review as well. Learn more about RV Out West over on our website at www.rvoutwest.com Join in on the conversation via social media:InstagramFacebook
In this episode we discuss New Braunfels, Texas as a destination for an RV TRIP Save 20% on your Harvest Host membership HERE *as an affiliate, we may earn from qualifying purchases AMAZON SHOP: https://www.amazon.com/shop/travelswithdelaney **as an Amazon Associate, we may earn from purchases BLU TECHNOLOGY WATER SYSTEMS: https://goblutech.com/?ref=travelwithdelaney RV DESTINATIONS MAGAZINE: https://www.rvdestinationsmagazine.com/TravelDelaney USE CODE: TRAVELDELANEY20 to save 20% off of any of their subscriptions Check out our YouTube Channel: https://www.youtube.com/travelswithdelaney Follow us on INSTAGRAM and FACEBOOK: @travelswithdelaney Checkout our website: https://www.travelswithdelaney.com Don't Just Camp; Camp Happy! https://www.camphappyacres.com Ultimate Cloth https://www.ultimatecloth.com/TWD SAVE 15% with Code TWD15 GasStop: https://diversifiedpower.com/product-category/gasstop/ Save 10% when you use code: TWD10
Mike had the special opportunity to talk with Clarisse Machanguana. The former Lady Monarch had a storied career at Old Dominion, earning CAA Player of the Year and All-American honors on her way to being drafted by the LA Sparks in the WNBA athlete. After a successful professional career Clarisse started the Clarisse Machanguana Foundation with the vision of creating a generation of women leaders who can harness their dreams, potential, and talent to overcome traditional barriers and positively reshape their futures and communities. Her foundation has touched countless lives in Mozambique since its' founding in 2014. Mozambique is dealing with catastrophic flooding, that sadly took Clarisse's home and all of her possessions. In order to continue her work with her foundation, she seeks support to get her life back in order. Please visit the following link to support Clarisse in this effort: https://www.gofundme.com/f/Rebuilding-clarisses-home-after-mozambique-floods?attribution_id=sl:3c6c9f38-62df-4071-ad85-5f24ea752228&ts=1771515920&utm_campaign=natman_today_topbar_ios&utm_medium=customer&utm_source=copy_link Chapters: 00:00 Sponsor Message: Old Dominion Athletic Foundation 00:20 Meet ODU Legend Clarisse Machanguana 00:36 Growing Up in Mozambique: Finding Basketball & Belonging 01:59 Breaking Barriers: Civil War, Gender Norms & Becoming a Voice 06:24 Portugal Years: First Big Move and a Path to ODU 09:50 Culture Shock at Old Dominion: Language, Training & Survival 14:41 ODU Dominance: Leadership Lessons from a Historic Run 17:37 Playing for Coach Wendy Larry: Tough Love and Growth 19:42 Sisterhood with Ticha Penicheiro & the ODU Family 21:45 Pro Career & WNBA Draft: Proving Yourself Around the World 24:46 Building the Clarisse Machanguana Foundation: Health, Education & Hope 27:07 UNICEF Goodwill Ambassador: Impact and Limits 29:25 NBA Africa Partnerships: Basketball as the Entry Point, Not the Destination 31:48 Has Mozambique Changed for Girls? The Work Still Ahead 33:37 Catastrophic Flooding: Losing Everything and Asking for Help 36:29 How to Support + Final Message to Monarch Nation
“Practicing yoga is not really something separate from me. It is happening all the time.” In this episode of a Curious Yogi Podcast, yoga teacher Myra Khanna shares her journey from Kathak dancer and scuba diving instructor to dedicated yoga practitioner and teacher. Drawing from studies with Bharath Shetty, Vinay Kumar, Vijay Kumar, Deepika Mehta, Mark Robberds, Eddie Stern, and ongoing training with Yoga Education College, Myra reflects on her evolution from a physically driven Ashtanga practice to a more holistic exploration of pranayama, meditation, and nervous system regulation.The conversation explores the commercialization of yoga, misconceptions about yoga in India, female health awareness in asana practice, and the parallels between diving and meditative practice. Myra also shares how traditional strength disciplines like mudgar swinging, dandas, and baithaks inform her approach to resilience and sustainability in practice.Here are some key takeaways; ➖ Transition from purely physical to a more holistic practice.➖ Emphasize the importance of listening to one's body and nervous system.➖ Commercialization of yoga impacts its true essence.➖ Teaching should accommodate students' individual needs and journeys.➖ Diving parallels the meditative aspects of yoga.➖ Myra's passion for education on female health in yoga after becoming unwell. Connect with Myra: IG @myrakhann02 I really enjoyed this conversation as an invitation to reconsider yoga as a living, evolving process — one rooted in curiosity, community, and embodied awareness. I know you will also dear listeners. In oneness, Bobbi Thanks for listening!
