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Peripheral artery disease has been called the ‘silent circulatory crisis'—affecting millions, limiting mobility, and quietly raising the risk of heart attack, stroke, and limb loss. For decades, treatment focused on walking programs, aspirin, and sometimes a stent or bypass. But today, the landscape is changing. From PCSK9 inhibitors that drive cholesterol to record lows, to GLP-1 agonists like semaglutide improving walking distance, to novel antithrombotic strategies that balance bleeding and clotting—PAD care is entering a new era. In this episode, we'll explore the breakthroughs, the evidence behind them, and what they mean for patients who just want to keep moving forward." Hosted by the University of Michigan Department of Vascular Surgery: - Robert Beaulieu, Program Director - Frank Davis, Assistant Professor of Surgery - Luciano Delbono, PGY-5 House Officer - Andrew Huang, PGY-4 House Officer - Carolyn Judge, PGY-2 House Officer Learning objectives:  1.  Describe the current evidence-based recommendations for multifactorial medical management of peripheral artery disease (PAD), including lipid, glycemic, and antithrombotic strategies per 2024 SVS/AHA guidelines.  2. Interpret the clinical implications of the FOURIER trial regarding the role of PCSK9 inhibition in reducing cardiovascular events in patients with atherosclerotic disease, including PAD.  3.  Evaluate the emerging role of GLP-1 receptor agonists, such as semaglutide, in improving walking performance and quality of life among patients with diabetic PAD based on findings from the STRIDE trial. Sponsor URL: https://www.goremedical.com/ References:  H. L. Gornik et al., “2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS Guideline for the Management of Lower Extremity Peripheral Artery Disease,” JACC, vol. 83, no. 24, pp. 2497–2604, June 2024, doi: 10.1016/j.jacc.2024.02.013. L. Mazzolai et al., “2024 ESC Guidelines for the management of peripheral arterial and aortic diseases: Developed by the task force on the management of peripheral arterial and aortic diseases of the European Society of Cardiology (ESC) Endorsed by the European Association for Cardio-Thoracic Surgery (EACTS), the European Reference Network on Rare Multisystemic Vascular Diseases (VASCERN), and the European Society of Vascular Medicine (ESVM),” Eur Heart J, vol. 45, no. 36, pp. 3538–3700, Sept. 2024, doi: 10.1093/eurheartj/ehae179. https://pubmed.ncbi.nlm.nih.gov/40169145/ M. S. Sabatine et al., “Evolocumab and Clinical Outcomes in Patients with Cardiovascular Disease,” N Engl J Med, vol. 376, no. 18, pp. 1713–1722, May 2017, doi: 10.1056/NEJMoa1615664. https://pubmed.ncbi.nlm.nih.gov/28304224/ M. P. Bonaca et al., “Semaglutide and walking capacity in people with symptomatic peripheral artery disease and type 2 diabetes (STRIDE): a phase 3b, double-blind, randomised, placebo-controlled trial,” Lancet, vol. 405, no. 10489, pp. 1580–1593, May 2025, doi: 10.1016/S0140-6736(25)00509-4. https://pubmed.ncbi.nlm.nih.gov/40169145/ N. E. Hubbard, D. Lim, and K. L. Erickson, “Beef tallow increases the potency of conjugated linoleic acid in the reduction of mouse mammary tumor metastasis,” J Nutr, vol. 136, no. 1, pp. 88–93, Jan. 2006, doi: 10.1093/jn/136.1.88. https://pubmed.ncbi.nlm.nih.gov/16365064/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

