Podcasts about Expert

Jeff and Michael conclude the eighth season of Future U. with a one-on-one discussion of the lessons and themes from this year's conversations. They address the range of topics covered - from the transformative effects of AI to the recent flurry of Federal executive orders to the reckoning to be done in higher education. For each, they summon the insights from this season's guests to analyze how they have shaped the higher ed landscape and consider how they will continue to do so going forward. This episode is made with support from Ascendium Education Group and the Gates Foundation.Chapters0:00 - Intro1:39 - Jeff's Next Book5:17 - Trump's Effect on the Year of Reckoning15:20 - The Shifting Power Balance20:13 - Demonstrating Value25:27 - Colleges' Core Competencies38:11 - Who's Looking Forward?42:19 - Saying Goodbye for Summer Further Reading2025 Higher Education Trends Report | Deloitte Insightshttps://www2.deloitte.com/us/en/insights/industry/public-sector/2025-us-higher-education-trends.htmlComprehensive analysis of the challenges facing higher education in 2025, including financial pressures, risk management, and strategic planning that aligns with the "year of reckoning" discussion.12 Higher Ed Challenges in 2025 and Exemplars Solving Themhttps://changinghighered.com/higher-ed-challenges-2025-solution-examples/Detailed examination of enrollment declines, AI disruption, and institutional responses with real-world examples of colleges successfully addressing these challenges.Trump Administration Executive Orders on Higher Education | U.S. Department of Educationhttps://www.ed.gov/about/news/press-release/secretary-of-education-statements-president-trumps-education-executive-ordersOfficial statements and details about the executive orders affecting higher education, including accreditation reform and foreign funding transparency.How Will AI Influence Higher Ed in 2025? | Inside Higher Edhttps://www.insidehighered.com/news/tech-innovation/artificial-intelligence/2024/12/19/how-will-ai-influence-higher-ed-2025Expert predictions and guidance for how colleges and universities will navigate AI integration in 2025, directly supporting the AI theme in the podcast.The Future of AI in Higher Education | EDUCAUSEhttps://www.educause.edu/ecar/research-publications/2024/2024-educause-ai-landscape-study/the-future-of-ai-in-higher-educationSurvey results showing how higher education professionals view AI's future role in learning analytics, accessibility, and institutional operations.Combating the Enrollment Cliff | NAFSAhttps://www.nafsa.org/ie-magazine/2024/9/11/combating-enrollment-cliffAnalysis of how the demographic cliff beginning in 2025 might offer opportunities for international student recruitment and institutional adaptation.Bill Ackman: How to Fix Harvard | The Free Presshttps://www.thefp.com/p/bill-ackman-how-to-fix-harvardAckman's detailed critique of Harvard and higher education, providing context for the discussion about his views on institutional reform and federal funding.How Can College Leaders Navigate Mergers and Closures in 2025? | Higher Ed Divehttps://www.highereddive.com/news/college-leaders-navigate-closures-mergers-2025/740280/Expert guidance on merger strategy and the complexities of "Big Scary Change" that institutions face, relating to the slow merger discussion.Sian Beilock Leadership Profile | Aspen Ideashttps://www.aspenideas.org/speakers/sian-beilockBackground on Dartmouth's president who was highlighted as exemplifying strong leadership during campus challenges and free speech issues.AI and Education: Shaping the Future | Inside Higher Edhttps://www.insidehighered.com/opinion/blogs/learning-innovation/2025/03/04/ai-and-education-shaping-future-it-shapes-usInsights from Stanford's AI+Education Summit 2025 about coordinated efforts needed across higher education for responsible AI implementation.AI in Education: 2025 Statistics & Future of Learninghttps://artsmart.ai/blog/ai-in-education-statistics-2025/Data-driven analysis showing that 89% of students use ChatGPT for homework and other statistics relevant to the AI adoption discussion.Connect with Michael Horn:Sign Up for the The Future of Education NewsletterWebsiteLinkedInX (Twitter)Threads  Connect with Jeff Selingo:Sign Up for the Next NewsletterWebsiteX (Twitter)ThreadsLinkedInConnect with Future U:TwitterYouTubeThreadsInstagramFacebookLinkedIn  Submit a question and if we answer it on air we'll send you Future U. swag!Sign up for Future U. emails to get special updates and behind-the-scenes content.

Host Pat Iyer welcomes guests Kenna Morgan and Grace Flack, both experienced legal nurse consultants with over 25 years' combined experience in plastic surgery and postoperative care. The episode dives into the world of plastic and reconstructive surgery, focusing on the expectations, risks, and realities faced by patients and medical staff. The discussion begins by outlining some of the most common, expected complications after plastic surgery—such as swelling, bruising, pain, and numbness—emphasizing the importance of proper patient education and expectation management. Kenna and Grace point out that while these complications are typically normal parts of recovery, it's crucial for both patients and healthcare providers to recognize abnormal signs—like persistent fevers or mental changes—which could signal infections or more serious issues. The conversation then shifts to the legal aspects, highlighting how legal nurse consultants review cases for deviation from the standard of care, especially when unexpected complications arise. Grace shares a real-life example of a client who developed sepsis after her concerns were initially dismissed post-procedure, illustrating how the management—or mismanagement—of symptoms can have serious legal implications. Pat, Kenna, and Grace also discuss potential nursing liability, particularly around failure to speak up or document concerns during procedures, calculation errors with weight-based medications, and issues with informed consent—especially if a surgeon adds a procedure without patient agreement. Additional topics include the complexities of healing (such as keloid scarring), how patient expectations sometimes don't align with outcomes, and the unique risks of pediatric plastic surgery. They also touch on rare but devastating occurrences like operating room fires, sharing a poignant case involving a young child to underscore the importance of safety protocols and clear communication. The episode wraps up with practical advice for legal professionals interested in consulting on plastic surgery cases, along with contact information for Kenna and Grace's consulting business. What you'll learn in this episode on Plastic Surgery Gone Wrong: Real Cases and Risks : Get answers to these questions: What are some common expected complications after plastic surgery? Which complications after plastic surgery might indicate medical negligence or malpractice? How can nurses become legally liable during the plastic surgery process, even if they aren't the surgeon? Why is proper consent so crucial in plastic surgery procedures, and what are the legal implications of unauthorized add-on procedures? How do medication calculations carry liability risks for nurses in the operating room, especially with local anesthetics? Listen to our podcasts or watch them using our app, Expert.edu, available at legalnursebusiness.com/expertedu. Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. https://www.youtube.com/watch?v=YhuHPcA0Zjs Is this you? "I get confused about the difference between screening cases and writing expert reports." You're not alone! Step into the role of a legal nurse consultant and experience the process of analyzing a nursing malpractice case. This interactive workshop is designed for LNCs who want practical experience in case evaluation, medical record analysis, and identifying deviations from the standard of care. You'll work through a real case, receive targeted instructions, and engage in small group activities to sharpen your clinical and legal skills. Live session June 5, 2025 from 10 AM to 4:30 PM Eastern Learn more about our limited time Early Bird Discount! Your Presenters for Plastic Surgery Gone Wrong: Real Cases and Risks Pat Iyer

A man attacked a march for Israeli hostages in Colorado; Headed to the beach in MA? Watch out for marine debris; Expert breaks down myths surrounding same-sex families and adoption; International students sue NE firm for being recruited to work in CAFOs.

Doordat de aarde opwarmt krijgen we steeds vaker te maken met serieuze hittegolven. Daarnaast doen steeds meer mensen jonge mensen fanatiek mee aan hardloopwedstrijden. Dat soort zware fysieke inspanning kan leiden tot hittestress of zelfs een hitteberoerte. En dat kan levensgevaarlijk zijn of voor blijvende schade zorgen. Het is vandaag Heat Action Day om meer bewustwording te creëren voor het gevaar van hitte. Voor onze gezondheid is het noodzakelijk dat we hiermee leren omgaan. In deze aflevering praat presentatrice Nina van den Dungen over het gevaar van hitte op de mens en de druk hiervan op de zorg. Dat doet zij met: Hein Daanen: Hoogleraar inspanningsfysiologie aan de Vrije Universiteit Amsterdam. Expert op het gebied van hitte in combinatie met het menselijk lichaam. Jelmer Alsma: Internist en directeur acute geneeskunde bij het Erasmus MC. Daarnaast werkt hij als arts in de topsport. Wanneer je te maken kan krijgen met hittestress of zelfs een hitteberoerte kan krijgen hoor je in deze podcast. Er wordt besproken hoe hitte een steeds groter probleem wordt in de zorg en hoe we ervoor kunnen zorgen dat mensen zich steeds beter kunnen wapenen tegen toenemende hitte. Daarbij hoor je hoe snel je oververhit kan raken tijdens fysieke inspanning en wat je daartegen kan doen, zodat er geen permanente schade optreedt. Behalve ijsvesten zijn er al meerdere technologische innovaties op de commerciële markt beschikbaar, maar is dit lang niet bij iedereen bekend. Deze worden op kleine schaal al gebruikt in bepaalde beroepssectoren of in het leger. Redactie: Rosanne PetersSee omnystudio.com/listener for privacy information.

Folge 338: Du denkst oft in Horrorszenarien? Fragst dich ständig: Was, wenn…? Dann ist diese Folge für dich! Ich teile 4 effektive Schritte, wie du aus dem Katastrophendenken aussteigen kannst und wieder mehr innere Ruhe findest. In dieser Folge erfährst du:

Expert tour guides share advice for exploring the ancient ruins and seaside villages along Turkey's Aegean coast, the Renaissance wonders of Florence, the sun-drenched Tuscan countryside, and charming Danish towns and islands easily reached on day trips from Copenhagen. For more information on Travel with Rick Steves - including episode descriptions, program archives and related details - visit www.ricksteves.com.

• Doku-Hörspiel • Das Lebensende des einen ist die Existenzgrundlage des anderen: Expert:innen aus dem Bestattungswesen verstauen, verwalten und würdigen die Toten. Was wissen sie über ihren eigenen Abgang? Nach einem Theaterstück von Rimini Protokoll Von Frank Böhle, Olaf Kröck, Helgard Haug, Stefan Kaegi und Daniel Wetzel www.deutschlandfunkkultur.de, Freispiel

One random act of kindness, a stranger on the freeway, and a moment that changed everything.Listen to this to restore your faith in humanity and discover how a split-second decision can reveal the goodness still left in the worldWanna listen to this episode AD FREE?? Go to my ad free subscription at - almostadulting.supercast.comToday's episode is brought to you by:Stasis - Don't let Adderall make you feel like sh*t. Pair it with Stasis and get your focus, without the 3pm energy crash, moodiness, or restless nights. Get an extra 15% off your first purchase using my code VIOLET at checkout! https://takestasis.com/VIOLETMaterialists Movie - Movie comes out June 13! Get your tickets HEREAdults Show - Watch FX's Adults OUT NOW on FX. All Episodes Streaming on Hulu.Air Doctor - Head to AirDoctorPro.com and use promo code ADULTING to get UP TO $300 off today! AirDoctor comes with a 30-day money back guarantee, plus a 3-year warranty—an $84 value, free! See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Okayyy…the countdown is ON! Our book, Almost 30: A Definitive Guide to a Life You Love For The Next Decade and Beyond, comes out June 3rd, and we CAN'T WAIT for you to have it! In honor of our book baby's birth, we're talking all things Saturn Return in this blast-from-the-past episode.   Ahead, Nadine Jane, Ophira Edut, Jennifer Freed, and Chani Nicholas will give you the lowdown on the magical + messy portal that is your Saturn Return. This period of time is like a spiritual bootcamp that will set you up for an expansive + abundant life…that is, if you've got the right tools. Think of this episode AND our book as your trusty companions to the wild ride of your late twenties…or really any major transition. Learn the skills needed to meet your higher self + uplevel in every area of your life. We're cheering you on, in every season…you got this! We also talk about: How to use astrology + transits for self-reflection and growth The significance of the seven-year Saturn cycles—and how they shape relationships, careers, and identity Navigating uncertainty: letting go + embracing change during big transitions Why it's time to stop blaming your parents + fully step into your own power The difference between ego + soul-driven manifestation (and why Saturn cares!) Relationship dynamics through an astrological lens—attachment, independence, and redefining love What to do if your Saturn Return feels brutal… and how to turn breakdowns into breakthroughs Expert advice on astrology for dating, love, + knowing yourself deeper Pre-order our book, Almost 30: A Definitive Guide To A Life You Love For The Next Decade and Beyond, here: http://bit.ly/Almost30Book.  Sponsors: Cymbiotika | Go to Cymbiotika.com/Almost30 for 20% off + free shipping.  Just Thrive | Visit justthrivehealth.com and save 20% on your first 90 day bottle of Just Thrive probiotic with promo code: ALMOST30.  To advertise on this podcast please email: ad-sales@libsyn.com or go to https://advertising.libsyn.com/almost30.  almost30.com/learn almost30.com/morningmicrodose almost30.com/courses  facebook.com/Almost30podcast/groups Podcast disclaimer can be found by visiting: almost30.com/disclaimer.  Find more to love at almost30.com! Almost 30 is edited by Garett Symes and Isabella Vaccaro.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

