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In this episode we are joined by published author, Major Stephen Kelly. He shares with us how important it is to always have a creative outlet. For Stephen, writing is one of his passions. He also shares the summary of two of his books and how they came to be. He uses fictional stories to share Biblical truths in a unique way. Click here to purchase his books https://salvationarmysoundcast.org/wordsoflife
Supporting Christ's mission of peace is not just an act of sitting in church pews. Today as part of our What's Brewing series, Stephen Donahoe shares about his work with Friends Committee on National Legislation; a Quaker peace and justice advocacy organization. For Stephen, living his faith means lobbying for systemic change that helps abolish poverty, end suffering, and upholds the worth of all. Host: Carla LongGuest: Stephen Donahoe
Christian apologist Simon Edwards, author of 'The Sanity of Belief: Why faith makes sense', debates atheist YouTuber Stephen Woodford (aka Rationality Rules) on whether atheism or Christianity makes best sense of our beliefs about meaning, truth and love. For Stephen: https://www.youtube.com/channel/UCqZMgLgGlYAWvSU8lZ9xiVg For Simon: https://spckpublishing.co.uk/the-sanity-of-belief For exclusive resources and to support us: • Support (USA): http://www.premierinsight.org/unbelievableshow • Support (rest of the world): https://resources.premier.org.uk/supportunbelievable • For our newsletter https://www.premier.org.uk/Unbelievablenewsletter • For our blog: http://www.premierinsight.org/unbelievable-the-blog • For the podcast: http://www.premierchristianradio.com/Shows/Saturday/Unbelievable • Facebook https://www.facebook.com/UnbelievableJB • Twitter https://twitter.com/unbelievablejb • Insta https://www.instagram.com/justin.brierley
Kashgar, a mysterious and legendary stop on the Old Silk Road, a city between north and south, east and west. Located in East Turkistan (now the Xinjiang region of China), Kashgar is home to the Uighur people. Your host Stephen Bailey recalls a trip to Kashgar and the incredible life and culture he found in the city's markets. For Stephen, it's important to share positive stories about sidelined people and cultures. And travel is a conduit from which to learn from different people and cultures around the world.
Acts 7:9-19 (NIV) Read by: Sarina Chatman How does your understanding of where you come from influence your relationship to God? Today on Daily read we hear part 2 of Stephen's telling of the story before the Jewish leaders in the Sanhedrin. If you haven't listened to yesterday's passage, it might be good to start there. Because remember Stephen has been accused of saying that Jesus would destroy the Temple and change the customs of Moses. Now for Jews, this was no small thing. Their whole sense of meaning and identity was wrapped up in the writings of Moses and the life of the Temple. And when Stephen is challenged on it, he goes back to the beginning to try to get them to see that Jesus is the place where the story was headed all along. In today's section of that very long story, Stephen recounts a pretty familiar part of the narrative. It's the story of Jospeh being sold into slavery and how God's people ended up in Egypt prior to the time of Moses and the Exodus. For Stephen, who is being given wisdom from the Holy Spirit, there is something significant to the leaders knowing where they come from when it comes to them understanding who Jesus is. Perhaps the same is true for us? ----------REFLECT---------- 1. What parts of this story sounded familiar? What Images came to mind? 2. There is something significant about this story in particular, because it's a reminder to any Jew in the time of the book of acts, of having been first enslaved by a foreign people. And these leaders didn't have to look far to be aware of the Roman occupation at the time. What do you imagine this group feeling as they were reminded of this story? 3. Are there stories in your life, or in the life of your family that give shape and meaning to your relationship to Jesus? Are there stories of faithfulness or suffering that have marked your family or community's life with God? Bring those to the LORD in gratitude and or contemplation. Spirit of the living God, help us to discover your Story and find our place in it. ----------GO DEEPER---------- Bible Project: Acts 1-12 Overview >> InterVarsity Press Selections: Acts >> ----------CONNECT---------- Find an InterVarsity Chapter >> Start an InterVarsity Chapter >> Learn More >> --- Send in a voice message: https://anchor.fm/dailyread/message
On Saturday June 6, 2020, Stephen Rowe told his son Iain, “I Love You” as he left to go to his moms for the weekend. That night, his phone rang and the voice on the other end delivered the news no parent wants to hear, “your son is missing”. Lake Michigan can be an incredibly violent body of water, and that night was no exception. As Stephen arrived at Holland State Park he was met by members of the Search and Rescue team, Police, and family and friends. But all he could see was the violence and evil of the white caps on Lake Michigan that night as he prayed that God help find his son.Unfortunately, rescue crews would find Iain’s body the following day and a criminal investigation ensued against Iain’s mother. Stephen now faced one of the toughest decisions of his life, spiral down a dark path of anger, guilt and sadness, or seek out the treasures that the Lord blesses us with every day. For Stephen, the choice was simple, faith in God and the path he is on so that he can join Iain again one day. Iain was one of the treasures God blessed him with and his story, while tragic, is a love story. #LakeMichigan #DeadlyGreatLakes #GreatLakes #Faith #8Seconds #ExperientialKnowledge To learn more about Iain Rowe and the Live Like Iain Foundation, please visit: www.livelikeiain.org
