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In this conversation, Nina Caviggiola and Dr. Danica Harris delve into the complexities of trauma, particularly focusing on the concept of complex trauma. They discuss the differences between big T's and little t's, the impact of childhood experiences on emotional development, and the importance of repair in parent-child relationships. Dr. Harris explains how trauma can be trapped in the body and offers insights into recognizing and releasing tension. They also explore the connection between trauma and gut health, the ongoing nature of healing, and the significance of self-compassion in the journey. The conversation concludes with empowering advice for parents on how to navigate their own healing while supporting their children. 00:00 Understanding Trauma: Big T's and Little t's 02:55 Defining Complex Trauma 06:12 The Impact of Childhood Experiences 09:00 Repairing Relationships and Emotional Responses 11:57 Trauma Trapped in the Body 14:55 Recognizing and Releasing Tension 17:57 The Connection Between Trauma and Gut Health 23:54The Importance of Self-Compassion 26:55 Parenting and Trauma Awareness Dr. Danica Harris is a Somatic Experiencing Practitioner and complex trauma expert, working internationally as a coach, facilitator, presenter, and educator. Trained as a Counseling Psychologist, Danica prioritizes helping folks heal so they can live more embodied and empowered lives. Danica is the Co-Owner and Executive Director of Empowered Healing Dallas, a group therapy practice where her team provides trauma-informed therapy, using somatic and relational approaches when working with clients. Danica is also passionate about support for therapists and healers and provides mentorship and consultation to providers looking to increase their trauma-informed knowledge and business practices. She considers herself a co-journeyer, and hosts healing focused retreats and intensives for fellow complex trauma survivors. You can find Danica on her Instagram platform, @theempoweredtherapist where she provides education and support to the broader community. IG: @theempoweredtherapist www.theempoweredtherapist.com Learn more about your ad choices. Visit megaphone.fm/adchoices
Each year, nearly HALF of all people taking on a marathon are new marathoners. In this episode, we asked our veteran marathon runners for the advice, wisdom and things they wish they knew before their first marathon. If you're one of the nearly a quarter million new marathoners this year, this episode is for you.For more info about making the jump from a half marathon to a full marathon, check out Episode 198.
In this episode of The Real Estate Investor Show, Adam Hobson tells Spencer Sutton about the five most common missteps real estate investors make - especially when they first start flipping property. You'll Learn: How wholesaling compares to house flipping Why the ARV (after repair value) is critical to long-term flipping success How to find comps that actually contextualize your potential deal The secret to finding good contractors (and the best way to pay them) Favorite Quote: "Pain plus reflection equals progress." Who Should Listen:
Let's talk about the top things you should know about managing gestational diabetes naturally to try and avoid the need for insulin, have a healthy pregnancy and more! Schedule a FREE Discovery Call with me here:https://yourlifenutrition.org/nutrition-coaching-application/.Come join our private accountability group, the Goal Getters Group, for all things health, wellness & nutrition! You'll get sample weekly meal plans, recipes, weekly group coaching calls and access to our exclusive Blood Sugar, Wellness, Mindfulness & Movement Challenges to help support you and keep you accountable on your health & nutrition journey AND get access to private messaging with me, your dietitian!Click the link below to join the Goal Getters Group today!https://your-life-nutrition-goal-getters.mn.co/plans/1821314?bundle_token=1724009ab3ed355237fdeeebd2fe1d9f&utm_source=manual.For health & nutrition tips, recipes & more - follow me on:Instagram: https://www.instagram.com/yourlifenutrition/Facebook: https://www.facebook.com/yourlifenutritionrdn/Email: Brittany@yourlifenutrition.orgShop my Favorite Products!**I am an Amazon Affiliate and may earn commissions on qualifying purchases.
Tune in as Dr George Behrenspresents the fundamentals on specialized agents for treatment-experienced people living with HIV.Topics covered include:Key targets and mechanisms of action for specialized HIV drugsClinical trial data supporting safety and efficacy of these agentsConsiderations for potential drug–drug interactions Strategies for leveraging these agents to construct new ART regimens for treatment-experienced individualsPresenters:Georg Behrens, MDProfessor of ImmunologySenior ConsultantDepartment of Rheumatology and ImmunologyHannover Medical School, GermanyHannover, GermanyLink to full program:https://bit.ly/4oiYxExGet access to all of our new podcasts by subscribing to the CCO Infectious Disease Podcast on Apple Podcasts, Google Podcasts, or Spotify.
The Big Picture Blueprint: Navigating Land, Real Estate, and Business Success
In this episode, we bring together two very different yet equally determined land investors, Anne Danielson and Larry Jarnigo, to uncover the realities of building a land business that fits your life. Anne runs Danielson Land Co remotely with her sister Mary, taking on select subdivides and flips each year. Larry, a former corporate professional, goes full speed ahead with a goal of 25–30 deals annually, chasing strong returns and new development opportunities.We explore their contrasting business models, from Anne's targeted, partnership-driven approach to Larry's high-volume, independent strategy. They share what bad advice they've ignored, how their marketing channels evolved from mass mail to laser-focused outreach, and why local expertise is worth more than any software. Along the way, we dig into the dynamics of working with (or without) a partner, the skills they've carried over from past careers, and how they're adapting to slower market conditions without losing momentum.They leave us with grounded, practical advice for new investors: move carefully, choose quality over quantity, and build strong relationships with local brokers.Key Topics:-How two investors built very different land business models that work for them-The bad advice they avoided and the marketing strategies that actually deliver-Why partnerships work for some and not for others-How past careers shaped their investing mindset and skills-Adapting to slower markets while protecting profitability-The importance of quality properties, local expertise, and trusted relationships===
Trading Stocks Made Easy with Tyrone Jackson: Investing in Stocks | Investing Money
http://www.witradeschool.com In episode #260 of the Trading Stocks Made Easy Podcast, Tyrone Jackson talks about a successful seminar in Maui, 2025. http://www.thewealthyinvestor.net Experienced traders know that discipline is the key to success. Inexperienced traders lose significant amount of trading capital when greed trumps discipline. Take Tyrone Jackson's advice and you, too, can be a six figure trader.
