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Elizabeth's Links: email: twinsouls444@gmail.com My main Facebook page is: / elizabeth.a.hill.75 My author/speaker page is: facebook.com/twinsouls444 My instagram: / elizabethannehill888 My website: elizabethannehill.com My YouTube channel: / @twineah If you'd like to support Elizabeth via donation you can do so here: PayPal: twinsouls444@gmail.com Venmo: @Elizabeth-Hill-888 Cashapp: @$twin44888 Dive into the mystical world of twin bonds and spiritual awakenings with Elizabeth Hill, as she shares her profound journey on Magic Is Real. After the tragic loss of her identical twin, Catherine, Elizabeth embarked on a transformative healing journey that opened her heart to spiritual awakening and intuitive development. Her personal tale is one of resilience and discovery, as she navigates dreams, psychic mediums, and the power of spiritual healing to connect with her sister from beyond. Join me, Shannon Torrence, as we explore Elizabeth's riveting story of past life regression, near-death experiences, and spirit communication. Her unique insights into spiritual transformation offer hope and enlightenment, revealing the grand spiritual awakening unfolding across the globe. If Elizabeth's story resonates with you, support our channel by liking, sharing, commenting, and subscribing. Follow Magic Is Real on Instagram, support our mission through Patreon, or email for mediumship readings. Thank you for joining this journey of growth and transformation. Let's spread the light together! #heavenawaits #transformationalpersonaldevelopment #thedarksideofspiritualawakeningnoonetellsyou #shadowwork #spiritualbypassing CHAPTERS: 00:00 - Intro 00:43 - Elizabeth's Bio 02:02 - Growing Up with Catherine 06:44 - Catherine's Death and Afterlife Contact 11:00 - Spiritual Awakening 15:23 - First Contact with Your Sister's Spirit 19:47 - How Your Sister Communicates with You 24:10 - Understanding Spiritual Awakening 31:06 - Pre-birth Planning 37:02 - Interview with the Universe 44:00 - Money as a Concept 45:30 - Always Provided For 47:17 - Understanding Debt 52:53 - Money as Energy Exchange 56:10 - Embracing Uncertainty 59:40 - Stepping Stones to Growth 1:02:25 - Key Messages to Share 1:03:50 - How to Die Before You Die 1:06:16 - Exploring Parallel Timelines 1:07:27 - The Power of Prayer 1:08:36 - Be the Change You Wish to See 1:08:53 - Outro ZOOM BACKGROUND DESIGN BY FREEPIK.COM Music Credits: Track: Wandering — JayJen [Audio Library Release] Music provided by Audio Library Plus Watch: • Wandering — JayJen | Free Background ... Free Download / Stream: https://alplus.io/wandering FOLLOW Magic Is Real (Host Shannon Torrence) on Instagram: @realmagicshannon Email me at magicisrealshannon@gmail.com with viewer questions you'd like for me to answer in a YouTube short or to pitch your own story to me for an episode. TO BOOK A MEDIUMSHIP READING WITH ME, just email me! magicisrealshannon@gmail.com Thank you so much for your love and support! Please like, share, comment, subscribe and spread the word! --- Support this podcast: https://podcasters.spotify.com/pod/show/shannon-torrence/support
In this episode of The Dynamic Thriving Podcast, host Mary Ann Pack talks with Elizabeth B. Hill, MSW, CEO and founder of Green Heart Living Press. Elizabeth is one of the co-authors of our 2024 podcast and book anthology project, KEYS TO JOYFUL LIVING! As a best-selling author, writing coach, and publisher, Elizabeth has many tools, techniques, and methodologies that are the KEYS to her clients' joyful living, and she graciously shares them with us. Keys to Joyful Living is much different from the typical anthology projects where each author writes a chapter, and that's the last you hear from them. This anthology book is formatted by topic, so it's more like a reference guide where the authors weigh in on ALL the topics in which they hold keys for transformation! So, you will get to hear from each author throughout the entire book! Anytime you need to work on a topic, looking through the book and finding exactly what you need will be easy. Watch for podcast interviews with all of the authors in the coming months. We are planning an October book launch! You can connect with Elizabeth at Green Heart Living Press, on Facebook, and LinkedIn. If you are curious about becoming an author or have a book being called through you, let's Explore Publishing together on a complimentary call. At Envision Greatness Press, we offer ghostwriting, customizable journals and workbooks to uplevel your event or program. We also help writers become published authors again or even for the first time! Our mission is to spread more love and joy as we write the world happy, one word at a time! Be sure to SUBSCRIBE, like, rate, and share our podcast. Thanks! To your thriving, Mary Ann Pack Spiritual Medium, Author/Publisher, & Joyologist Envision Greatness Press YT @maryannpack FB @maryannpackcoaching Email: dynamicthriving@gmail.com
Divorcing with Respect is possible, and this week we are focusing on how to make that possible! Tune in to episode 128 for more about how you can make divorce a respectful parting of ways so everyone can move forward in the best space possible.Contact Melissa Ellis or Elizabeth Hill directly through the Collaborative Practice of Kansas City at www.collaborativedivorcekc.com Support the show
Storytelling is one of the human race's most cherished traditions. From the ancient Egyptians and their hieroglyphics, pioneers sitting around the campfires regaling each other with tall tales, to the modern-day open mic poetry nights - storytelling is a sacred human tradition as long as humans have existed. So for this milestone episode of the Soul-R Powered Podcast, I wanted to have a conversation about why we tell our stories. And who better to have that conversation with than two bestselling authors publishers, and storytellers - Elizabeth Hill of Green Heart Living Press, and Mary Ann Pack of Envision Greatness Press. In this conversation, we speak about the challenges of getting to the root of our stories, how we organize the tales we tell, and how to find the healing lessons our stories bring. What better way to celebrate 100 episodes than to tell a few stories. About Mary Ann: Mary Ann Pack is a spiritual medium, best-selling author, publisher at Envision Greatness Press, and joy advocate. Her mission is to remind people that they are joy embodied, so she imagines a world thriving in more love and joy! She is accomplishing this by writing, publishing, coaching, and podcasting in support of others to use their voices for messages of healing. If you have a book being called through you, want to participate in a collaborative book project, need ghostwriting, or need a customizable journal to uplevel an event or program, visit her website at www.EnvisionGreatness.com to explore publishing. Her published books, including the We Are Joy! series, are available on the website. Let's write the world happy, one word at a time! LINKS: www.EnvisionGreatness.com www.Facebook.com/maryannpackcoaching www.Youtube.com/@maryannpack envisiongreatnessllc@gmail.com www.dynamicthriving.podbean.com (The Dynamic Thriving Podcast) About Elizabeth: Elizabeth B. Hill, MSW is the founder and CEO of Green Heart Living and Green Heart Living Press. As a bestselling author, Elizabeth has a unique gift of helping clients through the process of writing and publishing their stories and books, as well as utilizing writing to grow their businesses, impact, and income. https://www.greenheartliving.com/ https://www.facebook.com/greenheartliving About Ryan http://royalheartsmedia.com/home https://www.facebook.com/soulrpoweredpodcast https://www.facebook.com/ryanhallwrites https://twitter.com/ryanhallwrites https://www.instagram.com/ryanhallwrites/ royalheartscoaching@gmail.com --- Support this podcast: https://podcasters.spotify.com/pod/show/soul-r-powered/support
