Podcasts about Episodic

ritten by Drew Z. Greenberg and directed by David Solomon, this episode originally aired February 4, 2003.  EXTRA BITS Trevor is currently working on creating an art piece for every single episode of Buffy and you can find everything that's been released so far here. You can also find many of his fun Lego animations all over the internet! Kristin co-hosts another show called "So...I'm Watching This Show" with Wil Brooks. You can check them out here. Please rate, review and subscribe! Help us get those fancy numbers :)

Dan Lauria is an acclaimed actor and playwright. He is perhaps best known for playing the dad on the hit television series “The Wonder Years”. He has been featured in over 70 television episodic programs and more than 20 Movie of the Week productions plus a number of feature films. He has performed, written or directed over 50 professional stage productions. On Broadway, he starred as legendary football coach Vince Lombardi in “Lombardi”, as well as in the Tony nominated “A Christmas Story: The Musical”. And he also performed in “The Guys”, a tribute to the firefighters who died on 9/11. His newest play is called “Just Another Day” starring Dan and Patty McCormack, which has gotten fabulous reviews.  My featured song is “Hey Jake” from the album East Side Sessions by my band Project Grand Slam. Spotify link. —----------------------------------------------------------- The Follow Your Dream Podcast:Top 1% of all podcasts with Listeners in 200 countries! Click here for All Episodes  Click here for Guest List  Click here for Guest Groupings  Click here for Guest Testimonials Click here to Subscribe  Click here to receive our Email Updates Click here to Rate and Review the podcast —---------------------------------------- ROBERT'S LATEST RELEASE: “MA PETITE FLEUR STRING QUARTET” is Robert's latest release. It transforms his jazz ballad into a lush classical string quartet piece. Praised by a host of classical music stars. CLICK HERE FOR YOUTUBE LINK CLICK HERE FOR ALL LINKS —--------------------------------------- ROBERT'S RECENT SINGLE “MI CACHIMBER” is Robert's recent single. It's Robert's tribute to his father who played the trumpet and loved Latin music.. Featuring world class guest artists Benny Benack III and Dave Smith on flugelhorn CLICK HERE FOR YOUTUBE LINK CLICK HERE FOR ALL LINKS —-------------------------------------- ROBERT'S LATEST ALBUM: “WHAT'S UP!” is Robert's latest compilation album. Featuring 10 of his recent singles including all the ones listed below. Instrumentals and vocals. Jazz, Rock, Pop and Fusion. “My best work so far. (Robert)” CLICK HERE FOR THE OFFICIAL VIDEO CLICK HERE FOR ALL LINKS —---------------------------------------- Audio production: Jimmy RavenscroftKymera Films   Connect with the Follow Your Dream Podcast: Website - www.followyourdreampodcast.comEmail Robert - robert@followyourdreampodcast.com   Follow Robert's band, Project Grand Slam, and his music: Website - www.projectgrandslam.comYouTubeSpotify MusicApple MusicEmail - pgs@projectgrandslam.com    

This compilation contains 5 episodes.Episodes included:1. Foreign Shadows (February 16, 2026)2. The Empty Basket (February 17, 2026)3. The Punch (February 19, 2026)4. A Dog That Bites (February 19, 2026)5. The Secret of the Dragons (February 20, 2026)---Become a supporter of this podcast: https://www.spreaker.com/podcast/the-thieves-guild--6141933/support.Some secrets are worth dying for. Some are worth killing for.----CREDITS ✍️ Writer: Jake Kerr

Written by Mere Smith, Steven S. DeKnight, and Jeffrey Bell and directed by Bill L. Norton, this episode originally aired February 12, 2003. EXTRA BITSTrevor is currently working on creating an art piece for every single episode of Buffy and you can find everything that's been released so far here. You can also find many of his fun Lego animations all over the internet!Kristin co-hosts another show called "So...I'm Watching This Show" with Wil Brooks. You can check them out here.Please rate, review and subscribe! Help us get those fancy numbers :)

In part two of this series, Dr. Tesha Monteith and Dr. Andrew Hershey discuss appropriate treatment strategies to prevent migraines in children and adolescents. Show citation:  Hershey AD, Szperka CL, Barbanti P, et al. Fremanezumab in Children and Adolescents with Episodic Migraine. N Engl J Med. 2026;394(3):243-252. doi:10.1056/NEJMoa2504546  Show transcript:  Dr. Tesha Monteith: This is Tesha Monteith with the Neurology Minute. I'm back with Andrew Hershey, professor of Pediatrics and Director of the Division of Neurology at Cincinnati Children's and the Children's Headache Center. This is part two of our discussion on his paper published in the New England Journal of Medicine, fremanezumab in Children and Adolescents with Episodic Migraine. Andrew, now that we have fremanezumab approved for prevention of episodic migraine in children and adolescents, and we have a number of other devices and treatments for patients that can be used as part of FDA-approved treatment or even off-label, can you discuss an appropriate treatment paradigm to prevent migraine? Dr. Andrew Hershey: I think the first and foremost part of the paradigm is to identify the disease, so recognition that headaches are a component of the disease migraine, so you have headaches attacks due to migraine is an essential part. Many of the children, adolescents and their families are unaware that that is even what they're having, and clarifying the etiology actually goes a long way. One of my former mentors, Dr. Prensky, always said that 50% of kids get better from just seeing a child neurologist, and I think it's that clarification of the diagnosis. Second to that, you need to provide a very adequate acute treatment as well as what's probably even more essential than anything else is healthy lifestyle habits. So regular eating, drinking, sleeping, and exercise. And then finally, if the headache is causing severe disability or frequent headaches or interfering with the child's school, home or social life, the prevention medications may need to be added. And this is where the fremanezumab, or if you prefer devices, devices can be used for both the acute and preventive treatment. Dr. Tesha Monteith: Well, thank you for the summary, and congratulations again on your paper. Dr. Andrew Hershey: Thank you. Dr. Tesha Monteith: Do check out the full podcast for more details about the paper and treatment of migraine in children and adolescents. This is Tesha Monteith. Thank you for listening to the Neurology Minute.

