Podcasts about Hawley

Looking to upgrade for the winter? Something safer on the snow? Maybe use all the tax incentives possible in 2025? Ryan from Muscatell Burns Ford in Hawley, MN has what you need to know!See omnystudio.com/listener for privacy information.

Let's talk about Hawley vs Vance_ MAGA successor edition....

Senator Josh Hawley joined the show to discuss several key topics, including President Trump's $1,776 payout to service members, the 4% military pay raise, and the impact of recent border enforcement on Missouri's drug flow. Hawley emphasized lowering healthcare costs through tax exemptions on premiums, deductibles, and prescriptions, and expressed concern over potential government shutdowns by Senate Democrats. He criticized the Biden DOJ for pushing the Mar-a-Lago raid despite FBI warnings and praised Andrew Bailey's upcoming role at the FBI. Hawley also highlighted his pro-life initiative, Love Life Initiative, and the effort to protect Missouri children from abortion on demand and transgender operations on minors, warning of significant outside funding in opposition campaigns.

Hour 3 opens with Senator Josh Hawley discussing President Trump's $1,776 military checks, border security, healthcare reform, and pro-life initiatives through the Love Life Initiative, emphasizing Missouri's upcoming constitutional vote. Former Senator Jim Talent follows, analyzing the president's speech, economic indicators, and the lingering effects of the border crisis on housing costs. The conversation then shifts to generational and professional impacts of DEI policies, highlighting reverse discrimination in creative industries and education. The hour closes by examining the rise of furry student clubs on U.S. campuses, critiquing the culture of extreme self-expression and questioning the role of universities in supporting these trends.

This is The Briefing, a daily analysis of news and events from a Christian worldview.On today’s edition of The Briefing, Dr. Mohler discusses the increase in the number of abortions since Dobbs, the moral and political injury the Republican Party will bring on itself if it turn its back on the pro-life movement, and the death and legacy of Rob Reiner.Part I (00:14 – 13:39)Three Years After Dobbs, ‘the Reality Is People Are Getting Abortions' by The New York Times (Soumya Karlamangla)Part II (13:39 – 17:22)Trump advisers strafe Hawley over new anti-abortion group by Axios (Alex Isenstadt)Part III (17:22 – 25:01)The Strange Tale of American Television and the Religious Left by Thinking in Public (R. Albert Mohler, Jr. and Benjamin Rolsky)Sign up to receive The Briefing in your inbox every weekday morning.Follow Dr. Mohler:X | Instagram | Facebook | YouTubeFor more information on The Southern Baptist Theological Seminary, go to sbts.edu.For more information on Boyce College, just go to BoyceCollege.com.To write Dr. Mohler or submit a question for The Mailbox, go here.

A man reported missing in Hawley has been found dead​.A group against religious hate and violence is speaking out about the terrorist attack in Australia.Hospice of Orange & Sullivan Counties has dedicated its yearly Holiday Tree of Life. Ellenville Regional Hospital gets a new MRI machine.The winner of this year's Sullivan Walks Challenge has been recognized.

Native St Louisan, Andrew Egger, is the White House Correspondent for The Bulwark & co-author of Morning Shots newsletter. He joins Amy and Chris in-studio. They kick off he segment discussing the Trump comments on the murders of Rob and Michele Reiner; the Trump coalition & mid-terms; where does Sen Josh Hawley go from here?; what did Trump's Chief of Staff say about his administration?

Dave and Bethlie discuss the book Manhood by Senator Josh Hawley.  About the Author: Represents Missouri in US Senate First Amendment Lawyer and law professor Former Attorney General of Missouri They live in Ozark MO and have three children About the Book: Senator Hawley addresses an issue that concerns many in our world today - the issue of masculinity under attack.   He calls this issue a crisis and I agree Why I love the book: It is good and offers a perspective that is sometimes outside of my realm He shows how manhood was perceived in the Greek and Roman era He has great illustrations from his own experiences growing up in a rural area He build a model of manhood following the Bible, the Word of God What is the point? Senator Hawley shows the essential virtues a man should cultivate Shows why a man has to be a warrior, builder, priest, and king Show the important of courage and commitment as the starting point for manhood Shows the philosophy behind modern liberalism and offers evidence of why it is so destructive to our nation as a whole. The chapters; 2 Parts 10 chapters In the Beginning A Man's Mission A Man's Battle  A Man's Promise Husband Father Warrior Builder Priest King Chapter 1  General patterns Living Habits and Work More and more young men remain at home 50 % of Lower skilled young men in their 20s who have a job still live at home (or with a close relative) If they don't have a job, 70% still live at home. 2015 - 1/4 of young men 20-20 had no work at all In 1970, 95 percent of 30 years old made more money then their fathers had In 2014, only 44 percent did Underperformance at school 70% of Ds and Fs are given to boys By 8th grade, only 20% of boys are proficient in writing At same age, only 24% can earn proficient scores on reading exams Boys now make up 2/3 of students in remedial programs, not because their intelligence is lower, but because they aren't trying! What do young men do with their time? Screens Leisure Porn Another way of saying it is:  Socializing, relaxing, leisure Vast amount of leisure time includes video games and porn These young men are now battling depression and drug abuse at historic levels and the results have been disastrous Liberalism is the philosophy behind it all Liberalism believes that western society is unequal unjust and corrupt to its foundations Masculinity is one of the foundations and it must be "smashed" for man to be free Senator Hawley's point is that the answer to our masculine crisis is "the oldest and most profound story there is. It is the story of the Bible"   Chapter 2 places an emphasis on man's purpose by tracing our story back to the garden of Eden   Chapter 3 places an emphasis on man's responsibility and duty   Chapter 4 is especially worth considering It details how masculinity became something oppressive, something to be avoided and eradicated In chapter 3, he introduces the readers to Epicurus and to Rousseau and showed how that their ideology lead to men throwing off all responsibility and choosing only to do what they wanted to do.  Their happiness and their fulfillment was the only reason to live In this chapter, he show how the followers of Karl Marx paved the way for the attack on modern masculinity It saw traditional culture as the enemy; especially Christianity From there, it attacked femininity and masculinity Senator Hawley gives ample illustrations of how this is being taught in our schools and in our institutions and how it is destroy our nation as we know it

- There are a couple weeks to go for St Louis County's government to figure out a massive budget shortfall. And to get past Sam Page's financial nonsense. STL County Councilman Mark Harder has the details.- Mike Palicz of Americans for Tax Reform discusses Senator Josh Hawley's decision to vote in favor of extending ACA. - Rob Reiner murdered in his home. See omnystudio.com/listener for privacy information.

CBS Chief Washington Correspondent Major Garrett discusses the rift between Rep Marjorie Taylor-Greene and President Trump, 'she's chosen, quite obviously, to be highly visible,' in this debate. Who will be the next flag-bearer once Trump leaves office? The seizure of a Venezuelan oil tanker. Sen Josh Hawley and votes on health care plan.

Josh Hawley argues that “man's mission” is to combat evil. Defining men in this way makes evil necessary, and it transforms every political, social, and cultural disagreement into a moral conflict of cosmic significance. In this episode, Dan shows how this leads Hawley to distort the “modern culture” and “liberals” he opposes. He also looks at the ways in which Hawley, and those who share his worldview, accuse their opponents of doing exactly the same things they do in practice, and he discusses why understanding this is so important. Take a listen to hear more! Subscribe for $5.99 a month to get bonus content most Mondays, bonus episodes every month, ad-free listening, access to the entire 1000+ episode archive, Discord access, and more: https://axismundi.supercast.com/ Linktree: https://linktr.ee/StraightWhiteJC Order Brad's book: https://bookshop.org/a/95982/9781506482163 Subscribe to Teología Sin Vergüenza Subscribe to American Exceptionalism Learn more about your ad choices. Visit megaphone.fm/adchoices

I Heart Church // iheartchurch.online

I Heart Church // iheartchurch.online

Josh Hawley builds his account on masculinity and manhood on the idea that men are created in God's image and, as such, are his representatives on earth. But what is Hawley's God like? What kind of God does Hawley worship? Who is this God that is the pattern for human manhood? In this episode, Dan argues that Hawley's God's insecurity drives him to exercise his power to dominate others. Check out the episode to hear why. Subscribe for $5.99 a month to get bonus content most Mondays, bonus episodes every month, ad-free listening, access to the entire 850-episode archive, Discord access, and more: https://axismundi.supercast.com/ Linktree: https://linktr.ee/StraightWhiteJC Order Brad's book: https://bookshop.org/a/95982/9781506482163 Subscribe to Teología Sin Vergüenza Subscribe to American Exceptionalism Learn more about your ad choices. Visit megaphone.fm/adchoices

Dylan Coon and Nigel Dyson are joined by Cyclone Legend and former Chief Energy Officer Conrad Hawley as he discusses how he ended up at Iowa State with Coach Otzelberger. What was it like being the C.E.O.? Life stories, being a benchwarmer, and how he turned it all into a lifestyle. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Nicola Hawley is an Associate Professor of Epidemiology at the Yale School of Public Health, where she also holds a secondary appointment in Anthropology. She serves as Associate Director for Dissemination and Implementation Science at the Yale Center for Clinical Investigation. Trained as a human biologist, Dr. Hawley is an internationally recognized expert in maternal and child health, with a focus on how early life experiences, from pregnancy through childhood, shape long-term risks for obesity and chronic disease. Her research bridges epidemiology, anthropology, and global health, using community-engaged and culturally grounded approaches to improve health outcomes in under-resourced and Indigenous settings. Much of her work centers in the Pacific, particularly in Sāmoa and American Sāmoa, where she leads NIH- and PCORI-funded studies on gestational and Type 2 diabetes, obesity prevention, and intergenerational health. She's also deeply committed to mentorship, helping train the next generation of global health and maternal-child health researchers. ------------------------------ Find the work discussed in this episode: Heinsberg LW, Loia M, Tasele S, Faasalele-Savusa K, Carlson JC, Anesi S, et al. (2025) Study protocol for the Health Outcomes in Pregnancy and Early Childhood (HOPE) Study: A mother-infant study in American Samoa. PLoS One 20(9): e0326644. https://doi.org/10.1371/journal.pone.0326644 ------------------------------ Contact the Sausage of Science Podcast and the Human Biology Association: Facebook: facebook.com/groups/humanbiologyassociation/, Website: humbio.org, Twitter: @HumBioAssoc Chris Lynn, Co-Host Website: cdlynn.people.ua.edu/, E-mail: cdlynn@ua.edu, Twitter:@Chris_Ly Courtney Manthey, Guest-Co-Host, Website: holylaetoli.com/ E-mail: cpierce4@uccs.edu, Twitter: @HolyLaetoli Anahi Ruderman, SoS Co-Producer, HBA Junior Fellow, E-mail: ruderman@cenpat-conicet.gob.ar

Nessa semana, Renata conclui a história do terrível Doutor... Temos um canal no YouTube, com vídeos exclusivos todos os domingos: https://www.youtube.com/channel/UCac9ZupbqFakPcL5CQgpUoQ Para apoiar o Pátria Amada Criminal, vá ate a Orelo: https://orelo.cc/podcast/603ce78538a4f230cbd37521 PIX: patriaamadapod@gmail.com Escrito e apresentado por Natália Salazar e Renata Schmidt Produção: Natália Salazar e Renata Schmidt Edição: Natália Salazar Música: Felipe Salazar Arte: Matheus Schmidt E-mail: patriaamadapod@gmail.com IG: @pacriminalSee omnystudio.com/listener for privacy information.