Le guide numérique pour s'installer en Norvège est disponible! https://uneblondeennorvege.com/guide-pour-sinstaller-en-norvege/NOUVEAU programme d'accompagnement : Je vous aide à être entrepreneur en Norvège ! Formation de plus de 46 chapitres avec toutes les infos dont vous avez besoin pour vous lancer ! Programme complet sur mon site : https://uneblondeennorvege.com/etre-entrepreneur-en-norvege/FONCEZ !
Big thank you to Infoblox for sponsoring this video. For more information on Infoblox have a look at their website: https://www.infoblox.com/ // Get Wireshark Certified // Check out the official training course
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Azdean Elmoustaquim is a world citizen and Founder of Destinations Morocco. Along the way we discuss – From Marrakech to Houston (1:30), is Morocco Safe? (4:00), About Morocco (7:30), Berber Languages (10:30), Personalized trips (12:30), Business Tips (14:45), Lightning Round (18:00), Azdean's Memo (20:30), What to Wear (22:00), the Donkey Refuge Tour (26:45), and scheduling your trip (29:00). Dreaming of experiencing Morocco's Magic, reach out @Destinations Morocco Azdean's podcast is found @ Destination Morocco This podcast is partnered with LukeLeaders1248, a nonprofit that provides scholarships for the children of military Veterans. Send a donation, large or small, through PayPal @LukeLeaders1248; Venmo @LukeLeaders1248; or our website @ www.lukeleaders1248.com. Music intro and outro from the creative brilliance of Kenny Kilgore. Lowriders and Beautiful Rainy Day.
Local artist Carla J. Lawson discusses Crowned, her first museum exhibition at the Vacaville Museum. The show explores traditional African hairstyles as symbols of heritage, identity, and survival, using sculpture, painting, and mixed media.Carla shares the historical meaning behind the braids and forms featured in the exhibit, her process of creating companion sculpture and painting pieces, and how Northern California's cultural diversity shaped her artistic path. The conversation also touches on her journey as a self-taught artist and why Crowned is meant to be both visually striking and historically grounded.Crowned runs February 5- March 7, 2026
"Take my yoke upon you, and learn from me, for I am gentle and lowly in heart, and you will find rest for your souls" - Mt. 11:29a
Destination 2026 with Glenn Davis! World Cup updates Interviews with Oliver Kay (Senior football writer for the Athletic), and Curacao Goal Keeper Eloy Room
Ashton Schottler is an American who created the popular YouTube Channel Type Ashton and moved to Germany for love. She tells Brent about her life in the Black Forest including her love of the local cycling culture. Ashton also talks about her favorite dishes including the famous Black Forest Cake, flammkuchen, and earning a hearty meal after a hike. Plus, a dive into “fake foods” like truffle oil, hatch chilis, and wasabi. [Ep 377] Show Notes: Destination Eat Drink food and travel videos Destination Eat Drink food and travel stories Type Ashton YouTube channel Black Forest Family website Vesperstube Unterkrummenhof
Maybe when you think of Los Angeles you think of mega highways, gridlock traffic, and urban sprawl. But our guest today argues that it is actually an underrated destination for enjoying the outdoors. Rosecrans Baldwin, author of Everything Now: Lessons from the City State of Los Angeles, shares his favorite places in the city to enjoy nature, from urban parks to mountain trails…and then he'll also take us even further out there, to a wilderness survival course and a class on talking to plants.More about today's guest: https://www.rosecransbaldwin.com/We always want to hear from you! If you have a question or story for us, give us a call at 315-992-7902 and leave a message, or send an email to hello@atlasobscura.com. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Fin de voyage au Mexique. Ils partent pour l'aéroport, timing serré. Et là, pneu crevé. Sur le bas-côté, avec les enfants, les valises et l'horloge qui tourne. Une galère très concrète, loin des paysages de carte postale, qui rappelle qu'un voyage en famille, parfois, tient à peu de choses.Pour écouter l'épisode en entier :Road trip en van en Islande-----------➡️ Si l'épisode vous a plu, laissez-moi une note 5 ⭐️ou un commentaire sur Apple Podcasts ou Spotify