This week on The Joy of Cruising Podcast, I am delighted to welcome Elizabeth Hill. Two queens, a convicted felon, and a schoolteacher board a cruise ship.... Sounds like the beginning of a bad joke. This is no joke, however; these four individuals are, respectively, the Queen of England, Queen Latifa, the iconic, and Snoops good friend, Martha Stewart, and my guest today Elizabeth Hill—all Godmothers of cruise ships. Cruise ship Godmothers perform the task of christening a new cruise ship, ceremonially naming the ship marked by the smashing of a bottle of champagne against the ship hull. Cruise ship “Godparents” are usually women, even animated ones like Tinkerbell who was named Godmother to Disney Cruise Line's Wonder—although rapper Pitbull was selected as Godfather of Norwegian Escape. The notion of a ship godmother had its origins hundreds of years ago where ceremonial launching of seagoing vessels took place in various forms, either celebratory or religious, depending on local custom, but generally to bestow the ship and crew with well-wishes and safe travels. Usually, celebrities are chosen as godmothers, such as Oprah, Helen Mirren, Dame Judi Dench, Whoopi, Reba McEntire, Jennifer Hudson, Mariah Carey, J-Lo and Simone Biles. And then there is Godmother Elizabeth, who you probably never heard of. I wrote about her story in The Joy of Cruising and called it a ‘Modern Day Fairy Tale.'The Joy of Cruising Again is now available! Coupon code is joyofcruisingpodcast.Support the show
In this episode, Daphne talks to former French and Spanish teacher, Elizabeth Hill, who now works as an eLearning developer creating language learning materials for adults in the business world. Listen in as she shares her story to help inspire teachers who want to leave education to find work that makes them feel happy and appreciated. Free Quiz: What career outside of the classroom is right for you? Explore the course that has helped thousands of teachers successfully transition out of the classroom and into new careers: The Teacher Career Coach Course Learn more about your ad choices. Visit megaphone.fm/adchoices
Welcome back to The M3 Podcast, hosted by Moss Marketing Group - Kansas City's fastest growing marketing company! Today we're speaking with Divorce Mediation Attorney, Elizabeth Hill! https://www.hilllawfirm.com/______Follow Us Here! Instagram - https://www.instagram.com/mossmarketinggroup/Facebook - https://www.facebook.com/MossMarketingGroupWebsite - https://www.mossmarketinggroup.com/#Marketing #Business #Podcast
Alien Metals' (AIM:UFO, OTC:ASLRF) chief executive Bill Brodie Good updates Proactive on the Hancock iron core project in Pilbara, Western Australia, Brodie says that Hancock is the project that the company is "most excited" about, but that there are many other reasons for optimism with lots more exploration underway at Elizabeth Hill and Munni Munni. Alien Metals recently negotiated a deal to share a facility at Utah Point in Pilbara with Australian miner Element 25 (E25), which will handle iron ore produced from Hancock ahead of shipping. #proactiveinvestors #alienmetals
This is a SPECIAL EDITION of The Dynamic Thriving Podcast as Elizabeth B. Hill of Green Heart Living Press is joining me to introduce our 2023 Podcast and Collaborative Book Project! I mentioned this in our 100th episode of what's coming next. This is NOT your typical collaboration book project! Your host, Mary Ann Pack of Envision Greatness Press, is teaming up with publisher extraordinaire Elizabeth Hill of Green Heart Living Press. Yup! Two publishers are putting all their resources together, teams, and know-how to make this a bespoke collaborative project! We are inviting heart-centered coaches of all types, designers, stylists, intuitive guides, shamans, and service and product providers who help to make their clients' and customers' lives more joyful to join us for the 2023 Podcast and Book Collaboration Project published by Green Heart Living Press. We are looking for KEYS TO JOYFUL LIVING from those who are living joy and sharing joy in the world. We want to help you make a greater impact and increase your income by participating in this one-of-a-kind project. You will be featured as a guest on The Dynamic Thriving Podcast with Mary Ann (January-June 2023), write your chapter in the upcoming Keys to Joyful Living collaborative book, and you will be a guest on the Green Heart Living Podcast with Elizabeth after the book launch into best-selling status (November 2023)!! Talk about visibility and being seen as an expert in your field! Feeling a tug to join but don't have the time to write a chapter? Don't let your abundant business schedule stand in the way of honoring that heart-tug to join. With our ghostwriting service option, you can happily join us with ease!! Our busiest authors love the option of having their chapter ghostwritten!! Shhh! It's our secret. APPLY NOW! Podcast recording begins in December to begin posting in January 2023. Get all the details and application form at https://envisiongreatness.com/apply-to-projects. Reserve your guest spot on the podcast early. To joyful living, ~Elizabeth & Mary Ann #keystojoyfulliving #thedynamicthrivingpodcast #greenheartlivingpodcast #envisiongreatnesspress #greenheartlivingpress #livinginjoy #womenentrepreneurs #happyclient #lifehacks #businesshacks #personalhacks #ladypreneurs #solopreneurs #therapists #happyliving #ourpurposeisjoy #successisjoy #coaching #intuitiveguidance #intuition
The prevalence of and potential risk factors for Developmental Language Disorder at 10 years in the Raine StudySamuel D Calder, Christopher G Brennan-Jones, Monique Robinson, Andrew Whitehouse, Elizabeth HillPMID: 35922883DOI: 10.1111/jpc.16149AbstractAim: This study sought to determine the prevalence of Developmental Language Disorder (DLD) in Australian school-aged children and associated potential risk factors for DLD at 10 years.Methods: This study used a cross-sectional design to estimate the prevalence of DLD in Generation 2 of the prospective Raine Study. Participants included 1626 children aged 10 years with available language data. Primary outcomes included variables matching diagnostic criteria for DLD. Associations of other potential prenatal and environmental variables were analysed as secondary outcomes.Results: The prevalence of DLD in this sample was 6.4% (n = 104) at 10 years. This sub-cohort comprised 33.7% (n = 35) with expressive language deficits, 20.2% (n = 21) with receptive language deficits, and 46.2% (n = 48) with receptive-expressive deficits. No significant difference in sex distribution was observed (52.9% male, p = 0.799). Children who were exposed to smoke in utero at 18 weeks gestation were at increased risk of DLD at 10 years (OR = 2.56, CI = 1.23-5.35, p = 0.012).Conclusions: DLD is a relatively prevalent condition in Australian children, even when assessed in middle childhood years. These findings can inform future research priorities, and public health and educational policy which account for the associations with potential risk factors.
