Podcasts about first i'd

In today's #coffeewithatherapist, we are talking about the ways we can identify or connect the dots when it comes to our behaviors that indicate that we've had trauma.FIRST - I'd recommend working with a professional that specializes in trauma, as these things can be complex, and often our brain can shield us/encodes trauma memories different than other memories (and there's a good reason for that).Some reasons we may struggle to connect the dots:1. Trauma memories are encoded differently2. Often childhood trauma is invalidated and normalized "every kid gets bullied"3. Intergenerational trauma (trauma that happened to the generations before us) can often be passed down in subtle waysTune in to learn more!--Join me LIVE on coffee with a therapist on Facebook live Mon-Fri at 9:15 am CT or listen to it via the "Yellow Brick Therapy Podcast" (available on most podcasting platforms).Enjoy having coffee with me? SUBSCRIBE to upgrade your relationship with yourself and others.Want me to cover a specific topic or question?1. DM or comment on an instagram post at www.instagram.com/jennyannhelms2. DM me on Facebook or Tik Tok @jennyannhelmsOR3. Watch live and leave a Q in the comments.**DISCLAIMER: Podcasts are NOT therapy or intended to substitute therapy or therapeutic advice.**

First I'd like to apologize to anyone named Bobby. This story is in no way, shape or form about anyone with this name. I just picked it at random. Anyway, this is less about any one person and more about the damage we cause in our own lives due to lack of self assessment.

I'm so NERVOUS about this episode. First I'd completely forgotten that I had promised in January to share in detail how I left my former job! My bad. I go in-depth into that this episode. Probably only my family and close friends know all that I tell you in this episode. I repeat, make sure whatever contract you sign protects you and don't be afraid to walk away from contracts that do not. Also Durex is having a global campaign to get us sharing some of the inhibitions we carry when it comes to intimate relationships & sex, under the hashtag #OwnYourSituation. I join this conversation with my friend Lynda Nyangweso. She's been on #LegallyClueless before talking about body insecurities - which is why I brought her back. Thing is, I've never spoken about how surviving rape affected my sex life...actually still affects it. I hope hearing Lynda and I speak, inspires you to #OwnYourSituation, love yourself as you are which helps you start enjoying intimate relationships & sex. Remember - If you buy Durex worth Ksh1500 on Jumia Kenya, you get an Anga Cinema voucher with Free Shipping and the Durex products are at 30% off! PS: #100AfricanStories returns next week and remember we turn 1 year old on March 18th!!

First I'd like to thank everyone who listens to this podcast and encourage you to spread the word....thank you in advance.*Opening Salvo- Red Berry & the Bel Raves - What a dolly [20th Century / Dreem 1959] 45 rpm*Bed: Stones - 2120 S. Michigan AveSet 1: Monkeys, Rhythm and Talk- Chuck Berry - Too much monkey business [Chess 1956] 45 rpm* Soundbite: "you got 32 teeth, buster..."- The Animals - Around & around [Columbia 1964] 45 rpm EP - The Animals* Pastor John Rydgren - Rhythm / radio show - Lowell Fulsom - Talkin' woman [Kent 1966] 45 rpm* Soundbite: "that cat comes on like Godzilla..."- Vicki Evans - Don't talk that talk to me [Tuxedo 1954] 45 rpm repro* Bed: see aboveSet 2: True Love in the Year of The Mickster- Dave Davies / Kinks - Love me till the sun shines [Pye1967] 45rpm EP-Death of a Clown- The Action - Brain [Dig the Fuzz 1995] LP - Rolled Gold / The Lost Recordings 1967 / '68- Leo Kottke - The driving of the year nail [Takoma 1969] LP -6 & 12 String Guitar Music* Soundbite: " I don't see nothing complicated about that..."- Don & Dewey - Jungle hop [Specialty 1957] 45 rpm* Soundbite: Strother Martin - "Failure to communicate..."- The Doors - Break on through [to the other side] [Elektra 1967] LP - The Doors- Buddy & Julie Miller - Paper thin [Vanguard 2003] LP - It'll Come To You* Bed: see aboveSet 3: Pulsating Dreams & Death- Kaleidoscope - Pulsating Dream [Epic 1967] LP - Side Trips ****** Founding member of Kaleidoscope, Chris Darrow died this week- The Fugs - The garden is open [Reprise 1967] LP - Tenderness Junction** The Onion Radio News - Feta cheese riot- Yo La Tengo - Pass the Hatchet, I'm Goodkind [Matador 2006] LP - I'm Not Afraid of You and will beat your ass

Dr James de Lemos:        My name is James de Lemos. I'm the executive editor for Circulation and I'll be filling in today for Carolyn Lam and Greg Hundley, and delighted to host the podcast for the annual cardiac surgery themed issue. I'm joined today by Tim Gardner from the University of Pennsylvania who leads the surgical content in Circulation year-round, as well as by Dr Marc Ruel, who's the guest editor for this issue and the Chief of Cardiac Surgery at the University of Ottawa and has really led the development of this issue. Marc, Tim, welcome. Dr Timothy Gardner:      Thank you. Dr Marc Ruel:                    Thank you. Good afternoon. Dr James de Lemos:        And Marc, thanks for all you've done to bring this issue home again this year. It's really wonderful to see this thing develop. Why don't you start us off and tell us how this issue came together and what the purpose of this is? Why do we publish a specific issue focused on cardiac surgery? Dr Marc Ruel:                    We're really delighted that Circulation has taken the stance as the cardiovascular community's premier cardiovascular journal. I think as an important piece of this is the fact that cardiovascular surgery already has a resurgence intermediate with importance despite new percutaneous options and medical therapies available. There's more and more patients who find himself in need advance path if you will, of an advanced cardiovascular disease and surgery can be performed with safer and better outcomes constantly.                                                 So, I think this issue obviously aims to gather the very best of cardiovascular surgery, not only including cardiac surgery, but also there's actually one of the papers on peripheral vascular surgery. Dr James de Lemos:        We'll start Tim with you if you don't mind. I'd like to talk about two papers. One from Stanford that focuses on inter-facility transfer of Medicare patients with Type A dissection and then a research letter that studies hospital volume effects with abdominal aortic aneurysm surgery from Salvatore Scali and colleagues at the University of Florida. Can you walk our readers through these papers and lead the discussion on these? Dr Timothy Gardner:      The first paper focused on inter-facility transfer of Medicare recipients with Type A dissections. First off, underlines the fact that this is a very difficult, serious condition with mortality rates in this series there ranging between about 22 and 30%. And the purpose of the study was to analyze how these Medicare patients with acute aortic Type A aortic dissections are managed and whether the effect of high or low volume hospital experiences influences the mortality. As I think we might expect, patients who receive care at high volume aortic surgery centers have a lower mortality. Then the question is, what is the effect of transfer from a low volume or from a hospital without aortic surgery capabilities? What is the net effect there? The benefit of care and a high volume hospital is pretty clear. The mortality rate is significantly lower and the need to transfer or the actual fact of transfer does not increase the risk to the patient.                                                 It's an interesting challenge because we do know that patients with acute aortic dissection, if their repair or surgery is delayed, we'll have a predictable accumulating mortality. However, what this study shows is that the benefit of transfer and the importance of experience with this complicated aortic surgery. And it really brings up this very challenging issue of regionalization, of acute care or specialized care.                                                 