On this episode of Destination on the Left, I talk with industry leaders from across the country at the American Bus Association's Marketplace 2026 in Reno, Nevada, to uncover what's next for destinations, attractions, and travelers. You'll hear from Josef Kruger of US Ghost Adventures, Aisha Jones of Mystic Seaport Museum, Jana Carter from Visit Annapolis, Kay Calzolari of Visit Winston Salem, Meredith Dollevoet from Cartersville Museum City, Jim Vozzella with 360Chicago, and Debra Tassone from Discover Long Island. Together, they share fresh insights on how storytelling, immersive activities, and hands-on programming are reshaping group experiences. What You Will Learn in This Episode: How group travel experiences are evolving to focus on immersive storytelling and hands-on engagement Strategies for collaboration between destinations, attractions, and local partners Trends shaping group travel for 2026, including wellness-focused itineraries and multi-generational groups How destinations and attractions are using customizable programming to add value and create memorable moments for visitors Why DMOs and attractions are bundling experiences and aligning their offerings to appeal to new travel trends Innovative approaches organizations are using to keep travelers engaged before, during, and after their visits How getting involved with associations like the ABA contributes to building enduring relationships and fostering continuous growth in the travel industry Innovation Through Collaboration Collaboration is no longer a "nice to have". It's mission-critical critical. Guests stress the importance of teaming up with regional partners, DMOs, and local organizations. By curating joint itineraries, sharing resources, and feeding each other's strengths, destinations can offer more complete and compelling travel experiences. Kay Calzolari of Visit Winston Salem shares how investing in personal relationships with nearby towns and attractions has enabled her to offer valuable regional itineraries, extending stays, and enhancing visitor value. This collaborative spirit isn't just about logistics, it's about approaching every partner as part of a larger community, working together to create seamless, memorable journeys for guests. Trends Driving Group Travel With the approach of major milestones like America's 250th anniversary in 2026, destinations are getting creative. Thematic travel is gaining traction, from wellness retreats and service-oriented projects to festivals and Be Revolutionary experiences, as Jana Carter describes for Annapolis. Operators are increasingly tapping into local culture, outdoor recreation, and even culinary partnerships. Museums are stepping up with exhibits that go beyond static displays. As Aisha Jones discusses, Mystic Seaport Museum is bringing in unique traveling exhibits, like shipwrecks recreated in LEGO, and launching virtual educational programs to grow engagement beyond the museum's walls. The Power of Networks At the heart of this evolution is the network effect. ABA Marketplace events and similar gatherings have become essential for building lasting industry relationships. Whether it's a first-timer bonding over shared experiences or seasoned pros joining councils and volunteer teams, the connections made drive both business and inspiration. As several guests reflect, returning to these conferences is like coming home—reconnecting with peers, learning from each other, and growing together. Resources: Josef Kruger: https://www.linkedin.com/in/jlkdreams/ Aisha Jones: https://www.linkedin.com/in/aishamjones/ Jana Carter: https://www.linkedin.com/in/jana-carter-b01b8160/ Kay Calzolari: https://www.visitwinstonsalem.com/sites/default/files/2024-11/Kay%27s%20Profile%20Sheet Meredith Dollevoet: https://www.linkedin.com/in/meredith-dollevoet-62413615/ Jim Vozzella: https://www.linkedin.com/in/jim-vozzella-b53a7416/ Debra Tassone: https://www.linkedin.com/in/debra-tassone-upward/ We value your thoughts and feedback and would love to hear from you. Leave us a review on your favorite streaming platform to let us know what you want to hear more of. Here is a quick tutorial on how to leave us a rating and review on iTunes!