In this episode, Elizabeth Hill talks with entrepeneurs Amber Dancy and Jenny Kassan about owning our magic in business and life. To learn more about Amber: https://hiddenpathsolutions.com/ To learn more about Jenny: https://www.jennykassan.com/
The Dynamic Thriving Podcast presents season 2 with the Unmuted Voices series! Join us for interviews with transformational leaders who used to have their voices silenced, maybe for years, and now have unmuted their voices to share love and joy with the world! This is your host, Mary Ann Pack, spiritual medium, author/publisher, and joy advocate guiding you into all things life transformational!! Elizabeth Hill has an amazing story to tell about unmuting her voice after leaving a very controlling religion. Indoctrination into limiting beliefs of any kind can silence our voices. Whether you were raised in a controlling religion, family, society, or culture, you may have been indoctrinated with toxic beliefs. Joyfully, Elizabeth found her voice and is sharing her message of hope around the world as an author and publisher! You can find Liz at https://greenheartliving.com. Please like and share this podcast as it helps our world spread more joy around the globe! Also, visit our website https://maryannpack.com for all of our services AND https://wearejoybooks.com for our newest books in the We Are Joy! series. To your joyful unmuted voice, Mary Ann Pack Spiritual Medium, Author/Publisher, & Joy Advocate! Envision Greatness Press at https://wearejoybooks.com dynamicthriving@gmail.com #wearejoybooks #thedynamicthrivingpodcast #unmutedvoices #religioustrauma #becomingsovereign #livingfree
Each of us has a story, and in fact, we may have many stories that define our lives and impact our ability to manifest our best lives. These stories directly result from unhealed trauma from our childhood, teen, and adult lives. Over time, your unhealed trauma becomes the stories about your bad parents, unhappy relationships, the job you hate, the struggle with your body, your additive nature, etc. Join us to discover how to surrender your stories and allow the grace of healing into your life. https://www.facebook.com/transformationtalkradio/live_videos/
Each of us has a story, and in fact, we may have many stories that define our lives and impact our ability to manifest our best lives. These stories directly result from unhealed trauma from our childhood, teen, and adult lives. Over time, your unhealed trauma becomes the stories about your bad parents, unhappy relationships, the job you hate, the struggle with your body, your additive nature, etc. Join us to discover how to surrender your stories and allow the grace of healing into your life. https://www.facebook.com/transformationtalkradio/live_videos/
Calum and Chris discuss the 1938 nominees for Best Screenplay, which were Boys Town (Dore Schary; Eleanore Griffin), The Citadel (Ian Dalrymple; Frank Wead; Elizabeth Hill), Four Daughters (Lenore J. Coffee; Julius J. Epstein), Pygmalion (George Bernard Shaw), and You Can't Take It With You (Robert Riskin). Boys Town: 02:36 - 13:34 The Citadel: 13:34 - 27:08 Four Daughters: 27:08 - 36:37 You Can't Take It With You: 36:37 - 47:00 Pygmalion: 47:00 - 1:02:58 Listener Questions: 1:02:58 - 1:06:07 Conclusions/Ranking: 1:06:07 - 1:18:45
Seeking authors! Elizabeth Hill and Robin Clare talk about their upcoming anthology: Surrender Your Story. To find out more: www.greenheartliving.com/surrenderyourstory
Each of us has a story, and in fact, we may have many stories that define our lives and impact our ability to manifest our best lives. These stories directly result from unhealed trauma from our childhood, teen, and adult lives. Over time, your unhealed trauma becomes the stories about your bad parents, unhappy relationships, the job you hate, the struggle with your body, your additive nature, etc. Join us to discover how to surrender your stories and allow the grace of healing into your life. https://www.facebook.com/transformationtalkradio/live_videos/
Each of us has a story, and in fact, we may have many stories that define our lives and impact our ability to manifest our best lives. These stories directly result from unhealed trauma from our childhood, teen, and adult lives. Over time, your unhealed trauma becomes the stories about your bad parents, unhappy relationships, the job you hate, the struggle with your body, your additive nature, etc. Join us to discover how to surrender your stories and allow the grace of healing into your life. https://www.facebook.com/transformationtalkradio/live_videos/
Bill Brodie Good, CEO & Technical Director of Alien Metals #UFO discusses the further high-grade silver and base metals mineralisation intersected at Elizabeth Hill Project in the Pilbara Region of Western Australia which were received from the drill programme that consisted of diamond and Reverse Circulation (RC) drilling for a total of 1,991m. Highlights • Further high grade silver assays have been returned from the Elizabeth Hill RC drilling programme including: o 8m @ 4,233 g/t Ag (149oz/t Ag) from 66m in drillhole AMEHRC009; and, o 2m @ 1,550 g/t Ag (55oz/t Ag) from 108m, in drillhole AMEHRC012, which represents a potential new mineralised zone 400m south of the Elizabeth Hill mine along the Munni Munni Fault. • Additionally, encouraging base metals assay results: o 24m @ 0.19% Cu, 0.17% Ni and 150 g/t Co from 78m including 10m @ 0.25% Cu, 0.26% Ni and 218 g/t Co in drillhole AMEHRC005. o 8m @ 0.83% Pb and 0.13% Zn from 48m including 4m @ 1.35% Pb, 0.2% Zn in drillhole AMEHRC004. o 26m @ 0.48% Pb from 8m including 6m @ 1.95% Pb in drillhole AMEHRC006. · Interpretation of these RC results is ongoing but suggests a potential repeat of the Elizabeth Hill deposit along the Munni Munni Fault. · Planning for follow-up drilling is underway to further test the potential repeat mineralisation and the larger envelope present at Elizabeth Hill.
In this first of a monthly Publishing Q & A series, Elizabeth Hill talks with Robin Clare, best-selling author and writing coach about what it takes to turn a book idea into a complete manuscript.
The Media Project is an inside look at media coverage of current events hosted by former Times Union Editor and current Substack columnist Rex Smith. This week's show features WAMC's CEO Alan Chartock; former Editor of the Daily Gazette and Vice President for Editorial Development for the New York Press Association, Judy Patrick; and Daily Freeman Publisher Emeritus Ira Fusfeld. This week Rex, Alan, Judy and Ira discuss White House Press Secretary Jen Psaki's alleged plan to depart for MSNBC; and the “revolving door” from government service to media. The panel discusses how public and legal notices should be disseminated to the public, and much more.
Getting skilled, educated Australian women and older workers into the workforce would help boost productivity. With workforce shortages across the country, is Australia making the most of their skills?
Bill Brodie Good, Chief Executive Officer & Technical Director of Alien Metals #UFO explains the benefits behind the acquisition of the Munni Munni Platinum Group Metals and Gold Project in the West Pilbara, Western Australia. Highlights - Acquisition of a project containing Palladium and Platinum Group Elements (PGE) plus significant quantities of other strategic metals including Rhodium, Nickel and Copper. - Potential to extend the historic resource and identify new mineralised systems in both untested additional PGE bearing reefs and the larger base metal system associated with the regional geology. - Consolidation of the highly prospective Munni Munni and Elizabeth Hill project areas for the first time in over 30 years.
Join Kathleen Troy and Elizabeth Hill as they share the healing power of retreats, how to receive what you need no matter your life circumstances, and what our souls are craving right now.