My conversation with Stephen today reiterates much of what we spoke about in the last episode: a qualitative turn in fudnraising pratices in our post-pandemic world. For Stephen, much like myself, experiences in fundraising have always been interpreted through the lens of our faith traditions. Our faiths have afforded us a framework for reconciling a donor’s decisions if they don’t quite go in the direction we’d like them to or if we find it necessary to walk away from an opportunity that’s hard to pass up. I was reminded that it’s often our faith traditions that help us eliminate the angst we may have towards those who have more affluence than we believe they should. Stephen also pointed out that much of the research at Notre Dame and at other institutions has shown that the value of generosity, often the driving force behind our fundraising efforts, originates in faith-based communities; and these are the places where we find direction for our giving decisions. As always, we are grateful to our friends at CueBack for sponsoring The Fundraising Talent Podcast. If your company would like to know more about how to engage with our rapidly-growing, niche audience, feel free to reach out anytime for more information. #unpredictable #responsivefundraising
How do you avoid the detrimental pitfalls, minimize risks and play successfully in the online world and specifically in the Amazon space? This is Stephen's playground together with his partner Robert. They've learned these invaluable lessons the hard way and through their platform Superheroes, they empower entrepreneurs with the critical success elements to crush it online, not for one month but every month and every year. Stephen shows how the language of opportunity and certainty creates solutions in the face of challenges instead of focusing on problems. Aside from formal engagements with their clients, Stephen & Robert also connect with their clients through specifically tailored, live Facebook shows where they host weekly discussions to continuously stimulate new ideas, conversations and share informative content to keep their clients inspired, in momentum and constantly growing their network with like-minded people sharing a similar journey. For Stephen and Robert, seeing you succeed through the value they've added to your business brings them the greatest satisfaction. Marketplace Superheroes is there with you every step of the way on your online journey, guiding you towards reaping the rewards that are inevitable when you follow the fundamentals Stephen speaks of in this insightful BwB episode. It's not ‘bling but boring' that leads to ongoing online success and when you know what those boring but critical success elements are, you have a far higher probability of not only staying in the online game but winning in an overcrowded online world. Episode Themes Intro Seeing Others Succeed. It's Up To You! Will You Do What It Takes? Mind Flow & Mentality. Fulfilling Demand. Don't Go Bling. Go Boring! Content & Connection is NB. Message To The World Connect with Stephen Somers Website: https://marketplacesuperheroes.com/home Instagram: https://www.instagram.com/stephenjsomers/ Facebook: https://www.facebook.com/stevosomers LinkedIn: https://www.linkedin.com/in/somersstephen/ Connect with Carmen Wilde !! SUBSCRIBE at https://bwbtv.net !! to be notified of new episodes via email and get new strategies every week to support you in achieving your wildest success! Email: team@bwbtv.net LinkedIn: https://www.linkedin.com/in/carmenwilde/ BwB TV website: https://www.businesswithoutbarriers.tv I'd love to hear from you, feel free to connect. To Your Wildest Success! Carmen --- Send in a voice message: https://anchor.fm/businesswithoutbarriers/message
(Stephen - Blacksmithing) In this episode, I had the honour to have Stephen as my guest. He shared with me his interest in blacksmithing as his hobby. Iron man from the Marvel comics created his first suit of armour through the process of blacksmithing. In other words, blacksmithing is an old practice but is still pretty cool to do in mordern times and in Iron Man's case, it saved his life and made it much better. For Stephen case, being a black smith indeed made his life better because he now has the ability to forge awesome tools and knives that will last a very long time. Stephen mentioned that some of his most interesting work started off with a general idea and then from there it just became something better than what he had planed. Stephen's link: Instagram: @tre.asay Youtube: Stephen Asay Twitch: TreAsayGames Time For Your Hobby links: Website: Time For Your Hobby website (click to find Apple, Spotify, Google and more) Merch: TFYHpodcast Instagram: @timeforyourhobby Twitter: @tfyhpodcast Podchaser: Time For Your Hobby Patreon: Timeforyourhobby Email: timeforyourhobby@gmail.com If you like this episode and think it can be helpful to someone you are more than welcome to share it and leave a review. If you want to be on my podcast or have any questions at all, by all means, contact me through any of the platforms above. So until the next episode... make some time for your hobby. Shout out to my Patrons: Chess Talk (https://chesstalk.podbean.com/) Take care,
Since the start of the pandemic, many dealers have struggled to acquire used inventory. Is sourcing from private parties the way of the future? On today’s show, we’ve brought in Stephen Stearns, Used Car Manager at County Ford in North Carolina and we’re also joined by Nick Patterson, CEO and Co-Founder of VettX. In this segment, Nick and Stephen discuss why sourcing private party vehicles for the dealership is so important for the used car department. For Stephen, having the option and convenience of a partner like VettX allows him to not be completely reliant on auctions for his inventory. The time he saves allows him to spend more energy on running the used car department. The inventory sourced through VettX has also had a huge impact on used car sales performance. Like many dealers, Stephen believes that if you have the right amount of the right inventory, then you’re winning the game in today’s COVID-19 marketplace. With this new profitability, Stephen is also expanding the kinds of vehicles his deapertment offers. Nick and Stephen then tackle what it takes to be successful at buying private party vehicles and some of the challenges buying from the third-party market. There’s always a lot going on the dealership, however, Stephen says that VettX has helped them build the necessary infrasturcture to buy their third-party vehicles in an efficient and prdocutive way. Given the current market conditions that dealerships are facing, both Nick and Stephen think that everyone big or small should be putting their focus on this market. https://www.cbtnews.com/how-vettx-helps-dealerships-utilize-the-third-party-vehicle-market-to-its-full-potential/
