Podcasts about fvc

Send us a textIn dieser informativen Episode des Lungenvital Podcasts erklärt Lungenarzt Jalal Gholami, was die verschiedenen Lungenfunktionswerte wie FEV₁, FVC, MEF und TLC bedeuten. Erfahren Sie, wie diese Messwerte zur Diagnose von Atemwegserkrankungen wie Asthma und COPD beitragen und welche Rolle modernste Diagnostik in der Praxis Lungenvital spielt.Highlights dieser Episode:Detaillierte Erklärungen: Verstehen Sie, wie und warum Lungenfunktionsmessungen durchgeführt werden.Moderne Diagnostik: Lernen Sie die Technologien hinter Spirometrie, Bodyplethysmographie und weiteren Messverfahren kennen.Praxisnahe Tipps: Erhalten Sie wertvolle Hinweise zur Interpretation Ihrer eigenen Lungenwerte und zur Optimierung Ihrer Lungengesundheit.Expertenwissen: Profitieren Sie von den langjährigen Erfahrungen von Lungenarzt Jalal Gholami und seinem engagierten Team.Diese Episode richtet sich an Patienten, Angehörige und alle, die sich für eine präventive und zielgerichtete Behandlung von Atemwegserkrankungen interessieren. Hören Sie rein, um fundiertes Expertenwissen und praxisnahe Informationen zur Lungenfunktion zu erhalten – perfekt für Ihre Gesundheit und Ihr Wohlbefinden!

Here's wishing all United States military veterans in the audience a happy Veterans Day with this edition of Overdrive Radio. To mark the day, we bring you this dive into the work of the Farmer Veteran Coalition, an organization that got its start back in 2009 with a goal of a then California/Mexico produce farmer to help support returning military servicemembers in bids to enter the business of feeding the nation. We'll hear today Overdrive Radio's talk with Jeanette Lombardo, current Farmer Veteran Coalition CEO, about the FVC's recent induction into the Howes company's Hall of Fame, bringing another important support organization to the attention of trucking and ag industries: https://www.overdriveonline.com/life/article/15705903/vetssupport-group-now-in-howes-hall-of-fame-deadline-approaching-for-small-biz-reporting-to-fincen-alert FVC CEO Lombardo details a variety of new-farmer support and other programs that deliver on the org's mission, dovetailing in several ways with trucking and logistics businesses that support the nation's food supply chain. Lombardo sees plenty honor and value in the Howes Hall of Fame induction, enabling connections between the coalition and, not just new groups and people in the ag world, but also in trucking and logistics. "We're a nonprofit. We don't have much budget for advertising, ... yet we're seeing this huge increase in membership," she said, in part given word of mouth that occurs as a result of programs like the Howes Hall of Fame. "We were very humbled to receive the nod from Howes, and even more so when we went online to see previous awardees. ... I think it's the beginning of a wonderful partnership." The Hall of Fame launched during Howes' 100-year anniversary celebration five years back, said Howes Products' own Rich Guida. It's intended as an effort "to find the people, places, and things that make trucking and farming -- and diesel systems, really, of any kind -- so valuable. And for us to be able to give back to these people, and support them the way Jeanette was talking about, is where we find reward." Access the stories of all inductees in the Howes Hall of Fame, or nominate an organization or individual yourself, at this link: https://howesproducts.com/hof In the podcast, find much more detail about the FVC's many support programs for returning servicemembers and hear Lombardo's personal story of how, in the midst of the pandemic, she would come to be inspired by and, then, intimately involved in leading an organization with a worthy mission. More about the FVC: https://farmvetco.org/ Howes' induction video about FVC: https://www.overdriveonline.com/life/article/15705903/vetssupport-group-now-in-howes-hall-of-fame-deadline-approaching-for-small-biz-reporting-to-fincen-alert

In this episode, Gordon Smith, MD, FAAN speaks with Casey S.W. Albin, MD, author of the article “Neuromuscular Emergencies,” in the Continuum® June 2024 Neurocritical Care issue. Dr. Smith is a Continuum® Audio interviewer and professor and chair of neurology at Kenneth and Dianne Wright Distinguished Chair in Clinical and Translational Research at Virginia Commonwealth University in Richmond, Virginia. Dr. Albin is an assistant professor of neurology and neurosurgery in the departments of neurology and neurosurgery, division of neurocritical care at Emory University School of Medicine in Atlanta, Georgia. Additional Resources Read the article: Neuromuscular Emergencies Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @gordonsmithMD Guest: @caseyalbin Transcript  Full transcript available here  Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, a companion podcast to the journal. Continuum Audio features conversations with the guest editors and authors of Continuum, who are the leading experts in their fields. Subscribers to the Continuum journal can read the full article or listen to verbatim recordings of the article by visiting the link in the show notes. Subscribers also have access to exclusive audio content not featured on the podcast. As an ad-free journal entirely supported by subscriptions, if you're not already a subscriber, we encourage you to become one. For more information on subscribing, please visit the link in the show notes. AAN members, stay tuned after the episode to hear how you can get CME for listening.   Dr Smith: Hi. This is Dr Gordon Smith. I'm super excited today to be able to have the opportunity to talk to Dr Casey Albin, who will introduce herself in a second. She's well known to Continuum Nation as the Associate Editor for Media Engagement for Continuum. She's also a Neurointensivist at Emory University and wrote a really outstanding article for the neurocritical care issue of Continuum on neuromuscular emergencies. Casey, thanks for joining us. Tell us about yourself. Dr Albin: Sure. Thank you so much, Dr Smith. So, yes, I'm Casey Albin. I am a Neurointensivist. I practice at Emory. We have a really busy and diverse care that we provide at the Emory neuro ICUs. Just at the Clifton campus, there's over forty beds. So, although neuromuscular emergencies certainly do not make up the bread and butter of our practice - I mean, like many intensivists, I spend most of my time primarily caring for patients with cerebrovascular disease - this is a really interesting and just kind of a fun group of patients to take care of because of the ability we have to improve their outcomes and that some of these patients really do get better. And that's a really exciting thing to bear witness to. Dr Smith: I love finding neurointensivists that are interested in neuromuscular medicine because I share your interest in these patients and the fact that there's a lot that we can do for them. You know, how did you get interested in neurocritical care, Casey? Dr Albin: You know, I was always interested in critical care. It was really actually the neurology part that I came late to the party. I was actually, like, gearing up to apply into emergency medicine and was doing my emergency medicine sub-I (like, that was the route I was going to take), and during that sub-I, I just kept encountering patients with neurologic emergencies - so, you know, leptomeningeal carcinomatosis and obstructive hydrocephalus, and then a patient with stroke - and I realized I was just gravitating towards the neuroemergencies more so than just any general emergencies. And I had really enjoyed my neurology rotation. I did not foresee that as the path I was going to take, but after kind of spending some time and taking care of so many neurologic emergencies from the lens of an emergency department, sort of realized, like, "You know, I should go back and do a neurology sub-I.” And so, kind of, actually, late in the game is when I did that rotation and, like, dramatically changed my whole life trajectory. So, I have known since sort of that fourth year of medical school that I really wanted to focus on neurocritical care and neurologic emergencies, and I love the blend of critical care medicine and the procedural aspect of my job while doing it with the most interesting of all the organ systems. So, it's really a great blend of medicine. Dr Smith: Did you ever think about neuromuscular medicine? Dr Albin: Uh, no. Dr Smith: I had to ask. I had to ask. Dr Albin: No, I mean, I do really love neuromuscular emergencies, but I've known for forever that like, really wanted to be in an acute care setting. Dr Smith: You know, I think it's such a great story, Casey, and I know you're an educator, too, right? And, um, we hear this from learners all the time about how they come to neurology relatively late in medical school, and it's been really great to see the trajectory in terms of fellowship determination dates and giving our students opportunities to make their choice, you know, later during their medical school career. And I wonder whether your journey is an example of what we're seeing now (which is more and more students going into neurology because we're giving them the free space to do that), and then also in terms of fellowship decisions as well (which was what I was alluding to earlier)? Dr Albin: Yeah, absolutely. I think having more exposure to neurology and getting a chance to be in that clinical environment - you know, when you are doing the “brain and behaviors” (or whatever your medical school calls the neurology curriculum) - it is so hard and it's so dense, and I think that that's really overwhelming for students. And then you get into the clinical aspect of neurology, and sure, you have to know neurolocalization - and that is fundamentally important to everything we do - but the clinical application is just so beautiful and so much fun and it's so challenging, but in a good way. So, I totally agree. I think that more students need more exposure. Dr Smith: Well, I mean, that's a perfect segue to something I wanted to talk to you about, which is you brought up the beauty of neurology - which is, I think, you know, neurologic formulation, really – and we talk a lot about the elegance of the neurologic examination. But one of the things I really liked about your article was its old-school formulation – you talk about the importance of history, examination, localization, pattern recognition – I wonder if, maybe, you could give us some pearls from that approach and how you think about acute neuromuscular problems and the ICU? Dr Albin: Absolutely. I really do think that this is the cornerstone of making a good diagnosis, right? I will tell you what's really challenging about some of these patients when they are admitted to the ICU is that we are often faced with sort of a confounded exam. The patient may have been rapidly deteriorating, and they may not be able to provide a good history. They may be intubated by the time that we meet them. And so not only are they not able to provide a history themselves, but their exam may be confounded by the fact that they're on a little bit of sedation, or they were aspirating and now they have a little bit of pneumonia. I mean, it can be really challenging to get a good neurologic exam in these patients. But I do think the history and the physical are really where the money is in terms of being able to send the appropriate test. And so, when I think about these patients who get admitted to the neuro ICU, the first thing that we have to have is someone who can provide a really good collateral history, because so much of what we're trying to determine is, "Is this the first presentation, and this is a de novo (new) neuromuscular problem?” or “Had the patient actually had sort of a subacute or chronic (even) decline and they've been undiagnosed for something that was maybe a little bit more indolent, but (you know, they had an abrupt decline because, you know, they got pneumonia, or they have bloodstream infection, or whatever it was allowing them to sort of compensate) they have no longer been able to compensate?”. And so, I really do think that that's key. And when I am hearing the story the first time, that's really one of the focuses of my history – is, "Was this truly a new problem?”. And then, when we think about, you know, "Where do we localize this within the nervous system?”, it's actually quite challenging because, you know, patients with acute spinal cord pathology may also not present with the upper motor neuron findings that are classic for spinal cord pathology. And so I think, again, it's a little bit recognizing that you can be confounded and we have to keep a broad differential, but I am sort of examining for whether or not there's proximal versus distal (like, the gradient of where they're weakest), is there symmetry or asymmetry, and then, are there other, sort of, features that go along with helping us localize to something to the nerves (such as sensory symptoms or autonomic symptoms)? So when I think about, you know, where we're putting this, you can put anything in sort of the anterior horn cells or to the nerves themselves, to the neuromuscular junction, and then to the muscles. And teasing that out, I put in some figures and tables within the article to help kind of help the reader think about what are features of my patient's exam, my patient's history, that might help me to put it into one of those four categories. Dr Smith: Yeah, I was actually going to comment on the figures in your article, Casey. They're really fantastic, and I encourage all of our listeners to check it out. There's, you know, figures showing muscle group involvement and different diseases and different muscle disorders and different forms of Guillain-Barré syndrome - it's a really beautiful way of visualizing things. I wonder if we could go back, though, because I wanted to delve down a little bit in this concept of patients who have chronic neuromuscular diseases presenting into the ICU. I mean, this happens surprisingly frequently with ALS patients or, like, myotonic dystrophy. I've seen this a number of times where folks are, just, they're not diagnosed and they're kind of slowly progressing and they tipped over the edge. Can you tell us more about how you recognize this? You talked a little bit about collateral history - other words of wisdom there? Dr Albin: I would say this is one of the hardest things that we encounter in critical care medicine, because quite frequently - and I see this more with ALS than myotonic dystrophies - but, I would say, like, I don't know, once every six months, we have a patient who's undiagnosed ALS present. And I think it can be extremely difficult to tease this out because there's something that's tipped them over the edge. And as an intensivist, you were always focused on resuscitating the patient and saving them from that life-threatening thing that pushed them over the edge, and then trying to tease out, “Well, were they hypercarbic and did they have respiratory failure because, you know, they've got a little bit of COPD, and is that what's going on here?” or, "Have they been declining and has there been sort of this increase in inability to ventilate actually because of diaphragmatic weakness and because of neuromuscular weakness?” Again, the collateral history is really important. One of the things that I think we are challenged by is how difficult - and I'm sure you can comment on this, as someone who is a neuromuscular guy - is how difficult it is to get a good EMG and nerve conduction study in the ICU in patients who may have been there for a little bit, you know? I think about this, sort of, the electrical interference, the fact that the patient's body temperature has fluctuated, the fact that they are, usually, by this time, like, they're a little volume overloaded – they're puffy. You know, it can be very frustrating. I think, actually, you probably would know more about, like, what it's like to do that exam on our ICU patients. Dr Smith: Sometimes, it's really challenging, I agree. And it's the whole list of things that you raised - and I think it goes back to the first question, really. You put a premium on old-school formulation, pattern recognition, localization, and taking a good history - you know, thinking of that ALS patient, right? I mean, one of the challenges, of course, that you have to deal with in that situation is prognostication and decisions regarding intubation, right? And that's very different from (I'll give another scenario that sometimes we run into, which is the other extreme) a patient with myasthenia gravis who, maybe we expect to be able to get off a ventilator very quickly, but sometimes they're reluctant to be ventilated because of their age or advanced directives and whatnot. I wonder if you could talk a little bit about how you approach counseling patients regarding prognosis related to their underlying neuromuscular disease and the need for intubation in a period of mechanical ventilation? Dr Albin: Just like you said, it really ranges from what the underlying diagnosis is. So, one of the things that, you know, like you said, myasthenia - these patients, when they're coming in in crisis, we know that there is a good chance that they're going to respond pretty quickly to immunotherapy. I mean, I think we've all seen these patients get plasma exchange, and within a day or two, they are so much stronger (they're lifting their head off the bed, they're clearing their secretions), and every now and then, we're able to temporize those patients with just noninvasive ventilation. You know, when we're having a discussion about that with the patient and with the care team, we really have to look at the amount of secretions and how well they're clearing them, because, again, we certainly don't want them to aspirate - that really sets people back. But, you know, I think, often in those cases, we can kind of use shared decision-making of, you know, “Can we help you get through this with noninvasive?” or, you know, "Looking at you, would you be all right with a short term of intubation?” Knowing that, usually, these patients stabilize not all the time, but quite frequently, with plasma exchange, which we use preferentially. The middle of that is, then, Guillain-Barré - those patients, because of the neuropathy features (the fact that it's going to take their nerves quite some time to heal, you know) - when those patients need to be intubated, a good 70% or more are going to require longer-term ventilation. And, so, again, it's working with a family, it's working with a patient to let them know, "We suspect that you're going to need to be on the ventilator for a long time. And we suspect, actually, you would probably benefit from early tracheostomy”. And there was a really nice guidance that was just presented in the Journal of Neurocritical Care about prognosticating in patients with specifically Guillain-Barré (so that's helpful). And then, we get to the, really, very difficult (I would say the most difficult thing that we deal with in neuromuscular emergencies) - is the patient who we think might have ALS (we are not positive), and then we are faced with this diagnosis of, “Would you like to be intubated, knowing that we very likely will never extubate you?” - and that, I think, is a very difficult conversation, especially given that there is a lot of uncertainty often in the diagnosis. I would say, even more frequently, what happens is they have been intubated at an outside hospital and then transferred to us for failure to wean from the ventilator and, "Can you work it up and say whether or not this is ALS?” – and that, I think, is one of the most difficult conundrums that we face in the ICU. Dr Smith: Yeah. I mean, that's often very, very difficult. And even when the patient wants to be intubated and ultimately receive a tracheostomy, getting them out of the hospital can sometimes be a real challenge. There's so much I want to talk to you about, and, you know, you talked about prognostication - really great discussion about tools to prognosticate in GBS, both strengths of things like EGRIS and the modified EGOS, and so forth – but, I wonder (given that I'm told time is limited for us) if you could talk a little bit about bedside guidance in terms of assessing when patients need to be intubated? You provide really great definitions of different respiratory parameters and the 20/30/40 rule that I'll refer listeners to, but I wonder if you could share, what's your favorite, kind of, bedside test - or couple of bedside tests - that we can use to assess the need for ventilatory support? And this could be particularly helpful in patients who have, let's say, bifacial weakness and can't get a good seal. So, what do you recommend? Is it breath count? Is it cough? Something else? Dr Albin: I think for me, anecdotally (and I really looked for is there any evidence to support this), but for me, anecdotally - and knowing that there is not really good evidence to support this - whether or not the patient could lift their head off the bed, to me, is a very good marker of their diaphragmatic strength. You know, if they've got good neck flexion, I feel a lot better about it. The single breath count test is another thing that I kind of went down a rabbit hole of, like, "Where did this come from?” because I think, you know, it was one of the first things I was taught in residency - like, “Oh, patient with neuromuscular weakness, have them take a deep breath and count for as many breaths as they can.” We have probably all done that bedside test. It's really important to recognize that the initial literature about it was done in myasthenia patients who were in clinic (so, these were not patients who are, like, abruptly going to need intubation), and it does correlate fairly well with their forced vital capacity (meaning how much they're able to exhale on bedside perimetry), but it is not perfect. And I put that nice graph in the article, and you can see, there's a lot of patients who are able to count quite high but actually have a very low FVC, and patients who count only to ten but have a very good FVC. So, I do like the test and I continue to use it, but I, you know, put an asterisk by it. It's also really important - and I would encourage any sort of neurology trainees, or trainees in any specialty - if you're taking care of these patients, watch the respiratory therapist come and do these at the bedside with them. You'll get a much greater sense of (a) what they're doing, but (b) how well the patient tried. And it is really, I mean, we have to interpret this number in the context of, "Did they give a really good effort?” So, I'll often go to the bedside with the RT and be the one coaching the patient - saying, like, you know, “Try again”, “Practice taking this”, “Do the best you can”, “Go, go, go! Go, go, go!” (you know, like, really coaching the patient) - and you would be surprised at how much better that makes their number. And when you're really appropriately counseling them, that we actually get numbers that are much better predicting what they're doing. Then, you also have a gestalt just from being at the bedside of what they looked like during this. Dr Smith: Yeah. I used to work with a neuromuscular nurse who was truly outstanding who was the loudest and most successful vital capacity coach ever. But, you know, she'd be doing it in one room, and you'd be in the next room with a patient. They'd be like, “What are they doing next door?” She was shouting and exhorting the patient to go harder and breathe better. So, it was always, “Wow, that sounds exciting over there”. All right, this is all in a prelude. What I really want to ask you, Casey, is, you know, whenever we do Continuum Audio interviews, we, like, look up people, and it's not hard to look you up because you're everywhere on the Internet. And come to find out, you're a fully credential neuro Twitter star - and that's the term I saw, a star. So, what's it like being a Twitter star? I guess it's an X star. I don't even know what we call it anymore. Dr Albin: I guess it's that. I don't know. I don't know, either. It's so funny, um, that that has become so much of my, like, academic work. I got on Twitter, or X (whatever it is) during the pandemic because, really, my interest is in, you know, innovatives and medical education, and I really had been trained to do simulation. So, I really wanted to develop simulation curriculum. I love doing sims with our medical students to our fellows. So, I was, like, developing this whole curriculum, and then the pandemic came along, and the sim lab at Emory was like, “Mm, yeah, we're not going to let people go in the sim lab. Like, that's not exposure that we want (people in a room together)”. So one of our fellows at the time was doing a lot on Twitter and he was like, "You would love this. You have cases that you want to teach about. You should really get on board”. And I, sort of, reluctantly agreed and have found the NeuroTwitter community to be, like, just a fantastic exchange of, you know, cases, wisdom, new studies - I mean, it's the way that I keep up with what is being published in the many fields that are adjacent to neurocritical care. So, it's very funny that that has ended up being sort of something that is a really big part of my academic time. But now that we're talking about it, I will give a plug for any of the listeners who are not on X. Dr Jones and I post cases, usually twice a week, that come directly from the Continuum articles or from our files (because, you know, sometimes we can spin them a little bit), but it's an amazing, sort of case-based, way to do some, like, microteaching from all of the beautiful Continuum articles, all the cases - and because there are free articles released from the issue, you know we'll link directly to those. So, for any of the listeners who have not, kind of, joined X for all the reasons that many people cite of not joining, I would say that there's so much learning that happens - but Dr Jones and I are people to follow because of our involvement with Continuum and the great cases that we're able to showcase on that platform. Dr Smith: I think that's a great point. And, you know, there are certainly organizations that are questioning their engagement with X, and I'm on a board of an organization that's talked about not actually participating, and I brought up this point that I think the NeuroTwitter (NeuroX) community is really amazing. You'll have to give me some tips, though, I'm at, like, 498 followers or something like that. Do you know how many followers you have? I looked it up yesterday. I've got it for you if you don't know. Dr Albin: I don't know recently. Dr Smith: Yeah, 18,200 as of yesterday. That's amazing! Dr Albin: Yeah, it's worldwide. We're spreading knowledge of Continuum across the globe. It's fantastic. Dr Smith: That's crazy. Yeah, that's great work. It's really great to see the academic, kind of, productivity that comes of that. And I agree with you - Continuum has a really great presence there, and it's a great example of why you're the Associate Editor for Media Engagement. I think we're going to have to, I guess, gamify would be the right thing? Maybe we should, uh, see what the Las Vegas book is on the number of followers between you and Lyell Jones, I think. Dr Albin: Totally. Dr Smith: Yeah. Hey, Casey, this has been awesome. I've been so excited to talk to you - and I could keep talking to you for hours about your NeuroTwitter stardom – but in particular, neuromuscular weakness. I really encourage all of our listeners to check out the article. It's really, really, really, great - really enjoyed it. I learned a lot, and it reminded me a lot of things that I had forgotten. So thank you for the great article, and thanks for a really fun discussion. Dr Albin: Thank you, Dr Smith. It was truly a pleasure.   Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, please consider subscribing to the journal. There's a link in the episode notes. We'd also appreciate you following the podcast and rating or reviewing it. AAN members, go to the link in the episode notes and complete the evaluation to get CME for this article. Thank you for listening to Continuum Audio.