This episode of The Food Professor Podcast takes a deep dive into one of the most powerful forces now reshaping the food industry: the rapid rise of GLP-1 weight-loss drugs such as Ozempic and Wegovy. Hosts Michael LeBlanc and Dr. Sylvain Charlebois begin with a run-through of current food and retail headlines, including controversy at Campbell Soup, conversations around AI adoption and innovation in the food sector, and early teasers from the 2026 Canada Food Price Report. These stories set the stage for this week's feature discussion: how GLP-1 medications are altering what consumers eat, where they shop, and which products they choose.The heart of the episode features an in-depth interview with Ransom Hawley, Founder and CEO of Caddle, a Canadian mobile-first consumer insights platform with access to real-time behavioural data. Hawley shares new Canadian research showing GLP-1 household usage has jumped from 10% to 14% over two years, a dramatic 40% increase. Equally important is the shift in why people are taking these drugs: where most users initially relied on them to manage type-2 diabetes, an increasing number now use them primarily for weight loss. That consumer pivot mirrors rapid adoption trends in the United States and offers important clues about what's coming next for Canadian retailers, manufacturers and restaurants.Hawley reveals that GLP-1 users report eating less, losing weight, buying fewer groceries, and reducing restaurant visits. Consumption of alcohol, sugary beverages and impulse-driven snack foods is falling, while protein-rich foods, functional beverages and satiety-oriented products are gaining momentum. Categories seeing the steepest declines include bakery goods, packaged cookies, chocolates, soft drinks and sweet snacks—all long-time staples of convenience-driven food consumption. This suggests a structural shift, not a temporary fad.The conversation expands to consider the broader implications. As GLP-1 usage rises, brands face new challenges and opportunities: How should they reformulate products for consumers who eat less? Should retailers redesign planograms to reflect category shrinkage? Will foodservice operators pivot toward protein-forward meals, smoothies and portion-smart menu strategies? As the hosts discuss, this is the first time since COVID-era lockdowns that such a large segment of the population is simultaneously changing eating behaviours, and its ripple effects will reshape category strategies, promotional plans, and innovation pipelines.By the end of the episode, one thing is clear: GLP-1 drugs are not just a pharmaceutical phenomenon—they are transforming food culture, retail economics, and consumer expectations. Retailers and brands that ignore this shift risk falling behind; those who understand it may unlock a once-in-a-generation competitive advantage. The Food Professor #podcast is presented by Caddle. About UsDr. Sylvain Charlebois is a Professor in food distribution and policy in the Faculties of Management and Agriculture at Dalhousie University in Halifax. He is also the Senior Director of the Agri-food Analytics Lab, also located at Dalhousie University. Before joining Dalhousie, he was affiliated with the University of Guelph's Arrell Food Institute, which he co-founded. Known as “The Food Professor”, his current research interest lies in the broad area of food distribution, security and safety. Google Scholar ranks him as one of the world's most cited scholars in food supply chain management, food value chains and traceability.He has authored five books on global food systems, his most recent one published in 2017 by Wiley-Blackwell entitled “Food Safety, Risk Intelligence and Benchmarking”. He has also published over 500 peer-reviewed journal articles in several academic publications. Furthermore, his research has been featured in several newspapers and media groups, including The Lancet, The Economist, the New York Times, the Boston Globe, the Wall Street Journal, Washington Post, BBC, NBC, ABC, Fox News, Foreign Affairs, the Globe & Mail, the National Post and the Toronto Star.Dr. Charlebois sits on a few company boards, and supports many organizations as a special advisor, including some publicly traded companies. Charlebois is also a member of the Scientific Council of the Business Scientific Institute, based in Luxemburg. Dr. Charlebois is a member of the Global Food Traceability Centre's Advisory Board based in Washington DC, and a member of the National Scientific Committee of the Canadian Food Inspection Agency (CFIA) in Ottawa. Michael LeBlanc is the president and founder of M.E. LeBlanc & Company Inc, a senior retail advisor, keynote speaker and now, media entrepreneur. He has been on the front lines of retail industry change for his entire career. Michael has delivered keynotes, hosted fire-side discussions and participated worldwide in thought leadership panels, most recently on the main stage in Toronto at Retail Council of Canada's Retail Marketing conference with leaders from Walmart & Google. He brings 25+ years of brand/retail/marketing & eCommerce leadership experience with Levi's, Black & Decker, Hudson's Bay, CanWest Media, Pandora Jewellery, The Shopping Channel and Retail Council of Canada to his advisory, speaking and media practice.Michael produces and hosts a network of leading retail trade podcasts, including the award-winning No.1 independent retail industry podcast in America, Remarkable Retail with his partner, Dallas-based best-selling author Steve Dennis; Canada's top retail industry podcast The Voice of Retail and Canada's top food industry and one of the top Canadian-produced management independent podcasts in the country, The Food Professor with Dr. Sylvain Charlebois from Dalhousie University in Halifax.Rethink Retail has recognized Michael as one of the top global retail experts for the fourth year in a row, Thinkers 360 has named him on of the Top 50 global thought leaders in retail, RTIH has named him a top 100 global though leader in retail technology and Coresight Research has named Michael a Retail AI Influencer. If you are a BBQ fan, you can tune into Michael's cooking show, Last Request BBQ, on YouTube, Instagram, X and yes, TikTok.Michael is available for keynote presentations helping retailers, brands and retail industry insiders explaining the current state and future of the retail industry in North America and around the world.

In today's Daily Fix:A Far Cry TV series is in the works from It's Always Sunny's Rob Mac and Alien: Earth's Noah Hawley. The plot of the show is being kept secret, but it will be an anthology series with every season a new location and story, similar to Hawley's Fargo TV adaptation. Rob Mac will co-produce and star. In other news, a new Helldivers 2 warbond is coming, and it will feature a fan-favorite weapon from a fan-favorite movie about an invisible alien hunter stalking soldiers in a jungle. And finally, Stellar Blade was a hit on PC, as was Sony's other first-party titles they've brought to Steam, but is the hype dying down for Sony games on PC?

