POPULARITY
Welcome to the NeurologyLive® Mind Moments® podcast. Tune in to hear leaders in neurology sound off on topics that impact your clinical practice. In this episode, "World MS Day: Raising Awareness, Evolving Care, and Empowering Patients," Taylor Hess, MD, a multiple sclerosis specialist at the Michigan Institute for Neurological Disorders (MIND), shares insights in recognition of World MS Day. She reflects on the importance of raising global awareness for MS, the need for equitable care, and the evolving focus of research and treatment. Dr. Hess discusses underrecognized symptoms like fatigue and cognitive dysfunction, and emphasizes the value of the upcoming diagnostic criteria update in enabling earlier intervention. She highlights key research priorities—including progressive MS, symptom management, and remyelination—and speaks to the importance of holistic, lifestyle-informed care. Finally, she shares advice for clinicians on how to communicate a new MS diagnosis with empathy, clarity, and empowerment. Looking for more multiple sclerosis discussion? Check out the NeurologyLive® Multiple sclerosis clinical focus page. Episode Breakdown: 1:00 – Significance of World MS Day and the importance of global MS awareness 2:05– Commonly recognized vs overlooked MS symptoms in patient care 3:10 – Transitioning to updated MS diagnostic criteria and the need for global provider education 4:15 – Neurology News Minute 6:30 – Research priorities: progressive MS, symptom management, and remyelination strategies 7:35 – The role of lifestyle, risk factor control, and holistic care in MS management 8:50 – Communicating MS diagnosis with empathy, support, and resource guidance The stories featured in this week's Neurology News Minute, which will give you quick updates on the following developments in neurology, are further detailed here: FDA Approves First Autoinjector Form of DHE for Acute Migraine and Cluster Headache FDA Clears Lumipulse Plasma Ratio as First Blood Test for Diagnosing Alzheimer Disease Once-Daily Oral Pill for Obstructive Sleep Apnea Shows Promising Phase 3 Results, Paving Way for FDA Submission Thanks for listening to the NeurologyLive® Mind Moments® podcast. To support the show, be sure to rate, review, and subscribe wherever you listen to podcasts. For more neurology news and expert-driven content, visit neurologylive.com.
N.Y.'s Finest - Do You Feel MeTete De La Course - Something About ThisRoger Sanchez - Morning PrayerRobin Schulz - SugarMe & My Toothbrush - Gold MemberJay Vegas - U KnowTommy Largo - Pass ItHarry Romero, Joeski - Love Can't Save It AllCrazibiza - ShelterJames Benedict - When You're BackChris Stussy - One Thing I CanEli Escobar- Seein' YouSpiritchaser, Angie Brown - Wild OrchidListening back on music from the last 10 years, these songs from 2016 still sound great to me. If you have an idea for a future episode, email me at ultra lounge dj at gmail dot com (all one word) Let me know what you wanna hear! Thanks for listening and sharing.Deep House Episodes was selected as one of the Top 100 Music Podcasts on the web by Feedspot!https://podcast.feedspot.com/music_podcasts/DHE is also #25 in the Goodpods Top 100 Soul All time chart for March 2025https://goodpods.com/leaderboard/top-100-shows-by-category/music/soul?period=alltime#58666141
Alex Adair - Make Me Feel Better Just Kiddin' - Thinking About ItGabriel & Castellon - Es VedraPurple Disco Machine - Where We BelongSession Victim - Never ForgetKraze - The Party (Jamie Lewis Remix)Bush & Crane - I Look At YouEnzo Siffredi - SometimesGregory Porter - Liquid SpiritSouldynamic, Roland Clark - EquatorialYves Murasca, Ron Carroll - EveryoneCrazy P - HeartbreakerJulius Papp - KosmosisContinuing my review of house from the last decade, these were some of the very best tracks of 2015. I think they still sound good today. Time 61 mins.Deep House Episodes was selected as one of the Top 100 Music Podcasts on the web by Feedspot!https://podcast.feedspot.com/music_podcasts/DHE is also #25 in the Goodpods Top 100 Soul All time chart for March 2025https://goodpods.com/leaderboard/top-100-shows-by-category/music/soul?period=alltime#58666141
In this episode of the Aging Well Podcast, Dr. Jeff Armstrong and Corbin Bruton explore the trending topic of mouth taping and its efficacy in managing obstructive sleep apnea. They discuss recent research findings from Brigham and Women's Hospital and Harvard Medical School, revealing that mouth taping might worsen the condition for some individuals. The conversation underscores the complexity of managing sleep apnea, emphasizing personalized approaches and professional medical advice. Corbin shares his personal journey with sleep apnea and the benefits of using a CPAP machine while highlighting lifestyle changes that can improve sleep quality. This episode serves as a critical guide for those dealing with sleep apnea or considering viral trends for sleep solutions.https://www.medpagetoday.com/pulmonology/sleepdisorders/112246?xid=nl_mpt_DHE_2024-10-03&mh=b4bce701259919425f7ab5e844f1878e&utm_source=Sailthru&utm_medium=email&utm_campaign=Daily%20Headlines%20Evening%202024-10-03&utm_term=NL_Daily_DHE_dual-gmail-definiMouth Closure and Airflow in Patients With Obstructive Sleep Apnea: A Nonrandomized Clinical Trial Should Mouth Taping and Obstructive Sleep Apnea Therapies Be Regulated?
Indikator Politik's polling corroborates earlier Kompas polling on President's popularity but the majority is against his discourse on changing electoral system. Also: A snaking queue for 3 kg LPG canister after a new policy, Elon Musk's policy of downsizing the US Government starts to take shape after halting funding for USAID, and DHE policy is enacted for March after prabowo's meeting with Ministers. For a free trial of Reformasi newsletter, go to reformasi.infoRead Erin's newsletter Dari Mulut Ke Mulut here: https://darimulut.beehiiv.com/It takes a lot of money to run a podcast. You need subscription fees for hosting, audio recording services, editor's salary and music licensing. Luckily, you, estemeed listeners of Reformasi Dispatch podcast can help us.You can donate to us on buymeacoffee.com/reformasi and help us grow!
E meta e Edi Rames eshte Iliri, ilir Meta. Te rinjte socialiste flasin cfare mendojne per liderin supreme dhe e kane te veshtire te gjejne nje te mete sepse nuk ka. Dhe u hodhem nga nje showman tek nje tjeter. Luçiferi na tregoi detaje nga skandali me Paf Dedin. Ndonjehere na behet qejfi kur degjojme lajme te tilla per vipat qe kemi idealizuar dikur sepse i ben ata me njerezor dhe ekspozon cepat e erret te imagjinates sone. Fola me fjale te perzgjedhura qe te dukemi sikur çoç thame por sthame asgjeTi vetem Degjo Podcastin dhe na Mbeshtet ne patreon sepse parate shkojne per te rinjte socialiste qe te kene mundesi te vizitohen nga syte dhe mbase atehere shohin ndonje te mete te liderit
Filloi podcasti me nje video kunder vakCINAve dhe nje tjeter me Nadir Murren qe na flet per delet e zeza. E dinit ju qe nese mekatoni diten e kijametit do rrini pa uje dhe qe nje dite ne kijamet eshte e barabarte me 50mije vjet? Dhe kjo cuditerisht favorizon femijet e afrikes? Nejse profeti ne google gjeti domethenien e cdo ngjyre ne flamurin e perditesuar te LGBTQ+ dhe a e dinit ju qe per cfare qendrojne ngjyra kafe dhe e zeza? Degjo podcastin per ta mesuarTi vetem degjo dhe na mbeshtet ne patreon sepse parate shkojne per uje te pijshem gjate dites 50mijevjecare te xhenetit qe te kene te pijne ata qe do denohen
We discuss migraines with one of the authorities in the field. Hosts: Benjamin Friedman, MD of Montefiore Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Migraines.mp3 Download Leave a Comment Tags: Neurology Show Notes Initial Approach to Diagnosing Migraines: Differentiating between primary headaches (migraine, tension-type, cluster) and secondary causes (e.g., subarachnoid hemorrhage). The importance of patient history and reevaluation after initial treatment. Recognizing the unique presentation of cluster headaches and their management implications. Effective Acute Migraine Treatments: First-line treatments including anti-dopaminergic medications like metoclopramide (Reglan) and prochlorperazine (Compazine), and parenteral NSAIDs like ketorolac (Toradol). The limited role of triptans in the ED due to side effects and less efficacy compared to anti-dopaminergics. The use of nerve blocks (greater occipital nerve block and sphenopalatine ganglion block) as effective treatments without systemic side effects. Treatments to Avoid or Use with Caution: Diphenhydramine (Benadryl): Studies show it does not prevent akathisia from anti-dopaminergics nor improve migraine outcomes. IV Fluids: Routine use is not supported unless the patient shows signs of dehydration. Magnesium: Conflicting evidence with some studies showing no benefit or even harm. Managing Refractory Migraines: Second-line treatments including additional doses of metoclopramide combined with NSAIDs or dihydroergotamine (DHE). Considering opioids as a last resort when other treatments fail.
A ka apo jo një mundësi të dytë dhe cilat janë pasojat që e presin këdo që mbyll një kapitull me gjykatat dhe ligjin? Dhe si rastin tipik do t’ju sjellim rastin e një fëmije i cili mbasi u arrestua në 2006 duke vjedhur vendosi të bëhet prokuror. I frymëzuar ndoshta nga prokurori që e hetoi kur ishte fëmijë, Shiqiri Manjani ndryshoi rrugë nga ky çast. Ai studioi dhe e arriti ëndërrën e tij, u shpall fitues në shkollën e magjistraturës. Por më pas me një formular dekriminalizimi përpara ai kuptoi se e kaluara do ta ndjekë gjithë jetën ndonëse është rehabililituar me ligj.
