Podcasts about GI

Một người mẹ ở Melbourne đang mắc kẹt ở Lebanon cùng các con và đang cầu xin được giúp đỡ để trở về Úc, trong bối cảnh chiến tranh đang diễn ra ác liệt xung quanh họ. Iman Nayef đã đến miền nam Lebanon để thăm người thân, chỉ đến nơi một ngày trước khi cuộc xung đột bắt đầu. Giờ đây, bị mắc kẹt khi các cuộc không kích của Israel và hỏa lực tên lửa của Hezbollah ngày càng dữ dội, bà cho biết các con của mình đang rất sợ hãi, trước những tiếng nổ vang vọng không ngừng. Xin lưu ý: câu chuyện sau đây có chứa nội dung, có thể gây khó chịu cho một số người nghe.

Giá thuê nhà ở hợp túi tiền tại Úc, hiện xuống đến mức thấp kỷ lục. Nhưng một thành phố ở châu Âu, lại tự hào với mô hình nhà ở xã hội có tuổi đời hàng thế kỷ, nơi sinh sống của khoảng 50% dân số. Với chi phí thuê nhà thấp và hợp đồng thuê gia hạn liên tục, nơi đây được ví như "thiên đường của người thuê nhà".

LVAD patients are increasingly encountered in emergency rooms and ICUs, yet many clinicians remain uncertain about initial management. A recent JACC State-of-the-Art Review provides a practical framework for recognizing and treating LVAD emergencies, from pump thrombosis and right-heart failure to arrhythmias and GI bleeding. Key pearls: LVAD patients may lack a palpable pulse, Doppler is preferred for MAP measurement, and Chest compressions should not be delayed if cardiac arrest is confirmed. First check power connection Understanding pump parameters and echocardiographic clues can rapidly guide diagnosis and life-saving therapy.

In this episode, Giovanna sits down with Debbie Bright for an eye-opening conversation about what it's really like to be a foster carer. Best known to many from TOWIE, Debbie is also one of the UK's longest-serving foster carers, having cared for over 200 children across 35 years.Gi and Debbie talk about why children enter care, the importance of showing compassion rather than judgment toward birth parents, and the emotional reality of saying goodbye when children move on.Debbie also opens up about her own turbulent childhood, and offers heartfelt advice to anyone considering fostering. Hosted on Acast. See acast.com/privacy for more information.

Tựa Đề: Khi Người Mù Gặp Chúa Giê-xu; Kinh Thánh: Mác 10:46-52; Tác Giả: Mục Sư Ngô Đình Can; Loạt Bài: Hội Thánh Tin Lành Báp Tít Khởi Đầu Mới

Giá dầu toàn cầu đã tăng từ 40 đến 50 phần trăm khi Iran tấn công tàu thuyền ở eo biển Hormuz. Tổng thống Donald Trump cho biết Hoa Kỳ đang đàm phán với các quốc gia phụ thuộc nhiều vào dầu mỏ Trung Đông, sau khi ông yêu cầu một số quốc gia gửi tàu chiến để mở lại eo biển Hormuz. Nhưng các đồng minh châu Âu cho đến nay vẫn tỏ ra phản đối yêu cầu của Tổng thống Trump.

