POPULARITY
Indijai sudavus raketinius smūgius Pakistanui svarstoma kokia tikimybė, kad konfliktas tarp dviejų branduolinių valstybių dar labiau išsiplės ir virs karu. Indijos ir Pakistano santykiai smarkiai pablogėjo po praėjusį mėnesį Kašmyre įvykdyto mirtino kovotojų išpuolio prieš turistus. Indija kaltina Pakistaną remiant tarpvalstybinį terorizmą, šis kaltinimus kategoriškai neigia.Laidoje dalyvauja Vytauto Didžiojo universiteto prof. Egdūnas Račius, VU Indijos tyrimų centro vadovas, profesorius Audrius Beinorius, atsargos majoras, karybos ekspertas Darius Antanaitis.Ved. Agnė Skamarakaitė
Siriją 24 metus valdęs Basharo al Asado režimas žlugo per kelias savaites. Susikrautus turtus palikęs diktatorius spruko slėptis į Rusiją. Sukilėliai perima valdžią ir kuria naują Vyriausybę. Jų vadas jau ieško kontaktų su pasaulio lyderiais ir priekaištauja Iranui.Kaip keisis pasaulis po revoliucijos Sirijoje?Laidoje dalyvauja VDU Regionistikos katedros profesorius Egdūnas Račius, VU TSPMI profesorė Dovilė Jakniūnaitė, karybos apžvalgininkas Egidijus Papečkys ir Lietuvos karo akademijos mokslo darbuotojas Šarūnas Rinkevičius.Ved. Liepa Želnienė
Dvi dienos intensyvių sprogimų Libane, nukreiptų prieš grupuotės „Hezbollah“ kovotojus. Antradienį sprogus pranešimų gavikliams žuvo 12 žmonių, įskaitant du vaikus, o dar apie 2,8 tūkst. buvo sužeisti. Antra sprogimų banga laukė trečiadienį. Per „Hezbollah“ naudojamų racijų sprogimus žuvo 20 žmonių ir daugiau kaip 450 buvo sužeisti. Izraelis oficialiai atsakomybės už išpuolis neprisiima, tačiau šalies gynybos ministras kalba apie naują karo etapą.Laidoje dalyvauja saugumo politikos ekspertas dimisijos pulkininkas Ignas Stankovičius, VDU prof. Egdūnas Račius, karybos ekspertas Egidijus Papečkys, KTU Elektros ir elektronikos fakulteto prof. Darius Gailius.Ved. Agnė Skamarakaitė
Tarptautinio Baudžiamojo Teismo prokuroras paprašė išduoti islamistų grupuotės „Hamas“ ir taip pat Izraelio aukščiausių vadovų arešto orderius. Teismo prokuroro Karimo Khano nuomone, Izraelio premjeras Benjaminas Netanyahu, šalies gynybos ministras Yoavas Gallantas ir trys „Hamas“ lyderiai – Yehya Sinwaras, Mohammedas Deifas bei Ismailas Haniyeh – yra atsakingi už karo žiaurumus ir nusikaltimus žmoniškumui Gazos Ruože bei Izraelyje.Norvegija, Ispanija ir Airija pripažino Palestinos valstybę.Laidoje dalyvauja žmogaus teisių ekspertė, besigilinanti į Palestinos klausimą Goda Jurevičiūtė, apžvalgininkas Arkadijus Vinokuras, Vytauto Didžiojo universiteto profesorius Egdūnas Račius, Seimo Užsienio reikalų komiteto narys Arminas Lydeka.Ved. Agnė Skamarakaitė
Po teroro akto Maskvoje Kremlius iškart ištraukė Ukrainos kortą, nors visi įrodymai liudija, jog tai teroristinės organizacijos ISIS darbas. Ekspertai nuogąstauja, kad V.Putinas, prisidengdamas teroristų išpuoliu, gali pradėti dar didesnį civilių genocidą Ukrainoje.Tačiau yra manančių, kad griūna V.Putino, kaip stipraus lyderio, įvaizdis Rusijoje. Tuo tarpu Lietuvoje – skirtinga reakcija į tai, ar reikia pagerbti teroro aukas Maskvoje.Ar teroro aktas Maskvoje gali suardyti Putino, kaip stipraus lyderio, įvaizdį rusų tarpe?Laidoje dalyvauja Klaipėdos universiteto profesorius Vygantas Vareikis, VDU Islamo studijų profesorius Egdūnas Račius, debunk.eu vadovas Viktoras Daukšas, aktyvistas Valdas Bartkevičius, publicistas Arkadijus Vinokuras.Ved. Marius Jokūbaitis
You get called to see a consult in the middle of the night. It is a middle-aged woman with a bariatric history, and she says her stomach is smaller but doesn't know the name of the operation. She developed worsening abdominal pain after dinner and it's been getting worse. She's not peritonitic, but she's clearly in discomfort. Is it cholecystitis, diverticulitis, pancreatitis, marginal ulcer, or an internal hernia? What do you do? Join Drs. Matthew Martin, Adrian Dan, and Paul Wisniowski on a discussion about initial evaluation and management of bariatric patients with internal hernias. Show Hosts: Matthew Martin Adrian Dan Paul Wisniowski Show Notes 1. Initial Evaluation a. Focused history and physical, labs, and imaging i. Presenting symptoms may vary and include: nausea, emesis, and abdominal pain ranging from vague to severe. ii. A basic lab panel can aid in developing the diagnosis and guide resuscitation. iii. CT of the abdomen and pelvis with IV and oral contrast can assist in identifying intra-abdominal pathology iv. Reviewing the previous operative report is beneficial to have a framework of the anatomy, i.e. type of bariatric surgery, and configuration of small bowel limbs (ante- vs retro-gastric and ante- vs retro-colic). 1. According to a 2019 study, 40-60% of closed defects had reopened at time of re-exploration v. If the patient is peritonitic with abdominal pain, they should be treated similarly to any patient with an acute abdomen with emergent exploration. b. CT Imaging i. A mesenteric swirl sign with twisting of the soft tissue and mesenteric vessels with surrounding fat attenuation has been shown to have a sensitivity of 78-100% and specificity of 80-90%. Other findings include: a Bird's beak, dilation of roux or biliopancreatic limbs, SMV narrowing, and displacement of JJ limb to the RUQ and can be used to support the diagnosis of internal hernia ii. An experienced radiologist familiar with bariatric anatomy has been shown to have a positive predictive value to 81% and negative predictive value to 96% at radiologically diagnosing internal hernia. iii. A CT scan can provide insight for a suspected diagnosis but it cannot rule out internal hernia c. Nasogastric/Esophageal Tube i. Use judiciously based on patient's presenting symptoms ii. Placement should be done by the surgical team iii. This may mitigate the risk of aspiration during intubation. 2. Operative Management a. Entry should be dependent on the comfort of the operating surgeon. i. Veress entry into the abdomen with dilated bowels may lead to increased injuries. ii. Optiview allows for direct visualization of each layer of the abdominal wall. Focusing on twisting the trochar and limiting perpendicular pressure. iii. Hasson entry also allows for direct visualization but may be limiting in bariatric patients with thick abdominal walls b. Exploration – a systematic approach i. Start with evaluation of the gastric pouch and run the roux limb to the jejunojejunostomy, and examine Petersen's and mesojejunal defects. ii. Follow the biliopancreatic limb to the ligament of Treitz iii. Lastly, identify the terminal ileum at the sail of Treves and run backwards to the jejunojejunostomy iv. This will allow for examination of all possible defect and possible intussusception at the jejunostomy c. Defect Management i. All defects should be closed, with studies demonstrating reduced rates of internal hernia when defects are closed with a running suture. There is no strong evidence to support the use of a specific suture material. 1. The use of suture is superior to other methods of closure such as metallic clips, fibrin glue, mesh, or abrasive pads. 2. A barbed suture can be considered. d. In a patient with unfavorable anatomy or those unable to tolerate pneumoperitoneum surgeons should consider early conversion to open exploration 3. Postoperative Care a. Patients are started on ERAS protocol with limited narcotic use, same day mobilization, early oral nutrition with advancement, and no nasogastric tubes or foley catheters b. Patients with bowel resection and those with suspected postoperative ileus may benefit from judicious advancement of diet. 4. Pregnancy a. Pregnant patients with history of anastomotic bariatric surgery are at increased risk of internal hernia especially in 3rd trimester due to loss of intra-abdominal space b. Evaluation of a pregnant patient should include abdominal imaging. i. In a non-acute setting, an MRI abd/pelvis can be considered. ii. Patients with abdominal pain presenting to the Emergency Department should undergo CT imaging. iii. The risk of radiation to a fetus, especially beyond the 1st trimester, is limited. Based on the CDC guidelines, a human embryo and fetus are sensitive to ionizing radiation at doses greater than 0.1Gray. The amount of radiation from a typical CT range from 0.015 to 0.034Gray depending if it is multiphasic or not; well below the guideline level. c. It is important to discuss with women of child bearing age the risk of internal hernia during pregnancy with anastomotic bariatric surgery 5. Outpatient Presentation a. Half of patients with internal hernia will present in outpatient setting often >6 months after initial operation with complaints of intermittent nausea, vomiting, and abdominal pain b. Workup includes: CT abd/pelvis with IV and oral contrast, Upper GI series, EGD, and a RUQ ultrasound based on their symptoms c. If diagnostic testing is equivocal, proceed with diagnostic laparoscopy to mitigate the risk of internal hernia with bowel ischemia. **Introducing Behind the Knife's Trauma Surgery Video Atlas - https://app.behindtheknife.org/premium/trauma-surgery-video-atlas/show-content The Trauma Surgery Video Atlas contains 24 scenarios that include never-before-seen high-definition operative footage, rich, original illustrations, and practical, easy-to-read pearls that will help you dominate the most difficult trauma scenarios. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out more recent episodes here: https://app.behindtheknife.org/listen
2023-ieji pasauliui atnešė naujų geopolitinių audrų. Gilėjantys konfliktai Rytuose ir Vakaruose grasina tektoniniais lūžiais ir poveikiu visai žmonijai.Nesibaigantis karas Ukrainoje, Rusijos ir Kinijos suartėjimas, naujos grėsmės Vakarų demokratijai ir kunkuliuojantys Artimieji Rytai.Kaip pasaulio įvykiai 2023-isiais paveiks ateinančius metus?Laidoje dalyvauja VDU Islamo studijų profesorius Egdūnas Račius, Japonijos tarptautinio universiteto politologė Vida Mačikėnaitė, Rytų Europos studijų centro asocijuotas analitikas Maksimas Milta, politikos analitikas Justinas Vitkus.Ved. Marius Jokūbaitis.
- Thỏa thuận Xanh của Liên minh Châu Âu đã và sẽ tác động mạnh tới xuất khẩu của Việt Nam.- Đẩy mạnh tiết kiệm năng lượng trong các doanh nghiệp lớn và thực hành tiết kiệm năng lượng trong các doanh nghiệp vừa và nhỏ Việt Nam. Chủ đề : Thỏa thuận Xanh, EGD, KTTH, TKNL, TKĐ --- Support this podcast: https://podcasters.spotify.com/pod/show/vov1kd/support
Savaitgalį pasaulį sudrebino įvykiai Izraelyje. Kokia šio konflikto priešistorė, priežastys ir galimi scenarijai? Pasakoja VDU profesorius Egdūnas Račius.Prisimename kompozitorių, pedagogą, kultūros ir meno veikėją Rimvydą Žigaitį, kuriam šiandien būtų suėję 90. Fragmentas iš LRT televizijos laidos „Legendos“.Pokalbių ciklas „Skambutis išjungtas“ siekia išgirsti moksleivių balsą. Kalbamės su gimnazistais svarbiomis visuomenei temomis: nuo visuotinio šaukimo, švietimo sistemos klausimų iki virtualaus pasaulio aktualijų ir prasmės paieškų. Su moksleiviais bendrauja Gerūta Griniūtė.Vilniaus 700 metų jubiliejaus proga, LRT Klasikoje – muzikiniai miesto akcentai- su mini radijo ciklu „Vilniaus motyvas“, pasakoja muzikos redaktorė Fausta Savickaitė.Pati išgyvenusi onkologinę ligą „Mamų unijos“ įkūrėja Eglė Mėlinauskienė jau penkioliką metų rūpinasi vaikais, kuriems tenka šios sunkios ligos iššūkis. Kas sukasi vėžio diagnozę išgirdusio žmogaus galvoje? Ko iš aplinkinių sergančiam vaikui reikia labiausiai? Kokios šviesios istorijos tampa kasdiene motyvacija dirbti toliau? Pokalbis – rubrikoje „Be kaukių“.Ved. Rasa Murauskaitė-Juškienė
Dr. Andrew Pope is a native of Kansas and attended the University of Kansas for his undergraduate training, where he graduated with honors with a Bachelor of Science in Business Administration and Bachelor of Arts in Biology. Dr. Pope was then able to fulfill his passion for medicine by obtaining his Medical Doctorate from the University of Kansas School of Medicine.Raised in a small town, Dr. Pope stayed true to his roots and pursued a Residency in Primary Care at Via Christi Family Medicine through the University of Kansas. He was trained to provide comprehensive care, which included Obstetrics with Caesarean Section, Colonoscopy, EGD, Inpatient care, and Outpatient care.Upon completion of his Residency, he joined nine other physicians in a busy private practice in Manhattan, Kansas, where he provided a wide spectrum of care to all ages. Since then, Dr. Pope has opened his own direct primary concierge practice, BlueFire Med. In addition to Direct Primary Care, Dr. Pope also has a passion for using regenerative cell therapy to help patients. In 2014, Dr Pope and Kansas Regenerative Medicine began treating patients using the patient's own Adult Stem Cells. They also use PRP, which is Platelet Rich Plasma, which uses a patients cells to reduce inflammation and improve healing. In his free time, Dr. Pope enjoys providing care at the local free health clinic, as well as various outdoor hobbies including golf, basketball, and the upkeep on his ranch. He also dedicates a majority of his time outside of work to his wife and young children.In this episode we discuss:* My stem cell theapy story* Regenerative Medicine* Direct Primary Concierge Practices (subscription-based health care model)* Changing the way health care is delivered
In Folge 14 spricht Verena Ringler, Direktorin der gemeinnützigen AGORA European Green Deal (www.agora-EGD.eu) in Innsbruck, über die Gestaltung politischer Prozesse im Sinn einer „Transformations-Diplomatie“ – einerseits in der Europäischen Union, andererseits bezüglich der Sustainable Development Goals (SDGs) der Vereinten Nationen. Ringler skizziert im #sicherheitsbewusst-Gespräch die europa- und sicherheitspolitischen Implikationen von Klimaschutz bis hin zu Europas Chancen am Weg zur weltweiten Garantiemacht für Nachhaltigkeitsinteressen.Den proaktiven Dialog und die präventive, sektorenübergreifende Praxis sieht sie als Grundlage für langfristige gesellschaftliche Sicherheit. Ringler verknüpft in ihrer heutigen Arbeit die Instrumentarien ihrer persönlichen beruflichen Erfahrungen. Dazu gehören der internationale Magazinjournalismus (sie war Redakteurin bei Foreign Policy), die EU Diplomatie (sie kommunizierte für die EU im Kosovo 2006-09) und die Entwicklung ambitionierter Förderprogramme für Politik und Zivilgesellschaft bei der deutschen Stiftung Mercator.
The Perfect Stool Understanding and Healing the Gut Microbiome
In your forties or suffering from new gut health issues and wondering if you need a colonoscopy or endoscopy? Learn more about increasing colon cancer diagnoses, when to get a colonoscopy or endoscopy, hereditary and lifestyle risk factors, dietary changes for colon cancer prevention, as well as integrative interventions for colon cancer. Lindsey Parsons, your host, helps clients solve gut issues and reverse autoimmune disease naturally. Take her quiz to see which stool or functional medicine test will help you find out what's wrong. She's a Certified Health Coach at High Desert Health in Tucson, Arizona. She coaches clients locally and nationwide. You can also follow Lindsey on Facebook, Tiktok, Twitter, Instagram or Pinterest or reach her via email at lindsey@highdeserthealthcoaching.com to set up a free 30-minute Gut Healing Breakthrough Session. Show Notes
Unser nicht mehr ganz neuer Schulleiter Herr Hartmann ist nun mittlerweile ein gutes Jahr bei uns am EGD tätig. In unserem Interview gibt er uns einen Einblick in seine ersten Tage und Wochen am EGD und in die Aufgaben eines Schulleiters. Er verrät etwas über seine Erwartungen, Ideen und Pläne und die anstehenden Aufgaben und Herausforderungen. Vielen Dank an Rosalie und Clemens aus der 9c, die dieses Interview vorbereitet, durchgeführt und redigiert haben. Wir wünschen euch viel Vergnügen beim Hören der neuen Folge!