July 14, 2024 [Speaker: Pastor John Sitcler] – Today, we continue our series "Summer of Celebrity."  Society celebrates a variety of people but sometimes for the wrong reasons.  Throughout the summer, we will explore the lives of people that are truly worth celebrating and discover the character traits they exhibited that we should emulate.  Today we learn about the life of Martha, a friend of Jesus and the sister of Mary and Lazarus.  She made things better through hospitality and she expressed great faith in the most difficult circumstances.  Today we also honor Diana Schneider, who recently retired from her long term  role as the Administrative Assistant at FVC. Bible app sermon notes: http://bible.com/events/49287273

Les frangins sont officiellement de retour sur Youtube avec la caméra du Mac de Nathan et donc quelques effets et stickers intempestifs. Heureusement rien ne perturbera cet épisode plein d'anecdotes sur les transports parisiens ou sur la prise de la ville par les troupes allemandes en 1942. Lien du formulaire pour recevoir l'épisode secret de FVC: https://forms.gle/QBVgXX8UfhSa7m8F6 Suivez Adam sur Youtube "Adam Bros", sur Instagram @adambrosyt et sur Twitter @Adam_Bros Suivez Nathan sur Instagram @natebensoussan

First, they served in posts and on battlefields across the globe. Then, they came home and are now striving to bring their skills and energies to America’s agricultural system. They are veterans working to reshape our food system as they build soil health, grow vegetables and crops, and raise livestock in rural communities in every corner of the nation. Sarah R Cope This podcast features our Deep Roots Radio conversation with Sarah R. Cope, retired United State Marine Corp, and President of the Wisconsin Chapter of the Farmer Veteran Coalition. She served 31 years, which included completing three combat deployments to Iraq and one combat deployment to Afghanistan. Fifth-generation military, Cope retired as a Lieutenant Colonel in 2016, but continued serving with several Federal agencies until January 2020. Today, Cope lives in Wisconsin and farms 40 acres with her wife Heather Schumann and their five children. She brings this experience and perspective to the veteran farmers in Wisconsin. In this interview, she mentions websites that may be of help, including a Facebook page, https://www.facebook.com/farmerveterancoalition, and a link to the Ag Solidarity Network. You can also link to the national FVC organization here. I hope you enjoy this interview. Sylvia

If you can identify the most worthy goal for you personally, why would you do anything else? This is the fourth episode in our multi-part series sponsored by Farmer Veteran Coalition (FVC), a national non-profit organization mobilizing veterans to feed America and transition from military service to careers in agriculture. This series will showcase unique partnerships between FVC and several organizations offering programs and support for military veterans in agriculture. Our guest today is Joshua Morris, owner/operator at Cold Spring Farm in the Missouri Ozarks. He's also a Farmer Veteran Coalition member, Fellowship Fund recipient and Kubota's Geared to Give recipient. Joshua has worn many hats throughout his military career and into the agriculture: Parachutist, Engineer, Real Estate Investor, Bison Rancher, Show Goat Expert, Cattlemen, Published Author, and YouTuber. We get into all of this during today's episode and Joshua shares some fantastic information about how to create niche agricultural opportunities wherever you settle. And the Farmer Veteran Coalition has been along for the entire ride the entire time!

This is the third episode in our multi-part series sponsored by Farmer Veteran Coalition (FVC), a national non-profit organization mobilizing veterans to feed America and transition from military service to careers in agriculture. This series will showcase unique partnerships between FVC and several organizations offering programs and support for military veterans in agriculture. Our guest for this episode with Malissa Burgess, an Assistant Manager with Analytic Acquisitions. Malissa is working as a small business vendor contracted by the USDA to implement the Discrimination Financial Assistance Program. Based in Katy, Malissa is working throughout the great state of Texas conducting outreach and technical assistance for farmers and ranchers applying for the program. If you're interested in the applying for the program or have already started applying, but are stuck at certain parts of the application, Malissa does a great job of condensing this application process into digestible parts with practical ways to navigate each step. Enjoy!

En este episodio nos sumergimos en el mundo de las pruebas de función respiratoria. Comenzamos con una revisión detallada de los conceptos básicos, asegurándonos de que todos los fundamentos estén claros y bien entendidos. A continuación, exploramos los diferentes tipos de pruebas, como la espirometría, la capacidad vital forzada (FVC), el volumen espiratorio máximo en el primer segundo (FEV1) y la relación FEV1/FVC. Explicamos cómo interpretar estos resultados y su relevancia clínica en diversas condiciones pulmonares. Para asegurarnos de que estés completamente preparado para el ENARM, incluimos consejos sobre cómo abordar preguntas relacionadas con este tema en el examen, destacando trampas comunes y estrategias para elegir la mejor respuesta. Este episodio es una herramienta indispensable para cualquier médico que se prepare para el ENARM y busque dominar las pruebas de función respiratoria, un área fundamental en la medicina respiratoria. ¡Asegúrate de escucharlo y estar un paso más cerca de alcanzar tus metas profesionales!

This is the first episode in another multi-part series sponsored by Farmer Veteran Coalition (FVC), a national non-profit organization mobilizing veterans to feed America and transition from military service to a career in agriculture. This series will showcase unique partnerships between FVC and several organizations offering programs and support for military veterans in agriculture. Our guests this week are Monica Rainge and Jeanette Lombardo. Monica is serving on the leadership team for the USDA's Section 22007 efforts of the Inflation Reduction Act to implement programs at the USDA, specifically the Discrimination Financial Assistance Program. Jeanette is the Executive Director of FVC, leading their Waco Texas based team in support of their 40,000-member organization across the United States. This episode is chock-full of information about a forthcoming financial assistance program offered by the USDA focused on farmers who have been discriminated against by the USDA's loan programs in the past. A unexpected turn of events, I know, but it showed me that even an organization as large as the USDA can admit when it needs make right some of the wrongs of the past. While the application window and standards are still being finalized, you'll want to have a listen before you apply to better understand the origins of this program and who the USDA considers an ideal candidate. Jeanette and Moncia do an excellent job talking about what this program means to them and why the partnership was formed between the USDA and FVC. Stay tuned to the end where they describe recent scams out there perpetrated by law firms and others looking to take advantage of future applicants.

Cicily Smith has cooked up a delicious dinner for the upcoming FVC fast. Listen and learn how to F.A.S.T track your 24-hour miracle today. 

"You just gotta do it. Do the research, do the best you can, then just go." A sentiment shared by many entrepreneurs as they manage multiple careers and the uncertainty of starting a new business. This is the third and final episode in our three-part series in partnership with Farmer Veteran Coalition (FVC). This series showcases partnerships between FVC and organizations offering programs in agriculture tailored for military veterans. We interview stakeholders within the organization as well as a military veteran who participated in its programs. This week our guests are Keith King, Founder and CEO at the National Veteran Business Development Council (NVBDC) and Tyler Evans, US Marine Corps veteran Founder of Brookside Plant Farm. The NVBDC is a national non-profit focused on certifying veteran-owned businesses for the purposes of connecting them with their corporate members to pursue commercial opportunities. Tyler is currently working in cyber security but plans to leverage his certification from the NVBDC to grow his nursery business in the coming years. You'll hear a lot about the entrepreneurial spirit in this episode, which is of course important when starting a business, but the humility through which Keith and Tyler communicate their own personal uncertainties around starting businesses is as equally important. Stay tuned for more on the NVBDC, how much it costs, how to quality, etc and learn from Tyler as he lays out his path into the nursery business in real-time. For more information about NVBDC, visit www.nvbdc.org.  You can reach Keith on his LinkedIn profile here (https://www.linkedin.com/in/keithkingassociates/) or by email at kking@nvbdc.org Tyler's nursery business, Brookside Plant Farms, can be found at www.brooksideplantfarm.com. Product and details are forthcoming! This material is based upon work supported by the U.S. Department of Agriculture under Agreement No. 2022-70416-37277.