In this episode, Dr Josep M. Llibrereviews the essentials on ART selection for treatment-experienced people with HIV and comorbidities. Topics covered include:Underlying reasons for development of multidrug-resistant HIVInflammation and immune activation associated with frequency of age-related conditions General principles for designing ART regimens for persons with multidrug-resistant HIVTreatment options for highly treatment‒experienced peopleConsiderations for comorbidities and drug–drug interactionsPresenters:Josep M. Llibre, MD, PhDSenior ConsultantInfectious Diseases DivisionFight Infections FoundationUniversity Hospital Germans TriasBadalona, Barcelona, SpainLink to full program:https://bit.ly/4oiYxExGet access to all of our new podcasts by subscribing to the CCO Infectious Disease Podcast on Apple Podcasts, Google Podcasts, or Spotify.
Founder Experience and Traction Hello, this is Hall T. Martin with the Startup Funding Espresso -- your daily shot of startup funding and investing. In raising funding, there are two key drivers to how much a startup can ask for funding. The first is traction. The greater the traction, the more the startup can ask in a fundraise. Traction includes current revenue run rate, quarter-over-quarter growth, and recurring revenue. The second is founder experience. Successful serial entrepreneurs with exits can use their reputation to raise more funding than the traction indicates. At the preseed level, successful founders can raise several million dollars more. This works particularly well if the founder is running a proven business model with a team that has done well previously. Experienced founders can also raise additional funds based on their reputation. This may be more in the order of $500K to one million dollars of funding. Consider using your team's startup experience and track record to make the case for a greater fundraise. This can be most helpful in the very early stages of the fundraising process, where there's little to no traction to reference. Thank you for joining us for the Startup Funding Espresso where we help startups and investors connect for funding. Let's go startup something today. _________________________________________________________ For more episodes from Investor Connect, please visit the site at: Check out our other podcasts here: For Investors check out: For Startups check out: For eGuides check out: For upcoming Events, check out For Feedback please contact info@tencapital.group Please , share, and leave a review. Music courtesy of .
Zain Johnson speaks to Liezel Van Der Westhuizen who gives us the lowdown of all the fitness events taking place in Gauteng & the Western Cape this weekend. Early Breakfast with Africa Melane is 702’s and CapeTalk’s early morning talk show. Experienced broadcaster Africa Melane brings you the early morning news, sports, business, and interviews politicians and analysts to help make sense of the world. He also enjoys chatting to guests in the lifestyle sphere and the Arts. All the interviews are podcasted for you to catch-up and listen. Thank you for listening to this podcast from Early Breakfast with Africa Melane For more about the show click https://buff.ly/XHry7eQ and find all the catch-up podcasts here https://buff.ly/XJ10LBU Listen live on weekdays between 04:00 and 06:00 (SA Time) to the Early Breakfast with Africa Melane broadcast on 702 https://buff.ly/gk3y0Kj and CapeTalk https://buff.ly/NnFM3N Subscribe to the 702 and CapeTalk daily and weekly newsletters https://buff.ly/v5mfetc Follow us on social media: 702 on Facebook: https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/Radio702 702 on YouTube: https://www.youtube.com/@radio702 CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.
Zain Johnsons speaks to Lara Fouche, Social media manager and Youth Ambassador at 1000 Women 1 Voice ahead of the Women in Dialogue event today. The dialogue will provide for powerful conversations, candle lighting, storytelling, and solutions on gender equality Early Breakfast with Africa Melane is 702’s and CapeTalk’s early morning talk show. Experienced broadcaster Africa Melane brings you the early morning news, sports, business, and interviews politicians and analysts to help make sense of the world. He also enjoys chatting to guests in the lifestyle sphere and the Arts. All the interviews are podcasted for you to catch-up and listen. Thank you for listening to this podcast from Early Breakfast with Africa Melane For more about the show click https://buff.ly/XHry7eQ and find all the catch-up podcasts here https://buff.ly/XJ10LBU Listen live on weekdays between 04:00 and 06:00 (SA Time) to the Early Breakfast with Africa Melane broadcast on 702 https://buff.ly/gk3y0Kj and CapeTalk https://buff.ly/NnFM3N Subscribe to the 702 and CapeTalk daily and weekly newsletters https://buff.ly/v5mfetc Follow us on social media: 702 on Facebook: https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/Radio702 702 on YouTube: https://www.youtube.com/@radio702 CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.
Do the new BELA Act regulations sideline school governing bodies? Zain Johnson speaks to NASGB's Matakanye Matakanya about the future of parent-led school governance. Early Breakfast with Africa Melane is 702’s and CapeTalk’s early morning talk show. Experienced broadcaster Africa Melane brings you the early morning news, sports, business, and interviews politicians and analysts to help make sense of the world. He also enjoys chatting to guests in the lifestyle sphere and the Arts. All the interviews are podcasted for you to catch-up and listen. Thank you for listening to this podcast from Early Breakfast with Africa Melane For more about the show click https://buff.ly/XHry7eQ and find all the catch-up podcasts here https://buff.ly/XJ10LBU Listen live on weekdays between 04:00 and 06:00 (SA Time) to the Early Breakfast with Africa Melane broadcast on 702 https://buff.ly/gk3y0Kj and CapeTalk https://buff.ly/NnFM3N Subscribe to the 702 and CapeTalk daily and weekly newsletters https://buff.ly/v5mfetc Follow us on social media: 702 on Facebook: https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/Radio702 702 on YouTube: https://www.youtube.com/@radio702 CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.
Guest: Masebe Qina | Journalist at Soccer Laduma Zain Johnson speaks to Soccer Laduma journalist Masebe Qina about what’s at stake this PSL season, which teams have strengthened, and whether the gap at the top is growing or closing. From title talk to relegation risks we preview the season ahead. Early Breakfast with Africa Melane is 702’s and CapeTalk’s early morning talk show. Experienced broadcaster Africa Melane brings you the early morning news, sports, business, and interviews politicians and analysts to help make sense of the world. He also enjoys chatting to guests in the lifestyle sphere and the Arts. All the interviews are podcasted for you to catch-up and listen.Thank you for listening to this podcast from Early Breakfast with Africa Melane For more about the show click https://buff.ly/XHry7eQ and find all the catch-up podcasts here https://buff.ly/XJ10LBUListen live on weekdays between 04:00 and 06:00 (SA Time) to the Early Breakfast with Africa Melane broadcast on 702 https://buff.ly/gk3y0Kj and CapeTalk https://buff.ly/NnFM3NSubscribe to the 702 and CapeTalk daily and weekly newsletters https://buff.ly/v5mfetcFollow us on social media:702 on Facebook: https://www.facebook.com/TalkRadio702702 on TikTok: https://www.tiktok.com/@talkradio702702 on Instagram: https://www.instagram.com/talkradio702/702 on X: https://x.com/Radio702702 on YouTube: https://www.youtube.com/@radio702 CapeTalk on Facebook: https://www.facebook.com/CapeTalkCapeTalk on TikTok: https://www.tiktok.com/@capetalkCapeTalk on Instagram: https://www.instagram.com/CapeTalk on X: https://x.com/CapeTalkCapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.
