Podcasts about guidelines

In this episode, editor-in-chief Joseph E. Safdieh, MD, FAAN, highlights articles about new migraine prevention guidelines, the use of plasmapheresis for acute MOGAD attacks, and how sabbaticals can help neurologists avoid burnout.

We're back with Pathfinder Wizards, and somehow giving Tyler ten more levels of spellcasting has not improved the situation. Ash has evolved from sneaky magical assassin into a nearly undetectable menace who can freeze time and ruin your life before you know he was there. Randall has discovered that there is apparently no such thing as enough bonded-item spell slots. And Tyler's angry robot can now scream at you until you die, drop meteors on your friends, and disintegrate whatever is left. At this point, these aren't adventurers. They're reasons cities have evacuation plans. SHOW NOTES We're finishing our Pathfinder 2e Wizard builds, taking Ash, Randall, and Tyler from level 11 all the way to level 20. At these levels, the Wizard starts showing exactly where its power lives. New class features are few and far between, defenses remain deeply Wizard-shaped, and some of the high-level feat choices are surprisingly thin. But the spells? The spells get ridiculous. Ash continues turning his Red Mantis Sprite into the world's most irritating magical assassin. Phantasmal Calamity wrecks minds, Redirect Teleportation makes escaping him considerably harder, Duplicate Foe lets him turn your own face against you, and his growing collection of invisibility and stealth abilities eventually makes finding him a campaign objective all by itself. By the time he picks up Disappearance and Legendary Sneak, the plan has basically become: you don't see Ash unless Ash has made a tactical error. Tyler's Rune Lord continues leaning into wrath, explosions, and increasingly hostile interpretations of spellcasting. Blinding Fury makes enemies literally too angry to perceive things properly, Falling Stars brings the expected amount of meteor-related destruction, and Scare to Death gives his angry robot the possibility of simply yelling at someone until they fall over dead. Naturally, Tyler immediately starts figuring out how to combine that with Sure Strike and Disintegrate because apparently death by terror wasn't conclusive enough. Randall keeps feeding the Universalist Wizard's bonded-item engine. Superior Bond and Reprepare Spell give him even more ways to keep spells flowing, because the answer to "When do you have enough spellcasting?" is apparently "What kind of quitter asks that question?" Along the way, we hit some of the Wizard's best high-level toys. Contingency lets you prepare for problems before they happen. Time Beacon lets you rewind a terrible turn and try again. Metallic Meteorite Glyph introduces the exciting tactical concept of repeatedly hitting someone with space rocks. Effortless Concentration frees up actions for sustained spells. Infinite Possibilities gives prepared casters a valuable wildcard when the perfect spell wasn't prepared that morning. Then we reach 10th-rank spells and restraint leaves the building. Ash stops time with Freeze Time and starts planning elaborate traps while everyone else stands around unknowingly waiting for reality to resume. Randall grabs Cataclysm because sometimes the correct number of damage types is all of them. Tyler considers Manifestation, giving him access to nearly any spell he could suddenly decide he needs. There is also an extended disagreement about line of effect after Ash discovers that Phantasmagoria cannot simply murder everyone inside a building without worrying about pesky things like walls. Apparently Pathfinder has rules specifically designed to keep Wizard war crimes within reasonable geographic boundaries. Ash takes the news well. By level 20, everyone somehow lands on Spell Shape Mastery, turning many of their favorite spell-shaping tricks into free actions. Ash becomes harder to identify, read, locate, or meaningfully interact with. Randall takes Lore specifically about Ash's Sprite, immediately putting himself on Ash's hit list. Tyler takes Too Angry to Die, because there was really no other possible ending for the angry robot. Twenty levels later, the Wizard remains exactly what it promised to be: fragile, complicated, occasionally frustrating, and capable of solving problems with a spell list large enough to qualify as infrastructure. KEY TAKEAWAYS High-level Wizards are still defined more by their spells than their class features. The Wizard's defensive and weapon progression remains painfully slow, so positioning and magical defenses continue to matter. High-level spellcasting is where the class really comes alive, with options like Contingency, Time Beacon, Phantasmal Calamity, Falling Stars, Disappearance, and a frankly unreasonable number of meteor-related solutions. Ash's Red Mantis build becomes an extremely capable infiltrator and assassin built around stealth, deception, illusions, invisibility, and making other people look responsible. Tyler's Rune Lord doubles down on damage, persistent effects, intimidation, and the general philosophy that being angry enough should eventually become a damage type. Randall's Universalist shows how powerful Drain Bonded Item can become when you keep investing in ways to recover and recycle spells. Reprepare Spell trades downtime for reusable low-rank utility, while Infinite Possibilities sacrifices some raw spell-slot power for tremendous flexibility. Effortless Concentration is an easy standout for Wizards who rely on sustained spells. Scare to Death on an angry Rune Lord is exactly as stupid and wonderful as it sounds. 10th-rank spells are deliberately limited, but Freeze Time, Cataclysm, Manifestation, and the other options make that single slot feel appropriately enormous. Spell Shape Mastery is a fantastic capstone if your build has invested heavily in spell-shaping feats. Free Archetype opens even more directions, including Rogue or Captivator for Ash's assassin, additional spellcasting options for Randall, and apparently more explosions for Tyler. Pathfinder's line-of-effect rules are all that stand between civilization and unrestricted Wizard war crimes. Most importantly, Tyler got twenty full levels of Wizard and still wanted more. Welcome to the RPGBOT Podcast. If you love Dungeons & Dragons, Pathfinder, and tabletop RPGs, this is the podcast for you. Support the show for free: Rate and review us on Apple Podcasts, Spotify, or any podcast app. It helps new listeners find the best RPG podcast for D&D and Pathfinder players. Level up your experience: Join us on Patreon to unlock ad-free access to RPGBOT.net and the RPGBOT Podcast, chat with us and the community on the RPGBOT Discord, and jump into live-streamed RPG podcast recordings. Support while you shop: Use our Amazon affiliate link at https://amzn.to/3NwElxQ and help us keep building tools and guides for the RPG community. Meet the Hosts Tyler Kamstra – Master of mechanics, seeing the Pathfinder action economy like Neo in the Matrix. Randall James – Lore buff and technologist, always ready to debate which Lord of the Rings edition reigns supreme. Ash Ely – Resident cynic, chaos agent, and AI's worst nightmare, bringing pure table-flipping RPG podcast energy. Join the RPGBOT team where fantasy roleplaying meets real strategy, sarcasm, and community chaos. How to Find Us: In-depth articles, guides, handbooks, reviews, news on Tabletop Role Playing at RPGBOT.net Tyler Kamstra BlueSky: @rpgbot.net TikTok: @RPGBOTDOTNET Ash Ely Professional Game Master on StartPlaying.Games BlueSky: @GravenAshes YouTube: @ashravenmedia https://ashelydm.com/ https://ashelydm.com/ Randall James BlueSky: @GrimoireRPG Amateurjack.com Read Melancon: A Grimoire Tale (affiliate link) Producer Dan @Lzr_illuminati

On episode #114 of the Infectious Disease Puscast, Daniel and Sara review the infectious disease literature for the weeks of 8/18 – 8/31/26. Hosts: Daniel Griffin and Sara Dong Subscribe (free): Apple Podcasts, RSS, email Become a patron of Puscast! Links for this episode Viral HPV Vaccination and Risk of Head and Neck Cancers: A Large Real-World Cohort Study (International Society for Infectious Diseases) Beyond the Acute Illness: Three Myths About Viral RespiratoryInfection (JID) Use of Nowcasting to Estimate Real-Time Transmission Trends During a Measles Outbreak — South Carolina, October 2025–March 202 (CDC: MMWR) IPOL (Package Insert) Effect of inactivated poliovirus vaccine on nasal mucosal immunity and pharyngeal shedding following novel oral poliovirus vaccine type 2 challenge: A randomized, open-label trial (JID) Bacterial Response-Tailored or Standard-Duration Antibiotic Treatment for Infective Endocarditis (NEJM) Clinical Practice Guidelines by Infectious Diseases Society of America 2025 Guidelines on Management and Treatment of Complicated Urinary Tract Infections–Introduction and Methods (CID) Society of America: 2025 Guideline on Management and Treatment of Complicated Urinary Tract Infections–Selection of Antibiotic Therapy for Complicated Urinary Tract Infections (CID) Clinical Practice Guidelines by Infectious Diseases Society of America: 2025 Guidelines on Management and Treatment of Complicated Urinary Tract Infections – Timing of Intravenous to Oral Antibiotics Transition for Complicated Urinary Tract Infections (CID) Clinical Practice Guidelines by Infectious Diseases Society of America (IDSA): 2025 Guidelines on Management and Treatment of Complicated Urinary Tract Infections–Duration of Antibiotics for Complicated UTI (CID) Infective Endocarditis in Solid Organ and Haematopoietic Stem Cell Transplant Recipients (E-IPA Study): a propensity-score-matched retrospective cohort study (CID) Evaluation of Changes in Staphylococcus and Enterococcus Resistance Following Reduced Restrictions on Daptomycin and Linezoli (OFID) Comparison of VPM1002 with BCG in the prevention of tuberculosis in newborn infants: a multicentre, double-blind, randomised, phase 3, non-inferiority trial (LANCET: Infectious Diseases) Fungal The Last of US Season 2 (YouTube) Containment of a Candidozyma auris Outbreak in an Acute Care Hospital using a Comprehensive Screening and Surveillance Program (CID) Molecular Evidence of Autochthonous Environmental Acquisition of Fonsecaea Pediatric Infection in the United States (OFID) Challenging the concept of uncomplicated candidemia for shorter courses of antifungal therapy (OFID) Parasitic Miscellaneous Reliability of Physical Examination Findings in Youths Diagnosed With Pneumonia (JAMA) Recombinant shingles vaccination and the risk of cardiovascular events (Nature Medicine) Music is by Ronald Jenkees Information on this podcast should not be considered as medical advice.