This is the second episode in our three-part series in partnership with Farmer Veteran Coalition (FVC). This series showcases partnerships between FVC and organizations offering programs in agriculture tailored for military veterans. We interview stakeholders within the organization as well as a military veteran who participated in its programs. This week our guests are Dave Carter, Director of Regional Technical Assistance Coordination for the Flower Hill Institute and Marvin Frink, US Army veteran and Founder of Briarwood Cattle Farm and Briarwood Customs Meats. Both from humble beginnings in rural America, Dave found his passion for agriculture through journalism and an intentional choice to pursue non-commoditized meat production. He later found commonalities between the tight knit group of families he grew up with and the military veterans he's fortunate to work with today through a partnership with FVC. After a nearly 30 year career of service, Marvin's life was almost cut short by his own hand before his father and a Vietnam veteran and cattle farmer turned him onto the healing properties and lifestyle of cattle rearing. The Farmer Veteran Coalition gave him his start and continues to provide the framework, support and branding required to take the Briarwood brand to the next level. You don't want to miss this episode where we talk about Briarwood's unique strategy for making their beef stand-out and Dave's lifetime of insights packed into a single episode! For more information about the Flower Hill Institute and how to apply for technical assistance, visit www.flowerhill.institute or apply directly to the USDA's Meat and Poultry Processing Capacity Technical Assistance (MPPTA) Program here. Marvin Frink and Briarwood Cattle Farms and Custom Meats can be found at www.briarwoodcattlefarm.com This material is based upon work supported by the U.S. Department of Agriculture under Agreement No. 2022-70416-37277.

We are thrilled to announce a partnership with Farmer Veteran Coalition (FVC) and the Vets In Ag Podcast! This is the first episode in a three-part series which showcases partnerships between FVC and organizations offering programs in agriculture tailored for military veterans. We will interview stakeholders within the organization as well as military veterans who participated in its programs. Our first episode features Curtis Mahnken, an Extension Economist with the Center for Farm Financial Management (CFFM) at the University of Minnesota and Eric Zirbes, a Marine Corps veteran, 5th generation farmer, and owner/operator at Zirbes Family Farms in Melrose, Minnesota. In this episode, we cover everything from transitioning farm records from pen and paper to digital to how to find niche markets for products based on market trends and your own personal passions. For more information about the Center for Farm Financial Management's Virtual Business Management Program, contact Curtis Mahnken at cmahnken@umn.edu or visit https://z.umn.edu/VFBM-Interest. The pilot program is available virtually to qualified veterans and members of Farmer Veteran Coalition for only $100. Eric Zirbes and the Zirbes Family Farms beef can be found on Facebook or online at www.ez5angusbeef.com. This material is based upon work supported by the U.S. Department of Agriculture under Agreement No. 2022-70416-37277.

This Video reviews VF Corp ($VFC) with 10 years of financial history and relative value metrics EV / EBITDA and Free Cash Flow Yield. FVC owns #Vans, #NorthFace, #JansSport, #Timberland, #Dickes, #IceBreaker "Long ago, Ben Graham taught me that 'Price is what you pay; value is what you get.' Whether we're talking about socks or stocks, I like buying quality merchandise when it is marked down." - Warren Buffett Don't forget to Like this video and SUBSCRIBE for weekly stock reviews!

VIDEOS: Unpayable Debt & Deadly Vax Causing Hell on Earth – Ed Dowd – start 6:30 -20:00 What Greta Thunberg does not understand about climate change | Jordan Peterson – 7:09 Gary Null – Speaks to U.N. on Earth Day (Part 2 of 2) – 9:30 Neil Oliver: ‘By taking back control of the money we can begin regaining control of our world'  Breast health linked to eating peanut butter and nuts Washington University School of Medicine, September 27, 2022 By eating more peanut butter during their high school years, girls could be improving their breast health in adulthood, according to a US study published recently in the journal Breast Cancer Research and Treatment. Dr. Graham Colditz, of Washington University School of Medicine in St. Louis, and colleagues found that girls aged 9 to 15 who ate peanut butter and nuts twice a week were 39% less likely to develop benign breast disease by the age of 30 than girls who did not. Benign breast disease includes lumps or tender spots that turn out to be fibrous tissue and/or cysts, as well as other conditions like hyperplasia, an overgrowth of the cells that line the ducts in the glandular breast tissue. Although benign breast disease is not cancerous, it can raise the risk of developing breast cancer later in life. For their study, he and his colleagues looked at health data on over 9,000 American schoolgirls recruited to The Growing Up Today Study.  The data also included reports from the girls between when they were 18 to 30 years old, that indicated whether they had ever been diagnosed with biopsy-confirmed benign breast disease. When they compared the two sets of data, the researchers found that participants who had eaten peanut butter or nuts twice a week were 39% less likely than peers who never ate those foods to receive a diagnosis for benign breast disease. The data suggest pulse foods – soy and other beans and lentils – and corn may also be linked to reduced risk of benign breast disease, but because they did not feature as much in the diets of these girls, the evidence was not so strong.And they concluded that “consumption of vegetable protein, fat, peanut butter, or nuts by older girls may help reduce their risk of BBD [benign breast disease] as young women.” Pine bark extracts may help curb age-related muscle loss; Study D'Annunzio University (Italy), September 28, 2022 Supplements containing the French maritime pine bark extract Pycnogenol may help stabilize muscle loss, support muscular function, and boosts daily muscle endurance, says a new study. Data from a study with 64 healthy seniors aged 70-78 indicated that 150 mg per day of Pycnogenol may improve muscle function and endurance in a range of everyday activities, from carrying items to climbing stairs and walking. Results published in Minerva Ortopedica e Traumatologica also indicated that supplementation with the pine bark was associated with a reduction in oxidative stress of 14%. Oxidative stress is reportedly a common measurement of sarcopenia which prevents the body from normal detoxifying and repair. “Supplementation with Pycnogenol – suppressing the excess in oxidative stress and controlling muscular pain and fatigue – possibly in association with some specific protein and vitamins supplementation, may produce faster muscular replacement and muscular remodeling improving physical functions and fitness. In this study, muscle loss appeared to be controlled and reduced,” wrote the authors from Irvine3 Labs and D'Annunzio University in Italy. Sarcopenia Muscle loss is a natural part of aging, and researchers have estimated that, after the age of 50, we lose 1-2% of our muscles each year. Strength declines as well, at a rate of 1.5% per year beginning at 50 years and accelerating to 3% after the age of 60. Results showed that the pine bark group experienced greater muscular function and endurance in daily tasks such as carrying items (4-5 lbs) (71% improvement versus 23% in the control group), climbing stairs (52 % improvement versus 20% in the control ground) and distance walked (38% improvement versus 17% in the control group). Supplementation with Pycnogenol was also associated with reduced proteinuria – the presence of protein in urine which, with normal kidney function, can indicate waste from muscle erosion – by 40%. In addition, individuals who took the pine bark extract supplements demonstrated improved general fitness scores by more than 46% in comparison with the control group. Study links prenatal phthalate exposure to reduced childhood lung function Barcelona Institute for Global Health, October 3, 2022 A study led by the Barcelona Institute for Global Health (ISGlobal) has found that exposure to phthalates in the womb is associated with reduced lung function during childhood. The findings of the study, published in Environmental Pollution, support the European Union's current restrictions on the use of these substances Phthalates are chemical compounds that are widely used as plasticizers, as well as in lacquers and varnishes. They are found in a wide variety of consumer products, ranging from toys to food packaging, clothing, detergents, cosmetics, solvents, etc. Over time, phthalates in these products leach into the surrounding environment—for example, into the air, dust and food—making them virtually ubiquitous. Moreover, human exposure to phthalates starts as early as in utero, given that these compounds are able to cross the placental barrier. Phthalates act as endocrine disruptors and have been associated with numerous developmental and reproductive health problems. “Research has consistently found that gestational phthalate exposure is associated with increased risk of childhood asthma, but the evidence on its possible association with lung function is scarce and unclear,” explained ISGlobal researcher Magda Bosch de Basea, lead author of the study. The study included 641 mother-child pairs from the INMA Project birth cohorts in Sabadell and Gipuzkoa. Gestational phthalate exposure was analyzed using urine samples collected from the mothers during pregnancy. The children's lung function was assessed by spirometry at various stages of development between the ages of four and eleven years. As an indication of the ubiquity of these compounds, laboratory analyses detected all nine of the studied phthalate metabolites—i.e., substances into which phthalates are transformed once metabolized by the human body—in nearly 100% of the urine samples examined. At all stages of development, the studied metabolites were associated with decreases in two lung function parameters: forced vital capacity (FVC), which measures the maximum volume of air a person is able to exhale, and forced expiratory volume in 1 second (FEV1), which measures the maximum exhaled volume in the first second of exhalation. T The researchers found that the associations between certain metabolites (e.g. MiBP and MBzP) and decreased lung function were generally statistically significant at younger ages, but not in spirometries performed in later years. This pattern is consistent with the findings of studies in animal models suggesting that the possible effects of these compounds on lung function revert over time. Eating late increases hunger, decreases calories burned, and changes fat tissue Brigham and Women's Hospital, October 4, 2022 A new study by investigators from Brigham and Women's Hospital, a founding member of the Mass General Brigham healthcare system, found that when we eat significantly impacts our energy expenditure, appetite, and molecular pathways in adipose tissue. Their results are published in Cell Metabolism. “In this study, we asked, ‘Does the time that we eat matter when everything else is kept consistent?'” said first author Nina Vujović, Ph.D. “And we found that eating four hours later makes a significant difference for our hunger levels, the way we burn calories after we eat, and the way we store fat.” Vujović, Scheer and their team studied 16 patients with a body mass index (BMI) in the overweight or obese range. Each participant completed two laboratory protocols: one with a strictly scheduled early meal schedule, and the other with the exact same meals, each scheduled about four hours later in the day. In the last two to three weeks before starting each of the in-laboratory protocols, participants maintained fixed sleep and wake schedules, and in the final three days before entering the laboratory, they strictly followed identical diets and meal schedules at home. In the lab, participants regularly documented their hunger and appetite, provided frequent small blood samples throughout the day, and had their body temperature and energy expenditure measured. To measure how eating time affected molecular pathways involved in adipogenesis, or how the body stores fat, investigators collected biopsies of adipose tissue from a subset of participants during laboratory testing in both the early and late eating protocols, to enable comparison of gene expression patterns/levels between these two eating conditions. Results revealed that eating later had profound effects on hunger and appetite-regulating hormones leptin and ghrelin, which influence our drive to eat. Specifically, levels of the hormone leptin, which signals satiety, were decreased across the 24 hours in the late eating condition compared to the early eating conditions. When participants ate later, they also burned calories at a slower rate and exhibited adipose tissue gene expression towards increased adipogenesis and decreased lipolysis, which promote fat growth. Notably, these findings convey converging physiological and molecular mechanisms underlying the correlation between late eating and increased obesity risk. “This study shows the impact of late versus early eating. Here, we isolated these effects by controlling for confounding variables like caloric intake, physical activity, sleep, and light exposure, but in real life, many of these factors may themselves be influenced by meal timing,” said Scheer.  The immune system benefits from life in the countrysideAarhus University (Denmark), September 30, 2022Research from Aarhus University has demonstrated that exposure to a farming environment may prevent or dampen hypersensitivities and allergies — even in adultsAdults who move to farming areas where they experience a wider range of environmental exposures than in cities may reduce the symptoms of their hypersensitivities and allergies considerably. This is the result of new research from Aarhus University.This pioneering result was published online in the esteemed periodical, The Journal of Allergy and Clinical ImmunologyThe immune systems of people who work in farming are frequently exposed to a wide range of bacteria, fungi, pollen and other irritants which may trigger a response that protects them against hypersensitivity. Working in a farming environment may therefore serve to prevent or dampen hypersensitivity to the most widespread plant allergens: grass and birch pollen.Surprisingly, the positive effect on the immune system is seen both in people who have lived in urban environments and in adults who were born and raised in farming areas. But the real surprise is that the effect is not only seen in children:”Previously, the assumption was that only persons who had lived in farming areas while growing up would benefit from the environment's protective effect on the immune system. But now we can demonstrate that it's not too late simply because you are an adult,” says postdoc Grethe Elholm.It is, in other words, possible to affect the immune system and thereby the hypersensitivity which may cause allergy and allergic asthma − and what is more, this can be done at a much later point in life than previously assumed. High Blood Pressure Linked To Faster Cognitive Decline, Dementia Risk   University of Michigan, October 1, 2022 High blood pressure, or hypertension, often causes people to feel perpetually stressed out or angry. Now, researchers from the University of Michigan say people with hypertension may also experience a faster deterioration in their cognitive abilities (thinking skills, decision making, memory) in comparison to those with normal blood pressure. The team performed a “study of studies” focusing on high blood pressure's association with declining brain function over a period of several years. They gathered and analyzed datasets collected for six large prior studies. Originally, researchers set out to determine if fluctuations in long-term blood pressure control may somewhat explain why Hispanic Americans experience a 50-percent higher risk of developing dementia by the end of their lives in comparison to non-Hispanic white people living in the United States. Somewhat surprisingly, that study failed to produce a clear answer, as blood pressure-related cognitive decline appears to occur at about the same pace among Hispanics and Caucasians. Study authors conclude their work suggests other factors are at play regarding why Hispanics are generally more at risk of dementia. Still, these findings make a strong case that blood pressure has a connection to cognitive outcomes later in life. Maintaining a healthy blood pressure level looks to protect thinking skills, study authors say. “Our findings suggest that high blood pressure causes faster cognitive decline, and that taking hypertension medication slows the pace of that decline,” says lead study author Deborah Levine, M.D., M.P.H., director of the University of Michigan's Cognitive Health Services Research Program and a professor of internal medicine at the U-M's academic medical center, in a media release. Researchers examined changes in the thinking and memory abilities among a group of adults (18+) who took part in six long-term studies conducted over the past five decades. Study authors enjoyed access to an average of eight years' worth of data for each participant, including systolic blood pressure (the top number in any blood pressure reading). The  data encompassed 22,095 non-Hispanic white adults and 2,475 Hispanic adults. None of the participants had any documented history of stroke or dementia at the time of enrollment. To start, average systolic blood pressure was lower among Hispanic adults in comparison to non-Hispanic white adults (132.5 mmHg compared with 134 mmHg). This is especially notable considering Hispanic adults in the study displayed an older average age than non-Hispanic adults (62 versus 54 years-old). Blood pressure readings tend to increase with age. Among both Hispanics and non-Hispanics, the team observed the same pace of deteriorating thinking skills and memory linked to high blood pressure. However, when researchers focused solely on the two studies that had deliberately recruited Hispanics, they noted an undeniably faster decline in overall cognitive performance among Hispanics in comparison to the non-Hispanic white group. Importantly, though, blood pressure differences between those two groups didn't appear to explain this cognitive decline difference. This may be due to Hispanic participants having lower blood pressure than non-Hispanic whites in these studies, researchers speculate.The study is published in the Journal of Alzheimer s Disease.