New daily persistent headache is a syndrome characterized by the acute onset of a continuous headache in the absence of any alternative cause. Triggers are commonly reported by patients at headache onset and include an infection or stressful life event. In this episode, Aaron Berkowitz, MD, PhD, FAAN, speaks with Matthew Robbins, MD, FAAN, FAHS, author of the article “New Daily Persistent Headache,” in the Continuum® April 2024 Headache issue. Dr. Berkowitz is a Continuum® Audio interviewer and professor of neurology at the University of California San Francisco, Department of Neurology and a neurohospitalist, general neurologist, and a clinician educator at the San Francisco VA Medical Center and San Francisco General Hospital in San Francisco, California. Dr. Robbins is an associate professor of neurology and director of the Neurology Residency Program at New York-Presbyterian/Weill Cornell Medical Center in New York, New York. Additional Resources Read the article: New Daily Persistent Headache Subscribe to Continuum: continpub.com/Spring2024 Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @https://twitter.com/AaronLBerkowitz Guest: @ @mrobbinsmd Full Transcript Available: Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, a companion podcast to the journal. Continuum Audio features conversations with the guest editors and authors of Continuum, who are the leading experts in their fields. Subscribers to the Continuum journal can read the full article or listen to verbatim recordings of the article by visiting the link in the Show Notes. Subscribers also have access to exclusive audio content not featured on the podcast. As an ad-free journal entirely supported by subscriptions, if you're not already a subscriber, we encourage you to become one. For more information on subscribing, please visit the link in the Show Notes. AAN members: stay tuned after the episode to hear how you can get CME for listening. Dr Berkowitz: This is Dr Aaron Berkowitz, and today I'm interviewing Dr Matthew Robbins about his article on new daily persistent headache, from the April 2024 Continuum issue on headache. Dr Robbins is an Associate Professor of Neurology and Director of the Neurology Residency Program at New York-Presbyterian/Weill Cornell Medical Center, in New York. Welcome to the podcast. Dr Robbins: It's great to be with you, Dr Berkowitz. Dr Berkowitz: Well, thanks so much for joining us this morning. To start, what is new daily persistent headache? I think it's an entity maybe that might be new to some of our listeners. Dr Robbins: Yeah - it's an entity that also struck me when I was in training. I didn't hear much of it as a neurology trainee until I did a fellowship in headache, where, all of a sudden, we were seeing patients with this syndrome (and labeled as such) all the time. And that actually inspired me to begin a research project to better characterize it - a clinical project that ended up helping to broaden the diagnostic criteria. New daily persistent headache really is just defined by what it says - it's new; it's every day; it persists; it's a headache. It can't be from some other identifiable cause, which includes both secondary disorders (you know, something that, where headache is a symptom of) or a primary headache disorder; distinguishes itself from, say, migraine or tension-type headache because there's no real headache history and there's an abrupt onset of a daily and continuous headache that has to last for at least three months since onset. And the onset is typically remembered - it's usually acute or abrupt; there may or may not be some circumstances that surrounded the onset that might have some diagnostic or causal or associated implications that we can explore. Dr Berkowitz: Okay. So, I always find it challenging in headache medicine and some other areas where we don't have a biomarker, per se - an imaging finding, a lab finding; we have an eloquent and detailed clinical description - to know how comfortable to be making a diagnosis like this. In this case, particularly, right - you said it has to be going on for three months. What if I see a patient one month into something I think could be this, but I can't technically say, per the criteria, right (it's three months)? When do you start thinking about this diagnosis in patients, and what are some of the main considerations in confirming the diagnosis, and what needs to be ruled out or excluded for making the diagnosis? Dr Robbins: I think traditionally, in headache, the term “chronic” has that three-month time period. The reasons are twofold: one is that, typically, if there's some secondary disorder that might have some distinguishing feature (something that really evokes the headache or some other neurological accompaniment that develops in addition to headache), it would pretty much be likely to declare itself by the three-month mark. Or if it was something that was very self-limited, it would probably go away before three months have elapsed. Or if it resolved after some days or weeks but then declared itself as a more episodic disorder, then we might say someone who begins with continuous headache that might, for example, resemble migraine (maybe it presented a status migrainosis but then it devolved into a more episodic disorder that might just be migraine overall). So, I think that's pretty much why the three-month mark has been so prevalent in the International Classification of Headache Disorders, including how new daily persistent headache is diagnosed. But at the same time, there's lots of disorders that might mimic (or might be misdiagnosed as) new daily persistent headache, and they really are a secondary disorder. Probably the most common one that we think about is a disorder of intracranial pressure or volume, mainly because routine MRI features could be normal or could be easily missed if they had subtle abnormalities. The defining symptom of those disorders are also continuous headache, often from onset, with an abrupt and remembered nature. So, that's often the main category of secondary headache that might be misdiagnosed as primary headache. I think, probably, idiopathic intracranial hypertension as the prototypical disorder of high pressure often declares itself with visual symptoms, pulsatile tinnitus, and other abnormalities. And nowadays, there's much more increasing recognition for MRI abnormalities or even MRV abnormalities with such patients. But spontaneous intracranial hypotension (despite increasing recognition of CSF leaks in the spine that lead to intracranial hypotension or hypovolemia) really remains an underdiagnosed entity. I think that's one disorder where - for example, if I'm seeing a patient with new daily persistent headache and there's no orthostatic or positional nature to their headache - I will still do an MRI, with and without contrast, to be sure. But that the chances of them having a spontaneous CSF leak are low if that scan is unremarkable. Dr Berkowitz: That's very helpful. Yeah. It's interesting; when you talked about the criteria for this condition - that it has an acute onset, which is a red flag, right, and it is persistent for months, which for a new headache would also be a red flag. So, this is a condition - correct me if I'm wrong – that, if you're considering it, there's no way that you're going to make this diagnosis without neuroimaging because there are two red flags, in a way, embedded in the criteria before we get to the other diagnoses being excluded. Is that right? So, this would only be a diagnosis made clinically but after neuroimaging is obtained, given that two red flags are part of the criteria – isn't that right? Dr Robbins That's absolutely right. So, I can't imagine there's anyone who has new daily persistent headache who hasn't had appropriate neuroimaging, and that typically should include an MRI, with and without contrast, unless there's some compelling reason to avoid that. There's some other workup that could be done that's not universal but - for example, in clinic-based studies of patients who have new daily persistent headache versus those who may have, say, chronic migraine or chronic tension-type headache, you may find more abnormalities. The biggest and more compelling example of that is hypothyroidism, which presumably would be somewhat subclinical if it hadn't been brought to someone's medical attention earlier. It doesn't mean that hypothyroidism is the cause of new daily persistent headache, but it could be some type of triggering or priming factor that leads to headache perpetuation in some patients. Sometimes, if that hasn't been done already, that would be a blood test I might think about sending. And, of course, the context of onset; if someone lived in a place where tick-borne illnesses are endemic, if there are other neurological symptoms, that might prompt looking for serological evidence of Lyme disease, as one example. Dr Berkowitz: We see a lot of headache. I'm a general neurologist; I know you're a headache specialist; we all see a lot of patients with headache. You and I both work closely with residents. Often, residents will come to present a headache patient to me and they'll say, “The patient seems to have a new daily persistent headache. They haven't been imaged yet. They have a completely normal exam. The history fits.” And I always ask them, “Okay, we have to get neuroimaging, right? There's at least one red flag of the chronicity, maybe the red flag of something beginning relatively abruptly. Even though you're looking at the patients - I'm pretty sure that imaging is going to be normal, but we've got to do it.” But I always encourage residents, “Try to predict - do you think the imaging is going to be normal (this is a rule out) or do you think you're going to see something (this is a rule in)? - just to sort of work on calibrating your clinical judgment.” I'd love to ask you - as a headache specialist, when you're looking at the patient and say, “I know I need to get neuroimaging here to fully make this diagnosis of exclusion,” or you've heard something that sounds like a red flag; you know you're obligated to image, but your clinical suspicion of finding anything more than something incidental is pretty low. How often are you surprised in practice in a sort of enriched tertiary headache population? Dr Robbins: That's a great way to frame such a presentation on how a resident would present to you the case and whether it's a rule in or rule out. I totally agree with your approach. I think much of it depends on the clinical story. I think if it was just a spontaneous onset of headache that kind of resembles migraine that just continued, then likely the MRI is being done to just be sure we're not missing anything else. However, if the headache started – really, say someone coughed vigorously or bent over and the headache started, and there was some clear change that you could perceive in - that was, say, the Valsalva or a transiently raised intracranial pressure, or some other maneuver; then you might really say, “Well, this really could be a spontaneous CSF leak,” for example. Even if the MRI of the brain, with and without contrast, is totally normal, I'm not really sure I'm convinced - that you might even take it further. For example, you might do an MRI of the total spine, with a CSF-leak-type protocol, to see if there's some sign of a spontaneous CSF leak or an extradural collection. So, I think in the cases where the preclinical suspicion is higher for a secondary headache, it might not stop at an MRI of the brain (with and without contrast) that's normal. Patients with spontaneous CSF leaks - about eighty percent of them have abnormal brain MRIs, but twenty percent don't. We found, from some observational studies, that a newer cause of intracranial hypotension, such as a CSF venous fistula in the spine, is more likely to present than other causes of CSF leak - with say, Valsalva-associated headache or cough-associated headache. That might prompt us to really take