Opening Bible Verse: Ecclesiastes 4:7-1 IF YOU ARE A NEW LISTENER, WELCOME! BEGIN HERE: This year we are doing my group coaching course together via this podcast! It's free and it only gets better as the year progresses.  In January we began with God at the center of our day and our home. We worked to build the habit of a morning prayer routine. I highly recommend the rosary. It's only about 20 minutes and you'll meditate on the whole life of Jesus. February is the month of decluttering. Saturday episodes have been added to focus on decluttering in the kitchen. Each month will have a different focus area and the Saturday episodes will help you focus on one small section of that room.  In March we decluttered your wardrobe. In April we are moving into budgeting for food. Our Saturday episodes will still be about decluttering. Our declutter focus area for April is your bedroom. In May we dreamed big! June brings us to one of the most useful topics in my group coaching course…meal planning. Ah, the feel of knowing exactly what's for dinner is the most stress-free feeling in the world! Our declutter focus area for June is Hallways/Landings. July is a much anticipated month of money/budgeting. Our Saturday episodes (otherwise known as the declutter episodes) will focus on decluttering TOYS! August is the month that brings it all together. Routines and Rhythms. Our declutter focus area for this month is your garage or shed. September is the official end of our dedicated monthly topic and the group coaching program. Fear not! The podcast will continue with lots of decluttering advice with our Catholic faith at its' core.  For September our monthly topic is “Finding Your Tribe” and our Saturday declutter with me episodes will focus on our entryways and porches.  Give this first episode of 2026 a listen to hear where to begin: 316. Your 2026 Life Overhaul Plan: Faith, Clutter, Debt, Diet and More!  If you've never prayed a rosary or you want to see how you can incorporate it into active decluttering, here is the first episode of my rosary declutter series from last summer. 288. Summer Declutter Series Week Just getting started on your decluttering journey? Give this episode a listen before you begin: 322. Guidelines to Decluttering ***Are you so overwhelmed with clutter that you find yourself unable to make any decisions? Do you plan on decluttering only to find yourself standing in a room confused about where to start? Are you hoping motivation will strike and you'll get it all done in one weekend? If this sounds like you, let's work together. Book a one hour virtual coaching session via Zoom. Together we craft a decluttering plan and I walk you through the process. You'll complete much of the decluttering on your own time at your own pace. I just give you the roadmap and the accountability. Cost $77 per hour. Virtual Coaching Schedule   Not sure what you need? No problem! Book a complimentary 15 minute clarity call. We'll meet via Zoom and see if working with me would benefit you.  Email me at: tightshipmama@gmail.com to schedule a time.   Looking for community of like-minded women? Join the private Facebook community here: Facebook Group Prefer to receive a weekly email with the monthly freebie like a group rosary, group declutter, or budget Q&As?  Join my mailing list here: Monthly Newsletter   For any other inquiries or guest appearances, please email me at: tightshipmama@gmail.com    

Send us Fan MailDownload study notes for this chapter.Download study notes for this entire book.**********Scriptures taken from the Holy Bible, New International Version ®, NIV ® Copyright © 1973, 1978, 1984, 2011 by Biblica, Inc. Used with permission. All rights reserved worldwide.The “NIV”, “New International Version”, “Biblica”, “International Bible Society” and the Biblica Logo are trademarks registered in the United States Patent and Trademark Office by Biblica, Inc.  Used with permission.BIBLICA, THE INTERNATIONAL BIBLE SOCIETY, provides God's Word to people through Bible translation & Bible publishing, and Bible engagement in Africa, Asia Pacific, Europe, Latin America, the Middle East, and North America. Through its worldwide reach, Biblica engages people with God's Word so that their lives are transformed through a relationship with Jesus Christ.Support the show

The American Health Information Management Association (AHIMA) and the Association of Clinical Documentation Integrity Specialists (ACDIS), an HCPro professional community, have released the 2026 update to Guidelines for Achieving a Compliant Query Practice.The practice brief's guidance applies equally across inpatient, outpatient, ambulatory, and professional fee environments, with specific considerations for outpatient and ambulatory contexts noted throughout.During this exclusive Talk Ten live edition broadcast, Rebecca Hendren, ACDIS director, and Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, former interim ACDIS director, will discuss the process for updating the guidance and share insight about the 2026 updates.

Please visit answersincme.com/JKK860 to participate, download slides and supporting materials, complete the post test, and get a certificate. Presented by Alison J. Birtle, FRCP, FRCR, MD; and Niklas Klümper, MD. In this activity, experts in oncology discuss systemic therapies for locally advanced and metastatic urothelial carcinoma. Upon completion of this activity, participants should be better able to: Assess the evidence for recommended systemic treatment regimens for patients with LA/mUC in the context of treatment guidelines; Propose appropriate patient assessment strategies to guide systemic therapy decisions; and Formulate individualized treatment strategies to optimize outcomes for patients with LA/mUC using recommended first-line systemic treatments.

Antibiotics are not magic. In this episode of the PFC Podcast, Dennis sits down with Ryan to cut through the common myth that “I've given antibiotics, so the wound is protected.” They unpack why vigorous wound care—irrigation, debridement of dead tissue, clean dressings, and early surgical washout—remains the foundation of infection prevention in combat and prolonged field care, while antibiotics only shift the probabilities after the basics are done.Drawing on historical military medicine (pre-antibiotic eras through GWOT), observational data from the TIDOS study, sepsis timing principles, and real-world experience from Ukraine's prolonged timelines, Ryan explains why mortality is a limited endpoint, why more broad-spectrum antibiotics are not the answer in high-resistance environments, and how medics and corpsmen at the point of injury make the biggest difference.Key TakeawaysAntibiotics help only after good wound care; they never replace irrigation, debridement, and clean dressings.Dead or grossly contaminated tissue will not respond to antibiotics no matter how many doses you give.Mortality is a blunt and uncommon endpoint in modern combat trauma—look instead at reduced wound infections, osteomyelitis, reoperations, and amputations.Practical timing for prophylaxis: ideally within 1 hour, at least within 3 hours (extrapolated from sepsis data).Superficial wounds may need wound care alone; deeper or contaminated wounds benefit from antibiotics once cleaned.Shorter courses (roughly 3–5 days) are often sufficient in stable patients without established infection—stop when the benefit is exhausted.In prolonged or delayed-evacuation settings (Ukraine lessons), vigorous bedside wound care outperforms escalating antimicrobials amid rising resistance.Guidelines often assume basic wound care knowledge; that assumption may need to be made more explicit.The medic or corpsman at the point of injury is the decisive factor; higher-echelon care is supportive.Go to ⁠www.prolongedfieldcare.org⁠ for more austere and prolonged field care resources. Follow @prolonged_field_care on Instagram, subscribe on your preferred platform, and stay on the bleeding edge of combat medicine.Chapters00:00 – Intro & Disclaimer00:21 – Welcome and the Core Question: Do Antibiotics Actually Matter?01:18 – “Antibiotics Aren't Magic” – Historical Context and the Penicillin Era02:17 – What Antibiotics Actually Do (and Don't Do) in Infected Wounds03:14 – Wound Care Has the Bigger Impact04:00 – Pre-Antibiotic Military Medicine Lessons05:04 – Why Guidelines Don't Emphasize Wound Care Explicitly06:49 – Fungal Prophylaxis Debate and “Hot Lights and Cold Steel”09:02 – Combat Medicine as Its Own Specialty and the Loss of Institutional Memory13:17 – Why We Don't Have Clear Mortality Data on Prophylactic Antibiotics16:21 – What Antibiotics Actually Prevent (Complications, Not Early Death)18:48 – TIDOS Study, Observational Evidence, and Current Guidelines21:39 – Ukraine Lessons: Prolonged Care, Resistance, and Wound Care Priority24:31 – King for a Day: Would You Change Prehospital Teaching?27:42 – Timing of Antibiotics: 1-Hour Ideal, 3-Hour Reasonable Window30:03 – When Antibiotics Are (and Aren't) Needed – Superficial vs Deep Wounds32:29 – Withdrawing Antibiotics in the Field – Duration Principles34:16 – Final Thoughts: Wound Care First, Antibiotics Second

IF YOU ARE A NEW LISTENER, WELCOME! BEGIN HERE: This year we are doing my group coaching course together via this podcast! It's free and it only gets better as the year progresses.  In January we began with God at the center of our day and our home. We worked to build the habit of a morning prayer routine. I highly recommend the rosary. It's only about 20 minutes and you'll meditate on the whole life of Jesus. February is the month of decluttering. Saturday episodes have been added to focus on decluttering in the kitchen. Each month will have a different focus area and the Saturday episodes will help you focus on one small section of that room.  In March we decluttered your wardrobe. In April we are moving into budgeting for food. Our Saturday episodes will still be about decluttering. Our declutter focus area for April is your bedroom. In May we dreamed big! June brings us to one of the most useful topics in my group coaching course…meal planning. Ah, the feel of knowing exactly what's for dinner is the most stress-free feeling in the world! Our declutter focus area for June is Hallways/Landings. July is a much anticipated month of money/budgeting. Our Saturday episodes (otherwise known as the declutter episodes) will focus on decluttering TOYS! August is the month that brings it all together. Routines and Rhythms. Our declutter focus area for this month is your garage or shed. Give this first episode of 2026 a listen to hear where to begin: 316. Your 2026 Life Overhaul Plan: Faith, Clutter, Debt, Diet and More!  If you've never prayed a rosary or you want to see how you can incorporate it into active decluttering, here is the first episode of my rosary declutter series from last summer. 288. Summer Declutter Series Week Just getting started on your decluttering journey? Give this episode a listen before you begin: 322. Guidelines to Decluttering ***Are you so overwhelmed with clutter that you find yourself unable to make any decisions? Do you plan on decluttering only to find yourself standing in a room confused about where to start? Are you hoping motivation will strike and you'll get it all done in one weekend? If this sounds like you, let's work together. Book a one hour virtual coaching session via Zoom. Together we craft a decluttering plan and I walk you through the process. You'll complete much of the decluttering on your own time at your own pace. I just give you the roadmap and the accountability. Cost $77 per hour. Virtual Coaching Schedule   Not sure what you need? No problem! Book a complimentary 15 minute clarity call. We'll meet via Zoom and see if working with me would benefit you.  Email me at: tightshipmama@gmail.com to schedule a time.   Looking for community of like-minded women? Join the private Facebook community here: Facebook Group Prefer to receive a weekly email with the monthly freebie like a group rosary, group declutter, or budget Q&As?  Join my mailing list here: Monthly Newsletter   For any other inquiries or guest appearances, please email me at: tightshipmama@gmail.com  