Keith sits down with the youngest guest in show history—a 19-year-old college sophomore and student-athlete who's already deeply immersed in real estate and economics, Hunter Taddy. You'll hear a candid Gen Z perspective on money, debt, and the shifting social landscape, along with what's really being taught in today's real estate and econ classrooms.  They explore how young people are navigating college costs, work, and early investing decisions, and how hands-on property management education is shaping one student's path.  If you're curious about where the next generation of investors is headed—and what that might mean for your own strategy—this conversation offers a rare, on-the-ground look without the usual clichés. Episode Page: GetRichEducation.com/597 For access to properties or free help with a GRE Investment Coach, start here: GREmarketplace.com GRE Free Investment Coaching: GREinvestmentcoach.com Get mortgage loans for investment property: RidgeLendingGroup.com or call 855-74-RIDGE  or e-mail: info@RidgeLendingGroup.com Invest with Freedom Family Investments.  For predictable 10-12% quarterly returns, visit FreedomFamilyInvestments.com/GRE or text  1-937-795-8989 to speak with a freedom coach Will you please leave a review for the show? I'd be grateful. Search "how to leave an Apple Podcasts review"  For advertising inquiries, visit: GetRichEducation.com/ad Best Financial Education: GetRichEducation.com Get our wealth-building newsletter free— GREletter.com  Our YouTube Channel: www.youtube.com/c/GetRichEducation Follow us on Instagram: @getricheducation Complete episode transcript:   Keith Weinhold  0:01   Keith, welcome to GRE. I'm your host. Keith Weinhold talking with a 19 year old guest that I befriended last year. He's a college sophomore with a real estate investing related major. What does he think about generation Z's future is in person, social life, dead. And what do you really learn about real estate and economics in college today on get rich education.   Corey Coates  0:27   Since 2014 the powerful get rich education podcast has created more passive income for people than nearly any other show in the world. This show teaches you how to earn strong returns from passive real estate investing in the best markets without losing your time being a flipper or landlord. Show Host Keith Weinhold writes for both Forbes and Rich Dad advisors and delivers a new show every week since 2014 there's been millions of listener downloads of 188 world nations. He has a list show guests include top selling personal finance author Robert Kiyosaki. Get rich education can be heard on every podcast platform, plus it has its own dedicated Apple and Android. Listener phone apps build wealth on the go with the get rich education podcast, sign up now for the get rich education podcast, or visit get rich education.com   Keith Weinhold  1:11   the same place where I get my own mortgage loans is where you can get yours. Ridge lending group and MLS, 42056, they provided our listeners with more loans than anyone because they specialize in income properties. They help you build a long term plan for growing your real estate empire with leverage. Start your prequel and even chat with President chailey Ridge personally, while it's on your mind, start at Ridge lending group.com that's Ridge lending group.com   Speaker 1  1:44   You're listening to the show that has created more financial freedom than nearly any show in the world. This is get rich education.   Keith Weinhold  2:00   Welcome to GRE from Concord, New Hampshire to Concord, California and across 188 nations worldwide, you're listening to one of America's longest running and most listened to shows on real estate investing. I'm your host, Keith Weinhold, and this is get rich education. Increasingly, you know, people ask why even go to college? Is the value of higher education even worth it to drag yourself to an 8am American Lit class while living off of dining hall Breakfast Biscuits and chicken strips for $100,000 a year, it's been estimated that one in seven men are meats, n, e, e, t, that means not in education, employed or training. Why put on a suit and tie and show up at a job when you have a reasonable facsimile of life online and you have discord and Reddit and trade stocks on Robinhood and crypto on Coinbase. Now I don't think that's going to be good for you, and I still think that there are a lot of positives about attending college. At least 15 to 20 colleges close each year in the United States. And despite this, you know, most people that I talk to, they still seem to be mostly positive about college, or they have this expectation that their kids go to college. So anecdotally, this hasn't changed. I probably wouldn't even be as aware of this shift if I didn't read media like I do, if I just talked to people informally, I really wouldn't know. One thing that has not changed also is the notion of the broke college student. I used to be one of those. Now America is just a couple years removed from that wave of elevated inflation and war in Iran has positioned to stoke a second wave of inflation. Today's guest told me that he does pay credit card finance charges, even though he makes more than the minimum payment, just kind of like I did as a college student. The default state of teenage society today is different. It used to be boredom, and now that's been replaced with anxiety. That part has certainly changed, and often it tends to be teen anxiety over such nonsense things. I mean, I have a teenage niece. One example is the burden of maintaining your Snapchat streak? Oh my gosh, if you're a Gen Z or you know what I'm talking about, basically a snap streak where you've got to send a friend a photo or video every single day to keep your streak going, two people have to send it to each other, and people with long streaks, they even like send each other a photo of the floor, just. To keep the streak going. I mean, talk about anxiety over the wrong things.    Keith Weinhold  5:04   Well, today's team guest Hunter, he has a somewhat better grip on life. I haven't met his parents yet, but they've done an amazing job. In fact, Hunter's dad owns rental property, which kind of helps to fuel some of his interests and desire. But in order to cope with inflation and expenses, buy now pay later programs have really taken off. They're widely known, but less widely known. Our rent now pay later plans. They're booming. Platforms like livable, flex and affirm. They're used by lower income and lower credit score tenants that often live paycheck to paycheck. And how it works is that these tenants are extended money at the beginning of the month to pay the rent. They often pay a flat subscription fee plus 1% of the rent. And you know, hey, that could be better than the tenant paying late fees to the landlord. I learned from one tenant that had trouble paying his $1,850 in rent that flex charged him a $15 monthly subscription plus 1% of the total rent for providing the service. So his total fees for the app were around $33 a month rent. Now pay later. You're probably only going to hear more about it, but if you're a landlord, you probably do not know that your tenant is using a rent now, pay later plan, because you just received the full payment on time, and then your tenant pays back the service later. Remember, it is called rent. Now, pay later. Oh, before we bring in our guest, can I ask you for some quick help? Maybe you wanted to tell me what you think about the show. You could have been listening for years, but you don't think that you can reach me. If this show has helped you become a better investor, the best way to support the podcast is to leave a quick rating or review. It helps more investors discover the show. Just tap the five stars in your podcast app. It can take as little as 10 seconds, and I will read it myself. Thanks in advance for leaving a rating and review. Let's meet this week's guest.   Keith Weinhold  7:22   This week's guest is the youngest we've ever had in show history. He's a teenager, so he's about a generation younger than me, and it's his first time on a podcast. He is a sophomore student athlete at the University of Alaska Anchorage, where he competes in the 800 meters for the track and field team. He runs about a 155 his major is management, with a specialization in real estate and property management, and he's just into so many things beyond athletics and academics, he serves as an ambassador for the Widener property management and real estate program. He's also an officer of the real estate management and investment club from Wisconsin. He's 19 years old, a straight A student. He's also an RA that's a Resident Assistant there helping out students at the dorms. Welcome to GRE Hunter, toddy.    Hunter Taddy  8:18   Yeah, I'm happy to be here. Thanks for having me.   Keith Weinhold  8:20   Taddy is spelled T, A, D, D, Y. I met Hunter almost six months ago. A property manager introduced us just thinking that we might have some things in common, and she sure was right. We've gotten together a few times, including going running at one time where, well, I had more than a little trouble keeping up with an active college athlete. The last time we sat down for coffee, just last week, I looked at my watch. We were done, and we sat almost two and a half hours like how many teenagers could really hold my attention for that long? But he just understands the world and politics surprisingly well. For a 19 year old. He's confident and well thought out. He's read War and Peace. He even got some of his own cooking and avoids seed oils. And you know, Hunter being born in 2006 when GRE debuted in 2014 you were eight years old. So before we talk about you, let's talk about your generation, generation Z What do you think some of the markers of your generation are?   Keith Weinhold  9:28   Yeah, so it's as I've shared with you in the past. It's interesting, because especially at UA, I'm mostly surrounded by like, athletes. So athletes tend to be a lot more social, just like how they grown up, they're always around people that tend to be a lot more driven. But then when I talk to, like, non athletes, it's a little bit different. Like, my generation is definitely they're on their phone a lot. I mean, I've told you before, like, I avoid social media. Well, I wouldn't say like the flag, but I avoid it a lot, because I know, hey, how addicting it is. And B, just like, you know, the.The word of my generation is slop or brain rot, and which is most of the stuff on the internet, but Yeah, seems to be like, there's a lot of anxiety in my generation, a lot of, like, lack of accountability, which I've noticed a lot lot of, like, lack of responsibility. And it's almost like self indulgent in a way, where it's like, oh I'm so lazy, or Oh, I'm so this, or I'm so that, and it's just kind of weird. You don't really get that much with like the athletes. Back to the social aspect. I don't know if you've seen that headline recently, that's like, the alcohol industry has lost eight, $30 million over the past four years because he doesn't drink. The real story isn't about Gen Z not wanting to drink alcohol. It's about Gen Z, not like really being social, right? I mean, I don't see that many like, Hangouts as much as, like, when I hear from, like my parents, you know, every night you're going somewhere with your friends or your you know, you're going to the bar, you're going to a bonfire, or things like that. And it's just, you don't see it as much. A lot of people are just in their rooms or online and, you know, the online gaming, online gaming, I don't game a lot, but gaming with friends is actually really fun to do sometimes. But everything's a lot more digital, you know, from the communication to like the spaces, you know, where you hang out, whether it's video games or whether it's VR chat, and some people do that, or discord, or just like internet forums and things like that. Yeah, just lot more digital.    Keith Weinhold  11:24   Yeah, you use little or no social media. Personally, I know you manage the Instagram page for your real estate organization, but yeah, there is more of this perception of in person, social life, maybe not dead, but dying. I've learned that 51% of 18 to 24 year old men have never asked out a woman in person you were sharing with me at how you know people have anxiety just about ordering food in person at a restaurant in Gen Z.    Hunter Taddy  11:54   That's actually funny. So because of how that conversation escalated, I technically did ask her out in Snapchat, but then she was like, you have to ask me out in person. And then I did eventually ask her out in person.    Keith Weinhold  12:06   Now, when it comes to in person meetings, after a few meetings with you, I noticed something rare when it's about seeing people in person, you have virtues that I think are somewhat rare for Generation Z. I mean, you actually show up on time. This this chat we're having right now. It's the fourth time we've gotten together, and you actually showed up early each of the four times, which is something that I really notice and appreciate, which, even for people my age, it seems like it's a virtue that they've lost. I mean, showing up on time is just common decency. That's just doing what you said that you were going to do. I find that pretty interesting. But when it comes to your generation being in college now, I mean, college is tough. You know, when I went to college, I took on student loans. My parents and I each paid for half of the tuition, and also worked a part time job while I was there. So I mean, you hang out with a lot of athletes, but how is it with balancing, you know, the income and student loans? Because, you know, college kids are still pretty poor   Hunter Taddy  13:10   I wanted to run for a division two program, because you can get athletic scholarship. I came in as a walk on. I'm not on any athletic scholarship. I get free housing and free meals for being an RA. Yeah, with my RA position, I actually got the RA position my second semester. So I got it as a freshman, which was like, really, really clutch. So my dad was in the Air Force for 20 years, and I got the GI bill for like, I think, six months. So I got my two first semesters of tuition paid for, and then I got some, like, some money for, like, housing and stuff. I mean, I pocketed most of that just because, I mean, I got it for free already. I don't get any more help from the GI Bill, because I'm not in Wisconsin. But if I went to Wisconsin, I could go to any school for free, like, tuition free. So, I mean, sometimes I do think about that, but with my real estate program. I mean, oh my gosh, the scholarship deadline. Every year they give out like, $50,000 in scholarships. A lot of them are from Widener and then just other like local real estate companies in the area. Last year, I got a $2,500 scholarship to travel to the National Apartment Association's apartmentalized It's like, their yearly conference in Las Vegas, and that was pretty cool. So that stuff kind of went over my head, but a lot of the stuff about AI was, like, just really interesting to hear, especially just about property management. And it's crazy to me, because, like, AI is almost like, my generation's thing, since we're, like, growing up with it, yeah. And then hearing, like, a lot of like, the older people in the property management profession talk about, I mean, they're still talking about when they had to keep their records on pen and paper, or, like, files and stuff. And I'm like, This is crazy. So I have scholarships with the real estate program, if I'm lucky, I can get up to almost $10,000 after the spring. It's.That means I pay in state tuition because I live on campus. It was a deal they were running after covid. So that's only like $5,700 I mean, my scholarships will be able to cover that. This semester, I paid like 2000 of it or something, and then my parents were kind enough to cover the rest, and then I'm going to pay them back right away after the year ends once I get those scholarships. And then, yeah, I get $11 an hour for working desk at my RA job. It's tax free, so, I mean, it's not totally bad, but I don't working desk hours that much because we only have them at night. And then, you know, being an athlete, I don't like staying up until, you know, one o'clock sometimes. I mean, the other night, I had to work a nine to three desk shift, and that screwed my whole for an entire week. Yeah. Okay,    Keith Weinhold  15:48   so when you graduate college in a few years, you could very well come out with a lower student loan balance than a lot of others did, although you might still have an informal loan with dad in there as well. How do you and a lot of people of your generation see your financial future? They sure can be hard to predict, but a lot of people see this crushing debt with student loans, and I wonder, even though it could be far into the future if really Gen Z thinks that they're ever going to be able to afford a home. Now, when it comes to the student loans, I know I shared with you when we sat down for coffee that I had a balance. I think it was like a $20,000 balance when I graduated, because again, my parents paid half of it and I worked part time when I went to school, I shared with you that I just took that balance and paid very little interest on my student loan balance because I kept transferring it repeatedly onto these 0% APR credit cards, and when my introductory rate expired on one card, I would just transfer it onto another card. So I've long been comfortable with debt.    Hunter Taddy  16:52   So me, personally, I do not want to take out a loan from any entity. I'm very fortunate and privileged that my parents are able to, you know, front that money for me when I need it. When I need it, I try to pay them back right away. I do not want student loans like my goal is to get out of college, you know, without owing anybody any money. It's weird, because I'm from such a small town in Wisconsin, and I view trades a lot differently than, like a lot of my peers who grew up in the big cities, I know blue collar millionaires, right? People who just, you know, put their nose to the grindstone, pouring concrete. You know, working driving a semi. Only do that for maybe five or 10 years, like my cousins. My cousin pours concrete, and then the other one, I think, works for construction company, the Midwestern work ethic, they're sitting on 10s of 1000s of dollars in their savings account right now. You can make the argument. Well, their back is going to give out in a couple years. And some of that's true. But also, you know, you don't have to be the guy pouring concrete for how long. You could be the business owner, or you could be the guy who's the plumber for 510, years, and then, you know, start your own plumbing business. That's why I don't look at student loans as, like, I need this college degree to, like, make money or be successful. Like, I've met a lot of people who legitimately have that mindset. That's like, I understand that if you've grown up in that sort of, like sphere, you've grown up with those ideas. But to me, it's like, I know if I can't pay for college, or if I don't graduate college, I know I'm going to be fine. I could go, you know, work construction, or I could go, you know, mow lawns or something. I know, I guess I just view it differently. But a lot of people think they need those student loans. So, I mean, they sign up for them. And I looked it up the other day, the average time to pay off student loans is, like, 20 years or something like that. Yeah, I believe it. That is kind of sad. That's insane to me. I want my lawyers going to college. I want my doctors going to college. I want to college. I want all these people to have a good education. But I mean, like 100,000 to $200,000 I just see that, and it's like, oh, I don't know, man, I sign up for the fast flow every year, but I never get anything Free Application for Federal Student Aid, yeah, but I know some people get, like, Pell Grants. If I'm not wrong, I think the Pell Grants are just, I don't know they have to pay those back. It seemed like I was applying for the Stafford Loan. I was lower middle class. I don't think we quite qualified for the Pell grant. The grant being like, free money and a loan of stuff that you need to pay back. Yeah, of course. And of course, in addition to student loans, we regularly have students using credit cards and probably not being able to pay the full balance, is they make their way and try to pay their way through college. That's certainly one thing that I did.    Hunter Taddy  19:28   Here's something for you, DoorDash, my generation and DoorDash is so crazy. I mean, I look at some of these people we have like a desk, at some of the halls, and the amount of people who just DoorDash some of these people are doordashing every night. And that's not cheap, like, that's sometimes it's like 30 bucks just to get Taco Bell or, you know, Wingstop or something like that, and then Klarna, it's like, finance a pizza. Like, what are we doing here?    Keith Weinhold  19:54   Sure, yeah, you're making a down payment on a blooming onion and financing it and making the last payment on it. Years later or something. Yeah, crazy like that, 100% and yeah, I would imagine home ownership is just seen as something that's so far into the future, it's almost unfathomable.    Hunter Taddy  20:12   Yeah, it's funny to me, because, you know, I come from, again, very small town, the cost of living is, like, extremely low compared to the country. I'm pretty sure Green Bay was voted number one place to live by us, News and World Report couple years ago, number one place to live in the United States. But more of the people back home who work these jobs in the trades, like the thought of owning a home seems a lot more real to them than my friends who are in college. And a lot of that has to do with, you know, like we're in bigger cities. Again, people have more debt, but yeah, I mean, you look at those prices of homes, I think the median home price in Anchorage is like $426,000 and just, you know, looking at that numbers like, how am I ever going to afford that? One of my friends, he's in the real estate program. He's got $40,000 saved up. He's got his Roth IRA maxed out. It's weird, because this is one of the points I want to make. So in my generation, you have people who have all these resources, you know, especially with the internet, and they're doing very well with it. They're taking it and they're running with it. And then you have the other part of my generation who's doing the buy now, pay later option. It's almost like a upside down bell curve or something like that. The people who are good are getting so much better, and the people who are making the bad decisions are getting so much more worse.    Keith Weinhold  21:25   Ah, the K shaped economy starts young.   Hunter Taddy  21:27    It's just interesting to see sometimes, because you have some people like, I can't afford this, I can't afford that, and it's like, yeah, being college student is hard. But then it's like, you buy your $6 coffee every day, and it's, you know, I'm guilty of that too. My spending habits aren't the best. And then you look at like home ownership inflation is real. Cost of living is getting higher. But also my dad talks about this a lot like our standards are getting so much higher, too great. Our houses are getting bigger. Kids don't share bedrooms anymore. All our kids have to have our phone. All our kids have to have the newest thing or the newest coat. And you know, you want nice things for your family. I get that, you know, I don't have a family, so I can only talk about this so much. But I mean, our standards are getting a lot, a lot higher as well. I mean, you look at our grandparents houses, and they're like, these, just small, one story houses, one bathroom. You know, I look at the house that my dad grew up and he shared a room with his brother until he graduated, right? And then you look at all these families kids live in their bedroom, it's so weird to me that like siblings, they know each other, but they don't know each other because they're sitting in their rooms all day and they're looking at their phones.    Keith Weinhold  22:31   You surface a good and salient point hunter that a lot of people don't bring up because the K shaped economy that means a widening disparity between the haves and the have nots, but the entire K also keeps moving up, so standards of living continue to get better for both the haves and the have nots, even though the disparity between them continues to widen, and yes, a poor person today has Wi Fi and has Air Conditioning and a lot of minor conveniences that poor people didn't have 75 years ago. You're listening to get rich education. We're doing something different this week, talking to the youngest guest in GRE history. His name's Hunter toddy. We're going to talk more when we come back about what he's learning in classes, economics and real estate classes, because that is one thing that college students do. Remember, I'm your host. Keith Weinhold.    Keith Weinhold  23:24   Flock homes helps you retire from real estate and landlording, whether it's one problem property or your whole portfolio through a 721, exchange, deferring your capital gains tax and depreciation recapture. It's a strategy long used by the ultra wealthy. Now Mom and Pop landlords can 721, the residential real estate request your initial valuation, see if your properties qualify@flockhomes.com slash GRE. That's f, l, O, C, K, homes.com/g.R, E,    Keith Weinhold  24:00   you know, most people think they're playing it safe with their liquid money, but they're actually losing savings accounts and bonds don't keep up when true inflation eats six or 7% of your wealth. Every single year, I invest my liquidity with FFI freedom family investments in their flagship program, why fixed 10 to 12% returns have been predictable and paid quarterly. There's real world security backed by needs based real estate like affordable housing, Senior Living and health care. Ask about the freedom flagship program when you speak to a freedom coach there, and that's just one part of their family of products, they've got workshops, webinars and seminars designed to educate you before you invest. Start with as little as 25k and finally, get your money working as hard as you do. Get started at Freedom, family investments.com/gre,or send a text. Now it's 1-937-795-8989, yep, text their freedom coach directly. Again, 1-937-795-8989,   Robert Kiyosaki  25:12   this is our rich dad. Poor Dad. Author Robert Kiyosaki, listen to get rich education with Keith Weinhold don't quit your daydream   Keith Weinhold  25:26   Welcome back to get rich Education. I'm your host. Keith winehill, we're talking with Gen Z and student athlete Hunter toddy. He's a sophomore college student, and he's got a management degree with a concentration in real estate investing. So yeah, Hunter, tell us some of the things that you've learned about in an economics class or two that you've taken there at UAA.    Hunter Taddy  25:51   So I had an economics class last semester, but the teacher is basically tenured, and he only posted YouTube videos and like three quizzes was like the entire grade. He made us great at 2000 wasn't gonna say and didn't even grade it. So I didn't learn anything about economics, but that was macro, and now I'm in micro. And this professor, he's fantastic. He talks to Anchorage and Alaska legislators all the time. He was on Meet the Press Like he's very, very, very, very smart and well spoken, one of my and professors, and he's also Yale educated, as I understand. Yeah, I always get crap from my cross country teammates because most of them are STEM majors. There's a lot of engineers, and then there's, you know, you have people who are in, like, kinesiology, and then a lot of aviation, but they always give me crap because, like, oh, business, it's supply and demand, blah, blah, blah. But then, like, legitimately, economics has been so fascinating for me, just like, you know, consumer behavior, opportunity cost, trade off. One of the things is rent control, right? Definitely a big conversation, especially in, like, my generation, you know, because of all these rising prices. And then, you know, the landlord always gets the negative connotation, right? Landlords are greedy. I wouldn't even as a college student. Well, you think about rent control is like as soon as you put that binding price ceiling on the rent prices in an area, that's why there's not enough housing on the West Coast. That's why landlords are painting over the light switches, or they're not fixing your toilet, or they're not fixing the leaky sink. There's just a lack of understanding general society about, like, just how markets work and why. You know, businesses make certain decisions that they do. That's one thing with, like, a lot of my generation, is a lot of them are almost anti business, in a sense, right? In a sense, but they love being consumers. What my dad talks about a lot is as the business owner, like when you work for a company, a lot of the times you can clock in, clock out, you go home and you lay your head on the pillow, and you don't have to worry about anything, right? But when you're the business owner, like my dad, and if you have a lot of anxiety, like he does, about certain things, and you stress a lot, you're up at 2am wondering if the LVP you put in someone's kitchen is going to buckle, well, then you're gonna have to go back and fix it all and all these things, and so I definitely have a lot more to say understanding for like business owners and like landlords. Yeah, the economics classes just broaden my understanding of how the world works. I think that's a class everyone should take, and it is a general ed but I think it's a class everyone should pay attention to as well.    Keith Weinhold  28:18   Sure, rent control gives landlords no incentive to make improvements to a property. So yeah, it's good that you're learning about this in econ class. Tell us about some of the other things that you've learned in economics or in your more real estate investor centric college courses.    Hunter Taddy  28:36   So I'll focus more on the real estate stuff. So Dean Widener, Widener apartment homes, one of the top five, I think, largest owners of apartment homes in terms of units like in the United States, right? He basically came to Anchorage, and he wanted to build the Widener program, basically like a farm for property managers, like, you know, give this education. And then they, you know, they come work for widener. They come work for, you know, whoever a lot of the education has to do with property management. So there's leasing, asset maintenance. Talk a lot about operating budgets, risk management. All students in the program memorize the cash flow performer by heart. So, you know, you have gross potential income loss to lease, vacancy, net revenue, other income, expense reimbursements. Maddie poo, which is maintenance, admin, taxes, insurance, payroll and utilities. Have you heard that acronym before? What is it? Yeah. Maddie poo, I pretty sure my professor, like, that's kind of like his thing. I didn't finish it all, but we have it all memorized, and then we do, like, a lot of fair housing and landlord tenant law. Yesterday, in my Real Estate Investment Finance course, we were analyzing loans, and we were making like amortization tables, yeah. And then so we were looking at like interest rates, how a balloon loan works, variable interest rates. I took real estate Maintenance and risk last semester, and that was really awesome. We got to visit buildings all across Anchorage and talk with the property managers, talk about maintenance systems, general maintenance of the property, property management, the day to day, things like that. And then leasing, we actually had us basically go undercover. We have to have three properties, and we go do a showing at all of them, and then we had to review them, and we did a presentation about them, and, like, we basically reviewed them and graded, like the leasing agent, and how they did that one was really cool.    Keith Weinhold  30:33   Okay, so the mock tenant, grading a leasing agent, yeah, then showing you amenities, explaining lease length, things like that,    Hunter Taddy  30:41   and then seeing if, you know, they violated any like Fair Housing things. He said, Don't necessarily try and bait them, but one of the questions that one of my classmates asked, so what kind of people live here? And then the good property manager, you know, it says we rent to anyone that fits our criteria. And then you have some people that's like, oh, you should have said that. Yeah, yeah, it's pretty touchy, age, race, family status, right? Yeah. So we definitely have that drilled in our heads as well, like landlord tenant law and then, like, fair housing, you    Keith Weinhold  31:11   told me something interesting when we got together, when you run the numbers for property, that the numbers always work better in one condition than they do in another.    Hunter Taddy  31:20   So we do cap rate. And so cap rate is noi over value, I believe, yep. So we analyze the cap rates for all the properties, and then we see what is our return if we pay cash or whatever is our return when we pay leverage. And sometimes it's better if you pay cash, or sometimes it's better if it's leveraged. But I always think even if you could pay cash, you pay, say, $3 million for the whole complex, well, you could put a $500,000 down payment on six other properties. So I always thought that was weird, because that's just, I read Rich Dad, Poor Dad, after my dad recommended it to me, and then it just talking to my dad about leveraged investments. Yeah, why don't you do that instead? Oh, he said,    Keith Weinhold  32:00   right, as long as you control your cash flow and pay the mortgage and the operating expenses. Yeah, we typically talk about getting the leverage here, because the appreciation grade has absolutely nothing to do with the amount of equity that's in the property. Is there anything else interesting that you learned from going out in the field and actually seeing some properties or talking to some managers? And I think this is really interesting, because a lot of times when people graduate college, they tend to broad brushstroke students or new graduates, and say, Yeah, but they haven't gotten out in the real world yet, but you actually are as a student.    Hunter Taddy  32:33   Yeah. So that's one thing I really love about our program, and I really love our professor. He owns properties himself. It's not like a pyramid scheme thing where, like, almost like, you're going to college to learn how to be a professor, and sometimes that we need those people for, like, research and stuff. But like, he's actually done the work. He knows what it's like. He can relate to things that we're talking about. Yeah, we get a lot of that real world experience, which is really awesome going about that, like the leasing experience. One of the things with, like, a lot of the managers, especially in Anchorage, because there's such a housing shortage, a lot of them didn't really like try, because they like, almost don't have to, because, I think a lot of them assume you're gonna lease someone anyways, no matter, because it's not necessarily really competitive. So because the vacancy rate is so small, yeah. So it's just like, here's the kitchen. You know, we're actually taught in leasing class, leasing strategies. And also, what's really good about our classes, we read, like, a lot of personal growth books in our classes. So like in our leasing class, our professor had us read The Seven Habits of Highly Effective People, Stephen Covey and yeah. And then I think for our real estate investment class, we're going to read the compounding effect. I don't know what it's about, but I mean, I really appreciate how our professor gives us, like, those books and that knowledge that's not just, you know, specific to real estate. It's like how to become like a better person, or how to become better at personal finance in general.    Keith Weinhold  33:58   All right, so some conceptual and some mindset stuff, along with more of the hands on and more of the numbers. Well, before I ask you, what's next for you, do you have any last thoughts with what you've learned in class, or just anything overall about your generation and lifestyle and getting along financially? For a college student,    Hunter Taddy  34:18   in April, I'm going down to Austin for the property con, which is Institute of real estate management, big conference. I think they have this one every year too. I think John Quinones, the guy from what would you do, is going to be like one of the keynote speakers. So looking forward to that, definitely looking forward to some of, like, learning more about, like AI, and how it's used in, like, the property management, like real estate sphere, and then I'm kind of interested in green building, because it almost seems to be like, Win win, right? Because better for the environment and then better for the investor most of the time, you know, like, through these retrofits, like you're just switching to LED light bulbs, we actually, we ran those numbers a lot in my.In its class. Like, you know, what would it be like if you switch from iridescent to LED light bulbs? And it's like, that's like, what are the things that all property managers should do? Because you're saving, sometimes 1000s of dollars and seven or 10 year period, or whatever it is, improve the cap rate, right there? Yeah, I want to definitely learn more about, like, the green building. And also, just because, you know, I'm a healthy person, when I build my house one day, I don't want to have, like, a lot of toxic materials and stuff as well. I have one friend. He's really, really dialed in his health. They're talked about him with you before, but he, like, he's not even have drywall in his house because there's some, like, toxic thing in drywall, or something, like, he's gonna build it out of brick and mud or something, I don't know.    Keith Weinhold  35:39   Oh, he can't just go live in any rental. Yeah, well, Hunter, this has been really good. Your dad owns rentals in Wisconsin, and like you mentioned, he's red, Rich Dad, Poor Dad himself. So that's kind of an influence on you. And you do have a management internship back in Wisconsin this summer. But before we go on, you mentioned to me that your dad owns a certain type of apartments in Wisconsin, and I've never heard of that type before. What are they called? And then, what does that mean?    Keith Weinhold  36:06   I think the name is local to the city itself in Manitowoc, Wisconsin. So they're called custerdales. I think there were homes built after World War Two, I believe, for like GIS and things like that so well. Just before he got in the Air Force, he was in Saudi Arabia for a year, and he was thinking about, you know, what am I going to do when I retire? Because he knew after the year was done, he was going to retire and come back to Wisconsin. And one of his friends got him into real estate, and he talked to my mom a little bit, and they just started buying properties. So that was in 2018 and now they own about 70 units, mostly duplexes, with their biggest being a five Plex. They also have a 18 bed assisted living facility. Most of the the 70 units are called custerdales. They're all like, cookie cutter, like, the same they're basically the same layout, you know, sometimes it's just flipped or whatever. And he basically did the same thing each time, a lot of them were, like, really run down ones that they purchased had someone with a chicken living on top of the refrigerator. And then when they locked the place up after they bought it, he broke back in and took stuff. And so they've really, actually, like, helped the community in a way, by remodeling a lot of these homes. And then my dad would refinance them, and then he would take that money and then invest it into another property. And he just kept doing that again and again and again. Yeah, so buy and hold we self manage, because there's not really a reputable property management service in the area. This is near Manitowoc, Wisconsin. Maybe you've heard that name before. Manitowoc, they make heavy construction equipment, and you are going back to Wisconsin this summer for a management related internship, yeah, well, Hunter, well, this has been great talking about what your generation's like, what you do in your classes, and the practical experience that you're already getting as a 19 year old. I mean, you're just substantially further ahead than I was as a geography degree student and major way back in the day, if anyone wants to reach out to you, see what you're doing, or contact you. What's the best way for them to do that? Hunter.    Hunter Taddy  38:09   So I don't have Instagram or Facebook, but I do have LinkedIn. So if you just search Hunter toddy again, T, A, D, D, y, on LinkedIn, you can find me there. Also just give my email. It's H hottie 007 at Gmail.    Keith Weinhold  38:26   All right, look that up if you want to reach out to Hunter. Yeah, it's been great having you here. Thanks so much for coming on to the show.    Hunter Taddy  38:32   Thanks forhaving me.    Keith Weinhold  38:40   Yeah, a fresh perspective from college student, Hunter toddy today. He has got his act together amazingly well for a teenager, and you know, talking to him made me think about something like I said when I graduated college, and it was just with a bachelor's degree. By the way, pretty humble bachelor's double major, geography and regional planning, I had that 20k in student loan debt, which I transferred onto 0% APR credit cards, over and over again and inflation adjusted terms, that might be 40k in today's dollars. I had no incentive to pay it down, let alone pay it off, since my finance charges were essentially zero, so that's why I probably carried that balance for close to 20 years. But this is the first time that I thought about the fact that that very habit was probably a benefit to me, not because it saved me from paying interest on student loans, but because it got me comfortable withholding debt for the long term and rationalizing that there would be an opportunity cost of paying off that debt, because a payoff would have meant that I would forego the opportunity of investing those dollars to get gains, that habit got me comfortable with prudently using debt and leverage as a real estate investor, and that helped me own and control more property sooner. So it was a somewhat autodidactic approach to good debt. Today, we talk with a young, likely soon to be investor, oppositely next week here on the show. We're talking about the book end, on the other side of the shelf, and that is when you're ready to retire from real estate, you can exchange your properties into a fund, pay zero capital gains tax or depreciation recapture. And unlike a 1031 exchange, what you've done is you have totally exited the direct real estate business with a 721, exchange, and you still get financial upside with zero management duties retired. Finally, if you've ever wanted to tell me what you think about the GRE podcast, if this show has given you some fresh perspective or helped you become a better investor. The best way to support the show is to leave a quick rating or review. It helps more investors discover the show. Here's how to do it inside the get rich education Show page on Apple podcasts, scroll about halfway down to ratings and reviews. Tap the purple stars to rate, and then tap the purple words write a review on Spotify from the get rich education podcast, tap the three dots near the top of the show page, tap rate podcast and leave your star rating. That's all it takes. It's crazy that this show has almost 6 million total listener downloads, but yet, across all platforms, we have perhaps only 1000 reviews, and that's probably because I rarely ask for them. I would greatly appreciate it. Until next week, I'm your host. Keith Weinhold, don't quit your Daydream.   Unknown Speaker  41:59   Nothing on this show should be considered specific personal or professional advice. Please consult an appropriate tax, legal, real estate, financial or business professional for individualized advice. Opinions of guests are their own. Information is not guaranteed. All investment strategies have the potential for profit or loss. The host is operating on behalf of get rich Education LLC, exclusively   Keith Weinhold  42:27   The preceding program was brought to you by your home for wealth, building, get richeducation.com  

Tựa Đề: Lòng Kính Mến; Tác Giả: M. Jeudi; Loạt Bài: Hạt Giống Tốt

Tựa Đề: Đừng Sợ; Tác Giả: M. Jeudi; Loạt Bài: Hạt Giống Tốt

Tựa Đề: Chúa Giê-su Cứu Kẻ Tội Nhân; Kinh Thánh: Mác 2:15-17; Tác Giả: Mục Sư Nguyễn Trọng Vinh; Loạt Bài: Hội Thánh Báp Tít Hy vọng Việt Nam Baton Rouge

The latest cover is live now for digital readers, so the cover team Marcus and Eric join Charles on The Game Informer Show this week to break it all down. Alongside those three, we invited GI contributor and freelance reporter extraordinaire Nicole Carpenter to talk about her recent feature on Love And Deepspace, as well as her reporting on recent Nintendo rumblings.Then, we've got some reviews to get into! Charles played Monster Hunter Stories 3: Twisted Reflection, and Marcus has some final thoughts on WWE 2K26. It's another feature-length episode of The Game Informer Show, so grab a cold beverage and tune in!The Game Informer Show is a weekly podcast covering the video game industry. Join us every Friday for chats about video game reviews, news, and exclusive reveals alongside Game Informer staff and special guests from around the industry.Jump ahead using these timestamps:00:00 - Intro / Love and Deepspace26:47 - Invincible VS Cover Story1:00:19 - Nintendo Lawsuit1:14:04 - Monster Hunter Stories 31:34:11 - WWE 2K26

Det gikk hett for seg da sjefredaktørene Bjørn Kristoffer Bore fra Vårt Land og Vebjørn Selbekk fra Dagen debatterte rundt Med Israel for freds "Takk Israel!"-annonse i Dagsnytt 18. I dag gjester de Mediebobler. Med Gard Steiro og Anders Giæver. Produsent Andreas Røen Pettersen. Ansvarlig redaktør Gard Steiro. Kontakt redaksjonen på giaeveroggjengen@vg.no. Giæver & gjengen gir deg de viktigste nyhetene hver dag på drøye 20 minutter når du skal hjem fra jobb. Hør «Mediebobler» hver lørdag om feilene pressen gjør og dilemmaer VG står i. Alltid på Podme.