a workup more deeply into that territory, rather than someone where it really just sounds like chronic migraine that switched on. And maybe in those patients, when you dig around, they were carsick as a kid, or they were colicky babies, or they used to get stomachaches and missed school as a teenager here and there, and you think migraine biology is at play. Dr Berkowitz: So, if you're thinking of this diagnosis before you can make it, these patients are going to get an MRI, with and without contrast. And it sounds like the main things you're looking to make sure you're not missing are idiopathic intracranial hypertension or intracranial hypotension from some type of leak. Any other secondary headaches you worry about potentially missing in these patients or want to rule out with any particular testing? Dr Robbins: Yeah - I think sometimes we think of other vascular disorders, especially - when these patients come to medical attention, it's often a total change from what they're used to experiencing. They may present to the emergency room. So, it depends on the circumstance. You might need to rule out cerebral venous thrombosis. Or if there was a very abrupt onset or a relapsing nature of abrupt-onset headaches with sort of interictal persistent headache, we might think of other arteriopathies, such as reversible cerebral vasoconstriction syndrome. There's the more common things to rule out - or commonly identified conditions to rule out - like neoplasm and maybe a Chiari malformation in certain circumstances; those usually would declare themselves pretty easily and obviously on scan or even on clinical exam. Dr Berkowitz: Another question I'd love to ask you as a headache specialist, in your population - sometimes we see this type of new daily persistent headache presentation in older patients, and the teaching is always to rule out giant cell arteritis with an ESR and CRP, in the sense that older patients can present with just headache. Again, my clinical experience as a general neurologist - I wanted to ask you as a headache specialist – is, for the countless times I've done this (older patient has gotten their neuroimaging; we've gotten ESR and CRP), I've never made a diagnosis of giant cell arteritis based on a headache alone, without jaw claudication, scalp tenderness, visual symptoms or signs. Have you picked this up just based on a new headache, older person, ESR, CRP? I'm going to keep doing it either way, but just curious - your experience. Dr. Robbins: Yeah. We're taught in the textbooks (I'm sure we're taught by past Continuum issues and maybe even in this very issue) about that dictum that's classically in neurology teaching. But I agree - I've never really seen pure daily headache from onset, without any other accompaniments, to end up being giant cell arteritis. Then again, someone like that might walk in tomorrow, and the epidemiology of giant cell arteritis supports doing that in people over the age of fifty. But almost always, it's not the answer; I totally agree with you. Dr Berkowitz: Good to compare notes on that one. Okay - so let's say you're considering this diagnosis. You've gotten your neuroimaging, you've gotten (if the patient is over fifty) your ESR and CRP, and you ruled out any dangerous secondary causes here. You have a nice discussion in your article about the primary headache differential diagnosis here. So, now we're sort of really getting into pure clinical reasoning, right, where we're looking at descriptions (colleagues like yourself and your colleagues have come up with these descriptions in the International Classification of Headache Disorders). Here again, we're in a “biomarker-free zone,” right? We're really going on the history alone. What are some of the other primary headache disorders that would be management changing here, were you to make a diagnosis of a separate primary headache disorder, as compared to new daily persistent headache? Dr Robbins: I think the two main disorders really are chronic migraine and chronic tension-type headache. Now, what we're taught about chronic migraine and chronic tension-type headache is that they are disorders that begin in their episodic counterparts (episodic migraine, episodic tension-type headache) and then they evolve, over time, to reach or culminate in this daily and continuous headache pattern, typically in the presence of risk factors for that epidemiologic shift we know to exist but that may happen on the individual level, which does include things that we can't modify, like increasing age, women more than men, some social determinants of health (like low socioeconomic status), a head injury (even if it didn't cause a concussion or clear TBI), a stressful life event, medication overuse, having comorbid psychiatric or pain disorders in addition to the headache problem, having sleep apnea that's untreated, and so on. New daily persistent headache - by definition, it should really be kind of “switched on.” Many years ago, Dr Bill Young and Dr. Jerry Swanson wrote an editorial where they labeled new daily persistent headache as the “switched-on headache.” Then, we're taught in headache pathophysiology that this chronification process happens over time because of, perhaps, markers of central sensitization that might clinically express itself as allodynia in trigeminal or extratrigeminal distributions. So, we're not comfortable with this new daily persistent headache, where we think the biology is like chronic migraine that gets switched on abruptly, but in so many patients, it seems to be so - it behaves like chronic migraine otherwise; the comorbidities might be the same; the treatments might still work similarly for both disorders in parallel. So, I think those are the two that we think about. Obviously, if there's unilateral headache, we might think of a trigeminal autonomic cephalalgia that's continuous, even if it doesn't have associated autonomic signs like ptosis or rhinorrhea (which is hemicrania continua) - and in those patients, we would think about a trial of indomethacin. But otherwise, I think chronic migraine and chronic tension-type headache are the two that phenotypically can look like new daily persistent headache. In patients with new daily persistent headache, about half have migraine-type features and about half have tension-type features. When I was a fellow, the International Headache Society and the classification only allowed for those who have more tension-type features to be diagnosed as new daily persistent headache. But we (and many other groups) have found that migraine-type features are very common in people who fulfill rigorously the criteria for new daily persistent headache otherwise. And then the latest iteration of the classification has allowed for us to apply that diagnosis to those with migraine features. Dr Berkowitz: That's very helpful. So, we've ruled out secondary causes and now you're really trying to get into the nuances of the history to determine, did this truly have its abrupt onset or did it evolve from an episodic migraine or tension-type headache? But it could be described by the patient as migrainous, be described by the patient as having tension features The key characteristics (as you mentioned a few times) should be abrupt onset and a continuous nature. Let's say, now you (by history) zeroed in on this diagnosis of new daily persistent headache. You've ruled out potential secondary causes. You're pretty convinced, based on the history, that this is the appropriate primary headache designation. How do you treat these patients? Dr Robbins: Well, that's a great question, Dr Berkowitz, because there's this notoriety to the syndrome that suggests that patients just don't respond to treatments at all. In clinical practice, I can't dispute that to a degree. I think, in general, people who have this syndrome seem to not respond as well, to those who have clear established primary headache disorders. Part of that might be the biology of the disorder; maybe the disorder is turned on by mechanisms that are different to migraine (even though it resembles chronic migraine) and therefore, the medications we know to work for migraine may not be as effective. In some, it could be other factors. There's just a resistance to appreciating that you have this headache disorder that - one day you were normal, the next day you're afflicted by headache that's continuous. And there's almost this nihilism that, “Nothing will work for me, because it's not fair - there's this injustice that I have this continuous headache problem.” And often people with new daily persistent headache may be resistant to, say, behavioral therapies that often are really helpful for migraine or tension-type headache because of this sort of difficult with adjustment to it. But at least there's observational studies that suggest that most of the treatments that work for migraine work for new daily persistent headache. There's been studies that show that people can respond to triptans. In my clinical experience, CGRP antagonists that work for the acute treatment of migraine may work. There is evidence that many of the traditional, older medicines (like tricyclic antidepressants, topiramate, valproate, beta-blockers, probably candesartan) and others that we use for migraine may work. There's observational studies specifically for new daily persistent headache that show that anti-CGRP therapies in the form of monoclonal antibodies and botulinum toxin can work for the disorder. Are there anything specific for some of the new daily persistent headache that might work? Not that we really know. There's been some attempts to say, “Well, if you get these people in the hospital early and try to reduce the risk of headache persistence by giving them DHE, or dexamethasone, or lidocaine, or ketamine, will you reduce the chances of headache persistence at that three-month mark or longer?” We don't really know (there's some people who believe that, though). Maybe there's good reason to do some type of elective hospitalization for aggressive treatment because we know that, notoriously, the treatment response is very mixed. There's been specific treatments that people have looked at. There's been some anecdotes about doxycycline as a broad anti-inflammatory type of treatment that might be used in a variety of neurological disorders, but there's really nothing in the peer-reviewed literature that suggests that is effective or safe, necessarily. And I think a lot of people in new daily persistent headache do develop a profile that resembles chronic migraine (they can develop medication overuse very easily). Often, goal setting is really important in the counseling of such patients. You really have to suggest that the goal for them might be difficult to have them pain-free at zero and cured, but we want this to be treated so the peaks of severity flatten out a bit, and then the baseline level of pain diminishes so that it devolves into a much more episodic disorder over time that looks like regular migraine or regular tension-type headache. Dr Berkowitz: I see. So, in addition to starting a migraine-type prophylactic agent based on the patient's comorbidities and potential benefits of the medication (the same way we would choose a migraine prophylactic), do you do anything, typically, to try to, quote, “break the cycle” - a quick pulse of steroids as an outpatient or a triptan in the office - and see how they do, or do you typically start a prophylactic agent and go from there? Dr Robbins: I think, like all things, it kind of depends on the distress of the patient and how they are functioning. If it's someone who's just out of work, cannot function - and someone like that might be very amenable to an elective hospitalization or some parenteral therapy, or maybe an earlier threshold to use a preventative treatment than we would be doing otherwise in someone with migraine overall - I think that it really depends on that type of a disability that's apparent early. I think it's