Podcasts about ESR

The immune system doesn't make mistakes, we just stopped asking why it showed up. If you've been diagnosed with multiple autoimmune diseases, here's what conventional medicine won't investigate: your immune system isn't attacking you for no reason, it's protecting you from pathogens like mold, mycotoxins, parasites, viruses, and heavy metals that are hiding in your tissue. Join the Ultimate Human VIP community for Gary Brecka's proven wellness protocols! https://bit.ly/4ai0Xwg Thank you to our partners H2TABS: “ULTIMATE10” FOR 10% OFF: https://bit.ly/4hMNdgg BODYHEALTH: “ULTIMATE20” FOR 20% OFF: http://bit.ly/4e5IjsV BAJA GOLD: "ULTIMATE10" FOR 10% OFF: https://bit.ly/3WSBqUa EIGHT SLEEP: SAVE $350 ON THE POD 4 ULTRA WITH CODE “GARY”: https://bit.ly/3WkLd6E COLD LIFE: THE ULTIMATE HUMAN PLUNGE: https://bit.ly/4eULUKp WHOOP: JOIN AND GET 1 FREE MONTH!: https://bit.ly/3VQ0nzW MASA CHIPS: 20% OFF FIRST ORDER: https://bit.ly/40LVY4y VANDY: “ULTIMATE20” FOR 20% OFF: https://bit.ly/49Qr7WE AION: “ULTIMATE10” FOR 10% OFF: https://bit.ly/4h6KHAD A-GAME: “ULTIMATE15” FOR 15% OFF: http://bit.ly/4kek1ij CARAWAY: “ULTIMATE” FOR 10% OFF: https://bit.ly/3Q1VmkC HEALF: 10% OFF YOUR ORDER: https://bit.ly/41HJg6S BIOPTIMIZERS: “ULTIMATE” FOR 15% OFF: https://bit.ly/4inFfd7 RHO NUTRITION: “ULTIMATE15” FOR 15% OFF: https://bit.ly/44fFza0 GOPUFF: GET YOUR FAVORITE SNACK!: https://bit.ly/4obIFDC GENETIC TEST: ⁠https://bit.ly/3Yg1Uk9 Watch  the “Ultimate Human Podcast” every Tuesday & Thursday at 9AM EST: YouTube: https://bit.ly/3RPQYX8 Podcasts: https://bit.ly/3RQftU0 Connect with Gary Brecka Instagram: https://bit.ly/3RPpnFs TikTok: https://bit.ly/4coJ8fo X: https://bit.ly/3Opc8tf Facebook: https://bit.ly/464VA1H LinkedIn: https://bit.ly/4hH7Ri2 Website: https://bit.ly/4eLDbdU Merch: https://bit.ly/4aBpOM1 Newsletter: https://bit.ly/47ejrws Ask Gary: https://bit.ly/3PEAJuG Timestamps 00:00 Intro of Show 02:15 What is Methylation? 06:45 Type Three Diabetes = Insulin Resistance in the Brain 11:07 Importance of Methylation Testing 19:46 US Food Sources Lacking Basic Nutrients 23:11 Impact of Essential Amino Acids in the Human Body 30:45 Live Genetic Testing 38:57 My father has high ESR and was prescribed sulfasalazine. What's your view? 43:18 Is the diagnosis the same for sarcoidosis? 47:16 Can you treat H. pylori without antibiotics? 49:56 What causes systematic autoimmune attack & what are your thoughts on glyphosate? 58:52 How does lack of sleep affect my health? 01:08:08 What can you take to lower catecholamines? The Ultimate Human with Gary Brecka Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The Content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions. Learn more about your ad choices. Visit megaphone.fm/adchoices

Modern joint pain isn't just wear and tear—it's a systemic, metabolic disease that starts years before symptoms show. In this episode, you'll learn how inflammation, mitochondria dysfunction, and immune imbalance trigger cartilage loss… and how to reverse it using targeted cytokine modulation, cellular regeneration, and smarter supplements for longevity and human performance. Watch this episode on YouTube for the full video experience: https://www.youtube.com/@DaveAspreyBPR Host Dave Asprey sits down with Kiran Krishnan, a research microbiologist and Chief Scientific Officer at Calroy Health Sciences. He's the founder of Microbiome Labs—one of the most trusted microbiome-focused brands in functional medicine—and a formulator behind cutting-edge supplements like Arterosil and Vascanox. With over two decades of experience, Kiran has launched multiple health ventures, authored scientific textbook chapters, published clinical trials, and holds global patents in human health. He's a leading authority on systemic inflammation, mitochondrial dysfunction, and gut-driven disease—and one of the few voices making complex biology accessible for real-world results. He breaks down their new supplement Cartigenix HP, and how cytokines like IL-6 and TNF-alpha flip your cartilage cells from anabolic repair to catabolic destruction, how mitochondrial decline speeds up joint damage, and why most modern painkillers make your joints worse. You'll learn how a specialized blend of boswellia and celery seed reprograms inflammation, why walking beats medication in clinical trials, and how fasting, nitric oxide, and gut health work together to optimize joint regeneration. You'll learn: • How cartilage cells (chondrocytes) rely on mitochondria for tissue repair • Why global cytokines like IL-6 and TNF-alpha drive joint degradation and brain fog • How cartilage begins to break down in your teens—and what to do about it now • The surprising clinical data on walking distance, inflammation markers, and recovery • Why most supplements and NSAIDs fail—and what actually rebuilds joints • How diet and leaky gut create 5-day inflammation spikes from a single fast-food meal • The mitochondrial link between joint pain, cardiovascular risk, and depression • Why perimenopausal women are at 10x higher risk for arthritis—and how to prevent it • How to track your biological joint age using imaging and systemic inflammation labs This is essential listening for anyone serious about biohacking, functional medicine, pain-free aging, and human performance. Whether you're lifting heavy, walking daily, or just trying to stay mobile into old age, this episode gives you the science and tools to reverse joint degeneration and extend your healthspan. Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade brings you the knowledge to take control of your biology, extend your longevity, and optimize every system in your body and mind. Each episode delivers cutting-edge insights in health, performance, neuroscience, supplements, nutrition, biohacking, emotional intelligence, and conscious living. New episodes are released every Tuesday, Thursday, Friday, and Sunday (BONUS). Dave asks the questions no one else will and gives you real tools to become stronger, smarter, and more resilient. Keywords: Joint cartilage regeneration, IL-6 inflammation suppression, TNF-alpha cytokine modulation, Chondrocyte mitochondrial repair, Catabolic to anabolic tissue shift, Osteoarthritis reversal, Rheumatoid arthritis inflammation, Mitochondria and collagen synthesis, Boswellia seratol extract, Celery seed COX inhibition, Matrix metalloproteinase (MMP) inhibition, Synovial fluid inflammation, Leaky gut and joint pain, Six-minute walk test improvement, Global cytokine markers, High sensitivity CRP reduction, ESR sedimentation rate, Uric acid crystal formation, Post-prandial glucose walking, Cartilage MRI biomarkers, Functional medicine joint support, Fasted repair stacking, Vasodilation and nitric oxide, Anti-inflammatory supplement stacking, NF-kB pathway reduction, Joint space biological age, Microvascular circulation and cartilage, Caloric load and cytokine spike, Perimenopause and arthritis risk, Joint tissue anabolic activation **Get an exclusive discount for podcast listeners at calroy.com/dave : https://calroy.com/product/cartigenix-hp/?lp=dave ** Thank you to our sponsors! -BodyGuardz | Visit https://www.bodyguardz.com/ and use code DAVE for 25% off. -BiOptimizers | Go to http://bioptimizers.com/dave and use code DAVE15 to get 15% off your order. -Quantum Upgrade | Go to https://quantumupgrade.io/Dave for a free trial. -Caldera + Lab | Go to https://calderalab.com/DAVE and use code DAVE at checkout for 20% off your first order. Resources: • Danger Coffee: https://dangercoffee.com/discount/dave15 • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Upgrade Collective: https://www.ourupgradecollective.com • Upgrade Labs: https://upgradelabs.com • 40 Years of Zen: https://40yearsofzen.com Timestamps: 0:00 — Trailer 1:25 — Introduction 2:01 — Why Modern Medicine Fails at Joint Pain 3:07 — Painkillers That Accelerate Joint Damage 7:35 — Rheumatoid vs. Osteoarthritis Explained 8:54 — Cytokines That Destroy Cartilage 12:10 — Arthritis Begins in Your Teens 15:35 — 75% Pain Reduction in 7 Days 18:35 — The Science Behind Boswellia & Celery Seed 24:10 — Six-Minute Walk Test Results 25:45 — The $200/Month Painkiller Trap 28:53 — Proof Cartilage Can Regrow 31:01 — Mitochondria and Joint Repair 32:29 — Inflammation Links to Heart Disease 35:52 — Why Glucosamine Doesn't Work 37:07 — Silent Arthritis in 90% of Adults 40:44 — Why Women Face Higher Joint Risk After 40 45:52 — Food as the #1 Inflammation Trigger 47:23 — Fasting & Cartogenics Stack for Repair 50:27 — Movement Snacks and Efficient Training 55:54 — Why Joints Heal Slower Than Muscles 57:48 — Dave's Stack and Final Takeaways See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

A MacVoices Live! discussion covers another major recall—this time ESR's HaloLock power banks over fire risks—and explores why power bank failures remain common despite reputable brands. Chuck Joiner, Dave Ginsburg, Brian Flanigan-Arthurs, Jim Rea, Marty Jencius, and Norbert Frassa also react to Logitech's sudden shutdown of its Pop Smart Button, raising questions about product obsolescence, support lifespans, and smart home stability.  MacVoices is supported by SurfShark. "Go to https://surfshark.com/macvoices or use code macvoices at checkout to get 4extra months of Surfshark VPN!” Show Notes: Chapters: [0:00] Opening banter and introductions [3:58] Baseball, SpongeBob, and background fun [10:42] PowerBank recall alert — ESR HaloLock safety hazard [12:35] Why power banks fail and lithium battery risks [16:05] Airline safety and lithium battery transport rules [17:47] Manufacturing quality concerns and recall logic [17:48] Logitech's Pop Smart Button shutdown explained [21:56] Product lifespan, customer frustration, and costs [23:47] Smart home reliability and Apple HomeKit discussion [25:34] Logitech Harmony remote worries and alternatives [27:23] Closing notes and credits Links: ESR recalls over 50,000 HaloLock wireless power banks due to fire and burn hazards https://9to5mac.com/2025/10/10/esr-recalls-over-50000-halolock-magsafe-power-banks/ Logitech will brick its $100 Pop smart home buttons on October 15 https://arstechnica.com/gadgets/2025/10/logitech-will-brick-its-100-pop-smart-home-buttons-on-october-15/ Flic  Guests: Brian Flanigan-Arthurs is an educator with a passion for providing results-driven, innovative learning strategies for all students, but particularly those who are at-risk. He is also a tech enthusiast who has a particular affinity for Apple since he first used the Apple IIGS as a student. You can contact Brian on twitter as @brian8944. He also recently opened a Mastodon account at @brian8944@mastodon.cloud. Norbert Frassa is a technology “man about town”. Follow him on Twitter and see what he's up to. David Ginsburg is the host of the weekly podcast In Touch With iOS where he discusses all things iOS, iPhone, iPad, Apple TV, Apple Watch, and related technologies. He is an IT professional supporting Mac, iOS and Windows users. Visit his YouTube channel at https://youtube.com/daveg65 and find and follow him on Twitter @daveg65 and on Mastodon at @daveg65@mastodon.cloud. Dr. Marty Jencius has been an Associate Professor of Counseling at Kent State University since 2000. He has over 120 publications in books, chapters, journal articles, and others, along with 200 podcasts related to counseling, counselor education, and faculty life. His technology interest led him to develop the counseling profession ‘firsts,' including listservs, a web-based peer-reviewed journal, The Journal of Technology in Counseling, teaching and conferencing in virtual worlds as the founder of Counselor Education in Second Life, and podcast founder/producer of CounselorAudioSource.net and ThePodTalk.net. Currently, he produces a podcast about counseling and life questions, the Circular Firing Squad, and digital video interviews with legacies capturing the history of the counseling field. This is also co-host of The Vision ProFiles podcast. Generally, Marty is chasing the newest tech trends, which explains his interest in A.I. for teaching, research, and productivity. Marty is an active presenter and past president of the NorthEast Ohio Apple Corp (NEOAC). Jim Rea built his own computer from scratch in 1975, started programming in 1977, and has been an independent Mac developer continuously since 1984. He is the founder of ProVUE Development, and the author of Panorama X, ProVUE's ultra fast RAM based database software for the macOS platform. He's been a speaker at MacTech, MacWorld Expo and other industry conferences. Follow Jim at provue.com and via @provuejim@techhub.social on Mastodon. Support: Become a MacVoices Patron on Patreon      http://patreon.com/macvoices      Enjoy this episode? Make a one-time donation with PayPal Connect: Web:      http://macvoices.com Twitter: http://www.twitter.com/chuckjoiner      http://www.twitter.com/macvoices Mastodon:      https://mastodon.cloud/@chuckjoiner Facebook:      http://www.facebook.com/chuck.joiner MacVoices Page on Facebook:      http://www.facebook.com/macvoices/ MacVoices Group on Facebook:      http://www.facebook.com/groups/macvoice LinkedIn:      https://www.linkedin.com/in/chuckjoiner/ Instagram:      https://www.instagram.com/chuckjoiner/ Subscribe:      Audio in iTunes      Video in iTunes      Subscribe manually via iTunes or any podcatcher: Audio: http://www.macvoices.com/rss/macvoicesrss      Video: http://www.macvoices.com/rss/macvoicesvideorss

A MacVoices Live! discussion covers another major recall—this time ESR's HaloLock power banks over fire risks—and explores why power bank failures remain common despite reputable brands. Chuck Joiner, Dave Ginsburg, Brian Flanigan-Arthurs, Jim Rea, Marty Jencius, and Norbert Frassa also react to Logitech's sudden shutdown of its Pop Smart Button, raising questions about product obsolescence, support lifespans, and smart home stability.  MacVoices is supported by SurfShark. "Go to https://surfshark.com/macvoices or use code macvoices at checkout to get 4extra months of Surfshark VPN!” Show Notes: Chapters: [0:00] Opening banter and introductions [3:58] Baseball, SpongeBob, and background fun [10:42] PowerBank recall alert — ESR HaloLock safety hazard [12:35] Why power banks fail and lithium battery risks [16:05] Airline safety and lithium battery transport rules [17:47] Manufacturing quality concerns and recall logic [17:48] Logitech's Pop Smart Button shutdown explained [21:56] Product lifespan, customer frustration, and costs [23:47] Smart home reliability and Apple HomeKit discussion [25:34] Logitech Harmony remote worries and alternatives [27:23] Closing notes and credits Links: ESR recalls over 50,000 HaloLock wireless power banks due to fire and burn hazards https://9to5mac.com/2025/10/10/esr-recalls-over-50000-halolock-magsafe-power-banks/ Logitech will brick its $100 Pop smart home buttons on October 15 https://arstechnica.com/gadgets/2025/10/logitech-will-brick-its-100-pop-smart-home-buttons-on-october-15/ Flic  Guests: Brian Flanigan-Arthurs is an educator with a passion for providing results-driven, innovative learning strategies for all students, but particularly those who are at-risk. He is also a tech enthusiast who has a particular affinity for Apple since he first used the Apple IIGS as a student. You can contact Brian on twitter as @brian8944. He also recently opened a Mastodon account at @brian8944@mastodon.cloud. Norbert Frassa is a technology “man about town”. Follow him on Twitter and see what he's up to. David Ginsburg is the host of the weekly podcast In Touch With iOS where he discusses all things iOS, iPhone, iPad, Apple TV, Apple Watch, and related technologies. He is an IT professional supporting Mac, iOS and Windows users. Visit his YouTube channel at https://youtube.com/daveg65 and find and follow him on Twitter @daveg65 and on Mastodon at @daveg65@mastodon.cloud. Dr. Marty Jencius has been an Associate Professor of Counseling at Kent State University since 2000. He has over 120 publications in books, chapters, journal articles, and others, along with 200 podcasts related to counseling, counselor education, and faculty life. His technology interest led him to develop the counseling profession ‘firsts,' including listservs, a web-based peer-reviewed journal, The Journal of Technology in Counseling, teaching and conferencing in virtual worlds as the founder of Counselor Education in Second Life, and podcast founder/producer of CounselorAudioSource.net and ThePodTalk.net. Currently, he produces a podcast about counseling and life questions, the Circular Firing Squad, and digital video interviews with legacies capturing the history of the counseling field. This is also co-host of The Vision ProFiles podcast. Generally, Marty is chasing the newest tech trends, which explains his interest in A.I. for teaching, research, and productivity. Marty is an active presenter and past president of the NorthEast Ohio Apple Corp (NEOAC). Jim Rea built his own computer from scratch in 1975, started programming in 1977, and has been an independent Mac developer continuously since 1984. He is the founder of ProVUE Development, and the author of Panorama X, ProVUE's ultra fast RAM based database software for the macOS platform. He's been a speaker at MacTech, MacWorld Expo and other industry conferences. Follow Jim at provue.com and via @provuejim@techhub.social on Mastodon. Support:      Become a MacVoices Patron on Patreon      http://patreon.com/macvoices      Enjoy this episode? Make a one-time donation with PayPal Connect:      Web:      http://macvoices.com      Twitter:      http://www.twitter.com/chuckjoiner      http://www.twitter.com/macvoices      Mastodon:      https://mastodon.cloud/@chuckjoiner      Facebook:      http://www.facebook.com/chuck.joiner      MacVoices Page on Facebook:      http://www.facebook.com/macvoices/      MacVoices Group on Facebook:      http://www.facebook.com/groups/macvoice      LinkedIn:      https://www.linkedin.com/in/chuckjoiner/      Instagram:      https://www.instagram.com/chuckjoiner/ Subscribe:      Audio in iTunes      Video in iTunes      Subscribe manually via iTunes or any podcatcher:      Audio: http://www.macvoices.com/rss/macvoicesrss      Video: http://www.macvoices.com/rss/macvoicesvideorss

It's the 154th episode of the Truth About Vintage Amps, the call-in show where amp tech Skip Simmons fields your questions on all things tube amps.   Some of the topics discussed this week:  :42 Skip is back on the Ferguson TO-35 tractor; Roy Clark & Joe Pass 7:04 What's on Skip's bench: A Marshall Plexi Super Bass, Marshall bright caps, the Pet Shop Boys 11:43 Our sponsors Grez Guitars; Emerald City Guitars and Amplified Parts; more Fender Champ mods; a Champ gain input baffler; Soursound transformers 23:51 200 more power cords; IEC hijinks; Steve Soest  28:13 A 1954 Fender Tweed Twins and the low-powered versus high-powered Twins; Tweed Pros; Fender Champion 600 amps 31:49 A Lafayette PA with ECL82 tubes (watch on Instagram) 33:45 A 1960s Airline 62-9021A amp; how to tell a Supro/Valco from a Danelctro amp 37:33 Skip's advice for a future repair business; liability insurance; the Boilermaker; the amp that couldn't be fixed 49:06 A listener-submitted baffler: A Supro that needed a speaker recone? 52:29 What should I do with my new Knight 93350 PA head?  58:03 Should I build a 6G4 or a 6G4A in this Northern Electric PA-20 with six pre-amp sockets? 1:04:28 Wiring a Danelectro DS-100 speaker output for use with other cabs 1:11:10 Recommended media: The Birth of Loud; The Sweeney; Taggart 1:12:52 Burning up chokes in a Princeton Reverb 1:14:13 Listers on YouTube: https://www.youtube.com/watch?v=zl-wAqplQAo 1:15:18 ESR meters and ceviche Want amp tech Skip Simmons' advice on your DIY guitar amp projects? Want to share your top secret family recipe? Need relationship advice? Join us by sending your voice memo or written questions to podcast@fretboardjournal.com! Include a photo, too.  Hosted by amp tech Skip Simmons and co-hosted/produced by Jason Verlinde of the Fretboard Journal.  Don't forget, we have a Patreon page. Support the show, get behind-the-scenes updates and get to the front of the line with your questions. 

