Podcasts about Grasso

The U.S. needs 400 GW of new capacity over the next two decades. Michael Grasso, CEO and founder of Grid Rails, tells Tim Montague that roughly twice that much flexible capacity is already plugged in, and explains why only 20% of eligible devices are enrolled in virtual power plant programs today.Data centers, EVs, heat pumps, and new construction are pushing U.S. electricity demand up by roughly 50%, about 400 gigawatts over the next two decades. The reflex answer is to build more generation. Michael Grasso thinks we are solving the wrong problem.Grasso is the CEO and founder of Grid Rails, and he spent 17 years getting to that conclusion. He helped deploy the first residential storage batteries at Sunrun, first on LG Chem hardware and then on Tesla, and he ran the largest residential storage virtual power plant in the country at Sunnova, supporting Luma's grid in Puerto Rico. His argument: the flexible capacity sitting inside the devices causing the load growth is close to double the load growth itself. What is missing is the orchestration and settlement layer that turns those EVs, batteries, thermostats, and water heaters into dispatchable grid capacity, and pays the consumer for it in real time instead of months later as a buried bill credit.Thirty-four states now have some form of demand response or VPP program on the books, and by Grasso's numbers, only about 20% of eligible devices are actually enrolled. Tim pushes hard on why, and on whether any of this pencils for a homeowner who does not want one more app sending notifications.What you will learn:Why 80% of eligible devices are still on the sidelines, and why Grasso calls that a program design problem rather than a hardware problemHow real-time settlement changes consumer behavior, and what it unlocks for utilities beyond incentives: collateral, cost of capital, bad debt, and new products like prepaid or unlimited EV chargingWhy Grid Rails is built for the moment a customer opts out, not for constant notifications, and how opt-out recovery keeps programs from quietly bleeding participantsThe ERCOT math driving utility urgency: roughly $50 per MWh bought forward against spot exposure that can run to $5,000What Grasso says a simple VPP application is worth to a household, around $500 a year in most markets and into the thousands in some, and why he thinks a more dynamic market leaves a lot more on the tableWhy per-device budgets matter, from capping EV charging at $15 a week to holding air conditioning to 20% of the billGrasso points to headlines warning that the largest utility in the country is signaling blackout risk as soon as 2027, and treats that as the pressure finally moving utilities toward orchestration. Tim comes at it as a customer, not an analyst: he does not have a battery yet, his own rate just jumped 25%, and he wants a number before he buys. That exchange is the heart of the episode.Connect with Michael Grasso, Grid RailsMichael Grasso | LinkedIn: https://www.linkedin.com/in/michaelpgrasso/Grid Rails: https://gridrails.ai/Email: hello@gridrails.ai Support the showConnect with Tim  Clean Power Hour  Clean Power Hour on YouTubeTim on TwitterTim on LinkedIn Email tim@cleanpowerhour.com Review Clean Power Hour on Apple PodcastsThe Clean Power Hour is produced by the Clean Power Consulting Group and created by Tim Montague. Contact us by email:  CleanPowerHour@gmail.comCorporate sponsors who share our mission to speed the energy transition are invited to check out https://www.cleanpowerhour.com/support/The Clean Power Hour is brought to you by CPS America, maker of North America's number one 3-phase string inverter, with over 6GW shipped in the US. With a focus on commercial and utility-scale solar and energy storage, the company partners with customers to provide unparalleled performance and service. The CPS America product lineup includes 3-phase string inverters from 25kW to 275kW, exceptional data communication and controls, and energy storage solutions designed for seamless integration with CPS America systems.  Learn more at www.chintpowersystems.com

Things Discussed: Craig asks AI if any of us should be athletic director. Brian on Warde: Not an easy tenure to assess. The case against him is we're spending $11 million on an investigation because there were too many scandals that were explainable (Weiss) or went away (Shoop, Xavier Simpson crashes Warde's wife's car), on top of $30 million for the Stalions thing, on top of what it costs to send him on his way. There wasn't a lot of coherence. Mixed legacy, but there are a couple of national championships on his resume, graduated athletes, good hires. Seth: Ends as it lived: waiting around five months to write a big check. He accumulated enemies. If he won some of these battles—kept Harbaugh, kept Bakich, kept Dusty—or had a few more instances where he acted decisively on a scandal (like Weiss). Sam violates a confidence with Greg Harden to clear up something: the *SCHOOL* had a firm they use to vet people like Shemy; when they failed it fell on Warde, but he didn't have a choice which firm. Sam thinks Grasso told him "I've got your back, but I'm gone soon, so do you want to go out on your own terms or somebody else's?" Seth & Sam: The decision not to release the report doesn't look good for the president and regents. Warde was probably the target of the investigation, but they probably turned up things that the vetting org, where the people who commissioned the report are the ones who botched it. This is how Baylor handles things. Why would you spend $12 million when the buyout is $7.5? Is Warde getting more than his buyout? If so, what are we paying for? Is it to keep quiet about other things? Our rivals want to know, we want to know. Can't think of a good faith reason not to present all of the findings in a report, except to prevent, e.g. Shriver from fishing. Brian: Michigan has a policy of not complying with FOIA. Sam: Why would they release that? Seth: Grasso is independent now, because what are they gonna do, fire him? But the regents are elected by the people of the State of Michigan, and too many people who investigate Michigan are too good at their jobs. Not me, but we have real journalists around here. We just got the real story of the botched Shemy background check. Do you really want to wait for Kim Kozlowski to dig out more stories like that? Or the Daily? Because she/they fucking will, and you'll all look like idiots. Sam reacts to the "Warde is lazy" talk. He was very hands-on when he re-hired Harbaugh in 2020, e.g. there's no way Harbaugh hires Mike Hart. If you were to FOIA conversations about waiting to make a decision on Mel, he's sure you'll find Warde wasn't alone in sitting on the report. What if it wasn't (just) Warde? Talking about the next president. They're considering Duggan (a politician). Only if it's someone who got out of politics because they're too honest. Craig recommends Obama—he couldn't be *that* bored. Think it will be an academic. According to one donor, the AD's #1 job: fundraising. A lot of them are going to be super pro-Katie Fraumann, though she doesn't have AD experience. Sam: like going with a politician for president. Seth: no, it's more like raising the OC. It's not direct AD experience, but it's a lot closer to being an AD. Who are our candidates? We can do a better job of laying out what we want. Winning, obviously. Brian wants someone who *REALLY* cares about the university. Seth wants transparency, who changes Michigan's culture, where you know not to fuck around because we won't cover it up for you. Sam agrees that wasn't a strength for Warde, though he was doing better with it at the end. Craig: someone who really loves the university, because Santa Ono didn't. Sam needs someone who can manage the academic space and also fundraise. Fair to say politicians do more of extracting money without giving anything back. Fraumann? Donors' pick. Not a seasoned AD, but someone who's been next to the AD. Seth: Warde was very good at raising money without annoying me. I love nothing better than when donors give millions and millions, and I don't have to hear about it, and Katie must have been part of that. I've heard the same things from donors, which is important; I want Sam to find out what the coaches think, because that was a key issue w Warde, and it's important that they want to work for her. Brian: on the surface she looks like a good pick, notable that she was hired for an academic job at DePaul.