Only 55% of U.S. consumers are confident in the safety of our food systems, and an estimated 8.2% of the global population experienced hunger in 2024, down from 8.5% in 2023 and 8.7% in 22.
What’s the best kind of workout? One that trains both your body and your brain. Join fitness presenter and mental fitness coach Liezel van der Westhuizen as she shares expert advice on how to combine movement with mindfulness for better mental health, sharper focus, and stronger performance. Discover the science behind mind-body fitness and how to start your own brain-boosting routine today. Early Breakfast with Africa Melane is 702’s and CapeTalk’s early morning talk show. Experienced broadcaster Africa Melane brings you the early morning news, sports, business, and interviews politicians and analysts to help make sense of the world. He also enjoys chatting to guests in the lifestyle sphere and the Arts. All the interviews are podcasted for you to catch-up and listen. Thank you for listening to this podcast from Early Breakfast with Africa Melane For more about the show click https://buff.ly/XHry7eQ and find all the catch-up podcasts here https://buff.ly/XJ10LBU Listen live on weekdays between 04:00 and 06:00 (SA Time) to the Early Breakfast with Africa Melane broadcast on 702 https://buff.ly/gk3y0Kj and CapeTalk https://buff.ly/NnFM3N Subscribe to the 702 and CapeTalk daily and weekly newsletters https://buff.ly/v5mfetc Follow us on social media: 702 on Facebook: https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/Radio702 702 on YouTube: https://www.youtube.com/@radio702 CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.
Guest: David Van Wyk | Lead Researcher at Bench Markers Still underground and out of sight. David van Wyk from Bench Marks Foundation joins Africa Melane to unpack the Sheba mine zama zama crisis and the deeper failings of South Africa’s mining sector. Early Breakfast with Africa Melane is 702’s and CapeTalk’s early morning talk show. Experienced broadcaster Africa Melane brings you the early morning news, sports, business, and interviews politicians and analysts to help make sense of the world. He also enjoys chatting to guests in the lifestyle sphere and the Arts. All the interviews are podcasted for you to catch-up and listen.Thank you for listening to this podcast from Early Breakfast with Africa Melane For more about the show click https://buff.ly/XHry7eQ and find all the catch-up podcasts here https://buff.ly/XJ10LBUListen live on weekdays between 04:00 and 06:00 (SA Time) to the Early Breakfast with Africa Melane broadcast on 702 https://buff.ly/gk3y0Kj and CapeTalk https://buff.ly/NnFM3NSubscribe to the 702 and CapeTalk daily and weekly newsletters https://buff.ly/v5mfetcFollow us on social media:702 on Facebook: https://www.facebook.com/TalkRadio702702 on TikTok: https://www.tiktok.com/@talkradio702702 on Instagram: https://www.instagram.com/talkradio702/702 on X: https://x.com/Radio702702 on YouTube: https://www.youtube.com/@radio702 CapeTalk on Facebook: https://www.facebook.com/CapeTalkCapeTalk on TikTok: https://www.tiktok.com/@capetalkCapeTalk on Instagram: https://www.instagram.com/CapeTalk on X: https://x.com/CapeTalkCapeTalk on YouTube: https://www.youtube.com/@CapeTalk567See omnystudio.com/listener for privacy information.
Africa Melane speaks to find out what happens when a vehicle is written off, why shortfall cover matters, and how insurers calculate that final payout Early Breakfast with Africa Melane is 702’s and CapeTalk’s early morning talk show. Experienced broadcaster Africa Melane brings you the early morning news, sports, business, and interviews politicians and analysts to help make sense of the world. He also enjoys chatting to guests in the lifestyle sphere and the Arts. All the interviews are podcasted for you to catch-up and listen. Thank you for listening to this podcast from Early Breakfast with Africa Melane For more about the show click https://buff.ly/XHry7eQ and find all the catch-up podcasts here https://buff.ly/XJ10LBU Listen live on weekdays between 04:00 and 06:00 (SA Time) to the Early Breakfast with Africa Melane broadcast on 702 https://buff.ly/gk3y0Kj and CapeTalk https://buff.ly/NnFM3N Subscribe to the 702 and CapeTalk daily and weekly newsletters https://buff.ly/v5mfetc Follow us on social media: 702 on Facebook: https://www.facebook.com/TalkRadio702 702 on TikTok: https://www.tiktok.com/@talkradio702 702 on Instagram: https://www.instagram.com/talkradio702/ 702 on X: https://x.com/Radio702 702 on YouTube: https://www.youtube.com/@radio702 CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.
Episode Summary: Welcome to another episode of Sailing and Cruising the East Coast of the United States! In this episode, host Bela Musits sits down with Charlie Kirchofer. This is Charlie's second time on the podcast. In EP-133 we discussed his recent purchase of a 2022 Beneteau Oceanis 38.1. In this episode we discuss hiring a captain to help Charlie and his partner move the boat from Annapolis to Boston. Charlie has no offshore experience and we are reluctant to do such a long trip without experienced assistance onboard.We took a deep dive on hiring a captain and here are some tips:Ask Around: Word of mouth or referrals from local marinas or sailing friends can be your best source.Have a Conversation: Get on the phone with the captain beforehand to make sure your sailing styles and goals align.Set Expectations: Clarify responsibilities—will you be hands-on or just observing? Are you looking to learn or just get the boat moved?Be Prepared: Make sure your boat is ready—fuel, systems checked, provisions in place. The captain isn't there to do maintenance.Watch and Learn: Use the opportunity to soak up knowledge. Experienced captains can show you how to manage conditions and make better decisions on the water.Connect With Us:If you enjoyed this episode, please subscribe and leave a review—it helps us reach more sailing enthusiasts like you! Send us your comments and suggestions. sailingtheeast@gmail.comHappy Sailing!Bela and Mike
J’osh is in the jaws of defeat. Jasper finds a new favourite bell. K’ronng is doing all the work. Revelle is a Triton again. Tony likes to use robot dogs to hurt his friends. Tony Sindelar with Aleen Simms, Chip Sudderth, Jason Snell and Monty Ashley.