Samen met mijn dochter en zoon hebben we een leuk verrassings-kado bedacht voor mijn lief Laurien die dit jaar 40 jaar is geworden. We hebben een “explosion foto box” gemaakt. Daarin zitten 24 foto's die als een bloem openklappen uit een aantal doosjes gevuld met “Typische Laurien Foto's” Is het laatste doosje zat een QR-code naar deze “Laurien in 40 woorden-podcast”. Familie, vrienden en onze vaste collega's namen daarvoor een kort voice message op waarin ze Laurien in circa 20 losse woorden beschreven. Deze heb ik in een creative mix tot 40 woorden door elkaar heen gemixt. Daar is dit het eind resultaat van. Hoera! Na de podcast zit nog een mooie promo voor het PodcastersLIVE event bij PUNT. Dit keer 12 mei 2023 met de podcast "Wat een Kuteind" Over Robert & Nusa die de New York marathon gaan lopen in 2025! Meemaken = bij zijn! meer info: www.podcastersLIVE.nl Podcast.EGD. Een podcast speeltuin van Egbert.EGD, ondernemer, creatieveling en maker uit Deventer. 2 seizoenen en de eerste 20 afleveringen begon ik deze podcast met het interviewen van bevriende ondernemers, makers en creatievelingen. Ondernemers die mij inspireren om te doen wat ik doe. Voor seizoen 3 gooi ik het over een andere boeg. Ik ga 10 totaal verschillende podcast afleveringen maken, met allemaal diverse concepten, die alle 10 in een andere categorie in je podcast app zouden kunnen op duiken. Zo wil ik bijvoorbeeld een spannend verhaal of hoorspel gaan maken, of een geschiedenisverhaal of college opnemen en een radioshow maken. Of te wel een diverse mix aan podcast, gewoon omdat ik het leuk vind om diverse dingen te maken. Daarnaast laat ik je kennis maken wat er allemaal kan met een podcast en dat dat meer is dan een interview of gesprek. Ik heb al wat lijntje open staan en denk dat het heel tof gaat worden! Blijven luisteren dus. En veel plezier met seizoen 3 van Podcast.EGD Ook dit seizoen maak ik bij elke podcast een ander artwork die eind het einde van het seizoen, op bijzondere wijze samen komen in een artwork boek. Dit boekje krijg je als je doneert via http://petje.af/podcastegd of https://vriendvandeshow.nl/boekengasten Bekijk het boekje van Podcast.EGD Seizoen 1 & 2 op www.podcastegd.nl. www.egbertegd.nl
In this episode of BackTable ENT, Dr. Ashley Agan interviews Dr. Rebecca Howell, division chief of laryngology at University of Cincinnati, about her diagnosis and management of Zenker's diverticulum. --- CHECK OUT OUR SPONSOR Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology --- SHOW NOTES First, Dr. Howell explains that Zenker's diverticulum (ZD) is a swallowing disorder caused by abnormal outpouching in the esophagus. ZD is only a herniation of the mucosal layers instead of all three tissue layers, so it is classified as a false diverticulum. To have a diagnosis of ZD, patients must have evidence of cricopharyngeus muscle dysfunction and congenital dehiscence. Oftentimes, these patients are in their seventh decade of life and will have problems with regurgitation. Dr. Howell also explains how to distinguish ZD from other differential diagnoses such as pure cricopharyngeus muscle dysfunction and nutcracker esophagus. She notes that a typical ZD patient will have a “rising tide”, or the ability to elicit frothy secretions as they talk. Next, the doctors discuss different surveys used to diagnose and assess ZD severity. Dr. Howell also speaks about her current prospective study to determine risk factors and prognosticators of ZD. She explains that in general, men and women are affected evenly by this condition and that endoscopy has allowed the earlier diagnosis of ZD patients. Some important factors she always asks while history taking are: previous surgeries, the patient's motivation for pursuing surgery, and the presence of neurologic diseases. Next, the doctors discuss different imaging modalities like flexible endoscopy, barium swallow studies, EGD, and manometry. Dr. Howell sees lots of potential in the field to develop and standardize workup for ZD diagnosis. While analyzing imaging studies, she also looks for concurrent diagnoses, such as paraesophageal hernia and hiatal hernia. Then, Dr. Howell discusses how she counsels patients about treatment options for ZD. She frames ZD as a quality of life issue instead of a necessary surgery for everyone. If her patient does not choose to pursue surgery, she makes sure that they are aware of future red flags, such as pneumonia hospitalization and unintentional weight loss. The doctors also weigh the pros and cons of using an endoscopic versus open surgical approach. Based on Dr. Howell's studies, there is no difference between both approaches, so surgeons should choose the method they prefer more. She summarizes her endoscopic technique, including her list of equipment and how she collaborates with anesthesia providers. Finally, she summarizes her postoperative care regimen and explains how she deals with leaks, an uncommon but serious complication of ZD surgery.
Deze 25ste Podcast.EGD is opgenomen tijdens "PodcastersLIVE @ PUNT". De beelden die besproken worden kan je terug zien op: egbertegd.nl of bekijk de bewegende beelden via: https://youtu.be/g7i0U52ocok Egbert interviewt dit keer met live publiek; Aidan & Tristan van Team Migaloo die in 2021/2022 de Atlantische Oceaan over roeide om aandacht te creëren voor een wereldwijd probleem: de plastic soep. Dit deden ze door deel te nemen aan de Talisker Whisky Atlantic Challenge. Op 12 december 2021 zijn ze gestart in La Gomera, Spanje, waar ze samen na 58 dagen op zee te hebben doorgebracht weer aan op 8 februari 2022 aankwamen in Nelson's Dockyard in Antigua. Ze vertellen hun prachtige en sportieve reisverhaal aan de hand van de vragen van Egbert, waarna het publiek publiek ook de mogelijkheid kreeg vragen te stellen. Event: “Podcaster Live @locatiepunt”. Met dit concept willen we de komende tijd podcastmakers een plek beiden om in onze ruimte en met onze podcast setup een live podcast op te nemen met je eigen live publiek in de zaal, om zo kennis te maken met je luisteraars, en luisteraars eventueel vragen te laten stellen aan jou als maker (en/of je gast.) Meer info mail naar: punt@locatiepunt.nl Shownotes: https://www.teammigaloo.com https://atlanticcampaigns.smugmug.com/ATLANTIC/2021/TEAMS/TEAM-MIGALOO/ https://www.taliskerwhiskyatlanticchallenge.com https://www.davobieren.nl/davo-migaloo-blik Podcast.EGD. Een podcast speeltuin van Egbert.EGD, ondernemer, creatieveling en maker uit Deventer. 2 seizoenen en de eerste 20 afleveringen begon ik deze podcast met het interviewen van bevriende ondernemers, makers en creatievelingen. Ondernemers die mij inspireren om te doen wat ik doe. Voor seizoen 3 gooi ik het over een andere boeg. Ik ga 10 totaal verschillende podcast afleveringen maken, met allemaal diverse concepten, die alle 10 in een andere categorie in je podcast app zouden kunnen op duiken. Zo wil ik bijvoorbeeld een spannend verhaal of hoorspel gaan maken, of een geschiedenisverhaal of college opnemen en een radioshow maken. Of te wel een diverse mix aan podcast, gewoon omdat ik het leuk vind om diverse dingen te maken. Daarnaast laat ik je kennis maken wat er allemaal kan met een podcast en dat dat meer is dan een interview of gesprek. Ik heb al wat lijntje open staan en denk dat het heel tof gaat worden! Blijven luisteren dus. En veel plezier met seizoen 3 van Podcast.EGD Ook dit seizoen maak ik bij elke podcast een ander artwork die eind het einde van het seizoen, op bijzondere wijze samen komen in een artwork boek. Dit boekje krijg je als je doneert via http://petje.af/podcastegd of https://vriendvandeshow.nl/boekengasten Bekijk het boekje van Podcast.EGD Seizoen 1 & 2 op www.podcastegd.nl. www.egbertegd.nl
En cette fin d'année, on reçoit Frédéric Petit, député des Français de l'Allemagne, de l'Europe centrale et des Balkans. L'élu des Français résidant dans cette zone fut au coeur de l'actualité toute l'année, tant pour son action envers les Français et les Ukrainiens réfugiés dans le pays où il réside, la Pologne, et par ces actions parlementaires qui ont provoqué de nombreuses réactions. La gouvernance des EGD Depuis la rentrée, l'amendement déposé par monsieur Petit proposant une rénovation de la gouvernance des Etablissements en Gestion Directe auprès de l'AEFE. Dans ce texte, le député propose donc de diviser les outils de contrôle des différentes missions réunies au sein de l'AEFE, avec d'un côté les missions générales et de l'autre le management des écoles, collèges et Lycées dépendant directement de l'agence. Frédéric Petit assure préserver la cohésion de la politique globale de l'agence, tout en permettant de créer une comptabilité propre à la gestion des EGD et à séparer, ainsi, la gestion des missions nationales et internationales de l'AEFE de celle de ses établissements.Deuxième volet de sa proposition de réforme, la création d'un conseil de gestion réunissant tous les acteurs. La répartition des postes au sein de ce nouvel organe serait celle-ci : 60% des « droits de vote » pour l'AEFE et aux syndicats de professeurs et du personnel administratif, tandis que 25% seraient réservés aux associations de parents d'élèves. Les 15% restant pourraient soit être affectés aux parties déjà présentes soit aux élus des Français de l'étranger. Un amendement qui fut vécu comme une déflagration pour l'AEFE, les syndicats mais aussi les parents d'élèves. Le texte a été mal compris, certains ont cru que c'était la porte ouverte à une privatisation des établissements, ce que dément Frédéric Petit. La démarche du député s'inscrit dans la continuité des avis de la Cour des comptes qui reprochent à l'AEFE la gestion opaque de son budget. Actuellement, les dépenses pour les dits EGD et celles pour les missions confiées par l'Etat sont confondues. A ce jour, l'amendement a été adopté en première lecture à l'Assemblée nationale, puis rejeté par le Sénat, il doit donc repasser devant l'Assemblée. Frédéric Petit espère qu'il sera repris dans les prochains textes du gouvernement. Retenu dans une première mouture de la Loi de Finance 49.3, il ne le fut pas dans la dernière, mais soutenu par son parti, le Modem, l'élu d'Europe centrale fait son possible pour qu'il le soit dans la dernière version qui sera présentée dans quelques jours. Car pour Frédéric Petit, cet amendement est surtout un texte qui servira de bouclier permettant qu'en cas de restrictions budgétaires, celles-ci frappent non les élèves mais l'administration centrale, préservant ainsi la qualité de l'enseignement des jeunes expatriés. France - Pologne Dans la deuxième partie de ce podcast, on revient avec Frédéric Petit sur les rapports économiques qui lient la France et la Pologne alors que les tensions au sein de l'Union européenne semblent se multiplier avec ce pays......La suite sur lesfrancais.press Support the show
Hello everyone. And welcome to Better health for Women and Men. In to days show I am sharing my story about me getting my EGD done and the results. I hope that it will help you all. Remember Prevention stops Death
Europos Sąjungos šalių lyderiai kalbasi apie tolesnę paramą Ukrainai, būsimąjį sankcijų Rusijai paketą, taip pat specialų tribunolą, kuris leistų baudžiamojon atsakomybėn patraukti aukščiausius Rusijos politinius vadovus.ES sprendimą dėl sankcijų Iranui, tiekiančiam dronus Rusijai, priėmė labai greitai – per kelias dienas, sako Lietuvos prezidento vyriausioji patarėja Asta Skaisgirytė. Ar padės ES paskelbtos sankcijos? Kokie Irano ir Rusijos santykiai? Kodėl Izraelis atsisako tiekti ginklus Ukrainai? Pokalbis su VDU prof. Egdūnu Račiumi.Analitikai teigia, kad Rusija ketina sugriauti Kachovkos hidroelektrinės užtvanką, sukelti didžiulę katastrofą, o paskui tuo apkalinti Ukrainą.Molėtuose atidarytas 34 mln. eurų vertės „Teltonikos“ technologijų centras, kuriame dirbs 500 žmonių.Vilniuje pristatyti du troleibusai, skelbiantys Ukrainos prezidento Volodymyro Zelenskio kvietimą skirti paramą Ukrainai. Fondo UNITED24 lėšos pervedamos į Ukrainos nacionalinio banko sąskaitas ir skiriamos atskiroms ministerijoms finansuoti svarbiausiems poreikiams.Lietuvos fotografo Eugenijaus Kavaliausko fotografija, kurioje iš labai arti užfiksuota skruzdėle, nugalėjo NIkon fotografijos konkurse.Ved. Agnė Skamarakaitė
Expert Approach to Hereditary Gastrointestinal Cancers presented by CGA-IGC
This episode is hosted by Pooja Dharwadkar, M.D, assistant professor at the University of California San Francisco, and features a discussion between Carol Burke, M.D, codirector of the Hereditary Cancer Clinic at the Cleveland Clinic; Robert Hüneburg, M.D, gastroenterologist at the National Center for Hereditary Tumor Syndromes at University Hospital Bonn in Bonn, Germany; and Bryson Katona, M.D, director of the GI Cancer Genetics and Cancer Risk Evaluation programs at the Hospital of the University of Pennsylvania in Philadelphia, PA. They discuss the benefits of upper GI cancer surveillance in Lynch syndrome – specifically as it applies to gastric cancer – and the studies that have contributed to recent updates in the National Comprehensive Cancer Network screening and surveillance guidelines for individuals with Lynch syndrome. This episode references the following articles: “Upper endoscopic surveillance in Lynch syndrome detects gastric and duodenal adenocarcinomas,” found here: https://pubmed.ncbi.nlm.nih.gov/32859614/ “Value of upper gastrointestinal endoscopy for gastric cancer surveillance in patients with Lynch syndrome,” found here: https://pubmed.ncbi.nlm.nih.gov/32930401/ “Clinically actionable findings on surveillance EGD in asymptomatic patients with Lynch syndrome,” found here: https://pubmed.ncbi.nlm.nih.gov/34252420/ This episode was recorded on July 9th, 2022 and reflects expert opinion at the time of the recording.
Rusijos prezidentui paskelbus mobilizaciją, iki savaitgalio šalį paliko per 250 tūkstančių rusų. Lietuva tokias keliones jau buvo spėjusi apriboti, tad mūsų šalis traukos centru netapo. Per savaitę pasieniečiai į Lietuvą neįleido 153 rusų, beveik dešimt tūkstančių buvo įleisti. Tarp įleistųjų ir Kaliningrade gyvenantis Rusijos pilietis Aleksandras Chorošavcevas, tvirtinantis, kad turi lietuviškų šaknų. Jis sako, kad jei nebūtų laiku pabėgę jie abu su broliu, jau būtų mobilizuoti.Valstybės gynimo taryba nesiėmė spręsti, ar suteikti Ukrainai daugiau amerikietiškų šarvuočių, perduoti dalį turimų vokiškų savaeigių haubicų ir norvegišką oro gynybos sistemą NASAMS. Prezidento vyriausiasis patarėjas Kęstutis Budrys sako, kad sprendimai bus priimti tik geriau įvertinus, kokį poveikį tai turėtų Lietuvos gynybiniams pajėgumams.Šiarės Kaukaze, Dagestano respublikoje vyko gausiausi protestai visoje Rusijoje. Vytauto Didžiojo universiteto Regionistikos katedros profesorius, islamo tyrinėtojas Egdūnas Račius sako, kad Dagestano gyventojai nuo seno jaučia nepalankumą režimui, gajus čia ir etninis separatizmas.Ved. Liepa Želnienė
Gastrointestinal Endoscopy (Author Interview Series - Video)
Drs Bashar Qumseya and Nayantara Coelho-Prabhu discuss their article, "Adverse events associated with esophagogastroduodenoscopy (EGD) and EGD-related techniques" from the September issue.