Nestled in the heart of Somers, New York, about one hour north of Manhattan, Honeybee Grove is a cozy little flower farm offering cut-your-own flowers, small events, workshops, retail pop-ups, and more. As owner Sarah Coldwell enters her fifth season, she joined me to share her story and discuss the benefits of planning a full […] The post Episode 756: Sarah Coldwell of Honeybee Grove Flower Farm – on building a destination floral enterprise on U-Pick, farmers' and makers' markets, and seasonal flower festivals appeared first on Slow Flowers Podcast with Debra Prinzing.
Top destination executives tell you about the adventure travel opportunities in their countries that you can sell. They detail the places, the kinds of adventure travel experiences and how advisors can better understand what these places have to offer adventure travelers. Alan Fine of Insider Travel Report moderates a panel that includes: Cristina Fernandes, leisure sales manager for Discover Puerto Rico; Mahima Tripathi, founder of Salient; Melanie Schinkel, Aussie Specialist Trainer-Western U.S.A. for Tourism Australia; Tarja Koivisto, country manager U.S.A., for Visit Finland. All our Insider Travel Report video interviews are archived and available on our Youtube channel (youtube.com/insidertravelreport), and as podcasts with the same title on: Spotify, Pandora, Stitcher, PlayerFM, Listen Notes, Podchaser, TuneIn + Alexa, Podbean, iHeartRadio, Google, Amazon Music/Audible, Deezer, Podcast Addict, and iTunes Apple Podcasts, which supports Overcast, Pocket Cast, Castro and Castbox.
Dix jours sur place, deux heures de décalage, 10 degrés en plein été. Camping sauvage interdit, douches payantes, piscines municipales à 4 euros. Une valise remplie de nourriture dans la soute. Le voyage se construit aussi dans ces choix très concrets.Pour écouter l'épisode en entier :Road trip en van en Islande-----------➡️ Si l'épisode vous a plu, laissez-moi une note 5 ⭐️ou un commentaire sur Apple Podcasts ou Spotify
What does it take to turn a life-threatening diagnosis into a global wellness movement? In this powerful episode, Ingo Schweder shares how surviving stage four cancer shaped his vision for wellness, hospitality, longevity, and community-driven health. From launching the Mandarin Oriental Spa Division to building GOCO Hospitality and the Fivelements brand, this conversation explores why wellness is not a trend, but the foundation of the future hospitality economy. What You'll Learn: How a stage four cancer diagnosis became the catalyst for a global wellness hospitality career Why wellness is not a department, but a philosophy and a lifestyle What it takes to build and scale a global spa and wellness division from scratch The business case for wellness hospitality during crises like 9 11 and the pandemic Why longevity clinics, precision medicine, and community based wellness real estate are shaping the next chapter of the industry Episode Highlights: 03:15 – From journalist to hotelier to cancer survivor: the turning point that changed everything 11:40 – Creating a personal healing protocol using yoga, macrobiotic nutrition, meditation, and alternative medicine 19:55 – Launching the Mandarin Oriental Spa Division when no global spa model existed 29:10 – Founding GOCO Hospitality and identifying wellness as a standalone business segment 38:45 – Turning around Glen Ivy and why ownership changed the game 47:20 – The rise of Fivelements and the future of branded destination wellness resorts 54:30 – Why longevity, precision medicine, and biohacking are the next evolution of wellness Meet the Guest: Ingo Schweder is Founder and CEO of GOCO Hospitality and Managing Director of Horwath HTL Health & Wellness. With projects across five continents and more than 400 developments worldwide, he is widely recognized as a pioneer in wellness hospitality, destination spa development, and wellness real estate. Tools, Frameworks, and Concepts Mentioned Mandarin Oriental global spa division development GOCO Hospitality five pillar model: feasibility, concept and brand development, design and technical services, pre opening and training, and ongoing management Fivelements branded destination wellness resorts Wellness real estate and community driven development Longevity clinics and precision medicine integration within hospitality Closing Insight: "The world does not need more five star hotels. It needs five star human experiences." This episode is a reminder that wellness hospitality is not about amenities. It is about creating environments that improve health, extend vitality, and contribute meaningfully to society. Looking for expert advice in Spa Consulting, with live training and online learning? Spa Consulting: wynnebusiness.com/spa-management-consulting Live Training: wynnebusiness.com/live-education Online Learning: wynnebusiness.com/spa-management-courses Other Links: Connect with Ingo: linkedin.com/in/ingoschweder Follow Lisa on LinkedIn: https://www.linkedin.com/in/lisastarrwynnebusiness, Listen on Apple: https://podcasts.apple.com/at/podcast/starrcast/id1565223226 Listen on Spotify: https://open.spotify.com/show/00tW92ruuwangYoLxR9WDd Watch the StarrCast on YouTube: https://www.youtube.com/@wynnebusiness
This week on Girls with Grafts, Rachel talks with Mikki Rothbauer, a psychotherapist who has spent over twenty years helping burn survivors and their families at Regions Hospital Burn Center.Mikki talks about what she has learned from years of supporting burn survivors, from the first days after injury to long-term healing.