compelling that, with new daily persistent headache, about a third of people report some antecedent infection that was around at the time. When new daily persistent headache was first described by this Canadian neurologist, Dr Vanast, in the 1980s, it was described in the context of Epstein-Barr virus infection, or at least a higher rate of serologies that are positive for, perhaps, recent Epstein-Barr exposure. And we know that Epstein-Barr is obviously implicated in lots of neurological diseases, like multiple sclerosis. And I mean, I think about these things all the time, and especially with COVID now. So, it's compelling - as a postinfectious disorder, do we, as neurologists (who are so comfortable with using pulse-dose steroids, IVIG) - do we use these things for a new daily persistent headache? But there's no great evidence that enduring inflammation in the dura that would spill into CSF analyses is really present in such patients. There was one study that looked at markers, such as TNF-alpha, in the CSF, but the rates of seeing that were the same in new daily persistent headache and chronic migraine, so there isn't really a specificity to that. Many people we see with new persistent headaches since 2020 may have it as part of a long COVID syndrome (or postacute COVID syndrome), and in those cases, often it's more like “new daily persistent headache-plus.” They might have something that resembles POTS (postural orthostatic tachycardia syndrome); they might have something that resembles fibromyalgia, chronic fatigue. Often in those patients, it takes management of the whole collection of neurological syndromes to get them better, not just the headache alone. Dr Berkowitz: Well, this sounds like such a challenging condition to treat. How do you counsel patients when you've made this diagnosis - what to expect, what the goals are, what this condition is, and how you developed your certainty? It's often challenging (isn't it?) sometimes with patients with headache disorders, when we're not relying on an MRI or lab test to say, “This is the diagnosis”; telling them, it's just our opinion, based on their collection of symptoms and signs. So, how do you give the diagnosis and how do you counsel patients on what it means to them? Dr Robbins: Yeah, it's a great question because it's high stakes, because people will read online, or on social media, or on support groups that this is a dreadful condition - that no one gets better, that they're going to be afflicted with this forever, and the doctors don't know what they're doing, and, “Just don't bother seeing them.” And the truth is not that; there's so many people who can get substantially better. I tell people that it's common; in some epidemiologic studies, one in one thousand people in any given year develop new daily persistent headache, and most of those people get better (they don't seek medical care eventually, or they do, just in the beginning, and then they don't have follow-up because they got all better) - and I think that really happens. I think the people who we see in, say, a headache clinic (or even in general neurology practice) are typically the ones who are the worst of the worst. But even amongst those, we see so many stories of people who get better. So, I really try to reset expectations - like we mentioned before about assessing for treatment response and understanding that improvement will not just mean one day it switches off like it switched on (which seems unfair), but that the spikes will flatten out of pain (first), that the baseline level of intensity will then improve (second); that we turn it into a more manageable day-to-day disorder that really will have less of an impact on someone's quality of life. Sometimes people embrace that and sometimes people have a hard time. But it does require, like many conditions in neurology, incremental care to get people better. Dr Berkowitz: Fantastic. Well, Dr Robbins, thanks so much for taking the time to speak with us today. I've learned so much from your expertise in talking to you and getting to pick your brain about this and some broader concepts and challenges in headache medicine. And I encourage all our listeners to seek out your article on this condition that has even more clinical pearls on how to diagnose and treat patients with this disorder. Dr Robbins: Thanks Dr. Berkowitz - great to be with you. Dr Berkowitz: Again, for our listeners today, I've been interviewing Dr Matthew Robbins, whose article on new daily persistent headache appears in the most recent issue of Continuum, on headache. Be sure to check out other Continuum Audio episodes from this and other issues. And thank you to our listeners for joining today. Dr. Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practice. Right now, during our Spring Special, all subscriptions are 15% off. Go to Continpub.com/Spring2024 or use the link in the episode notes to learn more and take advantage of this great discount. This offer ends June 30, 2024. AAN members: go to the link in the episode notes and complete the evaluation to get CME. Thank you for listening to Continuum Audio.
Si nene, per here te dyte! Duke te uruar shendet, jete e gjithe bekimet e Zotit! Dhe ulje ritmi pune, […] The post Ep 249- Klubi Elite i Suksesit_ Aurela! appeared first on EMI - Coaching and Consulting.
Nje kapitull nga libri audio “Planifiko M'eliden”: Si te krijojme te ardhura nga nje pune pasdite? Dhe nje ushtrim konkret […] The post Ep 246 – Si të fillojmë punën e dytë! Nga AudioBook i librit Planifiko MElidën, read by Elida appeared first on EMI - Coaching and Consulting.
Gabriela gjeti takimin e rradhes per te çmendur peshkaqenin e Vlores. Dhe nuk mungoi reagimi i tij prej Bajlozi. Kete here Gabri shkoi te laje nje makine ne lavazh dhe nuk munguan ngacmimet dhe tensioni seksual me djalin nga italia. Ti vetem degjo dhe na perkrahe ne Patreon sepse cdo leke i mbledhur shkon per femijet e bardhe ne afrike. jo per te zinjte por per te bardhet sepse per ta nuk mendon njeri kurse te zinjve u dergojne ndihma perhere
Ann Bracken has published three poetry collections, The Altar of Innocence, No Barking in the Hallways: Poems from the Classroom, Once You're Inside: Poetry Exploring Incarceration, and a memoir entitled Crash: A Memoir of Overmedication and Recovery (Charing Cross Press, 2022). She serves as a contributing editor for Little Patuxent Review and co-facilitates the Wilde Readings Poetry Series in Columbia, Maryland, and she's a frequent contributor to Mad in America's family section. She volunteers as a correspondent for the Justice Arts Coalition, exchanging letters with incarcerated people to foster their use of the arts. Her poetry, essays, and interviews have appeared in numerous anthologies and journals, her work has been featured on Best American Poetry, and she's been a guest on Grace Cavalieri's The Poet and The Poem radio show. Her advocacy work promotes using the arts to foster paradigm change in the areas of emotional wellness, education, and prison abolition. This interview focuses on Once You're Inside as well as Crash: A Memoir of Overmedication and Recovery. Crash is the story of Helen Dempsey and her daughter Ann who both fall victim to the same regimen of overmedication at the hands of the mental health system. Helen struggles with intractable depression and initially turns to self-medication with alcohol, but finds herself unable to recover despite numerous drugs, hospitalizations, and electroconvulsive therapy. Ann vows to build a different life for herself, but eventually descends into the pain of a mysterious migraine and intractable darkness lasting for many years. She was severely overmedicated with opioids and psychiatric drugs and then Methadone, DHE-45 injections, Migrant nasal spray (for headaches) and injecribele Demerol (for really bad days) once she was off opiates. To keep her out of depression (maintenance), she was prescribed Wellbutrin, Elavil, Topamax, and Valium; Ann crashes her car twice. It took her 4 months of energy healing to discontinue the pain meds and two years later, about a year to get off of psych drugs. Because traditional medical treatments have failed her, she challenges her doctors' advice and discovers ways to heal the source of her physical and emotional pain without drugs. The question of why her mother never got well continues to haunt her long after her mother's death until she finds the missing puzzle pieces she'd searched for all her life stashed in a dusty box in her sister's attic. You can find more about Ann as well as her books and other writings here. You can learn more about Megan Wildhood at meganwildhood.com. Learn more about your ad choices. Visit podcastchoices.com/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network
Ann Bracken has published three poetry collections, The Altar of Innocence, No Barking in the Hallways: Poems from the Classroom, Once You're Inside: Poetry Exploring Incarceration, and a memoir entitled Crash: A Memoir of Overmedication and Recovery (Charing Cross Press, 2022). She serves as a contributing editor for Little Patuxent Review and co-facilitates the Wilde Readings Poetry Series in Columbia, Maryland, and she's a frequent contributor to Mad in America's family section. She volunteers as a correspondent for the Justice Arts Coalition, exchanging letters with incarcerated people to foster their use of the arts. Her poetry, essays, and interviews have appeared in numerous anthologies and journals, her work has been featured on Best American Poetry, and she's been a guest on Grace Cavalieri's The Poet and The Poem radio show. Her advocacy work promotes using the arts to foster paradigm change in the areas of emotional wellness, education, and prison abolition. This interview focuses on Once You're Inside as well as Crash: A Memoir of Overmedication and Recovery. Crash is the story of Helen Dempsey and her daughter Ann who both fall victim to the same regimen of overmedication at the hands of the mental health system. Helen struggles with intractable depression and initially turns to self-medication with alcohol, but finds herself unable to recover despite numerous drugs, hospitalizations, and electroconvulsive therapy. Ann vows to build a different life for herself, but eventually descends into the pain of a mysterious migraine and intractable darkness lasting for many years. She was severely overmedicated with opioids and psychiatric drugs and then Methadone, DHE-45 injections, Migrant nasal spray (for headaches) and injecribele Demerol (for really bad days) once she was off opiates. To keep her out of depression (maintenance), she was prescribed Wellbutrin, Elavil, Topamax, and Valium; Ann crashes her car twice. It took her 4 months of energy healing to discontinue the pain meds and two years later, about a year to get off of psych drugs. Because traditional medical treatments have failed her, she challenges her doctors' advice and discovers ways to heal the source of her physical and emotional pain without drugs. The question of why her mother never got well continues to haunt her long after her mother's death until she finds the missing puzzle pieces she'd searched for all her life stashed in a dusty box in her sister's attic. You can find more about Ann as well as her books and other writings here. You can learn more about Megan Wildhood at meganwildhood.com. Learn more about your ad choices. Visit podcastchoices.com/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine
Ann Bracken has published three poetry collections, The Altar of Innocence, No Barking in the Hallways: Poems from the Classroom, Once You're Inside: Poetry Exploring Incarceration, and a memoir entitled Crash: A Memoir of Overmedication and Recovery (Charing Cross Press, 2022). She serves as a contributing editor for Little Patuxent Review and co-facilitates the Wilde Readings Poetry Series in Columbia, Maryland, and she's a frequent contributor to Mad in America's family section. She volunteers as a correspondent for the Justice Arts Coalition, exchanging letters with incarcerated people to foster their use of the arts. Her poetry, essays, and interviews have appeared in numerous anthologies and journals, her work has been featured on Best American Poetry, and she's been a guest on Grace Cavalieri's The Poet and The Poem radio show. Her advocacy work promotes using the arts to foster paradigm change in the areas of emotional wellness, education, and prison abolition. This interview focuses on Once You're Inside as well as Crash: A Memoir of Overmedication and Recovery. Crash is the story of Helen Dempsey and her daughter Ann who both fall victim to the same regimen of overmedication at the hands of the mental health system. Helen struggles with intractable depression and initially turns to self-medication with alcohol, but finds herself unable to recover despite numerous drugs, hospitalizations, and electroconvulsive therapy. Ann vows to build a different life for herself, but eventually descends into the pain of a mysterious migraine and intractable darkness lasting for many years. She was severely overmedicated with opioids and psychiatric drugs and then Methadone, DHE-45 injections, Migrant nasal spray (for headaches) and injecribele Demerol (for really bad days) once she was off opiates. To keep her out of depression (maintenance), she was prescribed Wellbutrin, Elavil, Topamax, and Valium; Ann crashes her car twice. It took her 4 months of energy healing to discontinue the pain meds and two years later, about a year to get off of psych drugs. Because traditional medical treatments have failed her, she challenges her doctors' advice and discovers ways to heal the source of her physical and emotional pain without drugs. The question of why her mother never got well continues to haunt her long after her mother's death until she finds the missing puzzle pieces she'd searched for all her life stashed in a dusty box in her sister's attic. You can find more about Ann as well as her books and other writings here. You can learn more about Megan Wildhood at meganwildhood.com. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/poetry
Ann Bracken has published three poetry collections, The Altar of Innocence, No Barking in the Hallways: Poems from the Classroom, Once You're Inside: Poetry Exploring Incarceration, and a memoir entitled Crash: A Memoir of Overmedication and Recovery (Charing Cross Press, 2022). She serves as a contributing editor for Little Patuxent Review and co-facilitates the Wilde Readings Poetry Series in Columbia, Maryland, and she's a frequent contributor to Mad in America's family section. She volunteers as a correspondent for the Justice Arts Coalition, exchanging letters with incarcerated people to foster their use of the arts. Her poetry, essays, and interviews have appeared in numerous anthologies and journals, her work has been featured on Best American Poetry, and she's been a guest on Grace Cavalieri's The Poet and The Poem radio show. Her advocacy work promotes using the arts to foster paradigm change in the areas of emotional wellness, education, and prison abolition. This interview focuses on Once You're Inside as well as Crash: A Memoir of Overmedication and Recovery. Crash is the story of Helen Dempsey and her daughter Ann who both fall victim to the same regimen of overmedication at the hands of the mental health system. Helen struggles with intractable depression and initially turns to self-medication with alcohol, but finds herself unable to recover despite numerous drugs, hospitalizations, and electroconvulsive therapy. Ann vows to build a different life for herself, but eventually descends into the pain of a mysterious migraine and intractable darkness lasting for many years. She was severely overmedicated with opioids and psychiatric drugs and then Methadone, DHE-45 injections, Migrant nasal spray (for headaches) and injecribele Demerol (for really bad days) once she was off opiates. To keep her out of depression (maintenance), she was prescribed Wellbutrin, Elavil, Topamax, and Valium; Ann crashes her car twice. It took her 4 months of energy healing to discontinue the pain meds and two years later, about a year to get off of psych drugs. Because traditional medical treatments have failed her, she challenges her doctors' advice and discovers ways to heal the source of her physical and emotional pain without drugs. The question of why her mother never got well continues to haunt her long after her mother's death until she finds the missing puzzle pieces she'd searched for all her life stashed in a dusty box in her sister's attic. You can find more about Ann as well as her books and other writings here. You can learn more about Megan Wildhood at meganwildhood.com. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery
Dhe, sa shume e demtojme jeten dhe karrieren. Dhe, si mund t'a shbejme kete ves. Dhe, si te dallojme vete-viktimat […] The post Ep 225 Kur na vjen keq per veten… appeared first on EMI - Coaching and Consulting.
Djali qe na u bashkangjit kete here vinte nga nje qytet paqesor me njerez te bute. Nuk e urrente Korçen por le te themi qe sikur i hante buken Korça. Djali kishte nje muhabet shume te embel dhe cdo gje shkoi si uji poshte urës. Dhe ju e dini ca behet poshte urës... nejseTi vetem degjo podcastin dhe nese mundesh na mbeshtet ne Patreon ku do kesh akses te pa limituar te podcastit më qmnp
Ky podcast u hap me nje burre te vjeter dhe te mençur(bie llafi se shume plak bazik eshte) dhe ky plak flet per nderin. Dhe pervec se u morrem me kete video patjeter qe do shfrytezonim rastin per te diskutuar me gjerë per nderin si koncept dhe si konstrukt shoqeror ne zhvillim te vazhdueshem. Dicka Ndryshe Podcast na solli nje sugjerim hipotetik per te trajtuar te burgosurit dhe per ne ishte gjeniale. Mos harroni ti hodhni nje sy podcastit te tyre interesant. Ti vetem degjo podcastin dhe abonohu ne Patreon sepse aty na ndihmon vertet. Plus qe me keto para qe do mblidhen do shkojme ne afrike dhe do u qendrojme prane femijeve te vegjel zezak ne afrike. Jo se do i ndihmojme. Thjesht do u qendrojme afer. Do pime ndonje kafe aty afer...
Nje tradheti e zbuluar prej vitesh. Nje grua paqejf.Nje burre qe kerkon te jetoje me dashurine e jetes por gruaja nuk e lejon!Nje histori qe nuk ben sens edhe pasi ke pire nje bar te keq. Shume te keq.Nje kucke me kokoshka qe mbaron per intriga.Dhe ne fund ajo... Shkenda... Shkenda une fenda. Emisioni me i cuditshem i momentit.Ju vetem degjoni!Na mbeshtesni ne Patreon sepse seshte kurre vone per te qene i lumtur
Ka qene nje djale qe sa here postonim nje podcast ne youtube ky nuk linte pa bere nje koment duke share me kuç e me maç. Dhe ne nje moment Profeti pyeti Luciferin se si do merreshin me kete djalin sepse nuk kishte lene gjr pa thene. Luciferi sugjeroi te pasugjerueshmen. " Profet, ftoje ne podcast" dhe si per cudine tone ai pranoi... pjesa tjeter eshte histori...Ti vetem degjo podcastin dhe abonohu nese mundesh ne patron sepse kemi nevoje per mbeshtetjen tende
4. Piryangu Kali Kaasyaamam – Roope'naa Prathimam Budham Sowmyam Sowmya Gunopetham – Tham Bhudham Pranamaam Yaham Gaja Dhwajaya Vidhmahe' – Suka Hasthaaya Dheemahi Thanno Bhuda Pracho Dhayaath – [ Mercury – Bhuthan] 5. Dhe'vaanaancha Risheenaancha – Gurum Kaanchan Sannibham Bhudhdhi Bhootham Thrilokesam – Thannamaami Bhruhaspathim Vrusha Dhwajaaya Vidhmahe' – Gruni Hasthaaya Dheemahi Thanno Guru Pracho Dhayaath – [Jupitar – Guru] 6. Hima Kundha M'runaalaabam – Dhaithyaanam Paramam Gurum Sarva Saasthra Pravruththaaram – Bhaargavam Pranamaam Yaham Aswa Dhwajaaya Vidhmahe' – Dhanur Hasthaaya Dheemahi Thanno Sukra Pracho Dhayaath – [ Venus – Sukran] 7. Neelaanchana Samaabaasam – Raviputhram Yamaagrajam Chaayaa Maarthaanda Sambhootham – Thannamaami Sanaicharam Kaaka Dhwajaaya Vidhmahe' – Kadga Hasthaaya Dheemahi Thanno Mandha Pracho Dhayaath – [ Saturn – Sani] 8. Ardha Kaayam Mahaaveeryam – Chandhraadhithya Vimardhanam Simhikaagarba Sambhootham – Tham Raahum Prnamaamyaham Naka Dhwajaaya Vidhmahe' – Padhma Hasthaaya Dheemahi Thanno Rahu Pracho Dhayaath – [ Rahu ] 9. Palaasa Pushpa Sankaasam – Thaarakagraha Masthakam Rowdhram Rowdhraathmakam Go'ram – Tham Kethum PranamaamYaham . Aswa Dhwajaaya Vidhmahe' – Soola Hasthaaya Dheemahi Thanno Kethu Pracho Dhayaath – [ Kethu ] Text of the mantras at https://ramanisblog.in/2014/05/12/navagraghas-in-one-prayergayatri-mantras/ --- Send in a voice message: https://podcasters.spotify.com/pod/show/ramanispodcast/message
Beginning at a young age, Brenden felt compelled to become an accountant in order to relieve his parents of their financial burden. Now he's the founder of MasterTalk where Brenden refers to himself as "a public speaker, communicator and facilitator." Brenden is the first in his family's lineage to complete higher education. My guest currently lives in Montreal Canada where he purchased a home for he and his mother in order to eliminate two mortgages. Culturally, as the first born, he had inherent responsibilities, including being very protective of his mother. Unfortunately his father, who passed away in 2019, was affected by alcoholism and made things challenging around the home. Both parents worked hard as factory workers, but just couldn't make ends meet. Brenden, who says, he was always good with numbers, studied accounting and got great jobs out of college and was eventually able to pay off all outstanding debt.Brenden admires and loves his mother tremendously. He says, "my mother has a very different life now than what she struggled through in the last ten years. Culturally, "you don't just walk away from your partner or family member who is struggling. You continue to support them and provide for them. My #1 priority was making sure everyone was safe," says Brenden.Sri Lanka, is an island country located in South-Central Asia, and Brenden shares stories of both his parents who grew up in Sri Lanka. His mother is the youngest of a large family and she loved to tend to the family garden. She married at 30 years old and immigrated to Canada. His mother taught her son many wonderful life lessons including his story that he shares about the $10 bill he found on the ground. Vijee hoped that her son understood that " even if we don't have a lot, we have a lot more than other people do and always be generous and lead with that generosity."After years of studying to be an accountant, then technology consultant, he was able to shift into doing what he really loved. He felt all of his steps in life where important. "That first step was absolutely necessary to get to the person I am today." Kumarasamy continues, " I got out of survival mode later in life and started to focus on the bigger picture of what I could do to serve the world"Brenden's Youtube channel is full of wonderful videos with professional advice for improving ones public speaking skills. He is self taught and wants everyone to understand that it wasn't easy in the beginning. He practiced hundreds of times before he felt he was ready. He was very fearful of launching that first Youtube video. He talks about trying to reach out and help many with public speaking skills and says "that when you care about others and only want to add value, you'll be able to overcome any fear/obstacle in the service of others." MASTERTALK: https://www.mastertalk.ca/YOUTUBE MASTER CHANNEL-"MASTERTALK"-https://www.youtube.com/@MasterTalksROCKSTAR COMMUNICATOR WEBSITE: https://www.rockstarcommunicator.com/?r_done=1LINKEDIN: https://www.linkedin.com/search/results/all/?fetchDeterministicClustersOnly=false&heroEntityKey=urn%3Ali%3Afsd_profile%3AACoAABrmbRABNB9-E_3DuEEVBO0EIaIuSnmoIH8&keywords=brenden%20%F0%9F%8E%A4%20kumarasamy&origin=RICH_QUERY_SUGGESTION&position=0&searchId=a6724d6a-158d-4b1a-a818-839e6be2c6da&sid=DHE
Dhe siç e do tradita e Podcastit tonë, “Big Brother Vip 2 “ është tema e rradhës, vajzat japin mendimet dhe opinionet e tyre në lidhje me disa banorë, dhe si për çudi Ermi dhe Alesia për herë të parë kanë preferenca dhe ide të përbashkëta.