  Episode: 140 RAISING PPA assessment and treatment from the Ground Up: In Conversation with Jeanne Gallée     In this episode you will discover: · Assessment and Intervention Aren't Separate — Conversation itself can double as both. By listening closely and responding to what a client offers, in a "more art than science" way, clinicians gather meaningful data and provide support at the same time, rather than treating these as two distinct phases of care. · Rigid Testing Can Erase the Person Behind the Diagnosis — Traditional standardized assessments often serve the goals of an institution or research protocol more than the person being assessed. Frameworks like RAISE and the PACT scale shift the focus toward strengths, natural conversation, and what someone can still do, rather than repeatedly measuring decline. · PPA Needs Its Own Identity and Training Path — Because primary progressive aphasia sits uneasily between post-stroke aphasia care and traditional dementia care, clinicians often receive little formal training in it. A global survey found major gaps in education and confidence, underscoring the need for dedicated resources, like Dr. Gallée's PPA roadmap, built specifically for this population. Do you ever wish you could step back in time and undo the missteps and errors of the past? What if you had the opportunity to build something from the ground up? Certainly, knowing what you know now, you could begin in a better place. But of course, there's always pitfalls with new beginnings, even with the knowledge of lessons from the past. You could, however, make a positive impact on that new beginning. Welcome to the Aphasia Access Conversations podcast. I'm Jerry Hoepner, a professor from the University of Wisconsin Eau Claire, and co-facilitator of the Chippewa Valley Aphasia Camp, Blue Gold Brain Injury Group, Mayo Brain Injury Group, Young Persons Brain Injury Group, Brain In-Cog, and Thursday Night Poets. I'm also a member of the Aphasia Access Podcast Working Group. Aphasia Access strives to provide members with information, inspiration, and ideas about their aphasia care through a variety of educational resources. I'm privileged to introduce today's guest, Dr. Jeanne Gallée, who is a clinical scientist in the Department of Medicine at the University of Washington. Dr. Gallée is a licensed speech language pathologist practicing in the greater Washington state area. She completed her Bachelor of Arts in Cognitive and Linguistic Sciences at Wellesley College in 2016 and Doctor of Philosophy at Harvard University in Speech and Hearing Bioscience and Technology in 2021. She has been recognized as a Distinguished Early Career Professional by ASHA and a Distinguished Scholar by the Tavistock Trust for Aphasia. Her work is dedicated to improving assessment practices and functional outcomes for individuals living with aphasia and neurodegenerative conditions. Jerry Hoepner: Jeanne, it's really nice to see you again today, and to have this opportunity to have a conversation with you as a recent recipient of the Tavistock Scholar Program, and to talk about your work with individuals with primary progressive aphasia. So, thanks for being "on" today for the conversation. Jeanne Gallée: Thank you so much for having me, Jerry. I'm really honored to be here. Jerry Hoepner: Likewise, I'm really excited for this conversation, and as I just alluded to, I wanted to congratulate you on being awarded the first Tavistock Scholar with an emphasis doing work in primary progressive aphasia, and I thought maybe I could get your thoughts on being selected as a Tavistock Scholar. Jeanne Gallée: Thank you. It feels honestly incredibly remarkable in the sense that I think it represents a shift in how we're thinking about the separate diagnoses of progressive aphasia versus an aphasia that's due to an acute injury. And I'm really honored to be a part of that. I think there have been many discussions growing over the years, and I think we're seeing that shift in how we do think about addressing assessment and intervention and general care for people across the aphasia continuum. Jerry Hoepner: Agreed, I think there's been so much growth in the last five years in that area. I can remember at the outset of the pandemic, having discussions about "What do we do with people with primary progressive aphasia who were a part of our aphasia group? Should they be a part of our aphasia group? How do we pivot to that in an online context?" and it feels like we've come so far in our conversation about where primary progressive aphasia fits in in all of those different contexts. Jeanne Gallée: Right, I entirely agree, and I think the journey of my own work has already evolved in so many ways that I couldn't have imagined, like you say, five years ago I completed my doctoral work March 2021 and just seeing the phenomenal amounts of change that have really taken place since then has been incredible, and I feel very lucky to be part of that momentum right now. Jerry Hoepner: Absolutely, it's exciting to see these things move forward. And one of the differences that I see is primary progressive aphasia started out within the Life Participation Approach, just soundly from day one, as opposed to a lot of aphasia care, which has kind of evolved from this medical model, and how refreshing it is to see something built from the ground up. Done right, so to speak. I don't know if you have thoughts on that piece… Jeanne Gallée: No, I do. I think that's a really interesting point. I think I might be part of the camp that at times feels like progressive conditions get a little bit lost in the rehabilitation space, but I think you're absolutely right. I think the absence of pharmacological treatment, or a cure that has long standing effects for these progressive conditions has made rehabilitation specialists much more attuned to focusing on quality of life, life participation, maintaining autonomy, and so forth. So, I think I forget that perspective sometimes. Perhaps from the space that I work in, I tend to be in a more interdisciplinary environment where I feel on the opposite end. I'm often asked for justification for providing these types of services, and that fits in nicely with our previous discussion on how we do see that differentiation and how people with aphasia due to a progressive condition may be siloed from people who have the more quote unquote traditional aphasia symptoms. Jerry Hoepner: Yeah, that's a really good point. And you know, referring to those previous conversations we discussed that need for primary progressive aphasia to have a space of its own. It's tricky because it doesn't fit into post-stroke aphasia quite right, and it doesn't fit into the Alzheimer's and dementia world quite right. So, yeah, it's nice to see this developing in the Life Participation kind of context, really excited about Anna Volkmer's conference dedicated to primary progressive aphasia. Yeah, what an excellent point, that even though we feel like it's great to build it from the ground up, there's still people in that interdisciplinary context, who are very much looking at this, like,"Justify this. How is having conversations and doing activities with someone justifiable, as a, you know, as a skilled intervention?" Jeanne Gallée: Right. I think a lot of it comes back to misunderstandings about the scope of our profession. So, coming from the speech language pathology standpoint, we may have a perspective that other providers may not. And it's interesting, particularly when that confusion or disconnect happens in conditions that are communication led, where we see the symptoms primarily touching upon our ability to interact verbally or non-verbally to communicate. And it's fascinating, and I think speaking to that silo, we see PPA having been a relatively new and still considered very rare condition, but there's so much overlap with other conditions, right, in the kinds of symptoms that we see and there's so much where, as any speech pathologist with experience in acquired neurogenic communication disorders, we can see that we can apply our skill set, but again, likely due to the terminal nature of the condition, we end up seeing providers taking it a different route, or saying either there's only the pharmacological route, or we just let it lie or let it be as is, which we wouldn't do with any other condition. We wouldn't say that for someone with ALS. We would want to provide them the supports, even if they're temporary, to improve quality of life. So, it is an interesting, almost cultural phenomenon as well. I think. Jerry Hoepner: Yeah, that I think it's really fascinating, and I'm so glad you brought that up. It reminds me of kind of the phrase, the company we keep, right? It's easy to be amongst, you know, people who are in the [Life Participation Approach to Aphasia] LPPA world, who think the way that we think, and who do the way that we do. And I do a lot of work in the area of cognitive communication disorders with acquired brain injuries, and so forth, and there's been a remarkable shift in the last five years there as well towards a more Life Participation bio psychosocial approach, and some of the work that I've been passionate about for years has been more and more accepted. So you feel like when you're in that company of all of your people that everything's all good, but it also reminds me of something that my friend Natalie Douglas always says, which is that "We need to be out there amongst others who need to understand the importance of this kind of a perspective, and sharing that." And when you talked about those other professionals, I really didn't think about that until you said that. Right, really important to get them on the same page, and to help them understand why this is so important. Jeanne Gallée: Right? And I think that's where the conference that you mentioned, the first PPA only conference that's taking place this summer in London, is so special because one of the reasons why we were so motivated to have this type of a conference is that there wasn't really the space at the typical aphasiology conferences, and then the larger neurology-based conferences, or more broadly dementia-based conferences, also didn't quite feel like a home. I think, especially their studies of quality of life, in particular, we're really not seen as rigorous in those contexts. So, this conference, what's nice is that we have that uniting force of everyone being focused on PPA, but it's super interdisciplinary, and that I think will really promote some fantastic conversations. Jerry Hoepner: Wow, that's really encouraging and exciting to see that move forward. I'm not in the primary progressive aphasia world, although when we're at aphasia camp and things like that, certainly that's a part of my role. But as soon as I saw the call for papers come out, I'm, you know, texting and messaging all of my PPA folks to say, "Did you see this? This is great. Are you doing something?" It's very exciting. So, I'm excited to see where that moves in the future and to hear how things go this time around. That's great. Jeanne Gallée: Likewise, I'm really excited, and I do really believe it will lead to a whole future cascade of collaboration. Jerry Hoepner: Yeah, amazing. Well, before we delve into your amazing work, I've been reading your articles, and it's been just a pleasure to read it. I'm always impressed with how certain themes of importance can come across in different areas of our field, and it's been fun to see that. I wonder, because I'm looking at the list of collaborators, just some incredible collaborators on that list, in those papers, I'd love to hear a little bit about your mentorship, both in primary progressive aphasia and kind of thinking about the Life Participation quality of life kind of context as well. Jeanne Gallée: Yeah, I think in hindsight my mentorship experience seems more linear than it did in the moment. And I think it goes back to my original journey in my doctoral program. The program I was in, the Speech and Hearing Bioscience and Technology program at Harvard was a little bit different from others, where we didn't apply to work with a specific mentor, but truly just to get into the program. And they encouraged a pretty extensive shopping period to work with a variety of mentors to get a feel for topic area, mentorship style, and so traditionally first year students didn't even have any experiences, they just focused on the very time-intensive and rigorous coursework. I came in and started my first experience with Evelina Fedorenko at Massachusetts Institute of Technology, who had worked with an undergrad. And that I think from the get-go gave me a very holistic view. I think, of the ways in which we could think about language, and in particular, the language network. So, there I was working on MRI studies of what activations do we see in the language network. In response to linguistic stimuli. And we were working with undergrads at MIT who were all healthy between the ages of 18 through 30, and I just felt at a certain point that I had this growing interest towards thinking about what happens when something goes wrong. So when it's atypical processing of language. I first thought I might be interested in pediatric population, so I was all over the place, but through the partnership that my program had with the MGH Institute of Health Professionals, I ended up having this amazing opportunity to be mentored by Evelina Federenko, as well as Sophia Vallila Rohter at the Institute of Health Professions, as well as the Frontotemporal Disorders Unit at Mass General Hospital, through my actual clinical training. So I had this quite hefty consortium of mentors, and I think that has its own set of challenges, right? It's a little bit less mentor-directed and more on the student to say, "This is exactly what I want to work on." But I think that allowed me to build a network of experiences and mentors, and that just has bled into every experience I've had since then. I also think the pandemic, you brought that up before, had a huge role in this, and all of a sudden people were very, very open to virtual meetings and connections and wanted connection. I think everyone felt very stuck at home and wanted to find more people and to find meaning and Anna Volkmer and I had the opportunity to meet at the Academy of Aphasia in Macau in 2019. And honestly meeting her in our connection has been also one of those launching pads for me to really jump out into the world of international collaboration. So all that to say, I think a lot of chance encounters and just a lot of plunging into possible conversations head first has led to this phenomenal mentorship team. And a lot of people who I collaborate with now I see as my inadvertent mentors, and that includes Anna, that includes Maya Henry at UT Austin, Amy Mooney in Oregon, just people who have consistently volunteered their time to mentor me in ways in which I can only say I would have never expected. Jade Cartwright and I have had such a phenomenal collaboration over the past few years as well, where we just had the same interests, and Zoom allowing, we were able to build on those. Jerry Hoepner: That's really an amazing answer to that question. I love the term inadvertent mentors, because I just think that those are the best mentors, where you're as much a mentor to them as they are to you. And it's just this really reciprocal relationship, but it's also built on this organic, like passion and interest for the same kinds of topics. Where it's not forced and that's a really nice kind of look back on your entire process. I was also struck by the term "mentor shopping", or "mentor shopping period", whatever. And I think that's really great that you had an opportunity for that not to be so mentor-led, and I mean it clearly shows through when you talk about your clinical experience and how that was connected to your research experience, and kind of all used to create this amalgamation of who you are. I mean, it's clear in talking with you, it's clear in reading your work that you have that strong, multi prong kind of basis. It's not just research, it's not just this specific area of research, it's really broad and the clinical connection is there, so that makes a lot of sense when I hear you talk about that, for sure. Jeanne Gallée: Oh, thank you. Yeah, I think in hindsight, again, it seems more linear, and in the moment it sometimes felt a little wild, I will say, in terms of just wrangling what do I actually want to pursue, and how. And I'm still figuring that out. But I think this community of collaborators and mentors is truly what has kept me in the field and as well. Jerry Hoepner: Yeah, I think when you can connect with other people who are passionate about the work that you're doing. I can't imagine sitting at alone in my office doing a project, and I mean it's just so much more fun when you're doing it with other people. And other people who can expand the way that you think, which I'm sure everyone that you've mentioned on that list really does, when you can say, "Well, I think we should do it this way" and someone says, "Have you thought about…" and it just completely wrecks your world in a good way, "Like, oh my gosh, I didn't think about that, that's so exciting!" and then you just get into this back and forth. Yeah, very fun to hear about that. And again, it clearly shows through in the work that you do. In our previous conversations, you also mentioned this idea, and this again built on those clinical foundations that your initial mission was really to help develop interventions for people with primary progressive aphasia, and then you kind of got not off track, but inadvertently focused on working on assessments. You mentioned that there's just such a need, and this is so common in a lot of areas, but there's a need for more person-centered, ecologically valid strength-based assessment, and that the traditional measures just don't tell us enough. So, I'm really excited to talk about the work that you're doing on assessment, and how that brings us closer to what we need from an intervention standpoint, too. Jeanne Gallée: Yeah, so that really is at the heart of what has been my experience. Also, right from the get-go, we started talking about the differences, or the possible differentiation that the field has historically taken in thinking about post-stroke aphasia versus primary progressive aphasia. One of my first real PPA projects in my doctoral work was meant to be a naming treatment study for people living with PPA, and one of the roadblocks I kept hitting was also my mentors and reviewers telling me that I was trying to add too many things. And in that process I realized I don't think just using something that exists for post-stroke aphasia is going to be the best way to address the patients I'm seeing right now. And it's not because there's something wrong with that treatment. That treatment was not designed for these individuals. And that led to many more rabbit holes, and you know me really just feeling this existential crisis of "Well, why are we working on the stimuli that we are, and why are we asking questions about these ones?" And I have so much respect for the assessments that exist, and the individuals behind them, and the time they invested in making them. I am also of the belief that we can move forward and improve our processes. There are certain assessments that may be widely used and have so much again power behind them. You know, we have best associated certain assessments with characterizing a diagnosis, but what I ended up seeing in my placements and throughout my clinical work is that many assessments serve more of a mission of an institution or a research protocol than the person being assessed. And in the face of a person with a terminal condition who is using their precious time to serve you in that space, I just think it's so much more important, or that much more important, to really consider what is most functional for them. What will serve them? And how we, how can we give back to that person? And again, part of that emotion, I think, comes from having worked in many research-centered spaces, where someone might not get intervention afterwards, or they might not understand why they are participating in up to five hours of assessment, and I think that's where that passion for focusing on reprioritizing the patient or the client really came from. Jerry Hoepner: I think that attention to "what's in it for them", is really important and clearly based in kind of where your heart is at and where your clinical mindset is at. Because it's easy to go in and say, "Well, we need this data. We need all the data that we get." but to what end, right? Like, how is it going to help? And how is that going to give us any more information about how to help this person, then what they can't do, right? So, I appreciate that mindset a lot, you know. It makes me think, and this is a little off track, and we didn't talk about this question earlier, but what a shift it will be clinicians working with people with primary progressive aphasia, and how they'll be able to shift from using kind of the existing tools that were out there for other purposes to moving towards tools that are designed specifically for people with PPA, and maybe just a snapshot of your thoughts about that piece. Jeanne Gallée: So I think it's really important to know where the field comes from, the work in which it was grounded in. So, I think it, it makes sense to talk about standardized assessment scores. It makes sense to talk about, you know, the specific assessments that can help us quickly differentiate presentations or needs, right? So, using the symptom-led approach, can we identify specific behaviors really quickly in a standardized way? I think the issue comes in when we stop being dynamic in how we use them. It's very easy to use an assessment in a way that feels rote. It feels just like a test, and it's like you said, "just collecting data for the purpose of collecting data." And lose that aspect of humanity. And maybe I'm putting words in other clinicians' mouths, but especially when a certain condition is rare, like PPA is. You may not have very much experience with seeing someone with PPA, or any type of progressive condition, and feel really stuck and needing to be in the motivation of being really professional, sticking to a certain set of tests. "This feels right." Right, this is what someone told me to do. I can fill this out, and there's something very potentially vulnerable or scary about just going with your gut in those moments. And what Anna Volkmer and I have spoken about so often is just the power of having a conversation with someone, and seeing what you can learn from that conversation, not only about the person themselves, but their communication behaviors. And how you can get so much from that conversation, including the trust and comfort of the client in front of you. Jerry Hoepner: Absolutely, yeah. One of the things that I think about when you're talking about that is, in working with people with acquired brain injuries and traumatic brain injuries one of the things I've learned is they will tell you, or they will ask, right? They'll say, "What is this? "What kind of information is this giving you?" "Why do we have to do this stupid test?" And I think that's good. I think that's a mindset that we should have when we're thinking about all of the assessments that we do. Why are we doing this? Is this really necessary? And they're very willing to say, "If it's necessary, that's fine, I'll do it, but are you getting something from this that I'm not seeing?" Right, I love that question, and I think it speaks to what you just said, right? Like, there's so much information that we can gather from conversations, from our interactions with people, we should be thinking about getting that, and if we're doing something else, we should have a why directly following, yeah. Jeanne Gallée: Yes, the why is so important, and you're right. Sometimes we do just need to get certain information. I think for me, one of the most striking moments early on in my training was having small talk. You know, just conversation with a person with semantic variant primary progressive aphasia, and thinking, "Wow, this all feels quite typical. I'm curious about why they're here? What their testing will look like…" and then moving on to the Boston Naming Test and immediately seeing the challenges that came. That dichotomy is really helpful to have in those moments, but again, there's the argument of why are we asking about the name abacus, right? Why are we using that right now, and how does that represent how someone is performing functionally in their everyday life? Jerry Hoepner: Absolutely, yeah, totally. I agree. Can you share a little bit about the RAISE framework, which I really love, because it relates to the way that I think about assessment from the standpoint of counseling, like you build on relationships and connections. William Miller is famous for saying, "The last thing you should ever do at the beginning of a session is assessment." You're beginning of a relationship with someone, don't assess first thing. So, I love that piece, and then thinking about the pact, and I'll let you kind of expand those, but I'll let you unpack them – ha ha- but how that starts to move us towards intervention. Jeanne Gallée: Right. So the RAISE assessment framework was really built out of those conversations, and I guess realizations on my own part about that discomfort with the really rigid end that assessment can…I'll restate that. The rigidity that assessment can have, so again speaking to really, really standardized sets and rigid protocols of specific measures that someone uses, and like you said, having the experience of multiple research participants, as well as patients, asking "Why are we doing this? I know I'm not good at this. Why are we doing it again and again?" And in those moments, not feeling like I had the power to really justify exactly why we were doing everything, apart from, "Oh, this is important for the research study." Which it was, but just feeling like there was that aspect of humanity that was missing, and coming up with my own toolkit in those moments to fill in those blanks. So right after the completion of my PhD, Anna Volkmar and I started speaking a lot more about the power of conversational assessment. And then that led into conversations where we worked with Anne Whitworth, Deborah Hersh, and Jade Cartwright, where again, through the power of Zoom across all times. I was pregnant with my first, and meeting everyone usually at midnight my time. I already was nocturnal at that point!  Where we would just be discussing all of these issues, and what was amazing about this is that, particularly Anne and Deb come from more of the post-stroke aphasia world, and had these amazing principles grounded in those populations where Deborah Hersh had also really come forward with the concept of therapeutic assessment. So as you had said assessment and intervention shouldn't be separate, they belong together and coexist at all times if we're smart about it. And what we ended up doing, first informally and then formally through the more official Delphi process is coming up with a set of principles as a framework for assessment. So, to take a step away from, "Oh, it's just Lucy Goosey, we're having a conversation and chit chat." What we're actually promoting is a pretty structured set of principles to guide the ways in which we can cultivate assessment for individuals with PPA and their loved ones. Jerry Hoepner: Yeah, absolutely. I was kind of scanning on my computer, I was trying to think of the name. I love this name of the article, where it says, 'Please don't assess me to death, or something like that. Jeanne Gallée: Yes, yeah. Jerry Hoepner:  Yeah, and, and thinking about that whole entire process from beginning to end as a relationship, as you know, not discreetly assessment, not discreetly intervention, I think it's just really important. Can you talk a little bit about the PACT and kind of where that has moved things in terms of the assessment piece, but also kind of set a set up for intervention and what that looks like? Jeanne Gallée: Great, so the PACT the Progressive Aphasia Communication Toolkit kit builds off of what we put forth with the RAISE assessment framework. So with RAISE we promote that the relationship might be temporary, it might be a single interaction, or it might be long term, and we cultivate that through conversation and then the PACT is a set of scales that leverages that conversation, we take that natural or as natural as can be interaction and use it to come up with a concrete framework of communication strengths. So that might all sound very esoteric. To make that more concrete, there are four scales to the PACT. They're all clinician ratings, where the clinician is asked to look at a pre-recorded conversation that would occur naturally in a clinical or research context, and then on a scale from four to zero, rate the person speaking's strengths. So within the domains of speech and voice, as well as language and social pragmatics, as well as discourse, and the point or the purpose of that was to really anchor a person's communicative ability in one of these more natural environments with a provider. We collect so much phenomenal qualitative data, but at times it can feel challenging to quantify it and the hope with the PACT is that we can quantify our very real, possibly subjective evaluation of a person's communication at a certain moment in time. Jerry Hoepner: Yeah, and what I love about that, and you might have a slightly different thought about this, because you're deeper into it, but from an assessment standpoint, you can then do that all the way through. You can say, "Here's where they are this year, here's where they are next year, here's where they are the year after that, or you know, two years ago, or whatever your lens is at that point." You can do that without kind of this constant repeating of, "Okay, let's see how bad you are today compared to a year ago, or compared to two years ago." Just a very different mindset. And I love the focus on "What can you still do? What what's working? And how can we leverage what's working to really help you to actually communicate today?" As opposed to saying, "Oh boy, the ship is sinking." which is kind of the typical approach. Jeanne Gallée: Yes, that exactly what you're saying. The tendency tends to focus on what's no longer there. And while that might be helpful in clinical trials to characterize a person's performance diagnostically and the trajectory of a diagnosis over time. It really does not serve the person who goes home after the assessment, nor their loved ones to help them maintain that autonomy and quality of life, and also caregiver burden. And that is actually one of the points I really love about the PACT, is it builds on that RAISE aspect, that final tenant of evolution or adaptation over time. There's no repeat measure conflict here, where you know something might seem familiar. One of the unique parts of the PACT is that the clinician doesn't fill out the scale while they're talking to the person, they're really just recording them talking, so it is on the clinician side where, as often as they'd like to, they could implement the structured prompts of the PACT and then fill out the scale and see how performance might vary over time. They might see effects of context of the conversation, or the environment, or maybe the time of day, you know, phase of life, but it remains a way to use that really important information you gather through these conversations without recreating a testing environment frequently. Jerry Hoepner: I really love that framework. I think there's a lot of room for that to be used in other contexts as well. I just think it's really a wise way of thinking about it. I also, you just mentioned caregivers and caregiver burden in this context, and how does that fit into this entire RAISE framework, the PACT, and so forth. Jeanne Gallée: I think for both the RAISE assessment framework as well as the PACT the carers play an essential role in the sense that if they are available and present in the patient's life, then they are involved in the process. And so within the RAISE framework, the care partner is involved to provide feedback or to be given feedback, and in the PACT the same occurs, where if they are present at the time of the conversation, they are involved in the conversation. What I tend to do in the people I have piloted the PACT, I say come in as you would naturally, but then also take a step back. Let the person that with PPA that we're talking to take the lead, but I want you to interact as you would naturally. And then they're separately also asked to comment on the strengths that the person with PPA has. Their feedback is so integral because if they are present in a person's life, they play an essential role in promoting anything that we do work on in speech therapy. Jerry Hoepner: Absolutely, yeah, really well said. And I wanted to dig in, partly because I have envy of this figure, the roadmap figure for PPA, and I think it really sets up well for as we think about professionals out there too, like what's the roadmap, not just for the person and their partner, but what's the roadmap for clinicians, future clinicians, all of that. Maybe you can talk a little bit about that figure. Jeanne Gallée: I'd be delighted to. So, this was one of those, I would say classic for me moments where I had an idea and went to PowerPoint and started playing around with a visual of what I was thinking. The roadmap paper in no way is meant to be the only guide for how we can work with a person with PPA, but was really born out of discussions with Amy Mooney, as well as Zoe Ezzes, and Kristin Schafferr Mendez through the National Aphasia Association about the possible gaps in education or preparation a person might experience when first working with people living with PPA.  There are so many ways in which we could say, "Oh, just work on this exact task. Work on these.." and that can feel so lost and unanchored, unmoored moreover. And I wanted to provide the clinical toolkit that I've been using to help me think about my broader approach. So to not get lost in the weeds, but just generally think about what's my purpose here, what's my journey, and so at the center of this road that I created is the tenant of providing that person-centered care, like we aim to with the RAISE assessment framework, so really bringing it back to establishing that honest and holistic and person-centered relationship with your client and their care partners. And focusing on creating a journey that's unique to the client that I think can feel hard when there are so many unknowns with a condition like PPA, where you're always working with an interdisciplinary team. Which you may or may not have contact with. So the first part of this roadmap is really defining your role. Who are you as a professional, and what kinds of support can you provide, and part of defining your own role includes defining your role relative to the rest of the interdisciplinary team. How can you provide a different approach from the neurologist or the neuropsychologist who play vital but very different roles in a person's care journey? Part of that definition also includes advocating across professions, so a classic conundrum that people with communication-led disorders face is that they may not have certain challenges in other domains, but their communication results in a domino effect of difficulties. And so, as the speech language pathologist, coming up with ways in which you can provide supports to other providers or your client to improve their communication can be essential for that comprehensive care. That might include coming up with a communication notebook that has a single page related to specific questions or common topics when talking to the neurologist or the physical therapist or other providers. And then part of this roadmap includes referring out. So having the humility and confidence to say I can't help with this in the ways that you may need. I will either refer you to a specialist within our field or outside of our field to help with these specific aspects, and I think that's just responsible care. Jerry Hoepner: Absolutely. Really well described, and such a perfect. A segway to my next question. I always tell my students, assessment isn't just the first and last session that you're working with someone, and the same goes for intervention, right? It's not excluded from the beginning and the end, right? Like, you can't do intervention on day one, you can't do it on the last day, right? I think we kind of silo those things as well, you know, we assess and we intervene every day side by side. Can you share a little bit of your perspectives on this? And, and how that relates to kind of what we just talked about in terms of that roadmap? Jeanne Gallée: Yeah, I think part of the challenge with some of these concepts is that it's very helpful to have experience in working with individuals, whether it is through formal speech therapy or elsewhere, to feel comfort with the unknown. Because a lot of it relies on your ability to listen and to respond to what you notice. You may inadvertently put in assessment by asking follow-up questions to a point a person made when you were talking about their commute. Ad you may offer different technological supports or just visual supports to your client in that conversation in a way to build up supports to see, "Oh, do we see a difference in how they're responding to what I'm saying? And how I provide support? Or when I dial it back, do we see a completely different direction?" So, it is this beautiful, possibly more art than science approach of responding to what a person is giving you. And there are so many individual differences in all of us.  I always joke about how when I used to collect data on the picture description using both age match controls and people with PPA, I would almost burst out laughing when some of the controls provided responses, because I would get one to two sentences sometimes because see the difference in motivation. A person who does not have a communication concern, does not see the need to show exactly what they can do. And would benefit from some encouragement to show exactly how much they can say, whereas a person with PPA, who might have an Aphasia Quotient that recognizes their aphasia, might speak for five to 10 minutes to show exactly everything that they can accomplish. And so I think having that in your back pocket is really important when it comes to thinking about coming up with your recipe of all the ingredients of your assessment and intervention approach and counseling approach. So, I think that's where most of my work comes from, is that there is no one size fits all, but there are certain ingredients or components that we need to apply, and the exact ratios depend on the person you're working with. Jerry Hoepner: That is such a good description of dynamic assessment and intervention and how that I agree, probably more art than science. And that's hard for people who want a black and white answer, like "Step one…" but it's so true, and, and being effective in working in this context, that really moves us nicely into a recent paper that you did, those global perspectives on the management of PPA, and I was struck by the numbers here. Only 40% of respondents said that they had received training in primary progressive aphasia at their university, and they identified all of these needs, right, like online instruction, sample tools, and activity dealing with end of life care and trainings for end of life care. When you mentioned counseling, that totally relates to what we're up against in terms of counseling, right? No one feels confident or has very good self efficacy. Tey don't know if what you know the lines are, what part is theirs and what part is someone else. And I think just really important to like I said, lay out a roadmap and help people to understand what we were just talking about in terms of that art and science of how do you navigate this space when it has to be individualized for every person, and that can feel uncomfortable for a lot of people. So, I'd love to hear more of your thoughts on that, and kind of what you learned from that context. Jeanne Gallée: Yeah, so this research study. Was really an amazing endeavor on part of everyone who was involved. It felt like a grassroots effort to find the speech language pathologists around the world who aren't associated with a particular institution who do work with primary progressive aphasia. So of course it will never be a fully representative sample of every clinician who does so, but I do think we worked very hard to cast a wide net. So we used a snowball method. I contacted almost 40 institutions and governing bodies to find speech language pathologists who do have experience with PPA, because while more and more non-specialist providers will be seeing this patient population, we wanted to hear from the people who currently are in the field and creating their own expertise and toolkits to work with these individuals. So, what we found is that a lot of people are out on their own creating their own wheels, so to speak. And it just really led to that beautiful conclusion of now with the power of our globalization of education and sharing of resources, we can come up with a resource that's shared worldwide. Of course, there will be adaptations to fit different contexts, cultures, languages, but one of the issues has been that the systems of care for PPA have often relied upon very specific individuals. And that's reflected in the educational level. Even I was in the master's program between 2017 and 2019, I didn't hear about PPA formally in my coursework, and if it was mentioned we did not go into any of these aspects of specialized care. Part of that might have been because I didn't take very specific courses that then you know were optional or precluded, so I might have missed it, but I really didn't receive that education in the classroom. I received it through my clinical training, which I would argue is possibly even more valuable, right? You have that experiential training. But I think for clinicians who might want to transition in their careers, or you know, inadvertently in their place of work, are transitioning based on who shows up, that is a huge disservice. Jerry Hoepner: Yeah, agreed. And it's a complex issue, right, because I can remember actually teaching about this back before Tom [Sather] was in my department. I taught the aphasia class and the acquired cog class, and I was thinking, like, where do I talk about primary progressive aphasia? Do I talk about that in acquired com? Do I talk about that in aphasia? Do I do it in both? Where do I talk about end of life care, and like, how does that fit in, because that's, you know, at that point I was teaching dysphasia, too. Believe it or not, and I'm like, it's kind of there, it's kind of here, it's kind of, it's kind of in counseling, it's all right. So that makes it tricky to have kind of a uniform message when it's all over the place. And love to just get your thoughts on that too. Like, where do you put that stuff? Like, it's it's PPA, it's end of life care, it's aphasia, it's right, it's counseling, it's so many things at once. Jeanne Gallée: It is so many things at once, and I do think that speaks to the fact that it may well need its own class as part of progressive conditions. Jerry Hoepner: Yeah. Jeanne Gallée: But I do think a large part of what we share there is that understanding of we may also need to shift the identity of who we think about when we think about life care. And when we think about a progressive condition. Since a huge flavor, so to speak, of PPA is the fact that it is early onset, and especially with our cultural shifts, and you know, people starting families later in life. The face of a person with PPA looks very different from, at least in my childhood, of what looked like typical Alzheimer's disease dementia. And it's a younger, possibly more dynamic working person, possibly with little kids at home. And I think that's where that symptom-led approach has been most beneficial for my practice. Where we think about "What are you experiencing and how is it impacting your life?", rather than saying "This is the diagnosis, let's put you over here in this box." Jerry Hoepner: Yeah, the idea of putting it in a box and siloing things really resonates in this context, and I love what you said about identity, right? The identity - what we all have in our mind's eye when we think about end of life care is not the typical person with primary progressive aphasia. Like I can remember as an elementary school student visiting the nursing homes and singing to the residents and things like that, and this was not, this was not the group of people that we were thinking about in that context. Very, very different, and I just think that's a really good mindset shift to recognize how actually broad that is. I'm sure there's people listening to this who work in, you know, end of life pediatric care who want to slap me in the face right now, but right, we have such a different mindset when we're thinking about end of life care, and that reset that you just made super important. Jeanne Gallée: Yeah, yeah, and easier said than done, I think, As well as just seeing who shows up to the University of Washington support groups, and just the own perspectives that individuals bring there. But I think we can do it. I think, as a field, that will be the way in which we can become the best generalist provider, so to speak, where we take general principles of addressing symptoms or situations, and then apply those to diagnoses across the spectrum. Jerry Hoepner: Absolutely, really well said, and a great place to kind of wrap up our questions, but I want to give you the opportunity, are there points that you want to share before we kind of close our conversation? Things that we missed. Jeanne Gallée: I think the general thread throughout our conversation has just spoken to the power we do have as providers or researchers working with patients with primary progressive aphasia or related conditions, I think when we feel that our expertise in the newest theories or approaches might be lacking, we can always rely upon our empathy and full body listening, just to bring in elements that go across the lifespan, and that in of itself can lead to so many honest and transparent choices in our clinical care that can best serve our communities. I think we are much more empowered than we think we are. Jerry Hoepner: Absolutely, that's a really important thread through many places where clinicians feel uncomfortable. They've got it there and they just have to gain that confidence, and being empowered to step into those moments. Well said. Well, Jeanne it's been just a really fun conversation. I'm sure we could talk all afternoon, but I look forward to catching up to you at future conferences and things like that. It's been my pleasure to have this conversation. So, thank you for being a part of it. Jeanne Gallée: Right back at you, Jerry. Thank you so much. This has been a really fun conversation, and like you said, I hope to meet in person in the near future. Jerry Hoepner: Agreed. On behalf of Aphasia Access, thank you for listening to this episode of the Aphasia Access Conversations Podcast. For more information on Aphasia Access, and to access our growing library of materials, please go to www.aphasiaaccess.org. If you have an idea for a future podcast series or topic, email us at info at aphasia access.org Thanks again for your ongoing support of Aphasia Access.   Resources and Readings 1) The RAISE Assessment Framework: Gallée, J., Cartwright, J., Volkmer, A., Whitworth, A., & Hersh, D. (2023). "Please Don't Assess Him to Destruction": The R.A.I.S.E. Assessment Framework for Primary Progressive Aphasia. American journal of speech-language pathology, 32(2), 391–410. https://doi.org/10.1044/2022_AJSLP-22-00122  Gallée, J., Volkmer, A., Whitworth, A., Hersh, D., & Cartwright, J. (2024). Applications of the R.A.I.S.E. Assessment Framework to Support the Process of Assessment in Primary Progressive Aphasia. American journal of speech-language pathology, 33(5), 2280–2290. https://doi.org/10.1044/2024_AJSLP-24-00085 2) A roadmap for clinicians just starting to work with PPA: Gallée, J. (2023). A Roadmap to enhance care for people living with primary progressive Aphasia: What Can Be Done Now?. Perspectives of the ASHA Special Interest Groups, 8(5), 847-862. https://doi.org/10.1044/2023_PERSP-23-0002  3) Aspects of language functioning in early and late-onset Alzheimer's disease dementia: Gallée, J., Gibbons, L. E., Choi, S. E., Lee, M., Scollard, P., Trittschuh, E. H., Mez, J., Saykin, A. J., Foldi, N. S., Mukherjee, S., & Crane, P. K. (2025). Facets of language performance in early-onset and late-onset Alzheimer's disease dementia. Alzheimer's & dementia : the journal of the Alzheimer's Association, 21(9), e70705. https://doi.org/10.1002/alz.70705 4) The Progressive Aphasia Communication Toolkit (in production at Alzheimer's & Dementia, but here is the preprint): Gallée, J., Cartwright, J., Henry, M. L., Mooney, A. R., Stark, B. C., Volkmer, A., Dietz, A., Nakano, C., Battista, P., Beales, A., Beber, B. C., Cadório, I., Caldwell, M., Davies, K., Ezzes, Z., Gauch, M., Graney, T., Grobler, S., Haley, K. L., Hausmann, A., … Crane, P. K. (2025). The Progressive Aphasia Communication Toolkit (PACT): A Strengths-Based Approach to Multidomain Evaluation for Intervention. medRxiv : the preprint server for health sciences, 2025.11.25.25340904. https://doi.org/10.64898/2025.11.25.25340904 5) A global survey on SLP perspectives on the management of PPA: Gallée, J., Cartwright, J., Grasso, S., Jokel, R., Lavoie, M., McGowan, E., Pozzebon, M., Beber, B. C., Duboisdindien, G., Montagut, N., Norvik, M., Sugimoto, T., Townsend, R., Unger, N., Winsnes, I. E., & Volkmer, A. (2024). Global perspectives on the management of primary progressive aphasia. Scientific reports, 14(1), 19712. https://doi.org/10.1038/s41598-024-70156-5 6) Aspects of language functioning in early and late-onset Alzheimer's disease dementia: Gallée, J., Gibbons, L. E., Choi, S. E., Lee, M., Scollard, P., Trittschuh, E. H., Mez, J., Saykin, A. J., Foldi, N. S., Mukherjee, S., & Crane, P. K. (2025). Facets of language performance in early-onset and late-onset Alzheimer's disease dementia. Alzheimer's & dementia : the journal of the Alzheimer's Association, 21(9), e70705. https://doi.org/10.1002/alz.70705