Fit Vegan Coaching began when CEO Maxime Sigouin found himself looking for ways to raise funds to support his fiancée's cancer treatment. Fit Vegan Coaching has since helped over 500+ vegans completely transform their health and bodies.On a mission to help the world get lean, thrive and bulletproof their health, Fit Vegan Coaching (FVC) is fighting misconceptions about building muscle, improving body composition, and increasing performance as a vegan.Maxime truly believes in reaching out to people to help them achieve a healthier and better life and avoid suffering from diseases that could have been prevented. He is also an incredibly successful entrepreneur - FVC has grossed over 7 figures in its 2.5 years on the market.Maxime joins us to share his journey from looking for a way to support his fiancée to running a successful vegan business. He'll discuss the challenges and rewards and share why it has to be about more than the money.Get to know Maxime and Fit Vegan Coaching better here: http://www.fitvegancoaching.com/Quote “What is the thing that just burns inside of you–that if you don't do, you don't feel like it's worth living? That's how I feel about it. If I'm not doing this thing, why am I on Earth? There's no need for me to be here if I'm not pursuing this thing actively.”— Maxime SigouinShow notes timestamps

This month's episode dives into progressive fibrosing ILD, previously a disadvantaged set of patients who have a progressive ILD but as they weren't specifically UIP they were not entitled to antifibrotic treatment. So thank goodness for the INBUILD trial back in 2020 and it's extension and NICE technological appraisal for injecting pragmastism not only in to the types of patients now referrable for antifibrotics, but also the referral criteria. This has moved away from FVC and towards radiological classification and gas transfer which we all know are useful parameters of parenchymal health. We also talk about post COVID fibrosis, anti-reflux medication and anti-cough medication. I am joined by two regional experts in the field, Dr Chris Huntley and Dr Gareth Walters.References are below:Pirfenidone in patients with idiopathic pulmonary fibrosis (CAPACITY): two randomised trials PMID: 21571362A Phase 3 Trial of Pirfenidone in Patients with Idiopathic Pulmonary Fibrosis DOI: 10.1056/NEJMoa1402582Efficacy and Safety of Nintedanib in Idiopathic Pulmonary Fibrosis DOI: 10.1056/NEJMoa1402584 Efficacy of a Tyrosine Kinase Inhibitor in Idiopathic Pulmonary FibrosisDOI: 10.1056/NEJMoa1103690Pirfenidone in patients with progressive fibrotic interstitial lung diseases other than idiopathic pulmonary fibrosis (RELIEF): a double-blind, randomised, placebo-controlled, phase 2b trial PMID: 33798455Nintedanib in Progressive Fibrosing Interstitial Lung DiseasesDOI: 10.1056/NEJMoa1908681Phase 2B Study of Inhaled RVT-1601 for Chronic Cough in Idiopathic Pulmonary Fibrosis: A Multicenter, Randomized, Placebo-controlled Study (SCENIC Trial)PMID: 35050837Effect of anti-reflux therapy on pulmonary function in idiopathic pulmonary fibrosis: a systematic review and meta-analysis. PMID: 34795926Post COVID PFT and CT systematic review: PMID: 35642193Support the show

Algernon Pharmaceutical CEO Christopher Moreau joined Steve Darling from Proactive to share news the company has announced positive information showing the company has met its Phase 2 proof of concept study evaluating Ifenprodil in the treatment of idiopathic pulmonary fibrosis and chronic cough. Moreau telling Proactive the data has shown 65% of patients had stable or improved forced vital capacity over the 12-week treatment period with statistical significance when compared to an anticipated placebo effect of 40%. Moreau says FVC is the amount of air that can be forcibly exhaled from one's lungs after taking the deepest breath possible. The Company plans to release the entire report in August and also plan to discuss the results at the International Colloquium on Lung and Airway Fibrosis in Iceland this October.

https://youtu.be/GEFRd2ZdzqY “Love is Not Love” (All Scripture is in NKJV) Romans 12:9-16 Let love be without hypocrisy. Abhor what is evil. Cling to what is good. 10 Be kindly affectionate to one another with brotherly love, in honor giving preference to one another; 11 not lagging in diligence, fervent in spirit, serving the Lord; 12 rejoicing in hope, patient[a] in tribulation, continuing steadfastly in prayer; 13 distributing to the needs of the saints, given[b] to hospitality. 14 Bless those who persecute you; bless and do not curse. 15 Rejoice with those who rejoice, and weep with those who weep. 16 Be of the same mind toward one another. Do not set your mind on high things, but associate with the humble. Do not be wise in your own opinion. The great requisite in love is this, that it be without hypocrisy; i.e. that it be sincere and not artificial. Love must be genuine and pure. Sugar v. artificial sweetener. People do not want the calories from sugar, but sugar is a pure and natural substance, thus easily accepted in the body. Artificial sweeteners are dangerous. An artificial sweetener duplicates the effect of sugar in taste, but has less food energy. Animal studies have convincingly proven that artificial sweeteners cause weight gain, brain tumors, bladder cancer, diabetes (because it still triggers an insulin response) and many other health hazards. Hypocritical love is artificial love and is dangerous. Jesus tells us that Matthew 5:20  “For I say to you, that unless your righteousness exceeds the righteousness of the scribes and Pharisees, you will by no means enter the kingdom of heaven.” He said that the scribes and Pharisees were hypocrites, in that they taught the things of God, but did not do them and those who did such things, their heart and motives did not match up with their actions: The Beatitudes: Matthew 5: 21-22; 27-28; 38-41 (Roman law); 43-48; Matthew 6:1; 16-18 Our actions cannot be artificial, just mimicking the taste of the genuine; they MUST align with our heart. 1 Peter 1:22 Since you have purified your souls in obeying the truth [a]through the Spirit in [b]sincere love of the brethren, love one another fervently with a pure heart, Let love be without hypocrisy. The apostle Paul proceeds to stir up to the exercise of grace, and the discharge of such duties as were common to all the members of the church. He begins with "love", which is the cement of saints, and the bond of perfectness; without love all the gifts that we have received, or the profession of faith that we make, or the works we do are of no benefit, and we ourselves are nothing but clanging, noisy gongs. 1 John 4:8 He who does not love does not know God, for God is love. Love- agape, sacrificial kind of love of the will and purpose, not an emotional, feeling based love. Here it is to be taken, in the most comprehensive sense, that love to God and others is to "be without hypocrisy". Genuine not artificial. Love to God should be with all our heart, soul, and mind, otherwise the fear of Him, and obedience to Him, will be only outward, formal, customary, and hypocritical. Love to our Lord should be with sincerity, and so it is right, true, and genuine; and love to one another should be not in word, and in tongue only, but in deed and in truth, with a purity of heart. The love professed to others should never be through fear of men, or a desire to please man; but honest, upright, and sincere. So then, how can we be sure that our love is true and not hypocritical love? Paul tells us Abhor that which is evil; do not only avoid it, but hate it, as you should hate hell itself. This is very emphatic words. He, who is without hatred of evil, does not really love good. 1 John 2:15 Do not love the world or the things in the world. If anyone loves the world, the love of the Father is not in him. Here again is agape love. So you can agape God, and you can agape the world. But not both.

https://youtu.be/1ZVbnWx_rDg Mustard Seed FaithWe all want to see God move in our lives- or at least we SHOULD. I don't want to just know the Bible stories- I want to experience the Bible stories in my life. not historical- right now-I want to see healings. I want to see deliverance. I want to see mountains moved. BIG STUFFMatthew 17:14-20 READLove this story- Guy has a son who is epileptic- goes to the disciples to have his son healed, they don't have what it takes, so he Goes to Jesus. Jesus is indignant, heals the boy and then tells his followers that if they would have had faith the size of a mustard seed- they could have done itNow a mustard seed is only 1-2mm across. It's a very small seed- and Jesus uses this seed as an example of what kind of faith these people should have had to be able to see this boy healedIn my life, I have heard people say before “they didn't have enough faith” or “they didn't believe enough” or “ their faith wasn't strong enough” to get healed, or delivered or whateverThat's demonic abusive language to use on someone who didn't see God movePuts the onus on the individual and not on God and we were never intended to be in that placeMatthew 17:20 So Jesus said to them, “Because of your unbelief;” not “your amount of faith”The problem with these disciples was not that they didn't have enough faith- it was that they had no- faith- they didn't believe in God- they didn't believe God or Jesus- no mustardAnd so Jesus challenges them- and says you have NO belief but if you ONLY Had ANY amount of belief in God- you would see AMAZING THINGS- just a small amountLets read the whole verse- Matt 17:20 So Jesus said to them, “Because of your unbelief; for assuredly, I say to you, if you have faith as a mustard seed, you will say to this mountain, ‘Move from here to there,' and it will move; and nothing will be impossible for you.This is Bible faith- just believing God. The tiniest amount-not a huge amount, just a tiny amount.Think about Abraham- God told Abraham that he would be the father of many nations, but he was old and his wife was past child rearing age- Seems pretty impossible doesn't it?Romans 4:18-20 He did not waver at the promise of God through unbelief, but was strengthened in faith, giving glory to God,Romans 4:3 For what does the Scripture say? “Abraham believed God, and it was accounted to him for righteousness.”Abraham believed God- He didn't waver- against hope- That's that ‘Mustard seed faith” I'm talking about. Its not a huge faith- its just a little bit of faith that says “I'm gonna believe God'Hebrews 11:6 But without faith it is impossible to please Him, for he who comes to God must believe that He is, and that He is a rewarder of those who diligently seek Him.God wants us to have faith- He wants us to believe in him- He doesn't want us to doubtJames 1:6 But let him ask in faith, with no doubting, for he who doubts is like a wave of the sea driven and tossed by the wind.And if we want to see God move- we have to have Faith in him. (Faith is not what you can see)And I get it- sometimes we don't put our faith in God because we think we're doing God a favor- if we don't believe him, and he doesn't move we don't make him look badListen- God can take care of himself- he does not need you helping him out by not believing himJesus said- John 14:1 “Let not your heart be troubled; you believe in God, believe also in Me. Here's what happens when you have mustard seed faith- Mustard seed faith Cast out demonsThis story is a story about a boy who has epilepsy-I always have to clarify this- everything isn't a demon- sometimes its just medicalBut sometimes it IS a demon- Jesus healed blind people of their blindness because they were blind- it wasn't a demon of blindness that was upon them- they were just blind.In THIS story They didn't have the faith of a mustard seed- so they couldn't cast out the demonThey said “why could we not cast it out' Jesus said “because of your unbelief”SO- T...

https://youtu.be/GG7QuKskTnE Sober Judgement                                                                                 Roman 12:3-8 Romans 12:3-8 (Esv)For by the grace given to me I say to everyone among you not to think of himself more highly than he ought to think, but to think with sober judgment, each according to the measure of faith that God has assigned. 4 For as in one body we have many members,[a] and the members do not all have the same function, 5 so we, though many, are one body in Christ, and individually members one of another. 6 Having gifts that differ according to the grace given to us, let us use them: if prophecy, in proportion to our faith; 7 if service, in our serving; the one who teaches, in his teaching; 8 the one who exhorts, in his exhortation; the one who contributes, in generosity; the one who leads,[b] with zeal; the one who does acts of mercy, with cheerfulness.Paul is speaking to an audience that is big on status and standing in the society. Judging on what abilities each person brought to the table and classifying them as suchThat is why he uses words like:Grace Given – That all they have has been given to them not self-acquired by meritSober Judgement – Don't think you all that and moreOne body – We are all the same though different Let's get into the text Do Judge yourselfRomans 12:3(Nkjv) …. among you not to think of himself more highly than he ought to thinkPaul is asking them not to think of themselves higher that they ought to but to actually take a moment to do an internal checkHe doesn't tell them not to think of themselves, he does tell them to have a Sober Judgement of themselvesDo not exaggerate an opinion of oneself  Take time to speak life to ourselvesMotivational speaking and affirmationHow comes that our God who is real and has shown us tangible changes, has written it all down and continues to be the Same Yesterday, Today and forever, yet …we refuse to appropriate the Words He has given us? His WordI know that Paul is speaking about gifts but before we get there, we need to break down the lies of the enemy and see ourselves how God sees usWe are vessels that hold these gifts and if we have to use these gifts, we have to prepare our vessel for useI think the first step is being vulnerable before God – allowing God to truly search us and reveal those areas in our lives that are lackingAsking Him to shine a light in all corners of our livesPraying about those areas and asking God to prepare this vessel for His workI Corinthians 6:20 - For you were bought at a price; therefore glorify God in your body [a]and in your spirit, which are God's.Matthew 10:29-31(Nkjv) Are not two sparrows sold for a [a]copper coin? And not one of them falls to the ground apart from your Father's will.  But the very hairs of your head are all numbered. 31 Do not fear; therefore, you are of more value than many sparrows.Know what you are worth in the eyes of GodNot based on the opinion of othersNot controlled by self-desires and greedNot defined by fear and insecurities Ephesians 2:10 (Nkjv)For we are His workmanship, created in Christ Jesus for good works, which God prepared beforehand that we should walk in them.Romans 12:3 (AMPC) For by the grace (unmerited favor of God) given to me I warn everyone among you not to estimate and think of himself more highly than he ought [not to have an exaggerated opinion of his own importance], but to rate his ability with sober judgment, each according to the degree of faith apportioned by God to him.Use the Word of God to check yourself2 Corinthians 13:5 (Esv) Examine yourselves, to see whether you are in the faith. Test yourselves. Or do you not realize this about yourselves, that Jesus Christ is in you? —unless indeed you fail to meet the test!When you know your worth in Christ Jesus, you can be useful in His KingdomPaul doesn't talk about the past, family status, education or net-worthHe is talking about the Grace – that's given to him and every...