Take a deep dive into today's case management and accounting tech with one of the leading voices in legal technology, Allan Mackenzie, the founding partner of the firm Efficient Legal.  Moving from older systems and into the cloud can open lots of doors, affordably. Even small firms can dig into today's modern technology to help manage documents, accounting tasks, and more.  Iron out the wrinkles in your data management, connect platforms, and work seamlessly and efficiently. Case management systems have evolved to include dashboards, workflows, document assembly, phone call and text messaging systems, and even accounting tech and credit card processing. Hear what Mackenzie looks for when he sets out to build the right-sized system for a law firm, whether that's a solo practice or a large organization.  Questions or ideas about solo and small practices? Drop us a line at NewSolo@legaltalknetwork.com   Topics: Think your legal software and systems are fine because they're what you've always used? Think again. Six months is an eternity in legal tech, and if you haven't reviewed and renewed your software suite, you could be leaving money on the table.  Integrate everything, including your billing, collections, and your phone calls, into every part of your firm, from information management to confidential storage and efficient search and recall.  Your clients are texting more than ever. Today's case management systems incorporate technology to securely receive, sort, and store text messages. Resources: Clio Legal Tech MyCase Smokeball CARET (formerly Zola) Leap Neos Dialpad RingCentral Ion8 Lightbulb Slack Quickbooks MyFirmData Zoho Invoice Centerbase Microsoft Teams Universal Migrator Actionstep Dropbox Dash ABA Techshow 2026  Previously on New Solo, “Winning The Battle: When It's Time To Modernize But There's One Holdout”  Previously on New Solo, guest Peggy Gruenke, “What's New in Legal Financial Management? An Expert's Perspective”  Previously on New Solo, guest Amanda Moore, “Money Management 101 for Solo and Small Firm Professionals”  Clio Cloud Conference 2025 Clio Legal Trends Report

Where do you create an AI? This week, Technology Now explores the world of AI factories, dedicated spaces for building bespoke artificial intelligence software. We look into what these factories are, how they work, and we examine the importance of them going forward. Iveta Lohovska tells us more. This is Technology Now, a weekly show from Hewlett Packard Enterprise. Every week, hosts Michael Bird and Aubrey Lovell look at a story that's been making headlines, take a look at the technology behind it, and explain why it matters to organizations and what can be learnt from it. More about this week's guest: https://www.linkedin.com/in/iveta-lohovska-40210362/?originalSubdomain=atEnergy to train an LLM: https://www.economist.com/technology-quarterly/2024/01/29/data-centres-improved-greatly-in-energy-efficiency-as-they-grew-massively-largerToday I Learnt: https://www.science.org/doi/10.1126/sciadv.adu9368 This Week in History:https://eclipse2017.nasa.gov/testing-general-relativityhttps://www.amnh.org/exhibitions/einstein/energy/special-relativityhttps://web.lemoyne.edu/giunta/ruth1920.html

Florian Heinemann und Thuy Ngan Trinh von Project A tauchen mit Joel Kaczmarek in die Welt der KI im Business ein. Gemeinsam beleuchten sie, wie Unternehmen Künstliche Intelligenz sinnvoll integrieren können. Florian bringt seine Expertise als Investor ein und erklärt, wie KI in Start-ups bereits fest verankert ist. Thuy Ngan, Managing Director bei Project A, ergänzt mit praxisnahen Beispielen und zeigt, wie KI im Marketing und Sales revolutionäre Veränderungen bewirkt. Ein spannender Austausch über Use-Cases, Herausforderungen und die Zukunft der Arbeit in einer digitalisierten Welt. Du erfährst... ...wie Florian Heinemann und Thuy Ngan Trinh KI im Business erfolgreich integrieren ...welche spannenden Use-Cases für KI in Unternehmen existieren und wie sie umgesetzt werden ...wie KI die Marketingwelt revolutioniert und welche Tools dabei unverzichtbar sind ...wie KI den Sales-Prozess effizienter gestaltet und neue Möglichkeiten eröffnet ...warum KI im Customer Service und in der Software-Entwicklung einen echten Boost bringt __________________________ ||||| PERSONEN |||||

Take a deep dive into today's case management and accounting tech with one of the leading voices in legal technology, Allan Mackenzie, the founding partner of the firm Efficient Legal.  Moving from older systems and into the cloud can open lots of doors, affordably. Even small firms can dig into today's modern technology to help manage documents, accounting tasks, and more.  Iron out the wrinkles in your data management, connect platforms, and work seamlessly and efficiently. Case management systems have evolved to include dashboards, workflows, document assembly, phone call and text messaging systems, and even accounting tech and credit card processing. Hear what Mackenzie looks for when he sets out to build the right-sized system for a law firm, whether that's a solo practice or a large organization.  Questions or ideas about solo and small practices? Drop us a line at NewSolo@legaltalknetwork.com   Topics: Think your legal software and systems are fine because they're what you've always used? Think again. Six months is an eternity in legal tech, and if you haven't reviewed and renewed your software suite, you could be leaving money on the table.  Integrate everything, including your billing, collections, and your phone calls, into every part of your firm, from information management to confidential storage and efficient search and recall.  Your clients are texting more than ever. Today's case management systems incorporate technology to securely receive, sort, and store text messages. Resources: Clio Legal Tech MyCase Smokeball CARET (formerly Zola) Leap Neos Dialpad RingCentral Ion8 Lightbulb Slack Quickbooks MyFirmData Zoho Invoice Centerbase Microsoft Teams Universal Migrator Actionstep Dropbox Dash ABA Techshow 2026  Previously on New Solo, “Winning The Battle: When It's Time To Modernize But There's One Holdout”  Previously on New Solo, guest Peggy Gruenke, “What's New in Legal Financial Management? An Expert's Perspective”  Previously on New Solo, guest Amanda Moore, “Money Management 101 for Solo and Small Firm Professionals”  Clio Cloud Conference 2025 Clio Legal Trends Report Learn more about your ad choices. Visit megaphone.fm/adchoices

This week on Health Matters, Courtney Allison is joined by Dr. Sonja Blum, a neurologist with NewYork-Presbyterian and Weill Cornell Medicine.Dr. Blum shares simple ways to protect your brain health as you age.They explore the science behind nutrition and exercise in relation to the brain, as well as the  importance of social engagement, mental health, and quality sleep. They also speak about evidence that shows how meditation benefits the brain. Plus, they touch on whether or not brain puzzles actually help with cognitive function, and the unique brain health challenges faced by women.___Dr. Sonja Blum, M.D., Ph.D. is an Associate Professor of Clinical Neurology at Weill Cornell Medicine and Associate Attending at NewYork-Presbyterian/Weill Cornell Medical Center, and the Director of Memory Disorders and Cognitive Neurology Division at NewYork-Presbyterian and Weill Cornell Medicine. Dr. Blum sees adults of all ages who are having memory, attention, language, and other cognitive concerns, or who have a family history of dementia and concerned about their risks. Dr. Blum also has expertise in traumatic brain injury (TBI), including recovery from disorders of consciousness (DOC) and the long-term effects of moderate to severe TBI, as well as concussions. Her research focuses on mechanisms of cognitive aging and long-term memory dysfunction, and traumatic brain injury. Dr. Blum trained as a physician scientist completing the MD/PhD program at the University of Texas McGovern Medical School in Houston. She completed her neurology residency and behavioral neurology fellowship at the Columbia University Neurological Institute in New York City.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org