The start of a new year often comes with pressure to overhaul everything at once—but health and wellness habits do not work that way. In the final episode of the Habits Series, Lesley Logan breaks down how to choose habits that truly support your future self instead of chasing trends, rules, or social media “shoulds.” She explains why wellness habits must be personal, adaptable, and rooted in how you want to feel—not how you think you should look. This conversation invites you to slow down, remove judgment, and build health habits that actually serve you for the long haul.If you have any questions about this episode or want to get some of the resources we mentioned, head over to LesleyLogan.co/podcast https://lesleylogan.co/podcast/. If you have any comments or questions about the Be It pod shoot us a message at beit@lesleylogan.co mailto:beit@lesleylogan.co. And as always, if you're enjoying the show please share it with someone who you think would enjoy it as well. It is your continued support that will help us continue to help others. Thank you so much! Never miss another show by subscribing at LesleyLogan.co/subscribe https://lesleylogan.co/podcast/#follow-subscribe-free.In this episode you will learn about:Wellness habits should fuel energy hydration and recovery first.Choosing habits based on future you rather than current trends.Why judgment and shame prevent habits from sticking long term.Adding health habits slowly to protect consistency and physical recovery.Replacing outdated habits with supportive routines that fit your life.Episode References/Links:Submit your wins or questions - https://beitpod.com/questions Episode 610: Amy Ledin - https://beitpod.com/ep610Episode 617: Brad Crowell - https://beitpod.com/ep617Episode 601: Rachel Varga - https://beitpod.com/ep601 If you enjoyed this episode, make sure and give us a five star rating and leave us a review on iTunes, Podcast Addict, Podchaser or Castbox. https://lovethepodcast.com/BITYSIDEALS! DEALS! DEALS! DEALS! https://onlinepilatesclasses.com/memberships/perks/#equipmentCheck out all our Preferred Vendors & Special Deals from Clair Sparrow, Sensate, Lyfefuel BeeKeeper's Naturals, Sauna Space, HigherDose, AG1 and ToeSox https://onlinepilatesclasses.com/memberships/perks/#equipmentBe in the know with all the workshops at OPC https://workshops.onlinepilatesclasses.com/lp-workshop-waitlistBe It Till You See It Podcast Survey https://pod.lesleylogan.co/be-it-podcasts-surveyBe a part of Lesley's Pilates Mentorship https://lesleylogan.co/elevate/FREE Ditching Busy Webinar https://ditchingbusy.com/Resources:Watch the Be It Till You See It podcast on YouTube! https://www.youtube.com/channel/UCq08HES7xLMvVa3Fy5DR8-gLesley Logan website https://lesleylogan.co/Be It Till You See It Podcast https://lesleylogan.co/podcast/Online Pilates Classes by Lesley Logan https://onlinepilatesclasses.com/Online Pilates Classes by Lesley Logan on YouTube https://www.youtube.com/channel/UCjogqXLnfyhS5VlU4rdzlnQProfitable Pilates https://profitablepilates.com/about/Follow Us on Social Media:Instagram https://www.instagram.com/lesley.logan/The Be It Till You See It Podcast YouTube channel https://www.youtube.com/channel/UCq08HES7xLMvVa3Fy5DR8-gFacebook https://www.facebook.com/llogan.pilatesLinkedIn https://www.linkedin.com/in/lesley-logan/The OPC YouTube Channel https://www.youtube.com/@OnlinePilatesClasses Episode Transcript:Lesley Logan 0:00  So your health and wellness habits have to be making sure they're fueling you, hydrating you, and giving you time to recover. Lesley Logan 0:05  Welcome to the Be It Till You See It podcast where we talk about taking messy action, knowing that perfect is boring. I'm Lesley Logan, Pilates instructor and fitness business coach. I've trained thousands of people around the world and the number one thing I see stopping people from achieving anything is self-doubt. My friends, action brings clarity and it's the antidote to fear. Each week, my guest will bring bold, executable, intrinsic and targeted steps that you can use to put yourself first and Be It Till You See It. It's a practice, not a perfect. Let's get started. Lesley Logan 0:49  Hi, Be It babe. Welcome back to our bonus episodes on habits. We had some requests on habits, topics around travel habits and traveling, and then also health and wellness habits. And so if you haven't yet listened to all the top tips on how to create habits that actually stick, go listen to episodes one through six. We're actually giving you strategies, and also Amy Ledin and our recap episode, because we talk about the healthy the way that she creates habits too. It's important because you're going to hear sometimes you hear things the same thing I'm saying from someone else, for it to stick, because we all have different words that activate something in us, right? So you don't have to listen to that stuff to actually get them out of this episode. But it does help if we're on the same page of like, how habits are created, it can help that being said, all right, health and wellness habits. And if you have a topic that you're wanting me to do a habits talk on there's a help you need with that. Then send it in to beitpod.com/questions we can add another bonus episode, or I can answer it on a recap episode. You also can send in your wins on how the habits are going that you've been creating. And I am a I I'm kind of obsessed with habits, because habits have created the schedule that allows me to become the person that I'm so desiring to be in every single day. I get closer and closer to being that girl, and I have, that woman, and I have so much more clarity around the leader that I want to be for this business. And that helps me go, okay, well, hold on, what about her? What does she have that I'm not doing yet? And then that helps me create different habits in my day and let go of habits in my day that are no longer serving me, because, you know, guess what? We're all getting older. Can promise you that it doesn't mean we're getting old. I don't even think 100 year old is old, you know, but like, we are getting older. And so as we get older, there's things that we need more of and things that we can use less of, right? Lesley Logan 2:38  And when it comes to the topic of health and wellness, I think there's, I'm not going to go through an exhaustive list, because there'll be things that you think are part of health and wellness that I might not have thought about. But also what I want to make sure of is that, like I'm trying to be cognizant of not saying what a healthy habit is, because there's no such thing. There's just habits that serve you and habits that don't serve you and something that someone might deem as unhealthy habit might actually serve you. And so so it's really important that we like are clear on that, and we're honest about that, and we get some we articulate it for ourselves in a way that doesn't allow judgment and shame, because where judgment and shame are, I promise you know habit that you want to create is there, and I also know that you're not listening to this podcast hoping that you become someone who just judges and shames all the time, like that's not going to be fun, right? Lesley Logan 3:27  Okay, so health and wellness habits are going to be things that have to do with sleep. They're gonna have to be there and be things that have to do with water and fuel intake. They're gonna be things that fall under movement practices, and they'll be things that can even go under skin care, right? Things like that. I am a 42-year-old woman who's turning 43 probably around the series is releasing so there are, there are habits that I have incorporated in the health and wellness category of my life based on perimenopause and how it affects me. And after perimenopause, I will have to review, and maybe even as it goes closer to menopause, review the habits that I have and things that we do and and in the health and wellness category, and not just because of how I want to look, but more importantly, because of how I want to feel. And so before you get into too many details about health and wellness habits, on this topic today, this episode, I do want you to take a moment you can pause if you're thinking of a future you that you're trying to be, what health and wellness habits does she have or he have, or they have? Right? What does a day, a morning, an afternoon, evening, look like for that person, not based on what you think you can do, but what you wish you were doing. What would make you feel good? What makes that person feel good, right? So when you have that, then you can run one of the things that you're like, oh, I'm not doing that, and I want to do that. Okay, then go back through our habits series. And take the proper steps to add that in. But I'll just share, like, when you hit perimenopause and every single thing in your algorithm is telling you all the different things you have to do, and holy moly, will fucking make you crazy. It's like women should be doing creatine. Actually, they should be doing two times the creatine. Oh, the there's people who say Pilates can't do anything for you, but it's good if you do it, but you just have to make sure you're lifting weights. Like, like lifting weights is gonna be too much you can't grow strength from lifting weights, but you have to lift weights. And it's like you, feels like you're a crazy person, right? So first of all, when it comes to health and wellness habits, you have to think about the version of you you're going to become, and how, what do they have? How do you want to and if you don't know what those habits are, because some of us don't know what we don't know. Then, how do you want to feel? How do you want to feel? I can tell you right now, like, I do not want to be 60 years old with the stomach issues that I have when I was a 30. I don't want to be 60 years old with shoulder aches and pains. I don't want to be 60 years old going, oh my God I wonder what it's like to be 40. No, I want to be 60 years old with all the wisdom of being 60 years old, and have the energy to like rock my world, so I can enjoy 80 and then 100 right? So doing the research around like, what I need to be making sure I'm paying attention to now my 40s, because there's, you know, we have the benefit of so many people being in front of us and them saying, okay, if you have done this in your 40s, like, like, all these different things. So when I was adding creatine into my routines, and creatine works for me, and something that does work really well for me, I had to think, okay, well, when am I adding this into my already busy day? So many things I have to do, you know, and some people like you do creatine right after you work out, not necessarily, not if you work out late at night, you don't want to be doing creatine. It'll fuck your sleep up. Okay, so, so when do I need to be doing it? What? What? Where? What is it best to mix with and going back through our habits, stuff that we talked about, the other episodes we have to explore, test, be curious and celebrate what we did, too, until we find a time where we can we have figured out that the best prompt for that habit to happen when it's supposed to happen is there. We've figured it out. So for me, took a while. I was like, oh, maybe I should do the creatine before I work out. So it should be in my afternoon shake. Well, what if I don't have an afternoon shake? Because I actually don't have an afternoon shake every single day. I'm supposed to do double dose of creatine because it will help prevent Alzheimer's. And my goodness, that is something I don't want to have. So for me, I had to explore. Okay, I actually really like it in my morning cup of coffee, I'm gonna do double the dose. So after I put my collagen in, after I put my fiber in, I put my creatine in, and then I celebrate that I did it. And that cup of coffee also helps me celebrate, because it gets that dopamine kick anyways, it's like you're awake. So it really does help. Lesley Logan 7:50  So your health and wellness habits, first, you have to figure out how you want to feel in the future and evaluate based on like what you're doing now, and then start to add it in, one at a time. One at a time I love because it's so easy to go, okay, all right, so I'm finally, this is the day I'm gonna get it together. I'm gonna go for a morning walk, I'm gonna go for an afternoon swim, and then I'm going to do my red lights before, I go to bed, holy moly, that will like, you'll have one or two good days, and then you'll be so sore, and you're gonna fall asleep before that red light gets on, and then you're gonna shame yourself. It's not how it works. Health and wellness habits, especially ones that actually could make your body sore, take you gotta take your time adding those in so that you don't have a day that would actually harm your body to continue on with it. Okay, I'll say that again. You got to take them slow so that you can ease into it, so your body's always feeling good, especially at the beginning. We're trying to create the habit, so you don't have a day where your body feels like shit because of the habit you're trying to create, right? I don't want anyone having a hard time sitting down on a toilet. You know what I mean? Like after about like after a day where you did a leg day and then you can't sit on the toilet. You're not going to have excitement to go to the gym and do arms. It's not going to happen. The other thing about health and wellness habits is that you really do, I think you're know this is going, you really want to evaluate what works for you as between you and your doctor, that is between you and your family, like what what works for you? Because, yeah, they could be people saying you should be doing these, like intermittent fasting. I'm gonna tell you, I tried that. You probably have even heard me on episodes that I tried that, and I did, and I felt good for a little bit, and then I didn't feel good anymore, because skipping breakfast was causing me to not have enough time to get the protein that my body needed, to get the fuel in that my body needed, and so for me, that didn't work. So I'm glad there's tests out there that say it's amazing, and I know it's amazing for people, but it wasn't amazing for me at this place in my life right now that could change in five years. And so that leads us to when it comes to health and wellness, right there is what everyone says we should be doing. And then there's, well, what, how did it make us feel? And does that align with how we want to feel? If it's not, then it doesn't. We have to figure out another way to get that, right? So yes, I have to eat the veggies. I don't like the veggies, but the woman I want to become, well, she probably had some veggies, so I got to find the veggies that's going to work for me, and if I struggle to digest them, or I'm allergic to them, I'm sensitive to them, there has to be another way to get that nutrition in, right? You're seeing that? So we're not going to should on ourselves all the way to health and wellness habits, because it's not going to make you feel good, it's gonna make you shame and judge yourself, and then the habits don't stick. Lesley Logan 10:44  The other thing about health and wellness habits that I just want to, like chat with you about is like, especially in Western society, especially for women over 40 high we grew up on get thinner and thinner and be the thinner and thinner and just thinner, and pluck the brows and be thinner and thinner. And I'm gonna tell you right now, thin doesn't equal healthy. Period. It's just very important that when we come we talk about health and wellness habits that you are understanding and clear based on your hormones and blood tests and other tests in your body, about like, where, what, what is really going on in your body before you make changes to caloric consumption and and that you're, you're you're thinking about these health and wellness habits in a way that actually feels you. So your health and wellness habits should fuel you. They should also hydrate you. They should also make sure that sleep is easy. If you're struggling with sleep, we have to look at the health and wellness habits through the lens that's going to help you sleep. Once we got your sleep down, then we can look at the health and wellness habits and help with the stomach issues you've got. Why did I say sleep first? Because your sleep is part of the healing your body. And if you're not sleeping, you're not producing stomach acid, if you're not producing stomach acid, you're not gonna absorb you're not gonna break down food. You're not gonna absorb food. Okay? So you can obviously, you're welcome to focus on your stomach first, but if it's stressing you out and fucking up your sleep, I recommend you sleep. So your health and wellness habits have to be making sure they're fueling you, hydrating you, and giving you time to recover. If listening to this, you are discovering that, wow, I've had these habits that are no longer serving me. So for example, I used to run every single day, every single day, and I do, like sometimes miss that routine that I have. I live in a place where, like, as I record this, I could run in the morning every single day, but come April, not it's just not how I want to feel. I don't want to feel that hot. I'm already that hot just walking, you know, so, so for me, it changed, like how often I could run. And I will also say that running every day is not serving the other parts of the be it till I see it that I want to have, they're not it's not helping me with the strength that I'm wanting to have, and it's not helping me with the Pilates practice I want to have. So now I run two days a week, and I love it. It's great. I had to unravel the other habit. I had to replace it with something else that I could do, that could fill me up. And it did take time. It took me a long time to figure out, well, what should I do in the morning? You know, should I tried rebounding? And I tried, I tried a few things until I settled in on what I do now.Lesley Logan 13:25  But there is an episode in this series on how to unravel a habit you no longer need, that no longer serves you. And so part of that is figuring out, like, what prompts that habit, okay? Other part is figuring out what's gonna replace that habit, otherwise it becomes a vacuum. So if you are thinking, oh my gosh, as I listen to this, she's telling me, I have to let go of my nightly wine. Actually, that's not up to me. It's really up to you. If it's serving you, if it's bringing down your cortisol and allowing to be present in the family's lives, you have allowed you to connect with them, and your health and your doctor, and all the things you're doing are looking good. Please don't put judgments on yourself, of which there are not right, because what I would hate is for you to take away something that is allowing you to connect with people in this world, and then you take that away, and then you're not doing the connection part that you want. I know someone who's struggles with sleep, and so they are using weed to help them sleep. Well, of course, doctors could say, well, that's a terrible sleep, but she's actually sleeping, right? So now, is that a long term habit we want her to have? Probably not. Is it a long term fix? Absolutely not. If it's helping her get some sleep, until she can start a sleep routine that helps her wind down, get her cortisol levels down, get these other things down, and then she can come off. She can do less a little half of dose, and then a quarter dose, and then, like all that stuff, and then whatever she was doing at night that prompted her to take it that would have to unravel. So instead of just going cold turkey, no, we're not going to do that. Gotta unravel it. And we also have to make sure that we're not letting anyone tell us what's a healthy habit or a health and wellness habit. Because you you have to remember who you're trying to be it till you see and you have to remember how things are serving you, and if you're like, definitely doesn't serve me to drink that wine, because I just shame and judge myself every single night. Okay, great. Let's let it go. But what's the prompt what do we fill it with and are those shame and judgment thoughts in the year and a half, even if you replace it and said I'm just not gonna buy it, I'm just not gonna buy it. I'm gonna sit there and watch Netflix, are you gonna shame and judge yourself about Netflix? So it's really important to me that we get really honest and clear about what we consider a health and wellness habit. We're not using the media, especially social media, to tell us what we need to do. We have an amazing episode with Rachel Varga. We did two episodes with her. So her second episode is all about these tools, these beauty tricks and tools that people say we got to do, you got to do this thing. And I really love that episode because one of the things she said that'd be really helpful for for me, for sleep, was an Epsom salt scrub. Like everyone says, Epsom salt bath, it helps you sleep. I did Epsom salt scrub because of her I do it multiple times a week, and I have the best sleep, right? And so. But it took someone to tell me. It took me exploring. Took me going, okay, the media saying, this is that the best way to do it? Is that going to serve me? And then going through the episodes we talk about, okay, how, what are all the different ways that I could do I could make creatine happen in my day. Okay, what are the easiest ways and the ways I want to try? Okay and then what do I already do in the day that I could add this to without having to start a whole other thing that I have to drink each day? Okay, great. Let's try it. Let's celebrate. Oh, that kept me up at night. Okay, different drink. Okay. How'd that feel? Oh, I have a best day ever. Okay, great. Celebrate. Celebrate. Celebrate. Keep going. Keep going. Evaluate, correct, continue. As long as it works for you, as long as it's serving you. It's a great health and wellness habit, and there are so many. But the important thing is that it's you have to go to the finish line. Where are you trying to go? Who are you trying to become? What are the health and wellness habits that will help you get there? If you are someone who is getting great sleep every night, then we have to look at the health and wellness habits that will help with great sleep, and then we have to evaluate what would serve you best, not just because what the media and studies say, and then we have to add it in to a day that you already have something you're doing, and then we just celebrate that we did it. We'd make it smaller and smaller and smaller until it's easy to do. And then when it's easy to do, it'll be easier to expand on the time. And if you're like, what is she talking about? Then you got to go listen to the other episodes on the series of habits. Lesley Logan 18:02  So if there's a topic that you want us to dive into, if there are habits that you're trying to figure out how to make smaller, if there are habits that you're struggling to add in or unravel, want to hear about them. Send it to the beitpod.com/questions or send in the wins that you're having when it comes to habits that stick and what resonated with you. I want to share that in the FYF episode so you can hear yourself get that shout out and go oh my God, look at the thing that I did. Remind yourself that you did it. And if you're loving these series on topics, on different topics, and how to do them, then I would love to know what other topics you're wanting so we can make sure to include it in the lineup. Thank you so much for listening to the Be It Till You See It Podcast. I'm really proud of what work we're doing and of you for listening to it. And I can't wait to see you become the person that you're truly wanting to be. So until next time, babe, Be It Till You See It. Lesley Logan 18:48  That's all I got for this episode of the Be It Till You See It Podcast. One thing that would help both myself and future listeners is for you to rate the show and leave a review and follow or subscribe for free wherever you listen to your podcast. Also, make sure to introduce yourself over at the Be It Pod on Instagram. I would love to know more about you. Share this episode with whoever you think needs to hear it. Help us and others Be It Till You See It. Have an awesome day. Be It Till You See It is a production of The Bloom Podcast Network. If you want to leave us a message or a question that we might read on another episode, you can text us at +1-310-905-5534 or send a DM on Instagram @BeItPod.Brad Crowell 19:31  It's written, filmed, and recorded by your host, Lesley Logan, and me, Brad Crowell.Lesley Logan 19:36  It is transcribed, produced and edited by the epic team at Disenyo.co.Brad Crowell 19:40  Our theme music is by Ali at Apex Production Music and our branding by designer and artist, Gianfranco Cioffi.Lesley Logan 19:47  Special thanks to Melissa Solomon for creating our visuals.Brad Crowell 19:50  Also to Angelina Herico for adding all of our content to our website. And finally to Meridith Root for keeping us all on point and on time.Transcribed by https://otter.aiSupport this podcast at — https://redcircle.com/be-it-till-you-see-it/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Every year, people make resolutions. We make promises to do more, to try harder, to be better. But most resolutions fade by February because the problem isn't what we're doing; it's how we're doing it. Lasting change doesn't start with new commitments but with honest evaluations.