Dėl šliuzo gedimo Panevėžio Ekrano tvenkinyje į Nevėžį gausiai plūsta vanduo. Lietuvos hidrometeorologijos tarnyba informuoja, kad vandens lygis Nevėžio upėje yra 215 cm ir kyla toliau.JAV per bepiločio lėktuvo smūgį Kabule nukovė „al Qaeda“ vadeivą Aymaną al Zawahiri, vieną ieškomiausių pasaulio teroristų ir 2001 metų rugsėjo 11-osios išpuolių sumanytoją. Šio įvykio reikšmę aptarėme su VDU profesoriumi Egdūnu Račiumi.Minima Lietuvos romų genocido diena.Per pirmąjį šių metų pusmetį Lietuvoje rasta 5 proc. daugiau suklastotų eurų banknotų ir tris kartus daugiau monetų nei pernai tuo pačiu metu, pranešė Lietuvos bankas.Kokia Covid-19 situacija Lietuvoje?Šiandien Rusijoje minima Rusijos desantininkų diena. Planuota, kad šįvakar rusiška muzika skambės ir Vilniuje. Rengtas koncertas dainininkui Jurijui Šatunovui atminti.Ved. Darius Matas
Upset stomach? Wondering if it might be acid reflux, gastritis, or something else? It's all found in episode 42 with Jade Etter, Acid Reflux vs Gastritis.Because the quality of life can greatly improve by addressing either/both acid reflux + gastritis, I know you'll find this episode highly beneficial.Acid Reflux vs Gastritis {Episode 42 with Jade Etter}IMAGEResources MentionedH. PyloriGastrin: All About GI HormonesGI Tract, all about the digestive systemWhat is AchlorhydriaEpisode 40: SIBO vs IBS {and a SIBO Q&A with Dr. Nirala Jacobi}Jade on Instagram HEREServices Jade provides HERE Don't Miss These ThoughtsWho is Jade Etter?Her journey with Ulcerative Colitis and endometriosis.What is the stomach? And what is Gastritis? What is the cause of gastritis and what part of the stomach does it affect?What are the differences between acid reflux and gastritis? Also, how might someone feel different with one or the other? Does one cause the other? What are some common causes?What happens if someone has chronic gastritis?Can gastritis heal for good after h pylori (helicobacter pylori) treatment?Best diet, supplements, and lifestyle changes for gastritis?Can SIBO cause gastritis?Can gastritis cause lung/breathing issues?Is gastritis from low or high stomach acid production?What helps with a gastritis flare up?It's been a year and half, will my gastritis symptoms ever be gone forever?I've been on proton pump inhibitors (PPI's) for almost 2 years. Is that too long? Also, what do you think is an appropriate treatment?Gnawing starving wakes me up every morning early. H. Pylori negative. Gastritis?Can chronic or even acute gastritis lead to stomach cancer?Jade's 3 convictions around gut health and gut healing. How to Test for Gastritis?According to Jade, a lot of it is based on symptoms, namely if you wake up in the morning with a gnawing, burning stomach pain.But additionally, here are two methods for testing if the risk factors are there:EGD (esophagogastroduodenoscopy) - also known as an upper endoscopy. During this procedure a long flexible scope with a tiny camera is inserted through the mouth and down the upper GI tract in order to see what's happening visually. A small tissue sample can be taken to determine any reason for current health problems as they relate to the upper GI tract.Imaging study. An imaging study makes detailed pictures of areas inside the body. A barium swallow test is a special type of imaging test that uses barium and X-rays to create images of your upper gastrointestinal (GI) tract (stomach contents would look thickened or inflamed). (source) I would personally want to have these tests done if the problem persists because otherwise stomach ulcers can form which increases the risk of stomach cancer.Endoscopic findings can be life changing (also life saving).More on Acid RefluxYou are no stranger to acid reflux.Here are a couple things to recap; reflux causes + symptoms.What Causes Acid Reflux?The main causes of acid reflux include:hiatal herniaweakness / dysfunction of the valve called the lower esophageal sphincterInflammation because it causes tissue damage and dysfunction in the esophagusCarbohydrate malabsorptionUnderdeveloped digestive system. (i.e. children)Magnesium deficiencyAging And what are some common symptoms?Acid Reflux SymptomsSome symptoms of acid reflux include:prolonged sore throat and/or hoarse voicebad taste in the mouthheartburn, pain in the upper abdomen (can be so severe that it's mistaken for a heart attack) / chest painsensation of a lump in the throatdifficulty swallowing and/or painful swallowingdisrupted sleepvomit that looks like coffee grounds and/or contains bloodnausea after eating Remember, Acid Reflux and GERD are not the same things.GERD is what acid reflux progresses to after a long time, if the condition worsens. It stands for Gastroesophageal reflux disease. The GERD symptoms are mostly the same, but they happen more frequently.ALL ABOUT ACID REFLUX HEREMore on GastritisGastritis is when acid damages the lining of the stomach, creating inflammation of the stomach lining.Gastritis Main CausesThese are 6 of the most common gastritis causes:h. pylori bacteria infectionstressover the counter medicines + NSAID overusetoo much alcohol (excessive consumption)stressbacterial infection Gastritis SymptomsIn addition to the things Jade mentioned, here are 4 common symptoms of gastritis:burning sensation in the stomachtarry stoolsnauseavomiting Common Treatment for GastritisDepending on the cause, the treatment for gastritis might include the following:Eating smaller and more frequent meals vs large meals.Avoiding irritating foods like spicy foods, acidic (for example, fruit juices), fried or fatty foods.Not drinking any alcohol.Stopping smoking.Lifestyle modifications like reducing stress.Acid suppressing medications like PPI's and H2 blockers. UreaseSources: HERE and HERE.More from A Gutsy GirlWant to learn even more about the gut and ways to heal it? Learn all the secrets via my signature book, A Gutsy Girl's Bible: a 21-day approach to healing the gut. Grab your copy on Amazon HERE.CODEWelcome to A Gutsy Girl PodcastHang out on InstagramBFF's on YouTubeFree resource: The Master Gutsy SpreadsheetRated-G Email Club Wrap UpTime to wrap this up. As always, a huge goal for this show is to connect with even more people. Feel free to send an email to our team at podcast@agutsygirl.com. We want to hear questions, comments, show ideas, etc.Did you enjoy this episode? Please drop a comment below or leave a review on Apple Podcasts.If you're looking to finally get started on your gut healing journey, Gut Healing for Beginners is now open!Or, have this book at your fingertips instantly by downloading the PDF now.codeJade Etter BioJade is a Board Certified Physician Assistant specializing in gastroenterology and hepatology, a member of the American College of Gastroenterology, a gut health consultant and founder of Jade Etter Wellness - a virtual practice focusing on root cause healing of gut dysfunction via functional medicine testing and individualized protocols.If you liked this episode, you might also enjoy:Functional Dyspepsia (Episode 32 with Dr. Andrew Hubbard) Xox,SKH Connect with A Gutsy GirlThrough the websiteOn InstagramVia LinkedIn
Upset stomach? Wondering if it might be acid reflux, gastritis, or something else? It's all found in episode 42 with Jade Etter, Acid Reflux vs Gastritis.Because the quality of life can greatly improve by addressing either/both acid reflux + gastritis, I know you'll find this episode highly beneficial.Acid Reflux vs Gastritis {Episode 42 with Jade Etter}IMAGEResources MentionedH. PyloriGastrin: All About GI HormonesGI Tract, all about the digestive systemWhat is AchlorhydriaEpisode 40: SIBO vs IBS {and a SIBO Q&A with Dr. Nirala Jacobi}Jade on Instagram HEREServices Jade provides HERE Don't Miss These ThoughtsWho is Jade Etter?Her journey with Ulcerative Colitis and endometriosis.What is the stomach? And what is Gastritis? What is the cause of gastritis and what part of the stomach does it affect?What are the differences between acid reflux and gastritis? Also, how might someone feel different with one or the other? Does one cause the other? What are some common causes?What happens if someone has chronic gastritis?Can gastritis heal for good after h pylori (helicobacter pylori) treatment?Best diet, supplements, and lifestyle changes for gastritis?Can SIBO cause gastritis?Can gastritis cause lung/breathing issues?Is gastritis from low or high stomach acid production?What helps with a gastritis flare up?It's been a year and half, will my gastritis symptoms ever be gone forever?I've been on proton pump inhibitors (PPI's) for almost 2 years. Is that too long? Also, what do you think is an appropriate treatment?Gnawing starving wakes me up every morning early. H. Pylori negative. Gastritis?Can chronic or even acute gastritis lead to stomach cancer?Jade's 3 convictions around gut health and gut healing. How to Test for Gastritis?According to Jade, a lot of it is based on symptoms, namely if you wake up in the morning with a gnawing, burning stomach pain.But additionally, here are two methods for testing if the risk factors are there:EGD (esophagogastroduodenoscopy) - also known as an upper endoscopy. During this procedure a long flexible scope with a tiny camera is inserted through the mouth and down the upper GI tract in order to see what's happening visually. A small tissue sample can be taken to determine any reason for current health problems as they relate to the upper GI tract.Imaging study. An imaging study makes detailed pictures of areas inside the body. A barium swallow test is a special type of imaging test that uses barium and X-rays to create images of your upper gastrointestinal (GI) tract (stomach contents would look thickened or inflamed). (source) I would personally want to have these tests done if the problem persists because otherwise stomach ulcers can form which increases the risk of stomach cancer.Endoscopic findings can be life changing (also life saving).More on Acid RefluxYou are no stranger to acid reflux.Here are a couple things to recap; reflux causes + symptoms.What Causes Acid Reflux?The main causes of acid reflux include:hiatal herniaweakness / dysfunction of the valve called the lower esophageal sphincterInflammation because it causes tissue damage and dysfunction in the esophagusCarbohydrate malabsorptionUnderdeveloped digestive system. (i.e. children)Magnesium deficiencyAging And what are some common symptoms?Acid Reflux SymptomsSome symptoms of acid reflux include:prolonged sore throat and/or hoarse voicebad taste in the mouthheartburn, pain in the upper abdomen (can be so severe that it's mistaken for a heart attack) / chest painsensation of a lump in the throatdifficulty swallowing and/or painful swallowingdisrupted sleepvomit that looks like coffee grounds and/or contains bloodnausea after eating Remember, Acid Reflux and GERD are not the same things.GERD is what acid reflux progresses to after a long time, if the condition worsens. It stands for Gastroesophageal reflux disease. The GERD symptoms are mostly the same, but they happen more frequently.ALL ABOUT ACID REFLUX HEREMore on GastritisGastritis is when acid damages the lining of the stomach, creating inflammation of the stomach lining.Gastritis Main CausesThese are 6 of the most common gastritis causes:h. pylori bacteria infectionstressover the counter medicines + NSAID overusetoo much alcohol (excessive consumption)stressbacterial infection Gastritis SymptomsIn addition to the things Jade mentioned, here are 4 common symptoms of gastritis:burning sensation in the stomachtarry stoolsnauseavomiting Common Treatment for GastritisDepending on the cause, the treatment for gastritis might include the following:Eating smaller and more frequent meals vs large meals.Avoiding irritating foods like spicy foods, acidic (for example, fruit juices), fried or fatty foods.Not drinking any alcohol.Stopping smoking.Lifestyle modifications like reducing stress.Acid suppressing medications like PPI's and H2 blockers. UreaseSources: HERE and HERE.More from A Gutsy GirlWant to learn even more about the gut and ways to heal it? Learn all the secrets via my signature book, A Gutsy Girl's Bible: a 21-day approach to healing the gut. Grab your copy on Amazon HERE.CODEWelcome to A Gutsy Girl PodcastHang out on InstagramBFF's on YouTubeFree resource: The Master Gutsy SpreadsheetRated-G Email Club Wrap UpTime to wrap this up. As always, a huge goal for this show is to connect with even more people. Feel free to send an email to our team at podcast@agutsygirl.com. We want to hear questions, comments, show ideas, etc.Did you enjoy this episode? Please drop a comment below or leave a review on Apple Podcasts.If you're looking to finally get started on your gut healing journey, Gut Healing for Beginners is now open!Or, have this book at your fingertips instantly by downloading the PDF now.codeJade Etter BioJade is a Board Certified Physician Assistant specializing in gastroenterology and hepatology, a member of the American College of Gastroenterology, a gut health consultant and founder of Jade Etter Wellness - a virtual practice focusing on root cause healing of gut dysfunction via functional medicine testing and individualized protocols.If you liked this episode, you might also enjoy:Functional Dyspepsia (Episode 32 with Dr. Andrew Hubbard) Xox,SKH
Dit keer in de Podcast.EGD "De KletskousClub!", de podcast opname van het kinderfeest van mijn 11 jarige dochter Elin. Ze wilde zelf graag een podcast workshop op haar kinderfeest in PUNT. Vooraf hebben we met z'n alle kort besproken wat een podcast is en samen een naam bedacht voor de podcast. Daarna namen we plaats achter de 4 microfoons, ik was de operator/gastheer en Elin de co-host/tafeldame. Achter elkaar stelde alle 7 dames van 9 tot 11 jaar zich even kort voor, waarna we iedereen een vraag of dilemma kon stellen aan 1 van de andere dames die we kort aan tafel in de opname bespraken, daarna ontvingen de volgende tafelgast die uitgenodigd werd door 1 van de zittende tafelgasten. De dames die niet achter de microfoon zaten, waren het live publiek en bedachten ondertussen goede vragen en dillema's om te bespreken, zoals: "Wil je liever lang of kort zijn?" "Wat was er eerder het kip of het ei?", "Liever een oudere of jongere broer?", "Hoe zou jij het liefst je slaapkamer indelen?", "Je moet kiezen; liever blind of doof?", "Liever eten of liever drinken" Na een uur Kletskouzen waren ze eigenlijk niet te stoppen. Het is een erg leuke podcast geworden gemaakt door en voor tiener kids (en voor iedereen die van kletspraat houd natuurlijk). Artwork: Elin op de iPad Shownotes: http://portiegeluk.nl Podcast.EGD. Een podcast speeltuin van Egbert.EGD, ondernemer, creatieveling en maker uit Deventer. 2 seizoenen en de eerste 20 afleveringen begon ik deze podcast met het interviewen van bevriende ondernemers, makers en creatievelingen. Ondernemers die mij inspireren om te doen wat ik doe. Voor seizoen 3 gooi ik het over een andere boeg. Ik ga 10 totaal verschillende podcast afleveringen maken, met allemaal diverse concepten, die alle 10 in een andere categorie in je podcast app zouden kunnen op duiken. Zo wil ik bijvoorbeeld een spannend verhaal of hoorspel gaan maken, of een geschiedenisverhaal of college opnemen en een radioshow maken. Of te wel een diverse mix aan podcast, gewoon omdat ik het leuk vind om diverse dingen te maken. Daarnaast laat ik je kennis maken wat er allemaal kan met een podcast en dat dat meer is dan een interview of gesprek. Ik heb al wat lijntje open staan en denk dat het heel tof gaat worden! Blijven luisteren dus. En veel plezier met seizoen 3 van Podcast.EGD Ook dit seizoen maak ik bij elke podcast een ander artwork die eind het einde van het seizoen, op bijzondere wijze samen komen in een artwork boek. Dit boekje krijg je als je doneert via http://petje.af/podcastegd of https://vriendvandeshow.nl/boekengasten Bekijk het boekje van Podcast.EGD Seizoen 1 & 2 op www.podcastegd.nl. www.egbertegd.nl
Dit keer een "Podcast College" over Street Art & Graffiti in Deventer. Rene Berends vroeg mij al in 2018 om mee te denken bij het schrijven van een artikel in het Deventer Jaarboek. Dat artikel zou gaan over de geschiedenis en het heden van graffiti en muurschilderingen in Deventer. Natuurlijk wilde ik daar bij helpen. In de 35ste editie van het "Deventer Jaarboek" in 2021 van de Historische Vereniging Deventer vind je het 17 pagina's tellende verhaal. Dat verhaal is de basis voor dit "college". We vertellen in een gesprek bevlogen over onze passie, kennis en interesse over dit onderwerp. Rene richt zich vooral op het schrijven en schilderen op de muren in Deventer tot de jaren 80, daarna neem ik het vanaf daar over, en verteld ik over hoe ik de Graffiti Scene in Deventer Ervaren heb vanaf de begin jaren 90 tot heden. En natuurlijk verteld ik over ons initiatief Street Art Streets waarmee we steeds meer Street Art Murals in Deventer organiseren. Tot op heden hebben we 8 murals georganiseerd, en er volgen er snel meer. Het is een lange podcast van bijna 2 uur geworden, maar volgens mij is het een mooi geschiedenis document geworden, en als je geïnteresseerd bent in dit onderwerp, meer dan het luisteren waard. Koop ook het Jaarboek van 2021, met teksten en veel foto's van muurschilderingen en graffiti op de Deventer Muren. Het boek is te koop bij boekhandel Praamsta, het antiquariaat ‘Gedrukt en geknipt voor u', in de Kleine Overstraat 50 of via de website van de Historische Vereniging Deventer. Rene Berends is onderwijskundige. Hij is als docent en onderzoeker verbonden aan de academie voor pedagogiek van Saxion. Hij publiceert onder andere over de geschiedenis van Deventer. https://www.reneberends.nl Links: Bekijk foto's op: https://www.egbertegd.nl/post/podcast-egd-s03e23-rene-berends-egbert-egd-schrijven-schilderen-op-deventer-muren-college Boek: http://www.historischeverenigingdeventer.nl/Deventer-Jaarboek.html Murals: https://www.streetartstreets.nl https://www.egbertegd.nl/graffiti-streetart-info Podcast.EGD. Is een podcast speeltuin van Egbert.EGD, ondernemer, creatieveling en maker uit Deventer. 2 seizoenen en de eerste 20 afleveringen begon ik deze podcast met het interviewen van bevriende ondernemers, makers en creatievelingen. Ondernemers die mij inspireren om te doen wat ik doe. Voor seizoen 3 gooi ik het over een andere boeg. Ik ga 10 totaal verschillende podcast afleveringen maken, met allemaal diverse concepten, die alle 10 in een andere categorie in je podcast app zouden kunnen op duiken. Zo wil ik bijvoorbeeld een spannend verhaal of hoorspel gaan maken, of een geschiedenisverhaal of college opnemen, een radioshow maken, en een gesprek met kinderen opnemen. Of te wel een diverse mix aan podcast, gewoon omdat ik het leuk vind om diverse dingen te maken. Daarnaast laat ik je kennis maken wat er allemaal kan met een podcast en dat dat meer is dan een interview of gesprek. Ik heb al wat lijntje open staan en denk dat het heel tof gaat worden! Blijven luisteren dus. En veel plezier met seizoen 3 van Podcast.EGD Ook dit seizoen maak ik bij elke podcast een ander artwork die eind het einde van het seizoen, op bijzondere wijze samen komen in een artwork boek. Dit boekje krijg je als je doneert via http://petje.af/podcastegd of https://vriendvandeshow.nl/boekengasten Bekijk het boekje van Podcast.EGD Seizoen 1 & 2 op www.podcastegd.nl.
Dit keer in de podcast, verhalen verteller Frank Prinsen. We raakte in gesprek over een idee voor een podcast verhaal, en werden zo enthousiast dat we het idee hebben omgezet in een verrassende Podcast.EGD aflevering. Luister en beleef ons idee zelf.... Ik ken Frank van uit het vmDavo Gebouw, waar hij een tijd lang zijn Atelier had. Toen ik mee mocht doen met de City Of Dreams Street Art Expo van Sander Op den Dries, kwam ik hem voor het eerst tegen. Hij bouwde kleine houten bruggetjes en bouwwerkjes op de City Of Dreams blokken die we met alle deelnemers vorm gaven. (foto) Daarna kwamen we elkaar soms wel eens tegen, bijvoorbeeld bij het LOS Festival waar hij optrad. En toen ik een workshop mocht geven in Apeldoorn op de School van Frank Gebhardt, stond daar ook Frank Prinsen les te geven in zijn gave houtbewerkers lokaal. Altijd leuk elkaar even te zien. Toen ik hem vroeg of hij mee wilde werken aan een nieuwe Podcast.EGD aflevering voor seizoen 3, waarin ik nieuwe dingen wil proberen, was hij gelijk voor! We brainstormde wat, en namen plaats achter de mic's, en gingen in gesprek... wat langzaam een "Stromae momentje" zou krijgen, zoals Stromae op de Franse Nieuw TV de kijkers verrast met zijn nieuwe nummer 'L'enfer'. Zet de podcast aan, hij is een half uurtje, maar er zit voor een half uur extra opnames bij. Luister maar en laat je verrassen... We vonden het super leuk om te maken, hopelijk vinden jullie het net zo leuk om te luisteren! Meer info van Frank Prinsen: https://www.prinsfranken.nl Volg Prins Franken op: https://www.instagram.com/prinsfranken/ Podcast.EGD. Een podcast speeltuin van Egbert.EGD, ondernemer, creatieveling en maker uit Deventer. 2 seizoenen en de eerste 20 afleveringen begon ik deze podcast met het interviewen van bevriende ondernemers, makers en creatievelingen. Ondernemers die mij inspireren om te doen wat ik doe. Voor seizoen 3 gooi ik het over een andere boeg. Ik ga 10 totaal verschillende podcast afleveringen maken, met allemaal diverse concepten, die alle 10 in een andere categorie in je podcast app zouden kunnen op duiken. Zo wil ik bijvoorbeeld een spannend verhaal of hoorspel gaan maken, of een geschiedenisverhaal of college opnemen, een radioshow maken, en een gesprek met kinderen opnemen. Of te wel een diverse mix aan podcast, gewoon omdat ik het leuk vind om diverse dingen te maken. Daarnaast laat ik je kennis maken wat er allemaal kan met een podcast en dat dat meer is dan een interview of gesprek. Ik heb al wat lijntje open staan en denk dat het heel tof gaat worden! Blijven luisteren dus. En veel plezier met seizoen 3 van Podcast.EGD Ook dit seizoen maak ik bij elke podcast een ander artwork die eind het einde van het seizoen, op bijzondere wijze samen komen in een artwork boek. Dit boekje krijg je als je doneert via http://petje.af/podcastegd of https://vriendvandeshow.nl/boekengasten Bekijk het boekje van Podcast.EGD Seizoen 1 & 2 op www.podcastegd.nl. www.egbertegd.nl
In higher education, communicating your brand often happens through more than one channel. From online, virtual experiences to in-person, human interactions, thoughtful messaging is critical. Experiential Graphic Design (EGD) can help with that. Two higher education communications experts, Janice Supplee of Cedarville University and Brad Chamberlain of Luther College, join Bill Thiemann, Director of EGD at BHDP, and Host Brian Trainer in a two-part discussion on their experience in effective brand expression. When done right, it's a fully integrated experience for all—students, parents, faculty, and staff.