This week we take a short break from learning from Jen Jones in her series Fill your practice 2022 to talk about an upcoming event to which you are cordially invited. We interrupt your regularly scheduled Free Gift Friday to give you a special gift! We cordially you to our upcoming two day LPL Summit scheduled for March 21 (HYBRID) and March 22nd (VIRTUAL ONLY.) The theme for the upcoming summit centers around the idea that YOU... yes you, have been called to do the thing that you are passionate about. You recognize that your work is not just a 9-5 job for you and that sharing your message is IMPORTANT. We always get outstanding speakers and workshop facilitators for you when we host our LPL Summits and this time I think we have outdone ourselves! On today's show we are joined by a few of our Summit speakers: Barb Prichard, Shannon Daniels, Leisa Reid, Elizabeth Hill and Zef Zan who share some of the fun we have packed into this lovely summit. We will begin by resetting our visibility mindset and then move seamlessly into shifting our relationship with visibility and money. Once we have the foundations taken care of we will dive into the nuts and bolts of visibility: Professional Branding, Becoming A Best Selling Author, Online Marketing Hacks for the Heart Centered, The Business Of Being A Speaker, Aligned Networking,PR, Hosting Your Own Events, Podcasting, And more ... because there is always more :) Nothing gets done without integration and so to wrap up we will workshop making your plan to be seen and heard in 2022. This is going to be amazing! The energy surrounding this event is outstanding. I'm getting goosebumps as I type this. What I know for sure is that: "If you want to go far... You go together!" Whenever we get together magic takes place in the room (or virtual room.) Wishing you a happy, healthy and safe 2022. Looking forward to seeing you at summit.Tickets and event info are available at www.growsmarternotharder.com/ticket By the way: Hi! I'm Dr. Davia Shepherd, CHO of Ladies' Power Lunch - We are a movement for heart centered, source led women entrepreneurs. NETWORK WITH US ONLINE:- Join our community: In our active and supportive free Facebook community called: LADIES POWER LUNCH. We are there having heartfelt and meaningful conversation every single day! PLUS Join us for our upcoming LPL summit! Would you like to know more? Explode your impact & income with the power of the collective!!! Go to: growsmarternotharder.com/ticket Dr. Davia H. Shepherd CHO Ladies Power Lunch PS:
Zak Mir talks to Bill Brodie Good, CEO Alien Metals in the wake of the Elizabeth Hill bonanza revelation.
Join Dr. Davia Shepherd and Elizabeth Hill, along with special guest Mary Ann Pack, as they dive into the details for their next transformation anthology - which will be the 7th collaborative book project Green Heart Living Press and Ladies' Power Lunch have done together in the past 2 years!
On the 50th episode, Elizabeth Hill talks with best-selling author Mary Ann Pack about her new book "We Are Joy!" They discuss: how to weave in more joy into your life, religious (and other) indoctrination, how to reframe your mindset, what to do when you feel lousy, and the power of appreciation.
This week's Media Project panel features WAMC's CEO Alan Chartock; Daily Freeman Publisher Emeritus Ira Fusfeld; former Editor of the Daily Gazette and Vice President for Editorial Development for the New York Press Association, Judy Patrick; and WAMC's News Director Ian Pickus. This week the panel discusses the New York Times and the state judge that upheld his block on their coverage of Project Veritas. We also discuss both sides journalism and emotional broadcasters.
In this episode, Elizabeth Hill guides listeners through a guided writing meditation to envision the year ahead. Grab your journal and cozy up to manifest the year of your dreams in 2022.
In this Guided Writing Meditation led by Elizabeth Hill we reflect on and honor the past year and clear the way for the year ahead.
Please join Robin H. Clare, Recovery Writing Coach, and her guest, Elizabeth B. Hill, founder of Green Hill Living Press, for a lively discussion on the healing power of writing. When we think of writing, we see it as a creative art that results in poetry, manuscripts, or even a sterile document like a book report or a business proposal. Yet, writing can be an excellent therapeutic tool that enables you to dive deep into your traumatic past and heal your suffering. From journaling to writing your recovery life story, the writing process can be a tool that takes you to the step of your evolution. Watch Live on Facebook - @transformationtalkradio or listen on your favorite podcast platform.
In this episode, Robin Finney and Elizabeth Hill share ways that writers can use the power and support of community to craft their stories.
Bill Brodie Good, CEO & Technical Director of Alien Metals #UFO explains the rationale behind their 30% acquisition of the 2.2Moz Munni Munni Platinum Group Metals & Gold Project, which is adjacent to the Company's highly prospective Elizabeth Hill project. Highlights · The Munni Munni Project is adjacent to the Company's highly prospective Elizabeth Hill project which already hosts potential for further significant silver, copper, nickel and PGE mineralisation. · The Munni Munni Project hosts, the largest intrusion in the West Pilbara and one of the largest undeveloped primary Platinum Group Elements ('PGE') Resources in Australia: - The historic non-compliant JORC 2004 Resource estimate* (see below) implied 24Mt @ 2.9g/t Platinum Group Element (PGE) and gold for 2.2Moz PGE and gold - Around 95% of the historical resource estimate was in the Measured and Indicated categories - The historic JORC resource estimate suggests that the deposit contains 1.14Moz palladium, 0.83Moz platinum, 152Koz gold and 76Koz rhodium · The project covers four granted Mining Leases and one Exploration Lease covering a combined 75.9 km2. The remaining 70% is owned by Artemis Resources (ARV:ASX) which is the operator of the joint venture. · Total consideration is A$2.23 million of which A$1.98 million will be satsifed by the issue of ordinary shares in Alien. · Completion anticipated to occur as soon as possible and further updates will be provided in due course as appropriate. About Alien Metals Alien Metals Ltd is a mining exploration and development company listed on AIM of the London Stock Exchange (LSE: UFO). The Company's focus is on precious and base metal commodities, with its operations located in proven mining jurisdictions and it has embarked upon an acquisition-led strategy headed by a high-quality geological team to build a strong portfolio of diversified assets. In 2019, the company acquired 51% of the Brockman and Hancock Ranges high-grade (Direct Shipping Ore) iron ore projects and a conditional agreement to increase to its interest to 90% being finalised while in 2020 the company also acquired 100% of the Elizabeth Hill Silver Project, which consists of the Elizabeth Hill Historic Silver Mine Mining Lease and the surrounding Munni Munni North Exploration Tenement. The Australian projects are located in the world-renowned Pilbara region of Western Australia. The Company also holds two silver projects, San Celso and Los Santos, located in Zacatecas State, Mexico's largest silver producing state, which produced over 190m oz of silver in 2018 alone, accounting for 45% of the total silver production of Mexico for that year. The Company holds a Copper Gold project in the same region, Donovan 2. The Company was also awarded an Exploration Licence in Greenland in late 2020, which surrounds the world class Citronen Zinc-Lead deposit. In addition to progressing and developing its portfolio of assets and following its strategic review of its portfolio of silver and precious metals projects, Alien Metals has identified priority exploration targets within all of its projects which it is working to advance systematically.