On this episode of The Wholesome Fertility Podcast, I am joined by Dr. Nirali Jain (eggspert_md), a board-certified OB/GYN and reproductive endocrinologist at Reproductive Medical Associates (RMA). Dr. Jain shares her expert insights on fertility preservation for individuals undergoing cancer treatment, a crucial yet often overlooked aspect of reproductive care. We explore what options are available for fertility preservation, including egg and sperm freezing, and why it's so important to initiate these discussions before starting chemotherapy or radiation. Dr. Jain also explains the difference between Letrozole and Clomid, the impact of estrogen-sensitive cancers on IVF treatments, and innovative approaches like random-start cycles and DuoStim protocols. Whether you're facing a cancer diagnosis or simply thinking proactively about your reproductive future, this conversation is filled with knowledge and reassurance. Key Takeaways: Why it's essential to discuss fertility before starting cancer treatment. The role of Letrozole in estrogen-sensitive cancers and fertility preservation. Differences between Letrozole and Clomid, and why Letrozole is often preferred. How new protocols like DuoStim and random-start cycles are improving outcomes. Why fertility preservation is important even for those without a cancer diagnosis. Guest Bio: Dr. Nirali Jain (@eggspert_md) is a board-certified OB/GYN and fertility specialist at Reproductive Medicine Associates (RMA) in Basking Ridge, New Jersey. She earned both her undergraduate degree in neurobiology (with a minor in dance!) and her medical degree from Northwestern University, before completing her residency at Weill Cornell/NYP, where she served as co-Chief Resident, and her fellowship in reproductive endocrinology and infertility at NYU Langone. Deeply passionate about women's health and fertility preservation, Dr. Jain blends the latest research and cutting-edge treatments with compassionate, patient-centered care. Her interests include third-party reproduction and oncofertility, and she is especially passionate about supporting patients navigating fertility preservation through a cancer diagnosis. Outside of the clinic, Dr. Jain is a trained dancer, a dedicated global traveler, and an adventurer working toward hiking all seven continents with her husband. Her diverse experiences, from international medical rotations to personal connections with friends and family navigating infertility, have shaped her into a warm, resourceful, and determined advocate for her patients. Links and Resources: Visit RMA websiteFollow Dr. Nirali Jain on Instagram For more information about Michelle, visit www.michelleoravitz.com To learn more about ancient wisdom and fertility, you can get Michelle's book at: https://www.michelleoravitz.com/thewayoffertility The Wholesome Fertility facebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/ Instagram: @thewholesomelotusfertility Facebook: https://www.facebook.com/thewholesomelotus/ Disclaimer: The information shared on this podcast is for educational and informational purposes only and is not intended as medical advice. Please consult with your healthcare provider before making any changes to your health or fertility care. --  Transcript:   # TWF-Jain-Nirali (Video) ​[00:00:00]  **Michelle Oravitz:** Welcome to the podcast Jain.  **Dr. Nirali Jain:** Thanks so much for having me **Michelle Oravitz:** Yeah, so. **Michelle Oravitz:** I'm very excited to talk about this topic, which, um, actually you don't really hear a lot of people talking about, which is how to preserve your fertility if you're going through a cancer diagnosis and if you have to go through treatments. 'cause obviously that can impact a lot on fertility. **Michelle Oravitz:** I have, um, seen actually like a colleague of mine go through. And she also preserved her fertility and, and now she has a baby boy. so it's really nice. **Michelle Oravitz:** to **riverside_nirali_jain_raw-video-cfr_michelle_oravitz's _0181:** so nice. **Michelle Oravitz:** So I'd love for you first to introduce yourself and kind Of give us a background on how you got into this work. **Dr. Nirali Jain:** Of course. Um, so I am Dr. Narly Jane. I am, um, an OB GYN by training, and then I did an additional, after completing four years of residency in OB GYN and getting board certified in that, I did an additional training in reproductive endocrinology and [00:01:00] infertility or otherwise known as REI. So now I'm a fertility specialist. **Dr. Nirali Jain:** Um, I trained at Northwestern in Chicago, so I went to undergrad and medical school there. And then, um, home has always been New Jersey for me, so I moved back out east to New Jersey. Um, I did all my training actually in New York City at Cornell for residency and NYU for fellowship. Um, and then moved to the suburbs. **Dr. Nirali Jain:** Um, and now I'm a fertility specialist in, in Basking Ridge at Reproductive Medical Associates.  **Michelle Oravitz:** Very impressive background. That's awesome.  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** I'd love to hear just really. About what your process is. If a person has been diagnosed with cancer, like what is the process? What are some of the things that you address if they are trying to preserve fertility, and what are some of the concerns going  **Dr. Nirali Jain:** yeah, yeah. All great questions. So, you know, there's a lot of us, uh, the Reis. Are a very small, [00:02:00] there's a very small number of us. So in terms of specializing in fertility preservation, technically we all are certified to treat patients with cancer and kind of move them through fertility preservation before starting chemotherapy. **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** Um, luckily we've been working closely with oncologists in the past several years just to establish some type of streamlined system because having a diagnosis of cancer and hearing all that information. Especially when you're young is so hard. So I think that's, that's where my interest started in terms of being able to speak to and counsel cancer patients. **Dr. Nirali Jain:** I think it is a very specific niche that you really have to be comfortable with in our field. Um, I. So I'll kind of walk you through, you know, what it, what does it look like, right? Um, you go into your oncologist's office suspecting that you have this, this lump. I'll take breast cancer, for example. It could really be any kind of cancer. **Dr. Nirali Jain:** Um, but breast cancer in a reproductive age patient or someone that's in those years where you're starting [00:03:00] to think about building a family, planning a family, um, or if you have kids at home, that's usually the type of patient that we see come in with a breast cancer diagnosis. So. Kinda just taking that, for example, um, the minute that you're diagnosed, it's really your oncologist's responsibility to counsel you on what treatment options are going to be offered to you. **Dr. Nirali Jain:** And then based off of the treatment options, it's important to know how that affects your reproduction. So how does it affect your ovaries in the short term, in the long term, um, in any way possible. So. Once a patient is initially referred from their oncologist to myself or any other fertility specialist, they come into my office and we just have a 30 minute conversation really talking about family planning goals. **Dr. Nirali Jain:** Any kids that they've had in the past either naturally conceived or through um, IVF, and then we talk about where they're at in their relationship. Are they married, are they not? Are they with a partner, [00:04:00] a male partner, a female partner, whatever it might be. It's important to know the social standpoint, um, especially in this sensitive phase of life. **Dr. Nirali Jain:** So patient patients usually spend anywhere from 30 minutes to an hour. Um, just kind of talking through where they're at, how they're feeling, what their ultimate childbearing goals are. And then from there we do an ultrasound and that's when I'm really able to see, you know, the, the reproductive status. **Dr. Nirali Jain:** So what do the ovaries look like? What does the uterus look like? Is there something that I need to be concerned about from a baseline GYN standpoint? Um, and all of those conversations are happening in real time. So. I think one of the things is patients come in and they're like, I'm already so overwhelmed with all this information from my oncologist, and now my fertility specialist is throwing all this information at me. **Dr. Nirali Jain:** Luckily, the way I like to frame it is you come in and you just let go. Like you let us do the work because in the background we're the ones talking to your oncologist. We're the [00:05:00] ones giving that feedback and creating a timeline with your oncologist. Um, and really I think just getting in the door is the hardest part. **Dr. Nirali Jain:** So once patients are here to see us, we go through the whole workup. We do anything that we would do for a normal patient that came in for fertility preservation. And then based off of where they're at in their journey, we talk about what makes sense for them, whether that means freezing embryos, freezing eggs, they're very similar in terms of the, the few weeks leading up to the egg retrievals. **Dr. Nirali Jain:** So I have that whole conversation just at the initial visit. And then from there we talk about the timeline behind the scenes and make sure that it works with their lives before moving forward. **Michelle Oravitz:** So for people listening to this, why, and this might be an obvious question, but to some it might not be,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** why would somebody want to preserve. eggs or sperm. 'cause I've had actually some couples  **Dr. Nirali Jain:** Yep. **Michelle Oravitz:** come to me where the husband preserved the sperm and they had to go through IVF just because he was going [00:06:00] through cancer treatments. So he had to preserve the sperm ahead of time.  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** people need to consider doing that before doing cancer treatments?  **Dr. Nirali Jain:** So there are certain cancer treatments that do affect the ovaries and the sperm health, and you know, for men and women, it affects your reproductive organs. In a similar way, um, depending on the type of chemotherapeutic agent, there are some that are more dangerous in terms of, um, being toxic to your ovaries or toxic to your sperm. **Dr. Nirali Jain:** And those are the instances where we are really thinking about what's the long-term impact because there's medications that oncologists do give patients, and our oncologists are amazing, the ones that we work with, Memorial Sloan Kettering from Reproductive Medical Associates through RMA, um, and. **Dr. Nirali Jain:** They're just so good at what they do and are so well-trained, so they know in the back of their mind, is this going to impact your ovaries or your sperm health or not? Um, and I [00:07:00] think that any chemotherapy, you know, your ovaries are these, these small organs that are constantly turning over follicles every month. **Dr. Nirali Jain:** So every month we're losing those eggs, and if they don't become. If an egg isn't ovulated, it doesn't become a baby, it's just gonna die off. So I counsel even patients that don't have cancer, I counsel them on fertility preservation as young as possible. You know, between the ages of 28 and 35, that's like the best time to preserve your fertility. **Dr. Nirali Jain:** So in cancer patients, there's an extra level added to that where even if they are a little bit younger, a little bit older. Your eggs are not gonna be the same quality. There's gonna be higher level of chromosomal errors, more DNA breakage, um, and, and bigger issues that lead to issues with conceiving naturally afterwards. **Dr. Nirali Jain:** So I think that it's important to consider how that chemotherapy is going to affect them or how surgery would affect them if it was, for example, a GYN cancer where [00:08:00] we're removing a whole ovary, you know, what, what do we have to do to preserve your fertility in that case? And those are important conversations to have. **Michelle Oravitz:** Yeah. for sure. I know that a lot of people are also concerned, you know, with going through the IVF process, you're taking in a lot of estrogen, a lot of hormones, and many cancers are actually estrogen sensitive. So I wanted to talk to you about that. 'cause I know that the data shows that it's. It's been fine, which some people might find surprising, but I wanted you to address that and just kind of **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** from your perspective.  **Dr. Nirali Jain:** That's so interesting that you asked that question because I actually, my whole I I graduated fellowship last year and my entire, like passion project in fellowship was looking at one of the drugs that we use to suppress the estrogen levels specifically in cancer patients. Um, and I had presented this at a few of our reproductive meetings. **Dr. Nirali Jain:** Um, A SRM is one of our annual meetings where all of the reiss get together. A lot of male fertility [00:09:00] specialists come and we kinda just talk about. Specific things and fertility preservation for cancer patients is, has been an ongoing topic of interest for all of us. Um, and it's important to know that there are different medications that we can offer. **Dr. Nirali Jain:** Letrozole is the one that I, um, have a particular love for and I, uh, you know, I use all the time for my patients, um, for different reasons, but it suppresses the exposure that your body has to estrogen. And there's mixed data, um, out there in terms of, you know, does Letrozole suppression actually impact, you know, does it help or. **Dr. Nirali Jain:** Or does it have no impact on your future risk of cancer after treatment? Um, and that honestly is still up for debate. But what we do know is that there's no increased risk of cancer recurrence in patients that have undergone fertility preservation with or without Letrozole. Um, Letrozole is one of those things that we can give, and the way it works is basically. **Dr. Nirali Jain:** It masks that [00:10:00] conversion. It, it doesn't allow for conversion from those androgens in the male hormones over to estrogen. Um, and so your body doesn't really see that estrogen exposure. It stays nice and low throughout your cycle, and it does help with actually ovarian maturation and getting mature eggs harvested and, um, helps a little bit with, with quality too. **Dr. Nirali Jain:** So I think that it's really nice in terms of having that available to us, but know that. It's not, it's not essential that you have it, really, the data showing plus minus. Um, but there are certain things that we can do to protect the ovaries, protect your exposure to estrogen. Um, and so that shouldn't be top of mind of concern when we're going through fertility preservation, even with an estrogen sensitive cancer. **Michelle Oravitz:** Actually, so, uh, on a different topic, kind of going back to that, so Letrozole versus Clomid, I, it's like a, the questions I personally feel just based on what I've heard and like my own research that Letrozole would be kind of like the more. [00:11:00] Um, the, it's, it's a little better, but I know that it really depends on the person as well.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** they might do better with Clom, but I'd love to hear your perspective and kind of pick your brain on this.  **Dr. Nirali Jain:** totally. You're choosing all the, all the right questions because these are all of my, my specific interests and niches. So  **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** Letrozole is basically, you know, we use Letrozole and Clomid in. Patients that don't have cancer and patients that come in for an intrauterine insemination, that's kind of the most common scenario where we're thinking about, you know, which medication is better? **Dr. Nirali Jain:** Letrozole or Clomid and Clomid used to be the, the most common medication that we use, we dose patients, you know, have 50 milligrams of Clomid, give them five days of the medication. It's an oral pill. Feels really easy and. The way it works is really, it recruits more than one follicle, so it really helps with the release of, um, more than one follicle growing more than one follicle in the ovary. **Dr. Nirali Jain:** Um, but it has a little bit [00:12:00] higher of a risk of twins because that's exactly what it's good at. Um, Clomid, not so much in the cancer. In the cancer front, it's not really used there because it's considered, from a scientific perspective, it's considered like a selective estrogen receptor modulator. So it doesn't necessarily suppress your estrogen levels in the same way that Letrozole does versus. **Dr. Nirali Jain:** Letrozole is an aromatase inhibitor, so it really blocks the chemical conversion of one drug or one hormone to the other hormone. Um, the reason we love Letrozole so much, and I don't mean to like gush over Letrozole, but um, it's a mono follicular agent, so it works really well at recruiting one follicle  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** you know, every OB-GYN's nightmare in a way is having multiples when you didn't intend on having multiples at all. **Michelle Oravitz:** so  **Dr. Nirali Jain:** Um. **Michelle Oravitz:** were saying that, um, there's more of a chance of twins, it's Clomid, not letrozole.  **Dr. Nirali Jain:** Yes, there's a higher chance with Clomid versus Letrozole. And I mean, don't get me wrong, there's a chance of twins with [00:13:00] any type of assisted reproductive technology. Even when we're doing single embryo transfers, there's a chance that it's gonna split. So, um, the chance is always there just like it is in the natural world. **Dr. Nirali Jain:** But we know for a fact that. CLO is really good at recruiting many follicles. It's good for certain patients that don't respond well to Letrozole. Um, but Letrozole is kind of our, our go-to drug these days just because of all the benefits that we've seen.  **Michelle Oravitz:** Awesome.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** These are all fun things to ask because I, I love talking to our eis 'cause there's so much information that I'm always  **Dr. Nirali Jain:** totally. **Michelle Oravitz:** learn a lot from my patients in my own research, but it's really cool. Picking your guys' brains. So another question I have, and I have actually talked to Dr. Andrea Elli, he's been on,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** and he does a lot of endometriosis and, and immune related work as well,  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** so. I'd love to know just from your perspective. One thing that I do know from, based on what I've heard is that the, [00:14:00] guess like you were just saying, that breast cancer or estrogen sensitive breast cancer doesn't seem to be affected by IVF cycles, however, and endometriosis lesions do get affected.  **Dr. Nirali Jain:** Yeah. **Dr. Nirali Jain:** that's a great question. So, you know, every, there are so many complex G mind diagnoses that the, that our patients come in with. Um, and endometriosis is a big one because there is clear data that endometriosis is linked to infertility. So we think about, you know, when a patient comes in with endometriosis, we really do think about the different treatment options and what are the short-term and long-term impacts of the hormones that we're giving 'em. **Dr. Nirali Jain:** Um, these days, again, kind of going back to Letrozole, we, letrozole is something that I give all of my endometriosis patients because it helps suppress their estrogen because we know.  **Michelle Oravitz:** interesting.  **Dr. Nirali Jain:** is very responsive to estrogen and leads to this dysfunctional regulation of all the endometrial tissue that can really flare in a, [00:15:00] in a cycle, or shortly after a cycle. **Dr. Nirali Jain:** I. So we really, for endometriosis patients, the, the best treatment is being on birth control because we don't see that hormonal fluctuation. The up and down of the estrogen and the progesterone, that's what leads to those flares. Um, so I really, I watch patients closely after their cycles too, because you definitely can have an endometriosis flare and we say the best treatment for endometriosis is pregnancy, right? **Dr. Nirali Jain:** That's when you're suppressed, that's when you're at your lowest. Um, and patients, my endo patients feel so good in pregnancy because they have. Hormones that are nice in that baseline, they're not getting periods of course. Um, and that's truly, truly the best treatment.  **Michelle Oravitz:** That's interesting.  **Dr. Nirali Jain:** But it is important to consider when you're going through infertility treatments. **Dr. Nirali Jain:** How does my endometriosis affect the short and long-term effects of the fertility medications? And really not to, not to say that they're bad in any way. I think a lot of endometriosis patients go through IVF and have success and do really, really well, and that's kind of the push that they need. [00:16:00] Um, but it's important to be mindful of the bigger picture here. **Dr. Nirali Jain:** It's not just, you're not just a number of. A patient with endo coming in, getting the same protocol. It's really individualized to the extent of your lesions, what symptoms you're having, what grade of endometriosis, where your lesions are. So we're the RAs are thinking about everything before we actually start your protocol. **Michelle Oravitz:** It's crazy how in depth it is, and it's, it, there's just so, it's so multifaceted,  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** when it's females  **Dr. Nirali Jain:** totally. **Michelle Oravitz:** are a little, I mean, they can, you know, there, there's definitely a number of things, but it's not as complicated and interconnected  **Dr. Nirali Jain:** Exactly. Exactly. That's so true. **Michelle Oravitz:** And so one question I actually have, this is kind of really off topic, but something that I was curious about. **Michelle Oravitz:** 'cause I heard about a while  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** a, a type of cancer treatment that was used. I'm not sure exactly what it was, but for some reason it actually caused follicles to grow, [00:17:00] or to multiply. And they were **Dr. Nirali Jain:** Interesting. **Michelle Oravitz:** this definitely. Puts, um, the whole idea of like a woman being born with all the follicles she'll ever have on its head, I thought that was really Interesting. **Michelle Oravitz:** Now I learned a little bit about it. I don't think it really went further than that,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** one of those things that they're like, Hmm, this is interesting. I don't know, it was kind of a random side effect of this chemo drug. I dunno if it was a chemo drug or a cancer drug.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** ever heard of that. **Michelle Oravitz:** So I was just **Dr. Nirali Jain:** I haven't, I mean, that's interesting. I feel like I'd have to look into that because that would be definitely a point of interest for a lot of Reis. But it kind of does go back to the point of, you know, women are really born with all the eggs we're ever gonna have. So it's about a million, and then it just goes down from there. **Dr. Nirali Jain:** And the, by the time you start having periods, I like to kind of show my patients a chart, but you have a couple hundred thousand eggs and you ovulate one egg a month. That's, you know. Able to [00:18:00] progress into a fertilized egg and then into a, an embryo into a baby, um, if that's your goal. But otherwise, patients that are having periods and not trying to actually get pregnant, we're losing hundreds of eggs a month. **Dr. Nirali Jain:** So.  **Michelle Oravitz:** Mm.  **Dr. Nirali Jain:** It's important to kind of think about that decline, and it's important to know that that rate can be faster in patients with cancer, patients with low ovarian reserve. And sometimes when you have the two compounded, that's when a fertility specialist is definitely, you know, in the queue to, to have a discussion with you in terms of what that means and how you can reach your family building goals despite being faced with that, with that challenge. **Michelle Oravitz:** Yeah. **Michelle Oravitz:** I mean, 'cause we know oxidative stress is one of the things that can cause, uh,  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** quality eggs, but it's also can cause cancer. **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** um, similar, you know, like things that really deplete the body could definitely impact. Um, and then what are your thoughts? I know I'm asking you all kinds of random questions, **Dr. Nirali Jain:** I love it. **Michelle Oravitz:** are your thoughts about doing low simulation in certain [00:19:00] circumstances versus high stem? **Michelle Oravitz:** Sometimes people don't respond as well to higher stems.  **Dr. Nirali Jain:** Yeah, that's a great point. I think that it kind of all goes back to creating an individualized protocol. If. A patient's going to a practice and basically just getting a protocol saying, this is our standard. We start with our standard of, you know, I, I think about the standard, which is 300 of the FSH or that pen that you dial up, and then 150 units of that powder vial. **Dr. Nirali Jain:** And we have patients mixing powders all the time, and that's kind of our blanket protocol that we give patients. But that's not really what's happening behind the scenes. And if you're given a protocol that's, and being told, you know, this is kind of what we give to everyone, it's probably not the right fit for you. **Michelle Oravitz:** Yeah, I  **Dr. Nirali Jain:** Um, there are certain patients that respond to a much lower dose and do really, really well, and then some patients that need a much higher dose. Um, and I think it's, that's kind of like the fun part of being an REI of being able to individualize the [00:20:00] protocol to the patient. Um, and I know for a fact there are so many, luckily, you know, we have so many leaders in REI that have been. **Dr. Nirali Jain:** Have dedicated their entire careers to researching these different protocols and how they can help different patients. Um, patients with lower a MH, you know, might benefit from a duo stim protocol, for example. That's kind of the first one that comes to mind, but a protocol where we're using those follicles from the second half of a cycle. **Dr. Nirali Jain:** I would've never thought that those were the follicles that  **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** would be better than the first half of the cycle,  **Michelle Oravitz:** Wait,  **Dr. Nirali Jain:** but, **Michelle Oravitz:** that. Explain that. Um, because I think that that's kind of a unique  **Dr. Nirali Jain:** mm-hmm.  **Michelle Oravitz:** that I haven't heard of.  **Dr. Nirali Jain:** Yeah, so there's this new day. It's still kind of developing, but um, kind of going back to, you know, what's an individualized protocol? Duo STEM is one of the newer protocols that we've started using. I, I've used it once or twice in patients. Um, but it goes back to the research that shows that you might actually have two different periods of time in a menstrual cycle where you could potentially recruit [00:21:00] follicles. **Dr. Nirali Jain:** You could have a follicular phase where there's a certain cohort of follicles recruited, and then you have a follicle that forms creates a corpus glut.  **Michelle Oravitz:** um, protocols  **Dr. Nirali Jain:** Yep. And then you basically go through the follicular protocol and then a few days after a retrieval, instead of waiting for a new follicular cohort or follicular recruitment from the first half of your menstrual cycle, you actually use the luteal phase and you recruit those follicles that would've actually died off or have been prematurely recruited in a prior cycle. **Dr. Nirali Jain:** So **Michelle Oravitz:** that's So  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** you just do a similar, I guess, um, medicine,  **Dr. Nirali Jain:** go right back into it.  **Michelle Oravitz:** do the same exact thing, but right after ovulation.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** Fascinating. That's really interesting.  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** has been your experience with that?  **Dr. Nirali Jain:** I think it's, honestly, it's mixed. Um, so far, you know, our data from fertility and sterility and A SRM, it, it shows support for these DUO STEM [00:22:00] protocols, saying that if patients don't have that great quality of eggs or if they have a very low number, maybe they'd benefit from starting the meds earlier and recruiting follicles. **Dr. Nirali Jain:** A little bit earlier. Um, so we've seen positive results so far. A lot of work to be done in terms of really understanding it. Um, and of course, as a new attending, I have a lot more experience to kind of build on. Um, but I, I have seen success from it. **Michelle Oravitz:** That's fascinating. Are there any other new technologies, like new add-ons, um, that you've seen, that you've found to be really cool or interesting?  **Dr. Nirali Jain:** I think the biggest thing, actually, kind of going back to our whole topic for today is fertility preservation cancer patients. One of the biggest things that I've learned recently is that we used to start fertility, um, patients. You know, only in the beginning of the cycle days, two or three is technically like when most. **Dr. Nirali Jain:** Most clinics, um, start patients, but for our cancer patients, sometimes you don't have that time. You don't wanna wait a full month to [00:23:00] restart, um, your, you know, your menstrual cycle and then do the fertility preservation and then delay chemotherapy a full month. So we started doing what we call random starts. **Dr. Nirali Jain:** So you basically start a patient whenever they come in. You know, it could be the day after your consultation, the day of your consultation. I've kind of seen all of the above. Um, and we've seen really good success with random starts, per se. Um, and we've been doing a lot more of that, where it's not as dependent on where you're at in your cycle. **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** Um, obviously there's a difference in outcomes. You might not be a great candidate for it, so definitely it's worth talking to your doctor about it. But it kind of gives relief to our cancer patients where if you have a new cancer diagnosis and you're like, oh, I just finished my period, like, I can't even start a cycle until next month. **Dr. Nirali Jain:** That's not always true. Um, so it's always worth it to go into see a fertility specialist and just get, you know, get the data that you need right away, and then you can make a decision later on. **Michelle Oravitz:** For sure. Um, Yeah. **Michelle Oravitz:** and I wanted to kind of cover a lot of different topics 'cause I know that [00:24:00] some people are gonna wanna hear what you have to say that don't necessarily, or, uh, have cancer. But it is important. I, I think that, you know, if you get to thirties and you haven't gotten married or you don't have a partner, I think it's really important to preserve your fertility in general.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** important thing. And then if you were going through a cancer diagnosis and you decided to preserve your fertility, um, guess more for women because they're eventually going to be thinking about transfers after they go through treatment. So what are some of the things that they would need to consider as far as that goes? **Michelle Oravitz:** Like after the  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** then they go through the cancer treatments. Um, and then what, how long should they  **Dr. Nirali Jain:** yeah. Like what does it look like? So I've had patients that come back, you know, in my fellowship training I did a, a couple research projects on patients that came back to pursue an embryo transfer, um, after chemotherapy agent. And basically compared them to how they did, um, [00:25:00] compared to patients that didn't have cancer and just froze their embryos or froze their eggs and then came back to pursue a transfer and. **Dr. Nirali Jain:** I think the, the most reassuring thing from the preliminary data that we have is saying that there's no difference in pregnancy rates and no difference in life birth,  **Michelle Oravitz:** Awesome.  **Dr. Nirali Jain:** of whether they had chemotherapy or not. After freezing those eggs and going through fertility preservation.  **Michelle Oravitz:** Amazing.  **Dr. Nirali Jain:** Um, in terms of where your body needs to be, I think the oncologist, we, we wait for their green light. **Dr. Nirali Jain:** We wait for their signal to say, you know, she's safe to carry a pregnancy.  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** And then once we do that, we basically treat you like any other patient. So if you're coming in for a cycle, if you're having periods, then it's reasonable to try a natural cycle protocol, wait for your body to naturally ovulate an egg. **Dr. Nirali Jain:** And instead of obviously hoping that egg will fertilize, we, um, use a corpus luteum. We use the progesterone from the corpus luteum to really support this embryo being implanted into the uterus. Um. Yeah. [00:26:00] And then there's also another side. I mean, some patients don't get their periods back and they always ask like, what if I never get my period back? **Dr. Nirali Jain:** What if I'm just like in menopause because of the chemotherapy agents? And for that, we can start you on a synthetic protocol or basically an estrogen dependent protocol where you take an estrogen pill for a certain number of days. We monitor your lining, then we start progesterone, um, to support your hormones from that perspective instead of relying on your ovaries to release the progesterone that they need, um, and then doing the embryo transfer a few, few days after progesterone starts. **Dr. Nirali Jain:** So there's definitely different protocols depending on where your menstrual health is at after the chemotherapy or after the cancer treatment. Um, but it's important to kind of just know that. That there's options. It doesn't mean that it's the end of the road if you all of a sudden stop getting your period. **Michelle Oravitz:** Yeah, for sure. I mean, 'cause you, technically speaking, you can really control a lot of that. More so for transfers  **Dr. Nirali Jain:** Yep. **Michelle Oravitz:** Retrievals really is kind of like what [00:27:00] eggs you have, what the quality is. But people can be in complete menopause and you guys can still control their cycles for transfer, which is kind of. A huge difference  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** in the  **Dr. Nirali Jain:** exactly. That's exactly right. Yeah. **Michelle Oravitz:** interesting. Any other, um, new, new things that you're, you guys are excited about? I always like to hear about like the new and upcoming things  **Dr. Nirali Jain:** Of course.  **Michelle Oravitz:** actually before, which I thought was fascinating. Yeah.  **Dr. Nirali Jain:** I feel like there's always like updates and, and new data and things like that coming out, but just know, I think it's important for patients to know, like we're constantly, we're, the reason I chose to even pursue this field was because it's new. Right. There's something that we are discovering every day, every year, and that's what makes our, our conferences so important to attend, um, to really just stay up to date. **Dr. Nirali Jain:** Um, but we are, uh, constantly updating our embryology standards, the way we thaw our eggs, and the success rate associated with a thaw and [00:28:00] how we treat our embryos and the media that we use, right? Like, so we're really thinking about the basic science perspective every single day, and that's what makes this field so unique. **Michelle Oravitz:** It is really awesome. And so do you guys specialize specifically on, um. Egg freezing and, and I mean specific fertility preservation in patients that do that have cancer that are going through treatments, do you guys specialize specifically in that? I mean, I know you do range  **Dr. Nirali Jain:** Yeah. Yeah, because it's such a small community, we all have our own niches and we all kind of have our own interests and  **Michelle Oravitz:** Yeah.  **Dr. Nirali Jain:** no like specific training. There are a couple courses that you take that I took in in training as well, just to kind of understand what it sounds like to, I. Council of fertility preservation, patient with and without cancer. **Dr. Nirali Jain:** Um, and then, you know, you kind of just learn by experience and you form a niche for something that you're passionate about. 'cause that's what makes you, you know, really thorough in, in your treatment. [00:29:00] So that's one of my interests. Um, and, but I would say,  **Michelle Oravitz:** training for that. It's just like  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** just know how to treat that in  **Dr. Nirali Jain:** exactly.  **Michelle Oravitz:** especially if you're interested in doing that.  **Dr. Nirali Jain:** Exactly. That's exactly right. It's kind of, it just comes with the experience comes with your mentors and who you're surrounded by, and everyone kind of helps each other get to that point. But there are several specialists in our practice at RMA that specialize specifically in fertility preservation in cancer patients. **Dr. Nirali Jain:** So we have a close communication with our oncologist and they know who to refer to within the practice because everyone has their own little interests.  **Michelle Oravitz:** Amazing.  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** Um, definitely. I, like I said, I really enjoy picking your brain because it's a lot of fun for me. I, I do  **Dr. Nirali Jain:** Totally.  **Michelle Oravitz:** acupuncture, so  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** and I, I think that it's just so crazy that our fields don't work together. I mean, we kind of do, but I think, I just feel like it would be so great  **Dr. Nirali Jain:** exactly.[00:30:00]  **Michelle Oravitz:** the expertise because you guys have immense. Benefits like in, in, uh, technology and incredible innovations and, and then the natural aspect of really understanding the, the body. And I, I just think that it would work so amazing together if it was more of like a thing. 'cause it, I know in China they actually combine the two  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** eastern.  **Dr. Nirali Jain:** Yeah, I mean I think that that's so important and there is data that shows, you know, there's actually a recent study that came out just a few weeks ago on the benefits of acupuncture for fertility patients. And we know that, I mean, I recommend it to all of my patients, specifically the day of the embryo transfer. **Dr. Nirali Jain:** We, luckily, we offer it on site at RMA and we have acupuncturists that come in and, and do a session before and after the embryo transfer, and I think. A lot of that is targeted towards stress relief. But I also think that holistically it's important to feel at your best when we're doing something that's so crucial to your, to your health. **Dr. Nirali Jain:** So to really focus on the diet, focus on stress relief, [00:31:00] focus on meditation, yoga, whatever it takes to get to your best wellbeing when you're going through fertility treatments, um, is so important. So I appreciate  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** like you that really specialize in the other side of. Of this, because I do consider it still part of the holistic medicine that we need to really maximize success for our patients. **Michelle Oravitz:** Awesome. Well,  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** Jane, this is such a pleasure Of talking to you. You've given us some, so much great information and we've definitely dived into a, do a topic that I don't typically, I haven't yet spoken about. But, um, that being said, it's such an important topic to talk about. And thank you so much for coming on today. **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** course. **Michelle Oravitz:** I get off, how can people find you?  **Dr. Nirali Jain:** That's a great question. So I have, um, a social media page. I, it's called Expert nc. So like EGG,  **Michelle Oravitz:** I  **Dr. Nirali Jain:** um, expert nc. Try, tried to make it a little bit humorous. Um, but I'm all over social [00:32:00] media and would love to hear from anyone that is listening. I, you know, every, every day I get different, um, dms and I'm happy to respond. **Dr. Nirali Jain:** I love hearing about everyone else's. Stories and things like that. Um, so that is kind of my main, main social media platform. Um, and then through like RMA and Reproductive Medical Associates, we also have a YouTube channel. We have an Instagram page, um, of our office available, um, as well that is public. **Dr. Nirali Jain:** So you can find us pretty easily if you just kind of hit Google. But um, yeah, I'm kind of developing my social media platform as the expert and I hope it grows.  **Michelle Oravitz:** Love it. Great.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** was such a pleasure talking to you. Thank you. so much **Dr. Nirali Jain:** Thank you. **Michelle Oravitz:** today.  **Dr. Nirali Jain:** Of course. Thank you so much for having me.  [00:33:00]   

