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Battle is joined. It has all been leading to this, but with the stakes this high, and the odds stacked against them, can Mina, Mara and Tatters possibly hope to succeed? Links Transcript: https://docs.google.com/document/d/1nRQovg0IY9sTB2DDFpfRl3AKo_OiLvQU4qiTtroiBVc/edit?usp=sharing All music is royalty-free, and courtesy of Pixabay: https://pixabay.com/music/ and Slipstream https://slip.stream/ Email TheLoneAdv@gmail.com BlueSky: @theloneadventurer.bsky.social Podbean https://theloneadventurer.podbean.com/ Blog https://carlillustration.wordpress.com/ Ironsworn: Sundered Isles: https://www.drivethrurpg.com/en/product/477033/sundered-isles-expansion-for-ironsworn-starforged Pocketforge online tool: https://pocketforge.rockpaperstory.com/ Perchance TLA random event oracle: https://perchance.org/tla-randomevent Perchance TLA ritual generator:https://perchance.org/tla-tatters-ritual-generator Perchance TLA Mythic 2e GME https://perchance.org/tla-mythic2e Perchance TLA OCEANIC NPC generator https://perchance.org/tla-oceanic-npc Perchance TLA OCEANIC NPC behaviour oracle https://perchance.org/tla-oceanic-behaviour Perchance TLA Hammerhold Explorer https://perchance.org/tla-hammerhold Legend of the Bones https://legendofthebones.podbean.com/ Mechanics Scene 0 Begin a Session: spotlight a danger (Rex Volt) +1 momentum to Mina (6) Gather Information: Mina tries to make sense of what she's seeing: Strong hit On a strong hit, you discover something helpful and specific. The path you must follow or action you must take to make progress is made clear. Envision what you learn. Then, take +2 momentum. (8) Isolated Defeat: the Voice & Ring are key: heads for the gun turret Scene 1 Chaos Factor 8 Scene Description: Attack the Voice Scene Test: The scene is Altered: Remove An Object The ship is encased in ice, turrets frozen The Voice of the Machine Leader of the Machine Cult, possessed by the Ring of Winter Wants global destruction and endless winter 4C, 1/2 armour Deadly Ice Magic (Inflicts 2C, Forceful, Vicious, Area) Summon freezing winds Command fanatical loyalty Summon ice creatures Machine Cult Horde Fanatical devotants to the Great Machine Wants an end to the heresy of the flesh 6C (horde), 4C (group), 1C (solo), 0/1 armour, 3/6C Long, cruel knives Spout doctrine Blindly follow orders Mara: Engage (Machine Cult Horde) 9: Trade Blows (1C each) Mara: Engage (Machine Cult Horde) 10: Trade Blows (1C on Mara, 2C cult (Group)) Mara: Battle Momentum: 3 Momentum for 1 armour (2/3) Tatters: Evoke a Spell: Fireball 9: Success, but effects much more or much less Mythic: more? (50/50): Exceptional Yes (-1C, all combatants) Random Event: Move Toward a Thread The Convergence Ritual d8 d6 d4 Scene 2 Rex Volt O2 C4 E3 A1 N1 I1 C2 Has Rex taken Cadmus hostage? (Likely) No Enter the Fray If you are caught in a trap or sizing up the situation: Roll +wits On a weak hit, choose one. Take +2 momentum You are in control Secure an Advantage When you assess a situation, make preparations, or attempt to gain leverage, envision your action and roll. If you act… With expertise, focus, or observation: Roll +wits Miss, burn momentum, strong hit On a hit, you succeed. On a strong hit, take both. On a weak hit, choose one. Take +2 momentum Add +1 on your next move (not a progress move) Gain Ground+Gearhead (flashbang) When you are in control and take action in a fight to reinforce your position or move toward an objective, envision your approach and roll. If you are… Hiding, preparing an ambush, or misdirecting: Roll +shadow On a hit, you stay in control. On a weak hit, choose one. Mark progress Take +2 momentum Add +1 on your next move (not a progress move) Strike When you are in control and when you attack at a distance, roll +edge. On a strong hit, mark progress twice, you are in control. Scene 3 Gain Ground+Gearhead (night goggles) lights out When you are in control and take action in a fight to reinforce your position or move toward an objective, envision your approach and roll. If you are… Coordinating a plan, studying a situation, or cleverly gaining leverage: Roll +wits On a strong hit, stay in control and choose two. Mark progress (3/10) Take +2 momentum Add +1 on your next move (not a progress move) Strike When you are in control and attack at a distance, roll +edge. On a miss, the fight turns against you. You are in a bad spot and must Pay the Price. You are stressed (0/5, -1 Momentum): it doesn't work. He mocks. Despair. Endure Stress When you face mental strain, shock, or despair, suffer -1 spirit for minor stress, -2 for serious stress, or -3 for major stress. If your spirit is 0, Lose Momentum equal to any remaining stress. Then, if your spirit is 0 or you choose to resist the stress, roll +spirit or +heart, whichever is higher. On a weak hit, if you are not shaken, you may Lose Momentum (-1) in exchange for +1 spirit. Otherwise, press on. Scrambles out of reach as Rex closes in, fumbles for controls (feedback) React Under Fire When you are in a bad spot and take action in a fight to avoid danger or overcome an obstacle, envision your approach and roll. If you are… Changing the plan, finding a way out, or cleverly bypassing an obstacle: Roll +wits On a weak hit, you avoid the worst of the danger or overcome the obstacle, but not without a cost. Make a suffer move (-1). You stay in a bad spot. Caught by Rex's knife. Endure Harm (1) Pilot chair between us. Shoot again Clash When you are in a bad spot and exchange fire at a distance, roll +edge. Miss, burn momentum, weak hit. On a weak hit, mark progress, but you are dealt a counterblow or setback. You stay in a bad spot and must Pay the Price. Wing him, but he stabs back Endure Harm (2) Miss -1 health (⅕) React Under Fire + Gearhead (electric cable): Strong Hit On a strong hit, you succeed and are in control. Take +1 momentum. Gain Ground: trick Rex into getting shocked: strong hit Take +2 momentum Add +1 on your next move (not a progress move) Strike: weak hit On a weak hit, mark progress twice, but you expose yourself to danger. You are in a bad spot. Shoot Rex, but he breaks free, pinning me to the window Clash + Gearhead (drop ship): weak hit On a weak hit, mark progress, but you are dealt a counterblow or setback. You stay in a bad spot and must Pay the Price. React under fire: Harmed Endure Harm: miss, match (double 10's!) Search Idea On a miss, it's worse than you thought. Suffer an additional -1 health or Lose Momentum (-2). If your health is 0, you must also mark wounded or permanently harmed, or roll on the table below. Wounded (broken arm) Rex is trying to strangle React under fire + Gearhead (get through to Barbican): Strong hit (in control) Take Decisive action: weak hit On a weak hit, you achieve your objective, but not without cost. Roll on the table below or choose one. If the fight continues, you are in a bad spot. You face collateral damage: Something is lost, damaged, or broken:
With the fate of Mina and crew hanging in the balance, Tatters and Mara prepare to make their final assault on the Voice of the Machine. Links Transcript: https://docs.google.com/document/d/113BinDSB8qCoiCrg963fJFpXB4rr4VwsPt00GYB9dAc/edit?usp=sharing All music is royalty-free, and courtesy of Pixabay: https://pixabay.com/music/ and Slipstream https://slip.stream/ Email TheLoneAdv@gmail.com BlueSky: @theloneadventurer.bsky.social Podbean https://theloneadventurer.podbean.com/ Blog https://carlillustration.wordpress.com/ Ironsworn: Sundered Isles: https://www.drivethrurpg.com/en/product/477033/sundered-isles-expansion-for-ironsworn-starforged Pocketforge online tool: https://pocketforge.rockpaperstory.com/ Perchance TLA random event oracle: https://perchance.org/tla-randomevent Perchance TLA ritual generator:https://perchance.org/tla-tatters-ritual-generator Perchance TLA Mythic 2e GME https://perchance.org/tla-mythic2e Perchance TLA OCEANIC NPC generator https://perchance.org/tla-oceanic-npc Perchance TLA OCEANIC NPC behaviour oracle https://perchance.org/tla-oceanic-behaviour Perchance TLA Hammerhold Explorer https://perchance.org/tla-hammerhold Legend of the Bones https://legendofthebones.podbean.com/ Mechanics Tatters level up Clear conditions L5 removed locked condition L6 Fireball L7 Immunity (cold) Mara PC (Fighter) L2: Narsil: +2 weapon L3: Not to be Trifled with (Barbarian) L4: Unyielding (Barbarian) Scene 1 Chaos Factor 6 Scene Description: A ritual to the Voice Scene Test: The scene starts as expected. Ritual: teleport to the Voice When you set out to perform a Ritual, you may ask the GM where the nearest source of great magical power is, and they will answer you honestly. Open, Odd: A courtyard, open to the elements, but the sky is different (Void Sea) How far? Distant. 3 conditions: First you must Reward Energy, and you and your allies will risk something Mildly Dark, and it's going to take months. When you perform a Ritual while accessing a source of great magical power, you may ignore two requirements of your choice. Reward Energy: feedback accelerates the Voice's ritual: advance Ominous Force. Move: Evoke a Spell (Push): Immunity to Cold: 12 (greater) Name one specific source of harm, such as burning, cutting, lightning, poisonous gas, or mundane projectiles; for as long as this Spell is Ongoing, you are immune to harm from that source (as well as any secondary effects; choking smoke, hypothermia, etc.). Greater: Nearby allies are equally protected. Scene 2 Chaos Factor 7 Scene Description: To Ruin a Ritual Scene Test: The scene is Interrupted: PC Positive Meaning: Helpfully Extraordinary Is the Dead Reckoning pulled through the convergence? (50/50) Yes Where do they appear? Extravagant, Intense How many cultists? Scores
Traditional career development frameworks often overlook the importance of well-being. This podcast episode emphasizes why wellness is essential to building a sustainable and fulfilling career. Host Kyle Enfield, MD, FCCM, is joined by Jennifer Duncan, MD, and Raquel Cabral, PhD, CPH, to explore how team members and leaders can integrate personal values, connection, and purpose into career decision-making. Dr. Duncan, director of wellness for graduate medical education (GME), and Dr. Cabral, a staff psychologist for GME, both at Washington University School of Medicine, share insights from their work supporting trainees' personal and professional growth. Together, they explore the nuanced meaning of well-being—not as constant happiness, but as a sense of satisfaction and alignment with a person's values, even amid challenges. The conversation highlights the importance of helping team members identify and live by their personal values as a foundation for career satisfaction. Dr. Cabral distinguishes between goals and values, underscoring that, while goals can be achieved or not, values guide how a person shows up in all aspects of life. She outlines how residents and other early-career professionals can uncover values by reflecting on meaningful or difficult work experiences. These reflections can then guide decisions about clinical rotations, job searches, and leadership opportunities. Dr. Duncan emphasizes how small but intentional adjustments—such as carving out just 20% of one's time for personally meaningful work—can protect against burnout. Both guests discuss the critical role leaders play in supporting well-being, from understanding each team members' values to fostering a strong sense of community. They refer to The Burnout Challenge (Maslach C, Leiter MP. Harvard University Press. 2024), which outlines six workplace drivers of burnout, including mismatches in values. Finally, the episode highlights the work of the Mayo Clinic's Colleagues Meeting to Promote and Sustain Satisfaction (COMPASS) Groups. The COMPASS randomized clinical trial (West CP, et al. Mayo Clin Proc. 2021;96:2606-2614) evaluated a small group established to promote well-being. The group was provided discussion topics without trained facilitators. Protected time was not provided but meal expenses were compensated. This model showed positive outcomes in reducing burnout and strengthening collegial connections. This episode is part of SCCM's Leadership, Empowerment, and Development (LEAD) series and offers actionable insights for anyone invested in building healthier, value-aligned medical careers.
This episode is sponsored by: Set For Life InsuranceSet For Life Insurance helps doctors safeguard their future with True Own Occupational Disability Insurance. A single injury or illness can change everything, but the best physicians plan ahead. Protect your income and secure your future before life makes the choice for you. Your career deserves protection—act now at https://www.doctorpodcastnetwork.co/setforlife______How can physicians communicate better to build trust and improve patient outcomes? In this episode, Dr. Bradley Block sits down with Dr. Timothy Gilligan to explore the art and science of healthcare communication. Dr. Gilligan shares compelling stories, like convincing a patient with testicular cancer to accept treatment by focusing on their identity, and offers actionable techniques for flattening hierarchies, delivering bad news, and teaching communication skills to seasoned attendings. From the SPIKES protocol to staying present in tough moments, this episode is packed with strategies to enhance empathy, earn trust, and navigate challenging conversations—no matter where you are in your career.Three Actionable Takeaways:Listen First to Build Trust: Start patient encounters by asking, “What have other doctors told you?” to understand their perspective and show you value their story, fostering trust before sharing medical details.Use the SPIKES Protocol for Bad News: Ensure the right setting, gain permission, assess patient knowledge, deliver clear information, respond with empathy, and summarize next steps to guide tough conversations effectively.Reset Between Patients: Take 5-10 seconds to breathe and ground yourself before entering a room to stay present and avoid carrying emotional baggage from prior encounters.About the Show:The Physician's Guide to Doctoring covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school!About the Guest:Dr. Timothy Gilligan is an associate professor of medicine and medical oncologist specializing in urological malignancies at the Cleveland Clinic, where he serves as Associate Director of the Communication Skills course. As president of the Academy of Communication in Healthcare, he leads efforts to improve healthcare communication. Dr. Gilligan co-edited Communication, the Cleveland Clinic Way, and focuses on educational interventions for allyship, microaggressions, and anti-racist culture as the DEI officer for GME at Cleveland Clinic.LinkedIn: https://www.linkedin.com/in/timothygilliganmdAbout the Host:Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts The Physician's Guide to Doctoring podcast, focusing on personal and professional development for physicians.__________Want to be a guest?Email Brad at brad@physiciansguidetodoctoring.com (mailto:brad@physiciansguidetodoctoring.com) or visit www.physiciansguidetodoctoring.com to learn more!Socials:@physiciansguidetodoctoring on Facebook@physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter healthcare communication, physician-patient trust, delivering bad news, SPIKES protocol, empathy in medicine, building trust with patients, communication skills training, flattening hierarchy in healthcare, Cleveland Clinic communication, Dr. Timothy Gilligan Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.