Dr Haley Ellis from Mass General Brigham Cancer Institute in Boston, Massachusetts, Prof Eric Van Cutsem from University Hospitals Leuven in Belgium, Dr Zev Wainberg from UCLA Jonsson Comprehensive Cancer Center in Los Angeles, California, and moderator Dr Lionel A Kankeu Fonkoua from Mayo Clinic in Rochester, Minnesota, discuss recent data and provide their perspectives on the management of HER2-positive GI cancers.CME information and select publications here.

Tựa Đề: Người Truyền Giáo; Kinh Thánh: Ga-la-ti 1:11-24; Tác Giả: Mục Sư Nguyễn Thỉ; Loạt Bài: Hội Thánh Tin Lành Orange

Israel og USAs krig mot Iran fortsetter med uforminsket styrke på vei inn mot uke tre, moren er siktet i ambassade-bombingen og er det på tide å legge ned ungdomspolitikken i Norge. Med Anders Giæver, Frøy Gudbrandsen og Hanne Skartveit og Ayesha Wolasmal. Produsent Andreas Røen Pettersen. Ansvarlig redaktør Gard Steiro. Kontakt redaksjonen på giaeveroggjengen@vg.no. Giæver & gjengen gir deg de viktigste nyhetene hver dag på drøye 20 minutter når du skal hjem fra jobb. Hør «Mediebobler» hver lørdag om feilene pressen gjør og dilemmaer VG står i. Alltid på Podme.

▶️ Connect with Richard on LinkedIn: https://www.linkedin.com/in/richardatherton-firsthuman/   What if many chronic symptoms - pain, IBS, migraines, fatigue, insomnia - aren't caused by damage in the body, but by patterns in the brain?   In this episode of Being Human, Richard Atherton speaks with Nora Rodden, CEO and co-founder of the health app Nervana. After being hit by a car during university, Nora developed chronic back pain that persisted for five years despite countless treatments and no obvious lasting damage in her body. Later, severe digestive issues and insomnia followed.   Everything changed when she joined a clinical trial exploring neuroplastic pain, the idea that the brain can learn and sustain physical symptoms long after an injury has healed.   Through mind-body techniques including journaling, somatic awareness and visualisation, Nora eliminated her pain and restored her sleep.   Her experience led her to build Nervana, an AI-guided program designed to help people retrain their brain-body response and recover from chronic symptoms. We discuss: Facing the triple whammy of chronic pain, GI symptoms and insomnia The "medical" trial that changed her life The drug-free approach that cured her symptoms in 3 months Her ground-breaking providing relief from pain Should Advil carry a warning? Links: Nervana App

Ngắm nhân sao – Linh hồn hỏi Đức Chúa Giê-su về mọi sự thương khó Chúa || TGP hà Nội by TGP Hà Nội

Join us as we get to know Beatrice Jin, one of the headlining instructors for the 2026 Roll Model Camp! Links and Resources Mentioned@berimbozo@buttscooterjiujitsuBOZO50 @ rollmodelswanted.com for $50 off camp registrationIf you love the podcast, share it with a friend!You can also leave us a 5-star rating in Spotify or Apple Podcasts.

Resetting the Metabolic Setpoint: Duodenal Mucosal Resurfacing (DMR) and the Future of Obesity Care with Dr. Harith Rajagopalan Is the duodenum the "early warning beacon" for metabolic disease? In this episode, we sit down with Dr. Harith Rajagopalan, MD, PhD, Co-Founder and CEO of Fractyl Health, to discuss the revolutionary shift from treating downstream symptoms of diabetes and obesity to addressing the upstream root cause in the gut. We dive deep into the science and technique of Duodenal Mucosal Resurfacing (DMR)—an automated, 45-minute endoscopic outpatient procedure designed to reset the metabolic setpoint. Dr. Rajagopalan explains how high-fat, high-sugar diets pathologically alter the duodenal mucosa and how "resurfacing" this tissue can provide a durable off-ramp for patients on GLP-1 therapies. Key highlights include: The "Reset" Mechanism: How the duodenum acts as the body's nutrient-sensing center and why it becomes dysfunctional. Technical Deep Dive: A look at the automated circumferential saline injection and thermal ablation process (and the future of through-the-scope devices). The "Remain" Trial Data: Breakthrough insights into post-GLP-1 weight maintenance and craving reduction. The Rejuva Platform: A look at the first-in-class EUS-guided gene therapy targeting the pancreas. Whether you are a fellow learning the ropes or an attending looking for the next frontier in interventional GI, this episode explores a future where endoscopists own the management of metabolic disease.

Email the show at kids@mpbonline.orgHost: Dr. Morgan McLeod, Asst. Professor of Pediatrics and Internal Medicine at the University of Mississippi Medical Center.GI issues can start and the "top" but can continue through the "bottom". From prenatal to older folks, GI issues happen. Hosted on Acast. See acast.com/privacy for more information.

Chỉ một cú chạm tay vào tin nhắn mạo danh bưu điện hay trạm thu phí, toàn bộ thông tin cá nhân của bạn có thể bị đánh cắp trong tích tắc. Giữa lúc hoảng loạn tột độ, đây là 4 bước khẩn cấp cần làm trong 24 giờ đầu tiên để bảo vệ tài sản và danh tính của bạn.

NSAIDs are overused and cause silent damage to joints, heart, and the gut—leading to GI bleeds and even death. #NSAIDRisks #JointHealth #HeartHealth #SafeAlternatives

Phần này khắc họa cái Tết cô độc và đắng cay của Lành nơi phố thị. Vì trắng tay, anh không dám về quê, thấm thía nỗi nhục nhã của kẻ tha hương thất bại. Giữa căn phòng trọ lạnh lẽo đêm giao thừa, Lành dằn vặt vì từng dùng sức mạnh chèn ép người lao động khác — một hành động phản bội lại lý tưởng của người lính. Anh rơi vào trạng thái tê liệt, cảm thấy tâm hồn như đang chết dần trong một thân thể vẫn còn sức sống vì nỗi nhớ mẹ và quê nhà khôn nguôi.

- Thủ tướng Chính phủ yêu cầu tăng cường thu mua lúa gạo cho nông dân, đặc biệt tại các vùng sản xuất lớn ở Đồng bằng sông Cửu Long.- Việt Nam vào nhóm kinh tế có triển vọng tăng trưởng thương mại nổi bật- Bộ Giáo dục và Đào tạo công bố điểm mới trong Kì thi tốt nghiệp THPT năm 2026- Giá tất cả các mặt hàng xăng dầu đồng loạt giảm mạnh, trong đó dầu hỏa giảm mạnh nhất gần 8 nghìn đồng/lít so với kỳ điều hành trước đó.- Trên thế giới, Cơ quan Năng lượng Quốc tế (IEA) sẽ giải phóng 400 triệu thùng dầu từ kho dự trữ chiến lược ứng phó với tác động từ xung đột Trung Đông. Đây là đợt can thiệp thị trường lớn nhất lịch sử.

VOV1 - Phiếu bầu cử được pháp luật quy định như thế nào?Luật sư Nguyễn Thị Ngọc Lan, Giám đốc Công ty Luật Ngọc Lan và cộng sự, Đoàn luật sư thành phố Hà Nội giải đáp:Phiếu bầu đại biểu Quốc hội và phiếu bầu đại biểu Hội đồng nhân dân từng cấp được in riêng trên một mặt giấy khổ A5, theo chiều dọc. Màu sắc từng loại phiếu do Ủy ban nhân dân tỉnh, thành phố lựa chọn nhưng không được trùng nhau trên cùng địa bàn.Phiếu bầu hợp lệ phải có dấu của Tổ bầu cử ở góc trên bên trái. Trên phiếu ghi rõ tên địa phương, khóa của Hội đồng nhân dân (đối với phiếu bầu HĐND) và số lượng đại biểu được bầu tại đơn vị bầu cử.Danh sách người ứng cử được xếp theo thứ tự bảng chữ cái; mỗi người ghi trên một dòng, phía trước có từ “Ông” hoặc “Bà”. Trường hợp trùng tên thì căn cứ vào họ, tên đệm hoặc ngày tháng năm sinh để xác định thứ tự.Việc in ấn, quản lý và bàn giao phiếu bầu phải thực hiện chặt chẽ theo quy định. Trước khi kiểm phiếu, Tổ bầu cử phải kiểm đếm và niêm phong số phiếu chưa sử dụng hoặc phiếu hỏng.

VOV1 - Trước ngày bầu cử, Tổ bầu cử được nhận bàn giao những loại tài liệu, vật tư nào?Luật sư Nguyễn Thị Ngọc Lan, Giám đốc Công ty Luật Ngọc Lan và cộng sự, Đoàn luật sư thành phố Hà Nội giải đáp:Trước ngày bầu cử, Tổ bầu cử nhận bàn giao từ Ủy ban nhân dân cấp xã và Ban bầu cử các tài liệu, vật tư cần thiết như:Thẻ cử tri theo danh sách cử tri.Phiếu bầu cử và phiếu dự phòng.Con dấu của Tổ bầu cử và dấu “Đã bỏ phiếu”.Các biên bản, biểu mẫu phục vụ công tác bầu cử.Danh sách cử tri và danh sách, tiểu sử tóm tắt của người ứng cử.Nội quy phòng bỏ phiếu, thể lệ bầu cử, tiêu chuẩn đại biểu.Phù hiệu của thành viên Tổ bầu cử.Văn phòng phẩm và các tài liệu cần thiết khác phục vụ ngày bầu cử.

VOV1 - Việc tính và ghi tỷ lệ phần trăm trong biên bản kết quả bầu cử và Nguyên tắc xác định người trúng cử được pháp luật quy định như thế nào?Luật sư Nguyễn Thị Ngọc Lan, Giám đốc Công ty Luật Ngọc Lan và cộng sự, Đoàn luật sư thành phố Hà Nội sẽ giải đáp cụ thể:Tỷ lệ phần trăm (%) trong biên bản được tính đến hai chữ số thập phân và làm tròn số theo quy tắc toán học.Ví dụ: 22,566% được làm tròn thành 22,57%.Kết quả bầu cử chỉ được công nhận khi quá một nửa số cử tri trong danh sách tham gia bỏ phiếu.Người trúng cử phải đạt quá một nửa số phiếu hợp lệ. Nếu số người đạt điều kiện nhiều hơn số đại biểu được bầu thì chọn người có số phiếu cao hơn. Trường hợp bằng phiếu ở vị trí cuối, người nhiều tuổi hơn được xác định trúng cử.Tải vềPlayMuteRemaining Time -0:39

VOV1 - Tổ bầu cử cần thực hiện những công việc gì trước ngày bầu cử?Luật sư Nguyễn Thị Ngọc Lan, Giám đốc Công ty Luật Ngọc Lan và cộng sự, Đoàn luật sư thành phố Hà Nội giải đáp:Trước ngày bầu cử, Tổ trưởng Tổ bầu cử phân công nhiệm vụ cụ thể cho từng thành viên như:Phụ trách chung, điều hành việc bỏ phiếu và kiểm phiếu.Quản lý tài liệu, phiếu bầu và lập biên bản kiểm phiếu.Trang trí phòng bỏ phiếu, bảo đảm cơ sở vật chất.Kiểm tra Thẻ cử tri, phát phiếu bầu và hướng dẫn cử tri bỏ phiếu.Bảo đảm an ninh, trật tự tại khu vực bỏ phiếu.Trước ngày bầu cử 10 ngày, Tổ bầu cử phải rà soát toàn bộ điều kiện phục vụ bầu cử như: phòng bỏ phiếu, danh sách ứng cử viên, phiếu bầu, con dấu, hòm phiếu, danh sách cử tri và các phương tiện kỹ thuật khác.Đồng thời, Tổ bầu cử phải quản lý chặt chẽ phiếu bầu, lập sổ theo dõi số phiếu nhận, phát và thu hồi; nếu phát hiện mất tài liệu, phiếu bầu phải lập biên bản và báo cáo ngay.

If eating disorder recovery has made your stomach feel worse instead of better, you are not alone. Many people experience bloating, constipation, reflux, stomach pain, and fullness during recovery. These symptoms can feel frightening and discouraging, especially when they show up after you start nourishing your body more consistently. In this solo episode, Dr. Marianne Miller, LMFT, explains why gastrointestinal symptoms are common during eating disorder recovery and why they do not mean recovery is failing. You will learn how restriction affects the digestive system, why symptoms sometimes intensify during early recovery, and what helps the gut heal over time. Dr. Miller also shares practical strategies for coping with GI discomfort while continuing recovery. This episode offers compassionate guidance for navigating one of the most misunderstood parts of eating disorder healing. Why GI Issues Are Common in Eating Disorder Recovery Many people are surprised when digestive symptoms worsen after they begin eating more consistently. Bloating, constipation, reflux, nausea, and stomach pain can make recovery feel confusing or even frightening. In this episode, Dr. Marianne Miller explains how restrictive eating, purging, inconsistent nourishment, and limited food variety affect the gastrointestinal system. When the body does not receive enough energy, digestion slows in order to conserve resources. Motility decreases, stomach emptying may become delayed, and the muscles of the digestive tract lose strength over time. When nourishment increases during recovery, the digestive system must relearn how to function. This recalibration process can temporarily intensify symptoms. While uncomfortable, these changes are often part of the gut rebuilding normal digestive rhythms. Common Digestive Symptoms During Eating Disorder Recovery People in eating disorder recovery frequently report symptoms such as bloating, constipation, reflux, abdominal discomfort, nausea, and early fullness. These symptoms may appear during early refeeding or after increasing meal consistency. Dr. Miller discusses how slowed gastrointestinal motility, microbiome changes, and nervous system activation contribute to these experiences. She also explains why bloating can feel especially distressing in a culture that places intense pressure on stomach appearance and body size. Understanding the physiology behind these symptoms can help reduce fear and prevent the eating disorder from using GI discomfort as justification for returning to restriction. The Gut Is Adaptable and Healing Is Possible One of the most important messages of this episode is that the digestive system is highly adaptable. With consistent nourishment, hydration, and medical support when needed, the gastrointestinal tract can recover significant function. Over time, stomach emptying can improve, bowel patterns can normalize, and abdominal discomfort can decrease. The gut lining regenerates, digestive enzymes adjust, and the microbiome can become more balanced. Recovery does not always follow a straight line, but healing is possible when the body receives consistent energy and care. Practical Ways to Cope With GI Symptoms in Recovery This episode also explores practical ways to cope with digestive discomfort while continuing eating disorder recovery. Dr. Miller discusses the role of mechanical eating in helping retrain digestive rhythms and why regular meals often support gastrointestinal healing. Sensory supports can also help regulate the nervous system, including wearing loose clothing, using a heating pad on the abdomen after meals, and creating calming eating environments. Hydration can support bowel function, and gentle abdominal massage may help stimulate motility. For some individuals, medical providers may recommend medications or short term treatments to reduce symptoms such as constipation, reflux, or delayed gastric emptying. Dr. Miller emphasizes that any movement during eating disorder recovery must be cleared by a medical provider first. If a physician has determined that movement is safe, gentle activities such as short walks or stretching may sometimes support digestion. Medical clearance is essential before incorporating movement into recovery. The Role of Medical Support in GI Healing Because digestive symptoms can overlap with other medical conditions, collaboration with an eating disorder informed medical provider is important. Physicians can help assess symptoms, rule out other causes, and recommend appropriate treatments when needed. Medications or medical supports may be helpful for constipation, reflux, nausea, or delayed gastric emptying. Seeking medical care for GI symptoms does not mean recovery is failing. It means symptoms are being treated compassionately and responsibly. Intersectionality and GI Symptoms Dr. Miller also highlights how systemic bias can affect how digestive symptoms are treated. People in larger bodies may have GI concerns dismissed as weight related rather than recognized as recovery related. People of color may experience undertreatment of pain. Neurodivergent individuals may experience sensory distress that is misunderstood or minimized. Acknowledging these realities helps contextualize why some people struggle to receive appropriate care and why compassionate, informed providers are so important. A Message of Hope for Eating Disorder Recovery GI distress during eating disorder recovery can feel discouraging, especially when symptoms appear after you begin nourishing your body more consistently. But digestive discomfort does not mean recovery is harming you. In many cases, it means the digestive system is relearning how to function. With time, consistent nourishment, appropriate medical support, and nervous system regulation, many people see meaningful improvement in digestive symptoms. Your body is not failing you. It is adjusting and healing. Work With Dr. Marianne Miller Dr. Marianne Miller, LMFT, is a fat eating disorder therapist who specializes in binge eating disorder, ARFID, and complex eating disorder recovery. She works with clients in California, Texas, Washington DC, and internationally through virtual therapy and coaching. If you are looking for eating disorder therapy that integrates physiology, neurodivergent affirming care, and liberation informed approaches, you can learn more about working with Dr. Miller at her website drmariannemiller.com. She also offers self-paced courses and resources designed to support sustainable eating disorder recovery.

Giữa tâm điểm "chảo lửa" Trung Đông, giá dầu thế giới phi mã đã đẩy nền kinh tế Úc vào tình thế báo động đỏ. Khi giá xăng chạm ngưỡng $2,50, từ các trạm bơm tại Canberra đến những vùng nông thôn NSW đều xuất hiện làn sóng mua sắm hoảng loạn. Trong khi Tòa Bạch Ốc nỗ lực ổn định địa chính trị, chính phủ Úc phải kích hoạt dự trữ quốc gia và siết chặt giám sát để chống trục lợi. Liệu sức chịu đựng của người dân và doanh nghiệp có vượt qua được cú sốc lạm phát này?