We really struggle with this in so many aspects of surgical care, medical care in general, but especially procedural care. We realize that we need to be able to provide emergency care in many areas and we don't want to suggest that that smaller hospitals may not be able to care for patients with acute complex illnesses. But on the other hand, if transfer can be accomplished and if the availability of high volume experience can be achieved, that this is something that we really need to look at carefully. I think that this study brings that into pretty good view. Dr Marc Ruel:                    James, I think that Tim has already captured the essence of this paper. The results are impressive in this excellent series and the really carefully led analysis. This is an important paper and it's very thought provoking.                                                 There’re two clans among surgeons. Those that believe that every cardiac surgeon who was named as such should be able to perform safely aortic dissection repair and another client and somewhat sustained or supported by the data from this paper that says that this is a special expertise that should be or regionalized and put through centers of excellence. So this paper would support the latter theory. Dr James de Lemos:        The next paper, which was a research letter, sort of adds fuel to this fire of regionalization, doesn't it? At least insofar as we're talking about the more complex procedures. Dr Timothy Gardner:      Yes, this paper studies the hospital volume effects on surgery for abdominal aortic aneurysms, an even more common and somewhat less lethal, but very morbid condition. And this analysis of center volume for care of these patients is complicated even a little bit more because as we know, endovascular repair of abdominal aortic aneurysms is now the most common form of treatment.                                                 Interestingly, in looking at the outcomes in a variety of centers with varying volume procedural volumes, there was no difference in outcomes when endovascular repair was done, but there was inverse relationship between volume and outcomes after classical surgical repair. This really highlight a change that's occurring in vascular surgery where, with endovascular repair being done more commonly, surgeons are having less exposure unless experience with open repairs. This is particularly a challenge for training programs where you have a surgical resident or fellow for two years and he or she may experience relatively few open repairs.                                                 So, this again, the data seems to suggest that higher volume vascular surgery centers, where the numbers of open repairs are done, have better results and that this is not nearly as much, in fact, it wasn't an issue for endovascular treatments, but it again highlights the procedure of volume outcomes relationship. I think this is something we're going to have to deal with both in terms of optimizing patient care, even considering when we're training new or young avascular surgeons, they may have to move to different centers to ensure that they have the kind of exposure to classical surgical treatment for those complex patients who are not candidates for endovascular repair. Dr James de Lemos:        Let's change gears. We've been talking about two systems of care issues, but let's get back to the complicated patient themselves and talk about a paper Mark from Kato and Pellikka from Mayo Clinic, focusing on hemodynamic and prognostic impact of concomitant mitral stenosis in patients undergoing surgery or TAVR for Aortic Stenosis. Dr Marc Ruel:                    As you say, this is an intricate clinical problem that we not uncommonly meet when we provide care for patients who have severe aortic stenosis. These are not young patients. These patients in this particular series of 190 patients with severe aortic stenosis, they also had some significant degree of mitral stenosis. These are patients that had a mean age of 76 years. I think we've all encountered these patients estimations, so someone has severe aortic stenosis and has some form of calcific mitral stenosis. And indeed in this series, more often than not, the vast majority of those patients had calcific MS as opposed to a Rheumatic MS. So, a different type of pathology probably to what we see in the elderly patients coming in with some degree of inflow obstruction.                                                 So, the authors took their 190 patients, mostly from the Mayo clinic, but also from Tokyo, about five patients contributed from Japan, and matched in one to two with some controls who also had the same degree of severe aortic stenosis, the same age, same gender, same left ventricular ejection fraction, but didn't have mitral stenosis. And then compare their fate over a couple of years. Essentially, what the authors found is that in patients with severe MS, which was defined as a trans-mitral gradient of equal or higher than four millimeters of mercury, the midterm survival was decreased. The hazard of death was increased by about 90% or so. And there was also a classification, the sub classification based on the fate of the patient with regards to the echocardiographic findings, as to whether the patient truly had mitral stenosis at the time of presentation. So prior to the aortic valve replacement or whether the patient had pseudo-mitral stenosis. How the authors classify this, is those patients in whom the mitral valve area remained less than two centimeters square before and after aortic valve replacement were classified as having true mitral stenosis.                                                 The authors provide a number of maybe predictors, if you will, or correlates perhaps a more appropriately termed as such, of patients who would be generally believed as having true mitral stenosis. And these included, for instance, in the mitral valve area was less than 1.5 centimeters square at the time of presentation, if calcium involved at both the anterior and the posterior leaflet on echo. And there was also the concept of Andler excursion. So, basically the distance between the apex and the analyst of the mitral Valve, half of the patients had true mitral stenosis and the other half saw an increase in the mitral valve area above two centimeters squares after aortic valve replacement.                                                 I think still that we don't have an answer to the question as to whether the mitral valve should already be intervened upon in this series. It was an observational series, so there's no arm where the mitral valve was actually intervened on, and we know that often this intervention is not easy to do if it's by TAVR, there's not a lot we can do on the aortic valve and if it's at surgery, often these patients may have extensive mitral annular calcification, which is not an easy undertaking to fix at the time of surgery.                                                 