Embracing both your UGLY and The Best Version of YOU LPL Coffee Break Mary Carangelo with guest host Elizabeth Hill On this show we feature: best selling author, LPL Grow Smarter Be The Beacon Alum speaker and Fashion Therapist, Mary Carangelo. Mary shares: "I am a fashion therapist, branding stylist and have been a rep for styling company called CABI for the past 12 years. I have styled over 1,000 women and have learned that our confidence is directly tied to how we feel in the clothes that we wear each day." On this episode, Mary dives deeply into the latest tools for presenting the best version of who you are. She talks about: -How to NOT use your closet like a scrapbook of your life and -How to create a functional space that is a compliment to who you are and how you want to be perceived. -She may even share her "Velvet cape story!" I know we all want to hear about that! So will you hop on? Give us a listen? All this & more on this educational episode! By the way: Hi! I'm Dr. Davia Shepherd, CHO of Ladies' Power Lunch - We are a movement for heart centered, source led women entrepreneurs. NETWORK WITH US ONLINE:- Join our community: In our active and supportive free Facebook community called: LADIES POWER LUNCH. We are there having heartfelt and meaningful conversation every single day! PLUS Join our retreats and summits! Would you like to know more? Explode your impact & income with the power of the collective!!! Go to: growsmarternotharder.com Dr. Davia H. Shepherd CHO Ladies Power Lunch PS:
Goodbye period shame and secrecy, farewell clunky sanitary products. Menstruation is out and proud in 2021, thanks to women in their 20s and 30s who will no longer hide this most basic of female bodily functions. The Sydney Morning Herald senior writer Jacqueline Maley and Sydney University political economist Elizabeth Hill join Good Weekend editor Katrina Strickland on Good Weekend Talks to discuss how and why the period got politicised, the pros and cons of menstrual leave, period poverty in the third world, and the broader global revolution in attitudes towards reproductive health. Read the story here. Become a subscriber: our supporters power our newsrooms and are critical for the sustainability of news coverage. Becoming a subscriber also gets you exclusive behind-the-scenes content and invitations to special events. Click on the links to subscribe https://subscribe.theage.com.au/ or https://subscribe.smh.com.au/ See omnystudio.com/listener for privacy information.
In this episode of The Dynamic Thriving Podcast, our guest is Robin Finney of WanderingAunt.com. Robin is an intuitive and authenticity guide. Our topic today is Owning Your Rhythm. Tuning into your unique pace and rhythm to work and move through life. As we transform into being more authentic, we need to also honor our flow as our energy fluctuates. Robin has written a chapter in the upcoming Be The Beacon anthology by Ladies' Power Lunch and Elizabeth Hill, publisher. This newest book launches next Monday, October 18th!! Connect with Robin to get your copy!! Please visit Robin's website at https://WanderingAunt.com for all of her services and get more information on how to work with her. She has many options and offers available on her Services page! Thank you for listening to our podcast! Please like, comment, and SUBSCRIBE here or anywhere you love to listen to podcasts by searching for The Dynamic Thriving Podcast! Please visit our website https://maryannpack.com for all of our services and offerings of: ASK THE MANY - receive answers to your questions from my spirit guides, The Many, or receive a personal reading in one private session! DISCOVER MY JOY AND WELL-BEING SESSION - A FREE private deep-dive session to discover where you are, where you want to be, and who you need to become to get you there. DYNAMIC THRIVING COACHING CONCIERGE CONSULTATION!! If you are looking for a qualified, vetted transformational coach and you don't want to waste your precious time, energy, and money, this consultation will help you find expert coaches in all areas of life and business in the directory. https://maryannpack.com/concierge-consulting And, so much more! Ladies, please join us in the Ladies' Power Lunch group on Facebook!! This podcast is in collaboration with https://LadiesPowerLunch.com where we have one rule and that is to intentionally support each other!! To your dynamic thriving, Mary Ann Pack YOUR Spiritual Medium, Oracle for "The Many" & Joy Advocate! Let's connect: Facebook - https://facebook.com/maryannpackcoaching Linked-In - https://linkedin.com/in/maryannpack Instagram - https://instagram.com/maryann.pack Email: dynamicthriving@gmail.com
Victorian Opera is finally set to stage the Australian premiere of The Who's Tommy from 22 February – 1 March 2022 at the Palais Theatre, St Kilda. Victorian Opera's CEO... LEARN MORE The post Elizabeth Hill-Cooper talks about Victoria Opera and the musical Tommy. appeared first on Sunday Arts Magazine.
Listen as Lonie Schollaert, Jennifer Wood and Elizabeth Hill share pertinent, biblical wisdom for wives.
Bill Brodie Good, CEO & Technical Director of Alien Metals #UFO provides an update on Elizabeth Hill Silver Project drilling which encountered Nickel and copper sulphides along with native silver in drill core. Alien Metals Ltd is a mining exploration and development company listed on AIM of the London Stock Exchange (LSE: UFO). The Company's focus is on precious and base metal commodities, with its operations located in proven mining jurisdictions and it has embarked upon an acquisition-led strategy headed by a high-quality geological team to build a strong portfolio of diversified assets. In 2019, the company acquired 51% of the Brockman and Hancock Ranges high-grade (Direct Shipping Ore) iron ore projects and increased its holding to 90% in May 2021 while in 2020 acquired 100% of the Elizabeth Hill Silver Project, which consists of the Elizabeth Hill Historic Silver Mine Mining Lease and the surrounding Munni Munni North Exploration Tenement. The Australian projects are located in the world-renowned Pilbara region of Western Australia. The Company also holds two silver projects, San Celso and Los Santos, located in Zacatecas State, Mexico's largest silver producing state, which produced over 190 Moz of silver in 2018 alone, accounting for 45% of the total silver production of Mexico for that year. The Company holds a Copper Gold project in the same region, Donovan 2. The company was also awarded an Exploration Licence in Greenland in late 2020, which surrounds the world class Citronen Zinc-Lead deposit. In addition to progressing and developing its portfolio of assets and following its strategic review of its portfolio of silver and precious metals projects, Alien Metals has identified priority exploration targets within all of its projects which it is working to advance systematically.
Whether you think therapy is for emergency use only or you have regular twice weekly sessions, you are going to find something to love in the episode. We talked to three amazing therapists about their practices, therapy in the virtual realm, and breaking barriers. We also asked for advice about how to cope with re-entry post lock down, because we are here for you! Ayana Ali, LCSW / ayanaaalilcsw.org / Instagram: @ayanaaalilcsw Sarafina Arthur-Williams, MA / liveintentionallysimplistic.com / Instagram: @intentional_simplicity_llc / facebook Elizabeth Hill, MA LMFT / TherapyforCreatives.com / Instagram: @ehill76 We want to hear from you! Find us on Instagram & Twitter @affectedbypod or email us at affectedbypod@gmail.com. If you like this episode, please subscribe, rate, review, and/or tell a friend! --- We strive for intersectionality, recognize that diverse voices make us stronger, and know that Black Lives Matter.
If you can learn from others' mistakes, it can save you a lot of time. In this insightful episode, Larry is joined by attorney Elizabeth Hill to discuss how she found her mentors and tips for success in business. • Seeking out mentors who can help...