E filluam podcastin me intervisten e nje prifti shume te zgjuar qe flet per forcat e erreta demoniake qe sundojne vdekjen. Dhe meqe jemi te feja krishtere Luçiferi na tregoi nje histori sa interesante dhe intriguese po aq edhe te merzitshme nga vatikani.Ti vetem degjo podcastin dhe na mbeshtet duke e shperndare pordcastin verdalle. Abonohu ne Patreon per me teper podcaste te padegjuara.
Dawn welcomes back the founder of IDEA Seminars, Master NLP and DHE trainer and expert at helping people transform their lives, Rex Steven Sikes. Together they discuss the infinitesimal power of the brain and how you can transform yourself and your life to create winning momentum. KEY TAKEAWAYS Winners win. The more you win with the small things, the more momentum you will build and you will create life, the more a habit of winning. You can transform yourself easily and when hardships come up, you're better equipped to handle them. There is always a way out of the turmoil, there is a way to change your life but it begins with tiny steps. Success is tied to your self-belief and everything that's ever happened to you in your life, every experience you've ever had, every feeling you've ever had, good or bad or whatever constitutes a resource. So you are infinitely resourceful. We can't even begin to understand the number of neural connections we can make in the brain. The connections our brain has to wire and rewire are infinitesimal. It's beyond anything we could imagine. BEST MOMENTS “A lot of people who go bankrupt understand that there's really nothing to fear about bankruptcy.” “Bankruptcy isn't pleasant but it, but I survived it.” “Tiny steps, in the long run, will end up becoming a great solution, relief and opportunity.” “Our bodies have a myriad of processes that are going on sequentially and simultaneously.” “The conscious mind is just a tiny sliver of everything that we are.” CONTACT METHODhttps://www.instagram.com/theawakeningwithdawndawn@theawakeningwithdawn.com ABOUT THE HOSTDawn Rishárd, M.A. with 20 years as a Licensed Professional Counselor, Marriage and Family Systems, I empower people to release the past, open their hearts, and receive the love they desire. I have a soft spot to help women struggling in their marriages as I did. As an Intuitive Healer, I help unlock Self Love, Clarity, and Connection, despite the challenges. I am an expert at restoring people's intimacy in life and love. ABOUT THE GUESTRex Steven Sikes transformed his life after a skydiving accident nearly robbed him of it. He now has over four decades of experience helping thousands of people transform their minds and lives. His innovations include Mind Design™ The Attitude Activator™ and Directed Questions™. He's a Master Trainer of NLP & DHE, A Master Hypnotherapist and Master Hypnotist, an Educator in Whole Brain and Accelerated Learning, the Law of Attraction and is the founder of IDEA Seminars. Rex is a professional speaker, coach, business consultant, educator and author. He writes a blog Daily Inspiration And Gratitude. Plus, he's an actor, filmmaker and consultant to the entertainment industry. CONTACT METHODhttps://www.rexsikes.com/See omnystudio.com/listener for privacy information.
Personazhi i ketij podcasti ishte Mortja. Po po Mortja. Kishim kohe qe kerkonim dike te na tregonte eksperiencen tek sheruesit popullor apo lexuesit e fatit ne Shqiperi. Dhe ketu do gjeni pikerisht kete. Nje permbledhje historish interesante qe pervec se do u habisin, do ju bejne te beni çiçin ne breke. Vendos kufjet dhe fokusohu.Ti vetem degjo podcastin dhe shperndaje tek dikush qe ka nevoje ta degjoje. Nese mundesh na mbeshtet ne Patreon
Liria e shtypit dhe një peizazh i larmishëm mediatik janë shenja të rëndësishme të demokracive të shëndosha – ku qytetarët dhe gazetarët kanë fuqinë të shprehen, të gjejnë dhe të publikojnë informacione dhe lajme pa frikën e ndërhyrjeve ose hakmarrjeve nga qeveria në pushtet. Megjithëse liria e shtypit nuk garantohet me Kushtetutë, Australia renditet në 40 vendet e para në Indeksin Botëror të Lirisë së Shtypit. Pra, cili është roli i medias në një demokraci? Si ndryshojnë mediat komerciale nga transmetuesit e financuar publikisht në Australi? Dhe çfarë i dallon ato nga mediat e sponsorizuara nga shteti të vendeve të tjera?
Dawn is joined by the founder IDEA Seminars, Master NLP and DHE trainer and expert at helping people transform their lives, Rex Steven Sikes. Together they discuss Rex's journey to his true purpose, the power of acting and self-expression and explore how Neuroscience is validating ancient chakra beliefs. KEY TAKEAWAYS Acting is truly a beautiful way to learn self-expression and to overcome the sorts of limitations we put on ourselves by actually practicing and rehearsing them. Practice spiritual, emotional, mental, financial, and transformational principles. If you practice them, you can get good at them, refine them and take control of your life. Aim to recondition yourself in a positive way and you will experience all sorts of wonderful joy and possibilities that would have otherwise passed you by. Life is like a buffet, instead of avoiding experiences, go and try them. It's all part of the reconditioning process. Learn to meditate, learn to bring back gratitude and expressiveness and enthusiasm and exuberance to all that you do. Neuroscience today is validating what the ancient chakras knew decades ago. Everything goes through the heart, it goes up, down or passes through, and in order to embrace the fullness of your being, your heart and head have to be in alignment. BEST MOMENTS “I've encouraged everybody from all walks of life to take acting lessons because it is an opportunity to explore who you are and what you can bring to the table.” “You can't dip and dabble, you have to dive in.” “When your head and your heart are aligned and you're dedicated to a mission or a purpose, then everything starts working in order. Then you can use your power.”CONTACT METHODhttps://www.instagram.com/theawakeningwithdawndawn@theawakeningwithdawn.comABOUT THE HOSTDawn Rishárd, M.A. With 20 years as a Licensed Professional Counselor, Marriage and Family Systems, I empower people to release the past, open their hearts, and receive the love they desire. I have a soft spot to help women struggling in their marriages as I did. As an Intuitive Healer, I help unlock Self Love, Clarity, and Connection, despite the challenges. I am an expert at restoring people's intimacy in life and love.ABOUT THE GUESTRex Steven Sikes transformed his life after a skydiving accident nearly robbed him of it. He now has over four decades experience helping thousands of people transform their minds and lives. His innovations include Mind Design™, The Attitude Activator™ and Directed Questions™. He's a Master Trainer of NLP & DHE, A Master Hypnotherapist and Master Hypnotist, Educator in Whole Brain and Accelerated Learning, the Law of Attraction and is founder of IDEA Seminars. Rex is a professional speaker, coach, business consultant, educator and author. He writes a blog Daily Inspiration And Gratitude. Plus, he's an actor, filmmaker and consultant to the entertainment industry. CONTACT METHODhttps://www.rexsikes.com/https://www.rexsikes.com/contactSee omnystudio.com/listener for privacy information.
