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Curious about the buzz around Castor Oil packs?In this episode, Robin Riddle, FNP-C breaks down what they are, their powerful health benefits, and how to use them safely and effectively. Don't miss this episode full of valuable health tips!What did you think of this episode of the podcast? Let us know by leaving a review!Connect with Performance Medicine!Check out our new online vitamin store:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://performancemedicine.net/shop/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Sign up for our weekly newsletter: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://performancemedicine.net/doctors-note-sign-up/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@PMedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@PerformancemedicineTN⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Performance Medicine

05-28-25 - New S*Heel Of Year Candidate In Mother Who Tried To Kill Special Needs Son - Listening To Neil DeGrasse Tyson Explain Why Time Travel Can't Happen Makes Us Realize How Dense We AreSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

On this ID The Future, we're sharing a conversation that first aired on Mind Matters News, another podcast from the Discovery Institute that focuses on the intersection of artificial and natural intelligence. In this episode, guest host Pat Flynn welcomes engineer Dr. Eric Holloway and professor Robert J. Marks to discuss the information cost of creativity. The conversation is based on a chapter in the recent volume Minding the Brain, authored by Dr. Holloway and Marks. This conversation originally aired on the Mind Matters News podcast. Visit mindmatters.ai/podcast for more. Source

The Bill That Divides Trump & Elon, Let me EXPLAIN why I LOVE THIS! Elon Musk tells CBS Sunday Morning's he was "disappointed" to see the Trump-backed "big beautiful" spending bill, which passed in the House last week. Musk said he believes the legislation "increases the budget deficit" and "undermines the work that the DOGE team is doing."▶GET THE BOOK HERE: http://mdsh.io/professornezUSE OUR 10% Promo Code: professornez10▶Sign up to our Free Newsletter, so you never miss out: https://bio.site/professornez▶Original, Made in the USA Neznation Patriot Merch: https://professornez.myspreadshop.com/all

This week's batch of Dumb Football Questions with Jeremiah Sirles, Alex Boone and Phil Mackey includes a deep dive into NFL players potentially playing in the 2028 Olympics! 03:00 - Is Darrell “Housch” Doucette -- the current QB for USA Flag Football -- justified in being upset about NFL players wanting to play in the 2028 Olympic Flag Football event? 14:00 - What would your 10-man USA Olympic Flag Football roster look like? 22:00 - Thoughts on the NFL's new offensive line award, Protector of the Year? 27:00 - Could sumo wrestlers play offensive line in the NFL? 30:00 - How did you handle the pressure of being a professional athlete? 35:00 - Explain the importance of the center-QB relationship44:00 - How do differences in hashmarks affect college vs. NFL strategy? 49:00 - What is more tiring, pass protection or run blocking? 53:00 - Jeremiah's F1 Minute! Shout out to our partner, Rula! Mental health is important. Rula patients typically pay $15 per session when using insurance. Connect with quality therapists and mental health experts who specialize in you at https://www.rula.com/oline! #rulapodSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This is a Fan Fav episode. Strap in, my friends—because today is a masterclass on navigating conversations with the narcissists in our lives. Whether it's a parent, a partner, a boss, or a long-time friend, licensed clinical psychologist and viral expert Dr. Ramani is back in the Women of Impact hot seat. She's breaking down exactly what NOT to do when faced with manipulation—and giving us the practical tools to protect ourselves, set unbreakable boundaries, and finally take back our power. We're diving deep into the emotional landmines of narcissistic communication, how to break the cycle of defending and explaining, why your psychological “passwords” must be guarded, and how to find support and healing—even if you're not ready or able to walk away. Get ready for real talk, revolutionary strategies, and the reminder that you never have to serve up your pain to someone who will weaponize it against you. SHOWNOTES The real impact of words: Why “sticks and stones” is a harmful myth 00:06:25 – How to recognize and respond when someone tries to invalidate your reality Dr. Ramani's DEEP technique: Don't Defend, Engage, Explain, or Personalize The dangers of sharing your deepest vulnerabilities with a narcissist 00:13:44 – Weaponized vulnerability: When your wounds become someone else's ammunition Narcissistic parents and partners: Why history repeats itself and how to break free Can you ever be happy in a narcissistic relationship? What joy looks like with limits 00:32:09 – “Hang time” and why breaking away gets harder the longer you stay Top mistakes to avoid: Never call out a narcissist, and always have an exit strategy Practical steps, resources, and daily support from Dr. Ramani's powerful online community FOLLOW DR. RAMANI: YouTube: https://www.youtube.com/@DoctorRamani Instagram: https://www.instagram.com/doctorramani/ Facebook: https://www.facebook.com/doctorramani Website: https://www.doctor-ramani.com/ CHECK OUT OUR SPONSORS Vital Proteins: Get 20% off by going to ⁠⁠https://www.vitalproteins.com⁠⁠ and entering promo code WOI at check out.  BIOptimizers: Head to⁠⁠ https://bioptimizers.com/impact ⁠⁠and use code IMPACT for 10% off.  OneSkin: Get 15% off with code LISA at ⁠⁠https://oneskin.co ⁠⁠ Shopify: Sign up for your one-dollar-per-month trial period at ⁠⁠https://shopify.com/lisa Learn more about your ad choices. Visit megaphone.fm/adchoices

052725 1st HR Mel Mattison These 3 Current Events Explain The Economy Right Now POWERFUL by Kate Dalley

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]   

Dr. Amelia Bond and Dr. Dhruv Khullar join us to discuss the long-term savings of accountable care organizations (ACOs) in the Medicare Shared Savings Program (MSSP). Their recent study in JAMA found that ACOs generate increasing savings over time, with physician-led ACOs demonstrating more significant savings. Learn about their study's methodology, policy implications for The Centers of Medicare & Medicaid Services (CMS) and where Dr. Bond and Dr. Khullar will focus their research next. Connect with us at acoshow@aledade.com or visit the Aledade Newsroom

The Trump White House has enacted tariffs in the belief that other countries are “cheating” by enacting tariffs against US goods and “manipulating” their currencies. However, with the US dollar being the world's reserve currency, the US has engaged in dollar manipulation through inflation.Original article: https://mises.org/mises-wire/mmt-and-us-history-redefining-chartalism

Jay Truitt gives a great explanition on how the Budget Reconciliation bill is supposed to progress through the legislative process.

The Trump White House has enacted tariffs in the belief that other countries are “cheating” by enacting tariffs against US goods and “manipulating” their currencies. However, with the US dollar being the world's reserve currency, the US has engaged in dollar manipulation through inflation.Original article: https://mises.org/mises-wire/mmt-and-us-history-redefining-chartalism