Let's be honest – the occlusion after Aligner cases can be a little ‘off' (even after fixed appliances!) How do you know if your patient's occlusion after aligner treatment is acceptable or risky? What practical guidelines can general dentists follow to manage occlusion when orthodontic results aren't textbook-perfect? Jaz and Dr. Jesper Hatt explore the most common challenges dentists face, from ClinCheck errors and digital setup pitfalls to balancing aesthetics with functional occlusion. They also discuss key strategies to help you evaluate, guide, and optimize occlusion in your patients, because understanding what is acceptable and what needs intervention can make all the difference in long-term treatment stability and patient satisfaction. https://youtu.be/e74lUbyTCaA Watch PDP250 on YouTube Protrusive Dental Pearl: Harmony and Occlusal Compatibility Always ensure restorative anatomy suits the patient's natural occlusal scheme and age-related wear. If opposing teeth are flat and amalgam-filled, polished cuspal anatomy will be incompatible — flatten as needed to conform. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Common mistakes in ClinCheck planning often stem from occlusion issues. Effective communication and documentation are crucial in clinical support. Occlusion must be set correctly to ensure successful treatment outcomes. Understanding the patient’s profile is essential for effective orthodontics. Collaboration between GPs and orthodontists can enhance patient care. Retention of orthodontic results is a lifelong commitment. Aesthetic goals must align with functional occlusion in treatment planning. Informed consent is critical when discussing potential surgical interventions. The tongue plays a crucial role in orthodontic outcomes. Spacing cases should often be approached as restorative cases. Aligners can achieve precise spacing more effectively than fixed appliances. Enamel adjustments may be necessary for optimal occlusion post-treatment. Retention strategies must be tailored to individual patient needs. Case assessment is vital for determining treatment complexity. Highlights of this episode: 00:00 Teaser 00:59 Intro 02:53  Pearl – Harmony and Occlusal Compatibility 05:57 Dr. Jesper Hatt Introduction 07:34 Clinical Support Systems 10:18 Occlusion and Aligner Therapy 20:41 Bite Recording Considerations 25:32 Collaborative Approach in Orthodontics 30:31 Occlusal Goals vs. Aesthetic Goals 31:42 Midroll 35:03 Occlusal Goals vs. Aesthetic Goals 35:25 Challenges with Spacing Cases 42:19 Occlusion Checkpoints After Aligners 50:17 Considerations for Retention 54:55 Case Assessment and Treatment Planning 58:14 Key Lessons and Final Thoughts 01:00:19 Interconnectedness of Body and Teeth 01:02:48 Resources for Dentists and Case Support 01:04:40 Outro Free Aligner Case Support!Send your patient's case number and get a full assessment in 24 hours—easy, moderate, complex, or referral. Plus, access our 52-point planning protocol and 2-min photo course. No uploads, no cost. [Get Free Access Now] Learn more at alignerservice.com If you enjoyed this episode, don't miss: Do's and Don'ts of Aligners [STRAIGHTPRIL] – PDP071 #PDPMainEpisodes #OcclusionTMDandSplints #OrthoRestorative This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes A and C. AGD Subject Code: 370 ORTHODONTICS (Functional orthodontic therapy) Aim: To provide general dentists with practical guidance for managing occlusion in aligner therapy, from bite capture to retention, including common pitfalls, functional considerations, and case selection. Dentists will be able to – Identify common errors in digital bite capture and occlusion setup. Understand the impact of anterior inclination and mandibular movement patterns on occlusal stability. Plan retention strategies appropriate for aligner and restorative cases. Click below for full episode transcript: Teaser: The one thing that we always check initially is the occlusion set correct by the aligner company. Because if the occlusion is not set correctly, everything else just doesn't matter because the teeth will move, but into a wrong position because the occlusion is off from the beginning. I don't know about you, but if half the orthodontists are afraid of controlling the root movements in extraction cases, as a GP, I would be terrified. Teaser:I don’t care if you just move from premolar to premolar or all the teeth. Orthodontics is orthodontics, so you will affect all the teeth during the treatment. The question’s just how much. Imagine going to a football stadium. The orthodontist will be able to find the football stadium.  If it’s a reasonable orthodontist, he’ll be able to find the section you’re going to sit in, and if he’s really, really, really good, he will be able to find the row that you’re going to sit in, but the exact spot where you are going to sit… he will never, ever be able to find that with orthodontics. Jaz’s Introduction: Hello, Protruserati. I’m Jaz Gulati. Welcome back to your favorite dental podcast. I’m joined today by our guest, Dr. Jesper Hatt. All this dentist does is help other dentists with their treatment plans for aligners. From speaking to him, I gather that he’s no longer practicing clinically and is full-time clinical support for colleagues for their aligner cases. So there’s a lot we can learn from someone who day in day out has to do so much treatment planning and speaking to GDPs about their cases, how they’re tracking, how they’re not tracking, complications, and then years of seeing again, okay, how well did that first set of aligners actually perform? What is predictable and what isn’t? And as well as asking what are the most common errors we make on our ClinChecks or treatment plan softwares. I really wanted to probe in further. I really want to ask him about clinical guidelines for occlusion after ortho. Sometimes we treat a case and whilst the aesthetics of that aligner case is beautiful, the occlusion is sometimes not as good. So let’s talk about what that actually means. What is a not-good occlusion? What is a good occlusion? And just to offer some guidelines for practitioners to follow because guess what? No orthodontist in the world is gonna ever get the occlusion correct through ortho. Therefore, we as GPs are never gonna get a perfect textbook occlusion, but we need to understand what is acceptable and what is a good guideline to follow. That’s exactly what we’ll present to you in this episode today. Dental PearlNow, this is a CE slash CPD eligible episode and as our main PDP episode, I’ll give you a Protrusive Dental Pearl. Today’s pearl is very much relevant to the theme of orthodontics and occlusion we’re discussing today, and it’s probably a pearl I’ve given to you already in the past somewhere down the line, but it’s so important and so key. I really want to just emphasize on it again. In fact, a colleague messaged me recently and it reminded me of this concept I’m about to explain. She sent me an image of a resin bonded bridge she did, which had failed. It was a lower incisor, and just a few days after bonding, it failed. And so this dentist is feeling a bit embarrassed and wanted my advice. Now, by the way, guys, if you message me for advice on Instagram, on Facebook, or something like that, it’s very hit and miss. Like my priorities in life are family, health, and everything that happens on Protrusive Guidance. Our network. If you message me outside that network, I may not see it. The team might, but I may not see it. It’s the only way that I can really maintain control and calm in my life. The reason for saying this, I don’t want anyone to be offended. I’m not ignoring anyone. It’s just the volume of messages I get year on year, they’re astronomical. And I don’t mind if you nudge me. If you messaged me something weeks or months ago and I haven’t replied, I probably haven’t seen it. Please do nudge me. And the best place to catch me on is Protrusive Guidance. If you DM me on Protrusive Guidance, home of the nicest and geekiest dentists in the world, that’s the only platform I will log in daily. That’s our baby, our community. Anyway, so I caught this Facebook message and it was up to me to help this colleague. And one observation I made is that the lower teeth were all worn. The upper teeth were really worn, but this resin bonded bridge pontic, it just looked like a perfect tooth. The patient was something like 77 or 80. So it really made me think that, okay, why are we putting something that looks like a 25-year-old’s tooth in a 77-year-old? But even forgetting age and stuff, you have to look at the adjacent teeth in the arch. Is your restoration harmonious with the other teeth in the arch, and of course is the restoration harmonious with what’s opposing it? Because it’s just not compatible. So part one of this pearl is make sure any restoration you do, whether it’s direct or indirect, is harmonious with the patient’s arch and with the opposing teeth and with their occlusal scheme. Because otherwise, if you get rubber dam on and you give your 75-year-old patient beautiful composite resin, it’s got all that cuspal fissure pattern and anatomy, and you take that rubber dam off and you notice that all the other teeth are flat and the opposing teeth are flat amalgams, guess what? You’re gonna be making your composite flat, whether you like it or not. You created a restoration that’s proud, right? That’s why you did not conform to the patient’s own arch or existing anatomical scheme. So the part B of this is the thing that I get very excited to talk about, right? So sometimes you have a worn dentition, but then you have one tooth that’s not worn at all. It’s like that in-standing lateral incisor, right? Think of an upper lateral incisor that’s a bit in-standing, and you see some wear on all the incisors, but that lateral incisor does not have any wear in it because it was never in the firing line. It was never in function. It was never in parafunction. Now, if you give this patient aligners or fixed appliances, you’re doing ortho and you’re now going to align this lateral incisor. So it’s now gonna eventually get into occlusion and it will be in the functional and parafunctional pathways of this patient. Do you really think you can just leave that incisor be? No. It’s not gonna be compatible with the adjacent teeth. It’s not going to be compatible with the opposing tooth and the occlusal scheme. So guess what? You have to get your bur out or your Sof-Lex disc out, and you have to bake in some years into that tooth. Or you have to build up all the other teeth if appropriate for that patient. You’ve just gotta think about it. And I hope that makes sense so you can stay out of trouble. You’re not gonna get chipping and you can consent your patient appropriately for enamel adjustment, which is something that we do talk about in this episode. I think you’re in for an absolute cracker. I hope you enjoy. I’ll catch you in the outro. Main Episode: Doctor Jesper Hatt, thank you so much for coming to Protrusive Dental Podcast. We met in Scandinavia, in Copenhagen. You delivered this wonderful lecture and it was so nice to connect with you then and to finally have you on the show. Tell us, how are you, where in the world are you, and tell us about yourself. [Jesper] Well, thank you for the invitation, first of all. Well, I’m a dentist. I used to practice in Denmark since I originally come from Denmark. My mother’s from Germany, and now I live in Switzerland and have stopped practicing dentistry since 2018. Now I only do consulting work and I help doctors around the world with making their aligner business successful. [Jaz] And this is like probably clinical advice, but also like strategic advice and positioning and that kinda stuff. Probably the whole shebang, right? [Jesper] Yeah. I mean, I have a team around me, so my wife’s a dentist as well, and I would say she’s the expert in Europe on clear aligners. She’s been working for, first of all, our practice. She’s a dentist too. She worked with me in the practice. We practiced together for 10 years. Then she became a clinical advisor for Allion Tech with responsibility for clinical support of Scandinavia. She was headhunted to ClearCorrect, worked in Basel while I was doing more and more consulting stuff in Denmark. So she was traveling back and forth, and I considered this to be a little bit challenging for our family. So I asked her, well, why don’t we just relocate to Switzerland since ClearCorrect is located there? And sure we did. And after two years she told me, I think clinical support, it’s okay. And I like to train the teams, but I’d really like to do more than that because she found out that doctors, they were able to book a spot sometime in the future, let’s say two weeks out in the future at a time that suited the doctors… no, not the doctors, ClearCorrect. Or Invisalign or whatever clear aligner company you use. So as a doctor, you’re able to block the spot and at that time you can have your 30 minutes one-on-one online with a clinical expert. And she said it’s always between the patients or administrative stuff. So they’re not really focused on their ClearCorrect or clear aligner patient. And so they forget half of what I tell them. I can see it in the setups they do. They end up having to call me again. It doesn’t work like that. I would like to help them. [Jaz] It’s a clunky pathway of mentorship. [Jesper] Yes. And so she wanted to change the way clinical support was built up. So we do it differently. We do it only in writing so people can remember what we are telling them. They can always go back in the note and see what’s been going on, what was the advice we gave them, and we offer this co-creation support where we take over most of the treatment planning of the ClearCorrect or Clear Aligner or Spark or Invisalign or Angel Aligner treatment planning. So we do all the digital planning for the doctor, deliver what we think would be right for the patient based on the feedback we initially got from the doctor. And then the doctor can come back and say, well, I’d like a little more space for some crowns in the front, or I would like the canines to be in a better position in order to achieve immediate post disclusion. And so we can go into this discussion back and forth and adjust the digital setup in a way that is more realistic and predictable and do it all for the doctors. So they, on an average, they spend four to six hours less chair time when they use that kind of service compared to if they do everything themselves. And on top of that, you can put your planning time. She was responsible for that and it works quite well. I still remember when we initially got on all these online calls and we would see fireworks in the background and confetti coming down from the top and all of that. [Jaz] Exactly. So excuse that little bit, but okay. So essentially what you’re doing is, for an aligner user myself, for example, you’re doing the ClinChecks, you are helping, supporting with the ClinChecks, the planning. And I’ve got a lot of questions about that. The first question I’ll start with, which is off the script, but there’s probably a hundred different mistakes that could happen in a ClinCheck, right? But what is the most repeatable, predictable, common mistake that you’ll see when a new user sends a case to you to help them with their planning? What’s the most common mistake that you will see in a setup? [Jesper] Two things, actually. The one thing that we always check initially is the occlusion set correct by the aligner company. Because if the occlusion is not set correctly, everything else just doesn’t matter because the teeth will move but into a wrong position because the occlusion is off from the beginning. And so we always check that as the first part. How does this— [Jaz] So let’s talk about that ’cause that might be confusing for a younger colleague because they’re like, hey, hang on a minute. I scanned the bite left and right. What do you mean the occlusion is wrong? Because surely that gets carried through into what I see on the ClinCheck. So what do you think is the mechanism for this to happen? [Jesper] Two different reasons. I’m from a time when I graduated in 2003, so that was before digital dentistry. So when I went to the Pankey Institute and learned everything about functional occlusion and all of that stuff, I also found out that most of my patients, when I put silicone impression material between the teeth and asked the patients to bite together, they would always protrude a little bit unless I instructed them to bite hard on the posterior teeth. And when we got the scanners, when we put a scanner into the cheek and pull the cheek, most patients, when we asked them to bite together to do the intraoral scan of the bite, they also protruded a little bit, not much, but enough to set the bite wrong. So that is the one challenge when the technicians of the aligner companies put the models together. The other challenge is that some of the aligner companies, they let the technicians set the models. We always, as the first thing when we see a case, we always look at the photos, the clinical photos. And that’s why the clinical photos have to be of great quality. So we look at the clinical photos of the patient— [Jaz] And also in those clinical photos, Jesper, you have to coach them correctly to bite. You have to notice if they’re biting wrong even in the photos ’cause then it just duplicates the error. And that’s why good photography and actually being able to coach the patient is so imperative. [Jesper] Yes, that’s correct. But we compare the two and usually if we see a difference, we ask the doctor, is what we see in the photo correct, or is what we see on the digital models correct? And because we don’t like differences. So that would be the first step to look for. And what’s the second? The second thing is that when you look at the setup, the anterior teeth are usually—I’m trying to show you—the anterior teeth are very, very steep. Typically with aligners it’s a lot easier to tip the crowns. So when you have a class II patient, deviation one, where the anteriors are in a forward position, proclined, and you have a lot of space between the anteriors of the maxilla and the mandible, then the easiest thing on a digital setup is to just retrocline the anteriors of the upper to make them fit the lowers, which you could then procline a little bit, but usually you have very steep relationships between the two and this— [Jaz] So you’re more likely to restrict the envelope of function, functional interference anteriorly. You are obviously reducing the overjet, but you may end up reducing like a wall contact rather than an elegant, more open gate. [Jesper] Yes. And there’s another dimension to this because when we work with orthodontics, one of the most important things to look for is actually the profile of the patient. Because let’s say I’m trying to illustrate this now, so I hope you get a 90— [Jaz] So describe it for our audio listeners as well. So we’re looking at a profile view of Jesper. [Jesper] Yes. So I’m turning the side to the camera. I hope you can see my profile here. So let’s say I had flared anterior maxillary teeth and I wanted to retrocline them. It would have an effect on my upper lip, so the lip would fall backwards if I just retrocline everything. And every millimeter we move the anteriors in the maxilla in a posterior direction, we will have a potential lip drop of three millimeters. In addition, if we don’t get the nasolabial angulation correct, we risk the lower face will simply disappear in the face of the patient. So soft tissue plays a role here, so we cannot just retrocline the teeth. It looks great on the computer screen, but when it comes to reality, we’ll have a functional challenge. We’ll have a soft tissue support challenge, and in addition we’ll have long-term retention challenges as well. Because when you have a steep inclination, the anterior teeth in the mandible, they don’t have any kind of support. They will not be stopped by anything in the maxillary teeth, which you would if you had the right inclination between the teeth, which would be about 120 degrees. So why do aligner companies always set the teeth straight up and down in the anterior part? We wondered about this for years. We don’t have a strict answer. We don’t know exactly why it’s like this, but I have a hunch. I think there are two things to it. First of all, the easiest thing to do with aligners is to move the crown, so we can just tip the teeth. You take them back, you make a lot of IPR, and then you just tip them so they’re retroclined. Secondly, all aligner companies, they come from the United States. And in the United States there is a higher representation of class III patients. Now why is that important? All our patients can be put into two different categories in regards to how they move their mandible. They are the crocodiles that only open and close, like move up and down, and then we have the cows. And then we have the cows that move the mandible around, or the camels. I mean, every camel, if you’ve seen a camel chew, it’s just moving from side to side. [Jaz] Horses as well. Horses as well. [Jesper] They kind of do that. [Jaz] But I’m glad you didn’t say rats ’cause it’s more elegant to be a crocodile than a rat. [Jesper] Exactly. And I usually say we only tell the crocodiles. So why is this a challenge and why isn’t it a challenge with class III patients? Well, all real class III patients act like crocodiles, so they don’t move them side to side. From a functional perspective, it’s really not a problem having steep anterior inclination or steep relationships as long as you have a stable stop where the anteriors—so the anteriors will not elongate and create the red effect. So they just elongate until they hit the palate. If you can make a stop in the anterior part of the occlusion, then you’ll have some kind of stability with the class III patients. But with class II patients, we see a lot more cows. So they move the mandible from side to side and anterior and back and forth and all… they have the mandible going all kinds of places. And when they do that, we need some kind of anterior guidance to guide the mandible. I usually say the upper jaw creates the framework in which the mandible will move. So if the framework is too small, we fight the muscles. And whenever we fight the muscles, we lose because muscles always win. It doesn’t matter if it’s teeth, if it’s bone, if it’s joints, they all lose if they fight the muscles— [Jaz] As Peter Dawson would say, in the war between teeth and muscles or any system and muscles, the muscles always win. Absolutely. And the other analogy you remind me of is the maxilla being like a garage or “garage” from UK, like a garage. And the mandible being like the car, and if you’re really constrained, you’re gonna crash in and you’re gonna… everything will be in tatters. So that’s another great way to think about it. Okay. That’s very, very helpful. I’m gonna—’cause there’s so much I wanna cover. And I think you’ve really summed up nicely. But one thing just to finish on this aspect of that common mistake being that the upper anteriors are retroclined, really what you’re trying to say is we need to be looking at other modalities, other movements. So I’m thinking you’re saying extraction, if it’s suitable for the face, or distalisation. Are you thinking like that rather than the easier thing for the aligners, which is the retrocline. Am I going about it the right way? [Jesper] Depends on the patient. [Jaz] Of course. [Jesper] Rule of thumb: if you’re a GP, don’t ever touch extraction cases. Rule of thumb. Why? Because it is extremely challenging to move teeth parallel. So you will most—especially with aligners—I mean, I talk with a very respected orthodontist once and I asked him, well, what do you think about GPs treating extraction cases where they extract, you know, two premolars in the maxilla? And he said, well, I don’t know how to answer this. Let me just explain to you: half of my orthodontist colleagues, they are afraid of extraction cases. And I asked them why. Because it’s so hard to control the root movement. Now, I don’t know about you— [Jaz] With aligners. We’re specifically talking about aligners here, right? [Jesper] With all kinds of orthodontic appliances. [Jaz] Thank you. [Jesper] So now, I don’t know about you, but if half the orthodontists are afraid of controlling the root movements in extraction cases, as a GP, I would be terrified. And I am a GP. So I usually say, yeah, sometimes you will have so much crowding and so little space in the mandible, so there’s an incisor that is almost popped out by itself. In those cases, yes. Then you can do an extraction case. But when we’re talking about premolars that are going to be extracted, or if you want to close the space in the posterior part by translating a tooth into that open space, don’t. It’s just the easiest way to end up in a disaster because the only thing you’ll see is just teeth that tip into that space, and you’ll have a really hard time controlling the root movements, getting them corrected again. [Jaz] Well, thank you for offering that guideline. I think that’s very sage advice for those GPs doing aligners, to stay in your lane and just be… the best thing about being a GP, Jesper, is you get to cherry pick, right? There’s so many bad things about being a GP. Like you literally have to be kinda like a micro-specialist in everything in a way. And so sometimes it’s good to be like, you know what, I’ll keep this and I’ll send this out. And being selective and case selection is the crux of everything. So I’m really glad you mentioned that. I mean, we talked and touched already on so much occlusion. The next question I’m gonna ask you then is, like you said, a common error is the bite and how the bite appears on the ClinCheck or whichever software a dentist is using. Now, related to bite, vast majority of orthodontic cases are treated in the patient’s existing habitual occlusion, their maximum intercuspal position. Early on in my aligner journey, I had a patient who had an anterior crossbite. And because of that anterior crossbite, their jaw deviated. It was a displaced—the lower jaw displaced. And then I learned from that, that actually for that instance, perhaps I should not have used an MIP scan. I should have used more like centric relation or first point of contact scan before the displacement of the jaw happens. So that was like always in my mind. Sometimes we can and should be using an alternative TMJ position or a bite reference other than MIP. Firstly, what do you think about that kind of scenario and are there any other scenarios which you would suggest that we should not be using the patient’s habitual occlusion for their bite scan for planning orthodontics? [Jesper] Well, I mentioned that I was trained at the Pankey Institute, and when you start out right after—I mean, I spent 400 hours over there. Initially, I thought I was a little bit brainwashed by that because I thought every single patient should be in centric relation. Now, after having put more than 600 patients on the bite appliance first before I did anything, I started to see some patterns. And so today, I would say it’s not all patients that I would get into centric relation before I start treating the teeth. But when we talk about aligner therapy and orthodontic treatment, I think it’s beneficial if you can see the signs for those patients where you would say, hmm, something in the occlusion here could be a little bit risky. So let’s say there are wear facets on the molars. That will always trigger a red flag in my head. Let’s say there are crossbites or bite positions that kind of lock in the teeth. We talked about class III patients before, and I said if it’s a real skeletal-deviation class III patient, it’s a crocodile. But sometimes patients are not real class III skeletal deviation patients. They’re simply being forced into a class III due to the occlusion. That’s where the teeth fit together. So once you put aligners between the teeth and plastic covers the surfaces, suddenly the patients are able to move the jaws more freely and then they start to seat into centric. That may be okay. Usually it is okay. The challenge is consequences. So when you’re a GP and you suddenly see a patient moving to centric relation and you find out, whoa, on a horizontal level there’s a four- to six-millimeter difference between the initial starting point and where we are now, and maybe we create an eight-millimeter open bite in the anterior as well because they simply seat that much. And I mean, we have seen it. So is this a disaster? Well, it depends. If you have informed the patient well enough initially and said, well, you might have a lower jaw that moves into a different position when we start out, and if this new position is really, really off compared to where you are right now, you might end up needing maxillofacial surgery, then the patient’s prepared. But if they’re not prepared and you suddenly have to tell them, you know, I think we might need maxillofacial surgery… I can come up with a lot of patients in my head that would say, hey doctor, that was not part of my plan. And they will be really disappointed. And at that point there’s no turning back, so you can’t reverse. So I think if you are unsure, then you are sure. Then you should use some kind of deprogramming device or figure out where is centric relation on this patient. If there isn’t that much of a difference between maximum intercuspation and centric— [Jesper] Relation, I don’t care. Because once you start moving the teeth, I don’t care if you just move from premolar to premolar or all the teeth. Orthodontics is orthodontics, so you will affect all the teeth during the treatment. The question’s just how much. And sometimes it’s just by putting plastic between the teeth that you will see a change, not in the tooth position, but in the mandibular position. And I just think it’s nicer to know a little bit where this is going before you start. And the more you see of this—I mean, as I mentioned, after 600 bite appliances in the mouths of my patients, I started to see patterns. And sometimes in the end, after 20 years of practicing, I started to say, let’s just start, see where this ends. But I would always inform the patients: if it goes totally out of control, we might end up needing surgery, and there’s no way to avoid it if that happens. And if the patients were okay with that, we’d just start out. Because I mean, is it bad? No. I just start the orthodontic treatment and I set the teeth as they should be in the right framework. Sometimes the upper and the lower jaw don’t fit together. Well, send them to the surgeon and they will move either the upper or the lower jaw into the right position, and then we have it. No harm is done because we have done the initial work that the orthodontist would do. But I will say when I had these surgical patients—let’s say we just started out with aligners and we figured, I can’t control this enough. I need a surgeon to look at this—then I would send them off to an orthodontist, and the orthodontist and the surgeon would take over. Because then—I mean, surgical patients and