A young boy presents with exercise-induced episodic gait disturbance. Dr. Shekeeb Mohammad analyses the clinical phenomenology alongside laboratory and neuroimaging findings, systematically exploring the differential diagnosis before arriving at the final diagnosis.

This compilation contains 5 chapters.Episodes included:1. Unimaginable Power (February 09, 2026)2. The Journals (February 10, 2026)3. The Western Plains (February 11, 2026)4. The Cabin On Dragon Road (February 12, 2026)5. Maela's New Mission (February 13, 2026)---Become a supporter of this podcast: https://www.spreaker.com/podcast/the-thieves-guild--6141933/support.Some secrets are worth dying for. Some are worth killing for.----CREDITS ✍️ Writer: Jake Kerr

In part one of this two-part series, Dr. Tesha Monteith and Dr. Andrew Hershey summarize findings from the SPACE trial evaluating fremanezumab in adolescents and children with migraine. Show citation: Hershey AD, Szperka CL, Barbanti P, et al. Fremanezumab in Children and Adolescents with Episodic Migraine. N Engl J Med. 2026;394(3):243-252. doi:10.1056/NEJMoa2504546  Show transcript:  Dr. Tesha Monteith: Hi, this is Tesha Monteith with the Neurology Minute. I'm here with Andrew Hershey, Professor of Pediatrics and Director of the Division of Neurology at Cincinnati Children's and the Children's Headache Center. We're here talking about his new paper published in the New England Journal of Medicine, Fremanezumab in Children and Adolescents with Episodic Migraine. Andrew, thank you for being on our Neurology Minutes. Dr. Andrew Hershey: Thank you for inviting me. Dr. Tesha Monteith: Can you summarize the findings of the space trial investigating Fremanezumab for adolescents and children with migraine? Dr. Andrew Hershey: This is one of the four monoclonal antibodies against CGRP, or it's this receptor that had been proven effective for adults. And it's the first one, the formazepam, that's been able to report its effectiveness in children and adolescents with less than 15 headache days per month. This study looked at over 200 children adolescents that were in a double-blinded randomized placebo controlled study. And reached its primary, as well as its secondary endpoint of a reduction compared to placebo. And the number of attacks of migraine per month, as well as a greater than 50% reduction in the number of headache attacks per month, with minimal to no side effects, the most notable side effect being injection site erythema. Dr. Tesha Monteith: Great. Thank you so much for providing that update. Do check out the full podcast for more details about his paper and the treatment of migraine in children and adolescents. This is Tesha Monteith. Thank you for listening to the Neurology Minute.  

Written by Rebecca Rand Kirshner and directed by James A. Contner, this episode originally aired January 21, 2003. EXTRA BITSTrevor is currently working on creating an art piece for every single episode of Buffy and you can find everything that's been released so far here. You can also find many of his fun Lego animations all over the internet!Kristin co-hosts another show called "So...I'm Watching This Show" with Wil Brooks. You can check them out here.Please rate, review and subscribe! Help us get those fancy numbers :)

Dr. Tesha Monteith talks with Dr. Andrew D. Hershey about the advancements in the treatment of pediatric migraines.  Read the related article in The New England Journal of Medicine.  Disclosures can be found at Neurology.org. 

This compilation contains 5 chapters.Episodes included:1. Jasper And The River District (February 02, 2026)2. Rogers Returns (February 03, 2026)3. The New Guildmaster (February 04, 2026)4. A Summons (February 05, 2026)5. A Magnificent Seal (February 06, 2026)---Become a supporter of this podcast: https://www.spreaker.com/podcast/the-thieves-guild--6141933/support.Some secrets are worth dying for. Some are worth killing for.----CREDITS ✍️ Writer: Jake Kerr

Raphael Colantonio and Peter Salnikov talk to Nick Herman, co-creator of Dispatch, a hit game of 2025, about cinematic game experiences, low barriers for new players, episodic game structure and swimming against the flow.    Nick's path in the industry: from TV shows, to TellTale Games, to AdHoc Studio; Looking for funding when you don't have any successful references in the same genre; Working with broader audience and removing barriers for new players; Episodic Games as a business model. Pros and cons? How does it affect the overall game development? The challenges of story branching & the legacy of choices in games series.   Have a nice one!   Check out the video version on YouTube: https://youtube.com/@thehouseofthedev?si=ErjJKN-yxiuk5aEl    Supported by Indie Go: https://bit.ly/4opM7cC — Ads:  ERID: 2Vtzqvzvi5w

Written by Sarah Fain with Elizabeth Craft and directed by Sean Astin, this episode originally aired February 5, 2003. EXTRA BITSTrevor is currently working on creating an art piece for every single episode of Buffy and you can find everything that's been released so far here. You can also find many of his fun Lego animations all over the internet!Kristin co-hosts another show called "So...I'm Watching This Show" with Wil Brooks. You can check them out here.Please rate, review and subscribe! Help us get those fancy numbers :)

This compilation contains 5 chapters.Episodes included:1. The Cost (January 26, 2026)2. Around the Mountain (January 27, 2026)3. The Meeting With Wilhelm (January 28, 2026)4. Next Steps (January 29, 2026)5. Jasper In The Tower (January 30, 2026)---Become a supporter of this podcast: https://www.spreaker.com/podcast/the-thieves-guild--6141933/support.Some secrets are worth dying for. Some are worth killing for.----CREDITS ✍️ Writer: Jake Kerr

Written by David Fury and directed by Michael Grossman, this episode originally aired January 7, 2003. EXTRA BITSTrevor is currently working on creating an art piece for every single episode of Buffy and you can find everything that's been released so far here. You can also find many of his fun Lego animations all over the internet!Kristin co-hosts another show called "So...I'm Watching This Show" with Wil Brooks. You can check them out here.Please rate, review and subscribe! Help us get those fancy numbers :)