Op een stormachtige vrijdag 18 februari 2022 organiseerde we een mooie #boekpresentatie & #veertigjaardag in PUNT. Tijdens deze 1ste 'Podcasters Live bij PUNT' met publiek, overhandigde ik het 1ste exemplaar van mij nieuwe Tape Art boek aan m'n jarige broer Leon (@deleone__) In dit boek vind je mijn Tape Art Projecten van 2017-2021. Daarna overhandigde ik ook m'n nieuwe podcast album artwork seizoen 2 aan Maite Roest van Limai. (1ste gast van Seizoen 2) Ik kreeg van m'n lief Laurien en vrienden en familie allemaal een puzzelstukje kado, wat samen een foto van een prachtig werk van @iameelco in de maakt is! Super tof kado! Thanx allemaal voor jullie komst en lieve inbel momenten vanwege de storm! Het boek is vanaf nu te koop bij PUNT voor de verjaardag prijs van niet €40 maar €35 en je krijgt er een pretpakket bij met o.a het podcastartwork-boekje + stickers + Boekengasten boekenlegger. Of stuur mij een berichtje via e.scheffer@egbertegd.nl dan zorg ik dat het hele pakket bij je thuis komt! Je kan hier een sneak peek bekijken. https://youtu.be/IgmlQnczMmA --- Podcast.EGD. Een podcast speeltuin van Egbert.EGD, ondernemer, creatieveling en maker uit Deventer. 2 seizoenen en de eerste 20 afleveringen begon ik deze podcast met het interviewen van bevriende ondernemers, makers en creatievelingen. Ondernemers die mij inspireren om te doen wat ik doe. Voor seizoen 3 gooi ik het over een andere boeg. Ik ga 10 totaal verschillende podcast afleveringen maken, met allemaal diverse concepten, die alle 10 in een andere categorie in je podcast app zouden kunnen op duiken. Zo wil ik bijvoorbeeld een spannend verhaal of hoorspel gaan maken, of een geschiedenisverhaal of college opnemen, een radioshow maken, en een gesprek met kinderen opnemen. Of te wel een diverse mix aan podcast, gewoon omdat ik het leuk vind om diverse dingen te maken. Daarnaast laat ik je kennis maken wat er allemaal kan met een podcast en dat dat meer is dan een interview of gesprek. Ik heb al wat lijntje open staan en denk dat het heel tof gaat worden! Blijven luisteren dus. En veel plezier met seizoen 3 van Podcast.EGD Ook dit seizoen maak ik bij elke podcast een ander artwork die eind het einde van het seizoen, op bijzondere wijze samen komen in een artwork boek. Dit boekje krijg je als je doneert via http://petje.af/podcastegd of https://vriendvandeshow.nl/boekengasten Bekijk het boekje van Podcast.EGD Seizoen 1 & 2 op www.podcastegd.nl. Meer info over Egbert op www.egbertegd.nl
Welkom bij de Podcast.EGD. Een podcast van Egbert.EGD, ondernemer, creatieveling en maker uit Deventer. 2 seizoenen en de eerste 20 afleveringen begon ik deze podcast met het interviewen van bevriende ondernemers, makers en creatievelingen. Ondernemers die mij inspireren om te doen wat ik doe. Voor seizoen 3 gooi ik het over een andere boeg. Ik ga 10 totaal verschillende podcast afleveringen maken, met allemaal diverse concepten, die alle 10 in een andere categorie in je podcast app zouden kunnen op duiken. Zo wil ik bijvoorbeeld een spannend verhaal of hoorspel gaan maken, of een geschiedenisverhaal of college opnemen, een radioshow maken, en een gesprek met kinderen opnemen. Of te wel een diverse mix aan podcast, gewoon omdat ik het leuk vind om diverse dingen te maken. Daarnaast laat ik je kennis maken wat er allemaal kan met een podcast en dat dat meer is dan een interview of gesprek. Ik heb al wat lijntje open staan en denk dat het heel tof gaat worden! Blijven luisteren dus. En veel plezier met seizoen 3 van Podcast.EGD Ook dit seizoen maak ik bij elke podcast een ander artwork die eind het einde van het seizoen, op bijzondere wijze samen komen in een artwork boek. Dit boekje krijg je als je doneert via http://petje.af/podcastegd of https://vriendvandeshow.nl/boekengasten Bekijk het boekje van Podcast.EGD Seizoen 1 & 2 op www.podcastegd.nl. Meer info over Egbert op www.egbertegd.nl
In higher education, communicating your brand often happens through more than one channel. From online, virtual experiences to in-person, human interactions, thoughtful messaging is critical. Experiential Graphic Design (EGD) can help with that. Two higher education communications experts, Janice Supplee of Cedarville University and Brad Chamberlain of Luther College, join Bill Thiemann, Director of EGD at BHDP, and Host Brian Trainer in a two-part discussion on their experience in effective brand expression. When done right, it's a fully integrated experience for all—students, parents, faculty, and staff.
Ik leerde MINKA kennen in de tweede Lockdown in 2020. Vooral van de m'n "Corona Hit" WandelenWandelen Wandelen, Whoop!. Ik had haar tot op heden nog nooit echt ontmoet of een live show gezien. Ik wist alleen dat ze ook Zang-lerares is bij Limai (bekend van Aflevering 11 van Podcast.EGD) En dat ze diverse toffe liedjes online heeft staan. Of zoals ze zelf op haar website heeft staan: "Tintelfrisse Nederlandstalige electropop met een vrolijke rock'n roll vibe. All in. MINKA verwacht maar één ding van je: totale overgave aan de muziek. Dansen, tunnelvisie, verliefdheid, alles is welkom. De Deventerse zangeres weet je te overtuigen met eerlijke teksten en een verslavende cocktail van electro & analoge muziek. Gewapend met gitaar en knallende beats daagt ze je uit om buiten de gebaande paden te denken. Vergeet je werk, de wereld, laat maar los. Dans alsof er niemand kijkt." Ze is uitgeroepen tot ‘Cultuurtalent Overijssel' en werkt met producer Timon Massop aan haar debuutalbum. Deze verschijnt in de lente van 2022! We bespraken haar roze hond "Binkie de Underdog" die samen met de MINKA letters op elk optreden terug komen. Hoe ze muziek maakt samen met met haar partner en producer Timon Massop. Die al voor de wandel-pandemie de wijze woorden "gaan we nog een stukje Wandelen-wandelen-wandelen?" uit sprak. Haar favoriete wandelgebied en hoe haar samenwerking met De nieuwe Oost werkt en natuurlijk over dansen! Wil je meer weten of muziek luisteren of de video clips bekijken van Minka Hebing kijk op https://minka.nu en volg haar op de socials @minka_nl Dit was seizoen 2 van de Podcast.EGD, uiteraard komt er weer een hardcopy Album Art work boekje van dit seizoen waarin alle album artworks van de 10 afleveringen van seizoen 2 samen komen met de shownotes teksten. Dit boekje je ontvangt als je een bijdrage doneert om deze podcast mogelijk te maken. En is verkrijgbaar bij PUNT Voor seizoen 3 van Podcast.EGD ga ik buiten de lijntjes kleuren van mijn huidige podcast format; "1 of 1 interview over ondernemen". Ik wil namelijk elke aflevering in een ander format gaan maken. Bijvoorbeeld een hoorspel, een radioshow, een college, een geschiedenisverhaal, of een gesprek met kinderen. Ik heb al wat lijntjes uit staan, en ik denk dat het heel verrassend afwisslend seizoen gaat worden. Of te wel blijven luisteren! Tape Art Boek: 19 februari word ik "een man van 40!" Dat vier ik met een boek met al mijn Tape Art Werk van de afgelopen 5 jaar erin! Het boek bevat ongeveer 80 pagina's en gaat € 40,- kosten, maar omdat ik mij nog altijd 35 voel en je voor 19 februari besteld, kan je hem tijdelijk voor €35,- bestellen! Kijk voor een eerste indruk op mijn Instagram @egbertegd. Er is een beperkte oplage van 40 stuks dus wil je een exemplaar in je boekenkast, laat het dan zo snel mogelijk weten. Mail naar e.scheffer@egbertegd.nl Dan zorg ik dat deze 19 februari voor je klaar ligt bij PUNT. Abonneer op Podcast.EGD via je favoriete podcast APP Op podcastegd.nl vind je ook: de boekengasten podcast en PUNTkast. En de Street Art Streets in Deventer podcast Deze Podcast is opgenomen in PUNT in he Havenkwartier. We zijn van maandag tot vrijdag open als cafe met lunch van 11:00 tot 17:00 en op vrijdag gaan we langer door met een daghap. Uiteraard kan je onze locatie ook boeken een vergadering of bijeenkomst. Kijk ook eens op locatiepunt.nl of volg ons @locatiepunt Je kan mij volgen @egbertegd of kijk op egbertegd.nl
Im Rahmen der Kinder- und Jugendbuchwoche der GEW war im November 2021 der Journalist und Jugendbuchautor Christoph Scheuring zu Gast am EGD, um aus seinen Romanen vorzulesen. Der zweifache Preisträger des renommierten Egon-Erwin-Kisch-Preises hat für viele große Zeitungen und Magazine geschrieben, darunter der Spiegel, der Stern, Die Zeit, GEO und auch die BILD-Zeitung. Als Autor ist er nicht minder erfolgreich. Sein Roman "Echt" war 2015 für den Jugendliteraturpreis nominiert und für seinen Roman "Sturm" ist er 2021 von der GEW mit dem Heinrich-Wolgast-Preis ausgezeichnet worden. Der EGD-Channel hat die Chance für ein Interview genutzt und Christoph Scheuring gab bereitwillig Auskunft. So erfahren wir einiges über die Arbeit als Journalist, über die Kollegialität bei der BILD-Zeitung, über Bösewichte in Geschichten, über seinen Lieblingsarbeitsplatz und noch einiges mehr...
As gamification and VR have edged into apps, shopping, and even work, one gaming phenomenon is taking college—and the world—by storm. Esports has grown exponentially in the last five years, and Miami University in Ohio has been at the forefront. Phil Alexander, Co-Director and Co-Founder of Miami's varsity esports team and Assistant Professor of Game Studies, joins BHDP Senior Architect AJ Medina and Host Brian Trainer to discuss the unexpected benefits for students when space is made for esports.
* * * EXKLUSIV * * * EXKLUSIV * * * EXKLUSIV * * * Der EGD-Channel im Gespräch mit unserem Schulleiter Herrn Nebenführ, der Ende Januar 2022 in den wohlverdienten (Un-)Ruhestand wechseln wird. Am 09.11.2021 stand uns Herr Nebenführ Rede und Antwort über seine Zeit als Schulleiter am EGD, seine Zukunftspläne, seine Lieblingsfächer und noch viel mehr. Viel Spaß beim Hören des Interviews!
Susitikime su svečiais Lietuvos prezidentas Gitanas Nausėda planuoja kelti 4-ojo NATO straipsnio aktyvavimo klausimą, bus aptarta fizinio barjero su Baltarusija statyba ir galimas ES finansavimas, Bendrijos migracijos teisės aktų pokyčiai, migrantų repatriacija į kilmės šalis, situacija prie Ukrainos sienų.Laidoje dalyvauja diplomatas, buvęs Lietuvos užsienio reikalų ministras Linas Linkevičius, VU TSPMI vadovė, politologė Margarita Šešelgytė, VDU profesorius, islamo specialistas, religijotyrininkas Egdūnas Račius, Rytų Europos studijų centro politikos analitikas Adamas Roževičius ir kt.Ved. Madona Lučkaitė
Ik heb Cedric Katalay nog als baby in mijn handen gehad. Hij is namelijk de zoon van Ellen, een klasgenoot van mijn moeder die op latere leeftijd de PABO studie hebben gedaan. In 2014 nam hij contact met mij op of hij stage bij mocht lopen voor zijn studie op het Cibap. Ik zei dat ik niet zo goed wist hoe ik een stagiaire full-time aan het werk moest houden, en dat mijn bedrijf niet echt geschikt was. Maar hij wilde toch heel graag, dus toen is hij stage komen lopen. En wat een geweldige ervaring was dat. In april 2016 kwam hij bij Egbert.EGD in dienst, en verzorgde hij vele workshops en kinderfeestjes, en hielp hij bij diverse project in de voorbereiding en uitvoering. In 2020 kon hij helaas niet goed een Animatie stageplek vinden voor zijn studie Creative Media and Game Technology aan Saxion Hogeschool in Enschede. Dat ik zei; "dan kom je toch gewoon bij mij die stage lopen." Waar hij een gave animatie short movie maakte op basis van een heel persoonlijk verhaal. Sinds oktober 2021 is hij afgestudeerd en nu officieel 1 van de eerste vaste medewerknemers van PUNT. Een mooi moment voor een podcast gesprek! In het gesprek bespreken we zijn ervaringen bij Egbert.EGD en wat hem zoal is bijgebleven aan zijn stageopdrachten, projecten en workshops die hij verzorgt heeft. Hij verteld uitgebreid het bezondere verhaal achter de short animatie film "Blop" die hij maakte tijdens zijn HBO stage bij Egbert.EGD. Wat hij bij zijn afstudeer project bij de Rocket Boys heeft gedaan. Zijn leidinggevende skills bij diverse kinderkampen en scouting groepen, en wat zijn toekomst plannen zijn. Een mooi gesprek op een bijzonder moment, na bijna 7 jaar als eerste Stagiaire.EGD en Werknemer.EGD nu de overstap als 1 van de eerste vaste medewerkers bij PUNT. Shownotes: Instagram: https://www.instagram.com/cedric_katalay/ Behance: https://www.behance.net/cedrickatalay Stage 2020: Animatie Video BLOP: https://youtu.be/M9kYlZYdKAw Stage 2014: InfoVideo.EGD: https://www.youtube.com/watch?v=YQqYijws_wE Aanmoedigingsprijs Video: https://www.youtube.com/watch?v=EUP5QdJ0O2A Afscheid Animatie video Vakschool: https://youtu.be/woGobkDryGk Everything is a remix Docu: 2015: https://youtu.be/nJPERZDfyWc 2021 versie: https://youtu.be/MZ2GuvUWaP8 Podcast.EGD Bij elke podcast maak ik een ander artwork die eind het einde van het seizoen, op bijzondere wijze samen komen in een artwork boek. Dit boekje krijg je als je doneert via http://petje.af/podcast.egd. Bekijk het boekje van seizoen 1 op www.podcastegd.nl, daar vind en -luister je ook mijn andere 3 podcastshows. Abonneer alvast op deze podcast in je favoriete podcast app, om geen Aflevering te missen! www.egbertegd.nl | www.locatiepunt.nl | www.streetartstreets.nl
Ulaştırma ve Altyapı Bakanı Adil Karaismailoğlu devletin Yap-İşlet-Devret projelerinde kamu yararını gözetme ilkesini anlatırken İstanbul Havalimanı'nı başarı örneği olarak gösterdi; “Ekonomik değeri bulunmayan bir alan devletin kasasından bir kuruş çıkmadan 10 milyar avroluk yatırımla havalimanı haline getirildi. İstanbul Havalimanı dünyanın en başarılı kamu-özel iş birliği projelerinden biri oldu. 200 bine yakın kişi istihdam ediliyor. Devlet 25 yıllık işletme süresince 22 milyar avro kira alacak. Şu anda yolcu yoğunluğu açısından Avrupa'da birinci. 2019'da yani ilk yılında bile garantiyi karşıladığı için 22 milyar avronun üzerine devlete fazladan 22 milyon avro gelir getirdi.” Çamlıca Radyo ve TV Kulesi'nde Ekonomi Gazetecileri Derneği (EGD) üyeleriyle sohbet etmek için bir araya gelen Ulaştırma ve Altyapı Bakanı Adil Karaismailoğlu, yap-işlet-devret projelerini ve kamu yararı gözeten yatırımları tek tek şöyle anlattı; “İstanbul Boğazı'ndan şu anda yıllık 43 bin gemi geçiyor. Her gün onlarca gemi geçmek için Marmara'da bekliyor. Gelecekte bu sayı çok daha fazla olacak. Gemilerin boyutları büyüdüğü için yükleri ve riskleri arttı. Aslında geçmesi gereken gemi sayısı 25 binlerde. Gemi yoğunluğu yüzünden Boğaz'da kültürel ve sportif etkinlik taleplerine izin veremiyoruz. Gelecek yıllarda Boğaz'dan geçecek gemi sayısının 75 binlere ulaşması bekleniyor. Karadeniz'e kıyısı olan ülkelerin büyük liman yatırımları var. Dünya ticaretinin yüzde 90'ı deniz yoluyla yapılıyor. İstanbul Boğazı'nda oluşacak yoğunluğa Kanal İstanbul ile hazır olmamız gerekiyor. Gelecekteki taleplere cevap verebilmek ve Boğaz'ın güvenliği için alternatif su yolu zorunlu hale geldi. Süveyş Kanalı'nı ve diğer kanalları yapan dünyanın en büyük altyapı firmalarıyla görüşmelerimiz devam ediyor. Kanal İstanbul 12 yıl içerisinde kendisini finanse edecek.”