This episode is sponsored by: Set For Life InsuranceSet For Life Insurance helps doctors safeguard their future with True Own Occupational Disability Insurance. A single injury or illness can change everything, but the best physicians plan ahead. Protect your income and secure your future before life makes the choice for you. Your career deserves protection—act now at https://www.doctorpodcastnetwork.co/setforlife_________In this continuation of an insightful two-part series, Dr. Bradley Block dives deeper with Dr. Timothy Gilligan, a medical oncologist and president of the Academy of Communication in Healthcare. Dr. Gilligan shares proven methods for teaching communication to resistant attendings, using peer-to-peer learning and “rolling with resistance” to encourage growth. Drawing from the ASCO Patient-Clinician Communication Guidelines, he emphasizes mastering simple basics like listening and showing care. Dr. Gilligan also tackles empathy versus compassion, advocating for imagining patients' perspectives while maintaining boundaries to prevent burnout. With compelling stories and practical tips, this episode equips physicians to enhance their practice and find balance.Three Actionable Takeaways:Embrace Resistance in Teaching: Validate resistant physicians' concerns and use peer stories to demonstrate that communication skills improve with practice, like building muscle memory.Master the Basics: Apply ASCO Guidelines by prioritizing listening, eye contact, and expressing care—simple steps that drive better patient outcomes without complexity.Empathy with Limits: Imagine patients' experiences to deliver compassionate care, but set professional boundaries and recharge with activities like tennis to stay resilient.About the Show:The Physician's Guide to Doctoring covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school!About the Guest:Dr. Timothy Gilligan is an associate professor of medicine and medical oncologist specializing in urological malignancies at the Cleveland Clinic, where he serves as Associate Director of the Communication Skills course. As president of the Academy of Communication in Healthcare, he leads efforts to improve healthcare communication. Dr. Gilligan co-edited Communication, the Cleveland Clinic Way, and focuses on educational interventions for allyship, microaggressions, and anti-racist culture as the DEI officer for GME at Cleveland Clinic.LinkedIn: https://www.linkedin.com/in/timothygilliganmdWebsite: https://www.researchgate.net/profile/Timothy-Gilligan About the Host:Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts The Physician's Guide to Doctoring podcast, focusing on personal and professional development for physicians.Want to be a guest?Email Brad at brad@physiciansguidetodoctoring.com Mail to:brad@physiciansguidetodoctoring.com or visit www.physiciansguidetodoctoring.com to learn more!Socials:@physiciansguidetodoctoring on Facebook@physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.
Motorrijder is medeorganisator van Ghent Motor Event, vandaar dat we in de aanloop naar die hoogdag van de motor op zondag 27 april een extra aflevering lanceren met als centrale gast niemand minder dan Herman Brusselmans, volgens zichzelf ‘na schele Louis de bekendste motorrijder van Gent'. In deze aflevering kom je alles te weten over Ghent Motor Event en wordt duidelijk dat Brusselmans naast een begenadigd schrijver en tv-fenomeen in de eerste plaats een motorrijder in hart en nieren is. “Het valt mij vaak op hoe weinig mensen iets weten over motoren, vandaar dat ik het zo leuk vind om bij BMC in Assenede koffie te gaan drinken. Daar kan je nog eens écht over motoren babbelen”, aldus Brusselmans die misschien niet extreem veel kilometers rijdt, maar wel een enorme passie voor de motor heeft. “Soms ga ik naar mijn garage, gewoon om eens naar mijn motoren te kijken.” Dat soort motorrijder dus. Naast Brusselmans schuiven ook Kristina De Rycke van BMC Assenede en Motorrijder-opperhoofd Stefaan Buyze aan voor deze podcast die we opnamen bij BMW Motorrad-dealer en GME-medeorganisator Peter D'haese in Sint-Martens-Latem. Veertig minuutjes gratis informatie, verstrooiing en een beetje vuilbekkerij dankzij de financiële steun van alle standhouders van Ghent Motor Event.
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The Canadian Bitcoiners Podcast - Bitcoin News With a Canadian Spin
FRIENDS AND ENEMIESIn today's chaotic world of bitcoin speculation, it's easy to get lost in the noise. With so many different voices and opinions on bitcoin twitter, it can be overwhelming to navigate the space. But what if you could cut through the clutter and get to the heart of what really matters? In this video, we'll be discussing the importance of tuning out the noise and focusing on the fundamentals of BTC. We'll explore how Bitcoiners, like those on the Pleb Underground and the Canadian Bitcoiners Podcast, are working together to create a community that's driven by a shared passion for bitcoin, rather than speculation and hype. We'll also touch on recent Canada news, including the Canada election, and how it may impact the future of bitcoin in the country. So, if you're tired of the MSTR and GME drama and want to focus on what really matters, then this video is for you. Let's dive in and separate the signal from the noise.Pleb UnderGround - YouTubehttps://x.com/CoinicarusAs always, none of the info is financial advice. Website: www.CanadianBitcoiners.comDiscord: / discord A part of the CBP Media Network: www.twitter.com/CBPMediaNetworkThis show is sponsored by: easyDNS - www.easydns.com EasyDNS is the best spot for Anycast DNS, domain name registrations, web and email services. They are fast, reliable and privacy focused. You can even pay for your services with Bitcoin! Apply coupon code 'CBPMEDIA' for 50% off initial purchase Bull Bitcoin - https://mission.bullbitcoin.com/cbp The CBP recommends Bull Bitcoin for all your BTC needs. There's never been a quicker, simpler, way to acquire Bitcoin. Use the link above for $20 bones, and take advantage of all Bull Bitcoin has to offer.
Listen to ASCO's Journal of Clinical Oncology Art of Oncology article, "Tamales” by Megan Dupuis, an Assistant Professor of Hematology and Oncology at Vanderbilt University Medical Center. The article is followed by an interview with Dupuis and host Dr. Mikkael Sekeres. Dupuis reflects on how patients invite their doctors into their culture and their world- and how this solidified her choice to be an oncologist. TRANSCRIPT Narrator: Tamales, by Megan Dupuis, MD, PhDI do not know if you know this, but tamales are an important—nay, critical—part of the Mexican Christmas tradition. Before I moved to Texas, I certainly did not know that. I did not know that the simple tamal, made of masa flour and fillings and steamed in a corn husk, is as essential to the holiday season as music and lights. Whole think pieces have been written in The Atlantic about it, for God's sake. But, I did not know that. A total gringa, I had grown up in upstate NY. We had the middle-class American version of Christmas traditions—music, snow, Santa, and a Honey Baked Ham that mom ordered 2 weeks before the holiday. I had never tried a homemade tamal until I moved to Texas. We had relocated because I was starting a fellowship in hematology/oncology. A central part of our training was the privilege of working at the county hospital cancer clinic. Because we were the safety-net hospital, our patients with cancer were often under- or uninsured, frequently had financial difficulty, and were almost always immigrants, documented or otherwise. In a typical clinic day, over 90% of my patients spoke Spanish; one or two spoke Vietnamese; and typically, none spoke English. From meeting my very first patient in clinic, I knew this was where I needed to be. Have you ever been unsure of a decision until you have been allowed to marinate in it? That is how I felt about cancer care; I had not been sure that my path was right until I started in the county oncology clinic. I loved absorbing the details of my patients' lives and the cultures that centered them: that Cuban Spanish is not Mexican Spanish and is not Puerto Rican Spanish; that many of my patients lived in multigenerational homes, with abuelos and tios and nietos all mixed together; and that most of them continued to work full-time jobs while battling cancer. They had hobbies they pursued with passion and lived and died by their children's accomplishments. I learned these details in the spaces between diagnosis and treatment, in the steady pattern woven in between the staccato visits for chemotherapy, scans, pain control, progression, and hospice. In one of those in-betweens, my patient Cristina told me about tamales. She had faced metastatic breast cancer for many years. She was an impeccable dresser, with matching velour tracksuits or nice slacks with kitten heels or a dress that nipped in at the waist and flared past her knees. Absolutely bald from treatment, she would make her hairlessness look like high fashion rather than alopecia foisted upon her. Her makeup was always painstakingly done and made her look 10 years younger than her youthful middle age. At one visit in August, she came to clinic in her pajamas and my heart sank. This was a familiar pattern to me by now; I had taken care of her for 2 years, and pajamas were my canary in the coal mine of progressing cancer. So on that sunny day, I asked Cristina what her goals would be for the coming months. The cancer had circumvented many of her chemotherapy options, and I only had a few left. “Doctora D, I know my time is limited…” she started in Spanish, with my interpreter by my side translating, “but I would really like to make it to Christmas. My family is coming from Mexico.” “Oh that's lovely. Do you have any special Christmas plans?” I ventured, wanting to understand what her holidays look like. “Plans? Doctora D, of course we are making tamales!” She laughed, as though we were both in on a joke. “Tamales? At Christmas?” I asked, signaling her to go on. “Yes yes yes, every year we make hundreds and hundreds of tamales, and we sell them! And we use the money to buy gifts for the kids, and we eat them ourselves too. It is tradicio´ n, Doctora D.” She underlined tradicio´ n with her voice, emphasizing the criticality of this piece of information. “Okay,” I said, pausing to think—December was only four months away. “I will start a different chemotherapy, and we will try to get you to Christmas to make your tamales.” Cristina nodded, and the plan was made. Later that evening, I asked one of my cofellows, a Houston native, about tamales. He shared that these treats are an enormous part of the Houston Christmas tradition, and if I had any sense, I would only purchase them from an abuela out of the trunk of a car. This was the only way to get the best homemade ones. “The ones from restaurants,” he informed me, “are crap.” So summer bled into fall, and fall became what passes for winter in Texas. On 1 day in the middle of December, Cristina came into clinic, dressed in a colorful sweater, flowing white pants, black boots, and topped off with Barbie-pink lipstick. “Cristina!” I exclaimed, a bit confused. “You don't have an appointment with me today, do you?” She grinned at me and held up a plastic grocery bag with a knot in the handles, displaying it like a prize. “Tamales, Doctora D. I brought you some tamales so you can join our Christmas tradition.” I felt the sting of tears, overwhelmed with gratitude at 11:30 in a busy county clinic. I thanked her profusely for my gift. When I brought them home that night, my husband and I savored them slowly, enjoying them like you would any exquisite dish off a tasting menu. Sometimes, people think that oncologists are ghouls. They only see the Cristinas when they are in their pajamas and wonder why would any doctor ever give her more treatment? My answer is because I also got to see her thriving joyfully in track suits and lipstick, because I got to spend countless in-betweens with her, and because I helped get her to the Christmas tradiciones I only knew about because of her. And in return, she gave of herself so easily, sharing her life, her passion, her struggles, and her fears with me. Caring for Cristina helped me marinate in the decision to become an oncologist and know that it was the right one. And if you are wondering—yes. Now tamales are a Christmas tradicio´n in the Dupuis household, too. Mikkael Sekeres: Hello, and welcome to JCO's Cancer Stories: The Art of Oncology, which features essays and personal reflections from authors exploring their experience in the oncology field. I'm your host, Mikkael Sekeres. I'm a 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 be joined by Dr. Megan Dupuis from Vanderbilt University Medical Center. She is Assistant Professor of Hematology and Oncology and Associate Program Director for the Fellowship program. In this episode, we will be discussing her Art of Oncology article, "Tamales." Our guest's disclosures will be linked in the transcript. Both she and I have talked beforehand and agreed to refer to each other by first names. Megan, welcome to our podcast, and thank you for joining us. Megan Dupuis: Oh, thanks so much for having me, Mikkael. I'm excited to be here. Mikkael Sekeres: I absolutely loved your piece, "Tamales," as did our reviewers. It really did resonate with all of us and was beautifully and artfully written. I'm wondering if we could just start—tell us about yourself. Where are you from, and where did you do your training? Megan Dupuis: Sure. I'm originally from upstate New York. I grew up outside of Albany and then moved for college to Buffalo, New York. So I consider Buffalo home. Big Buffalo Bills fan. And I spent undergrad, medical school, and my PhD in tumor immunology at the University of Buffalo. My husband agreed to stick with me in Buffalo for all twelve years if we moved out of the cold weather after we were done. And so that played some factor in my choice of residency program. I was lucky enough to go to Duke for residency—internal medicine residency—and then went to MD Anderson for fellowship training. And then after Anderson, I moved up to Nashville, Tennessee, where I've been at Vanderbilt for almost four years now. Mikkael Sekeres: That's fantastic. Well, I have to say, your Bills have outperformed my Pittsburgh Steelers the past few years, but I think I think we have a chance this coming year. Megan Dupuis: Yeah. Yep. Yep. I saw they were thinking about signing Aaron Rodgers, so we'll see how that goes. Mikkael Sekeres: Yeah, not going to talk about that in this episode. So, I'm curious about your story as a writer. How long have you been writing narrative pieces? Megan Dupuis: I have always been a writer—noodled around with writing and poetry, even in college. But it was when I started doing my medicine training at Duke that I started to more intentionally start writing about my experiences, about patients, things that I saw, things that weighed either heavily on me or made a difference. So when I was at Duke, there was a narrative medicine writing workshop—it was a weekend workshop—that I felt like changed the trajectory of what my interest is in writing. And I wrote a piece at that time that was then sort of critiqued by colleagues and friends and kicked off my writing experience. And I've been writing ever since then. We formed a narrative medicine program at Duke out of this weekend workshop experience. And I carried that through to MD Anderson when I was a fellow. And then when I joined at Vanderbilt, I asked around and said, "Hey, is there a narrative medicine program at Vanderbilt?" And somebody pointed me in the direction of a colleague, Chase Webber, who's in internal medicine, and they said, "Hey, he's been thinking about putting together a medical humanities program but needs a co-conspirator, if you will." And so it was perfect timing, and he and I got together and started a Medical Humanities Certificate Program at Vanderbilt about four years ago. And so- Mikkael Sekeres: Oh, wow. Megan Dupuis: Yeah. So I've been doing this work professionally, but also personally. You know, one of the things that I have been doing for a long time is anytime there's an experience that I have that I think, “Gosh, I should write about this later,” I either dictate it into my phone, “write about this later,” or I write a little message to myself, “Make sure that you remember this experience and document it later.” And I keep a little notebook in my pocket specifically to do that. Mikkael Sekeres: Well, it's really a fabulous, updated use of technology compared to when William Carlos Williams used to scribble lines of poetry on his prescription pad and put it in his rolltop desk. Megan Dupuis: Although I will admit, you know, I don't think I'm much different. I still do prefer often the little leather notebook in the pocket to dictating. It'll often be when I'm in the car driving home from a clinic day or whatever, and I'll go, “Oh, I have to write about this, and I can't forget.” And I'll make myself a little digital reminder if I have to. But I still do keep the leather notebook as well for the more traditional type of writing experience. Mikkael Sekeres: I'm curious about what triggers you to dictate something or to scribble something down. Megan Dupuis: I think anything that gives me an emotional response, you know, anything that really says, “That was a little bit outside the normal clinical encounter for me.” Something