BGVV-1721_Thầy Đàm Đạo Tại TĐ Inglewood - Cuốn 1_California_14-02-1992 Vô Vi Podcast-Vấn Đạo Vô Vi Podcast-Bài Giảng Vô Vi Podcast-Nhạc Thiền

- Phát biểu tại lễ kỷ niệm 75 năm ngày báo Nhân dân ra số đầu tiên và đón nhận Huân chương lao động hạng Nhất, Tổng Bí thư Tô Lâm mong muốn báo Nhân dân tiếp tục phát huy vai trò là lực lượng xung kích trên mặt trận tư tưởng trong giai đoạn phát triển mới.- Chủ trì Hội nghị về tình hình phát triển kinh tế bạc trên thế giới và thích ứng chính sách, chiến lược của Việt Nam, Thủ tướng Phạm Minh Chính yêu cầu chuyển hóa thách thức già hóa thành cơ hội bứt phá, biến kinh tế bạc thành động lực tăng trưởng và phát triển.- Trước nguy cơ biến động nguồn cung năng lượng do xung đột địa chính trị, xăng sinh học E10 được xem là giải pháp giúp giảm áp lực nguồn cung và đa dạng hóa nguồn năng lượng.- Cuộc bầu cử đại biểu Quốc hội khóa 16 và đại biểu HĐND các cấp nhiệm kỳ 2026–2031 diễn ra trong bối cảnh đất nước có nhiều chuyển biến tích cực. Trong bài viết “Đất nước đủ thế và lực”, Phó Giáo sư, Tiến sĩ Bùi Hoài Sơn, Ủy viên thường trực Ủy ban Văn hóa, Giáo dục của Quốc hội sẽ phân tích những nền tảng tạo nên sức mạnh Việt Nam hôm nay, cơ sở quan trọng cho chặng đường phát triển phía trước.- Iran bắt đầu làn sóng tấn công mới. Đáng chú ý, Lực lượng Phòng vệ Israel khẳng định Iran sử dụng tên lửa mang đạn chùm.- Ấn Độ hợp tác xây nhà máy lọc dầu mới đầu tiên tại Mỹ trị giá 300 tỷ đô la.

Your nervous system learned danger. It can learn safety too. In this episode, Peter Fenger sits down with Nora Rodden, CEO and co-founder of Nervana, a science-based mobile app helping people regulate their nervous systems and reclaim their lives from chronic pain. After a life-altering car accident left her suffering from chronic pain, GI issues, and insomnia for over five years, Nora didn't find relief through injections, surgery, or nerve ablation. She found it through neuroscience. A clinical trial at Harvard Business School introduced her to the power of mind-body therapy, and effectively rewired her brain's alarm system. Now, drawing on her background in biotech and her training as a certified yoga teacher, she's on a mission to bring these evidence-based neuroplasticity tools out of the research lab and into the hands of millions. In this conversation, Nora takes us inside her recovery, the science behind chronic pain, and how Nervana is helping users move from a chronic state of fight-or-flight back to one of lasting internal safety, one small, powerful experiment at a time.   For more information about Nervana, please visit: https://www.trynervana.com To download Nervana from the Apple App store, please visit: https://apps.apple.com/us/app/nervana-chronic-symptom-coach/id6754898332 Listeners can save $50 on their subscription with BHT50. Questions about Nervana? Please contact Nora at support@trynervana.com If you are a clinician and interested in sharing Nervana with your clients, please visit: https://www.trynervana.com/for-clinicians Connect with Nora on Linkedin at: https://www.linkedin.com/in/norarabah