For Stephen, the awareness of answering people's questions was a real eureka moment because it works on so many levels. It is a great opportunity to create valuable content in your niche while developing your content platform; a great side effect being that you get to fill the gaps in your taxonomy. You're enabling the law of reciprocity while building relations based on trust with new customers or consolidating existing ones. For more information check out our encyclopedia at http://intelligentcontent.marketing
“What if living in a relationship with God isn’t castration? What if it isn’t like the surgical removal of the very drive and instinct we’ve ever had as men? What if, instead, God wants to enter a relationship with us in which he meets us exactly where we are as men?” Steven Mansfield For Narrative, go to https://www.narrativebrand.co/ For the New Kind of Man Community on the Live Free APP, go to https://anewkindofman.livefreecommunity.org/ For full show notes go to http://beanewman.com/podcast/ For Stephen's work, go to: https://stephenmansfield.tv/ The biggest "thank you" you could give to the A New Kind of Man team is to share this episode with others on social media, and face and face. If this show has been helpful or insightful, please subscribe and leave a rating and review in iTunes. To get further connected within the New Kind of Man Community, here are some options: Follow “A New Kind of Man” on Facebook, Twitter, LinkedIn and Instagram. Share it with friends on your social media feeds. Join our private, men’s Facebook group, "New Man Crew.” This group of men is committed to changing the world beginning with themselves, their relationships, their communities, and the world! Big vision, we know. It starts with us. Go to www.beanewman.com to join the tribe or sign up for some coaching. Subscribe the to New Kind of Man Podcast on Youtube. Email Chad to get some personal coaching, chad@beanewman.com. A special thank you to Joseph McDade for allowing us to use his music. Give him a follow https://www.instagram.com/josephmcdademusic/
One good deed a day. That’s what Stephen Morrow wants you to do—to live your life. We cannot notice the beauty in the mundane stuff when we’re too hooked with our schedules, quotas, goals, etc. There’s a lot to see. In this episode of the Fire in the Belly Podcast, we learn more about how to do things for other people. Know how appreciation and gratitude can go a long way when achieving your goals. Stephen also emphasises giving value to society first, listen in for stories on how Stephen has done this. KEY TAKEAWAYS Learning in a traditional educational system was a struggle since he has dyslexia. So, it was outside the classrooms he learned most. He has tried being a car mechanic, a stone carver among other things. Though he has tried so many different jobs, it is in financial services he’s most comfortable. After trying many jobs, he explored real estate investing. This is where he fully developed his financial and managing skills. And when the recession happened, he had to make tough decisions regarding his properties. He made a plan. He sold them first, then bought them back as soon as the market went stable. How does Stephen build an unstoppable mindset? He says to be happy every single day. When you realise what you have on your hands, and what you can do for other people, that’s a start already. For Stephen, ‘fire in the belly’ means living your life. Be confident and believe in yourself. When you listen to what other people say, it may become stressful. You won’t impress everyone. Start doing things at your own pace and your standards. Just know that when you put value out there, there’s at least one person you will influence. It is when you’re at you’re lowest; you get humbled, and become the authentic ‘you’. He has never felt more appreciative of others and their contribution to his life and society during hard times. Stephen wants to remind you that everything happens for a reason, and your social circle (family, friends, etc.) will always be there to help. BEST MOMENTS “I love meeting new people; I love helping people and seeing the good in everybody.” “If you trust yourself and do what’s right from you, I think that is where it comes from… People make decisions from a legal point of view.” “People have to reinvent themselves. People can get stuck in a job for the rest of their life and never take a chance on anything.” “10,000 a month may be enough for one person, for a year or a lifetime. Or it may be not enough for you. But you need to think what’s right for you.” “I don’t need anyone to see what I do as long as I know what I do.” VALUABLE RESOURCES Listen to Fire In The Belly Podcast in iTunes (https://podcasts.apple.com/us/podcast/fire-in-the-belly/id1499375061)! ABOUT THE HOST The ‘Mighty Pete Lonton’ from the ‘Mighty 247’ company is your main host of ‘Fire In The Belly’. Pete is an Entrepreneur, Mentor, Coach, Property Investor and father of 3 beautiful girls. Pete’s background is in Project Management and Property, but his true passion is the ‘Fire In The Belly’ project itself. His mission is to help others find their potential and become the mightiest version of themselves. Pete openly talks about losing both of his parents, suffering periods of depression, business downturn and burn-out, and ultimately his years spent not stoking ‘Fire In the Belly’. In 2017, at 37 years of age that changed, and he is now on a journey of learning, growing, accepting and inspiring others. Pete can connect with people and intuitively asks questions to reveal a person’s passion and discover how to live their mightiest life. The true power of ‘Fire In the Belly’ is the Q&A’s - Questions and Actions! The ‘Fire In The Belly’ brand and programme is rapidly expanding into podcasts, seminars, talks, business workshops, development course and rapid results mentoring. CONTACT METHOD https://www.facebook.com/mightypetelonton/ https://www.linkedin.com/in/peter-lonton-4b83184 https://www.facebook.com/groups/430218374211579/ Support the show: https://www.facebook.com/groups/430218374211579/ See omnystudio.com/listener for privacy information.
Where does your code of conduct come from? For Stephen, his code is built on faith and the people he admires, both today and from the past. What about you? Every man needs a code. How is your manly code being formed? Don't miss this podcast and its challenge. We all have a value system. [...] The post A Manly Code of Honor appeared first on GreatMan.