Think about the long term instead of the short term. In this motivational episode, successful entrepreneur Elizabeth Hill shares with Larry about what molded her and inspired her to become who she is today. Elizabeth says she would never take no for...
You can be anything—if you want it bad enough. In this inspirational episode, Larry is back with attorney Elizabeth Hill to talk about how she works on her weakness and stands out from the others. Elizabeth says people need to be willing to accept...
Catherine is here today with Elizabeth Hill. Elizabeth Hill is an entrepreneur, attorney, former counsellor, and mother of four. In addition, Elizabeth recently launched the Legit Endeavors Podcast, focused on small businesses and entrepreneurs seeki...
Catherine is here today with Elizabeth Hill. Elizabeth Hill is an entrepreneur, attorney, former counsellor, and mother of four. In addition, Elizabeth recently launched the Legit Endeavors Podcast, focused on small businesses and entrepreneurs seeking to start or grow their business. Elizabeth is passionate about helping other entrepreneurs and small business owners' level up their business by making sure it is legit in every way. The Legit Endeavors Podcast focuses on small business strategies, as well as making sure that the common legal pitfalls are addressed and avoided. In addition to recently launching Legit Endeavors, Elizabeth owns her own solo practitioner law firm, as well as a winery, bistro and vineyard, Burklee Hill Vineyards. Elizabeth enjoys public speaking on various matters, including small business and entrepreneurial issues, women's empowerment, and wine. She tackled law school as a non-traditional student after finding herself as a single mom with three young children. Elizabeth enjoys being involved in her local community and spending time with family. Find Out More About Elizabeth Hill Follow Elizabeth Hill on Facebook Connect with Elizabeth on Twitter @elizabethghill Follow Elizabeth Hill on Instagram @elizabeth_g_hill It's now time to tune into this one very inspirational human being. Enjoy!!
On this week’s 51%, we speak with author Rachel Monroe about her new book, which examines the complicated relationship between women and the crime genre. I’m Elizabeth Hill, in for Allison Dunne and this is 51%. In her new book Savage Appetites: True Stories of Women, Crime, and Obsession, Rachel Monroe crafts an illuminating study […]
About This Episode: Elizabeth Hill is an entrepreneur, attorney, former counselor, and mother of four. In addition, Elizabeth recently launched the Legit Endeavors Podcast, focused on small business and entrepreneurs seeking to start or grow their business. Elizabeth is passionate about helping other entrepreneurs and small business owners level up their business by making sure it is legit in every way. The Legit Endeavors Podcast focuses on small business strategies, as well as making sure that the common legal pitfalls are addressed and avoided. In addition to recently launching Legit Endeavors, Elizabeth owns her own solo practitioner law firm, as well as a winery, bistro and vineyard, Burklee Hill Vineyards. Elizabeth enjoys public speaking on various matters, including small business and entrepreneurial issues, women's empowerment, and wine. She tackled law school as a non-traditional student after finding herself as a single mom with three young children. Elizabeth graduated Summa Cum Laude at the top of her law school class, while also winning two national championships in moot court (the exercise where students present an oral argument). Elizabeth enjoys being involved in her local community and spending time with family. Find out more about Diana at: Twitter Facebook Instagram See the Show Notes: www.jeremyryanslate.com/759 Sponsors: Command Your Brand Media: Be featured as a guest on top-rated podcasts, just like this one, for massive attention for your brand. www.commandyourbrand.media/apply Audible: Get a free 30 day free trial and 1 free audiobook from thousands of available books. Right now I'm reading "The Science of Getting Rich,"by Wallace D. Wattles, about building real wealth. www.jeremyryanslate.com/book
Mary Latham, 32, has been traveling around The United States searching for More Good. The Long Island, New York native set out three years ago to visit all 50 states. She has stayed in the homes of over 150 strangers, and when our host Elizabeth Hill spoke to her on October 23rd she had collected […]
Dr Carolyn Lam: Welcome to Circulation on the Run, your weekly podcast summary and backstage pass to the journal and its editors. I'm Dr. Carolyn Lam, Associate Editor from the National Heart Center, and Duke National University of Singapore. And I am joined today by our Editor of Digital Strategies, Dr. Amit Khera from UT Southwestern, as well as three wonderful fellows in training. Yes, you've guessed it, it's our FIT Podcast and I'm just so thrilled to be here again. Dr Carolyn Lam: Amit, any words of introduction before we start? Dr Amit Khera: Thank you Carolyn. I think, for both of us, this is our favorite podcast, or two podcasts, that we do, a year. It reminds us of how bright the future is, with superb cardiology fellows in training around the country, and it really is a testament to how important we find fellows in training, to Circulation, to our mission, and how much we learn from them. So we're really excited about this group, today, and thank them for participating. Dr Carolyn Lam: Absolutely. So, why don't we start, now, with ladies first? Let's hear from Dr. Elizabeth Hill. Dr Elizabeth Hill: Thanks for having me today. My name is Beth Hill, and I'm a first year cardiology fellow at Scripps Clinic, in La Jolla, California. I've a particular interest in sports and exercise cardiology, which brings me to the article I picked today about sudden cardiac death and hypertrophic cardiomyopathy, hot topics in the field and in general. And so, today, I'm excited to be discussing the EVIDENCE HCM study, looking at the hypertrophic cardiomyopathy of risk, sudden cardiac death model. Dr Carolyn Lam: Nice. So tell us a little bit about what really struck you about the paper and, perhaps, how that may apply to where you practice? Dr Elizabeth Hill: What I really liked about the paper is that, when I see patients in clinic with hypertrophic cardiomyopathy, prior to having this risk stratification tool, we didn't really have a way to objectively risk stratify our patients with hypertrophic cardiomyopathy and really guide the discussion about who may benefit from an implantable cardiac defibrillator or ICD. And so, I've been using this a little bit with my patients. While it hasn't made it fully into the AHA or ACC guidelines yet, I'm using it as a tool. Dr Carolyn Lam: Great. You know, these are seven risk factors, isn't it? I'm always struck by that survival curve that really shows that those with a predicted 6% risk stand out. Is that what you use, as well, to guide your decisions? Dr Elizabeth Hill: Yeah. I think, as the authors noted, they picked this somewhat arbitrarily so that they could study their risk model. But I think what they found is that it seemed to fit well with the observed high risk of sudden cardiac death cohort, such that those that were seen and observed, about 9% risk of sudden cardiac death in five years, were in that greater than 6% cohort. So I think that population should receive ICDs, and that is one factor that I used to guide my decision making as well. Dr Amit Khera: Beth, this sort of interest that you've had for a long time, in sports cardiology, I've noted you've done some prior work in EKG screening and other screenings. In terms of this article specifically, as you pointed out, this is a really helpful tool because I still remember back when I was a fellow in training, there was, sort of, this thought that everyone was high risk with hypertrophic cardiomyopathy, and I think we realized that's not true at all. The overall incidence of sudden death was only 2.4% in this cohort. The question I have for you, in terms of application, is, as Carolyn pointed out, these are reasonably simple variables, but as we sometimes are now using cardiac MRI and genetics and other more advanced tools, where do you think they fit in, in the current paradigm, since this is a bit of a more simplistic score? Dr Elizabeth Hill: The seven risk factors they put into this tool were noted to be independently associated with an increased risk of sudden cardiac death, and those are well known factors, entricular tachycardia, maximum wall thickness. But I really do think that other factors will come into play soon and are part of my discussion, and colleagues' discussions, including the late gadolinium enhancement on MRI, genetic factors, and I really think this may be a place for tools like machine learning. These authors, O'Mahoney