GEO vs SEO : Le guide complet Dans ce 135 ème épisode, je vous partage mes recherches sur le GEO. L'intelligence artificielle générative transforme la façon dont les utilisateurs recherchent et consomment l'information en ligne. Alors que le SEO (Search Engine Optimization) reste essentiel pour la visibilité sur Google, une nouvelle discipline émerge : le GEO ou Generative Engine Optimization.Avec l'adoption massive de ChatGPT, Claude, Gemini et Perplexity, les entreprises doivent repenser leur stratégie de visibilité digitale. Cet article explore en profondeur ce qu'est le GEO, ses différences avec le SEO, et comment mesurer efficacement vos performances tout en maintenant une approche éthique.Qu'est-ce que le GEO (Generative Engine Optimization) ?Définition du GEOLe GEO (Generative Engine Optimization) désigne l'ensemble des techniques visant à optimiser la visibilité et la présence d'une marque, d'un produit ou d'un contenu dans les réponses générées par les modèles de langage et les moteurs de recherche génératifs.Contrairement aux moteurs de recherche traditionnels qui affichent une liste de liens, les moteurs génératifs synthétisent l'information et fournissent des réponses directes, structurées et conversationnelles.L'émergence des moteurs génératifsLes principaux acteurs du marché incluent :ChatGPT (OpenAI) avec ses fonctionnalités de recherche webClaude (Anthropic) et ses capacités d'analyse approfondieGemini (Google) intégré progressivement à l'écosystème GooglePerplexity AI spécialisé dans la recherche conversationnelleBing Chat (Microsoft) propulsé par GPT-4Ces plateformes représentent des millions de requêtes quotidiennes, créant un nouveau canal de visibilité que les entreprises ne peuvent ignorer.GEO vs SEO : Les différences Le SEO : Une logique de destinationEn SEO traditionnel, l'objectif est clair : apparaître dans les premiers résultats de Google pour générer du trafic vers votre site web. Les utilisateurs cliquent sur votre lien et arrivent sur votre propriété digitale.Les piliers du SEO classique :Optimisation technique (vitesse, mobile-friendly, structure)Contenu de qualité ciblant des mots-clésNetlinking et autorité de domaineExpérience utilisateur (UX)Le GEO : Une logique de présenceLe GEO fonctionne différemment. Votre contenu peut être paraphrasé, synthétisé ou cité par une IA sans que l'utilisateur ne visite jamais votre site.Les piliers du GEO :Autorité informationnelle et expertise démontréeContenu structuré et facilement interprétablePrésence sur des sources d'autorité citées par les LLMCohérence et exactitude de l'informationFraîcheur et mise à jour régulière du contenuPourquoi les deux disciplines sont complémentairesLe GEO ne remplace pas le SEO, il le complète. Voici pourquoi :Google intègre l'IA : Les SGE (Search Generative Experience) combinent recherche classique et réponses générativesParcours utilisateur hybride : Les utilisateurs alternent entre recherche traditionnelle et requêtes conversationnellesSynergies techniques : Un bon contenu SEO est souvent bien positionné pour le GEOAutorité transversale : L'autorité construite en SEO bénéficie au GEO et vice-versaPourquoi le GEO est à étudier ?L'évolution des comportements de rechercheLes données récentes montrent une adoption massive des IA génératives :Des millions d'utilisateurs actifs mensuels sur ChatGPTUne croissance exponentielle des requêtes sur Perplexity AIL'intégration progressive de l'IA dans Google SearchLe nouveau parcours utilisateur :Question posée à une IA conversationnelleRéponse synthétisée avec quelques sources citéesDécision prise sans nécessairement visiter plusieurs sitesSi votre entreprise n'apparaît pas dans ces réponses, vous perdez en visibilité auprès d'une audience croissante.Les enjeux business du GEOPour la notoriété de marque :Être cité comme référence dans votre domaineConstruire une autorité perçue par des millions d'utilisateursInfluencer la perception de votre marque via les recommandations IAPour la génération de leads :Être recommandé dans les comparatifs de solutionsApparaître dans les listes de prestataires suggérésCapter l'attention avant même la phase de recherche activePour le e-commerce :Être mentionné dans les recommandations produitsInfluencer les décisions d'achat assistées par IAOptimiser la présence dans les requêtes "meilleurs produits pour..."Les risques de ne pas investir dans le GEOL'absence de stratégie GEO expose votre entreprise à plusieurs risques :Invisibilité générationnelle : La génération Z et les millennials adoptent massivement les IAPerte de parts de voix : Vos concurrents occupent l'espace que vous laissez vacantDésinformation : Sans contenu structuré, les IA peuvent véhiculer des informations erronées sur votre marqueObsolescence progressive : Le fossé se creuse entre leaders et retardatairesLes dérives potentielles à éviterComme toute nouvelle discipline marketing, le GEO peut donner lieu à des pratiques contestables :Le spam informationnel :Création massive de contenu de faible qualité uniquement pour être indexéMultiplication artificielle de sources citant votre marqueFermes de contenu déguiséesLa manipulation des sources :Création de faux sites d'autoritéFausses études ou statistiquesAstroturfing (faux avis, fausses communautés)L'exploitation de failles :Prompt injection pour forcer la mention de votre marqueGaming des algorithmes de citationManipulation des données d'entraînementLes principes d'un GEO responsable1. Authenticité avant toutCréez du contenu véritablement utile qui répond aux questions de votre audience. Les LLM sont entraînés à détecter la qualité et la pertinence. Un contenu authentique et expert sera naturellement mieux positionné.2. Transparence dans les relationsSi vous travaillez avec des partenaires, influenceurs ou plateformes pour améliorer votre visibilité GEO, soyez transparent sur ces collaborations. Les pratiques opaques finissent toujours par être exposées.3. Respect de l'utilisateur finalRappelez-vous que l'objectif des IA génératives est d'aider les utilisateurs à obtenir des informations de qualité. Votre optimisation doit servir cet objectif, pas le saboter avec de la désinformation ou du contenu trompeur.4. Qualité plutôt que quantitéIl vaut mieux être cité une fois de manière pertinente et dans un contexte positif que mentionné dix fois de façon inappropriée ou dans des comparaisons défavorables.5. Respect de la propriété intellectuelleLe GEO soulève des questions complexes de propriété intellectuelle. Assurez-vous que votre contenu respecte les droits d'auteur, et réfléchissez à la façon dont vous souhaitez que votre propre contenu soit utilisé par les IA.Le cadre légal émergentLa législation autour de l'IA évolue rapidement :AI Act européen : Régulation des systèmes d'IA et de leurs impactsLois sur le copyright : Débats sur l'utilisation des contenus pour l'entraînement des modèlesTransparence algorithmique : Obligations croissantes de disclosureUne approche éthique du GEO vous prépare aux évolutions réglementaires à venir et protège votre réputation à long terme.Comment mesurer les performances du GEO : KPIs et métriquesLe défi de la mesure en GEOContrairement au SEO où des outils établis existent (Google Search Console, Analytics, SEMrush, Ahrefs), le GEO présente un défi majeur : les LLM sont des boîtes noires.Vous ne pouvez pas facilement savoir :Combien de fois votre contenu a été utilisé dans les réponsesDans quels contextes vous êtes mentionnéQuelle est votre part de voix vs vos concurrentsQuelles requêtes génèrent des mentions de votre marqueTraquer les demandes sur les LLM 1. Les tests manuels systématiquesCréez un référentiel de 20 à 50 requêtes pertinentes pour votre activité et testez-les régulièrement sur différents LLM.Exemples de requêtes types :"Quels sont les meilleurs [type de produit] pour [cas d'usage] ?""Comment choisir un [votre catégorie de service] ?""Comparaison entre [votre marque] et [concurrent]""[Problème client] solutions"Fréquence recommandée : Mensuelle pour un suivi de tendance2. Les outils de Brand Mention Tracking pour IADe nouveaux outils émergent sur le marché :GEO-specific tools : Plateformes spécialisées dans le tracking des mentions dans les LLMAPI-based monitoring : Solutions utilisant les API des LLM pour tests automatisésCompetitive intelligence platforms : Outils comparant votre présence à celle de vos concurrents3. Études qualitatives utilisateursInterrogez votre audience :"Utilisez-vous des IA conversationnelles pour rechercher des informations ?""Avez-vous déjà obtenu des recommandations concernant notre secteur via une IA ?""Pouvez-vous partager des exemples de requêtes que vous posez aux IA ?"4. Analyse des tendances de rechercheMême sans accès direct aux données des LLM, vous pouvez :Analyser les questions posées sur les forums et réseaux sociauxSuivre les discussions sur Reddit, Quora concernant votre secteurMonitorer les hashtags et conversations mentionnant l'utilisation d'IALes KPIs du GEOKPIs de niveau 1 : PrésenceTaux de mention : Pourcentage de requêtes test où votre marque apparaîtObjectif initial : 20-30% sur vos requêtes coreObjectif mature : 50%+ sur vos requêtes prioritairesNombre de plateformes : Sur combien de LLM différents êtes-vous mentionné ?ChatGPT, Claude, Gemini, Perplexity, Bing ChatObjectif : Présence sur au moins 3 plateformes majeuresVolume de contenu indexable : Quantité de contenu de qualité publiéArticles de fond, études, livres blancs, recherchesObjectif : Publication régulière (au moins 4 contenus majeurs/mois)KPIs de niveau 2 : Qualité et contextePosition dans la réponse : Êtes-vous mentionné en premier, en milieu, en fin de réponse ?Premier tiers : ExcellentMilieu : BonDernier tiers : À améliorerContexte de mention :Positif (recommandation, expertise reconnue)Neutre (simple mention factuelle)Négatif (critique, comparaison défavorable)Objectif : 80%+ de mentions positives ou neutresPrécision des informations : Les informations données sur vous sont-elles exactes ?Scoring de 0 à 10 par requête testObjectif : Moyenne > 8/10Citations vs paraphrases : Êtes-vous cité comme source ou simplement paraphrasé ?Citation explicite avec mention : IdéalParaphrase sans attribution : À améliorerKPIs de niveau 3 : Impact businessBrand searches : Évolution des recherches de votre marque sur GoogleAugmentation = notoriété accrue potentiellement liée au GEOTracking via Google Trends et Search ConsoleTrafic qualifié : Visiteurs arrivant avec une connaissance préalable de votre offreTemps sur site plus élevéTaux de rebond plus faibleMeilleur taux de conversionQuestions clients : Analyse du service clientLes prospects mentionnent-ils avoir entendu parler de vous via une IA ?Questions reflétant les informations données par les LLMSocial listening : Mentions sur les réseaux sociauxDiscussions mentionnant votre marque ET une IAScreenshots de recommandations IA incluant votre marquePart de voix sectorielle : Comparaison avec vos concurrentsPourcentage de mentions vs vos 3-5 concurrents principauxObjectif : Leader ou top 3 de votre catégorieMéthodologie de mesure : Le framework en 3 étapesÉtape 1 : Établir votre baseline (1-2 mois)Définissez 30 requêtes test couvrant :Requêtes de marque (10)Requêtes catégorielles (10)Requêtes problème/solution (10)Testez sur 4-5 LLM principauxDocumentez :Taux de mention actuelContexte de mentionConcurrents citésQualité des informationsÉtape 2 : Optimisation et tracking (3-6 mois)Implémentez vos actions GEO :Publication de contenu optimiséAmélioration de la structure d'informationDéveloppement de l'autoritéTesting mensuel sur votre panel de requêtesAjustements basés sur les résultatsÉtape 3 : Analyse d'impact (à 6 mois)Corrélations avec les KPIs businessROI du GEO :Coût des actions GEO vs impact notoriétéValeur estimée de la présence dans les LLMComparaison avec autres canaux d'acquisitionOptimisation continueOutils recommandés pour mesurer le GEOPour les tests manuels :Tableur structuré avec historiqueScreenshots horodatés des réponsesGrille de scoring standardiséePour l'automatisation :Scripts utilisant les API des LLMOutils de monitoring émergents (à évaluer selon disponibilité)Plateformes de competitive intelligencePour l'analyse d'impact :Google Analytics 4 (segments personnalisés)Google Search Console (brand queries)Outils de social listening (Mention, Brandwatch)CRM pour tracking de la source de leadsLes limites éthiques de la mesureÉvitez le spam de requêtesInterroger massivement les LLM pour tester votre présence peut :Violer les conditions d'utilisation des plateformesGénérer des coûts importants (pour les API payantes)Être considéré comme un abus de serviceRecommandation : Limitez-vous à des tests raisonnables (30-50 requêtes/mois maximum par plateforme)Ne manipulez pas vos testsCertaines pratiques à éviter :Créer de faux signaux pour améliorer artificiellement vos métriquesUtiliser des techniques de prompt injection pour forcer votre mentionEntraîner localement des modèles biaisés pour gonfler vos scoresL'obsession des chiffresComme en SEO, focaliser uniquement sur les KPIs peut vous faire perdre de vue l'essentiel : créer de la valeur réelle pour vos utilisateurs.Un bon GEO résulte d'un excellent contenu et d'une expertise réelle, pas de manipulation de métriques.Des stratégies concrètes pour optimiser votre GEO1. Créez du contenu d'autoritéLes formats privilégiés :Études originales avec données propriétairesLivres blancs approfondisGuides complets (5000+ mots)Rapports annuels sectorielsCas d'usage détaillésPourquoi ça fonctionne : Les LLM privilégient les sources faisant autorité et offrant des informations approfondies et vérifiables.2. Structurez votre informationUtilisez un balisage sémantique fort :Schema.org markupHiérarchie claire (H1, H2, H3)Listes et tableaux structurésDéfinitions claires des conceptsPourquoi ça fonctionne : Les LLM comprennent mieux et citent plus facilement le contenu bien structuré.3. Développez votre présence sur les sources d'autoritéObjectif : Être mentionné sur les sites que les LLM considèrent comme fiables.Actions concrètes :Publications dans des médias sectoriels reconnusContributions à Wikipédia (si pertinent et factuel)Interviews et citations d'expertsPartenariats avec institutions académiquesPrésence dans des annuaires professionnels de qualité4. Optimisez pour la recherche conversationnellePensez questions-réponses :Identifiez les questions fréquentes de votre audienceCréez des FAQ détailléesRépondez de manière directe et complèteUtilisez un langage naturel, pas du jargon SEOExemple :❌ "Solutions CRM entreprises PME"✅ "Quel CRM choisir pour une PME de 50 salariés ?"5. Maintenez la cohérence de votre informationPrincipe de base : Les LLM valorisent les informations cohérentes à travers les sources.Actions :NAP consistency (Name, Address, Phone) sur toutes les plateformesDonnées produits identiques partoutMessages clés uniformesMise à jour régulière des informations obsolètes6. Encouragez les citations de qualitéStratégie de netlinking GEO :Créez du contenu tellement bon qu'il devient une référenceOffrez des données uniques que d'autres citerontDéveloppez des relations avec les créateurs de contenu d'autoritéParticipez à des podcasts, webinaires, conférencesIntégrer le GEO dans votre stratégie marketing GEO et Content MarketingLe content marketing devient le pilier central d'une stratégie GEO efficace.Alignement des objectifs :Content marketing : Créer de la valeur, éduquer, engagerGEO : Être la source d'information privilégiée des IASynergies naturelles :Le contenu de qualité sert les deux objectifsL'investissement en content marketing bénéficie directement au GEOLes insights GEO enrichissent votre stratégie de contenuGEO et SEO : La stratégie hybrideContenus gagnant-gagnant :Articles piliers (pillar content) : Excellent pour SEO et GEOÉtudes de cas détaillées : Génèrent des backlinks (SEO) et des citations (GEO)Glossaires et définitions : Bien référencés ET souvent cités par les IAWorkflow intégré :Recherche de mots-clés SEOIdentification des questions conversationnelles (GEO)Création de contenu répondant aux deux besoinsOptimisation technique SEOStructuration pour faciliter l'extraction par les LLMPromotion pour autorité (bénéfique aux deux)GEO et Réputation en ligneLe GEO devient un enjeu majeur de gestion de la réputation.Risques à gérer :Informations erronées propagées par les IAMentions négatives amplifiéesConcurrents mieux positionnés dans les recommandationsActions de protection :Monitoring actif de ce qui est dit sur vousCorrection proactive des informations erronéesPublication régulière de contenu à jourGestion de crise spécifique GEOCas d'usage par secteurE-commerce et RetailEnjeux :Apparaître dans les recommandations produitsÊtre cité dans les comparatifsStratégies spécifiques :Fiches produits ultra-détaillées avec specs complètesGuides d'achat par cas d'usageComparatifs honnêtes (oui, même avec vos concurrents)Reviews et témoignages structurésB2B et Services ProfessionnelsEnjeux :Établir l'autorité et l'expertiseÊtre recommandé comme solutionStratégies spécifiques :Thought leadership (articles d'experts)Études de cas chiffréesLivres blancs techniquesParticipation à des publications sectoriellesSanté et Bien-êtreEnjeux :Informations médicales correctes et responsablesConformité réglementaire stricteStratégies spécifiques :Contenu validé par des professionnels certifiésCitations de sources médicales reconnuesDisclaimers appropriésApproche ultra-éthique (enjeux de santé publique)Tourisme et HôtellerieEnjeux :Recommandations de destinations et établissementsInformations pratiques et à jourStratégies spécifiques :Guides détaillés de destinationsInformations pratiques constamment mises à jourExpériences client authentiquesPartenariats avec influenceurs voyageL'avenir du GEO L'intégration IA-Search continueGoogle SGE, Bing Chat et d'autres acteurs fusionnent recherche traditionnelle et génération de réponses. Le GEO et le SEO convergeront progressivement.Implication : Une stratégie unifiée devient nécessaire.La personnalisation des réponses IALes LLM apprendront des préférences individuelles et donneront des réponses de plus en plus personnalisées.Implication : Le GEO devra s'adapter à différents profils d'utilisateurs.La transparence des sourcesPression croissante pour que les IA révèlent leurs sources et leur raisonnement.Implication : Les marques avec contenu de qualité et traçabilité seront favorisées.L'émergence de standards GEOComme le SEO a ses guidelines (Google, Bing), des standards GEO émergeront.Implication : Early adopters bénéficieront d'un avantage compétitif.La régulation croissanteLégislations sur l'IA, le copyright, la transparence algorithmique se multiplieront.Implication : Les approches éthiques seront non seulement recommandées mais obligatoires.Conclusion Le GEO n'est pas une mode passagère, c'est une évolution structurelle de l'écosystème digital. Les entreprises qui investissent dès maintenant dans cette discipline construiront un avantage compétitif durable.Les principes clés à retenir :Complémentarité : Le GEO complète le SEO, il ne le remplace pasÉthique : Seules les approches responsables sont durablesQualité : L'expertise réelle prime sur l'optimisation techniqueMesure : Des métriques imparfaites valent mieux que l'absence de suiviAdaptation : Le GEO évoluera rapidement, restez agilesPar où commencer ?Auditez votre présence actuelle dans les LLM (30 requêtes test)Identifiez les gaps et opportunitésCréez du contenu d'autorité répondant aux questions de votre audienceStructurez votre information pour faciliter l'extraction par les IAMesurez régulièrement votre évolutionAjustez votre stratégie en fonction des résultatsLe GEO représente un nouveau terrain de jeu marketing où l'authenticité, l'expertise et la qualité sont récompensées. C'est une excellente nouvelle pour les marques qui ont véritablement quelque chose de valable à apporter à leur audience.L'avenir de la visibilité digitale se joue maintenant. Êtes-vous prêts ?Soutenez le podcast :✅ Abonnez-vous à DigitalFeeling sur LinkedIn✅ Rejoignez ma newsletter : substack.com/@elodiechenol✅ Laissez 5 ⭐ sur Apple Podcasts ou Spotify