So, whether these patients, even the ones with true MS are better served by just addressing the aortic valve or adding a mitral valve intervention in addition to the AS treatment still remains an unresolved or unanswered question. But I think this paper helps tremendously with regards to identifying patients who may have the true mitral stenosis concomitant problem at the time of presentation with a severe AS. Dr James de Lemos:        This was news for me actually. The high prevalence of pseudo MS in this context, I think many of us are very familiar with this with aortic stenosis and low output, but to see this in the context of serial valve lesions was really instructive for me. Tim, what are your thoughts? Dr Timothy Gardner:      I think this is a really important observation to remind ourselves of in this TAVR era. If you have the heart open and you're doing the aortic valve replacement and you notice this, you can get a picture of this severity of the mitral stenosis or the mitral valve involvement, but I think that in the TAVR era, this finding, this possibility of significant mitral stenosis related to a more severe aortic stenosis has to be accounted for and taken into account. Dr James de Lemos:        Excellent. The next paper I'd like to talk about is another original article from Shudo and Joe Wu at Stanford. Remarkable series really of almost a thousand heart-lung transplants that were done and reported in UNOS. Tim, can you walk us through this paper and its implications? Dr Timothy Gardner:      heart-lung transplantation was done first at Stanford and actually by one of my close colleagues. Bruce Reitz in 1981. It was a really an operation and in the tradition of the innovation there in transplant surgery at Stanford. The operation, primarily for patients with end stage lung and heart disease, was done reasonably often at adventuresome and well-experienced transplant centers in the eighties and nineties and it's used less often today because we found that even in patients with end stage lung disease and concomitant ventricular failure that many of those patients can be treated successfully with double lung transplantation.                                                 So, that has resulted in a decline in use of heart-lung block transplantation. The other problem is that as they mentioned in the article that a donor becomes available and you can get two or three patients treated by taking the individual lungs and the heart for three recipients rather than using the whole block for one. That's been another reason why it's been harder to get these heart-lung blocks. But for some patients with end stage heart disease and irretrievable lung disease, this is a great option. There's a few patients with end stage congenital heart disease who have developed irretrievable Eisenmenger's complex with severe pulmonary irreversible form of hypertension who are still candidates for this, but this analysis of the 30 year experience at Stanford and using the UNOS database as well is very interesting and shows the importance of donor selection as a really significant effector of outcomes. Dr James de Lemos:        Yeah, well I was also struck by the recipient factors too. It looks like selection in both directions is so important. The group that was remarkable to me was the markedly poor outcomes in the group that had heart-lung transplant after ECMO, that five times increase in mortality. That really struck a chord, particularly given what we're seeing now with ECMO accelerating somebody's status on wait lists. I don't know Mark or Tim, do you want to comment? Dr Timothy Gardner:      That's a very useful observation and where an individual patient ends up on the acuity list as a potential recipient with UNOS rules, it is ECMO support does get them to a higher level of urgency and yet, as is shown in this series, the morbidities or co-morbidities associated with a patient who requires ECMO support prior to transplantation is pretty consequential. And as you said, those were the features of the recipient, the degree of co-morbidities or co-morbidity complications also impact the outcome.                                                 We're still struggling to find the best way to deal with rescue patients both with mechanical support and with transplantation, organ transplantation, and even in the case of heart failure, with destination therapy with mechanical devices, we're still struggling in an area where the challenges are high, and the best practices are not always as well clarified as we would like. Dr Marc Ruel:                    And I would echo those concerns. I think the prohibitive results that we see after ECMO reflect the reality that there's not a lot of intermediate therapies available for patients who require heart-lung transplants. We have them for the heart now. We can move from ECMO and not go directly to an LVAD or to a transplant because we have implantable axial devices that can be put in percutaneously and basically can arrest the inflammatory response and the major cascade derangements that we see with ECMO.                                                 Unfortunately that is not available to replace both the heart and lungs, so I think there's still some medical advances, surgical advances that are necessary to bridge the gap because that gap right now is real and it's not a gap, it's a cliff. Dr James de Lemos:        Great discussion gentlemen. Let's talk next Marc, about a research letter that was a case series from Cleveland Clinic from Donnellan and Desai, focusing on a fairly large group of individuals that had received mediastinal radiation therapy previously and then underwent valve surgery for radiation-induced valve disease. Dr Marc Ruel:                    We were happy to receive this research letter from the Cleveland Clinic because clearly that institution, and maybe a few others around the world, have a special expertise in dealing with the uncommon, but very, very challenging issue of patients with the surgical radiation-induced mitral valve disease. And in fact, radiation-induced carditis. On average, these were patients who were seen about 17 years after their chest irradiation and I guess the main message that can be seen from this paper is that there's often multiple cardiac issues in those patients. They don't just have, for instance, a single valve, in this case the mitral valve, being affected. But the vast majority all tolled of around 80, 85% of patients required not only either another valve, but valve plus bypass or bypass surgery to be performed as well.                                                 So, there are clearly patients where there's been a lot of physical/irradiation damage, not only to the mitral valve, but to the entire heart. It's also, when you look at this series of these 146 patients, you can see that many had an increase in the right ventricular systolic pressure on echo and probably some degree of RV dysfunction as certainly we've seen episodically in our practices.                                                 So, hospital mortality outcomes are pretty good, but the results are humbling. 51% mortality at 2.8 years. And these patients were on average 60 years of age. So looking at U.S. life tables, when someone's 60 years, I've made it to 60, they usually have at least another 20 years on average to live. But these unfortunate patients, despite their cardiac operation performed, having been performed safely, have about an 18% death rate per year.                                                 I think the jury's still out as to which are clear indications to offer these patients surgeries with the humbling results that we see even at a center of excellence by the Cleveland Clinic. But I think this is a foray into a very difficult cardiac problem for which there was limited literature before and certainly that's something that's very relevant as we refer to very advanced cardiac surgical therapies for patients with advanced disease. Dr James de Lemos:        Mark, you're actually a coauthor on our State-of-the-Art piece, evaluating arterial grafts and CABG, reviewing after the publication of art and radial. What were the main conclusions from your review and interpretation? Dr Marc Ruel:                    Essentially, there's a discrepancy right now with regards to the use of multiple arterial grafting. The observational series have almost uniformly showed that patients who receive multiple arterial grafts live longer and do better, et cetera, but I think this has to be taken for what it is. There's an inherent indication bias or confounding by indication that goes into allocating that therapy to patients who are perceived to have the potential to do well in the long-term. There may also be an expertise bias at the institutions that provide this and those patients may be receiving better secondary medical therapy or guidelines directed medical therapy, etc. So, maybe a halo effect that comes into play.                                                 