and colleagues, they really did, kind of a tour-de-force, going back to the 1970s, but there is still a decent amount of data missing. So maybe we can partner with the machines and help them go back into these records, a little bit more effortlessly, and look at genetics, maybe some wearable device data, and really refine our risk stratification tool moving forward. But that's definitely something I use in risk stratification in some of my intermediate risk patients. Dr Amit Khera: Those are great points. I think your point about machine learning and novel algorithms will definitely take foot in the future. Maybe a follow-up, again, given your background interest, I think it's a trade-off where we're trying to, of course, avoid sudden death, but you also don't want to overtreat. Especially, when you think about athletes getting ICDs and how that changes, or anyone, for that matter, about maybe telling someone they're at high risk, or giving them an ICD when perhaps they don't need it. I guess that comes to, what's the threshold? Here they use 6%, but that ends up being a bit arbitrary, in terms of what threshold we use. And how do we decide, when we talk to our patients, about what threshold's a right threshold to apply an ICD? Dr Elizabeth Hill: Yeah. That's a great question. Like you mentioned, these devices come with inherent risks, such as unnecessary shocks, increased risks for infection, and sometimes there's restrictions with athletic sport, although that's been changing recently. But, I think that's where the shared decision-making process comes into play, where you put current data on the table with the patients and, perhaps, their families as well, and have a risk-benefit discussion. Perhaps gather a little bit more data about the patient, maybe follow them over time, but I guess I wouldn't jump to put an ICD in, in every patient and, especially, the lower-risk cohort. And what number that is, I'm not quite sure. Here they say maybe less than 4%, but, again, somewhat arbitrary, I think. Dr Carolyn Lam: Thanks Beth. I mean, as Amit said, it's just so inspiring to see how the papers are being used in practice. Really loved those perspectives. Now, from sunny San Diego all the way to snowy New Zealand. We have Dr. Mesfer Alfadhel. And Mesfer, tell us a little bit about yourself, and the paper that you've chosen? Dr Mesfer Alfadhel: Thank you very much. I'm thrilled to be part of this podcast. I'm a second-year cardiology fellow-in-training at the Needham Hospital, in Needham City, New Zealand, where it's snowing at the moment. I'm also a clinical lecturer at the University of Otago School of Medicine. I do have great interest in general cardiology, as the rest of my colleagues, but also am passionate about interventional cardiology and structural heart disease. The paper I've chosen is really quite relevant to everyone in cardiology, and perhaps extends to other colleagues in other health professions impacted by automated external defibrillator use on survival and functional outcomes in shockable observed public cardiac arrest. The aim of the study was to determine the association of bystander automated external defibrillator use, the survival and function of outcomes in shockable observed out of hospital cardiac arrests. The study was from 2011 to 2015 and the Resuscitation Consortium prospectively collected detailed information on all cardiac arrests at nine regional centers, six in the United States and three in Canada. They also found that among nearly 50,000 out of hospital cardiac arrests, 8% were observed public out of hospital cardiac arrest, of which 61% were shockable. Overall, a remarkable one in five of shockable observed public out of hospital cardiac arrest were bystander shocked. Now the bystander automated external defibrillator observed, shockable observed public out of hospital arrests were associated with increased odds of survival and full or near full functional recovery almost 2.6 and 2.7 odds ratio than when compared to emergency medical service defibrillation. What's also interesting is that the longer the wait for the emergency services, the higher the benefits from a bystander observed shock. Dr Carolyn Lam: You know, Mesfer, I appreciate that you chose this one as well. What struck out to me immediately was that more than 60% of out of hospital cardiac arrests were shockable. And when we think about the number of lives that could potentially be saved, therefore, that's quite astounding, isn't it? But can I ask you something? So these are in the US and Canada, how applicable do you think this is to New Zealand? Dr Mesfer Alfadhel: We do have a small population, just over four million. The number of cardiac arrests here is around 2,000 out of hospital cardiac arrests. And I think probably half of them in the latest reports were shockable. The emergency response time in the urban areas is around six minutes, which I think is acceptable, but we have about 20% of population living in rural areas. And the emergency response time exceeds 10 minutes almost all the time. I think that probably a group that we need to direct intervention to in New Zealand. Dr Amit Khera: It's really an important article. I should say that June for the American Heart Association is AED and CPR month so great choice to remind us of the value of these and especially, the one thing that was amazing, obviously this is an observational study, but the absolute change, not relative, was about 14% meaningful recovery and so that's quite impressive in terms of the number needed to treat if you will. Maybe an adjunct to Carolyn's question is, when we think about strategies to enhance bystander AED use for strategies, essentially get the AED there faster. As you know if the EMT time was not delayed it wasn't necessarily better for the bystander. We had a paper in Circ sometime last year looking at drones and then also geocoding and other people in some countries have looked at apps where you essentially can train a group of people and then they can be texted for a sudden cardiac arrest in their area. I'm curious about any creative things, there's always training and AEDs, I think in this place it was public areas in industry, but what do you think are some creative things or things that we need to be doing to help enhance the ability for bystander or early AED use. Dr Mesfer Alfadhel: I think this is one area in medicine in general that where technology is really going to advance how we deal with this problem. There's an app that's available, it was launched in the UK a few years ago and it's become available in New Zealand in the last two weeks called, the Good SAM. SAM stands for smartphone activated medics. And it's become available in New Zealand two weeks ago and I downloaded it and still yet wait for it to be activated. And the way it works is you can activate a medical emergency using the app and it dials the emergency response but what it also does is it activates the nearest three people with CPR training nearest to you and it tells you how far they are from the emergency. Now if you don't have the app and you call 911 or the equivalent, the operator can activate it to the nearby personnel who have that experience. And I think it's going to reduce the time markedly. Now the other end of the question where some of what strategies could be used I think we had a good report from Denmark where they made changes in 2007 in Denmark and then followed by the rest of the country in 2010 where they made CPR or resuscitation education as compulsory at school but also when getting a driving license they made courses available for free that increased the number of defibrillators available in public places and they shared that information with public. They've redone, audited their work, and compared to prior to intervention prior to 2007 and after that and they found an increase number of using the AEDs increased from somewhere around 2% to 15%, which is really encouraging. I think we are following Denmark in that regard probably at slower rate. Dr Amit Khera: Thank you those are excellent insights. Dr Carolyn Lam: Amit, don't you see that I just love learning from these fellows during these podcasts. We should do more of these. This is awesome. Dr Amit Khera: I completely agree. Dr Carolyn Lam: Thank you Mesfer, enjoy the skiing. But now from snowy New Zealand we're going all the way to Nashville Tennessee. Welcome Dr. Vineet Agrawal. So tell us a bit about yourself and your paper. Dr Mesfer Alfadhel: So my name is Vineet Agrawal. I'm a second-year cardiology fellow at the Vanderbilt University Medical Center. My background is as a physician scientist and as a general cardiologist. My long-term goals are in understanding mechanisms underlying heart failure with preserved ejection fraction. With that in mind I was really taken by an article