The Accidental Seller - Stephen Snyder Welcome to the fifth episode of The Accidental Series. Some people are into sales because it's their passion, while others were led to the industry because of their circumstances. We call them the accidental sellers. Stephen Snyder is a district sales coordinator for Aflac. Growing up, Stephen loved playing sports and he aspired to become a professional athlete. In his college days, he was fortunate enough to play baseball. He was good at it and his life revolved around playing the game. Despite that, he didn't become a professional baseball player. Apparently, life had other plans for Stephen. Stephen realized that sports wasn't for him after doing an internship during his senior year in college. He saw how tough it was to work in the field of sports marketing. You didn't become the head of scouting just because you knew the game. His job as an intern required physical labor from 7 AM until the end of the game. A sports manager had to be at the field long after the game was over to help with any tasks needed, including covering the field with tarp.Stephen thought that he could do more. Becoming an accidental seller By the time Stephen finished his education, the economy was taking a downturn. Although he graduated with a degree in sports marketing and kept looking for work in his field, most available jobs were all about sales. It seemed everyone was either selling a yellow book or insurance. Salespeople were often associated with the “usedcar salesman” stereotype so because of this, it took a long time for Stephen to consider sales as a long-term career. Stephen eventually reached out to his friend who had been working with Aflac. He decided to try sales until he could find himself a “real” job. Years later, Stephen is still with Aflac excelling as a salesperson. He realized the old stereotypes don't have to apply. For Stephen, it was about meeting people and talking to them about the services provided by Aflac. The difficult part of selling When he started with the company, Stephen was provided with a script. When a sale didn't go through, he was made to think that it was because he didn't stick to the script. Stephen is anl introvert and although he is comfortable with talking to people, he'd always kept a protective shell around him where he could remain comfortable. The challenge he was facing in sales was how to prospect in his own way. Like any other salesperson, Stephen was also afraid of rejection. There were many days he thought of quitting sales but when he actually got to thinking about it, he found that sales could be fun too. As a former athlete, he found the competition he loved could be applied to sales too. There was a scoreboard all the salespeople tracked their sales this brought out the competitive spirit in him. Seeing success in sales Competitiveness and a good team atmosphere are great ways for an accidental seller to stay motivated. Salespeople thrive when they know that a mistake is made, they won't be criticized, but instead, coaching is offered instead.. As a salesperson improves and starts setting appointments, he sees his actions cause a snowball effect . This results in good sales. Stephen's first deal started with an elevator ride. He began talking to a man who turned out to be a business owner and the decision-maker in his company. They had a good-natured discussion and Stephen was able to land an appointment. That business owner decided to pay 100% of the voluntary insurance product for his employees. It was one of the best deals Stephen's company had seen.. After 11 years, Stephen continues to work for Aflac.. Working for the company has given him so many opportunities and a certain level of success. A salesperson needs to consistently find ways to improve. A scoreboard is one strategy to track success and stay competitive. Even when you've found sales by accident, keep going because you will find success. Just put in the work, have a routine, and you'll start seeing results. #SalesTalk “The Accidental Seller - Stephen Snyder” Contact Stephen Snyder via his email, stephensnyder2017@gmail.com or connect with him on LinkedIn. You can also reach out to Donald via LinkedIn, Instagram, Twitter, and Facebook for any sales concerns. This episode is brought to you in part by TSE Certified Sales Training Program. It's a course designed to help new and struggling sellers to master the fundamentals of sales and close more deals. Sign up now and get the first two modules for free! You can also call us at (561) 570-5077. We'd love for you to join us for our next episodes so tune in on Apple Podcast, Google Podcast, Stitcher, and Spotify. You can also leave comments, suggestions, and ratings to every episode you listen to. You can also read more about sales or listen to audiobooks on Audible and explore this huge online library. Register now to get a free book and a 30-day free trial. Audio provided by Free SFX and Bensound.
Donald Trump says he wants to buy Greenland, and the world reacts as if watching an SNL skit. Of course, there’s much more to the story than meets the eye. For Stephen, the Greenland idea captures almost all the good, bad, and ugly of the Trump administration. Learn why this idea isn’t as novel as [read more]
Hello and welcome to the Meaningful Business podcast. I’m Peter Stojanovic, Deputy Editor at HotTopics and your host.Together we are going to find out how business leaders champion purpose, people and planet alongside profit - and in the process how to define and lead a meaningful business.Our first guest, who you’ve just heard, is Stephen Brill, co-CEO of NewsGuard, a company that is synthesising technology and the expertise of industry-leading journalists to create an online tool that can fight fake news, disinformation and poor or lazy reportage. High quality journalism is a strong indicator of a highly functioning democracy, which in turn provides a stable foundation for good business. For Stephen and his New York City-based team, therefore, this is a cause worth fighting for.I caught up with Steven whilst he was at NewsGuard HQ in New York City, fresh from a round of hype regarding NewsGuard’s recent red-flagging of the Daily Mail, a story broken by the Guardian and gleefully shared across the internet. It’s a fun story, but will NewsGuard’s badges have the impact on online journalism they desire