Inflammation is stealing years from your life, but tracking it has always been expensive, slow, and inconvenient. Bob Messerschmidt, the engineer who helped bring heart rate sensors to the Apple Watch, now has a game-changing solution that puts inflammation monitoring in your hands for just $10 per test, with results in 30 minutes.Bob takes us through his incredible journey from cold emailing Steve Jobs to selling his company to Apple, and ultimately leaving to pursue his real passion: giving people direct access to their health data. His new technology measures ESR (erythrocyte sedimentation rate), a powerful inflammation marker that predicts longevity better than most expensive tests, and does it all from a single drop of blood at home."Inflammation causes mortality. Mortality is the inverse of longevity". ~ Bob MesserschmidtSupport the show and get 50% off MCT oil with free shipping—just leave us a review on iTunes and let us know!https://podcasts.apple.com/us/podcast/live-beyond-the-norms/id1714886566 Products Mentioned In This Episode:COR One Starter Kit: The first at-home medical device to measure chronic, acute, and low-grade inflammation using just a single drop of blood.Take control of your health today. Get yours now at https://corhealth.com/product/starter-kit About Bob Messerschmidt:Bob Messerschmidt is a health technology pioneer and the founder of COR Health. He was instrumental in developing the sensors for the Apple Watch after his company was acquired by Apple through a direct conversation with Steve Jobs. Today, Bob is focused on tackling inflammaging with COR Health's ESR technology, an at-home test that measures inflammation and provides actionable insights into longevity and disease prevention.Connect with Bob Messerschmidt:- Website: https://corhealth.com/ - LinkedIn: https://www.linkedin.com/in/bobme/ - Email: bob@corhealth.comConnect with Chris Burres:- Website: https://www.myvitalc.com/ - Website: http://www.livebeyondthenorms.com/ - Instagram: https://www.instagram.com/chrisburres/ - TikTok: https://www.tiktok.com/@myvitalc - LinkedIn: https://www.linkedin.com/in/chrisburres/ 

Para precio y disponibilidad, vaya a este vínculo: https://amzn.to/3KKM2Sx Este set ESR 3 Pack 9H+ vidrio templado Armorite para iPhone 2025 Pro Max ofrece una protección premium con resistencia de grado militar: diseño ultradelgado, ajuste sin burbujas gracias a la bandeja UltraFit, adhesivo nano que evita acumulación de polvo y capacidad de soportar impactos de hasta 110 lb.

En la quedada del mes de septiembre de 2025 se tratan los siguientes temas: Jaime Franco comparte su experiencia con los Apple AirPods 4 con cancelación activa de ruido, describiendo sus características y comparándolos con los anteriores AirPods 3. Juan Núñez comenta las principales características de los recién presentados iPhone 17 en la Keynote de Apple del 9 de septiembre. También se habla brevemente de los nuevos Apple Watch.   Comentar que en la segunda parte de esta quedada de septiembre, la cual se publicará en breve, podréis escuchar acerca de las novedades y primeras experiencias con iOS 26.   Enlaces: AirPods 4 con cancelación activa de ruido en Amazon.   Funda protectora ESR para AirPods 4 en Amazon. Además de proteger de caídas al estuche original, impide que se abra la tapa cuando éste se cae al suelo. Lo cual implica que los auriculares salgan rodando en todas direcciones. Esta funda protectora añade una segunda tapa magnética que garantiza que se mantenga cerrado en esas situaciones.   Funda protectora impermeable JETech con protector de pantalla para Apple Watch en amazon. Protege la pantalla y los laterales del reloj. Está disponible para las dos medidas de los Apple Watch 10 y 11 (42 mm y 46 mm).   Pulsera Milanesa Fullmosa de acero inoxidable y con cierre magnético en amazon. Compatible con Apple Watch 49 mm, 46 mm, 45 mm, 44 mm, 42 mm, 41 mm, 40 mm y 38 mm.  

+ Evangelio de nuestro Señor Jesucristo según san Mateo 1, 1-16. 18-23 Genealogía de Jesucristo, hijo de David, hijo de Abraham: Abraham fue padre de Isaac; Isaac, padre de Jacob; Jacob, padre de Judá y de sus hermanos. Judá fue padre de Fares y de Zará, y la madre de estos fue Tamar. Fares fue padre de Esrón; Esrón, padre de Arám; Arám, padre de Aminadab; Aminadab, padre de Naasón; Naasón, padre de Salmón. Salmón fue padre de Booz, y la madre de este fue Rahab. Booz fue padre de Obed, y la madre de este fue Rut. Obed fue padre de Jesé; Jesé, padre del rey David. David fue padre de Salomón, y la madre de este fue la que había sido mujer de Urías. Salomón fue padre de Roboám; Roboám, padre de Abías; Abías, padre de Asá; Asá, padre de Josafat; Josafat, padre de Jorám; Jorám, padre de Ozías. Ozías fue padre de Joatám; Joatám, padre de Acaz; Acaz, padre de Ezequías; Ezequías, padre de Manasés. Manasés fue padre de Amón; Amón padre de Josías; Josías, padre de Jeconías y de sus hermanos, durante el destierro en Babilonia. Después del destierro en Babilonia: Jeconías fue padre de Salatiel; Salatiel, padre de Zorobabel; Zorobabel, padre de Abiud; Abiud, padre de Eliacím; Eliacím, padre de Azor. Azor fue padre de Sadoc; Sadoc, padre de Aquím; Aquím, padre de Eliud; Eliud, padre de Eleazar; Eleazar, padre de Matán; Matán, padre de Jacob. Jacob fue padre de José, el esposo de María, de la cual nació Jesús, que es llamado Cristo. Este fue el origen de Jesucristo: María, su madre, estaba comprometida con José y, cuando todavía no habían vivido juntos, concibió un hijo por obra del Espíritu Santo. José, su esposo, que era un hombre justo y no quería denunciarla públicamente, resolvió abandonarla en secreto. Mientras pensaba en esto, el Ángel del Señor se le apareció en sueños y le dijo: «José, hijo de David, no temas recibir a María, tu esposa, porque lo que ha sido engendrado en ella proviene del Espíritu Santo. Ella dará a luz un hijo, a quien pondrás el nombre de Jesús, porque él salvará a su Pueblo de todos sus pecados.» Todo esto sucedió para que se cumpliera lo que el Señor había anunciado por el Profeta: La Virgen concebirá y dará a luz un hijo a quien pondrán el nombre de Emanuel, que traducido significa: «Dios con nosotros.»Palabra del Señor.

Mt 1,1-16.18-23.Genealogía de Jesucristo, hijo de David, hijo de Abraham:Abraham fue padre de Isaac; Isaac, padre de Jacob; Jacob, padre de Judá y de sus hermanos.Judá fue padre de Fares y de Zará, y la madre de estos fue Tamar. Fares fue padre de Esrón;Esrón, padre de Arám; Arám, padre de Aminadab; Aminadab, padre de Naasón; Naasón, padre de Salmón.Salmón fue padre de Booz, y la madre de este fue Rahab. Booz fue padre de Obed, y la madre de este fue Rut. Obed fue padre de Jesé;Jesé, padre del rey David. David fue padre de Salomón, y la madre de este fue la que había sido mujer de Urías.Salomón fue padre de Roboám; Roboám, padre de Abías; Abías, padre de Asá;Asá, padre de Josafat; Josafat, padre de Jorám; Jorám, padre de Ozías.Ozías fue padre de Joatám; Joatám, padre de Acaz; Acaz, padre de Ezequías;Ezequías, padre de Manasés. Manasés fue padre de Amón; Amón, padre de Josías;Josías, padre de Jeconías y de sus hermanos, durante el destierro en Babilonia.Después del destierro en Babilonia: Jeconías fue padre de Salatiel; Salatiel, padre de Zorobabel;Zorobabel, padre de Abiud; Abiud, padre de Eliacím; Eliacím, padre de Azor.Azor fue padre de Sadoc; Sadoc, padre de Aquím; Aquím, padre de Eliud;Eliud, padre de Eleazar; Eleazar, padre de Matán; Matán, padre de Jacob.Jacob fue padre de José, el esposo de María, de la cual nació Jesús, que es llamado Cristo.Este fue el origen de Jesucristo: María, su madre, estaba comprometida con José y, cuando todavía no habían vivido juntos, concibió un hijo por obra del Espíritu Santo.José, su esposo, que era un hombre justo y no quería denunciarla públicamente, resolvió abandonarla en secreto.Mientras pensaba en esto, el Angel del Señor se le apareció en sueños y le dijo: "José, hijo de David, no temas recibir a María, tu esposa, porque lo que ha sido engendrado en ella proviene del Espíritu Santo.Ella dará a luz un hijo, a quien pondrás el nombre de Jesús, porque él salvará a su Pueblo de todos sus pecados".Todo esto sucedió para que se cumpliera lo que el Señor había anunciado por el Profeta:La Virgen concebirá y dará a luz un hijo a quien pondrán el nombre de Emanuel, que traducido significa: "Dios con nosotros".

San Mateo 1, 1 – 16. 18 – 23Abraham fue padre de Isaac; Isaac, padre de Jacob; Jacob, padre de Judá y de sus hermanos. Judá fue padre de Fares y de Zará, y la madre de estos fue Tamar. Fares fue padre de Esrón; Esrón, padre de Arám; Arám, padre de Aminadab; Aminadab, padre de Naasón; Naasón, padre de Salmón. Salmón fue padre de Booz, y la madre de este fue Rahab. Booz fue padre de Obed, y la madre de este fue Rut. Obed fue padre de Jesé; Jesé, padre del rey David. David fue padre de Salomón, y la madre de este fue la que había sido mujer de Urías. Salomón fue padre de Roboám; Roboám, padre de Abías; Abías, padre de Asá; Asá, padre de Josafat; Josafat, padre de Jorám; Jorám, padre de Ozías. Ozías fue padre de Joatám; Joatám, padre de Acaz; Acaz, padre de Ezequías; Ezequías, padre de Manasés. Manasés fue padre de Amón; Amón, padre de Josías; Josías, padre de Jeconías y de sus hermanos, durante el destierro en Babilonia. Después del destierro en Babilonia: Jeconías fue padre de Salatiel; Salatiel, padre de Zorobabel; Zorobabel, padre de Abiud; Abiud, padre de Eliacím; Eliacím, padre de Azor. Azor fue padre de Sadoc; Sadoc, padre de Aquím; Aquím, padre de Eliud; Eliud, padre de Eleazar; Eleazar, padre de Matán; Matán, padre de Jacob. Jacob fue padre de José, el esposo de María, de la cual nació Jesús, que es llamado Cristo. Este fue el origen de Jesucristo: María, su madre, estaba comprometida con José y, cuando todavía no habían vivido juntos, concibió un hijo por obra del Espíritu Santo. José, su esposo, que era un hombre justo y no quería denunciarla públicamente, resolvió abandonarla en secreto. Mientras pensaba en esto, el Ángel del Señor se le apareció en sueños y le dijo: «José, hijo de David, no temas recibir a María, tu esposa, porque lo que ha sido engendrado en ella proviene del Espíritu Santo. Ella dará a luz un hijo, a quien pondrás el nombre de Jesús, porque él salvará a su Pueblo de todos sus pecados». Todo esto sucedió para que se cumpliera lo que el Señor había anunciado por el Profeta: La Virgen concebirá y dará a luz un hijo a quien pondrán el nombre de Emanuel, que traducido significa: «Dios con nosotros».………………Además puedes escuchar el Evangelio diario en las siguientes plataformas:Spotify: https://open.spotify.com/show/2M0Ubx3Jh55B6W3b20c3GOApple podcast: https://podcasts.apple.com/us/podcast/evangelio-del-d%C3%ADa/id1590423907 Para más información puede consultar nuestro sitio: https://www.vozcatolica.com o escríbanos a info@vozcatolica.com .Si quiere colaborar con este Apostolado lo puede hacer dirigiéndose a: https://vozcatolica.com/ayudanos . Desde ya muchas gracias.

Muchos más recursos para tu vida de fe (Santo Rosario, Oración, etc.) en nuestra web https://sercreyente.com________________Lunes, 8 de septiembre de 2025 (Natividad de la Virgen María)Evangelio del día y reflexión... ¡Deja que la Palabra del Señor transforme tu vida! Texto íntegro del Evangelio y de la Reflexión en https://sercreyente.com/8-septiembre-natividad-de-la-virgen-maria/[Mateo 1, 1-16.18-23] Libro del origen de Jesucristo, hijo de David, hijo de Abrahán. Abrahán engendró a Isaac, Isaac engendró a Jacob, Jacob engendró a Judá y a sus hermanos. Judá engendró, de Tamar, a Fares y a Zará, Fares engendró a Esrón, Esrón engendró a Arán, Arán engendró a Aminadab, Aminadab engendró a Naasón, Naasón engendró a Salmón, Salmón engendró, de Rajab, a Booz; Booz engendró, de Rut, a Obed; Obed engendró a Jesé, Jesé engendró a David, el rey. David, de la mujer de Urías, engendró a Salomón, Salomón engendró a Roboán, Roboán engendró a Abías, Abías engendró a Asaf, Asaf engendró a Josafat, Josafat engendró a Jorán, Jorán engendró a Ozías, Ozías engendró a Joatán, Joatán engendró a Acaz, Acaz engendró a Ezequías, Ezequías engendró a Manasés, Manasés engendró a Amós, Amós engendró a Josías; Josías engendró a Jeconías y a sus hermanos, cuando el destierro de Babilonia. Después del destierro de Babilonia, Jeconías engendró a Salatiel, Salatiel engendró a Zorobabel, Zorobabel engendró a Abiud, Abiud engendró a Eliaquín, Eliaquín engendró a Azor, Azor engendró a Sadoc, Sadoc engendró a Aquín, Aquín engendró a Eliud, Eliud engendró a Eleazar, Eleazar engendró a Matán, Matán engendró a Jacob; y Jacob engendró a José, el esposo de María, de la cual nació Jesús, llamado Cristo. La generación de Jesucristo fue de esta manera: María, su madre, estaba desposada con José y, antes de vivir juntos, resultó que ella esperaba un hijo por obra del Espíritu Santo. José, su esposo, como era justo y no quería difamarla, decidió repudiarla en privado. Pero, apenas había tomado esta resolución, se le apareció en sueños un ángel del Señor que le dijo: «José, hijo de David, no temas acoger a María, tu mujer, porque la criatura que hay en ella viene del Espíritu Santo. Dará a luz un hijo y tú le pondrás por nombre Jesús, porque él salvará a su pueblo de sus pecados». Todo esto s ucedió para que se cumpliese lo que había dicho el Señor por medio del profeta: «Mirad: la virgen concebirá y dará a luz un hijo y le pondrán por nombre Enmanuel, que significa “Dios-con-nosotros”».________________Descárgate la app de SerCreyente en https://sercreyente.com/app/¿Conoces nuestra Oración Online? Más información en: https://sercreyente.com/oracion¿Quieres recibir cada día el Evangelio en tu whatsapp? Alta en: www.sercreyente.com/whatsappTambién puedes hacer tu donativo en https://sercreyente.com/ayudanos/Contacto: info@sercreyente.com