This compilation contains 5 chapters.Episodes included:1. The Warning (January 19, 2026)2. Vesper's Plotting (January 20, 2026)3. The Guild Is Listening (January 21, 2026)4. Not Enough (January 22, 2026)5. The Dark Side (January 23, 2026)---Become a supporter of this podcast: https://www.spreaker.com/podcast/the-thieves-guild--6141933/support.Some secrets are worth dying for. Some are worth killing for.----CREDITS ✍️ Writer: Jake Kerr

00:01 – Welcome, cold open, and framing Episode 3's themes 05:10 – Early reactions to Episode 3 and growing positivity around the series 10:02 – Star Trek, relationships, and why Academy leans into emotional storytelling 14:55 – Episodic vs. serialized debate and expectations for a “big bad” 18:05 – Darum's background, family pressure, and the first signs of growth 22:10 – Genesis vs. Darum: competition, trust, and leadership dynamics 26:15 – Romance, rivalry, or mentorship? Breaking down Genesis's motivations 30:05 – The prank war: War College vs. Starfleet Academy tone shift 33:40 – Lighthearted episodes and why they matter for long-term stakes 37:05 – Foreshadowing danger: loss, sacrifice, and Star Trek precedent 40:10 – Transition to Caleb and Tarima's reduced screen presence 43:20 – Tarima's choice of the War College and emotional self-control 46:30 – The inhibitor device, emotional suppression, and trope discussion 49:40 – Critiques of Tarima's arc and missed development opportunities 52:55 – Caleb's desire for belonging and team identity 56:10 – Comparing Episode 3 to Episodes 1–2 character focus shifts 01:00:05 – Predictions for romantic tension and future conflicts 01:05:40 – Who's most at risk later this season? Death theories emerge 01:10:55 – Academy life vs. real-world Starfleet consequences 01:17:30 – Final thoughts, season trajectory, and closing reflections

Written by David Fury with Steven S. DeKnight and directed by James A. Contner, this episode originally aired January 29, 2003. EXTRA BITSTrevor is currently working on creating an art piece for every single episode of Buffy and you can find everything that's been released so far here. You can also find many of his fun Lego animations all over the internet!Kristin co-hosts another show called "So...I'm Watching This Show" with Wil Brooks. You can check them out here.Please rate, review and subscribe! Help us get those fancy numbers :)

GiveSendGo: https://www.givesendgo.com/PNNAmerica Live show 8PM EST: https://odysee.com/@PNNAmerica:a/PNNAmericaStreamNov:7 PNN America official simplex.chat room: https://files.catbox.moe/bhos77.png PNN America Odysee channel: https://odysee.com/@PNNAmerica:a PNN Texas Odysee channel: https://odysee.com/@Diogenes:2/PNNTexas:d Reddit alternative: https://soj.ooo/ Help by supporting the show: cash.app/PNNAmerica Bitcoin: bc1q775yrp0az9e88yp3nzg0a5p7nzgex0m7e8xcdk Dogecoin: DS1Fp4wmQ1jdbYj4cqi3MJNWmzYe6tt9w4 Monero: 8BaVtQCDnQhY1Wc3twwx2NCPumhTTVCweZRQT2X7V3D9gfEUCWt6U79izJp2qiDYx3cAjPjQFEWxFbKyLoTTWSRzGC27Tdk MY Website! (Book included): pnnamerica.com

This compilation contains 5 chapters. Episodes included: 1. The Warehouse (January 12, 2026) 2. The Assassination Game (January 13, 2026) 3. Plotting In The Kitchen (January 14, 2026) 4. An Angry Reception (January 15, 2026) 5. The Great Forgetting (January 16, 2026) ---Become a supporter of this podcast: https://www.spreaker.com/podcast/the-thieves-guild--6141933/support.Some secrets are worth dying for. Some are worth killing for.----CREDITS ✍️ Writer: Jake Kerr

Written by Marti Noxon with Douglas Petrie and directed by David Grossman, this episode originally aired December 17, 2002. EXTRA BITSTrevor is currently working on creating an art piece for every single episode of Buffy and you can find everything that's been released so far here. You can also find many of his fun Lego animations all over the internet!Kristin co-hosts another show called "So...I'm Watching This Show" with Wil Brooks. You can check them out here.Please rate, review and subscribe! Help us get those fancy numbers :)

This compilation contains 5 episodes.Episodes included:1. Rebecca's Influence (January 05, 2026)2. A Reunion In A Cell (January 06, 2026)3. The State Visit (January 07, 2026)4. The Fine Print (January 08, 2026)5. Recognition (January 09, 2026)Become a supporter of this podcast: https://www.spreaker.com/podcast/the-thieves-guild--6141933/support.Some secrets are worth dying for. Some are worth killing for.----CREDITS ✍️ Writer: Jake Kerr

Written by Mere Smith and directed by Terrence O'Hara, this episode originally aired January 22, 2003. EXTRA BITSTrevor is currently working on creating an art piece for every single episode of Buffy and you can find everything that's been released so far here. You can also find many of his fun Lego animations all over the internet!Kristin co-hosts another show called "So...I'm Watching This Show" with Wil Brooks. You can check them out here.Please rate, review and subscribe! Help us get those fancy numbers :)

This compilation contains 5 episodes.Episodes included:1. Crossing The Threshold (December 29, 2025)2. The Dragon's Gullet (December 30, 2025)3. The Missing Seal (December 31, 2025)4. Calias (January 01, 2026)5. Coode (January 02, 2026)---Become a supporter of this podcast: https://www.spreaker.com/podcast/the-thieves-guild--6141933/support.Some secrets are worth dying for. Some are worth killing for.----CREDITS ✍️ Writer: Jake Kerr