In today's episode of Backpacker Radio presented by The Trek, brought to you by Topo Athletic, we are joined by Jonathan Thomas, known on trail as Janis Joplin. Janis Joplin is a thru-hiker, FKT record holder, D1 collegiate track and field athlete, former news cameraman, Boston Marathon bombing survivor, CDT trail angel, and owner of Exotic Pax, an innovative, vest-style backpack for thru-hikers handmade in Chama, New Mexico. This episode covers a lot of ground, including the many times he's narrowly escaped death, what is was like growing up in New Orleans, being a D1 collegiate athlete, what brought him into the world of FKTs and how FKT athletes are more possessive over their records than they might lead on, what it's like to run an outfitter in a sleepy CDT town, and the inspiration and process that goes into his unique backpacks. We wrap the show with a reversal on the closure of a campground key to JMT and PCT hikers, our takes on who'd win in a fight between 100 men and one silverback gorilla, and the Triple Crown of items you geniously stash in many strategic locations. Topo Athletic: Use code “TREKSPRING15” at topoathletic.com. Gossamer Gear: Use code “BACKPACKER20” for 20% off packs at gossamergear.com.  Betterment: Learn more at betterment.com/trek. Burgeon Outdoor: Use code “BACKPACKER15” for 15% off at burgeonoutdoor.com. Bear Mattress: Use code “BACKPACKER” for 40% off at bearmattress.com. [divider] Interview with Jonathan Thomas aka JJ JJ's Instagram JJ's Youtube Exotic Pax Website Tumble On Outfitters Website Time stamps & Questions 00:05:34 - Reminders: Take our survey, listen to our episodes ad-free on Patreon, and apply to blog for the Trek! 00:09:25 - Introducing JJ 00:10:28 - What's it like growing up in New Orleans? 00:18:10 - Tell us about working for a news channel 00:21:40 - What's the most interesting scene you ever shot from? 00:24:30 - What were the highlights from the local news industry? 00:26:50 - What events did you do at LSU? 00:30:00 - Discussion about biking in Baton Rouge 00:34:20 - What personality differences were there between swimmers and runners?00:35:25 - Why did you walk on to the team at LSU? 00:37:35 - Tell us about running the Boston marathon 00:40:40 - How did you get into hiking? 00:43:20 - How did the PCT compare to running? 00:44:12 - How have you processed the trauma you've gone through? 00:48:27 - Did the calm on a long trail draw you in? 00:50:10 - Tell us about attempting to do an FKT in the middle of your PCT thru-hike 00:53:40 - What are the differences between the different distances of running? 00:59:25 - What are the differences between preparing for an FKT and for road running? 01:03:40 - How do you train for the unexpected? 01:12:15 - What's the wildest hallucination you've had? 01:17:00 - Is it difficult to maintain motivation during your FKT attempt? 01:26:20 - Discussion about JJ's Oregon FKT 01:29:30 - Wheel spin 01:36:25 - Tell us about the Oregon FKT 01:39:50 - Why did you carry a cast iron on the trail? 01:45:40 - Tell us about your interactions with foxes 01:49:45 - What other meals do you make on trail? 01:56:20 - What's the inspiration for your company? 02:03:40 - What are the main stitches used in backpacking gear? 02:09:12 - Discussion about Exotic Pax 02:12:30 - How did Tate find you to make his pack? 02:16:27 - Tell us about the process with making custom packs 02:18:00 - Which model of backpack is the most popular? 02:20:40 - Tell us about the zippered pocket 02:22:42 - Explain the vest functionality of your backpack 02:30:00 - Chaunce tries on the backpack 02:33:30 - How do you do the sizing? 02:37:20 - How did you decide to go for the PCT FKT this year? 02:39:00 - Where can people keep up with you? 02:39:48 - Peak Performance Question: What is your top performance-enhancing or backpacking hack? Segments Trek Propaganda: Yosemite Campground Closure Will Disrupt Backpackers — Including JMT and PCT Thru-Hikers by Katie Jackson QOTD:  Who wins in a fight, 1 gorilla vs. 100 men? Triple Crown of items you geniously stash in many strategic locations Mail Bag 5 Star Review [divider] Check out our sound guy @my_boy_pauly/ and his coffee. Sign up for the Trek's newsletter Leave us a voicemail! Subscribe to this podcast on iTunes (and please leave us a review)!  Find us on Spotify, Stitcher, and Google Play. Support us on Patreon to get bonus content. Advertise on Backpacker Radio Follow The Trek, Chaunce, Badger, and Trail Correspondents on Instagram. Follow Backpacker Radio, The Trek and Chaunce on YouTube. Follow Backpacker Radio on Tik Tok.  Our theme song is Walking Slow by Animal Years. A super big thank you to our Chuck Norris Award winner(s) from Patreon: Alex and Misty with NavigatorsCrafting, Alex Kindle, Andrew, Austen McDaniel, Brad & Blair Thirteen Adventures, Brent Stenberg, Bryan Alsop, Carl Houde, Christopher Marshburn, Coach from Marion Outdoors, Eric Casper, Erik Hofmann, Ethan Harwell, Gillian Daniels, Greg Knight, Greg Martin, Greg McDaniel may he bring honor to his name, Griffin Haywood, Hailey Buckingham, Lauren F, Patrick Cianciolo, Rebecca Brave, Sawyer Products, SPAM, Timothy Hahn, Tracy ‘Trigger' Fawns A big thank you to our Cinnamon Connection Champions from Patreon: Bells, Benjy Lowry, Bonnie Ackerman, Brett Vandiver, Chris Pyle, David, David Neal, Dcnerdlet, Emily Galusha, Greg Floravanti “Lumberjack”, Jack Greene, Jeanie, Jeanne Latshaw, Luke Netjes, Merle Watkins, Peter, Ruth S, and Spencer Hinson.

With over-the-counter birth control expanding access to contraception, pharmacists have a growing role in guiding patients through their options, ensuring safe use, and providing essential counseling. This episode explores the pharmacist's role in OTC birth control recommendations, patient education, and broader hormonal contraception services within community pharmacy practice. Tune in to learn how you can confidently support patients in making informed decisions about their reproductive health. HOSTJoshua Davis Kinsey, PharmDVP, EducationCEimpactGUESTKate Riddell, PharmD, MSPharmacistConsultant/CPESN INPharmacists, REDEEM YOUR CPE HERE!CPE is available to Health Mart franchise members onlyTo learn more about Health Mart, click here: https://join.healthmart.com/CPE INFORMATION Learning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Explain the pharmacist's role in recommending and counseling patients on over-the-counter birth control and other hormonal contraception options.2. Identify key safety considerations, eligibility criteria, and best practices for providing contraception services in a community pharmacy setting.0.05 CEU/0.5 HrUAN: 0107-0000-25-191-H01-PInitial release date: 5/26/2025Expiration date: 5/26/2026Additional CPE details can be found here.

With generative AI, engineering excellence and legacy system resilience all under one remit, what does it take to lead digital transformation at one of the world's largest reinsurers? In this episode, Robin Merttens is joined by Pravina Ladva, Group Chief Digital and Technology Officer at Swiss Re, to explore what it means to drive impact through innovation at scale. Pravina shares how Swiss Re is helping clients get more from their data, reduce underwriting time and prepare for a future shaped by new technologies. It's a conversation about strategy, change and what it really takes to turn curiosity into impact – without losing sight of operational fundamentals. Key Talking Points: Embracing GenAI responsibly – how Swiss Re encourages experimentation while prioritising outcomes From concept to scale – why small wins in underwriting can deliver real value for clients Beyond the hype – using traditional business cases to prioritise AI use cases Redefining talent – how today's underwriters and technologists are becoming one and the same From ingestion to insight – why data infrastructure still matters in an AI-native world Making the business case – why AI productivity gains must go beyond speed Building co-pilot confidence – what it takes to upskill thousands of employees globally Thinking top-down – how Swiss Re balances experimentation with bold, disruptive thinking From engineering to impact – how core IP and differentiated services shape tech investment What insurers need to consider – why translating technology into strategic value is the real differentiator If you like what you're hearing, please leave us a review on whichever platform you use or contact Robin Merttens on LinkedIn. You can also contact Pravina Ladva on LinkedIn to start a conversation! Sign up to the InsTech newsletter for a fresh view on the world every Wednesday morning. Continuing Professional Development This InsTech Podcast Episode is accredited by the Chartered Insurance Institute (CII). By listening, you can claim up to 0.5 hours towards your CPD scheme. By the end of this podcast, you should be able to meet the following Learning Objectives: Measure the early productivity gains seen from AI-assisted engineering and claims assessment processes. Specify the criteria used by Swiss Re to prioritise AI and digital transformation use cases. Explain the role of talent development and cross-functional collaboration in enabling successful technology adoption. If your organisation is a member of InsTech and you would like to receive a quarterly summary of the CPD hours you have earned, visit the Episode 356 page of the InsTech website or email cpd@instech.co to let us know you have listened to this podcast. To help us measure the impact of the learning, we would be grateful if you would take a minute to complete a quick feedback survey.

In this episode of Excess Returns, we dive deep into one of the most complex and pressing issues facing successful investors today: what to do with concentrated stock positions. Whether from employee stock compensation or a major investment win, holding too much of a single stock presents serious tax and diversification challenges. Our guests—Wes Gray of Alpha Architect, Sri Narayan of Cache Financial, and guest host Dave Nadig—break down the innovative solutions that are changing the game. From exchange funds to Section 351 conversions, this is a masterclass in modern wealth and risk management.Topics Covered:The problem with concentrated stock positions and why it's getting worseHow stock-based compensation fuels investor overexposureWhy traditional exchange funds fall short—and how Cache is solving itUnderstanding Section 351 ETF conversions and tax-deferred diversificationThe mechanics behind Cache's NASDAQ 100 and S&P 500 strategiesHow exchange funds work: structure, lockups, and liquidityUsing ETFs to rebalance and solve diversification constraintsReal estate allocations and the 20% illiquid asset requirementCosts, fees, and transparency of the modern exchange fund modelRegulatory and legal perspectives behind the structurePractical advice for advisors and investors with low-basis positionsHow to access, evaluate, and engage with Cache and Alpha Architect solutions

Jimmy Failla is starting his Memoria Day weekend a little early, so Philly radio legend Rich Zeoli agreed to pinch-hit for him on Fox Across America. Rich is joined by Pennsylvania Republican Congressman Dan Meuser, who explains that despite a few of the spending flaws of President Trump's “big, beautiful bill”, this massive piece of legislation is still the best option in this moment. Fox Nation host Abby Hornacek stops by to talk about the new show she's filming that explores luxury bunkers. Retired NYPD inspector Paul Mauro gives us an update on the investigation into the shooting outside D.C.'s Capital Jewish Museum. PLUS, Texas Republican Congresswoman Beth Van Duyne shares her thoughts on how the Trump administration has swiftly been able to take back control of the U.S. Southern border. [00:00:00] GOP Senators skeptical about the “big, beautiful bill” [00:19:35] Rep. Dan Meuser [00:33:05] Abby Hornacek [00:38:50] Importance of the MAHA report [00:57:02] Paul Mauro [01:14:17] Trump signs EO on nuclear energy [01:33:50] Rep. Beth Van Duyne Learn more about your ad choices. Visit podcastchoices.com/adchoices

The final quote of the hour is a confusing one, and maybe that's why there are such differences between the communication styles of men & women.