In counterpart, the randomized control trials of which the latest was the arterial revascularization trial. Now available with data at 10 years, have shown essentially very little difference which regards to the use of multiple arterial grafts on long-term outcomes. Even looking at cardiac-specific outcomes like myocardial infarction. Actually the more compelling data came from their Radial Alliance, also led by Mario Gaudino who is the author of this, State of the Art paper.                                                 The conclusion of the article is that we need a trial and we need to include the radial artery. The answer may not necessarily lie with the use of mammary arteries, but it may be that the radial artery is more user friendly and more robust. So the new ROMA trial has been designed with that in mind. Comparing one arterial graft versus as many arterial grafts, as long as it's more than one in the test group that the surgeon wants to use. And the surgeon, she or he can use the right internal thoracic artery or radial artery in order to complete the revascularization.                                                 That trial is ongoing. Enrollment is on track and hopefully should provide answers to this very relevant question. Dr James de Lemos:        You know that discussion about the limitations of clinical trials, Tim, I think leads really nicely into the frame of reference you received from Eugene Blackstone and Cleveland Clinic, doesn't it? Dr Timothy Gardner:      Yeah, and it was really an article worth everybody reading. It's a short opinion piece and he points out the fact that we really have competing standards for choosing therapy. Sort of the standard traditional evidence based medicine, evidence-based medical care versus precision medicine which focuses on individual patients risk factors and so on. It's sort of the average treatment effect that we may be able to demonstrate well in randomized clinical trials versus real world experience with various therapies based on the risk profile of the patient. It's a really excellent article and as many of us know Gene Blackstone is a very thoughtful student of statistics in surgery and this is, I think, an excellent article. I'm really grateful for his doing this opinion piece for us. Dr James de Lemos:        The last opinion piece we have is from Mike Farkouh in the group in Toronto. Can you just give the readers and listeners a bullet about what they might expect in that piece? Dr Marc Ruel:                    I think it's one of the remaining big questions, if you will, in myocardial revascularization as to what should be done with diabetic patients in multi-vessel coronary artery disease who have an acute coronary syndrome and require revascularization. A very well written piece and certainly that instructs what probably the next five years we'll see in terms of big study questions in coronary REVASC. Dr James de Lemos:        First I'd like to recognize Sarah O'Brien from the Circulation Editorial Office for her tremendous work for pulling this issue together. She's really the glue that brings this issue together every year and thank as well Marc, for your leadership again of this effort and Tim for your ongoing leadership at circulation with our cardiac content and vascular content as well as liaisoning with our surgical colleagues.                                                 Dr Marc, you get the last word. Can you please summarize the thoughts you'd like to leave our listeners with? Dr Marc Ruel:                    Thank you, James, for your generous comments and also for your support of cardiovascular surgery in and of the team issue. I think again, we have a fantastic issue this year and we really want to gather the very best of cardiovascular surgery and we want to get the highest impact papers. Circulation is home for the best data, the best outcome, say the most interesting answers to important clinical questions that are around cardiovascular surgery.                                                 There's definitely an editorial desire to help with the best of cardiovascular surgery science. And I think I want to again launch a call to cardiac surgical investigators and cardiovascular and surgical investigators in general to consider circulation as your home. Dr Timothy Gardner:      Yes. And if I could just add to that, not only are we interested in a surgery-themed issue annually that really highlights some of the best articles that we have to publish, but we also want some of the best surgery science during the course of the year. And just remind our surgeon colleagues that the particular advantage to having a paper published in circulation is the exposure of that study to a broad cardiovascular community. Not just surgeons, the predominant readership obviously of circulation, or cardiologists and other cardiovascular specialists. So that's the big advantage you get by having your best work published in circulation. We'd love to see more of it. Dr Carolyn Lam:                This program is copyright American Heart Association 2019.  

On the twelfth entry of Tristan's Tips, our special guest Tristan Layfield shares why we should prepare for our one-on-ones and how to do just that. No meeting is ever productive without some preparation beforehand, so take 10-15 minutes either the day before or morning of to prepare!Connect with Tristan on LinkedIn, IG, FB, and Twitter!https://www.linkedin.com/in/tristanlayfield/https://www.instagram.com/layfieldresume/https://twitter.com/layfieldresumehttps://www.facebook.com/LayfieldResume/TRANSCRIPTTristan: What's going on, Living Corporate fam? It's Tristan of Layfield Resume Consulting, and I've teamed up with Living Corporate to bring you all a weekly career tip. So today, let's talk about why you should prepare for your one-on-ones and how to do just that. Most of us in Corporate America have bosses who are pulled in many different directions, so we should really be making the most of our one-on-one time with them. No meeting is ever productive without some preparation beforehand, so take 10-15 minutes either the day before or morning of to prepare. By coming prepared to your one-on-one, you can get your questions answered, make sure you're aligned with your boss, and most importantly, show the work you've been doing. So let's talk about some ways you can prepare. First I'd say check your notes from the last time you met. This way if you all didn't get to a topic, you can come back around to it, but you'll also know what follow-ups are needed. Now, that takes me to my next point. Check your follow-up and task list. If your boss gave you some things to follow up on or to do, it's the worst when you get together and realize you didn't complete those tasks. At least now you may be able to get in a few calls and a few emails to say you've reached out. Also, it will refresh your memory on things your boss took away that they're supposed to be checking on, so you can bring those up as well. Next, I would say check any email exchanges you or your boss have had since your last meeting. Maybe there's something in those messages that you didn't understand, and this is a great time to ask. Maybe there's something you know your boss will want an update on, and now you can make sure that you have it. This shows your boss that you're paying attention to their correspondence. Last but definitely not least, review your goals. At the end of the day, everything in corporate comes back to your annual goals. This will allow you to know where you stand, ensure your goals are aligned, and potentially gain feedback if you need assistance. Preparing for a one-on-one can make a world of difference in how your boss views you. Take the time to do so, and I'm sure at the very least your working relationship will improve. This tip was brought to you by Tristan of Layfield Resume Consulting. Check us out on Instagram, Twitter, and Facebook @LayfieldResume, or connect with me, Tristan Layfield, on LinkedIn.