Join Kyle, Nader, Vibhu, and swyx live at NVIDIA GTC next week!Now that AIE Europe tix are ~sold out, our attention turns to Miami and World's Fair!The definitive AI Accelerator chip company has more than 10xed this AI Summer:And is now a $4.4 trillion megacorp… that is somehow still moving like a startup. We are blessed to have a unique relationship with our first ever NVIDIA guests: Kyle Kranen who gave a great inference keynote at the first World's Fair and is one of the leading architects of NVIDIA Dynamo (a Datacenter scale inference framework supporting SGLang, TRT-LLM, vLLM), and Nader Khalil, a friend of swyx from our days in Celo in The Arena, who has been drawing developers at GTC since before they were even a glimmer in the eye of NVIDIA:Nader discusses how NVIDIA Brev has drastically reduced the barriers to entry for developers to get a top of the line GPU up and running, and Kyle explains NVIDIA Dynamo as a data center scale inference engine that optimizes serving by scaling out, leveraging techniques like prefill/decode disaggregation, scheduling, and Kubernetes-based orchestration, framed around cost, latency, and quality tradeoffs. We also dive into Jensen's “SOL” (Speed of Light) first-principles urgency concept, long-context limits and model/hardware co-design, internal model APIs (https://build.nvidia.com), and upcoming Dynamo and agent sessions at GTC.Full Video pod on YouTubeTimestamps00:00 Agent Security Basics00:39 Podcast Welcome and Guests07:19 Acquisition and DevEx Shift13:48 SOL Culture and Dynamo Setup27:38 Why Scale Out Wins29:02 Scale Up Limits Explained30:24 From Laptop to Multi Node33:07 Cost Quality Latency Tradeoffs38:42 Disaggregation Prefill vs Decode41:05 Kubernetes Scaling with Grove43:20 Context Length and Co Design57:34 Security Meets Agents58:01 Agent Permissions Model59:10 Build Nvidia Inference Gateway01:01:52 Hackathons And Autonomy Dreams01:10:26 Local GPUs And Scaling Inference01:15:31 Long Running Agents And SF ReflectionsTranscriptAgent Security BasicsNader: Agents can do three things. They can access your files, they can access the internet, and then now they can write custom code and execute it. You literally only let an agent do two of those three things. If you can access your files and you can write custom code, you don't want internet access because that's one to see full vulnerability, right?If you have access to internet and your file system, you should know the full scope of what that agent's capable of doing. Otherwise, now we can get injected or something that can happen. And so that's a lot of what we've been thinking about is like, you know, how do we both enable this because it's clearly the future.But then also, you know, what, what are these enforcement points that we can start to like protect?swyx: All right.Podcast Welcome and Guestsswyx: Welcome to the Lean Space podcast in the Chromo studio. Welcome to all the guests here. Uh, we are back with our guest host Viu. Welcome. Good to have you back. And our friends, uh, Netter and Kyle from Nvidia. Welcome.Kyle: Yeah, thanks for having us.swyx: Yeah, thank you. Actually, I don't even know your titles.Uh, I know you're like architect something of Dynamo.Kyle: Yeah. I, I'm one of the engineering leaders [00:01:00] and a architects of Dynamo.swyx: And you're director of something and developers, developer tech.Nader: Yeah.swyx: You're the developers, developers, developers guy at nvidia,Nader: open source agent marketing, brev,swyx: and likeNader: Devrel tools and stuff.swyx: Yeah. BeenNader: the focus.swyx: And we're, we're kind of recording this ahead of Nvidia, GTC, which is coming to town, uh, again, uh, or taking over town, uh, which, uh, which we'll all be at. Um, and we'll talk a little bit about your sessions and stuff. Yeah.Nader: We're super excited for it.GTC Booth Stunt Storiesswyx: One of my favorite memories for Nader, like you always do like marketing stunts and like while you were at Rev, you like had this surfboard that you like, went down to GTC with and like, NA Nvidia apparently, like did so much that they bought you.Like what, what was that like? What was that?Nader: Yeah. Yeah, we, we, um. Our logo was a chaka. We, we, uh, we were always just kind of like trying to keep true to who we were. I think, you know, some stuff, startups, you're like trying to pretend that you're a bigger, more mature company than you are. And it was actually Evan Conrad from SF Compute who was just like, you guys are like previousswyx: guest.Yeah.Nader: Amazing. Oh, really? Amazing. Yeah. He was just like, guys, you're two dudes in the room. Why are you [00:02:00] pretending that you're not? Uh, and so then we were like, okay, let's make the logo a shaka. We brought surfboards to our booth to GTC and the energy was great. Yeah. Some palm trees too. They,Kyle: they actually poked out over like the, the walls so you could, you could see the bread booth.Oh, that's so funny. AndNader: no one else,Kyle: just from very far away.Nader: Oh, so you remember it backKyle: then? Yeah I remember it pre-acquisition. I was like, oh, those guys look cool,Nader: dude. That makes sense. ‘cause uh, we, so we signed up really last minute, and so we had the last booth. It was all the way in the corner. And so I was, I was worried that no one was gonna come.So that's why we had like the palm trees. We really came in with the surfboards. We even had one of our investors bring her dog and then she was just like walking the dog around to try to like, bring energy towards our booth. Yeah.swyx: Steph.Kyle: Yeah. Yeah, she's the best,swyx: you know, as a conference organizer, I love that.Right? Like, it's like everyone who sponsors a conference comes, does their booth. They're like, we are changing the future of ai or something, some generic b******t and like, no, like actually try to stand out, make it fun, right? And people still remember it after three years.Nader: Yeah. Yeah. You know what's so funny?I'll, I'll send, I'll give you this clip if you wanna, if you wanna add it [00:03:00] in, but, uh, my wife was at the time fiance, she was in medical school and she came to help us. ‘cause it was like a big moment for us. And so we, we bought this cricket, it's like a vinyl, like a vinyl, uh, printer. ‘cause like, how else are we gonna label the surfboard?So, we got a surfboard, luckily was able to purchase that on the company card. We got a cricket and it was just like fine tuning for enterprises or something like that, that we put on the. On the surfboard and it's 1:00 AM the day before we go to GTC. She's helping me put these like vinyl stickers on.And she goes, you son of, she's like, if you pull this off, you son of a b***h. And so, uh, right. Pretty much after the acquisition, I stitched that with the mag music acquisition. I sent it to our family group chat. Ohswyx: Yeah. No, well, she, she made a good choice there. Was that like basically the origin story for Launchable is that we, it was, and maybe we should explain what Brev is andNader: Yeah.Yeah. Uh, I mean, brev is just, it's a developer tool that makes it really easy to get a GPU. So we connect a bunch of different GPU sources. So the basics of it is like, how quickly can we SSH you into a G, into a GPU and whenever we would talk to users, they wanted A GPU. They wanted an A 100. And if you go to like any cloud [00:04:00] provisioning page, usually it's like three pages of forms or in the forms somewhere there's a dropdown.And in the dropdown there's some weird code that you know to translate to an A 100. And I remember just thinking like. Every time someone says they want an A 100, like the piece of text that they're telling me that they want is like, stuffed away in the corner. Yeah. And so we were like, what if the biggest piece of text was what the user's asking for?And so when you go to Brev, it's just big GPU chips with the type that you want withswyx: beautiful animations that you worked on pre, like pre you can, like, now you can just prompt it. But back in the day. Yeah. Yeah. Those were handcraft, handcrafted artisanal code.Nader: Yeah. I was actually really proud of that because, uh, it was an, i I made it in Figma.Yeah. And then I found, I was like really struggling to figure out how to turn it from like Figma to react. So what it actually is, is just an SVG and I, I have all the styles and so when you change the chip, whether it's like active or not it changes the SVG code and that somehow like renders like, looks like it's animating, but it, we just had the transition slow, but it's just like the, a JavaScript function to change the like underlying SVG.Yeah. And that was how I ended up like figuring out how to move it from from Figma. But yeah, that's Art Artisan. [00:05:00]Kyle: Speaking of marketing stunts though, he actually used those SVGs. Or kind of use those SVGs to make these cards.Nader: Oh yeah. LikeKyle: a GPU gift card Yes. That he handed out everywhere. That was actually my first impression of thatNader: one.Yeah,swyx: yeah, yeah.Nader: Yeah.swyx: I think I still have one of them.Nader: They look great.Kyle: Yeah.Nader: I have a ton of them still actually in our garage, which just, they don't have labels. We should honestly like bring, bring them back. But, um, I found this old printing press here, actually just around the corner on Ven ness. And it's a third generation San Francisco shop.And so I come in an excited startup founder trying to like, and they just have this crazy old machinery and I'm in awe. ‘cause the the whole building is so physical. Like you're seeing these machines, they have like pedals to like move these saws and whatever. I don't know what this machinery is, but I saw all three generations.Like there's like the grandpa, the father and the son, and the son was like, around my age. Well,swyx: it's like a holy, holy trinity.Nader: It's funny because we, so I just took the same SVG and we just like printed it and it's foil printing, so they make a a, a mold. That's like an inverse of like the A 100 and then they put the foil on it [00:06:00] and then they press it into the paper.And I remember once we got them, he was like, Hey, don't forget about us. You know, I guess like early Apple and Cisco's first business cards were all made there. And so he was like, yeah, we, we get like the startup businesses but then as they mature, they kind of go somewhere else. And so I actually, I think we were talking with marketing about like using them for some, we should go back and make some cards.swyx: Yeah, yeah, yeah. You know, I remember, you know, as a very, very small breadth investor, I was like, why are we spending time like, doing these like stunts for GPUs? Like, you know, I think like as a, you know, typical like cloud hard hardware person, you go into an AWS you pick like T five X xl, whatever, and it's just like from a list and you look at the specs like, why animate this GP?And, and I, I do think like it just shows the level of care that goes throughout birth and Yeah. And now, and also the, and,Nader: and Nvidia. I think that's what the, the thing that struck me most when we first came in was like the amount of passion that everyone has. Like, I think, um, you know, you talk to, you talk to Kyle, you talk to, like, every VP that I've met at Nvidia goes so close to the metal.Like, I remember it was almost a year ago, and like my VP asked me, he's like, Hey, [00:07:00] what's cursor? And like, are you using it? And if so, why? Surprised at this, and he downloaded Cursor and he was asking me to help him like, use it. And I thought that was, uh, or like, just show him what he, you know, why we were using it.And so, the amount of care that I think everyone has and the passion, appreciate, passion and appreciation for the moment. Right. This is a very unique time. So it's really cool to see everyone really like, uh, appreciate that.swyx: Yeah.Acquisition and DevEx Shiftswyx: One thing I wanted to do before we move over to sort of like research topics and, uh, the, the stuff that Kyle's working on is just tell the story of the acquisition, right?Like, not many people have been, been through an acquisition with Nvidia. What's it like? Uh, what, yeah, just anything you'd like to say.Nader: It's a crazy experience. I think, uh, you know, we were the thing that was the most exciting for us was. Our goal was just to make it easier for developers.We wanted to find access to GPUs, make it easier to do that. And then all, oh, actually your question about launchable. So launchable was just make one click exper, like one click deploys for any software on top of the GPU. Mm-hmm. And so what we really liked about Nvidia was that it felt like we just got a lot more resources to do all of that.I think, uh, you [00:08:00] know, NVIDIA's goal is to make things as easy for developers as possible. So there was a really nice like synergy there. I think that, you know, when it comes to like an acquisition, I think the amount that the soul of the products align, I think is gonna be. Is going speak to the success of the acquisition.Yeah. And so it in many ways feels like we're home. This is a really great outcome for us. Like we you know, I love brev.nvidia.com. Like you should, you should use it's, it's theKyle: front page for GPUs.Nader: Yeah. Yeah. If you want GP views,Kyle: you go there, getswyx: it there, and it's like internally is growing very quickly.I, I don't remember You said some stats there.Nader: Yeah, yeah, yeah. It's, uh, I, I wish I had the exact numbers, but like internally, externally, it's been growing really quickly. We've been working with a bunch of partners with a bunch of different customers and ISVs, if you have a solution that you want someone that runs on the GPU and you want people to use it quickly, we can bundle it up, uh, in a launchable and make it a one click run.If you're doing things and you want just like a sandbox or something to run on, right. Like open claw. Huge moment. Super exciting. Our, uh, and we'll talk into it more, but. You know, internally, people wanna run this, and you, we know we have to be really careful from the security implications. Do we let this run on the corporate network?Security's guidance was, Hey, [00:09:00] run this on breath, it's in, you know, it's, it's, it's a vm, it's sitting in the cloud, it's off the corporate network. It's isolated. And so that's been our stance internally and externally about how to even run something like open call while we figure out how to run these things securely.But yeah,swyx: I think there's also like, you almost like we're the right team at the right time when Nvidia is starting to invest a lot more in developer experience or whatever you call it. Yeah. Uh, UX or I don't know what you call it, like software. Like obviously NVIDIA is always invested in software, but like, there's like, this is like a different audience.Yeah. It's aNader: widerKyle: developer base.swyx: Yeah. Right.Nader: Yeah. Yeah. You know, it's funny, it's like, it's not, uh,swyx: so like, what, what is it called internally? What, what is this that people should be aware that is going on there?Nader: Uh, what, like developer experienceswyx: or, yeah, yeah. Is it's called just developer experience or is there like a broader strategy hereNader: in Nvidia?Um, Nvidia always wants to make a good developer experience. The thing is and a lot of the technology is just really complicated. Like, it's not, it's uh, you know, I think, um. The thing that's been really growing or the AI's growing is having a huge moment, not [00:10:00] because like, let's say data scientists in 2018, were quiet then and are much louder now.The pie is com, right? There's a whole bunch of new audiences. My mom's wondering what she's doing. My sister's learned, like taught herself how to code. Like the, um, you know, I, I actually think just generally AI's a big equalizer and you're seeing a more like technologically literate society, I guess.Like everyone's, everyone's learning how to code. Uh, there isn't really an excuse for that. And so building a good UX means that you really understand who your end user is. And when your end user becomes such a wide, uh, variety of people, then you have to almost like reinvent the practice, right? Yeah. You haveKyle: to, and actually build more developer ux, right?Because the, there are tiers of developer base that were added. You know, the, the hackers that are building on top of open claw, right? For example, have never used gpu. They don't know what kuda is. They, they, they just want to run something.Nader: Yeah.Kyle: You need new UX that is not just. Hey, you know, how do you program something in Cuda and run it?And then, and then we built, you know, like when Deep Learning was getting big, we built, we built Torch and, and, but so recently the amount of like [00:11:00] layers that are added to that developer stack has just exploded because AI has become ubiquitous. Everyone's using it in different ways. Yeah. It'sNader: moving fast in every direction.Vertical, horizontal.Vibhu: Yeah. You guys, you even take it down to hardware, like the DGX Spark, you know, it's, it's basically the same system as just throwing it up on big GPU cluster.Nader: Yeah, yeah, yeah. It's amazing. Blackwell.swyx: Yeah. Uh, we saw the preview at the last year's GTC and that was one of the better performing, uh, videos so far, and video coverage so far.Awesome. This will beat it. Um,Nader: that wasswyx: actually, we have fingersNader: crossed. Yeah.DGX Spark and Remote AccessNader: Even when Grace Blackwell or when, um, uh, DGX Spark was first coming out getting to be involved in that from the beginning of the developer experience. And it just comes back to what youswyx: were involved.Nader: Yeah. St. St.swyx: Mars.Nader: Yeah. Yeah. I mean from, it was just like, I, I got an email, we just got thrown into the loop and suddenly yeah, I, it was actually really funny ‘cause I'm still pretty fresh from the acquisition and I'm, I'm getting an email from a bunch of the engineering VPs about like, the new hardware, GPU chip, like we're, or not chip, but just GPU system that we're putting out.And I'm like, okay, cool. Matters. Now involved with this for the ux, I'm like. What am I gonna do [00:12:00] here? So, I remember the first meeting, I was just like kind of quiet as I was hearing engineering VPs talk about what this box could be, what it could do, how we should use it. And I remember, uh, one of the first ideas that people were idea was like, oh, the first thing that it was like, I think a quote was like, the first thing someone's gonna wanna do with this is get two of them and run a Kubernetes cluster on top of them.And I was like, oh, I think I know why I'm here. I was like, the first thing we're doing is easy. SSH into the machine. And then, and you know, just kind of like scoping it down of like, once you can do that every, you, like the person who wants to run a Kubernetes cluster onto Sparks has a higher propensity for pain, then, then you know someone who buys it and wants to run open Claw right now, right?If you can make sure that that's as effortless as possible, then the rest becomes easy. So there's a tool called Nvidia Sync. It just makes the SSH connection really simple. So, you know, if you think about it like. If you have a Mac, uh, or a PC or whatever, if you have a laptop and you buy this GPU and you want to use it, you should be able to use it like it's A-A-G-P-U in the cloud, right?Um, but there's all this friction of like, how do you actually get into that? That's part of [00:13:00] Revs value proposition is just, you know, there's a CLI that wraps SSH and makes it simple. And so our goal is just get you into that machine really easily. And one thing we just launched at CES, it's in, it's still in like early access.We're ironing out some kinks, but it should be ready by GTC. You can register your spark on Brev. And so now if youswyx: like remote managed yeah, local hardware. Single pane of glass. Yeah. Yeah. Because Brev can already manage other clouds anyway, right?Vibhu: Yeah, yeah. And you use the spark on Brev as well, right?Nader: Yeah. But yeah, exactly. So, so you, you, so you, you set it up at home you can run the command on it, and then it gets it's essentially it'll appear in your Brev account, and then you can take your laptop to a Starbucks or to a cafe, and you'll continue to use your, you can continue use your spark just like any other cloud node on Brev.Yeah. Yeah. And it's just like a pre-provisioned centerswyx: in yourNader: home. Yeah, exactly.swyx: Yeah. Yeah.Vibhu: Tiny little data center.Nader: Tiny little, the size ofVibhu: your phone.SOL Culture and Dynamo Setupswyx: One more thing before we move on to Kyle. Just have so many Jensen stories and I just love, love mining Jensen stories. Uh, my favorite so far is SOL. Uh, what is, yeah, what is S-O-L-S-O-LNader: is actually, i, I think [00:14:00] of all the lessons I've learned, that one's definitely my favorite.Kyle: It'll always stick with you.Nader: Yeah. Yeah. I, you know, in your startup, everything's existential, right? Like we've, we've run out of money. We were like, on the risk of, of losing payroll, we've had to contract our team because we l ran outta money. And so like, um, because of that you're really always forcing yourself to I to like understand the root cause of everything.If you get a date, if you get a timeline, you know exactly why that date or timeline is there. You're, you're pushing every boundary and like, you're not just say, you're not just accepting like a, a no. Just because. And so as you start to introduce more layers, as you start to become a much larger organization, SOL is is essentially like what is the physics, right?The speed of light moves at a certain speed. So if flight's moving some slower, then you know something's in the way. So before trying to like layer reality back in of like, why can't this be delivered at some date? Let's just understand the physics. What is the theoretical limit to like, uh, how fast this can go?And then start to tell me why. ‘cause otherwise people will start telling you why something can't be done. But actually I think any great leader's goal is just to create urgency. Yeah. [00:15:00] There's an infiniteKyle: create compelling events, right?Nader: Yeah.Kyle: Yeah. So l is a term video is used to instigate a compelling event.You say this is done. How do we get there? What is the minimum? As much as necessary, as little as possible thing that it takes for us to get exactly here and. It helps you just break through a bunch of noise.swyx: Yeah.Kyle: Instantly.swyx: One thing I'm unclear about is, can only Jensen use the SOL card? Like, oh, no, no, no.Not everyone get the b******t out because obviously it's Jensen, but like, can someone else be like, no, likeKyle: frontline engineers use it.Nader: Yeah. Every, I think it's not so much about like, get the b******t out. It's like, it's like, give me the root understanding, right? Like, if you tell me something takes three weeks, it like, well, what's the first principles?Yeah, the first principles. It's like, what's the, what? Like why is it three weeks? What is the actual yeah. What's the actual limit of why this is gonna take three weeks? If you're gonna, if you, if let's say you wanted to buy a new computer and someone told you it's gonna be here in five days, what's the SOL?Well, like the SOL is like, I could walk into a Best Buy and pick it up for you. Right? So then anything that's like beyond that is, and is that practical? Is that how we're gonna, you know, let's say give everyone in the [00:16:00] company a laptop, like obviously not. So then like that's the SOL and then it's like, okay, well if we have to get more than 10, suddenly there might be some, right?And so now we can kind of piece the reality back.swyx: So, so this is the. Paul Graham do things that don't scale. Yeah. And this is also the, what people would now call behi agency. Yeah.Kyle: It's actually really interesting because there's a, there's a second hardware angle to SOL that like doesn't come up for all the org sol is used like culturally at aswyx: media for everything.I'm also mining for like, I think that can be annoying sometimes. And like someone keeps going IOO you and you're like, guys, like we have to be stable. We have to, we to f*****g plan. Yeah.Kyle: It's an interesting balance.Nader: Yeah. I encounter that with like, actually just with, with Alec, right? ‘cause we, we have a new conference so we need to launch, we have, we have goals of what we wanna launch by, uh, by the conference and like, yeah.At the end of the day, where isswyx: this GTC?Nader: Um, well this is like, so we, I mean we did it for CES, we did for GT CDC before that we're doing it for GTC San Jose. So I mean, like every, you know, we have a new moment. Um, and we want to launch something. Yeah. And we want to do so at SOL and that does mean that some, there's some level of prioritization that needs [00:17:00] to happen.And so it, it is difficult, right? I think, um, you have to be careful with what you're pushing. You know, stability is important and that should be factored into S-O-L-S-O-L isn't just like, build everything and let it break, you know, that, that's part of the conversation. So as you're laying, layering in all the details, one of them might be, Hey, we could build this, but then it's not gonna be stable for X, y, z reasons.And so that was like, one of our conversations for CES was, you know, hey, like we, we can get this into early access registering your spark with brev. But there are a lot of things that we need to do in order to feel really comfortable from a security perspective, right? There's a lot of networking involved before we deliver that to users.So it's like, okay. Let's get this to a point where we can at least let people experiment with it. We had it in a booth, we had it in Jensen's keynote, and then let's go iron out all the networking kinks. And that's not easy. And so, uh, that can come later. And so that was the way that we layered that back in.Yeah. ButKyle: It's not really about saying like, you don't have to do the, the maintenance or operational work. It's more about saying, you know, it's kind of like [00:18:00] highlights how progress is incremental, right? Like, what is the minimum thing that we can get to. And then there's SOL for like every component after that.But there's the SOL to get you, get you to the, the starting line. And that, that's usually how it's asked. Yeah. On the other side, you know, like SOL came out of like hardware at Nvidia. Right. So SOL is like literally if we ran the accelerator or the GPU with like at basically full speed with like no other constraints, like how FAST would be able to make a program go.swyx: Yeah. Yeah. Right.Kyle: Soswyx: in, in training that like, you know, then you work back to like some percentage of like MFU for example.Kyle: Yeah, that's a, that's a great example. So like, there's an, there's an S-O-L-M-F-U, and then there's like, you know, what's practically achievable.swyx: Cool. Should we move on to sort of, uh, Kyle's side?Uh, Kyle, you're coming more from the data science world. And, uh, I, I mean I always, whenever, whenever I meet someone who's done working in tabular stuff, graph neural networks, time series, these are basically when I go to new reps, I go to ICML, I walk the back halls. There's always like a small group of graph people.Yes. Absolute small group of tabular people. [00:19:00] And like, there's no one there. And like, it's very like, you know what I mean? Like, yeah, no, like it's, it's important interesting work if you care about solving the problems that they solve.Kyle: Yeah.swyx: But everyone else is just LMS all the time.Kyle: Yeah. I mean it's like, it's like the black hole, right?Has the event horizon reached this yet in nerves? Um,swyx: but like, you know, those are, those are transformers too. Yeah. And, and those are also like interesting things. Anyway, uh, I just wanted to spend a little bit of time on, on those, that background before we go into Dynamo, uh, proper.Kyle: Yeah, sure. I took a different path to Nvidia than that, or I joined six years ago, seven, if you count, when I was an intern.So I joined Nvidia, like right outta college. And the first thing I jumped into was not what I'd done in, during internship, which was like, you know, like some stuff for autonomous vehicles, like heavyweight object detection. I jumped into like, you know, something, I'm like, recommenders, this is popular. Andswyx: yeah, he did RexiKyle: as well.Yeah, Rexi. Yeah. I mean that, that was the taboo data at the time, right? You have tables of like, audience qualities and item qualities, and you're trying to figure out like which member of [00:20:00] the audience matches which item or, or more practically which item matches which member of the audience. And at the time, really it was like we were trying to enable.Uh, recommender, which had historically been like a little bit of a CP based workflow into something that like, ran really well in GPUs. And it's since been done. Like there are a bunch of libraries for Axis that run on GPUs. Uh, the common models like Deeplearning recommendation model, which came outta meta and the wide and deep model, which was used or was released by Google were very accelerated by GPUs using, you know, the fast HBM on the chips, especially to do, you know, vector lookups.But it was very interesting at the time and super, super relevant because like we were starting to get like. This explosion of feeds and things that required rec recommenders to just actively be on all the time. And sort of transitioned that a little bit towards graph neural networks when I discovered them because I was like, okay, you can actually use graphical neural networks to represent like, relationships between people, items, concepts, and that, that interested me.So I jumped into that at [00:21:00] Nvidia and, and got really involved for like two-ish years.swyx: Yeah. Uh, and something I learned from Brian Zaro Yeah. Is that you can just kind of choose your own path in Nvidia.Kyle: Oh my God. Yeah.swyx: Which is not a normal big Corp thing. Yeah. Like you, you have a lane, you stay in your lane.Nader: I think probably the reason why I enjoy being in a, a big company, the mission is the boss probably from a startup guy. Yeah. The missionswyx: is the boss.Nader: Yeah. Uh, it feels like a big game of pickup basketball. Like, you know, if you play one, if you wanna play basketball, you just go up to the court and you're like, Hey look, we're gonna play this game and we need three.Yeah. And you just like find your three. That's honestly for every new initiative that's what it feels like. Yeah.Vibhu: It also like shows, right? Like Nvidia. Just releasing state-of-the-art stuff in every domain. Yeah. Like, okay, you expect foundation models with Nemo tron voice just randomly parakeet.Call parakeet just comes out another one, uh, voice. TheKyle: video voice team has always been producing.Vibhu: Yeah. There's always just every other domain of paper that comes out, dataset that comes out. It's like, I mean, it also stems back to what Nvidia has to do, right? You have to make chips years before they're actually produced.Right? So you need to know, you need to really [00:22:00] focus. TheKyle: design process starts likeVibhu: exactlyKyle: three to five years before the chip gets to the market.Vibhu: Yeah. I, I'm curious more about what that's like, right? So like, you have specialist teams. Is it just like, you know, people find an interest, you go in, you go deep on whatever, and that kind of feeds back into, you know, okay, we, we expect predictions.Like the internals at Nvidia must be crazy. Right? You know? Yeah. Yeah. You know, you, you must. Not even without selling to people, you have your own predictions of where things are going. Yeah. And they're very based, very grounded. Right?Kyle: Yeah. It, it, it's really interesting. So there's like two things that I think that Amed does, which are quite interesting.Uh, one is like, we really index into passion. There's a big. Sort of organizational top sound push to like ensure that people are working on the things that they're passionate about. So if someone proposes something that's interesting, many times they can just email someone like way up the chain that they would find this relevant and say like, Hey, can I go work on this?Nader: It's actually like I worked at a, a big company for a couple years before, uh, starting on my startup journey and like, it felt very weird if you were to like email out of chain, if that makes [00:23:00] sense. Yeah. The emails at Nvidia are like mosh pitsswyx: shoot,Nader: and it's just like 60 people, just whatever. And like they're, there's this,swyx: they got messy like, reply all you,Nader: oh, it's in, it's insane.It's insane. They justKyle: help. You know, Maxim,Nader: the context. But, but that's actually like, I've actually, so this is a weird thing where I used to be like, why would we send emails? We have Slack. I am the entire, I'm the exact opposite. I feel so bad for anyone who's like messaging me on Slack ‘cause I'm so unresponsive.swyx: Your emailNader: Maxi, email Maxim. I'm email maxing Now email is a different, email is perfect because man, we can't work together. I'm email is great, right? Because important threads get bumped back up, right? Yeah, yeah. Um, and so Slack doesn't do that. So I just have like this casino going off on the right or on the left and like, I don't know which thread was from where or what, but like the threads get And then also just like the subject, so you can have like working threads.I think what's difficult is like when you're small, if you're just not 40,000 people I think Slack will work fine, but there's, I don't know what the inflection point is. There is gonna be a point where that becomes really messy and you'll actually prefer having email. ‘cause you can have working threads.You can cc more than nine people in a thread.Kyle: You can fork stuff.Nader: You can [00:24:00] fork stuff, which is super nice and just like y Yeah. And so, but that is part of where you can propose a plan. You can also just. Start, honestly, momentum's the only authority, right? So like, if you can just start, start to make a little bit of progress and show someone something, and then they can try it.That's, I think what's been, you know, I think the most effective way to push anything for forward. And that's both at Nvidia and I think just generally.Kyle: Yeah, there's, there's the other concept that like is explored a lot at Nvidia, which is this idea of a zero billion dollar business. Like market creation is a big thing at Nvidia.Like,swyx: oh, you want to go and start a zero billion dollar business?Kyle: Jensen says, we are completely happy investing in zero billion dollar markets. We don't care if this creates revenue. It's important for us to know about this market. We think it will be important in the future. It can be zero billion dollars for a while.I'm probably minging as words here for, but like, you know, like, I'll give an example. NVIDIA's been working on autonomous driving for a a long time,swyx: like an Nvidia car.Kyle: No, they, they'veVibhu: used the Mercedes, right? They're around the HQ and I think it finally just got licensed out. Now they're starting to be used quite a [00:25:00] bit.For 10 years you've been seeing Mercedes with Nvidia logos driving.Kyle: If you're in like the South San Santa Clara, it's, it's actually from South. Yeah. So, um. Zero billion dollar markets are, are a thing like, you know, Jensen,swyx: I mean, okay, look, cars are not a zero billion dollar market. But yeah, that's a bad example.Nader: I think, I think he's, he's messaging, uh, zero today, but, or even like internally, right? Like, like it's like, uh, an org doesn't have to ruthlessly find revenue very quickly to justify their existence. Right. Like a lot of the important research, a lot of the important technology being developed that, that's kind ofKyle: where research, research is very ide ideologically free at Nvidia.Yeah. Like they can pursue things that they wereswyx: Were you research officially?Kyle: I was never in research. Officially. I was always in engineering. Yeah. We in, I'm in an org called Deep Warning Algorithms, which is basically just how do we make things that are relevant to deep warning go fast.swyx: That sounds freaking cool.Vibhu: And I think a lot of that is underappreciated, right? Like time series. This week Google put out time. FF paper. Yeah. A new time series, paper res. Uh, Symantec, ID [00:26:00] started applying Transformers LMS to Yes. Rec system. Yes. And when you think the scale of companies deploying these right. Amazon recommendations, Google web search, it's like, it's huge scale andKyle: Yeah.Vibhu: You want fast?Kyle: Yeah. Yeah. Yeah. Actually it's, it, I, there's a fun moment that brought me like full circle. Like, uh, Amazon Ads recently gave a talk where they talked about using Dynamo for generative recommendation, which was like super, like weirdly cathartic for me. I'm like, oh my God. I've, I've supplanted what I was working on.Like, I, you're using LMS now to do what I was doing five years ago.swyx: Yeah. Amazing. And let's go right into Dynamo. Uh, maybe introduce Yeah, sure. To the top down and Yeah.Kyle: I think at this point a lot of people are familiar with the term of inference. Like funnily enough, like I went from, you know, inference being like a really niche topic to being something that's like discussed on like normal people's Twitter feeds.It's,Nader: it's on billboardsKyle: here now. Yeah. Very, very strange. Driving, driving, seeing just an inference ad on 1 0 1 inference at scale is becoming a lot more important. Uh, we have these moments like, you know, open claw where you have these [00:27:00] agents that take lots and lots of tokens, but produce, incredible results.There are many different aspects of test time scaling so that, you know, you can use more inference to generate a better result than if you were to use like a short amount of inference. There's reasoning, there's quiring, there's, adding agency to the model, allowing it to call tools and use skills.Dyno sort came about at Nvidia. Because myself and a couple others were, were sort of talking about the, these concepts that like, you know, you have inference engines like VLMS, shelan, tenor, TLM and they have like one single copy. They, they, they sort of think about like things as like one single copy, like one replica, right?Why Scale Out WinsKyle: Like one version of the model. But when you're actually serving things at scale, you can't just scale up that replica because you end up with like performance problems. There's a scaling limit to scaling up replicas. So you actually have to scale out to use a, maybe some Kubernetes type terminology.We kind of realized that there was like. A lot of potential optimization that we could do in scaling out and building systems for data [00:28:00] center scale inference. So Dynamo is this data center scale inference engine that sits on top of the frameworks like VLM Shilling and 10 T lm and just makes things go faster because you can leverage the economy of scale.The fact that you have KV cash, which we can define a little bit later, uh, in all these machines that is like unique and you wanna figure out like the ways to maximize your cash hits or you want to employ new techniques in inference like disaggregation, which Dynamo had introduced to the world in, in, in March, not introduced, it was a academic talk, but beforehand.But we are, you know, one of the first frameworks to start, supporting it. And we wanna like, sort of combine all these techniques into sort of a modular framework that allows you to. Accelerate your inference at scale.Nader: By the way, Kyle and I became friends on my first date, Nvidia, and I always loved, ‘cause like he always teaches meswyx: new things.Yeah. By the way, this is why I wanted to put two of you together. I was like, yeah, this is, this is gonna beKyle: good. It's very, it's very different, you know, like we've, we, we've, we've talked to each other a bunch [00:29:00] actually, you asked like, why, why can't we scale up?Nader: Yeah.Scale Up Limits ExplainedNader: model, you said model replicas.Kyle: Yeah. So you, so scale up means assigning moreswyx: heavier?Kyle: Yeah, heavier. Like making things heavier. Yeah, adding more GPUs. Adding more CPUs. Scale out is just like having a barrier saying, I'm gonna duplicate my representation of the model or a representation of this microservice or something, and I'm gonna like, replicate it Many times.Handle, load. And the reason that you can't scale, scale up, uh, past some points is like, you know, there, there, there are sort of hardware bounds and algorithmic bounds on, on that type of scaling. So I'll give you a good example that's like very trivial. Let's say you're on an H 100. The Maxim ENV link domain for H 100, for most Ds H one hundreds is heus, right?So if you scaled up past that, you're gonna have to figure out ways to handle the fact that now for the GPUs to communicate, you have to do it over Infin band, which is still very fast, but is not as fast as ENV link.swyx: Is it like one order of magnitude, like hundreds or,Kyle: it's about an order of magnitude?Yeah. Okay. Um, soswyx: not terrible.Kyle: [00:30:00] Yeah. I, I need to, I need to remember the, the data sheet here, like, I think it's like about 500 gigabytes. Uh, a second unidirectional for ENV link, and about 50 gigabytes a second unidirectional for Infin Band. I, it, it depends on the, the generation.swyx: I just wanna set this up for people who are not familiar with these kinds of like layers and the trash speedVibhu: and all that.Of course.From Laptop to Multi NodeVibhu: Also, maybe even just going like a few steps back before that, like most people are very familiar with. You see a, you know, you can use on your laptop, whatever these steel viol, lm you can just run inference there. All, there's all, you can, youcan run it on thatVibhu: laptop. You can run on laptop.Then you get to, okay, uh, models got pretty big, right? JLM five, they doubled the size, so mm-hmm. Uh, what do you do when you have to go from, okay, I can get 128 gigs of memory. I can run it on a spark. Then you have to go multi GPU. Yeah. Okay. Multi GPU, there's some support there. Now, if I'm a company and I don't have like.I'm not hiring the best researchers for this. Right. But I need to go [00:31:00] multi-node, right? I have a lot of servers. Okay, now there's efficiency problems, right? You can have multiple eight H 100 nodes, but, you know, is that as a, like, how do you do that efficiently?Kyle: Yeah. How do you like represent them? How do you choose how to represent the model?Yeah, exactly right. That's a, that's like a hard question. Everyone asks, how do you size oh, I wanna run GLM five, which just came out new model. There have been like four of them in the past week, by the way, like a bunch of new models.swyx: You know why? Right? Deep seek.Kyle: No comment. Oh. Yeah, but Ggl, LM five, right?We, we have this, new model. It's, it's like a large size, and you have to figure out how to both scale up and scale out, right? Because you have to find the right representation that you care about. Everyone does this differently. Let's be very clear. Everyone figures this out in their own path.Nader: I feel like a lot of AI or ML even is like, is like this. I think people think, you know, I, I was, there was some tweet a few months ago that was like, why hasn't fine tuning as a service taken off? You know, that might be me. It might have been you. Yeah. But people want it to be such an easy recipe to follow.But even like if you look at an ML model and specificKyle: to you Yeah,Nader: yeah.Kyle: And the [00:32:00] model,Nader: the situation, and there's just so much tinkering, right? Like when you see a model that has however many experts in the ME model, it's like, why that many experts? I don't, they, you know, they tried a bunch of things and that one seemed to do better.I think when it comes to how you're serving inference, you know, you have a bunch of decisions to make and there you can always argue that you can take something and make it more optimal. But I think it's this internal calibration and appetite for continued calibration.Vibhu: Yeah. And that doesn't mean like, you know, people aren't taking a shot at this, like tinker from thinking machines, you know?Yeah. RL as a service. Yeah, totally. It's, it also gets even harder when you try to do big model training, right? We're not the best at training Moes, uh, when they're pre-trained. Like we saw this with LAMA three, right? They're trained in such a sparse way that meta knows there's gonna be a bunch of inference done on these, right?They'll open source it, but it's very trained for what meta infrastructure wants, right? They wanna, they wanna inference it a lot. Now the question to basically think about is, okay, say you wanna serve a chat application, a coding copilot, right? You're doing a layer of rl, you're serving a model for X amount of people.Is it a chat model, a coding model? Dynamo, you know, back to that,Kyle: it's [00:33:00] like, yeah, sorry. So you we, we sort of like jumped off of, you know, jumped, uh, on that topic. Everyone has like, their own, own journey.Cost Quality Latency TradeoffsKyle: And I, I like to think of it as defined by like, what is the model you need? What is the accuracy you need?Actually I talked to NA about this earlier. There's three axes you care about. What is the quality that you're able to produce? So like, are you accurate enough or can you complete the task with enough, performance, high enough performance. Yeah, yeah. Uh, there's cost. Can you serve the model or serve your workflow?Because it's not just the model anymore, it's the workflow. It's the multi turn with an agent cheaply enough. And then can you serve it fast enough? And we're seeing all three of these, like, play out, like we saw, we saw new models from OpenAI that you know, are faster. You have like these new fast versions of models.You can change the amount of thinking to change the amount of quality, right? Produce more tokens, but at a higher cost in a, in a higher latency. And really like when you start this journey of like trying to figure out how you wanna host a model, you, you, you think about three things. What is the model I need to serve?How many times do I need to call it? What is the input sequence link was [00:34:00] the, what does the workflow look like on top of it? What is the SLA, what is the latency SLA that I need to achieve? Because there's usually some, this is usually like a constant, you, you know, the SLA that you need to hit and then like you try and find the lowest cost version that hits all of these constraints.Usually, you know, you, you start with those things and you say you, you kind of do like a bit of experimentation across some common configurations. You change the tensor parallel size, which is a form of parallelismVibhu: I take, it goes even deeper first. Gotta think what model.Kyle: Yes, course,ofKyle: course. It's like, it's like a multi-step design process because as you said, you can, you can choose a smaller model and then do more test time scaling and it'll equate the quality of a larger model because you're doing the test time scaling or you're adding a harness or something.So yes, it, it goes way deeper than that. But from the performance perspective, like once you get to the model you need, you need to host, you look at that and you say, Hey. I have this model, I need to serve it at the speed. What is the right configuration for that?Nader: You guys see the recent, uh, there was a paper I just saw like a few days ago that, uh, if you run [00:35:00] the same prompt twice, you're getting like double Just try itagain.Nader: Yeah, exactly.Vibhu: And you get a lot. Yeah. But the, the key thing there is you give the context of the failed try, right? Yeah. So it takes a shot. And this has been like, you know, basic guidance for quite a while. Just try again. ‘cause you know, trying, just try again. Did you try again? All adviceNader: in life.Vibhu: Just, it's a paper from Google, if I'm not mistaken, right?Yeah,Vibhu: yeah. I think it, it's like a seven bas little short paper. Yeah. Yeah. The title's very cute. And it's just like, yeah, just try again. Give it ask context,Kyle: multi-shot. You just like, say like, hey, like, you know, like take, take a little bit more, take a little bit more information, try and fail. Fail.Vibhu: And that basic concept has gone pretty deep.There's like, um, self distillation, rl where you, you do self distillation, you do rl and you have past failure and you know, that gives some signal so people take, try it again. Not strong enough.swyx: Uh, for, for listeners, uh, who listen to here, uh, vivo actually, and I, and we run a second YouTube channel for our paper club where, oh, that's awesome.Vivo just covered this. Yeah. Awesome. Self desolation and all that's, that's why he, to speed [00:36:00] on it.Nader: I'll to check it out.swyx: Yeah. It, it's just a good practice, like everyone needs, like a paper club where like you just read papers together and the social pressure just kind of forces you to just,Nader: we, we,there'sNader: like a big inference.Kyle: ReadingNader: group at a video. I feel so bad every time. I I, he put it on like, on our, he shared it.swyx: One, one ofNader: your guys,swyx: uh, is, is big in that, I forget es han Yeah, yeah,Kyle: es Han's on my team. Actually. Funny. There's a, there's a, there's a employee transfer between us. Han worked for Nater at Brev, and now he, he's on my team.He wasNader: our head of ai. And then, yeah, once we got in, andswyx: because I'm always looking for like, okay, can, can I start at another podcast that only does that thing? Yeah. And, uh, Esan was like, I was trying to like nudge Esan into like, is there something here? I mean, I don't think there's, there's new infant techniques every day.So it's like, it's likeKyle: you would, you would actually be surprised, um, the amount of blog posts you see. And ifswyx: there's a period where it was like, Medusa hydra, what Eagle, like, youKyle: know, now we have new forms of decode, uh, we have new forms of specula, of decoding or new,swyx: what,Kyle: what are youVibhu: excited? And it's exciting when you guys put out something like Tron.‘cause I remember the paper on this Tron three, [00:37:00] uh, the amount of like post train, the on tokens that the GPU rich can just train on. And it, it was a hybrid state space model, right? Yeah.Kyle: It's co-designed for the hardware.Vibhu: Yeah, go design for the hardware. And one of the things was always, you know, the state space models don't scale as well when you do a conversion or whatever the performance.And you guys are like, no, just keep draining. And Nitron shows a lot of that. Yeah.Nader: Also, something cool about Nitron it was released in layers, if you will, very similar to Dynamo. It's, it's, it's essentially it was released as you can, the pre-training, post-training data sets are released. Yeah. The recipes on how to do it are released.The model itself is released. It's full model. You just benefit from us turning on the GPUs. But there are companies like, uh, ServiceNow took the dataset and they trained their own model and we were super excited and like, you know, celebrated that work.ZoomVibhu: different. Zoom is, zoom is CGI, I think, uh, you know, also just to add like a lot of models don't put out based models and if there's that, why is fine tuning not taken off?You know, you can do your own training. Yeah,Kyle: sure.Vibhu: You guys put out based model, I think you put out everything.Nader: I believe I know [00:38:00]swyx: about base. BasicallyVibhu: without baseswyx: basic can be cancelable.Vibhu: Yeah. Base can be cancelable.swyx: Yeah.Vibhu: Safety training.swyx: Did we get a full picture of dymo? I, I don't know if we, what,Nader: what I'd love is you, you mentioned the three axes like break it down of like, you know, what's prefilled decode and like what are the optimizations that we can get with Dynamo?Kyle: Yeah. That, that's, that's, that's a great point. So to summarize on that three axis problem, right, there are three things that determine whether or not something can be done with inference, cost, quality, latency, right? Dynamo is supposed to be there to provide you like the runtime that allows you to pull levers to, you know, mix it up and move around the parade of frontier or the preto surface that determines is this actually possible with inference And AI todayNader: gives you the knobs.Kyle: Yeah, exactly. It gives you the knobs.Disaggregation Prefill vs DecodeKyle: Uh, and one thing that like we, we use a lot in contemporary inference and is, you know, starting to like pick up from, you know, in, in general knowledge is this co concept of disaggregation. So historically. Models would be hosted with a single inference engine. And that inference engine [00:39:00] would ping pong between two phases.There's prefill where you're reading the sequence generating KV cache, which is basically just a set of vectors that represent the sequence. And then using that KV cache to generate new tokens, which is called Decode. And some brilliant researchers across multiple different papers essentially made the realization that if you separate these two phases, you actually gain some benefits.Those benefits are basically a you don't have to worry about step synchronous scheduling. So the way that an inference engine works is you do one step and then you finish it, and then you schedule, you start scheduling the next step there. It's not like fully asynchronous. And the problem with that is you would have, uh, essentially pre-fill and decode are, are actually very different in terms of both their resource requirements and their sometimes their runtime.So you would have like prefill that would like block decode steps because you, you'd still be pre-filing and you couldn't schedule because you know the step has to end. So you remove that scheduling issue and then you also allow you, or you yourself, to like [00:40:00] split the work into two different ki types of pools.So pre-fill typically, and, and this changes as, as model architecture changes. Pre-fill is, right now, compute bound most of the time with the sequence is sufficiently long. It's compute bound. On the decode side because you're doing a full Passover, all the weights and the entire sequence, every time you do a decode step and you're, you don't have the quadratic computation of KV cache, it's usually memory bound because you're retrieving a linear amount of memory and you're doing a linear amount of compute as opposed to prefill where you retrieve a linear amount of memory and then use a quadratic.You know,Nader: it's funny, someone exo Labs did a really cool demo where for the DGX Spark, which has a lot more compute, you can do the pre the compute hungry prefill on a DG X spark and then do the decode on a, on a Mac. Yeah. And soVibhu: that's faster.Nader: Yeah. Yeah.Kyle: So you could, you can do that. You can do machine strat stratification.Nader: Yeah.Kyle: And like with our future generation generations of hardware, we actually announced, like with Reuben, this [00:41:00] new accelerator that is prefilled specific. It's called Reuben, CPX. SoKubernetes Scaling with GroveNader: I have a question when you do the scale out. Yeah. Is scaling out easier with Dynamo? Because when you need a new node, you can dedicate it to either the Prefill or, uh, decode.Kyle: Yeah. So Dynamo actually has like a, a Kubernetes component in it called Grove that allows you to, to do this like crazy scaling specialization. It has like this hot, it's a representation that, I don't wanna go too deep into Kubernetes here, but there was a previous way that you would like launch multi-node work.Uh, it's called Leader Worker Set. It's in the Kubernetes standard, and Leader worker set is great. It served a lot of people super well for a long period of time. But one of the things that it's struggles with is representing a set of cases where you have a multi-node replica that has a pair, right?You know, prefill and decode, or it's not paired, but it has like a second stage that has a ratio that changes over time. And prefill and decode are like two different things as your workload changes, right? The amount of prefill you'll need to do may change. [00:42:00] The amount of decode that you, you'll need to do might change, right?Like, let's say you start getting like insanely long queries, right? That probably means that your prefill scales like harder because you're hitting these, this quadratic scaling growth.swyx: Yeah.And then for listeners, like prefill will be long input. Decode would be long output, for example, right?Kyle: Yeah. So like decode, decode scale. I mean, decode is funny because the amount of tokens that you produce scales with the output length, but the amount of work that you do per step scales with the amount of tokens in the context.swyx: Yes.Kyle: So both scales with the input and the output.swyx: That's true.Kyle: But on the pre-fold view code side, like if.Suddenly, like the amount of work you're doing on the decode side stays about the same or like scales a little bit, and then the prefilled side like jumps up a lot. You actually don't want that ratio to be the same. You want it to change over time. So Dynamo has a set of components that A, tell you how to scale.It tells you how many prefilled workers and decoded workers you, it thinks you should have, and also provides a scheduling API for Kubernetes that allows you to actually represent and affect this scheduling on, on, on your actual [00:43:00] hardware, on your compute infrastructure.Nader: Not gonna lie. I feel a little embarrassed for being proud of my SVG function earlier.swyx: No, itNader: wasreallyKyle: cute. I, Iswyx: likeNader: it's all,swyx: it's all engineering. It's all engineering. Um, that's where I'mKyle: technical.swyx: One thing I'm, I'm kind of just curious about with all with you see at a systems level, everything going on here. Mm-hmm. And we, you know, we're scaling it up in, in multi, in distributed systems.Context Length and Co Designswyx: Um, I think one thing that's like kind of, of the moment right now is people are asking, is there any SOL sort of upper bounds. In terms of like, let's call, just call it context length for one for of a better word, but you can break it down however you like.Nader: Yeah.swyx: I just think like, well, yeah, I mean, like clearly you can engage in hybrid architectures and throw in some state space models in there.All, all you want, but it looks, still looks very attention heavy.Kyle: Yes. Uh, yeah. Long context is attention heavy. I mean, we have these hybrid models, um,swyx: to take and most, most models like cap out at a million contexts and that's it. Yeah. Like for the last two years has been it.Kyle: Yeah. The model hardware context co-design thing that we're seeing these days is actually super [00:44:00] interesting.It's like my, my passion, like my secret side passion. We see models like Kimmy or G-P-T-O-S-S. I'm use these because I, I know specific things about these models. So Kimmy two comes out, right? And it's an interesting model. It's like, like a deep seek style architecture is MLA. It's basically deep seek, scaled like a little bit differently, um, and obviously trained differently as well.But they, they talked about, why they made the design choices for context. Kimmy has more experts, but fewer attention heads, and I believe a slightly smaller attention, uh, like dimension. But I need to remember, I need to check that. Uh, it doesn't matter. But they discussed this actually at length in a blog post on ji, which is like our pu which is like credit puswyx: Yeah.Kyle: Um, in, in China. Chinese red.swyx: Yeah.Kyle: It's, yeah. So it, it's, it's actually an incredible blog post. Uh, like all the mls people in, in, in that, I've seen that on GPU are like very brilliant, but they, they talk about like the creators of Kimi K two [00:45:00] actually like, talked about it on, on, on there in the blog post.And they say, we, we actually did an experiment, right? Attention scales with the number of heads, obviously. Like if you have 64 heads versus 32 heads, you do half the work of attention. You still scale quadratic, but you do half the work. And they made a, a very specific like. Sort of barter in their system, in their architecture, they basically said, Hey, what if we gave it more experts, so we're gonna use more memory capacity.But we keep the amount of activated experts the same. We increase the expert sparsity, so we have fewer experts act. The ratio to of experts activated to number of experts is smaller, and we decrease the number of attention heads.Vibhu: And kind of for context, what the, what we had been seeing was you make models sparser instead.So no one was really touching heads. You're just having, uh,Kyle: well, they, they did, they implicitly made it sparser.Vibhu: Yeah, yeah. For, for Kimmy. They did,Kyle: yes.Vibhu: They also made it sparser. But basically what we were seeing was people were at the level of, okay, there's a sparsity ratio. You want more total parameters, less active, and that's sparsity.[00:46:00]But what you see from papers, like, the labs like moonshot deep seek, they go to the level of, okay, outside of just number of experts, you can also change how many attention heads and less attention layers. More attention. Layers. Layers, yeah. Yes, yes. So, and that's all basically coming back to, just tied together is like hardware model, co-design, which isKyle: hardware model, co model, context, co-design.Vibhu: Yeah.Kyle: Right. Like if you were training a, a model that was like. Really, really short context, uh, or like really is good at super short context tasks. You may like design it in a way such that like you don't care about attention scaling because it hasn't hit that, like the turning point where like the quadratic curve takes over.Nader: How do you consider attention or context as a separate part of the co-design? Like I would imagine hardware or just how I would've thought of it is like hardware model. Co-design would be hardware model context co-designKyle: because the harness and the context that is produced by the harness is a part of the model.Once it's trained in,Vibhu: like even though towards the end you'll do long context, you're not changing architecture through I see. Training. Yeah.Kyle: I mean you can try.swyx: You're saying [00:47:00] everyone's training the harness into the model.Kyle: I would say to some degree, orswyx: there's co-design for harness. I know there's a small amount, but I feel like not everyone has like gone full send on this.Kyle: I think, I think I think it's important to internalize the harness that you think the model will be running. Running into the model.swyx: Yeah. Interesting. Okay. Bash is like the universal harness,Kyle: right? Like I'll, I'll give. An example here, right? I mean, or just like a, like a, it's easy proof, right? If you can train against a harness and you're using that harness for everything, wouldn't you just train with the harness to ensure that you get the best possible quality out of,swyx: Well, the, uh, I, I can provide a counter argument.Yeah, sure. Which is what you wanna provide a generally useful model for other people to plug into their harnesses, right? So if youKyle: Yeah. Harnesses can be open, open source, right?swyx: Yeah. So I mean, that's, that's effectively what's happening with Codex.Kyle: Yeah.swyx: And, but like you may want like a different search tool and then you may have to name it differently or,Nader: I don't know how much people have pushed on this, but can you.Train a model, would it be, have you have people compared training a model for the for the harness versus [00:48:00] like post training forswyx: I think it's the same thing. It's the same thing. It's okay. Just extra post training. INader: see.swyx: And so, I mean, cognition does this course, it does this where you, you just have to like, if your tool is slightly different, um, either force your tool to be like the tool that they train for.Hmm. Or undo their training for their tool and then Oh, that's re retrain. Yeah. It's, it's really annoying and like,Kyle: I would hope that eventually we hit like a certain level of generality with respect to training newswyx: tools. This is not a GI like, it's, this is a really stupid like. Learn my tool b***h.Like, I don't know if, I don't know if I can say that, but like, you know, um, I think what my point kind of is, is that there's, like, I look at slopes of the scaling laws and like, this slope is not working, man. We, we are at a million token con