Here's your local news for Thursday, May 22, 2025:We hear state Democrats' proposal to preserve Child Care Counts,Check in on the Pierce County residents challenging a dairy farm's mega-expansion,Meet a candidate running for the vacant seat on the county board,Explain a loophole in Wisconsin's open records law,Prepare for Memorial Day weekend fishing,Get the latest updates from Madison's Flamingos,And much more.

Jimmy Failla has some TV business to attend to, so we went to the stacked Fox Across America bullpen and asked Philly radio legend Rich Zeoli from WPHT to guest host for him. Rich is joined by North Carolina Republican Congressman Chuck Edwards, who explains what's in President Trump's “big, beautiful bill” that was passed by the House on Thursday. Texas Radio Hall of Famer Paul Gleiser checks in from Eastern Europe to tells us about his KTBB World Tour. Former GOP National Spokesperson Elizabeth Pipko reacts to the awful murder of two Israeli Embassy staff members outside of the Capital Jewish Museum in Washington D.C. Founder and Executive Director of Power The Future Daniel Turner shares his thoughts on China's goal of being the dominant global superpower. Co-host of “The Big Money Show” Taylor Riggs touts the positive health goals of the MAHA movement. PLUS, superstar internet personality Debra Lea stops by to recount a recent experience she had with anti-Israel protesters. [00:00:00] House finally passes Trump's “big, beautiful bill” [00:19:20] Rep. Chuck Edwards [00:30:55] Paul Gleiser checks in from Bulgaria [00:37:36] Elizabeth Pipko [00:56:30] Daniel Turner [01:14:50] Taylor Riggs [01:33:20] Debra Lea Learn more about your ad choices. Visit podcastchoices.com/adchoices

China's Ministry of State Security has infiltrated and is conducting espionage at all levels of Stanford University. By law, all Chinese nationals are required to report back to the Chinese Communist Party on their research and daily activities when asked. Sometimes this spying is voluntary and conducted by those who wish to see America fall […]

China's Ministry of State Security has infiltrated and is conducting espionage at all levels of Stanford University. By law, all Chinese nationals are required to report back to the Chinese Communist Party on their research and daily activities when asked. Sometimes this spying is voluntary and conducted by those who wish to see America fall behind in the global tech race. Other times, Chinese nationals are coerced into spying on their school, friends, and teachers through transnational repression. How can universities and Congress work together to prevent Chinese espionage? And how is the Chinese government buying influence in American universities and American society writ large? Elsa Johnson is the managing editor of the Stanford Review and a sophomore studying international relations and East Asian studies.Garret Molloy is a staff writer and the business manager of the Stanford Review. He is a sophomore studying Hayek, economic history, and libertarian thought.Read the transcript here. Subscribe to our Substack here. Read Elsa and Garret's reporting here.

Here's what we're reading, recommending, and revisiting this week.Catherine's library find commanded her attention thanks to its subtitle. It's The Minimum Method: The Least You Can Do to Be a Stronger, Healthier, Happier You by Joey Thurman. Hard to say no to that!Terri's random recommendation this week switches things up by introducing an Internet conundrum. Can anyone explain this phenomenon to her?In the archives, we checked in on an episode from 2021 on improving the parent portal.Next week's lineup: Lost S2 E23 and E24, "Live Together, Die Alone," on Tuesday, May 27Running Point S1 E10, "Game Seven," on Wednesday, May 28Weekly roundup on Thursday, May 29Until then (and anytime you're in need), the archives are available.

Relationship Update | I Can Explain Podcast EP.257 By Sean Lusk and Breanne WilliamsonSupport this podcast at — https://redcircle.com/i-can-explain/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Why are so many girls struggling with anxiety, low mood, and poor mental health—and why are they starting to think it’s normal? In this Doctor’s Desk episode, Dr Justin and Kylie Coulson unpack recent UK research that asked teen girls themselves what's causing their distress. The answers are confronting: gender expectations, academic pressure, toxic friendships, and social media. But there’s hope. This episode offers real parenting solutions to help our girls thrive. KEY POINTS: Girls are normalising poor mental health. That’s not okay. We need to intervene early with meaningful support and connection. Narrow gender expectations hurt. Whether they lean into “girly” or “tomboy,” girls feel judged either way. Let them follow their authentic interests, not societal labels. Academic pressure is intense. Many girls feel they must succeed and that failing means they’re a failure. That belief is contributing to rising anxiety. Friendships can be fraught. Judgy, competitive peer dynamics—especially around appearance and eating—erode girls’ confidence and mental health. Social media fuels comparison. Girls see everyone else’s “perfect” lives and feel like they don’t measure up. The myth of the perfectable life is everywhere. QUOTE OF THE EPISODE: “Poor mental health shouldn’t be normal. It should be the exception—not the expectation.” RESOURCES MENTIONED: University of Manchester research (linked in show notes) Miss Connection: Why Your Teenage Daughter Hates You, Expects the World, and Needs to Talk – By Dr Justin Coulson Happy Families School Membership ACTION STEPS FOR PARENTS: Break the gender box. Support your daughter’s interests, whatever they are. Expose her to a wide range of hobbies and possibilities. Ease academic pressure. Model balance, share your own stories of failure and recovery, and consider the value of a gap year post-high school. Prioritise quality friendships. Encourage your child to nurture one or two deep, loyal friendships over being "popular." Create strong tech boundaries. Monitor screen time, model healthy device use, and ask reflective questions about how social media makes them feel. Eat dinner together. Regular family time at the table builds belonging, boosts well-being, and keeps the door open for tough conversations. See omnystudio.com/listener for privacy information.

3 Part Trainer Bonus Series – EP 3: How to Do an Assessment the Right Way (SELL TRAINING) Why trainers MUST use assessments. (0:42) The main value and goal of this first free session. (3:25) Mistakes trainers make. (8:40) How to Do an Assessment the Right Way (SELL TRAINING) #1 – Use easy-to-understand terminology and explain what it means to them. (15:51) #2 – Explain the benefit of what you will do for that problem. (17:11) #3 – Tie down or agree, this is valuable. (18:26) Related Links/Products Mentioned Trainer the Trainer Webinar Series Mind Pump # 1262: Why Fitness Assessments are Important Mind Pump # 1622: Nine Signs Your Trainer Sucks MAPS Prime Webinar Online Personal Training Course | Mind Pump Fitness Coaching ** Approved provider by NASM/AFAA (1.9 CEUs)! Grow your business and succeed in 2025. ** Mind Pump Podcast – YouTube Mind Pump Free Resources

They have opted for their slow-motion strangulation approach because that's what's necessary to maintain essential western support and avoid war crimes tribunals. Reading by Tim Foley.

If setting boundaries with your teen feels like trying to nail Jell-O to a wall—you're not alone. In this episode of Parenting Teens with Dr. Cam, I sit down with Matilda Gosling, social scientist and author of Teenagers: The Evidence Base, to break down the science behind boundary-setting that actually works. No more power struggles. No more guessing games. Just real, research-backed strategies to help you protect your teen and prepare them for the real world. Matilda brings both the data and the empathy, helping parents understand where to draw the line, when to back off, and how to keep the relationship strong while doing it. If you've ever asked yourself, “Am I being too strict? Too lenient?”—this episode is your answer. WHAT YOU'LL LEARN IN THIS EPISODE Why boundaries help teens feel safe, not smothered How to focus on the rules that really matter (and ditch the ones that don't) The difference between control and influence—and why one actually works How to set your own boundaries without feeling guilty or selfish 5 KEY TAKEAWAYS FOR PARENTS OF TEENS Prioritize the big stuff: Health, safety, and emotional well-being come first. Let go of the small battles. Your boundaries matter too: You're allowed to have limits—and your teen needs to see them. Respect their privacy: Snooping leads to secrets. Trust builds openness. Explain, don't dictate: When teens understand the why, they're more likely to follow through. Mistakes are part of the process: Boundaries aren't about perfection—they're about growth.

In this episode, Spencer breaks down why every business owner—whether you're raising capital or not—needs a crystal-clear elevator pitch. Learn the five components that make a pitch magnetic, how it clarifies your vision, aligns your team, and helps you stop owning a job and start building a business worth selling. Spencer also shares how companies like Nucleane tie purpose into profit by giving back through CASA—and why that only works when your business runs intentionally. “If you can't explain what you do in 30 seconds, how can your team—or your customer—trust you to deliver it?” Featuring insights inspired by Carl Allen, Ed Mylett, and Russell Brunson, this episode will help you sharpen your message, align your mission, and build something bigger than yourself.   If you are feeling the love, make sure to subscribe, rate, and review on iTunes, Spotify, YouTube, or wherever you are!! If you'd like to be featured on an episode go to theidahobusinesspodcast.com to APPLY! Apple Podcasts Spotify YouTube   #ElevatorPitch #BusinessClarity #BuildToSell #IntentionalBusiness #OwnTheBusinessNotTheJob #BusinessStrategy #ScalingWithPurpose #IdahoBusiness #TheIdahoBusinessPodcast #SpencerWard #IdahoEntrepreneurs  

J.C. Hallman discusses maintenance problems at an Oklahoma City apartment complex. M. Scott Carter on Stitt's veto of a bill that would slow the eviction process. J.C. on his investigation of Oklahoma's high homeowners' insurance rates.