Harry Duran welcomes to the podcast marketing professional, serial entrepreneur, husband, father, and fellow podcaster, Stephen Hart. Stephen is the founder and host of the show, Trailblazers, a podcast that explores stories of successful black professionals, entrepreneurs, creatives, and corporate leaders. Stephen’s goal is to share stories of black men and women who are doing amazing things within their industries. Stephen is a believer in being authentic and strives to help people discover their true callings. In this episode, Stephen and Harry discuss Podcast Movement, the conference where they originally met. They talk about the supportive nature of the podcasting community and encourage listeners to attend a podcast conference to share in the experience. Stephen discusses his background and the inspiration behind his podcast, Trailblazers. For Stephen, the success of his podcast isn’t measured by downloads, but rather by engagement and impact. His goal over the next five years is to help and positively affect 10,000 lives. It is Stephen’s hope that this will create a ripple effect and that his deeds will continue to spread. Stephen equates this to planting seeds in a garden he will never see. Finally, Stephen talks about his legacy, which includes being a great husband, father, and overall person. 00:59 – Harry welcomes Stephen Hart to the podcast 01:35 – Stephen’s background 04:26 – How Stephen has raised his children to not be dependent on technology and devices 08:35 – How Stephen wound up living in Maryland 09:01 – Stephen and Harry talk about Podcast Movement, the world’s largest podcast conference 14:43 – Stephen talks about MapCon, the Mid-Atlantic Podcast Conference 16:42 – Harry’s freestyle rap story from Podcast Movement 20:39 – Stephen encourages all podcasters to attend a podcast conference 21:54 – The importance of bringing a unique perspective to your podcast 24:01 – What inspired Stephen to start his podcast, Trailblazers 28:57 – How Stephen measures the success of his podcast 30:44 – Stephen shares his idea for his next podcast 32:57 – Harry announces the conference he’s been working to launch, Clarion 34:45 – Stephen speaks to his future goals and the positive impact he wants to achieve 41:52 – Stephen’s other projects 46:09 – Stephen advises entrepreneurs to get their products and services out there 48:37 – Where Stephen got his entrepreneurial spirit and hustle 49:50 – Stephen talks about the mentors that influenced his life and career 53:32 – Stephen recalls geeking out when he met Pat Flynn 56:04 – What is something Stephen has changed his mind about recently? 58:09 – Why Stephen’s legacy is important to him 1:00:14 – Stephen talks about an exercise where he posed 32 questions to his father 1:01:47 – What is the most misunderstood thing about Stephen? 1:04:18 – Where listeners can follow Stephen Full show notes: http://podcastjunkies.com/185★ Support this podcast on Patreon ★
MC Hawking's Podcore Nerdcast Episode 3.08: For Stephen In this episode of MC Hawking's Podcore Nerdcast, Ken, Len, and Cassie talk about Stephen Hawking's passing and Ken's MC Hawking tribute song For Stephen, Winger's Seventeen, That free U2 album from a few years ago that still haunts Ken, and other things that grind his gears, Meterology vs. Meteoriticists (and Alie Ward's Ologies podcast, the Celtics (sports!), Dropping Science: At least a dozen black holes at the center of the Milky Way galaxy*, quicksand, Book Nook: Rob Reid's After On: A Novel of Silicon Valley, Ken's Ultimate Insult Man meme, and other podcasts we might do! Ken guest-hosts Dino News! We play a game! (Spoiler alert: Len doesn't suck at this one.) Ken tells us about the film Annihilation! We talk about the olden days when Ken and Len worked in tech support! And we give some shouts-out! (I feel like that should be the proper plural of shout-out.) Jame's Cocktail Corner: The Black Hole! 4 oz. Dekyper Root Beer Schnapps 2 oz. Kahlua 1 oz. Bacardi 151 1 oz. Francescano Natura Assisi Chocolate & Rum Cream Shake ingredients. Pour into shot glasses. Top with shaved chocolate for Soft Hair on Black Holes*. Check out friend-of-the-pod Brad Lajoie's new album, Enjoie the Music! LIKE us on Facebook at facebook.com/mchawkingspodcorenerdcast, and follow @podcorenerdcast and @mchawking on Twitter! And we have an Instagram now: podcorenerdcast! I didn't make a table of contents this time. If you liked it and miss it, tell us about it on Facebook or Twitter, or e-mail us at podcorenerdcast@mchawking.com!
Session 20 Dr. Stephen Grupke is an attending Neurosurgeon at the University of Kentucky. In our episode today, he discusses the residency path to neurosurgery, what makes you a competitive applicant, his typical day, the types of patients and cases he serves, what he likes best and least about his subspecialty, and more. Stephen and I went to New York Medical College together. Currently, he is a neurosurgeon in an academic facility and a new faculty being an assistant professor at the University of Kentucky. [01:30] Choosing the Specialty Stephen knew he wanted to be a neurosurgeon when he was in graduate school. Being a chem major in undergrad, he was working in a lab in grad school. A neurosurgery resident at New York Medical College did a research under his belt and took Stephen under his wing doing experiments and showing him different amazing stuff and he was just taken by it right there. That was actually the first time he saw what it's like to be a neurosurgeon and it was something he would love to do. That was what sold him to be a doctor. [04:33] Traits that Lead to Being a Good Neurosurgeon Stamina is a major key in being a good neurosurgeon since taking out a brain tumor can take hours and hours and that can be very physically and mentally taxing. You can have long clinic with a lot of people and a lot of varied problems so you have to think every one of them through, giving genuine, concerted effort to every single person considering they have very different pathology. Emotionally, the level of acuity in what they see is profound, having several highs and lows in one day. You could see pretty horrible things like abused children coming in with brain traumas and people being diagnosed with brain tumors. Then you have to relay this information to the family. On the same note, you can bring somebody from the brink of death in the operation and give somebody function back with a simple spine surgery that enables them to live without pain. In short, there is a lot of emotional highs and lows and to just deal with that day in and day out is kind of tough. You just have to focus on the highs in between and move on to the next thing and do the best you can for every person that comes to your door. The longest case Stephen has been in was a brain tumor case as a resident that went fourteen hours. Although they've also had spine operations that ended up being broken up in a couple of days such as a long, complex scoliosis case in multiple levels. Besides Neurosurgery, other specialties that crept into his mind was Neurology, being cerebral and focused on the central nervous system and everything that entails. He likes having to think of esoteric pathology you need to figure out. Internal medicine is another specialty of interest for Stephen, as it shares a lot of things with Neurosurgery in terms of the complexity and diversity of the cases you see. There's a lot of detective work involved and you get to see a lot of different specialties. One of the things that led Stephen to Neurosurgery is knowing a lot of varied information in a lot of different specialties such as Endocrinology for pituitary tumors or traumatic brain injury cases. You have to be adept at critical care management as well as fluid and electrolyte maintenance. There is so much intermingling of other sub-specialties since the brain is ultimately involved in every other system of the body. [10:10] Types of Patients and Typical Day for an Academic Neurosurgeon As a neurosurgeon, Stephen sees all sorts of pathology. In his practice, he tries to focus on cerebral and vascular neurosurgery like cases of aneurysm, arteriovenous malformations, etc. But when you're on call, you have to be willing to take whatever is thrown at you and treat everybody