We unpack the clinical pearls and evidence-based strategies behind:

What if a recession could actually help your business grow?Sounds bananas, right? But hear me out. In every economic downturn, some businesses thrive. And I believe yours can be one of them—if you position yourself as the expert people are desperately searching for right now.When budgets tighten, people get picky. They're not gambling on vague promises or “just one step ahead” service providers. They want someone who knows their stuff. That's where we come in.Here's how to capitalize on this moment—without burning out, selling out, or shouting into the void.Want to hear more about The Expert Up Club? Book Your Private Tour HereFull show notes and transcript are here.

What if your biggest challenge with AI adoption isn’t technology it’s people? In this episode of Engineer Your Success, Dr. James Bryant talks with Karrie Sullivan, founder of Culminate Strategy Group, about what it really takes to lead teams through transformation. Karrie shares how she combines psychology, data, and AI to help organizations navigate change with less resistance and more clarity. You’ll hear real-world examples of how emotional intelligence (EQ) can accelerate adoption, build stronger teams, and reduce the emotional drama that derails strategic initiatives. Whether you're managing a project, leading an M&A, or simply trying to help your team thrive, this episode offers insights you won’t want to miss ⏱️ Key Moments in the Episode 00:00 – 02:00 – Introduction 02:00 – 07:00 – Karrie’s journey from marketing to transformation and AI consulting 07:00 – 13:00 – How data-driven EQ helps teams adopt change more effectively 13:00 – 17:00 – Case study: M&A roadblocks, seller’s remorse, and emotional drama 17:00 – 23:00 – Leading engineers: Learning styles, trust, and team dynamics 23:00 – 30:00 – Risk-taking, burnout, and redefining success at work and at home 30:00 – 38:00 – Coaching frameworks, impostor syndrome, and self-worth 38:00 – 42:00 – Final thoughts, continuous growth, and how to connect with Karrie  

Tauche ein in die faszinierende Welt von Jameda! Im Gespräch mit Joel Kaczmarek enthüllt Constanze Stypula, Geschäftsführerin von Jameda, die spannenden Entwicklungen und Herausforderungen im Gesundheitssektor. Erfahre, wie Jameda als Pionier der Arzt-Patienten-Plattformen mit innovativen KI-Tools wie Jameda NOAA Notes die medizinische Dokumentation revolutioniert. Constanze, die ihre Expertise bei Amazon geschärft hat, teilt Einblicke in die strategische Ausrichtung und die Zukunftspläne des Unternehmens. Ein Podcast voller inspirierender Ideen und visionärer Ansätze, der zeigt, wie Technologie den Gesundheitsmarkt transformiert. Du erfährst... ...wie Jameda als Pionier im Gesundheitsmarkt agiert und sich stetig weiterentwickelt ...welche Rolle KI bei der Optimierung von Arzt-Patienten-Kommunikation spielt ...wie Jameda durch innovative Features den Praxisalltag erleichtert ...wie globale Einflüsse und lokale Anpassungen bei Jameda Hand in Hand gehen. ...wie Jameda mit strategischen Entscheidungen den Gesundheitsmarkt prägt __________________________ ||||| PERSONEN |||||

You’ve seen them all over your feed: those glowing, slightly terrifying LED face masks that promise clearer, firmer, glowier skin. But do they actually work? And if so, which one is worth your dollars? In this Expert episode, we’re diving into the booming world of red light therapy and LED face masks. Skin therapist Tegan breaks down the science behind the trend, explains what each colour of light actually does (spoiler: red = collagen, blue = breakouts), and reveals her top picks—from luxe full-face masks to budget-friendly buys. We also answer an anonymous listener’s question about skin purging vs. a bad reaction, and in Win, Bin or Recycle, we ask the important question: Is cutting your toenails on the couch ever OK? Products Mentioned: K18 Dry shampoo Airwash Qure Q-Rejuvalight Pro Facewear Therabody Theraface LED Mask Kahlia Skin LED Light Therapy Mask Kahlia Skin LED Silicone Radiant Mask Join the conversation in our Beauty IQ Uncensored Facebook Group to discuss this episode, swap beauty tips, and submit your questions for future shows. This episode is proudly sponsored by Hada Labo. Shop the cult Japanese brand's new Premium range now at Adore Beauty. Credits: Hosts: Tegan Mac and Sadaf Razi Producer: Jasmine Riley For more beauty insights and exclusive offers, visit adorebeauty.com.au Disclaimer | Privacy Policy Adore Beauty acknowledges the Traditional Owners of the land on which we work and podcast. We pay our respects to Elders past, present and emerging.See omnystudio.com/listener for privacy information.

For this week's Ask the Expert, Andrea is joined by Professor Karen Boland to discuss and answer any questions about Inflammatory Bowel Disease, or IBD.