Guess who's bizzzack!?! First I'd like to say I use bad words...This is not for your kids lol. Its 2018 and I'm going to upload constantly. I'd love your feedback. I missed y'all....and that's it. Enjoy!

In this episode: Steve Kosten, President of OWASP Denver, is our feature guest this week. News from: Red Robin, Convercent, Optiv, Ping Identity, Cognizant, Gates, DISH Network, LogRhythm, Secure64, Red Canary and a lot more! Full show notes here: https://www.colorado-security.com/news/2017/11/6/41-1111-steve-kostan-president-of-owasp-denver "First I'd like to thank the Academy" On Wednesday night at the Denver Center for Performing Arts, we got to see the first Colorado CISO of the year awarded. Each of the finalists were former guests of Colorado = Security. It was so exciting that Robb videoed it and learned how to use Youtube. Check it out. In other news: Red Robin looks to slow down a bit, Convercent makes a list of fast growers, Optiv hires more big names, Andre Durand has fit a lifetime of achievements in to his first 49 years, LogRhythm serves up some PIE, Red Canary dives in deeper on their Atomic Red Team, and Robb really doesn't like Secure64's take on IoT devices. Did you catch our trivia question? Be the first to reply to info@colorado-security.com with the right answer and get any $25 item from the Colorado = Security store. Feature interview: Steve Kosten, President of OWASP Denver is our feature guest this week. Alex sat down with Steve to discuss OWASP, how he got involved in volunteering, and his future plans with the OWASP organization. Steve started his career as a developer which helped drive his move to application security and his current role in application security consulting. Sign up for our mailing list on the main site to receive weekly updates - https://www.colorado-security.com/. If you have any questions or comments, or any organizations or events we should highlight, contact Alex and Robb at info@colorado-security.com Local security news: Colorado = Security store! Buy things now Red Robin will halt new restaurant development after 2018 Optiv Security Announces Two Executive Appointments Andre Durand wins CTA's Lifetime Achievement award CTA APEX Awards — CISO of the Year plans ahead to make sure clients are secure Matt Shufeldt winning CISO of the year award (video) CTA APEX Awards — John Everson is a finalist for CISO of the Year CTA APEX Awards — Sam Masiello is a finalist for CISO of the Year LogRhythm Blog - Phishing Intelligence Engine (PIE): Open-Source Release Secure64 Blog - Internet of Things – just because we can, doesn’t mean we should Red Canary Blog - Q & A: How to Test Your Defenses With Atomic Red Team Job Openings: NREL - Security Manager and CISO TeleTech - Director, Information Security Polar Field Services - IT & Communications Mgr SecureSet - Cybersecurity Technical Instructor Quantix/Protech - Cyber Security Forensic Analyst Xcel Energy - IT Intern (Rotational Job) Red Canary - Sales Development Representative Upcoming Events: This Week and Next: ISSA DEN - Nov Chapter Meetings - 11/14-11/15 CTA - Insights Series - Are you Prepared for AI in the Workplace? - 11/15 Denver OWASP - November Meeting - 11/15 ISSA COS - November Chapter Meetings - 11/15-16 ISSA Denver - WIS meeting - 11/16 ISACA Denver - November Chapter Meeting - 11/16 DenSec - Meetup North - 11/16 ISC2 - Steven B. Armstrong, CISSP - TOPIC: Enterprise Risk Management - 11/16 SecureSet - Expert Series: Dr. John Black, Understanding the Equifax Hack - 11/16 Other Notable Upcoming Events: Optiv - 2017 Solution and Program Insight Focus Group: Application Security (AppSec) - 11/26 View our events page for a full list of upcoming events * Thanks to CJ Adams for our intro and exit! If you need any voiceover work, you can contact him here at carrrladams@gmail.com. Check out his other voice work here. * Intro and exit song: "The Language of Blame" by The Agrarians is licensed under CC BY 2.0

  This story is about travelling the world, interviewing lots of men (everyone from porn stars to famous author John Grey), and going on a magical Ayahuasca journey. And at the end of this episode I'll share with you the best mushroom you can use to make your own magical brew in your home in case you don't happen to have Ayahuasca growing on your doorstep. What you will learn an easy way to start travelling the world and working from anywhere three things about men that not everyone may realize how to make a tasty brew at home that isn't Ayahuasca, but is pretty darn magical all the same At the end of this episode I'll share with you the best mushroom you can use to make your own magical brew in your home in case you don't happen to have Ayahuasca growing on your doorstep. Our guest, Anna Rova I am very excited to be joined here today by Anna Rova, who is a fellow podcaster, writer and entrepreneur. And among other cool things, Anna has some very interesting insights on relationships. She has interviewed all kinds of people about this topic, from porn stars to John Gray who is the author of the bestseller Men Are from Mars, Women Are From Venus. Anna has also done lots of other magical things, including Ayahuasca which she'll talk about a bit later. So Anna welcome to the Clean Food, Dirty Stories podcast! I'm really excited to have you here today! Anna: Thanks for having me! I'm so excited too! Beginning to travel the world with a one-way ticket Me: Now I know that you basically travel the world writing and doing other amazing things, and I would really love for us to start by having you tell everybody how you came to become a digital nomad. Anna: OK, well that's an easy subject to start with. I became a digital nomad about 2 years ago. Last year around May I started travelling full time, and I was in Malaysia working for a company called MindValley who make personal growth products. I did online marketing there and I got exposed to the digital nomads out there and one day I was like "Oh my God, I don't need to be in an office, I can be anywhere and do my work". So I was over my Malaysia chapter and I booked a one-way ticket to Bangkok. I had a friend there, I went to a wedding there. And then after a week in Bangkok I booked a ticket to an island, got an apartment, taught myself how to ride a scooter and that was it! And the rest is history! It's such a journey, I've travelled all over the world, I've lived in more than 15 countries in the last 2 years. Just ask me what you want to know more about! When in doubt, teach yourself Me: I love how you taught yourself how to ride a scooter, I mean, was that just trial and error? Did you just fall off and then get back on? Anna: I think that was the scariest shit ever in my life because overall I think I had that summer 3 accidents on the motorbike and that's unavoidable. When I was renting an apartment, I had to get around. And for anyone who's been to Thailand, besides Bangkok, the only way to get around is by motorbike. I was scared to death to ride it, I didn't have a driver's license and I thought "I suppose I'm just gonna do it!" But I learned how to balance it in the right