It's the direct result of human-caused climate change. Learn more at https://www.yaleclimateconnections.org/
J’osh is in the jaws of defeat. Jasper finds a new favourite bell. K’ronng is doing all the work. Revelle is a Triton again. Tony likes to use robot dogs to hurt his friends. Tony Sindelar with Aleen Simms, Chip Sudderth, Jason Snell and Monty Ashley.
We misperceive life and spirituality by fixating on tiny fleeting experiences and projecting personal meaning onto them. We build our entire self-concept and emotional world out of a narrow slice of reality that we selectively store in the mind—what we liked, disliked, feared, or attached to—while ignoring the vastness of the universe unfolding all around us. True spiritual growth lies in learning to accept, honor, and handle reality as it is, with openness and reverence. By releasing our fixation on our own mind, we can awaken into joy, love, and freedom, becoming examples of great light that can uplift the world through our presence. © Sounds True Inc. Episodes: © 2025 Michael A. Singer. All Rights Reserved.
Oral Arguments for the Court of Appeals for the Fifth Circuit
Voice of the Experienced v. LeBlanc
A is for Anxiety and it's also for Abortion. Meet those who have experienced both.
Apply to Join Churchfront Premium Apply to Join Churchfront Pro Free Worship and Production Toolkit Shop Our Online Courses Join us at the Churchfront Conference Follow Churchfront on Instagram or TikTok: @churchfront Follow on Twitter: @realchurchfront Gear we use to make videos at Churchfront Musicbed SyncID: MB01VWQ69XRQNSN Podcast Episode Notes: Choosing Church Broadcast Audio Systems Episode Overview Discussion about switching from Logic Pro to other broadcast audio solutions including Waves LV1, Studio One, and Pro Tools for church live streaming applications. Key Participants Jake Gosselin - Host/Audio Expert Matt Woltjer - Audio Engineer/Consultant Main Topics Covered Current Industry Setup Most professionals using matrix mix from LV1 systems for broadcast Common approach: dedicated matrix send from main front-of-house mix Requires ongoing attention to maintain quality Logic Pro Issues Identified Primary Problem: Time Drift Logic Pro gradually falls behind video stream Can drift up to 2+ seconds behind actual video Creates major sync issues for live streaming Problem appears unique to Logic Pro Design Limitations Logic Pro optimized for studio recording, not live applications Apple's development priorities focus on studio use Pricing model ($200 for 18+ years) indicates different revenue focus Alternative DAW Options Ableton Live & Pro Tools No reported time drift issues Better suited for live applications More reliable for broadcast mixing Waves LV1 System Purpose-built for live mixing Hardware controller integration Superior plugin processing Most expensive but most reliable option System Integration Challenges Hardware Requirements Allen & Heath SQ: Requires Waves interface cards Dante Systems: Need Dante Wave Sound Bridge (~$3,000) LV1 Options: Classic (most expensive, full features) One C Compact (budget option, limited processing) Proton Duo (insufficient for full mix) Critical Decision Factors Budget Considerations LV1 systems: $10,000+ for complete setup Additional hardware costs often overlooked Integration complexity increases total cost Staffing Reality Check Many churches: 1-2 experienced engineers, 2-3 learning operators Common mistake: Experienced on FOH, beginners on broadcast Results in expensive equipment producing poor mixes Fundamental Issues First Acoustic treatment more impactful than equipment upgrades Proper PA tuning essential before broadcast considerations Secondary console improves mix quality only 2-5% Room acoustics can transform entire sound Professional Recommendations When to Choose Matrix Mix: Small to midsize churches Limited experienced staff Budget constraints Desire for consistency and reliability When to Consider LV1: Dedicated broadcast mixing staff Sufficient budget for complete system Acoustics and PA already optimized Need for advanced plugin processing Questions to Ask Before Upgrading: What specific problems are you solving? Do you have dedicated, experienced broadcast staff? Are fundamental acoustic/PA issues addressed? What's your complete system budget? How complex is your current audio routing? Real-World Case Study Recent consultation example: Church requesting lighting upgrades without understanding lighting theory Eight BLX wireless systems failing across multiple rooms Recommended: Learn fundamentals before spending money Upgrade to antenna-capable systems for multi-room use Key Takeaways Equipment Isn't Always the Answer Master current equipment before upgrading Address fundamental issues (acoustics, tuning) first Proper operation often more important than specific hardware Context is Critical Every church situation is unique Professional consultation recommended Holistic system assessment necessary Strategic upgrade planning prevents expensive mistakes Success Factors Experienced operation Proper implementation Fundamental acoustic treatment Realistic budget and expectations Action Items for Listeners Assess current system holistically before planning upgrades Prioritize acoustic treatment and PA tuning Evaluate staff experience and availability Consider professional consultation for complex decisions Focus on mastering current equipment capabilities Resources Mentioned Church Front premium membership for professional consultation Professional coaching calls available Community recommendations for Studio One and Pro Tools Next Steps for Churches Evaluate specific broadcast mixing challenges Consider matrix mix optimization before new systems Plan strategic upgrade path with professional guidance Address fundamental issues before equipment purchases Episode Duration: ~10 minutes Topic: Church Audio Technology Audience: Church technical teams, audio engineers, ministry leaders
What if the pain you've carried could become the path to someone else's healing?In this powerful episode, I sit down with Cathy Jo Lang—life coach, speaker, and host of The Unplanned Joyful Life podcast—who shares how her unplanned pregnancy, postpartum depression, and family history of alcoholism led her to a miraculous encounter with Jesus.After being hospitalized just weeks after giving birth, Cathy Jo met a compassionate priest who helped her surrender the burden of shame. What happened next was nothing short of a miracle—one that sparked 36 years of freedom from depression and a life dedicated to helping young mothers find hope.We talk about:The difference between trauma healing and future-focused coachingThe scriptures that became her anchors (Philippians 4:13, Psalm 118:24, 2 Cor. 12:9)Why surrendering your weakness is the key to unlocking God's powerThis story will speak to anyone navigating recovery, shame, or the question: “Can God really use this?” Spoiler alert: Yes. And it might just become your greatest ministry.