Episode 2846 - Vinnie Tortorich and Dr. Gary Fettke discuss CGMs, dietary guidelines, GLP-1s, and the third rail of how the COVID-19 pandemic was handled. https://vinnietortorich.com/2026/08/the-third-rail-dr-gary-fettke-episode-2846 PLEASE SUPPORT OUR SPONSORS Pure Vitamin Club Pure Coffee Club NSNG® Foods VILLA CAPPELLI EAT HAPPY KITCHEN YOU CAN WATCH THIS EPISODE ON YOUTUBE - @FitnessConfidential Podcast Vinnie's workout videos are available to purchase! Choose from a 2-day, 4-day, or 6-day workout–or buy all three at a discount! TO PURCHASE VINNIE'S WORKOUT VIDEOS, CLICK THIS LINK: https://vinnietortorich.com/workout Guidelines and GLP-1s Dr. Gary Fettke was in Vinnie's first documentary, "FAT: a documentary." They discuss how dietary messaging has changed over the years. (8:00) Whole foods, including animal proteins, are the optimal way to get nutrients. (15:00) They discuss CGMs and how helpful they can be for awareness of what certain foods do to your blood glucose. (20:30) Your body responds to everything you eat; however, some foods raise glucose levels more than others. A CGM can help you discover your personal response and bioindividuality. They discuss the U.S. Food Pyramid and RFK's take on it. Following the previous dietary guidelines has not helped; in fact, it seems to have made things worse. For example, approximately 40% of the U.S. military members are overweight because of food served in military commissaries. (32:00) The Magic Pill documentary is fantastic viewing. (33:00) Vinnie asks Gary his opinion on GLP-1s. (41:00) The mechanisms in the body when using a GLP-1 are very similar to being on a low-carb, ketogenic diet. (44:00) Significant weight loss requires keeping protein levels up to help offset muscle loss. (48:00) Exercise is very important, and can help with loose skin. The Third Rail They discuss Gary's experience during the COVID pandemic, or "the third rail." (57:30) He also shares thoughts about the recent hearings where Anthony Fauci and he "pleaded the Fifth" 111 times. The result of the pandemic is a percentage of the population realizing not to mindlessly follow medical authorities, which is good. Stay inquisitive and question what comes across the news and social media. Alcohol dampens T-cell lymphocytes' function; ketones will boost them. (1:17:00) Belinda Fettke's Substack can be found at https://truthzones.substack.com You can find Dr. Gary Fettke on X @FructoseNo. You can also search for him on YouTube. Check out the Aletha Hip HookTM that Vinnie uses to reduce pain and increase mobility: You can purchase your own through Vinnie's website here: https://vinnietortorich.com/hook Anna's products are now linked to PureVitamin Club's website. Look under the "Food and Snacks" section to purchase them there, too. https://purevitaminclub.com/collections/food-and-snacks Vinnie hopes to add other products as well, all of which will be health-related. The NSNG® VIP GROUP IS NOW CLOSED AGAIN AS OF SUNDAY, MARCH 15TH Anna's next cookbook, Eat Happy Cocktail Hour, is filled with cocktails, mocktails, and appetizers and is available for pre-order right now. If you pre-order, you'll get bonus goodies! You can pre-order from a wide variety of booksellers at https://eathappycocktailhour.com/ Please save your receipt from wherever you pre-order; you'll need it for your bonuses! Physical Release Date is October 2026 You can book a consultation with Vinnie to get guidance on your goals. https://vinnietortorich.com/phone-consultation-2/ More News Serena has added some of her clothing suggestions and beauty product suggestions to Vinnie's Amazon Recommended Products link. Self Care, Beauty, and Grooming Products that Actually Work! https://www.amazon.com/shop/vinnietortorich/list/3GPVU29UHHPMY?ref_=aipsflist Don't forget to check out Serena Scott Thomas on Days of Our Lives on Peacock. "Dirty Keto" is available on Amazon! You can purchase or rent it here.https://amzn.to/4d9agj1 Please watch, rate, and review it! Eat Happy Italian, Anna's second cookbook, is available! You can go to https://eathappyitalian.com You can order it from Vinnie's Book Club. https://amzn.to/3ucIXm Anna's recipes are in her cookbooks, on her website, and on Substack —they will spice up your day! https://annavocino.substack.com/ PURCHASE DIRTY KETO (2024) The documentary launched in August 2024! Order it TODAY! This is Vinnie's fourth documentary in just over five years. Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries Then, please share my fact-based, health-focused documentary series with your friends and family. Additionally, the more views it receives, the better it ranks, so please watch it again with a new friend! REVIEWS: Please submit your REVIEW after you watch my films. Your positive REVIEW does matter! PURCHASE BEYOND IMPOSSIBLE (2022) Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries FAT: A DOCUMENTARY 2 (2021) Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries FAT: A DOCUMENTARY (2019) Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries

I would not have known what coveting really was if the law had not said, “You shall not covet.” — Romans 7:7 Most people agree that the commandments we have been discussing lately—about promoting justice, honesty, respect for others and their property, and more—offer clear, practical boundaries for living together in society. Guidelines like these are found in all kinds of societies around the world.We might even think, like many of God's people in ancient Israel did, that keeping these commands is possible. But the law doesn't satisfy God's requirements for our hearts. The apostle Paul painfully realized this when he wrestled with the darkness in his own heart. Though he thought he had been able to keep these commandments through his actions, he was cut to the heart when he read, “You shall not covet.” God commands that we show love not only through our actions but also with our hearts. By this standard, we are all guilty of failing to love others.Thankfully, our heart problem can be solved. “While we were still sinners,” Paul writes in Romans 5:8, “Christ died for us.” Jesus is the only one who could ever satisfy the demands of God's law for perfect obedience and love. And since we are forgiven through Jesus' sacrifice for our sake, the Holy Spirit gives us new hearts directed toward loving God and our neighbors.Our new life in Christ moves us beyond mere outward obedience. By trusting Jesus, our restless hearts find true satisfaction in him alone, so that we can truly love others.  Jesus, thank you for rescuing us. By your Spirit, fill our hearts so that we can love others as you have loved us. Amen.

Send us Fan MailDownload study notes for this chapter.Download study notes for this entire book.**********Scriptures taken from the Holy Bible, New International Version ®, NIV ® Copyright © 1973, 1978, 1984, 2011 by Biblica, Inc. Used with permission. All rights reserved worldwide.The “NIV”, “New International Version”, “Biblica”, “International Bible Society” and the Biblica Logo are trademarks registered in the United States Patent and Trademark Office by Biblica, Inc.  Used with permission.BIBLICA, THE INTERNATIONAL BIBLE SOCIETY, provides God's Word to people through Bible translation & Bible publishing, and Bible engagement in Africa, Asia Pacific, Europe, Latin America, the Middle East, and North America. Through its worldwide reach, Biblica engages people with God's Word so that their lives are transformed through a relationship with Jesus Christ.Support the show

Polycystic ovarian syndrome now has a new name, polyendocrine metabolic syndrome. But not everyone is happy. Is this progress or just a label swap? Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE   Email us your questions at thebodyofevidence@gmail.com. Hosts:     Christopher Labos & Sophie Tseng Pellar Editor:    Robyn Flynn Researcher: Danielle Kaprelian Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris' book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer   Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information. References:   The Lancet (2026): Polyendocrine metabolic ovarian syndrome, the new name for polycystic ovary syndrome: a multistep global consensus process - ScienceDirect   International Evidence-Based Guideline for the Assessment and Management of PCOS: International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome 2023 - Monash University   Historical / context NIH Methodology Workshop (2012): Evidence-based Methodology Workshop on Polycystic Ovary Syndrome (PCOS) | NIH Office of Disease Prevention Website    Commentary / debate JAMA Medical News (2026): PCOS Is Now PMOS—Will a New Name Translate to Improved Clinical Care? | Reproductive Health | JAMA | JAMA Network BMJ Commentary (2026): PCOS name change to PMOS must be managed to avoid confusing patients, says expert | The BMJ   Patient-facing summaries Endocrine Society (2026): Polyendocrine Metabolic Ovarian Syndrome: New name to improve diagnosis and care of condition affecting 170 million women worldwide | Endocrine Society Yale Medicine (2026): PCOS Is Renamed PMOS: What You Need to Know | News | Yale Medicine  

Opening Bible Verse: Psalm 139: 13-15 Book Your 1:1 Coaching Session with me here! Episode 262. Decluttering According To Your Temperament with Kylie Hein IF YOU ARE A NEW LISTENER, WELCOME! BEGIN HERE: This year we are doing my group coaching course together via this podcast! It's free and it only gets better as the year progresses.  In January we began with God at the center of our day and our home. We worked to build the habit of a morning prayer routine. I highly recommend the rosary. It's only about 20 minutes and you'll meditate on the whole life of Jesus. February is the month of decluttering. Saturday episodes have been added to focus on decluttering in the kitchen. Each month will have a different focus area and the Saturday episodes will help you focus on one small section of that room.  In March we decluttered your wardrobe. In April we are moving into budgeting for food. Our Saturday episodes will still be about decluttering. Our declutter focus area for April is your bedroom. In May we dreamed big! June brings us to one of the most useful topics in my group coaching course…meal planning. Ah, the feel of knowing exactly what's for dinner is the most stress-free feeling in the world! Our declutter focus area for June is Hallways/Landings. July is a much anticipated month of money/budgeting. Our Saturday episodes (otherwise known as the declutter episodes) will focus on decluttering TOYS! August is the month that brings it all together. Routines and Rhythms. Our declutter focus area for this month is your garage or shed. Give this first episode of 2026 a listen to hear where to begin: 316. Your 2026 Life Overhaul Plan: Faith, Clutter, Debt, Diet and More!  If you've never prayed a rosary or you want to see how you can incorporate it into active decluttering, here is the first episode of my rosary declutter series from last summer. 288. Summer Declutter Series Week Just getting started on your decluttering journey? Give this episode a listen before you begin: 322. Guidelines to Decluttering ***Are you so overwhelmed with clutter that you find yourself unable to make any decisions? Do you plan on decluttering only to find yourself standing in a room confused about where to start? Are you hoping motivation will strike and you'll get it all done in one weekend? If this sounds like you, let's work together. Book a one hour virtual coaching session via Zoom. Together we craft a decluttering plan and I walk you through the process. You'll complete much of the decluttering on your own time at your own pace. I just give you the roadmap and the accountability. Cost $77 per hour. Virtual Coaching Schedule   Not sure what you need? No problem! Book a complimentary 15 minute clarity call. We'll meet via Zoom and see if working with me would benefit you.  Email me at: tightshipmama@gmail.com to schedule a time.   Looking for community of like-minded women? Join the private Facebook community here: Facebook Group Prefer to receive a weekly email with the monthly freebie like a group rosary, group declutter, or budget Q&As?  Join my mailing list here: Monthly Newsletter   For any other inquiries or guest appearances, please email me at: tightshipmama@gmail.com    