Kur ishit te vegjel a keni menduar edhe ju qe cdo shtet ne bote i ka stinët e ndara nga 3 muaj? Improvizuam nje skenar emigrimi per te kaluar kufirin me greqine dhe debatet qe ndodhin gjate ketij procesi te lodhshem. Gjithashtu shpalosem dhe shqyrtuam ekzagjerimet e emigranteve dhe sfiduam sa larg shkon fantazia.Ti vetem degjo podcastin dhe shperndaje tek dikush qe ka nevoje ta degjoje. Dhe nese te pelqejme vertet shume te lutem abonohu ne Patreon
Ky podcast filloi me 2 mesazhe te hoxhes te perkedhelur shume nga ne. Me vone folem per nje eksperiment imagjinar te bere ne librin "conscious explained" nga Daniel Dennet. Dhe ne fund folem per te pavdekshmen qe vdiq, Lizën e Windsor. Folem per disa konspiraci qe e rrethojne. A kishte gisht ne vdekjen e Lady Diana? A eshte jashtokesore? Ne nje dokumentar madje flitet qe kjo linje gjaku ne mbreteri eshte ilegjitime. Degjo podcastin per te marre vesh pse dhe a ka rendesi kjo sot. Do gjesh dhe argumenta banal nga hostet e podcastit por qe kjo eshte e pa shmangshme.Ti vetem degjo podcastin dhe abonohu ne Patreon sepse aty na ndihmon vertet.
Numri rasteve me Limfomën e kancerit të gjakut është në rritje. Dhe për këtë arsye ka rëndësi që t'i njohim simptomat e kësaj sëmundjeje. - Numri rasteve me Limfomën e kancerit të gjakut është në rritje. Dhe për këtë arsye ka rëndësi që t'i njohim simptomat e kësaj sëmundjeje.
Numri rasteve me Limfomën e kancerit të gjakut është në rritje. Dhe për këtë arsye ka rëndësi që t'i njohim simptomat e kësaj sëmundjeje.
As health systems continue to evolve their online patient experience efforts, more and more are focusing on developing a “digital healthcare ecosystem.” In this episode, hosts Chris Boyer and Reed Smith discuss the concept of the Digital Healthcare Ecosystem (DHE), how it's defined, how it differs from a Digital Front Door and the benefits that health systems can gain when launching this type of platform. They are joined by Mitch Holdwick of DeliverHealth who shares his perspective on developing an DHE strategy and how he views orchestration as key to the success of this strategy. Mentions from the Show: What Is Digital Healthcare Ecosystem? The power of digital health care ecosystems Mitch Holdwick on LinkedIn Mitch Holdwick on Twitter DeliverHealth.com Touchpoint podcast Twitter Reed Smith Twitter Chris Boyer Twitter Chris Boyer website Learn more about your ad choices. Visit megaphone.fm/adchoices
Brad is solo this month and digging into his favorite topic...infectious disease! There is a report of possible 'herd safety' for COVID-19, a debate on the transmission route for monkeypox (is it sexually transmitted or just transmitted during sex and why that matters), plus a few interesting tidbits regarding hemorrhagic fevers Ebola and Marburg virus. Also, the show is now available on the https://newsly.me (Newsly App)! Newsly curates articles and podcasts on topics of your choosing and get this, reads those articles to you, making the whole web listenable for the first time. Download and use Newsly for free or use the promo code TwoBrad to try out the premium version free for 1-month. Sources for this episode: https://www.medpagetoday.com/infectiousdisease/covid19vaccine/100351?xid=nl_mpt_DHE_2022-08-23&eun=g1889636d0r&utm_source=Sailthru&utm_medium=email&utm_campaign=Daily%20Headlines%20Evening%202022-08-23&utm_term=NL_Daily_DHE_dual-gmail-definition (Are we approaching 'herd safety' with COVID-19?) - MedPage Today https://www.nytimes.com/2022/08/04/opinion/monkeypox-communication.html (We can fight monkeypox without homophobia or hysteria) - NY Times https://www.nbcnews.com/nbc-out/out-health-and-wellness/sex-men-not-skin-contact-fueling-monkeypox-new-research-suggests-rcna43484 (Sex between men, not skin contact, is fueling monkeypox, new research suggests) - NBC News https://www.medpagetoday.com/opinion/second-opinions/100349?xid=nl_mpt_DHE_2022-08-23&eun=g1889636d0r&utm_source=Sailthru&utm_medium=email&utm_campaign=Daily%20Headlines%20Evening%202022-08-23&utm_term=NL_Daily_DHE_dual-gmail-definition (The classification of monkeypox should include its STI status) - MedPage Today https://isid.org/surveillance/ (Infectious disease alerts and reports) - International Society of Infectious Diseases Music by https://www.instagram.com/walkeymusic/ (Matt Walkey) and http://freakmotif.meterroom.ca/ (Freak Motif)
My guest on this episode is Dr. Krishna Jafa. She is a physician and public health executive who has over two and half decades of expertise in health system design and strengthening and in digital health innovation. She is the CEO of an organization known as Medic. Medic designs open-source software that enables frontline health workers to provide quality care in some of the world's hardest-to-reach communities. Today we'll be speaking about a very specific initiative that is being implemented by Medic -- the Digital Health Ecosystem project. As you will be hearing from Dr. Jafa, the goal of this project is to accelerate digital health entrepreneurship in LMICs. The project is being implemented in partnership with PATH and is funded by the Bayer Foundation. This is such an exciting initiative that I really believe will catalyze digital health innovation across the African continent. So, if you are a digital health entrepreneur or innovator, then this episode will be very much of interest. You can learn more about the DHE project by visiting: https://www.path.org/media-center/catalytic-funding-bayer-foundation-accelerate-digital-health-entrepreneurship-lmics/ If you have any thoughts on this episode, or recommendations of African health innovators that you'd like me to host on the show, please reach out to me directly on Twitter @DrSam_Oti, email: sam.oti@alumni.harvard.edu or via LinkedIn https://www.linkedin.com/in/samuel-oji-oti. Please note that The MedxTek Africa Podcast is distinct from Dr. Oti's role as a Senior Program Specialist at Canada's International Development Research Centre. The information provided in this podcast is not medical advice, nor should it be construed or applied as a replacement for medical advice. The MedxTek Africa Podcast, its production team, guests and partners assume no liability for the application of the podcast's content.
Do you suffer from caregiver burnout? Caretakers of all kinds frequently exhaust themselves in the service of others. Today's special guest, Dr. Holly Oxhandler teaches helpers a seven-step process to slow down and reconnect with the stillness within themselves--the stillness that Dr. Oxhandler calls the "Sacred Spark" which is the seat of the soul. By allowing themselves to exist in that stillness for a time, caregivers will come to understand that they, too, are worthy of care Dr. Holly's book The Soul of the Helper: Seven Stages to Seeing the Sacred Within Yourself So You Can See It In Others is for caretakers of all kinds who frequently exhaust themselves in the service of others. The book gives them permission to stop, reconnect with the stillness in their souls, and renew their capacity to help others by helping themselves. After the challenges of the past two years, Holly's message is one we urgently need to hear today. Holly K. Oxhandler, Ph.D, LMSW is an associate professor and associate dean for research and faculty development at Baylor University's Diana R. Garland Schollo of Social Work where she focuses on the intersection of spirituality and health. Dhe has writte extensively for top professional journals within social work and psychology, and her research has been featured in several publications. She also co-hosts the weekly podcast CXMH: A Podcast on Faith and Mental Health.
Hi folks, Ciamar a tha sibh? I'm back with yet more great Scottish trad music! Loads of great new releases for you to listen and swing your hips to! If you have any questions about Scottish music send me an email! Tiernan Courell Reels - The Steeplechase / The Eel In The Sink / Hasbullas Big Day Out! https://tiernancourellmusic.bandcamp.com/track/reels-the-steeplechase-the-eel-in-the-sink-hasbullas-big-day-out To Have You Near by Hannah Rarity Track - Home https://hannahrarity.bandcamp.com Relentless by Kyle Warren Track - Eat Sleep Pipe Retreat https://www.greentrax.com/music/product/kyle-warren-relentless Aisling by Eabhal Track - Mhòrag https://www.eabhal.com Gneiss by Iain Fraser Track - Thing A-Steach (Come in) https://feisrois.bandcamp.com/album/gneiss Hard Times by Adam Holmes https://adamholmes1.bandcamp.com Beatha by Tina Jordan Rees Track - The Squirrel Returns / KPC https://tinajordanrees.bandcamp.com A' Ghrian by Niteworks Thèid mi lem Dheòin feat. Alasdair Whyte https://niteworksband.bandcamp.com Homelands by Roo and Neil Track - Mountains https://rooandneil.bandcamp.com/releases It Is What It Is by Findlay Napier Track - Last to leave https://findlaynapier.bandcamp.com
Në kushte të caktuara ideologjike dhe në regjime të caktuara politike, e keqja ose e liga bëhet normale, e mirëqenë, e rëndomtë ose banale. Dhe pikërisht kjo është e frikshme: se edhe njerëzit më normalë mund të bëjnë krime në rrethana të caktuara dhe në sisteme të caktuara politike. Është kjo një tezë e propozuar në librin e teoricienes së politikës Hannah Arendt, në librin e saj “Banaliteti i së keqes, Ajhmani në Jeruzalem” të botuar në shqip në Tiranë në vitin 2021 me përkthim të Agim Doksanit. Për të biseduar rreth këtij libri, na bashkohet Bleona Kurteshi, studente e masterit në sociologji në Universitetin e Prishtinës. Moderator: Gëzim Selaci Mysafire: Bleona Kurteshi Linku në Sbunker.