Welcome back to Benson Book Club! Today we're diving into Chapter 4 of Adult Children of Emotionally Immature Parents by Lindsay Gibson—aka the one that explains why you can't trust, love, or text back without spiraling.Think your mom's a narcissist? You might be onto something. Convinced your dad's emotional unavailability ruined your love life? You're not wrong. This episode is your Roman Empire. If you've ever felt unloved, emotionally starved, or like you sabotage every relationship—this might explain why. Let's get into the trauma tea.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dive into the world of land buying and selling with expert Pat Porter. From overcoming landlocked dilemmas to smart investing in rural real estate, this episode is chock-full of seasoned guidance and insider tips, including a chance to snag Pat's latest book for free! So grab your boots, and let's trek through the lucrative trails of land ownership. • Expert advice on land access issues • Tips on value-adding property improvements • The reality of property investment returns • Pat's principles of buying and selling land GET YOUR FREE BOOK: office@recland.net ⁠⁠⁠⁠⁠https://www.whitetailmasteracademy.com⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠Use code '⁠⁠⁠⁠⁠HOFER' to save 10% off at ⁠⁠⁠⁠⁠www.theprairiefarm.com⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠Massive potential tax savings: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ASMLABS.Net⁠⁠⁠⁠⁠ -Moultrie: ⁠⁠⁠⁠⁠https://bit.ly/moultrie_⁠⁠⁠⁠⁠ -Hawke Optics: ⁠⁠⁠⁠⁠https://bit.ly/hawkeoptics_⁠⁠⁠⁠⁠ -OnX: ⁠⁠⁠⁠⁠https://bit.ly/onX_Hunt⁠⁠⁠⁠⁠ -Painted Arrow: ⁠⁠⁠⁠⁠https://bit.ly/PaintedArrow

Welcome to another episode of the Pat Iyer podcast! In today's episode, “LNC Report Writing,” Pat Iyer and Barbara Levin dive deep into the art and science of writing impactful legal nurse consultant reports. Whether you're a seasoned LNC or just starting out, this episode is packed with practical insights on how your reports can become an essential bridge between complex medical records and the legal world—helping attorneys understand critical medical issues, building case strategy, and ultimately turning prospects into loyal clients. Pat and Barbara explore the different types of reports—from behind-the-scenes analysis to formal expert witness reports—clarifying what makes each one effective and how to navigate important considerations like bias, confidentiality, and clarity. They also share real-world stories where a well-crafted LNC report made all the difference, and provide tips for structuring your findings. Stay tuned for hands-on advice, anecdotes from the front lines, and information about an upcoming workshop designed to sharpen your report writing and case analysis skills. If you're ready to write reports that truly make an impact, this episode is for you! What you'll learn in this episode on The Role of the LNC In Report Writing : Listen to find out the answers to these questions Why are LNC reports such a vital part of a legal case, and how do they contribute to an attorney's strategy? What's the difference between a behind-the-scenes (non-discoverable) report and an expert witness report written by legal nurse consultants? What are the key characteristics that make an LNC report effective, and how can you avoid bias in your analysis? How should LNCs structure reports for case screening to ensure attorneys can easily understand their findings and conclusions? What should legal nurse consultants keep in mind to maintain objectivity and professionalism when writing reports, especially when dealing with emotionally charged or egregious cases? Listen to our podcasts or watch them using our app, Expert.edu, available at legalnursebusiness.com/expertedu. Get the free transcripts and also learn about other ways to subscribe. Go to Legal Nurse Podcasts subscribe options by using this short link: http://LNC.tips/subscribepodcast. https://youtu.be/0ipHE7TNymU Is this you? "I get confused about the difference between screening cases and writing expert reports." You're not alone! Step into the role of a legal nurse consultant and experience the process of analyzing a nursing malpractice case. This interactive workshop is designed for LNCs who want practical experience in case evaluation, medical record analysis, and identifying deviations from the standard of care. You'll work through a real case, receive targeted instructions, and engage in small group activities to sharpen your clinical and legal skills. Live session June 5, 2025 from 10 AM to 4:30 PM Eastern Learn more about our limited time Early Bird Discount! Your Presenter for The Role of the LNC In Report Writing Pat Iyer Pat Iyer is a seasoned legal nurse consultant and business coach renowned for her expertise in guiding new legal nurse consultants to successfully break into the field. As the host of the Legal Nurse Podcast, Pat addresses critical challenges that legal nurse consultants face, such as difficulty in landing clients and lack of response from attorneys. Through her insightful episodes, she emphasizes the importance of effectively communicating one's value to potential clients. With a wealth of experience, Pat has empowered countless consultants to overcome these hurdles and thrive in their careers. Connect with Pat Iyer by email at patiyer@legalnusebusiness.com Barbara Levin Barbara Levin BSN RN CMSRN ONCC LNCC is a medical-surgical and orthopedic expert who has written LNC reports for more than 20 years. Her clients praise her thoroughness,

Send us a textOne Way or a Mother is a new narrative podcast from Dr. Elliot Berlin, DC, host of The Informed Pregnancy Podcast. Each season is an intimate story of one woman, one pregnancy, and all of the preparations, emotions, and personal history leading up to the birth. Episodes feature the expectant mother along with her family, doctors, and birth work team.In season one of OWAM, we meet Arianna who is pregnant with her second baby after a traumatic first birth experience. Follow along over 10 episodes as we hear her tell her story. She's a mother of one who is seeking new resources and using learned life lessons to create a different, more positive birth experience for baby number two. Episodes feature Arianna and her inner circle including her mother, husband, doula, doctor, and other birth professionals who supported her process.One Way or a Mother is an Informed Pregnancy Media original series. Season one is presented by Mahmee.Expert care, every stage.Meet your team of doulas, nurses, lactation consultants, and more. One team caring for the whole you. Covered by most insurance plans. Check your eligibility today at mahmee.com.******One Way or a Mother is an Informed Pregnancy Media original series. Season one is presented by @joinmahmee.Curves ahead: Episodes 1-3 are now live wherever you listen!

Episode Highlight: On this episode of the Embracing "Only" podcast, we are featuring one of the most impactful moments from episode 67 with guest Mary Waweru. We're diving into creating inclusive workplaces as Mary shares impactful DEI practices and the importance of anti-racism.Mary is an intersectionality, racial equity, decoloniality, and social impact consultant. As the CEO and founder of Crest Impact, she guides organisations to build safe and inclusive cultures, practices, policies, and communications.  This episode is just a short snippet that highlights the best and most powerful learning moment from a past episode. You can listen to the full episode (filled with more wisdom) here: Episode 67: Taking Action To Be Anti-Racist.Key Discussion Points:01:00 Recognizing the Value of DEI: DEI affects every aspect of a business, from the brand and the people within the organization to people externally and brands wanting to partner with the organization.04:06 Creating Safe Spaces for Conversation: Hard conversations don't have to be scary. Normalise having these conversations and allow people to make mistakes, make guesses, and be unsure. 08:18 The Value of an Expert to Assist with DEI Work: DEI shouldn't be assigned as a side project to the only woman or person of color on the team.09:40 The Need for Anti-Racism: It's not enough to be “not racist,” you have to take action to be anti-racist. In Summary: Mary emphasizes the importance of cultural humility, racial equity, and social impact within organizations. She encourages us to be anti-racist through action, commitment, education, and learning.Resources from this episode:Follow Mary on LinkedIn or visit her website. Find Mary's anti-racism courses here.If you happen to be a woman of color and you are looking for a community of like minded women, join Olivia here: https://www.mysistersshoulders.com/ Ready to make a change?→ If you are struggling to navigate your corporate career but are ambitious and have goals you want to accomplish quickly, Olivia is the coach for you. She can help you reach your goals. Reach out to her on LinkedIn or visit oliviacream.com.→ If you are ready to transition out of Corporate and want to start building a profitable portfolio career as a business owner, board member or more, but you're unsure of the next steps, Archita can guide you through a successful transition to entrepreneurship.Reach out to her on LinkedIn or visit architafritz.com.Connect with your hosts:Follow Archita on Linkedin or check out her website.Follow Olivia on Linkedin or check out her website.Follow Embracing Only on Linkedin, Instagram, and Facebook, or check out the website._________Produced by Ideablossoms

In this teaching, Thomas Hubl focuses on the heart as not just a physical organ but a central hub for emotional maturity, spiritual development, mind-body integration, and connection to universal intelligence. He offers a guided contemplative practice to lead you into the depth of your heart space so that you can listen deeper to your own truths, integrate mind and body, become a deeper listener for others, and better regulate your nervous system.   Click here to watch the video version of this episode on YouTube:

In this episode, we dive into navigating travel during ACL rehab. Inevitably, travel will happen for many folks over the course of 9-12+ months of a rehab process. So how do you handle it? This episode covers the conversations we have with our ACLers and one you should consider in your own travel/vacation planning, being different than your normal routine, game planning it, exceptions to this, and what's the reality of how travel impacts your ACL rehab.Ways we can connect:My IG: www.instagram.com/ravipatel.dptOur website: www.theaclathlete.comEmail: ravi@theaclathlete.com_________________Submit a topic or a question you'd like me to answer.Check out our website and tons of free ACL resourcesSign up for The ACL Athlete - VALUE Newsletter (an exclusive newsletter packed with value - ACL advice, go-to exercises, ACL research reviews, athlete wins, frameworks we use, mindset coaching, blog articles, podcast episodes, and pre-launch access to some exciting projects we have lined up)1-on-1 Remote ACL Coaching - A clear plan. Structured ACL program. Based on your goals. Expert guidance and support with every step. Objective testing from anywhere in the world.Send me a text and share anything about the podcast - an episode that hit home or how the podcast has helped you in your journey.

The Racing Dudes recap Journalism's exciting win in the 2025 Preakness Stakes at Pimlico and dive into the controversial stretch run and whether or not a DQ was necessary. Then the Dudes take an early look at the 2025 Belmont Stakes probables and the potential of seeing the Kentucky Derby Trifecta rematch at Saratoga. Full Livestream ReplayRacingDudes.com is the destination site for all things horse racing and sports betting. Whether it be free winners, expert insider picks, up-to-the-minute trackside weather reports, or multiple podcasts and livestream videos that provide only the best content for gamblers of all skill levels, never make another wager without visiting the Racing Dudes first!Made by fans, for fans, come see why RacingDudes.com is the #1 most trusted sports betting website anywhere!FREE daily horse racing picks for every track in America!https://racingdudes.com/free-picks/EXPERT premium selections for every track in America!https://racingdudes.com/handicapping-products/PURCHASE our latest Betting Bible wagering guide!https://racingdudes.com/racing-guides/ Let us know what you thought of the show!X: @racing_dudesIG: racingdudesFB: racingdudesRacingdudes.com

How can we prevent people misusing technology to harm others? This week, Technology Now investigates how technology can be used as a weapon against others. We ask how technology has been utilized by bad faith actors in this way and we examine whose responsibility it is to prevent this misuse of technology. Joanne O'Connor from HPE's cybersecurity organization and founder of Ireland's National Cyber Security Awareness Taskforce tells us more.This is Technology Now, a weekly show from Hewlett Packard Enterprise. Every week, hosts Michael Bird and Aubrey Lovell look at a story that's been making headlines, take a look at the technology behind it, and explain why it matters to organizations and what can be learnt from it.About Joanne O'Connor: https://www.linkedin.com/in/joanne-oconnor-/?originalSubdomain=ieSources:Refuge, UK Charity: https://refuge.org.uk/news/refuge-calls-for-tech-facilitated-abuse-to-be-a-priority-in-government-vawg-strategy-following-the-charitys-inaugural-tech-safety-summit/Technology abuse in fast fashion: https://blog.policy.manchester.ac.uk/posts/2024/07/modern-slavery-and-digital-technology-in-fast-fashion-the-transparency-dividend/Snake Venom:Snake venom protection by a cocktail of varespladib and broadly neutralizing human antibodies, Glanville, Jacob et al., Cell, Volume 0, Issue 0, 10.1016/j.cell.2025.03.050 External Linkhttps://www.bbc.co.uk/news/articles/cr5d0l7el36oHubble First Light:https://science.nasa.gov/mission/hubble/overview/hubbles-first-light/https://science.nasa.gov/mission/hubble/observatory/design/optics/hubbles-mirror-flaw/https://science.nasa.gov/mission/hubble/overview/the-history-of-hubble/

Stell dir vor, die Zukunft des Einkaufens liegt in den Händen von KI-gesteuerten Shopping-Agents! Im Gespräch mit Joel Kaczmarek tauchen Alexander Graf von Spryker und Jochen Krisch von Exciting Commerce tief in die Welt des E-Commerce ein. Sie diskutieren, wie Künstliche Intelligenz den Bestellprozess revolutioniert und welche Auswirkungen das auf Händler:innen, Hersteller:innen und Plattformen hat. Werden Marktplätze obsolet? Und wie reagieren Unternehmen auf diese disruptive Entwicklung? Ein spannender Ausblick auf die Zukunft des digitalen Handels erwartet dich! Du erfährst... …wie KI die Zukunft des E-Commerce revolutioniert …welche Rolle Shopping-Agents im Handel übernehmen …wie Händler und Hersteller von KI profitieren können …warum Vertrauen in KI-Plattformen entscheidend wird …welche Herausforderungen und Chancen für E-Commerce-Systeme entstehen __________________________ ||||| PERSONEN |||||

The invention of the cork changed everything for transporting and selling liquid, and in the case of wine, spirits, and beer it created a global culture.  On today's episode we breakdown how the cork became the method to close a bottle and get into the controversy and success that has always surrounded it.  We want you to subscribe to SOMM TV!  we are giving 50% off monthly subscriptions right now with this link:  https://watch.sommtv.com/checkout/subscribe/purchase?code=sommtv50&plan=monthlyOr go to SOMMTV.com and use the code: SOMMTV50Today's episode is hosted by Jason Wise. Expert guest is Armen Khachaturian of Morlet Family Vineyards.  This episode was produced  for SOMM TV by John Adams. This episode's original hand drawn artwork was created by Brandon Lee Wise.