To become a follower of Jesus, visit: https://MorningMindsetMedia.com/MeetJesus (NOT a Morning Mindset resource) ⇒ TODAY'S DAILY SPONSOR: Today’s daily sponsor is an organization run by my friend, Mike Henry - www.FollowerofOne.org - Marketplace Mission Trips you can be involved in. You can sponsor a daily episode of the Morning Mindset too, by going to https://MorningMindsetMedia.com/DailySponsor ➖➖➖➖➖➖➖➖➖➖ TODAY'S SCRIPTURE: 2 Corinthians 10:5 - We destroy arguments and every lofty opinion raised against the knowledge of God, and take every thought captive to obey Christ, (ESV) ➖➖➖➖➖➖➖➖➖➖ FINANCIALLY SUPPORT THE MORNING MINDSET: (not tax-deductible) -- Become a monthly partner: https://mm-gfk-partners.supercast.com/ -- Support a daily episode: https://MorningMindsetMedia.com/daily-sponsor/ -- Give one-time: https://give.cornerstone.cc/careygreen -- Venmo: @CareyNGreen ➖➖➖➖➖➖➖➖➖➖ FOREIGN LANGUAGE VERSIONS OF THIS PODCAST: SPANISH version: https://MorningMindsetMedia.com/Spanish HINDI version: https://MorningMindsetMedia.com/Hindi CHINESE version: https://MorningMindsetMedia.com/Chinese  ➖➖➖➖➖➖➖➖➖➖ CONTACT: Carey@careygreen.com  ➖➖➖➖➖➖➖➖➖➖ THEME MUSIC: “King’s Trailer” – Creative Commons 0 | Provided by https://freepd.com/ ***All NON-ENGLISH versions of the Morning Mindset are translated using A.I. Dubbing and Translation tools from DubFormer.ai ***All NON-ENGLISH text content (descriptions and titles) are translated using the A.I. functionality of Google Translate.

Strap in and grab your NG tubes, because the EGS team in TIGER Country is taking you on a fast, forceful, and evidence-packed ride through 15 years of global SBO literature. From the OG 2011 Zielinski model to the latest 2025 predictive tools sweeping across Europe and North America, we're breaking down what matters when the bowel stops behaving and the clock starts ticking.  Join Dr. Rushabh Dev and the Acute Care Surgery crew at the University of Missouri as they tackle the most common EGS consult in America with humor, data, and real-world pearls. Get ready for CT red flags, strangulation scores, Gastrografin truths, and the eternal battle between “operate early” vs. “wait it out.” Whether you're a med student trying to decode your first CT or a seasoned attending debating the next Gastrografin challenge, this episode delivers the insights you need to Dominate the Day. Participants: Dr. Rushabh Dev FACS (Moderator, Surgical Attending) – Assistant Professor of Surgery, Associate PD ACS & SCCM Fellowship, SICU Medical Director, Lieutenant Commander United States Navy Reserve   Dr. Raymond Okeke; Acute Care Surgery & SCCM Fellow  Dr. Eugene Ismailov, General Surgery Resident; PGY 5 Dr. Brycen Ratcliffe, General Surgery Resident; PGY 4 Dr. Desra Flecher, General Surgery Resident; PGY 3 Objectives: 1. Identify the core clinical and CT predictors of operative need in SBO including mesenteric edema, free fluid, closed-loop obstruction, lack of enhancement, and feces sign absence — and understand how these features have remained consistent across 15 years of research. 2. Compare major international SBO predictive models (Zielinski, Geneva Severity Score, STRISK, and NOFA) and describe how they inform real-time decision-making in North American acute care surgery. 3. Apply evidence-based algorithms, including the 2025 JTACS EGS pathway to structure SBO evaluation, integrate Water-Soluble Contrast studies, and avoid delayed surgery in high-risk patients. 4. Evaluate the long-term impact of operative vs. non-operative management with emphasis on recurrence risk, timing between episodes, and how to incorporate recurrence data into patient counseling. 5. Synthesize 15 years of evolving SBO literature into practical bedside strategies by balancing red-flag findings, risk-model guidance, and individualized clinical judgment to optimize outcomes. STRISK and NOFA Calculator: Prediction Models | Clinical Abdominal Surgery Helsinki References  1. Geneva Clinical Severity Score Wassmer, C. H., Guber, J., Zeindler, J., Meier, R. P. H., Ouaïssi, M., Ris, F., Morel, P., Didier, C., & Gkikas, I. (2023). A new clinical severity score for the management of adhesive small bowel obstruction: A cohort study. International Journal of Surgery, 109, 262–270. https://pubmed.ncbi.nlm.nih.gov/37026805/ 2. STRISK & NOFA Predictive Models Räty, S., Rinta-Kilpinen, E., Eklund, M., Turunen, N., Koskinen, I., Rasilainen, S., Korhonen, T., & Paajanen, H. (2025). Development and external validation of prediction risk models for strangulation or non-operative treatment failure in small bowel obstruction: A multicenter prospective study. Surgery, 178(1), 45–56. Prediction Models | Clinical Abdominal Surgery Helsinki 3. JTACS EGS Algorithm – Evidence-Based, Cost-Effective Management Livingston, D. H., Wolfson, D., Cogbill, T. H., Rice, T. W., Patel, N., et al. (2025). Evidence-based, cost-effective management of small bowel obstruction: An Emergency General Surgery Algorithms Work Group project. Journal of Trauma and Acute Care Surgery, 98(4), 512–528. https://pubmed.ncbi.nlm.nih.gov/40842046/ 4. Tennessee Recurrence Study (Operative vs Non-Operative Management) Medvecz, A. J., Dennis, B. M., Wang, L., Countouris, M. E., Croce, M. A., Sharpe, J. P., Ivanova, A., & Miller, R. S. (2020). Impact of operative management on recurrence of adhesive small bowel obstruction: A longitudinal analysis of a statewide database. Journal of the American College of Surgeons, 230(4), 544–551.e1. https://pubmed.ncbi.nlm.nih.gov/31954815/ 5. Early Predictive SBO Work – Zielinski (2010–2011) Zielinski, M. D., Eiken, P. W., Bannon, M. P., Heller, S. F., Lohse, C. M., & Huebner, M. (2010). Small bowel obstruction—Who needs an operation? A multivariate prediction model. World Journal of Surgery, 34(5), 910–919. https://pubmed.ncbi.nlm.nih.gov/20217412/ 6. Zielinski, M. D., Haddad, N. N., Cullinane, D. C., Eiken, P. W., & Huebner, M. (2011). Prospective, observational validation of a multivariate small bowel obstruction model to predict the need for operative intervention. Journal of the American College of Surgeons, 212(6), 1068–1076. https://pubmed.ncbi.nlm.nih.gov/21458305/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

SummaryIn this episode of Money Mondays, Benjamin Lee emphasizes the importance of reflecting on financial growth as the year comes to a close. He discusses the concept of measuring backwards to assess accomplishments and areas for improvement in personal finances. Drawing from books like 'The Gap and the Gain' and 'The 15 Invaluable Laws of Growth', he highlights the need for strategic planning and evaluation of financial habits. Lee encourages listeners to take time to review their financial year, identify successes, and develop strategies for the upcoming year.TakeawaysAlways measure backwards to assess your financial growth.Reflection is key to understanding your financial journey.Using budgeting tools like YNAB can enhance financial accountability.Evaluate your financial habits regularly for improvement.Identify what financial strategies worked and which did not.Consider what you need to do more or less of with your money.Develop a mindset focused on growth and improvement.Take time to reminisce about financial successes and challenges.Planning for the future requires understanding the past.Aim for a strategic approach to financial management.Chapters00:00 Reflecting on Financial Growth06:09 Strategies for Financial ImprovementNewsletter and Blogs: https://benjaminlee.blogI Can Do Podcast: https://icandopodcast.comBooks Mentioned: These books are in my personal library. 1. The Gap and the Gain by Dr. Benjamin Hardy and Dan Sullivan https://a.co/d/d5vXXC72. The 15 Laws of Invaluable Growth by John Maxwell https://a.co/d/7wIWbZJ

The crew rings in the New Year with laughs, real talk, and a full reset for 2026. From Unkie's wild coin story (and the infamous “goats” detail) to a heartfelt moment of silence, this episode hits the perfect mix of firehouse humor and purposeful reflection. Then the guys revisit their 2025 “Word of the Year,” share what worked (and what didn't), and lay down their 2026 words with intentions they're ready to live out.Unkie breaks down the coin mishap and the ABH ship firefighter history behind the designNew Year's perspective check: “We're 25 years past Y2K…”

FREE Master Class: The Farm Marketing Fix Sign Up HERE Are you farming without a clear sales goal? In this episode, Charlotte Smith—farm marketing expert and business coach who works with 300+ farmers annually through her Farm Marketing Mastery program—reveals why having a specific revenue target is the difference between a thriving farm and one that struggles to survive. Charlotte walks through her proven goal-setting framework, explaining how to choose your gross sales projection even if you're brand new to farming or unsure what you'll sell. She shares real client success stories, including a farmer who made $100,000 in beef sales in one week and another who generated $2,000 before breakfast from a single email. You'll learn Charlotte's counterintuitive approach to goals: if you don't hit your target, don't lower it—extend the timeline instead. She explains why goal-setting is really about personal transformation and developing the marketing, mindset, and time management skills needed to reach any revenue number. The episode also covers a critical business planning exercise: evaluating what worked and what didn't work on your farm last year. Charlotte shares her own experience letting go of a successful farm camp program and teaches you how to distinguish between ventures worth refining versus those ready to release. Whether your goal is $10,000 or $10 million, this episode gives you the exact planning process Charlotte's clients use to build profitable farms across the country. Click HERE and Let's Meet! Chat with us to see if Farm Marketing Mastery can break you out of marketing misery. Resources & Links Mentioned Training & Programs Farm Marketing Fix (Free January 2026 Training): https://charlottemsmith.com/masterclass Farm Marketing Mastery: https://charlottemsmith.com/mastery Five-Day Launch: Sales strategy taught within Farm Marketing Mastery Key Takeaways Choose a specific gross sales number – Any goal is better than no goal; leaving revenue "up to chance" dramatically increases the likelihood of going out of business. Work backwards from your goal – Break annual targets into quarterly, monthly, weekly, and daily actions. Don't lower goals; extend timelines – If you don't hit $100K in 12 months but reach $65K, keep the $100K goal and extend to 15-18 months. Goal-setting transforms you – The real value is developing skills in marketing, boundary-setting, decision-making, and time management. Evaluate what worked AND what you still want to do – Something can be successful and still be worth letting go (like Charlotte's farm camp). Write it down by hand – Physical planning exercises significantly increase follow-through compared to just thinking about goals.