O que a experiência ensina e os livros não contam | Kleber GrassoUma carreira construída entre engenharia, tecnologia, Força Aérea, Embraer, negócios e desenvolvimento humano.Neste episódio do COACHcast, converso com Kleber Grasso sobre os aprendizados de uma trajetória de mais de 45 anos e uma ideia poderosa: conhecimento ganha valor quando a experiência vivida pode ajudar outras pessoas.Falamos sobre carreira, curiosidade, decisões, aprendizado contínuo e mentoria — não a teoria dos livros, mas aquilo que a vida ensina na prática.Uma conversa sobre repertório, experiência e a importância de continuar aprendendo em qualquer fase da vida.Conecte-se com Kleber GrassoInstagram:@klebergrassoLinkedIn:Kleber GrassoFaça parte da Comunidade COACHcast:https://chat.whatsapp.com/JfBvXy64OLh19TzBJHE1OR?s=cl&p=i&ilr=0 Faça parte dessa históriaO COACHcast é um projeto independente, criado para compartilhar histórias que inspiram profissionais, líderes e empreendedores. Se você ou sua empresa acreditam nesse propósito e desejam fazer parte dessa iniciativa, será um prazer conversar.Se este episódio trouxe valor para você, inscreva-se, comente e compartilhe. Sua participação ajuda o COACHcast a chegar a mais pessoas.