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Welcome to the Atomic Anesthesia podcast hosted by CRNA professor Dr. Rhea Temmermand and Co-Founder Sachi Lord. On this show, you'll hear clear, clinically grounded discussions designed for nurse anesthesia residents and CRNAs who want to feel more confident in complex pharmacology, physiology, and real-world anesthesia decision-making.⚠️ SIGN UP FOR OUR FREE NEWSLETTER: [NEWSLETTER SIGN-UP]In this episode:How opioids produce analgesia by decreasing synaptic transmission in central pain pathways rather than blocking nerve conduction μ, κ, and δ opioid receptor pharmacology and how Gi-coupled GPCR signaling alters calcium, potassium, and cAMP How opioids reduce pain by suppressing ascending nociceptive signaling and enhancing descending inhibitory pathways The physiologic basis of common opioid effects including respiratory depression, sedation, bradycardia, and GI effects

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Matildas đã đối đầu với Hàn Quốc ở một trong những trận đấu được mong chờ nhất của Giải vô địch bóng đá nữ châu Á (AFC Women's Asia Cup), và để mất vị trí đầu bảng vào tay Hàn Quốc sau trận hòa 3-3. Trận đấu đã mang lại kết quả quan trọng vào phút chót cho đội chủ nhà. Trong khi người hâm mộ ăn mừng sự phát triển của bóng đá nữ, các chuyên gia cho rằng cần phải làm nhiều hơn nữa để phát triển bóng đá nữ tại Úc.