Drs. Zeina Nahleh and Maryam Lustberg join the podcast to discuss the updated ASCO guideline on breast cancer follow-up and surveillance after primary treatment. Drs. Nahleh and Lustberg explain the new risk-stratified approach, which personalizes surveillance intensity based on a patient's risk of recurrence, moving away from a one-size-fits-all model. They detail the recommendations for low, intermediate, and high-intensity surveillance groups, review the current role of blood-based biomarkers like ctDNA, and clarify the guideline's stance on supplemental imaging such as MRI and ultrasound. The co-chairs emphasize the importance of shared decision-making between clinicians and patients and discuss how these updated recommendations aim to improve quality of life and reduce unnecessary testing for breast cancer survivors. Read the full guideline, "Breast Cancer Follow-up and Surveillance after Primary Treatment: ASCO Guideline Update," at www.ascopubs.org/topics/asco-guidelines/breast-cancer" LINK TO FULL TRANSCRIPT

Once your PERT is assembled, how do you navigate the evolving pulmonary embolism (PE) literature to improve patient outcomes at all risk levels? In this episode of the BackTable Podcast, interventional radiologist Dr. Robert Lookstein (Mount Sinai) and pulmonary critical care specialist Dr. Timothy Fernandes (UC San Diego) join host Dr. Harris Chengazi to examine the latest evidence and multidisciplinary strategies for managing acute pulmonary embolism. The discussion highlights the complexities of catheter-directed therapies in intermediate- to high-risk PE, evolving guidelines in the face of new trial data, and prioritization of improving patients' clinical trajectories. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction03:57 - PERT Structure and Activation08:24 - PE Risk Stratification Tools12:02 - Patient Selection for IR Intervention15:21 - Assessing Clot Chronicity21:03 - Standardizing Workup26:38 - Managing Unstable PE28:31 - STORM-PE and HI-PEITHO Trial Data35:49 - Guidelines vs. New Evidence40:12 - Determining Therapeutic Endpoints45:05 - Upcoming Trials and Future Directions51:46 - Final Thoughts and Closing Remarks --- More about this episode The physicians explore the nuances of validated PE risk stratification tools, assessing the relationship between various PE scoring systems and the 2026 ACC/AHA classification for acute PE. They emphasize that the integration of clinical assessment, serial lab work, and patient history must take precedence over static imaging alone in guiding care. The doctors go on to review new trial data, including the improved RV-to-LV ratio and 90-day functional gains seen with mechanical thrombectomy in STORM-PE and reduced clinical deterioration observed with ultrasound-assisted catheter-directed thrombolysis in HI-PEITHO. The conversation concludes with a call for collaborative, safety-first management that focuses on the patient's clinical status and long-term post-PE functional recovery. --- Resources 2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN Guideline for the Evaluation and Management of Acute Pulmonary Embolism in Adultshttps://doi.org/10.1161/CIR.0000000000001415 Composite Pulmonary Embolism Shock (CPES) Scorehttps://doi.org/10.1161/CIRCINTERVENTIONS.124.014088 FOCUS studyhttps://doi.org/10.1093/eurheartj/ehac206 STORM-PE trialhttps://doi.org/10.1161/CIRCULATIONAHA.125.077232 HI-PEITHO trialhttps://doi.org/10.1056/nejmoa2516567 PE-TRACT studyhttps://petractstudy.org/homepage PEERLESS II studyhttps://clinicaltrials.gov/study/NCT06055920 PERSEVERE trialhttps://clinicaltrials.gov/study/NCT06588634 --- BackTable Vascular & Interventional (VI) is the go-to podcast for interventional radiologists, vascular surgeons, and interventional cardiologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

Is an elevated prostate-specific antigen (PSA) the beginning or the end of the prostate cancer workup? On this episode of BackTable Urology, Dr. Ruchika Talwar interviews Dr. Tarik Benidir to explore the “PSA problem,” explaining why PSA is biologically useful but clinically imprecise, often leading to false positives, unnecessary biopsies, and detection of indolent disease. They discuss a rational, patient-centered approach to elevated PSA, including when to repeat the test, how to interpret results in the context of age, race, family history, and prostate size, and the use of PSA density and age-adjusted norms instead of rigid cutoffs. --- Get the BackTable apphttps://www.backtable.com/app --- This podcast is supported byCleveland Diagnosticshttps://www.isopsa.com/ --- Timestamps 00:00 - Introduction04:03 - Why PSA Can Be Misleading06:43 - Approach to Elevated PSA and Initial Workup09:51 - MRI, PSA Density, and Biomarker Testing14:31 - Guidelines, Diagnostics, and When to Biopsy20:16 - Comparing 4K, IsoPSA, and Other Biomarkers25:23 - Choosing Between Transperineal and Transrectal Biopsy28:42 - Management Considerations for Elderly and Comorbid Patients33:09 - Active Surveillance, Recurrence, and Long-Term Monitoring40:47 - Key Takeaways and Closing Remarks --- More about this episode The conversation highlights the role of reflex biomarkers, MRI scans, and selective biopsy strategies to reduce unnecessary procedures and focus on identifying clinically significant cancers. Dr. Benidir explains how to weigh MRI results, when to use biomarkers, and how to approach decisions in elderly or comorbid patients. They also discuss new biopsy modalities, active surveillance, and future directions for optimizing PSA-based screening and management. --- BackTable Urology is the go-to podcast for urologists, urologic oncologists, and urogynecologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

In this World Shared Practice Forum Podcast, Drs. Danielle DeCourcey and Sabrina Derrington provide their insight on the methodology and development of the 2026 Guidelines on the Care and Management of Pediatric and Neonatal Intensive Care Patients at the End-of-Life, sharing actionable guidance for clinicians at the bedside. The authors review GRADE methodology and provide context behind the conditional recommendations. The speakers reflect on next steps including implementation, research, and addressing disparities in end-of-life care. LEARNING OBJECTIVES - Understand the design and methodology for the 2026 pediatric and neonatal end-of-life guidelines - Describe GRADE methodology and its impact on the guideline's recommendations - Discuss practical applications of the guidelines for clinicians AUTHORS Danielle D'Emilia DeCourcey, MD, MPH Associate Chief, Division of Medical Critical Care Boston Children's Hospital Associate Professor of Pediatrics Harvard Medical School Sabrina Derrington, MD, MA, HEC-C, FAAP Director of the Center for Bioethics Children's Hospital Los Angeles Associate Professor of Clinical Pediatrics Keck School of Medicine, University of Southern California (USC) Jeffrey Burns, MD, MPH Emeritus Chief Division of Critical Care Medicine Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anesthesia Harvard Medical School DATE Initial publication date: August 25, 2026. ARTICLES REFERENCED & ADDITIONAL REFERENCES - Derrington S, Broden Arciprete EG, Lin MC, et al. Executive Summary of Society of Critical Care Medicine 2026 Guidelines on the Care and Management of Pediatric and Neonatal Intensive Care Patients at the End of Life. Pediatr Crit Care Med. 2026;27(4):487-493. - The Correspondent by Virginia Evans - Pilgrim at Tinker Creek by Annie Dillard TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/v66vz9xj5t6qtmjwjkcrmr7/202608_WSP_Derrington_and_DeCourcey_Transcript Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION DeCourcey DD, Derrington S, O'Hara JE, Burns JP. Pediatric End-of-Life Guidelines & Insights. 08/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/pediatric-end-of-life-guidelines-and-insights-by-d-decourcey-and-s-derrington-openpediatrics.

⚖️ Can Parents Agree to Waive Child Support in California? | Los Angeles Divorce

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-499 Overview: Stay in the know with this breakdown of the latest American College of Cardiology (ACC)/American Heart Association (AHA) recommendations for lipid testing and management. New approaches to evaluating hyperlipidemia, as well as limitations of the updated guidelines, are discussed to provide you with practical strategies for tailoring treatment decisions to individual patient risk. Episode resource links: Writing Committee Members, Blumenthal RS, Morris PB, et al. 2026 ACC/AHA/AACVPR/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Dyslipidemia: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2026;153(17):e1154-e1276.  Guest: Alan M. Ehrlich, MD, FAAFP   Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.

In our fourth Summer School episode this season, hosts Dr. Amber Hildreth and Dr. Jordan Whatley have taken highlights from past episodes on liver disease and put them into a special episode full of clinical pearls.Former expert guests Dr. Bill Balistreri, Dr. Jorge Bezerra, Dr. Saul Karpen, Dr. Dennis Black, Dr. Amy Taylor and Dr. Rohit Kohli cover neonatal cholestasis, biliary atresia, PSC, AIH, and MASLD.Our Bowel Sounds Summer School series will include four episodes each summer on big topics in our field, artisanally crafted for the ears of learners of all stages from the young student to the seasoned attending.Learning Objectives:Understand the evaluation of neonatal cholestasisReview the natural history of PSCReview the diagnosis and management of AIHUnderstand the diagnostic evaluation and management of MASLD.Featured episodes:1. Bill Balistreri- Neonatal Cholestasis2. Jorge Bezerra- Advances in Biliary Atresia3. Saul Karpen- Updates in Biliary Atresia4. Dennis Black- Primary Sclerosing Cholangitis5. Amy Taylor- Autoimmune Hepatitis Management6. Rohit Kohli- Fatty Liver DiseaseAdditional Links:1. Guideline for the Evaluation of Cholestatic Infants2. AASLD PSC Guidelines3. AASLD AIH GuidelinesSend us Fan MailSupport the showThis episode may be eligible for CME credit!  Once you have listened to the episode, click this link to claim your credit.  Credit is available to NASPGHAN members (if you are not a member, you should probably sign up).  And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