In this episode of Meet the Expert with Elliot Kallen, we discuss the future of the automotive industry with Laura Perrotta, President of the New Jersey Automotive Retailers Association. Discover how tariffs, electrification mandates, and affordability concerns are shaping the automotive landscape. Learn about the challenges and opportunities facing consumers, dealers, and manufacturers in the coming years.

️ The Blue View – Special Episode: Heart & Brain Health for Law Enforcement In this special edition of The Blue View, National FOP President Patrick Yoes brings attention to an often overlooked issue: the health and wellness of law enforcement officers. As we recognize National Police Week, Stroke Awareness Month, and Blood Pressure Education Month, this timely conversation highlights the urgent need to support the cardiovascular and brain health of those who serve and protect. Patrick is joined by two distinguished experts from the American Heart Association: Dr. Eduardo Sanchez, Chief Medical Officer for Prevention Dr. Mitch Elkind, Chief Science Officer for Brain Health and Stroke Together, they discuss: ✔️ The unique health risks facing law enforcement officers ✔️ Steps officers can take to protect their heart and brain health ✔️ A groundbreaking partnership between the American Heart Association and the Fraternal Order of Police ✔️ How wellness on and off duty can save lives Whether you're in law enforcement, healthcare, or simply an advocate for officer wellness—this is an episode you don't want to miss. Don't forget to like, subscribe, and share to help spread awareness. Chapters (00:00:00) - Heart and Well-Being of Police(00:01:23) - American Heart Association-Fraternal Order of Police Partnership(00:02:45) - Heart disease among law enforcement officers(00:05:48) - Police Officer Well-Being(00:10:13) - Stroke Awareness Month(00:13:00) - Blood pressure and heart health(00:15:22) - Dr. Sanchez: Community Engagement in Health(00:19:54) - Is your age too young to have a stroke? Expert opinion(00:26:16) - Heart disease and stroke risk factors(00:29:01) - Blue View: Heart and Stroke in Law Enforcement

In this episode of Health Matters, Dr. Mary Rosser, a gynecologist at NewYork-Presbyterian and Columbia, explains perimenopause, breaking down what symptoms are normal, when it's time to see a doctor, and the best options for managing some of the more challenging symptoms of perimenopause. ___Dr. Mary L. Rosser, M.D., Ph.D., NCMP is the Director of Integrated Women's Health at NewYork-Presbyterian/Columbia University Irving Medical Center and the Richard U. and Ellen J. Levine Assistant Professor of Women's Health (in Obstetrics and Gynecology) at Columbia University Vagelos College of Physicians & Surgeons. She joined the faculty of Obstetrics and Gynecology at Columbia University in April 2018 to provide routine gynecology care and to further develop a comprehensive well-woman program. She has been a practicing obstetrician gynecologist for more than 20 years, starting in private practice and then joining the faculty at Montefiore Medical Center in Bronx, NY. While at Montefiore, she created, launched, and led the forty-person Division of General Obstetrics and Gynecology. Dr. Rosser received her undergraduate degree at Emory University and a Ph.D. in Endocrinology at the Medical College of Georgia. She attended Wake Forest University School of Medicine and completed her residency at Emory University. She is also a NAMS Certified Menopause Practitioner, able to provide high-quality care for patients at menopause and beyond.Primary care and heart disease in women have always been areas of focus for Dr. Rosser. She conducted basic science research on heart disease during graduate school and was the Chair of the "Women & Heart Disease Physician Education Initiative" for District II of the American College of Obstetrics & Gynecology. She continues to conduct clinical studies around patient awareness and understanding of heart disease and well-woman care. Dr. Rosser serves on the Medical Leadership Team of the Go Red for Women movement of the American Heart Association and she is ACOG's liaison to the American College of Cardiology.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org

Expert cat swinger Jen Wakefield joins Tiernan this week to answer a very tricky question about walls. JOIN THE ADVERT FREE LINDA EDITION OF THE SHOW ON APPLE PODCASTSOR ON ACAST+ HERE: https://plus.acast.com/s/33249a2e-3f02-4f3c-923e-bc17b8dcac87OR ON OUR PATREON HERE: patreon.com/ComedyClub4KidsWE NEED YOUR QUESTIONS, JOKES AND NONSENSE TOO. SEND THEM IN TO: podcast@comedyclub4kids.co.ukGROWN UPS: IF YOU CAN BUY US A COFFEE PLEASE DO SO HERE: https://ko-fi.com/comedyclub4kidsWebsite: www.comedyclub4kids.co.ukBluesky: comedyclub4kids.bsky.social Facebook: facebook.com/ComedyClub4KidsHosted by Tiernan Douieb. Music by Paddy Gervers. Design by John Beck. Hosted on Acast. See acast.com/privacy for more information.

It's Tuesday, May 20th, A.D. 2025. This is The Worldview in 5 Minutes heard on 125 radio stations and at www.TheWorldview.com.  I'm Adam McManus. (Adam@TheWorldview.com) By Kevin Swanson Fulani Muslim killed 15 unarmed Nigerian Christians On Saturday, May 17th, armed Fulani Muslim militia opened fire on Agatu Christians in Benue State, Nigeria, killing 15 unarmed men. Throughout that North Central region, the Fulani have also killed 159 Christian residents over the last 40 days, according to TruthNigeria.com.   Pray for Christians in Nigeria, suffering the most severe violence in the world today. Romania turns left after election interference On Sunday, Romania has taken the centrist-left position with the election of a new president named Nicușor Dan. Dan is supportive of Romania's participation in the European Union, and has made moves to approve the homosexual/transgender movement in his country. The more conservative candidate, George-Nicolae Simion, lost the election in a vote of 54% to 46%. Romania is the second largest Eastern European country by population.  The mainstream media is interpreting this election as an international rejection of the Trump agenda.  The back story is that Călin Georgescu, the conservative in the first round of the Romanian presidential election last December, garnered the most votes among the six presidential candidates at that time. After his opponents claimed that Russia had influenced the election through TikTok accounts, Romanian government officials detained Georgescu, canceled that election, and re-set it for May 18th.  Tens of thousands of Romanians protested in the streets back in March. At the time, Elon Musk said, “They just arrested the person who won the most votes in the Romanian presidential election. This is messed up.” Most and least benevolent countries According to this year's Gallup World Happiness Report, the most benevolent countries in the world, judged by donations and volunteer hours, are Indonesia, the United States, Kenya, Gambia, United Arab Emirates, Ireland, Canada, and New Zealand. The least benevolent countries are Afghanistan, Yemen, Egypt, Jordan, and Morocco.  Biden announces advanced prostate cancer Former President Joe Biden has been diagnosed with an "aggressive form" of prostate cancer that has spread to his bones, reports CBS News. On Sunday, President Trump posted on social media that he and First Lady Melania Trump are "saddened to hear about Joe Biden's recent medical diagnosis." Appearing on MSNBC's “Morning Joe” on Monday, former Obama health advisor Dr. Zeke Emanuel said the cancer is so advanced, he has had it for many years. SCARBOROUGH: “Doesn't it take some time for prostate cancer to develop to a point where it would spread to the bones?” EMANUEL: “He's had this for many years, maybe even a decade, growing there and spreading.” Dr. Emanuel explained how serious Biden's prostate cancer truly is. EMANUEL: “That Gleason score, that score is from 2 up to 10, and he's at a 9. That means that the cancer doesn't look normal. It looks very abnormal.” Appearing on Fox News with Jesse Waters, talk show host Hugh Hewitt was incredulous. HEWITT: “This is the fourth time, in a little over 100 years, that a Democratic president -- Woodrow Wilson, FDR, John F. Kennedy and now Joe Biden, have hidden crucial details about their health as Commander-in-Chief from the American people. Ronald Reagan did not do that. “And it just astonishes me that in a free republic, we have to worry about our leaders telling us whether they're healthy or not.” Supremes allows Trump to revoke protection for thousands of illegal Venezuelans On Monday, the U.S. Supreme Court issued a ruling allowing the Trump administration to deport 350,000 Venezuelans who are presently living in the U.S. on what they call a “humanitarian parole,” reports NBC News. Christian camp sues over foolish transgender mandates The State of Colorado is threatening to shut down a Christian Camp called Idrahaje -- short for “I'd Rather Have Jesus.” The Colorado Department of Early Childhood has refused to grant the camp a religious exemption concerning its transgender policies. This would require the camp to allow boys, pretending to be girls, to sleep, shower, and dress with female campers. The camp has sued the state, with representation from Alliance Defending Freedom. The camp disciples 2,500 to 3,000 students each year with the mission to “win souls to Jesus Christ through the spreading of the Gospel.”  Camp Idrahaje has complied with all regulations until this year when the Colorado government officials released new gender identity rules that became effective on February 14, 2025. 96% of atheists embrace homosexual/transgender agenda The most likely group in America to support the homosexual/transgender agenda are atheists with 96% professing support.  By contrast, 70% of white Evangelical Protestants oppose the lifestyle. Psalm 14:1 describes the atheist this way: "The fool has said in his heart, there is no God. They are corrupt, they have done abominable works.” Mother loses right to disciple daughter Liberty Counsel is defending a mother in the state of Maine who has lost the right to guide the religious upbringing of her 11-year-old girl in a custody case.  This includes taking her daughter to Calvary Chapel services on Sunday.   A state district judge has ruled against the mother, citing “The ‘fear mongering,' paranoia, and anxiety taught by Calvary Chapel has, more likely than not, already had an impact on [the daughter's] childhood development.”   Expert testimony concluded that Calvary Chapel is a cult, the church's pastor a “charismatic” speaker, who spoke “authoritatively” in his messages, and that he asserted his messages were objective truth.   Liberty Counsel is appealing the case to the Maine Supreme Court. They still persecute people who preach about Jesus. 1 Thessalonians 2:14-16 says, “For you also suffered the same things from your own countrymen, just as they did from the Judeans, who killed both the Lord Jesus and their own prophets, and have persecuted us; and they do not please God and are contrary to all men, forbidding us to speak to the Gentiles that they may be saved, so as always to fill up the measure of their sins; but wrath has come upon them to the uttermost.” Housing prices sag Since June 2022, housing prices are sagging in some metro areas around the U.S. — 22.8% in the Austin market, 9.9% in the Phoenix market, 9.2% in the San Francisco market, 9.1% in the San Antonio Market, 7.3% in the Denver market, and 6.7% in the Dallas Market. The Consumer Price Index has also risen about 10% over that period of time. Moody's downgraded America's financial rating And finally, in a year-over-year comparison, the U.S. government is still breaking records for fiscal expenditures running 10% over Fiscal Year 2024. Moody's has downgraded the U.S. as a long-term issuer of bonds by one notch, ending a perfect rating for America over the last 108 years.  No longer does the U.S, government get a Aaa rating, the highest level available. Now, it's an Aa1. Moody's noted that the downgrade "reflects the increase over more than a decade in government debt and interest payment ratios to levels that are significantly higher than similarly rated sovereigns.” The rating organization added that: “Successive U.S. administrations and Congress have failed to agree on measures to reverse the trend of large annual fiscal deficits and growing interest costs.”   Another independent rating service, named Fitch, downgraded the United States in 2023.  Close And that's The Worldview on this Tuesday, May 20th, in the year of our Lord 2025. Subscribe for free by Spotify, Amazon Music or by iTunes or email to our unique Christian newscast at www.TheWorldview.com. Or get the Generations app through Google Play or The App Store. I'm Adam McManus (Adam@TheWorldview.com). Seize the day for Jesus Christ.