In this new episode of EU Watchdog Radio, we take a closer look at the European Green Deal (EGD) and in particular how it is being financed. Counter Balance released their latest report on October 20, 2021. In “The European Green Deal: Reclaiming Public Investments for a real Socio-ecological Transformation” Counter Balance shows that the financial basis of the EGD is undersized and wobbly at best.In this episode we talk to Xavier Sol, Director of Counter Balance about the main findings of the report.There are three main issues plaguing the financial basis of the EGD. The €1 trillion investment package that's supposed to finance the EGD - the so-called “Sustainable Europe Investment Plan” (SEIP) is merely a political announcement and does not reflect what the EU will actually invest. Most of the instruments under the SEIP are simply the continuation of already existing investment programmes, there is only limited new or fresh money under it.Then there is the strong bias in favour of the private and financial sector. The focus on bankable projects and leveraging private resources has come at the expense of playing a stronger role in furthering transformative policy orientations. The approach of turning projects into bankable ones ignores the fact that a majority of the needs for ecological transition will simply not be bankable and offer any return on investment. The sustainable finance agenda associated with the SEIP also risks to reinforce the financialisation of our economies, at the expense of the real economy.And thirdly, there are major challenges in terms of accountability and transparency. Looking at how the InvestEU programme and the European Investment Bank (EIB) will operate under the SEIP, it is clear that decisions about loans and various financial instruments are unlikely to be taken in a transparent, accountable and participatory manner. Corruption, fraud and misuse of funds are also a matter of concern that largely remain unaddressed.This podcast is produced by CEO and Counter Balance. Both CEO and Counter Balance raise awareness on the importance of good governance in the European Union, by researching issues like lobbying of large and powerful industries, corporate capture of decision making, corruption, fraud, human rights violations in areas like agro-business, biotech & chemical companies, the financial sector & public investment banks, trade, energy & climate, scientific research and much more...You can find us on iTunes, Spotify & Buzzsprout. Stay tuned for more independent and in-depth information that concerns every EU-citizen!
Vilniuje vyksta tarptautinė šiuolaikinio meno mugė „ArtVilnius“. Praėjusiais metais akcentavusi fotografiją, šiemet mugė kviečia pažinti meną ant popieriaus. Indrės Kaminckaitės pokalbis.Kokiomis naujomis formomis meną gali patirti regėjimo negalią turintys žmonės? Kokių galimybių dar trūksta? Minint Pasaulinę baltosios lazdelės dieną – pokalbis su Aklųjų ir silpnaregių sąjungos kultūros ir meno projektų vadove Lina Puodžiūne ir įvairių renginių dalyviu, regėjimo negalią turinčiu Arvydu Markevičiumi.Nacionalinė Martyno Mažvydo biblioteka neseniai įsigijo 50 lietuviškų ritinėlių pianolai. Ką XX a. pradžios ritinėliai atskleidžia apie to meto Jungtinių Valstijų lietuvių bendruomenę? Kaip veikia pianola? Pasakoja bibliotekos muzikologas, Kauno technologijos universiteto profesorius Darius Kučinskas.Geriausiai pučiantis vėjas - kūrybinis. Kviečiame pasiklausyti pasakojimo apie kūdikiams ir vaikams vaidinančio „Vėjų teatro“ premjerą. Teatro įkūrėją, režisierę Eglę Kižaitę kalbina Fausta Savickaitė.Rubrikoje „Be kaukių“ - religijotyrininkas, islamo tyrinėtojas Egdūnas Račius. Pokalbis apie jo klausomą muziką, lemtingą skelbimą, islamo pažinimą ir Afganistano situaciją.Ved. Giedrė Trapikaitė ir Odeta Vasiliauskaitė
THIS IS A PODCAST, HIT THE PLAY BUTTON TO HEAR MY UPDATE Supplemental notes from the Doctor: History of Present Illness Pat is a very pleasant 61-year-old gentleman with medical history as above. At my interview today he does admit to weight loss of 15 pounds over the last 4 to 6 weeks. This is because eating food worsens his symptoms of abdominal pain. The abdominal pain is epigastric. Somewhat diffuse may be more midline. He denies reflux symptoms. He has been taking acid reduction for a decade or more. He denies nausea or vomiting, diarrhea or constipation. The pain can be as severe as 8-9 out of 10 but not quite 10. He takes a regular regimen of ibuprofen and Tylenol every 6 hours keeping the pain below 2 4 out of 10. He did have an episode of double vision lasted 3 days. He saw Dr. Brockbank and the note is in the chart. This resolved and has not returned. He denies motor or sensory change. He denies jaundice, pruritus, fever, drenching sweats. Plan 1. EGD with indication of abdominal pain, history of reflux on proton pump inhibitor and carcinoma. 2. PET CT scan. Indication presently is unknown primary. It would still be indicated even if this was an upper GI malignancy. 3. Continue with Dr. Staley with management of diabetes and other health problems. 4. With regards to pain control fortunately kidney function liver function look appropriate. He continues with his current regimen and if worsening would favor something such as tramadol or oxycodone. Pending diagnosis may consider palliative care as well. 5. Follow-up pending blood work and inform of results. 6. A lot of these things and communication may need to be done by phone in order to take the next most timely step. We will however have short-term follow-up once we have the results and definitive treatment plan. 7. He knows to call us in interim with worsening pain, symptoms or any other question or concern. Oncologic history: 1998 developed abdominal cramping and discomfort improved with Tylenol and ibuprofen and a significant history of gastroesophageal reflux. He had progressive weakness and found to be anemic with hematocrit of 28%. EGD performed was negative but colonoscopy revealed cancer of the ascending colon. March 3, 1999 underwent resection of the terminal ileum and right colon. Pathology showed moderate to poorly differentiated carcinoma with mucin production invading through the muscularis to the adventitial fat. 32 lymph nodes sampled none with metastatic disease. The circumferential distal margins and proximal margins were clear. He was seen by Dr. Brian tutor and assessed to have high risk stage II disease and was treated with 5-fluorouracil daily for 5 days every 4 weeks for a total duration of 6 months. This was complicated with a delay secondary to cholecystitis and ileus.. He was followed regularly by Dr. Tutors team until June 2009. December 13, 2009 CT abdomen and pelvis showed changes of extensive pancreatitis with extensive retroperitoneal fluid similar to exam prior that same day. Possible developing pseudocyst in the anterior body of the pancreas near the pancreatic head, fatty liver and diverticulosis. He suffered with peritonitis requiring surgery and hospitalization and recovery until 2010. April 6, 2010 CT scan of abdomen and pelvis showed significant interval decrease in size and the previously noted pseudocyst/fluid collections. Minimal fluid adjacent to the tail of the pancreas anterior to the body of the pancreas and inferior to the duodenum. Fat stranding adjacent to the tail of the pancreas and possible fluid in the left paracolic gutter noted. April 11, 2019 nuclear medicine parathyroid scan with SPECT showed no abnormal sestamibi uptake within the inferior aspect of the right lobe of the liver which corresponded to the lesion on the previous ultrasound. September 9, 2021 CT scan abdomen and pelvis because of abdominal pain in the left lower quadrant. * Retroperitoneal and portacaval lymphadenopathy with surrounding fat stranding. An soft tissue deposit versus additional enlarged lymph node is seen within the central mesentery near the greater curvature of the stomach, with multiple tiny satellite lesions. These findings are suggestive of metastasis given known history of colon cancer. * Postoperative change of the right hemicolon. No definite nodular enhancement at the resection site. No appreciable liver mass. September 10, 2021 saw his primary care provider with persistent abdominal pain and biopsy was ordered.
INTRODUCTION:I feel like there's no better qualification to have than personal experience when it comes to being validated to speak on a particular topic. My episodes entitled “Community Conversations” highlight individuals from within society who have lived through intense experiences and are willing to be super transparent about everything so that someone else may be helped. There is a certain kind of healing that happens when we hear someone else talking about experiences that mirror our own. Today I am speaking with Madame Jaikaran who hails from the island of Trinidad and we will cover everything from menopause to the church to immigration and everything in between. I really hope this helps someone… INCLUDED IN THIS EPISODE (But not limited to):· Raw And Uncut Conversation With A Native Of Trinidad · The Need To Get Away From The Islands· Immigrant Struggles With Geographic And Cultural Transition· Fearmongering Vs. Love· The Joys Of Having Two Children Who Are LGBTQIA+· The Benefit Of Letting Some Doors Stay Closed· Why Blood Is NOT Thicker Than Water· Wisdom From Whitney Houston· The Perils Of Being LGBTQIA+ In West Indian Islands· The DISCONNECT Between What Churches/Religion Say Vs. What God Says· How Churches Have Pushed Us And Our Children Away· An Intense Look Into Menopause MENOPAUSE:· https://www.mayoclinic.org/diseases-conditions/menopause/symptoms-causes/syc-20353397 · https://www.webmd.com/menopause/guide/understanding-menopause-symptoms · https://www.nia.nih.gov/health/what-are-signs-and-symptoms-menopause SDJ MEMBERSHIP OPTIONS (FULL EPISODES):· $2.99 per month.· Donate any amount for 30 days of full access.· $25 per year.https://www.sexdrugsandjesus.com/membership-account/membership-levels/ TRANSCRIPT:[00:00:00] You're listening to the sex drugs and Jesus podcast, where we discuss whatever the fuck we want to. And yes, we can put sex and drugs and Jesus all in the same bed and still be all right. At the end of the day, my name is Davanon and I'll be interviewing guests from every corner of this world. As we dig into topics that are too risky for the morning show, as we strive to help you understand what's really going on in your.[00:00:24] There was nothing on the table and we've got a lot to talk about. So let's dive right into this episode.[00:00:32] [00:00:32] De'Vannon: I feel like there's no better qualification to have than personal experience when it comes to being validated to speak on a particular topic. My episodes entitled community conversations, highlight individuals from within society who have lived through intense experiences and are willing to be super transparent about everything so that someone else may be helped.[00:00:58] There was a certain kind of healing that happens [00:01:00] when we hear someone else talking about experiences that mirror our own. Today. I'm speaking with Madame Jaikaran who hails from the island of Trinidad, and we will cover everything from menopause to the church. To immigration and everything in between. I really hope this helps someone.[00:01:20] Madam Jaikaran, welcome into the sector, drugs and Jesus' podcasts. How fabulous have you with us today? How are you [00:01:29] Madame Jaikaran: De'Vannon Thank you so much for having me. [00:01:31] De'Vannon: I appreciate it immensely. And I'm super humbled by this because you are my cherry popper today. I've never done a. A conversation with somebody who was not a, a podcast host or an author or some sort of expert or whatever, because I wanted to start a series and this is going to be called community conversations where I'm sitting down and talking to people, the homeys and everything from the community and stuff like that, because [00:02:00] there's a lot of healing when people hear that other people are going through the same thing that they're going through, whether they're giving any advice or not, it can break shackles and set people free just to know to tangibly, hear somebody say that they are not alone.[00:02:15] And so due to your transparent nature, I felt like you were the best fit to break the show into this new direction. Um, You know, just talking to people, you know, who are, who are just living life. You know, I think it's a very interesting angle. And so I'm happy to go down this road with you. And so you are the first, you get the Nancy Pelosi.[00:02:45] And so we know you, um, um, uh, are, you know, Trinidadian, you are in the island of Trinidad, uh, into Wago. Um, very, I mean, it's, [00:03:00] it's, it's kind of obvious from the last name. Uh , which is a very beautiful name. You know, it means like you, you, you love people, you hate conflict and stuff like that. I did a search on the name J credit and it's, it's very, very beautiful and, um, So what, so we're going to talk today about some of like the struggles and things like that, that, that we discussed not too long ago when we were at, at lunch and that we were going to really, really go into detail.[00:03:30] Um, talk to talk to me about what it, what it was like growing up in Trinidad and, you know, trying to make it to American. Why you even wanted to come here? [00:03:46] Madame Jaikaran: Well, internet is a lot of the culture is a lot different. It's very, um, we are a tight knit community. I come from a very large family. [00:04:00] So basically if your siblings.[00:04:03] So you have that same structure that you have at home. You have a church that you have at school. It doesn't matter. It's the same structure. It's a Catholic doctrine. You are raised in a very staunch Catholic household where, you know, you try to fit in, but sometimes you don't know in that. What I mean is we've struggled in terms of emotions in our home.[00:04:40] So me wanting to leave that I needed to be able to be more expressive. That's not something that we do in the islands. It's very suppressed. So I needed to get away from that to actually show more emotion. I met my. Husband [00:05:00] intranet. We both had the same feeling that we wanted to go do something different.[00:05:07] So we decided to migrate migrating here was an absolute shock because, you know, we went straight to New York. New York is very fast paced, but coming from a very slow, what you would say rural, we were coming from a very rural mindset to come into the, to the, to America. You know, New York is very fast.[00:05:39] They used, we struggled at first, not just financially, but trying to understand the culture, trying to understand just simple things, the money. That you know, people don't talk about that when you migrate it's you're converting money, you're trying to [00:06:00] financially get yourself back to where you were, where you came from.[00:06:04] You also had to, you know, we didn't understand some of the woods. So some woods in a British setting is very different to American sentence. And also, you know, we were trying to find ourselves as well, too. So now being you're coming back and you're coming from an emotionally barren place in the island to somewhere that everybody can emotionally be free, it was shocking, scary.[00:06:40] And, you know, we just, we were like, what do we do? We don't know how to, I don't know how to get the word out, but we just didn't know how to accept it. So it was a bit of a, it was a bit of a transition for us, but this was the reason we [00:07:00] came was to get that emotional release, to get the acceptance, to understand different things.[00:07:07] It was, it took a few years. It's not something you're going to learn within the first two weeks. No, it took us years to transition, to being an American. Something that you take very lightly. This is something that we had to literally grasp. And for, you know, for people who are coming from different places, it's hard to do.[00:07:36] It's literally hard. There's not a class that tells you, oh, this is what you do in this situation. We got to figure it out, whether it's correct or it's not, we just got to figure it out. But at least. My husband here. It was easy. It was easier for me. It was harder for him, you know, as a man, but for me, there was a little bit [00:08:00] easier.[00:08:01] De'Vannon: Give me, give me a direct example of something that you really struggle with. Figuring out maybe something that didn't translate well from the islands to the states or something that you really had to overcome, no matter how simple or complex, give me an example of something that you had to, maybe you got wrong in the first couple of times you did it.[00:08:22] Madame Jaikaran: Well, one word, um, custodian in the islands. When you work in a bank, you work as the treasury custodian, meaning that you were in charge of the bank money, which is what I did. So I came here and I applied to a bank and I put that I was the treasury custodian. They interviewed me as the cleaner and that was it.[00:08:50] That was something that, you know,[00:08:57] so,[00:09:00] [00:09:01] um, well, I, I looked at the lady in the interview and I just said, no, thank you. Thank you very much, but no, thank you. And I w I walked away and I came back home and I'm asking my husband, I'm like, why would they interview me? Fuck a cleaning job when I was a try the custodian. And that's when he said, well, let's look it up.[00:09:33] One thing, we always thought that we would always use our bridge. Dictionary wrong thing. We looked it up in a Maria Marianne Webster dictionary, American dictionary, and that's where we found it. So now we have to start going to dictionary to understand things that we need. But it's so different. So that was, I think the most critical one for me [00:10:00] was just that it was,[00:10:06] De'Vannon: I've been, uh, uh, go ahead. Finish your thought. No, no, no, no, that was it. Okay. I I've been a janitor before, uh, for a few years at the department of veterans affairs and yeah, it's a difference in between scrubbing floors, cleaning up shit and all kinds of things that people leave laying around then being in charge of the, uh, I say, would say in the game, in the game of Thrones, the master of coin,[00:10:39] I'm not sure to be the master of coin. All right. So, so you mentioned that you experienced like, uh, racism, uh, hatred from black people against Caribbeans. Tell me, tell me what sort of experience you had. [00:10:57] Madame Jaikaran: The first thing is I'll accent. [00:11:00] So immediately whether you see me or not, you're hearing my voice. And at first I had a very, very strong, distinctive accent coming from Trinidad, and we speak quickly.[00:11:13] We, we have this very same song way of speaking. So, you know, I would go from interview to interview and the minute I walk in the door, it's either first I'm black, second I'm female. And third I'm an immigrant. And I noticed going from John. To job, to job, trying to get jobs. I was not successful. I started to, you know, figure out well, trying to figure out what was wrong.[00:11:48] And you know, this is a passage, both my husband and myself, we were going through trying to figure out what exactly was reason, what qualified, you know, we're hard workers. What, why, why, [00:12:00] what if we get into jobs? Well, come to find out. It was really because we're immigrants. People just did not like the fact that we were immigrants, um, interviewing with other black people thinking, well, okay, you know, my foot's going to be in the door because somebody is going, gonna give me a, uh, help out realizing no, they don't want to help.[00:12:22] The minute they hear the accent, they think, okay, you're trying to come here and take jobs away from American citizens and stuff. No, I want them to have the same life you have. I want to pitch in and. I don't care who I'm helping, whether it's a citizen or immigrant as an immigrant, we don't see that line, that division between the citizen, to the immigrant.[00:12:45] We see people. We want to be a part of you. We don't want to be isolated. We don't want to be, you know, left out. So from the time we speak or things that we may do, [00:13:00] they already, you know, you cast us as, oh my God. Oh God. Then they ask you, well, well, where are you from? You know, the small chitchat talk. And if I start saying, well, I am from an island.[00:13:16] Immediately. Oh, that's so nice. And then the, you would start seeing, well, you don't have this, or you don't have that, or you didn't ask me for that, but you're now starting to segregate me because I I'm an immigrant and it's really unfair, you know, the cast Jamaicans the same way they've passed Trinidadian ans, but they don't do it to Canadians.[00:13:43] They don't do it to the British. They only do it to Western islands. And we we've been excluded from jobs from opportunities just because of our accent from origins. [00:14:00] They don't give us a chance. They don't try to, you know, they, they don't care. They don't want to hear it. I've been to one interview where I walk in, I told them I was outside of Leeton and they literally.[00:14:16] Let me interview with the secretary I left from New York, took the train to Connecticut, sat there and was interviewed by the secretary, just went out, just went back home and said, well, like that was a waste just because as I spoke at the front desk, they heard my accent. Not even opportunity to go in and flip up, you don't know what well, if I come with what, what I can do, you immediately, the cast blockers were meaning in past, you know, you segregate us basically as there are white [00:15:00] people at the top black people, and then they're black immigrants.[00:15:05] So we must always see at the bottom. We must never, we'll never give him a chance to succeed. We have to work, work hard, very hard work all the time. We're constantly working. So, you know, it's really difficult. We'll still keep doing what we want to do because of the opportunity we get here. It's still better than where we are home, but we just wish people would open up and understand.[00:15:35] We're not here to take your job. We're here to help and promote this country. [00:15:42] De'Vannon: Well, hopefully more people become more. Open-minded um, I'm very happy to weigh things of the, on politically, the sort of the sort of unrest that we have, uh, the kind of disruption, because it's, you know, people have known this, but now it's so, so, so when [00:16:00] people's faces, now that they've got to be aside.