By the third week of school, the novelty starts to wear off and classroom expectations can begin to slip. In this episode, we explore how to hold students accountable without becoming harsh, using three practical strategies: reteaching procedures, giving clear directions and expecting follow-through, and helping students take ownership of their behavior. The goal is to stay steady, reinforce what matters, and create a classroom where students know they can count on consistent expectations!Prefer to read? Grab the episode transcript and resources in the show notes here: https://www.secondstorywindow.net/podcast/classroom-expectations/Resources:Order our book: Structure and SparkTraysTeacher Approved: Calming Piano Spotify playlistJoin The Teacher Approved ClubConnect with us on Instagram @2ndstorywindowShop our teacher-approved resourcesJoin our Teacher Approved Facebook groupLeave a review on Apple Podcasts!Leave a comment or rating on SpotifyRelated Episodes to Enjoy:Episode 48. How to Make Classroom Transitions Simple With Clear Beginnings and EndingsEpisode 49. Rapid Classroom Transitions: How to Save 45 Hours a YearEpisode 50. 3 Guidelines to Make Classroom Transitions Work Smarter Not HarderEpisode 98. 5 Reasons Your Attention Signal Isn't Working and How to Improve It

Ryan Coleman, MD is an Associate Professor of Pediatrics at Baylor College of Medicine with dual appointments in Critical Care Medicine and Pulmonary Medicine at Texas Children's Hospital in Houston. He earned his medical degree from the University of Texas Health Science Center at San Antonio School of Medicine, completed pediatric residency and pediatric critical care fellowship training at Baylor College of Medicine, and holds additional training in pediatric bioethics. Dr. Coleman is board-certified in general pediatrics and pediatric critical care medicine and focuses his clinical and research efforts on pediatric extracorporeal membrane oxygenation (ECMO), severe pulmonary hypertension and right heart failure, and bioethical issues in critically ill children.Learning Objective: By the end of this podcast, listeners should be able to discuss an evidence-based and expert-guided approach to the hemodynamic resuscitation of a child with high-risk pulmonary embolism and acute right heart failure.References:Ross C, Kumar R, Pelland-Marcotte MC, Mehta S, Kleinman ME, Thiagarajan RR, Ghbeis MB, VanderPluym CJ, Friedman KG, Porras D, Fynn-Thompson F, Goldhaber SZ, Brandão LR. Acute Management of High-Risk and Intermediate-Risk Pulmonary Embolism in Children: A Review. Chest. 2022 Mar;161(3):791-802. doi: 10.1016/j.chest.2021.09.019. Epub 2021 Sep 26.Monagle P, Cuello CA, Augustine C, Bonduel M, Brandão LR, Capman T, Chan AKC, Hanson S, Male C, Meerpohl J, Newall F, O'Brien SH, Raffini L, van Ommen H, Wiernikowski J, Williams S, Bhatt M, Riva JJ, Roldan Y, Schwab N, Mustafa RA, Vesely SK. American Society of Hematology 2018 Guidelines for management of venous thromboembolism: treatment of pediatric venous thromboembolism. Blood Adv. 2018 Nov 27;2(22):3292-3316. doi: 10.1182/bloodadvances.2018024786.Send us Fan MailSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com.  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-499 Overview: Stay in the know with this breakdown of the latest American College of Cardiology (ACC)/American Heart Association (AHA) recommendations for lipid testing and management. New approaches to evaluating hyperlipidemia, as well as limitations of the updated guidelines, are discussed to provide you with practical strategies for tailoring treatment decisions to individual patient risk. Episode resource links: Writing Committee Members, Blumenthal RS, Morris PB, et al. 2026 ACC/AHA/AACVPR/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Dyslipidemia: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2026;153(17):e1154-e1276.  Guest: Alan M. Ehrlich, MD, FAAFP   Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.

Drs. Jamie Lesnock and Sara Bouberhan join the podcast to discuss the first ASCO guideline on systemic treatment for recurrent ovarian cancer. They provide a comprehensive overview of the evidence-based recommendations for patients with both platinum-sensitive and platinum-resistant or platinum-refractory disease. The discussion covers systemic therapy options, the role of maintenance therapy with agents like bevacizumab, and the nuanced recommendations for secondary cytoreductive surgery based on mixed clinical trial results. Drs. Lesnock and Bouberhan emphasize the importance of an individualized, multidisciplinary approach to care. As this is a living guideline, they also look ahead to emerging evidence that will shape future updates. Read the full living guideline, "Systemic Treatment of Ovarian Cancer Recurrence: ASCO Living Guideline, Version 2026.1.0," at www.ascopubs.org/guidelines/systemic-treatment-ovarian-cancer-recurrence" LINK TO FULL TRANSCRIPT

Brandy Best spent 15 years climbing the corporate finance ladder at Fortune 500 companies, aiming for VP of Finance, before a late night that left her son asleep on her office floor made her rethink everything. She left to start Best Fit CFO, a boutique fractional CFO firm, and now brings that corporate FP&A rigor to small real estate businesses.In this episode Brandy breaks down the pyramid of bookkeeper, CPA, and CFO and why they're not interchangeable, when a business actually needs each one, and the corporate cash flow habits any owner can steal. She and David cover forecasting that prevents cash crunches, cost segregation for real estate investors, and why looking forward beats staring in the rearview mirror. If you make good money but have no idea where it goes, this one is for you.Timeline Summary[1:56] – Brandy's 15 years in corporate accounting, tax, and finance chasing a VP of Finance role[2:42] – Questioning how many zeros would make the corporate grind worth it[3:23] – The turning-point night her eight-year-old fell asleep on her office floor[4:16] – Leaving without a major plan, betting on herself to figure it out[5:04] – The shock that people can make a million dollars and not read a financial statement[6:21] – Whether owners think bookkeeper, CPA, and CFO are all interchangeable[6:57] – The finance pyramid: bookkeeping as the foundation, CPA as compliance, CFO as strategy[8:38] – Guidelines for when a growing business needs each role[10:19] – Why the decision is often psychological readiness, not just revenue[10:53] – The biggest mistake: skipping or going cheap on a bookkeeper[11:31] – How bad books cost you far more on the back end to fix[13:10] – The universal refrain: making money but no idea where it's going[15:05] – Building a cash reserve strategy without choking growth through forecasting[16:51] – Corporate cash flow habits owners can steal, including the budget-to-actuals walk[19:08] – Designing bonus structures that don't drive the wrong behaviors[21:15] – Cost segregation explained as front-loading depreciation to offset income[23:37] – How a CFO catches leaks like runaway merchant processor fees[24:33] – Why strategy is like masterminding, punching holes in ideas and checking fulfillment costs[26:50] – Her one takeaway: look forward, because bookkeeping and tax are the rearview mirror5 Key TakeawaysBookkeeper, CPA, And CFO Are Different Roles — Think of a pyramid: bookkeeping is the foundation, the CPA handles compliance, and the CFO drives strategy. Expecting one person to do all three sets you up to fail.Don't Go Cheap On Bookkeeping — Skimping on the foundation costs far more later. Messy books mean bad decisions, higher taxes, and thousands spent unwinding the mess before you can move forward.Forecast Forward, Not Just Backward — A good 6 to 12 month forecast flags a cash crunch before it hits so you can adjust. Bank account math after the fact isn't a strategy.Steal The Corporate Budget Walk — Compare forecast to actuals and identify what drove each variance. That simple discipline from the corporate world brings order to entrepreneurial chaos.A CFO Finds Hidden Money — Beyond compliance, a CFO spots leaks like runaway merchant fees and forgotten subscriptions, and brings a second high-level thinker to pressure-test your growth decisions.Links & ResourcesBest Fit CFO — https://www.bestfitcfo.comSimple CFO — https://simplecfo.comProfit First for Real Estate Investing Free Workbooks — https://pfreiworkbook.comProfit First for Real Estate Investing by David Richter — https://profitfirstrei.comEnjoyed This Episode?If Brandy's finance pyramid finally made the bookkeeper, CPA, and CFO distinction click for you, that clarity alone can change how you build your team. Share this episode with an owner who's asking their bookkeeper for strategy they'll never get, and follow the show and leave a rating and review so more real estate investors can learn to make data-driven decisions.

Are the health standards we have trusted for years always supported by the latest research? In Episode 293 of the Now and Then Podcast, Dr. Bart Precourt and Callie Michaelis break down some of the week's biggest health conversations from changing blood pressure recommendations and proper testing to colonoscopy research, GLP-1-related muscle loss, and the overlooked symptoms associated with mast cell activation. This conversation is not about ignoring medical care or recommended screenings. It is about asking better questions, understanding what your results may be telling you, and looking beyond symptom management to address your health more proactively. WHO IS THIS FOR? This episode is for anyone who: Has concerns about blood pressure or inaccurate readings Is considering a colonoscopy or wants to understand screening versus prevention Uses or is considering GLP-1 medications Experiences unexplained inflammation, brain fog, anxiety, or fatigue Wants to make more informed, proactive health decisions   TIMESTAMPS 00:00 – Welcome to Episode 293 01:14 – This week's biggest health topics 03:05 – Are blood pressure standards changing? 05:42 – What systolic and diastolic numbers actually mean 09:18 – The problem with "whack-a-mole" healthcare 12:36 – White coat syndrome and inaccurate readings 15:44 – Stress, sleep, inflammation, and blood pressure 18:48 – How to check your blood pressure properly at home 22:02 – Becoming your own health advocate 24:11 – Colonoscopies: screening versus prevention 27:06 – What newer colonoscopy research suggests 30:32 – Colon health, polyps, and the gut microbiome 34:47 – Less-invasive testing and stool analysis 38:15 – GLP-1 medications and muscle loss 42:09 – Why losing weight is not the same as becoming healthier 46:18 – How to protect muscle while using GLP-1 medications 50:26 – Using GLP-1s safely and strategically 53:38 – Understanding mast cell activation 56:21 – Overlooked physical and mental symptoms 59:12 – Inflammation, brain fog, anxiety, and feeling disconnected 1:02:18 – Practical steps and final takeaways WHAT YOU'LL LEARN What blood pressure numbers may actually be telling you How stress, sleep, and inflammation can affect your readings The difference between colon cancer screening and prevention Why GLP-1 medications may contribute to muscle loss How mast cell activation may be connected to overlooked symptoms Practical ways to become a stronger advocate for your health DISCLAIMER: This podcast is for educational purposes only and is not a substitute for personalized medical advice. Never stop medication or change your treatment plan without consulting a qualified healthcare professional. FOLLOW US Dr. Bart Precourt https://www.instagram.com/drbartprecourt/ Callie Michaelis https://www.instagram.com/callieamichaelis/ Facebook https://www.facebook.com/Balance30A Instagram https://www.instagram.com/balance30a/ YouTube https://www.youtube.com/@DrBartPrecourt WANT TO GO FURTHER? Schedule a health consultation with us at Balance Health Studio: https://momence.com/appointments/appointment-reservation/70712?boardId=76851 #BloodPressure #GLP1 #Colonoscopy #GutHealth #MastCellActivation #FunctionalMedicine #MuscleLoss #WeightLoss #HealthPodcast #DrBartPrecourt #Balance30A