Can we metabolize our pain to create an entry point into liberation? How can spirituality support us in this process? This week, Thomas sits down with Buddhist minister, author, and activist Lama Rod Owens to share visions for collective liberation, the importance of reconnecting with Indigenous worldviews, sacred ecology, and unseen worlds, and strategies to overcome hopelessness and despair as we work to dismantle harmful systems. They explore the intersection of individual and collective trauma, the connection between spiritual awakening and social justice, and the importance of meeting suffering and discomfort with kindness and presence instead of bypassing it for short-term relief. It's a wide-ranging and inspiring conversation that bridges the mystical and the practical, and we hope you'll tune in. Click here to watch the video version of this episode on YouTube:

Do you ever get that gut-punch feeling when some bro marketer suddenly “finds his zone of genius” and lands clients left and right... meanwhile you've got actual results, actual experience, maybe even a degree (or three), and your inbox is quieter than a library on a Friday night?Same. And I've had enough.Let's talk about why the flashy fakes keep winning—and what we, the real experts, can do about it.Want to hear more about The Expert Up Club? Book Your Private Tour HereFull show notes and transcript are here.

“Really good coaching is allowing people to feel the space that they're in, because we all make decisions from an emotional space, whether we like it or not.”Pushing harder isn't always the answer—especially in sales. When coaches ignore emotional resistance or try to “save” their prospects, they sabotage their results. Sales is about meeting people at their pain points and guiding them through their own decision-making process. The real skill lies in holding space, asking the right questions, and letting people come to clarity on their own terms.Kirstin Carey explains how overachievement often masks a deeper emotional void, and how burnout is the inevitable result of chasing validation through performance. Her approach is to help clients feel safe enough to explore their pain without rushing to escape it. Using a model she calls the “Dr. Strange Close,” she leads them to visualize the version of themselves that already has what they want—and then confront what must be released to reach it. This hinges on presence, not persuasion.Kirstin Carey is a serial entrepreneur, speaker, and business strategist who built a seven-figure wellness company and now helps high performers align their business models with emotional intelligence and sustainable growth. She's worked with Fortune 500 executives, built brick-and-mortar and online brands, and developed enrollment methods that prioritize both results and resonance.Expert action steps:1. Embrace Curiosity – Stay open-minded and ask questions. Approach situations with a mindset of discovery, similar to the way children naturally explore the world.2. Seek Clarity – Understand what's really happening beneath the surface. Clear insight into your situation allows for better decision-making and alignment.3. Invest in Coaching – Get support from someone with more experience. Outside perspective and feedback can reveal blind spots and accelerate growth.Lean more & connect:https://evolveminded.com/https://evolveminded.com/7mistakesVisit https://www.eCircleAcademy.com and book a success call with Nicky to take your practice to the next level.

In this episode of Omni Talk Retail's Ask an Expert series, Chris and Anne welcome SPS Commerce's Emily Curran and Rob Schiefelbein for a deep dive into how retailers and suppliers should respond to shifting tariffs and trade conditions. Key Moments: (1:20) Meet the experts: Emily and Rob from SPS Commerce (2:11) SPS Commerce's role in simplifying supply chain connections (6:00) Advice for startups in retail pilot programs (8:05) Transparent communication strategies with retailers (10:00) How to calculate true tariff exposure (11:00) Diversifying your supply chain (15:00) Total landed cost explained (16:45) Leveraging bonded warehouses and FTZs (18:00) Common methods to itemize tariff costs (21:00) Tracking SKUs and auditing data accuracy (28:00) Applying the 5S methodology to retail data (30:00) Final tips for retailers and suppliers #RetailTariffs #SupplyChainManagement #SPSCommerce #OmniTalkRetail #RetailStrategy #TariffStrategy #RetailData #AskAnExpert #EDICompliance #RetailInnovation Music by hooksounds.com *Sponsored Content*

In this latest Sprott Money "Ask the Expert" episode, host Craig Hemke sits down with Michael Lebowitz to dissect the economic turbulence facing markets mid-2025. From shifting Fed policies to the implications of new tariffs, they dive deep into what these crosscurrents mean for the gold price, silver price, and broader market sentiment. Is the U.S. economy headed for a recession or just slower growth? How do rising bond yields affect the price of gold and silver? And is now the time to buy gold or buy silver? Don't miss this essential discussion that cuts through media noise to provide actionable insights for investors in precious metals and beyond.

Welcome to our Monthly Zodiac Bonus Episode, dropping the third week of every month! This May, we're giving you the ultimate guide to making a Gemini man obsessed with YOU.Get ready to uncover:

51:03- Matt Rooney, Founder and Editor-in-Chief of SaveJersey.com Topic: The end of the New Jersey Transit strike, debates 1:01:12- Sgt. Joseph Imperatrice, Founder of Blue Lives Matter NYC with 19 years of law enforcement experience primarily in the Detective Bureau field Topic: Police response to the ship crash into the Brooklyn Bridge 1:14:08- Chris Swecker, attorney who served as assistant director of the FBI for the Criminal Investigative Division from 2004 to 2006 Topic: FBI investigation into the Palm Springs fertility clinic explosion 1:28:28- Grover Norquist, President of Americans for Tax Reform Topic: "How to thwart China and end European freeloading on Americans" (Fox News op ed) 1:37:13- Dr. Gil Lederman, Expert in Prostate Cancer and the host of "Radiosurgery New York with Dr. Gil Lederman" on AM 970 The Answer Topic: Joe Biden's prostate cancer diagnosis 2:05:31- Dr. Rebecca Grant, national security analyst based in Washington, D.C. Specializing in defense and aerospace research, founder of IRIS Independent Research, and Senior Fellow at the Lexington Institute Topic: Israel beginning an extensive ground operation in GazaSee omnystudio.com/listener for privacy information.

In this follow-up episode of Great Practice, Great Life, Steve Riley welcomes back guest Barb Betts for a deeper dive into a powerful idea: the confidence to build a thriving law practice begins with embracing your authentic self. For lawyers, authenticity isn't just a buzzword—it's a strategic advantage that drives client trust, firm growth, and personal satisfaction. Barb shares her powerful concept of “17 moments”—life-changing events like teenage pregnancy and severe hair loss—that taught her to stop hiding and stand in her truth. These moments are critical for attorneys, revealing the resilience and identity needed to navigate complex legal challenges. By reflecting on your own “17 moments,” you can show up as a confident expert, not a performer, in client meetings and courtrooms. Barb offers practical strategies for building a law firm with confidence: Price with Confidence: Stop people-pleasing and charge what your expertise is worth. Barb explains how underpricing stems from self-doubt, a common trap for solo attorneys. Be the Expert, Not a Performer: Clients hire you to solve problems they can't, from divorces to business disputes. Authenticity builds trust and fosters loyal client relationships. Embrace Self-Doubt: Imposter syndrome signals growth. Use it to refine your approach and strengthen your practice. Align Practice with Purpose: Authenticity creates a rewarding practice and a balanced life, fulfilling the Great Practice, Great Life ethos. This episode offers actionable insights to overcome self-doubt, stand firm in your value, and build a thriving practice. Tune in to learn how building a law firm with confidence transforms your client relationships, pricing strategy, and life. In this episode: Exploring authenticity as a pathway to genuine success in life and law with Barb Betts The power of “17 moments” that shape professional and personal identities Embracing vulnerability and self-awareness to enhance client relationships and personal fulfillment Differentiating between being an expert and a performer in the legal profession, and the impact on client relationships Navigating pricing strategies, avoiding people-pleasing, and standing firm in your value Using emotional intelligence and honest communication to build client trust Follow and Review: We'd love for you to follow us if you haven't yet. Click that purple '+' in the top right corner of your Apple Podcasts app. We'd love it even more if you could drop a review or 5-star rating over on Apple Podcasts. Simply select “Ratings and Reviews” and “Write a Review” then a quick line with your favorite part of the episode. It only takes a second and it helps spread the word about the podcast. If there's a topic you would like us to cover on an upcoming episode, please email us at steve.riley@atticusadvantage.com. Supporting Resources: Barb Betts: www.barbbetts.com Barb Betts LinkedIn: www.linkedin.com/in/barbbetts Barb Betts Podcast Relationships Are Your Superpower® Ep. 85: Conquering Self-Doubt and Imposter Syndrome: podcasts.apple.com/us/podcast/ep-85-conquering-self-doubt-and-imposter-syndrome/id1530096159?i=1000645372397 Episode 131: Beyond Word of Mouth: Systemizing Referral Marketing with Barb Betts:  atticusadvantage.com/podcast/beyond-word-of-mouth-systemizing-referral-marketing My Great Life® Planner: atticusadvantage.com/books/my-great-life-planner The Summit: atticussummit.com Episode Credits If you like this podcast and are thinking of creating your own, consider talking to my producer, Emerald City Productions. They helped me grow and produce the podcast you are listening to right now. Find out more at https://emeraldcitypro.com Let them know we sent you.

Ever lost four teeth and exposed your tampon string on a first date? Chloe has. But guess what hurts even more? Friendship breakups. Today, joined by Alexa & Chloe from the Unbothered Podcast, we're getting real about the friends who ghosted us, the emotional vampires, moving on without closure, and the painful truth that sometimes friendships end because someone stopped pretending.At what point do you stop performing for someone who's not even clapping? Tune in for some unhinged, hilarious, and surprisingly healing conversations—together we'll laugh, cringe, and feel a little less alone.Wanna listen to this episode AD FREE?? Go to my ad free subscription at - https://almostadulting.supercast.comToday's episode is brought to you by:SIMPLY POP - Spill the Pop tour with Remi & Alisha from Pretty basic is coming to a city near you!! For tour information and FREE tickets, visit cokeurl.com/simplyPOPtour , but hurry! Availability is limited.PAIRED APP - Practice love every day with Paired, the #1 app for couples. Download the app at HERESee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Today's podcast begins with our awesome host, Mike Slater, going over some "abuela stories". We're all comfortable with deporting criminal illegal immigrants, but how comfortable are you with having ICE round up little old ladies and sending them back to their home countries? Slater tackles this thorny subject as best he can.Following the opener, Mike welcomes Steven A. Camarota, Director of Research for the Center for Immigration Studies, onto the show to gab about how many foreign-born people are actually in the USA and what their impact on our culture truly is. It's an entertaining and informative discussion and you'll want to hear it!

Longtime listeners know Naz is obsessed with Human Design, so this week we bring in expert Erin Claire Jones to give Lauren and Ashley their own deep dive. Lauren finds out why being told what she should do has never sat right, Ashley learns she's meant to peak in her 50s, and we all figure out why we thrive on alone time.Erin walks us through the five Human Design types, how to actually use your chart in real life, and why understanding your design can help you make decisions, relax, and stop trying to fit into someone else's plan. Plus, we talk about her new book How Do You Choose? and what it looks like to live in alignment with who you really are.Explore Your Design: https://humandesignblueprint.com/Get Your Custom Human Design Guide (use code IDONTGETIT for a discount): humandesignblueprint.com/guideOrder Erin's Book How Do You Choose?: humandesignblueprint.com/preorder-bookStudy Human Design with Erin (use code IDONTGETIT for a discount): humandesignblueprint.com/product/courseFollow Erin on Instagram: @erinclairejonesFollow Human Design Blueprint: @humandesignblueprintListen to more podcasts like this: https://wavepodcastnetwork.comLeave Us a Voicemail and tell us what you don't get! Call (609) 365 -1885‬Send us a message on our Instagram at @idontgetitpodcast or join us over in our private Facebook group!Cancel your unwanted subscriptions and reach your financial goals faster with Rocket Money. Go to RocketMoney.com/GETIT todayHero Bread is offering 10% off your order. Go to hero.co and use code IDGI at checkout.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.