Apple Watch users regain blood oxygen tracking via iPhone processing, while panelists debate its impact on Apple's legal fight with Massimo. Security warnings about Plex servers and ESR power banks serve as public service announcements. Chuck Joiner, David Ginsburg, Brian Flanigan-Arthurs, Marty Jencius. Jeff Gamet, Eric Bolden, Jim Rea, and Web Bixby then turn their attention to Apple Card's slip in customer satisfaction rankings and what may be driving the change, from savings account rates to loyalty points.  Today's MacVoices is supported by Insta360 and their new GO Ultra, the tiny 4K camera that goes everywhere with you. Visit store.Insta360.com and use the come “MacVoices” for a free set of Sticky Tabs. Show Notes: Chapters: [0:07] Podcast introduction [5:23] Public service announcements: Plex and ESR power banks [7:45] Blood oxygen tracking returns to Apple Watch [13:30] Massimo lawsuit discussion and market analysis [15:38] Vision Pro Disney+ Alien Earth experience [19:25] Apple Card satisfaction report and reactions [26:23] Broader credit card satisfaction insights Links: Why You Need to Update Your Plex Server ASAP https://lifehacker.com/tech/update-your-plex-server-asap If You Have One of These ESR Power Banks, Stop Using It ASAP https://lifehacker.com/tech/esr-power-bank-recall Apple Watch gets reformulated, non-patent-infringing blood oxygen monitoring https://arstechnica.com/gadgets/2025/08/redesigned-blood-oxygen-monitoring-returns-to-apple-watch-following-patent-dispute/ Explore the Disney+ 'Alien: Earth' immersive environment with the Apple Vision Pro now https://appleinsider.com/articles/25/08/16/explore-the-disney-alien-earth-immersive-environment-with-the-apple-vision-pro-now?utm_source=rss Apple Card drops from first place to third place for overall credit card customer satisfaction Apple Card drops from first place to third place for overall credit card customer satisfaction https://appleworld.today/2025/08/apple-card-drops-from-first-place-to-third-place-for-overall-credit-card-customer-satisfaction/ Guests: Web Bixby has been in the insurance business for 40 years and has been an Apple user for longer than that.You can catch up with him on Facebook, Twitter, and LinkedIn, but prefers Bluesky. Eric Bolden is into macOS, plants, sci-fi, food, and is a rural internet supporter. You can connect with him on Twitter, by email at embolden@mac.com, on Mastodon at @eabolden@techhub.social, on his blog, Trending At Work, and as co-host on The Vision ProFiles podcast. Brian Flanigan-Arthurs is an educator with a passion for providing results-driven, innovative learning strategies for all students, but particularly those who are at-risk. He is also a tech enthusiast who has a particular affinity for Apple since he first used the Apple IIGS as a student. You can contact Brian on twitter as @brian8944. He also recently opened a Mastodon account at @brian8944@mastodon.cloud. Jeff Gamet is a technology blogger, podcaster, author, and public speaker. Previously, he was The Mac Observer's Managing Editor, and the TextExpander Evangelist for Smile. He has presented at Macworld Expo, RSA Conference, several WordCamp events, along with many other conferences. You can find him on several podcasts such as The Mac Show, The Big Show, MacVoices, Mac OS Ken, This Week in iOS, and more. Jeff is easy to find on social media as @jgamet on Twitter and Instagram, jeffgamet on LinkedIn., @jgamet@mastodon.social on Mastodon, and on his YouTube Channel at YouTube.com/jgamet. David Ginsburg is the host of the weekly podcast In Touch With iOS where he discusses all things iOS, iPhone, iPad, Apple TV, Apple Watch, and related technologies. He is an IT professional supporting Mac, iOS and Windows users. Visit his YouTube channel at https://youtube.com/daveg65 and find and follow him on Twitter @daveg65 and on Mastodon at @daveg65@mastodon.cloud. Dr. Marty Jencius has been an Associate Professor of Counseling at Kent State University since 2000. He has over 120 publications in books, chapters, journal articles, and others, along with 200 podcasts related to counseling, counselor education, and faculty life. His technology interest led him to develop the counseling profession ‘firsts,' including listservs, a web-based peer-reviewed journal, The Journal of Technology in Counseling, teaching and conferencing in virtual worlds as the founder of Counselor Education in Second Life, and podcast founder/producer of CounselorAudioSource.net and ThePodTalk.net. Currently, he produces a podcast about counseling and life questions, the Circular Firing Squad, and digital video interviews with legacies capturing the history of the counseling field. This is also co-host of The Vision ProFiles podcast. Generally, Marty is chasing the newest tech trends, which explains his interest in A.I. for teaching, research, and productivity. Marty is an active presenter and past president of the NorthEast Ohio Apple Corp (NEOAC). Jim Rea built his own computer from scratch in 1975, started programming in 1977, and has been an independent Mac developer continuously since 1984. He is the founder of ProVUE Development, and the author of Panorama X, ProVUE's ultra fast RAM based database software for the macOS platform. He's been a speaker at MacTech, MacWorld Expo and other industry conferences. Follow Jim at provue.com and via @provuejim@techhub.social on Mastodon. Support: Become a MacVoices Patron on Patreon      http://patreon.com/macvoices      Enjoy this episode? Make a one-time donation with PayPal Connect: Web:      http://macvoices.com Twitter: http://www.twitter.com/chuckjoiner      http://www.twitter.com/macvoices Mastodon:      https://mastodon.cloud/@chuckjoiner Facebook:      http://www.facebook.com/chuck.joiner MacVoices Page on Facebook:      http://www.facebook.com/macvoices/ MacVoices Group on Facebook:      http://www.facebook.com/groups/macvoice LinkedIn:      https://www.linkedin.com/in/chuckjoiner/ Instagram:      https://www.instagram.com/chuckjoiner/ Subscribe:      Audio in iTunes      Video in iTunes      Subscribe manually via iTunes or any podcatcher: Audio: http://www.macvoices.com/rss/macvoicesrss      Video: http://www.macvoices.com/rss/macvoicesvideorss

Apple Watch users regain blood oxygen tracking via iPhone processing, while panelists debate its impact on Apple's legal fight with Massimo. Security warnings about Plex servers and ESR power banks serve as public service announcements. Chuck Joiner, David Ginsburg, Brian Flanigan-Arthurs, Jim Rea, and Web Bixby then turn their attention to Apple Card's slip in customer satisfaction rankings and what may be driving the change, from savings account rates to loyalty points.  Today's MacVoices is supported by Insta360 and their new GO Ultra, the tiny 4K camera that goes everywhere with you. Visit store.Insta360.com and use the come “MacVoices” for a free set of Sticky Tabs. Show Notes: Chapters: [0:07] Podcast introduction [5:23] Public service announcements: Plex and ESR power banks [7:45] Blood oxygen tracking returns to Apple Watch [13:30] Massimo lawsuit discussion and market analysis [15:38] Vision Pro Disney+ Alien Earth experience [19:25] Apple Card satisfaction report and reactions [26:23] Broader credit card satisfaction insights Links: Why You Need to Update Your Plex Server ASAP https://lifehacker.com/tech/update-your-plex-server-asap  If You Have One of These ESR Power Banks, Stop Using It ASAP https://lifehacker.com/tech/esr-power-bank-recall Apple Watch gets reformulated, non-patent-infringing blood oxygen monitoring https://arstechnica.com/gadgets/2025/08/redesigned-blood-oxygen-monitoring-returns-to-apple-watch-following-patent-dispute/ Explore the Disney+ 'Alien: Earth' immersive environment with the Apple Vision Pro now https://appleinsider.com/articles/25/08/16/explore-the-disney-alien-earth-immersive-environment-with-the-apple-vision-pro-now?utm_source=rss Apple Card drops from first place to third place for overall credit card customer satisfaction Apple Card drops from first place to third place for overall credit card customer satisfaction https://appleworld.today/2025/08/apple-card-drops-from-first-place-to-third-place-for-overall-credit-card-customer-satisfaction/ Guests: Web Bixby has been in the insurance business for 40 years and has been an Apple user for longer than that.You can catch up with him on Facebook, Twitter, and LinkedIn, but prefers Bluesky. Eric Bolden is into macOS, plants, sci-fi, food, and is a rural internet supporter. You can connect with him on Twitter, by email at embolden@mac.com, on Mastodon at @eabolden@techhub.social, on his blog, Trending At Work, and as co-host on The Vision ProFiles podcast. Brian Flanigan-Arthurs is an educator with a passion for providing results-driven, innovative learning strategies for all students, but particularly those who are at-risk. He is also a tech enthusiast who has a particular affinity for Apple since he first used the Apple IIGS as a student. You can contact Brian on twitter as @brian8944. He also recently opened a Mastodon account at @brian8944@mastodon.cloud. Jeff Gamet is a technology blogger, podcaster, author, and public speaker. Previously, he was The Mac Observer's Managing Editor, and the TextExpander Evangelist for Smile. He has presented at Macworld Expo, RSA Conference, several WordCamp events, along with many other conferences. You can find him on several podcasts such as The Mac Show, The Big Show, MacVoices, Mac OS Ken, This Week in iOS, and more. Jeff is easy to find on social media as @jgamet on Twitter and Instagram, jeffgamet on LinkedIn., @jgamet@mastodon.social on Mastodon, and on his YouTube Channel at YouTube.com/jgamet. David Ginsburg is the host of the weekly podcast In Touch With iOS where he discusses all things iOS, iPhone, iPad, Apple TV, Apple Watch, and related technologies. He is an IT professional supporting Mac, iOS and Windows users. Visit his YouTube channel at https://youtube.com/daveg65 and find and follow him on Twitter @daveg65 and on Mastodon at @daveg65@mastodon.cloud. Dr. Marty Jencius has been an Associate Professor of Counseling at Kent State University since 2000. He has over 120 publications in books, chapters, journal articles, and others, along with 200 podcasts related to counseling, counselor education, and faculty life. His technology interest led him to develop the counseling profession ‘firsts,' including listservs, a web-based peer-reviewed journal, The Journal of Technology in Counseling, teaching and conferencing in virtual worlds as the founder of Counselor Education in Second Life, and podcast founder/producer of CounselorAudioSource.net and ThePodTalk.net. Currently, he produces a podcast about counseling and life questions, the Circular Firing Squad, and digital video interviews with legacies capturing the history of the counseling field. This is also co-host of The Vision ProFiles podcast. Generally, Marty is chasing the newest tech trends, which explains his interest in A.I. for teaching, research, and productivity. Marty is an active presenter and past president of the NorthEast Ohio Apple Corp (NEOAC). Jim Rea built his own computer from scratch in 1975, started programming in 1977, and has been an independent Mac developer continuously since 1984. He is the founder of ProVUE Development, and the author of Panorama X, ProVUE's ultra fast RAM based database software for the macOS platform. He's been a speaker at MacTech, MacWorld Expo and other industry conferences. Follow Jim at provue.com and via @provuejim@techhub.social on Mastodon. Support:      Become a MacVoices Patron on Patreon      http://patreon.com/macvoices      Enjoy this episode? Make a one-time donation with PayPal Connect:      Web:      http://macvoices.com      Twitter:      http://www.twitter.com/chuckjoiner      http://www.twitter.com/macvoices      Mastodon:      https://mastodon.cloud/@chuckjoiner      Facebook:      http://www.facebook.com/chuck.joiner      MacVoices Page on Facebook:      http://www.facebook.com/macvoices/      MacVoices Group on Facebook:      http://www.facebook.com/groups/macvoice      LinkedIn:      https://www.linkedin.com/in/chuckjoiner/      Instagram:      https://www.instagram.com/chuckjoiner/ Subscribe:      Audio in iTunes      Video in iTunes      Subscribe manually via iTunes or any podcatcher:      Audio: http://www.macvoices.com/rss/macvoicesrss      Video: http://www.macvoices.com/rss/macvoicesvideorss

This bilingual episode of Röntgenpodden features an interview with former ESR president professor Adrian Brady, who will be sharing his thoughts about the staffing in radiology from a European perspective. How many radiologists do you need at a department? How do we avoid unnecessary work, and how can we address the demographic challenges ahead with many colleagues due to retire? The interview starts at timestamp 07:10. The discussion in the interview is based on the findings and recommendations from the following papers: https://pubmed.ncbi.nlm.nih.gov/40075005/ https://pubmed.ncbi.nlm.nih.gov/40088348/ https://pubmed.ncbi.nlm.nih.gov/40074928/ ---- This episode is brought to you in cooperation with Teleconsult. Are you experiencing staffing problems at your department? For more information about how Teleconsult can help, go to www.teleconsult.net

Get my FREE ebook, ‘Rebalancing Your Hormones Naturally.' Actionable strategies for immediate results! 

Esrá con nosotros en entrevista Bobby Pulidp. Además, nuestro gran equipo de colaboradores: Gil Barrera con espectáculos, Poncho Vera con los deportes, Dani Gómez con películas, Rudy Tercero y Sebastián Chacón.See omnystudio.com/listener for privacy information.

Pre-season is in full swing out in Portugal but denied to the Fulham fans that have made the journey to the Algarve. A comfortable win over Nottingham Forest and Al Ittihad saw impressive performances from Josh King, a half-penalty save from new second goalkeeper, Benjamin Lecomte, and a fruitful ESR 'cross'.Sammy and Jack review Fulham's pre-season and chat to Sarah Keig who is out in Portugal. They also discuss repeated criticism of Pereira, Fulham's advertised set-piece coach and the recent tetchy comments from Marco Silva.In part two, they answer some of your listener questions on Marco's contract situation and considering whether stability in transfers is actually a good thing this summer.Guests:Sammy James Jack Collins Producers: Yasmin MillsSupport Fulhamish's independent podcasts, videos and articles by subscribing to our Substack: http://www.fulhamish.co.ukFollow Fulhamish on socials:http://www.x.com/fulhamishpodhttp://www.instagram.com/fulhamishpodhttps://www.tiktok.com/@fulhamishhttps://www.youtube.com/@fulhamishpodSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

⚡Carga inalámbrica de 25 vatios⚡Qi2 25W ya es oficial: iPhones, Android y una advertencia importante  Por Félix Riaño @LocutorCo  El nuevo estándar Qi2 25W mejora la velocidad de carga inalámbrica en iPhone y Android. Pero Apple podría estar preparando un paso más allá.

Contact Ethical Seafood ResearchEthical Seafood Research WebsiteTilapia Welfare App and Online CoursesCheck out ESR's new Activity Book for childrenNewly Released Educational module: Intro to Fish WelfareCheck out our website!: https://www.globalseafood.org/podcastFollow us on social media!Twitter | Facebook | LinkedIn | InstagramShare your sustainability tips with us podcast@globalseafood.org!If you want to be more involved in the work that we do, become a member of the Global Seafood Alliance: https://www.globalseafood.org/membership/ The views expressed by external guests on Aquademia are their own and do not reflect the opinions of Aquademia or the Global Seafood Alliance. Listeners are advised to independently verify information and consult experts for any specific advice or decisions.

In this episode of The Simple Electronics Podcast I talk about 3 topics that I believe are under-served in the hobbyist electronics community: multimeter counts, capacitor ESR and battery internal resistance.If you want to support the show:https://www.patreon.com/simpleelectronicsHere is the form to fill out for one-day-challenge builds:https://docs.google.com/forms/d/e/1FAIpQLSeLyFwSxZQco5mFPSwz4E6jzwiyKUATh117eeOc8xH9prJk2Q/viewform?usp=sharing&ouid=113708847398812091928Livestream channel:Https://www.youtube.com/@SeStreams Thanks for listening!

A 72-year-old individual presents to outpatient physical therapy with complaints of bilateral shoulder and hip stiffness, difficulty rising from a chair, and diffuse aching that is most severe in the morning and lasts throughout the day.  Laboratory results reveal an elevated erythrocyte sedimentation rate (ESR). Which of the following is the MOST likely diagnosis? Find it all out in the podcast!  Be prepared for the NPTE so that you can pass with flying colors! Check out www.ptfinalexam.com/podcast for more information and to stay up-to-date with our latest courses and projects.  #Npte #PT #ptboards #crushtheNPTE #study #studygram #spt #ptstudent #ptlife #sptprobs #physicaltherapystudent #physicaltherapy #physio #physiotherapist #ptlife #ptstudentstudy

video: https://youtu.be/GH18mp-2d90 Comment on the TWIL Forum (https://thisweekinlinux.com/forum) This week in Linux is packed! It's an extra long episode. So if you were wanting more and more TWIL, then you're going to get it this week because Steam Summer Sale is here and it is torching bank accounts. Fedora developers are talking about getting rid of 32-bit support and there's a little bit of controversy around that. We're going to break all of that down. Also, Fairphone 6 has been announced and it comes with kernel patches, an upstream Linux kernel on day one. Firefox 140 has arrived as the new ESR, and there's also some exciting news coming in the next release of Firefox as well. And later in the show, KDE's Wayland wave is continuing to grow to about 70% of users these days. Kubuntu drops X11 by default, and KDE is working on a slick first run wizard. All of this and more on This Week in Linux, the weekly news show that keeps you up to date with what's going on in the Linux and Open Source world. Now let's jump right into Your Source for Linux GNews. Download as MP3 (https://aphid.fireside.fm/d/1437767933/2389be04-5c79-485e-b1ca-3a5b2cebb006/9cb2b795-4602-45c2-aae3-941686eed60c.mp3) Support the Show Become a Patron = tuxdigital.com/membership (https://tuxdigital.com/membership) Store = tuxdigital.com/store (https://tuxdigital.com/store) Chapters: 00:00 Intro 01:06 Steam Summer Sale 2025, here's some Steam Deck ready bargains 03:12 Fedora's Controversial 32-Bit Proposal (Could this kill Bazzite?) 09:23 Fairphone 6 Announced: Modular, Repairable, Linux-Ready 14:54 Sandfly Security, agentless Linux security [ad] 16:40 Firefox 140 ESR lands with Tab Unloading & Vertical Pinned Zone 19:41 KDE Korner: Wayland Surges in Usage, Kubuntu Dropping X11, New Initial Setup Wizard 25:27 Flathub Hits 3 Billion Downloads 27:36 Destination Linux podcast for more great content 28:38 2K Classics Humble Bundle with BioShock & Mafia (90% Discount!) 31:24 ONLYOFFICE 9.0 Released: AI Tools, Visio Viewer & Fresh UI! 34:15 Lyon Goes Open Source (France's Third-Largest City) 36:31 Outro Links: Steam Summer Sale 2025, here's some Steam Deck ready bargains https://store.steampowered.com/ (https://store.steampowered.com/) https://www.gamingonlinux.com/2025/06/steam-summer-sale-2025-is-live-heres-some-top-picks-all-under-20/ (https://www.gamingonlinux.com/2025/06/steam-summer-sale-2025-is-live-heres-some-top-picks-all-under-20/) Fedora's Controversial 32-Bit Proposal (Could this kill Bazzite?) https://discussion.fedoraproject.org/t/f44-change-proposal-drop-i686-support-system-wide/156324 (https://discussion.fedoraproject.org/t/f44-change-proposal-drop-i686-support-system-wide/156324) https://www.gamingonlinux.com/2025/06/bazzite-would-shut-down-if-fedora-goes-ahead-with-removing-32-bit/ (https://www.gamingonlinux.com/2025/06/bazzite-would-shut-down-if-fedora-goes-ahead-with-removing-32-bit/) https://www.gamingonlinux.com/2025/06/fedora-linux-devs-discuss-dropping-32-bit-packages-potentially-bad-news-for-steam-gamers/ (https://www.gamingonlinux.com/2025/06/fedora-linux-devs-discuss-dropping-32-bit-packages-potentially-bad-news-for-steam-gamers/) https://www.reddit.com/r/linux/comments/1lj9e00/fedora43changeproposaldropi686support/ (https://www.reddit.com/r/linux/comments/1lj9e00/fedora_43_change_proposal_drop_i686_support/) https://www.reddit.com/r/linuxgaming/comments/1ljo24p/bazzitefoundermightshutdownwholeproject_if/ (https://www.reddit.com/r/linux_gaming/comments/1ljo24p/bazzite_founder_might_shutdown_whole_project_if/) https://www.reddit.com/r/linuxgaming/comments/1lj9oqw/fedoralinuxdevsdiscussdropping32bit_packages/ (https://www.reddit.com/r/linux_gaming/comments/1lj9oqw/fedora_linux_devs_discuss_dropping_32bit_packages/) Fairphone 6 Announced: Modular, Repairable, Linux-Ready https://www.fairphone.com/ (https://www.fairphone.com/) https://www.fairphone.com/en/2025/06/25/switch-to-the-new-fairphone-gen-6/ (https://www.fairphone.com/en/2025/06/25/switch-to-the-new-fairphone-gen-6/) https://murena.com/murena-fairphone-gen-6-is-here-the-most-ethical-smartphone-unveiled/ (https://murena.com/murena-fairphone-gen-6-is-here-the-most-ethical-smartphone-unveiled/) Sandfly Security, agentless Linux security [ad] https://thisweekinlinux.com/sandfly (https://thisweekinlinux.com/sandfly) Firefox 140 ESR lands with Tab Unloading & Vertical Pinned Zone Firefox 140: https://www.mozilla.org/en-US/firefox/140.0/releasenotes/ (https://www.mozilla.org/en-US/firefox/140.0/releasenotes/) https://www.theregister.com/2025/06/24/firefox140esr/ (https://www.theregister.com/2025/06/24/firefox_140_esr/) https://www.omgubuntu.co.uk/2025/06/firefox-140-new-features-update (https://www.omgubuntu.co.uk/2025/06/firefox-140-new-features-update) https://www.phoronix.com/news/Firefox-140 (https://www.phoronix.com/news/Firefox-140) https://9to5linux.com/firefox-140-esr-web-browser-is-now-available-for-download-this-is-whats-new (https://9to5linux.com/firefox-140-esr-web-browser-is-now-available-for-download-this-is-whats-new) Firefox 141 https://9to5linux.com/firefox-141-promises-to-use-less-memory-on-linux-systems-beta-out-now (https://9to5linux.com/firefox-141-promises-to-use-less-memory-on-linux-systems-beta-out-now) https://www.phoronix.com/review/firefox-141-linux-ram (https://www.phoronix.com/review/firefox-141-linux-ram) Mozilla discontinues DeepSpeech https://www.omgubuntu.co.uk/2025/06/mozilla-deepfake-ai-detector-closing-down (https://www.omgubuntu.co.uk/2025/06/mozilla-deepfake-ai-detector-closing-down) https://www.phoronix.com/news/Mozilla-DeepSpeech-Discontinued (https://www.phoronix.com/news/Mozilla-DeepSpeech-Discontinued) https://github.com/mozilla/DeepSpeech (https://github.com/mozilla/DeepSpeech) KDE Korner: Wayland Surges in Usage, Kubuntu Dropping X11, New Initial Setup Wizard https://www.omgubuntu.co.uk/2025/06/kde-initial-setup-tool-kiss-development-progress (https://www.omgubuntu.co.uk/2025/06/kde-initial-setup-tool-kiss-development-progress) https://9to5linux.com/kde-plasma-6-4-1-released-with-various-improvements-and-bug-fixes (https://9to5linux.com/kde-plasma-6-4-1-released-with-various-improvements-and-bug-fixes) https://www.reddit.com/r/linuxgaming/comments/1lipt42/kdeplasmawillcontinuehavinganx11session_as/ (https://www.reddit.com/r/linux_gaming/comments/1lipt42/kde_plasma_will_continue_having_an_x11_session_as/) https://www.gamingonlinux.com/2025/06/kde-plasma-will-continue-having-an-x11-session-as-kubuntu-switches-to-wayland-by-default/ (https://www.gamingonlinux.com/2025/06/kde-plasma-will-continue-having-an-x11-session-as-kubuntu-switches-to-wayland-by-default/) https://www.omgubuntu.co.uk/2025/06/kubuntu-25-10-drops-x11-session (https://www.omgubuntu.co.uk/2025/06/kubuntu-25-10-drops-x11-session) https://lwn.net/Articles/1026552/ (https://lwn.net/Articles/1026552/) https://www.phoronix.com/news/KDE-Wayland-Is-The-Future (https://www.phoronix.com/news/KDE-Wayland-Is-The-Future) Flathub Hits 3 Billion Downloads https://flathub.org/statistics (https://flathub.org/statistics) https://www.reddit.com/r/linux/comments/1lgaz5z/flathubhaspassed3billion_downloads/ (https://www.reddit.com/r/linux/comments/1lgaz5z/flathub_has_passed_3_billion_downloads/) Destination Linux podcast for more great content https://destinationlinux.net/ (https://destinationlinux.net/) Latest Interviews Carl Richell of System76 = https://destinationlinux.net/416 (https://destinationlinux.net/416) Craig Rowland of Sandfly Security = https://destinationlinux.net/409 (https://destinationlinux.net/409) Artyom Zorin of Zorin OS = https://destinationlinux.net/395 (https://destinationlinux.net/395) 2K Classics Humble Bundle with BioShock & Mafia (90% Discount!) https://humblebundleinc.sjv.io/09zAMM (https://humblebundleinc.sjv.io/09zAMM) ONLYOFFICE 9.0 Released: AI Tools, Visio Viewer & Fresh UI! https://www.onlyoffice.com/blog/2025/06/meet-onlyoffice-desktop-editors-v9-0 (https://www.onlyoffice.com/blog/2025/06/meet-onlyoffice-desktop-editors-v9-0) https://www.omgubuntu.co.uk/2025/06/onlyoffice-9-0-desktop-new-features-ai (https://www.omgubuntu.co.uk/2025/06/onlyoffice-9-0-desktop-new-features-ai) Lyon Goes Open Source (France's Third-Largest City) https://www.lyon.fr/actualite/action-municipale/la-ville-de-lyon-renforce-sa-souverainete-numerique (https://www.lyon.fr/actualite/action-municipale/la-ville-de-lyon-renforce-sa-souverainete-numerique) https://www.theregister.com/2025/06/26/lyonleavingmicrosoft/ (https://www.theregister.com/2025/06/26/lyon_leaving_microsoft/) Support the show https://tuxdigital.com/membership (https://tuxdigital.com/membership) https://store.tuxdigital.com/ (https://store.tuxdigital.com/)