About the Guest(s):The episode is hosted by Amy Irvine, a financial expert and part of the Money Roots podcast team. Amy Irvine, along with her team, is dedicated to making financial conversations real, relatable, and oriented around personal goals. Although the transcript doesn't detail Amy's professional history, her knowledge and expertise in financial planning and investment strategies are evident throughout the episode. Her commitment to helping listeners understand and manage their finances optimally is demonstrated through her thoughtful advice and insights.Episode Summary:In this insightful episode of the Money Roots podcast, host Amy Irvine walks listeners through essential financial actions to consider before the end of 2025. As the year draws to a close, the episode aims to equip the audience with practical advice to optimize their financial standing and prepare for future growth. Amy covers a breadth of topics, including asset management, tax planning, retirement contributions, and charitable donations, offering a wealth of information to guide listeners through pivotal year-end financial decisions.Throughout the episode, Amy emphasizes the importance of strategically managing assets and debt. She discusses the potential benefits of realizing capital losses to offset gains and highlights how certain mutual funds could impact tax obligations. Capital gain distributions and estimated tax payments are also discussed, providing listeners with key insights on minimizing year-end tax liabilities. Moreover, the host delves into retirement planning strategies, advising on required minimum distributions (RMDs), conversions between traditional and Roth IRAs, and intra-plan conversions within 401(k) plans. Her recommendations aim to maximize retirement savings while minimizing potential tax burdens.Key Takeaways:Realize capital losses to offset gains and consider potential capital gain distributions in taxable accounts.Meet required minimum distributions (RMDs) for both personal and inherited IRAs before year-end to avoid penalties.Evaluate opportunities for Roth conversions and strategic retirement contributions while considering future income levels.Engage in tax planning by capitalizing on qualified charitable donations and understanding adjustments such as IRMAA.Explore financial planning for education through 529 plans and business strategies like the QBI deduction.Notable Quotes:"You can even write off up to $3,000 of ordinary interest if you have a capital loss totaling of 17,000.""Make sure that you take that RMD before the end of the year. RMDs from multiple IRAs can generally be aggregated.""If you are over 70 and a half, you can make what's called a qualified charitable donation from your retirement IRA account.""Using those qualified charitable distributions can be a big help to reduce that adjusted gross income.""Consider the financial aid planning strategies such as reducing income in specific years to increase financial aid packages."Resources:

In this week's Flagship Flashback episode of the Wade Keller Pro Wrestling Podcast from five years ago (12-22-2020), PWTorch editor Wade Keller was joined by Greg Parks, long-time PWTorch Newsletter columnist and host of the “Wrestling Night in America” podcast on the PWTorch Dailycast line-up. They discussed the fallout of The Fiend-Randy Orton fire angle at TLC, possibilities for opponents for Drew McIntyre and Roman Reigns at WrestleMania, possible Royal Rumble winners including favorites and dark horses, comparing the rosters of AEW and NXT, what NXT can do in 2021 to improve viewership relative to Dynamite, the lay of the land for Omega title challengers, the future of the Impact-AEW dynamic, where ROH fits into the landscape, and more.Become a supporter of this podcast: https://www.spreaker.com/podcast/wade-keller-pro-wrestling-podcast--3076978/support.

Before you set another goal for 2026, you need to understand the eating patterns you repeated all year.Today I'm going to teach you…- Why you continue to not hit your eating, health, and weight goals year after year- How to eliminate any shame about where your eating habits are right now- 6 powerful questions to help you learn from your past year of eating

Sharon Karaffa is the President of Multifamily Debt and Structured Finance at Newmark. With over two decades of experience, she's built her career advising on agency lending, capital markets strategy, and multifamily finance. From starting in corporate finance at Fannie Mae to shaping lending strategies during volatile market cycles, Sharon brings a rare lens on long-term trends and real-time insights. She has led teams through critical transitions, including Fannie Mae's restatement period and the public launch of Newmark's multifamily platform, giving her a comprehensive view from both the borrower and lender perspective.     Make sure to download our free guide, 7 Questions Every Passive Investor Should Ask, here.     Key Takeaways How Sharon transitioned into multifamily lending during a corporate finance shake-up at Fannie Mae Why mentorship and sponsorship play a crucial role in long-term success The ongoing conservatorship of Fannie and Freddie—and what it means for agency lending How current interest rate volatility is reshaping investor and lender behavior The role of AI in the future of multifamily debt underwriting     Topics Covered Falling Into Multifamily by Taking a Chance Sharon shares how she unexpectedly landed in multifamily finance after being offered three career tracks at Fannie Mae—and choosing the one she knew the least about. Navigating the Conservatorship Era A look at how Fannie and Freddie's placement under conservatorship in 2008 changed the structure of agency lending, from Treasury sweeps to regulatory capital planning. How Volatility Affects Lending Decisions Sharon explains how rate volatility has impacted investor confidence and what lenders consider when advising clients during market uncertainty. Bridge Loans vs. Agency Debt Sharon breaks down where potential distress may appear in the market and why deals underwritten with aggressive bridge debt may be more vulnerable. Lender Advice: Don't Wait for the 'Perfect Rate' Insight on why now may still be the right time to execute a deal—and how waiting on the sidelines may mean missing key opportunities. Tech and AI in Multifamily Lending Sharon shares how Newmark is experimenting with a proprietary GPT tool for internal underwriting and predictive analytics—and where AI still needs work.    

This Christmas, we did something completely different. Instead of planning our usual year-end reflection, we handed control to AI—specifically ChatGPT—and asked it to curate 15 topics based on who we are, what we've experienced this year, and what needs to be said. The result? Well, you're just gonna have to give it a listen! Join Harmony Slater and Russell Case as they explore the intersection of ancient wisdom and cutting-edge technology through discussions that span quantum consciousness, psychedelic healing, the Ashtanga yoga world's reckoning, and the art of finding beauty in life's broken moments. This isn't your typical year-in-review episode—it's a deep dive into what happens when you let "Gaia Earth Consciousness" (as Russell calls AI) guide a conversation about transformation. What We Explore:

Nick and Jonathan question if the Steelers matchup will be the last opportunity for the Browns to evaluate Shedeur Sanders.

Show SummaryOn today's episode, we're featuring a conversation with Marine Corps Veteran Andy Gasper, CEO and President of Warrior Foundation Freedom Station, a nonprofit organization that has created Freedom Stations, recovery transition centers and housing facilities that provide injured Warriors with the acclimation time, guidance and resources to successfully make the transition from military service to civilian lifeProvide FeedbackAs a dedicated member of the audience, we would like to hear from you about the show. Please take a few minutes to share your thoughts about the show in this short feedback survey. By doing so, you will be entered to receive a signed copy of one of our host's three books on military and veteran mental health. About Today's GuestAndy Gasper is the President and CEO of Warrior Foundation Freedom Station, a nonprofit organization dedicated to supporting wounded, ill, and injured service members as they transition from military service to civilian life. Warrior Foundation Freedom Station provides transitional housing, peer support, mentorship, financial and career guidance, wellness services, and community connection through its Freedom Station residences in San Diego, helping medically retiring warriors prepare for long-term success.Under Andy's leadership, the foundation has expanded its mission to include a structured 18-month transitional housing program that offers wraparound support services designed to empower residents to pursue education, careers, and independent living. The program integrates peer-to-peer support, counseling, mentorship, and practical life guidance to foster meaningful community and improved quality of life for veterans navigating the challenges of recovery and civilian transition.A Marine Corps veteran himself, Andy brings both lived experience and professional commitment to his work, emphasizing the importance of community, dignity, and holistic support for America's warriors. Under his stewardship, Warrior Foundation Freedom Station has opened multiple transitional housing facilities and continues to scale its impact to serve more medically retiring service members and their families.Warrior Foundation Freedom Station supports service members and veterans who are seriously ill or injured, affected by post-traumatic stress or traumatic brain injury, undergoing therapy, or navigating medical retirement and reintegration into civilian life.Links Mentioned During the EpisodeWarrior Foundation WebsiteWarrior Foundation VideoPsychArmor Resource of the WeekThis week's PsychArmor Resource of the Week is The PsychArmor course How to Build a Successful Transition Plan. Join General Peter Chiarelli, United States Army (Ret.), in PsychArmor's course “How to Build a Successful Transition Plan” as he discusses the importance of setting realistic expectations, goal-setting, and flexibility during your transition. You can find the resource here:  https://learn.psycharmor.org/courses/How-to-Build-a-Successful-Transition-Plan Episode Partner: Are you an organization that engages with or supports the military affiliated community? Would you like to partner with an engaged and dynamic audience of like-minded professionals? Reach out to Inquire about Partnership Opportunities Contact Us and Join Us on Social Media Email PsychArmorPsychArmor on XPsychArmor on FacebookPsychArmor on YouTubePsychArmor on LinkedInPsychArmor on InstagramTheme MusicOur theme music Don't Kill the Messenger was written and performed by Navy Veteran Jerry Maniscalco, in cooperation with Operation Encore, a non profit committed to supporting singer/songwriter and musicians across the military and Veteran communities.Producer and Host Duane France is a retired Army Noncommissioned Officer, combat veteran, and clinical mental health counselor for service members, veterans, and their families.  You can find more about the work that he is doing at www.veteranmentalhealth.com  

Economic data, market trends, and retirement planning topics are often discussed without sufficient historical context. In this episode of the Money Matters Podcast, Wes Moss and Jeff Lloyd present an educational discussion that places recent economic releases and market observations within a long-term analytical framework. • Review the latest Consumer Price Index (CPI) release by situating current inflation readings within more than 80 years of historical inflation data. • Examine the historical development of the Federal Reserve's 2% inflation target by comparing it with observed inflation outcomes across multiple economic periods. • Discuss how recent government shutdowns delayed scheduled economic data releases and why temporary reporting gaps can affect short-term market narratives. • Explain commonly referenced employment metrics by outlining the differences between the household survey and the establishment survey used in labor market reporting. • Evaluate the employment-to-population ratio (EPOP), including prime working-age participation, as a frequently cited measure of labor market conditions. • Illustrate how year-over-year and multi-year inflation rates can demonstrate the compounding effect of price changes on purchasing power over time. • Compare historical inflation trends with long-term S&P 500 dividend growth to provide context on income-oriented equity characteristics. • Revisit balanced 60/40 portfolio performance in historical discussions to reinforce diversification as a commonly referenced investment framework. • Place the current bull market within a broader historical context by reviewing average cycle durations and the range of outcomes observed over time. • Observe market behavior following spring volatility, including changes in sector participation within the S&P 500. • Highlight ongoing public discussion around artificial intelligence and its potential role in productivity and efficiency across multiple economic sectors. • Review publicly reported fiscal stimulus expectations, including projected changes to tax refunds in 2026 and their possible macroeconomic implications. • Consider housing and real estate themes for the coming year by outlining economic and demographic factors commonly associated with market activity. • Summarize research-based observations on retiree well-being, including written planning approaches, engagement in meaningful activities, and social connection. For listeners seeking discussion about inflation, employment data, market history, and retirement planning concepts, this episode provides structured context grounded in long-term observations. Listen to the Money Matters Podcast and subscribe to stay informed about highly searched financial topics.

Episode 159: How Veterans Should Evaluate and Negotiate a Job OfferGuest: Dan McCall, Strategic Military Placement RecruiterGetting a job offer is exciting. It's also where a lot of veterans make decisions too quickly or without the full picture.In this episode of the Military Transition Academy Podcast, Vets2PM is joined by Dan McCall, a Strategic Military Placement Recruiter who has coached hundreds of veterans through offer decisions across industries.Dan breaks down what to do before, during, and after a job offer so you can evaluate it with clarity, negotiate with confidence, and close the loop professionally.You'll learn:What veterans should decide before an offer ever arrivesHow to evaluate total compensation, not just base payThe right questions to ask the moment an offer landsWhen and how to negotiate without damaging the relationshipHow to handle tradeoffs like title, pay, start date, and flexibilityWhat it looks like to accept, decline, or pause an offer with integrityHow to avoid burning bridges in a small hiring marketIf you're in the interview stage or expect an offer soon, this episode will help you slow down, think strategically, and make decisions that support your long-term career, not just your next paycheck.Connect with Dan: linkedin.com/in/recruiterdanmccalldm.cohen-partners.com/partners/dan-mccall (Company)Let Vets2PM help you get qualified to apply for future roles: www.vets2pm.com/training

What truly makes a leader stand out—results or relationships? In this episode of Seek Go Create, Tim Winders sits down with Coca Cola alum Preston Poore, who shares his journey from chasing corporate performance to discovering the transformative power of leading with heart. Hear how hard-won lessons, workplace challenges, and spiritual growth shaped his approach to leadership, and why "how" matters even more than "what" you achieve. If you're seeking more meaning and impact in your work, tune in to uncover practical strategies for confident, people-centered leadership."People remember you for how you treated them, not just what you accomplished." - Preston PooreAccess all show and episode resources HEREAbout Our Guest:Preston Poore is a seasoned leadership trainer and author with over two decades of experience leading teams at Fortune 500 companies, including The Coca-Cola Company and Hershey Foods. Known for his results-driven approach and dedication to personal and professional growth, Preston helps leaders transform practical strategies into real-world impact. His expertise stems from a rich background in business management, sales, and corporate training, complemented by a deep commitment to values-based leadership. Preston is recognized for his ability to guide individuals toward confident leadership, integrating both personal development and organizational success.Reasons to Listen:Sure! Here are three compelling reasons to listen to this episode:Discover the powerful shift from prioritizing results to valuing people, and why Preston Poore believes how you lead matters more than what you do.Hear candid stories of transformation—including career stumbles, hard lessons, and moments of vulnerability that ultimately shaped Preston Poore's approach to leadership.Get actionable insights on bridging faith and work, as Tim Winders and Preston Poore unpack how authentic purpose and heart-centered leadership create lasting impact.Episode Resources & Action Steps:Resources Mentioned in the Episode:How is Greater Than What: Master the growth and leadership skill everyone else ignores: Written by Preston Poore, this book provides insights on leadership, focusing on the importance of "how" you lead versus simply "what" you accomplish. Available on Amazon, Kindle, and as an audiobook.Website: prestonpoore.com Preston Poore's personal website offers articles, resources, information about his books, and access to his leadership content.Podcast: P Cubed Hosted by Preston Poore, this podcast dives into leadership lessons and personal growth strategies.Action Steps for Listeners:Reflect and Reset Your Leadership Priorities: Consider placing "how" you achieve results above just "what" you accomplish in your professional and personal life. Evaluate how you treat people and the impact you leave behind.