Send us a textTransitions are a natural part of life, not just physical movements from one place to another, but psychological shifts that lead to self-renewal and transformation. This episode explores the journey of moving to Florida, encountering unexpected challenges, and ultimately returning to Tennessee with new wisdom and clarity.• Transitions involve movement, passage, and change from one position, state, or concept to another• Moved to Florida after feeling spiritually called, despite uncertainty about what would happen there• Experienced significant shifts in energy and comfort levels as new people entered the workspace• Faced the tension between retreating to safety versus moving forward toward growth• Recognized the importance of listening to intuition even when ego wants to ignore the signals• Learned that transitions follow a pattern: disorientation followed by reorientation• Returned to marriage after 22 months of separation with new perspective and growth• Discovered that without psychological transition, change is just "rearrangement of furniture"• Committed to never conforming or doubting intuition again after this transformative experienceKeep going, keep growing. Most of us are not struggling—we're just transitioning, and it's the biggest part of the ascension journey. You are not alone.Support the show
"Emotional neglect from parents or caregivers quietly erodes the foundation of mental, relational, and even spiritual health." In this episode, Kayla briefly touches on the often overlooked topic of emotional neglect, particularly in childhood. She shares her personal journey of recognizing the impact of emotional neglect on her life and discusses the signs that indicate someone may be suffering from it. Kayla emphasizes the importance of emotional tools and parenting, and how these elements shape our adult lives. She offers insights into healing from emotional neglect and encourages listeners to reflect on their own experiences.takeaways Emotional neglect can leave deep, invisible scars. Many people don't realize they are suffering from emotional neglect. Emotional neglect is about what wasn't provided, not what was done. Children need emotional support just as much as physical care Healing involves reparenting oneself and addressing unmet emotional needs. Keywords emotional neglect, childhood trauma, mental health, self-awareness, emotional tools, healing, personal growth, relationships, parenting, emotional intelligence Apply to work with Kayla Here Limited Spots Available NOW! Follow Kayla for more inspiration: Instagram Tik Tok Collab with her HERE Learn more about your ad choices. Visit megaphone.fm/adchoices
Michael Reidy, a senior consultant at Interaction Associates, discusses the challenges and opportunities facing both new and experienced doctors, given the rise of virtual doctor visits and telemedicine, as well as the use of AI tools in the healthcare environment. While new doctors often possess strong technical skills, they may lack the interpersonal skills necessary to communicate effectively with patients. Experienced doctors may need a refresher on active listening skills to adapt to screen technologies. While technology and AI tools can enhance the patient-doctor relationship by providing data and insights, the human interaction remains essential. Michael explains, "We are a 55-year-old company that has worked with clients ranging from healthcare to nuclear power to finance services. So we're providing tools to organizations to empower leaders, managers, individual contributors, and coaches to encourage performance and enhance capability." "New physicians are such a brilliant audience for us. I think usually because they're technically very brilliant. They have come through an exhaustive training and passed through many, many hurdles and bridges in order to arrive at their calling or their vocation. At the same time, they arrive with some experience of being with people who are sick or who are ill or who are wondering what is wrong with me, but not a lot. And so our job, we find, is to enable, to empower, and to engage the human side of the younger doctor. In fact, it applies very often to older practitioners also." #InteractionAssociates #MedTech #VirtualHealth #AI #MedAI #DoctorPatientRelationship interactionassociates.com Download the transcript here
Michael Reidy, a senior consultant at Interaction Associates, discusses the challenges and opportunities facing both new and experienced doctors, given the rise of virtual doctor visits and telemedicine, as well as the use of AI tools in the healthcare environment. While new doctors often possess strong technical skills, they may lack the interpersonal skills necessary to communicate effectively with patients. Experienced doctors may need a refresher on active listening skills to adapt to screen technologies. While technology and AI tools can enhance the patient-doctor relationship by providing data and insights, the human interaction remains essential. Michael explains, "We are a 55-year-old company that has worked with clients ranging from healthcare to nuclear power to finance services. So we're providing tools to organizations to empower leaders, managers, individual contributors, and coaches to encourage performance and enhance capability." "New physicians are such a brilliant audience for us. I think usually because they're technically very brilliant. They have come through an exhaustive training and passed through many, many hurdles and bridges in order to arrive at their calling or their vocation. At the same time, they arrive with some experience of being with people who are sick or who are ill or who are wondering what is wrong with me, but not a lot. And so our job, we find, is to enable, to empower, and to engage the human side of the younger doctor. In fact, it applies very often to older practitioners also." #InteractionAssociates #MedTech #VirtualHealth #AI #MedAI #DoctorPatientRelationship interactionassociates.com Listen to the podcast here
July 31st, 2025
Today's “Skip Bayless Show”: I rank in detail the ten greatest games in any sport I ever experienced, including my personal involvement with each Go to https://surfshark.com/bayless or use code BAYLESS at checkout to get 4 extra months of Surfshark VPN! Learn more about your ad choices. Visit podcastchoices.com/adchoices
Gladstone warmth. Blue, blue day. Dogs, birds, horses and kids. Rachael is out for a pleasant ride with a friend but the unexpected occurs.****We hope you enjoyed this special episode, which we've shared from our incredible archive of 140 Flying Doctor yarns! It is lovely to have you along on the journey with us and we look forward to bringing you an exciting new Series 15 of the Flying Doctor Podcast this September! There has been some wonderful feedback from listeners about our podcast and the incredible people we have interviewed. Word of mouth is always the best promotion for a podcast – so if you enjoy this podcast, or a specific story, please share with family and friends. Reviews and ratings help our podcast to be found by others, so if you can take the time to do that it would be appreciated. You can also send feedback, questions or story ideas through to podcast@rfds.org.au. We'd also love you to become part of the Flying Doctor Podcast Facebook group, where passionate listeners and incredible outback communities come together. Hosted on Acast. See acast.com/privacy for more information.