[00:16:03] You know what, you know, what side of the fence they're going to be out of. They are going to be a hater against people trying to come here, fear monger, like Republicans do and say people and take your job, no evidence of that at all. Or are they going to show love bearing in mind that we, that God is not mocked, whatever man, sows, that also will he reap.[00:16:23] And so, um, so I feel like, you know, you know, it's a good thing, you know, all that hard work eventually did pay off. I command, you know, your spirit in the immigrant spirit for never quitting and giving up. That's, what's the one thing I will say that, you know, you know, immigrants, you know, are strong fighters, you know, you know, you've come this far.[00:16:48] You don't have any choice, but to keep trying until you make it, um, You know, as being a member of the alphabet mafia, which is my way of saying the LGBTQ plus community, you know, [00:17:00] that's something that, you know, I in my community are very accustomed with too, you know, doors being closed, you know, y'all want to get married, but we won't make you a cake.[00:17:10] We won't video your wedding. We won't photograph your wedding. You can't use our venue. You know, people, people can be hateful, especially white people can be very, very, very like anti and against just about anything. That's not them. So, and not that other reasons because can't be, but in other people and you know, can't be hateful, but it's something, there is something different about white people, especially white conservative.[00:17:45] People, they just like to just say, fuck you to everybody else. And, um, in, in, in, um, and then, you know, turn around and want to go to [00:18:00] church on Sunday until a woman had to get an abortion when they've just caused all this havoc throughout the week. And, um, so we'll get on the spiritual stuff in just a moment, but now you, you have the good fortune of having not one but two sons who are member of the alphabet, a mafia as well.[00:18:20] What's it, what's it like having the gift of two non straight children? [00:18:28] Madame Jaikaran: Beautiful. I couldn't ask for anything better. I have two beautiful kids, men, me, men. I have two wonderful men care and men too. Amazing men. I, I don't, I just don't know if anybody else will ever have that pleasure of having [00:19:00] two beautiful children.[00:19:03] No, [00:19:05] De'Vannon: no, go ahead, please continue. [00:19:08] Madame Jaikaran: No, I was just about to say, you know, people don't understand what it's like to have kids and then to raise kids and then to see them succeed. And I've seen that my children may struggle once in a while, but I don't think they struggled with identity in that they can enjoy their lives.[00:19:33] Now, a lot of people from the alphabet mafia has made it to where my child. Can walk freely and be free to be themselves. So I go give kudos to everyone. Who's walked before my children in their path and made a better path for my kids. [00:19:58] De'Vannon: What would you [00:20:00] say to someone who, whose family did not accept them?[00:20:07] Um, um, any, um, neither whatever age they are be, they grown now or, you know, like, you know, like your children or any age, what would you say to them? You know, maybe their parents kick them out and stuff like that. Um, which, which still happens. Yeah. [00:20:29] Madame Jaikaran: I would say shame on you. [00:20:31] De'Vannon: No, no, no, no, no, no, no, no. What would you say to the person who got rejected by their family?[00:20:35] Oh, [00:20:37] Madame Jaikaran: I would tell them there's still low. Let that door stay closed. Find on your door, open it, open a new door, go somewhere else. Go where you find love, go where you are accepted. Trying to break that door down is too much energy. Do not put your energy there. [00:21:00] Find other people like-minded and go where there is love, because there's nothing you can do.[00:21:09] A lot of these people, I notice have anxiety because of society. So you have to go where people are like, you will like, you will love you, who you are will accept you. I do not favor trying to change people's minds. I don't care. You don't like me go away. I will find someone else. I want these kids to list.[00:21:39] Literally find love where ever they can. So I know, yes, you heard because you've been up cats, kids I've been thrown out from their families. Their friends have shunned them. Their [00:22:00] jobs have shunned them. There's so much of society that is just disconnected from them. And they're alone. You have to find someone who will love you for you.[00:22:14] I don't know. You know, I don't know what it would be like, how challenging it is and how strong someone is. If they have to go through that, it's an inner Stripe, but I hope they develop a really. [00:22:31] De'Vannon: Thank you for such a beautiful advice. Madam Jacob, I'm going to quote, I'm going to quote Whitney Houston, then I'm going to quote the, uh, the Hebrew Bible.[00:22:41] And then that order. So as Whitney Houston said, you know, during her day that she was smoking her crack and doing her cocaine when she was shooting the body guard, which they had to pause as I understand it because she overdosed, you know, but from their tongue, from her song queen of the night, my favorite line from it, she says [00:23:00] you got a problem with the way that I am, this ain't my trouble.[00:23:03] And I don't give a damn. And then, uh, and then the Bible says that. Better, uh, uh, uh, you know, a friend the near than a brother far, and then there's a friend that sticks closer than a brother. And so what this is saying is if somebody else has a problem with you, then fuck them. It's their problem. You don't have to make it yours and that your true family and your true comrades are the ones that you find in life, not necessarily the ones that you were born into, and now it can be hard for us to silver blood ties.[00:23:39] You know, we're raising families. We see that as a part of our culture, wisdom, wisdom tells us that whoever it is that will not accept you for who you are, be it, your biological family, mother, or brother, father, aunts, uncles, whoever, then it's time for you to get a family of your choosing who will accept [00:24:00] you and not discard you because of persons.[00:24:04] Because the way you were born and then the other kind of personal choice that you may be making, which doesn't even have an effect on them, they just simply don't like things. So, and like, like Madam Jaker and said there's no, there's no sense in trying to change people's minds because they're coming from a place of their own convictions and their own upbringing and beliefs and norms and their mind that they've never challenged and trying to project that on you.[00:24:31] So you're fighting Jim generations in history and years of ignorance. That's manifesting in one single individual. It's much easier. It's not easy, but it's much easier to walk away from people who are hating you and hurting you like that. And find something new as awkward and difficult at first. But they be like, like my Angelo said, like the dust dust from the ashes, you will rise and [00:25:00] it'll be brighter in the morning.[00:25:02] Madame Jaikaran: And that's what I want. As you know, going back to that topic. That's what I want. Whether you're young coming out, whether you're old coming out, it doesn't matter. Blood is not water. It really isn't. It is who is there for you to pick up the pieces when you are your anxiety recent, you're in the middle of a storm.[00:25:27] You don't, you just can't grasp what's going on in life because your mind is recent. You need to be able to call someone to who can accept you. That's what you need at all times. Family will not come all the time, but if you've got some buddy or a group who will be there for you, that's who you need.[00:25:51] Don't chase. Don't keep chasing a tail, which is the family. Family is everything that is caught up to be [00:26:00] anyway. Family has just been a unit. It's just been a tribe. Sometimes you got to leave the tribe. Sometimes you gotta walk alone, you gotta find yourself and you got to be strong. That's what I really want people to learn is strength.[00:26:19] That's what a lot of the, the alphabet mafia needs to have is that inner strength to see, fuck you [00:26:31] De'Vannon: now. Um, and, and fuck you very much. If you want to be a little polite about it. Um, some of my friends, um, are actually. Have like their fingers crossed, like, like when they have kids, like they do not want them to be straight.[00:26:49] Like they really, really, really leave these. And these are straight friends that I have. They're like, please God, let them be gay. They just like, they, they, they want that, [00:27:00] you know, that fun zesty, you know, gay kid, you know, that's like painting his nails and he's like to over at the fuck ever, you know, and everything like that.[00:27:09] And just, you know, having a good old time in life, they, you know, they would just have like so much fun. And, um, I want [00:27:19] Madame Jaikaran: to tell you, I just want just a one comment. Oh, sorry to cut you across. But you know, they're like that. But when that child goes to school, that child no has to deal with the straight kids and the, the, the, the, what is it?[00:27:39] The judgment. From those street parents. So now you have your child, but you know, you like, cause it's cute and everything, but you have to be careful because this poor child is going to be like, so, you know, you have, if you know, you're going to have a [00:28:00] gay kid, have to immediately start honing in on, you have to be more sensitive.[00:28:07] You have to be very careful who they're around because they're still parts of this pockets of this community that want to change that child. They don't want to see the inner beauty of the kid. They see just the outward thing that scares them. They don't want that child around. And no, you know, it's like, I wanna say something weird, but it's like having a boutique kid because it's.[00:28:41] No, you have to have that kid and realize you have a gym and you have to really cultivate this Joan for this jump to grow. I hope I didn't mean to cut you across, but I just wanted to bring that out. It was like a needed to say that. [00:28:58] De'Vannon: I mean, no, not at all. Um, [00:29:00] I mean, not a problem at all. Um, so you're saying that there is, uh, sections of society that would, would maybe try to change the child and stuff like that.[00:29:14] Can you give me an example of what maybe you saw one of your sons go through growing up that would prompt you to say that? What, what sort of struggles in that regard that you experience with your sons? [00:29:25] Madame Jaikaran: Well, they didn't come out to me until very late, so I didn't know, but my thing with them was. Be yourself, enjoy yourself.[00:29:35] You know, you have friends around your friends that are there and, you know, I never saw anything that will hurt them. I didn't see it because, you know, in the, in all community where we live, there were more people of color. There were more brown people. So my children stayed [00:30:00] with, they run with the same crowd.[00:30:02] They were nuts. And inside the nerd community, they could hide themselves. They didn't have to come out to their friends. They didn't have to come out to, you know, other family members like cousins or anything because it were nuts. So they didn't have a really hard time. But the older they got, you know, I really didn't see them.[00:30:28] My oldest one, he didn't have any problems making friends, you know, I don't think, I think he said once he did just tell me once he was riding on the bus and someone made a comment about the gay community and he felt awkward because he, he knew he was gay, but he couldn't say anything, but strangely enough, that's not his circle of friends.[00:30:58] So it wasn't somebody, [00:31:00] he felt he cared much about. It was just, okay, I'm not going to say much because they may hook me on the bus, but he never ran with that. That crowd of people, he just ruined the bus. Some team who had a different circle of friends around him, his friends and my younger one would, they had the same friends.[00:31:24] Those friends literally lifted them. In terms of the accepted it, they knew that they were gay, they accepted them, they felt safe.[00:31:36] So I, I don't it, that might, if the answers it, [00:31:42] De'Vannon: I mean, that's what we were talking about. Finding, you know, a family where you can and, you know, you know, making it work, you know, w with what you've got, um, rather than trying to, to hold on and, you know, and [00:32:00] it's due to stressful blood relatives, you know, the stress of a family can put people in the hospital, they can call them for health.[00:32:08] You know, people arguing, trying to change this person, not accepting this person who they want to love and bring home, you know, families, the families can really, really, really be a hot damn mess, you know, at times in, and then you said that, um, That you don't feel like your sons could have lived in Trinidad as being gay, uh, explain why wasn't going on with the culture down there.[00:32:33] That would make that difficult [00:32:37] Madame Jaikaran: but in Jamaica, they culture is that they do not like gay people. They're afraid of them. They'll beat them. They ostracize them. They believe that, you know, you're just not part of the community. So they look down on you. So instead of seeing what you could achieve or see what you could [00:33:00] bring to the table, they immediately say, well, oh no, I don't want to be around that.[00:33:04] Or I don't want to be around this person. I don't want to be, I'm afraid I'll get something from them. Or, you know, this was, I think what happened at manifested more in the eighties when aids was around, everybody thought anybody who was gay had aids. So right away, they thought. If I touch this desk, I'm going to get eight.[00:33:27] Um, if I sit in the toilet, I'm going to get aids. So they started to hit the gay community. They would run them down, they would stone them. They would throw stuff at them. So just that alone. I don't see those people are still alive. Those people, maybe in the sixties and seventies that we are thinking has not passed on to their children.[00:33:58] Their children would be my [00:34:00] age. They would be in their forties. There'll be in their fifties. Those people have children. So there's three generations that grew up thinking that every gay person had aids and will bring it to the community. So if you will. And you will gain, you will be in torture. You will be in molested.[00:34:24] You will be in stone. You will sometimes turn up dead. That's how bad it was. I wouldn't go home to that because this, the way of thinking is still the same. You've got Catholicism. That's literally still trying to put that choke, hold on. People's way of thinking. So they still think, oh my God. I said, gay guy.[00:34:55] Oh my God, I don't get aids. No, [00:35:00] if it's so they're so closed minded. It's ridiculous. It's very, very, their way of thinking is stagnant. It's still stagnant. So would I. My kids to go home and, you know, deal with the cousins at any level. Yes. But not to have to go through being ridiculed or made you feel bad about yourself or looking down at them.[00:35:34] No, I wouldn't want anybody to go through that. No one should go through it at least of all my kids, because they're mine.[00:35:49] De'Vannon: Oh, absolutely. Um, Madam J crew. And so the hardheadedness of motherfuckers is something that. [00:36:00] That th th that is, that is really, um, unfixable. You know, I think about people who won't get the COVID-19 vaccine, people who want to persecute women who want to get abortions, people who have these set notions and ways and them, and so people who've been rejected for being LGBTQ plus, or having an open relationship or being in a polyamorous relationship or having some sort of something about you that offends people who have a stick of their ass.[00:36:32] It's not, you know, you can't, you know, like, like you're saying, um, Madam, you know, the better energy is to move forward and, and respectfully distance yourself. And it may take time to do you know, we're not saying this can happen overnight, but you know, a plan does need to be put in place because you will spend the rest of your life and end up in the hospital.[00:36:58] A mother, the mother, [00:37:00] the like you won't accept you for who you are or a friend or a church community, or anywhere like that. Now there's places out there that you can go with the way we're connected with, you know, the internet and wifi these days, you know, you live in a rural place, you know, there's, um, you know, there's ways to go on there and get connected with people, even in the gaming community, you know, the Twitch streamers and stuff like that.[00:37:24] People go into the, uh, the gaming Twitch streams and they've voiced their problem and stuff like that. And they find community, you know, in all kinds of ways. And, um, um, and which I'm super excited. Cause you know, I recently learned about that. I'm going to be doing a show with, with a game or a twitcher soon.[00:37:43] And, uh, because I really want to highlight the support that's found in the gaming community. , [00:37:49] Now. Uh, you said, um, well,[00:37:56] uh, talk about the juxtaposition between [00:38:00] raising gay kids versus the conformity of the church, because, you know, you talked about, I believe it was Roman Catholic Catholicism. And, um, how, how was the conflict there and between what the church is telling you versus how you feel in your heart? [00:38:19] Madame Jaikaran: There's a big disconnect.[00:38:21] The Roman Catholic church in the Bible, from what. Says that God accepts everyone. But man, now priests is telling you, you couldn't do only a man can be with a woman. So there lies the beginning of the disconnect, right? So if you try to go to church as a gay person, they won't try to accept you. They're not trying to accept you because they already have it in their mind.[00:38:53] It should be the union as a romantic, a woman. So why [00:39:00] go to somewhere where spiritually, you're not going to be accepted. You're not accepted for who you are and the church doesn't want to change. The church has been set in stone from when it started, where the priest is making the decision is no longer set.[00:39:21] Just read the Bible and you can believe that God is going to accept you. So I have an issue with Catholicism in that it's literally a joke when it comes to things that don't conform to, what man has interpreted to be. So man is constantly saying, well, you have to be, you know, this, you have to be this, you, you basically cookie cutter.[00:39:53] You must be a cookie cutter to what they want you to be. God is telling you there's an [00:40:00] open canvas. You could be anything. I'm still gonna accept you. Who, who whole weeds it, say what God is determining. So that's where I have a problem. How can you raise gay kids in a church, on an environment? The minute they step foot, people are telling them, well, you're going to burn in hell.[00:40:25] You're going to be struck by that. Then you, so imagine as a child, you're hearing this, I stopped carrying my kids to church. I think when they were like six, not knowing that they were engaged, just not believing a lot of things. So no, I have a agnostic kid and one who is, you know, my older one is he's religious, but my second one is not because he already felt like he's hearing people talking about church.[00:40:59] And [00:41:00] when you go to church, there's always the, as I say, the cookie cutter way, but you must conform. And if he's not inside there, where does he belong? Does he sit outside? Where does my child belong? He doesn't feel like he belongs. So why go somewhere? Why push yourself into this place? That's already telling you I don't accept you.[00:41:24] So why do I continue with the Catholicism or imparting, you know, these fable things that they keep saying, I just don't believe it. I don't believe I need to push this on them. They make their own decisions. They, they make their own path in life. They guide themselves accordingly. You just live a good life.[00:41:47] That's basically what God is saying. Living good life. Don't do harm to anyone. And that's what we should all do. But instead we allow a lot [00:42:00] of mind to tell us you have to be this way, or you'll never get that. I don't believe that. What do they put gay people like in a separate the, like in the balcony section or what, what, where do we all go?[00:42:17] Where do they, where do straight people go? The church does not, it does not give us a forum to accept everyone. So I don't believe in it have kind of lost a little bit of my I've lost a lot in the last couple of years in believing in it, because it doesn't text steps, my kids, and that's, you know, the most important thing to me, my family, if you're going to throw my family away, I can't account.[00:42:54] I can't enter those doors again. I just can't.[00:43:00] [00:43:02] De'Vannon: Okay. So, um, I can certainly understand that. So then. So, what I'm hearing you say is that due to the, uh, the off putting ways that church people can be and experiences that you had particularly directed at your children, because you know your children, you know, that they're good people, but somebody is reading a book and getting out of their things that they're speaking against your children and therefore you can't fucks with them.[00:43:32] And so that makes, that makes perfectly good sense to me. One of your kids didn't believe in anything and then the other one is religious. And then so you, uh, having, so you no longer, so you're no longer practicing Roman Catholic? Not really. Not really, or no. Which one? I [00:43:55] Madame Jaikaran: believe, I believe I still believe in God.[00:43:59] [00:44:00] I believe in God. Basically I can say, I believe in God, full stop. You know, I do not believe in what man is saying. So I know there is a God. I just asked for protection for my kids, asked for protection over all of us over everyone. And that's, as far as I go, no, the older one, he believes that there's good.[00:44:26] And that's a great way of thinking. My younger one just says, I don't believe there's anything. You know, we just, you know, there was a big bang and we will create it. How can I change that? He has to change it on his own. I believe in following your path, finding your own information. Finding your destiny. I must not pleased with destiny in front of you because then you're no longer at this time to go down your path.