way, and that's it. So I went on the street and in the first 3 minutes I realized I was gonna be out of gas, and I was like 'shit what am I gonna do' and you know, I just did it. In 2 months I was pretty much like a pro. I loved it, I loved the freedom of going wherever I wanted. An easy way to transition from full-time work to digital nomad Me: At that point were you writing articles? Anna: Well no, I have an interesting story because for me it wasn't like quitting everything and then doing my business. It was good because this transition from having a full-time job in an office to a digital nomad lifestyle with remote work can be a really hard one. I think a lot of people aren't prepared, they think it's easy. But I negotiated to basically start working remotely for the same company. I had a full-time job and I didn't need to be in an office, so that was for about half a year so it really helped me to have stability for the first 6 months, somebody out there waiting for me to show up and do my work. The rest was so unstable, you didn't know what's going to happen tomorrow, where you'd be, it was crazy. So that was great and I wasn't ready yet to jump into my full-on entrepreneurship journey. But I actually found another job with a company that's in the same industry and I signed a contract for another year to work full-time remotely doing online marketing which was great. I negotiated like a double salary and it was awesome! Another one-way ticket...to Colombia I booked my one-way ticket to Colombia and you know, Latin America was a continent that was always in my dreams. But after a year I came back to this feeling that I'm an entrepreneur, you know? I need to do my own thing, I have so much in me to write, to say, to discover the world, to teach. So I quit the job this January just 3 months ago and I went on this 90-day Wanderova journey and I thought I'm just gonna write about it, and it was incredible! In two months of writing on Medium I got to top writer in Travel, top writer in Relationships, I got published by a publication, I'm building my own business, I coached a couple of people. Becoming a relationship expert Me: So then that was my next question actually, because we'll link to Medium in the show notes and then people can read about the posts that you were writing when you were travelling. But I'm curious to know how you then started to write about relationships and how you got to interview porn stars and John Gray? Talk about a mixture! Anna: So actually that project, my expertise in relationships started way before I became a digital nomad. This is also a sign for me when I look back I realize that I was always entrepreneurial. I just didn't fully realize it consciously. From MindValley to John Gray While I had my full-time job in Malaysia, some of you might know that MindValley is such a creative, entrepreneurial place. And I started my podcast in 2014. At that time I had just broke up with my boyfriend. We were almost engaged and all of that but I said I don't want that. I didn't know anything about relationships but I was into podcasting and I just said "I'm going to start my own podcast where I'm going to interview men about relationships to figure it all out". And you know, it was such a journey, I did the project for two years. In these two years I got a chance to interview 43 amazing men all about women and relationships. I asked them all kinds of questions, and yes I interviewed John Gray. He wrote 17 books on relationships and you know, he's a famous writer and speaker, men go to their cave and whatever. I was shocked myself when he decided to say yes and have an interview with me. Enter the porn star I interviewed porn stars. It's actually a funny story because after my interview with a porn star, his name was I think John Logan. A couple of weeks later I was doing my self satisfaction moment in bed and then I saw the guy in a porn video in like a threesome and I was like "Oh my God I can't watch this! I interviewed him on my podcast!" But yeah, I interviewed all kinds of men from all kinds of nationalities, all kinds of walks of life. And I just asked them what do they find attractive in a woman and all of that. Me: And what kind of things came out? What are some of the common things that men seem to say about what makes women attractive? Anna: Oh this is such a huge subject! Me: Maybe two or three little things. Anna: I actually learned a lot, not only from them, but I read a lot, I researched the subject. And I became a totally different woman. It was a journey to discover men, but at the same time it was more of a journey of discovering myself and what I think about men, what I think about relationships, what I think about women. The first thing Anna learned about men A lot of shit came up that were limiting beliefs, patterns from my childhood, whatever. So one of the things that I love to tell everyone, and women especially, is that we have this notion that men are something based on what we've seen in our life. But I absolutely believe 100% in the good of men: I love men, I love their masculinity, their polarity. And I started appreciating men. I realized what they have to go through to even talk to a woman, you know? Like I never thought about it. Men go through their puberty and they just start Googling things and talking to other men about how to get women. We as women, I mean I don't want to generalize but a lot of women are so bitchy to men and so down on men and "oh they just want to get into my pants" and I just went inside and realized who they're raised by and how they're going through all of this process. First I'd say that I just got to understand and appreciate men, which was my mission. I realized that it's a journey for all of us. Anna's biggest learning The other thing that I realized is that I dug deep and this is all about patterns and limiting beliefs that come from my family and my childhood and my culture and what I've seen. And I realized that I was attracting all of these emotionally unavailable men because I myself was emotionally unavailable. So my second tip and my biggest learning is that our partners or the men that we attract as women are a direct reflection of us. If we attract someone that doesn't call us back or whatever, that means that we ourselves are unavailable. And it's really hard to realize cause you're like "But I want love! I want a relationship!" But you're just not ready. That's what I tell all of my girlfriends when they ask me. If you're attracting super needy men there's a lot of deep, deep work in there. So that's the second thing. The third thing: we're working with broken tools And the third thing I'd say is that I just realized I never saw growing up a healthy model of how relationships should be. I come from a small Eastern European country, my mother passed away when I was 8 years old, and my dad after that remarried a couple of times. Well, once he remarried, but there were many women in his life and there was a stepmother, there was an evil bitch there, I mean I have a crazy story. Basically I just didn't see healthy relationships where men