11Libro del origen de Jesucristo, hijo de David, hijo de Abrahán. 2Abrahán engendró a Isaac, Isaac engendró a Jacob, Jacob engendró a Judá y a sus hermanos. 3Judá engendró, de Tamar, a Fares y a Zará, Fares engendró a Esrón, Esrón engendró a Arán, 4Arán engendró a Aminadab, Aminadab engendró a Naasón, Naasón engendró a Salmón, 5Salmón engendró, de Rajab, a Booz; Booz engendró, de Rut, a Obed; Obed engendró a Jesé, 6Jesé engendró a David, el rey. David, de la mujer de Urías, engendró a Salomón, 7Salomón engendró a Roboán, Roboán engendró a Abías, Abías engendró a Asaf, 8Asaf engendró a Josafat, Josafat engendró a Jorán, Jorán engendró a Ozías, 9Ozías engendró a Joatán, Joatán engendró a Acaz, Acaz engendró a Ezequías, 10Ezequías engendró a Manasés, Manasés engendró a Amós, Amós engendró a Josías; 11Josías engendró a Jeconías y a sus hermanos, cuando el destierro de Babilonia. 12Después del destierro de Babilonia, Jeconías engendró a Salatiel, Salatiel engendró a Zorobabel, 13Zorobabel engendró a Abiud, Abiud engendró a Eliaquín, Eliaquín engendró a Azor, 14Azor engendró a Sadoc, Sadoc engendró a Aquín, Aquín engendró a Eliud, 15Eliud engendró a Eleazar, Eleazar engendró a Matán, Matán engendró a Jacob; 16y Jacob engendró a José, el esposo de María, de la cual nació Jesús, llamado Cristo. 

In this latest State of the Thunder, we're discussing the upcoming yearly ESR, 140.0, which is due out June 24, 2025. We explain our numbering convention and our different channels, which comes from Firefox, and the difference between ESR, Release, Beta, and Daily. Find out why we're encouraging to use the monthly Release channel, but how this won't take anything away from ESR. Learn more about what channel is right for you (especially if you use add-ons), how to help us with using Beta and Daily, and how to safely move between ESR and Release. And as always, we finish with a community shoutout! Resources: What Train is It Now: http://whattrainisitnow.comMonthly Release Channel Blog Post: https://blog.thunderbird.net/2025/03/thunderbird-release-channel-update/Choosing a Release Channel: https://support.mozilla.org/kb/choosing-thunderbird-release-channelTesting Beta Support Article: https://support.mozilla.org/kb/thunderbird-betaTesting Daily Support Article: https://support.mozilla.org/kb/thunderbird-dailyRelease Channel Support Article (with info on safely downgrading): https://support.mozilla.org/kb/thunderbird-releaseAdd-on Compatibility Add-on: https://addons.thunderbird.net/thunderbird/addon/addon-compatibility-check/tilorenz's Calendar grid patch: https://phabricator.services.mozilla.com/D251992 ★ Support this podcast ★

Episode 194: Acute low back pain.  Future Dr. Ibrahim presents a clinical case to explain the essential points in the evaluation of back pain.  Future Dr. Redden adds information about differentiating between a back strain and more serious diseases such as cancer, and Dr. Arreaza shares information about returning to work after back strain.Written by Michael Ibrahim, MSIV. Editing and comments by Jordan Redden, MSIV, and Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Dr. Arreaza:Welcome back, everyone. Today's topic is one that every primary care provider, emergency doctor, and even specialist sees routinely: low back pain. It's so common that studies estimate up to 80% of adults will experience it at some point in their lives. But despite how frequent it is, the challenge is to identify which cases are benign and which demand urgent attention.Jordan:Exactly. Low back pain is usually self-limiting and mechanical in nature, but we always need to keep an eye out for the rare but serious causes: things like infection, malignancy, or neurological compromise. That's why a good history and physical exam are our best tools right out of the gate.Michael:And to ground this in a real example, let me introduce a patient we saw recently. John is a 45-year-old warehouse worker who came in with two weeks of lower back pain that started after lifting a 50-lb box. He describes it as a dull, aching pain that radiates from his lower back down the posterior left thigh into the calf. He says it gets worse with bending or coughing, but he feels better when lying flat. He also mentioned some numbness in his left foot, but he denies any bowel or bladder issues. His vitals are completely normal. On exam, he had lumbar paraspinal tenderness, a positive straight leg-raise at 40 degrees on the left and decreased sensation in the L5 dermatome, though reflexes were still intact.Dr. Arreaza:That's a great case. Let's take a minute and talk about the straight leg raise test. This is a bedside tool we use to assess for lumbar nerve root irritation often caused by a herniated disc. ***Here's how it works: the patient lies supine, and you slowly raise their straight leg. If pain radiates below the knee between 30° and 70°, that suggests radiculopathy, especially involving the L5 or S1 nerve roots. Pain at higher angles is more likely due to hamstring tightness or mechanical strain.Michael:Right. So, stepping back: what do we mean by "low back pain"? Broadly, it's any pain localized to the lumbar spine, but it's often classified by type or cause:Mechanical (like muscle strain or degenerative disc disease), Radicular (nerve root involvement), Referred pain (like from pelvic or abdominal organs), Inflammatory (AS), and Systemic or serious causes like infection or malignancy. Jordan:In John's case, we're thinking radicular pain, most likely from a herniated disc compressing the L5 nerve root. That's supported by the dermatomal numbness, the leg pain, and that positive straight leg test.Dr. Arreaza:Good reasoning. Now, anytime we see back pain, our brains should run a checklist for red flags. These help us pick up more serious causes that require urgent attention. Let's run through the red flags.Michael:Sure. For fracture, we think about major trauma or even minor trauma in the elderly, especially those with osteoporosis or on chronic steroids. Also, anyone over 70 years old.Jordan:Then we have infections, which could include things like discitis, vertebral osteomyelitis, or epidural abscess. Red flags include fever, IV drug use, recent surgery, or immunosuppression.Michael:Malignancy is another critical one, especially if there's a history of breast, prostate, lung, kidney, or thyroid cancer. Clues include unexplained weight loss, night pain, or constant pain not relieved by rest.Jordan:And don't forget about inflammatory back pain, like ankylosing spondylitis, which is often seen in younger patients with morning stiffness that lasts more than 30 minutes and improves with activity.Dr. Arreaza:And of course, we always rule out cauda equina syndrome: a surgical emergency. That's urinary retention or incontinence, saddle anesthesia, bilateral leg weakness, or fecal incontinence. Missing this diagnosis can be catastrophic.Michael:Thankfully, in John's case, we don't see any red flags. His presentation is classic for uncomplicated lumbar radiculopathy. But we must stay vigilant, because sometimes patients don't offer up key symptoms unless we ask directly.Jordan:And that's where associated symptoms help guide us. For example:Radicular symptoms like numbness or weakness follow dermatomal patterns. Constitutional symptoms like fever or weight loss raise red flags. Bladder/bowel changes or saddle anesthesia raise alarms for cauda equina. Pain that wakes patients up at night might point to malignancy. Dr. Arreaza:So when do we order labs or imaging?Michael:Not right away. For most patients with acute low back pain, imaging is not needed unless they have red flags. If infection is suspected, we'd get CBC, ESR, and CRP. For cancer, maybe PSA or serum protein electrophoresis. And if inflammatory back disease is suspected, HLA-B27 can be helpful.Jordan:Yes, imaging should be delayed for at least six weeks unless red flags or significant neurologic deficits are present. When we do image, MRI is our go-to especially for suspected radiculopathy or cauda equina. X-rays can help if we're thinking about fractures, but they won't show soft tissue or nerve root issues.Michael:In the example from our case, since the patient doesn't have red flags, we'd go with conservative management: start NSAIDs and recommend activity modification. As this is the acute setting, physical therapy would not be recommended.Jordan:For the acute phase, research shows no serious difference between those with PT and those without in the long term. However, physical therapy is really the cornerstone of management for chronic back pain. It's not just movement: it's education, body mechanics, and teaching patients how to move safely. And PT can actually reduce opioid use, imaging, and injections down the line for patient struggling with long term back pain.Dr. Arreaza:Yes, and PT is not one-size-fits-all. PT might include McKenzie exercises, manual therapy, postural retraining, or even neuromuscular re-education. The goal is always to build core stability, promote healthy movement patterns, and reduce fear of motion.Jordan:Let's take a minute to talk about the McKenzie Method, a physical therapy approach used to treat lumbar disc herniation by identifying a specific movement, (often spinal extension) that reduces or centralizes pain. A common exercise is the prone press-up, (cobra pose for yoga fans) where the patient lies face down and pushes the upper body upward while keeping the hips on the floor to relieve pressure on the disc. These exercises should be done carefully, ideally under professional guidance, and discontinued if symptoms worsen.Michael:For our case patient, our working diagnosis is mechanical low back pain with L5 radiculopathy. No imaging needed now, no red flags. We'll treat conservatively and educate him about proper lifting, staying active, and recovery expectations.Jordan:We also emphasized to him that bed rest isn't helpful. In fact, bed rest can make things worse. Keeping active while avoiding heavy lifting for now is key.Dr. Arreaza:Return-to-work recommendations should be individualized. For example, an office worker, positioning while working, or work hours may be able to return to work promptly. However, those with physically demanding jobs may need light duty or be off work.Ice: no evidence of benefit. Heat: may reduce pain and disability in pain of less than 3 months, although the benefit was small and short.And we should always teach safe lifting techniques: bend at the knees, keep the load close, avoid twisting. It's basic knowledge, but it is very effective in preventing recurrence.Jordan:Now, if a patient fails to improve after 6 weeks of conservative therapy, or if they develop new neurologic deficits, that's when we think about referral to spine specialists or surgical consultation.Michael:And as previously mentioned: in cases where back pain becomes chronic (lasting more than 12 weeks) a multidisciplinary approach works best. That can include:Physical therapy, Cognitive behavioral therapy (CBT) And sometimes pain management interventions. Jordan:We can't forget the psychological toll either. Chronic back pain is associated with depression, anxiety, and opioid dependence. Increased risk factors include obesity, smoking, sedentary lifestyle, and previous back injuries.Dr. Arreaza:Well said. So, let's summarize. Michael?Michael:Sure! Low back pain is common, and most cases are benign. But we have to know the red flags that point to serious pathology. A focused history and physical exam are more powerful than many people realize. And the first step in treatment is almost always conservative, with a strong emphasis on maintaining physical activity.Jordan:And don't underestimate the value of patient education. Helping patients understand their pain, set realistic expectations, and stay active is often just as important as the medications or therapies we offer.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Chou, R., Qaseem, A., Snow, V., Casey, D., Cross, J. T., Shekelle, P., & Owens, D. K. (2007). Diagnosis and treatment of low back pain: A joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of Internal Medicine, 147(7), 478–491. https://doi.org/10.7326/0003-4819-147-7-200710020-00006Deyo, R. A., Mirza, S. K., Turner, J. A., & Martin, B. I. (2009). Overtreating chronic back pain: Time to back off? Journal of the American Board of Family Medicine, 22(1), 62–68. https://doi.org/10.3122/jabfm.2009.01.080102National Institute for Health and Care Excellence. (2020). Low back pain and sciatica in over 16s: Assessment and management (NICE Guideline No. NG59). https://www.nice.org.uk/guidance/ng59Qaseem, A., Wilt, T. J., McLean, R. M., & Forciea, M. A. (2017). Noninvasive treatments for acute, subacute, and chronic low back pain: A clinical practice guideline from the American College of Physicians. Annals of Internal Medicine, 166(7), 514–530. https://doi.org/10.7326/M16-2367UpToDate. (n.d.). Evaluation and treatment of low back pain in adults. Wolters Kluwer. https://www.uptodate.com (Access requires subscription)Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

Join longevity experts Chris Burres and Lisa Tamati as they dive into cutting-edge biohacking strategies to optimise health and extend lifespan. In this engaging live session, they explore hydrogen inhalation for reducing oxidative stress, hyperbaric oxygen therapy (HBOT) for healing and neuroprotection, and the power of exogenous ketones in supporting brain health and cancer recovery. Lisa shares her inspiring journey of saving her mother's life through relentless research and a fighter's mindset, while Chris introduces innovative tools like nano oxygen therapy and ESR testing. Packed with actionable insights, this episode is a must-watch for anyone passionate about longevity, health optimization, and biohacking. Tune in monthly for more groundbreaking discussions!  Connect with Chris Burres:  Website: www.myvitalc.com YouTube: www.youtube.com/@myvitalc Instagram: @myvitalc

ESR data shows flu and COVID infections are on the rise, with a sharp jump in hospitalisations for severe respiratory infections across Auckland in a week. As Ruth Hill reports, GPs warn they're already under pressure.