On Ep. 135 of the WAO Podcast pres. by Harrod Outdoors and Mack's Lure, Bobby and Richy talk about some of their favorite Kokanee fisheries. They talk details of Flaming Gorge, Fontenelle, and Kokanee lakes in the Cariboo Region of British Columbia. - Harrod Outdoors on Facebook - Harrod Outdoors on Instagram Please help support the production of this podcast by donating at HarrodOutdoors.com and following the podcast link on the homepage. If you have questions or would like us to discuss a certain topic, please send us a message on one of our social media platforms or send an email to info@harrodoutdoors.com.
Ils marchent presque tous les jours, souvent longtemps, avec un porte-bébé. Les cascades succèdent aux vallées. Pour les douches, ils abandonnent les campings trop chers et choisissent les piscines municipales. À Laugarvatn Fontana, les bassins sont chauds, les enfants jouent, mais la nourriture rappelle vite le coût de la vie islandais.Pour écouter l'épisode en entier :Road trip en van en Islande-----------➡️ Si l'épisode vous a plu, laissez-moi une note 5 ⭐️ou un commentaire sur Apple Podcasts ou Spotify
Scott Connor (@CharlesChillFFB) is back in episode 131, talking quarterback back efficiency as we approach the lead up to 2026 NFL Free Agency. We go through each tier of quarterbacks from an overall efficiency standpoint and how they are at creating points for their weapons. How can you use this to build your personal tiers? We also go through each depth chart and what to expect from the team at the QB position this off-season. Lots of QB discussion in this show! Thank you for checking out the Podcast, be sure to follow and comment if you have any questions, we are always happy to answer any. For Access to our Premium Tools (Trinity, WAR & More) & Discord Community https://ddfantasyfootball.com/subscriptions/ Subscribe to the Youtube Channel DDFFB https://www.youtube.com/@DDFFB Sub to the Wake up YT Channel: https://www.youtube.com/channel/UCaIJqSepjl-eZ2YEaaLciFA Subscribe to Ray's Channel: https://www.youtube.com/@RayGQue Check out All of Ray's Articles at Yahoo!: https://sports.yahoo.com/author/ray-garvin/ Follow Ray on Bleacher Report: https://br.app.link/7ExIDsWfHVb Follow us on Twitter: https://x.com/destinationdevy Become a Member on Youtube for access to the Dynasty Deal Show Live, Destination Chill and other member benefits, like priority reply to comments and unique badges and emojis: https://www.youtube.com/channel/UCV84gHvtBMXxzN9ZPI9XHfg/join Learn more about your ad choices. Visit megaphone.fm/adchoices
Husband Help Haven Podcast: Marriage Advice for Men Facing Separation, Affair or Divorce
Most men are decent at setting goals for where they want to go. Almost nobody sets goals for who they want to be on the way there. In this episode, I break down the difference between destination goals and journey goals, share my actual present-tense vision statements across six life areas, and give you a framework for writing your own — even if you're currently in separation.