loved their women, women loved their men and they had healthy relationships where they're partners. They're not like "Oh my God, you're my other half" and like "Save me" and "Heal all my wounds". I guess one of the biggest realizations was that I just realized that our modern notion of love and relationships is completely broken. We just expect the other person to come in and "Make me happy, heal my wounds". It just doesn't work. A healthy relationship today, and still travelling! Today I'm engaged to my man, but I always make sure that this is me, and my shit is like my shit and I need to work on me constantly. Even when I'm getting married. I'm like "this is his own shit, this is my shit". We're together in this, and we're choosing each other every day and you know, we're not dependent on each other emotionally. At least I hope we're not. Me: You know, I like that phrase 'choosing each other every day', that's really quite cool. Yeah. Anna: Yeah. So I believe that really helped me and you know, I just became emotionally independent and that's how I met my man currently and that's how he proposed 9 months after we met. We're having a wedding in Moldova in my country and it's so beautiful and flowery but there was a lot of work behind it. I went through a lot of stuff. So that's the story. Anna's Ayahuasca journey Me: So when I was reading your blog and the stories of your travels, I just zeroed in on your Ayahuasca story. I was like "I have got to read this!" because I've always wanted to try it and I haven't had the opportunity yet and I know that I will. But for the benefit of anyone listening that doesn't know anything about it, can you just tell us really briefly like what it is, and also how you came to be taking it and what happened? What Ayahuasca is Anna: Ayahuasca is very common among travellers because full-time travellers have a certain character, they're adventurous, so they often know about Ayahuasca. But people who don't travel that much, they're like 'what the hell is that'. So Ayahuasca is something that I heard about a couple of years ago that somebody did it, and it was such an amazing experience. Life-transformation and whatever. I thought "I've gotta do it, I've got to have it on my bucket list!" Me: Cause it's a herb, right? You take it as a tea? Anna: Yeah, so what it is...There's a lot of controversy out there. Scientists have done research and experiments on what ayahuasca does and its effects. But basically it's a herb, it's a medicinal plant that's found in the Amazon so in the Brazilian part in Peru. How you use Ayahuasca...the right way It's mostly in Peru, people go there to have this experience. Ayahuasca's a psychedelic plant. But the difference between all the psychedelic drugs out there, MDMA etc, I mean I haven't done any of that by the way. They call Ayahuasca a medicinal plant and a life transformation experience because it's a shamanic ceremony. So it's not like you go into a club and eat a plant or a mushroom. There's a ceremony, there's a shaman who guides people through. It's a very serious experience, it's an adventure. You've got to be ready to do it and there are so many positive stories around it. People are realizing their life purpose or whatever. And there are also bad stories around it, that people have horrible experiences. What they say that ayahuasca does is that if you look at the research it's actually used as a treatment for drug addicts for example, and people who are lost and want to see but they can't see. So it affects some parts of your brain that are responsible for emotional memories. What Ayahuasca can show you That's why it's healing. It's a healing experience in a way. They say that ayahuasca will show you what you need to see. So I wrote this post, there are two parts. One of them is where you count down... Me: That's the one I read. I haven't read part 2 and I was like "What happens?" Anna: Yes I describe how I felt before, and I was like pushing away the fear and then 48 hours before, an hour before...I was really scared because I didn't know what the hell was gonna happen. What Ayahuasca does So basically it's a liquid tea, they call it Ayahuasca tea. You drink it and maybe in like 20 minutes it starts coming to you. And then basically after that you fall into a state of deep dream and you start seeing psychedelic things for like 5 hours. Me: Wow! 5 hours! Anna: Yes, it's really intense. Me: But you don't see the time go by, I would imagine, right? Anna: Yes, it's totally, well not out of body, I wouldn't know how to describe it. Me: Well it's like when we dream, we're in a completely different state of consciousness, right? And so time doesn't have the same meaning. Anna: Exactly, yeah. And I was aware of what was happening but I was deeply into it. I put it all out there in part 2 for readers to read, but every experience is different. Our group had a really good experience. We did it during the day. We were in a very safe environment which is very important. But I've heard stories of not having a great experience, so it really depends where you are in life, how ready you are, and how much of a control freak you are. A lot of people who didn't have a good experience tried to control it. And you just can't do that. You've gotta work on just letting it go, letting it do its job and all that. Anna's main takeaway from her Ayahuasca journey I'm really happy I did it. It still has its effects on me up until today and I think it always will. I plan to do it again and I'm actually still processing it. I'm really glad I did it. It was powerful. Me: What was the main thing that it gave to you? I mean, if you had to pick one thing, what would that be? Anna: Well I think it's two things. First of all, there's a feeling of oneness. Oneness with the world, with nature, with people. And at the end of it you just feel bliss. Our shaman explained that when you do Ayahuasca, you're at a very high rate of vibration which is actually the human natural state of vibration. I totally believe that we are here to enjoy life. We are here to be happy and to be on that really high vibration. I just felt this feeling of oneness. I felt like whatever I have to do at home, like "Oh I have to do a podcast?" Whatever I have to do, it doesn't really matter. It's like humans we complicate it so much. I felt that before through travelling, but this was a really intense feeling. On top of that... The second thing is that I just look at life as a game. It's all a game! Me: Yes! Totally! Anna: We just complicate things so much but if you just let things flow and be in the game, nobody knows what the fuck they're doing anyway! Me: I tell myself that a lot. I do! It's a game! It was like today because you know, for me, I'm super excited because you're like my first podcast guest, right? Yay! Anna: Yay! Me: And so you know this morning, of course you get a bit nervous. Because I'm using different technology for the first time and all that, and I'm like "You know what? So what!" It's a game as you say, and we're having fun and learning and exploring. Where to find out more about Anna So you've done