Coming up in this episode * AI's Won't Take Over Yet * Is Rust Open Source? * and All Kinds of Feedback The Video Version https://youtu.be/LxMpNIfhFiA 0:00 Cold Open 3:56 Curl's "AI Slop" Problem 25:12 A Little Viral Licensing 42:12 So Much Feedback ❤️ 42:30 ukwan / Youtube 51:16 jliljj / Youtube 56:35 fredstech1 / Youtube 1:00:15 conan kudo / Youtube 1:02:06 amanita / Patreon 1:05:13 redvamp128 / Youtube 1:09:35 The Rules, Commands & Next Time 1:19:12 Stinger The Curl project pushes back on AI slop The Ars Technica article (https://arstechnica.com/gadgets/2025/05/open-source-project-curl-is-sick-of-users-submitting-ai-slop-vulnerabilities/) The Curl project on Hacker One (https://hackerone.com/curl?type=team)

We made it to episode 101! Thank you for listening! In this episode, I share my revamped daytime routine, emphasizing the importance of various practices which contribute to better sleep and overall wellness.New episodes of Welcome to Wellness every Friday!Not listening on Spotify? Show notes at:https://www.ashleydeeley.com/w2w/episode101Episode brought to you by: ⁠⁠⁠ApolloNeuro⁠⁠⁠Episode brought to you by:⁠⁠⁠⁠⁠⁠⁠⁠⁠ VieLight⁠⁠⁠ - ⁠⁠⁠⁠⁠⁠Code: DEELEY10Episode brought to you by:⁠⁠⁠⁠⁠⁠⁠⁠⁠Dry Farm Wines⁠⁠⁠⁠⁠⁠⁠⁠⁠2:21: Natural Cycles (non-hormonal birth control)3:21: Hormone testing for ovulation and perimenopause3:53: Sunlight for optimal health5:16: Why I avoid sunglasses6:00: Dr. Jack Cruz / Dr. Fritz Hollwich8:21: What I wish I knew when I was a Personal Trainer10:38: Women tear ACLs during the follicular phase 11:42: Quinton minerals12:41: Cancer and the New Biology of Water - Dr Thomas Cowan13:05: Why I quit coffee! Coffee alternatives: Chi Chaga & Kamana16:42: How to improve eyesight18:12: Why I take BHRT - bioidentical hormone replacement therapy19:10: Tallow from Amish farms for body lotion19:42: Better than Botox roller20:11: My favorite makeup brands21:56: Why I don't recommend the EWG22:36: Stored beauty products in myron glass!24:01: Avoid perfume and synthetic fragrances26:05: Tips for drinking out of plastic (1,2,4,5 are OK!)28:56: Why I don't use DoTerra30:22: Hateful eight oils to avoid35:30: My favorite blueblockers - VivaRays41:33: The reasonI I don't use Bluetooth43:00: Murray vs. Motorola 43:24: NuCalm can give you 2 hours of REM sleep results in 20 minutes48:11: Why I don't use air fresheners or any cleaning products which are scented50:06: Why I don't burn traditional candles53:18: Earthing can clinically reduce ESR - erythrocyte sedimentation rate54:35: Speed up wound healing time by Earthing56:00: Why I don't wear or recommend sunscreen 58:11: Community and friendships59:41: Social connection is the number one greatest predictor of your long-term happiness1:01:09: Shawn Achor: The happy secret to better work

If you are considering BHRT, this is for you. Even if you're currently on BHRT, you'll learn or confirm something here. If you've got daughters or DIL, in my case, there's something here for you on that front too. If you've wondered why does cholesterol go up for so many women or why do autoimmune numbers increase in midlife? There's a reason to be considering BHRT, and our guest explains why.    My Guest: Dr. Shilpa Sayana, MD is a Triple Board Certified in Internal, Obesity Medicine and Functional Medicine. She is recognized by her peers by receiving the “Most Humanistic Intern and Resident” award in all three years of her Internal Medicine Residency and celebrated by her patients by being presented the Best Doctors Women's Choice Award. She treats women in perimenopause and menopause, optimising their hormones, energy and weight, especially if they have been previously told that their labs are normal.   Questions We Answer in This Episode: [00:07:54] What are natural ways to improve your hormones above 45? [00:14:27] What tests do you recommend to a woman considering hormones? [00:22:30] Do you have a unique opinion on starting both progesterone and estrogen at the same time or layer in one?  [00:26:06] Do you advocate for women taking testosterone and what are the benefits and side effects of using TRT? [00:30:21] Why do autoimmune markers increase in perimenopause and menopause? and what to do about it? [00:32:04] What can help cholesterol and blood sugar levels?  #1 Longevity Hormone Panel  Purpose: To get a baseline of all key hormone levels Includes: Morning cortisol (before 10am) DHEAS (hormone that makes cortisol) TSH (thyroid) Free T4  Autoimmune Reverse  T4 (Hashimoto's) Reverse T3  Estrogen, Progesteron, Testosterone Total Testosterone Free Testosterone Sex Binding Hormone Globulin  ANA (antinuclear antibody or autoimmune antibody) ESR (erythrocyte sedimentation rate to check inflammation rate for autoimmune) CRP (C-reactive protein) Ferritin  Genetics Vitamin B12  Vitamin D   More Tests to Truly Know If You're Ready Before Considering BHRT   #2 Gut Test Purpose: To assess inflammation, microbiome health, and how well your body can process and eliminate hormones   #3 Toxin/Environmental Load Testing Purpose: To detect environmental toxins that may be disrupting hormone production or metabolism   Track Your Hormones Functional vs. Conventional medicine's approach to lab results: Functional Medicine Focuses on what's optimal, not just normal. Listens to the whole person (hormone networks), not just the labs. Conventional Medicine Labs are often labeled "normal" if they fall within the wide reference range. No action is taken unless results are severely out of range.   Connect with Shilpa: Website - Sayana Medical  Instagram - @sayanamedical YouTube - @SayanaMedical Other Episodes You Might Like: Previous Episode - Smart Movement for Aging Better with Lara Heimann Next Episode - Can We Just Stop the Self Sabotage to Feel Your Best Ever More Like This - Restore Hormones to Factory Settings? More Science for bHRT More Like This - How to Have and Still Thrive with Autoimmunity in Menopause Resources: Don't know where to start? Book your Discovery Call with Debra. Join the Flipping50 Insiders Facebook Group and connect with Debra and the community.  

Dr. Lauren Kim speaks with Dr. Andrea Rockall, Clinical Chair of Radiology at Imperial College London, about the growing movement toward sustainable practices in radiology. They explore global collaboration, innovative technologies, and the power of data in reducing the environmental impact of medical imaging. Sustainability in Radiology: Position Paper and Call to Actionfrom ACR, AOSR, ASR, CAR, CIR, ESR, ESRNM, ISR, IS3R,RANZCR, and RSNA. Rockall et al. Radiology 2025; 314(3):e250325. RSNA's online resources for environmental sustainability in imaging

Fulham demonstrates yet again that this Silva side is anything but predictable. A dire, shot-starved first-half was turned around by dynamic substitutions and a stoppage time header from Ryan Sess. ESR makes his return to the scoresheet with a deflected shot that tucked its way nicely behind Ramsdale.Elizabeth Barnard takes the reins for a joyous pod line-up of Dan Cooke, Yasmin Mills and Adam Farquharson as they look back on a sunny day on the south coast. They review the successes and failures of a surprising attacking formation from Marco Silva, comment on the hopes of heightened confidence in ESR and sing Sess' praises yet again. In part two, they answer some of your listener questions. Why can't Fulham keep clean sheets and can Palace ruin Fulham's Conference League dreams?--SHOW-LINKS:If you enjoy Fulhamish, please consider contributing a small amount monthly to help pay our costs. As a bonus, you receive access to our exclusive Telegram group chats where you can chat with fellow FFC fans and Fulhamish listeners ➼ https://levellr.com/communities/fulhamish--GUESTS:Elizabeth Barnard ➼ https://www.x.com/@ESBarnard_Yasmin Mills ➼ https://www.x.com/@yasmin_lmillsDan Cooke ➼ https://www.x.com/@DanSCooke97Adam Farquharson ➼ https://www.x.com/@AdamFarquharsonSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Optic neuropathies encompass all congenital or acquired conditions affecting the optic nerve and are often a harbinger of systemic and central nervous system disorders. A systematic approach to identifying the clinical manifestations of specific optic neuropathies is imperative for directing diagnostic assessments, formulating tailored treatment regimens, and identifying broader central nervous system and systemic disorders. In this episode, Gordon Smith, MD, FAAN speaks with Lindsey De Lott, MD, MS, author of the article “Optic Neuropathies” in the Continuum® April 2025 Neuro-ophthalmology issue. Dr. Smith is a Continuum® Audio interviewer and a professor and chair of neurology at Kenneth and Dianne Wright Distinguished Chair in Clinical and Translational Research at Virginia Commonwealth University in Richmond, Virginia. Dr. De Lott is an assistant professor of neurology and ophthalmology at the University of Michigan in Ann Arbor, Michigan. Additional Resources Read the article: Optic Neuropathies 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: @gordonsmithMD Guest: @lindseydelott Full episode transcript available here Dr Jones: This is Dr 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 Smith: Hello, this is Dr Gordon Smith. Today I'm interviewing Dr Lindsey De Lott about her article on optic neuropathies, which appears in the April 2025 Continuum issue on neuro-ophthalmology. Lindsey, welcome to the podcast, and perhaps you can introduce yourself to our audience. Dr De Lott: Thank you, Dr Smith. My name is Lindsey De Lott and I am a neurologist and a neuro-ophthalmologist at the University of Michigan. I also serve as the section lead for the Division of Neuro-Ophthalmology, which is actually part of the ophthalmology department rather than the neurology department. And I spend a good portion of my time as a researcher in health services research, and that's now about 60% of my practice or so. Dr Smith: I'm super excited to spend some time talking with you. One, I'm a Michigan person. As we were chatting before this, I trained with Wayne Cornblath and John Trobe, and it's great to have you. I wonder if we maybe can begin- and by the way, your article is outstanding. It is such a huge topic and it was actually really fun to read, so I encourage our listeners to check it out. But you begin by talking about misdiagnosis as being a common problem in this patient population. I wonder if you can talk through why that is and if you have any pearls or pitfalls in avoiding it? Dr De Lott: Yeah, I think there's been a lot of great research looking at misdiagnosis in specific types of optic neuropathies; in particular, compressive optic neuropathies and optic neuritis. A lot of that work has come out of the group at Emory and the group at Washington University. But a lot of neuro-ophthalmologists across the country really contributed to those data. And one of the statistics that always strikes me is that, you know, for example, in patients with optic nerve sheath meningiomas, something like 70% of them are actually misdiagnosed. And a lot of those errors in diagnosis, whether it's for compressive optic neuropathy or some other type of optic neuropathy, really comes down to the way that physicians are really incorporating elements of the history in the physical. For example, in optic neuritis, we know that physicians tend to anchor pretty heavily on pain in general. And that often tends to lead them astray when optic neuritis was never the diagnosis to begin with. So, it's really overindexing on certain things and not paying attention to other features of the physical exam; for example, say presence of an afferent pupillary defect. So, I think it just really highlights the need to have a really relatively structured approach to patients that you think have an optic neuropathy when you're trying to sort of plan your diagnostic testing and your treatment. Dr Smith: I do maybe five or six weeks on our hospital service each year, and I don't know if it's just a Richmond thing, but there's always at least two people in my week who come in with an optic neuropathy or acute vision loss. How common is this in medical practice? Or neurologic practice, I should say? Dr De Lott: Optic neuropathies themselves… if you look across, unfortunately we don't have any great data that puts together all optic neuropathies and gives us an actual sort of prevalence estimate or an incidence estimate from year to year. We do have some of those data for specific types of optic neuropathies like optic neuritis and NAION, and you're probably looking around five-ish per one hundred thousand. So, these aren't that common, but at the same time they do get funneled to- often to emergency rooms and to neurologists from our ophthalmology colleagues and optometry colleagues in particular. Dr Smith: So, one other question I had before kind of diving into the topic at hand is how facile neurologists need to be in recognizing other causes of acute visual loss. I mean, we see acute visual loss as neurologists, we think optic neuropathy, right? Optic neuritis is sort of the go-to in a younger patient, and NAION in someone older. But what do neurologists need to know about other ophthalmologic causes? So, glaucoma or acute retinal disorders, for instance? Dr De Lott: Yeah, I think it's really important that neurologists are able to distinguish optic neuropathies from other causes of vision loss. And so, I would really encourage the listeners to take a look at the excellent article by Nancy Newman about vision loss in this issue where she really kind of breaks it down into vision loss that is acute and chronic and how you really think through distinguishing optic neuropathies from other causes of vision loss. But it is really important. For example, a patient with a central retinal artery occlusion may potentially be eligible for treatments. And that's very different from a patient with optic neuritis and acute vision loss. So, we want to be able to distinguish these things.  Dr Smith: So maybe we can pivot to that a little bit. Just for our listeners, our focus today is going to be on- not so much on optic neuritis, although obviously we need to talk a little bit about how we differentiate optic neuritis from non-neuritis optic neuropathies. It seems like the two most common situations we encounter are ischemic optic neuropathies and optic neuritis. Maybe you can talk a little bit about how you distinguish these two? I mean, some of it's age, some of it's risk factors, some of it's exam. What's the framework, of let's say, a fifty-year-old person comes into the emergency room with acute vision loss and you're worried about an optic neuropathy? Dr De Lott: The first step whenever you are considering an optic neuropathy is just making sure that the features are present. I think, really going back to your earlier question, making sure that the patient has the features of an optic neuropathy that we expect. So, it's not only vision loss, but it's also the presence of an apparent pupillary defect in a patient with a unilateral optic neuropathy. In a person who has a bilateral optic neuropathy, that apparent pupillary defect may not be present because it is relative. So, you really would have to have asymmetric vision loss between the two eyes. They should also have impairment of their color vision, and they're probably going to have some kind of visual field defect, whether that's central scotoma or an arcuate scotoma or an altitudinal defect that really respects the horizontal meridian. So, you want to make sure that, first and foremost, you've got a patient that really meets most of those- most of those features. And then from there, we're looking at the other features on their history. How acute is the onset of the vision loss? What is the progression over time? Is there pain associated or not associated with the vision loss? What other medical issues does the patient have? And you know, one of the things you already brought up, for example, is, what's the age of the patient? So, I'm going to be much more hesitant to make a diagnosis of optic neuritis in a much older patient or a diagnosis on the other side, of ischemic optic neuropathy, in a much younger patient, unless they have really clear features that push me in that direction. Dr Smith: I wonder if maybe you could talk a little bit about features that would push you away from optic neuritis, because, I mean, people who are over fifty do get optic neuritis- Dr De Lott: They do. Dr Smith: -and people who get ischemic optic neuropathies who are younger. So, what features would push you away from optic neuritis and towards… let's be broad, just a different type of optic neuropathy? Dr De Lott: Sure. We know that most patients with optic neuritis do have pain, but that pain is accompanied---within a few days, typically---with vision loss. So, pain alone going on for a number of days without any visual symptoms or any of those other things I listed, like the afferent papillary defect, the visual field defect, would push me away from optic neuritis. But in general, yes, most optic neuritis is indeed painful. So, the presence of optic disc edema is unfortunately one of those things that an optic neuritis may be present, may not be present, but in somebody with ischemia that is anterior---and that's the most common type of ischemic optic neuropathy, would be anterior ischemic optic neuropathy---they have to have optic disc edema for us to be able to make that diagnosis, and that is a diagnosis of NAION, or nonarteritic ischemic optic neuropathy. An APD in this case, again, that's just a feature of an optic neuropathy. It doesn't really help you to distinguish, individual field defects are going to be relatively similar between them. So then in patients, I'm also looking, like I said, at their history. So, in a patient where I'm entertaining a diagnosis of ischemic optic neuropathy, I want to make sure that they have vascular risk factors or that I'm actually doing things like measuring their blood pressure in the office if they haven't seen a physician recently or checking a lipid panel, hemoglobin A1c, those kinds of things, to look for vascular risk factors. One of the other features on exam that might push me more- again, in a patient with ischemic optic neuropathy, where it might suggest ischemia over optic neuritis, would be some other features on exam like a crowded optic disc that we sometimes will see in patients with ischemic optic neuropathy. I feel like that was a bit of a convoluted answer. Dr Smith: I thought that was a great answer. And when you say crowded optic disc, that's the- is that the “disc at risk”? Dr De Lott: That is the “disk at risk,” yes. So, crowded optic disk is really a disk that is smaller than what we see in the average population, and the average cup to disk ratio is 0.3. So, I think that's where 30% of the disk should be. So, this extra wiggle room, as I sometimes will explain to my patients. Dr Smith: And then, I wonder if you could talk a little bit about more- just more about exam, right? You raised the importance of recognizing optic disc edema. Are there aspects of that disc edema that really steer you away from optic neuritis and towards ischemia-like hemorrhages or whatnot? And then a similar question about the importance of careful visual field testing? Dr De Lott: So, on the whole, optic disc edema is optic disc edema. And you can have very severe optic neuritis with hemorrhages, cotton wool spots, which is essentially just an infarction of the retinal nerve fiber layer either overlying the disc or other parts of the retina. And ischemia, you can have some of the same features. In patients who have giant cell arteritis, which is just one form of anterior ischemic optic neuropathy, patients can have a pallid optic disc edema where the optic disc is swollen and white-looking. But on the whole, swelling is swelling. So, I would caution anyone against using the features of the optic nerve swelling to make any type of, sort of, definitive kind of diagnosis. It's worth keeping in mind, but I just- I would caution against using specific features, optic nerve swelling. And then for visual field testing, there are certain patterns that sometimes can be helpful. I think as I mentioned earlier, in patients with ischemic optic neuropathy, we'll often see an altitudinal defect where either the top half or, more commonly, the bottom half of the vision is lost. And that vision loss in the field corresponds to the area of swelling on the disk, which is really rewarding when you're actually able to see sectoral swelling of the disk. So, say the top half of the disk is swollen and you see a really dense inferior defect. And other types of optic neuropathy such as hereditary optic neuropathies, toxic and nutritional optic neuropathies, they often cause more central field loss. And in patients who have optic neuropathies from elevated intracranial pressure, so papilladema, those folks often have more subtle visual field loss in an arcuate pattern. And it's only once the optic nerves have sustained a pretty significant injury that you start to see other patterns of field loss and actual decline in visual acuity in those patients. I do think a detailed visual field assessment can often be pretty helpful as an adjunct to the rest of the exam. Dr Smith: So, we haven't talked a lot about neuroimaging, and obviously, neuroimaging is really important in patients who have optic neuritis. But how about an older patient in whom you suspect ischemic optic neuropathy? Do those patients all need a MRI scan? And if so, is it orbits and brain? How do you- how do you protocol it? Dr De Lott: You're asking such a good question, totally controversial in in some ways. And so, in patients with ischemic optic neuropathy, if you are confident in your diagnosis: the patient is over the age of fifty, they have all the vascular, you know, they have vascular risk factors. And those vascular risk factors are things like diabetes, hypertension, high blood pressure, hyperlipidemia, obstructive sleep apnea. They have a “disc at risk” in the fellow eye. They don't have pain, they don't have a cancer history. Then doing an MRI of the orbits is probably not necessary to rule out another cause. But if you aren't confident that you have all of those features, then you should absolutely do an MRI of the orbit. The MRI of the brain probably doesn't provide you with much additional information. However, if you are trying to distinguish between an ischemic optic neuropathy and, say, maybe an optic neuritis, in those patients we do recommend MRI orbits and brain imaging because the brain does provide additional information about other CNS demyelinating disorders that might be actually the cause of a patient's optic neuritis. Dr Smith: I wonder if you could talk a little bit about posterior ischemic optic neuropathy. That's much less common, and you mentioned earlier that those patients don't have optic disk edema. So, if there's a patient who has vision loss that- in a similar sort of clinical scenario that you talked about, how do you approach that and under what circumstances do we see patients who have posterior ischemic optic neuropathy? Dr De Lott: So, you're going to most often see patients with posterior ischemic optic neuropathy who, for example, have undergone a recent surgery. These are often associated with things like spinal surgeries, cardiac surgeries. And there are a number of risk factors that are associated with it. Things like blood pressure, drain surgery, the amount of blood loss, positioning of patient. And this is something that the surgeons and anesthesiologists are very sensitive to at this point in time, and many patients are often- this can be part of the normal informed consent process at this point in time since this is something that is well-recognized for specific surgeries. In those patients, though… again, unless you're really certain, for example, maybe the inpatient neurology attending and you've been asked to consult on a patient and it's very clear that they went into surgery normal, they came out of surgery with vision loss, and all the rest of the features really seem to be present. I would recommend that in those cases you think about orbital imaging, making sure you're not missing anything else. Again, unless all of the features really are present- and I think that's one of the themes, definitely, throughout this article, is really the importance of neuroimaging in helping us to distinguish between different types of optic neuropathy. Dr Smith: Yeah, I think one of the things that Eric Eggenberger talks about in his article is the need to use precise nomenclature too, which I plan on talking to him about. But I think having this very structured approach- and your article does it very well, I'll tell our listeners who haven't seen it there's a series of really great tables in the article that outline a lot of these. I wonder, Lindsey, if we can switch to talk about arteritic optic neuropathy. Is that okay? Dr De Lott: Sure. Yeah, absolutely. Dr Smith: How do you sort that out in an older patient who comes in with an ischemic optic neuropathy? Dr De Lott: Yeah. In patients who are over the age of fifty with an ischemic optic neuropathy, we always need to be thinking about giant cell arteritis. It is really a diagnosis we cannot afford to miss. If we do miss it, unfortunately, patients are likely to lose vision in their fellow eye about 1/3 to 1/2 the time. So, it is really one of those emergencies in neuro-ophthalmology and neurology. And so you want to do a thorough review systems for giant cell arteritis symptoms, things like headache, jaw claudication, myalgias, unintentional weight loss, fevers, things of that nature. You also want to check their inflammatory markers to look for evidence of an elevated ESR, elevated C-reactive protein. And then on exam, what you're going to find is that it can cause an anterior ischemic optic neuropathy, as I mentioned earlier. It can cause palette optic disc swelling. But giant cell arteritis can also cause posterior ischemic optic neuropathy. And so, it can be present without any swelling of the optic disc. And in fact, you know, you mentioned one of my mentors, John Trobe, who used to say that in a patient where you're entertaining the idea of posterior ischemic optic neuropathy, who is over the age of fifty with no optic disc swelling, you should be thinking about number one, giant cell arteritis; number two, giant cell arteritis; number three, giant cell arteritis. And so, I think that is a real take-home point is making sure that you're thinking of this diagnosis often in our patients who are over the age of fifty, have to rule it out. Dr Smith: I'll ask maybe a simple question. And presumably just about everyone who you see with a presumed ischemic optic neuropathy, even if they don't have clinical features, you at least check a sed rate. Is that true? Dr De Lott: I do. So, I do routinely check sedimentation rate and C-reactive protein. So, you need to check both. And the reason is that there are some patients who have a positive C-reactive protein but a normal sedimentation rate, so. And vice versa, although that is less common. And so both need to be checked. One other lab that sometimes can be helpful is looking at their CBC. You'll often find these patients with giant cell arteritis have elevated platelet counts. And if you can trend them over time, if you happen to have a patient that's had multiple, you'll see it sort of increasing over time. Dr Smith: I'm just thinking about how you sort things out in the middle, right? I mean, so that not all patients with GCF, sky-high sed rate and CRP…. And I'm just thinking of Dr Trobe's wisdom. So, when you're in an uncertain situation, presumably you go ahead and treat with steroids and move to biopsy. Maybe you can talk a bit about that pathway? Dr De Lott: Yeah, sure. Dr Smith: What's the definitive diagnostic process? Do you- for instance, the sed rate is sky-high, do you still get a biopsy? Dr De Lott: Yes. So, biopsy is still our gold-standard diagnosis here in the United States. I will say that is not the case in all parts of the world. In fact, many parts of Europe are moving toward using other ancillary tests in combination with labs and exam, the history, to make a definitive diagnosis of giant cell arteritis. And those tests are things like temporal artery ultrasound. We also, even though we call it temporal artery ultrasound, we actually need to image not only the temporal arteries but also the axillary arteries. The sensitivity and specificity is actually greater in those cases. And then there's high-resolution imaging of the vessels and the- both the intracranial and extracranial distributions. And both of those have shown some promise in their predictive values of patients actually having giant cell arteritis. One caution I would give to our listeners, though, is that, you know, currently in the US, temporal artery biopsy is still the gold standard. And reading the ultrasounds and the MRIs takes a really experienced radiologist. So, unless you really know the diagnostic accuracy at your institution, again, temporal artery biopsy remains the gold standard here. So, when you are considering giant cell arteritis, start the patient on steroids and- that's high dose, high dose steroids. In patients with vision loss, we use high dose intravenous methylprednisolone and then go ahead and get the biopsy. Dr Smith: Super helpful. And are there other treatments, other than steroids? Maybe how long do you keep people on steroids? And let's say you've got a patient who's, you know, diabetic or has other factors that make you want to avoid the course of steroids. Are there other options available? Dr De Lott: So, in the acute phase steroids are the only option. There is no other option. However, long term, yes, we do pretty quickly put patients on tocilizumab, which is really our first-line treatment. And I do that in conjunction with our rheumatology colleagues, who are incredibly helpful in managing and monitoring the tocilizumab for our patients. But when you're seeing the patients, you know, whether it's in the emergency room or in the hospital, those patients need steroids immediately. There are other steroid-sparing agents that have been tried, but the efficacy is not as good as tocilizumab. So, the American College of Rheumatology is really recommending tocilizumab as our first line steroid-sparing agent at this point. Dr Smith: Outstanding. So again, I will refer our listeners to your article. It's just chock-full of great stuff. This has been a great conversation. Thank you so much for joining me today. Dr De Lott: Thank you, Dr Smith. I really appreciate it.  Dr Smith: The pleasure has been all mine, and I know our listeners will be enjoying this as well. Again, today I've been interviewing Dr Lindsey De Lott about her article on optic neuropathies, which appears in the most recent issue of Continuum on neuro-ophthalmology. Be sure to check out Continuum Audio episodes from this and other issues. I already mentioned Dr Eggenberger and I will be talking about optic neuritis, which will be a great companion to this discussion. Listeners, thank you for joining 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.