Nick and Jonathan discuss Shedeur Sanders' supporting cast. Also, they talk about the Browns' decision-making on Kevin Stefanski.

Nick and Jonathan share their takeaways from their conversation with Ross Tucker and debate whether or not we can make a fair evaluation on Shedeur Sanders based on what we've seen from him this season.

Tyvis Powll joined the mid-day show to discuss the Browns loss and where they are as a franchise. With Andrew Berry potentially on the hot seat and draft possibilities, the question occurs -- Do you even trust the front office to evaluate a QB?

Most business plans fail before the first meeting because they use last year's results to decide what is possible next.   Sarah sits down with Debbie King, business strategist, executive coach, and author of Loving Your Business, about future self business planning as a more effective approach to strategic planning for entrepreneurs who want to learn how to stop letting past results limit your future business growth. Debbie questions the habit of treating prior performance as a ceiling and invites a different starting point for planning that begins with identity, belief, and vision. If your current results reflect who you have been, what changes when you plan from who you are becoming?   The discussion turns to the quiet beliefs leaders carry about themselves, their teams, their market, and their offer, and how those beliefs shape decisions long before strategy enters the room. Which assumptions feel true simply because they are familiar? What might open up if you challenged them before pulling your team into the process? Debbie introduces the “How can we?” framework as a way to create forward motion without waiting for certainty, and the episode offers a grounded reset for entrepreneurs who want their 2026 planning to feel clear, focused, and genuinely expansive.   Episode Breakdown: 00:00 Future Self Business Planning for 2026 03:02 Why Past Results Limit Future Business Growth 09:01 How Beliefs Shape Business Results 17:57 Strategic Planning Begins With Inner Work 26:58 The “How Can We” Framework for Expansion 44:09 Decide, Act, Evaluate, Iterate Connect with Debbie King: Visit the Loving Your Business website Connect with Debbie on LinkedIn   Connect with Sarah Lockwood: Visit HiveCast Connect with Sarah on LinkedIn   Connect with The Conscious Entrepreneur: Visit The Conscious Entrepreneur website  Follow The Conscious Entrepreneur on LinkedIn Follow The Conscious Entrepreneur on Instagram  Subscribe to The Conscious Entrepreneur on YouTube   HiveCast.fm is a proud sponsor of The Conscious Entrepreneur Podcast. Podcast production and show notes provided by HiveCast.fm

ONCE UPON A TOME: A MISSION TO EVALUATE A REMOTE LIBRARY Colleague Oliver Darkshire. Guest Oliver Darkshire discusses his memoir, Once Upon a Tome, recounting a "mission" to a remote house to evaluate a library. After a difficult trek through woods, he discovered moldy French texts he couldn't read and sinister spiritual works on exorcism. He also introduces Sotheran's hidden London location. NUMBER 1 1913 Cotswolds

In this episode, Claire Souch is joined by Tom Philp, CEO of Maximum Information; James Lay, AVP of Product Management at Verisk; and Stephen Martin, Head of Catastrophe Modelling at Westfield Specialty, for a timely discussion on the future of catastrophe model evaluation, and why it's no longer enough to simply trust what's in the black box. As new specialist model vendors emerge and market expectations evolve, the panel unpacks a growing demand for transparency, interoperability and smarter ways to adopt models that fit real-world portfolios. At the heart of the conversation is a shared belief: the industry doesn't just need more models, it needs better ways to evaluate and use them. In this conversation, they explore: Why traditional model validation no longer meets the needs of modern risk teams The shift from 'black box' outputs to meaningful model evaluation that supports business decisions How tools from Maximum Information and Verisk's Model Exchange reduce the burden on small or lean teams The role of Oasis as a framework for opening up access across multiple model vendors Why standardisation and open data formats are essential for meaningful interoperability The growing role of niche vendors in reshaping perceptions of model transparency How automation is changing the regulatory and investor reporting game Why this is more than a tech upgrade—it's a cultural reset in catastrophe modelling Sign up to the InsTech newsletter for a fresh view on the world every Wednesday morning.

Nick and Jonathan talk about the use of EPA when it comes to evaluating the Browns rookie quarterbacks and if it's maybe being relied on a bit too much.

Have you moved beyond the initial steps of your caregiving journey and now find yourself needing to take more control while your loved one still believes they can do most things independently? Are you noticing that simple tasks are becoming increasingly challenging for them, yet they resist your help? You're not alone! You've entered what we call the “messy middle” stage of your caregiving journey. We created for you the comprehensive, 20-step caregiving journey roadmap guide, Navigating Dementia Caregiving Roadmap Connect with us and share your tips: Website: https://thecaregiversjourney.org/Donate: https://give.cornerstone.cc/thecaregiversjourneyInstagram: https://www.instagram.com/thecaregiversjourney/Facebook: https://www.facebook.com/thecaregiversjourneys/Linkedin: https://www.linkedin.com/in/suearmstrongryan/, https://www.linkedin.com/in/nancytreaster/Email: sue@thecaregiversjourney.org, nancy@thecaregiversjourney.org Full Show Notes Additional Resources Mentioned Messy Middle First Steps - You recognize it's time to assert more control  11. Focus on safety.  Listen to these podcasts or read these blogs.Home Alone - Hear about the deal breakers for living home alone:21 minute TCJ podcast: 6. Home AloneTCJ blog: 6. Home Alone.Medication - Understand strategies to safely manage medication:20 minute TCJ podcast: 20. Medication ManagementTCJ blog: 20. Medication Management.Home Safety - Find approaches to the basics of home safety:25 minute TCJ podcast: 7. Home Safety TCJ blog: 7. Home SafetyWandering - Learn ways to manage three types of wandering: outside, inside and during the night.20 minute TCJ podcast: 4. Wandering TCJ blog: 4. Wandering. 12. Continue to prioritize your self-care.  Understand how to approach the realities of self-care:23 minute TCJ podcast: 27. The Realities of Caregiver Self-CareTCJ blog: 27. The Reality of Caregiver Self-Care. 13. Educate yourself on activities of daily living (ADLs). Prepare for changes in your loved ones ability to manage their ADLs.Listen to these podcasts or read these blogs on activities of daily living:26 minute TCJ podcast: 9. Preparing for Incontinence TCJ blog: 9. Preparing for Incontinence21 minute TCJ podcast: 14. Bathing and DressingTCJ blog: 14. Bathing and Dressing21 minute TCJ podcast: 15. Personal Care e.g. brushing teeth, trimming hair TCJ blog: 15. Personal Care21 minute TCJ podcast: 16. Eating and Drinking TCJ blog: 16. Eating and Drinking. 14.Create a Care Plan - at minimum a Family Emergency Plan. 25 minute TCJ podcast: 33. How to Create a Care Plan TCJ blog: 33. Creating a Care Plan. Messy Middle - Continued Second Steps - It's time for more support 15. Start or increase leveraging dementia/adult day programs.  Community resource finder: Select Community Services and choose Adult Day Centers for your search. 16. Start thinking about professional help. Educate yourself: Evaluate continuing care communities (even if you never plan to use one) just in case.33 minute TCJ podcast: 28. Home and Community Living Options TCJ blog: 28. Home and Community Living Options.Understand the types of paid caregivers:26 minute TCJ podcast: 32. Hiring a Paid Caregiver TCJ blog: 32. Hiring a Paid Caregiver.Find an organization to help. Search online: ‘Senior Care Advisor' + ‘your area'.Look for options yourself. Go to the Community Resource Finder sponsored by the Alzheimer's Association and AARP. 17. Continue your education. Take the Savvy Caregiver Advanced training (this can be taken in-person or virtually).Delusions:38 minute TCJ podcast: 23. DelusionsTCJ blog: 23. Delusions.Incontinence:26 minute TCJ podcast: 10. Incontinence Begins TCJ blog: 10. Incontinence Begins. Support the nonprofit The Caregiver's Journey: https://give.cornerstone.cc/thecaregiversjourney

Have you completed the first six essential steps of the comprehensive 20-step caregiving journey roadmap guide Navigating Dementia Caregiving: Your Resource Roadmap for Every Stage? Are ready to take on more? Do you find yourself wanting to learn faster and more easily than trying to figure everything out on your own? If you answered ‘Yes', you're in the right place for the next phase of the dementia “In the Beginning” journey. We are Sue Ryan and Nancy Treaster. As caregivers for our loved ones with Alzheimer's and other types of dementia, we've learned that building knowledge, and preparing for progression, are crucial for sustainable caregiving. We recently talked with Jenny Gay, licensed clinical social worker with Emory Integrated Memory Care, about our comprehensive 20-step caregiving journey roadmap guide: Navigating Dementia Caregiving Roadmap. In this podcast, we're sharing steps 7–10. Connect with us and share your tips: Website: https://thecaregiversjourney.org/Donate: https://give.cornerstone.cc/thecaregiversjourneyInstagram: https://www.instagram.com/thecaregiversjourney/Facebook: https://www.facebook.com/thecaregiversjourneys/Linkedin: https://www.linkedin.com/in/suearmstrongryan/, https://www.linkedin.com/in/nancytreaster/Email: sue@thecaregiversjourney.org, nancy@thecaregiversjourney.org Full Show Notes https://thecaregiversjourney.org/44-navigating-dementia-caregiving-roadmap-in-the-beginning-steps-7-10-alzheimers-and-other-dementias/ Additional Resources Mentioned Navigating Dementia Caregiving Roadmap Guide In the Beginning - continued Next Steps - You are ready for more  7. Continue your education: Take the Savvy Caregiver course in person or online.Read this magazine:  Mayo Clinic Living with dementia: A guide to caregiving and support. Find and take a virtual dementia tour near you. In the United States, in your search engine, type ‘virtual dementia tour' + 'your state'. For example: ‘virtual dementia tour Florida' or, outside the US, replace your state with your country. 8. Start planning for the next stage of care. Build your personal support network:21 minute TCJ podcast: 40. Create Your Personal Support NetworkTCJ blog: 40. Create Your Personal Support Network.Find and try a memory cafe (Caregivers and care receivers go together).Investigate dementia day centers (also known as adult day centers that include dementia care programs) for your care receiver. Community resource finder: Select Community Services and choose Adult Day Centers for your search.Ask your loved one's medical team for a home safety assessment.The goal is to have someone evaluate your home for safety and dementia care needs. This is usually available through palliative care, GUIDE program, or an order from a physician.You can get a free assessment from social services with this order, or you can pay for an independent assessment from a private organization. 9. Investigate your local government community support:  In the US, contact your local Area Agency on Aging. Search for yours at Eldercare.acl.gov or call 1-800-677-1116.Call and set up a screening for eligibility:They will point you to any free government services where you are eligible. Be sure to find out if you are eligible to get paid to be a caregiver.  10. Evaluate driving risks.  Some US states have specific requirements for individuals with dementia to report their diagnosis and potentially undergo driving evaluations. Listen to this podcast or read this blog:21 minute TCJ podcast: 5. Taking Away the KeysTCJ blog: 5. Taking Away the Keys.  Support the nonprofit The Caregiver's Journey: https://give.cornerstone.cc/thecaregiversjourney Takeaways The Three Stages of the Dementia Caregiving Journey 1. In the Beginning - Your loved one receives a diagnosis.  2. The Messy Middle - You begin asserting control; this is when it gets messy! 3. Later On - You are managing all aspects of their care. 