so many cool things and I know you have a lot to share with listeners. Where do people go if they want to find out more and read about you and read more about your journey? Anna's writings Anna: Well first of all I send everybody to Medium. So if they go to www.Medium.com/@wanderova, this is my profile and I'm writing everything there. I'd say there are three different topics I write about which are travel, relationships and life. But travel not in the sense that I'm not a travel blogger. I don't write about 'ten things to do here and here', I don't care about that. I mostly write about personal growth and self development and my thoughts. My angry thoughts...and so if they like what they're reading I also love to send people to wanderova.com. It's my website and you can sign up to get updates and whenever I create something I'll just send you an email telling you how things are and just sharing my thoughts and stuff. I'm building a business and a lot of things are coming up. But I'd say that, yeah, read my Medium stuff and if you like it then go and subscribe at wanderova.com and we'll have a conversation about life and purpose and travels, yeah. Anna's podcast Me: And your podcast as well, that can be found where? Anna: Well, as I said the podcast isn't active yet but people can listen to it. My previous website is meninsideshow.com or they can find the actual episodes on SoundCloud and type 'meninsideshow' and you can listen to all these different interviews with men. There's a lot of deep, cool stuff because men get very vulnerable. That's what I realized, they're not like robotic machines that don't have feelings. They've been taught to have this image but their world is as intense and as deep as ours. It's just a different polarity but it's powerful. Me: Super! So I'll link to all of those in the show notes for people. Anna, thank you so, so much. I really love your stories. And I for one am definitely going to listen to those podcast episodes. A super mushroom for your own magical brew Now I did mention at the beginning of this episode that I'd share with you what mushroom you can use to make your own magical brew at home. Now I can't promise you it will take you on a magical journey, but it's a great coffee substitute. The mushroom is reishi. Now before you freak out and think where the hell am I gonna get reishi, you can easily get it on Amazon. Benefits of reishi mushroom Reishi mushroom not only makes a great drink, but it's an adaptogen. What that means is that it helps us deal with stress. So super important, right? Reishi also helps keep your blood sugar stable, and it's great for both your immune system and your lymph system. On top of that, reishi is said to be able to help defend against tumor growth, improve liver function, balance your hormones as well as help fight diabetes, allergies and asthma. So you really want to be getting yourself some reishi. I'll link to a very informative article in the show notes as well if you want to get more in-depth scientific knowledge about reishi. How to use reishi mushroom As to how you use it, well, if you've got pieces of reishi, you brew them. You make a tea. If you've got the powder, you just tip the powder into your blender with some warm water. Then you blend your reishi brew with cacao powder and a handful of cashews for a super delicious mocha. Or you can make my coffee substitute which I'll link to in the show notes. So I hope you've enjoyed our tales of magical journeys and brews! And if you try some reishi (or ayahuasca, for that matter), let me know in the comments! Have YOU got a story to share? If you've got a crazy, true story to share - with or without magic mushrooms! - and you'd like to know what food could have saved the day in your situation), I'd love to hear from you! Got a question, or a comment? Got a question, or a comment? Pop a note below in the comments, that would be awesome. You can also subscribe to the podcast to listen 'on the go' in iTunes, Stitcher or Tunein. I hope you have an amazing day. Thank you so much for being here with me to share in my Clean Food, Dirty Stories. Bye for now! RESOURCES Anna's podcast: https://soundcloud.com/maninside-show Anna's blog: https://medium.com/@wanderova My recipe using reishi mushrooms: https://rockingrawchef.com/five-more-superfoods-and-a-coffee-substitute-you-wouldnt-believe/   Anna RovaAnna Rova is an online marketer, lover of life and a yogi who is living the dream working and traveling the world. Originally from Moldova, Anna has lived in over 15 countries including Malaysia, Columbia and Mexico. She continues to travel as a digital nomad.

#dewplayer {display:none;} It might be hot in the UK right now but this cool little harmonic drum and bass mix might just chill you out between the thunder storms. Please make sure you listen on appropriate equipment otherwise you miss out on much of the best bits. There is a curated selection from the present world of drum of bass in this mix. Look out for forthcoming material from fellow english Nottinghamian Joe Nebula; new releases featuring Simplification (Brazil), Command Strange (Kazakhstan) and even the return of legendary Hungarian producer, ICR. Another notable addition is a boiling hot liquid pearl from Dave Owen (UK/USA) called "Send Me Your Love" featuring a sick time-stretched vocal sample from the late Marvin Gaye (lyrics below). Finally, many thanks to all the featured artists and Dave Ashton for the inspired cover artwork. If you feel like supporting me too, one easy way is to share this with your friends. I always appreciate getting new listeners! If I could build my whole world around you, darlin' First I'd put heaven by your side. Pretty flowers would grow wherever you walked, honey And over your head would be the bluest sky. Then I'd take every drop of rain And wash all your troubles away. I'd have my whole world wrapped up in you darlin' And that would be alright. :') Artist Title Cloud NineMind Games (Joe Nebula and Peter Fine Remix) NaibuShadows of the Past Random Movement, Ben SoundscapeMany Things Command StrangeAway From The Sun Intelligent MannersThe Morning After Love DJ ClartDo Make Say Think MakotoGirl I'm Running Back 2 U feat. Christian Urich (Random Movement Remix) Joe NebulaCompulsive Disorder StereotypeBlue Velvet MSDOSBlue Sky High Simplification, Sunny Crimea, Scott AllenHeaven Sent Dave OwenSend Me Your Love Donnie DubsonSilver Plate Command StrangeAmour SebaToo Much Too Soon ICRLess Than Three DJ TraxRoute 96 LinkyWhat Do You Want From Me (Physics Remix) Makoto, DeeizmWoe feat. Deeizm (Lenzman Remix)

Here it is! Analogue Podcast #14! The talent search episode. First I'd like to say thanks to Mat for showing up. Second I would like to apologize for the audio quality. It's not horrible but I screwed up and forgot to change one setting and the audio recorded through the open air mic on my Mac instead of our fancy equipment. So just ignore all my "This sounds great!" comments. I'll make it up to you I promise!Also as promised here is a link to Mat's site that has some of his artwork on it.Go check it out!Click Me! Click ME!