We Code, You Launch: The Weekly Live Podcast From CodeLaunch & Improving
What happens when a global network engineer, automation expert, and light-suit maker sits down to talk about tech, tinkering, and the future of AI?In this episode of We Code, You Launch: The Startup Community Podcast from CodeLaunch & Improving, host Jason W. Taylor welcomes Greg Sowell, a longtime network plumber turned automation consultant and podcast host of Why Am I? They explore what it means to “build cool stuff,” how AI is reshaping the tech industry, and why physical making (yes, like microcontrollers and rave suits) still matters in a digital-first world.Greg shares real stories from the early days of IRC, the transformative power of connecting online for the first time, and how to navigate tech burnout while staying curious. He also dives into his passion projects; from tricked-out light suits to Operation (yes, the board game) with a literal shock twist.Oh, and he ends the episode with a card trick that will blow your mind.This one is about building tech, but even more about building identity.What You'll Learn in This Episode :
Send us a textJoy Villa shares her harrowing journey from growing up in a Christian household to spending a decade in Scientology before finding her way to freedom through faith. Her story reveals how vulnerabilities from childhood trauma and artistic ambitions made her susceptible to Scientology's recruitment at Celebrity Center.• Raised Christian with a minister father and gospel singer mother who suffered from paranoid schizophrenia• Experienced sexual abuse between ages 3-5 and significant trauma when her mother kidnapped her at age 8• Moved to Hollywood at 22 to pursue artistic dreams but encountered exploitation and abuse• Recruited at Celebrity Center International through promises of spiritual technology and community• Joined the Sea Organization but left after a month due to her psychiatric history• Married a wealthy Scientologist and donated over $1 million to the organization• Experienced fame after wearing a Trump dress at the Grammy Awards while doing Scientology's "Superpower" rundown• Endured increasingly controlling behavior when she attempted to maintain her Christian faith• Reached breaking point during COVID-19 while training at Saint Hill Manor in England• Found freedom through prayer when Scientology offered no help for her depression• Released her book "From Scientology to Christ: The Escape They Never Wanted Me to Make"If you're struggling with similar issues or know someone trapped in a high-control group, reach out for support. Freedom is possible.An article about Joy leaving:https://libertyaffair.com/2025/06/06/exclusive-i-wasnt-just-in-a-cult-scientology-bewitched-me/ Pre-Order Joy's Book:https://a.co/d/deExAE2Support the showBFG Store - http://blownforgood-shop.fourthwall.com/Blown For Good on Audible - https://www.amazon.com/Blown-for-Good-Marc-Headley-audiobook/dp/B07GC6ZKGQ/ref=tmm_aud_swatch_0?_encoding=UTF8&qid=&sr=Blown For Good Website: http://blownforgood.com/PODCAST INFO:Podcast website: https://www.buzzsprout.com/2131160 Apple Podcasts: https://podcasts.apple.com/us/podcast/blown-for-good-behind-the-iron-curtain-of-scientology/id1671284503 RSS: https://feeds.buzzsprout.com/2131160.rss YOUTUBE PLAYLISTS: Spy Files Playlist: https://www.youtube.com/playlist?list=PLWtJfniWLwq4cA-e...
What happens when the voice in your head saying "don't drink" keeps getting louder? In this vulnerable conversation, grandmother and retired occupational therapist Cindy Strachan shares her journey to almost 1,000 days of alcohol freedom after decades as a weekend drinker.Unlike many sobriety stories, Cindy's doesn't involve hitting rock bottom or daily drinking. As a high-functioning perfectionist who reserved alcohol for weekends, she maintained a successful career and family life while battling with moderation. The breaking point? A simple family trip to the aquarium where, despite a mild hangover, she found herself too exhausted to fully engage with her grandson. "This isn't living," she realized.What follows is a powerful story of faith and transformation. Now approaching three years sober, she's found freedom in being "sober loud" and breaking the stigma around choosing not to drink.Cindy's message resonates deeply for women questioning their relationship with alcohol: "Stop asking yourself if you have a problem and start asking if you can do better." Her story demonstrates how neural pathways can be rewired, new habits can replace old ones, and authentic joy doesn't require alcohol. Whether you're sober curious or supporting someone who is, this conversation offers wisdom, hope, and practical advice for embracing a life of greater freedom and presence.Mentioned in this video: What Alcohol Does to Your Body, Brain & Health | Dr. Andrew Huberman https://youtu.be/DkS1pkKpILY?si=XrfmneIiDcjGYqkZFind Cindy on Instagram: https://www.instagram.com/otfingerfidgetsandfun/ and https://www.instagram.com/renewal.of.the.mind/Drop us a Question or CommentIf you have ever...Struggled with the social pressures associated with alcohol use.Felt isolated, alone, and unsure of how to break the cycle.Experienced shame and frustration after drinking.Told yourself, “I'll never get this. It's no use.”Then this 5-Day Sacred Sobriety Kick Start is for you! Each day, you'll receive a short video with simple tasks to help you analyze your drinking habits with clarity.I'm here for you. I'm praying for you. You are NOT alone!Please subscribe to this podcast so you won't miss a thing!
A tribute to the elderly. We rock!
In today's episode, I'm bringing you a real, raw, catch-up style mom chat. From toddler life to major personal shifts I've been experiencing since weaning and stepping into this next chapter of motherhood!Chapters in this episode: 03:11 Navigating Toddler Life and Routines06:05 Sleep Challenges and Solutions08:59 Identity and Transition in Motherhood11:48 Embracing Change and Personal Growth15:06 Expectations vs. Reality in Motherhood17:56 Finding Joy in the Toddler Stage20:51 Trusting Your Instincts as a ParentWays to work with Corinne: Join the Mind Your Hormones Method, HERE! (Use code PODCAST for 10% off!!)Mentioned in this episode: Shop TempDrop here! (Use code AFCORINNE for 15%! P.S. you can stack my code on top of their 20% off anniversary sale happening now!)My breastfeeding & weaning episodeMadison's floor bed!Avocado toddler pillow FREE TRAINING! How to build a hormone-healthy, blood-sugar-balancing meal! (this is pulled directly from the 1st module of the Mind Your Hormones Method!) Access this free training, HERE!Join the Mind Your Hormones Community to connect more with me & other members of this community!Come hang out with me on Instagram: @corinneangealicaOr on TikTok: @corinneangelicaFree Facebook group: Mind Your Hormones Podcast CommunityEmail Fam: Click here to get weekly emails from meMind Your Hormones Instagram: @mindyourhormones.podcast Disclaimer: always consult your doctor before taking any supplementation. This podcast is intended for educational purposes only, not to diagnose or treat any conditions.