Leila Rahimi and Marshall Harris opened their show by reacting to the news that the Bears are exploring northwest Indiana as a potential site to build a new stadium. Are the Bears serious or simply trying to create leverage? After that, they opened up the phone lines for Score callers to share their thoughts on the topic.

Leila Rahimi and Marshall Harris reacted to the news that the Bears are exploring northwest Indiana as a potential site to build a new stadium. Are the Bears serious or simply trying to create leverage?

Looking for an educational overview of today's most commonly searched retirement planning topics? In this episode of the Retire Sooner Podcast, Wes Moss and Christa DiBiase provide context around retirement income planning, tax considerations, and widely referenced financial frameworks, helping listeners better understand how these concepts are typically discussed. • Review how Roth IRA conversions are generally evaluated and why converting an entire retirement account balance in a single tax year can materially affect taxable income calculations. • Explain how marginal tax brackets apply to large conversions and why simplified terms like “tax bomb” may not fully reflect how tax liability is determined. • Highlight considerations associated with forgotten or inactive 401(k) accounts and why consolidation is often discussed from an organizational or administrative perspective. • Examine how withdrawal flexibility prior to Social Security eligibility is commonly framed when discussing early-retirement income planning. • Outline factors frequently reviewed when evaluating whether life insurance coverage remains appropriate as family and financial circumstances change. • Clarify how Secure 2.0 legislation outlines limited 529 plan–to–Roth IRA rollovers, including applicable statutory rules, eligibility criteria, and contribution constraints. • Compare the traditionally cited 4% withdrawal framework with alternative retirement income scenarios that include pensions or guaranteed fixed-rate income sources. • Discuss how “dry powder” reserves are often described using bond ETFs or money market ladders within retirement planning conversations. • Evaluate the role small- and mid-capitalization stocks may play alongside large-cap equities within diversified, long-term portfolio discussions. • Reframe home value benchmarks in an inflationary environment while noting why mortgage status is often considered when assessing retirement readiness. Listen and subscribe to the Retire Sooner Podcast for ongoing discussions that explore retirement planning concepts, market context, and long-term financial considerations. Learn more about your ad choices. Visit megaphone.fm/adchoices

Mark Clifton and Mark Hallock talk about how to leave a church well—in a way that honors Christ, loves His people, and protects your own spiritual health. Drawing from H.B. Charles Jr.'s article, “When It's Time to Leave a Church,” they walk through practical steps for transitioning from one church to another with humility and integrity. In this episode, they unpack 7 ways to leave a church in a healthy, biblical way: 1. Pray Seek the Lord earnestly before making any decisions. Ask for wisdom, clarity, and a heart that desires God's glory above your preferences. 2. Examine your motives Be honest about why you want to leave. Evaluate whether your reasons are rooted in conviction, calling, or frustration and hurt. 3. Review the commitments you've made Remember membership vows, ministry roles, and responsibilities. Think carefully about how to finish well and hand off your areas of service. 4. Deal with unresolved interpersonal conflict Don't use a church transfer to avoid biblical reconciliation. Whenever possible, seek peace, forgiveness, and restored relationships before you go. 5. Consider how your departure will affect others Reflect on how your decision impacts your family, friends, small group, and church leaders. Aim to leave in a way that builds up the church rather than causing division or confusion. 6. Know where you're going before you leave Don't drift into churchlessness. Identify another faithful, gospel-preaching church where you can plug in, submit to leadership, and serve. 7. Have an honest exit conversation with your pastor Meet with your pastor or elders to share your decision respectfully. Express gratitude, share concerns graciously, and invite them to pray for you as you transition. This episode is especially helpful for: Believers wondering how to leave a church well Members processing a potential church transition Pastors and leaders shepherding people through church moves Resources Mentioned in This Episode: “When It's Time to Leave a Church” by HB Charles Listen in for pastoral, practical guidance on leaving a church biblically, guarding unity, and honoring Christ and His bride even in seasons of transition.

Do you want to work fewer hours each week? We can get you on track to make it happen! Take charge now and plan ahead for a healthier, happier 2026 as a business owner. When you join our Better Business Better Life program, our guarantee to you is that you will shave 10 hours off your workweek, go home at a set time each day to be fully unplugged and present with your family, and take your weekends off. We guarantee all of these things to happen within the first 30 days of our program! If you want 2026 to be a better year than 2025, book a call with us today! Let's jump into Part 2 of our Strategic Planning Series. We are outlining the structure, tools, and techniques to guide your success. Grab your Strategic Planning Workbook and your Annual Business Planner (available here!), and join us to design more intentionally for 2026!Profit by Design is a Tap the Potential production. Show Highlights:Circumstances change; your mindset is the key to success!Mere survival action will put you right back where you are a year from now. Evaluate your Wheel of Life and your levels of satisfaction.Identify your immutable laws by using powerful questions.Two key aspects of your business: Identify the sweet spot of your business and plan your profitability for the next year.What profit and owner's pay are hiding in plain sight in your business right now?Your opportunity to reach out for help is NOW!Dr. Sabrina's instructions for using the Strategic Planning Workbook for its greatest potential, along with the Annual Business PlannerEnvision the life you can look forward to in 2026!Resources:Download your Strategic Planning Workbook and Annual Business Planner now! Click here.Ready to take your life back from your business? Want more time for what matters most and more money in your bank account than ever? Book a call with us today! Master your time and profit! Give us 20 minutes of your time, take the Better Business Better Life Assessment, and receive a free paperback copy of my book, The 4 Week Vacation®️.Join the Tap the Potential Community on Mighty Networks: www.tapthepotential.com/group Mentioned in this episode:Better Business Better Life!Working harder and not getting paid? Feeling behind? Is your family tired of you being too busy to spend time with them? You deserve better! With Tap the Potential, we'll show you exactly what to prioritize in your business to finally take your life back without sacrificing growth. 95% of our clients achieve our promised result of more time for what matters most and more money in your bank account than ever. You can have this. Join us inside the Better Business, Better Life Program. Go to http://TapThePotential.com and book your call today!

San Jose Sharks play-by-play voice Randy Hahn joins Papa & Silver to evaluate the surge of the San Jose Sharks after their 0-3-2 start and why Macklin Celebrini deserves to be on Team Canada at the OlympicsSee omnystudio.com/listener for privacy information.

Insurance can be frustrating to figure out on your own. In this episode, Kirk Behrendt brings back Shelley DeGroff, founder of PPO Advisors, to decode some of the biggest changes in the PPO world and share two things you need to do to improve your reimbursements in the upcoming year. To stay up to date with PPO changes and prevent future revenue loss, listen to Episode 983 of The Best Practices Show!Learn More About Shelley:Send Shelley an email: shelley@ppoadvisors.com Join PPO Advisors on Facebook: https://www.facebook.com/PPOAdvisorsLLCLearn more about PPO Advisors: https://ppoadvisors.comMention this episode or visit this link to receive $500 off your analysis fee: https://learn.ppoadvisors.com/promoMore Helpful Links for a Better Practice & a Better Life:Subscribe to The Best Practices Show: https://the-best-practices-show.captivate.fm/listenJoin The Best Practices Association: https://www.actdental.com/bpaDownload ACT's BPA app on the Apple App Store: https://apps.apple.com/us/app/best-practices-association/id6738960360Download ACT's BPA app on the Google Play Store: https://play.google.com/store/apps/details?id=com.actdental.join&hl=en_USJoin ACT's To The Top Study Club: https://www.actdental.com/tttGet The Best Practices Magazine for free: https://www.actdental.com/magazinePlease leave us a review on the podcast: https://podcasts.apple.com/us/podcast/the-best-practices-show-with-kirk-behrendt/id1223838218Episode Resources:Watch the video version of Episode 983: https://www.youtube.com/@actdental/videosWatch Episode 954 with Shelley DeGroff: https://www.youtube.com/watch?v=ZjJ6cLq_k50Main Takeaways:Stay on top of your EOBs by auditing them regularly.Evaluate your master fee to ensure you're paid what you're owed.Learn what stacking order means and how it can affect your practice.Opt-outs are not automatic! Be proactive so they are processed correctly.You don't need to be 100% PPO or 100% fee-for-service. Have a healthy mix.Don't get complacent or comfortable. Understand the contracts you're agreeing to.Snippets:0:00 Introduction.1:16 Shelley's background.2:10 A refresher on important PPO changes.7:15 Audit your EOBs regularly.10:23 Master fee, explained.17:29 Stacking order, explained.20:55 How PPO...

MIBC Treatment Landscape Host: Mark L. Gonzalgo, MD, PhD, MBA Guest: Jen-Jane Liu, MD, FACS CME Available: auau.auanet.org/node/44077 ACKNOWLEDGEMENTS: Support provided by independent educational grants from: AstraZeneca Johnson & Johnson LEARNING OBJECTIVES: At the conclusion of this activity, participants will be able to: 1. Integrate immunotherapy and targeted therapy into the multimodal management of MIBC, selecting appropriate regimens and sequencing strategies based on current guidelines, clinical trial data, and patient-specific factors. 2. Evaluate the clinical role, mechanisms of action, and evidence base for targeted therapies in MIBC, including biomarker-driven selection to support personalized treatment planning. 3. Develop and apply practical approaches for preventing, monitoring, and managing immune-related adverse events and other toxicities associated with immunotherapy and targeted therapy to optimize patient safety, adherence, and quality of life.

In this episode, The Annuity Man discussed:  Seeing through product-driven Roth pitches Recognizing political risk in long-term tax planning Keeping conversions separate from annuity products Avoiding shiny-object sales tactics   Key Takeaways:  Treat Roth conversions as tax decisions rather than annuity strategies. Rely on math and tax guidance instead of sales-driven framing. Understand that tax-free structures like Roths can face future policy shifts. Plan with awareness that political changes may affect long-term assumptions. Run conversion numbers independently of any annuity recommendation. Evaluate tax impact, break-even timing, and personal comfort before acting. Watch for bonuses, churning, and pressure to "flip" existing annuities. Focus on guarantees, documentation, and advice from qualified tax professionals.   "You should never do a Roth conversion without talking to a Certified Financial Planner, a CPA, or tax lawyer. Period." —  Stan The Annuity Man   Connect with The Annuity Man:  Website: http://theannuityman.com/  Email: Stan@TheAnnuityMan.com  Book: Owner's Manuals: https://www.stantheannuityman.com/how-do-annuities-work YouTube: https://www.youtube.com/channel/UCCXKKxvVslbeGAlEc5sra2g  Get a Quote Today: https://www.stantheannuityman.com/annuity-calculator! 

San Jose Sharks play-by-play voice Randy Hahn joins Papa & Silver to evaluate the surge of the San Jose Sharks after their 0-3-2 start and why Macklin Celebrini deserves to be on Team Canada at the OlympicsSee omnystudio.com/listener for privacy information.