from premature babies all the way up to the very elderly, people from all different socioeconomic classes and all kinds of pathology from taking out a tumor in the peripheral nerve and spine surgeries to open surgeries and endovascular surgery. Because of its variety, it keeps things interesting. Stephen's typical day would be getting into the office at 6 in the morning to give him a breathing room to go over some of the labs and images of the patients from the day before. He spends one day of clinic a week from 8am to 5pm, which consists of seeing new patients and operative followups. A couple of days in a week would be spent in the operating room treating patients. Another couple of days in a week would be spent in the endovascular suite doing things like diagnostic cerebral angiograms or treat aneurysm cases or angioplasty and stenting to treat coronary stenosis or treat arteriovenous malformations with glue embolization. As a resident, Stephen has done several hundred cases as part of an enriched curriculum that focuses essentially on endovascular treatment of cerebrovascular disease. Now, he's doing another year under the tutelage of a group of physicians at the University of Kentucky who also serve as his mentors so he can get a certification in cerebrovascular intervention. So Stephen does this for two days a week. Some specialties like interventional radiology and neurology are also doing these fellowships to become adept at this intervention. Stephen doesn't really see any turf war going on in his institution especially that one of his mentors is an interventional radiologist and is grooming him to be a partner in his practice. In general, however, he is seeing a little bit of turf war across industries that are trying to get in on it. Moreover, there is a move for interventional surgery to standardize fellowships to make sure that everybody that comes out from these other specialties that they're giving an essentially comparable product. [15:15] Taking Calls and Procedures As far as interventional call, Stephen takes one-third of the call which they do a week at a time. This is much less rigorous than primary neurosurgery calls. Things they would have to come in for would be endovascular treatment for aneurism or stroke. Thrombectomy for stroke has taken off since February 2015 when several studies released showed its efficacious intervention. As a result, it has opened the door for a lot of people that may not have been candidates in the past to have a mechanical thrombectomy. For that, they end up getting called in the middle of night. Being a comprehensive stroke center, they've always got somebody on call to do that. Generally, they don't get any call every single night by any stretch but primary neurosurgery calls would be every 6 or 7 nights which is totally manageable and doable. Considering he spends one day a week for clinic, only a small percentage of those patients are being brought to the operating room. Some people are keyed up to come in that have been sent to him from pain clinics and anesthesiologists to have interventional pain procedures done. These are people that have already been worked up and already know they're getting a surgery. But for ten people he sees for back pain, a common thing that primary care doctors send to them, one-tenth of them or less is something worth going to the operating room given that conservative management has been done first (ex. physical therapy, eat, rest, ice). In general, 20% of the people end up getting into surgery and the rest involves counseling in terms of pathology and management. For most cases, he tries to be conservative with. [18:56] Work-Life Balance Stephen doesn't think any neurosurgeon does since neurosurgeons have this workaholic stereotype he sees as true to some extent. He has a nasty habit of bringing work home with him. He has three small children and he's happy he gets to spend a lot of time with them. He his fortunate to have a program that emphasizes a good home-work balance since their chairman wants to make sure they are happy at work and a big part of that is making sure you have a good balance in life. Nevertheless, there are many nights spent on signing notes, reading upcoming cases, or writing papers at home. Still, he makes it a point to take time out of his day to do as much family time as he can. [20:52] Academic vs. Community Setting One of the biggest benefits Stephen sees being in an academic center is being surrounded by a great group of residents. He gets to play a part in teaching them and helping them to become the next generation of neurosurgeons and being able to walk them through the same steps his predecessors did for him so it's his way of paying back. Additionally, it puts him in the forefront of what's going on academically in neurosurgery which is a wide open field. There is so much that's not known about the brain and there's so much research going on and it's really exciting to be on the forefront of that and seeing that happen in real time. They get to a lot of these interventions before the community even gets to them being involved in the big multi-institutional research projects. They get to see a lot of unusual pathology being sent to them since only a big university that have resources and experts such as theirs that can deal with that. [23:00] Neurosurgery Residency and Matching The ACGME requires a certain number of these different categories of procedures under your belt while being a resident and you have to do so much time in the ICU and such. For Stephen, he graduated from medical school and spent the year doing an internship that is part general surgery subspecialty and part neurosurgery and neurology. (Today, they're now more focused on neurosurgery and neurointensive care.) Then Stephen had to go through six years of neurosurgery residency. As a junior resident, he did a lot more of the carrying the call pager, dealing with the ER, seeing new consults, helping staff clinics, and helping taking care of the patients on the floor and in-patients. As he went on, he spent more time in the operating room and spent more time doing academic stuff. He spent more time on the lab and molded his curriculum in a way he could enrich himself in certain subspecialties once he met his prereqs. As he got on towards the fifth to seventh year, he took on more of the administrative roles, working with scheduling of junior residents and juggling taking care of the operating rooms, being the chief on call, and helping junior residents on the floor and be the resource for the younger ones. Typically, it was a total of seven years of residency training for neurosurgery. Neurosurgery is basically competitive when it comes to matching and Stephen imagines it getting more and more competitive having met some really smart, capable, qualified folks over the last couple of years that unfortunately ended up in the scramble. It's relatively competitive since there are not that many spots and there's a lot of very smart, capable, and qualified applicants. Stephen thinks that despite the specialty being a very tough and rigorous lifestyle and residency, there are a lot of people that are up to meet that and take that as a challenge and want to face it head on. [28:00] What Makes a Competitive Applicant for Neurosurgery As somebody