kids—that’s the second group of patients besides the extraction cases that I would not treat as a GP. ‘Cause we simply don’t know enough about how to affect growth on kids. And when it comes to surgery, there’s so much that is… so much knowledge that we need to know and the collaboration with the surgeons that we’re not trained to handle. So I think that should be handled by the orthodontists as well. [Jaz] I think collaborative cases like that are definitely specialist in nature, and I think that’s a really good point. I think the point there was informed consent. The mistake is you don’t warn the patient or you do not do the correct screening. So again, I always encourage my guests—so Jesper, you included—that we may disagree, and that’s okay. That’s the beauty of dentistry. So something that I look for is: if the patient has a stable and repeatable maximum intercuspal position, things lock very well, and there’s a minimal slide—like I use my leaf gauge and the CR-CP is like a small number of leaves and the jaw hardly moves a little bit—then there’s no point of uncoupling them, removing that nice posterior coupling that they have just to chase this elusive joint position. Then you have to do so many more teeth. But when we have a breakdown in the system, which you kind of said, if there’s wear as one aspect, or we think that, okay, this patient’s occlusion is not really working for them, then we have an opportunity to do full-mouth rehabilitation in enamel. Because that’s what orthodontics is. And so that’s a point to consider. So I would encourage our GP colleagues to look at the case, look at the patient in front of you, and decide: is this a stable, repeatable occlusion that you would like to use as a baseline, or is there something wrong? Then consider referring out or considering—if you’re more advanced in occlusion studies—using an alternative position, not the patient’s own bite as a reference. So anything you wanna add to that or disagree with in that monologue I just said there? [Jesper] No, I think there’s one thing I’d like the listeners to consider. I see a lot of fighting between orthodontists and GPs, and I think it should be a collaboration instead. There’s a lot of orthodontists that are afraid of GPs taking over more and more aligner treatments, and they see a huge increase in the amount of cases that go wrong. Well, there’s a huge increase of patients being treated, so there will be more patients, just statistically, that will get into problems. Now, if the orthodontist is smart—in my opinion, that’s my opinion—they reach out to all their referring doctors and they tell them, look, come in. I will teach you which cases you can start with and which you should refer. Let’s start there. Start your aligner treatments. Start out, try stuff. I will be there to help you if you run into problems. So whenever you see a challenge, whenever there’s a problem, send the patient over to me and I’ll take over. But I will be there to help you if anything goes wrong. Now, the reason this is really, really a great business advice for the orthodontists is because once you teach the GPs around you to look for deviations from the normal, which would be the indication for orthodontics, the doctors start to diagnose and see a lot more patients needing orthodontics and prescribe it to the patients, or at least propose it to the patients. Which would initially not do much more than just increase the amount of aligner treatments. But over time, I tell you, all the orthodontists doing this, they are drowning in work. So I mean, they will literally be overflown by patients being referred by all the doctors, because suddenly all the other doctors around them start to diagnose orthodontically. They see the patients which they haven’t seen before. So I think this is—from a business perspective—a really, really great thing for the orthodontists to have a collaboration with this. And it’ll also help the GPs to feel more secure when they start treating their patients. And in the end, that will lead to more patients getting the right treatment they deserve. And I think that is the core. That is what’s so important for us to remember. That’s what we’re here for. I mean, yes, it’s nice to make money. We have to live. It’s nice with a great business, but what all dentists I know of are really striving for is to treat their patients to the best of their ability. And this helps them to do that. [Jaz] Ultimate benefactor of this collaborative approach is the patient. And I love that you said that. I think I want all orthodontists to listen to that soundbite and take it on board and be willing to help. Most of them I know are lovely orthodontists and they’re helping to teach their GPs and help them and in return they get lots of referrals. And I think that’s the best way to go. Let’s talk a little bit about occlusal goals we look for at the end of orthodontics. This is an interesting topic. I’m gonna start by saying that just two days ago I got a DM from one of the Protruserati, his name is Keith Curry—shout out to him on Instagram—and he just sent me a little message: “Jaz, do you sometimes find that when you’re doing alignment as a GP that it’s conflicting the orthodontic, the occlusal goal you’re trying to get?” And I knew what I was getting to. It’s that scenario whereby you have the kind of class II division 2, right? But they have anterior guidance. Now you align everything, okay, and now you completely lost anterior guidance. And so the way I told him is that, you know what, yes, this is happening all the time. Are we potentially at war between an aesthetic smile and a functional occlusion? And sometimes there’s a compromise. Sometimes you can have both. But that—to achieve both—needs either a specialist set of eyes or lots of auxiliary techniques or a lot more time than what GPs usually give for their cases. So first let’s touch on that. Do you also agree that sometimes there is a war between what will be aesthetic and what will be a nice functional occlusion? And then we’ll actually talk about, okay, what are some of the guidelines that we look for at the end of completing an aligner case? [Jesper] Great question and great observation. I would say I don’t think there’s a conflict because what I’ve learned is form follows function. So if you get the function right, aesthetics will always be great. Almost always. I mean, we have those crazy-shaped faces sometimes, but… so form follows function. The challenge here is that in adult patients, we cannot manipulate growth. So a skeletal deviation is a skeletal deviation, which means if we have a class II patient, it’s most likely that that patient has a skeletal deviation. I rarely see a dental deviation. It happens, but it’s really, really rare. So that means that in principle, all our class II and chronic class III patients are surgical patients. However, does that mean that we should treat all our class II and class III patients surgically? No, I don’t think so. But we have to consider that they are all compromise cases. So we need to figure a compromise. So initially, when I started out with my occlusal knowledge, I have to admit, I didn’t do the orthodontic treatment planning. I did it with Heller, and she would give me feedback and tell me, I think this is doable and this is probably a little bit challenging. If we do this instead, we can keep the teeth within the bony frame. We can keep them in a good occlusion. Then I would say, well, you have a flat curve of Spee. I’d like to have a little bit of curve. It’s called a curve of Spee and not the orthodontic flat curve of Spee. And then we would have a discussion back and forth about that. Then initially I would always want anterior coupling where the anterior teeth would touch each other. I have actually changed that concept in my mind and accepted the orthodontic way of thinking because most orthodontists will leave a little space in the anterior. So when you end the orthodontic treatment, you almost always have a little bit of space between the anterior teeth so they don’t touch each other. Why? Because no matter what, no matter how you retain the patient after treatment, there will still be some sort of relapse. And we don’t know where it’ll come or how, but it will come. Because the teeth will always be positioned in a balance between the push from the tongue and from the cheeks and the muscles surrounding the teeth. And that’s a dynamic that changes over the years. So I don’t see retention as a one- or two-year thing. It’s a lifelong thing. And the surrounding tissues will change the pressure and thereby the balance between the tongue and the cheeks and where the teeth would naturally settle into position. Now, that said, as I mentioned initially, if we fight the muscles, we’ll lose. So let’s say we have an anterior open bite. That will always create a tongue habit where the patient positions the tongue in the anterior teeth when they swallow because if they don’t, food and drink will just be splashed out between the teeth. They can’t swallow. It will just be pushed out of the mouth. [Jaz] So is that not like a secondary thing? Like that tongue habit is secondary to the AOB? So in those cases, if you correct the anterior open bite, theoretically should that tongue posture not self-correct? [Jesper] Well, we would like to think so, but it’s not always the case. And there’s several reasons to it. Because why are the teeth in the position? Is it because of the tongue or because of the tooth position? Now, spacing cases is one of those cases where you can really illustrate it really well. It looks really easy to treat these patients. If we take away all the soft tissue considerations on the profile photo, I mean, you can just retract the teeth and you close all the spaces—super easy. Tipping movements. It’s super easy orthodontically to move quickly. Very easy as well. However, you restrict the tongue and now we have a retention problem. So there are three things that can happen. You can bond a retainer on the lingual side or the palatal side of the teeth, upper, lower—just bond everything together—and after three months, you will have a diastema distal to the bonded retainer because the tongue simply pushes all the teeth in an anterior direction. [Jaz] I’ve also seen—and you’ve probably seen this as well—the patient’s tongue being so strong in these exact scenarios where the multiple spacing has been closed, which probably should have been a restorative plan rather than orthodontic plan, and the retainer wire snaps in half. [Jesper] Yes, from the tongue. [Jaz] That always fascinated me. [Jesper] Well, you’ll see debonding all the time, even though you sandblast and you follow all the bonding protocol. And debonding, breaking wires, diastemas in places where you think, how is that even possible? Or—and this is the worst part—or you induce sleep apnea on these patients because you simply restrict the space for the tongue. So they start snoring, and then they have a total different set of health issues afterwards. So spacing—I mean, this just illustrates the power of the tongue and why we should always be careful with spacing cases. I mean, spacing cases, in my opinion, are always to be considered ortho-restorative cases. Or you can consider, do you want to leave some space distal to the canines? Because there you can create an optical illusion with composites. Or do you want to distribute space equally between the teeth and place veneers or crowns or whatever. And this is one of those cases where I’d say aligners are just fabulous compared to fixed appliances. Because if you go to an orthodontist only using fixed appliances and you tell that orthodontist, please redistribute space in the anterior part of the maxilla and I want exactly 1.2 millimeters between every single tooth in the anterior segment, six years later he’s still not reached that goal because it just moves back and forth. Put aligners on: three months later, you have exactly—and I mean exactly—1.2 millimeters of space between each and every single tooth. When it comes to intrusion and extrusion, I would probably consider using fixed appliances rather than aligners if it’s more than three millimeters. So every orthodontic system—and aligners are just an orthodontic system—each system has its pros and cons, and we just have to consider which system is right for this patient that I have in my chair. But back to the tongue issue. What should we do? I mean, yes, there are two different schools. So if you have, let’s say, a tongue habit that needs to be treated, there are those that say we need to get rid of the tongue habit before we start to correct the teeth. And then there are those that say that doesn’t really work because there’s no room for the tongue. So we need to create room for the tongue first and then train the patient to stop the habit. Both schools and both philosophies are being followed out there. I have my preferred philosophy, but I will let the listener start to think about what they believe and follow their philosophy. Because there is nothing here that is right or wrong. And that is— [Jaz] I think the right answer, Jesper, is probably speak to that local orthodontist who’s gonna be helping you out and whatever they recommend—their religion—follow that one. Because then at least you have something to defend yourself. Like okay, I followed the way you said. Let’s fix it together now. [Jesper] That’s a great one. Yeah, exactly. [Jaz] Okay, well just touching up on the occlusion then, sometimes we do get left with like suboptimal occlusions. But to be able to define a suboptimal occlusion… let’s wrap this occlusion element up. When we are completing an orthodontic case—let’s talk aligners specifically—when the aligners come off and the fixed retainers come on, for example, and the patient’s now in retention, what are some of the occlusal checkpoints or guidelines that you advise checking for to make sure that, okay, now we have a reasonably okay occlusion and let things settle from here? For example, it would be, for me, a failure if the patient finishes their aligners and they’re only holding articulating paper on one side and not the other side. That’s for me a failure. Or if they’ve got a posterior open bite bilaterally. Okay, then we need to go refinement. We need to get things sorted. But then where do you draw the line? How extreme do you need to be? Do you need every single tooth in shim-stock foil contact? Because then we are getting really beyond that. We have to give the adaptation some wiggle room to happen. So I would love to know from your learning at Pankey, from your experience, what would you recommend is a good way for a GP to follow about, okay, it may not be perfect and you’ll probably never get perfect. And one of the orthodontists that taught me said he’s never, ever done a case that’s finished with a perfect occlusion ever. And he said that to me. [Jesper] So—and that’s exactly the point with orthodontics. I learned that imagine going to a football stadium. The orthodontist will be able to find the football stadium. If it’s a reasonable orthodontist, he’ll be able to find the section you’re going to sit in. And if he’s really, really, really good, he will be able to find the row that you’re going to sit in. But the exact spot where you are going to sit, he will never, ever be able to find that with orthodontics. And this is where settling comes in and a little bit of enamel adjustments. [Jaz] I’m so glad you said that. I’m so glad you mentioned enamel adjustment. That’s a very dirty word, but I agree with that. And here’s what I teach on my occlusion courses: what we do with aligners essentially is we’re tampering with the lock. Let’s say the upper jaw is the lock. It’s the still one. We’re tampering with the key, which is the lower jaw—the one that moves—we tamper with the key and the lock, and we expect them both to fit together at the end without having to shave the key and to modify the lock. So for years I was doing aligners without enamel adjustment ’cause my eyes were not open. My mind was not open to this. And as I learned, and now I use digital measuring of occlusion stuff and I seldom can finish a case to get a decent—for my criteria, which is higher than it used to be, and my own stat—is part of my own growth that’s happened over time is that I just think it’s an important skill that GPs are not taught and they should be. It’s all about finishing that case. And I think, I agree with you that some adjustment goes a long way. We’re not massacring enamel. It’s little tweaks to get that. [Jesper] Exactly. I like the sound there because sometimes you hear that “ahh,” it doesn’t really sound right, but “tsst,” that’s better. [Jaz] That’s the one. You know, it reminds me of that lecture you did in Copenhagen. You did this cool thing—which I’ve never seen anyone do before. You sat with one leg over the other and you said, okay guys, bite together. Everyone bit together. And then you swapped the legs so the other leg was over the other and bite together. And then you said, okay, whose occlusion felt different? And about a third of the audience put their hand up, I think. Tell us about that for a second. [Jesper] Well, just promise me we go back to the final part because there are some things we should consider. [Jaz] Let’s save this as a secret thing at the end for incentive for everyone to listen to the end—how the leg position changes your occlusion. Let’s talk about the more important thing. I digressed. [Jesper] Let’s talk about the occlusal goals because I think it’s important. I mean, if you do enamel adjustments in the end—so when we finish the treatment, when we come to the last aligner in the treatment plan—I think we should start by breaking things down to the simplest way possible. Start by asking the patient: are you satisfied with the way the teeth look? Yes or no? If she’s satisfied, great. How do you feel about the occlusion? “Well, it fits okay.” Great. Now the patient is happy. There’s nothing she wants to—or he wants to—change. Then you look at the occlusion. Now, it is important to remember that what we see on the computer screen, on the aligner planning tools, will never, ever correspond 100% to what we see in the mouth of the patient. And there are several reasons for that. But one of the things that we have found to be really interesting is that if you take that last step and you say, okay, the occlusion doesn’t fit exactly as on the screen, but it’s kind of there… if you use that last step and you don’t do a re-scan for a retainer, but you use the last step of the aligner treatment as your reference for your aligner retainer… We sometimes see that over six months, if the patient wears that aligner 22 hours a day for another three to six months, the teeth will settle more and more into the aligner and create an occlusion that looks more and more like what you see on the screen. Which to me just tells me that the biology doesn’t necessarily follow the plan everywhere in the tempo that we set throughout the aligner plan. But over time, at the last step, if it’s just minor adjustments, the teeth will actually move into that position if we use the last stage as a reference for the retainer. Now, if we do a scan at that point and use that as a reference for creating an aligner retainer, then we just keep the teeth in that position. Now, if the teeth are a little bit more off— [Jaz] I’m just gonna recap that, Jesper, ’cause I understood what you said there, but I want you to just make sure I fully understood it. When we request, for example, Align, the Vivera retainer, it gives you an option: “I will submit a new scan” or “use the last step.” And actually I seldom use that, but now I realize you’re right. It makes sense. But then on the one hand, if the occlusion is—if the aesthetics are good and the patient’s occlusion feels good, what is your own judgment to decide whether we’re still going to allow for some more settling and occlusal changes to happen over a year using the Vivera retainers based on the ClinCheck last-aligner profile, rather than, okay, let’s just retain to this position? What is making you do the extra work, extra monitoring? [Jesper] To me, it’s not extra monitoring. It’s just basic. I mean, it’s just part of my protocol. I follow the patients. And honestly, to me, it’s just time-saving to just use the last step in the aligner. Because I mean, if the plan is right and if the teeth have been tracking well, they should be in that position. Why do I then need to re-scan for Vivera retainers or for other kinds of retainers? Now, if the occlusion is a little bit more off—and in a minute you’ll probably ask me when do I see which is which, and I can’t really tell you; it’s about experience—but that’s the beauty of this. If I see there’s a little bit more deviation and I like some teeth, the occlusion isn’t really good on one side compared to the other side, I would rather have a bonded retainer from first premolar to first premolar in the mandible, combined with a Hawley or Begg or something like that retainer for the upper. And you can order them with an acrylic plate covering some of the anterior teeth so they keep that position, but that allows the teeth to settle. And over three months you should see some kind of improvement. If you don’t see enough improvement and let’s say you still have a tendency for a kind of an open bite on one side, you can always add some cross elastics, put some buttons on the upper, on the lower, instruct the patient to use these, and then in three months you will have the occlusion you want. Now, once that is established—you have that kind of occlusion—you need to keep the teeth there for at least six months before you do some kind of equilibration or enamel adjustment. Because if you do the enamel adjustment right after you have reached your final destination for the teeth, the teeth will still settle and move. So you do the equilibration, two weeks later everything looks off again. You do the equilibration, two weeks later things have changed again. So I prefer to wait six months before I do the final equilibration. Now, in this equation what we’ve been talking about here, it goes from very simple to more and more complex. And then we have to consider, well, did I expand the mandible posterior segment? If so, I can’t just use a bonded retainer on the lower and I need to add something to keep the teeth out there in combination with whatever I want in the upper. Do I want to keep the Begg retainer or the Hawley, or do I want to change to something differently? So these kinds of considerations have to be there from the beginning of the treatment because, I mean, it costs additional money to order a Begg retainer compared to just an aligner. [Jaz] A Begg retainer is the same as Hawley? [Jesper] Well, no. It has a little different design. [Jaz] Oh, a Begg as in B-E-G-G? [Jesper] Yes. [Jaz] Yeah, got it. Got it. Okay. [Jesper] And then in Denmark we use the Jensen retainer, which is a Danish invention, which goes from canine to canine or from first premolar to first premolar but with a different type of wire which keeps the teeth more in place compared to a round wire. So there are different variations. The most important part here is it allows the posterior teeth to settle so they can move, which they can’t in an aligner to the same degree at least. Now, this is all really nice in teeth that only need to be moved into the right position, but most of our patients are adult patients, or they should at least be adult patients. Most of my patients were more than 30 years old. So if you have a patient with anterior crowding and you move the teeth into the right position where the teeth should be, the teeth are in the right position, but they still look ugly because they have been worn anteriorly by the position they were in when they were crooked. So when we position them, we still need to do some restorative work. Then what? We still need to retain those teeth. The patient wants to be finished now as fast as possible, so we can’t wait the six months to make the final touches. So we have to figure out: what do we do? And then we have to think of some kind of retention strategy to keep the teeth in place during that restorative procedure. And I mean, at the end of an aligner treatment or any orthodontic treatment, two days is enough to have relapse in some patients. Some patients it’s not a problem. The teeth are just there to stay in the same position for three months, and then they start to move a little bit around. But other patients—I mean, you just have to look away and then go back to the teeth and they’re in a different position. You can’t know what kind of patient you have in your chair right now. So you have to consider the way you plan your restorative procedure in regards to how you retain the teeth during that phase. So if you want to do anterior composites or veneers, do it all at once. Put in a bonded retainer, scan, and get your aligner retainer as fast as possible. Or use a Begg or a Hawley or something like that that’s a little bit more flexible. If you want to do crowns, then we have a whole different challenge and then we have to consider how do we then retain the teeth. [Jaz] Okay. Well I think that was lovely. I think that gives us some thoughts and ideas of planning sequence of retention, which is the ultimate thing to consider when it comes to occlusion. Okay, yeah, you get the occlusion, but how do you retain it? But in many cases, as the patient’s wearing aligners, the occlusion is embedding in and is fine. And you take off the aligners, the patient’s happy with how it looks. They bite together. It feels good. You are happy that yes, both sides of the mouth are biting together. Now, it might not be that every single contact is shim-hold, but you got, let’s say, within 20 microns, 40 microns, okay? Then some bedding happens. In that kind of scenario, would you be happy to say, okay, I’m gonna scan your teeth as they are because I’m happy with the occlusion, the occlusal goals are good, and they’re near enough the ClinCheck, and go for the retainers to that position? Or is your default preference as a clinician to go for the Vivera or equivalent based on the last aligner, on the ClinCheck projection? [Jesper] I would still go for the last aligner because I think the planning I’ve done is probably a little bit more precise than what I see clinically. However, I still expect that I will have to do a little bit of enamel reshaping at the end after six months, but that’s okay. I mean, the changes are so small, so you can still use the last aligner or the Vivera retainer that you already have ordered. So it’s not that much of a problem. [Jaz] Which goes back to your previous point: if it’s a big deviation, then you’ve gotta look at the alternative ways, whether you’re gonna go for refinement or you’re gonna allow some occlusal settling with a Hawley and a lower fixed-retainer combination, or the elastics like you said. Okay. Just so we’re coming to the end of the podcast—and I really enjoyed our time—I would like to delve deep into just a final thing, which is a little checklist, a helpful checklist for case assessment that you have for GDPs. [Jesper] Yeah, thank you. First of all, one of the big challenges in a GP practice is being able to take a full series of clinical photos in two minutes without assistance. I think most dentists struggle with that, but that is a foundational prerequisite to any aligner treatment. Once you have the photos, I would sit down with the photos and I would consider six different steps. One: is this a patient that I could treat restoratively only? Because that would be the simplest for me to do. Next, moving up in complexity: would be, do I need periodontal crown lengthening? Or next step would be: do I need to change the vertical dimension, or is there something about centric relation that I should consider? Moving up a little bit on the complexity: are there missing teeth? Do I need to replace teeth with implants? Next step would be orthodontics. So this is step five. The next most complex case we can treat is actually an aligner case—orthodontics in general. And the last part would be: are the teeth actually in the right position in the face of the patient, or do I need surgery to correct the jaw position? So these six steps, I think they’re helpful to follow to just think, how can I break this case down into more easy, digestible bits and pieces to figure out what kind of patient I have in front of me? Now, if you consider it to be an orthodontic case or ortho-restorative case, here comes the challenge: case selection. How do you figure out is this an easy, moderate, complex, or referral case? And here’s the trick: do 500 to 1000 treatment plans or treatments with clear aligners. And then you know. But until then, you really don’t. This is where you should rely on someone you can trust who can help you do the initial case selection. Because you can have two identical patients—one is easy and one is super complex—but they look the same. So it’s really nice if you have done less than 500 cases to have someone who can help you with the case selection. And I don’t say this to sell anything, because we don’t charge for that. Because it’s so essential that we don’t do something that is wrong or gives us a lot of challenges and headaches in the practice. I mean, the practice runs really fast and lean-oriented, so we need to make things digestible, easy to work with. And I think that’s really important. [Jaz] It goes full circle to what we said before about having that referral network, staying in your lane, knowing when to refer out, cherry-picking—it all goes back full circle with that. And not even orthodontics, but restorative dentistry—case selection is just imperative in everything we do. [Jesper] Yes. And there is—we always get the question when we do courses and we do consulting—can’t you just show me a couple of cases that are easy to start with? And it works with implants, kind of. But with orthodontics where we move—I mean, we affect all the teeth—it’s just not possible. I know the aligner companies want to show you some where you say, you can only just do these kinds of cases and they are really easy. The fact is they’re not. But they want to sell their aligners. [Jaz] I get it. They are until they’re not. It’s like that famous thing, right? Everyone’s got a plan until they get punched in the face. So yeah, it can seemingly be easy, but then a complication happens and it’s really about understanding what complications to expect, screening for them, and how you handle that. But thanks so much. Tell us—yeah, go on, sorry. [Jesper] There are three things I’d like to end on here. So, first of all, we’ve been talking together for about an hour about a topic that, if you want to take postgraduate education, it takes three years to become an orthodontist. And there is a reason it takes three to four years. However, I want to encourage the listener to think about this: Mercedes has never, ever excused last year’s model. Meaning that they always strive for perfection. So if we go into the practice and we do the very best we can every single day, there is no way we can go back and excuse what we