Written by Drew Goddard and directed by David Solomon, this episode originally aired November 26, 2002. EXTRA BITSTrevor is currently working on creating an art piece for every single episode of Buffy and you can find everything that's been released so far here. You can also find many of his fun Lego animations all over the internet!Kristin co-hosts another show called "So...I'm Watching This Show" with Wil Brooks. You can check them out here.Please rate, review and subscribe! Help us get those fancy numbers :)

This compilation contains 2 episodes.Episodes included:1. The New Guildmaster (December 22, 2025)2. The Broken Wheel (December 23, 2025)Become a supporter of this podcast: https://www.spreaker.com/podcast/the-thieves-guild--6141933/support.Some secrets are worth dying for. Some are worth killing for.----CREDITS ✍️ Writer: Jake Kerr

This binge compilation contains 5 episodes.Episodes included:1. The First Step (December 15, 2025)2. The Road To Gaotteland (December 16, 2025)3. The Red Road (December 17, 2025)4. The Waiting Game (December 18, 2025)5. The Captains Vote (December 19, 2025)---Become a supporter of this podcast: https://www.spreaker.com/podcast/the-thieves-guild--6141933/support.Some secrets are worth dying for. Some are worth killing for.----CREDITS ✍️ Writer: Jake Kerr

Written by David Fury and Jane Espenson and directed by Alan J. Levi, this episode originally aired January 15, 2003. EXTRA BITSTrevor is currently working on creating an art piece for every single episode of Buffy and you can find everything that's been released so far here. You can also find many of his fun Lego animations all over the internet!Kristin co-hosts another show called "So...I'm Watching This Show" with Wil Brooks. You can check them out here.Please rate, review and subscribe! Help us get those fancy numbers :)

This binge compilation contains 5 episodes.Episodes included:1. The Root And The Rot (December 08, 2025)2. The Ghost And The Liars (December 09, 2025)3. The Dragons Are Waking (December 10, 2025)4. Vesper's Update (December 11, 2025)5. A Wolf In The House (December 12, 2025)Become a supporter of this podcast: https://www.spreaker.com/podcast/the-thieves-guild--6141933/support.Some secrets are worth dying for. Some are worth killing for.----CREDITS ✍️ Writer: Jake Kerr

Written by David Fury and Jane Espenson and directed by Alan J. Levi, this episode originally aired November 19, 2002. EXTRA BITSTrevor is currently working on creating an art piece for every single episode of Buffy and you can find everything that's been released so far here. You can also find many of his fun Lego animations all over the internet!Kristin co-hosts another show called "So...I'm Watching This Show" with Wil Brooks. You can check them out here.Please rate, review and subscribe! Help us get those fancy numbers :)

Episodic description RLR discussed a case of a red leg Student discount https://www.rlrcpsolvers.com/student-discounts/ IMG discount Use coupon code RLRIMG at check out  https://rlrcpsolvers.com/annual-plan

Written by Steven S. DeKnight and directed by Vern Gillum, this episode originally aired November 17, 2002. EXTRA BITSTrevor is currently working on creating an art piece for every single episode of Buffy and you can find everything that's been released so far here. You can also find many of his fun Lego animations all over the internet!Kristin co-hosts another show called "So...I'm Watching This Show" with Wil Brooks. You can check them out here.Please rate, review and subscribe! Help us get those fancy numbers :)

On this week's episode of Windbreaker, Yahtzee, JM8, and Marty take a look at the past, present, and future of episodic gaming, in light of the release of AdHoc's Dispatch.Second Wind is fully independent, employee-owned and fan-funded. Consider supporting us on Patreon for as little as $1/month at patreon.com/SecondWindGroup

Written by Jane Espenson and Drew Goddard and directed by Nick Marck, this episode originally aired November 12, 2002. EXTRA BITSTrevor is currently working on creating an art piece for every single episode of Buffy and you can find everything that's been released so far here. You can also find many of his fun Lego animations all over the internet!Kristin co-hosts another show called "So...I'm Watching This Show" with Wil Brooks. You can check them out here.Please rate, review and subscribe! Help us get those fancy numbers :)

Erika's defiant escape from a formal gathering to share her survival tale by a refugee fire ignites Bennet's rage and TJ's shadowy pursuit, while TJ grapples with traitor revelations in his ranks, and Nate's flour-dusted mishap at the mill underscores fragile loyalties. Monroe-Hall's grief-stricken return to Virgis with blackshirt horrors sparks evac whispers amid fed border tensions.Based on Sara F. Hathaway's Changing Earth Series novels, this episode pulses with the raw intimacy of false peace's fatal lure: hearthside vows teetering on the edge of catastrophe, love's unyielding fire clashing against a world that devours the unwary. Immerse in rumbling earth, whip-crack tension, and whispered stands—survival's heartbeat in audio drama form. Grab merch at changingearthseries.com.Experience the visual representation at: https://www.youtube.comRuntime: 45 min | Rated: Mature (Tension, Peril) | Subscriber Extras: Behind-the-scenes lore, early release, and commercial-free episodes. Books: Start the series on Amazon—Walls of Freedom (Book 3) for the full quake-chilled immersion.Get Prepared with Our Incredible Sponsors! Survival Bags, kits, gear www.limatangosurvival.comEMP Proof Shipping Containers www.fardaycontainers.comThe Prepper's Medical Handbook Build Your Medical Cache – Welcome PBN FamilyPack Fresh USA www.packfreshusa.comSupport PBN with a Donation https://bit.ly/3SICxEq

Written and directed by Joss Whedon, this episode originally aired November 10, 2002. EXTRA BITSTrevor is currently working on creating an art piece for every single episode of Buffy and you can find everything that's been released so far here. You can also find many of his fun Lego animations all over the internet!Kristin co-hosts another show called "So...I'm Watching This Show" with Wil Brooks. You can check them out here.Please rate, review and subscribe! Help us get those fancy numbers :)