Giant Cell Arteritis (GCA) is one of the most dreaded diagnoses in ophthalmology; not only can it cause vision loss, but it can also be life threatening.  So what is the threshold for going down the 'GCA diagnostic path'? When should one order an ESR and CRP?  When is the concern high enough to warrant a temporal artery biopsy, and when should steroids be started?  How is temporal artery biopsy changing our diagnostic alogirthm.  Dr. Andrew Lee joins the podcast. This episode of the podcast is sponsored by Thea Pharma Canada - https://www.theapharma.caBecome a supporter of this podcast: https://www.spreaker.com/podcast/blind-spot-the-eye-doctor-s-podcast--5819306/support.

"With a quarter million miles under her belt and counting, North Carolina native Emily Scott Robinson travels the dusty highways of America's wild country, capturing the stories of the people she meets and expertly crafting them into songs. Robinson received critical acclaim for her debut album Traveling Mercies-- Rolling Stone named it one of the “40 Best Country and Americana Albums of 2019.” In 2021, Robinson signed with Oh Boy Records, the label founded by the legendary John Prine, and released her follow-up album "American Siren." It made numerous “Best of 2021” lists including NPR, Rolling Stone, American Songwriter, and No Depression." (emilyscottrobinson.com) I've been wanting to have ESR on the show for a while, and when I learned she was playing a show with a couple of my friends at the end of 2024, I made them ask her for me! She said yes, and here we are. Robinson currently resides in Ouray, CO, and tours the US and UK consistently. Recently, she supported Ron Pope for a run in the UK. During our conversation, we chat about traveling logistics out of a small town (tisk tisk Southwest!!), her life changing experience at Song School at Rocky Mountain Folks Fest in Lyons, CO, and her decision to buy an RV and travel as a full time musician in her 20s. If you enjoy the podcast, please let others know, subscribe, or write a review! IF YOU'D LIKE TO SUPPORT THE PODCAST IN A MONETARY WAY, I'M NOW ON PATREON! Please note: new Patreon members get to pick a cover song for me to record especially for them! www.patreon.com/andysydow Guest Links: https://www.emilyscottrobinson.com Episode Music: Original music by Andy Sydow Contact me: middleclassrockstar@gmail.com (or) andysydowmusic@gmail.com

Join Michelle Martin on her tour of markets! Asia-Pacific markets trade higher following Wall Street's rally overnight. Hosted by Michelle Martin who speaks with Ryan Huang, this episode unpacks DFI Retail’s $125M supermarket exit to Macrovalue, BYD’s EV surge past Tesla, and Xiaomi’s $5.5B fundraise. They also explore CK Hutchison’s strategic moves, 23andMe’s bankruptcy, and the latest from REITs like Keppel DC and ESR. Plus, a check-in on the STI, Disney’s controversial Snow White remake, and more market movers.See omnystudio.com/listener for privacy information.

Nicole Rincon https://www.nicolerincon.comNicole's X https://x.com/NicoleRinconPARossignol Clinic https://rossignolmedicalcenter.comTACA Info: https://tacanow.org/wp-content/uploads/2019/10/F-H-2-Nicole-Rincon-Beginning-Biomed.pdfTACA Talks: https://www.nicolerincon.com/videosPublications https://rossignolmedicalcenter.com/articles-publications/#published-2024-2-articlesNicole Episode 1 https://www.youtube.com/watch?v=BBkdgwVfcZINicole Episode 2 https://www.youtube.com/watch?v=auLReV0DHkQDaylight Computer Company https://daylightcomputer.comuse "autism" in the discount code for $25 coupon.This is the future of tech.Chroma Light Therapy https://getchroma.couse "autism" for a 10% discount,***THIS IS NOT MEDICAL ADVICE***0:00 Nicole Rincon1:10 Daylight Computer Company; DC-15:33 Pre-pregnancy checks; Vitamin D8:37 MTHFR, Folate; Mitochondria; CPR, ESR, Inflammation11:12 GI; CSA; Bacteria, Fungus, Parasites, Calprotectin; Zonalin; MS & Proteus Mirabilis13:06 Organic Acid Test (OAT); Clostridia15:24 MTHFR; C677, 1298; Folinic Acid19:02 Folate's role in pregnancy and development; Critical info about types and duration22:35 Cholesterol; Maternal & Child; Speech & Communication25:06 Telepathy; Autism Rates26:40 Dysbiosis; PCOS29:30 Cholesterol ranges & symptoms; mood, irritability, cognition, aggression; Cortisol & Hormones37:02 Dysbiosis symptoms; Self-Injurious, Posturing41:08 Identifying symptoms in Non-Verbal; Self-Injurious45:08 Importance of Gut Health & Checks; Vitamin D, Electrical Efficiency & Biological Energy48:17 Autistics and pale skin; too many are pale; supplementing Vitamin D, K2; Brands51:00 Proprietary blends warning; abbreviated doses; Fungal overgrowth, Yeast55:49 "Binders;" Magnesium61:00 Fungal Overgrowth & Autism; OAT, Clostridia, C. diff, aggression, self-injurious; Antibiotics & Probiotics1:05:42 Telepathy Tapes, Autism, Water (Cytochrome C Oxidase), Coherence; Luc Montagier NOT Emilio Del Giudice; Distal Connections via Water and NOT axons; OutroX: https://x.com/rps47586Hopp: https://www.hopp.bio/fromthespectrumYT: https://www.youtube.com/channel/UCGxEzLKXkjppo3nqmpXpzuAemail: info.fromthespectrum@gmail.com

George Cooper is joined by Dan, AF and Avais as they indulge in a brilliant win against Nottingham Forest who have had a remarkable season so far in the Premier League. These three points have shown that Fulham's season is far from petering out. With goals from Emile Smith Rowe and Calvin Bassey, Fulham are on track to return to peak Vibes FC form. They reflect on how Fulham set-up to fell a flying Forest side, ESR's second PL headed goal and how his performances continue to improve, and the cheery atmosphere in the dressing room that saw Fulham win the Snapchat Derby. In part two, they answer your listener questions. Should Lukic be Fulham's player of the season? Is this the best Fulham squad we've ever seen? And simply, how are Fulham so good? --SHOW-LINKS:If you enjoy Fulhamish, please consider contributing a small amount monthly to help pay our costs. As a bonus, you receive access to our exclusive Telegram group chats where you can chat with fellow FFC fans and Fulhamish listeners ➼ https://levellr.com/communities/fulhamish--GUESTS:George Cooper ➼ https://www.x.com/@GeorgeCoopsDan Cooke ➼ https://www.x.com/@DanSCooke97Avais Malik ➼ https://www.x.com/@Here4TheFulhamAdam Farquharson ➼ https://www.x.com/@AdamFarquharsonSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

ETHAN STOWELL We're diving into the story of Ethan Stowell—a name that's become synonymous with the culinary world in Seattle. He comes from a family of artists, specifically ballet dancers. He's not just a chef; he's an innovator who's left an indelible mark on his community. Ethan started with a vision back in 2003 when he opened Union, his first restaurant in downtown Seattle, praised for its simplicity and its elegance right out of the gate. From there, Ethan Stowell Restaurants, or ESR, grew into something truly remarkable. We're talking about Tavolàta, with its pasta-inspired focus, and How to Cook a Wolf, which brings this delicate, almost artful approach to dining, among others. Oh, and there's Ballard Pizza Company—it's like, the perfect neighborhood pizza spot. He makes high-quality food feel accessible and welcoming. What's even more impressive is how ESR has expanded, now covering over a dozen concepts and over twenty locations, including in Idaho and New York City—and it doesn't stop there. Ethan's team has partnered with iconic brands like the Seattle Mariners. And even with all that growth, there's this real effort to stay anchored in the community. Back in 2008, he was named one of *Food Wine*'s Best New Chefs, and in 2020, he was a semifinalist for a James Beard Award in the Outstanding Restaurateur category. Those aren't just titles—they're windows into the kind of impact he's had, both regionally and nationally. It's stories like Ethan's that remind us how passion, vision, and a commitment to community can truly shape industries and, honestly, create experiences people cherish. ETHAN RELATED LINKS Ethan Stowell Restaurants Wikipedia  Holland America Partnership Seattle City Makers (Video via Downtown Seattle Association) GENERAL INFO| TOP OF THE GAME: Official website: https://topofthegame-thepod.com/ RSS Feed: https://feed.podbean.com/topofthegame-thepod/feed.xml Hosting service show website: https://topofthegame-thepod.podbean.com/ Javier's LinkTree: https://linktr.ee/javiersaade  SUPPORT & CONNECT: LinkedIn: https://www.linkedin.com/showcase/96934564 Facebook: https://www.facebook.com/profile.php?id=61551086203755 Twitter: https://twitter.com/TOPOFGAMEpod Subscribe on Podbean: https://www.podbean.com/site/podcatcher/index/blog/vLKLE1SKjf6G Email us: info@topofthegame-thepod.com   THANK YOU FOR LISTENING – AVAILABLE ON ALL MAJOR PLATFORMS  

Two second-half goals from Emile Smith Rowe and Adama Traore sealed Fulham's three points against Leicester who have had seven losses out of eight, a pretty dismal showing. A toxic atmosphere at the King Power suggested that Van Nistelrooy's lifetime with the Foxes might be short. Leicester's poor performance does not take away from the comfortable, stylish display from Marco Silva's Fulham side. Sander Berge returned to the starting line-up as George, with Avais, George Rossiter and Yasmin, reflect on what was a stellar performance from him in the midfield. A calm and assured presence consistently broke up any essence of Leicester threat and helped Fulham fans' shoulders relax a little more. We react to ESR's redeeming diving header that put Fulham in front just after half-time which will hopefully boost his confidence going forward to an exciting Manchester United fixture. Rossiter and Avais tell the tales of what was an eventful away day, including a Network Rail heist and a masterclass in drumming. We answer some of your listener questions in part two, having some theoretical fun with our striker position.

In this episode, we present the second part of our conversation with the authors of the scouting reports for the teams in the T'd Up T-cells region of RheumMadness 2025: the Innovation Invitational.  Plus, we highlight Q&As from theMednet.org about the T'd Up T-Cells teams AND record an interview with Dr. Bill St. Clair, the first author of the phase 2 dazodalibep study.  It's a long episode because there's so much content!Links to the Q&As from theMednet.org discussed in this episode:What is your approach to managing sicca symptoms in patients not responding or not tolerating conservative measures, pilocarpine, and cevimeline?What is your approach to immunomodulatory treatment in patients with Sjogren's syndrome who have active serologies (i.e. elevated ESR, hypergammaglobulinemia, hypocomplementemia) but minimal symptoms?What is your approach to monitoring patients referred for high titer +RF and +CCP but without active symptoms of inflammatory arthritis?What factors drive you to prioritize T vs B cell inhibition when choosing therapies for patients with refractory SLE?To learn more about RheumMadness:https://sites.duke.edu/rheummadness/Subscribe to our newsletter:https://lists.duke.edu/sympa/subscribe/rheummadnessFind us on social media:Bluesky: @rheummadness.bsky.socialInstagram: https://www.instagram.com/rheummadness/X: Follow #RheumMadnessIntro/outro music: Cheery Monday by Kevin MacLeodLink: https://incompetech.filmmusic.io/song/3495-cheery-mondayLicense: http://creativecommons.org/licenses/by/4.0/

+ Evangelio de nuestro Señor Jesucristo según san Mateo 1, 1-17 Genealogía de Jesucristo, hijo de David, hijo de Abraham: Abraham fue padre de Isaac; Isaac, padre de Jacob; Jacob, padre de Judá y de sus hermanos. Judá fue padre de Fares y de Zará, y la madre de estos fue Tamar. Fares fue padre de Esrón; Esrón, padre de Arám; Arám, padre de Aminadab; Aminadab, padre de Naasón; Naasón, padre de Salmón. Salmón fue padre de Booz, y la madre de este fue Rahab. Booz fue padre de Obed, y la madre de este fue Rut. Obed fue padre de Jesé; Jesé, padre del rey David. David fue padre de Salomón, y la madre de este fue la que había sido mujer de Urías. Salomón fue padre de Roboám; Roboám, padre de Abías; Abías, padre de Asá; Asá, padre de Josafat; Josafat, padre de Jorám; Jorám, padre de Ozías. Ozías fue padre de Joatám; Joatám, padre de Acaz; Acaz, padre de Ezequías; Ezequías, padre de Manasés. Manasés fue padre de Amón; Amón, padre de Josías; Josías, padre de Jeconías y de sus hermanos, durante el destierro en Babilonia. Después del destierro en Babilonia: Jeconías fue padre de Salatiel; Salatiel, padre de Zorobabel; Zorobabel, padre de Abiud; Abiud, padre de Eliacím; Eliacím, padre de Azor. Azor fue padre de Sadoc; Sadoc, padre de Aquím; Aquím, padre de Eliud; Eliud, padre de Eleazar; Eleazar, padre de Matán; Matán, padre de Jacob. Jacob fue padre de José, el esposo de María, de la cual nació Jesús, que es llamado Cristo. El total de las generaciones es, por lo tanto: desde Abraham hasta David, catorce generaciones; desde David hasta el destierro en Babilonia, catorce generaciones; desde el destierro en Babilonia hasta Cristo, catorce generaciones. Palabra del Señor

Mt 1,1-17.Genealogía de Jesucristo, hijo de David, hijo de Abraham:Abraham fue padre de Isaac; Isaac, padre de Jacob; Jacob, padre de Judá y de sus hermanos.Judá fue padre de Fares y de Zará, y la madre de estos fue Tamar. Fares fue padre de Esrón;Esrón, padre de Arám; Arám, padre de Aminadab; Aminadab, padre de Naasón; Naasón, padre de Salmón.Salmón fue padre de Booz, y la madre de este fue Rahab. Booz fue padre de Obed, y la madre de este fue Rut. Obed fue padre de Jesé;Jesé, padre del rey David. David fue padre de Salomón, y la madre de este fue la que había sido mujer de Urías.Salomón fue padre de Roboám; Roboám, padre de Abías; Abías, padre de Asá;Asá, padre de Josafat; Josafat, padre de Jorám; Jorám, padre de Ozías.Ozías fue padre de Joatám; Joatám, padre de Acaz; Acaz, padre de Ezequías;Ezequías, padre de Manasés. Manasés fue padre de Amón; Amón, padre de Josías;Josías, padre de Jeconías y de sus hermanos, durante el destierro en Babilonia.Después del destierro en Babilonia: Jeconías fue padre de Salatiel; Salatiel, padre de Zorobabel;Zorobabel, padre de Abiud; Abiud, padre de Eliacím; Eliacím, padre de Azor.Azor fue padre de Sadoc; Sadoc, padre de Aquím; Aquím, padre de Eliud;Eliud, padre de Eleazar; Eleazar, padre de Matán; Matán, padre de Jacob.Jacob fue padre de José, el esposo de María, de la cual nació Jesús, que es llamado Cristo.El total de las generaciones es, por lo tanto: desde Abraham hasta David, catorce generaciones; desde David hasta el destierro en Babilonia, catorce generaciones; desde el destierro en Babilonia hasta Cristo, catorce generaciones.