Have you ever watched a movie, or a show that dealt with satanic abuse or mind control, and thought that you're grateful it wasn't real? It seems too horrific, and too traumatic to possibly be something that takes place in our world. Tragically, it absolutely does, and you would be surprised to know how closely you might come in contact with it with people you meet. There are people all over the world who are suffering even as you read this, at the hands of someone who appears as a normal and sane person.You, someone you know, or love could be hiding, and suppressing immense damage done to them as a child. They may or may not even remember the details, but they know that something is indeed not right. Listen in today as Tiffany Jo Baker spends time talking with Kelly Hawley, founder of Warrior Bride Ministries. They will discuss the different forms of mind control and abuse that are prevalent in our world today, and how God can heal and restore from them as well.Listen in for:How prevalent mind control really isWho might be the most susceptible When disassociation could occurWhy a person needs healing from mind control Favorite Quotes:“The whole goal (of mind control), ultimately or part of it, is to keep them away from Yeshua, that He can never redeem them.” - Kelly Hawley“Dissociation is something that the Lord put in our design to deal with the more natural trauma that would happen in this life, but the enemy has manipulated it.” - Kelly HawleyFavorite Scripture:"The Spirit of the Lord God is upon me, because the Lord hath anointed me to preach good tidings unto the meek; he hath sent me to bind up the brokenhearted, to proclaim liberty to the captives, and the opening of the prison to them that are bound." - Isaiah 61:1To learn more about Kelly Hawley and all they have going on at Warrior Bride Ministries, be sure to visit https://warriorbrideministries.com/*Want timely words, resources and episodes delivered right to your inbox to help you fuel and fulfill your faith journey? Simply subscribe today to never miss an episode at https://www.tiffanyjobaker.com/subscribe (don't worry, you won't get spam or excessive emails)*If you're looking for perfectly polished people or podcast, this isn't for you. We're real people, with real good information, and a really great God.Don't miss the next Tiffany Jo Baker Podcast episode as we continue to help you GET FREE, LIVE FULL & THANK GOD! You can watch on YouTube and https://www.tiffanyjobaker.com/tiffany-jo-baker-podcast or listen in on Apple Podcasts, Google Podcasts, Spotify, or your favorite podcast player. Ratings and reviews are like high-fives and “go-girl's” on podcast Helping you refresh and refocus so you can do all the things you are called and created to do, my 31 Day Devotional “Soul-Care for Go-Getters” is available on Amazon, Barnes and Noble, and my website shop here. ( https://www.tiffanyjobaker.com/go-getters-devo )As a 3x Surrogate, Speaker, Soul-Care and Success Coach and Spirit-led Strategist, I uplift the soul and success of women like you who are walking out your WHY, so you can birth your God-given dreams at home, online, and in the real world. Find me, @TiffanyJoBaker, on Instagram , Facebook and https://www.tiffanyjobaker.com. I would love to connect with you there!