Things Gen-X Can't Really Explain to Younger Folk! I moved fast - but maybe you will enjoy it anyway! THANK YOU TO OUR SPONSORS: Vascular Institute of Chattanooga: https://www.vascularinstituteofchattanooga.com/ The Barn Nursery: https://www.barnnursery.com/ Optimize U Chattanooga: https://optimizeunow.com/chattanooga/ Guardian Investment Advisors: https://giaplantoday.com/ Alchemy Medspa and Wellness Center: http://www.alchemychattanooga.com/ Our House Studio: https://ourhousestudiosinc.com/ ALL THINGS JEFF STYLES: www.thejeffstyles.com PART OF THE NOOGA PODCAST NETWORK: www.noogapodcasts.com Please consider leaving us a review on Apple and giving us a share to your friends! This podcast is powered by ZenCast.fm

Geologists Marcus Ross and Tom Zoutewelle join Paul and Todd in this special episode! Last year, Paul and Marcus attended a creationist conference in France with Tom, and in this episode Todd learns all about French geology. What sort of rocks can we see in the Paris Basin? What is the Paris Basin anyway? How does the Paris Basin display the geology of the Flood? Find out in this episode!

Send us a textEver wonder what happens when three grown men with minimal Minecraft knowledge attempt to review the billion-dollar blockbuster that has kids everywhere obsessed? The answer is both hilarious and illuminating.Join Hayden, Tom, and Mitch (aka Randy the Mitchell Man Savage) as they break down Minecraft: The Movie, the Jared Hess-directed adaptation starring Jack Black, Jason Momoa, and Jennifer Coolidge. Fresh from their annual Free Comic Book Day live show, the hosts dive into this unlikely box office sensation that has already grossed $845 million worldwide despite mixed critical reception.The conversation explores the film's plot about characters discovering a portal to the Minecraft universe, the creative liberties taken with game mechanics, and the meme-worthy moments that have children losing their minds in theaters (particularly Jack Black's "Lava Chicken" song). While the hosts acknowledge the movie isn't aimed at their demographic, they offer thoughtful insights about why it resonates so powerfully with its intended audience.The episode takes an even more entertaining turn when the hosts attempt a 50-question Minecraft trivia challenge that quickly exposes their gaming knowledge gaps. Their increasingly desperate guesses and creative workarounds will have you laughing along as they tackle questions ranging from basic game mechanics to obscure Minecraft facts. The segment perfectly captures the generational divide between casual adult observers and the children who live and breathe this digital world.Before wrapping up, the hosts share updates on upcoming entertainment projects including potential adaptations of Judge Dredd, Zelda, Power Rangers, and more. Whether you're a parent trying to understand your child's Minecraft obsession, a casual gamer, or just someone who enjoys authentic, funny conversation about pop culture, this episode delivers entertainment and insights in equal measure.Support the show

Pharmacists are stepping into a critical role in addiction treatment, expanding access to life-saving medications like buprenorphine through pharmacy-based MOUD clinics. This episode examines how this innovative model is transforming care for patients with opioid use disorder and what pharmacists need to understand before considering an expansion of services in this space. Tune in to learn how pharmacist-led addiction treatment can improve patient outcomes, strengthen communities, and help combat the opioid crisis.HOSTJoshua Davis Kinsey, PharmDVP, EducationCEimpactGUESTKorey Kreider, PharmDPharmacist, OwnerMedicine ManPharmacists, REDEEM YOUR CPE HERE!CPE is available to Health Mart franchise members onlyTo learn more about Health Mart, click here: https://join.healthmart.com/CPE INFORMATION Learning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Explain the role of pharmacists in providing medication for opioid use disorder (MOUD) and the impact of pharmacy-based addiction treatment services.2. Identify key regulatory and scope of practice considerations pharmacists must evaluate before expanding services to include addiction treatment.0.05 CEU/0.5 HrUAN: 0107-0000-25-190-H01-PInitial release date: 5/19/2025Expiration date: 5/19/2026Additional CPE details can be found here.

Pharmacists are stepping into a critical role in addiction treatment, expanding access to life-saving medications like buprenorphine through pharmacy-based MOUD clinics. This episode examines how this innovative model is transforming care for patients with opioid use disorder and what pharmacists need to understand before considering an expansion of services in this space. Tune in to learn how pharmacist-led addiction treatment can improve patient outcomes, strengthen communities, and help combat the opioid crisis.HOSTJoshua Davis Kinsey, PharmDVP, EducationCEimpactGUESTKorey Kreider, PharmDPharmacist, OwnerMedicine ManPharmacist Members, REDEEM YOUR CPE HERE! Not a member? Get a Pharmacist Membership & earn CE for GameChangers Podcast episodes! (30 mins/episode)CPE INFORMATIONLearning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Explain the role of pharmacists in providing medication for opioid use disorder (MOUD) and the impact of pharmacy-based addiction treatment services.2. Identify key regulatory and scope of practice considerations pharmacists must evaluate before expanding services to include addiction treatment.0.05 CEU/0.5 HrUAN: 0107-0000-25-190-H01-PInitial release date: 5/19/2025Expiration date: 5/19/2026Additional CPE details can be found here.Follow CEimpact on Social Media:LinkedInInstagram

Stephen Wolfram is a physicists, mathematician, and programmer who believes he has discovered the computational rules that organize the universe at the finest grain. These rules are not physical rules like the equations of state or Maxwell's equations. According to Wolfram, these are rules that govern how the universe evolves and operates at a level at least one step down below the reality that we inhabit. His computational principles are inspired by the results observed in cellular automata systems, which show that it's possible to take a very simple system, with very simple rules, and end up at complex patterns that often look organic and always look far more intricate than the black and white squares that the game started with. We sit down with him for a conversation about the platonic endeavor that he has undertaken, where to draw the line between lived experience and the computational universe, the limits of physics, and the value of purpose and the source of consciousness. MAKE HISTORY WITH US THIS SUMMER:https://demystifysci.com/demysticon-2025PATREON https://www.patreon.com/c/demystifysciPARADIGM DRIFThttps://demystifysci.com/paradigm-drift-show00:00 Go!00:02:07 Entropy and Computational Irreducibility00:09:45 Understanding Observers in Physics00:15:12 The Concept of Time as Computation00:23:00 Neural Networks and Determinism00:30:03 Understanding Space and Its Nature00:39:24 Exploring the Nature of Emergence and Reality00:41:44 Perception and Computational Limitations of Human Minds00:46:18 The Complexity of Existence and Consciousness00:51:58 The Universe's Computation versus Human Understanding00:55:42 Conceptualizing Reality Beyond Physical Actors01:01:11 Computational Irreducibility in Biological Systems01:09:49 The Nature of Experience in Humans and Machines01:14:25 Internal Experiences and the Connection to Purpose01:18:07 Exploration of Purpose in Life and AI01:26:00 The Nature of Human Existence and Purpose01:35:19 Searching for Extraterrestrial Intelligence and Understanding Reality01:41:02 Communication Across Species02:01:13 Emergence of Simple Rules in Physics02:14:47 Observers and the Universe02:19:14 The Role of Mass and Experience02:24:02 Self-Reproduction and Evolution02:30:50 Complexity and Natural Selection02:37:07 Foundations of Medicine02:40:45 Application of Physics Concepts in Other Fields02:49:44 Limits and Possibilities of Travel Through Space02:53:11 Future of Human Civilization and Technology02:55:05 Science and Pre-Existing Questions about the Universe02:58:05 The Intersection of Mathematics and Physical Reality#physics, #computationalphysics, #consciousness, #freewill, #determinism, #spaceexploration, #evolution, #purpose, #futureofhumanity, #complexsystems , #machinelearning, #philosophypodcast , #sciencepodcast, #longformpodcast ABOUS US: Anastasia completed her PhD studying bioelectricity at Columbia University. When not talking to brilliant people or making movies, she spends her time painting, reading, and guiding backcountry excursions. Shilo also did his PhD at Columbia studying the elastic properties of molecular water. When he's not in the film studio, he's exploring sound in music. They are both freelance professors at various universities. PATREON: get episodes early + join our weekly Patron Chat https://bit.ly/3lcAasBMERCH: Rock some DemystifySci gear : https://demystifysci.myspreadshop.com/allAMAZON: Do your shopping through this link: https://amzn.to/3YyoT98DONATE: https://bit.ly/3wkPqaDSUBSTACK: https://substack.com/@UCqV4_7i9h1_V7hY48eZZSLw@demystifysciBLOG: http://DemystifySci.com/blog RSS: https://anchor.fm/s/2be66934/podcast/rssMAILING LIST: https://bit.ly/3v3kz2S SOCIAL: - Discord: https://discord.gg/MJzKT8CQub- Facebook: https://www.facebook.com/groups/DemystifySci- Instagram: https://www.instagram.com/DemystifySci/- Twitter: https://twitter.com/DemystifySciMUSIC: -Shilo Delay: https://g.co/kgs/oty671