that strikes me as moving, meaningful—and it doesn't have to be sad. I think a lot of novice writers about medical writing think you have to write only the tragic or the sad stories. But as often as not, it'll be something incredibly funny or poignant that a patient said in clinic that will make me go, “Ah, I have to make sure I remember that for later.” I think even surprise, you know? I think all of us can be surprised in a clinical encounter. Something a patient says or something a spouse will reflect on will make me sit back and say, “Hmm, that's not what I expected them to say. I should dive into why I'm surprised by that.” Mikkael Sekeres: It's a great notion as a starting point: an emotional connection, a moment of surprise. And that it doesn't have to be sad, right? It can be- sometimes our patients are incredibly inspirational and have great insights. It's one of the marvelous things about the career we've chosen is that we get to learn from people from such a variety of backgrounds. Megan Dupuis: That's it. It's a privilege every day to be invited into people's most personal experiences, and not just the medical experience. You know, I say to my patients, “I think this cancer diagnosis is in some ways the least interesting thing about you. It's not something you pick. It's not a hobby you cultivate. It's not your family life. It's a thing that's happened to you.” And so I really like to dive into: Who are these people? What makes them tick? What's important to them? My infusion nurses will say, "Oh, Dr. D, we love logging in and reading your social histories," because, yeah, I'll get the tobacco and alcohol history, or what have you. But I have a little dot phrase that I use for every new patient. It takes maybe the first five or six minutes of a visit, not long. But it's: Who are you? What's your preferred name? Who are your people? How far do you live from the clinic? What did you used to do for work if you're retired? If you're not retired, what do you do now? What are the names of your pets? What do you like to do in your spare time? What are you most proud of? So those are things that I ask at every new patient encounter. And I think it lays the foundation to understand who's this three-dimensional human being across from me, right? What were they like before this diagnosis changed the trajectory of where they were going? To me, that's the most important thing. Mikkael Sekeres: You've so wonderfully separated: The patient is not the diagnosis; it's a person. And the diagnosis is some component of that person. And it's the reason we're seeing each other, but it doesn't define that person. Megan Dupuis: That's right. We're crossing streams at a very tough point in their life. But there was so much that came before that. And in the piece that I wrote, you know, what is the language? What is the food? What is the family? What are all of those things, and how do they come together to make you the person that you are, for what's important to you in your life? And I think as oncologists, we're often trying to unravel in some way what is important. I could spend all day talking to you about PFS and OS for a specific drug combination, but is that really getting to meeting the goals of the patient and where they're at? I think it's easy to sort of say, “Well, this is the medicine that's going to get you the most overall survival.” But does it acknowledge the fact that you are a musician who can't have neuropathy in your fingers if you still want to play? Right? So those things become incredibly important when we're deciding not just treatment planning, but also what is the time toxicity? You know, do you have the time and ability to come back and forth to clinic for weekly chemotherapy or what have you? So those things, to me, become incredibly important when I'm talking to a person sitting across from me. Mikkael Sekeres: Do your patients ever get surprised that you're asking such broad questions about their life instead of narrowing down to the focus of their cancer? Megan Dupuis: Sometimes. I will say, sometimes patients are almost so anxious, of course, with this new diagnosis, they want to get into it. You know, they don't want to sit there and tell me the name of the horses on their farm, right? They want to know, “What's the plan, doc?” So I acknowledge that, and I say to them in the beginning, “Hey, if you give me five minutes of your time to tell me who you are as a person, I promise this will come back around later when we start talking about the options for treatments for you.” Most of the time, though, I think they're just happy to be asked who they are as a person. They're happy that I care. And I think all of us in oncology care—I think that's... you don't go into a field like this because you're not interested in the human experience, right? But they're happy that it's demonstrable that there is a... I'm literally saying, “What is the name of your dog? What is the name of your child who lives down the street? Who are your kids that live far away? You know, do you talk to them?” They want to share those things, and they want to be acknowledged. I think these diagnoses can be dehumanizing. And so to rehumanize somebody does not take as much time as we may think it does. Mikkael Sekeres: I 100% agree with you. And there can be a selfish aspect to it also. I think we're naturally curious people and want to know how other people have lived their lives and can live those lives vicariously through them. So I'm the sort of person who likes to do projects around the house. And I think, to the dismay of many a professional person, I consider myself an amateur electrician, plumber, and carpenter. Some of the projects are actually up to code, not all. But you get to learn how other people have lived their lives and how they made things. And that could be making something concrete, like an addition to their house, or it can be making a life. Megan Dupuis: Yeah, I love that you say that it is selfish, and we acknowledge that. You know, sometimes I think that we went into internal medicine and ultimately oncology... and I don't mean this in a trite way: I want the gossip about your life. I want the details. I want to dig into your hobbies, your relationships, what makes you angry, what makes you excited. I think they're the fun things to learn about folks. Again, in some ways, I think the cancer diagnosis is almost such a trite or banal part of who a human is. It's not to say that it's not going to shape their life in a very profound way, but it's not something they picked. It's something that happened to them. And so I'm much more excited to say, “Hey, what are your weekend hobbies? Are you an amateur electrician?” And that dovetails deeply into what kind of treatment might help you to do those things for longer. So I think it is a little bit selfish that it gives me a lot of satisfaction to get to know who people are. Mikkael Sekeres: So part of what we're talking about, indirectly, is the sense of otherness. And an undercurrent theme in your essay is otherness. You were an 'other' as a fellow in training and working in Texas when you grew up in upstate New York. And our patients are also 'others.' They're thrust into this often complicated bedlam of cancer care. Can you talk about how you felt as an 'other' and how that's affected your approach to your patients? Megan Dupuis: I think in the cancer experience, we are 'other,' definitionally, from the start, for exactly the reasons that you said. I'm coming to it as your physician; you're coming to it as my patient. This is a new encounter and a new experience for both of us. I think the added layer of being this person from upstate New York who didn't... I mean, I minored in Spanish in college, but that's not the same thing as growing up in a culture that speaks Spanish, that comes from a Spanish-speaking country—the food, the culture. It's all incredibly different. And so the way that I approached it there was to say, “I am genuinely curious. I want to know what it's like to be different than the culture that I was raised in.” And I'm excited to know about that thing. And I think we can tell—I think, as humans—when somebody is genuinely curious about who you are and what's important to you, versus when they're kind of just checking the boxes to try to build a relationship that's necessary. I think my patients could tell that even though I'm not necessarily speaking their language, I want to know. I ask these questions because I want to know. I think if you go to it from a place of curiosity, if you are approaching another person with a genuine sense of curiosity... You know, Faith Fitzgerald wrote her most remarkable piece on curiosity many, many years ago. But even the quote-unquote “boring” patient, as she put it, can have an incredible story to tell if you're curious enough to ask. And so I think that no matter how different I might be culturally from the patient sitting across from me, if I approach it with a genuine sense of curiosity, and they can sense that, that. that's going to build the bond that we need truly to walk together on this cancer journey. I think it's curiosity, and I think it's also sharing of yourself. I think that nobody is going to open up to you if they feel that you are closed to sharing a bit of yourself. Patients want to know who their doctor is, too. So when I said I asked those five or six minutes' worth of questions at the beginning of a new patient encounter, I share that info with them. I tell them where I live, how long it takes for me to get to clinic, who my people are, the name of my dog, what I like to do in my spare time, what I'm proud of. So I share that with them too, so it doesn't feel like a one-way grilling. It feels like an introduction, a meeting, the start of a... I don't want to say friendship necessarily, but a start of a friendliness, of a shared communal experience. Mikkael Sekeres: Well, it's a start of a relationship. And you can define 'relationship' with a broad swath of definitions, right? Megan Dupuis: That's right. Mikkael Sekeres: It can be a relationship that is a friendship. It can be a relationship that's a professional relationship. And just like we know some personal things about some of our colleagues, the same is true of our patients. I was wondering if I could pick up on... I love that notion of curiosity that you brought out because that's something I've thought a lot about, and I've thought about whether it could be at least one way to combat burnout. So could you put that in context of burnout? Do you think maintaining that curiosity throughout a career is one potential solution to burnout? And do you think that being open with yourself also helps combat burnout, which is counterintuitive to what we've always been taught? Megan Dupuis: Wow. I think that this is such an important question, and it's almost like you read my justification for a Medical Humanities Certificate Program. One of the foundational arguments for why I thought the GME should support the creation of this program at Vanderbilt was because we hypothesized that it would improve burnout. And one of the arms of that is because it engenders a sense of genuine curiosity. When you're thinking about the arms of burnout: it's loss of meaning in your work; it's depersonalization of patients, right, when they're treated as objects or numbers or a ticket in the system that you have to shuffle through; when it's disconnection from the work that you do. I absolutely think that curiosity is an antidote to burnout. I don't think it's the whole solution, perhaps, because I think that burnout also includes systemic injury and structures of our medical healthcare system that no individual can fix in a vacuum. But I do think when we're thinking about what are the changes that we as individual physicians can make, I do think that being open and curious about your patient is one of the best salves that we have against some of these wounds. You know, I've never left a room where a patient has shared a personal story and felt worse about it, right? I've always felt better for the experience. And so I do think curiosity is an incredibly important piece of it. It's hard, I will acknowledge. It's hard for the speed that we move through the system, the pace that we move through the system. And I'm thinking often about my trainees—my residents, my fellows—who are seeing a lot, they're doing a lot, they are trying to learn and drink from the fire hose of the pace of medical development, checking so many boxes. And so to remain curious, I think at times can feel like a luxury. I think it's a luxury I have boomeranged back into as an attending. You know, certainly as a resident and a fellow, I felt like, “Gosh, why does this attending want to sit and chitchat about this person's music career? I'm just trying to make sure their pain is controlled. I'm trying to make sure they get admitted safely. I'm trying to make sure that they're getting the right treatment.” And I think it's something that I've tried to teach my trainees: “No, we have the time. I promise we have the time to ask this person what their childhood was like,” if that's something that is important to the narrative of their story. So it sometimes feels like a luxury. But I also think it's such a critical part of avoiding or mitigating the burnout that I know all of us face. Mikkael Sekeres: I think you touched on a lot of really important points. Burnout is so much more complicated than just one inciting factor and one solution. It's systemic. And I love also how you positioned curiosity as a bit of a luxury. We have to have the mental space to also be curious and engaged enough in our work that we can take interest in other people. I wanted to touch on one more question. You write in your essay that a patient in pajamas is a canary in the coal mine for deteriorating health. And I completely, completely agree with that. I can vividly recall a number of patients where I saw them in my clinic, and I would look down, and they had food spilled on their sweatshirt, or they were wearing mismatched socks, or their shoes weren't tied. And you thought to yourself, “Gee, this person is not thriving at home.” Do you think telemedicine has affected our ability to recognize that in our patients? Megan Dupuis: Yes, I do think so. I can remember vividly being a fellow when COVID first began in 2020, and I was training in an environment where most of my patients spoke Spanish or Vietnamese. And so we were doing not just telemedicine; we were doing telephone call clearance for chemotherapy because a lot of the patients didn't have either access to the technology or a phone that had video capability. A lot of them had flip phones. And trying to clear somebody for chemotherapy over the phone, I'll tell you, Mikkael, was the number one way to lead to a recipe of moral injury and burnout. As a person who felt this deep responsibility to do something safe... I think even now with telemedicine, there are a lot of things that you can hide from the waist down, right? If you can get it together enough to maybe just put a shirt on, I won't know that you're sitting there in pajama bottoms. I won't know that you're struggling to stand or that you're using an assistive device to move when you used to be able to come into clinic without one, or that your family member is helping you negotiate stepping over the curb in clinic. These are real litmus tests that you and I, all of us, use when we're deciding whether somebody is safe to receive a treatment. And I think telemedicine does mask some of that. Now, on the other hand, does telemedicine provide an access point for patients that otherwise it would be a challenge to drive into clinic for routine visits and care? It does, and I think it's been an incredible boon for patients who live far away from the clinic. But I think we have to use it judiciously. And there are patients where I will say, “If you are not well enough to get yourself to clinic, I worry that you are not well enough to safely receive treatment.” And when I'm thinking about the rules of chemo, it's three: It has to be effective, right? Cancer decides that. It has to be something the patient wants. They decide. But then the safety piece—that's my choice. That's my responsibility. And I can't always decide safety on a telemedicine call. Mikkael Sekeres: I completely agree. I've said to my patients before, “It's hard for me to assess you when I'm only seeing 40% of you.” So we will often negotiate them having to withstand the traffic in Miami to come in so I can feel safe in administering the chemotherapy that I think they need. Megan Dupuis: That's exactly right. Mikkael Sekeres: Megan Dupuis, it has been an absolute delight getting to chat with you. It has been just terrific getting to know you and talk about your fabulous essay, "Tamales." So thank you so much for joining me. Megan Dupuis: Thank you for having me. It was a wonderful time to chat with you as well. Mikkael Sekeres: Until next time, thank you for listening to JCO's Cancer Stories: The Art of Oncology. Don't forget to give us a rating or review, and be sure to subscribe so you never miss an episode. You can find all of ASCO's shows at asco.org/podcasts. Thank you again. 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. Like, share and subscribe so you never miss an episode and leave a rating or review. Guest Bio: Dr Megan Dupuis is an Assistant Professor of Hematology and Oncology at Vanderbilt University Medical Center.