Despite a range of effective prevention tools, HIV incidence continues to rise in Canada, with stark disparities across ethnicity, gender, Indigeneity and geography. Updated Canadian guidelines on HIV pre- and post-exposure prophylaxis reflect scientific advances since 2017 and address both new formulations and persistent barriers to equitable access.Dr. Darrell Tan, lead author and clinician scientist at St. Michael's Hospital, outlines several prophylaxis options now available. Daily oral tenofovir disoproxil fumarate with emtricitabine is close to 100 per cent effective with perfect adherence and remains forgiving of occasional missed doses. Long-acting injectable cabotegravir, administered every two months, shows even greater effectiveness in trials largely because it reduces the adherence challenges associated with daily pills, though cost and availability continue to limit uptake.Natasha Lawrence, a community health worker at Women's Health in Women's Hands Community Health Centre in Toronto, reports that most women she serves have never heard of pre-exposure prophylaxis. Many people perceive their HIV risk as low until discussions explore relationship dynamics, including uncertainty about partner fidelity or difficulty negotiating condom use. She highlights how power imbalances and gender-based violence shape women's risk and may limit the practicality of daily pills. Long-acting injectables can offer greater privacy and autonomy for some women, reducing the risk of partner detection. Public health messaging, she stresses, must be co-designed with communities to ensure cultural relevance and avoid stigma.Clinicians should initiate sexual health conversations routinely, not only when patients raise concerns. Pre-exposure prophylaxis can be discussed during visits for contraception, mental health or other routine care. When patients express interest, access should not be limited by rigid criteria. Long-acting options may be especially helpful for women who face safety or privacy concerns in their relationships.For more information from our sponsor, go to md.ca/lifeplanComments or questions? Text us.Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.You can find Blair and Mojola on X  @BlairBigham and @DrmojolaomoleX (in English):  @CMAJ X (en français): @JAMC FacebookInstagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions

Luigi Mangione confessed to killing Brian Thompson. In the same breath, he pleaded guilty to stalking — not murder. No deal was cut to get there. He simply admitted, on the record, that he stalked the UnitedHealthcare CEO to an investor conference, posed as an investor controlling tens of billions of dollars to learn exactly where Thompson would be, 3D-printed the gun he used, and traveled to New York with the intent to kill. He told the judge he understood it was illegal. He showed no remorse. He never referred to Thompson as a husband or a father — only as a target. Thompson's wife, Paulette, sat in the front row and cried while he described it. Hours later, his defense team filed to dismiss the separate state murder case on double jeopardy grounds, with that trial's jury selection already scheduled for September 8. Retired FBI Special Agent Jennifer Coffindaffer joins Tony Brueski to break down what it means when a confessed killer is convicted of the lesser charge, and what his legal team is trying to pull off next. This is a man who has now beaten a terrorism charge and beaten the federal death penalty — and may be about to beat a state murder trial too. Federal sentencing is set for December 18. Guidelines call for twenty-four to thirty years; prosecutors say they want life. Mangione is twenty-eight. The episode lays out the confession, the legal strategy, and the gap between what he admitted and what he's actually been convicted of. Join Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/ Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/channel/UC8-vxmbhTxxG10sO1izODJg?sub_confirmation=1 Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/TrueCrimePod This publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice. #LuigiMangione #BrianThompson #TrueCrimeToday #JenniferCoffindaffer #GuiltyPlea #DoubleJeopardy #TrueCrime #UnitedHealthcare #FederalCourt #CriminalJustice

IF YOU ARE A NEW LISTENER, WELCOME! BEGIN HERE: This year we are doing my group coaching course together via this podcast! It's free and it only gets better as the year progresses.  In January we began with God at the center of our day and our home. We worked to build the habit of a morning prayer routine. I highly recommend the rosary. It's only about 20 minutes and you'll meditate on the whole life of Jesus. February is the month of decluttering. Saturday episodes have been added to focus on decluttering in the kitchen. Each month will have a different focus area and the Saturday episodes will help you focus on one small section of that room.  In March we decluttered your wardrobe. In April we are moving into budgeting for food. Our Saturday episodes will still be about decluttering. Our declutter focus area for April is your bedroom. In May we dreamed big! June brings us to one of the most useful topics in my group coaching course…meal planning. Ah, the feel of knowing exactly what's for dinner is the most stress-free feeling in the world! Our declutter focus area for June is Hallways/Landings. July is a much anticipated month of money/budgeting. Our Saturday episodes (otherwise known as the declutter episodes) will focus on decluttering TOYS! August is the month that brings it all together. Routines and Rhythms. Our declutter focus area for this month is your garage or shed. Give this first episode of 2026 a listen to hear where to begin: 316. Your 2026 Life Overhaul Plan: Faith, Clutter, Debt, Diet and More!  If you've never prayed a rosary or you want to see how you can incorporate it into active decluttering, here is the first episode of my rosary declutter series from last summer. 288. Summer Declutter Series Week Just getting started on your decluttering journey? Give this episode a listen before you begin: 322. Guidelines to Decluttering ***Are you so overwhelmed with clutter that you find yourself unable to make any decisions? Do you plan on decluttering only to find yourself standing in a room confused about where to start? Are you hoping motivation will strike and you'll get it all done in one weekend? If this sounds like you, let's work together. Book a one hour virtual coaching session via Zoom. Together we craft a decluttering plan and I walk you through the process. You'll complete much of the decluttering on your own time at your own pace. I just give you the roadmap and the accountability. Cost $77 per hour. Virtual Coaching Schedule   Not sure what you need? No problem! Book a complimentary 15 minute clarity call. We'll meet via Zoom and see if working with me would benefit you.  Email me at: tightshipmama@gmail.com to schedule a time.   Looking for community of like-minded women? Join the private Facebook community here: Facebook Group Prefer to receive a weekly email with the monthly freebie like a group rosary, group declutter, or budget Q&As?  Join my mailing list here: Monthly Newsletter   For any other inquiries or guest appearances, please email me at: tightshipmama@gmail.com  

For decades, the rescue inhaler was simple: feel tight, take a puff, breathe easier. But the newest asthma guidelines have changed what's actually recommended inside that inhaler, shifting away from plain albuterol toward a combination inhaler that treats symptoms and inflammation at the same time. Kortney and Dr. Payel Gupta are joined by Dr. Bill McCann, allergist and CEO of Allergy Partners, to break down why this combo inhaler approach is now preferred, what it actually contains, and why auto-refilling your old rescue inhaler might be working against you. What we cover in this episode about rescue inhalers Understanding asthma: the boiling pot analogy. Dr. McCann explains asthma inflammation using a pot of water on the stove, and why a bronchodilator alone never turns down the heat. Why a combo inhaler is now preferred. The newest guidelines recommend a single inhaler containing both a fast-acting bronchodilator and a low dose of anti-inflammatory steroid. AIR and MART, explained simply. Two ways doctors are using this combo inhaler: either as-needed only, or as a daily plus as-needed routine. The myth of "mild" asthma. Why intermittent or infrequent symptoms don't mean you're free from risk. The auto-refill trap. Why an automatic pharmacy refill on your old rescue inhaler can quietly hide worsening asthma control from your doctor. More resources GINA 2026 Strategy Report (official source) What is asthma? Listen to the BATURA Trial ________ Made in partnership with The Allergy & Asthma Network. Thanks to AstraZeneca for sponsoring today's episode.  This podcast is for informational purposes only and does not substitute for professio

From banning analogue paneer to guidelines on edible oils, issuing notices to superstars for surrogate advertising and cracking down on renowned high-end restaurants-Tukaram Mundhe has made headlines for his swift action since taking over as Maharashtra FDA Commissioner. In this special edition of #CutTheClutter, ThePrint Editor-In-Chief Shekhar Gupta is joined by Maharashtra FDA Chief Tukaram Mundhe, who explains reasons behind the crackdown, and what the rules as well as regulations state. The Episode also tries to answer which food is safe for consumption, and how the quality of food, milk & milk products is compromised.

First, we speak with The Indian Express' Dheeraj Mishra about an audit of Indian non suburban railway stations conducted by the Comptroller and Auditor General. He shares the issues and lapses highlighted during the audit, the concerns they raise and the steps the government is taking. Next, we speak with The Indian Express' Pratip Acharya about the Dharavi redevelopment project and the requirement to clear the Deonar landfill for it. He discusses the challenges the project faces, the delay in clearing the landfill, the prescribed timeline and the current status of the project. (11:10)Lastly, we discuss the Supreme Court reconsidering the University Grants Commission regulations aimed at preventing caste discrimination in higher education institutions and why it has put the government in a politically difficult position. (19:30)Hosted by Niharika NandaProduced by Shashank Bhargava, Ichha Sharma, and Niharika NandaEdited and mixed by Suresh Pawar