After a skydiving accident nearly robbed Rex Steven Sikes of his life and caused him to spiral down in negativity for a couple years, Rex locked himself in his apartment for 6 weeks to sort things through and develop the confidence to face the world again living happily and successfully again. During those weeks of deep introspection and meditation Sikes discovered the keys for transformation which he has shared around the world ever since. He discusses this in his book, Life On Your Terms: Live The Life You Want.Sikes has four decades experience helping thousands of people transform their minds and lives. His innovations include Mind Design™ and Directed Questions™. He is a Master Trainer of NLP & DHE, A Master Hypnotherapist and Master Hypnotist, Whole Brain and Accelerated Learning, the Law of Attraction and is founder of IDEA Seminars.He conducts online programs on transformation, Mind Design™ LOA, NLP and at public events. Sikes is a professional speaker, life and business mentor, consultant, and an educator. He is an actor and filmmaker and consultant to the entertainment industry. In addition to his blog Daily Inspiration And Gratitude, Rex is an author, creator of The Attitude Activator™, and featured on Learning Strategies 'Euphoria' program.Rex presents seminars, public and corporate programs, full workshops and training events. He mentors professionals and newcomers in their fields. He is a keynote speaker the power of your mind to get your goals, increase you bottom line and make your dreams come true. His captivating message inspires audiences and will remain with you!He has appeared before millions acting in films, television, radio interviews and commentary. His topics include making your dreams come true, conditioning and nutrition for the mind, why affirmations don't work and how to get them to work, creativity and intuition, making a great impression, creating rapport, and how to understand and utilize body language.He has consulted for attorneys and news media offering commentary on famous trials and celebrities. He has programs available on productivity, diversity and other topics for businesses. He coaches actors, directors, performers, speakers, and consults for movies and television.In addition to training, and executive coaching, Rex does customized expert modeling and customized business consulting.His clients include actors and filmmakers, professional speakers, attorneys, CEO's, sales professionals and managers, medical doctors, law enforcement, personnel managers, small business owners, training personnel, investors, teachers and educational administrators and people from all walks of life. What they share in common is a desire to live life on their terms and create their own best life.Website: https://www.rexsikes.comBook + Rex's The Mastery Loop™ Training for FREE! ($497 Value!) https://www.rexsikes.com/bookLinkedIn: https://www.linkedin.com/in/rexsikesTwitter: https://www.twitter.com/rexsikesInstagram: https://www.instagram.com/rexstevensikesTikTok: https://www.tiktok.com/@rexsikesPodcast: https://anchor.fm/rex-sikesYouTube: https://www.youtube.com/channel/UCSRve_LIc0aV7-nhtfLqtDwFacebook: https://www.facebook.com/rex.sikes.9
Magnetic Fields, Nano Tech & Neurodegenerative Diseases Episodes 1 -4 https://collapsepodcast.substack.com/archive Music Credit: https://youtu.be/3BTHDv51ga8 https://www.medpagetoday.com/neurology/alzheimersdisease/92960?xid=nl_mpt_DHE_2021-06-08&eun=g451066d0r&utm_source=Sailthru&utm_medium=email&utm_campaign=Daily%20Headlines%20Top%20Cat%20HeC%20%202021-06-08&utm_term=NL_Daily_DHE_dual-gmail-definition --- Send in a voice message: https://anchor.fm/collapsepodcast/message
This episode is all about the perimenopause, because those years running up to the menopause can be full of hormonal havoc. In fact, although we use it as a catch-all term, the menopause technically only lasts for one day. It's that day when it's been 12 months since your last period. After that, you're post menopausal. So the perimenopause is when all the fun and games really start and that can be a lot earlier than you might think. In fact, hormonal fluctuations can be going on in the background from your early 40s onwards and some of the initial symptoms can be surprising and disconcerting. Anxiety, brain fog, poor memory and loss of confidence are all fairly common issues, and they can cause a lot of concern, especially if your periods are still regular and you assume you're too young. Why would you associate that with the menopause? But these early warning signs are very characteristic of the perimenopause and you don't have to put up with them, because there are lots of options to help you deal with them. And this is where my latest guest comes in. I'm chatting to the brilliant Ruth Devlin, who's a nurse, health coach and clinical educator specialising in the menopause. Dhe's also the author of the excellent book Men! Let's Talk Menopause, which is a snappy and useful guide to help the men in our life understand what's going on. We discuss the different challenges faced by women during the perimenopause, from the emotional and cognitive symptoms to the physical issues such as hot flushes and vaginal dryness. Ruth explains some of the multiple options available to you to help manage the problems arising from the hormone ups and downs of the perimenopause and we discuss a range of potential solutions, including cognitive behavioural therapy, HRT, diet and lifestyle. This episode is a great place to start if you've just realised you're perimenopausal and you're wondering what to do about it. Tune in for her excellent advice, because Ruth is an absolute mine of useful information! I think the big takeaway here is to arm yourself with information and not rule anything out or make any assumptions about the best route for you, until you've considered all the options. I really hope this episode will help you feel empowered to do that, because this is your body and you have every right to make sure that you're happy, comfortable and confident to manage your perimenopause in the way that is right for you. If you've enjoyed the podcast, please do leave a 5-star rating and a review on Apple podcasts or whichever platform you listen on and make sure you tell all your friends – it makes a huge difference to the visibility of the podcast and really helps to spread the word. Because every woman deserves to have a happy menopause.
Every Australian citizen who is on the electoral roll can be called up for jury service. But what is involved if you are summoned to be a juror? And what are juries for? - Çdo shtetas australian që është në listën elektorale mund të thirret për shërbimin në jurinë gjyqësore. Por çfarë do të thotë te thirreni për të qenë anëtar i një jurie gjyqësore? Dhe si funksionojnë juritë gjyqësore?
An athlete and philanthropist leading change for people with a disability.A volunteer dedicating her time to helping others in need.A young doctor re-inventing healthcare on the streets for people experiencing homelessness.And a woman changing the way rural Australia approaches alcohol use.These are the 2022 Australians of the year. - Një atlet dhe filantropist që udhëheq ndryshimet sociale për personat me aftësi të kufizuara.Një vullnetare që dhuron kohë dhe mund për të ndihmuar njerezit në nevojë.Një mjek i ri qe ka riorganizuar kujdesin shëndetësor në rrugë për njerëzit e pastrehë.Dhe një grua qe ndryshoi mënyrën se si Australia rurale i qaset përdorimit të alkoolit.Këta janë Australianët e vitit 2022.
Tuesday marked two years since Australia recorded its first confirmed COVID-19 infection. And while the bulk of the nation's infections and deaths have occurred over the past few months, overall case numbers appear to be decreasing. - Kjo javë shënoi dy vjet që kur Australia regjistroi infeksionin e saj të parë të konfirmuar COVID-19. Dhe ndërsa pjesa më e madhe e infeksioneve dhe vdekjeve në vend kanë ndodhur gjatë muajve të fundit, numrat e përgjithshëm të rasteve duket se janë në rënie.
Lunar New Year, or Spring Festival, is an entrenched part of Australian culture. Sydney's version, for example, is said to be the largest celebration of its type outside Asia. What are its origins? And how is it celebrated in Australia? - Viti i Ri Hënor, ose Festivali i Pranverës, është një festë e rrënjosur në kulturën australiane. Festimi i tij në Sidney, për shembull, thuhet se është festa më e madhe e këtij lloji jashtë Azisë. Cila është origjina e festivalit? Dhe si festohet në Australi?
The Omicron variant, we're told, is less severe than other variants. And that has furthered the idea that COVID-19 poses less of a risk than in the past. - Varianti Omicron, na thuhet, është më pak i rëndë se variantet e tjera.Dhe kjo ka çuar më tej idenë se COVID-19 përbën më pak rrezik sesa në të kaluarën.
Dr. Finance Live Podcast Episode 40 - Rex Sikes Interview - Hypnotist - Mentalist - Author This is Episode 40 of the Dr. Finance® Live Podcast hosted by Dr. Anthony M. Criniti IV (aka “Dr. Finance®”). Dr. Criniti interviewed Rex Steven Sikes, a Master Trainer of NLP & DHE, a Master Hypnotherapist and Master Hypnotist, Whole Brain and Accelerated Learning, the Law of Attraction and is founder of IDEA Seminars. After a skydiving accident nearly robbed Rex Steven Sikes of his life and caused him to spiral down in negativity for a couple years, Rex locked himself in his apartment for 6 weeks to sort things through and develop the confidence to face the world again living happily and successfully again. During those weeks of deep introspection and meditation Sikes discovered the keys for transformation which he has shared around the world ever since. He discusses this in his book, Life On Your Terms: Live The Life You Want. Sikes has four decades experience helping thousands of people transform their minds and lives. His innovations include Mind Design™ and Directed Questions™. Sikes is a professional speaker, life and business mentor, consultant, and an educator. He is an actor and filmmaker and consultant to the entertainment industry. In addition to his blog Daily Inspiration And Gratitude, Rex is an author, creator of The Attitude Activator™, and featured on Learning Strategies 'Euphoria' program.Dr. Anthony M. Criniti IV (aka “Dr. Finance®”) is the world's leading financial scientist and survivalist. A fifth generation native of Philadelphia, Dr. Criniti is a former finance professor at several universities, a former financial planner, an active investor in diverse marketplaces, an explorer, an international keynote speaker, and has traveled around the world studying various aspects of finance. He is an award winning author of three #1 international best-selling finance books: The Necessity of Finance (2013), The Most Important Lessons in Economics and Finance (2014), and The Survival of the Richest (2016). As a prolific writer, he also frequently contributes articles to Entrepreneur, Medium, and Thrive Global. Dr. Criniti has started a grassroots movement that is changing the way that we think about economics and finance. For more information about Doctor Finance, please visit https://DrFinance.Info Disclaimer: This Podcast is for informational purposes only. It is presented with the understanding that the author(s) and the publisher(s) are not engaged in providing financial, legal, or other professional services. If financial, legal, or any other form of advice is needed, please consult a financial advisor, an attorney, or another professional advice-giving entity. Also, the opinions and views expressed by any guests on this Podcast do not necessarily represent the opinions and views of Dr. Finance® or its affiliates. Copyright © 2021 to Present by Dr. Anthony M. Criniti IV - All Rights Reserved.