What happens when one of the world's largest brokers and a digital-first underwriting platform team up to rethink risk trading? In this episode, Robin Merttens is joined by Sasa Brcerevic, Head of Portfolio and Delegated Strategy at Aon, and Ed Howkins, Chief Growth Officer at Artificial Labs. Together, they explore the evolving dynamics of wholesale broking, why now is the moment to digitise trading relationships and how insurers can stay competitive in a rapidly transforming landscape. The conversation offers a timely lens on the market-wide shift toward digital trading – not as a future ambition, but as an active and necessary response to competitive pressure. From the rise of underwriting-as-a-service to brokers leading platform innovation, this episode unpacks what insurers and brokers should be doing now to stay relevant. Key Talking Points Digitising the broker–underwriter interface: why transaction execution, not just placement admin, is the next frontier Strategic momentum: how digitisation moved from side project to boardroom priority across carriers and brokers Competitive catalysts: why fast movers are already capturing flow and shaping future adoption curves Platforms not portals: how Artificial is helping brokers remove friction while giving carriers underwriting optionality A new breed of carrier: exploring the shift from balance sheet-first models to digital risk transformation The data dividend: why data-rich submissions are changing how insurers allocate capital and differentiate themselves Incremental innovation: what makes today's efforts different from past false starts and what good adoption looks like Reimagining broking: how Aon is investing in technology to build its future operating model Sustainable advantage: why the biggest long-term gains lie in improving service, not just margin Time to jump in: why delaying digitisation could leave carriers and brokers on the outside looking in If you like what you're hearing, please leave us a review on whichever platform you use or contact Robin Merttens on LinkedIn. You can also contact Ed Howkins and Sasa Brcerevic on LinkedIn to start a conversation! Sign up to the InsTech newsletter for a fresh view on the world every Wednesday morning. Continuing Professional Development This InsTech Podcast Episode is accredited by the Chartered Insurance Institute (CII). By listening, you can claim up to 0.5 hours towards your CPD scheme. By the end of this podcast, you should be able to meet the following Learning Objectives: Describe how digitising wholesale broking can improve transactional efficiency and reduce operational friction. List the key challenges and opportunities in modernising risk trading processes between brokers and carriers. Explain how intentional digital adoption differs from previous waves of insurance market innovation. If your organisation is a member of InsTech and you would like to receive a quarterly summary of the CPD hours you have earned, visit the Episode 355 page of the InsTech website or email cpd@instech.co to let us know you have listened to this podcast. To help us measure the impact of the learning, we would be grateful if you would take a minute to complete a quick feedback survey.

✨ Want to learn more about what macro social work jobs are?Grab my free e-course: https://www.macroandpaid.com----Podcast Title: “The Micro-Macro Mismatch: Why Your Social Work Job Feels Off” - Macro Social Work Career Coach - Social Work Career ClarityIf you've ever felt like your job is missing something but couldn't quite name what it is this episode is for you!It's not burnout.It's not that you need another degree.It's not that you made the wrong choice choosing social work.It's that you're a macro thinker stuck in a micro role (case management).In this episode I break down what I call the "Micro-Macro Mismatch" and how it shows up for high achieving social workers who are stuck working below their true capacity.This is the conversation I wish someone had with me years ago when I was in case management wondering why I felt so unfulfilled.Inside the episode we talk about:- The key difference between micro social work and macro social work.- Why being highly competent at your job doesn't mean you're in the right one.- The emotional toll of constantly being the one with the ideas but no support to implement them.- How systems thinkers end up buried in task-focused jobs and what it does to their confidence over time.- What it means to move from your zone of competence into your zone of genius.- Why alignment in your social work career isn't optional it's essential.I walk you through how to start identifying when the work you've been doing is actually macro-level work and how you can move towards jobs that allow you to live in your zone of genius full time.If you're constantly creating workarounds.If your coworkers come to you when something breaks.If you're always asking “why aren't we solving the real issue.”You're probably not stuck. You're misaligned.And this episode is for you!✨ Ready to start planning your shift out of the Micro-Macro Mismatch?Grab my free e-course: https://www.macroandpaid.comHappy macro career planningMarthea Pitts, MSWThe MSW Coach