This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You're an institution. Time to invest like one.—-----------------------------What if planning wasn't about rigid to-do lists… but about carving out time for surfing with your kids, date nights, and saying “no” to overwhelm?In this practical episode, Dr. Bradley Block sits with Dr. Sarah Hart-Unger to explore her simple system for goal-setting and life management. Sarah reveals how she evolved from a time-strapped resident to a mom of three who balances medicine, podcasts, and adventure. Dive into yearly visioning (e.g., “What do I really want?”), quarterly goals, monthly calendars, and daily rituals that prevent fires from derailing your dreams. She shares pitfalls like neglecting partner time, the power of friend spreadsheets, and why spontaneity thrives on structure. Drawing from her book, “Best Laid Plans“ and courses, Sarah proves planning is the “knife-sharpening” for a delicious life—efficient, fun, and regret-free.If your to-do list runs you instead of the other way around, this is your blueprint to reclaim balance and build memories that matter.Three Actionable Takeaways:Start with yearly visioning: Dedicate hours annually to brainstorm big dreams (e.g., surfing with kids). List audacious goals, then revisit seasonally. Break into quarterly milestones like booking a trip, to keep them alive. This ensures daily life aligns with what excites you, turning “someday” into reality without overwhelm.Master task management: Use a “brain dump” to capture everything, then categorize into urgent vs. important. Schedule non-negotiables first (e.g., dates, friends), block deep work, and review weekly. Embrace tools like digital calendars or spreadsheets to track progress, preventing fires while creating space for spontaneity and joy.Evaluate opportunities thoughtfully: Before saying yes, scan your calendar for fit. Consider energy, family, and fun. Phases matter: Early career? Take more risks. With kids? Be selective. Prioritize relationships (e.g., friend tiers, date nights) to avoid regrets. Planning sharpens life like a chef's knife—efficient and delicious.About the Show:Succeed In Medicine  covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school!About the Guest: Dr. Sarah Hart-Unger is a practicing physician, podcaster, and planning expert who honed her methods during residency and motherhood. Creator of Best Laid Plans Academy with over 100 graduates, she hosts the podcasts Best Laid Plans (solo on planning) and Best of Both Worlds (co-hosted with Laura Vanderkam on work-life fit). Her new book, Best Laid Plans: A Simple Planning System for Living a Life That You Love, offers modern tools for busy lives, balancing medicine, family, and fun.Connect with Dr. Sarah Hart-Unger:Book: Best Laid Plans (available mid-December at major retailers)Podcasts: Best Laid Plans; Best of Both WorldsWebsite: theshubox.com (for courses, blog, and more)About the Host:Dr. Bradley Block – Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts Succeed In Medicine podcast, focusing on personal and professional development for physiciansWant to be a guest?Email Brad at brad@physiciansguidetodoctoring.com  or visit www.physiciansguidetodoctoring.com to learn more!Socials:@physiciansguidetodoctoring on Facebook@physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Disclaimer: This is a sponsored episode. Not advice. Educational purposes only. Not an endorsement for or against. Results not vetted. Views of the guests do not represent those of the host or show. ✅ Private real estate investing is becoming a powerful path for accredited investors seeking stable, tax-efficient returns—and in this episode, Jonathan Spitz of Lightstone shares how it works and what to expect heading into 2026.Whether you're a physician looking for passive income real estate opportunities or a high-net-worth individual exploring alternative investments, this video offers clarity, direction, and expert insights. Jonathan Spitz explains Lightstone's vertically integrated approach, their alignment as a family office, and the value-add real estate strategies that make private markets attractive in a high-interest rate environment.Multifamily real estate, industrial real estate investing, and tax-efficient investing are all covered here—along with how to evaluate deals, co-investment structures, and how Lightstone Capital has navigated multiple cycles to stay resilient.If you've been searching for:How to protect your wealth through private equity real estateWhere to invest for high yield real estate investing without public market volatilityWhether now is the right time to invest in accredited investor opportunitiesAnd how to make smart moves in the real estate investment 2026 landscape...

In the postgame edition of the Orange and Brown Talk Podcast, Mary Kay Cabot Ashley Bastock and Dan Labbe break down the Browns' 31-3 loss to the Chicago Bears. They dive into the performance of rookie quarterback Shedeur Sanders, who had a rough outing with three interceptions after a standout game the previous week. They analyze the extenuating circumstances, including a depleted offensive line, key injuries and a critical dropped pass by Jerry Jeudy that resulted in an interception, questioning how the front office can properly evaluate him. The discussion then broadens to the team's overall execution, highlighting the chaotic nature of the game, repeated special teams blunders and procedural mistakes. This leads to a critical conversation about head coach Kevin Stefanski's job security and whether he is giving the front office reasons to make a change. The episode also examines the perplexing season of Jeudy, contrasting his struggles this year with his Pro Bowl performance last season. Follow us: On X: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/orangebrowntalk⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ YouTube: h⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ttps://www.youtube.com/@ClevelandBrownsonclevelandcom⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/orangeandbrowntalk/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Music credits: Ice Flow by Kevin MacLeod Link: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://incompetech.filmmusic.io/song/3898-ice-flow⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ License: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://filmmusic.io/standard-license⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Send us a textJoin us with a hot drink and a mince pie as we evaluate the 2025 growing season.  in this episode, we sit by the fire and talk about our happiest memories from this year, before we dream of the growing season to come.The Growing Up Podcast is proudly sponsored by the amazing First Tunnels. We are big believers in the benefits of growing in a polytunnel and genuinely believe in the quality of the products that First Tunnels supply. Check out the link below to order your own tunnel. If you would like honest advice before making your purchase please don't hesitate to reach out to us!Check them out here➡️ https://rb.gy/55t356

During the 3pm hour of today's show Chuck & Chernoff talked about the Faclons comeback win over the Bucs before Reading with Rah. Then the guys talked Braves, free agency, MLB Winter meeting and the fact that the Falcons are going to evaluate everything after the season before being joined by Brooks Austin to talk all things Georgia and College Football. See omnystudio.com/listener for privacy information.

In this week's Flagship Flashback episode of the Wade Keller Pro Wrestling Podcast from five years ago (12-8-2020), PWTorch editor Wade Keller presented a special Top Guy Tuesday edition of the Wade Keller Pro Wrestling Podcast with guest co-host PWTorch's Rich Fann. They review in depth the top World Championship reigns on WWE Raw, WWE Smackdown, AEW Dynamite, and New Japan with a lengthy focus on Drew McIntyre, Roman Reigns, Kenny Omega, and Tetsuya Naito including a discussion on their strengths and weaknesses that could determine whether they hold the titles well into 2021, and if they didn't, who were the top options to take the titles from them.Then, in the previously VIP-exclusive Aftershow, they discussed NXT, MLW, Impact, and ROH.Become a supporter of this podcast: https://www.spreaker.com/podcast/wade-keller-pro-wrestling-podcast--3076978/support.

Gain a grounded, research-informed perspective on retirement planning in this episode of the Retire Sooner Podcast, where Wes Moss and Christa DiBiase examine the emotional, behavioral, and organizational factors that often influence how individuals approach life after work. This conversation highlights commonly referenced frameworks and planning considerations, offering context for listeners seeking to better understand the many moving parts of a thoughtful retirement process. • Explore the behavioral and psychological dynamics behind transitioning from a saver mindset to a spending mindset in retirement, including the frequently cited “millionaire's paradox.” • Understand how creating a written retirement plan may help provide structure, along with why general withdrawal frameworks—such as the commonly referenced 4%+ rule—are used for discussion rather than as recommendations. • Consider approaches for maintaining emotional objectivity when making financial decisions throughout retirement. • Reflect on why some financial professionals continue working and how their experience may contribute to broader retirement-planning conversations. • Review the potential role a fiduciary or financial advisor may play in helping individuals identify common planning pitfalls, organize long-term strategies, and evaluate tax and estate considerations. • Identify widely used criteria for assessing whether a fiduciary advisor aligns with an individual's values, communication preferences, and planning philosophy. • Explore end-of-year tax-related considerations—including SALT limits, charitable deduction rules, HSAs, clean-energy credits, bonus depreciation provisions, and updates to 529 plan flexibility—while recognizing that tax implications depend on each household's specific circumstances. • Evaluate the educational value some families see in establishing custodial investment accounts for children or grandchildren as part of broader financial learning. • Assess the administrative reasons some individuals review whether consolidating retirement accounts may support clearer oversight of their financial landscape. If you're interested in expanding your understanding of the factors that may shape retirement decision-making, this episode offers context to help you think through your own process. Listen and subscribe to the Retire Sooner Podcast for ongoing discussions centered on thoughtful, well-informed retirement planning. Learn more about your ad choices. Visit megaphone.fm/adchoices

Nick and Jonathan debate if this Bears game is the best matchup to judge Shedeur Sanders off of. Also, they react to Joe Burrow's comments about having fun.

With a lull in the Pistons’ schedule this week, Bryce and Omari welcome back friend of the pod Laz Jackson to offer insights into how the 2025 roster is performing at this point in the season. After covering the chatter around a potential trade for Anthony Davis, the guys dive deep into roster analysis, including Laz’s perspective on Jalen Duren and the hometown love for Ron Holland. Follow Omari on X/Twitter: @omarisankofa Read the latest from Omari on freep.com Follow Bryce on X/Twitter: @MotorCityHoops Read the latest from Bryce on substack Pick up "The Pistons Pulse" merch here!