Jeffrey Mosher speaks with Thomas Smith, Owner, and founder of Navigate Adventure Vans, Grand Rapids. • Navigate Adventure Vans, located just outside of Grand Rapids, is a premier Midwest van conversion company focused on fully and semi-customized builds. • Our mission is to create the ultimate camper vans and adventure vehicles that are rooted in quality, versatility, comfort, and beautiful design so we can help our clients live their best adventures. • The team has 20 years of manufacturing and automotive engineering experience, with a focus on creating high-quality, versatile builds. • Navigate Adventure Vans caters to the weekend warriors and short-term travelers seeking their next exhilarating journey. • The Vans o The Explorer Series build features Adventure Wagon's cost-effective modular interior systems that can change and grow according to each adventurer's needs. o Navigate Custom Builds are for clients who are looking for a unique van to fit their wildest travel dreams. Navigate works with each Custom Build customer to create interior and exterior designs and then build to each client's specifications. • Adventure van builds typically take between two weeks to four months, depending on options and complexity, and range from $35,000 to over $100,000, in addition to the price of the van. • Navigate Adventure Vans is proud to be aligned with some of the industry's leading suppliers such as Adventure Wagon, Agile Offroad, Flarespace, FVC, Renogy, Roambuilt, Victron Energy, Zamp Solar, and several others. Adventurers ● NAV clients spend their vacations and weekends outdoors, cycling, skiing, fishing, hiking, or hunting. They want to experience adventure on their own time, in their own ways, all while staying safe and comfortable. ● Class B camper van owners don't just hang at a campsite all day, but instead use their vans as conduits for adventure. Mountain biking, rock climbing, surfing, paragliding, wind surfing, snowmobiling—a camper van provides an affordable way to access the world's best adventures. ● The non-negotiables o 4-wheel drive o Room for gear o Space-saving solutions o Innovative features – winch systems, bike racks, etc. The Industry • The #vanlife movement was already in full swing before the pandemic, fueled by envyinducing posts on Instagram and DIY van conversion videos on YouTube. But as the pandemic took hold, more and more antsy Americans who could work remotely decided to join the van life community. • Since the onset of the pandemic, the work-from-anywhere lifestyle has changed the way people approach life. They can focus on extended travel on the weekends or even during the week and essentially go “off-grid,” all the while bringing the pleasantries of home with them in a fully outfitted van. • During a time when people are reassessing their priorities, many have taken to a much more simplistic way of life. The allure of having a custom camper van includes being able to focus on extended travel, on and off-grid camping, boondocking, and being able to pack all necessary adventure gear in one, organized space. » Visit MBN website: www.michiganbusinessnetwork.com/ » Subscribe to MBN's YouTube: www.youtube.com/channel/UCqNX… » Like MBN: www.facebook.com/mibiznetwork » Follow MBN: twitter.com/MIBizNetwork/ » MBN Instagram: www.instagram.com/mibiznetwork/

https://youtu.be/7jF_gJ5g12c Eat some pork and shrimp- Matthew 15:1-20 Defile- desecrate or profane (something sacred). Traditions can defileMens traditions defile, not God's commandsv3 He answered and said to them, “Why do you also transgress the commandment of God because of your tradition?these Jews had created a tradition, where people were supposed to wash their hands before they ate bread- Jesus disciples didn't do this because it wasn't a commandment from God- it was a commandment that was created by menAnd this is one of the biggest problems that was going on within Judaism during the time- man made rules imposed on others as God made laws- Jesus crushed itMark 7:13 making the word of God of no effect through your tradition which you have handed down. And many such things you do.”And that's what the man-made traditions were doing- they were making the word of God of none effect- they had lost the awe and wonder of God's word and weren't following itJesus, when confronted- immediately points to the tradition that they had-v 5 But you say, ‘Whoever says to his father or mother, “Whatever profit you might have received from me is a gift to God”— 6 then he need not honor his father or mother.'What this was- was that the Jews would look at their money- call it “corban” which loosely means ‘this belongs to God” so when it came to taking care of their parents, they stated that they didn't have to because it all belonged to God- ‘wish I could help”Jesus is calling out two of their traditions- hand washing and calling money corban and saying these traditions defile you because you think they are of God but they are not.Let me say this- there are Good traditions and bad traditions.2 Thessalonians 2:15 Therefore, brethren, stand fast and hold the traditions which you were taught, whether by word or our epistle.1 Corinthians 11:2 Now I praise you, brethren, that you remember me in all things and keep the traditions just as I delivered them to you.Paul encouraged the early church to hold to the traditions they had- I'm not exactly sure what traditions he is specifically speaking to, but its clear that there are some traditions that are to kept.2 Thes 3:6 says that we should-  withdraw from every brother who does not walk not according to the traditionSome traditions are good! But some are also bad- Also tho- Colossians 2:8 READSome traditions are bad tho- Col 2:20-23 READIts like this-Meeting on Sundays is our tradition- but its not a commandment- order of worship, types of fasts, revivals, retreats, etc. All good- but not commandments from God-Turning them into a commandment from God is when you start to defile the word of God.Titus 1:14 not giving heed to Jewish fables and commandments of men who turn from the truth.Its like this- I like to dress like this- I feel like it would be disrespectful to God to come into his house to preach and wear sweats, a baseball hat, tshirt etc. Its not a requirement, there's nothing in scripture that describes what we are to wear to church- but its my tradition I haven't made it a law.When Christianity goes south is when we start making man made laws and passing them off as God's commandments- that's called legalism- putting on a law on someone and saying God demands it- (standing drinking rootbeer- told not to- not law-just don't make sense)Our tradition is to stand in worship- not a requirement- but I can't not.Here's the underlying problem with man made traditions that are called a law of God-It's hypocrisy- Hyprocrisy DefilesExternal piety doesn't please God ‘These people draw near to Me with their mouth, And honor Me with their lips, But their heart is far from Me.And that's what Jesus was calling out in the heart of these dudes- you are acting religious with your hand washing and money holding (it all belongs to God)But you guys are a bunch of hypocrites-It would be like this- holding to traditions that we have here- standing, worshipping, hand raising, amening etc.

In this episode, Sabrina chats with Rachel Petitt, program director with the Farmer Veteran Coalition about the Farmer Veteran Fellowship Fund . From the FVC:As the clock ticked toward midnight and 2021 was in our rearview mirror, the team at Farmer Veteran Coalition (FVC) took a moment to reflect on their proudest moments of last year.One of those moments was the farm equipment FVC awarded to 138 farmer veterans through their Fellowship Fund small grant program. They proudly thought about the 2021 class of awardees. The stories and impact the program had on this very diverse collection of members is inspiring. Executive Director Jeanette Lombardo states “As FVC starts this next round of funding, the stories of 2021 are a wonderful reminder of the importance of our mission. These stories drive our efforts everyday as we seek new funding and create programs to help our Farmer Veterans throughout the country.”Now in its 11th year, the Farmer Veteran Fellowship Fund has granted over $3.5 million in support of 800+ military veterans pursuing careers in agriculture. As one of FVC's core programs, it helps beginning farmers and ranchers with what's often their greatest hurdle – access to start-up capital.Last year that came in the form of hot ticket items like greenhouses and grow tents, walk-in coolers and cold storage units, milking systems, water filtrations, and honey extractors. Some of the more unique requests included a mushroom substrate steamer and a copper still. With the arrival of spring, 138 deserving members of the nationwide nonprofit organization welcomed the thrilling news that their equipment request had been granted and would soon be delivered to their farm. Many have already found improved efficiency in their business as a result. “It was taking me four hours to fill up my 1,100-gallon leg tank and now with my Generac pump I can fill the tank in about 15 minutes,” says David Volkman, an Army veteran who served for nearly three decades before starting Ohio Valley Hops.Now with the calendar turned to 2022, FVC excitedly welcomes the arrival of their next funding cycle.“Our sights are set high for 2022: we anticipate raising $500,000 to give out to this year's class of Fellows,” beams Rachel Petitt, the program director. “We recognize this is a lofty goal, but we are really close so it definitely feels achievable.”The application opened Jan 3rd and remains available through February 14th.To apply visit: https://farmvetco.org/fvfellowship.Funding for the 2022 cycle is made possible by Wounded Warriors Project, Kubota, Tractor Supply Company, Homestead Implements, Tarter Farm and Ranch Equipment, Vital Farms, Sugar Bottom Farm, Barreras Family Farm and Northwest Farm Credit Services.

https://youtu.be/EuN0pr5_7V4 Take me back                                                                          1 Corinthians 30:1-6 Its 2020 February- and I am excited about life, new businessI left my past company I was working for 5 years I had started a new companyTwo weeks in – I owe contractor- I have a mortgage, wife, and kidsI had to draw back to the conversations I had with God.I had to encourage myself in The Lord!Take me back to yesterday when things were betterThis happens when we are come face to face with unpleasant reality- our hope is dashedAnd this is what is happening to David and the men1 Samuel 30: 1-2 - Now it happened, when David and his men came to Ziklag, on the third day, that the Amalekites had invaded the South and Ziklag, attacked Ziklag and burned it with fire, 2 and had taken captive the women and those who were there, from small to great; they did not kill anyone, but carried them away and went their way“On the third day indicates that David and his men covered about twenty-five miles a day on the march south from Aphek to Ziklag, where they would have arrived tired, hungry and expecting all the comforts for a welcome home.”The Bible says “1Corinthians 30:4 -Then David and the people who were with him lifted up their voices and wept, until they had no more power to weep.Where is the reset button? – Memories come rushing in and you are in a place of desperationIt's not a surprise that most people spend a significant part of their lives wishing that they can go back to a particular place, a certain time, a thing they said, a thing they wish they could undo, a lost love and so forthThis is where the enemy needs you, in a place of desperation – where he keeps you hostage  We end up spending useful resources trying go back to what it used to be, hence the people wanted to stone DavidOther times we try to strengthen ourselves with the skills we have or the connections we haveBut David strengthened Himself in the LORD HIS GOD! When we get to this place, we have a choice to make We must decideEverything has its time and Solomon puts it perfectly in Ecclesiastes 3:4 - A time to weep, And a time to laugh; A time to mourn, And a time to danceI Samuel 30:6 - Now David was greatly distressed, for the people spoke of stoning him, because the soul of all the people was [a]grieved, every man for his sons and his daughters. But David strengthened himself in the Lord his GodDavid strengthens himself, not during natural crying moment, he strengthens himself when he realized that the men, he thought were on his side were no longer for himAt that time there was truly only one who was for him and that is our LORD His GodHard thing will come our way and honestly, they will catch us off guard, we will lose strength, wail and hurt …and at point we have to draw all our strength to stop, strengthen ourselves to hear what is being said around us.And its only then that we have to make a decision…close churches or cling to the cross And at that moment, we must decide which voice to follow and believeFear or faith – you choose one – When you say yes to one thing – you are saying no to anotherDavid had to make a decision and he choose to Praise God – He strengthened himself in the LORD It's hard the same people that went to Battle with you, are now the same people that wanted to stone himSounds like Covid times, how the enemy has been successful drawing lines in family relationship and friends – he found his perfect toolPeople that were very proud of you- they are no longer approve of you because of the stand you tookIts hurts and its unbearable – But it's at this moment of distress that “when we call upon the name of Jesus, we are savedPsalms 46:1 - God is our Refuge and Strength [mighty and impenetrable to temptation], a very present and well-proved help in trouble.Tonight, I am reminding you that you have the power to decide, whether you want to back, or you want to cry out to God to lead you to the next s...

https://youtu.be/kfR0Goipiqw A Commission of Submission Romans 7:1-6 7 Or do you not know, brethren (for I speak to those who know the law), that the law [a]has dominion over a man as long as he lives? 2 For the woman who has a husband is bound by the law to her husband as long as he lives. But if the husband dies, she is released from the law of her husband. 3 So then if, while her husband lives, she marries another man, she will be called an adulteress; but if her husband dies, she is free from that law, so that she is no adulteress, though she has married another man. 4 Therefore, my brethren, you also have become dead to the law through the body of Christ, that you may be married to another—to Him who was raised from the dead, that we should bear fruit to God. 5 For when we were in the flesh, the sinful passions which were aroused by the law were at work in our members to bear fruit to death. 6 But now we have been delivered from the law, having died to what we were held by, so that we should serve in the newness of the Spirit and not in the oldness of the letter. Judaism's relationship with the Law of Moses began in a solemn covenant-ceremony performed at Mt. Sinai. Large sections of the Torah record the terms of this covenant. So for a Jew to walk away from the Torah was to violate the sacred vow they had made with God as a people. The result of that violation would be to bring upon themselves the curses contained in the covenant. No observant Jew could just decide to stop following the Law. To do so would make them nothing less than an infidel. This is the underlying issue Paul is addressing here. He wants his Jewish readers to see that following Christ is not a breach of the covenant, and the way he does this is to compare the covenant made at Sinai with a marriage covenant. The central point of the argument is this: the vows of a marriage covenant cease to be in force when one of the parties dies, and the same thing is true of the vows made at Sinai. He has just shown us that the person who puts their faith in Christ is counted in the spiritual world as having died with Him. (this was preached 2 weeks ago) As far as God and the Law are concerned that person has died and therefore is released from obligation to the Law. They are free from their vows, and its power to curse them has ended. The ultimate demand of the Law is death, and that demand has been met. A woman who has entered into a marriage covenant cannot leave a faithful husband. Marriage is a solid, binding agreement that cannot be broken without bringing God's judgment, unless the spouse dies. Paul explains that just as death releases a spouse to remarry, the spiritual death that takes place when a believer dies with Christ frees a Jew from their obligation to the Law. Our death with Christ is not just a mere figure of speech, but rises to the level of our own actual physical death. Nothing less than death could free a Jew from the authority of the Law, and that death took place when by faith we joined Christ in the grave. So Paul tells these Jews, because they died with Christ the covenant made at Mt. Sinai lost its power to hold them and they are free to enter a new marriage. Their new groom is the resurrected Messiah. And just as marriage produces the fruit of children, so a believer's marriage-like covenant will produce fruit for God. They now enter an entirely new relationship with the Law. They no longer have to fulfill it down to the smallest detail, fearing the curse it threatened. The radical change which took place in their own spirits set them free to fulfill the true intent of the law. Being married to Christ, they have the power to successfully serve and obey God. While we are not under Mosaic Law, we are not lawless. 1 Corinthians 9:20-21 and to the Jews I became as a Jew, that I might win Jews; to those who are under the law, as under the [a]law, that I might win those who are under the law; 21 to those who are without...