A few of the MLR Ambassadors join the show to discuss their hot takes on the MLR Final. Today new Rugby Rant Caps Dan Henry & Ashley Aardsma join James Deeley and #thehammer to grade out the MLR Final. BTW... the British (actually ) are coming and they are sticking it to the USA once again! Those cheecky buggers are engaging in some proper argy bargy! Check out Around the Pitch to find out how we can fight back! Don't forget to reserve your place @Reggies for The Rugby Party on November 1 in Chicago!TheRugbyRant.comFollow Girl Meets Rugby on all social media!narugbydb.com - MLR Stats!Don't forget to get your tickets to The Rugby Party on Nov. 1 Reggies in Chicago!https://www.ticketweb.com/.../the-rugby-party.../14442453Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
This week's Encounters dives into the dark, strange, and often terrifying world of urban legends that turn out to be a little too real. La Llorona, BEK, Goat Man, The Devil's Tree and Slender Man?! Are these just haunting tales passed around the campfire? What happens if they turn out to be real?! These listener stories might just prove that they are. We're getting into: A nighttime visit to Red Ash Cemetery turns terrifying when a ghostly woman on all fours transforms into something... not quite human. A grandmother in Nepal encounters a black eyed kid — and nearly loses her life. A cursed tree with ties to a real serial killer might be responsible for a listener's heartbreaking paranormal loss. A game of midnight hide-and-seek with Slender Man that reveals a ghost girl phasing through a fence. A listener sees their mother at their bedroom door… except she never got out of bed that night. Whether you're chasing cryptid legends, playing paranormal games at 3 a.m., urban legends sometimes have roots in something very real — and very haunted. Movie mentioned: Force Majeure Watch the video version here. Have ghost stories of your own? E-mail them to us at twogirlsoneghostpodcast@gmail.com New Episodes are released every Thursday and Sunday at 12am PST/3am EST (the witching hour, of course). Corinne and Sabrina hand select a couple of paranormal encounters from our inbox to read in each episode, from demons, to cryptids, to aliens, to creepy kids... the list goes on and on. If you have a story of your own that you'd like us to share on an upcoming episode, we invite you to email them to us! If you enjoy our show, please consider joining our Patreon, rating and reviewing on iTunes & Spotify and following us on social media! Youtube, Instagram, TikTok, Facebook, and Discord. Edited and produced by Jaimi Ryan, original music by Arms Akimbo! Disclaimer: the use of white sage and smudging is a closed practice. If you're looking to cleanse your space, here are some great alternatives! Learn more about your ad choices. Visit podcastchoices.com/adchoices
Josh Newbegin shares his powerful journey from living a party lifestyle to becoming a burned-out church worker to finally discovering true freedom in the gospel of grace. His testimony reveals how the most significant transformation in his life wasn't leaving his partying days behind, but escaping the performance-based Christianity that kept him in a spiritual cage.• Grew up in church but left to pursue adventure and the party lifestyle in snowboarding communities• Found emptiness in his dream lifestyle despite achieving everything he thought would fulfill him• Returned to faith but approached it with a performance mindset, trying to earn God's approval• Experienced burnout from working so hard in ministry while simultaneously battling secret shame• Discovered through mentorship that his value is intrinsic, not based on performance or others' opinions• Realized he had become like the older brother in the prodigal son story – doing the right things for wrong reasons• Found freedom when he understood God already declared him enough and worthy of love• Now helps other men find freedom from pornography addiction by addressing the underlying pain• Continues practicing "gospel" daily, reminding himself of the truth that he is already enough in ChristIf you're struggling with feeling that you're never doing enough for God, remember that your value isn't based on your performance. The gospel declares you are already enough because of what Jesus has done.
A woman in China experienced relief from a chronic illness once she began practicing Dafa. Here she shares the joys of practicing cultivation in Dafa, and how she also became an example of the high moral character and selfless actions of a cultivator at her workplace. This and other experience-sharing from the Minghui website. Original […]
(6:00) Kalen DeBoer has a really good track record -- is that being factored in to the game forecasting?(12:00) Experienced, productive guys abound but you do wonder if the transfer haul can gel quick enough, right?(25:00) Looking back on the hot boards and where FSU is at with their coordinators(45:00) Recruiting still going strong for the 'NolesMusic: Good Charlotte - Steppervitaminenergy.com | Shake it and take it!Upgrade your wallet today! Get 10% Off @Ridge with code WAKEUP at https://www.Ridge.com/WAKEUP #Ridgepod
(6:00) Kalen DeBoer has a really good track record -- is that being factored in to the game forecasting?(12:00) Experienced, productive guys abound but you do wonder if the transfer haul can gel quick enough, right?(25:00) Looking back on the hot boards and where FSU is at with their coordinators(45:00) Recruiting still going strong for the 'NolesMusic: Good Charlotte - Steppervitaminenergy.com | Shake it and take it!Upgrade your wallet today! Get 10% Off @Ridge with code WAKEUP at https://www.Ridge.com/WAKEUP #Ridgepod
Trading Stocks Made Easy with Tyrone Jackson: Investing in Stocks | Investing Money
http://www.witradeschool.com In episode #259 of the Trading Stocks Made Easy Podcast, Tyrone Jackson tells you how you can "Change Your Life". http://www.thewealthyinvestor.net Experienced traders know that discipline is the key to success. Inexperienced traders lose significant amount of trading capital when greed trumps discipline. Take Tyrone Jackson's advice and you, too, can be a six figure trader.