Introduction: Two Problems Jesus Has with Divorce (Matthew 5:31–32): Divorce TRIVIALIZES MARRIAGE. (Matt 5:31) Genesis 2:24 – Therefore a man shall leave his father and his mother and hold fast to his wife, and they shall become one flesh. Deuteronomy 24:1–4 – When a man takes a wife and marries her, if then she finds no favor in his eyes because he has found some indecency in her, and he writes her a certificate of divorce and puts it in her hand and sends her out of his house, and she departs out of his house, and if she goes and becomes another man's wife, and the latter man hates her and writes her a certificate of divorce and puts it in her hand and sends her out of his house, or if the latter man dies, who took her to be his wife, then her former husband, who sent her away, may not take her again to be his wife, after she has been defiled, for that is an abomination before the LORD. And you shall not bring sin upon the land that the LORD your God is giving you for an inheritance. Divorce RESULTS In ADULTERY. (Matt 5:32) Ephesians 5:24–25 – Now as the church submits to Christ, so also wives should submit in everything to their husbands. Husbands, love your wives, as Christ loved the church and gave himself up for her... Sermon Notes (PDF): BLANKHint: Highlight blanks above for answers! Small Group DiscussionRead Matthew 5:31-32 & Mark 10:2-12What was your big take-away from this passage / message?What are some beliefs you've heard Christians believe about divorce and remarriage? How do these line up with Scripture?Explain what Jesus meant in Matt 5:32, how someone's divorce even leads to other people committing adultery.How exactly would you counsel a trusted Christian friend who is considering divorce?BreakoutPray for one another. Audio Transcript Matthew chapter 5, are you there?This section we are in on the Sermon on the Mount is about the heart of God's law.And we saw that Jesus said, "I didn't come to abolish the law or destroy the law."That's what we would call the Old Testament.Jesus said, "I didn't come to do away with the Old Testament."He said, "I came to carry out everything that was said in it."It's not irrelevant at all.And through this section you're going to see, as we've already seen many times, Jesus says,"You have heard that it was said, but I say to you."And when Jesus says that, what He's saying is, "You've lowered God's standard."And Jesus is correcting them, and He's correcting us when we take the Word of God and just makeit purely external.God wants your heart.God wants your heart.That's what we saw a couple of weeks ago.Pastor Taylor taught us, Jesus said, "Murder isn't just the physical act of killing someone.It's a heart issue."We saw last week adultery is not just the physical act.It's a heart issue.And in these verses we're looking at today, Jesus is continuing His teaching on the destructivenessof adultery.And today we're going to talk about divorce.And look, there's so much controversy on this topic.And if we're going to be honest, the controversy doesn't come really from God's Word becausethe Bible is clear.The reason there's so much controversy is because if you are a divorced person, thisgets very personal and it gets very painful.And look, I've done so many weddings over the past 20-some years, so many weddings.And I can tell you emphatically that nobody gets into marriage wanting a divorce.That doesn't happen.I've never seen the wedding ceremony where the vows include something like, "I can'twait to be done with you."Or "I love you today, but in six months I will hate you more than anybody on the planet."Nobody thinks that.Nobody expects that.And when divorce happens, it's always, it's just always so painful.And we get through a passage like, "Look, I know some of you are going to be temptedto tune out because you're going to think, 'Well, you know what, Jeff, you don't knowmy circumstances.'And you're right.I don't.I don't know your circumstances."And I'm certainly not trying to be dismissive of the pain that you've gone through.And I'm certainly not trying to be judgmental for what brought about your divorce if that'syour situation.And I'm also keenly aware that I cannot exhaust everything that the Bible says on the subjectin just one sermon.What I want us all to do, it's nothing new.I just want us to do what we do every week.We're just going to take a giant step back and we're going to see what our Lord sayson the subject.And we're going to see Jesus speaks on divorce here.And I can't undo anything that happened in the past, nor can you as much as we mightwant to.It's gone.But I'm hoping with this message that we can prevent any future pain and hurt that comesfrom divorce.So let's look at Matthew chapter 5, looking verses 31 and 32.Jesus says, "It was also said, 'Whoever divorces his wife, let him give her a certificate ofdivorce.'But I say to you that everyone who divorces his wife, except on the ground of sexual immorality,makes her commit adultery and whoever marries a divorced woman commits adultery."What is going on in these verses?Well, first of all, look at verse 31.Jesus says, "It was also said," what?Jesus gives a quote, "Whoever divorces his wife, let him give her a certificate of divorce."You're like, is that what the Old Testament says?Ish.Here's the problem.This statement was used by the scribes and the Pharisees as a gross misrepresentationof a passage in the Old Testament.So does the Old Testament say that?Yeah, it kind of does, but they took a direction that the Lord never intended it to go.The scribes and the Pharisees took a passage from Deuteronomy, we're going to look at herein a few moments, and they twisted it for their own purposes.Jesus says, "But I say to you," and this is one of the most difficult verses in yourBible.Jesus says, "I say, everyone who divorces his wife, except on the ground of sexualimmorality, makes her commit adultery, and whoever marries a divorced woman commitsadultery."So here's the short version.See the scribes and the Pharisees, as I said, twisted this passage in Deuteronomy, and theyreduced it to this.Look, divorce and remarriage is okay as long as it's legal.As long as you do the paperwork, it's fine.It's just fine.It is just fine.And I think it's obvious that Jesus did not agree with their assessment because He saiddivorce leads to adultery.That's the short version.So let's unpack that a little bit today.On your outline, excuse me, we're just very simply calling this "two problems Jesus haswith divorce."All right, let's look at these two verses very intently, and we see there's two problemsthat Jesus has with divorce.Number one, write this down, divorce trivializes marriage.Divorce trivializes marriage.That's the problem.Quick review, marriage was defined once and for all to the first two people that God created,Adam and Eve.And I know there have been attempts to redefine marriage.It doesn't matter.God defined marriage once and for all.With the first two people that He created, Adam and Eve, and the most important versein your Bible on marriage is Genesis 2.24.It says, "Therefore a man shall leave his father and his mother and hold fast to hiswife, and they shall become one flesh."That's the most important verse in the Bible about marriage.And I can say that emphatically because when Jesus was asked about marriage and divorce,this was the verse He quoted, Matthew 19, Mark chapter 10, when the Apostle Paul waswriting about marriage and divorce and husband and wife issues, this was the verse He quoted,1 Corinthians chapter 6, Ephesians chapter 5.God's plan in marriage is two people turning into one person.That's the plan.There's not a relationship on the earth like that.Not a business partnership.Not members of a sports team.There's nothing like the marriage relationship.This was God's intention of marriage in the very beginning.I want two people to turn into one person.And when you study Genesis, you'll see divorce was never part of God's original design formarriage.Like, "All right, well, if it wasn't part of God's plan, where did divorce come from?Where did this idea for divorce come from?"So allowance was made for divorce in the Old Testament law.I want you to look at this.We're going to put this passage on the screen.I want you to look at it very closely because this is the passage that's in question herewhere Jesus is confronting the scribes and the Pharisees.This is from Deuteronomy chapter 24.Because, again, Law of Moses here, when a man takes a wife and marries her, if thenshe finds no favor in his eyes because he has found some indecency in her and he writesher a certificate of divorce and puts it in her hand and sends her out of his house andshe departs out of his house and she goes and becomes another man's wife and the latterman hates her and writes her certificate of divorce and puts it in her hand and sendsher out of his house.Or if the latter man dies, who took her to be his wife, then her former husband, whosent her away, that's husband number one, may not take her again to be his wife aftershe has been defiled for that as an abomination before the Lord.And you shall not bring sin upon the land that the Lord your God is giving you for aninheritance.Now listen, it's a tough passage but we're going to get through this together.Here's what Moses was saying.Divorce had to have a cause.And here it's defined in the Law as some "indecency."It could have been a natural or a moral or a physical defect or whatever.It had to be something that they categorized as unclean, whatever that is.This limited the possible reasons for divorce.This was the purpose, understand.The reason Moses wrote this Law was so that a man couldn't just divorce his wife for anyreason whatsoever.Just make up some excuse, something frivolous.I'm just divorcing you because I feel like it.I don't like the meatloaf you made or I don't like your new haircut or those shoes lookhorrible.You can't just willy nilly divorce your wife.Moses is saying, "Look, there has to be a reason for the divorce."So this was actually to emphasize the importance of marriage.Like, well why would he allow the divorce then?Why go through this?Don't miss this.The purpose of divorce in this case in Deuteronomy 24 was to protect the woman.You see, when you give her the certificate of divorce, that woman had legal proof that,listen, she was dismissed from the marriage but it was not because she was unfaithful.You see that certificate for the woman showed, "Look, I did not have an affair.My husband found something wrong with me and dismissed me but it wasn't because I wasunfaithful."That's what's going on in Deuteronomy 24.But I want you to see here, listen, because this is where the Pharisees and the scribesmissed it.In Deuteronomy 24, there is not a command to divorce.That passage is just simply describing a scenario.In that passage, if we're going to boil it down, we would say this, they were told towrite a certificate of divorce if there was a divorce.The only command that you see in this passage, the only one in that passage is this, if youdivorce your wife, you cannot take her back if she's rejected by her next husband.Or if he croaks, you cannot take her back.Again, the reason for this was to protect the woman.It was to keep women from being used and discarded.It was to keep men who are hogs admittedly, it's to keep men from saying, "You know what?I'm going to try out women."But you know what?My first wife was better than this one.So I'm going to get rid of her and I'm going to take the first one back because I preferredher.That's a horrible, horrible way to treat a woman.See, that's the heart of the law here.Like God's like, "No, no, no, no, no, you're not going to treat women that way, men.This isn't a high school relationship, boyfriend, girlfriend, on again, off again.No, no, no, no, no, no.We're not treating women like that.Marriage is a very serious covenant and you're not going to just have a woman on a leashwhere you let her go and you anchor back and let her go and you anchor back.No, you are not allowed to do that."That's the heart of the law here.Deuteronomy 24 was intended to stop divorce from happening willy-nilly.Everybody on board with me now.Okay, because now I want you to see how the scribes and the Pharisees twisted it.Look at verse 31 again in Matthew chapter 5.Jesus quotes them.He says, "It was also said, whoever divorces his wife, let him give her a certificate ofdivorce."What the scribes and the Pharisees did was through their twisting this passage, theyactually made it say the opposite of what God intended.They used this passage to justify easy divorce, that you can get a divorce for any reasonat all so long as the paperwork is done.That's what they reduced this to.Like, well look, you studied the Old Testament, it tells you very plainly.If you get a divorce, make sure that all the documents are filled out appropriately.That's really all that matters, right?That's all that matters.Just that we signed on the right line and we crossed our T's and we dotted our I's.That's really what matters.As long as you do the paperwork, as long as the divorce is legal, hey, everybody's goodwith that because everything's above board then, right?I mean, I'm not like one of those illegal divorcers, right?You know, that I get some janky, unofficial, illegal divorce document from online, fromthe dark webs.I'm not like that guy.You better be sure that when I get a divorce, it's done right.That was their mindset.The Law of Moses commands divorce to be done legally, so make sure that you do it right.And see, that's Jesus' problem with their attitude.He says your attitude about divorce trivializes marriage.And you have justified in your mind the mistreatment of women in the name of making sure the paperworkis filled out properly.That's not what the Law is about, Jesus is saying.Now, over the years, I have heard all kinds of unbiblical justifications for people wantinga divorce.And I don't even have time to get into all that today.And we're going to get to the biblical reason for divorce in a moment.But we need to stop here and say, listen, marriage should not be taken so lightly amongGod's people.The scribes and the Pharisees were so diligent to make sure that the divorce was done right.We church should be so diligent to make sure that the marriage is done right.So that's the first problem Jesus has with divorce.You trivialize marriage.You trivialize marriage.Not on board with that.But here's the second problem Jesus says I have with your attitude towards divorce.Scribes, Pharisees, church in 2025, divorce results in adultery.Look at verse 32 again.Like I said, this is a difficult verse.But this is what our Lord said.Jesus said, but I say to you that everyone who divorces his wife, except on the groundof sexual immorality, makes her commit adultery.And whoever marries a divorced woman commits adultery.So Jesus is saying, listen, with divorce, even when the paperwork is done properly, divorceleads to nothing but more and more adultery.And I think one of the troubling things about this passage is I could see in my mind thatI make choices that cause me to be guilty and suffer consequences for my own choices.But it's very clear here in verse 32, Jesus is saying that a choice for a divorce resultsin other people being guilty of sin.That's a tough pill to swallow, but that's what He said.What does He mean?In Deuteronomy 24, that passage we just looked at, when the woman was divorced for somethingless than sexual immorality, which by the way, sexual immorality breaks the bond of marriage,but in the Deuteronomy 24 case, she was divorced for something less than that, right?Jesus said, even when you divorce for less than sexual immorality, that still makes foran adulterous situation.Jesus said the divorced wife moves on, she consummates a new union when there was nogrounds to break the first one, and if you do that, if you divorce like that, you arenow guilty of adultery, and whoever marries that woman is guilty of adultery, and whoevermarries you is guilty of adultery.And Jesus is saying when you unbiblically break the marriage covenant and people gooff and get remarried, He says now we've resulted in more and more adultery happening in otherpeople.That's what He said.He says now everybody's guilty.So what Jesus is saying to the scribes and the Pharisees is that you could sit here andsay, "Oh, I'm not an adulterer.I have never slept with another man's wife.I have never committed adultery."Jesus says you shouldn't think that way.Actually, you've made adultery worse because you have such a shallow view of divorce.Jesus said you lowered God's standard because all you're focused on is the external.I didn't commit adultery.Jesus said you did.You commit adultery when you look at a woman lustfully.It proves that you already had adultery in your heart.And furthermore, when you divorce without biblical grounds, which Jesus says is sexualimmorality, Jesus said you have committed adultery and you've made her and you've made her newhusband commit adultery too.Your sin not only affects you, but it affects so many more people than just you.And I really don't have to sell people who have experienced divorce how far reachingthe damage goes.The pain is not limited to just the two people in the marriage.I mentioned biblical grounds for divorce.Biblically, now looking at the whole counsel of God, I believe that there is one biblicalgrounds for divorce and it's hardheartedness.Like wait, wait, wait, wait.How do you know when somebody is heart-hearted?Because it would be real easy, right?You're like, "I'm divorcing you because I think you're heart-hearted."Like how do you know that somebody is heart-hearted?Biblically, heart-heartedness in a marriage manifests in two ways.One is abandonment.I don't have time to get into all this today, but just jot down 1 Corinthians 7 verse 15.Abandonment.When you have a spouse who just walks out of the marriage, "I'm not willing to counsel,I'm not willing to reconcile, I'm not willing to consider anything, I'm leaving you, I don'tcare.I am done."Abandonment.My best understanding from Scripture is that is biblical grounds for divorce.When you've tried, but your partner is completely unwilling.That gives evidence that their heart is so hard, they're not willing at all to investin a covenant.Abandonment.And the other evidence of heart-heartedness in marriage, well Jesus references here,and that's adultery.Your heart is so hard towards your spouse that you were willing to physically sleepwith somebody else.It's evidence of a heart-hearted.I want you to listen very closely because even these conditions, even the issue of adulterydoes not obligate anyone to divorce.Because you study God's Word.God's Word never condones divorce and it never commands divorce.There is not one passage in your Bible where God says, "If this happens, I command my peopleto get a divorce."That it is legitimate in abandonment and adultery, but it's still not commanded.So if you're married, you should do everything that you can to avoid divorce.See the scribes and the Pharisees, they live their marriages with one hand over the ejectseat button.It's like I'm not happy with you for any reason.I am done.Jesus said, "No, no, no, no, no, that's not how it should be.You should do everything you can to avoid divorce."You're like, "Well, what about abuse?What if I'm in a relationship where there's abuse that absolutely should not be happening?"And listen, if you're in an abusive situation, you need to let me know as soon as possible.Because we will protect you.We will get you out of harm's way.We will do everything to keep you from being abused.That should not be happening.Somebody else would say, "Well, what about neglect?What about detachment?What about my husband's a lazy bum?Do not be too proud to get biblical counsel.Because there's something else I've seen over the last two and a half decades or so.No marriage is beyond saving.I've seen couples come in hours away from filing for divorce whose marriage ended upin a better place than it ever has been through the result of the ministry of the Word ofGod.If both parties are willing, the marriage can be saved.And when we talk about, yes, abuse and neglect and things like that, we have to readily admitthat there are extreme cases that require extreme action, 100%.But in our day, like in Jesus' day, the vast majority of divorces weren't because of that.The vast majority of divorces were motivated by sinful, selfish desires.The vast majority of divorces result from people treating people like used cars.Like, "Well, this one isn't working out for me.I thought I would like it, but I'm not really digging it anymore.I'm just going to trade it in."That's most divorces.And Jesus says, "Now, you've reduced the marriage covenant.You've trivialized it.You've made it purely external.And now, as a result, all kinds of adultery is happening because you're unwilling to takemarriage seriously."That should not be among God's people.It's a hard passage.What I want us to do, just so I don't want anybody to think that this is some oddballpassage, this is a one-off.Because I want you to turn to Mark chapter 10, because what I want you to see here isJesus teaching the exact same thing, but in a different context.In Mark chapter 10, the context, you'll see they were testing Jesus.They were trying to trap Jesus.They were always trying to trap Jesus.And they thought, "Oh, we know how to trap Jesus.We'll ask Him about marriage and divorce.That'll get them for sure.Why?"Well, you know the story of John the Baptist.He objected to a marriage and divorce, and he lost his head.And I go, "We get Jesus on that.They'll get them for sure.We'll trap them."So I want you to see, now we have context, but I want you to see Jesus teaching the exactsame thing, but in a different context.Mark chapter 10, verse 2, "The Pharisees came up and in order to test Him asked, 'Is it lawfulfor a man to divorce his wife?'"They're like, "We got them.We got them."Slam dunk.Because, see, if Jesus says no, we're like, "Oh, you disagree with the Old Testament,which tells us to get a divorce."If Jesus says no, you shouldn't get a divorce, rather.You're disagreeing with the Old Testament.If Jesus says, "Oh, yeah, you can get a divorce.Oh, now Jesus is taking marriage lightly, and we're going to get Him either way."You know, Jesus is disregarding the serious system of marriage, or He's disregarding whatthe Old Testament says about divorce.We got them.We got them."Is it lawful for a man to divorce his wife?"I love this.Jesus answered them, "What did Moses command you?"Jesus is like, "What's the Bible say?"Turned it back on them.They said, "Look at this.Moses allowed a man to write a certificate of divorce and to send her away."Do you see?It's about the stinking paperwork again.That's all they were fixated on.Yeah, Moses said, "Fill out form A-27, and you're good."Jesus said to them, "Because of your hardness of heart," there it is, "because of yourhardness of heart," He wrote to this commandment."But from the beginning of creation, God made them male and female.Therefore a man shall leave his father and mother and hold fast to his wife, and thetwo shall become one flesh."Sound familiar?Genesis 2.24.And Jesus comments on it.He says, "So they're no longer two, but one flesh.But therefore God has joined together, let not man separate."Verse 10 says, "And in the house the disciples asked him again."That's controversial, wasn't it?Disciples asked him again about this matter.And he said to them, "Whoever divorces his wife and marries another commits adulteryagainst her.And if she divorces her husband and marries another, she commits adultery."See, it's the same teaching.Same two points in this exchange that we see in Matthew chapter 5.Jesus says you've trivialized marriage, and it just causes more adultery.God takes marriage very seriously, especially to those who claim to be followers of JesusChrist.Why is God so...Why does God seem so strict about marriage?Why is God seems so serious about marriage?It's because divorce ultimately misrepresents God.See God takes marriage seriously because there's a picture that's to be on displayin the marriage.So when that picture is broken, God is misrepresented.Ephesians chapter 5 tells us what the picture is.It says, "Now as the church submits to Christ, so also wives should submit in everythingto their husbands."Husbands love your wives as Christ loved the church and gave Himself up for her.See this, this is the idea behind marriage.The ultimate goal of marriage is the ultimate goal of everything else in the universe isto glorify God.And the way God is glorified in your marriage is by demonstrating the relationship thatJesus Christ has with His bride, the church.And in this picture, the wife represents the church following, submitting, honoring, andthe husband is to represent Jesus loving, leading, laying His life down.And when you live this out, God is glorified and your marriage is blessed.But when you divorce, you're misrepresenting God.So my friends, what are we showing the world about God and the way we conduct ourselvesin our marriages?Our worship team and communion servers would come up.It's only appropriate that we close by gathering around the Lord's table.Like, well, what does this have to do with marriage?The answer is everything.Because we gather around the Lord's table, we are reminded that Jesus Christ has a covenantlove for us.This love that Jesus Christ has for us is forever.It's never going to change.And even when His bride fails Him, and we do.Oh, and we will.Jesus isn't going to give up on us.This is our reminder of what covenant love looks like.And this is a reminder of how covenant love is to be demonstrated in our marriages.