[00:44:57] You're going down my path. [00:45:00] So I leave everything open to them. Religion is open to them, just be a good person, just don't do harm to other people. That's the important thing people need to understand is whether or not you meet a gay person, they are still good on the inside. Whether they are gay, whether they drink.[00:45:21] I don't care. If you believe in that you identify as a monster truck, whatever you are just be good on the inside. And that comes straight from God. It doesn't have to be filtered through a man. And that's where we have a problem is that filtration system that we've got, we have a problem. Rightly so. I believe in.[00:45:48] There may be. I have an unhealthy, that's not a problem, but for right now, I have kind of like taken that off the [00:46:00] table in my household. It's not something that we go to. We don't go to church because I don't believe in simple mockery of just going and recite and stuff and just going, you know, you're just doing it in rotation.[00:46:17] It's like, oh, this stand up, sit down, kneel down this. You're just doing it now by rotation. You've learned it. You keep doing it. You're not learning anything. We still walk out. We walk outside, we're ready to shoot you. We still ready to take care of you. We're ready to curse you right outside the door.[00:46:35] What have we learned? Nothing. So what, why, why should we go there? That's where I'm like, why do I go through that filtration system? That's definitely telling me lots of different things in my head. I don't need that. I need the direct path straight to God. He and I have a conversation. We talk about good.[00:46:58] We talk about bad. [00:47:00] That's it? Nothing else. No one else. It's, it's a simplification of life that I think I've just gotten accustomed to. [00:47:12] De'Vannon: Well, I hear you preaching better than I've heard anybody preach in a while. I met him Jake written because the thing is, and this is a, a strong theme of my ministry is spiritual independence.[00:47:25] And so I'm very much against denominations. Um, I know some people love their denominations and everything like that, but, you know, we can, you know, get into the worship of the nominations and ritual before we realize we have fallen down that rabbit hole. And, um, and I'm against them because. Of all the rituals and everything like that.[00:47:49] And when I used to be in them, you know, looking back I'm like, what, what, why, why was I even doing all of that? What was I really worshiping? What, what was the point? And, um, [00:48:00] so what, what we gotta be careful about is that in our abandonment of physical churches and the nominations, that we don't throw God away with it, which is something that, that I did before as well, whenever I got kicked out of church.[00:48:13] And so, so the mind charisma of the people is to, you know, your most important time, you know, when you were alone with, with, with whatever you believe in, be it God or whatever, you know, if you're not choosing the way of Christ and whatever it is, you know, we're not judging you here for whatever you want to worship.[00:48:33] And so, you know, my encouragement is. To be aggressive about it though, you know, and not leave it floating kind of like in a limbo, you know, if you're going to worship price, you know, and find ways to study him by yourself, you know, reach out to people for advice, you know, and stuff like that, if you need to.[00:48:52] But your most important time is your alone time. So just because the church pissed us off, we've seen our friends and family members and loved ones get hurt by them. [00:49:00] We would do ourselves a disservice to abandon all spirituality because we can get hurt and we can do that sometimes, you know, throw it all all the way.[00:49:08] And I done that before. So, um, you know, as I say, you know, there isn't anything wrong with Christ, but there is a lot wrong with Christian and the church people. And it can be hard sometimes to tell the difference between. You know, between Christ and Christians and church people, but they're not the same.[00:49:26] And so I hope to address that in great detail on my show, moving forward, and then in my blog and in my books and stuff like that, because, um, this is a big deal. It happens a lot. Some of my straight friends will not go to church because of the things that they have seen happened to their gay friends.[00:49:42] And they're like, we just, we can't do it. And so, um,[00:49:49] and so, so that's where you're at spiritually are personally, don't physically go to a church. I was going to a university Presbyterian church here at Louisiana state university that led [00:50:00] you before the pandemic. But, you know, and you know, it's not like, you know, ever since I, I got thrown out of church all those years ago has never really had the same taste in my mouth.[00:50:10] You know, they are a gay affirming church. I do always want to make that point. You know, there are LGBTQ. Churches and denominations Lutheran, Episcopalian, metropolitan community church, some of the Presbyterian churches, you know, they have gay preachers. They CA they ordain trans people. You know, they, and I have all those resources on my website, second drugs and jesus.com you know, knowledge is power.[00:50:35] And like, and like the Lord says, people perish for lack of knowledge, but there's actually churches. And, you know, if you do like the nominations and stuff like that, I'm not saying they're all just inherently evil, but I'm saying that they, they gotta have their place, you know, you know, second to God. And, um, but they are actually the nominations that are totally open to LGBTQ people.[00:50:57] You can be trans, uh, [00:51:00] you can be polyamorous, you know, whatever it is that you do, you can go in there and you're not going to be judged. People are not going to get uncomfortable. And so it's shifting in their seats and all of the bullshit and the dramatic, um, things that happen when you go into conservative churches, you know, they're not the only option.[00:51:18] Madame Jaikaran: Yes. And that's important because you know, for give parents, we need to know, um, kids are safe. We have that, like, it's more of a, a union to understand that people will accept kids. It's just, it's so hot. It's not, uh, an autistic child. This is a child that's gay. That has an alternative lifestyle. They'll lifestyle should not dictate how you treat them.[00:51:58] You should just [00:52:00] how you treat anybody else. It doesn't matter. As I said, you couldn't identify a freaking helicopter. Gotcha. What difference does it make? Just be, you know, accepted. Yes, no, they have some of the churches. Cause there are a few here. Um, And there's like one or two that I've known. I've seen where they say, you know, we accept straight gay, queer, whatever, whatever else.[00:52:27] I don't know all the letters, but you know, they accept everyone. And I absolutely liked seeing that, but guess where they are, they're in the white community, they're never in the black communities. So now I've got to trudge all the way down to the white community. When sometimes, you know, I don't feel comfortable.[00:52:51] I'm not comfortable going there. So that's another thing. So can I really feel comfortable going in an area where there is not [00:53:00] anyone looking like me as a black woman, going into a community that say, well, we accept everybody, but there's always a, but there's always a, but because I'm, you know, a little, um, calm.[00:53:14] We accept this, this, this, this, that, but we kind of, I really don't want black people here cause you know, so do they really accept everybody? No, there's never that one place that everyone feels accepted. It's always a, but, and that's why, you know, it's so hard just to find that one place that you feel accepted, totally accepted.[00:53:43] Totally let your hair down. Totally feel comfortable. Feel like an absolute family. There's just not that place. That's why there's so many, you know, introverts that are gay. They can't come out. They become [00:54:00] nuts. They become isolated. The just there's no community that they could completely envelop themselves in.[00:54:10] And, you know,[00:54:15] Um, I'm sorry. It's like, yes, they do have it. Cause I did he see the van for churches, but then as I said, the churches are not going to accept us now because my sons are black. So [00:54:31] De'Vannon: I guess it ain't one thing it's another, the hearing you explained that, you know, the isolation that you feel, you know, you know, if people, people could feel that way, oftentimes even though they were in a room full of people.[00:54:48] Yeah. And, um, yeah. And so the question is, you know, what can we do with that? You know, that I counsel people to really, really, really, really work on their [00:55:00] spiritual life because. You know, it's a, it's a strong part of who you are and if you don't do anything with it, then a strong part of you is starred and you're going to be out of balance.[00:55:09] Now, when you really get your, your mind and spirit in order, you can be by yourself and never, ever feel alone as your relationship with your higher power, whoever it is, you choose to worship via Christ or whomever, um, grows and strengthens. Um, because we can't, we can't wait and depend on people because that's just not where it's at.[00:55:33] Uh, and, um, so yeah, I don't physically go to church. I like to stay home, read my Bible. I pray, you know, I meditate, you know, I, you know, I come up with ways to get closer to him and that's my greatest prayers to get closer to, to God. And, um, And, you know, if I do go to a church every now and then, which that'll be after the pandemic is over, you know, it'll be just cause I [00:56:00] want to, but it's not like I felt like I have to.[00:56:02] And, um, and so, all right, so then let's switch gears. The last thing that I want to talk about is, is, is, is a women's physical health, because the thing that you, I think we're maybe the most passionate about when we were having our cocktails and conversation on IDEO at the restaurant, was this process of going through menopause, finding out you, you had menopause and it was a big deal you felt, and you feel like they did something that is swept under the rug and not talked about.[00:56:35] So, so preach on menopause and tell it and just then just preach. Just let the Lord do you use you? [00:56:42] Madame Jaikaran: Well, basically I started going into. And like two years ago, and I felt like everything was falling apart. I thought my health was failing. Didn't understand what was going on. Started reading lots of stuff, going to many [00:57:00] different physicians.[00:57:01] I mean, I went from, I went literally pillar to post from GI doctor to, um, ha cardiologist. I, I don't want to take too long, but I went literally the GI cardiologists. I went to the PCP. I went to dermatologist. I went to, to, um, the, uh, neurologist. Because nothing connected. There was nothing connecting these dots.[00:57:34] So I'm waking up with different symptoms. I'm dizzy. I I'm feeling sick. I'm just not feeling like myself. Something's wrong. What's going on? So I'm going from one place to the next I'm going for, nobody's there to connect the dots, not realizing, okay, you're in your forties, late forties going into fifties.[00:57:58] Maybe we could look [00:58:00] at this and see if this is going to be something where you can draw conclusions. So I've done a study stress test at the EKG. I had to do an EGD. I did basically the alphabet. I'm just going, going, going, not understanding, going to the dermatologist. She's pulled out a chunk of my scalp to send it for a biopsy, trying to figure out, okay, my hair's falling out.[00:58:31] What the heck is going on? Literally couldn't, um, couldn't breathe properly. So went up pulmonologist, like, you know, just nothing. Um, I'm thinking the worst. Okay. No one connected the dots at all. I kept reading and I did a sleep study. I just not understand in my body. This is [00:59:00] something that I've been with all year and it has proven grateful, you know, this voyage has been great.[00:59:07] And then I just hit this brick wall. I thought, what the hell is this? Is this some kind of cancer? Is this something nobody to connect the dots everything's coming back. Perfect. Nothing's wrong with you? It's all in your mind, go see a psychologist. I'm like, screw you. It can be in my mind if it's physical.[00:59:26] Okay. Then I start, you know, I start talking to other people and they don't want to have that conversation because they don't want to accept the end of the end of, you know, childbearing. We just think of who my God, I'm old. I'm going to be old crusty. And you know, people are not going to like me. I'm going to be irritable.[00:59:47] But in the interim, I am scared. My older brothers, my older sisters, I have quite a few. I'm asking them. They don't want to have the conversation. They [01:00:00] especially, you know, island people. We don't talk about that. We don't talk about loving someone and we don't talk about, um, Um, you know, female issues, we just don't talk about it.[01:00:13] So where do I go? The gluten, my friends, my friends are Western nations. We don't talk about that, Eva. So ham lost. I have no one to turn to. I'm just reading the internet. I'm thinking they're God, I've got old. I thought I had an array of diseases. Okay. Fast forward to like two years into this. It's not going away.[01:00:37] It's still very bad. Don't know what to do. I've exhausted all the different, you know, doctors I can go to and they keep saying, well, we can't tell you anything until I stumbled upon reading up about menopause symptoms. So I started reading it and it's [01:01:00] not the same thing. Like mine, it's not the same. It's not the same tool.[01:01:04] Okay. I'm like, all right. It could be different according to different people. So now he has that asking a different question. I'm asking my girlfriends, have you experienced this? And if you experienced that well, yeah, well you're going through menopause or don't, don't bring that on me. Don't bring that on me.[01:01:27] Don't talk about the tone. Don't talk that this should be oddity of saying if I tell you, you have, you may be going through this. You think that I'm cursing you with it. I'm like, oh my God. So once again, I go back again and I'm reading and keep reading and I'm trying to understand what is wrong until I said to myself, I think I'm going through medical.[01:01:54] I started done accept that. That was it because I wanted it to be it because [01:02:00] I'm so tired of having multiple. It's used multiple factors. Factions of my life is wrong. Parts of my body just normal, longer conform to how they were just two years ago. I'm like, look, I'm going to accept this. And I started reading it or stopped reading it and reading more and more and more.[01:02:23] I've gone to the doctor and they're like, well, you're still in paramedicals. And I'm like, I can't be, I have to be now in menopause. I have to be in it. I want to be in it. I need to be in it so that I can give whatever disease I have a name. I needed some form of closure, some caption, a title to this multiple organ is used that I was going through.[01:02:53] Eventually I eventually stopped having a period and that's when I [01:03:00] said, okay, I'm in it now. And I had no one to talk to no one to give me advice. No one to say, well, this could be some of the issues. Everybody shuts down the minute we say menopause, it's the biggest, dirty word for women in their fifties.[01:03:23] It's the worst word you could tell them. We feel like, oh my God, I'm no longer sexually attractive. And that, I think that's where we have that. That's where we have a problem [01:03:39] De'Vannon: now. But when you say menopause is a dirty, where do you think that that is specific to west Indians and, and people in the Caribbean?[01:03:47] Or do you, or did you find this across all of the women you tried to talk to? No matter of their ethnic makeup.[01:03:59] Madame Jaikaran: [01:04:00] Mostly west Indian women, mostly women of color, because as you say, we have many, well, they have many preconceptions of different things. So if it's not something that they like, they keep thinking that you're trying to curse them. So menopause. It's like you're becoming way too. Um, what is the word you're becoming way too?[01:04:32] Oh my God. I'm trying to get the word. I said, you're too close. You becoming way too involved in the lifestyle and in that, in their life. So they want to push you back a little bit. They hit that level of involvement when you're trying to tell them, Hey, you know what you're going through could be normal.[01:04:53] No whip, panic, paranoid, but going through stages because nobody's telling us, [01:05:00] and then we're not telling each other. There's no communication. We're constantly keeping it so private. We don't want to talk about it. We're embarrassed, I guess. So it was mainly the Caribbean community that I was having. The biggest pushback of don't bring that on yourself.[01:05:22] Don't say that kind of, don't talk that ship in. This was what people would say. Literally, I'm trying to figure out what's wrong with me. And you're telling me it's tripping it because I think, well, it could be this. So it was really the Caribbean community. And at this point, I love to share about it because as you're saying in your community segments, people may not understand that all these things go wrong.[01:05:52] At the same time when you're going through menopause, it's, you know, [01:06:00] the, I even listened to some of these people on TV, especially the white people they're talking about it and they make it sound like it's such a beautiful transition. It really isn't. It's the full stop at the end of being able to have a child and your body goes crazy.[01:06:20] It goes nuts. So there's nothing nice about it. It's then you sat down in the hot flashes. I mean, I'm sitting down sweating. I can't stop sweating. I just don't understand what's going on. I was never somebody who swept before. So coming from an area where, you know, I'm literally at one point in New York and I'm sitting outside in the middle of winter, it's minus 20 degrees and I'm just sitting outside.[01:06:51] Like a long sleeve top on when Ms. Lauren and I'm right out by, um, I think it was chambers street and I'm [01:07:00] not feeling cold because I'm hot. I'm just hot. It's this overwhelming heat that comes on you. It's not normal. It's just not normal. So when people go through it, it throws us off so badly that we literally can't think we go blank.[01:07:21] We forget things. That's another thing that happens to us. We're very forgetful and it's not, you know, dementia. It's literally your body loses in so many different hormones, creating different things, it's substitute and stuff, and it's just gone crazy. And we don't know what the hell is going on. And nobody's telling us anything about it and black woman, white woman, it's the same.[01:07:52] Cause we just, we just go through this transition period when we're just crazy. That's all I can say about it. We just go [01:08:00] nuts because nothing is working from, for me, it was from swallowing. My heart's racing. It's the Sletten it's you put on a little bit of weight. So then psychologically you're like, oh my God, I am I'm fat.[01:08:19] I'm ugly. I'm losing my hair. My vision is going all at the same time. I mean, how do we handle this? How do we put all this together and still wake up in the morning and not want to kill folks? I don't know how. But bottling it up and not talking about it makes it even worse. So we can never document exactly what white woman goes through black woman, Indian woman, Asian woman.[01:08:47] We can't get a handle on it because it's just not something spoken about. Just been something that's been, you know, brought up to me as far as I'm concerned, these doctors, I have [01:09:00] a feeling cause we're just going from, from one place to the next and the next to the next, I mean, it's ridiculous. I'm sorry.[01:09:11] De'Vannon: There's nothing to apologize for. So what I thank you for that explanation. That's definitely going to help some, some woman out there for the light bulb to come on and for her to, to discover what's happening with herself, transparency is the main themes, the episode and the core of my show. You know, I feel like we can help each other as a community and society.[01:09:32] When we open up about the problems that we're having, rather than trying to act like we're super, super, super people and have our shit together all the time when none of us really do. And so in the show notes, I'm going to be sure to include some sort of link to something about menopause though, do some research and see what I can find.[01:09:52] But, um, but no, um, I think that, that this is, uh, some good [01:10:00] ground that we've covered for this first inaugural community conversations bonus episode. They're going to be featured as a bonus episodes in, um, And, um, and if anybody has any questions about any of this, be sure to email me at, uh, Davanon and sex drugs and jesus.com, which will go in the show notes as well.[01:10:25] And, um, if you have any questions for my guests today, let me know that too. And then I can put you in touch with her. Um, so thank you so much. Uh, Madam J Curran for spending this hour with me, um, I really hope this episode helps someone, um, God bless all the gay people. God bless all the womens and, and you know what, we're all gonna be.[01:10:56] All right. [01:10:57] Yes, let's thank you so much demand. And it [01:11:00] was a blast. It was wonderful. It was amazing closing to you. I really do enjoy conversations with I'm able to open up to be, as you say, very transparent, you know, we don't have anything to hide. It's just, you know, such a nice thing that you're doing for the community.[01:11:18] Madame Jaikaran: Being able to allow people to figure out what they can do in their life and how they can. You're helping people by giving them a purpose to life. Thank you so much. [01:11:33] De'Vannon: Absolutely. Let the Lord be magnified.[01:11:36] Thank you all so much for taking time to listen to the sex drugs and Jesus podcast. It really means everything to me. Look, if you love the show, you can find more information and resources at sex, drugs, and jesus.com or wherever you listen to your podcast. Feel free to reach out to me [01:12:00] directly @ devannon@sexdrugsandjesus.com and on Twitter and Facebook as well.[01:12:05] My name is De'Vannon and it's been wonderful being your host today and just remember that everything is going to be all right.