Today, we are setting the table with an organization called the Farmer Veteran Coalition. This is a National Organization with a TN chapter and the work of this organization is pretty straight forward. They help veterans become farmers with support, education, networking, and resources. We visit with Jim Artman, who is a Veteran having served 8 years in the Army, a former sniper, and founder of Appalachian Grit, a yard to table agricultural company located in Knoxville. He battled his own serious case of PTSD with nutrition, exercise and gratitude and he feels it is a mission to help other people in the community to gain greater access to nutritious foods by helping to build and advocate for healthy foods, community food gardens, urban agriculture and food systems. Jim is also Vice President of the TN Chapter of the FVC and he's going to let us know of the important work of this organization. Jim will also let us know about a FVC conference that takes place in Knoxville in just a couple of weeks November 17, 18,and 19th.

https://youtu.be/EnxaqjnS80A Sweet Aroma: Pastor Appreciation Day 2021 (2 Cor. 2:14-17) *All verses in NKJV* (Talk about Matt and Crystal) - A little more than 18 yrs ago, I was there when Pastor Matt and Pastor Crystal planted FVC. - I've seen it grow from just a few people in an elementary School, to where we are today. - Working 2 jobs, raising kids, full time ministers… making many sacrifices along the way. - They have had other opportunities. Example: Larger church that offered him a job, meaning he would have to close FVC. But he didn't take it, because God called him to lead us! And he obeyed. - Their hearts are not focused on what they can get from God, but how they can serve him better. - Praise God that they obeyed the Lord, because I have seen it change countless lives here, as they share the unadulterated gospel with anyone who will listen. - They have made FVC a treasure, and because of that, they have become a treasure to us.  - Example: I don't know where I would be without them. They are encouragers, steadfast, loyal, and an example for all of us to follow… - They are a treasure to us because they have made it a priority to preach the whole truth and council of God. People need to hear the hard truth, not to be placated. Above all, that has become a sweet aroma to us who are saved, and a stern warning to those who are not.  - It is the smell of death to those who have chosen to live a life of sin, and that has often created friction, which they have gladly endured for the cause of Christ. - This leads me into today's scripture… 2 Cor. 2:14-17, Now thanks be to God who always leads us in triumph in Christ, and through us diffuses the fragrance of His knowledge in every place. 15 For we are to God the fragrance of Christ among those who are being saved and among those who are perishing. 16 To the one we are the aroma of death leading to death, and to the other the aroma of life leading to life. And who is sufficient for these things? 17 Unlike so many, we do not peddle the word of God for profit. On the contrary, in Christ we speak before God with sincerity, as those sent from God. 1. Jesus uses us to spread his word. - Paul is creating a word picture here that is about more than what smells good or bad. The concept is one of victory or defeat. - In Rome, when a General returned from winning in battle, they would hold a victory parade, or a “Triumph march” to celebrate his victory over the enemy. - This would involve a long processional through large crowds lining the city streets including chariots, soldiers, the spoils of war, and the enemy captives taken during battle. The route would be lined with burning incense that would permeate through the whole city.  - 2 Cor. 2:14 (NLT), But thank God! He has made us his captives and continues to lead us along in Christ's triumphal procession. Now he uses us to spread the knowledge of Christ everywhere, like a sweet perfume.  - Paul uses a word picture of Christ being the victorious leader, and we are in his triumph march. We are his servants, led by him, with the goal of spreading the gospel everywhere.  - It is amazing how the word of God can change a life. You can't expect people to just figure it out. - Example: That's why Pastor Matt preaches the way he does. You can't dance around the truth and try to be PC, and hope someone catches it. You have to be straight forward and honest. - Romans 10:14-15, How then shall they call on Him in whom they have not believed? And how shall they believe in Him of whom they have not heard? And how shall they hear without a preacher? 15 And how shall they preach unless they are sent? As it is written: “How beautiful are the feet of those who preach the gospel of peace, Who bring glad tidings of good things!” - It is great to serve and love people, but it is important for them to know why you are serving and loving them.

https://youtu.be/EnxaqjnS80A Sweet Aroma: Pastor Appreciation Day 2021 (2 Cor. 2:14-17) *All verses in NKJV* (Talk about Matt and Crystal) - A little more than 18 yrs ago, I was there when Pastor Matt and Pastor Crystal planted FVC. - I've seen it grow from just a few people in an elementary School, to where we are today. - Working 2 jobs, raising kids, full time ministers… making many sacrifices along the way. - They have had other opportunities. Example: Larger church that offered him a job, meaning he would have to close FVC. But he didn't take it, because God called him to lead us! And he obeyed. - Their hearts are not focused on what they can get from God, but how they can serve him better. - Praise God that they obeyed the Lord, because I have seen it change countless lives here, as they share the unadulterated gospel with anyone who will listen. - They have made FVC a treasure, and because of that, they have become a treasure to us.  - Example: I don't know where I would be without them. They are encouragers, steadfast, loyal, and an example for all of us to follow… - They are a treasure to us because they have made it a priority to preach the whole truth and council of God. People need to hear the hard truth, not to be placated. Above all, that has become a sweet aroma to us who are saved, and a stern warning to those who are not.  - It is the smell of death to those who have chosen to live a life of sin, and that has often created friction, which they have gladly endured for the cause of Christ. - This leads me into today's scripture… 2 Cor. 2:14-17, Now thanks be to God who always leads us in triumph in Christ, and through us diffuses the fragrance of His knowledge in every place. 15 For we are to God the fragrance of Christ among those who are being saved and among those who are perishing. 16 To the one we are the aroma of death leading to death, and to the other the aroma of life leading to life. And who is sufficient for these things? 17 Unlike so many, we do not peddle the word of God for profit. On the contrary, in Christ we speak before God with sincerity, as those sent from God. 1. Jesus uses us to spread his word. - Paul is creating a word picture here that is about more than what smells good or bad. The concept is one of victory or defeat. - In Rome, when a General returned from winning in battle, they would hold a victory parade, or a “Triumph march” to celebrate his victory over the enemy. - This would involve a long processional through large crowds lining the city streets including chariots, soldiers, the spoils of war, and the enemy captives taken during battle. The route would be lined with burning incense that would permeate through the whole city.  - 2 Cor. 2:14 (NLT), But thank God! He has made us his captives and continues to lead us along in Christ's triumphal procession. Now he uses us to spread the knowledge of Christ everywhere, like a sweet perfume.  - Paul uses a word picture of Christ being the victorious leader, and we are in his triumph march. We are his servants, led by him, with the goal of spreading the gospel everywhere.  - It is amazing how the word of God can change a life. You can't expect people to just figure it out. - Example: That's why Pastor Matt preaches the way he does. You can't dance around the truth and try to be PC, and hope someone catches it. You have to be straight forward and honest. - Romans 10:14-15, How then shall they call on Him in whom they have not believed? And how shall they believe in Him of whom they have not heard? And how shall they hear without a preacher? 15 And how shall they preach unless they are sent? As it is written: “How beautiful are the feet of those who preach the gospel of peace, Who bring glad tidings of good things!” - It is great to serve and love people, but it is important for them to know why you are serving and loving them.

https://youtu.be/PY6-x2-V-3g Matthew 4:12-17 Don't give up the fightJesus is beginning his ministry- and John has been put in prison for preaching. Jesus leaves for Galilee, and ends up in Capernaum, which was a fulfillment of Isaiah 9. Then Jesus starts his ministry preaching repentance. We preach repentance almost every week. We'll do it again. Not this week- This week I want to look at this beginning of Jesus mission as a means for us to be encourage to stay on missionWe're on mission here at FVC. God has placed each and every one of us strategically to be here for such a time as this. I've complained about being in the PNW in the pulpit and online I apologize. I'm not going to complain about it anymore, and if I do, please correct meThere are people here that need Jesus and we are not going to give up the fight. If all the Christian churches leave Washington- its not just that the state will fail, but many people will not make it to heaven, and that should concern all of us. God needs more gloryThink about Jesus- he had to do what he came to do to benefit all of us- and we cant give up Stay in the fight- Stay on mission - Fight Folks- we are on mission- We must live out Matt 28:19. We cannot be pulled in another direction based on what the world is doing, or what is happening around us. Mission must goIn the beginning of this story- we see what happens- John goes to prison ostensibly for preaching repentance. It doesn't say- but we can assume- Jesus continues his missionWhat happened to John wasn't going to keep Jesus from doing his mission. He wasn't givin upJesus is demonstrating here- Just because someone goes to prison for what you're about to do- doesn't mean that you shouldn't do it. John preaches repentance- prison- Jesus- goes out and preaches repentance. We, as people of God- cannot be crippled by fear, because something bad happened to someone- and use that as an excuse or reason, why we cant do what we are supposed to doWho remembers 911? Devastating. I was on mission in Egypt- It continued- 2 Tim 1:7  For God has not given us a spirit of fear, but of power and of love and of a sound mind.This is a true scripture! This is part of why Jesus came- to Heb2:15 and release those who through fear of death were all their lifetime subject to bondage.When Jesus came, he walked without fear, to empower us to walk without fear- John 14:27  Peace I leave with you, My peace I give to you; not as the world gives do I give to you. Let not your heart be troubled, neither let it be afraid. Do you believe that? Or have you given yourself over to fear? - FightI get it- this is a interesting time to live in- and I gave myself over to fear for a while back in the spring- but then I came to my senses- even if It means that I die, I'm not going to let a virus keep me from performing my mission- I'm just not. If Covid kills me- it will be because God wants to bring me home, and I can't hide from it in my home. The savior I served said things to the men who were sent out to preach things like- Luke 10:19  Behold, I give you the authority to trample on serpents and scorpions, and over all the power of the enemy, and nothing shall by any means hurt you.I get it! Fear is REAL- Fear of death is REAL. We've all probably feared at times- EVEN DAVID- Ps 55:4 My heart is severely pained within me, And the terrors of death have fallen upon me.But just because you are afraid, and death is real- doesn't mean you give up. it just doesntThe psalmist- Psalm 89:48 What man can live and not see death? Can he deliver his life from the power of the grave? SelahHebrews 9:27 And as it is appointed for men to die once, but after this the judgment,We're all going to die at somepoint- but people have become this life worshippers to the point of giving up every last right and giving up the mission under the guise of protection of life- Its life worship- its idolatry disguised as Christian virtue wrapped in false humility Let me paint a ...

https://youtu.be/PY6-x2-V-3g Matthew 4:12-17 Don’t give up the fightJesus is beginning his ministry- and John has been put in prison for preaching. Jesus leaves for Galilee, and ends up in Capernaum, which was a fulfillment of Isaiah 9. Then Jesus starts his ministry preaching repentance. We preach repentance almost every week. We’ll do it again. Not this week- This week I want to look at this beginning of Jesus mission as a means for us to be encourage to stay on missionWe’re on mission here at FVC. God has placed each and every one of us strategically to be here for such a time as this. I’ve complained about being in the PNW in the pulpit and online I apologize. I’m not going to complain about it anymore, and if I do, please correct meThere are people here that need Jesus and we are not going to give up the fight. If all the Christian churches leave Washington- its not just that the state will fail, but many people will not make it to heaven, and that should concern all of us. God needs more gloryThink about Jesus- he had to do what he came to do to benefit all of us- and we cant give up Stay in the fight- Stay on mission - Fight Folks- we are on mission- We must live out Matt 28:19. We cannot be pulled in another direction based on what the world is doing, or what is happening around us. Mission must goIn the beginning of this story- we see what happens- John goes to prison ostensibly for preaching repentance. It doesn’t say- but we can assume- Jesus continues his missionWhat happened to John wasn’t going to keep Jesus from doing his mission. He wasn’t givin upJesus is demonstrating here- Just because someone goes to prison for what you’re about to do- doesn’t mean that you shouldn’t do it. John preaches repentance- prison- Jesus- goes out and preaches repentance. We, as people of God- cannot be crippled by fear, because something bad happened to someone- and use that as an excuse or reason, why we cant do what we are supposed to doWho remembers 911? Devastating. I was on mission in Egypt- It continued- 2 Tim 1:7  For God has not given us a spirit of fear, but of power and of love and of a sound mind.This is a true scripture! This is part of why Jesus came- to Heb2:15 and release those who through fear of death were all their lifetime subject to bondage.When Jesus came, he walked without fear, to empower us to walk without fear- John 14:27  Peace I leave with you, My peace I give to you; not as the world gives do I give to you. Let not your heart be troubled, neither let it be afraid. Do you believe that? Or have you given yourself over to fear? - FightI get it- this is a interesting time to live in- and I gave myself over to fear for a while back in the spring- but then I came to my senses- even if It means that I die, I’m not going to let a virus keep me from performing my mission- I’m just not. If Covid kills me- it will be because God wants to bring me home, and I can’t hide from it in my home. The savior I served said things to the men who were sent out to preach things like- Luke 10:19  Behold, I give you the authority to trample on serpents and scorpions, and over all the power of the enemy, and nothing shall by any means hurt you.I get it! Fear is REAL- Fear of death is REAL. We’ve all probably feared at times- EVEN DAVID- Ps 55:4 My heart is severely pained within me, And the terrors of death have fallen upon me.But just because you are afraid, and death is real- doesn’t mean you give up. it just doesntThe psalmist- Psalm 89:48 What man can live and not see death? Can he deliver his life from the power of the grave? SelahHebrews 9:27 And as it is appointed for men to die once, but after this the judgment,We’re all going to die at somepoint- but people have become this life worshippers to the point of giving up every last right and giving up the mission under the guise of protection of life- Its life worship- its idolatry disguised as Christian virtue wrapped in false humility Let me paint a ...

Pulmonary Fibrosis News Columnist and Forum Moderator Charlene Marshall reads a summary of a UK study investigating the use of Ofev and Esbriet on IPF patients with ‘mild’ disease. The investigators of this study advocate that patients with an FVC (forced vital capacity, lung function measurement) above 80% could benefit from treatment with anti-fibrotic therapy. The study was conducted because consensus on when anti-fibrotic therapy should be initiated is often varied across physicians. Are you interested in learning more about Pulmonary Fibrosis? If so, please visit: https://pulmonaryfibrosisnews.com

As we gear up for Veteran's Day, join Farmer Veteran Coalition Executive Director, Jeanette Lombardo and SureTrack Field Services Manager, Rick Romano, in a salute to America's armed forces. We will be talking about how FVC is the nation's largest nonprofit organization assisting veterans–and currently serving members–of the Armed Forces to embark on careers in agriculture and how SureTrack is helping to do its part. We will also discuss how FVC is working to mobilize veterans to feed America, veteran networking and securing resources. --- Send in a voice message: https://anchor.fm/agisuretrack-coffee-talk/message

Pulmonary Fibrosis News Columnist and Forum Moderator Charlene Marshall reads an article summarizing a study that evaluated lung function decline after taking anti-fibrotic therapy for IPF patients. Lung function decline, as measured by forced vital capacity (FVC), can help predict survival in patients with IPF, particularly among those prescribed the anti-fibrotic therapies for IPF. Are you interested in learning more about Pulmonary Fibrosis? If so, please visit: https://pulmonaryfibrosisnews.com

Pulmonary Fibrosis News Columnist and Forum Moderator Charlene Marshall reads an article summarizing a recent study examining the safety and efficacy of Ofev in patients with poor lung function. While the researchers recommended additional studies to understand more, the results demonstrated that Ofev is effective and safe in patients with poor lung function, defined as equal to or less than 50% forced vital capacity (FVC). Are you interested in learning more about Pulmonary Fibrosis? If so, please visit: https://pulmonaryfibrosisnews.com

In this episode we cover Guillain-Barre Syndrome. Everything from presentation, to why you should stop checking negative inspiratory pressure and just stick with FVC. Read the post then come take a listen.