As Blue Flight engage the Dominion fighters, Mina makes a fateful decision. Links Transcript: https://docs.google.com/document/d/1vsMG1mFy-Dv_24CntIEXoxzPVAzC_-2ghkpVrAYT4Hk/edit?usp=sharing All music is royalty-free, and courtesy of Pixabay: https://pixabay.com/music/ and Slipstream https://slip.stream/ Email TheLoneAdv@gmail.com BlueSky: @theloneadventurer.bsky.social Podbean https://theloneadventurer.podbean.com/ Blog https://carlillustration.wordpress.com/ Warbirds RPG https://www.drivethrurpg.com/en/product/115960/warbirds-role-playing-game Ironsworn: Sundered Isles: https://www.drivethrurpg.com/en/product/477033/sundered-isles-expansion-for-ironsworn-starforged Pocketforge online tool: https://pocketforge.rockpaperstory.com/ Perchance TLA random event oracle: https://perchance.org/tla-randomevent Perchance TLA ritual generator:https://perchance.org/tla-tatters-ritual-generator Perchance TLA Mythic 2e GME https://perchance.org/tla-mythic2e Perchance TLA OCEANIC NPC generator https://perchance.org/tla-oceanic-npc Perchance TLA OCEANIC NPC behaviour oracle https://perchance.org/tla-oceanic-behaviour Perchance TLA Hammerhold Explorer https://perchance.org/tla-hammerhold Mechanics Scene 0 (The Dead Reckoning) Ask the Oracle: are the shields blown? (Likely) yes React Under Fire Weak hit: 5 + 1 (edge) = 6 vs 2, 7. Withstand Damage 2 damage (⅗) Strong hit: 6 + 3 (custom) = 9 vs 7, 5. +1 integrity (⅘) Will Barbican assist? 50/50 No Scene 1 (Warbirds) Chaos Factor 6 Scene Description: Dogfight! Scene Test: The scene is Interrupted: Current Context * Meaning: Lure Completion: this is a trap: the freighters are disguised weapons platforms Round 1 Ambush rolls Snake-eyes 9 v Bandit 1 6: ambush. 9-2=7: down Gadget 6 v Bandit 2 5: ambush. 5-2=3: trailing smoke Backfire 7 v Bandit 3 6: ambush. 3-2=1. Spend 1 reserve (AP)=4: crippled Round 2 Dogfighting rolls Snake-eyes 12 Gadget 12 Backfire 9 Bandit 1 Down Bandit 2 7 Bandit 3 (catch net: fails) Bandit 4 8 Bandit 5 11 Bandit 6 10 Bandit 7 8 Bandit 8 10 Bandit 9 9 Start of Round 2 Snake-eyes v Bandit 8: 7 v Shoot def 4=3 Lead, 5 damage: crippled Gadget v Bandit 6: 8 v Stunt def 4=4 Lead, 5 damage, crippled Bandit v Backfire: 5 v Stunt Def 8 (Backfire +1 next Dogfighting) Backfire v Bandit 2: 8 v Stunt Def 3=5 lead, 8 damage, down End of Round 2 Freighters are frigates! Ask the Oracle: does the enemy captain offer them a chance to flee? (Unlikely) Yes Scene 2 Enter the Fray Strong hit: 3 + 3 (wits) = 6 vs 1, 1. Match event: Capture Vengeance (take advantage of gunners' focus on the warbirds) +2 momentum In control Gain Ground Miss: 1 + 3 (wits) = 4 vs 6, 6. Match event: Share Structure. Pay the Price Roll twice: You are delayed or put at a disadvantage, You are stressed Endure Stress (-2 spirit) Strong hit: 6 + 2 (heart) = 8 vs 5, 2. +1 spirit +1 momentum Scene 3 Chaos Factor 7 Scene Description: Strafing run Scene Test: The scene is Interrupted: Ambiguous Event * Meaning: Free Conflict (Mina reveals the news of the fleet at Conflict) Round 1 Strafing roll Snake-eyes: 12 Gadget: 8 Backfire: 14 Intrepid: 6 vs 5 (Gadget): 3 damage (absorbed by armour) Vanguard: 3 v 5 (Gadget (miss) Snake-eyes: Gunnery 7 v guns: lead 1, damage 3-2=1 (damaged) incendiary shells|: obstructing smoke (-1 threat/ attacks 1 round) Ordinance: Rocket: miss Gadget Gunnery 4, 3: miss Ordinance: drop bomb 1: damage 6: 2 damage to main structure Backfire Gunnery 6: 1 damage tun guns, destroyed Ordinance: miss Retaliatory: miss v Backfire Round 2 Strafing roll Snake-eyes: 11 Gadget: 8 Backfire: 13 Intrepid: 7 v 5 lead 2=4-3=1 damage 5 v 5 lead 0=2-3=0 damage Vanguard: 5 v 5 lead 0=2-3=0 damage 3 v 5 miss Vengeance: no attacks Snake-eyes: Gunnery 10 v guns: lead 4+2=6-2: 4 damage: turret destroyed Ordinance: Rocket: miss Backfire Gunnery miss Ordinance: miss Gadget Gunnery 4 miss Ordinance: drop bomb 2: 6+1 reserve: hit: 7 vs bomb bay: 4 destroyed Does the bomb payload detonate? Likely: Yes BOOM.
EP189: Telepathy Tapes & Remote Viewing, SignalGate, RFK Blackmailed?, GameStop Bitcoin TreasurySPORTSYankees Bats https://www.totalprosports.com/mlb/new-york-yankees/what-did-the-yankees-do-to-their-bats-heres-all-you-need-to-know-about-the-torpedo-barrel/ CLICKSJavier Milei to release Hitler/Nazi files https://www.batimes.com.ar/news/argentina/government-to-declassify-files-on-nazis-who-sought-refuge-in-argentina-post-world-war-ii.phtmlLarry Fink https://watcher.guru/news/blackrock-ceo-says-us-dollar-is-at-risk-of-losing-reserve-status-to-bitcoinGameStop becomes Bitcoin Treasury https://www.forbes.com/sites/mauriciodibartolomeo/2025/03/27/gamestop-joins-the-bitcoin-treasury-game/ $1.5B Convertible to buy Bitcoin; $29.85Saylor Strategy https://youtu.be/ndEK-W2YdPk; Saylor: 28:30; Embrace Volatility and Capital: 42:24-45:03; Convertible Bonds: 45:04-49-20What is a convertible bond? a bond that allows the holder to convert the bond into a specified number of shares of common stock in the issuing company or receive cash of equal value; GME issued a 5 year $1.3-$1.5B convertible bond at 0% with shares issued at $29.85POLITICSRFK Blackmailed? https://www.timesnownews.com/world/us/us-news/what-did-candace-owens-say-about-rfk-jr-blackmail-conspiracy-theory-explained-article-151315617 Peter Marks Resigns https://www.statnews.com/2025/03/29/fda-peter-marks-ouster-alarms-biopharma-that-saw-him-as-ally/NSD Walz includes The Atlantic on private Signal channel, accident? https://www.theatlantic.com/politics/archive/2025/03/trump-administration-accidentally-texted-me-its-war-plans/682151/; https://thehill.com/policy/defense/5211030-us-houthi-attacks-yemen/Charlie Foxtrot https://ronpaulinstitute.org/it-wasnt-a-leak-it-was-a-devious-charlie-foxtrot/Massie Response https://responsiblestatecraft.org/massie-houthi-airstrikes/Alex Wong is staffer who added Goldberg Photo surfaces of Walz/Goldberg after Walz says he's never met Goldberg in Fox interview Telepathy Tapes https://thetelepathytapes.com/CIA Remote Viewing https://www.unexplained-mysteries.com/news/385711/remote-viewer-found-the-ark-of-the-covenant-cia-files-claimVice https://www.vice.com/en/article/telepathy-tapes-podcast-autism/Autism News https://theautismcafe.com/the-telepathy-tapes-podcast-autism-review-pseudoscience/## About the Sports, Clicks & Politics PodcastSCAPP is a weekly podcast with a Livestream every Monday at 12pm on eastern. Join hosts Shawn Hannon and Ben Hussong as they separate the latest news from the noise impacting New York State. The podcast has frequent guest interviews for additional perspectives in the worlds or sports, politics and beyond!Follow the show on social mediaWebsite: scappodcast.comFacebook: facebook.com/scappodcastTwitter: @SCAPPodcastFollow Shawn & Ben on social mediaFacebook: facebook.com/hannon44 Twitter: @hannon44Facebook: facebook.com/ben.hussong.3Twitter: @benhussong
NLW and Scott Melker count down the most important stories in crypto this week. How big a deal is GME buying BTC? Is it just memes? And how does that rank in comparison to the significance of the OCC and FDIC removing reputational risk as a consideration for banks? Sponsored by: Ledger Ledger, the world leader in digital asset security, proudly sponsors The Breakdown podcast. Celebrating 10 years of protecting over 20% of the world's crypto, Ledger ensures the security of your assets. For the best self-custody solution in the space, buy a LEDGER™ device and secure your crypto today. Buy now on Ledger.com. Enjoying this content? SUBSCRIBE to the Podcast: https://pod.link/1438693620 Watch on YouTube: https://www.youtube.com/nathanielwhittemorecrypto Subscribe to the newsletter: https://breakdown.beehiiv.com/ Join the discussion: https://discord.gg/VrKRrfKCz8 Follow on Twitter: NLW: https://twitter.com/nlw Breakdown: https://twitter.com/BreakdownNLW
In this power-packed Swan Signal Live episode, the team unpacks one of the most explosive corporate Bitcoin developments since MicroStrategy: GameStop's $1.3 billion raise—possibly growing to $1.5B—for “general corporate purposes”… and potentially Bitcoin.Ben Workman breaks down why this move makes strategic sense and how GameStop could become the second-largest public holder of BTC, right behind MicroStrategy. The crew explores what this means for corporate adoption, meme stock mania colliding with Bitcoin, and the critical importance of “showing, not telling” when it comes to deploying capital.Key themes include:The macro impact of corporate treasury adoption, especially if GME commits fully.Why retail investor overlap between Bitcoin and GME could amplify the movement.Lessons from MicroStrategy's playbook: leverage, conviction, and media transparency.The psychological and market hurdles still to clear—skepticism remains until GME acts.Why the U.S. strategic Bitcoin reserve is still in the “show me” phase—and why that might not last long.Sober thoughts on youth disillusionment, inflation, and why Bitcoin remains a beacon of hope. Start buying your first Bitcoin in just minutes. Search "Swan Bitcoin" in your app store or visit swan.com/app. Swan Private helps HNWI, companies, trusts, and other entities go beyond legacy finance with BItcoin. Learn more at swan.com/private. Put Bitcoin into your IRA and own your future. Check out swan.com/ira.Swan Vault makes advanced Bitcoin security simple. Learn more at swan.com/vault.
Welcome to episode 56 of Shack Together! We're joined by special guests Donovan Erskine and Ozzie Mejia to share insights from GDC 2025, while we also dive into Nintendo's final Direct for the original Switch, packed with exciting updates on Metroid Prime 4 Beyond, Dragon Quest I & II HD-2D Remake's release date, and even more info on the new Pokémon Legends title. Today's show features our "Final Nintendo Direct: Wii U Edition" segment, where we test our knowledge of Nintendo's historic announcements from the Wii U era. Afterward, we explore an extensive lineup of GDC previews, including promising titles like Dreams of Another, Revenge of the Savage Planet, and TMNT: Tactical Takedown, while discussing the newly announced ShackMaps feature. Next, we cover significant industry developments including Game Informer's return independent from GameStop, Indiana Jones and the Great Circle's PS5 release date announcement, and ESA's new accessible games initiative. We also discuss GameStop's convertible notes situation and Ubisoft becoming a Tencent subsidiary. And that's all for today's show! Thanks as always for listening and enjoy! Timestamps 00:01:19 Hustle Culture 00:10:17 It's Shack Together! 00:11:24 Ozzie's Games: Hearthstone: Into the Emerald Dream, The Rogue: Prince of Persia 00:15:12 Donovan's Games: MLB The Show 25 00:19:11 John's Games: Assassin's Creed: Shadows 00:23:13 Joe's Games: What should I play? 00:24:57 Asif's Games: Retro Slam Tennis, Last War, F-Zero 99, Nintendo Music, Nintendo Today! 00:28:33 Asif's 11th F-Zero 99 Victory 00:45:26 The Final Nintendo Direct: Wii U Edition 00:59:45 Story Time! 00:59:51 Preview: Dreams of Another, Mindwave, Wildgate, Pathfinder: Abomination Vaults, Clawpunk, LUCID, Forestrike, Revenge of the Savage Planet, TMNT: Tactical Takedown, Cairn, Jay and Silent Bob: Chronic Blunt Punch 01:16:37 Reviews: Bubble Ghost, PS5 Pro, Look Outside 01:22:53 News: Cristiano Ronaldo comes to Fatal Fury, Shackmaps, Nintendo Direct, GI is Back, Indiana Jones to PS5 02:12:58 Industry: Accessible Games Initiative, GME's Convertible Notes, GME Crash, Ubisoft Subsidiary 02:19:51 Community Notes Articles mentioned in this episode Watch Nintendo Direct March 2025 Introducing ShackMaps Dreams of Another preview impressions Revenge of the Savage Planet preview PlayStation 5 Pro review Game Informer returns without GameStop Indiana Jones and the Great Circle PS5 release date ESA accessible games initiative tagging awareness GameStop GME convertible note 2025 Ubisoft becomes Tencent subsidiary
President Donald Trump's 25% tariffs on autos not made in the U.S. and certain auto parts are sending more tremors through an industry already being pummeled by steel and aluminum import duties and on-again, off-again 25% levies on Canada and Mexico. The new tariffs, announced Wednesday, are likely to jack up new vehicle prices and will also impact the used car market.~This episode is sponsored by iTrust Capital~iTrustCapital | Get $100 Funding Reward + No Monthly Fees when you sign up using our custom link! ➜ https://bit.ly/iTrustPaul00:00 Intro00:16 Sponsor: iTrust Capital00:35 Trump signs auto tariffs02:48 Media confusion04:11 Prices rising05:11 Hyundai jobs created06:33 Jim Cramer hates free market09:01 Global impact10:34 Arthur Hayes - Tariffs don't matter anymore12:18 Tesla13:50 BYD going after tesla14:20 Robinhood banking15:07 GME x Bitcoin15:56 Andre Jikh - Will other companies follow?18:08 These are always buying opportunities19:49 Hash Ribbons Indicator20:20 Outro#crypto #bitcoin #tariffs ~Crypto Car Crash?
✔️ Sources: https://x.com/fartface2000/status/1904627693343433113?s=52&t=CKH2brGypO5fEYTgQ-EFhQ► https://x.com/ryancohen/status/1888098643732811864► https://x.com/artificialsub/status/1904880662286311924?s=52&t=CKH2brGypO5fEYTgQ-EFhQ► https://x.com/i/grok/share/QKxSwmRu4BbNnJ8IqJMPjo8xITimestamps:00:00 - There is another!00:29 - New company announced it will buy bitcoin01:40 - Possible Motivations behind gamestops announcement 01:53 - High level snapshot of GME financials 05:20 - How will GME turn those bitcoin holdings into profits? options are limited right now.06:15 - Ad spot 07:00 - Is Ryan Cohen Turning gamestop in Birkshire Hathaway? 08:43 - The story of Eddy lampbert and Sears holding corp.10:57 - hodling bitcoin is only easy if you are cashflow positive 12:18 - Conviction vs. Expectations 13:00 - Dont get REKT by your expectations15:00 - final thoughts on all this #Bitcoin #crypto #cryptocurrency #dailybitcoinnews #memecoins The information provided by Pleb Underground ("we," "us," or "our") on Youtube.com (the "Site") our show is for general informational purposes only. All information on the show is provided in good faith, however we make no representation or warranty of any kind, express or implied, regarding the accuracy, adequacy, validity, reliability, availability, or completeness of any information on the Site. UNDER NO CIRCUMSTANCE SHALL WE HAVE ANY LIABILITY TO YOU FOR ANY LOSS OR DAMAGE OF ANY KIND INCURRED AS A RESULT OF THE USE OF THE SHOW OR RELIANCE ON ANY INFORMATION PROVIDED ON THE SHOW. YOUR USE OF THE SHOW AND YOUR RELIANCE ON ANY INFORMATION ON THE SHOW IS SOLELY AT YOUR OWN RISK.
Here's our SECOND livestream session - HOW'S IT GOING? - of Carl's new 'Start YOUR Livestream and Podcast' club, featuring Michael Heron, who - in case you missed it - is starting his very own Iberian sister show: Good Morning España.In this second episode, let's find out how Michael is getting on in setting up his own livestream and podcast.And see what YOU can learn, if you want to start something of your own.Join the Livestream & Podcast Club here - https://www.skool.com/gmpvip/classroom/573fdb8aMembers will be able to hang out and chat with Carl and Michael in a lock-in, private session from 8.30, after the publicly broadcast part of the evening, which will be a monthly event.Subscribe to GME! here - https://www.youtube.com/@GoodMorningEspanaBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-good-morning-portugal-podcast-with-carl-munson--2903992/support.