Episode 64: H. pylori. Dr Lorenzo explains testing, diagnosis, and treatments for H. pylori, a bacterium that can cause peptic ulcer disease and other complications.By Anabell Lorenzo, MD, and Hector Arreaza, MD. This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it's sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. Today we are going to discuss a topic that may be very basic for many of our listeners, but it is important to check our knowledge foundation to keep building on it. Helicobacter pylori was discovered in 1982 by Barry Marshall and Robin Warren from Australia. They received the Nobel prize in 2005 for their discovery of “the bacterium Helicobacter pylori and its role in gastritis and peptic ulcer disease”. 1. What is H. pylori?It's a gram-negative bacteria found in the stomach causing infection and GI symptoms such as dyspepsia. It is a chronic infection and it's usually acquired in childhood. Incidence and prevalence of H. pylori infection are generally higher in people born outside of North America than among people born here. About 50% of humans are infected by H. pylori in the world. The infection can be life-long and cause no symptoms. The infection can cause peptic ulcers too. 2. When do you test for H. pylori and treat it?Test these patients for H. pylori: -All patients with active peptic ulcer disease (PUD).-Patients with history of PUD (unless previous cure of H. pylori infection has been documented).-Patients diagnosed with low-grade gastric mucosa-associated lymphoid tissue (MALT) lymphoma.-Patients with a history of endoscopic resection of early gastric cancer (EGC).In a few words, test patients with PUD and stomach malignancies. Controversial indications include:- Consider non-endoscopic test (stool or breath) in patients with unexplained dyspepsia who are younger than 60 years old without red flags.- Patients with typical symptoms of gastroesophageal reflux disease (GERD) who do not have a history of PUD do not need to be tested for H. pylori infection. However, for those who are tested and found to be infected, treatment should be offered, but to the patient that the effects of treatment of H. pylori on GERD symptoms are unpredictable. This means that eradication of H. pylori may or may not affect GERD symptoms. -Patients taking long-term, low-dose aspirin (to reduce the risk of ulcer bleeding)-Prior to initiation of chronic treatment with NSAIDs-Patients with unexplained iron deficiency anemia despite an appropriate evaluation 3. What are the testing options for H. pylori?-In patients is having an EGD, they can be tested with gastric biopsy histology and biopsy urease (best options). Endoscopy biopsy is the best diagnostic test for H. pylori. -In patients who do not require EGD, NONINVASIVE TESTING like STOOL ANTIGEN ASSAY and UREA BREATH TEST are a great option-Before performing the test, it is important to stop PPIs (proton pump inhibitors) for 2-4 weeks and Bismuth/antibiotics use within 4 weeks to avoid false negative results. 4. What ar ethe recommended first-line treatments for H. pylori?Triple therapy: Clarithromycin triple therapy is the recommended option. This treatment includes PPI, clarithromycin, and amoxicillin OR metronidazole for 14 days. This is the recommended in areas where clarithromycin resistance is less than 15%, and in patients with no exposure to macrolides. The two antibiotics and PPI twice a day are given for 2 weeks, and the PPI is continued once daily for one month. PPI may be omeprazole, pantoprazole, or others. Quadruple therapy: Bismuth quadruple therapy consisting of a PPI, bismuth, tetracycline, and a nitro imidazole for 10–14 days is another treatment option. Bismuth quadruple therapy is particularly attractive in patients with any previous macrolide exposure or who are allergic to penicillin. 5. Should we test for H. pylori eradication?Confirmation of eradication should be performed in all patients treated for H. pylori because of increasing antibiotic resistance. There is not a lot of information about antibiotic resistance in the US. The test should be done 4 weeks after completing treatment. 6. What is refractory H. pylori infection? Refractory H. pylori infection is defined by a persistent positive H. pylori test (no serologic), at least 4 weeks after 1 or more full course(s) of a recommended first-line therapy, and when the patient has been off any medications, such as proton-pump inhibitors (PPIs), that may impact the test sensitivity. Refractory H. pylori infection should be differentiated from recurrent infection. A recurrent infection happens when a no serologic test was negative after treatment, then becomes positive again. 7. What tests can be done to evaluate H. pylori antibiotic resistance?We can test for resistance with culture or molecular testing, but these tests are currently not widely available in US. 8. What are the option for salvage therapy after failure of treatment? In patients with persistent H. pylori infection, try to avoid antibiotics that have been previously taken by the patient. Bismuth quadruple therapy or levofloxacin salvage regimens are the preferred treatment options if a patient received a first-line treatment containing clarithromycin. Regimens that contain clarithromycin or levofloxacin are the preferred treatment options if a patient received bismuth quadruple therapy. Rifabutin triple regimen consisting of a PPI, amoxicillin, and rifabutin for 10 days is a suggested salvage regimen. Conclusion:H. pylori is an infection that can be asymptomatic, but it needs to be eradicated if symptoms are present. Detection of H. pylori is fairly easy, but we may need to perform an EGD if patient has red flags. Antibiotics and PPIs are the first line of treatment. Test of cure is recommended for all patients. ____________________________Now we conclude our episode number 64 “H. pylori.” Dr Lorenzo explained when and how to test patients for H. pylori. She explained that patients with GERD symptoms to not need to be tested for H. pylori, but if they are tested and have positive results, then we should eradicate H. pylori. Remember to stop PPIs 2-4 weeks before non-endoscopic tests for H. pylori. Even without trying, every night you go to bed being a little wiser.Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email RBresidency@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza and Anabell Lorenzo. Audio edition: Suraj Amrutia. See you next week! _____________________References:William D. Chey, Grigorios I. Leontiadis, Colin W. Howden, and Steven F. Moss. ACG Clinical Guideline: Treatment of Helicobacter pylori Infection. Am J Gastroenterol 2017; 112:212–238. https://pubmed.ncbi.nlm.nih.gov/28071659/ Shailja C. Shah, Prasad G. Iyer, and Steven F. Moss. AGA Clinical Practice Update on the Management of Refractory Helicobacter pylori Infection: Expert Review. Gastroenterology 2021;160:1831–1841. https://pubmed.ncbi.nlm.nih.gov/33524402/ J. Thomas Lamont. Treatment regimens for Helicobacter pylori in adults. Up to date, last updated on May, 20, 2021. https://www.uptodate.com/contents/treatment-regimens-for-helicobacter-pylori-in-adults?search=h%20pylori%20treatment&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1.
Ik ken Ivo Wewer als klasgenoot op het Cibap in Zwolle. Van 1996 tot 2002 zaten we bij elkaar in de klas en liepen samen stage bij Deventer Standbouwbedrijf The Inside. Samen met Sander (uit aflevering 12) maakte we een decor voor een feestje van Ivo. Na het Cibap verloren we elkaar een beetje uit het oog, tot ik in 2010 FMT belde voor een anti-kraak Atelier. Ik had niet in de gaten dat ik Ivo aan de lijn had, maar hij regelde wel een geweldige plek in Brink 21 waar ik mijn bedrijf Egbert.EGD verder kon ontwikkelen. Later exposeerde hij zijn Cassette schilderij tijdens een Party met Platen feestje. Later mocht ik zijn logo re-ontwerpen en zijn website aanpakken. We maakte ook samen een Stop-motion video als nieuwjaarswens voor zijn bedrijf! https://youtu.be/44pykLcOOI0 Meer info: www.betonmeester.nl en volg @betonmeester Podcast.EGD Ter ere van het 10de ondernemersjaar van mijn bedrijf Egbert.EGD op 1 juli 2020, maak ik een tweede seizoen met 10 Podcast gesprekken met 10 inspirerende ondernemers. Deze diverse ondernemers hebben mij de afgelopen jaren tijdens mijn ondernemerschap geïnspireerd en gemotiveerd om te doen wat ik doe. In deze podcast vertellen we het verhaal van ondernemer wat leer je die eerste jaren, en welke gouden tips kunnen deze ondernemers mij, en jullie luisteraars, geven voor de komende 10 jaar waar weer veel spannende ontwikkelingen in mijn onderneming zullen zijn. Bij elke podcast maak ik een ander artwork die eind het einde van het seizoen, op bijzondere wijze samen komen in een artwork boek. Dit boekje krijg je als je doneert via http://petje.af/podcast.egd. Bekijk het boekje van seizoen 1 op www.podcastegd.nl, daar vind en -luister je ook mijn andere 3 podcastshows. Abonneer alvast op deze podcast in je favoriete podcast app, om geen Aflevering te missen! www.egbertegd.nl | www.locatiepunt.nl | www.streetartstreets.nl
Vakarams baigiant evakuacijos operacijas iš Afganistano, įtampa Kabule aštrėja. Ką parodys kelios ateinančios dienos?Tarptautinė bendruomenė įspėja ir apie gresiančią humanitarinę krizę. Kokia talibiško Afganistano ateitis?Dalyvauja: ekspertai Eglė Murauskaitė, Deividas Šlekys, Egdūnas Račius ir buvęs Lietuvos kariuomenės vadas Valdas Tutkus.Ved. Mindaugas Aušra
Join me as I summarise Mona Ghoussoub's lecture looking at the excessive gingival display (EGD). Mona looked at the diagnosis and treatment of EGD, with a focus on aetiology leading to treatment method, effect of age, and input of multidisciplinary care for appropriate cases. Definition Kokich 1999, Machado 2014 · Negative effects = 4mm + gingival display Treatment approach Early treatment o Medical ENT allergology o Excessive gingival show age 7-8 years o Nasal obstruction causes decrease in lip closing force Sabashi 2011 o Detect and refer ENT if suspect nasal obstruction § Dark eyes § Flat cheeks § Increase LAFH o Orthodontic – prevention o Utility arch § Intrusion upper anterior teeth § 4 brackets and molar bands § Retain with 2 layers of Essix + brass wire – for rigidity Late treatment o Orthodontic o Alignment § 2 occlusal planes in maxilla in 2 div 2, posterior higher, anterior lower · Straight wire – reciprocal effects o Intrusion of anterior teeth o Extrusion of posterior teeth o Expansion § RME · Posterior expansion = gingival position moves upwards o When constricted, greater posterior gingival show o Intrusion § Ricketts / Burstone 3 piece intrusion arch § Headgear – J hook intrude upper anterior teeth § TAD placement for anterior intrusion · UR1-UL1 labial · Powerchain archwire to TAD § TAD for posterior intrusion · U5-U6 region buccal · Direct retraction U3- TAD o Below centre of rotation = posterior intrusion o MDT o Periodontics § Gingivectomy – passive over-eruption of dentition · Ideal where tooth width:height ratio increased § Guided Tissue Regeneration for VME · Stable after 1 year · 40-60% improvement in excessive gingival growth, with crown lengthening · Bony cavity at anterior superior aspect of maxilla o Results in the lip raising higher o Bone augmented at the level of the Le-fort 1 o Can be clinically simulated with cotton wool rolls in upper labial sulcus and taking photos o Orthognathic surgery § Decompensate · Maxillary impaction o Plastic surgery Pierre 2020 § Short lip / mild VME = lip repositioning surgery Rubinstein 1973 · Limit the smile muscle pull by reducing the depth of the upper vestibule– zygomaticus minor, levator Angulo, orbicularis oris, levator labil superior Tawfik 2018 · Conservative when compared to OGN · Technique o Split thickness flap – expose connective tissue o Advance mucosa and suture at mucogingival junction · Limited studies · Overcorrect as some relapse expected · Systematic review improve EGD 3-4mm Tawfik 2018 § Hypermobile lip – Botox Cengiz 2020 · Reduce muscle activity – levator labil superios LLSAN, zygomaticus minor / major, risorius muscle · NOT classified as an alternate treatment for EGD o Use = indication for patient outcomes possible for lip reposition · Temporary effects – relapse at 6 months · Problems o Dose related results o Excessive upper lip ptorsis o Too little – not achieve desired result o Smile effected if erroneous § = require expert to use
Ik ken Kim als gedreven ondernemer met een passie voor mensen die vele bedrijven in Deventer heeft opgestart die hun stempel op de stad hebben gedrukt. Vele van jullie zullen kennen vast de horeca concepten Engel&Bengel, Café Vroeger & DokH2o, wat Kim o.a. samen met haar Zus Manon starte. Maar ook Sieradenwinkel "Ziezoo" en bloemenzaken Dieva en On-geschikt starten ze op. Bij haar B&B Schip in het Havenkwartier "De Oosterkim" mocht ik in 2014 een Schipper mural maken met StencilArt. (zie making of video: https://youtu.be/sItaM1a4VUE) En in 2015 mocht ik in opdracht van haar een game ruimte bij buurtcentrum de Elegast voorzien van een muurschildering en logo's op de gevel. (https://youtu.be/hb7QiHqnAOA) We namen samen haar curiculum vitee door. Hoe ze na haar opleiding tot docent Bloemsierkunst haar eerste onderneming starte en haar eerste winkel openende met sieraden en woondcoraties. Hoe ze samen met 3 andere het succesvolle horeca concept Engel&Bengel bedacht met een voor-hoofd-na gegrecht voor 5-10-5 euro. Hoe ze werd gevraagd Café Vroeger en Cultureel Eetcafe DokH2o te beginnen in leegstaande panden in Deventer. Hoe haar liefde voor bloemen vaak weer terug komt, en haar passie voor mensen in diverse freelance klussen terug komt. Zoals nu bij de Ijsselbiennale waar ze vrijwilliger coördinator is. Ze is een inspireerde ondernemer met een voorliefde voor het neerzetten van nieuwe ondernemingen op vele vlakken. Meer info: https://www.havenkwartierdeventer.com/op-bezoek-bij-kim-en-martijn/ http://ijsselbiennale.nl https://indebuurt.nl/deventer/bedrijvigheid/ondernemer-uitgelicht/ondernemersduo-medie-en-kim-geen-ingewikkelde-dingen-maar-puur-mooie-boeketten~75169/ https://www.debinnenvaart.nl/schip_detail/7207/ Podcast.EGD Ter ere van het 10de ondernemersjaar van mijn bedrijf Egbert.EGD op 1 juli 2020, maak ik een tweede seizoen met 10 Podcast gesprekken met 10 inspirerende ondernemers. Deze diverse ondernemers hebben mij de afgelopen jaren tijdens mijn ondernemerschap geïnspireerd en gemotiveerd om te doen wat ik doe. In deze podcast vertellen we het verhaal van ondernemer wat leer je die eerste jaren, en welke gouden tips kunnen deze ondernemers mij, en jullie luisteraars, geven voor de komende 10 jaar waar weer veel spannende ontwikkelingen in mijn onderneming zullen zijn. Bij elke podcast maak ik een ander artwork die eind het einde van het seizoen, op bijzondere wijze samen komen in een artwork boek. Dit boekje krijg je als je doneert via http://petje.af/podcast.egd. Bekijk het boekje van seizoen 1 op www.podcastegd.nl, daar vind en -luister je ook mijn andere 3 podcastshows. Abonneer alvast op deze podcast in je favoriete podcast app, om geen Aflevering te missen! www.egbertegd.nl | www.locatiepunt.nl | www.streetartstreets.nl
Episode 45 – The Middle Sees and Joan Rivers Exposé Update! What is the big question after Episode 44 regarding the Level 4 Biosafety labs? And how does the COVID-19 Corona virus relate to an over-arching theme from the Trump Presidency? Let's have some fun! Have you heard the story about the comedic pioneer, a sarcastic joke, and the confusing death that followed? Joan Rivers makes a sarcastic joke? Joan Rivers dies. Official cause of death. What is an esophagogastroduodenoscopy (EGD)? What is a nasolaryngoscopy? Strange circumstances surrounding Joan Rivers death. Investigation. Report by Centers for Medicare & Medicaid Services. Follow up a year later. Email Feedback to theconservativehippiepodcast@gmail.com Sponsors: The Perfect Vaporizer! SmokinJs.com … Use Code HIPPIE for 15% off Your Order ME! StonerHoroscope.com Moody Beats The post The Middle Sees and Joan Rivers Exposé appeared first on Conservative Hippie Podcast.
This episode is all about the EGD procedure, whether it's just a scope, or a biopsy, or getting your esophagus dilated. What are the risks and what are the rewards?