Stai davvero migliorando la tua composizione corporea... o stai solo perdendo liquidi e massa muscolare, accumulando grasso viscerale?Il dimagrimento e la tonificazione non sono solo una questione di calorie o di quante ore passi a sudare su un tapis roulant. La ricomposizione corporea è un processo fisiologico preciso che dipende da una sinergia di fattori: come mangi, come ti alleni, come gestisci lo stress e come dormi.In questo video da Biologo Nutrizionista smonto un mito durissimo a morire: ti spiego perché la palestra, da sola, è inutile per dimagrire e quali sono i veri pilastri per trasformare il tuo fisico, migliorare la salute e raddoppiare le tue energie.Molte persone si allenano duramente ma si sentono:• Stanche e svuotate• Frustrate dai mancati risultati allo specchio• Con l'addome sempre gonfio (il classico grasso profondo)• Con l'autostima a terraQuesti sono i segnali che il tuo approccio metabolico è da rifare. Il vero nemico nascosto è il grasso viscerale, il più pericoloso per la salute, che avvolge gli organi e rallenta il metabolismo.In questo video capiamo insieme:• Cos'è davvero la ricomposizione corporea e come funziona• Perché solo fare palestra non ti farà perdere il grasso addominale• Come eliminare il grasso viscerale in modo definitivo• La sinergia segreta tra nutrizione, stile di vita e allenamento per ritrovare energia e autostima