The headlines of the day by The Indian Express

Opening Bible verse: Proverbs 24:2 IF YOU ARE A NEW LISTENER, WELCOME! BEGIN HERE: This year we are doing my group coaching course together via this podcast! It's free and it only gets better as the year progresses.  In January we began with God at the center of our day and our home. We worked to build the habit of a morning prayer routine. I highly recommend the rosary. It's only about 20 minutes and you'll meditate on the whole life of Jesus. February is the month of decluttering. Saturday episodes have been added to focus on decluttering in the kitchen. Each month will have a different focus area and the Saturday episodes will help you focus on one small section of that room.  In March we decluttered your wardrobe. In April we are moving into budgeting for food. Our Saturday episodes will still be about decluttering. Our declutter focus area for April is your bedroom. In May we dreamed big! June brings us to one of the most useful topics in my group coaching course…meal planning. Ah, the feel of knowing exactly what's for dinner is the most stress-free feeling in the world! Our declutter focus area for June is Hallways/Landings. July is a much anticipated month of money/budgeting. Our Saturday episodes (otherwise known as the declutter episodes) will focus on decluttering TOYS! August is the month that brings it all together. Routines and Rhythms. Our declutter focus area for this month is your garage or shed. Give this first episode of 2026 a listen to hear where to begin: 316. Your 2026 Life Overhaul Plan: Faith, Clutter, Debt, Diet and More!  If you've never prayed a rosary or you want to see how you can incorporate it into active decluttering, here is the first episode of my rosary declutter series from last summer. 288. Summer Declutter Series Week Just getting started on your decluttering journey? Give this episode a listen before you begin: 322. Guidelines to Decluttering ***Are you so overwhelmed with clutter that you find yourself unable to make any decisions? Do you plan on decluttering only to find yourself standing in a room confused about where to start? Are you hoping motivation will strike and you'll get it all done in one weekend? If this sounds like you, let's work together. Book a one hour virtual coaching session via Zoom. Together we craft a decluttering plan and I walk you through the process. You'll complete much of the decluttering on your own time at your own pace. I just give you the roadmap and the accountability. Cost $77 per hour. Virtual Coaching Schedule   Not sure what you need? No problem! Book a complimentary 15 minute clarity call. We'll meet via Zoom and see if working with me would benefit you.  Email me at: tightshipmama@gmail.com to schedule a time.   Looking for community of like-minded women? Join the private Facebook community here: Facebook Group Prefer to receive a weekly email with the monthly freebie like a group rosary, group declutter, or budget Q&As?  Join my mailing list here: Monthly Newsletter   For any other inquiries or guest appearances, please email me at: tightshipmama@gmail.com    

What if a decades-old infection-control rule isn't actually making eye care safer and is instead damaging equipment, generating unnecessary plastic waste, and costing the health care system millions?  In this episode, we are joined by Mayo Clinic glaucoma specialist, Dr. Cheryl Khanna, to discuss a potentially practice-changing position statement from the American Glaucoma Society and American Academy of Ophthalmology on tonometer disinfection. The group explores why longstanding high-level disinfection requirements may deserve reconsideration, including the lack of confirmed infections transmitted through tonometry, potential damage to Goldmann tonometer tips from high-level disinfection, and the unique antimicrobial properties of the ocular surface.  Tune in to hear evidence supporting physical cleaning and low-level disinfection for appropriately selected patients.  Finally, the conversation tackles the financial and environmental consequences of disposable devices in ophthalmology and what still needs to happen before these recommendations translate into widespread changes in clinical practice.   Subscribe to the podcast:  https://MayoClinicOphthalmology.podbean.com  Follow and reach out to us on X and IG: @mayocliniceye

Dr. Macy Bolt breaks down the new WHO dementia risk reduction guidelines that are hot off the press! She dug into the details so you don't have to and she'll walk you through the clinical takeaways you can start implementing them today. Want to make sure you stay up to date in all things Geriatrics in less than 3 minutes every other week? Join thousands of others in our free MMOA Digest Email list - https://institute-of-clinical-excellence.kit.com/a3837f54b7

Thinking about buying a condo? New lending rules from Fannie Mae and Freddie Mac could make getting a mortgage on certain condos more difficult, and first-time home buyers need to understand the risks before making an offer.In this episode of The Educated HomeBuyer, Jeb Smith and Josh Lewis break down the major changes affecting condo financing, including stricter HOA financial reviews, reserve requirements, deferred maintenance, structural inspections, insurance requirements, and the elimination of the limited review for most condo projects. These changes are designed to uncover problems before you buy, but they could also cause more condo communities to become non-warrantable, potentially requiring a larger down payment, higher mortgage rate, or alternative financing.We also explain what first-time home buyers should look for when reviewing HOA documents, including reserve studies, financial statements, meeting minutes, special assessments, litigation, and upcoming repairs. A condo may look great on the surface, but problems with the HOA or building can affect your ability to finance the property today and potentially make it harder to sell later.Before buying a condo, you need to understand more than the monthly HOA payment. Knowing the financial and structural health of the community can help you avoid unexpected special assessments, financing problems, and expensive surprises after closing.Whether you're buying your first condo, comparing a condo vs. single-family home, or trying to better understand the home buying process, this episode will help you know what questions to ask before writing an offer.✅ Are you Ready To Become A Homeowner:https://www.buyrightborrowsmart.com/quiz✅ Start your stress-free journey today:theeducatedhomebuyer.com/startTopics Covered:Condo financing requirements, buying a condo, first-time home buyer tips, Fannie Mae condo guidelines, Freddie Mac condo guidelines, HOA reserves, HOA financials, condo special assessments, non-warrantable condos, condo inspections, condo insurance, mortgage requirements, HOA documents, and the home buying process.

A new executive order from the Trump administration is shifting federal childhood vaccine recommendations, sparking debate among public health officials, doctors, and parents. The new schedule reduces federal recommendations from 18 diseases down to 11 and calls for splitting up the combination MMR vaccine. Former U.S. Surgeon General Dr. Jerome Adams joins Rundown to discuss why he believes the administration is acting on bad medical advice, straining relationships further between parents and doctors, and could potentially lead to a rise in preventable childhood diseases. Plus, Principal Deputy Assistant Secretary for Health at HHS Dr. Stephanie Haridopolos joins to defend the new directive, explaining how providing parents with greater choice, transparency, and fresh research is the key to overcoming vaccine hesitancy and regaining public trust.   PHOTO CREIDT: AP PHOTO Learn more about your ad choices. Visit podcastchoices.com/adchoices

Tonje Gjevjon and Anne Kalvig - Institutionalisation of Gender Identity In Norway including the Rollout of the Gender Diversity Guidelines

A new executive order from the Trump administration is shifting federal childhood vaccine recommendations, sparking debate among public health officials, doctors, and parents. The new schedule reduces federal recommendations from 18 diseases down to 11 and calls for splitting up the combination MMR vaccine. Former U.S. Surgeon General Dr. Jerome Adams joins Rundown to discuss why he believes the administration is acting on bad medical advice, straining relationships further between parents and doctors, and could potentially lead to a rise in preventable childhood diseases. Plus, Principal Deputy Assistant Secretary for Health at HHS Dr. Stephanie Haridopolos joins to defend the new directive, explaining how providing parents with greater choice, transparency, and fresh research is the key to overcoming vaccine hesitancy and regaining public trust.   PHOTO CREIDT: AP PHOTO Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this two-part episode of the UConn Internal Medicine Podcast Series, we sit down with Dr. Antonio Fernandez, Medical Director of Preventive Cardiology at Hartford Hospital, to break down the 2026 ACC/AHA multisociety dyslipidemia guidelines.We discuss the key updates, cardiovascular risk assessment, lipid-lowering therapy, and how to apply the new recommendations in everyday clinical practice.Hosts:Dr. Hossam Albeyoumi Mohammed, Chief Medicine Resident, UConn.Dr. Kalika Maheshwari, PGY3 Medicine Resident, UConn.Guest:Dr. Antonio Fernandez, Medical Director for Preventative Cardiology, Hartford Hospital.Edited by:Dr. Hossam Albeyoumi Mohammed, Chief Medicine Resident, UConn.Music:LoFi Girl by Snoozy Beats | Free Music Archive | Livense: CC BY.

IF YOU ARE A NEW LISTENER, WELCOME! BEGIN HERE: This year we are doing my group coaching course together via this podcast! It's free and it only gets better as the year progresses.  In January we began with God at the center of our day and our home. We worked to build the habit of a morning prayer routine. I highly recommend the rosary. It's only about 20 minutes and you'll meditate on the whole life of Jesus. February is the month of decluttering. Saturday episodes have been added to focus on decluttering in the kitchen. Each month will have a different focus area and the Saturday episodes will help you focus on one small section of that room.  In March we decluttered your wardrobe. In April we are moving into budgeting for food. Our Saturday episodes will still be about decluttering. Our declutter focus area for April is your bedroom. In May we dreamed big! June brings us to one of the most useful topics in my group coaching course…meal planning. Ah, the feel of knowing exactly what's for dinner is the most stress-free feeling in the world! Our declutter focus area for June is Hallways/Landings. July is a much anticipated month of money/budgeting. Our Saturday episodes (otherwise known as the declutter episodes) will focus on decluttering TOYS! August is the month that brings it all together. Routines and Rhythms. Our declutter focus area for this month is your garage or shed. Give this first episode of 2026 a listen to hear where to begin: 316. Your 2026 Life Overhaul Plan: Faith, Clutter, Debt, Diet and More!  If you've never prayed a rosary or you want to see how you can incorporate it into active decluttering, here is the first episode of my rosary declutter series from last summer. 288. Summer Declutter Series Week Just getting started on your decluttering journey? Give this episode a listen before you begin: 322. Guidelines to Decluttering ***Are you so overwhelmed with clutter that you find yourself unable to make any decisions? Do you plan on decluttering only to find yourself standing in a room confused about where to start? Are you hoping motivation will strike and you'll get it all done in one weekend? If this sounds like you, let's work together. Book a one hour virtual coaching session via Zoom. Together we craft a decluttering plan and I walk you through the process. You'll complete much of the decluttering on your own time at your own pace. I just give you the roadmap and the accountability. Cost $77 per hour. Virtual Coaching Schedule   Not sure what you need? No problem! Book a complimentary 15 minute clarity call. We'll meet via Zoom and see if working with me would benefit you.  Email me at: tightshipmama@gmail.com to schedule a time.   Looking for community of like-minded women? Join the private Facebook community here: Facebook Group Prefer to receive a weekly email with the monthly freebie like a group rosary, group declutter, or budget Q&As?  Join my mailing list here: Monthly Newsletter   For any other inquiries or guest appearances, please email me at: tightshipmama@gmail.com  