GameStop's (GME) after-hour earnings wasn't the meme stock today's Watch List panel focused on. Hilary Kramer labeled Tesla (TSLA) as the "absolute meme stock," saying it checks "all of the boxes." Lee Munson considers the same for quantum computing companies, along with Doordash (DASH) due to its current valuation.======== Schwab Network ========Empowering every investor and trader, every market day. Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/ About Schwab Network - https://schwabnetwork.com/about
Over the endless clouds of the Void Sea, a battle plays out, which will lead a band of brave warriors to a very disturbing discovery... Links Transcript: https://docs.google.com/document/d/1cj6Um2o9QXwpfamYkBNKoozdGCMT4dCci8G344lH_cQ/edit?usp=sharing All music is royalty-free, and courtesy of Pixabay: https://pixabay.com/music/ and Slipstream https://slip.stream/ Email TheLoneAdv@gmail.com BlueSky: @theloneadventurer.bsky.social Podbean https://theloneadventurer.podbean.com/ Blog https://carlillustration.wordpress.com/ Warbirds RPG https://www.drivethrurpg.com/en/product/115960/warbirds-role-playing-game Perchance TLA random event oracle: https://perchance.org/tla-randomevent Perchance TLA ritual generator:https://perchance.org/tla-tatters-ritual-generator Perchance TLA Mythic 2e GME https://perchance.org/tla-mythic2e Perchance TLA OCEANIC NPC generator https://perchance.org/tla-oceanic-npc Perchance TLA OCEANIC NPC behaviour oracle https://perchance.org/tla-oceanic-behaviour Perchance TLA Hammerhold Explorer https://perchance.org/tla-hammerhold Fighter Maneuvers https://en.wikipedia.org/wiki/Basic_fighter_maneuvers#High_Yo-Yo WWI tactics (1) https://www.reddit.com/r/battlefield_one/comments/5o9xla/learn_to_fly_by_using_actual_wwi_tactics/ WWI tactics (2) https://www.reddit.com/r/battlefield_one/comments/5ptl5v/fly_using_actual_wwi_tactics_part_ii_maneuver_and/ Mechanics Scene 1 Chaos Factor 5 Scene Description: Dogfight v 4 enemy planes Scene Test: The scene starts as expected Round 1 Dogfighting rolls Snake-eyes 11 v Bandit 1 7 Gadget 7 v Bandit 2 11 Backfire 8 v Bandit 3 7 Snake-eyes v Bandit 1 shooting - Break Def: 8-4=4 Lead Lead (4) +weapon (1) -Armour (1) =4 damage: Bandit 1 crippled Backfire v Bandit 3 shooting - Break def: 3 -6: miss Bandit 2 v Gadget Shooting - Escape Def: 6-10: miss Round 2 Dogfighting rolls Snake-eyes (+1 for multiple) 11 v Bandit 2 8 Gadget (+1 for multiple) 11 v Bandit 2 6 Backfire 6 v Bandit 3 10 Snake-eyes v Bandit 2 Shooting- escape Def: 9-6=3 lead Lead (3) + weapon (1) - Armour (1)=3 damage: Bandit 2 trailing smoke Gadget vs Bandit 2 Shooting- escape Def: 7-6=1 lead Lead (3) + weapon (1) - Armour (1)=1 damage: Bandit 2 crippled Bandit 3 v Backfire Shooting - stunt Def: 5-6 miss Round 3 Dogfighting rolls Snake-eyes (+2 for multiple) 12 v Bandit 3 1 6 Gadget 7 (+2 for multiple) 14 v Bandit 3 12 Backfire (+2 for multiple). +1 stunt) 9 v Bandit 3 5 Snake-eyes v Bandit 3 Shooting- escape Def: 7-6=1 lead Lead (1) + weapon (1) - Armour (1)=1 damage Gadget vs Bandit 3 Shooting- escape Def: 7-6=1 lead Lead (1) + weapon (1) - Armour (1)=1 damage Bandit 3 v Backfire Shooting - stunt Def: 7-67-6=1 lead Lead (1) + weapon (1) - Armour (1)=1 damage: Bandit 3 trailing smoke Scene 2 Chaos Factor 4 Scene Description: Locating the enemy Scene Test: The scene starts as expected Q: any additional League warbirds to support them? Unlikely: No Q: are they able to track the enemy down? 50/50: Yes Full drop carrier complement: 6, 12 24 or 36? 12: 9 remaining (large drop carrier) Q: Is the drop carrier accompanied? Very likely: Yes Q: Bomber? 50/50 No Q: Frigate/ cruiser/ battleship? 50/50: No Q: Freighter? 50/50: Yes. 1d4+1: 2 freighters (supply convoy) Q: anything else? 50/50 No 9 fighters, 1 large drop carrier, 2 freighters Scene 3 Chaos Factor 5 Scene Description: Contact! Scene Test: The scene is Altered: Add A Character Q: does any of Blue Flight recognize Seeker markings? 50/50: No
In this episode, Gail M. Sullivan, MD, Rebecca Philipsborn, MD, and Thomas Cooney, MD, discuss exciting research and ideas found in the Climate and Graduate Medical Education supplement and the importance of educating physicians to be prepared to tackle climate change-related issues in their practice. Residents and fellows are clearly eager to learn about the effects of climate change on health and health care, and it is the responsibility of GME leaders to develop a curriculum that prepares trainees for practice. The Climate and Graduate Medical Education supplement is a great place to start!
Are you better looking than average? Four (4) big behavior errors and the formula for a happy life. Recency bias, the Backfire Effect and more fascinating insights. Thinking about your brain on finance... A great topic to discuss with our Guest – Dr. Daniel Crosby - Chief Behavioral Officer with Orion. NEW! DOWNLOAD THIS EPISODE'S AI GENERATED SHOW NOTES (Guest Segment) Dr. Daniel Crosby, a behavioral finance expert and sought after thought leader on market psychology, is the Chief Behavioral Officer at Orion. His ideas have appeared in the Huffington Post, Think Advisor, and Risk Management, as well as columns for WealthManagement.com and Investment News. Daniel was named one of Investment News "40 Under 40" and a “financial blogger you should be reading” by AARP. Daniel's second book, "Personal Benchmark", co-authored with Charles Widger of Brinker Capital, was a New York Times bestseller that outlines a highly personalized approach to investing that aligns intention with action while fostering an investment experience that is both enjoyable and rational. In his bestselling book, The Behavioral Investor, psychologist and asset manager Dr. Daniel Crosby examines the sociological, neurological and psychological factors that influence our investment decisions and sets forth practical solutions for improving both returns and behavior. Readers will be treated to the most comprehensive examination of investor behavior to date and will leave with concrete solutions for refining decision-making processes, increasing self-awareness and constraining the fatal flaws to which most investors are prone. Check this out and find out more at: http://www.interactivebrokers.com/ Follow @andrewhorowitz Looking for style diversification? More information on the TDI Managed Growth Strategy - HERE Stocks mentioned in this episode: (AAPL), (USO), (GME)
Catastrophe strikes, an event so devastating that it rocks our party to its very core. In the aftermath, astonishing revelations are shaken loose, and a fateful decision is made… Links Transcript: https://docs.google.com/document/d/1fr8L0uRsLphWcfhPi2iF-XZN92uW6_zPwvsJlj7w9mo/edit?usp=sharing All music is royalty-free, and courtesy of Pixabay: https://pixabay.com/music/ and Slipstream https://slip.stream/ Email TheLoneAdv@gmail.com Podbean https://theloneadventurer.podbean.com/ Blog https://carlillustration.wordpress.com/ Chasing Adventure: https://chasingadventuregame.com/ Perchance TLA random event oracle: https://perchance.org/tla-randomevent Perchance TLA ritual generator:https://perchance.org/tla-tatters-ritual-generator Perchance TLA Mythic 2e GME https://perchance.org/tla-mythic2e Perchance TLA OCEANIC NPC generator https://perchance.org/tla-oceanic-npc Perchance TLA OCEANIC NPC behaviour oracle https://perchance.org/tla-oceanic-behaviour Perchance TLA Hammerhold Explorer https://perchance.org/tla-hammerhold Mechanics Scene 1 Chaos Factor: 7 Scene Description: Decision time: go back for Lynn or press on? Scene Test: The scene is Interrupted: NPC Action Meaning: Ruin Building Q: Machine Cultists? Likely: No Q: Lynn? Likely: Exceptional yes Scene 2 Chaos Factor 8 Scene Description: Coming to terms with what just happened Scene Test: The scene is Altered: Add An Object Q: Does Mara have her own powder keg? Likely: Yes Mara's reaction: 0 matches, 4 sixes Scene 3 Chaos Factor 7 Scene Description: R&R Scene Test: The scene is Altered: Ambiguous Event Meaning: Conceal Object Settle In When you spend time resting as group, whether it's taking a short break, sleeping overnight, or relaxing for weeks, the GM advances the Ominous Forces. Then, if anyone has 5 or more XP, they Level Up. If you have enough XP, you can Level Up multiple times at once. When you've finished resting and resume adventuring, remove all your conditions and refresh your Armor. The Convergence Ritual d8: 5 The Failing Ward d8: 7 The Activation of the Doomspires d10: 1 d8 (second Doomspire activates) Civil War in Kyras d6 d4: 3 Setarra's bid for freedom d8: 1 d6 (Tatters will is weakening) Peripheral Move: End of Session At the end of each session, answer the following questions as a group: Did we discover something new and important about the world or characters? 1XP Did we newly visit or significantly alter a memorable location? 1XP Did we overcome a notable obstacle, enemy, or challenge? 1XP For each “yes” answer, everyone gains 1 XP. Lastly, gain 1 XP if you accomplished your Drive. 1XP Teaser
Does med school prepare you for residency? What is competency-based medical education? What is an example of competency-based education? Our guests are Laura Edgar, EdD, senior vice president of competencies, milestones, and faculty development at the Accreditation Council for Graduate Medical Education; Lisa Howley, PhD, MEd, senior director of transforming medical education at the Association of American Medical Colleges; and Mark Speicher, senior vice president of research, learning, and innovation at the American Association of Colleges of Osteopathic Medicine. American Medical Association CXO Todd Unger hosts.
Dr. Alice Fornari, who wrote the section of the Antiracism Module titled Diversity and Cultural Humility, discusses the section concepts including calling in vs. calling out, and an upstander. She is an Associate Dean of Educational Skills Development at Zucker School of Medicine at Hofstra/Northwell and Vice President of Faculty Development for Northwell Health comprised of 23 hospitals. Her role aligns UME, GME and the CME continuum. She is a fellow of the Association of Medical Education of Europe. She received the Distinguished Career Award for Excellence in Teaching and Educational Scholarship in 2021 from the International Association of Medical Science Educators. She was co-editor of the new IAMSE Manual entitled Mentoring in Health Professions Education: Evidence-Based Strategies Across the Continuum. In 2022, she received the AAMC Northeast Group of Educational Affairs “outstanding medical educator award” and graduated from the Academy for Professionalism in Health Care Leadership program in 2021.
Trendspider had some technical issues so the podcast is in 2 sections:1) VERY EARLY morning going over the market overview2) Recorded at 10am and you'll see a detailed look at today's earningsOverall a GREAT podcast to listen to. Get the Top 10 stocks of 2025 from Seeking AlphaLimited Time offer on Trendspider - 2 week trials now - you won't get my tools until you sign up for a yearly plan, but it's a perfect time to try out Trendspider for less than $20 1. Steve Cress - why are good small caps with great Quant scores down? FULL EXPLANATION2. $WDAY was a KILLER suggestion yesterday 3. $SMCI filed - is it safe? 4. Seasonality - it's normal 5. Nervous? Maybe you should watch the 10 year or don't watch the news6. 200 day moving average is key 7 .$GME in to Bitcoin 8. Education from Ross at Warrior Trading9. Earnings - $ZETA - $AXON 10. Tonight - $NVDA $CRM $SNOW $IONQ $MARA $PSTG 11. Paid Newsletter - Savings Buckets TRENDSPIDER SALE - best offer available -https://linktr.ee/dailystockpick Sign up at the top link (use code DSP25 if prompted) Email me at dailystockpick3@gmail.com I'll send you all the algorithms, watchlists and scanners that you see me use each and every day.Social Links and more - https://linktr.ee/dailystockpick SEEKING ALPHA BUNDLE - save over $150 SEEKING ALPHA PREMIUM - my $30 off coupon for a limited time Watch this episode on YouTube with video to see how Steve from Seeking Alpha uses the tool to navigate on picking stocks. Want to beat the S&P? Sign up for Alpha Picks here.FREE NEWSLETTER WITH CHARTS - subscribe at dailystockpick.substack.com
Staying at an institution for residency can feel familiar but it comes with its own unique set of challenges. Avani Patel, MD, MHA, who attended medical school and did her GME training at the same location offers her thoughts. ✶✶✶✶
In their ongoing mission into the heart of Hammerhold, Tatters and the Vale sisters find themselves somewhere they really shouldn't be, and in the process discover something horrifying about the true nature of the challenge they face. Links Transcript: https://docs.google.com/document/d/1kH28t5rpeASVQtbNXgLzciLlqCIewEzP1eA5vRAUjxY/edit?usp=sharing All music is royalty-free, and courtesy of Pixabay: https://pixabay.com/music/ and Slipstream https://slip.stream/ Email TheLoneAdv@gmail.com Podbean https://theloneadventurer.podbean.com/ Blog https://carlillustration.wordpress.com/ Chasing Adventure: https://chasingadventuregame.com/ Perchance TLA random event oracle: https://perchance.org/tla-randomevent Perchance TLA ritual generator:https://perchance.org/tla-tatters-ritual-generator Perchance TLA Mythic 2e GME https://perchance.org/tla-mythic2e Perchance TLA OCEANIC NPC generator https://perchance.org/tla-oceanic-npc Perchance TLA OCEANIC NPC behaviour oracle https://perchance.org/tla-oceanic-behaviour Perchance TLA Hammerhold Explorer https://perchance.org/tla-hammerhold Mechanics Scene 1 Chaos Factor: 8 Scene Description: Fleeing the alarm Scene Test: The scene is Altered: Add A Character Q: is it machine cultists? Likely: No Q: is it the Doomspire? 50/50 Yes Q: to the place with the crowbar? Likely: yes Examine (DIS): what here can help us? 6 1 XP GM Move: Change the Environment Q: are they transported back? 50/50 Exceptional yes (without injury) Scene 2 Chaos Factor: 9 Scene Description: Fleeing the alarm Scene Test: The scene is Interrupted: NPC Positive Meaning: Imprison Work Q: Positive for the Vales? 50/50 Exceptional Yes Tortemus' geas has been broken Q: does Lynn tell Tatters? 3 matches, Concientiousness, Neuroticism, Interpersonal Disposition (a wash - tempted but no) Q: does Mara tell Tatters? 2 matches: Interpersonal Disposition, Neuroticism (no) Q: has the alarm stopped? 50/50 Yes Q: did Tatters recoignize the Doomspire for what it was? Yes Q: have the Vales heard of Doomspires? 50/50 No Scene 3 Chaos factor 8 Scene Description: resuming the hunt for the Voice Scene Test: The scene is Altered: Remove A Character Lynn scouts ahead GM Move: See what they Find d8: 4 Feature: Machinery or tools Danger: Magical ward or barrier Location keywords: Abandoned, Damaged Nature of the barrier: Frantic, Plain Discussion with Mara: 2 matches: Openness, Interpersonal Disposition (adventurous) Classy, Inactive Increase Mara CD (4). Examine: What is this ward for? 8 (Lynn's cunning means 10) 1 XP Extravagant, Energy Is the ritual damaging it? Likely: yes How long? Uncertain Scene 4 Chaos factor 7 Scene Description: searching the factory Scene Test: The scene is Altered: Remove An Object and Increase An Activity GM Move: See what they Find d8: 1 Ward clock: d8: 8 Feature: Machinery or tools Danger: Alarm trigger, Denizen guards something Location keywords: Calm, Occupied GM Move: Foreshadow an Ominous Force Q: The convergence ritual? Likely: No Q: civil war in Kyras? Likely: Yes Machine cultists shipping weapons Examine (DIS): how to get past unseen? 5 1 XP GM Move: Make Them Choose: Make things more difficult in the future or Assist an enemy with their goals Q: do the Vales spot that something's wrong? 50/50: Yes Scene 5 Chaos factor 6 Scene Description: bypassing the cultists Scene Test: The scene is Altered: Remove A Character and Reduce/Remove An Activity Cultists thin out, Lyn sneaks Equivalent Exchange Teleport (ADV, Greater): 10 success Endeavor: When your Follower does a dangerous task alone, they do it to the best of their ability, but are taken out of the action (trapped, injured, distracted, etc.). The GM will say how. Q: Is Lynn spotted? 50/50: Yes
En este episodio, analizamos las claves del mercado y los eventos que están impactando la economía global: Mercados en rojo: Los futuros caen tras nuevos aranceles propuestos por Trump y datos de inflación por encima de lo esperado. ¿Cómo afectan estas noticias las expectativas sobre la Fed? Apple apuesta por China: La compañía planea lanzar sus funciones de inteligencia artificial en el país con apoyo de Alibaba y Baidu. ¿Qué significa esto para su crecimiento en Asia? CVS en recuperación: Tras un 2024 complicado, la acción de $CVS ha subido un 45% este año. Analizamos los factores detrás de este resurgimiento. Roku sorprende al alza: La compañía proyecta superar expectativas en 2025 y apunta a rentabilidad en 2026. Northpointe lanza su IPO: La empresa bancaria debutará en la NYSE con una oferta pública inicial de más de 10 millones de acciones. Meta y su dividendo: $META aumenta su dividendo un 5%, consolidando su posición entre los gigantes tecnológicos que devuelven valor a los accionistas. GameStop y Bitcoin: Las acciones de $GME suben 8% tras informes de que la empresa evalúa invertir en criptomonedas. ¿Estamos ante un nuevo capítulo en la saga de GameStop? No te pierdas nuestro análisis sobre estos temas y su impacto en los mercados.