https://youtu.be/-WqUhsaKcDM Give an example when an authority in your life decided something you disagreed. Did you support that decision or work against it? How do you feel about that now? How often do you attend church (or stream at the moment) in a one month period? Would you classify yourself as "not forsaking the gathering of the brethren"? How has attending church regularly changed your life? Do you strive to maintain peace within the body of Faith and Victory Church? Do your Facebook posts need to be edited? Is your social activism or politics more important than the relationships in your church? (not that social activism or politics isn't important) Are you a member of Faith and Victory Church (rooted)? Describe a time where you had an argument, disagreement or negative experience at FVC. How were you able to move forward? Are you "abounding" in Christ, having a general attitude of thankfulness? Name 5 things you are thankful for. Order! Order I say! Colossians 2:1-7 2 For I want you to know what a great conflict[a] I have for you and those in Laodicea, and for as many as have not seen my face in the flesh, 2 that their hearts may be encouraged, being knit together in love, and attaining to all riches of the full assurance of understanding, to the knowledge of the mystery of God, [b]both of the Father and of Christ, 3 in whom are hidden all the treasures of wisdom and knowledge. Now this I say lest anyone should deceive you with persuasive words. 5 For though I am absent in the flesh, yet I am with you in spirit, rejoicing [c]to see your good order and the steadfastness of your faith in Christ. 6 As you therefore have received Christ Jesus the Lord, so walk in Him, 7 rooted and built up in Him and established in the faith, as you have been taught, abounding [d]in it with thanksgiving. Paul may never have visited Colosse but kept close tabs on it through Epaphras, one of his converts and associates, most likely the church's founder and a leader. Paul saw a church of Christ walking together in Gospel order, steady in their faith in Christ, abiding by the doctrine of faith, and maintaining an honorable profession and warning and admonishing them to stay connected to each other and to continue to be rooted in Christ and built up in the faith. “joying and beholding your order” or as the Greek renders it, Paul declares "I rejoice that I can see your order" The Colossian church stood fast in one spirit, contended and strove together for the faith of the Gospel, fought the good fight of faith, no hardship moved them from their station; so that they were attached to the Gospel, and to one another; they were united to, and abode by each other; they served the Lord with one consent, and kept the unity of the Spirit, in the bond of peace, Ephesians 4:1-3 I, therefore, the prisoner [a]of the Lord, [b]beseech you to walk worthy of the calling with which you were called, 2 with all lowliness and gentleness, with longsuffering, bearing with one another in love, 3 endeavoring to keep the unity of the Spirit in the bond of peace. The church in Colosse was infiltrated by false teachers and they stood steadfast in the faith, opposing the false teachers and professing faith in Christ without wavering in the face of intense persecution and opposition from the surrounding society To this outward condition Paul then subjoins the inner one, by which the former is conditioned: and the solid hold of your faith in Christ. That which has been made firm, represents the steadfastness and immoveable of faith in such a way, that their faith was protected by a strong work from injury—the outward order and unity of the Body provided a great fortress for the inner development and strengthening of the faith Ezekiel 13:5 You have not gone up into the [a]gaps to build a wall for the house of Israel to stand in battle on the day of the Lord. (said of the prophets who refused to speak God's word...

https://youtu.be/-WqUhsaKcDM Give an example when an authority in your life decided something you disagreed. Did you support that decision or work against it? How do you feel about that now? How often do you attend church (or stream at the moment) in a one month period? Would you classify yourself as "not forsaking the gathering of the brethren"? How has attending church regularly changed your life? Do you strive to maintain peace within the body of Faith and Victory Church? Do your Facebook posts need to be edited? Is your social activism or politics more important than the relationships in your church? (not that social activism or politics isn't important) Are you a member of Faith and Victory Church (rooted)? Describe a time where you had an argument, disagreement or negative experience at FVC. How were you able to move forward? Are you "abounding" in Christ, having a general attitude of thankfulness? Name 5 things you are thankful for. Order! Order I say! Colossians 2:1-7 2 For I want you to know what a great conflict[a] I have for you and those in Laodicea, and for as many as have not seen my face in the flesh, 2 that their hearts may be encouraged, being knit together in love, and attaining to all riches of the full assurance of understanding, to the knowledge of the mystery of God, [b]both of the Father and of Christ, 3 in whom are hidden all the treasures of wisdom and knowledge. Now this I say lest anyone should deceive you with persuasive words. 5 For though I am absent in the flesh, yet I am with you in spirit, rejoicing [c]to see your good order and the steadfastness of your faith in Christ. 6 As you therefore have received Christ Jesus the Lord, so walk in Him, 7 rooted and built up in Him and established in the faith, as you have been taught, abounding [d]in it with thanksgiving. Paul may never have visited Colosse but kept close tabs on it through Epaphras, one of his converts and associates, most likely the church’s founder and a leader. Paul saw a church of Christ walking together in Gospel order, steady in their faith in Christ, abiding by the doctrine of faith, and maintaining an honorable profession and warning and admonishing them to stay connected to each other and to continue to be rooted in Christ and built up in the faith. “joying and beholding your order” or as the Greek renders it, Paul declares "I rejoice that I can see your order" The Colossian church stood fast in one spirit, contended and strove together for the faith of the Gospel, fought the good fight of faith, no hardship moved them from their station; so that they were attached to the Gospel, and to one another; they were united to, and abode by each other; they served the Lord with one consent, and kept the unity of the Spirit, in the bond of peace, Ephesians 4:1-3 I, therefore, the prisoner [a]of the Lord, [b]beseech you to walk worthy of the calling with which you were called, 2 with all lowliness and gentleness, with longsuffering, bearing with one another in love, 3 endeavoring to keep the unity of the Spirit in the bond of peace. The church in Colosse was infiltrated by false teachers and they stood steadfast in the faith, opposing the false teachers and professing faith in Christ without wavering in the face of intense persecution and opposition from the surrounding society To this outward condition Paul then subjoins the inner one, by which the former is conditioned: and the solid hold of your faith in Christ. That which has been made firm, represents the steadfastness and immoveable of faith in such a way, that their faith was protected by a strong work from injury—the outward order and unity of the Body provided a great fortress for the inner development and strengthening of the faith Ezekiel 13:5 You have not gone up into the [a]gaps to build a wall for the house of Israel to stand in battle on the day of the Lord. (said of the prophets who refused to speak God’s word...

IntroDawn Patterson, ERT Director of Respiratory Solutions, is joined by Kevin McCarthy, ERT Clinical Overread Specialist and member of the ATS/ERS 2019 Spirometry Update Task Force. They’ll explore the implications of the October 2019 ATS/ERS update to their pulmonary function testing guidance. ERT was the only data and technology vendor involved in the update.What are the ATS/ERS guidelines?These guidelines represent what can be considered as worldwide standards that ensure the quality of pulmonary function measurements. This type of measurement is somewhat unique in that it requires a high degree of patient understanding and cooperation.When were the ATS/ERS guidelines last updated?Spirometry standards were first published 40 years ago, and updated approximately every 10-15 years since. The last time they were updated prior to 2019 was 2005.How did you get involved in the task force that was responsible for updating the guidelines?I was approached by the ATS/ERS to participate on a committee to develop an accreditation for pulmonary function laboratories. While working on that project, I was asked if I’d be interested in participating on the update task force.How is this guidance used in clinical research?Typically, ATS/ERS guidelines are incorporated in testing protocol for clinical trials. This is important in guaranteeing comparability of tests obtained from multiple global testing sites. In the 2019 guidelines, it’s specified that these standards represent the minimum criteria that must be met for clinical spirometry only - not necessarily for research or occupational surveillance. In clinical trials, sometimes the bar should be set higher.What are the most important changes in the new spirometry guidelines?One of the most important changes involves the recognition that the forced exhalation could be performed perfectly but still give erroneously low results. The new standards emphasize the need to look at the subject for feedback, and gives detailed guidance to site operators on how to vigorously coach patients to full inflation.The new standards also stipulate that the procedure does not end with the forced exhalation. At the end of the forced exhalation, the subject is again vigorously coached to full inflation, allowing for a comparison to the FVC that allows operators to verify the forced exhalation started from full inflation.In recognition that pediatric patients and patients with interstitial lung disease had difficulty in meeting end-of-test acceptability criteria, these acceptability criteria were redefined in a manner that accommodates the lung physiology of these groups.Finally, the updated standards provide a new letter grading standard for acceptability based on the two main forced spirometry parameters. In the old standards, if an effort failed to meet the start of test criteria, the effort was considered to be unusable for reporting. In the new standards, an effort that is unusable for FEV1 may be acceptable for FVC and vice versa.Are there any minor changes to the guidance that people need to look out for?This document makes recommendations to the manufacturers about features that they should provide for the users of their testing equipment. One of the recommendations made was that the manufacturers provide standard lists of operator comments. These lists allow the operator to quickly select a comment from a list (in addition to adding free text) to provide insight and context about quality issues for study teams or physicians.How will this new guidance impact sites and patients in respiratory clinical trials?This new update of the spirometry standards will likely reduce the number of times a patient will have to perform the forced expiratory maneuver to achieve acceptability, improve data repeatability and improve data quality by verifying all efforts start from full inflation. This should result in a big win for sponsors, especially in studies involving pediatric patients and patients with interstitial lung disease.Final thoughts:There was an increased recognition of the importance of the operator administering the test in getting quality results. Operator training and the attainment and maintenance of competency must be integrated in any spirometry testing service.    

https://youtu.be/9eqMYkc_PTw Destroy The Enemy 1 sam 30:9-31 David and his 600 men set out to battle, 200 stay behind. They find an Egyptian in a field. Give him food and water and he helps them find the amalakites (remember these are the guys who kidnapped all their families) So David and his men wail a tune on these dudes all night long. Get their families back. Take their stuff. They come back from battle, the 200 are there who didn't fight- they share the spoils with them. David goes to all the people he's been against and shares the spoils with them. Life is good. Strengthen yourself in the Lord -Inquire of the Lord and do what he saysThere's an old song we used to sing at FVC- “the Enemies Camp” my kids loved that song- Seems like a really fun song- but Its actually connected to this scripture- David Goes back John 10:10 says that Satan comes to steal, kill and destroyThat's his economy- that's all he knows how to do- he operates in destruction- and as a child of God- you have a choice- Fight the enemy or take his destructionI'm not giving up. I'm not giving him ground. I'm not letting him steal my faith, family, lifeIf we're going to go to the Enemies camp- how are we going to win? How do we beat him? 1.To Destroy the Enemy- Don't Get discouraged Dis-couragement is simply a lack of courage- If you are dis-couraged you have lost courageYou cannot fight the enemy if you are discouraged- you need courage10 But David pursued, he and four hundred men; for two hundred stayed behind, who were so weary that they could not cross the Brook Besor.These 200 men for whatever reason didn't have the courage to go to war. Stayed backThey lacked courage- they had lost belief. They forgot the promises of God- Deuteronomy 31:8 And the Lord, He is the One who goes before you. He will be with you, He will not leave you nor forsake you; do not fear nor be dismayed.”Courage is lost when you forget the promises of God and the power that goes with youDiscouragement happens- Its why people quit relationships, marriages, jobs, militaryI saw many people quit the military when I was in and it wasn't even at war- dirtbagsAnd in this world- its very easy to get discouraged- to fall into a trap of mental destructionBut if you're going to go into the enemies camp and take it back- you need COURAGE What does it mean to you?Have you forgot who you are and whose you are and who is fighting for you and through you?Have you forgot the promises of God? Have you lost the courage of the Lord to fight?Psalm 55:22 Cast your burden on the Lord, And He shall sustain you; He shall never permit the righteous to be moved.Read Psa 144 Blessed be the Lord my Rock, Who trains my hands for war, And my fingers The Creator of the Universe is a mighty God that GOES WITH YOU into the Battles of LIFEYou are not ALONE- You are not a rouge fighter trying to find your way- he is WITH YOUI get discouraged whenever I think its on me and my strength- encouraged with HIMRomans 8:31 What then shall we say to these things? If God is for us, who can be against us?How do you find courage when you've lost it? Quote scripture and remember his faithfulnessJeremiah 1:8 Do not be afraid of their faces, For I am with you to deliver you,” says the Lord.Get prayed up- worship- Remember his deliverance. Quote scripture. Go in the power of the Holy Spirit- Acts 1:8 You shall receive POWER.Psalm 91:7 A thousand may fall at your side, And ten thousand at your right hand; But it shall not come near you. 2.  To Destroy the enemy fight with all you got The enemy does not fight fair. He doesn't deal in kind ofs- its an all out assault. 17 Then David attacked them from twilight until the evening of the next day. Not a man of them escaped, except four hundred young men who rode on camels and fled. 18-20David had heard from God to go and attack and he would win- so David fought with everythingHe didn't go in half hearted- trying to negotiate- negotiate time is over- YO...

https://youtu.be/9eqMYkc_PTw Destroy The Enemy 1 sam 30:9-31 David and his 600 men set out to battle, 200 stay behind. They find an Egyptian in a field. Give him food and water and he helps them find the amalakites (remember these are the guys who kidnapped all their families) So David and his men wail a tune on these dudes all night long. Get their families back. Take their stuff. They come back from battle, the 200 are there who didn’t fight- they share the spoils with them. David goes to all the people he’s been against and shares the spoils with them. Life is good. Strengthen yourself in the Lord -Inquire of the Lord and do what he saysThere’s an old song we used to sing at FVC- “the Enemies Camp” my kids loved that song- Seems like a really fun song- but Its actually connected to this scripture- David Goes back John 10:10 says that Satan comes to steal, kill and destroyThat’s his economy- that’s all he knows how to do- he operates in destruction- and as a child of God- you have a choice- Fight the enemy or take his destructionI’m not giving up. I’m not giving him ground. I’m not letting him steal my faith, family, lifeIf we’re going to go to the Enemies camp- how are we going to win? How do we beat him? 1.To Destroy the Enemy- Don’t Get discouraged Dis-couragement is simply a lack of courage- If you are dis-couraged you have lost courageYou cannot fight the enemy if you are discouraged- you need courage10 But David pursued, he and four hundred men; for two hundred stayed behind, who were so weary that they could not cross the Brook Besor.These 200 men for whatever reason didn’t have the courage to go to war. Stayed backThey lacked courage- they had lost belief. They forgot the promises of God- Deuteronomy 31:8 And the Lord, He is the One who goes before you. He will be with you, He will not leave you nor forsake you; do not fear nor be dismayed.”Courage is lost when you forget the promises of God and the power that goes with youDiscouragement happens- Its why people quit relationships, marriages, jobs, militaryI saw many people quit the military when I was in and it wasn’t even at war- dirtbagsAnd in this world- its very easy to get discouraged- to fall into a trap of mental destructionBut if you’re going to go into the enemies camp and take it back- you need COURAGE What does it mean to you?Have you forgot who you are and whose you are and who is fighting for you and through you?Have you forgot the promises of God? Have you lost the courage of the Lord to fight?Psalm 55:22 Cast your burden on the Lord, And He shall sustain you; He shall never permit the righteous to be moved.Read Psa 144 Blessed be the Lord my Rock, Who trains my hands for war, And my fingers The Creator of the Universe is a mighty God that GOES WITH YOU into the Battles of LIFEYou are not ALONE- You are not a rouge fighter trying to find your way- he is WITH YOUI get discouraged whenever I think its on me and my strength- encouraged with HIMRomans 8:31 What then shall we say to these things? If God is for us, who can be against us?How do you find courage when you’ve lost it? Quote scripture and remember his faithfulnessJeremiah 1:8 Do not be afraid of their faces, For I am with you to deliver you,” says the Lord.Get prayed up- worship- Remember his deliverance. Quote scripture. Go in the power of the Holy Spirit- Acts 1:8 You shall receive POWER.Psalm 91:7 A thousand may fall at your side, And ten thousand at your right hand; But it shall not come near you. 2.  To Destroy the enemy fight with all you got The enemy does not fight fair. He doesn’t deal in kind ofs- its an all out assault. 17 Then David attacked them from twilight until the evening of the next day. Not a man of them escaped, except four hundred young men who rode on camels and fled. 18-20David had heard from God to go and attack and he would win- so David fought with everythingHe didn’t go in half hearted- trying to negotiate- negotiate time is over- YO...

> Restrictive Pulmonary Disease Idiopathic pulmonary fibrosis The development of scar tissue within the lungs Clinical presentation Dyspnea Dry cough Chest discomfort Labs, Studies and Physical Exam Findings Fine crackles at the bases may be present FEV1 is reduced FVC […] The post S2 E053 Restrictive Lung Diseases and what to avoid on your breaks. appeared first on Physician Assistant Exam Review.