Adquiere el "LIBRO DE ORACIÓN. Mi día a día con Jesús" en https://sercreyente.com/libros. Con más de 400 páginas, más de 500 oraciones y decenas de ilustraciones. Ve el vídeo en https://youtu.be/_9Z40IqjHj8 ________________ Martes, 17 de diciembre de 2024 Evangelio del día y reflexión... ¡Deja que la Palabra del Señor transforme tu vida! [Mateo 1, 1-17] Libro del origen de Jesucristo, hijo de David, hijo de Abrahán. Abrahán engendró a Isaac, Isaac engendró a Jacob, Jacob engendró a Judá y a sus hermanos. Judá engendró, de Tamar, a Fares y a Zará, Fares engendró a Esrón, Esrón engendró a Arán, Arán engendró a Aminadab, Aminadab engendró a Naasón, Naasón engendró a Salmón, Salmón engendró, de Rajab, a Booz; Booz engendró, de Rut, a Obed; Obed engendró a Jesé, Jesé engendró a David, el rey. David, de la mujer de Urías, engendró a Salomón, Salomón engendró a Roboán, Roboán engendró a Abías, Abías engendró a Asaf, Asaf engendró a Josafat, Josafat engendró a Jorán, Jorán engendró a Ozías, Ozías engendró a Joatán, Joatán engendró a Acaz, Acaz engendró a Ezequías, Ezequías engendró a Manasés, Manasés engendró a Amós, Amós engendró a Josías; Josías engendró a Jeconías y a sus hermanos, cuando el destierro de Babilonia. Después del destierro de Babilonia, Jeconías engendró a Salatiel, Salatiel engendró a Zorobabel, Zorobabel engendró a Abiud, Abiud engendró a Eliaquín, Eliaquín engendró a Azor, Azor engendró a Sadoc, Sadoc engendró a Aquín, Aquín engendró a Eliud, Eliud engendró a Eleazar, Eleazar engendró a Matán, Matán engendró a Jacob; y Jacob engendró a José, el esposo de María, de la cual nació Jesús, llamado Cristo. Así, las generaciones desde Abrahán a David fueron en total catorce; desde David hasta la deportación a Babilonia, catorce; y desde la deportación a Babilonia hasta el Cristo, catorce. ________________ Descárgate la app de SerCreyente en https://sercreyente.com/app/ ¿Conoces nuestra Oración Online? Más información en: https://sercreyente.com/oracion ¿Quieres recibir cada día el Evangelio en tu whatsapp? Alta en: www.sercreyente.com/whatsapp También puedes hacer tu donativo en https://sercreyente.com/ayudanos/ Contacto: info@sercreyente.com

A murder investigation was launched into the death of 60-year-old Invercargill woman Karen Gaylene White last month. Police returned to the murder scene this week, examining it with scientists from ESR. Reporter Tess Brunton spoke to Lisa Owen. 

Episode 180: Pediatric Hip PainFuture Dr. Pena-Brockett explains the differential diagnosis in a 14-year-old patient who has a new onset of left hip pain. Dr. Arreaza adds comments and explains toxic synovitis.  Written by Natalie Pena-Brockett, MSIV, California Health Sciences University. Comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Having a limping kid can be terrifying. Many questions may cross your mind: Is this a permanent damage? What is going on here? Where is the pain located? Do I need to send this child to the hospital? Today, hopefully, we can help you ease some of your fears. Case: This is a 14-year-old boy with no past medical history, no trauma, presents to the family medicine clinic with a complaint of left-sided hip pain. Mom notes that her son has been limping for the last week and complaining of pain in his left hip and knee when he walks. He has never experienced this pain before this week. He does not take any medications. Physical exam: He is afebrile and all of his vitals are within normal limits. On exam, you note that his BMI is at the 90th percentile (overweight), and has an antalgic gait where he is favoring the right side and has tenderness on his left groin. His left foot is turned outward while standing up straight. His left knee has negative findings on specialized tests, but he has restricted movement of the left hip. Discussion: This is a common topic that you will see on board exams or limping into your office. Although pediatric hip pain may seem like a benign musculoskeletal concern, taking the time to take a complete history and perform a thorough physical exam is critical to assess the severity of the patient's concern.Physical Exam for Pediatric Hip Pain.Observation: Every physical exam begins the moment you first see the patient. This allows you to gauge the patient's comfort level, the natural stature, length, and positioning of the patient's extremities, skin changes, gait, and ability to bear weight. Palpation: In medicine, our hands are one of our greatest tools for evaluating patients, especially those with musculoskeletal concerns. This is the time to palpate the area for any tenderness or gross deformities of the pelvis, hip, knee, or leg. Special Tests: In the world of MSK, we have all sorts of tests to evaluate the range of movement of our joints and tendons. When specifically evaluating the hip, the most common are the FABER(flexion, abduction, external rotation),test to assess the sacroiliac joint, Ober's Test to assess the iliotibial band, and Straight Leg Raise to assess for lumbar radiculopathy.Legg-Calve Perthes Disease-Legg-Calve Perthes disease is an idiopathic avascular necrosis of the femoral head. -It is most commonly observed in patients between the ages of 2-12 years and in a higher ratio of males to females 1. -It often manifests as an atraumatic limp with limited movement in abduction and internal rotation. -X-ray imaging may demonstrate a widening of the joint space and sclerosis of the femur, and MRI will confirm osteonecrosis of the femoral head. -Early diagnosis is key to minimizing the risk of developing osteoarthritis of the hip. -The goal of treatment is to maintain the shape of the femoral head and the range of motion of the hip. -The first-line treatment includes managing pain with NSAIDs, limiting weight-bearing activity, and physical therapy for range of motion.-If the disease progresses, bracing and casting can be used to retain the femoral head within the acetabulum to keep the shape and integrity of the femoral head. In more serious cases, a surgical osteotomy may be done to cut and realign the bones. Developmental Dysplasia of the Hip (DDH)-Developmental Dysplasia of the Hip (DDH) is a pediatric condition that results in unilateral or bilateral instability of the hip due to the abnormal development of the acetabulum or femur. -This is most commonly seen in newborns, especially those which develop in a breech position. -These patients often present with a shortened leg or asymmetric gluteal creases and a Trendelenburg gait when walking. -The Trendelenburg gait is an abnormal gait caused by weak hip abductor muscles. The person's trunk shifts over the affected hip during the stance phase of walking and away from it during the swing phase, making it look like the person is missing steps or limping. -On physical exam, hip joint laxity can be evaluated with the Ortolani and Barlow maneuvers to apply pressure to the proximal femur to assess dislocatability of the hip joints. These maneuvers would both be considered positive if a “clunk” is felt over the hip as this means that the hip is dislocated with pressure. Due to the patient's age usually being under 6 months old, ultrasound is the most common imaging modality to confirm the diagnosis, otherwise, an X-ray can be used. -The treatment in patients under 18 months old, a Pavlik Harness is often used to treat patients to maintain the placement of the hip within the acetabulum. -Patients between the ages of 18 months and 9 years old, are most often treated with open or closed reduction of the hip. -There is generally less success in reduction treatment of children older than 9 years old as they have likely developed femoral head deformities and are at greater risk of osteonecrosis. -Children with DDH should continue to be monitored with regular imaging to evaluate for complications. These patients should also be made aware that they are also at increased risk of requiring a hip replacement, especially if their treatment included a reduction. 2Slipped Capital Femoral Epiphysis (SCFE)-Slipped Capital Femoral Epiphysis (SCFE) is one of the most common pediatric hip pathologies in which the capital femoral epiphysis is anterolaterally displaced from the femoral neck. -Although slightly more common in males than females between the ages of 10 to 16, the greatest risk factor for an SCFE is childhood obesity 3. -Common symptoms include an insidious onset of unilateral hip pain and a change in gait due to the displacement of the hip from the acetabulum. In some instances of chronic SCFE, some patients will experience ipsilateral knee pain due to compensation. -A SCFE can be evaluated with an AP radiograph which will demonstrate a widened physis in the early stages or the classic “slipped ice cream cone sign” which is the posterior displacement of the femoral epiphysis. -Management of a SCFE includes limiting weight-bearing activities as well as screw fixation by an orthopedic surgeon to stabilize the hip.Patients should consider pinning the contralateral hip due to increased risk of developing a future SCFE. Early diagnosis is critical as untreated SCFE can lead to osteonecrosis.Osgood-Schlatter-Osgood-Schlatter is a repetitive-use pediatric condition as a result of traction to the growth plate of the tibial tubercle. -This pathology is most common in male children between the ages of 9 to 14 years old 4. -Active athletes or children with rapid growth spurts are at greater risk of developing Osgood-Schlatter than non-active children.-These children often present with an achy knee pain that can lead to a unilateral limping gait.  On physical exam, these patients often have a bony prominence over the tubercle that is tender to palpation with greater tenderness over the patellar tendon. -The knee will have full range of motion and stability, but will likely have a warmth and erythema over the knee.  Imaging of the knees can have nonspecific findings and diagnosis is made clinically. -For management, it is recommended that children continue their regular activities and rest with NSAIDs for pain management as needed 5. Physical therapy can be prescribed to prevent deconditioning as this can result in recurrence or additional injuries.Arreaza: It seems like the pain is more localized to the knee, but it can be referred to the hip. If you have tenderness on the tibial tubercle, you got the diagnosis. Juvenile Idiopathic Arthritis (JIA)-Juvenile Idiopathic Arthritis (JIA) is a systemic rheumatologic condition in children that often presents as a polyarticular pain. The onset of disease is often bimodal with peaks between 2 to 5 years old and 10 to 14 years old. 6-Patients will often complain of minor symmetric joint pain and stiffness until an infection causes an inflammatory reaction that exacerbates the joint pain or can increase joint involvement. Small joints are the most likely to be involved, but hips and knees can also be affected. -Lab evaluation will demonstrate inflammation with an elevated ESR, low hemoglobin, and a positive ANA. -Disease management starts with NSAIDS for pain control and can escalate to immunosuppressive measures for moderate disease7.Toxic Synovitis-Toxic synovitis, also known as transient synovitis, is the leading cause of acute hip pain and limping in children aged 2–12, more commonly affecting boys. -This self-limited inflammatory condition, often confused by its name as "toxic," has no relation to a toxic state. It typically arises after an upper respiratory or other viral infection (e.g., rubella or coxsackie virus).-Children with toxic synovitis may show mild to moderate hip pain, limp, and keep their hip in abduction and external rotation. Movement is usually possible within a limited range, and weight-bearing is often maintained.-Evaluation: A thorough history and physical exam are key, as laboratory tests like CBC, ESR, and CRP are often normal, mainly used to rule out other conditions like septic arthritis. X-rays typically show no abnormalities, although small changes may appear. Ultrasound can help detect joint effusion and rule out septic arthritis if no effusion is present.Arreaza: DDX: DDH, SCFE, Osgood Schlatter, and toxic synovitis.Osteopathic Manipulative Treatment in Pediatric Hip PathologiesSacroiliac Articulatory Technique- this is a technique in which you move the joint into an out of its barrier to reduce restriction and improve movementCounterstrain of Tender points (psoas, piriformis, hip adductors)- in this technique we shorten the muscle to decrease tension.  This allows the muscle to increase blood lymphatic flow to reduce nociceptive and proprioceptive activity of the muscleBalanced Ligamentous Tension of the Innominate- with this technique, we manipulate the joint in a way that moves the ligaments into neutral position so that there is balance in all planes of motion.  The goal is to again release tension within the muscles and the jointClinical Decision Making Now that we have covered the most common differential diagnoses for pediatric hip pain, let's revisit our patient presentation and identify the key characteristics to determine which diagnosis he most likely has.The patient is 14 years old.  This makes DDH and Legg-Calve Perthe less likely, and SCFE more likely.He has been complaining of symptoms for 1 week, which indicates that is not likely a chronic condition. This makes DDH and Osgood-Schlatter less likely.The patient has never experienced joint pain like this before.  This makes JIA, DDH, and Osgood-Schlatter less likely.The patient is overweight. This makes SCFE more likely.The unilateral hip tenderness and no knee pain.      This makes Osgood-Schlatter and JIA less likely.The patient has antalgic gait and limited internal rotation of the foot. This makes Legg-Calve Perthes and SCFE more likely. Now when we take the epidemiological factors, the history of the present illness, and the physical exam findings into account, this patient's presentation best aligns with a SCFE. We would order a bilateral AP and Frog-leg views of the hips. If either imaging shows a widened physis or the classic “ice cream cone sign”, this is when we would start the referral process for an orthopedic surgery consultation for internal fixation. As family medicine physicians, we would give instructions for strict non-weight bearing activities and analgesics or anti-inflammatories for pain management.Keep in mind some of the DDX: Calve Legg-Perthes disease, Developmental Dysplasia of the Hip (DDH), Juvenile Idiopathic Arthritis (JIA), Osgood Schlatter, toxic synovitis, and Slipped Capital Femoral Epiphysis (SCFE). Hopefully, the next time you have a pediatric patient present with a complaint of hip pain, you'll feel more comfortable evaluating and working up the case._________________________This week we thank Hector Arreaza and Natalie Pena-Brockett. Audio editing by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Osteonecrosis of the femoral head / Legg-Calvé-Perthes disease | Time of Care. Accessed October 27, 2024. https://www.timeofcare.com/osteonecrosis-of-the-femoral-head-legg-calve-perthes-disease/Scott EJ, Dolan LA, Weinstein SL. Closed Vs. Open Reduction/Salter Innominate Osteotomy for Developmental Hip Dislocation After Age 18 Months: Comparative Survival at 45-Year Follow-up. J Bone Joint Surg Am. 2020;102(15):1351-1357. doi:10.2106/JBJS.19.01278. https://europepmc.org/article/med/32769602Perry DC, Metcalfe D, Costa ML, Van Staa T. A nationwide cohort study of slipped capital femoral epiphysis. Arch Dis Child. 2017;102(12):1132-1136. doi:10.1136/archdischild-2016-312328. https://pubmed.ncbi.nlm.nih.gov/28663349/Haines M, Pirlo L, Bowles K-A, Williams CM. Describing Frequencies of Lower-Limb Apophyseal Injuries in Children and Adolescents: A Systematic Review. Clin J Sport Med. 2022;32(4):433-439. doi:10.1097/JSM.0000000000000925. https://pubmed.ncbi.nlm.nih.gov/34009802/Wall EJ. Osgood-Schlatter disease: practical treatment for a self-limiting condition. Phys Sportsmed. 1998;26(3):29-34. doi:10.3810/psm.1998.03.802. https://pubmed.ncbi.nlm.nih.gov/20086789/Oberle EJ, Harris JG, Verbsky JW. Polyarticular juvenile idiopathic arthritis - epidemiology and management approaches. Clin Epidemiol. 2014;6:379-393. doi:10.2147/CLEP.S53168. https://pubmed.ncbi.nlm.nih.gov/25368531/Beukelman T, Patkar NM, Saag KG, et al. 2011 American College of Rheumatology recommendations for the treatment of juvenile idiopathic arthritis: initiation and safety monitoring of therapeutic agents for the treatment of arthritis and systemic features. Arthritis Care Res (Hoboken). 2011;63(4):465-482. doi:10.1002/acr.20460. https://pubmed.ncbi.nlm.nih.gov/21452260/Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

The first win of the season is always a sweet one, especially when it comes from the first home outing. Craven Cottage was alive with optimism on Saturday, after goals from new signing Emile Smith Rowe and Alex Iwobi got us over the line against the Foxes. Fulham were the better team throughout the game. This, paired with a "feel good factor" around the club, a brilliant manager, and exciting new signings yet to be fully bedded in, and there are many reasons to be cheerful this week. In part 1 we discuss the game; what ESR is capable of within this Fulham side, the manner in which we conceded, and the midfield conundrum. In part 2 we answer some of your questions. If you enjoy Fulhamish, please consider contributing a small amount monthly to help pay our costs. As a bonus, you receive access to our exclusive Telegram group chats where you can chat with fellow FFC fans and Fulhamish listeners ➼ https://levellr.com/communities/fulhamish GUESTS: George Cooper ➼ https://www.x.com/@GeorgeCoops Avais Malik ➼ https://www.x.com/@Here4TheFulham Cam Ramsey ➼ https://www.x.com/@94CAMRAM Jack Kelly ➼ https://www.x.com/@JackellyFFC Learn more about your ad choices. Visit megaphone.fm/adchoices

"We dreamed of Ream, oh what a guy..." It's a sad day in SW6 as the club parts ways with our very own Captain America, the Cottage Colossus of Tim Ream, whose move to Charlotte was confirmed on Wednesday. There's a little bit of time to pay our tributes to a man who has served Fulham Football Club with distinction over the past nine years, as well as a moment to relive one of the best ever This'll Catch On's in his honour. Before we get to that emotional farewell though, there's a bit of pre-season to discuss too, so Jack and Sammy are joined by Jack Kelly, who has been covering the games in the Algarve, to get his thoughts on the camp as a whole, the two performances against Sevilla and Benfica, and where Fulham are in our preparations for the season beginning in 8 (!!!) days. There's also some transfer talk, including the latest on the André saga, with news coming out of Brazil that Fluminense's willingness to put their star midfielder on the market is growing again, as well as some thoughts on where the squad needs augmenting before the window closes at the end of August. -- 00:00 - Pre-season discussion 14:43 - ESR's best role 36:02 - New away kit 40:38 - Farewell Tim Ream 54:08 - Listener questions -- If you enjoy Fulhamish, please consider contributing a small amount monthly to help pay our costs. As a bonus, you receive access to our exclusive Telegram group chats where you can chat with fellow FFC fans and Fulhamish listeners ➼ https://levellr.com/communities/fulhamish -- GUESTS: Sammy James ➼ https://www.x.com/@MrSammyJames Jack Collins ➼ https://www.x.com/@jackjcollins Jack Kelly ➼ https://www.x.com/@Jackellyffc Learn more about your ad choices. Visit megaphone.fm/adchoices