Send a textIn this episode, Alyssa breaks down the most common misconceptions about the diverticulosis diet and explains what current research actually shows about fiber, seeds, nuts, and everyday eating patterns. Many people unintentionally mix up diverticulosis and diverticulitis, even though the dietary approaches for these two conditions are very different.  You'll learn why much of the advice circulating online comes from outdated guidelines, and how that confusion often leads to unnecessary food fear and restrictive eating.You'll learn:The key difference between diverticulosis and diverticulitisWhy the long-standing advice to avoid nuts, seeds, popcorn, and corn is outdatedHow fiber actually supports colon health, and why pace mattersWhy constipation and pressure in the colon play a major role in diverticulitis riskHow a Mediterranean-style eating pattern supports long-term gut healthThe most common mistakes people make when trying to follow a diverticulosis dietWhat a realistic, supportive day of eating looks likeIf you've been avoiding foods out of fear or feeling unsure how to build meals after a diverticulosis diagnosis, this episode will help you approach food with more clarity, confidence, and calm.Resources mentioned:Download the Diverticulosis Diet Guide + 7-Day Meal Plan DM “GUT CHECK” on Alyssa's Instagram for a personalized quiz and free meal plans & resources to kickstart your gut healing journey.Check out Alyssa's FREE Masterclass “Why your gut still isn't better - the real reason you feel stuck here. Learn more about personalized gut healing plans at Nutrition ResolutionFind Alyssa on: Instagram, LinkedIn, Facebook, Pinterest  -If you're enduring uncomfortable, painful, and embarrassing GI symptoms and feel like you've tried everything, Alyssa uses a specialized approach to help people who've gone from doctor to doctor finally find relief. Book your 15-minute strategy call for FREE here.Looking for a supportive Gut Health community? Alyssa is building a community committed to helping people overcome their digestive symptoms by addressing the root cause using food and nutrition. Join Alyssa's FREE Facebook Community here.Tune in and subscribe to "The Gut Health Dialogues" for inspiring client transformation stories and expert insights into gut health. Leave a review—Your support will help Alyssa empower more people with the knowledge and tools to take control of their gut health and reclaim their lives.

Listen to JCO OP's Art of Oncology Practice article, "When Cancer Becomes a Headline: Reflections from the Clinic" by Dr. Carlos Stecca. The article is followed by an interview with Stecca and host Dr. Mikkael Sekeres. Dr Stecca reflects on the impact of the public illness and death of Brazilian singer and actress Preta Gil on his patients with colorectal cancer and on his own practice as a medical oncologist. TRANSCRIPT Narrator: When Cancer Becomes a Headline: Reflections from the Clinic, by Carlos Stecca, MD Dr. Mikkael Sekeres: Welcome back to JCO's Cancer Stories: The Art of Oncology. This ASCO podcast features intimate narratives and perspectives from authors exploring their experiences in oncology. I'm your host, Mikkael Sekeres. I'm Professor of Medicine and Chief of the Division of Hematology at the Sylvester Comprehensive Cancer Center, University of Miami. What a pleasure it is today to have Dr. Carlos Stecca, a medical oncologist at Evangelical Mackenzie University Hospital, to discuss his JCO Oncology Practice article, "When Cancer Becomes a Headline: Reflections From the Clinic". Dr. Stecca and I have agreed to call each other by first names. Carlos, thank you for contributing to JCO Oncology Practice and for joining us today to discuss your article. Dr. Carlos Stecca: So great to be here. Thank you so much for having me. Dr. Mikkael Sekeres: I wonder if we could start off by asking you to tell us about yourself. Where are you from and what led you to this point in your career? Dr. Carlos Stecca: So I am Brazilian. I was born in Brazil in a small town in the south of Brazil, and I did my medical training all in Brazil. So I did medical school here, internal medicine, and medical oncology. My residency period ended in early 2018. I did my residency at the AC Camargo Cancer Center, which is in Sao Paulo. And then right after that, I moved closer to my parents to start my journey as a medical oncologist. And I stayed here in the south for two more years. And then I was lucky enough to be accepted for a clinical research fellowship in genitourinary malignancies at the Princess Margaret Cancer Center. And I had the pleasure to work with Dr. Kala Sridhar for two years. So this was during the pandemic, so 2020, 2021. And then right after that, I moved back to Brazil. And I've been here for the past four years working as a medical oncologist specialized in genitourinary malignancies. But also, well, unfortunately here in Brazil most of us cannot do only one site, so we have to do a little bit more, so I'm doing gynae and GI as well. And in a few days, I'm moving back to Canada. I was lucky enough again to be accepted for a position at the University of British Columbia, so I'm moving in a few days. Dr. Mikkael Sekeres: Oh, my word. We caught you just in time then. Dr. Carlos Stecca: Yeah, yeah. I'm moving in four days now. Dr. Mikkael Sekeres: I can't imagine what it's like to be going between those extremes of weather from Canada down to Brazil. Did your teeth crack when you did that? Dr. Carlos Stecca: Something like that. Yeah, it was like, I moved in December. So in December we have summer here in Brazil, and it was like 35, 40 degrees Celsius when I left Brazil at the airport. And when I arrived, it was close to minus 20 when I went to Toronto. Yeah. Dr. Mikkael Sekeres: Oh, my word. Dr. Carlos Stecca: It was rough. Dr. Mikkael Sekeres: Well, those of us who live at or near the Southern Hemisphere, I will tell you, I've started to wear puffy jackets and snow caps when it drops into the 60s. Good luck with reacclimating to Canada. I wonder if we could talk a little bit about the story that sparked this terrific essay. It was so interesting. The Brazilian singer and actress Preta Gil died of rectal cancer in July of 2025 at the age of 50. And she went public with her diagnosis. What is it that she communicated to the public about colorectal cancer? Dr. Carlos Stecca: So she was very open about her diagnosis since the beginning. So this was very interesting. She is very famous here. She had tons of followers on Instagram and social media, and she was very outspoken about her diagnosis since the first beginning. So she was diagnosed with an early stage disease, and she did a great job raising awareness for this condition, for colorectal cancer. She had a beautiful journey discussing the specifics of her case. Dr. Mikkael Sekeres: So she talked both about her diagnosis and some of the treatments she was undergoing, but also about symptoms of cancer, right? Dr. Carlos Stecca: She really engaged in this discussion about her diagnosis and how she found out about her cancer. So rectal bleeding, this was disclosed in her stories on Instagram, and so she was very open about this. And it really helped people understand the condition, and it really increased the number of screening tests that Brazilians were doing. And of course, we saw this increasing uptake of the screening tests, which was amazing. Dr. Mikkael Sekeres: In a way, I think she did a real public service, I think, both for early detection of colorectal cancer with symptoms, also for screening, so asymptomatic people who would undergo colonoscopies, and also demystified a little bit the treatment of colorectal cancer. In the US, we saw a similar phenomenon when the actor Chad Boseman of Black Panther movie franchise fame died of colorectal cancer in 2020 at the age of 43. These deaths have also sparked an international conversation about cancer in younger adults. Are you seeing that in your clinic? Dr. Carlos Stecca: Yes, definitely. We're seeing many more cases of cancer diagnosed in the younger population, right? So yeah, this discussion was very important to have, not only because the screening tests increased in patients after the age of 50 years old without any symptoms, but also raised awareness for those symptoms that should trigger the proper investigation. Dr. Mikkael Sekeres: I wonder if you could speculate a little bit about why it is that we're seeing more cancer in younger adults. Do you think it has anything to do, for example, with diet and people eating more ultra-processed foods? Is it a phenomenon? I've even heard people talk about microplastics and whether that could be contributing. Also, recently, there was an article that came out that speculated that while we're seeing more cancers in younger adults, we're not seeing more deaths in younger adults, so we may just be picking these up earlier as more people are going to be screened or for additional testing at a younger age. Dr. Carlos Stecca: Yeah, I think so. I think this is definitely the case. I think younger adults are eating more processed foods, and we know that this is an obvious risk factor for colorectal cancer and other cancers as well. And maybe obesity as well, we are seeing this as a pandemic now in the world, right? So we are seeing this especially in developing countries. And here in Brazil, of course, we are seeing this as a phenomenon. Dr. Mikkael Sekeres: It's so fascinating. I feel like we won't really know the answer about the uptick in cancers in younger adults for years until some of the data settle out, including the data about people during the COVID pandemic not going for screening and testing as often and whether we're now starting to see the downstream effects of that. Dr. Carlos Stecca: For sure, I think this is- well, during the pandemic I was in Canada, but shortly after the pandemic was coming to an end, I came back to Brazil, and I saw that. I saw that a lot of patients came to the clinic with more advanced cancers because they missed those opportunities of being seen by a physician during the pandemic, because of course, for obvious reasons, people were not coming to the clinic. And we saw that, a huge number of patients being diagnosed with late-stage disease because of that. Dr. Mikkael Sekeres: It's fascinating. There's a named phenomenon called the Angelina Jolie effect. I don't know if you remember following the actress's 2013 opinion piece about genetic testing for hereditary cancers such as BRCA1 and following her prophylactic mastectomy. She is a carrier of a mutation. There was a wave of testing that occurred thereafter. So some good can come from celebrities going public with their cancer diagnosis. Dr. Carlos Stecca: Oh, definitely, definitely. I think that more good can come from their diagnosis and them being verbal about this than the downsides. Of course, the positive side of it is definitely outweighing the negative effect. Dr. Mikkael Sekeres: You write a really thoughtful essay. You mention downsides, and there can be some downsides. One of the things you wrote in your essay was, "Yet for others already living with colorectal cancer, the same story had the opposite effect. Instead of empowerment, it fueled anxiety, guilt, and resignation. Some patients grew silent, fearing their treatment was futile as they compared themselves to a celebrity who had access to the best hospitals, specialists, and resources, and still passed away. Others questioned why they had not caught their cancer earlier, internalizing blame." Can you talk a little bit more about some of the unintended consequences of a celebrity who goes public with his or her cancer diagnosis? Dr. Carlos Stecca: That was exactly it, right? I was witnessing this in my clinic. I work in a public hospital here, and I would see those patients coming to me and voicing their concerns about their diagnosis, colorectal cancer, that was now in the spotlight because of that famous person that battled with colorectal cancer and unfortunately passed away after two years of starting her journey. And that was something quite difficult for the patients because, as you mentioned, and as I wrote in the text, some of those patients were in the public system and they were comparing themselves, comparing their diagnosis with the diagnosis of someone who had endless resources. And in fact, she even went to the United States and took part in a clinical trial. She participated in a clinical trial. And yet she was not able to overcome this diagnosis, and sadly she passed away. So, most of our patients were coming to the clinic and voicing their fears, like, "If even she couldn't get through this, how can I? I'm a simple person and I'm here in this world of limited resources." And here in Brazil, we do have the public system and the private system, and there is a huge gap between what we can do in one system and another. That was a concern that they voiced. Dr. Mikkael Sekeres: I'm sorry she passed away. How did you deal with that? So how did you respond to patients who said, "Gee, if this famous actress with unlimited resources dies from her cancer, what hope do I have?" Dr. Carlos Stecca: Yeah, so I think this is very difficult, right? And this is something that I was learning to understand now. Because as you mentioned, Chadwick Boseman and Angelina Jolie, we heard of those stories, but I never felt that this would be impactful in my clinic, that there would be patients voicing their concerns about their diagnosis being in the spotlight. And this is something that happened to me now. I would often see those patients, and I started to think about the downsides of a cancer being on a headline for those already living with cancer, and already living with that cancer and having their cancer in the spotlight. And so that was something that I needed to hear and address their concerns more actively than before, right? So this is something that is really important. And sometimes it is as important as discussing toxicity related to chemotherapy or other things related to the treatment itself. But addressing their concerns, it would be a way to alleviate the burden that the patients are experiencing from that. Dr. Mikkael Sekeres: So what would you say to them? If somebody said to you, "How can I do well when this famous actress didn't do well?", what would you say? Dr. Carlos Stecca: The first thing is to talk to the patient that every diagnosis is different. So we do have differences in staging, we do have differences in biology of the tumor. And as we study more those diseases and every type of cancer, but here, especially colorectal cancer, we are seeing that those differences are very important in the treatment and they will be part of the prognosis as well. So no disease is the same as other disease. So your experience is unique. So your diagnosis is in a certain way unique. Your treatment might be different, right? Dr. Mikkael Sekeres: I like how you personalized that for each patient. I really love how you end this essay. You write, "In those quiet moments after a headline, when fear enters the exam room, my responsibility is clear. I must not only prescribe treatment, but also restore perspective, dignity, and courage. Sometimes that is the most difficult, yet most essential part of being an oncologist." I remember, Carlos, one of my patients once described what we do as being almost pastoral. He himself was a minister and said this. And an important part of our job is to provide that context, but also a space where people can feel forgiveness for what they perceive as their fault. I wonder if you could reflect on that a little bit. How is it that, it almost sounds like it's too extreme, but we provide a sanctuary where patients can forgive themselves for the guilt they've been carrying around. Dr. Carlos Stecca: Yeah. No, I think this is very important. As medical oncologists, we are more than just physicians. We become friends with the patients, right? So most of the time I do create this relationship, this strong bond with the patient, because I worked as a family doctor before, so I treated patients very intimately as well. But nothing compares to being an oncologist now, because I think that the emotional burden associated with the profession is extremely high. And it's very difficult for the patient, for the family. And so we become part of their families and part of their story and their journey throughout their whole journey with the cancer. So it can be very emotional. I think that it's much more than being a physician and treating patients and prescribing treatments and discussing the biology of the tumor. And it's much more than that. And I think that being an oncologist entails all that, entails being part of their story and engaging in an emotional journey that they are having with the cancer. Especially here in Brazil, I think that the diagnosis of cancer has always been challenging. And I think that a patient's experience is unique and addressing the emotional part of it is very important. Dr. Mikkael Sekeres: Well, what a beautiful way to sum up what we do. We become part of our patients' stories and journey, and they become part of ours, and I think that's why we write about it. It has been such a pleasure to have Dr. Carlos Stecca to discuss his essay, "When Cancer Becomes a Headline: Reflections From the Clinic". Carlos, thank you so much for submitting your article and for joining us today. Dr. Carlos Stecca: Thank you so much for having me. It was a pleasure. If you enjoyed this episode, consider sharing it with a friend or colleague or leave us a review. Your feedback and support helps us continue to have these important conversations. If you are looking for more episodes and context, follow our show on Apple, Spotify, or wherever you listen and explore more from ASCO at asco.org/podcasts. Until next time, this has been Mikkael Sekeres for JCO's Cancer Stories: The Art of Oncology. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Show notes:Like, share and subscribe so you never miss an episode and leave a rating or review. Guest Bio: Dr Carlos Stecca is a medical oncologist at Evangelical Mackenzie University Hospital.

The Gi gang discuss the highs & lows of the full release of Marathon, Slay The Spire 2, Project Helix, Sony removing PS5 games from Steam, Control Resonant, Onimusha and more.

The Gi gang discuss the highs & lows of the full release of Marathon, Slay The Spire 2, Project Helix, Sony removing PS5 games from Steam, Control Resonant, Onimusha and more.

Doors to join The Intuitive Advantage are open for you, but closing on Wednesday 3/11/26! (We officially start Thursday!)In this episode we're making intuition as real + tangible as possible. I'm diving into where you should absolutely be using intuition in your life, plus countless storytimes from my own personal experiences on how intuition has solved problems like:creating my biggest sales weekavoiding GI issues from runningnaming my programshealing my herniated discmy hormonal acne storyhealing our cats without taking them to the vetI also share a handful of client stories where intuition helped them:become an energetic match to meet their dream partner (crazy Higher Self story here)getting pregnant after loss & fertility issuesclearing allergieshealing a sty in < 48 hoursclients making sales & getting paid 3X using the intuitive tools I got for themDoors to The Intuitive Advantage close Wednesday night, March 11, 2026 @ 11:59 PM PST!