Ha ottenuto risultati "eclatanti" il seminario tenuto dal dottor Franco Berrino e da Daniel Lumera e organizzato dall'associazione La Grande Via lo scorso giugno. Si è trattato - spiega il sito Terranuova.it - "di un ritiro scientifico esperienziale di riattivazione del corpo, della mente e dell’anima, della durata di due settimane presso La Villa La Mausolea (Soci, Arezzo), in cui sono state fornite istruzioni precise e dettagliate per poter proseguire il percorso per un’ulteriore settimana di mantenimento a casa propria, in autonomia". Gli esami medici eseguiti prima e dopo le due settimane hanno dimostrato un netto miglioramento a livello fisiologico nei 33 partecipanti, di età compresa tra i 39 e i 75 anni. Dall'associazione La Grande Via hanno fatto sapere: «Ogni partecipante ha ottenuto risultati evidenti anche sul proprio fisico: in media sono stati persi 4 kg di peso corporeo e 4 cm di circonferenza addominale, che possono essere tradotti in termini di benefici in un 30% in meno di rischio cardiovascolare. Nei partecipanti che hanno sperimentato le attivazioni bioenergetiche svolgendo test pre e post pratica, i valori FEV1 e FVC sono risultati aumentati riscontrando un’aumentata capacità vitale e del volume espiratorio».

In this episode I cover lung function tests, spirometry and peak flow assessment.If you want to follow along with written notes on lung function tests go to https://zerotofinals.com/lungfunctiontests or find the respiratory section in the Zero to Finals medicine book.This episode covers the obstructive and restrictive lung disease, spirometry FEV1, FVC, FEV1:FVC ratio, peak flow and the findings that you would find in various conditions.The audio in the episode was expertly edited by Harry Watchman.

Danny and James sit down to watch a pretty epic biopic in the return of the FVC. The movie is so good that the guys maakes very few humorous observations. Does this signal a more mature First Viewing Commentary?

Cary Grove at Huntley, battle of the undefeated. Winner gains the FVC driver’s seat.

FVC 2nd Anniversary Service

During a virtual service for FVC, Dr. Bill shares what he has seen since he was born again in 1969 about keeping your attitude right!

Thrive Studios clean 48:08 Podcast@thrivepodcast.org (Kasey Maiorca)Thrive PodcastJoin us every week and be led by faith to elevate His name, encourage the body of Christ, enrich our families and serve our brothers and sisters through hard work and with integrity, bringing glory to God. This is how we Thrive!Thrive,Podcast,Christian,Christ,Jesus,Christianity,God,Stewardship,Casting,Crowns,FVChttps://faithandvictory.com/thrive-podcast-episode-26-now-is-the-time-with-pastor-crystal-krachunis-and-deacon-amanda-mott/?utm_source=rss&utm_medium=rss&utm_campaign=thrive-podcast-episode-26-now-is-the-time-with-pastor-crystal-krachunis-and-deacon-amanda-mott

Thrive Studios clean 25:29 Podcast@thrivepodcast.org (Kasey Maiorca)Thrive PodcastJoin us every week and be led by faith to elevate His name, encourage the body of Christ, enrich our families and serve our brothers and sisters through hard work and with integrity, bringing glory to God. This is how we Thrive!Thrive,Podcast,Christian,Christ,Jesus,Christianity,God,Stewardship,Casting,Crowns,FVChttps://faithandvictory.com/thrive-podcast-episode-25-leading-the-future-of-our-church-with-pastor-amber-webster/?utm_source=rss&utm_medium=rss&utm_campaign=thrive-podcast-episode-25-leading-the-future-of-our-church-with-pastor-amber-webster

Thrive Studios clean 38:21 Podcast@thrivepodcast.org (Kasey Maiorca)Thrive PodcastJoin us every week and be led by faith to elevate His name, encourage the body of Christ, enrich our families and serve our brothers and sisters through hard work and with integrity, bringing glory to God. This is how we Thrive!Thrive,Podcast,Christian,Christ,Jesus,Christianity,God,Stewardship,Casting,Crowns,FVChttps://faithandvictory.com/thrive-podcast-episode-24-its-about-time-with-beau-chevassus/?utm_source=rss&utm_medium=rss&utm_campaign=thrive-podcast-episode-24-its-about-time-with-beau-chevassus

Thrive Studios clean 24:47 Podcast@thrivepodcast.org (Kasey Maiorca)Thrive PodcastJoin us every week and be led by faith to elevate His name, encourage the body of Christ, enrich our families and serve our brothers and sisters through hard work and with integrity, bringing glory to God. This is how we Thrive!Thrive,Podcast,Christian,Christ,Jesus,Christianity,God,Stewardship,Casting,Crowns,FVChttps://faithandvictory.com/thrive-podcast-episode-23-starting-out-debt-free-with-rhonda-sommer/?utm_source=rss&utm_medium=rss&utm_campaign=thrive-podcast-episode-23-starting-out-debt-free-with-rhonda-sommer

Thrive Studios clean 33:59 Podcast@thrivepodcast.org (Kasey Maiorca)Thrive PodcastJoin us every week and be led by faith to elevate His name, encourage the body of Christ, enrich our families and serve our brothers and sisters through hard work and with integrity, bringing glory to God. This is how we Thrive!Thrive,Podcast,Christian,Christ,Jesus,Christianity,God,Stewardship,Casting,Crowns,FVChttps://faithandvictory.com/thrive-podcast-episode-22-kingdom-mindedness-with-pastor-john-butcher-and-pastor-matt-krachunis/?utm_source=rss&utm_medium=rss&utm_campaign=thrive-podcast-episode-22-kingdom-mindedness-with-pastor-john-butcher-and-pastor-matt-krachunis

FVC 1st Anniversary Service.

Thrive Studios clean 27:49 Podcast@thrivepodcast.org (Kasey Maiorca)Thrive PodcastJoin us every week and be led by faith to elevate His name, encourage the body of Christ, enrich our families and serve our brothers and sisters through hard work and with integrity, bringing glory to God. This is how we Thrive!Thrive,Podcast,Christian,Christ,Jesus,Christianity,God,Stewardship,Casting,Crowns,FVChttps://faithandvictory.com/thrive-podcast-episode-05-what-are-you-watching/?utm_source=rss&utm_medium=rss&utm_campaign=thrive-podcast-episode-05-what-are-you-watching

Background: The diagnostic use of lung function using spirometry dependson the validity of reference equations. A multitude of spirometricprediction values have been published, but in most of these studiesolder age groups are underrepresented. Objectives: The aim of thepresent study was to establish new spirometric reference values foradvanced age and to compare these to recent prediction equations frompopulation-based studies. Methods: In the present study spirometry wasperformed in a population-based sample from the KORA-F4 and KORA-Agecohorts (2006-2009, Augsburg, Germany) comprising 592 never-smokingsubjects aged 42-89 years and with no history of respiratory disease.Using quantile regression analysis, equations for the median and lowerlimit of normal were derived for indices characterizing the expiratoryflow-volume curve: forced expiratory volume in 1 s (FEV1), forced vitalcapacity (FVC), FEV1/FVC, peak expiratory flow (PEF), and forcedexpiratory flow rates at 25, 50 and 75% of exhaled FVC (FEF25, FEF50and FEF75). Results: FEV1 and FVC were slightly higher, and PEF waslower compared to recently published equations. Importantly, forcedexpiratory flow rates at middle and low lung volume, as putativeindicators of small airway disease, were in good agreement with recentdata, especially for older age. Conclusion: Our study providesup-to-date reference equations for all major indices of flow-volumecurves in middle and advanced age in a South German population. Thesmall deviations from published equations indicate that there might besome regional differences of lung function within the Caucasianpopulation of advanced age in Europe.

Hypersensitivity pneumonitis (HP) also called exogenous allergic alveolitis = extrinsic allergic alveolitis in children is an uncommon condition and may not be recognized and treated appropriately. To assess current means of diagnosis and therapy and compare this to recommendations, we used the Surveillance Unit for Rare Paediatric Disorders (ESPED) to identify incident cases of HP in Germany during 2005/6. In addition, cases of HP reported for reference from all over Germany to our center in the consecutive year were included. Twenty-three children with confirmed pediatric HP were identified. All (age 9.4 y (4.4-15.1) presented with dyspnoea at rest or with exercise, mean FVC was 39% of predicted, seven of the 23 children already had a chronic disease state at presentation. IgG against bird was elevated in 20, and against fungi in 15. Bronchoalveolar lavage was done in 18 subjects (41% lymphocytes, CD4/CD8 1.99), and lung biopsy in 6. Except 2, all children were treated with prolonged courses of systemic steroids. Outcome was not favourable in all cases. Late diagnosis in up to a quarter of the children with HP and inappropriate steroid treatment must be overcome to improve management of HP. Inclusion of children with HP into international, web-based registry studies will help to study and follow up such rare lung diseases.

Feathers vs ChiselWeek 004 of 'Coach Wag's Locker Room' Weekly Monday Podcast!"Don't wish it was easier, wish you were tougher; and then become tougher!"-Coach Wags*RELENTLESS 2011*Read more »

Background: Lymphangioleiomyomatosis (LAM) is a rare lung disease characterised by progressive airflow obstruction. No effective medical treatment is available but therapy with sirolimus has shown some promise. The aim of this observational study was to evaluate sirolimus in progressive LAM. Methods: Sirolimus (trough level 5 - 10 ng/ml) was administered to ten female patients (42.4 +/- 11.9 years) with documented progression. Serial pulmonary function tests and six-minute-walk-distance (6-MWD) assessments were performed. Results: The mean loss of FEV(1) was - 2.30 +/- 0.52 ml/day before therapy and a significant mean gain of FEV(1) of 1.19 +/- 0.26 ml/day was detected during treatment (p = 0.001). Mean FEV(1) and FVC at baseline were 1.12 +/- 0.15 l (36.1 +/- 4.5%pred.) and 2.47 +/- 0.25 l (69.2 +/- 6.5% pred.), respectively. At three and six months during follow-up a significant increase of FEV1 and FVC was demonstrated (3 months Delta FEV(1): 220 +/- 82 ml, p = 0.024; 6 months Delta FEV(1): 345 +/- 58 ml, p = 0.001); (3 months Delta FVC: 360 +/- 141 ml, p = 0.031; 6 months Delta FVC: 488 +/- 138 ml, p = 0.006). Sirolimus was discontinued in 3 patients because of serious recurrent lower respiratory tract infection or sirolimus-induced pneumonitis. No deaths and no pneumothoraces occurred during therapy. Conclusions: Our data suggest that sirolimus might be considered as a therapeutic option in rapidly declining LAM patients. However, sirolimus administration may be associated with severe respiratory adverse events requiring treatment cessation in some patients. Moreover, discontinuation of sirolimus is mandatory prior to lung transplantation.

Background: Little is known about the influencing potential of specific characteristics on lung function in different populations. The aim of this analysis was to determine whether lung function determinants differ between subpopulations within Germany and whether prediction equations developed for one subpopulation are also adequate for another subpopulation. Methods: Within three studies (KORA C, SHIP-I, ECRHS-I) in different areas of Germany 4059 adults performed lung function tests. The available data consisted of forced expiratory volume in one second, forced vital capacity and peak expiratory flow rate. For each study multivariate regression models were developed to predict lung function and Bland-Altman plots were established to evaluate the agreement between predicted and measured values. Results: The final regression equations for FEV(1) and FVC showed adjusted r-square values between 0.65 and 0.75, and for PEF they were between 0.46 and 0.61. In all studies gender, age, height and pack-years were significant determinants, each with a similar effect size. Regarding other predictors there were some, although not statistically significant, differences between the studies. Bland-Altman plots indicated that the regression models for each individual study adequately predict medium (i.e. normal) but not extremely high or low lung function values in the whole study population. Conclusions: Simple models with gender, age and height explain a substantial part of lung function variance whereas further determinants add less than 5% to the total explained r-squared, at least for FEV1 and FVC. Thus, for different adult subpopulations of Germany one simple model for each lung function measures is still sufficient.

A look at the two tests available for examining COPD.

A look at the two tests available for examining COPD.

Transcript -- A look at the two tests available for examining COPD.

Transcript -- A look at the two tests available for examining COPD.

Background: Lung function and exacerbations of chronic obstructive pulmonary disease (COPD) have been associated with short-term exposure to air pollution. However, the effect of long-term exposure to particulate matter from industry and traffic on COPD as defined by lung function has not been evaluated so far. Our study was designed to investigate the influence of long-term exposure to air pollution on respiratory symptoms and pulmonary function in 55-year-old women. We especially focused on COPD as defined by GOLD criteria and additionally compared the effects of air pollution on respiratory symptoms by questionnaire data and by lung function measurements. Methods: In consecutive cross sectional studies conducted between 1985-1994, we investigated 4757 women living in the Rhine-Ruhr Basin of Germany. NO2 and PM10 exposure was assessed by measurements done in an 8 km grid, and traffic exposure by distance from the residential address to the nearest major road using Geographic Information System data. Lung function was determined and COPD was defined by using the GOLD criteria. Chronic respiratory symptoms and possible confounders were defined by questionnaire data. Linear and logistic regressions, including random effects were used to account for confounding and clustering on city level. Results: The prevalence of COPD (GOLD stages 1-4) was 4.5%. COPD and pulmonary function were strongest affected by PM10 and traffic related exposure. A 7 mu g/m(3) increase in five year means of PM10 (interquartile range) was associated with a 5.1% (95% CI 2.5%-7.7%) decrease in FEV1, a 3.7% (95% CI 1.8%-5.5%) decrease in FVC and an odds ratio (OR) of 1.33 (95% CI 1.03-1.72) for COPD. Women living less than 100 m from a busy road also had a significantly decreased lung function and COPD was 1.79 times more likely (95% CI 1.06-3.02) than for those living farther away. Chronic symptoms as based on questionnaire information showed effects in the same direction, but less pronounced. Conclusion: Chronic exposure to PM10, NO2 and living near a major road might increase the risk of developing COPD and can have a detrimental effect on lung function.

Background: Workers on dredgers and lighters on rivers are exposed to the inhalation of aerosols and dusts. Objective: The aim of this study was to investigate effects of river silt aerosol and dust exposure on the respiratory health of dredging employees. Methods: Six era mi nations were performed over a period of 2 years at 4-monthly intervals in 54 seamen with higher silt aerosol exposure and 36 controls of the same employer. Results: No significant differences could be observed between the groups at any time of the study but there was an unexpected significant decrease in the age-corrected expiratory vital capacity (FVC), forced expiratory volume in 1 s (FEV1) and midexpiratory flow rate (MMEF25/75) over the six series in both groups. This may indicate a loss of effort of the participants in re-examinations since biological and technical influences were highly unlikely to be the cause of these findings. Conclusions: Ignoring this possible decline of effort in frequently repeated measurements may result in overestimating potential effects of occupational exposure. Copyright (C) 2000 S. Karger AG, Basel.