Sermon from Michael Grasso.

Sermon from Michael Grasso.

Utilizzare il proprio tessuto adiposo per correggere difetti, ripristinare volumi e migliorare la qualità dei tessuti. È il principio del lipofilling, una tecnica consolidata di chirurgia plastica e ricostruttiva che prevede il prelievo del grasso dal paziente, la sua preparazione e il successivo reimpianto nelle aree da trattare. Dalla ricostruzione dopo interventi oncologici ai trattamenti estetici di viso e corpo, il lipofilling trova oggi applicazione in numerosi ambiti grazie alla sua biocompatibilità e ai risultati naturali che può offrire. Ne parliamo con il professor Marco Klinger, responsabile della Chirurgia Plastica dell'Istituto Clinico Humanitas di Rozzano

Hai fatto tutto bene — dieta, movimento, calze. Le gambe non cambiano. E qualcuno ti ha detto che non ti impegnavi abbastanza. Se ti riconosci in questa frase, potrebbe non essere un problema di volontà.→ Il lipedema non è cellulite e non è ritenzione idrica: il grasso lipedematoso ha disfunzione mitocondriale e ipossia tissutale marcata — è biologicamente resistente alla restrizione calorica. "Mangia meno e muoviti di più" non funziona perché non può funzionare su quel tessuto→ Dimagrire 20 kg con il lipedema non migliora le gambe in proporzione al resto del corpo — risposta secca alle Rapid Fire Questions. Il corpo perde altrove, non lì. Questa è la claim più importante che ogni paziente dovrebbe sentire da un professionista prima di iniziare qualsiasi percorso→ GLP-1 e lipedema: il farmaco riduce l'infiammazione e il dolore in modo significativo, ma il tessuto lipedematoso rimane. "La riduzione del dolore è notevole — il lipedema è rimasto lì" — esperienza diretta di una paziente in trattamento→ In Italia molte donne si autodiagnosticano guardando Instagram prima che un medico lo riconosca. È una vittoria della divulgazione e insieme una sconfitta della medicina: su questa patologia gli studi scientifici maggiori risalgono solo agli ultimi cinque anniSe hai sempre pensato che fosse colpa tua, questo episodio ti spiega perché non lo era.

What do we need to know about Isaiah 53 before reading it?Where are we in history? What is going on in ministry? Support this show!! : https://www.bibspeak.com/#donateGrab your free gift: the top 10 most misunderstood Biblical verses: https://info.bibspeak.com/10-verses-clarifiedJoin the newsletter (I only send 2 emails a week): https://www.bibspeak.com/#newsletterShop Dwell L'abel 15% off using the discount code BIBSPEAK15 https://go.dwell-label.com/bibspeakDownload Logos Bible Software for your own personal study: http://logos.com/biblicallyspeakingSign up for Riverside: https://www.riverside.fm/?utm_campaig…Use Manychat to automate a quick DM! It's great for sending links fast.https://manychat.partnerlinks.io/nd14879vojabStan.Store—way better than Linktree! It lets me share links, grow my email list, and host all my podcast stuff in one place.https://join.stan.store/biblicallyspeakingSupport this show!! : https://www.bibspeak.com/#donateDr. Kevin Grasso is a biblical scholar, author, and linguist. He holds a PhD in Hebrew Language from the Hebrew University of Jerusalem, as well as an MA in Linguistics (focusing on the Biblical Hebrew verbal system) and an MA in Comparative Religion (focusing on Paul and second temple Judaism). His academic work has appeared in leading journals and edited volumes, where he applies theoretical linguistics to exegetical problems. His current research focus is on the Messiah, law, faith, and justification in Paul's letters. Alongside his academic career, Kevin is the co-founder and CEO of Biblingo, an innovative and effective way to learn biblical Greek and Hebrew."You can connect with him at kevin@biblingo.orgAlso,one cool thing about Dr. Kevin is that he can actually speak biblical Greek and Hebrew conversationally (something very few people - even scholars - can do). He lived in Israel for several years and knows a lot about the original languages and culture of the Bible.Recommended reading inspired by this episode:

"Every person seeks refuge somewhere. The question is whether that refuge is true or false.In Isaiah 28:14–22, God confronts Judah for seeking security in political alliances rather than in the Lord. Isaiah describes their alliance with Egypt as a “covenant with death” and a “refuge of lies.” Instead of trusting in God, they sought salvation in the strength of man.Against this false refuge, God sets forth another refuge: the cornerstone laid in Zion.This sermon explores:The historical background of Judah's alliance with EgyptWhy Isaiah calls Egypt a “covenant with death”The irony of seeking life from the “land of death”The meaning of the “refuge of lies”The cornerstone prophecy fulfilled in ChristThe temple, Zion, and the Davidic CovenantChrist as the true sanctuary and refuge of his peopleIsaiah 28 powerfully contrasts two foundations: the collapsing refuge of worldly wisdom and the unshakable cornerstone laid by God himself. Christ alone is the refuge that can withstand the coming judgment."

"Saul's tragic end stands as one of the most sobering warnings in all of Scripture. Having rejected the word of God repeatedly, Saul finds himself abandoned, terrified, and seeking help from a witch in open rebellion against the Lord. In this sermon, we examine the downward spiral of unbelief, the terrifying reality of divine judgment, and the urgent call to flee to Christ while mercy is still offered.#Bible #Christianity #1Samuel #Saul #Judgment #JesusChrist #OldTestament #BiblicalTheology #Reformed #ExpositoryPreaching #FearOfGod #Repentance #Gospel #Endor #SpiritualWarfare #Faith"

"Why do some people hear the Word of God as life and glory, while others hear it only as meaningless noise?In Isaiah 28:7–13, Isaiah describes the spiritual condition of Judah's leaders as drunken, blind, and incapable of understanding the Word of God. To them, divine truth sounds like nothing more than “precept upon precept, line upon line.” The problem is not with God's Word—it is with the hearts of those who hear it.This sermon examines:The spiritual blindness of Judah's priests and prophetsThe judicial hardening theme throughout IsaiahWhy the Word of God sounds foolish to unbeliefChrist's use of parables as judgmentThe meaning of “strange speech” and foreign tonguesPaul's use of Isaiah 28 in 1 Corinthians 14The clarity of Scripture and the responsibility of the hearerIsaiah warns that when people refuse to hear God's clear Word, God may give them over to confusion and judgment. But for Christ's sheep, the Word remains the voice of the Good Shepherd and the words of everlasting life."