 Master the "tone, intent, outcome" framework and build trust through vulnerability to navigate your most difficult conversations at work and become a better leader. You've mastered the fundamentals of negotiation in Women's Leadership Success 153 ( part I). Now it's time to tackle the conversations that keep you up at night: the confrontation with an angry stakeholder, the politically charged discussion dividing your team, the compensation negotiation where everything is on the line, or the feedback conversation that could make or break a critical relationship. This discussion former Scotland Yard negotiator Scott Walker  reveals advanced strategies that separate good leaders from exceptional ones. These are the frameworks used when hostages' lives hung in the balance‚ adapted specifically for the high-stakes leadership challenges women executives face every day. Building on the Foundation Effective difficult conversations at work require mastering several core principles: reframing negotiation as a conversation with purpose, managing emotional hijacking through behavioral change indicators, listening at deeper levels to understand emotion and perspective, asking questions rather than making statements, preparing thoroughly using systematic frameworks, and seeking practice opportunities with challenging people. Now we build on that foundation with advanced strategies for the conversations that truly test your leadership capacity. Understanding Their World: The Foundation of Influence You Cannot Influence Someone You Don't Understand A principle that transforms how women leaders approach difficult conversations at work: You can't influence somebody unless you already know what influences them. You're wasting your time. It's the height of arrogance, and you're not really going to succeed long-term anyway. This isn't about manipulation‚ it's about genuine understanding. To truly influence someone, you must understand their beliefs and values, decision-making rules and criteria, primary emotional drivers, how they see the world and their place in it, and what human needs they're trying to meet. The Only Path to This Understanding: Deep Listening Most people think they're excellent listeners, yet often go through the motions without truly engaging. Being on the receiving end when someone is thinking about a million other things feels infuriating and dismissive. The Critical Truth About Listening in Difficult Conversations No one has ever listened themselves out of a job or a relationship. This simple truth carries profound implications for women leaders navigating difficult conversations at work. Deep listening doesn't diminish respect, authority, or influence‚ it amplifies all three. The 5 Levels of Listening for Difficult Conversations Levels 1-3: Surface Listening (Where Most Leaders Get Stuck) Level 1: Distracted Listening Nodding while mentally planning your rebuttal or thinking about other priorities. The other person immediately senses your lack of genuine engagement, trust erodes, resistance increases, and resolution becomes impossible. Level 2: Rebuttal Listening Waiting for them to finish so you can explain why they're wrong. You're not actually processing their perspective, just defending your own. Both parties dig into entrenched positions and the conversation becomes adversarial. Level 3: Logic-Only Listening Focusing solely on facts, data, and logical arguments while ignoring emotions. Most difficult conversations at work are driven by emotional needs, not logical disagreements. You address surface issues while core concerns remain unresolved. Levels 4-5: Transformational Listening Level 4: Listening for Emotion What emotions are driving this person's position? Fear? Frustration? Feeling undervalued? Anxiety about change? Notice emotional shifts and acknowledge them without judgment. Saying "It sounds like this situation is really frustrating for you..." creates connection. Level 5: Listening for Point of View Ask yourself: "Why is this person telling me these specific words RIGHT NOW?" Seek the underlying human needs and deeper motivations beneath the surface position. The presenting issue is rarely the real issue it's usually two to six levels deeper. The Real Issue is Never the Presenting Issue When dealing with kidnappers, they wanted money‚Äîbut it wasn't just about the money. They wanted to save face, to feel like they were in control, to feel significant. If negotiators had only focused on money while ignoring these deeper needs, hostages would have died. In corporate environments, 80% of time on kidnapping cases was spent dealing with internal politics‚Äîwhat's called "the crisis within the crisis." In difficult conversations at work, competing egos and siloed thinking often create more obstacles than the actual business challenge. When your team member asks for a raise, the real issue might be feeling undervalued compared to peers, concern about supporting their family, fear of falling behind in their career, desire for recognition of contributions, or worry that you don't see their potential. The Breakthrough Question: "Why is this person telling me this specific message right now? What underlying human need are they trying to meet?" This transforms you from a transactional negotiator into a strategic influencer. The "Tone, Intent, Outcome" Framework for Preparation Systematic Approach to Difficult Conversations Before any high-stakes conversation, explicitly define three elements. This framework transforms anxiety-inducing difficult conversations at work into strategic opportunities. Component 1: TONE What emotional atmosphere do you want to create? Your tone choice sets the entire trajectory. Consider whether you want collaborative versus confrontational, curious versus defensive, respectful versus dismissive, or calm versus urgent energy. Example scenarios: - Feedback conversation: Supportive, direct, developmental - Conflict resolution: Calm, curious, non-judgmental - Negotiation: Collaborative, firm, professional - Political discussion: Open, respectful, genuinely curious Component 2: INTENT What is your genuine purpose for this conversation? This must be your authentic intent, not a manipulative cover story. Genuine intent includes understanding their perspective fully before sharing yours, finding a solution that works for both parties, repairing a relationship while addressing the issue, setting clear boundaries while maintaining respect, or advocating for your needs without damaging connection. Research from Darden Business School shows that women who approach negotiations with clear, authentic intent focused on mutual benefit achieve better outcomes than those using aggressive tactics. Your genuine intent will show up in your words, tone, and body language. Component 3: OUTCOME What does success look like? Be specific about what needs to be different after this conversation, what specific agreements or commitments you need, what would represent a win-win scenario, and what's your walk-away point. The Power of This Framework: When you explicitly define Tone, Intent, and Outcome before difficult conversations at work, you reduce anxiety through clarity, avoid emotional hijacking by anchoring to your intention, recognize when you're off-track and can self-correct, and can evaluate afterward whether you achieved your goals. Practical Exercise Think about a challenging conversation you need to have this week. Write down your desired tone, authentic intent, and successful outcome. Evaluate whether your intended tone aligns with your authentic intent and whether your desired outcome reflects a win-win possibility. Building Trust Through Tactical Empathy The Paradox of Vulnerability in Leadership One of the most powerful techniques for difficult conversations at work seems counterintuitive: demonstrating vulnerability and acknowledging the other person's perspective even when you completely disagree. The Technique: Emotional Labeling + Paraphrasing This specific formula includes three steps: label the emotion you're observing using phrases like "It looks like..." "It sounds like..." "It feels like...", paraphrase their complete perspective as if the words were coming from their mouth, including their emotional state, concerns, and interpretation, then pause and wait for confirmation or correction. Example Application: "You seem really angry with my behavior in this deal. This is taking a long time, you feel like I haven't really delivered on what I said I was gonna do, you feel as if I'm just taking you for granted and your goodwill for granted here, and actually you probably don't have much trust left in me being able to follow through and completing this on time." Notice what's happening here: demonstrating complete understanding of their perspective without defending, justifying, or explaining, making their emotional experience visible and valid, and waiting for their response before proceeding. Why This Transforms Difficult Conversations at Work You might think they're completely wrong and seeing things from a misguided viewpoint. That doesn't matter at this point. When you accurately reflect someone's perspective, one of two responses occurs: Response A: "Yes! You've hit the nail on the head. That's exactly it." They feel seen and heard, defensive walls come down, and real conversation can begin. Response B: "No, no, no, that's not it. It's actually this..." You're getting better data about what's really going on, moving closer to the real issue. Either way, you're gaining valuable information while the other person feels understood. The Neuroscience Behind This Technique When someone feels genuinely understood, their amygdala (threat detection system) calms down, allowing the prefrontal cortex (rational thinking) to engage.

In this episode of Behind the Knife, the minimally invasive surgery (MIS) team dives deep into the evolving field of common bile duct exploration (CBDE). From the historical context of laparoscopic approaches to the latest advances including robotic-assisted techniques, Drs. Shaina Eckhouse, James Jung, Zachary Weitzner, and Joey Lew discuss key evidence shaping modern practice. Listeners will learn about indications and anatomy guiding trans-cystic versus trans-choledochal approaches, practical tips for safe stone clearance, and critical considerations around learning curves and team coordination for robotic procedures. The episode also highlights important studies comparing single-stage laparoscopic CBDE with staged ERCP and cholecystectomy, emphasizing outcomes such as stone clearance, pancreatitis rates, and hospital length of stay. This comprehensive overview is a must-listen for MIS and acute care surgeons interested in optimizing the management of choledocholithiasis and streamlining patient care with minimally invasive techniques. Hosts:  - Shaina Eckhouse, MD, Bariatric Surgery Medical Director and Vice Chair of Clinical Operations, Department of Surgery, Duke University - James Jung, MD, PhD, Assistant Professor of Surgery, Duke University - Zachary Weitzner, MD, Minimally Invasive and Bariatric Surgery Fellow, Duke University, @ZachWeitznerMD - Joey Lew, MD, MFA, Surgical resident PGY-3, Duke University, @lew__actually Learning Goals:  By the end of this episode, listeners will be able to: -  Describe the historical approaches to managing choledocholithiasis, including staged interventions and the evolution toward single-stage laparoscopic common bile duct exploration (CBDE). -  Summarize key clinical evidence comparing CBDE and ERCP, including landmark studies and meta-analyses evaluating outcomes, complications, and trends over time.​ - Distinguish between transcystic and transcholedochal approaches to CBDE, explaining indications, contraindications, and technical nuances for each technique.​ -  Identify appropriate candidates for transcystic exploration based on cystic duct anatomy and stone characteristics.​ - Recognize the impact of newer surgical technologies—such as digital choledochoscopy, Spyglass, and robotic platforms—on CBDE practice, efficiency, and safety.​ - Discuss the importance of multidisciplinary teamwork, preparation, and perioperative planning for successful CBDE, particularly in complex or altered anatomy cases.​​ - Appraise the learning curve and quality of evidence for new CBDE procedures, outlining the need for mentorship, ongoing training, and knowing when to collaborate with GI or hepatopancreaticobiliary (HPB) surgery.​ - Outline approaches and bailout strategies for challenging cases, including patients with surgically altered anatomy and use of adjuncts such as intraoperative cholangiography (IOC), feeding tube placement, and Fanelli stents.​​ - Evaluate safety outcomes and limitations associated with robotic-assisted CBDE and single-stage management, incorporating recent data from population-based studies.​ -  Reflect on strategies for tailoring CBDE techniques to individual patient anatomy, surgeon experience, and available resources, advocating for evidence-based practice and continuous learning. References: -  Giurgiu DI, Margulies DR, Carroll BJ, et al. Laparoscopic Common Bile Duct Exploration: Long-term Outcome. Arch Surg. 1999;134(8):839-844. doi:10.1001/archsurg.134.8.839 https://pubmed.ncbi.nlm.nih.gov/10443806/ -  Lyu Y, Cheng Y, Li T, Cheng B, Jin X. Laparoscopic common bile duct exploration plus cholecystectomy versus endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy for cholecystocholedocholithiasis: a meta-analysis. Surg Endosc. 2019;33(10):3275-3286. doi:10.1007/s00464-018-06613-w https://pubmed.ncbi.nlm.nih.gov/30511313/ - Bekheit M, Smith R, Ramsay G, Soggiu F, Ghazanfar M, Ahmed I. Meta‐analysis of laparoscopic transcystic versus transcholedochal common bile duct exploration for choledocholithiasis. BJS Open. 2019;3(3):242-251. doi:10.1002/bjs5.50132 https://pubmed.ncbi.nlm.nih.gov/31183439/ - Cironi K, Martin MJ. Reclaim the duct! Laparoscopic common bile duct exploration for the acute care surgeon. Trauma Surg Acute Care Open. 2025;10(Suppl 1). doi:10.1136/tsaco-2025-001821 https://pubmed.ncbi.nlm.nih.gov/40255986/ - Zhang C, Cheung DC, Johnson E, et al. Robotic Common Bile Duct Exploration for Choledocholithiasis. JSLS J Soc Laparosc Robot Surg. 2025;29(1):e2024.00075. doi:10.4293/JSLS.2024.00075 https://pubmed.ncbi.nlm.nih.gov/40144383/ - Kalata S, Thumma JR, Norton EC, Dimick JB, Sheetz KH. Comparative Safety of Robotic-Assisted vs Laparoscopic Cholecystectomy. JAMA Surg. 2023;158(12):1303-1310. doi:10.1001/jamasurg.2023.4389 https://pubmed.ncbi.nlm.nih.gov/37728932/ Ad Disclosure: Visit goremedical.com/btkpod to learn more about GORE® SYNECOR Biomaterial, including supporting references and disclaimers for the presented content. Refer to Instructions for Use at eifu.goremedical.com for a complete description of all applicable indications, warnings, precautions and contraindications for the markets where this product is available. 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Ready to buy your first storage facility but feeling overwhelmed with where to start? In this episode, I walk you through the exact seven-step roadmap we use inside the Storage Wins community to take you from stuck to signed deal in six to twelve months—even if you're starting from zero. No more second-guessing what to do next or what order to follow. I lay it all out for you. If you've been spinning your wheels wondering whether to chase deals, find funding, or figure out your market first, this episode is going to bring clarity. You'll learn how to define your buy box, choose the right market, build deal flow, fund your deal (without using your own money), and confidently make offers with a due diligence plan that sets you up for success. This is your blueprint to finally get that first storage facility under your belt in 2026. You'll Learn How To: Create a clear vision with a custom buy box and freedom number Analyze the two markets that matter most in storage investing Build consistent deal flow using a simple and proven system Evaluate, fund, and structure deals using creative financing Execute a due diligence checklist that sets your first deal up for success Optimize your storage facility from day one for long-term cashflow What You'll Learn in This Episode: [0:00] Why storage investing success starts with supply, demand, and direction [1:00] Why winging it doesn't work—and what successful students do instead [2:55] Step 1: Define your freedom number and build your buy box blueprint [5:12] Step 2: Use the 2-market method to analyze both people and property [9:58] Step 3: Build your deal flow machine using the LMAO method [14:32] Step 4: Analyze deals with simple back-of-the-napkin math [19:10] Step 5: Fund your deal with other people's money [21:31] Step 6: Make smart offers and conduct real due diligence [26:14] Step 7: Take over and optimize like a pro—even as a first-timer Why You Should Listen: You don't need to "figure it all out." You just need the right system and support. This episode gives you the seven-step framework I've personally used—and that dozens of my clients have followed—to successfully buy their first facility. If 2026 is going to be your year, this is your launchpad. Who This Episode Is For: Aspiring investors who want a clear, repeatable path to their first deal Anyone stuck in analysis paralysis and unsure of what to do next Storage beginners who want to avoid the biggest early mistakes People who value a roadmap, mentorship, and community support Follow Alex Pardo here: Alex Pardo Website: https://alexpardo.com/ Alex Pardo Facebook: https://www.facebook.com/alexpardo15 Alex Pardo Instagram: https://www.instagram.com/alexpardo25 Alex Pardo YouTube: https://www.youtube.com/@AlexPardo Storage Wins Website: https://storagewins.com/ Have conversations with at least three to give storage owners, brokers, private lenders, and equity partners through the Storage Wins Facebook group. Join for free by visiting this link: https://www.facebook.com/groups/322064908446514/