Nessa semana, Renata inicia uma jornada vintage e nos conta a história do terrível Doutor Crippen. ***Aproveite a Black Friday da @INSIDERSTORE Somando nosso cupom com as promoções do site, o desconto pode chegar em até 70% OFF, por tempo limitado. Cupom para desconto de 15%: PACRIMINAL Ou entre pelo nosso link para aplicação automática do desconto:https://creators.insiderstore.com.br/PACRIMINALBF E não deixe de entrar no grupo da Insider no WhatsApp para receber primeiro as promoções: https://creators.insiderstore.com.br/PACRIMINALWPPBF*** Temos um canal no YouTube, com vídeos exclusivos todos os domingos: https://www.youtube.com/channel/UCac9ZupbqFakPcL5CQgpUoQ Para apoiar o Pátria Amada Criminal, vá ate a Orelo:https://orelo.cc/podcast/603ce78538a4f230cbd37521 PIX: patriaamadapod@gmail.comEscrito e apresentado por Natália Salazar e Renata SchmidtProdução: Natália Salazar e Renata SchmidtEdição: Natália SalazarMúsica: Felipe SalazarArte: Matheus SchmidtE-mail: patriaamadapod@gmail.comIG: @pacriminalSee omnystudio.com/listener for privacy information.

What if org design wasn't a three-year consulting project but a living, breathing practice? In this episode, Tim Brewer and Amy Springer sit down with Jules Siegel-Hawley, who has shaped job architecture and organizational systems at Doctors Without Borders and beyond. Jules shares how her background in clinical social work and acting led her into “cool HR,” why job architecture is the most high-stakes but foundational part of org design, and why leaders should treat organizational design as an ongoing rhythm rather than a big-bang transformation. From managing the tension of titles, power, and compensation, to exploring the rise of AI-human ecosystems, Jules unpacks the evolving challenges of leadership, transparency, and collaboration. Whether you're leading a startup or managing a division in a global enterprise, this episode will help you see org design not as a one-off project, but as a practice of constant iteration, clarity, and trust. Jules Siegel-Hawley https://www.linkedin.com/in/jules-siegel-hawley-52210274/ https://www.andesadvisory.co/ Functionly https://www.functionly.com/ https://www.linkedin.com/company/functionly/ Org Design Podcast https://www.functionly.com/org-design-podcast https://www.linkedin.com/company/orgdesignpodcast/

[CONTENT WARNING: This episode contains references to, and discussion of, death by suicide]. In this episode, Dan begins exploring what Josh Hawley calls “a man's battle.” Hawley argues that what defines men, what gives them purpose, is fighting and confronting evil, and maintaining order in the face of chaos. But what exactly does this mean? And how does it make “evil” necessary? Why is this a tragic and dangerous view of the world? And what is the alternative? How can we understand “order” and “chaos” without falling into the trap of Hawley's worldview? Check out the episode to hear Dan's answers to these questions. Subscribe for $5.99 a month to get bonus content most Mondays, bonus episodes every month, ad-free listening, access to the entire 850-episode archive, Discord access, and more: https://axismundi.supercast.com/ Linktree: https://linktr.ee/StraightWhiteJC Order Brad's book: https://bookshop.org/a/95982/9781506482163 Subscribe to Teología Sin Vergüenza Subscribe to American Exceptionalism Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of 'Holy Disruption' hosted by Heather Schott, Senator Josh Hawley discusses the controversial concept of 'toxic masculinity' and defends the traditional values of biblical manhood. The conversation explores how modern culture attacks masculinity and the family structure, pushing against the destructive ideology that equates all masculinity with being inherently toxic. Senator Hawley highlights the importance of men stepping up to their divine roles as leaders, protectors, and servants in their families and communities. The episode also addresses the rise of feminism, LGBTQ movements, the transgender ideology, and their impact on masculinity and family values. As a solution, both Heather and Senator Hawley call for a revival of biblical principles to restore the family unit and spark a transformative awakening in America.