Earn ⁠CE credit here⁠⁠⁠⁠⁠⁠.⁠⁠ ⁠⁠⁠⁠⁠This program has been approved for 1 clock hour of continuing education credit by the Texas Speech-Language-Hearing Association (TSHA) and counts as a PDH for ASHA.Listen, buy quiz (just $9), earn your speech pathology CE certificate of completion!This episode is sponsored by: Martha's Spanish Multisyllabic Words⁠ deck with Bjorem Speech. Get it HEREDescription: In this episode of the Pep Talk Podcast, host Michelle Andrews and guest Martha Boiardt discuss the importance of empowering bilingual families in early intervention. They explore misconceptions about bilingualism and language delays, the significance of cultural responsiveness in therapy, and the whole child approach that considers sensory awareness and collaboration with other professionals. Martha shares insights on oral motor therapy and practical strategies for supporting bilingual children, emphasizing the need for therapists to educate families and advocate for their children's needs. The conversation also touches on future projects aimed at addressing dialectal influences in speech assessments.Chapters00:00Introduction to the Pep Talk Podcast02:04 Empowering Bilingual Families in Early Intervention08:30 Debunking Myths About Bilingualism and Language Delays16:08 The Whole Child Approach in Pediatric Speech Therapy26:14 Personal Experiences and Insights on Myofunctional Therapy 27:05 Understanding Common Misconceptions in Child Development29:40 The Importance of a Whole Child Approach29:56 Sensory Integration in Therapy33:52 Cultural Sensitivity in Therapy43:46 Oral Motor Therapy and Early Intervention49:35 Empowering Bilingual Families in Language DevelopmentAs a result of this presentation the participant will be able to:  •1.Identify 3 key components of a whole-child approach in pediatric speech therapy.•2.Describe how oral motor therapy can be integrated into early intervention •3.Explain one thing you can tell a bilingual family to empower their bilingual earlylanguage journey.Course presenters: Martha Boiardt MS, CCC-SLP, @miamispeechtherapyandMichelle Andrews M.S., CCC-SLP ⁠⁠@peptalkforslps⁠⁠Financial disclosures:Michelle Andrews' financial disclosers include: She has a ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Teachers pay Teachers⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Boom Learning⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠store under Pep Talk LLC. She is also the founder and manager of the Pep Talk Podcast. Michelle Andrews' non-financial disclosures include: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Speech Arcade⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ is an in-kind sponsor for this podcast.Martha's financial disclosures: she is the owner of Miami Speech Therapy, LLC, a pediatric private practice that conducts bilingual speech, language, and feeding therapy in Miami, FL. I also earn compensation for Spanish language consultations and a percentage of the sales of her products with Bjorem Speech Publications. I am in the process of developing a course centered around empowering parents to take charge of their child's care and will be presenting on this topic at FLASHA 2025.Martha's non-financial disclosures: None.⁠⁠⁠⁠⁠If you need any additional accommodations please email info@peptalkpodcastforslps.comDisclaimer: Pep Talk LLC does not imply endorsement of course content, specific products, or clinical procedures.