Tựa Đề: Mục Đích Của Hội Thánh - Truyền Giáo (Phần 2); Kinh Thánh: Công-vụ các Sứ-đồ 1:8; Tác Giả: Mục Sư Lê Thanh Liêm; Loạt Bài: Hội Thánh Báp-Tít Trung Tâm

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Dr. Pedro Barata and Dr. Kathryn Schmitz discuss evidence-based exercise oncology programs, how to incorporate exercise into cancer care and connect the right patient to the right program, and ultimately build a culture of exercise in oncology. TRANSCRIPT Dr. Pedro Barata: Hello, and welcome to By the Book, a podcast series from ASCO that features compelling perspectives from authors and editors of the ASCO Educational Book. I'm Dr. Pedro Barata. I'm a medical oncologist and a clinical trialist at the University Hospital Seidman Cancer Center and an associate professor of medicine at Case Western Reserve University in Cleveland, Ohio. I'm also happy to serve as a deputy editor for the ASCO Educational Book. Today, we'll be talking about exercise. We have plenty of evidence that exercise benefits symptoms, improves the quality of life of patients, and actually has been shown to reduce risk of recurrence of cancer but also improve survival. And I think that's increasingly clear as data emerges. Today, I'm delighted to be speaking to Dr. Kathryn Schmitz. She's a leading expert on integrating exercise into cancer care. Dr. Schmitz serves as the deputy director of the University of Pittsburgh Hillman Cancer Center and also a professor of hematology-oncology at University of Pittsburgh Medical School. She's the senior author of a fantastic article in the ASCO Educational Book that's titled "Implementation Science as the Secret Sauce for Integrating Exercise Screening and Triage Pathways in Oncology." She also led a really compelling piece that just got published in JCO titled "If Exercise Were a Pill, We'd All Prescribe It to Patients With Cancer. But It's Not" So I'm thrilled to have Dr. Schmitz joining us today and helping us explore evidence-based exercise oncology programs, how to incorporate exercise into cancer care, and also how to connect the right patient to the right program.  So with that, welcome, Dr. Schmitz. Thank you so much for taking the time to chat with us. Dr. Kathryn Schmitz: Thank you for the opportunity. Dr. Pedro Barata: One of the highlights of ASCO last year and practice changing, in my opinion, data out of The New England [Journal of Medicine] is called the CHALLENGE trial. It did provide high level evidence that a structured, supervised exercise program could improve both disease-free survival and overall survival. This is a study in the GI world, but I think it got a lot of attraction and attention beyond the GI world, across solid tumors, really. Could you give us a little brief recap of that trial and what have you seen as being the impact in practices around oncology? Dr. Kathryn Schmitz: So, CHALLENGE was very exciting. Prior to CHALLENGE, there were any number of observational studies that indicated that there was a relationship between being more physically active and reduced recurrence and improved overall survival for colon cancer in particular. You know, notably, in 2006, Jeff Meyerhardt published two papers in the same journal, of the same issue of JCO, showing very, very similar data from two very large studies. And those were studies number five and six in this area. You know, there's a lot of evidence observationally, but we don't generally change clinical practice on the basis of observational data. So, we were all waiting very impatiently for the results of the CHALLENGE trial. And it was very exciting to be in the front row when the results were reported out and to be part of the group with a standing ovation for the authors when it was presented. To summarize, 889 colon cancer patients, stage II and III, were randomized into either a structured exercise program or a health education control comparison group and followed for an average of 7.9 years. And the structured exercise group had a 27% reduced risk of recurrence and a 38% improvement in overall survival. One of the things that's really notable about this is that what we typically expect is that when we go from the observational literature to the clinical trial literature, that we expect effects to go down. We expect to see a larger effect in the observational than in the RCT land, and that did not happen here. We actually see an effect that matches what we've seen in observational literature, which is really, really exciting.  And, you know, one of the reasons why this has been so exciting across not just GI but other cancers is the notable finding of a reduced risk of second primaries. So, they only observed two breast cancer second primaries in the treatment group and 12 in the comparison group. And overall, they reduced the second primaries occurrence, hazard ratio was 0.5, a 50% reduction of second primaries, which is just remarkable. It really got everybody very, very excited. And now the big question, of course, is, all right, how do I do this? How do I make this happen?  The thing to note is that what they did in CHALLENGE is probably not doable in your clinic tomorrow. It's a heavy intervention. The number of touchpoints from staff is extensive, and the amount of time needed from staff for the coaching and supervised exercise is extensive as well. The criteria for getting people into the program required that people go through a series of blood tests and imaging tests that would just simply not be possible for the average community oncologist. So I'm guessing that you're going to ask me some questions about how we do this. Dr. Pedro Barata: Right. That's a fantastic segue. That's exactly right. Walk us through maybe starting by, what does that mean? Dr. Kathryn Schmitz: The first thing to say is I have to go back to the observational literature. And the observational literature shows really compellingly that we have a strong reduction of breast cancer recurrence and mortality from being more physically active, prostate cancer recurrence and mortality, and colon cancer recurrence and mortality. I find it very difficult to believe in this day and age, in our current environment, if you will, that we are ever going to have the equivalent of CHALLENGE for prostate or for breast cancer. There is an ongoing study in prostate that's led by some Australian researchers, but I just don't think that it's likely that we're going to mount something similar for another tumor site. We have tremendous correlative data that indicates that there are a number of biomarkers and biological pathways through which breast, colon, and prostate cancer would be reduced in recurrence if people were more physically active. And so, there is really, from my thinking, very little to state that it would be just a colon cancer effect. And so this is something we probably can enact in more than just the colon cancer community, overall, which is great news, and it makes it easier for us to be able to enact this type of programming. Dr. Pedro Barata: One of the things that comes up perhaps often is, if I were the leader of the cancer center and were to incentivize the different care teams to implement an exercise program at each level: GI team, GU, breast, thoracic, etc. How do we do that? Dr. Kathryn Schmitz: So, I want to give you an analogy. You're a medical oncologist, and you prescribe your patients chemotherapy. Now, just imagine, if you will, what would happen and how likely it would be for your patients to get chemotherapy if there was no chemoinfusion suite. If the chemoinfusion suite disappeared tomorrow and you were to tell your patients, "Go get some chemotherapy," what proportion of those patients do you think would go find all of the equipment necessary and all of the drugs necessary and understand how to dose the chemotherapy for themselves and get that all done? Very few people would do it. So with exercise, why would we be surprised then that our patients don't actually do a whole lot if we just simply tell them to go get some exercise? Exercise is a medicine. It is effective like a medicine. We've shown this through the CHALLENGE trial and many other correlative studies and an ocean of observational data as well. So the question is, how do we build the infrastructure that is necessary in order for your patients to do this? So the very first thing that has to happen is that somebody has to tell the patient to exercise. We currently do not have a culture of exercise in oncology. We do in heart disease. If you ask the average person on the street, "Is exercise good for your heart?" Anybody with an eighth-grade education is going to say, "Yes, of course," because the American Heart Association has done an amazing job telling everybody that exercise is good for your heart. But what has ASCO done, frankly? Can I be that bold? What has ASCO done to tell patients that they should be exercising during and after their cancer treatment? I'm not sure that I know more than a guideline. There is a guideline, and that's great. And the guideline is very helpful, but I'm not sure that patients know that there's a guideline. In fact, I can tell you that patients don't know that there is a guideline. So, you know, making sure that there's a paradigm shift in the country that says exercise is good for patients during and after their cancer treatment is the first step. The second step is getting a medical professional to say something to the patient about the exercise. And I'm very careful with the two words that I just chose: medical professional. I do understand medical oncologists are very busy. I understand that there's a whole lot to say in that 15 minutes when you're with the patient. And so maybe it isn't the medical oncologist. Ideally, it would be, but I get it that there's limited time. So it could be a nurse practitioner, it could be a nurse, there could be a social worker, it could be somebody else on the team that says, "Hey, you know, we want you to do an exercise program. We want to connect you to an exercise program." And then there's what is the program itself? You know, I'm very interested in this happening across the entire country. And so I've been working with the leadership of the Commission on Cancer on the question of, well, how would you do this in community oncology? You know, it's not enough to do it in academic medicine, but how do you do this in community oncology? And you can't expect that every community hospital is going to build a gym for their cancer patients. That is just not reasonable to do. So, we start to try to figure out some phone counseling. Could we give people Fitbits and follow them? Could we use technology to help us? Are there telehealth opportunities for us to do? Are there apps that have been built? In fact, there is a [free] app called Cancer Exercise that's on, you know, all of the platforms and available to patients. So there are programs. I've developed a directory of over 2,000 programs that exist across the country for exercise oncology that patients can find, medical oncologists can find.  So there are a lot of people trying to figure out how best to get the information to medical oncologists and other medical professionals so that they can have an 'easy button' to be able to connect their patients to existing programming so that you don't feel like you have to build a whole new program. Dr. Pedro Barata: If I don't have the resources around me, what would be your advice for the care team or for the providers that might not have that available at their site? Where do they start? Who do they reach out to? Who should they be looking at to get more information on how to set it up? Dr. Kathryn Schmitz: I lead an international consortium called Moving Through Cancer. You can find us at movingthroughcancer.org. That's where you'll find the map of all of the programs across the country and the directory. We actually have a triage tool that sits at the front of the directory that allows people to discern what type of exercise they're safe to do. We do recognize that, you know, the 80-year-old that fell last week doesn't need the same program as the 35-year-old that was playing pickleball the day before diagnosis. So, you know, there are different kinds of programs for people at different levels of acuity. We're happy to be helpful to folks to help them set up programs.  But the number one thing is to really be very aware of the power of saying something about doing exercise, just simply the power of saying, "I want you to be moving." Because frankly, I don't think anybody listening to this would disagree, no one benefits from sitting on the couch all day, no one. No one, no one. It doesn't matter how acute their medical issues are. We get people out of bed. We try to move people even when they're in the hospital. So I think saying something is huge. And then, if you can, applying a triage tool, if you can get something embedded within your clinical flow so that you can understand who it is that needs to go to physical therapy as opposed to who's ready for an exercise program. Those are the two things. So triage and referral is kind of step one. And if you can get that done, the rest will fall into place. Dr. Pedro Barata: This is really powerful message, where one, awareness of the care teams. Number two, bring it up to the patient. And then working on the referral, triage and referral process. That's fantastic. Another aspect that comes up quite a bit is like, "Look, this is great, but we have a system that relies on payers to make things happen, or at least to get them approved." And that can be very different or heterogeneous. The coverage can be different. Sometimes already going through a system programs for interventions, therapeutic interventions, let alone probably the insurance is not going to cover that. Is that true? Is it not true? How do you walk through the different insurance supports, perhaps, depending on where you're practicing? Dr. Kathryn Schmitz: You've just hit on the hot button. I've been working on this issue for about nine years now, trying to figure out using efforts to talk to CMS and see if we can get third party payer coverage going. We were making good progress there, and there was a change of administration and a new focus on "Make America Healthy Again," the MAHA movement. And, you know, CMS is really no longer interested in one-off national coverage determination. They instead, they want to know, "How do we make exercise happen for every American over 65?" And my question is, "Well, wait a minute, cancer patients are not just older patients. There's a lot going on there. They need something special." So I've been working on that. It's been working with accrediting bodies for policy with a little p. Very proud of the work that I've done in collaboration with the National Accreditation Program for Breast Centers, trying to get standards to get exercise referrals for breast patients. And I'm currently holding my breath to see whether the CoC is going to try to make some forward motion in this area as well, crossing all period appendages, waiting for news there. So it's not paid for unless it's done by a physical therapist. And, you know, there's published evidence and I have plenty of evidence from UPMC as well, that people don't really want to go to the physical therapist for this. I'm not saying physical therapists aren't great. Physical therapists are great, and there are people who really need to go to physical therapy, and we try hard to get those patients connected. But for the patients that are ready for something more than physical therapy, we really have an uphill battle to try to figure out what insurers are willing to pay for and what the return on investment is.  One of the challenges with the return on investment is that the timeline, time course for return on investment for American insurers is about one year. And I'll remind you that the time course for return on investment for CHALLENGE was 7.9 years. So we have a mismatch there. So we're trying to figure out if we can produce the evidence to show that there is an improvement in unplanned health care utilization. We have documented that for breast cancer. We're working on it for other cancers. If we can document that it is worthwhile to the insurer to pay for these programs, then I believe that they will pay for them. You know, my conversations are very positive with UPMC, which is a very large insurer and a large health plan. We're slowly working our way towards the middle, where there's a program that they can pay for and a program that is efficacious. That's the puzzle we're trying to solve for right now. Dr. Pedro Barata: This has been wonderful and super helpful. Before we wrap it up, is there anything else you would like to share with our listeners? Dr. Kathryn Schmitz: I want to make sure that your audience is aware that there are a variety of ways that exercise oncology is practiced. The program that most oncologists will be familiar with is LIVESTRONG, which is a program at the YMCA. It's a free program. At one point, there were over 800 locations across the U.S. They have contracted since COVID, probably because of COVID. So they still do exist but imagine, if you will, telling your patients that chemo is only available Tuesdays and Thursdays at 7:00 p.m. It would be difficult for patients to get there and get the chemotherapy. The same thing is true for the LIVESTRONG program. It's a fantastic, fantastic program for people who are able to get there, but that's one option. Another option for patients is there are a variety of online opportunities. I'll call out 2Unstoppable for women's cancers. It's literally the number 2Unstoppable.org. It's a free program available to women with cancer to have live, small group training programs. And they're based in Virginia, but they have programs all over the country. And then finally, I just want to overemphasize the app, the Cancer Exercise app. It's literally called Cancer Exercise in the app store. And that is a super duper easy button, very comprehensive, developed by a nurse scientist, Anna Schwartz. And then there are a variety of books. I wrote a book called Moving Through Cancer. There's a new book out [MyExerciseMedicine for Cancer] by Dr. Rob Newton as well, who's an Australian author. And there are certifications for exercise professionals that folks can look into as well through the American College of Sports Medicine. Dr. Pedro Barata: Dr. Schmitz, this is fantastic. Thank you for sharing those great insights with us. Super, super helpful. Thank you for taking the time. Dr. Kathryn Schmitz: Thank you so much. Dr. Pedro Barata: Thank you to our listeners for your time today. Remember, you'll find links to Dr. Schmitz's fantastic Educational Book as well as the JCO articles in the transcript of this episode. I'll invite all of you to go and read. And we'll also include a link to Dr. Schmitz's book titled Moving Through Cancer: An Exercise and Strength Program for the Fight of Your Life, which empowers patients and caregivers in simple five steps.  So with that, please join us again next month on By the Book for more insights on key advances and innovations that are shaping modern oncology. Thank you very much for your attention. Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Follow today's speakers:           Dr. Pedro Barata    @PBarataMD     Dr. Kathryn Schmitz @fitaftercancer Follow ASCO on social media:           @ASCO on X (formerly Twitter)           ASCO on Bluesky          ASCO on Facebook           ASCO on LinkedIn           Disclosures:        Dr. Pedro Barata:    Stock and Other Ownership Interests: Luminate Medical    Honoraria: UroToday    Consulting or Advisory Role: Bayer, BMS, Pfizer, EMD Serono, Eisai, Caris Life Sciences, AstraZeneca, Exelixis, AVEO, Merck, Ipson, Astellas Medivation, Novartis, Dendreon    Speakers' Bureau: AstraZeneca, Merck, Caris Life Sciences, Bayer, Pfizer/Astellas    Research Funding (Inst.): Exelixis, Blue Earth, AVEO, Pfizer, Merck     Dr. Kathryn Schmitz: Patents, Royalties, Other Intellectual Property: Fees from the educational program developed by Dr. Schmitz that is now offered through Klose Training and Consulting.

JP Dinnell answers questions from Reddit.  Get your free training from First In Nutrition: https://www.firstinnutrition.com/jppod More from JP Dinnell: https://www.jpdinnell.com/ Therapeutic Recreation Group: https://www.therapeuticrg.org Instagram: https://www.instagram.com/therapeutic_rec_group/ Echelon Front Leadership Assessment: https://tinyurl.com/y3v22car Join the conversation on instagram JP Dinnell: http://instagram.com/jpdinnell/ Lucas Pinckard: https://www.instagram.com/lucaspinckard Bruiser Arms: https://www.instagram.com/bruiserarms Echelon Front: https://echelonfront.com/ Little Cattle Co: http://littlecattle.co On The Path Printing: https://www.instagram.com/onthepathprinting JP Dinnell is a former U.S. Navy SEAL and now a Leadership Instructor, Speaker and Strategic Advisor with Echelon Front, where he serves as Director of Experiential Leadership Training Programs. J.P. is also a pro team athlete and spokesperson for Origin Maine and Jocko Fuel, an American clothing and supplement company. J.P. has a signature Energy Drink flavor "Sour Apple Sniper" with Jocko Fuel. Jeremiah spent nearly a decade in the SEAL Teams with three combat deployments. Sent to the violent terrorist stronghold of Ar Ramadi, Iraq in 2006 with SEAL Team Three's Task Unit Bruiser, J.P. served as point man, machine gunner, and lead sniper for Delta Platoon opposite the American Sniper, Chris Kyle, who was in Charlie Platoon. For his leadership and courage under fire, JP was awarded a Silver Star, 2 Bronze Stars with Valor and the Army Commendation Medal with Valor helping Task Unit Bruiser to become the most highly decorated special operations unit of the Iraq War. He worked closely with SEAL Officers Jocko Willink, his Task Unit Commander, and Leif Babin, and was the driving force on many of the daring combat operations Jocko and Leif wrote about in Extreme Ownership. Upon his return, J.P. again worked directly for Jocko as a training instructor at Naval Special Warfare Group One Training Detachment, where he orchestrated realistic and challenging training scenarios for Special Operations Urban Combat training and Close Quarters Combat training to better prepare SEAL units for the real-world battlefield. He also served as a Combatives Instructor, Marksmanship Instructor and earned his Master Trainer Specialist qualification while helping Jocko rebuild and enhance these training programs into the highly effective platforms they are today. J.P. brings exceptional experience and frontline leadership perspective from the winning mindset and culture of Task Unit Bruiser. 00:00:00 Intro 00:09:29 How To Detach 00:13:54 When To Detach 00:15:29 Balancing Detachment and Engagement  00:18:32 JP's Speech Impediment 00:22:14 How to Prepare for Presentations 00:30:20 How Do You Know When You're Ready 00:35:15 Leading a Disillusioned and Burned Out Team 00:41:15 Knowing Your People 00:44:48 Managing in the Age of AI 00:46:40 Most Impactful Book 00:51:40 Gi vs No-Gi Training 00:53:38 Self Defense vs Sport Jiu-Jitsu 01:05:39 Final Thoughts

"I don't know Alex Pierce." Pablo Torre's ability to win award after award after award after award has blown Dan away... The problem? Dan keeps having to pay to nominate him. Plus, Greg has a GI (or is it AI?) issue, a genuine QB debate breaks out, and Tony delivers his "Top 5 Low-Key NFL Free Agents" featuring one player who is about as high-key as it gets. Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode, Doug Larson sits down with Coach Travis Mash and Dr. Mike Lane to challenge the "one-size-fits-all" approach to supplement dosing. They break down why most labels are effectively written for an average-sized person, and why that matters when you're 100 pounds soaking wet, or a 300-pound lineman. Using real stories (like a 450 mg caffeine pre-workout for a small athlete and the classic "I couldn't sleep" aftermath), the crew lays out a simple north star: doses should  scale with body weight, and you should take an amount specific to your body size. From there, they get practical on what works, what's overhyped, and how to time things. Dr. Lane explains beta-alanine as an intramuscular buffer (via carnosine) that helps athletes push harder in the anaerobic "pain cave," but only if it's taken consistently for weeks, not as a one-off. They compare that to sodium bicarbonate as a more acute strategy that can help performance but comes with GI risk if you don't practice it ahead of time. Along the way, they call out a common industry trap: under-dosed formulas, proprietary blends, and products that sound impressive but contain amounts too small to matter. They wrap by narrowing down the essentials: creatine as a daily staple for most people (and potentially higher doses for cognitive benefits, especially under sleep deprivation), plus basics like protein and targeted use of supplements based on training demands. The conversation also goes deep on magnesium, why many people are likely low, how it supports relaxation and recovery, and why the form matters (bisglycinate/threonate etc). The big takeaway: match the supplement to the goal, match the dose to the body, and build your plan on quality ingredients, effective amounts and repeatable habits. Links: Doug Larson on InstagramCoach Travis Mash on Instagram

This week, Giovanna is joined by adventurer and explorer Steve Backshall Steve and Gi catch up on family life as he reflects on his childhood and how it shaped the person he is today. He also opens up about his wife Helen's inspiring journey training for the Tokyo Olympics just months after giving birth, and of course, there are plenty of tales from his iconic adventures along the way.LEGO® Education has launched four innovative STEM sets for young builders aged 7+, championed by explorer Steve Backshall. These sets turn children's big 'Why?' questions into hands-on, independent scientific discovery. Available today via select LEGO Stores and LEGO.com/LEGOEducation Hosted on Acast. See acast.com/privacy for more information.