that was recently by Margaret Redfield's group from the Mayo Clinic in Circulation, titled “Global Pulmonary Vascular Remodeling and Pulmonary Hypertension Associated with Heart Failure and Preserved or Reduced Ejection Fraction.” I found this article to be a very interesting, hypothesis-generating article. In a nutshell what they did was they took an autopsy cohort of patients in the Mayo Registry and those who had heart failure with both preserved and reduced ejection fraction, normal controls, and those who had a primary pulmonary venous occlusive disease, and looked at the lung specimens of these patients. And interestingly what they found was there was a significant amount of pulmonary venous remodeling that had occurred in patients who had both preserved and reduced ejection fraction. This correlated not only with their right heart cath findings, so those who had elevated pulmonary pressures and elevated transpulmonary gradients, but also differed from the primary pulmonary venous occlusive disease in the sense that the histologic appearance of these vessels was quite different. And while as an autopsy study this is not necessarily an article that would immediately change practice, what I think it does do though is it forces us to think about these conditions in a different context and particularly with an eye towards future therapeutics. Heart failure with preserved EF as a disease, as I'm sure we all know, is sorely missing therapies that could alter the disease progression and potentially even alter mortality in these patients. And this article in my opinion really sheds light on at least anatomically a new location for us to think about as a therapeutic target when we try to better understand this disease and find therapies for these patients. Dr Carolyn Lam: Vineet, can I just say you're singing to the choir here. I'm such a fan of this work as well for obvious reasons. But hey, could I ask you, in your clinical practice, do you see a lot of these patients with HFpEF and pulmonary hypertension and wonder how to treat them? And along those lines, how has this paper helped you think about these patients more? Dr Mesfer Alfadhel: I would say when I first started residency as a medical student this was not necessarily a condition that was really something that I had learned much about or felt like I had been exposed to; however, as a resident I felt like most of the patients, or at least half of the patients, I was seeing with heart failure had a component of diastolic heart failure or they had a preserved EF but very symptomatic from the standpoint of heart failure. And I struggled to treat them, particularly in some part due to the fact that many of the risk factors that contribute to HFpEF, diabetes, uncontrolled hypertension, obesity, are chronic problems that are difficult to manage as a clinician regardless. And second because I feel that there just weren't any data to support any treatments that we were pursuing at the time and so we would try and apply what we had learned in other types of heart failure to these patients with limited results. If I could talk about what I think this article may change in terms of my practice today, one thing that we've always thought about in terms of pulmonary vascular remodeling in heart failure is that it's just a passive process that as fluid builds up you back up into the lungs and as the fluid builds up and backs up into the lungs you get remodeling. I think one thing that this article shows is that it may actually be a bidirectional process, which would suggest that perhaps we may need to reconsider looking at pulmonary-specific therapies in this population. But more importantly I think it does confirm that chronic elevating filling pressures do have an effect and a deleterious effect on the pulmonary vasculature. Particularly when you look at other trials such as the CardioMEMS trial, the CHAMPION trial in which the data pretty convincingly showed that as clinicians we don't do the best job of reducing left-sided filling pressures in our patients with heart failure as much as we think we do. This article really drives home the point to me that I really need to make sure that when I see these patients that I'm doing everything I can to reduce their left-sided filling pressures because the consequences of not doing so can affect the lungs, which can then in turn affect the heart as well. Dr Carolyn Lam: Vineet, that's really words of wisdom. Couldn't agree more. And these are the first sort of autopsy, histological evidence that we have, which is so important. I think if I could just add a couple of perspectives too, it makes me think about making sure that I rule out PVOD in these patients sometimes. We now keep thinking about HFpEF we forget that we need to also rule out PVOD and the other thing much as we now think about not just the filling pressures but the remodeling it's good to note that they found it more in the venous than the arterial system, which also comes therefore with a warning message that we can't just extrapolate I suppose all the PAH therapies that we know about. What do you think about that? Dr Mesfer Alfadhel: I absolutely agree with that. It's really interesting that all of our therapies from heart failure standpoint and from a PAH standpoint have focused on the myocardium, the neural hormonal cascade, and then the arterials. The pulmonary main artery and arterials. I don't think anyone really understands the biology of pulmonary veins and yet they're actually a pretty significant part of our everyday practice in cardiology. Pulmonary veins are thought to be the source of atrial fibrillation. We look at pulmonary vein inflow when we evaluate patients with echoes. And yet we understand so little about the biology and the mechanisms by which pulmonary veins are affected in both diseased and healthy patients. I think this article for that reason raises a number of very interesting questions and may potentially change the way we think about these patients. Dr Carolyn Lam: I keep learning, Amit, this is awesome. I could go on forever so you better stop me. Dr Amit Khera: I should probably just be a fly on the wall. You must know Carolyn is a HFpEF, HFrEF aficionado and you guys should have a side call for another hour after this. But I do have one, maybe orthogonal question which is, it's interesting because if you look at how insights were made, they're made off areas I would argue at least that we don't, modern environment uses much which is the autopsy and probably to a large degree hemodynamics as much as probably in the old days although that's changing. I'm curious in a fellowship training program your exposure to autopsy and kind of current in-depth hemodynamic-type training, what's your experience? Dr Mesfer Alfadhel: Our experience with looking at pathological slides, getting under the microscope, seeing tissue first hand, is somewhat limited in our fellowship training program. I would say in certain subspecialties like our heart failure, advanced heart failure subspecialties we do get a chance to see more myocardial biopsy specimens, but I think increasingly the focus has been on noninvasive methods by which we can assess some of these same things that we used to do, use the microscope for. Invasive hemodynamics I think similarly we get a lot of experience in terms of spending time in the cath lab but I do kind of wonder if we don't have the same in-depth training that we used to have in understanding all the nuances of hemodynamics that used to exist in the past. Certainly, I think that while that's partially a reflection of the way and the direction in which medicine is heading, there is a little bit that's potentially lost there. That said, while we have the benefit of manuscripts like this that does do in-depth hemodynamics and looks at autopsy samples from a clinical standpoint, if we were to ever try and understand this in a larger population I think we would be required to try and find a way to noninvasively or maybe through potentially invasive hemodynamics better study this in live patients. Dr Amit Khera: Appreciate that answer and I'm just for all of you, this has been outstanding. You all have served as incredible expert discussants. I know Carolyn already said it multiple times but we've learned a ton about each of these articles and great to see how they come alive and are used in practice and how they're applied in your own thinking and specifically as fellows in training with these have meant to you. We thank you all for joining us and it's really been a fantastic experience. Dr Carolyn Lam: Amit, I can only echo your thanks and thank you listeners for joining us today. Fellows out there you are so important to us. Please, please apply to join us on the next FIT podcast as you can see it's really fun. Don't forget to join us again next week.