This article explores the critical importance of effective communication during organizational change, emphasizing that successful transformation requires more than simply announcing changes. It demonstrates how leaders must proactively build trust by explaining the rationale behind changes, addressing employee concerns with empathy, and fostering two-way communication throughout the process. Drawing on research and real-world examples, the authors illustrate how transparency helps overcome natural resistance to change by reducing uncertainty and giving employees a sense of control and partnership in the transformation. The article provides practical strategies for leaders to equip employees with necessary resources and training, measure ongoing engagement, and create a collaborative environment where change is viewed as an opportunity rather than a threat. Ultimately, it concludes that organizations achieve more successful transitions when leaders approach change as a partnership built on honest communication, understanding of emotional reactions, and mutual investment in long-term success.  

You've heard the phrase: “If you can't explain it to a 5-year-old, you don't understand it.” But what if that idea is not only false but harmful? In this video, we dismantle one of the most repeated myths in science communication, explore why some truths resist simplification, and reveal what real understanding actually looks like. If you care about learning deeply, or teaching well, this is a must-watch. As a listener of TOE you can get a special 20% off discount to The Economist and all it has to offer! Visit https://www.economist.com/toe Join My New Substack (Personal Writings): https://curtjaimungal.substack.com Listen on Spotify: https://tinyurl.com/SpotifyTOE Become a YouTube Member (Early Access Videos): https://www.youtube.com/channel/UCdWIQh9DGG6uhJk8eyIFl1w/join Links Mentioned: •⁠ ⁠Algebraic Topology (book): https://www.amazon.com/dp/0521795400 •⁠ ⁠Topology and Geometry (book): https://www.amazon.com/dp/0387979263 •⁠ ⁠Language isn't just “low resolution communication” (Substack): https://curtjaimungal.substack.com/p/language-isnt-just-low-resolution •⁠ ⁠Non-analytic smooth function: https://en.wikipedia.org/wiki/Non-analytic_smooth_function •⁠ ⁠Emily Riehl on TOE: https://www.youtube.com/watch?v=mTwvecBthpQ •⁠ ⁠Neil deGrasse Tyson on TOE: https://www.youtube.com/watch?v=HhWWlJFwTqs •⁠ ⁠Curt debunking the “all possible paths” myth: https://www.youtube.com/watch?v=XcY3ZtgYis0 •⁠ ⁠What does it mean to explore the “ill-defined”? (Substack): https://curtjaimungal.substack.com/p/what-does-it-mean-to-explore-the Support TOE on Patreon: https://patreon.com/curtjaimungal Twitter: https://twitter.com/TOEwithCurt Discord Invite: https://discord.com/invite/kBcnfNVwqs #science Learn more about your ad choices. Visit megaphone.fm/adchoices

What caused the deindustrialization of the US economy? Can Donald Trump really reindustrialize the USA with tariffs? Economists Radhika Desai and Michael Hudson discuss. VIDEO with charts: https://www.youtube.com/watch?v=vpNql8U6WvE This is part of the program Geopolitical Economy Hour. You can watch other episodes of the show here: https://youtube.com/playlist?list=PLDAi0NdlN8hMl9DkPLikDDGccibhYHnDP

In this episode of I’ll Do Better Tomorrow, Justin and Kylie share two powerful parenting wins from their week—one about holding firm with limits and another about letting go with trust. Together, they reflect on how boundaries, autonomy, and persistence are essential ingredients in helping children grow into capable, responsible decision-makers. KEY POINTS: Children need clear, consistent boundaries—especially when it comes to expectations and screen time. Limits may be met with resistance, but they help children develop resilience and internal motivation. Giving children autonomy over their food choices (within a supportive structure) can lead to lasting learning and healthier habits. Parenting isn’t about eliminating struggle—it’s about guiding our kids through it, patiently and consistently. Trust the long game: small wins add up over time. QUOTE OF THE EPISODE: “Once you do the hard stuff, then you get to do the good stuff.” RESOURCES MENTIONED: Explore–Explain–Empower discipline frameworkhappyfamilies.com.au ACTION STEPS FOR PARENTS: Hold the boundary—even when it’s inconvenient. Kids learn what matters when we stay consistent. Allow space for autonomy—give kids opportunities to feel the natural outcomes of their choices. Celebrate the small wins—even when progress is slow, it still counts. Avoid the path of least resistance—growth often comes through struggle, not shortcuts. Trust the process—support, scaffold, and repeat. Your persistence will pay off. See omnystudio.com/listener for privacy information.

Dr Boyce discusses Uncle Luke from 2 Live Crew and his confusion about his children.

In episode #301, we welcome upcoming presenter at this year's TCS Live and Executive Director of the New Jersey Devils Youth Foundation, Kate Whitman Annis. In her current role with the Devils, she is innovating how professional sports teams engage with their local fan base to raise funds and together, serve those in need in their local community. She has had a wide ranging career including several roles in the political arena, in addition to working with multiple organizations in leading their fundraising efforts. She is also a hockey coach at heart.  In addition to coaching her four boys, Annis was the head girls hockey coach at the Pingry School, the General Manager of the Metropolitan Riveters of the National Women's Hockey League, and today is behind the bench of the Eastside High School Girls Varsity program. Listen as she shares the power that sports can have on young athletes, philosophy behind team goal setting, and learning to effectively explain a drill.

Jones and Keefe continued to discuss last night's Celtics Game 5 wins and their expectations for Friday night's Game 6. The guys went On the Clock to give their thoughts on the Patriots 2025 schedule. Jones and Keefe discussed the play of Jaylen Brown in the absence of Jayson Tatum and the health of Kristaps Porzingis.

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Let's be real: branded content usually doesn't go viral—especially when it's obviously an ad. But LeBron James just flipped the script.   In this episode, David Brickley breaks down how Royal Kingdom nailed a rare branded moment that fans actually loved—and why even the NBA's 90M-follower collab couldn't compete.  

She ‘Saw Him Go In'... But Was Panicking About Hitting Him-Explain That, Karen In this episode, we're pulling apart one of the most confounding contradictions in the Karen Read case — and it all comes down to what she knew, when she knew it, and what she said. Karen Read told investigators she saw John O'Keefe walk into the house that night. But then, hours later, she was sobbing, pulling at Jennifer McCabe, frantically saying: “Did I hit him? Could I have hit him?” Let that sink in. If she saw him go inside, why was she panicking that she ran him over? Why was she screaming to Google “how long to die in the cold” if she thought he was safe indoors? And how do you reconcile that kind of panic with someone who didn't know their boyfriend was lying dead in a snowbank? Tony Brueski sits down with retired FBI Special Agent Jennifer Coffindaffer to analyze this bizarre contradiction. Is it a case of genuine confusion and guilt-fueled anxiety — or a Freudian slip from someone who knew exactly what had happened? We break down the timeline inconsistencies, look at Karen's own statements from that morning, and unpack what her emotional reactions tell us — and what they don't. Because when you claim to have seen someone walk into a house, you don't start crying hours later about hitting them with a car… unless there's more to the story. This episode gets to the heart of the defense's weakest point — and why the prosecution is leaning into Read's own words to prove what she knew all along. #KarenRead #JohnOKeefe #KarenReadTrial #TrueCrimePodcast #TimelineContradictions #HiddenKillers #FBIAnalysis #GuiltVsInnocence #CourtroomDrama #CrimeSceneLogic Want to comment and watch this podcast as a video?  Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872