If you are exercising but not losing weight or gaining muscle after 50, there are some easy and yet not-so-obvious reasons why. This is for all of you exercising but not getting results. Whether you or women you work with are interested in gaining muscle after 50, you may like this: How to Design Strength Programs that Work PRE, peri and post-menopause is a new workshop I'm offering complimentary to our members and existing Menopause Fitness Specialists. If you're interested as a non-member, add your name here to the notifications list. 5 Reasons You May Struggle Losing Fat or Gaining Muscle After 50 Not Working To Muscular Fatigue Starting out: 5-6 reps to fatigue Experienced - 2 reps from reserve Workouts to gain muscle strength: Light - in between 6-30 reps Moderate - +/- 15 reps Heavy - 10 or fewer reps Too Little Recovery 3 things that have to recover: Muscle, Connective tissues, Adrenals Muscle 48 hours of recovery is not enough for a lot of people. As we age, we need more recovery time. If you take too little recovery time, you will feed more tired than better and not gain lean muscle mass. Connective tissues (ligaments & joints) Recovery may be slower and healing from an injury or a strain. Take time with warm ups and cool downs. Work on mobility around key joints like ankles, hips and shoulders regularly. Adrenals Prolonged elevated cortisol after a workout is problematic if already chronic elevation of cortisol exists. Estrogen regulates the HPA-axis (cortisol/adrenal signaling) function. Less estrogen reduces the ability to regulate stressors. Decreasing exercise, reducing inflammation and taxing of the adrenals, improving sleep, nutrition sufficiency, and identifying ways to reduce negative effects of cortisol with tools that work for you. More Reasons Why You're Not Gaining Muscle After 50 Too Few Calories Or Protein May limit muscle protein synthesis. If you're in a caloric deficit: a moderate deficit (
We explore the compelling questions surrounding artificial intelligence. Will AI create more new jobs than it destroys? Is AI already destroying jobs? Are we seeing overinvestment in companies and infrastructure in the AI space? Is there evidence that AI has increased productivity?SponsorsMoney for the Rest of Us PlusAsset CampShow NotesBehind the Curtain: A white-collar bloodbath by Jim VandeHei and Mike Allen—AxiosYuval Noah Harari Statement - Post by Nunki08—RedditChallenger Report June 2025—Challenger, Gray & ChristmasEntry level jobs fall by nearly a third since ChatGPT launch by Karl Matchett—The IndependentStrategic Insights for M&A in the Evolving AI Market—S&P GlobalNvidia Becomes First Public Company Worth $4 Trillion by Tripp Mickle—The New York TimesSilicon Valley is racing to build the first $1trn unicorn—The EconomistHow to use generative AI to augment your workforce by Betsy Vereckey—MIT ManagementHumans must remain at the heart of the AI story by Marc Benioff—The Financial TimesThe AI Industry Is Radicalizing by Matteo Wong—The AtlanticTASKS, AUTOMATION, AND THE RISE IN U.S. WAGE INEQUALITY by DARON ACEMOGLU AND PASCUAL RESTREPO—EconometricaMyPillow CEO's lawyers fined for AI-generated court filing in Denver defamation case by Olivia Prentzel—The Colorado SunWhich Workers Will A.I. Hurt Most: The Young or the Experienced? by Noam Scheiber—The New York TimesGenerative AI at Work by Erik Brynjolfsson, Danielle Li, Lindsey Raymond—Oxford AcademicThe Illusion of Thinking: Understanding the Strengths and Limitations of Reasoning Models via the Lens of Problem Complexity by Parshin Shojaee et al.—AppleRelated Episodes507: Where You Live Matters – How Geography Contributes to Wealth457: AI's Fork in the Road: Societal Bliss or Existential Threat439: How and Why to Invest in AI417: Will Generative AI Replace Your Job?See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Join us as we dissect the use of robotics in bariatric surgery – where precision meets programming, and the scalpel gets a software upgrade. Hosts: - Matthew Martin, trauma and bariatric surgeon at the University of Southern California/Los Angeles General Medical Center (Los Angeles, California) - Adrian Dan, bariatric and MIS surgeon, program director for the advanced MIS bariatric and foregut fellowship at Summa Health System (Akron, Ohio) - Crystal Johnson Mann, bariatric and foregut surgeon at the University of Florida (Gainesville, Florida) - Katherine Cironi, general surgery resident at the University of Southern California/Los Angeles General Medical Center (Los Angeles, California) Learning objectives: Strengths of the robot: Surgical robots are at the forefront of technology and continue to improve with detailed, precision cameras and the ability to remove baseline tremors Allows for smooth movements, fine dissection, and precise tissue handling Ergonomics are more advantageous to the surgeon when compared to laparoscopy Weaknesses of the robot: The loss of haptic feedback can be challenging for surgeons early in their learning curve Emphasis on surgical robots means some trainees may be losing exposure to laparoscopic techniques Longer operative time when working robotically, and more time under anesthesia for the patient Increased cost for robotic surgery Outcomes data: Mixed data from the MBSA QIP database (metabolic and bariatric surgery accreditation and quality improvement program) The most recent study looked at 824,000 patients from 2015-2022 who had a sleeve gastrectomy or RNY gastric bypass, either laparoscopically (lap sleeve 61%, lap RYGB 24%) or robotically (robo sleeve 11%, robo RYGB 4%). Robotic sleeves were reported to have higher complication rates compared to laparoscopy, seen as higher overall morbidity and an increased rate of leaks While the robotic RYGBs have lower overall complications, including decreased morbidity and bleeding. Robotic RYGB can be especially advantageous with revisional surgeries when compared to lap. Setting up for success Train your eyes to determine tension on tissue, since there is no haptic feedback Learn how to assist yourself (manipulating the camera and effectively utilizing the fourth arm) Understand how techniques of the surgery change when doing it robotically, as compared to laparoscopy Experienced operating room team When learning, recommend putting all cases feasible on the robot (including easier cases), to master the straightforward cases before moving to technically challenging revision cases. Don't hesitate to add an additional trocar or assistant port when needed Education in Robotic learning Learning by observation/mirroring – ex: robotic bilateral inguinal hernia (mirroring the attending/instructor) Easy for the attending/instructor in the case to switch instruments seamlessly, then give them back intermittently at the appropriate time Helpful when the attending annotates the screen to depict where to go Data-driven teaching tools on the Davinci system Tips for robotic sleeve gastrectomy: Of the robotic bariatric surgeries, sleeve gastrectomy is most similar to its laparoscopic procedure 30-40 degrees of reverse Trendelenburg Liver hammock stitch instead of a liver retractor (one less trocar), which makes a total of 4 trocars needed for the case Green staple load for the first firing, then the rest are typically blue loads Mixed opinions on reinforced staple loads versus non-reinforced staple loads and oversewing the staple line (discussed cost-benefit) Tips for robotic gastric bypass: Watch videos from colleagues to learn what they do Gastric bypass is a multi-quadrant surgery; thus, you must set yourself up for success so that your arms are not fighting when moving through different quadrants A size 12 trocar on the left can make the formation of the gastric pouch easier GJ and JJ anastomosis formed with a linear fire, then a two-layer closure with absorbable barb suture Don't forget to close the mesenteric defect (non-absorbable braided suture) Tips for robotic DS and SADI: If doing a duodenal anastomosis hand-sewn, then recommend planning the exact number of sutures and locations of each for ease Hand-sewn anastomosis can have less bleeding and fewer strictures for patients, and is completed in a much more seamless fashion with the robot Future of Robotics Haptic feedback Integrated visual overlays to identify anatomical structures/serve as an intraoperative map Artificial intelligence integration Telesurgery – ex, small surgical robot deployed to space 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://app.behindtheknife.org/listen