"David has been rejected by his own people and forced once again into exile among the Philistines. Yet even in suffering and exile, David proves himself to be the true Israelite and the conquering king who fights for the people of God. In this sermon, we explore David's growth through suffering, the morality of his actions in Philistia, and the way his life foreshadows Christ—the rejected Messiah who nevertheless rules, defends, and ultimately delivers his people into their inheritance.#Bible #Christianity #1Samuel #David #JesusChrist #OldTestament #BiblicalTheology #Reformed #ExpositoryPreaching #ChristInAllScripture #Messiah #Faith #Gospel #KingdomOfGod"

"David once again spares Saul's life, showing the mercy, patience, and faith that marked the Lord's anointed king. In this sermon from 1 Samuel 26, we consider why Scripture repeats events like this and how these repeated acts of mercy reveal the character of David—and ultimately the character of Christ.As Saul hardens his heart and continues persecuting David, David refuses to seize the kingdom through violence or revenge. Instead, he entrusts himself to the providence of God, returning evil with good and waiting patiently for the Lord's timing. Through suffering, humiliation, and persecution, God is preparing David for the throne.This passage ultimately points us to Jesus Christ, the greater Son of David, who overcame evil not through worldly power but through the mercy and weakness of the cross. Christ bore suffering, prayed for his enemies, and showed mercy to sinners that they might be forgiven and transformed forever.In this sermon:Why repeated narratives matter in ScriptureDavid's growing faith and confidence in GodReturning good for evilGod's use of suffering to prepare his peopleThe theology of humiliation before exaltationDavid as a type of ChristThe transforming power of mercy and the cross“Father, forgive them, for they know not what they do.” — Luke 23:34"

"In Isaiah 28:1–6, the prophet Isaiah warns Ephraim—and through Ephraim, all of God's people—that pride always leads to destruction. The “glorious beauty” of the proud fades like a dying flower, and those intoxicated with the glory of this world will eventually be brought low under the judgment of God.Yet woven into this warning is a glorious promise of salvation. While the proud fall, God preserves a righteous remnant for whom the Lord himself becomes “a crown of glory and a diadem of beauty.” Isaiah points us beyond the immediate historical context to the coming Messiah—the true King filled with the Spirit, who judges in righteousness and becomes the refuge and glory of his people.This sermon explores:The structure and themes of Isaiah 28–35The spiritual meaning of “drunkenness” in IsaiahGod's judgment against worldly prideThe remnant theology of IsaiahThe connection between Isaiah 28, Isaiah 4, and Isaiah 11Christ as the Spirit-filled ruler and true glory of his peopleThe message of Isaiah 28 is deeply relevant today: the glory of this world is fading, but those who trust in Christ will never be put to shame."

"What happens when even the righteous reach their breaking point?In this chapter, David—who showed remarkable restraint toward Saul—nearly falls into destructive anger against Nabal. This passage exposes the limits of even the godliest men and highlights our deep need for divine grace.Enter Abigail.Through her wisdom and intercession, she turns away David's wrath and prevents bloodshed. Her actions not only demonstrate God's restraining grace but also serve as a powerful type of Christ—the ultimate intercessor who turns away divine wrath on behalf of His people.We examine human weakness, the necessity of God's providential restraint, and the glory of Christ's ongoing priestly intercession.At the same time, the judgment of Nabal reminds us that God Himself will deal with His enemies, and nothing can prevent His chosen King from taking the throne.This passage is both a warning and a comfort—and ultimately a testimony to the reign of Christ.#1Samuel25 #Abigail #Intercession #ChristOurHighPriest #BiblicalTheology #GraceOfGod #Providence #ReformedPreaching"

"As Paul closes Galatians, he returns one final time to the central issue of the epistle: justification by faith alone. In this concluding section, Paul contrasts two fundamentally different approaches to Christianity—the theology of glory and the theology of the cross.Those troubling the Galatians desired outward success, human approval, and freedom from persecution. But Paul boasts in nothing except the cross of Christ. The cross destroys all confidence in human righteousness and reveals that salvation comes only through the crucified Savior.This sermon examines Paul's passionate defense of the gospel and applies it to modern attempts to ground truth in institutions, communities, or cultural movements rather than in the Word of God itself. True Christianity is anchored in the gospel revealed in Scripture: sinners are justified by faith apart from works of the law.The church must therefore resist every form of compromise and continue boasting only in Christ crucified.In this sermon:Paul's final summary of GalatiansJustification by faith aloneThe theology of glory vs. the theology of the crossWhy false religion seeks outward power and approvalPaul's willingness to suffer for the gospelThe true Israel of GodTesting all claims by ScriptureBoasting only in the cross of Christ“But God forbid that I should boast except in the cross of our Lord Jesus Christ.” — Galatians 6:14"

"How should the people of God respond to unjust suffering?In 1 Samuel 24, David has a perfect opportunity to take revenge on Saul—the man who has relentlessly sought his life. Yet instead of striking him down, David shows restraint, mercy, and honor toward the Lord's anointed.This sermon explores the profound theological implications of that moment. David models a non-revolutionary disposition toward authority, a deep reverence for God-ordained office, and—most strikingly—a love for enemies.David's actions ultimately point beyond himself to Christ, the true Son of David, who did not merely spare His enemies but died for them, praying, “Father, forgive them.”We also consider the temporary softening of Saul's heart and contrast it with the lasting power of Christ's mercy to transform sinners.This is not mere moral example—it is a window into the character of the Messiah.#1Samuel24 #LoveYourEnemies #DavidAndSaul #Christology #BiblicalTheology #ReformedFaith #Forgiveness #ChristianEthics"

"What does true spirituality actually look like?In Galatians 6:1–10, Paul teaches that life in the Spirit is not primarily seen in outward impressiveness, but in humble love, gentleness, burden-bearing, and service toward others. The Christian life is lived in community, and genuine sanctification manifests itself in how we treat fellow believers.This sermon explores Paul's exhortations to restore those caught in sin, carry one another's burdens, reject pride and comparison, support the ministry of the Word, and persevere in doing good. Paul warns that God is not mocked: whatever a person sows, that he will also reap. Those who sow to the flesh reap corruption, but those who sow to the Spirit reap eternal life.At the heart of this passage is the truth that justification by faith leads to Spirit-produced holiness. The Spirit creates a people marked by humility, mercy, perseverance, and love.In this sermon:What true spirituality looks likeRestoring sinners with gentlenessCarrying one another's burdensPride, comparison, and self-deceptionSupporting the teaching of the WordSowing to the flesh vs. sowing to the SpiritPersevering in doing goodThe relationship between justification and sanctification“Let us not grow weary while doing good, for in due season we shall reap if we do not lose heart.” — Galatians 6:9"

Vuoi avvicinarti a un'alimentazione più vegetale ma ogni volta ti blocchi perché senti di non farlo "nel modo giusto"?  Anch'io sono in questa fase, con le stesse domande. In questo episodio intervisto Chiara Grasso, etologa, ricercatrice e divulgatrice scientifica, autrice e TEDx speaker, che ci aiuta a parlare di alimentazione consapevole e dignità animale senza etichette e senza giudizio per cui vuole avvicinarsi ad una scelta vegetale a piccoli passi. Parliamo di:  1. Perché le posizioni estremiste bloccano chi vorrebbe iniziare;  2. Come ogni piccolo passo, anche imperfetto, conta;  3. Come iniziare oggi un'alimentazione più consapevole, senza aspettare di essere pronta a farlo perfettamente.

"When the Lord's anointed suffers, where do you stand?In this passage, David is pursued relentlessly by Saul while hiding in the wilderness. Yet the real focus is not merely on persecution—but on the contrasting responses to David. Jonathan humbly submits to him, while the Ziphites betray him.This sermon presses a central question: Where do your loyalties lie?We explore the theme of the righteous remnant, the nature of true faithfulness, and the danger of siding with the world while maintaining outward religious profession. The contrast between Jonathan and the Ziphites reveals that it is not proximity, heritage, or appearance that defines allegiance—but faith.Above all, David points forward to Christ—the rejected Savior whom many abandon and only a few truly follow.Even when it appears that the enemies of God are winning, divine providence ensures the victory of His Anointed.Choose carefully. The narrow way is costly—but it leads to life.#1Samuel #DavidAndSaul #BiblicalTheology #SufferingServant #Faithfulness #ChristianDiscipleship #ReformedPreaching #ChristInTheOldTestament"

"What does true Christian transformation actually look like?In this sermon on Galatians 5:22–26, we examine the fruit of the Spirit and the nature of sanctification. While justification is by faith alone, the gospel does not leave us unchanged. Those united to Christ are given a new nature—and that new nature necessarily bears fruit.We explore the distinction between the works of the flesh and the fruit of the Spirit, the difference between spiritual gifts and spiritual graces, and the twofold dynamic of sanctification: mortification and vivification. Each aspect of the fruit—love, joy, peace, patience, kindness, goodness, faithfulness, gentleness, and self-control—is unpacked as evidence of the Spirit's work in the believer.This passage also anchors sanctification firmly in Christ's finished work. Those who belong to Christ have crucified the flesh, and those who live by the Spirit must walk in step with the Spirit.The call is clear: not self-reliant moralism, but Spirit-wrought transformation flowing from union with Christ.#Galatians5 #FruitOfTheSpirit #Sanctification #ReformedTheology #ChristianLiving #HolySpirit #JustificationByFaith #BiblicalPreaching"

Ma davvero il corpo grasso è così incompatibile col sesso?Su questo podcast abbiamo tanto parlato di corpo grasso, ma non lo abbiamo mai affrontato associandolo al tema della sessualità. Beh è giunto questo momento! Per farlo, abbiamo invitato Adriana Tedeschi, ex fotografa e show (big) girl che, tramite la sua storie e le sue riflessioni, ha superato di gran lunga le mie aspettative.Adriana TedeschiIGAntropoché?IGSitoSe volete supportare il podcast potete donare un caffè simbolico alla pagina ko-fi