This is an audio version of Leading From the Middle Empowers GME Leaders by Nancy D. Spector, MD, Jillian S. Catalanotti, MD, MPH, Donald W. Brady, MD, Karen Law, MD, and Deborah Simpson, PhD, a Rip Out article from the GME Leaders Series.
The mission into Hammerhold continues, and the peril continues to mount. Environmental threats are bad enough, but the true dangers come from within, and threaten to bring the entire mission to a bloody end. Links Transcript: https://docs.google.com/document/d/14bby5K0ueXo00e5zlN57Eq4cL4Q4mPglpdUAjUXCUMI/edit?usp=sharing All music is royalty-free, and courtesy of Pixabay: https://pixabay.com/music/ and Slipstream https://slip.stream/ Email TheLoneAdv@gmail.com Podbean https://theloneadventurer.podbean.com/ Blog https://carlillustration.wordpress.com/ Chasing Adventure: https://chasingadventuregame.com/ Perchance TLA random event oracle: https://perchance.org/tla-randomevent Perchance TLA ritual generator:https://perchance.org/tla-tatters-ritual-generator Perchance TLA Mythic 2e GME https://perchance.org/tla-mythic2e Perchance TLA OCEANIC NPC generator https://perchance.org/tla-oceanic-npc Perchance TLA OCEANIC NPC behaviour oracle https://perchance.org/tla-oceanic-behaviour Perchance TLA Hammerhold Explorer https://perchance.org/tla-hammerhold Mechanics Scene 1 Chaos Factor: 6 Scene Description: Deeper into Hammerhold Scene Test: The scene is Altered: Reduce/ Remove An Activity Mara no longer sniping at Tatters GM Move: See what they Find d8: 4 Feature: Machinery or tools Danger: None Location keywords: Portal, Dirty Scrutinize When you study someone during an intimate or prying conversation with them, roll+WIS. (DIS) 6 - Fail 1XP GM Move: See what they Find d8: 2 Feature: Corridor Danger: Dangerous machinery Location keywords: Dangerous, Colorless Set Up an Immediate Danger Broken machinery, ruptured gas pipe Defy When you act despite an imminent threat or obstacle, say how you do it. Then roll +INT if you employ quick or out-of-the-box thinking (8) On a 7-9 it only abates if you make a costly sacrifice or ugly choice, the GM will tell you what. Tough Choice Choose one: Assist an enemy with their goals or Suffer a condition Use magic or Condition Scene 2 Chaos Factor: 7 Scene Description: Circumventing the gas leak Scene Test: Altered: The scene is Altered: Reduce/Remove An Activity and Add A Character The gas is gone. Setarra is present. Setarra OCEANIC This NPC is Dangerous and Foe Openness: 3 Conscientiousness: 1 Extroversion: 3 Agreeableness: 1 Neuroticism: 1 Interpersonal Disposition: 2 Core Disposition: 4 0 matches, 1 six: the usual temptations/ threats 1 match: Neuroticism: “I can do this all day” GM Move: See what they Find d8: 4 Feature: Glowing crystals or runes Danger: Dark truth about magitek is revealed Location keywords: Small, Crude Q: are the runes part of the Great Machine's incursion? Likely: Yes GM Move: Change the Environment Setarra's input causes a struggle Q: do the sisters notice Tatters' struggle? 50/50: Exceptional Yes Scene 3 Chaos Factor 8 Scene Description: Hiding the Monster Inside Scene Test: The scene is Interrupted: NPC Action Meaning: Fight Exterior Seterra tries to take control of Tatters' body Demonic Pact When you summon or command Setarra, roll+WIS (DIS) 10 (Success) 1 XP On a 7+ the demon does what you command (no more attempts to emerge unless I command it). On a 10+ choose one. The demon follows the letter of your command, but definitely not the spirit. (the struggle has been highly visible) Scene 4 Chaos Factor 7 Scene description: Explaining the monster inside Scene Test: The scene starts as expected. Mara reaction: 4 matches (Neuroticism (anxious), Conscientiousness (controlled), Agreeableness (-), Interpersonal Disposition (positive)) Conflicted. Controlled. Lynn reaction: 2 matches (Agreeableness (self-absorbed), Core Disposition (happy)) GM Move: See what they Find d8: 8 Feature: Something unusual or unexpected The event relates to a Starforged Descriptor and Focus: Toxic Relic Danger: Alarm trigger Location keywords: Foreboding, Loud
Trying out a new podcast format where I focus on weekly GME updates in video format. The supporting video can be found on YouTube @MagnifishitShow or on X @MagnifishitPod.Image Credit: Iuliia Duzhnikova
Tatters, accompanied by the deadly Vale sisters, sets out on her mission to track down and recover the Ring of Winter. Their target, it transpires, is located within one of the most potent symbols of Dominion power. True to form, things start badly, go downhill from there, and then plummet straight over the edge of a cliff as Tatters experiences a deeply disturbing revelation. Links Transcript: https://docs.google.com/document/d/1JcoDyLK43fWihJLgE_I5wzNcUWTMJGwJOXgkaI3s-gM/edit?usp=sharing All music is royalty-free, and courtesy of Pixabay: https://pixabay.com/music/ and Slipstream https://slip.stream/ Email TheLoneAdv@gmail.com Podbean https://theloneadventurer.podbean.com/ Blog https://carlillustration.wordpress.com/ Chasing Adventure: https://chasingadventuregame.com/ Perchance TLA random event oracle: https://perchance.org/tla-randomevent Perchance TLA ritual generator:https://perchance.org/tla-tatters-ritual-generator Perchance TLA Mythic 2e GME https://perchance.org/tla-mythic2e Perchance TLA OCEANIC NPC generator https://perchance.org/tla-oceanic-npc Perchance TLA OCEANIC NPC behaviour oracle https://perchance.org/tla-oceanic-behaviour Perchance TLA Hammerhold Explorer https://perchance.org/tla-hammerhold Stephanie M's Fantasy and Modern Themes and Domains: https://drive.google.com/file/d/1VjPuV29a5CgMXoUAQldcwvNB1FCsZwko/view https://drive.google.com/file/d/13KBv58Pq836vWLwDOK9qGYcCK8asK-O8/view Followers: Mara Vale Qualities Warrior. They count as +1 Armor when they help you fight, and you don't have to Command them to fight unless the opposition is terrifying or overwhelming. Costs Independence. They may follow you for convenience or mutual gain, but they are not truly loyal to you. Want Protect Lynn Methods Smash through obstacles Make a brutal show of force Call on reserves of inner strength Conditions 3C, sword (1C) Armour 1 Descriptors Cautious. Careful and methodical; avoids acting rashly. Blunt. Prefers a direct, honest, straightforward approach to most things in life. Infamous. They're well-known, for good or for ill. OCEANIC Openness: 4 - Fairly adventurous Conscientiousness: 5 - Very precise, controlled. Extroversion: 2 - Slightly reserved Agreeableness: 3 - neutral Neuroticism: 5 - Anxious, moody Interpersonal Disposition: 5 - v positive towards Tatters Core Disposition: 1 - v unhappy with circumstances Lynn Vale Qualities Cunning, Clever and observant. When they help you Examine, treat a 7-9 as a 10+. Costs Independence. They may follow you for convenience or mutual gain, but they are not truly loyal to you. Want Protect Mara Methods Spring a trap or plan Misdirect and confuse Lunge with terrifying speed Conditions 3C, Sword (1C) Armour 1 Descriptors Athletic. Good at running, climbing, jumping, and physical manoeuvring. Stealthy. Avoids detection; often gets the drop on foes. Infamous. They're well-known, for good or for ill. OCEANIC Openness: 4 - Fairly adventurous Conscientiousness: 1 - Very laid back, unstructured Extraversion: 5 - Very sociable, talkative Agreeableness: 2 - Slightly self-absorbed Neuroticism: 5 - Anxious, moody Interpersonal Disposition: 4 - positive towards Tatters Core Disposition: 4 - happy with circumstances Mechanics Copilot prompt Genre: magitech. Lord Tortemus has proposed sending Tatters, along with his two bodyguards, the Vale sisters, on a mission to retrieve the Ring of Winter from the leader of the machine cult. Describe the mission parameters, including the keywords Mysterious Vehicle. Mission Parameters: Quest for the Ring of Winter Objective: Retrieve the legendary Ring of Winter from the leader of the machine cult. Team: Tatters - The cunning and resourceful protagonist. The Vale Sisters - Tatters' loyal and formidable bodyguards, known for their combat prowess and tactical acumen. Mission Overview: Lord Tortemus has identified the leader of the machine cult as the current possessor of the Ring of Winter. This ancient artifact possesses immense power over ice and cold, making it a critical asset in the ongoing conflict. The cult has fortified itself within Hammerhold, the city's greatest forge and arsenal, located in the heart of Chaintop. Primary Objectives: Infiltrate the Stronghold: Gain access to the machine cult's heavily guarded fortress. Locate the Ring of Winter: Identify the exact location of the Ring within the stronghold. Retrieve the Artifact: Secure the Ring and ensure its safe return to Lord Tortemus. Secondary Objectives: Gather Intel: Collect valuable information on the machine cult's operations and technology. Neutralize Key Threats: Disable or eliminate high-ranking cult members and their mechanical constructs. Mysterious Vehicle: Investigate the rumored Mysterious Vehicle that the cult uses for transportation and potential escape. Operational Details: Transport: The team will travel via a swift magitech skimmer provided by Lord Tortemus, designed for stealth and speed. Entry Point: Utilize an old drainage tunnel as the entry point to bypass the main defenses. Reconnaissance: Deploy mini-drones for surveillance and mapping of the fortress interior. Engagement: The Vale sisters will handle combat encounters while Tatters focuses on securing the Ring. Extraction: Once the Ring is in their possession, exfiltrate using the Mysterious Vehicle if possible, or fall back to the skimmer for a swift retreat. Potential Hazards: Mechanical Sentinels: The stronghold is patrolled by advanced automata designed to detect and neutralize intruders. Environmental Extremes: The presence of the Ring has caused unnatural cold within the fortress, creating hazardous conditions. Cult Defenders: Devoted and fanatical cultists, equipped with magitech weaponry, will fiercely defend their leader and the Ring. Mission Success Criteria: Successful retrieval of the Ring of Winter. Safe return of Tatters and the Vale sisters. Acquisition of valuable intelligence on the machine cult. Failure Conditions: Loss of the Ring to enemy forces. Capture or incapacitation of team members. Incomplete mission objectives due to unanticipated threats. Mission Commences: 18:00 hours, local time. Genre: magitech. Describe an automated factory stronghold, at the heart of the industrial Chaintop area of Kyras, capital city of the Kyras Dominion. The air in Chaintop hummed with a low, insistent thrum. Gears ground, pistons hissed, and the glow of arcane forges cast long, dancing shadows across cobbled streets. At the heart of this industrial behemoth stood the Bastion of Gears, a fortress unlike any other. Appearance: Exterior: Hammerhold was a brutalist masterpiece, a symphony of iron and obsidian. Massive, interlocking gears formed the very walls, their teeth catching the light in a mesmerizing display. Arcane sigils, etched in shimmering gold, pulsed with an eerie light, warding off unwanted attention. Interior: A labyrinth of corridors, each a testament to magitech ingenuity. Production Halls: Gargantuan machines, powered by a combination of steam and arcane energy, churned out weapons, armor, and intricate gears. Dwarven engineers, their faces grim with concentration, monitored the intricate dance of pistons and pulleys. Assembly Lines: Goblins, their nimble fingers a blur of motion, assembled intricate magitech contraptions. From miniature clockwork automatons to devastating siege engines, each piece was crafted with meticulous care. Forges: Arcane forges, fueled by rare crystals, roared to life, casting a blinding light. Dwarven smiths, their bodies glowing with an otherworldly aura, hammered and shaped molten metal into weapons of terrifying beauty and power. Defenses: Arcane Shields: An invisible, shimmering barrier enveloped the bastion, deflecting projectiles and absorbing minor magical attacks. Auto-Cannon Turrets: Ironclad turrets, bristling with arcane-powered cannons, rotated menacingly, ready to unleash a barrage of fire upon any intruders. Clockwork Golems: Massive, iron golems, their movements fluid and deadly, patrolled the perimeter, their eyes glowing with malevolent intelligence. The Heart of Hammerhold: Deep within the fortress, in a chamber shielded by a dozen layers of arcane wards, resided the Engine of Creation, a masterpiece of magitech engineering. This colossal machine, powered by a captured celestial spirit, was the heart of Hammerhold, providing the raw energy that fueled the entire operation. Life Within Hammerhold: Hammerhold was a world unto itself. Dwarves, goblins, and humans, all bound by contracts of servitude, lived and worked within its walls. They were well-fed and well-compensated, but their lives were strictly regimented, their every move monitored by an intricate network of surveillance. Dissent was not tolerated. Hammerhold was a symbol of the Kyras Dominion's industrial might, its arsenal, a testament to the power of magitech. It was a fortress impregnable, a factory unmatched, and a constant reminder of the Dominion's unwavering pursuit of power. Scene 1 Chaos Factor: 6 Scene Description: Night flight to Hammerhold Scene Test: The scene is Interrupted: Current Context Meaning: Disrupt Protection * The magical cloaking hiding the skimmers fails, due to Seterra's interference Scene 2 Chaos factor 7 Scene Description: Rooftop infiltration Scene Test: The scene starts as expected. -1 ID for Mara & Lynn Q: Were they seen? Likely: No GM Move: See what they Find d10: 1 Feature: Huge, high-ceilinged room Danger: None Location keywords: Clean, Festive Flashback: Class Move: Ritual: Scrying on the Voice of the Machine Is there a source of Great Magical Power on the Night Queen's Shadow? 