Written by Drew Z. Greenberg and directed by Michael Gershman, this episode originally aired November 5, 2002. EXTRA BITSTrevor is currently working on creating an art piece for every single episode of Buffy and you can find everything that's been released so far here. You can also find many of his fun Lego animations all over the internet!Kristin co-hosts another show called "So...I'm Watching This Show" with Wil Brooks. You can check them out here.Please rate, review and subscribe! Help us get those fancy numbers :)

Dr Samuel Mackenzie discusses the perplexing presentation of a 61-year-old man with rhabdomyolysis and a prolonged QT interval. Further exploration reveals a lifetime of episodic fatigue with illnesses. https://doi.org/10.1016/j.ymgmr.2025.101241

Written by Elizabeth Craft with Sarah Fain and directed by Bill L. Norton, this episode originally aired November 3, 2002. EXTRA BITSTrevor is currently working on creating an art piece for every single episode of Buffy and you can find everything that's been released so far here. You can also find many of his fun Lego animations all over the internet!Kristin co-hosts another show called "So...I'm Watching This Show" with Wil Brooks. You can check them out here.Please rate, review and subscribe! Help us get those fancy numbers :)

Seth and Sean discuss last night's incredible drama as Joe Flacco led the Bengals to a win, embarrassing half of the AFC North in the process.

In this episode of the Volunteer Nation Podcast, Tobi Johnson unpacks how the experience economy is reshaping the way nonprofits engage and retain volunteers. Building on last week's discussion about the evolving volunteer marketplace, Tobi explains why it's no longer enough to simply offer opportunities — today's volunteers expect meaningful, memorable, and transformative experiences. If you're ready to meet modern volunteer expectations and create experiences that truly stand out, this episode is packed with insights you won't want to miss! Full show notes: 184. The Experience Economy – Are Nonprofits Keeping Up? Experience Economy - Episode Highlights [01:37] - Understanding the Experience Economy [05:23] - The Evolution of Economic Value [07:46] - Creating Quality Volunteer Experiences [15:55] - Modern Examples of the Experience Economy [18:04] - The Experience Economy in Nonprofits [18:52] - The Market Metaphor in Volunteerism [19:43] - Understanding Volunteer Motivations [22:59] - Altruism and Empathy in Volunteering [24:07] - Social Connection and Personal Development [28:51] - Value Expression and Psychological Benefits [32:40] - The Experience Economy in Volunteering [34:46] - Episodic and Flexible Volunteering [36:04] - The Ripple Effect of Volunteer Experience Helpful Links Volunteer Management Progress Report  VolunteerPro Impact Lab Volunteer Nation Episode 183 - The New Reality - Volunteers Don't Need You  Volunteer Nation Episode #118: 8 Ways to Make Volunteering Experiences Much Easier Volunteer Nation Episode #147: Volunteer Recruitment Trends from Our New Report  Thanks for listening to this episode of the Volunteer Nation podcast. If you enjoyed it, please be sure to subscribe, rate, and review so we can reach more people like you who want to improve the impact of their good cause. For more tips and notes from the show, check us out at TobiJohnson.com. For any comments or questions, email us at WeCare@VolPro.net.

Written by Drew Goddard and directed by David Solomon, this episode originally aired October 22, 2002. EXTRA BITSTrevor is currently working on creating an art piece for every single episode of Buffy and you can find everything that's been released so far here. You can also find many of his fun Lego animations all over the internet!Kristin co-hosts another show called "So...I'm Watching This Show" with Wil Brooks. You can check them out here.Please rate, review and subscribe! Help us get those fancy numbers :)

Written by Jeffrey Bell and directed by Skip Schoolnik, this episode originally aired October 27, 2002. EXTRA BITSTrevor is currently working on creating an art piece for every single episode of Buffy and you can find everything that's been released so far here. You can also find many of his fun Lego animations all over the internet!Kristin co-hosts another show called "So...I'm Watching This Show" with Wil Brooks. You can check them out here.Please rate, review and subscribe! Help us get those fancy numbers :)

Written by Rebecca Rand Kirshner and directed by Rick Rosenthal, this episode originally aired October 15, 2002. EXTRA BITSTrevor is currently working on creating an art piece for every single episode of Buffy and you can find everything that's been released so far here. You can also find many of his fun Lego animations all over the internet!Kristin co-hosts another show called "So...I'm Watching This Show" with Wil Brooks. You can check them out here.Please rate, review and subscribe! Help us get those fancy numbers :)