"In this passage, we see one of the clearest Old Testament portraits of the Messiah: a Savior who delivers His people in the midst of suffering—yet is rejected by those He saves.David, though hunted and persecuted by Saul, does not withdraw into self-preservation. Instead, he risks everything to rescue Keilah from the Philistines. He is the true king in the wilderness—the Lord's Anointed who saves while suffering. And yet, in a striking turn, the very people he delivers are ready to betray him.This sermon explores the profound theological significance of this moment:David as the suffering servant and true SaviorThe contrast between Saul's self-serving kingship and David's sacrificial leadershipGod's guidance through David's continual inquiry of the LordThe tragic rejection of the one who deliversMost importantly, this passage points beyond David to Jesus Christ—the greater Son of David—who came to His own, and was rejected, yet gave Himself to save sinners. What appears to be weakness is in fact the glory of divine love: a Savior who endures suffering and rejection to redeem His people.This is the heart of the gospel: the rejected Savior who saves.#1Samuel #David #JesusChrist #Sermon #BiblicalTheology #Messiah #OldTestament #ReformedTheology #Gospel #ChristianTeaching"

"Can someone claim faith in Christ while continuing to live according to the flesh?In Galatians 5:19–21, Paul gives one of the most sobering warnings in all of Scripture: those who practice the works of the flesh will not inherit the kingdom of God.This sermon carefully explains why this does not contradict justification by faith alone. Good works are not the grounds of justification, but the consistent practice of the flesh reveals something deeper: the absence of the Holy Spirit.Paul's warning forces us to examine the reality of our profession.This message walks through Paul's list of the works of the flesh, including:sexual immoralityidolatry and sorceryjealousy, rage, and envydivision and schismdrunkenness and revelryevery form of flesh-dominated livingThe issue is not perfection, but direction. A life ruled by the flesh reveals a heart unchanged by grace.Yet there is gospel hope: “such were some of you.” Through Christ, sinners are washed, sanctified, and taught to walk by the Spirit.The warning is severe, but it is meant to drive us not to legalism, but to Christ and the Spirit he gives.#Galatians #WorksOfTheFlesh #Sanctification #HolySpirit #Repentance #ChristianLiving #FaithAndWorks #KingdomOfGod"

"Does justification by faith lead to careless living?That accusation has followed the gospel from Paul's day until now. In this sermon on Galatians 5:13–18, we see Paul's answer: the doctrine of justification by faith is actually the strongest possible foundation for true godliness.Christian freedom is not freedom to sin. It is freedom from sin's dominion so that we may now serve one another in love.Paul shows that the Christian life is governed by two great realities:freedomthe Holy SpiritThose justified by faith have received the Spirit through the hearing of faith, and therefore the path of holiness is not found in legal striving, but in walking by the Spirit.This sermon explores:how Christian liberty fulfills the law through lovewhy true freedom leads to joyful servicethe conflict between flesh and Spiritwhy legalism cannot produce holinesshow the Spirit empowers real godlinessIf you want victory over sin, Paul's answer is clear: walk by the Spirit, and you will not gratify the desires of the flesh.#Galatians #WalkInTheSpirit #JustificationByFaith #Sanctification #ChristianFreedom #HolySpirit #FaithAlone #Gospel"

"The contrast between Saul and David reaches a terrifying climax in this passage. Saul, the false king, turns his rage against the priests of the Lord, while David, the true anointed one, becomes a refuge for the persecuted.In this sermon on 1 Samuel 22:6–23, we trace the pattern of false messiahs persecuting the true Messiah and His people. Saul's paranoia, Doeg's betrayal, and the slaughter at Nob reveal the ugliness of rebellious power that outwardly belongs to the covenant community yet wars against the Lord's chosen king.At the same time, David's compassion toward Abiathar points us to Christ, who receives the wounded, shelters the persecuted, and assures His people that those who seek their life are truly opposing Him.This passage reminds us that it is always better to be outside the camp with Christ than secure in the institutions of power without Him.#1Samuel #David #Saul #JesusChrist #Persecution #Sermon #ReformedPreaching #ChristInTheOldTestament #BiblicalTheology #Faithfulness""The contrast between Saul and David reaches a terrifying climax in this passage. Saul, the false king, turns his rage against the priests of the Lord, while David, the true anointed one, becomes a refuge for the persecuted.In this sermon on 1 Samuel 22:6–23, we trace the pattern of false messiahs persecuting the true Messiah and His people. Saul's paranoia, Doeg's betrayal, and the slaughter at Nob reveal the ugliness of rebellious power that outwardly belongs to the covenant community yet wars against the Lord's chosen king.At the same time, David's compassion toward Abiathar points us to Christ, who receives the wounded, shelters the persecuted, and assures His people that those who seek their life are truly opposing Him.This passage reminds us that it is always better to be outside the camp with Christ than secure in the institutions of power without Him.#1Samuel #David #Saul #JesusChrist #Persecution #Sermon #ReformedPreaching #ChristInTheOldTestament #BiblicalTheology #Faithfulness"

"It is not enough to begin well. By God's grace, we must finish well.In this sermon on Galatians 5:7–12, Paul's burden becomes deeply personal and urgent: “You were running well. Who hindered you?” The Galatians had begun in the truth of the gospel, but false teachers were pulling them away from justification by faith.This passage is a sobering warning about:beginning well but failing to finishdoctrinal compromisethe spreading danger of false teachingthe seriousness of those who trouble Christ's churchthe offense of the cross that faithful preaching must preservePaul reminds us that a little leaven leavens the whole lump. False doctrine never remains small. It spreads, corrupts, and leads people away from the God who called them.At the same time, this text offers hope: God uses the preaching of his Word to keep his people on the path of life. The way to finish well is to hold fast to the true gospel without wavering.May it never be said of us merely that we began well, but rather that by grace we endured faithfully to the end.#Galatians #FinishWell #Perseverance #JustificationByFaith #FalseTeaching #Gospel #Faithfulness #ChristianLife"

"David, though the Lord's anointed king, is driven into exile, rejected by his own people, and forced into the wilderness. Yet in this very humiliation, he becomes a powerful picture of Christ—the suffering Messiah who protects His people in their pilgrimage through this fallen world.In this sermon on 1 Samuel 21:10–22:5, we explore David's flight to Gath, his faith in the midst of fear, and the gathering of the distressed to him in the cave of Adullam. These wilderness scenes foreshadow Jesus Christ, the greater David, who gathers weary sinners to Himself and keeps them safe as elect exiles on the way to the heavenly kingdom.The church today is that same distressed company in the wilderness—finding refuge not in the power of the world, but in the rejected yet reigning Messiah.#1Samuel #David #JesusChrist #Sermon #ReformedPreaching #BiblicalTheology #ChristInTheOldTestament #SufferingServant #Wilderness #ChristianLiving"

"Did Jesus Christ truly rise from the dead?In this sermon on Matthew 28:1–15, we consider one of the most important questions in all of history: is the resurrection a real historical event? The Christian faith does not rest on vague spiritual principles or moral lessons, but on the concrete historical act of God in raising Jesus from the dead.We walk carefully through the resurrection accounts in all four Gospels, showing how the details are complementary, coherent, and harmonizable, rather than contradictory. From the women at the tomb, to Peter and John's visit, to Christ's appearances to Mary Magdalene, the Emmaus disciples, and the apostles, the testimony of Scripture presents a unified witness to the risen Christ.We also examine the major objections raised against the resurrection:Did the disciples steal the body?Did Jesus merely survive crucifixion?Were the appearances hallucinations?Why was the body never produced?The empty tomb, the explosive spread of Christianity, and the apostolic witness all point to one unavoidable conclusion: Jesus Christ was truly raised from the dead.Because if Christ is risen, then sin, death, and Satan have been defeated—and that changes everything.#Resurrection #Matthew28 #Apologetics #JesusIsRisen #HistoricalJesus #Christianity #EmptyTomb #Gospel"

"If Jesus truly rose from the dead, what does that demand of us?In this sermon on Matthew 28:16–20, we move from the historicity of the resurrection to its unavoidable implication: the risen Christ commands his church to bear witness to him among all nations.Jesus begins the Great Commission by declaring that all authority in heaven and on earth has been given to him. His resurrection is the Father's public vindication of the Son and the declaration that he now reigns as universal King.Because Christ is Lord of all:the nations must hear his gospeldisciples must be made through baptism and teachingthe church must labor for the obedience of faith throughout the worldevery believer must ask how they can contribute to this missionThis sermon explores the glory of worldwide missions, the necessity of the church in disciple-making, the beauty of baptism and teaching, and the great comfort Christ gives to weak disciples: “I am with you always.”The risen Christ not only gives the mission—he promises his presence by the Spirit until the end of the age.#GreatCommission #Matthew28 #Missions #Resurrection #Evangelism #Discipleship #JesusIsLord #ChristianMission"

The Last Stylebender's style just doesn't work anymore. But on the bright side, the guy who beat him also sucks.  Predatory instinct: how Max Holloway attacks: https://open.substack.com/pub/facepunching/p/predatory-instinct-how-max-holloway?r=evbq&utm_campaign=post&utm_medium=web&showWelcomeOnShare=false Heavy Hands merch: https://www.redbubble.com/shop/ap/64577943?asc=u CONTENTS: 00:00 Intro 5:49 Adesanya vs Pyfer 27:30 Grasso vs Barber 38:52 Michael Chiesa 40:07 Douglas vs Erosa 42:59 Belgaroui vs Abdul-Malik 45:23 Simon vs Yanez 56:27 Moicano vs Duncan 1:08:54 Estevam vs Ewing

The Craic is back for a special Wednesday edition, with Petesy Carroll, Chuck Mindenhall, and Ben Fowlkes as usual. The lads kick things off by reacting to Israel Adesanya's loss to Joe Pyfer and what it could mean for the next phase of his career (05:00). From MMA to wrestling, the guys discuss Arman Tsarukyan vs. Uriah Faber being booked in RAF (20:15). Tsarukyan also made some bold comments on The Ariel Helwani Show, suggesting Max Holloway would get knocked out by Conor McGregor in their rumoured bout, which the trio dig into (31:27). Petesy then gets Chuck and Ben's take on Alexa Grasso's highlight-reel knockout-to-submission sequence (38:49), before the conversation turns to Khabib Nurmagomedov's comments on women in MMA nearly simultaneous to Grasso's stunning finish (44:06). Attention then shifts to the PFL, with the promotion reportedly considering a rebrand, including a potential return to the Bellator name. The boys brainstorm their own ideas (51:00). To close, the lads preview Derek Chisora vs. Deontay Wilder (01:02:07), then get to your Spring Break Super Chats (01:08:00).