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Ils marchent presque tous les jours, souvent longtemps, avec un porte-bébé. Les cascades succèdent aux vallées. Pour les douches, ils abandonnent les campings trop chers et choisissent les piscines municipales. À Laugarvatn Fontana, les bassins sont chauds, les enfants jouent, mais la nourriture rappelle vite le coût de la vie islandais.Pour écouter l'épisode en entier :Road trip en van en Islande-----------➡️ Si l'épisode vous a plu, laissez-moi une note 5 ⭐️ou un commentaire sur Apple Podcasts ou Spotify
Brad Evans and Pat Boyle react to the Miami Dolphins decision to move on from Tyreek Hill after four seasons with the organization, and debate not only where the ideal next destination is, but also if he is actually worth the risk at this point in his career. Then, what's next for Tua Tagovailoa and why your expectations for the 2026 Dolphins should be lower than ever.
What does it mean to take up our cross and follow Jesus… and why would anyone want to do that? Join Pastor Tim as we explore Jesus' call to come and die so that we might really live.
Our adventures at the edges of outer space continue with our look at 1978's Destination: Moonbase Alpha, the first compilation film of Gerry Anderson's landmark British sci-fi TV series. This live-action series may lack technical muppetry, but it does have Martin "Technical Fucketry" Landau. But first! We discuss every single movie coming out in March of 2026! So #DonloydNow and enjoy this bite-sized Junk Food Supper. We got all this plus secret Prince (aka Purple King) production credits, Sean solicits Parkour Bowman's thoughts on James Bond, sensory-deprived chats, the secret to enlightenment (or at least chillness), clearing Ricky Martin of all charges (except for the allegations of extreme handsomeness), is Bad Bunny any good?, people love synchronized crouching, people don't love the penis-gate scandal, here comes the bowman!, the glorious return of the *Kevin* "OH" drop, the glorious debut of other drops, synchronized musicalities, varying formats of writable compact disc (and their rewrite capabilities), uncalled-for mix-jiggering, sneezes, blank stares, gleeks and so much more!! Direct Donloyd Here Got a movie suggestion for the show, or better yet an opinion on next week's movies? Drop us a line at JFDPodcast@gmail.com. Or leave us a voicemail: 347-746-JUNK (5865). Add it to your telephone now! JOIN THE CONVERSATION! Also, if you like the show, please take a minute and subscribe and/or comment on us on iTunes, Stitcher, Blubrry or Podfeed.net. Check us out on Facebook and Twitter! We'd love to see some of your love on Patreon - it's super easy and fun to sign up for the extra bonus content. We'll battle space aliens for your love and support. With picks like these, you GOTTA #DonloydNow and listen in!
We’re celebrating Carnival season by starting the party early in Rio (at 7am!), dancing in the streets in Guadeloupe, and chowing down on the best treats and snacks before Lent in Italy. Plus, how to best enjoy Venice’s famous Carnival party! [Ep 376] Show Notes: Destination Eat Drink food & travel ebooks Destination Eat Drink food & travel videos Taste Florence food tours Monica Cersarato’s blog Eat Rio food tours Bare Feet with Mickela Mallozzi
Destination 2026 with Glenn Davis included... Houston and World Cup updates including the race to return from injury for some high profile players. USMNT fitness worry Simon Bajkowski of the Manchester Evening News on England's hope, and chances at World Cup 2026, and Manchester City's Pep Guardiola; is this his final season?