Paroxysmal movement disorders refer to a group of highly heterogeneous disorders that present with attacks of involuntary movements without loss of consciousness. These disorders demonstrate considerable and ever-expanding genetic and clinical heterogeneity, so an accurate clinical diagnosis has key therapeutic implications. In this episode, Kait Nevel, MD, speaks with Abhimanyu Mahajan, MD, MHS, FAAN, author of the article “Paroxysmal Movement Disorders” in the Continuum® August 2025 Movement Disorders issue. Dr. Nevel is a Continuum® Audio interviewer and a neurologist and neuro-oncologist at Indiana University School of Medicine in Indianapolis, Indiana. Dr. Mahajan is an assistant professor of neurology and rehabilitation medicine at the James J. and Joan A. Gardner Family Center for Parkinson's Disease and Movement Disorders at the University of Cincinnati in Cincinnati, Ohio. Additional Resources Read the article: Paroxysmal Movement Disorders Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @IUneurodocmom Guest: @MahajanMD Full episode transcript available here Dr Jones: This is Doctor Lyell Jones, editor in chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Nevel: Hello, this is Dr Kait Nevel. Today I'm interviewing doctor Abhi Mahajan about his article on diagnosis and management of paroxysmal movement disorders, which appears in the August 2025 Continuum issue on movement disorders. Abhi, welcome to the podcast and please introduce yourself to the audience. Dr Mahajan: Thank you, Kait. Thank you for inviting me. My name is Abhi Mahajan. I'm an assistant professor of neurology and rehabilitation medicine at the University of Cincinnati in Cincinnati, Ohio. I'm happy to be here. Dr Nevel: Wonderful. Well, I'm really excited to talk to you about your article today on this very interesting and unique set of movement disorders. So, before we get into your article a little bit more, I think just kind of the set the stage for the discussion so that we're all on the same page. Could you start us off with some definitions? What are paroxysmal movement disorders? And generally, how do we start to kind of categorize these in our minds? Dr Mahajan: So, the term paroxysmal movement disorders refers to a group of highly heterogeneous disorders. These may present with attacks of involuntary movements, commonly a combination of dystonia and chorea, or ataxia, or both. These movements are typically without loss of consciousness and may follow, may follow, so with or without known triggers. In terms of the classification, these have been classified in a number of ways. Classically, these have been classified based on the trigger. So, if the paroxysmal movement disorder follows activity, these are called kinesigenic, paroxysmal, kinesigenic dyskinesia. If they are not followed by activity, they're called non kinesigenic dyskinesia and then if they've followed prolonged activity or exercise they're called paroxysmal exercise induced dyskinesia. There's a separate but related group of protogynous movement disorders called episodic attacks here that can have their own triggers. Initially this was the classification that was said. Subsequent classifications have placed their focus on the ideology of these attacks that could be familiar or acquired and of course understanding of familiar or genetic causes of paroxysmal movement disorders keeps on expanding and so on and so forth. And more recently, response to pharmacotherapy and specific clinical features have also been introduced into the classification. Dr Nevel: Great, thank you for that. Can you share with us what you think is the most important takeaway from your article for the practicing neurologist? Dr Mahajan: Absolutely. I think it's important to recognize that everything that looks and sounds bizarre should not be dismissed as malingering. Such hyperkinetic and again in quotations, “bizarre movements”. They may appear functional to the untrained eye or the lazy eye. These movements can be diagnosed. Paroxysmal movement disorders can be diagnosed with a good clinical history and exam and may be treated with a lot of success with medications that are readily available and cheap. So, you can actually make a huge amount of difference to your patients' lives by practicing old-school neurology. Dr Nevel: That's great, thank you so much for that. I can imagine that scenario does come up where somebody is thought to have a functional neurological disorder but really has a proximal movement disorder. You mentioned that in your article, how it's important to distinguish between these two, how there can be similarities at times. Do you mind giving us a little bit more in terms of how do we differentiate between functional neurologic disorder and paroxysmal movement disorder? Dr Mahajan: So clinical differentiation of functional neurological disorder from paroxysmal movement disorders, of course it's really important as a management is completely different, but it can be quite challenging. There's certainly an overlap. So, there can be an overlap with presentation, with phenomenology. Paroxysmal nature is common to both of them. In addition, FND and PMD's may commonly share triggers, whether they are movement, physical exercise. Other triggers include emotional stimuli, even touch or auditory stimuli. What makes it even more challenging is that FND's may coexist with other neurological disorders, including paroxysmal movement disorders. However, there are certain specific phenom phenotypic differences that have been reported. So specific presentations, for example the paroxysms may look different. Each paroxysm may look different in functional neurological disorders, specific phenotypes like paroxysmal akinesia. So, these are long duration episodes with eyes closed. Certain kinds of paroxysmal hyperkinesia with ataxia and dystonia have been reported. Of course. More commonly we see PNES of paroxysmal nonepileptic spells or seizures that may be considered paroxysmal movement disorders but represent completely different etiology which is FND. Within the world of movement disorders, functional jerks may resemble propiospinal myoclonus which is a completely different entity. Overall, there are certain things that help separate functional movement disorders from paroxysmal movement disorders, such as an acute onset variable and inconsistent phenomenology. They can be suggestibility, distractibility, entrainment, the use of an EMG may show a B-potential (Bereitschaftspotential) preceding the movement in patients with FND. So, all of these cues are really helpful. Dr Nevel: Great, thanks. When you're seeing a patient who's reporting to these paroxysmal uncontrollable movements, what kind of features of their story really tips you off that this might be a proximal movement disorder? Dr Mahajan: Often these patients have been diagnosed with functional neurological disorders and they come to us. But for me, whenever the patient and or the family talk about episodic movements, I think about these. Honestly, we must be aware that there is a possibility that the movements that the patients are reporting that you may not see in clinic. Maybe there are obvious movement disorders. Specifically, there's certain clues that you should always ask for in the history, for example, ask for the age of onset, a description of movements. Patients typically have videos or families have videos. You may not be able to see them in clinic. The regularity of frequency of these movements, how long the attacks are, is there any family history of or not? On the basis of triggers, whether, as I mentioned before, do these follow exercise? Prolonged exercise? Or neither of the above? What is the presentation in between attacks, which I think is a very important clinical clue. Your examination may be limited to videos, but it's important not just to examine the video which represents the patient during an attack, but in between attacks. That is important. And of course, I suspect we'll get to the treatment, but the treatment can follow just this part, the history and physical exam. It may be refined with further testing, including genetic testing. Dr Nevel: Great. On the note of genetic testing, when you do suspect a diagnosis of paroxysmal movement disorder, what are some key points for the provider to be aware of about genetic testing? How do we go about that? I know that there are lots of different options for genetic testing and it gets complicated. What do you suggest? Dr Mahajan: Traditionally, things were a little bit easier, right, because we had a couple of genes that have been associated with the robust movement disorders. So, genetic testing included single gene testing, testing for PRRT2 followed by SLC2A. And if these were negative, you said, well, this is not a genetic ideology for paroxysmal movement disorders. Of course, with time that has changed. There's an increase in known genes and variants. There is increased genetic entropy. So, the same genetic mutation may present with many phenotypes and different genetic mutations may present with the similar phenotype. Single gene testing is not a high yield approach. Overall genetic investigations for paroxysmal movement disorders use next generation sequencing or whole exome sequence panels which allow for sequencing of multiple genes simultaneously. The reported diagnostic yield with let's say next generation sequencing is around 35 to 50 percent. Specific labs at centers have developed their own panels which may improve the yield of course. In children, microarray may be considered, especially the presentation includes epilepsy or intellectual disability because copy number variations may not be detected by a whole exome sequencing or next generation sequencing. Overall, I will tell you that I'm certainly not an expert in genetics, so whenever you're considering genetic testing, if possible, please utilize the expertise of a genetic counsellor. Families want to know, especially as an understanding of the molecular underpinnings and knowledge about associated mutations or variations keeps on expanding. We need to incorporate their expertise. A variant of unknown significance, which is quite a common result with genetic testing, may not be a variant of unknown significance next year may be reclassified as pathogenic. So, this is extremely important. Dr Nevel: Yeah. That's such a good point. Thank you. And you just mentioned that there are some genetic mutations that can lead to multiple different phenotypes. Seemingly similar phenotypes can be associated with various genetic mutations. What's our understanding of that? Do we have an understanding of that? Why there is this seeming disconnect at times between the specific genetic mutation and the phenotype? Dr Mahajan: That is a tough question to answer for all paroxysmal movement disorders because the answer may be specific to a specific mutation. I think a great example is the CACNA1A mutation. It