I Heart Church // iheartchurch.online

I Heart Church // iheartchurch.online

I Heart Church // iheartchurch.online

Leanna Hawley reads Arnold Label's "Frog & Toad - The Kite", along with a story in Nehemiah, to remind us that we can do hard things with the help of God.

Join me and Kelly Hawley, founder of Warrior Bride Ministries, as we expose The Hidden War for Souls — a powerful conversation on satanic ritual abuse, spiritual contracts, and deliverance.Kelly shares eye-opening experiences from her ministry helping survivors heal from trauma, spiritual bondage, and human trafficking. We explore the hidden mechanisms of control, how faith and deliverance bring true freedom, and what it takes to break blood or spiritual contracts.This episode dives deep into healing, forgiveness, and spiritual warfare, offering both hope and truth for those ready to see what's really happening behind the veil.BUY ME A COFFEE LINKSupport the Show & Stay Connected:Buy Me a Coffee: https://buymeacoffee.com/sensiblehippiehttps://www.youtube.com/@WakeUpwithMiyaJoin My Free Patreon for ad-free episodes & exclusive content: https://Patreon.com/WakeupwithMiyaShop my Amazon Storefront: https://www.amazon.com/shop/profile/amzn1.account.AGYOPCXXGH6MN5RVAKGQWVZUZLEA/list/26B87RB4FZ9W2?ref_=cm_sw_r_cp_ud_aipsflist_6BWRT43TH4MY2NM2XD6XWant to be on the show or have a guest suggestion?Email me at: Miya@wakeupwithmiya.comFollow Me Online:Instagram: https://www.instagram.com/WakeupwithMiyaFacebook: https://www.facebook.com/WakeupwithMiyaExclusive Discount!Shop at LVNTA: https://lvnta.com/lv_IcTq5EmoFKaZfJhTiSUse code OHANA for 20% off!Listen on Your Favorite Platform:Spotify, Apple Podcasts, YouTube, and everywhere podcasts are available!RATE & REVIEW:Apple: https://podcasts.apple.com/us/podcast/wake-up-with-miya/id1627169850Spotify: https://open.spotify.com/show/0UYrXCgma1lJYzf8glnAxyMusic Credits:Beginning: "Echoes in the Shadows" - DK Intro: “At First Light” – LunarehOutro: “Uptown” – PALAEnd Music: “Crazy” - EkoWatch More Survivor Interviews:Jessie Czebotar — https://youtu.be/cZ8bMUYUzNsNathan Reynolds — https://youtu.be/ral2eERMw-8Zackery King - https://www.patreon.com/posts/uncut-i-from-to-114674737?utm_medium=clipboard_copy&utm_source=copyLink&utm_campaign=postshare_creator&utm_content=join_link#survivorstories #HealingJourney #SpiritualWarfare #SatanicRitualAbuse #Deliverance

Beneath the soot and iron of England's industrial heart, a foundry lies silent. Its furnaces once roared for empire, but the men are gone, the machinery rusted, the sand floor undisturbed. When war comes and the living return to wake it, something else stirs too—something that remembers.In the stillness of metal and dust, the past is waiting to be poured once more. “Hawley Bank Foundry” was first published in L. T. C. Rolt's collection Sleep No More (1948), a landmark of twentieth-century British ghost fiction. L. T. C. Rolt (1910–1974) was an engineer, historian, and writer whose love of canals and craftsmanship gave his supernatural tales their distinctive sense of industrial melancholy and moral gravity. P S I've just had my Classic Detective Podcast demonetised by YouTube for some spurious reason, probably decided by a bot. So, if you're reading this and enjoying it please consider becoming a patreon https://patreon.com/barcud Learn more about your ad choices. Visit megaphone.fm/adchoices

When a pair of high-profile internet outages took down large chunks of the internet last month, the events briefly brought hundreds of organizations to a near-halt and prevented millions of users from accessing core services for everyday business needs. From Starbucks to crypto exchanges to the messaging app Signal, the outages rippled across nearly every sector, shining a spotlight onto the country's — and even the government's — reliance on a mere handful of cloud service providers. In the wake of those incidents, watchdog groups are calling on federal regulators to scrutinize the role that massive cloud companies like Amazon and Microsoft play in owning and maintaining much of our collective backend IT infrastructure. Meanwhile, technology and cybersecurity experts point out that, because of financial and business realities, there are very few alternatives to the large companies that now dominate the market. The Amazon Web Services outage began Oct. 19 and lasted into Oct. 20. According to Amazon's post-mortem, a single software bug in DynamoDB — the system that manages website addresses, along with efforts to repair it — caused all services in the Northern Virginia region that relied on the tool to go down for 15 hours. Just over a week later, Microsoft's Azure cloud platform experienced an outage impacting several of its services. According to Microsoft, an “inadvertent tenant configuration change” occurred in Azure Front Door, the company's content delivery network. The outages exposed just how fragile the country's digital infrastructure is and showed the risks of letting a few companies hold so much power. As a result, some groups are urging federal regulators to address the issue. Federal agencies would be required to report artificial intelligence-related layoffs to the Department of Labor under a new bill from a bipartisan pair of senators. The AI-Related Job Impacts Clarity Act from Sens. Mark Warner, D-Va., and Josh Hawley, R-Mo., calls on agencies and major companies to deliver quarterly reports to DOL on the impact AI has on their workforces, detailing job cuts and displacements. Hawley said in a press release“Artificial intelligence is already replacing American workers, and experts project AI could drive unemployment up to 10-20% in the next five years. The American people need to have an accurate understanding of how AI is affecting our workforce, so we can ensure that AI works for the people, not the other way around.” The bill would also require agencies and companies to report hirings that can be “substantially” credited to AI, as well as the number of individuals they are retraining because of AI. There's also a callout to keep track of open positions an agency or company decided not to fill because of automation. The Daily Scoop Podcast is available every Monday-Friday afternoon. If you want to hear more of the latest from Washington, subscribe to The Daily Scoop Podcast  on Apple Podcasts, Soundcloud, Spotify and YouTube.

Kate Hawley is the costume designer for Guillermo del Toro's Frankenstein. In this episode, Who What Wear Senior Fashion and Social Editor Tara Gonzalez sits down with Hawley to discuss how she worked with longtime collaborator del Toro on his retelling of the classic tale. Hawley walks us through her extensive research process, shares why her team used such a saturated color palette, and highlights standout accessories from the film—like the Frankenstein family crest and Elizabeth's scarab beetle necklace—that were custom-made by Tiffany & Co. Plus, Gonzalez predicts which item worn by Mia Goth's character she thinks fashion people will embrace after seeing the film. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Josh Hawley argues that American “liberals” (anyone who isn't a conservative Christian) don't have a story to tell about men's purpose in the world. But it turns out things are a lot more complicated than he lets on. It turns out that those “liberals” just might have a story worth telling after all. And, even worse for him, it turns out that his story actually isn't so different from theirs after all. What is this story? How is it similar to and different from the story Hawley wants to tell? And what will that mean for Hawley's ongoing exploration of manhood? Take a listen to this week's episode to find out! Subscribe for $5.99 a month to get bonus content most Mondays, bonus episodes every month, ad-free listening, access to the entire 850-episode archive, Discord access, and more: https://axismundi.supercast.com/Linktree: https://linktr.ee/StraightWhiteJC Order Brad's book: https://bookshop.org/a/95982/9781506482163 Subscribe to Teología Sin Vergüenza Subscribe to American Exceptionalism Learn more about your ad choices. Visit megaphone.fm/adchoices

The Trump administration is not doing well in front of SCOTUS today as they decide on the legality of their tariff overreach. Plus, the president is just flat wrong on the filibuster, even as people like Senator Hawley say otherwise.

Kate Hawley is the costume designer for Guillermo del Toro's Frankenstein. In this episode, Who What Wear Senior Fashion and Social Editor Tara Gonzalez sits down with Hawley to discuss how she worked with longtime collaborator del Toro on his retelling of the classic tale. Hawley walks us through her extensive research process, shares why her team used such a saturated color palette, and highlights standout accessories from the film—like the Frankenstein family crest and Elizabeth's scarab beetle necklace—that were custom-made by Tiffany & Co. Plus, Gonzalez predicts which item worn by Mia Goth's character she thinks fashion people will embrace after seeing the film. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Guests include:  Drew Trafton, Forum Content Director; Kathleen Rustad, Hawley volleyball head coach and; Andy Cook, Killdeer football head coach

In hour 3, Mark is joined by Duane Patterson, with Hot Air, the Host of the Duane's World Podcast and a Producer of the Hugh Hewitt Show. He breaks down the Election Night 2025 results and what went wrong for Republicans. Mark is later joined by Reardon Roundtable regular and local attorney Jane Dueker. Dueker explains the Cory Elliott story, her guilty plead in federal court, and the connection to the Former St Louis Mayor. They wrap up the show with the Audio Cut of the Day.

"The Constitution is what it is, and Donald Trump knows this." Our thoughts exactly, Mr. Hawley! Trump 2028 is a hat, and little else, from a guy who likes to troll.

0:00 CNN shocked that Trump is winning the shutdown! Poll: Robby Soave | RISING 9:59 Dem rep trashes Hawley op-ed urging continued SNAP funding, dismisses bill | RISING 19:01 Shock Poll: Stefanik leading Hochul in potential NY gubernatorial race | RISING 23:18 Trump fires commission in charge of reviewing ballroom, arch projects! Lindsey Granger | RISING 32:56 Dem: 'Imagine who gets killed' under 'President AOC' after Graham dismisses boat strikes | RISING 42:25 Riley Gaines feuds with AOC on X, challenges Congresswoman to debate | RISING Learn more about your ad choices. Visit megaphone.fm/adchoices

Josh Hawley devotes the second chapter of his book to outlining what he sees as “man's purpose.” He promises to answer the question of why men are here, and what they are supposed to do. What does he see as this purpose? And why does his claim to uncover man's purpose ultimately amount to nothing? Why does Dan describe it as an “empty” account of purpose? And how does this undermine Hawley's claim that the Bible's story of man is the only story that can provide meaning and purpose? Check out this week's episode to find out! Subscribe for $5.99 a month to get bonus content most Mondays, bonus episodes every month, ad-free listening, access to the entire 850-episode archive, Discord access, and more: https://axismundi.supercast.com/ Linktree: https://linktr.ee/StraightWhiteJC Order Brad's book: https://bookshop.org/a/95982/9781506482163 Subscribe to Teología Sin Vergüenza Subscribe to American Exceptionalism Learn more about your ad choices. Visit megaphone.fm/adchoices