who has been a chief resident and as an attending who has been in the committee that goes over all of the applicants, Stephen sees that everybody that gets on his table has great boards scores and good grades but that's not what seals it for you but being able to show in the interview that you're a reasonable person. There are smart people that are capable of making a hostile work environment so you want a good esprit de corps and you want everybody to get along that makes life nice and that's what their resident group has. Having said that, their match system is difficult in that they interview applicants for a day, similar to speed dating. Stephen says one of the best ways to see if you would fit is to go to place you're interested in and do a sub-internship there whether a month of medical school or just a week. Go back for a second look after you've done your interview to spend some time with them. Any residency program can really put on a good face for a day so it's important to be able to see how everybody is on a day-to-day basis. What makes a good applicant for Stephen is them being able to trust that they're going to get along with you. [30:58] DOs, Subspecialties, Primary Care, and Other Specialties Unfortunately, Stephen doesn't know a lot of DO neurosurgeons probably because he has not just been out of the academic world for a long time and he went to an allopathic school as well as throughout residency. Although he knows there are some designated DO neurosurgery programs, but he doesn't know enough about them to comment on this. After seven years of residency training, subspecialties available include Pediatric Neurosurgery or Cerebrovascular Neurosurgery. Today, physicians can get CAST or Certificate of Advanced Surgical Training where they do an enriched program, meeting a certain amount of criteria, and do several cases to qualify for this. Then you get a certification that you've done something above and beyond, whether that be for spine, epilepsy, peripheral nerve, and a lot other subspecialties for neurosurgery that you can focus on. To be able to do this, Stephen suggests being in an academic center where you have other folks that can cover the rest of the subspecialties. such as functional neurosurgery like deep brain stimulation. While you want to subspecialize in something else, they have a good complement of attendings in their group. Stephen has a good relationship with primary care physicians in their area, them knowing that neurosurgeons are there to help. The important thing is for them to know that neurosurgeons are always available to help them with things, even the non-surgical stuff, such as back pain and neck pain which are sometimes better dealt with physical therapy or a physiatrist. It can be hard to make heads and tails of which one is surgical or which is not, and they're more than happy to go over that with a patient and let them understand what's going on. This makes people feel they're being carefully looked at or things are fully being explained to them. Other specialties neurosurgeons work the closest with include Oncology (for tumors in spinal cord and brain or peripheral nerves), Physical Medicine and Rehabilitation (for brain pathology due to stroke), Hospitalists, Vascular Surgeons, Carotid Artery Pathology, Trauma Surgery, Endocrinolgoy (for Cushing's disease and pituitary tumors) Neurologists are their closest colleagues, sharing management on stroke patients and epilepsy. They end up being closely involved with a lot of different departments. [38:40] Special Opportunities Outside of Clinical Medicine You can take part in academics and research in the lab. You can take things from the bench off to the bedside since you have access to the patient base. Some neurosurgeons also end up doing stuff in the administrative side of things. Otherwise, many of them are clinically and academically busy between teaching, writing, and doing their clinical duties. Other than those, you can do pretty much anything according to Stephen. [40:12] The Best and Least Liked Part Stephen explains he would reassure himself that he'd still love what he's doing even after all the grind. A lot of times, things could get tough and it wears on you physically and mentally. But literally being able to take care of people in their darkest hour and be there and be involved in the most important part of a lot of people's lives is hugely fulfilling. The same goes academic-wise, it is very fulfilling in that you can do detective work while you get to teach the next generation of smart and eager neurosurgeons. He gets tired but he never felt that feeling of dragging yourself off to work and just to work for the paycheck. Stephen finds his professions as very fulfilling. When asked what he likes the least about being a neurosurgeon, Stephen says there could be bad days like having a streak of patients you're not able to help or you think you did a case by the book and did everything right but the patient gets a bad outcome so there's that feeling of hopelessness. You present that case in M&M and you still study and that if you had the chance to do it again, you'd probably have done it the same way but if it still turns out poorly, you think about it and it keeps you up at night. [43:46] What is M&M? M&M stands for Morbidity and Mortality. It is a conference where you and your colleagues are in a room and every time a patient has a problem or die or has a complication of some sort, their case is presented and is picked academically by other colleagues. This is done systematically to try to prevent errors in the future and see where in the care and management of the patient did something break down or how could have it done prevented and whether a change in protocol is needed in the future. Then you come up with a solution. It's stressful and it's rough on you if it's your case being presented. but it's important to make sure everybody is treated appropriately in the future, for accountability, and for teaching the residents. [45:30] The Future of Neurosurgery There is so much more that is not known about the brain or the central nervous system that leaves a lot opened and some exciting new things are going on such as neuromodulation or deep brain stimulation for all sorts of different pathologies right now. It's commonplace for Parkinson's disease and tremors but there is a lot of potential utility for it in the future. There are also implantable devices help detect seizures and extinguish them before they become a problem. Stephen sees a lot of interesting technology on the horizon as well as new utility for old technology such as stimulators for spasticity and stroke and stem cells implanted for stroke, Parkinson's disease, and neurodegenerative diseases in general. This is another way they're going to be involved with their neurology colleagues as they come up with ways to potentially intervene and help patients that were once thought to just have progressive neurodegenerative disorders that have promising interventions such as treatments for traumatic brain and traumatic spine injury and neural computer interface for moving appendages. With a little fine-tuning, he doesn't see it being too off before it becomes something that you're able to use an artificial limb and perform complicated maneuvers. It's close to