is a common cause of episodic ataxia type 2. Depending on when the patient presents, you can have a whole gamut of clinical presentations. So, if the patient is 1 year old, the patient can present with epileptic encephalopathy. Two to 5 years, it can be benign paroxysmal torticollis of infancy. Five to 10 years, can present with learning difficulties with absence epilepsy and then of course later, greater than 10 years, with episodic ataxia (type) 2 hemiplegic migraine and then a presentation with progressive ataxia and hemiplegic migraines has also been reported. So not just episodic progressive form of ataxia has also been reported. I think overall these disorders are very rare. They are even more infrequently diagnosed than their prevalence. As such, the point that different genetic mutations present with different phenotypes, or the same genetic mutation I may present with different phenotypes could also represent this part. Understanding of the clinical presentation is really incomplete and forever growing. There's a new case report or case series every other month, which makes this a little bit challenging, but that's all the more reason for learning about them and for constant vigilance for patients who show up to our clinic. Dr Nevel: Yeah, absolutely. What is our current understanding of the associated pathophysiology of these conditions and the pathophysiology relating to the genetics? And then how does that relate to the treatment of these conditions? Dr Mahajan: So, a number of different disease mechanisms have been proposed. Traditionally, these were all thought to be ion channelopathies, but a number of different processes have been proposed now. So, depending on the genetic mutation that you talk about. So certain mutations can involve ion channels such as CACMA1A, ATP1A3. It can involve solute carriers, synaptic vesicle fusion, energy metabolism such as ECHS1, synthesis of neurotransmitters such as GCH1. So, there are multiple processes that may be involved. I think overall for the practicing clinician such as me, I think there is a greater need for us to understand the underlying genetics and associated phenotypes and the molecular mechanisms specifically because these can actually influence treatment decisions, right? So, you mentioned that specific genetic testing understanding of the underlying molecular mechanism can influence specific treatments. As an example, a patient presenting with proximal nocturnal dyskinesia with mutation in the ADCY5 gene may respond beautifully to caffeine. Other examples if you have SLC2A1, so gluc-1 (glucose transporter type 1) mutation, a ketogenic diet may work really well. If you have PDHA1 mutation that may respond to thiamine and so on and so forth. There are certain patients where paroxysmal movement disorders are highly disabling and you may consider deep brain stimulation. That's another reason why it may be important to understand genetic mutations because there is literature on response to DBS with certain mutations versus others. Helps like counselling for patients and families, and of course introduces time, effort, and money spent in additional testing. Dr Nevel: Other than genetic testing, what other diagnostic work up do you consider when you're evaluating patients with a suspected paroxysmal movement disorder? Are there specific things in the history or on exam that would prompt you to do certain testing to look for perhaps other things in your differential when you're first evaluating a patient? Dr Mahajan: In this article, I provide a flow chart that helps me assess these patients as well. I think overall the history taking and neurological exam outside of these paroxysms is really important. So, the clinical exam in between these episodic events, for example, for history, specific examples include, well, when do these paroxysms happen? Do they happen or are they precipitated with meals that might indicate that there's something to do with glucose metabolism? Do they follow exercise? So, a specific example is in Moyamoya disease, they can be limb shaking that follows exercise. So, which gives you a clue to what the etiology could be. Of course, family history is important, but again, talking about the exam in between episodes, you know, this is actually a great point because out– we've talked about genetics, we've talked about idiopathic paroxysmal movement disorders, –but a number of these disorders are because of acquired causes. Well, of course it's important because acquired causes such as autoimmune causes, so multiple sclerosis, ADEM, lupus, LGI1, all of these NMDAR, I mentioned Moyamoya disease and metabolic causes. Of course, you can consider FND as under-acquired as well. But all of these causes have very different treatments and they have very different prognosis. So, I think it's extremely important for us to look into the history with a fine comb and then examine these patients in between these episodes and keep our mind open about acquired causes as well. Dr Nevel: When you evaluate these patients, are you routinely ordering vascular imaging and autoimmune kind of serologies and things like that to evaluate for these other acquired causes or it does it really just depend on the clinical presentation of the patient? Dr Mahajan: It mostly depends on the clinical presentation. I mean, if the exam is let's say completely normal, there are no other risk factors in a thirty year old, then you know, with a normal exam, normal history, no other risk factors. I may not order an MRI of the brain. But if the patient is 55 or 60 (years) with vascular risk factors, then you have to be mindful that this could be a TIA. If the patient has let's say in the 30s and in between these episodes too has basically has a sequel of these paroxysms, then you may want to consider autoimmune. I think the understanding of paraneoplastic, even autoimmune disorders, is expanding as well. So, you know the pattern matters. So, if all of this is subacute started a few months ago, then I have a low threshold for ordering testing for autoimmune and paraneoplastic ideology is simply because it makes such a huge difference in terms of how you approach the treatment and the long-term prognosis. Dr Nevel: Yeah, absolutely. What do you find most challenging about the management of patients with paroxysmal movement disorders? And then also what is most rewarding? Dr Mahajan: I think the answer to both those questions is, is the same. The first thing is there's so much advancement in what we know and how we understand these disorders so regularly that it's really hard to keep on track. Even for this article, it took me a few months to write this article, and between the time and I started and when I ended, there were new papers to include new case reports, case series, right? So, these are rare disorders. So most of our understanding for these disorders comes from case reports and case series, and it's in a constant state of advancement. I think that is the most challenging part, but it's also the most interesting part as well. I think the challenging and interesting part is the heterogeneity of presentation as well. These can involve just one part of your body, your entire body can present with paroxysmal events, with multiple different phenomenologies and they might change over time. So overall, it's highly rewarding to diagnose such patients in clinic. As I said before, you can make a sizeable difference with the medication which is usually inexpensive, which is obviously a great point to mention these days in our health system. But with anti-seizure drugs, you can put the right diagnosis, you can make a huge difference. I just wanted to make a point that this is not minimizing in any way the validity or the importance of diagnosing patients with functional neurological disorders correctly. Both of them are as organic. The importance is the treatment is completely different. So, if you're diagnosing somebody with FND and they do have FND and they get cognitive behavioral therapy and they get better, that's fantastic. But if somebody has paroxysmal movement disorders and they undergo cognitive behavioral therapy and they're not doing well, that doesn't help anybody. Dr Nevel: One hundred percent. As providers, obviously we all want to help our patients and having the correct diagnosis, you know, is the first step. What is most interesting to you about paroxysmal movement disorders? Dr Mahajan: So outside of the above, there are some unanswered questions that I find very interesting. Specifically, the overlap with epilepsy is very interesting, including shared genes, the episodic nature, presence of triggers, therapeutic response to anti-seizure drugs. All of this I think deserves further study. In the clinic, you may find that epilepsy and prognosis for movement disorders may occur in the same individual or in a family. Episodic ataxia has been associated with seizures. Traditionally this dichotomy of an ictal focus. If it's cortical then it's epilepsy, if it's subcortical then it's prognosis for movement disorders. This is thought to be overly simplistic. There can be co-occurrence of seizures and paroxysmal movement disorders in the same patient and that has led to this continuum between these two that has been proposed. This is something that needs to be looked into in more detail. Our colleagues in Epilepsy may scoff this, but there's concept of basal ganglia epilepsy manifesting as paroxysmal movement disorders was proposed in the past. And there was this case report that was published out of Italy where there was ictal discharge from the supplementary sensory motor cortex with a concomitant discharge from the ipsilateral coordinate nucleus in a patient with paroxysmal kinesigenic cardioarthidosis. So again, you know, basal ganglia epilepsy, no matter what you call it, the idea is that there is a clear overlap between these two conditions. And I think that is fascinating. Dr Nevel: Really interesting stuff. Well, thank you so much for chatting with me today. Dr Mahajan: Thank you, Kait. And thank you to the Continuum for inviting me to write this article and for this chance to speak about it. I'm excited about how it turned out, and I hope readers enjoy it as well. Dr Nevel: Today again, I've been interviewing doctor Abhi Mahajan about his article on diagnosis and management of paroxysmal movement disorders, which appears in the August 2025 Continuum issue on movement disorders. I encourage all of our listeners to be sure to check out the Continuum Audio episodes from this and other issues. As always, please read the Continuum articles where you can find a lot more information than what we were able to cover in our discussion today. And thank you for our listeners for joining today. And thank you, Abhi, so much for sharing your knowledge with us today. Dr Monteith: This is Dr Teshamae Monteith, associate editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