Why You Attract the Wrong Relationships | FT: Ada Gore CONNECT WITH CHARLENE On Instagram @mscharlenebyars ([https://www.instagram.com/mscharlenebyars] On YouTube @chosentraining (https://www.youtube.com/@lovestorieswithcharlenebyars)) Work with me HERE ([https://charlenebyars.com/](https://charlenebyars.com/)) CONNECT WITH ADA: On Instagaram @unfawningwithada (https://www.instagram.com/unfawningwithada//) On Facebook : https://www.facebook.com/p/UnfawningwithAda-Gore-61583811881569/ On YouTube: https://www.youtube.com/@UnFawningWithAdaJoin the Waitlist: https://adagore.com/unstuck-waitlist Join for a Practical.Guideline to be a Self-Centred Woman : https://www.adagore.com/enroll-scw Website : https://www.adagore.com/ Self-trust coach Ada Gore joins the podcast to unpack self-abandonment, the pattern of consistently putting everyone else first while ignoring your own needs, and how it silently sabotages dating, marriage, and self-worth. Ada explains how self-abandonment shows up specifically in dating (over-planning, over-texting, doing all the emotional labor) and marriage (trying to control your partner instead of trusting them), and introduces the most powerful reframe of the episode: resentment as a messenger, not an enemy, a signal that reveals exactly where you've abandoned your own needs. Full Timestamps: 00:00 — Intro: Meet Ada Gore, Self-Trust Coach 02:00 — Ada's Story: A Decade of Single Motherhood & Painful Dating 04:00 — The Dud, the Almost Man, and the Soulmate 06:30 — The Breakthrough: "I Didn't Love Myself" 09:00 — Why We Can Only Receive the Love We Give Ourselves 11:30 — What Self-Love Actually Means: Evidence Over Affirmations 14:00 — Keeping Tiny Promises to Yourself 16:30 — The "Going Pee When You Need To" Story 19:00 — Self-Abandonment as a Protective Mechanism 21:30 — How It Shows Up in Dating: Over-Planning & Control 24:00 — How It Shows Up in Marriage: Turning Him Into a Project 26:00 — Learning to Trust Yourself to Read the Red Flags 29:00 — "Trusting Someone Else Is Never About Them — It's About You" 32:00 — Signs You're Abandoning Yourself: The Resentment Test 35:00 — Ada's Postpartum Story: The Yoga Class She Never Took 39:00 — Why Resentment Is Always About You, Not Them 41:30 — Confusing Sacrifice With Healthy Love 44:00 — Selfish vs. Selfless vs. Self-Centered (The Pendulum) 47:00 — The Self-Centered Woman Program Introduction 49:00 — Permission Exercise: Speaking Your Resentment Out Loud 52:00 — Journaling vs. Speaking: Getting the Loop Out of Your Head 54:30 — The Dishes Story: Giving From Overflow vs. Depletion 58:00 — The Pygmalion Effect in Relationships 1:00:00 — How to Set Expectations Without Lying to Yourself 1:05:00 — Where to Start If You've Abandoned Yourself for Years 1:08:30 — Advice for Single Women: Resentment in Dating 1:11:00 — Ada's Viral Reel: The #1 Red Flag Before Marriage 1:16:00 — Life After Healing: "I'm Not Lonely Anymore"1:18:00 — Where to Find Ada + The Self-Centered Woman Program 1:21:00 — Closing Thoughts The episode also covers the difference between selfish, selfless, and "self-centered" (Ada's reframed, healthy middle ground), the Pygmalion effect and how the expectations you set for your partner shape how they show up, and concrete scripts for communicating trust and boundaries without nagging or lying to yourself. This is a deeply practical conversation for any woman who feels like she's disappeared inside her own relationships.

This episode features authors of the KDOQI US Commentary on the KDIGO 2024 Clinical Practice Guideline for the Management of Lupus Nephritis. Experts Dr. Gabriel Contreras and Dr. Sayna Norouzi joins host, Dr. Osama El Shamy to explore key guideline updates and how the recommendations can be applied in clinical practice. They discuss current approaches to diagnosis, newer therapies, treatment strategies based on disease class, and care for patients with a membranous component. The conversation also examines long-term complications, thrombotic microangiopathy, and practical challenges clinicians may encounter when implementing the updated recommendations. Please click here to access the commentary.  

Opening Bible verse: Philippians 4:6-7 IF YOU ARE A NEW LISTENER, WELCOME! BEGIN HERE: This year we are doing my group coaching course together via this podcast! It's free and it only gets better as the year progresses.  In January we began with God at the center of our day and our home. We worked to build the habit of a morning prayer routine. I highly recommend the rosary. It's only about 20 minutes and you'll meditate on the whole life of Jesus. February is the month of decluttering. Saturday episodes have been added to focus on decluttering in the kitchen. Each month will have a different focus area and the Saturday episodes will help you focus on one small section of that room.  In March we decluttered your wardrobe. In April we are moving into budgeting for food. Our Saturday episodes will still be about decluttering. Our declutter focus area for April is your bedroom. In May we dreamed big! June brings us to one of the most useful topics in my group coaching course…meal planning. Ah, the feel of knowing exactly what's for dinner is the most stress-free feeling in the world! Our declutter focus area for June is Hallways/Landings. July is a much anticipated month of money/budgeting. Our Saturday episodes (otherwise known as the declutter episodes) will focus on decluttering TOYS! August is the month that brings it all together. Routines and Rhythms. Our declutter focus area for this month is your garage or shed. Give this first episode of 2026 a listen to hear where to begin: 316. Your 2026 Life Overhaul Plan: Faith, Clutter, Debt, Diet and More!  If you've never prayed a rosary or you want to see how you can incorporate it into active decluttering, here is the first episode of my rosary declutter series from last summer. 288. Summer Declutter Series Week Just getting started on your decluttering journey? Give this episode a listen before you begin: 322. Guidelines to Decluttering ***Are you so overwhelmed with clutter that you find yourself unable to make any decisions? Do you plan on decluttering only to find yourself standing in a room confused about where to start? Are you hoping motivation will strike and you'll get it all done in one weekend? If this sounds like you, let's work together. Book a one hour virtual coaching session via Zoom. Together we craft a decluttering plan and I walk you through the process. You'll complete much of the decluttering on your own time at your own pace. I just give you the roadmap and the accountability. Cost $77 per hour. Virtual Coaching Schedule   Not sure what you need? No problem! Book a complimentary 15 minute clarity call. We'll meet via Zoom and see if working with me would benefit you.  Email me at: tightshipmama@gmail.com to schedule a time.   Looking for community of like-minded women? Join the private Facebook community here: Facebook Group Prefer to receive a weekly email with the monthly freebie like a group rosary, group declutter, or budget Q&As?  Join my mailing list here: Monthly Newsletter   For any other inquiries or guest appearances, please email me at: tightshipmama@gmail.com    

How are new aspiration thrombectomy systems and real-time hemodynamic monitoring enabling safer, more effective pulmonary embolism treatment? On this episode of the BackTable Podcast, Dr. Ally Baheti welcomes Dr. Maya Serhal and Dr. David Dexter for a deep dive into modern pulmonary embolism (PE) management, with a focus on advances in large-bore aspiration thrombectomy. They discuss evolving PE triage algorithms, real-world procedural strategies, and the clinical impact of next-generation aspiration systems on safety, efficiency, and patient recovery. --- Get the BackTable apphttps://www.backtable.com/app --- This podcast is supported by Imperative Care https://imperativecare.com/ --- Timestamps 00:00- Introduction02:03- PE Response Workflow05:32- Symphony Device07:07- Sizing and Blood Loss10:00- Multi-Port Hemodynamics14:45- Procedure Endpoints17:01- IVUS Guided Strategy20:02- ProHelix and Lollipopping25:48- Case Studies34:12- Closing Thoughts --- More about this episode The conversation explores multidisciplinary PE response workflows, lab and imaging triggers for escalation, and technical considerations in catheter sizing, blood loss management, and real-time hemodynamic monitoring. Dr. Dexter reviews his use of intravascular ultrasound for precise clot localization, and Dr. Serhal shares practical tips for adjusting aspiration power to avoid complications. Together, they discuss procedural endpoints, mechanical assist devices for difficult clots, and present case examples demonstrating rapid improvement in hemodynamics and oxygenation. The episode emphasizes the importance of teamwork, patient selection, and ongoing innovation in optimizing PE care. --- Resources American Society of Hematology 2020 Guidelines for Management of Venous Thromboembolism: Treatment of Deep Vein Thrombosis and Pulmonary Embolismhttps://ashpublications.org/bloodadvances/article/4/19/4693/463998/American-Society-of-Hematology-2020-Guidelines-for Prospective Multicenter IDE Study of the Next-Generation Precision Aspiration Thrombectomy System for Intermediate-Risk Pulmonary Embolism: The SYMPHONY-PE Trialhttps://www.ahajournals.org/doi/full/10.1161/CIRCINTERVENTIONS.125.015815 Is There a Golden Hour for Thrombectomy in Intermediate-Risk Pulmonary Embolism? Insights From SYMPHONY-PEhttps://www.ahajournals.org/doi/full/10.1161/CIRCINTERVENTIONS.126.016573--- BackTable Vascular & Interventional (VI) is the go-to podcast for interventional radiologists, vascular surgeons, and interventional cardiologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

American Robert Gilman is released from prison in Russia and flies home. President Donald Trump says it was after he spoke with Russian President Vladimir Putin, it was for humanitarian reasons due to Gilman's poor health and "Russia asked for no one in return"; Campaign primary day in six states. Republicans in South Carolina are choosing a replacement nominee for the late Sen. Lindsey Graham, and among whose running is his sister, Darline Graham, who has been appointed to replace him, while Democrats in Minnesota and Wisconsin are faced with candidates pitting the moderate and progressive wings of the party against each other, for a Senate seat & governorship, respectively; Today is the anniversary of President Trump's declaration of a crime emergency in Washington, DC that led to the deployment of thousands of National Guard troops patrolling the streets; White House has reportedly developed guidelines for voluntary testing of artificial intelligence models for safety and security, but is sharing them only with certain technology companies and not the public. We will talk about that with The Hill's Senior Technology Reporter Miranda Nazzarro. (41) Learn more about your ad choices. Visit megaphone.fm/adchoices

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-497 Overview: While the 2026 ACC/AHA dyslipidemia guidelines may seem overwhelming, we've got you covered. Join us as we walk through the latest recommendations—from risk calculation to treatment targets to testing—and take a close look at the rationale behind the guidelines, so you can guide patients with confidence. Episode resource links: JACC. Published online March 13, 2026. doi: 10.1016/j.jacc.2025.11.016 NEJM: 2026;394:1365-1375 DOI: 10.1056/NEJMoa2600283 JAMA. 2022;328(8):754–771. doi:10.1001/jama.2022.12138 Guest: Robert A. Baldor MD, FAAFP   Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.