50/50: Yes No cost, spell succeeds Adventure Move: Examine: where is the Voice of the Machine? When you closely investigate a charged situation, ask the GM one question about it and roll+WIS. DIS for WIS condition, ADV for clean Ritual: 8 1XP On a 7-9 the GM answers your question truthfully. Tatters has a good idea of where he is in Hammerhold Scene 3 Chaos factor 6 Scene Description: Hunting the halls of Hammerhold Scene Test: The scene is Altered: Increase An Activity and Remove A Character Mara and Tatters continue to bicker, only to discover Lynn is missing GM Move: See what they Find d8: 4 Feature: Everyday devices powered by magic Danger: Locked door Location keywords: Spacious, Natural Q: is there a reply to the tap? 50/50 Yes Scene 4 Chaos Factor 7 Scene Description: Time to use a magic lockpick Scene Test: The scene starts as expected. Equivalent Exchange When you Push Yourself to Evoke a Spell, your Spell also becomes Greater. Evoke a Spell (Roll + SPELL: +2 +1 until next Settle In) When you unleash your magical talents, choose a Spell you know and roll+SPELL. On a 10+ you successfully evoke the Spell and its effects come to pass. On a 7-9 the Spell is still successful but choose one consequence from the list below. The Spell's Risk manifests as well. The Spell's magic drains you. You take -1 Ongoing to Evoke Spells until you next Settle In. Using it puts you in danger or draws unwanted attention, the GM will say how. Roll with ADV (DEX condition: Shaky): 10: success Technomancy You sink your mind into a piece of arcane technology, and gain control over it for the scene. Greater: The effect is ongoing, and grants a benefit you had not anticipated Random Event: Move Away from A Thread (End the Civil War in the city) Meaning: Move Information or Bleakly Dirty Tatters becomes more aware than she had planned, and sees the war for the city is growing worse The event relates to an Item: Arcanicity If required, here's a Starforged Action and Theme: Scheme Passage And here's a Mythic 2 Descriptor and Focus: Slowly Glorious
A GME partnership with Sultan Almaadeed's Avyen/ENVST could redefine its business model by tapping sovereign capital to bypass Wall Street, integrating AI agents to revolutionize retail, and creating an AI marketplace for developers and businesses. This transformation could position GameStop as the leader in AI-driven solutions across retail and gaming, blending e-commerce, innovation, and brick-and-mortar in a groundbreaking way.Shorts could be doomed as this transformation with Sultan could further expose & limit naked short selling instruments.Image Credit: Iuliia Duzhnikova
A new year and a new beginning. Special guest co-host Pedro Mendes joins Dr. Chris Labos to answer a viewer question about menopause. Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE Email us your questions at thebodyofevidence@gmail.com. Assistant researcher: Aigul Zaripova, MD Editor: Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris' book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause- cancer Obviously, I'm not your doctor (probably). This podcast is not medical advice for you; it is what we call information. References: Geographic variability of menopausal symptoms 1) Nappi RE et al. Global cross-sectional survey of women with vasomotor symptoms associated with menopause: prevalence and quality of life burden. Menopause. 2021 May 24;28(8):875-882. doi: 10.1097/GME.0000000000001793. 2) Nappi RE, et al. Prevalence and quality-of-life burden of vasomotor symptoms associated with menopause: A European cross-sectional survey. Maturitas. 2023 Jan;167:66-74. doi: 10.1016/j.maturitas.2022.09.006. What's the normal duration of symptoms 3) Avis NE, et al. Study of Women's Health Across the Nation. Duration of menopausal vasomotor symptoms over the menopause transition. JAMA Intern Med. 2015 Apr;175(4):531-9. doi: 10.1001/jamainternmed.2014.8063. The Women's Health Initiative (WHI) studies Rossouw JE et al. Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women's Health Initiative randomized controlled trial. JAMA. 2002 Jul 17;288(3):321-33. doi: 10.1001/jama.288.3.321. Anderson GL et al. Effects of conjugated equine estrogen in postmenopausal women with hysterectomy: the Women's Health Initiative randomized controlled trial. JAMA. 2004 Apr 14;291(14):1701-12. doi: 10.1001/jama.291.14.1701. Decline in HRT after WHI studies Sprague BL, Trentham-Dietz A, Cronin KA. A sustained decline in postmenopausal hormone use: results from the National Health and Nutrition Examination Survey, 1999-2010. Obstet Gynecol. 2012 Sep;120(3):595-603. doi: 10.1097/AOG.0b013e318265df42. Danish Osteoporosis Prevention Study Schierbeck LL metal. Effect of hormone replacement therapy on cardiovascular events in recently postmenopausal women: randomised trial. BMJ. 2012 Oct 9;345:e6409. doi: 10.1136/bmj.e6409. Kronos Early Estrogen Prevention Study (KEEPS) Harman SM, et al. Arterial imaging outcomes and cardiovascular risk factors in recently menopausal women: a randomized trial. Ann Intern Med. 2014 Aug 19;161(4):249-60. doi: 10.7326/M14-0353. Kronos Early Estrogen Prevention Study (KEEPS) Hodis HN et al. Vascular Effects of Early versus Late Postmenopausal Treatment with Estradiol. N Engl J Med. 2016 Mar 31;374(13):1221-31. doi: 10.1056/NEJMoa1505241. Stopping hormonal therapy Berman RS et al. Risk factors associated with women's compliance with estrogen replacement therapy. J Womens Health. 1997 Apr;6(2):219-26. doi: 10.1089/jwh.1997.6.219. Grady D, Sawaya GF. Discontinuation of postmenopausal hormone therapy. Am J Med. 2005 Dec 19;118 Suppl 12B:163-5. doi: 10.1016/j.amjmed.2005.09.051. Tapering vs. abrupt stop or hormonal therapy Haimov-Kochman R et al. Gradual discontinuation of hormone therapy does not prevent the reappearance of climacteric symptoms: a randomized prospective study. Menopause. 2006 May-Jun;13(3):370-6. doi: 10.1097/01.gme.0000186663.36211.c0. PMID: 16735933.
“Women's needs are ever-evolving,” says Abbie Smith-Ryan, Ph.D. Abbie Smith-Ryan, Ph.D., leading researcher in the field of metabolism, sport nutrition and exercise performance, joins us to discuss best practices for supplementation, proper nutrition, and training, plus: - Women's unique needs for nutrition & performance (~2:48) - The role of nutrients (~4:45) - The importance of protein (~5:15) - Smith-Ryan's approach to nutrition (~9:55) - Supplementation (~11:30) - How to optimize body composition (~13:20) - Should women fast? (~17:30) - Caloric intake for women (~22:55) - Hydration (~27:15) - The benefits of creatine (~30:00) - How to train smarter (~35:30) - Heart rate zones & training (~37:40) - Injury and recovery (~43:00) - Recent research (~47:35) - Closing thoughts (~47:00) Referenced in the episode: - Follow Smith-Ryan on Instagram (https://www.instagram.com/asmithryan/) - Learn more about her work (https://asmithryan.com/) - Research on pre-sleep feeding & recovery (DOI: 10.1080/15502783.2023.2236055) - Research on body composition, physical activity, and menopause symptoms (DOI: 10.1097/GME.0000000000002334) - Research on hormonal contraception and the menstrual cycle on recovery (DOI: 10.1519/JSC.0000000000004764) We hope you enjoy this episode, and feel free to watch the full video on YouTube! Whether it's an article or podcast, we want to know what we can do to help here at mindbodygreen. Let us know at: podcast@mindbodygreen.com. Learn more about your ad choices. Visit megaphone.fm/adchoices
In a perfect example of being careful of what you wish for, Tatters has got what she wanted; a parlay with the deadly vampire lord, Tortemus. Many have not lived to regret such a thing. And even if she survives the encounter, can she hope to learn anything that will turn the overwhelming tide in her favour? Links Transcript: https://docs.google.com/document/d/1_od7ZCXeomDNnMj5Ftg7MSWi8IFRd8qtXKf-8SqGlp0/edit?usp=sharing All music is royalty-free, and courtesy of Pixabay: https://pixabay.com/music/ and Slipstream https://slip.stream/ Email TheLoneAdv@gmail.com Podbean https://theloneadventurer.podbean.com/ Blog https://carlillustration.wordpress.com/ Chasing Adventure: https://chasingadventuregame.com/ Perchance TLA random event oracle: https://perchance.org/tla-randomevent Perchance TLA ritual generator:https://perchance.org/tla-tatters-ritual-generator Perchance TLA Mythic 2e GME https://perchance.org/tla-mythic2e Perchance TLA OCEANIC NPC generator https://perchance.org/tla-oceanic-npc Perchance TLA OCEANIC NPC behaviour oracle https://perchance.org/tla-oceanic-behaviour Batch file script @echo off start https://perchance.org/tla-randomevent start https://perchance.org/tla-tatters-ritual-generator start https://perchance.org/tla-mythic2e start https://perchance.org/tla-oceanic-npc start https://perchance.org/tla-oceanic-behaviour Mechanics Scene 1 Chaos Factor: 6 Scene Description: Negotiation with Tortemus Scene Test: The scene is Altered: Add A Character Simple Q: The Veil Sisters? (Likely): Yes Mara Vale S02E03 description Mara Vale: Local, cute female Goals: respect, Methods: espionage, Profession: butcher Traits: candid, Interests: pets, Quirks: decision by committee Their OCEANIC profile is: Openness: 4 - Fairly adventurous Conscientiousness: 5 - Very precise, controlled. Extroversion: 2 - Slightly reserved Agreeableness: 3 - neutral Neuroticism: 5 - Anxious, moody Interpersonal Disposition: 5 - v positive towards Tatters Core Disposition: 1 - v unhappy with circumstances Lynn Vale S02E03 description Lynthia Vale: Local, wiry, spike-haired Goals: Happiness, Methods: hard work, Profession: messenger Traits: daring, Interests: drugs, Quirks: a fraud Their OCEANIC profile is: Openness: 4 - Fairly adventurous Conscientiousness: 1 - Very laid back, unstructured Extraversion: 5 - Very sociable, talkative Agreeableness: 2 - Slightly self-absorbed Neuroticism: 5 - Anxious, moody Interpersonal Disposition: 4 - positive towards Tatters Core Disposition: 4 - happy with circumstances Lord Tortemus Their OCEANIC profile is: Openness: 5 - Very adventurous Conscientiousness: 4 - Fairly precise, controlled. Extraversion: 3 - neutral Agreeableness: 2 - Slightly self-absorbed Neuroticism: 4 - Slightly moody Interpersonal Disposition: 3 - neutral towards Tatters Core Disposition: 3 - neutral Tortemus Behaviour: 0 matches, 1 six: Happy, Fortunate Pleased with escape, increase CD by +2 Mara: confirm Tatters is not Unseen Tatters question Tortemus: 2 matches: Extroversion (3), Neuroticism (4), Triumphant, Large Tatters argument Tortemus: 2 matches: Openess (5), Extroversion (3) Defiant, Lonely Will he join forces? (Nearly certain): Yes Scene 2 Chaos Factor: 5 Scene Description: Exchanging information Scene Test: The scene starts as expected. Does she learn anything new? Yes The event relates to a Mythic 2 Action and theme: Take Enemy Sereth Pinto was Unseen. They had tried to take over the Silver Nails to secure an independent army. Mara and Lynn knew, and were agents of a competing faction (the House of Whispers.) The Undying learned of the Unseen move against the Silver Nails, and interceded. Anything more? Yes The event relates to Something Positive for a PC (Tatters) If required, here's a Starforged Action and Theme: Defy Death And here's a Mythic 2 Descriptor and Focus: Excitedly Protective Tatters is given a replacement Demonbane Charm Anything more? Yes Current Context. Meaning: Frantically Strong The Unseen are extremely powerful. They have attempted to infiltrate the 3rd Guild, and their tendrils extend through power structures across the Chained World. Anything more? Exceptional No Tortemus: 1 match: Core Disposition, Innocently Cold More pressing matters: Tortemus learns about the Ring of Winter and the Machine Cult (attacks on the Dominarium and Opera House). Reduce CD by 1 What does Tortemus propose? 3 matches: Interpersonal Disposition, Extroversion, webOpenness (creative, adventurous response): Mysterious Vehicle Does he know anything about the fate of the Web? No Mara: ID -1, CD +1. Lyn: CD -1
Could there be a major macro event that impacts the global financial system? Who knows! Listen to Manny Cray try to make sense of it all with zero expertise on the subject.Image Credit: Iuliia Duzhnikova
Paving a new path is challenging, learning from previous experiences is transformative and understanding counter arguments to your convictions is incredibly enlightening. As DFV/Roaring Kitty/Keith Gill said, "If this is your first night at $GME fight club, you have to defend the bear thesis."