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Halley and Jaz are back: with way too much to catch up on. from summer travel whiplash to an exciting (but mysterious) Costa Rica work trip, they're trying to slow down… but obviously, that's not happening. they recap Halley's Europe adventures, reflect on hosting everyone except themselves all summer, and spiral over how there are somehow only eight weekends of summer left. (how did that happen?)naturally, the convo devolves into a full Love Island debrief. spoiler alert: they don't trust the producers, they've got big opinions on Nic and Olandria, and yes, they're still obsessed with Amaya. they also get deep about cancel culture, double standards between men and women, childhood bedroom redesigns, babysitting horror stories, sneaky Rite Aid thefts, and why college dorming should honestly be illegal. ALSO: a lot of your questions get answered, and the answers are JUICY!this episode is a chaotic cocktail of nostalgia, unfiltered advice, and friendship rants with a side of sassiness & tea-spilling. it's everything you didn't know you needed: just press play and let the rollercoaster begin. Timestamps 0:22 - Travels & life updates3:15 - Love Island Finale 10:20 - Our take on music these days13:08 - Would we buy the original Birkin 15:12 - Questions from our followers 38:08 - Do Kevin and Reed get to have opinions when it comes to decorating the houses 43:16 - PB Teen & American Girl Dolls LinksHelloFresh: Sign up for HelloFresh and get 10 free meals with a free item in every box! Hellofresh.com/delusional10FM Cash App: Download Cash App Today #CashAppPartner #CashAppPod https://cash.app/?utm_source=episodic&utm_medium=podcast&utm_campaign=episodic_podscale_delusionaldiaries_2025&shortlink=8u4300cq&af_dp=cashme%3A%2F%2F&c=Episodic_Podscale_DelusionalDiaries_2025&pid=Episodic-to-App&af_xp=custom&source_caller=uiSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.