being a thing so we're in really exciting times. [48:00] Final Words of Wisdom If he had to do it all over again, Stephen would still have chosen the same residency as he had a great time making friends for a lifetime and had great teachers. The field of neurosurgery itself is still what he keeps by his bedside as something to read on. Even in lay media, it's what he picks up and what he's drawn to. So he definitely still has a fire for it and it's been great so far. If this is something you're considering but quite unsure, Stephen recommends to look in yourself and make sure it's something you want to do. And if it is, then you should do it. It's rewarding and interesting. There maybe some tendency for folks in the early medical school community to want to be a neurosurgeon but not necessarily do neurosurgery and that's a wrong attitude to have. TV may glamorize the specialty probably inappropriately more so than other surgical subspecialties which require just as much scholastic aptitude and manual dexterity. So look inside yourself and make sure this is what you want to do. Plan it out and keep a balance in your life. Go out and get some fresh air. Do some recreational activities you like. Spend time with your family. These are all important things to maintain even if you may be tired. It may take a little more effort than it did before when you're able to sleep in but once you embark on this path, try to keep a balance. Lastly, Stephen wishes every body good luck and that you've chosen a great field no matter what subspecialty of medicine you go into. Congratulations for getting this far! [51:28] My Last Thoughts Neurosurgery is one of those more rigorous paths to becoming an attending and still as an attending. But as Stephen has said, there are still a lot of demands and it's still very competitive to get into. If you're interested in neurosurgery, go reach out and find some programs and find some mentors. If you know somebody that would be a great guest for this podcast, let me know and shoot me an email at ryan@medicalschoolhq.net. Links: Specialty Stories podcast session 03 interview with neurologist Dr. Allison Gray MedEd Media Network University of Kentucky New York Medical College ACGME
The post Lifestyle Guru, Life Skills That Matter, Stephen Warley Show 003 appeared first on mitchellchadrow.com Lifestyle guru, Stephen Warley, is the entrepreneur, podcast host behind the venture #lifeskillsthatmatter. The power of his website is that he is so willing to share his own lifestyle experiments to show each of us just what is possible. The main theme is having the courage to be yourself, continue developing and telling your personal story and stop ignoring your inner voice. He says start by changing your habits. Your life is the sum of your habits and "You are what you do" People feel stuck and he helps people figure out what's holding them back by asking important questions today! The transition from employee to self employed entrepreneur understand why you want the change, figure out what problem you want to solve, how do you want to work differently. Success for him being myself 100% of the time because when you’re an employee you cant be in alignment with who you really are - radical to be self employed For Stephen success and freedom is controlling his time and an example he says is not having to wake up in the morning to an alarm clock. When you go into business you must clearly define the problem you want to solve and figure out how you are going to get paid for it. You go into business to help others solve their problems. On partnerships your partner has to be more than just a friend, they must be aligned with how you work and each must bring their own complimentary strengths to the business. Entrepreneur's need to be self motivated, create a lot of content and address community issues that need to be solved. You must get clear on your core habits, answer community questions that solve their problems, don’t get caught up in technical issues but focus on habits first then results. Before launching his next podcast he is taking his own advice by starting with a blog and creating content first. He has established the habit of writing 3000 words in the morning then he focuses on the results. For self employed entrepreneurs its so important to know your personality, values, motivations, what if anything is holding you back, expectations, work needs and what your energy levels look like throughout the day. Start today by telling your story so that when people ask you what you do don’t just tell them what you are doing now tell them what you want to do in the future. You want to change your future change your mindset today! Listenup to the rest of this amazing story of this lifestyle guru at my website. Furthermore, to Listen Up to our last Show click here Alex 'Pete' Hart and get the show notes and resource links. For my next interview Mike Chan, Podcast Host, Go and Grow. Connect with me on LinkedIn. Read about me. Tweet me on Twitter. Listenup subscribe to my podcast. Check out my work. Follow me on Google Plus. Watch our guests onYouTube.
It's preposition day at Behind the Story. Check out this episode to find out how Christ stands FOR Stephen, Christ works WITHIN Saul and Christ works THROUGH the Scattered Believers - and us!
It's preposition day at Behind the Story. Check out this episode to find out how Christ stands FOR Stephen, Christ works WITHIN Saul and Christ works THROUGH the Scattered Believers - and us!
As part of the series Rethinking the Human Sciences, the Institute for Comparative Literature and Society presents Sense in Art and Sense in Nature a talk by Anthony Uhlmann, Writing and Society Research Centre, University of Western Sydney In Stephen Hero, James Joyce’s narrator states that “For Stephen art was neither a copy nor an imitation of nature: the artistic process was a natural process.” Art and Nature have long been paired together: indeed the concept of ‘representation’ seems to presuppose the relationship between artistic practice and objects, forms, or elements that pre-exist in Nature, or human perceptions of Nature. Yet what are the limits of this identification? Do Art and Nature comprise some kind of symmetry, some kind of continuity? Or is it merely a loose analogy? Aspects of these questions might be addressed through paying attention to the concepts of meaning and sense, which is asymmetrical at least when one considers discourse surrounding art on the one hand (for example, in the hermeneutic tradition) and discourses surrounding Nature on the other (in the disciplines of Physics or Biology). While the concept of meaning (involving intention) is necessarily presupposed within artistic production and reception it is seemingly left to one side by scientific method; yet the concept of sense might be more readily applied to both domains. In drawing on examples (from the 1922 controversy between Bergson and Einstein, the concept of ‘distributed cognition’ in cognitive science, and Elizabeth Costello by J. M. Coetzee) this lecture will consider how particular concepts of ‘meaning’ and ‘sense’ derived from Spinoza might be applied to an understanding of the kind of relations that link art and Nature. Recorded October 24, 2012 at the Heyman Center for the Humanities, Columbia University.