David Trainer says it's good to see "some life on the top line" from GameStop's (GME) earnings but believes meme stocks "don't make money." Dave Mazza notes the lack of momentum and urges caution to investors. As for Roaring Kitty, Dave says he "still plays a role" in ushering meme trades but thinks the "Roaring Kitty phenomenon" has waned. ======== Schwab Network ======== Empowering every investor and trader, every market day. Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribe Download the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185 Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7 Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watch Watch on Vizio - https://www.vizio.com/en/watchfreeplus-explore Watch on DistroTV - https://www.distro.tv/live/schwab-network/ Follow us on X – https://twitter.com/schwabnetwork Follow us on Facebook – https://www.facebook.com/schwabnetwork Follow us on LinkedIn - https://www.linkedin.com/company/schwab-network/ About Schwab Network - https://schwabnetwork.com/about
You don't often hear about family businesses in government contracting. However, today we're talking with a guest from a small, family-owned company undergoing two major transitions: breaking into the federal market and passing the leadership torch from mother to daughter.This isn't just a succession story; it's a reinvention. With new opportunities come challenges: navigating complex procurement processes, meeting compliance requirements, and climbing a steep learning curve—all while leveraging a tight-knit team and years of expertise. But the real story lies at the intersection of family and business. How do you honor a legacy while forging a bold new path? And how do you lead through a changing political and economic landscape?Join us as we unpack this family's journey of growth, resilience, and adaptation in an ever-evolving world. This is a story about more than just business—it's about leadership, resilience, and the courage to evolve Guest Bio:Ynette Evans is the Operations and Marketing Director of GME Enterprises, a DMV-based management consulting firm specializing in risk and operations management. With over a decade of experience, Ynette oversees operations, marketing, and branding, driving sales and awareness. A Hampton University graduate with a B.S. in Marketing, she has worked with nonprofits, businesses, and government organizations to craft impactful messaging and visuals.Gwen Muse-Evans, GME's President and CEO, has 27+ years of experience in financial services, including executive roles at Fortune 50 companies, where she implemented effective risk management platforms. Call(s) to Action:Help spread the word about Unveiled: GovCon StoriesDo you want to be a guest or recommend a topic that you would like to learn or hear about on the podcast? Let us know through our guest feedback and registration form.Links:GME Enterprises Website: Follow GME Enterprises on LinkedIn!GME Enterprises Capability StatementSponsors:The views and opinions expressed in this podcast are solely those of the hosts and guests, and do not reflect the views or endorsements of our sponsors.Withum – Diamond Sponsor!Withum is a forward-thinking, technology-driven advisory and accounting firm, helping clients to be in a position of strength in today's complex business environment. Go to Withum's website to learn more about how they can help your business! Hosted on Acast. See acast.com/privacy for more information.
S&P Futures are displaying positive action in the pre-market. Economic calendar is light today and markets are looking ahead to tomorrow's inflation report (CPI). Microsoft is having a shareholder meeting today where a vote will be held on adding Bitcoin to its balance sheet. Speculation about a tie up between MDLZ & HSY would be challenging as a buyout of Hershey would require approval from the Hersheys Trust. AI, MTN & UNFI are higher after earnings. After the bell today PLAY and GME will be releasing. Macy's announced late yesterday that they now intend to release earnings tomorrow morning. President Biden is scheduled to speak today at 12:15 on his economic playbook. VP Harris on Tuesday said the Commerce Dept finalized the grant, which will fuel up to $125 billion in planned investments by Micron in New York and Idaho over two decades. In Europe stocks trading mostly lower in a reaction to weak economic data out of China. Oil prices are slightly lower this morning.
S&P Futures are displaying weakness this morning with key inflation readings due out this week. Advertising stocks are higher on M&A activity. APO and WDAY are being added to the SPX index replacing QRVO and AMTM effective 12/23. Earnings announcements this week include ORCL, TOL, PLAY, GME, ADBE, CIEN, COST, AVGO and LEN. In Europe stocks trading mostly higher with an ECB meeting this week, a rate cut is expected. Oil prices are higher this morning as China looks to boost its domestic economy.
Deep dive on all factors that cause GME & CHWY to have direct and inverse correlations.Image Credit: Iuliia Duzhnikova
This discussion with AlwaysSadButTruthful (@itsalwaysrains on X) completely transformed my perspective of the GameStop saga. His incredible GME research started 3 years ago and his perspective is unique as a former WSB mod.Image Credit: Iuliia Duzhnikova
If you deal with menopause brain fog, mild depression or anxiety any time of year, this is for you. It's also for anyone who wants the latest science on exercise and brain health. The evidence around how movement affects mental well-being is growing, and I want to share some of the most impactful insights with you. Almost all types of exercise seem to show benefits on mental well-being. Activities like resistance training, yoga, other mind-body activities, aerobic exercise, and high-intensity interval training (HIIT) can support brain health to some extent. In this episode I'll share which exercise helps most, specifically on menopause brain fog, mood, or anxiety. No matter when you're listening to this episode, it's relevant for multiple reasons and seasons. But as I release it during the holiday season, it can have more impact. Whether you might be facing memories of loved ones you've lost, whether it was this year or in years past, or the traditions, memories, or emotions that come with the season that make this time of year bittersweet. While holidays can be magical and full of warmth, they can also feel heavy, bringing sadness, anxiety, or emotional struggles to the surface. For women with menopause brain fog and memory issues, the holidays can have an even greater impact. Beyond Menopause and Brain Fog Global prevalence of depression in perimenopausal women are at 33.9% and 34.9% in postmenopausal women. Why? This may be due to estrogen and progesterone fluctuations, sleep disturbances and greater susceptibility to negative effects of stress. Most adults with depression don't receive adequate care - due to the stigma or the fact that they don't respond well to antidepressants. And pharmaceuticals don't address the physical comorbidities associated with depression. Exercise is well accepted as an alternative or complement due to accessibility, acceptability and safety. Even physical activity below public health recommendations can yield significant mental health benefits [and is a necessary place to start]. Menopause Brain Fog, It's Not Just You A recent study published in the Biomedical Central Public Health Journal of over 200 randomized controlled trials show exercise interventions may have more potent antidepressant effects than SSRIs. A study examined which of 5 exercise interventions helped reduce depression levels most in postmenopausal women and if certain population characteristics responded differently. The Exercise Interventions: Stretching Exercise Aerobic Exercise Resistance Training Mind-Body Exercise Multi Exercise Mind-Body Exercise had the greatest effect on easing anxiety, followed by Aerobic Exercise. Exercise helps because it creates a controlled stress response, increasing resilience to anxiety. Years ago, I shared a study showing yoga boosts cognitive function more than muscle conditioning. A study published in Menopause: The Journal confirmed that mind-body exercises reduce fatigue, insomnia, depression, and anxiety. Why mindbody? Yoga increases melatonin levels, balances nervous system and improves brain-derived neurotrophic which improves cognition and memory. Best Exercise for Menopause Brain Fog The menopause brain fog experienced by many women may improve most with HIIT, being characterized by periods of “all out” exercise to breathlessness. A study in the Journal of Exercise Nutrition & Biochemistry in 2018 showed a Wingate protocol study on HIIT: Exercise Structure 30 seconds of all-out effort (fast-paced or against resistance) per interval 4 - 6 intervals per session, with 4 minutes of recovery between intervals Total Intense Exercise Time 2 - 3 minutes of intense exercise per session lasting a total of 20 minutes, including rest periods Training Frequency 3 sessions per week (totaling 15 minutes of high-intensity work per week) Results 2 Weeks - Improved skeletal muscle oxidative capacity 6 Weeks - Equivalent to traditional endurance training (40 - 60 minutes, 5 sessions per week) Additional Benefits for Midlife Women: Time - HIIT sessions take 1.5 hours a week, compared to other traditional endurance training 4.5 hours a week Cortisol - Short HIIT sessions avoid the cortisol spike (40 - 60 minutes is the tipping point where cortisol spikes negatively) Most women say they feel more energized, lighter, and more focused after HIIT compared to long endurance sessions. Studies on postmenopausal women with osteoporosis found that high-intensity, high-impact protocols led to positive responses, with low injury rates and high retention. Other Exercises for Menopause Brain Fog Resistance training also proves popular among women with anxiety, potentially due to the fact that the increase in heart rate and intensity is temporary, strength gains are made fairly quickly for a beginner and that carries over to increasing motivation, improved sleep. Walking outdoors with friends combines three sources of serotonin for women, particularly: movement, sunlight, and venting/talking. References: Han, B., Duan, Y., Zhang, P. et al. Effects of exercise on depression and anxiety in postmenopausal women: a pairwise and network meta-analysis of randomized controlled trials. BMC Public Health 24, 1816 (2024). https://doi.org/10.1186/s12889-024-19348-2 Min Chul L, Sung Ki L, Suk Yool J, Hyung Hoon M. New insight of high-intensity interval training on physiological adaptation with brain functions. J Exerc Nutrition Biochem. 2018 Sep 30;22(3):1-5. doi: 10.20463/jenb.2018.0017. PMID: 30343552; PMCID: PMC6199482. Xu, Hong MM; Liu, Jian MD; Li, Peishan MD; Liang, Yujie MD. Effects of mind-body exercise on perimenopausal and postmenopausal women: a systematic review and meta-analysis. Menopause 31(5):p 457-467, May 2024. | DOI: 10.1097/GME.0000000000002336 Resources: BLISSMAS 12-Day Challenge: https://www.flippingfifty.com/blissmas Other Episodes You Might Like: Heal Your Gut, Save Your Brain: https://www.flippingfifty.com/save-your-brain/ Six Powerful Ways To Keep Your Perimenopause Brain Sharp: https://www.flippingfifty.com/perimenopause-brain/ Exercise Your Way to a Better Mood in Menopause: https://www.flippingfifty.com/better-mood-in-menopause/
The PSA partnership, Buck The Bunny's return & Nat Turner's appointment to GameStop's board all align too well to be coincidental. What could it all be leading towards?
*POWER TO THE PLAYERS*Luke O'Libre joins Ben "The Breaker of Banksters" to discuss GME and the outright fraudulent market manipulation that may have prevented the entire fiat system from collapsing in January 2021.Meanwhile, Trump has endorsed Bitcoin and stated it needs to be 'made in America'. Is true financial revolution waiting in the wings or is it too little, too late?Is this just pandering, or a true revolution waiting in the wings? Follow Ben @BanksterBreaker on XFollow Luke @Luke_OLibre on X
Most surgeons know about malpractice lawsuits, but did you know that residents and even medical students can be involved in them? Join us for a discussion of what happens when patients sue their treatment teams -- and what happens when those teams involve trainees. Host: Nina Clark, MD, MS Guests: Cindy Hamra, JD, MA is an associate dean in the GME Office at the University of Washington School of Medicine, where she leads the operational, administrative and finance functions. UW School of Medicine is sponsors clinical training for over 1600 medical and dental residents in fellows in over 200 programs. UW Medicine, through the School of Medicine, is the largest sponsor of GME programs in the five-state WWAMI region (Washington, Wyoming, Alaska, Montana and Idaho). Lisa Hammel, JD is the senior director of clinical risk management for UW medicine. Prior to that, she spent over 20 years as a defense attorney primarily working in medical malpractice and professional liability defense. References: American College of Surgeons: https://www.facs.org/for-medical-professionals/news-publications/journals/rise/articles/litigation-overview/ AMA: https://www.ama-assn.org/medical-residents/residency-life/resident-medical-liability-lawsuits-why-and-how-often-they-happen JAMA Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5833625/ & https://jamanetwork.com/journals/jamasurgery/article-abstract/2670456 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
#514: The S&P 500 hit a record high — and the GameStop guy is back, and he now owns 9 million shares of GME, making him the 4th largest shareholder. Interest rates from remain the same, and are expected to hold steady until September. Inflation remains unchanged from last month. Last month we saw a massive explosion of new jobs, at 272,000 — nearly 90,000 more than predicted. But we also saw unemployment tick up, which created mixed signals. Learn the implications of the latest economic news — and how it impacts your wallet — in this month's economic update. For more information, visit the show notes at https://affordanything.com/episode514 Learn more about your ad choices. Visit podcastchoices.com/adchoices
(0:00) Besties intros! (2:10) Responding to recent media coverage (17:58) DOJ/FTC strike deal to target Nvidia, OpenAI, and Microsoft (32:40) Meme stocks are back: Keith Gill aka Roaring Kitty resurfaces, disclosing nine figure position in GameStop (58:36) Citadel and BlackRock back TXSE to take on NYSE and Nasdaq (1:02:34) Apple to announce OpenAI iPhone deal at WWDC (1:09:07) Science Corner: Alarming ocean temps continue, what to expect for hurricane season Follow the besties: https://twitter.com/chamath https://twitter.com/Jason https://twitter.com/DavidSacks https://twitter.com/friedberg Follow on X: https://twitter.com/theallinpod Follow on Instagram: https://www.instagram.com/theallinpod Follow on TikTok: https://www.tiktok.com/@all_in_tok Follow on LinkedIn: https://www.linkedin.com/company/allinpod Intro Music Credit: https://rb.gy/tppkzl https://twitter.com/yung_spielburg Intro Video Credit: https://twitter.com/TheZachEffect Referenced in the show: https://www.youtube.com/watch?v=dQQhAg0mfF8 https://x.com/vkhosla/status/1769529054955446533 https://x.com/vkhosla/status/1796293773389127987 https://x.com/shaunmmaguire/status/1796415146077954329 https://x.com/DavidSacks/status/1798100723617698097 https://x.com/SawyerMerritt/status/1798779830521000426 https://www.nytimes.com/2024/06/05/technology/nvidia-microsoft-openai-antitrust-doj-ftc.html https://www.wsj.com/tech/ai/ftc-opens-antitrust-probe-of-microsoft-ai-deal-29b5169a https://companiesmarketcap.com https://www.youtube.com/watch?v=F9cO3-MLHOM https://www.politico.com/news/2024/05/29/newsom-california-artifical-intelligence-regulations-00160519 https://www.reddit.com/user/DeepFuckingValue https://www.wsj.com/finance/regulation/e-trade-considers-kicking-meme-stock-leader-keith-gill-off-platform-f2003ec4 https://x.com/TheRoaringKitty/status/1789807772542067105 https://www.google.com/finance/quote/GME:NYSE https://www.youtube.com/watch?v=M-VO6dtFRes https://www.wsj.com/finance/regulation/keith-gills-gamestop-trades-pose-conundrum-for-market-cops-70cc5301 https://www.macrotrends.net/stocks/charts/GME/gamestop/revenue https://www.wsj.com/finance/stocks/gamestop-burned-andrew-left-in-2021-hes-betting-against-the-stock-again-4377cecb https://www.nytimes.com/2022/05/18/business/melvin-capital-gamestop-short.html https://www.instagram.com/tim.naki/reels https://www.wsj.com/finance/regulation/new-texas-stock-exchange-takes-aim-at-new-yorks-dominance-e3b4d9ba https://listingcenter.nasdaq.com/assets/Board%20Diversity%20Disclosure%20Five%20Things.pdf https://www.bloomberg.com/news/articles/2024-06-05/why-is-apple-aapl-teaming-up-with-openai-both-companies-need-each-other https://x.com/leonsimons8/status/1793319395080520036