Charge ahead, patriots—@intheMatrixxx and @shadygrooove ignite Season 7, Episode 206, "President Donald Trump 2025 APEC Keynote Speech: Full Remarks, Highlights & New FBI Arctic Frost Documents Exposed," delivering razor-sharp breakdowns of Trump's powerhouse Asia diplomacy securing $18-20 trillion in investments for American jobs, from Japan's $500 billion pledge and cherry tree gifts to South Korea's gold crown honoring peninsula peace, all while slamming globalist failures and touting record GDP, stock highs, and ending eight wars through trade leverage. They'll expose the explosive FBI Arctic Frost files revealing Biden DOJ's warrantless spying on over 160 Republicans—including eight senators like Graham and Hawley, plus groups like Turning Point USA—authorized by Garland, Monaco, and Wray in a weaponized dragnet tied to Jack Smith's sham probes, now crumbling under Trump's reforms amid government shutdown chaos, SNAP crises, and intensifying ICE ops against illegal networks. With live clips from APEC transcripts, X intel on media distortions, and Q-aligned global awakening themes, Jeff and Shannon arm truth-seekers to dismantle deep-state schemes and reclaim economic sovereignty. The truth is learned, never told—the constitution is your weapon. Tune in at noon-0-five Eastern LIVE to stand with Trump! Trump APEC 2025, FBI Arctic Frost docs, GOP spying exposed, America First investments, deep state weaponization, trade peace deals, government shutdown, ICE operations, @intheMatrixxx, @shadygrooove, MAGA economy mgshow_s7e206_trump_2025_apec_speech_arctic_frost_documents Tune in weekdays at 12pm ET / 9am PST, hosted by @InTheMatrixxx and @Shadygrooove. Catch up on-demand on https://rumble.com/mgshow or via your favorite podcast platform. Where to Watch & Listen Live on https://rumble.com/mgshow https://mgshow.link/redstate X: https://x.com/inthematrixxx Backup: https://kick.com/mgshow PODCASTS: Available on PodBean, Apple, Pandora, and Amazon Music. Search for "MG Show" to listen. Engage with Us Join the conversation on https://t.me/mgshowchannel and participate in live voice chats at https://t.me/MGShow. Social Follow us on X: @intheMatrixxx https://x.com/inthematrixxx @ShadyGrooove https://x.com/shadygrooove Follow us on YouTube: ShadyGrooove https://www.youtube.com/c/TruthForFreedom Support the show: Fundraiser: https://givesendgo.com/helpmgshow Donate: https://mg.show/support Merch: https://merch.mg.show MyPillow Special: Use code MGSHOW at https://mypillow.com/mgshow for savings! Wanna send crypto? Bitcoin: bc1qtl2mftxzv8cxnzenmpav6t72a95yudtkq9dsuf Ethereum: 0xA11f0d2A68193cC57FAF9787F6Db1d3c98cf0b4D ADA: addr1q9z3urhje7jp2g85m3d4avfegrxapdhp726qpcf7czekeuayrlwx4lrzcfxzvupnlqqjjfl0rw08z0fmgzdk7z4zzgnqujqzsf XLM: GAWJ55N3QFYPFA2IC6HBEQ3OTGJGDG6OMY6RHP4ZIDFJLQPEUS5RAMO7 LTC: ltc1qapwe55ljayyav8hgg2f9dx2y0dxy73u0tya0pu All Links Find everything on https://linktr.ee/mgshow

Hour 2 opens with National First Responders Day including personal stories about family members in law enforcement and firefighting and an update on the upcoming first responder Thanksgiving raffle. The discussion shifts to the data center debate between Josh Hawley and Cindy O'Laughlin and whether AI expansion could raise electricity rates hurt jobs or strain infrastructure. They cover the looming government shutdown and note that the federal employees union is breaking from Democrats as SNAP benefits could be affected. Political controversy follows with debate over January 6 intelligence involvement and media narratives. The hour closes with lighter news items including a massive email password leak millions of accounts exposed an alligator found in a Florida sewer and Kelsey Grammer becoming a father again at age seventy.

Marc Cox talks with former Missouri Senator John Lamping about Senator Josh Hawley's pushback against big data centers and the concern that AI expansion may raise electricity rates while eliminating jobs. They question whether government can actually fix these issues and examine Hawley's populist strategy against large corporate interests. The conversation moves to the Affordable Care Act and how premiums have risen under the Biden administration along with the political challenge of reforming subsidies once they are in place. They wrap with Missouri state politics including the tension between Josh Hawley and Cindy O'Laughlin and lobbying efforts from utility companies like Ameren as corporate priorities collide with consumer concerns.

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This episode continues the exploration of how masculinity and the category of "man" function within the contemporary right, using Senator Josh Hawley's book "Manhood" as a guide. Dan reads and reflects on Hawley's arguments, focusing on the biblical foundations Hawley claims for his views on masculinity. Subscribe for $5.99 a month to get bonus content most Mondays, bonus episodes every month, ad-free listening, access to the entire 850-episode archive, Discord access, and more: https://axismundi.supercast.com/ Linktree: https://linktr.ee/StraightWhiteJC Order Brad's book: https://bookshop.org/a/95982/9781506482163 Subscribe to Teología Sin Vergüenza Subscribe to American Exceptionalism Learn more about your ad choices. Visit megaphone.fm/adchoices

So much happened this week in the abortionsphere and it was creepy with a cherry on top. Lizz and Moji discuss the right wing apoplexia that has cascaded in the wake of the FDA approving a new generic abortion pill (trigger warning: JOSH HAWLEY MENTIONED!!!!). Also in the news, JOSH HAWLEY'S WIFE AND PATRIARCHY IN THE UK. Listen up and learn exactly how Erin Hawley is working with Union Jackass Nigel Farage to export American anti-abortion extremism across the pond! It's our least favorite export to the UK yet. Woof, it's whole alotta Hawley this week, y'all. But don't worry, we'll also be ripping into RFK Jr. and his weird beef with Tylenol.  GUEST ROLL CALL!OH. MY. UTERUS. It's an extra special one this week with the one and only Sarah Hartshorne, AKA our FAVORITE pro-abortion supermodel! This comedian, author, and former AAF writer/baddie kikis with us about her new memoir “You Wanna Be On Top?”, spills about her time on "America's Next Top Model," cult behavior, and how reality shows really aren't giving girls' girl energy. Scared? Got Questions about the continued assault on your reproductive rights? THE FBK LINES ARE OPEN! Just call or text (201) 574-7402, leave your questions or concerns, and Lizz and Moji will pick a few to address on the pod! Times are heavy, but knowledge is power, y'all. We gotchu.  OPERATION SAVE ABORTION: Check out our NEW Operation Save Abortion workshop, recorded live from Netroots Nation 2025, that'll train you in coming for anti-abobo lawmakers, spotting and fighting against fake clinics, AND gears you up on how to help someone in a banned state access abortion. You can still join the 10,000+ womb warriors fighting the patriarchy by listening to past Operation Save Abortion trainings by clicking HERE for episodes, your toolkit, marching orders, and more. HOSTS:Lizz Winstead IG: @LizzWinstead Bluesky: @LizzWinstead.bsky.socialMoji Alawode-El IG: @Mojilocks Bluesky: @Mojilocks.bsky.social SPECIAL GUEST:Sarah Hartshorne IG/TikTok: @Sarahbhartshorne GUEST LINKS:Sarah's WebsiteREAD: Sarah's Book “You Wanna Be On Top?”LISTEN: Sarah's “You Wanna Be On Top?” Audiobook VersionREAD: Sarah's Vogue Opinion PieceAmanda Montell's Book: “Cultish”Sarah's Linktree NEWS DUMP:Portsmouth Music Hall Apologizes for Canceling Abortion Provider's Fundraiser, Following BacklashMargaret Cho Holds It Down for AAFNigel Farage Is Cosying up to the US Anti-Abortion Group That Challenged Roe V Wade. Women in Britain Should Know ThatReupping Unproven Claims About Tylenol, Kennedy Claims a Link Between Circumcision and AutismTrump Admin Explored How to Trace Abortion Pills in Wastewater: ReportFDA Approves Generic Abortion Drug, Draws Backlash From Republicans EPISODE LINKS:DONATE: Lovering Health CenterLovering Health Center's PostThe Hawthorn in NHADOPT-A-CLINIC: Palmetto State Abortion FundWATCH: No One Asked You ScreeningsOperation Save AbortionExpose Fake ClinicsBUY AAF MERCH!EMAIL your abobo questions to The Feminist BuzzkillsAAF's Abortion-Themed Rage Playlist SHOULD I BE SCARED? Text or call us with the abortion news that is scaring you: (201) 574-7402 FOLLOW US:Listen to us ~ FBK PodcastInstagram ~ @AbortionFrontBluesky ~ @AbortionFrontTikTok ~ @AbortionFrontFacebook ~ @AbortionFrontYouTube ~ @AbortionAccessFrontTALK TO THE CHARLEY BOT FOR ABOBO OPTIONS & RESOURCES HERE!PATREON HERE! Support our work, get exclusive merch and more! DONATE TO AAF HERE!ACTIVIST CALENDAR HERE!VOLUNTEER WITH US HERE!ADOPT-A-CLINIC HERE!GET ABOBO PILLS FROM PLAN C PILLS HERE!When BS is poppin', we pop off! Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Josh Hawley says that American manhood is threatened by “the left,” and that this threat lies in the fact that they are “anti-story.” What is missing, and what is necessary to save American manhood, he argues, is the right story. But what is the story that Hawley tells? And is it really the only story it's possible to tell? And are all of us who reject or challenge his story really “anti-story?” Isn't it possible to tell other stories about America and men and masculinity? And why do the answers to these questions matter so much? Listen to this week's episode as Dan dives into these questions to find out. Subscribe for $5.99 a month to get bonus content most Mondays, bonus episodes every month, ad-free listening, access to the entire 850-episode archive, Discord access, and more: https://axismundi.supercast.com/ Linktree: https://linktr.ee/StraightWhiteJC Order Brad's book: https://bookshop.org/a/95982/9781506482163 Subscribe to Teología Sin Vergüenza Subscribe to American Exceptionalism Learn more about your ad choices. Visit megaphone.fm/adchoices

Series: “Manhood” Title: “The Plight of Man” In this episode, Dan continues to examine what, precisely, Josh Hawley, thinks the problems are that confront American men. Hawley consistently ignores history and the actual complexity of American society to make his points. But why does he do this? Why is he so concerned with “manhood” at all? And how does this supposed concern express a deeper Christian nationalist agenda? Listen to this week's episode to find out! Linktree:⁠ https://linktr.ee/StraightWhiteJC⁠ Order Brad's book: ⁠https://bookshop.org/a/95982/9781506482163⁠ Check out BetterHelp and use my code SWA for a great deal:⁠ www.betterhelp.com⁠ Subscribe for $5.99 a month to get bonus content most Mondays, bonus episodes every month, ad-free listening, access to the entire 850-episode archive, Discord access, and more: https://axismundi.supercast.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Dynamic Aging Retreat Oct 3-5 2025This Episode's Show NotesJoin Our Newsletter: Movement Colored GlassesKaty Bowman and Jeannette Loram dig into the science—and the hype—around so-called “exercise pills.” They unpack what these drugs do at the molecular level, what they can—and can't—mimic about exercise, and who might benefit—from elite athletes to people with disabilities or chronic illness. The conversation goes beyond physiology into questions of culture, psychology, and even the future of sport—where performance-enhancing technologies are blurring the lines between natural and engineered human potential.CHAPTERS 0:03:12 The Dynamic Collective 0:04:28 – How Do Exercise Pills Work?0:06:50 – Exercise Pills, Skeletal Muscle targets and ‘Enhanced' Sport Performance0:12:30 – Who Might Benefit from Exercise Pills?0:14:08 – Why Pills Can't Replace All The Effects of Exercise0:24:26 – Can Exercise Pills Close the Health Gap? And Why Are We Failing To Exercise Enough?0:34:26 – Beyond Blood Panels: What Pills Miss About Movement0:36:56 – Listener Question brought to you by Venn Design   RESEARCH MENTIONEDMimicking Exercise: What Matters Most and Where To Next? Hawley et al (2021)Exercise pills for cardiometabolic health cannot mimic the exercise milieu Plaza-Florido et al (2025)MADE POSSIBLE BY OUR WONDERFUL SPONSORS:Venn Design, beautiful floor cushions and ball seats that keep you moving at home or at the officeSmart Playrooms, design and products to keep you and your kids engaged and active at home, take 10% off monkey bars, rock wall panels and holds with code DNA10Earth Runners, minimalist sandals that mimic being truly barefoot through their grounding technology, take 10% off with code DNA10Peluva, Five-toe minimalist sports shoes ideal for walking and higher impact activities. Take 15% off with code NUTRITIOUSMOVEMENTIkaria Design, creators of the Soul Seat®, a height adjustable chair that allows you to sit in diverse shapes including cross-legged, take 10% of new inventory with code DNA10Sweet Skins, organic hemp and cotton clothing that is stylish, flexible and designed to move with you, take 20% off with code Movement20