In today's episode, Nick talks about Fire & Brimstone in Iran, Teens The New Black, Grasso's Lasso, More Spring Break Mayhem In Miami, One Bad Taste, A No Kings Tranny and Providence Mayor Anti-White! The FULL SHOW is live streaming & FREE-ONLY on Rumble! Join our LIVE CHAT at 6pm ET every Mon-Thu or watch the FULL EPISODE anytime on demand after 7pm ET. Follow my Channel and get notified! https://rumble.com/c/TheNickDiPaoloShow MERCH - Grab some mugs, hats, hoodies, shirts, stickers etc… https://shop.nickdip.com/ PERSONAL VIDEO FROM ME – Send someone a personal video from me! Go to https://shoutout.us/nickdipaolo  or www.cameo.com/nickdipaolo SOCIALS/COMEDY- Follow me on Socials or Stream some of my Comedy!  https://nickdipaolo.komi.io/

Recorded live at Mike Swearingen's Rodeo Reunion in Wyoming, New York, this episode of Beyond the Chutes features one of the most recognizable names in Northeast rodeo—Jimmy Grasso.A Jersey-born cowboy who didn't climb on his first bronc until his late 20s, Jimmy built a career defined by grit, consistency, and one simple rule: show up. Whether it was a small-town rodeo or a major event, if there was a bronc to ride, Jimmy was there—often flying himself in to make it happen.From wrestling and football roots… to learning the hard way in the arena… to qualifying 16 times for the Dodge National Circuit Finals in Pocatello, Idaho, Jimmy's story is one of determination, hustle, and a love for rodeo that never quit.We talk about the Northeast rodeo scene, Cowtown Rodeo, traveling the road, friendships that lasted decades, and what it really takes to stay in the game.This is a story about heart, work ethic, and proving that where you start doesn't matter nearly as much as how often you show up.#BeyondTheChutes #RodeoPodcast #JimmyGrasso #SaddleBronc #CowboyLife #RodeoHistory #CircuitFinals #PRCA #CowtownRodeo #NortheastRodeo #RodeoFamily #BroncRiding #WesternHeritage #PodcastLife

Luke Thomas and Chuck Mindenhall are in the house on a Monday edition of Morning Kombat, going over the latest in combat sports. The fellas start off with Joe Pyfer's win over Israel Aesanya at UFC Seattle. What are the ramifications for both fighters coming out of this bout? Plus, we may have witnessed the best finish in women's MMA history when Alexa Grasso took out Maycee Barber. The fellas discuss what happened between Grasso and Barber and highlight the other big moments from the card, including: Yousri Belgaroui stopping Mansur Abdul-Malik, Michael Chiesa’s retirement fight and Lerryan Douglas dominating in his UFC debut. The guys also break down PFL Pittsburgh, where Johnny Eblen bulldozed Bryan Battle. That and so much more on an MK Monday!See omnystudio.com/listener for privacy information.

We recap Itauma vs Franklin Jr, Fundora vs Thurman, Adesanya vs Pyfer & more, then look ahead to next week's heavyweight clash between Wilder and Chisora.Thanks for being with us. The best way to support is to subscribe, share the episode and check out our sponsor: https://fiofo.com/Teddy10 for 10% offhttps://athleticgreens.com/atlasLa Rocca Coffee Company - There's Always Time for Coffee – Authentic Espresso – Larocca Coffee Company: https://www.laroccacoffeecompany.com/ TEDDY10 for 10% off on website. Plus, a portion of all proceeds will be donated to the Teddy Atlas FoundationYou can join Teddy for the first ever community driven and one-of-a-kind subscription platform to get exclusive never seen before access to Teddy Atlas: https://Teddyatlasboxing.com The Ropes with Teddy includes: Teddy's tips and advice Evaluations/ video review feedback / Exclusive Fight Picks /Dedicated livestreams for private Q&A's and livestreams for selected fights with Teddy's commentary / 1 on 1 coaching from Teddy and much more! SUBSCRIBE TO OUR WEEKLY NEWSLETTER HERE:https://newsletter.teddyatlas.comTimestamps:00:00 - Intro01:40 - Itauma vs Franklin18:20 - Frank Warren/Zuffa Boxing26:30 - Hutchinson vs Taylor33:45 - Fundora vs Thurman45:10 - Adesanya vs Pyfer59:00 - Grasso vs Barber01:00:30 - Wilder vs ChisoraTEDDY'S AUDIOBOOKAmazon/Audible: https://amzn.to/32104DRiTunes/Apple: https://apple.co/32y813rTHE FIGHT T-SHIRTShttps://teddyatlas.comTEDDY'S SOCIAL MEDIATwitter - http://twitter.com/teddyatlasrealInstagram - http://instagram.com/teddy_atlasTHE FIGHT WITH TEDDY ATLAS SOCIAL MEDIAInstagram - http://instagram.com/thefightWTATwitter - http://twitter.com/thefightwtaFacebook - https://www.facebook.com/TheFightwithTeddyAtlasThanks for tuning in. Please be sure to subscribe! Hosted on Acast. See acast.com/privacy for more information.

"When God's anointed suffers, God still provides.In 1 Samuel 21, David is on the run for his life. Hunted by Saul, cut off from safety, and uncertain who he can trust, he finds himself in desperate need. Yet even in the wilderness, God proves faithful—providing bread from the tabernacle and the sword of Goliath.This passage shows us more than historical narrative. It reveals a pattern: God sustains His chosen servant in exile until the day of vindication. David receives provision from what is essentially the “throne room” of God, reminding us that the Lord never abandons His purposes—even in suffering.We also wrestle with difficult realities:David's weakness and sin under pressureThe presence of false believers like DoegThe already-not-yet nature of victoryUltimately, this passage points beyond David to Christ—the true Anointed One—who was sustained in suffering, achieved victory over the enemy, and now provides for His people as they await final glory.If you are walking through hardship, this message is for you: God's provision in the wilderness is proof of His presence, not His absence.Hashtags:#1Samuel #BibleSermon #ChristianFaith #Perseverance #David #ChristCentered #ReformedTheology #OldTestament #Suffering #GodProvides"

Look it's a big weekend in combat sports so you know I had to get my buddy Jed Meshew on to further react to UFC Seattle, look at what's next for Israel Adesanya after his loss, Joe Pyfer's next fight, how far he can go in the division, Alexa Grasso's nasty finish, Michael Chiesa going out the right way, RAF 7, Colby, Arman and more!

"Is justification by faith really that serious? According to Paul—it's everything.In Galatians 5, Paul makes a startling claim: if you accept circumcision as necessary for justification, Christ will be of no benefit to you at all. Why such strong language?Because this is not about one isolated decision—it's about first principles.This sermon unpacks how seemingly small actions can signal a complete shift in foundational commitments. To rely on works—even partially—is to abandon the gospel of grace. Justification is either entirely a gift received by faith, or it is something earned by works. It cannot be both.We explore:Why circumcision represented a return to works-based righteousnessWhy justification by works makes Christ's death unnecessaryThe impossibility of keeping the whole lawWhat it truly means to “fall from grace”The contrast between works-based religion and faith working through loveThis passage also presses a deeply personal question:What is your hope when you stand before God?The gospel calls us to rest wholly in Christ—not in anything we have done, but in what He has done for us.Hashtags:#Galatians #JustificationByFaith #Gospel #BibleTeaching #ChristianTheology #Reformed #GraceAlone #FaithAlone #Paul #LawAndGospel"

Make sure to subscribe and follow the show for new weekly episodes. Go to http://tempomeals.com/p4p for 60% off your first box. Use code POUND4POUND for 20% off at http://basedbodyworks.com and get a free toiletry bag when you buy a set! Limited Time Offer – Get Huel today with my exclusive offer of 15% OFF online with my Code P4P at https://www.huel.com/p4p. New Customers Only. Thank you to Huel for partnering and supporting our show! 0:00 Intro 1:14 Evloev vs. Murphy Title Contendor 6:04 NCAA wrestling 10:12 UFC Seattle preview 11:30 Adesanya vs. Pyfer 18:01 Grasso vs. Barber breakdown 22:01 Best fights on the UFC Seattle card 28:00 Real American Freestyle preview 37:25 MVP's Netflix boxing card 39:09 Kape vs. Horiguchi announced 42:49 Speed round! 47:02 Question from a Casual: Better Career: Volkanovski vs. Adesanya Follow the Show on Social Instagram: https://www.instagram.com/pound4pound/ Twitter/X: https://twitter.com/Pound4poundshow Tik Tok: https://www.tiktok.com/@pound4pound A Shadow Lion Production. Learn more about your ad choices. Visit megaphone.fm/adchoices

Post fight Breakdown of UFC London Main event, and what it means for the featherweight division. Picks for UFC fight night this Saturday Adesanya versus Joe Pyfer and Grasso versus Barber.

MMA Lock of the Night is back to give you breakdowns and predictions for UFC Seattle Adesanya vs Pyfer. Also on the card, Grasso vs Barber 2, Chiesa vs Price, Erosa vs Douglas, Abdul-Malik vs Belgaroui, and McKinney vs Nelson.

"What does it really mean to follow Christ as King?In 1 Samuel 20, we see one of the clearest Old Testament pictures of true commitment to the Lord's Anointed. Jonathan is faced with a decisive question: will he cling to his own future, his family, and his place in the kingdom—or will he submit to God's chosen king, even at great personal cost?This sermon explores how Jonathan's loyalty to David points forward to our allegiance to Christ, the Son of David.

"Are you truly free—or still living as a slave?In Galatians 4:21–5:1, Paul confronts one of the most important issues in the Christian life: justification by faith alone. Using the account of Hagar and Sarah, he draws a sharp line between two ways of relating to God—one that leads to slavery, and one that leads to true freedom.

Sermon from Michael Grasso.

"“Do not turn back to that which is false.”In this sermon from Galatians 4:8–20, the Apostle Paul confronts a painful and dangerous reality: believers who are tempted to turn back from the gospel they once embraced. What makes this temptation so tragic is not only its theological error, but the relational destruction it leaves in its wake.Paul reminds the Galatians of who they once were—enslaved to what is “by nature not gods”—and contrasts that past with the grace they have now received: to know God and, more importantly, to be known by Him. Against that backdrop, Paul asks a piercing question: How can you go back?This passage exposes the subtle danger of religious compromise. Paul warns that embracing the message of the Judaizers—though outwardly religious and rooted in biblical history—is, in fact, a return to the same worldly principles the Galatians left behind. There are ultimately only two ways of thinking: the way of the world and the way of the gospel. Any system that undermines justification by faith alone belongs to the former, no matter how pious it appears.The sermon also highlights the deeply personal nature of Paul's exhortation. The Galatians' drift from the gospel has already affected their relationship with him. Once marked by love, warmth, and mutual sacrifice, their posture toward Paul has grown cold. False teachers have courted them, flattered them, and turned them away—not only from Paul, but from Christ Himself.Paul's words culminate in a moving pastoral plea: he is again in the pains of childbirth until Christ is formed in them. His exhortation flows not from pride or control, but from deep love and anguish for their souls.This message is not merely historical. The same temptation confronts the church today, as many are drawn toward systems that elevate tradition, works, and human authority over the sufficiency of Christ and His gospel. The call of Galatians remains urgent:Do not turn back.Cling to Christ.Remain rooted in the gospel of grace revealed in Scripture.Scripture: Galatians 4:8–20Theme: The danger of abandoning the gospel for religious substitutesFocus: Justification by faith, spiritual regression, pastoral love, and perseverance in ChristIf this sermon is helpful, consider subscribing and sharing it with others who are wrestling with these questions."

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