Are the Patriots a free agent destination? // Reevaluating the Patriots 2025 draft/2026 draft expectations // The state of the Celtics at the All-Star break //
In this episode of the How to Hunt Deer podcast, Dan Johnson discusses the excitement of shed hunting as the season approaches. He shares personal anecdotes, tips for scouting and finding sheds, and insights into deer behavior. The conversation emphasizes the importance of understanding deer movement, key locations for finding sheds, and the joy of engaging in this outdoor activity with family and friends. Dan also touches on the unwritten rules of shed hunting and the camaraderie within the hunting community. Takeaways Shed hunting is a great way to get kids involved. It's important to scout while shed hunting. Look for terrain features that dictate deer movement. Destination food sources are key for finding sheds. Bedding areas can also be productive for shed hunting. Shed hunting takes a lot of miles to find piles. Mark locations of found sheds on a map for future reference. Shed hunting can be a fun group activity. Understanding deer behavior helps in locating sheds. Engaging in shed hunting keeps you active outdoors. Learn more about your ad choices. Visit megaphone.fm/adchoices
This episode of Destination on the Left is a special roadshow edition recorded live at the American Bus Association's Marketplace 2026 in Reno, Nevada. I'm joined by a fantastic group of industry leaders to hear first-hand how collaboration is playing a critical, mission-driven role in the future of group travel, moving beyond a "nice-to-have" and becoming essential for success. My guests discuss the economic impact of group travel and the importance of restoring cross-border connections between the U.S. and Canada, to creative regional itineraries, and share ideas for navigating the political and economic headwinds facing the industry. What You Will Learn in This Episode: How ABA's leadership is addressing current challenges in group travel, including restoring the crucial relationship between the U.S. and Canada Why collaboration between industry partners, including operators, suppliers, associations, and destinations, is mission-critical for the future of group travel Trends are shaping group travel in 2026 and beyond, such as the rise of experiential itineraries, smaller group sizes, and the impacts of major events like the FIFA World Cup and MA250 How regional and cross-border partnerships are creating unique travel experiences and tour products that benefit entire ecosystems, not just individual destinations Collaborative initiatives, such as Tour in 64 are demonstrating the value of teamwork How industry organizations like ABA can accelerate personal and professional growth The Future of Group Travel is Collaboration The ABA 2026 Marketplace is filled with optimism, but nobody shies away from today's realities. Fred Ferguson sets the stage by underscoring the economic importance of group travel—$158 billion in economic output and 800,000 jobs in North America. The entire travel flywheel, operators, destinations, restaurants, and attractions, only spins when everyone works in sync. Fred Ferguson and Terry Fischer both stress that now, more than ever, strategic alliances and industry unity are essential for lasting impact. It's no longer enough to operate in silos. As Terry puts it, "It takes a village," and internal and external collaboration are the most important ingredients in weathering disruptions, from politics to pandemics. Collaboration in Action My guests also share what deep collaboration looks like in practice. Across the group travel ecosystem, leaders are getting creative. We hear how DMOs are embracing regionalism, and Todd Read from SoIN Tourism and Whitney Lubbers of Dubois County described how Tour in 64, a partnership among destinations along Interstate 64, helps smaller markets punch above their weight. By pooling marketing budgets, sharing top experiences, and even jointly running an ABA booth, collective impact outweighs any competition for hotel nights. With mega-events like the FIFA World Cup and MA250 (America's 250th anniversary) on the horizon, Stacey David detailed how municipalities, nonprofits, small businesses, and big attractions can co-create fan zone festivals that benefit everyone. Every stakeholder has a seat at the table for shared successes. The Power of Relationships The ABA conference is a great way to build relations, get involved, and engage with others in the travel and tourism industry. Jim Warren of Anderson Vacations credits strong partnerships as the industry's lifeblood, helping everyone survive the inevitable economic and political storms. Those connections are formed and deepened at conferences like ABA Marketplace. Investments in community, from Women in Buses initiatives to association days, make all the difference for newcomers and veterans alike. Leaders are putting collaboration-first strategies in place—whether it's regional joint marketing, creating new products, or advocating for the sector at the policy level. Resources: Fred Ferguson: https://www.buses.org/staff/fred-ferguson-mba-ms/ Terry Fischer: https://www.linkedin.com/in/terry-fischer-31895b122/ Patricia Cowley: https://www.linkedin.com/in/pcowley/ Jim Warren: https://www.linkedin.com/in/jim-warren-1b2b59187/ Stacey David: https://www.linkedin.com/in/stacey-david-940a214/ Todd Read: https://www.linkedin.com/in/todd-read-182ab73a/ Whitney Lubbers: https://www.linkedin.com/in/whitney-lubbers-07374360/ We value your thoughts and feedback and would love to hear from you. Leave us a review on your favorite streaming platform to let us know what you want to hear more of. Here is a quick tutorial on how to leave us a rating and review on iTunes!
Hour 2 - Papa and Silver discuss if NFL free agents still view the 49ers as contenders and an appealing destination to sign. MLB Writer for The Athletic Levi Weaver joins the show to break down the Giants off-season signings and the biggest needs to address in Spring Training. See omnystudio.com/listener for privacy information.