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What happens when the money runs out, or when you don't have enough? For Gen Z, financial pressure is real. Rising costs, uncertain jobs, and the possibility of having to move back home can make not having enough feel overwhelming. But what if seasons of lack are also opportunities to learn deeper dependence on God? In this episode, Lina talks about what to do when you don't have enough and unpacks three biblical responses. You'll learn how to bring your needs honestly to God, do the next faithful thing with what He has given you, and allow God's people to help carry the strain. If you're worried about having enough for your future, this conversation will remind you where your security ultimately comes from. Helpful resources:
What if being honest isn't just about what you say, but when and how you say it? There's a small space between having a thought and putting it into the world. Learning to notice that space gives us a chance to ask whether our words will create connection or simply give our own perspective somewhere to go. Learn more about your ad choices. Visit megaphone.fm/adchoices
401: If you or someone you know has suffered with long COVID and still haven't felt the same before you got the virus, this episode may be the key to unlocking and explaining why, common symptoms to look for, and of course, protocols to help relieve those long COVID symptoms (and what they even are). I have Lily Spechler with me today who specializes in long COVID as she personally experienced it herself, now she is helping others recover from this debilitating and frustrating issue. People are suffering in silence and wondering what is going on, so we break it down in today's conversation and bring up MCAS, Histamine intolerance, COPD, POTS, and foods to avoid that can trigger flare ups and safer alternatives if you are struggling. Everything from exercise intolerance, to anxiety attacks, to nicotine, we cover it all and I also share my personal experience with long COVID that you may have never heard me talk about....so let's get right into the episode. Topics Discussed: → Long COVID symptoms → How to treat long COVID → MCAS → POTS → Histamine intolerance → Foods to avoid with histamine intolerance → Helpful tools post COVID → Nicotine therapy As always, if you have any questions for the show please email us at digestthispod@gmail.com. And if you like this show, please share it, rate it, review it and subscribe to it on your favorite podcast app. Sponsored By: → Santa Barbara Chocolate | Go to https://www.santabarbarachocolate.com/ and use code LILSIPPER for a discount sitewide! Timestamps: → 00:00:00 - Introduction → 00:04:28 - Lily Spechler's personal experience with long COVID → 00:09:10 - How is long COVID diagnosed?→ 00:13:28 - Histamine intolerance and long COVID → 00:18:16 - Foods to avoid with histamine intolerance → 00:22:24 - Best foods for histamine intolerance → 00:24:40 - What causes dysautonomia besides COVID? → 00:26:54 - MCAS: what is mast cell activation syndrome? → 00:31:48 - POTS explained: symptoms, blood pooling and heart rate → 00:35:08 - How to retrain your nervous system and support recovery → 00:37:10 - Why eating enough matters during long COVID recovery → 00:41:40 - Supplements to avoid with histamine intolerance → 00:43:22 - Best exercises for POTS and exercise intolerance → 00:44:50 - Can nicotine patches help with long COVID? → 00:46:18 - How nicotine may affect the autonomic nervous system → 00:49:42 - Where to find Lily and learn more about long COVID Further Listening: → The Best vs. Worst Foods for Stronger Bones | Rebekah Heishman Check Out Lily Spechler: → Instagram → Website Check Out Bethany: → Bethany's Instagram: @lilsipper → YouTube → Bethany's Website → Discounts & My Favorite Products → My Digestive Support Protein Powder → Gut Reset Book → Get my Newsletters (Friday Finds) Learn more about your ad choices. Visit megaphone.fm/adchoices
After 9/11, FBI Special Agent Danny Gonzalez is chasing leads in San Diego, where two of the hijackers once lived. But another name keeps coming up. A BBC News Long Form Audio production.
Mike Matthews investigates the fascinating news from the middle of the week and Mike answers what is happening in the odd world of parenting. Join Mike as he podcasts live from Café Anyway in podCastro Valley with Madame Rootabega, Valentino, and Bison Bentley. Next show Mike Talks to Chely Shoehart, Floyd the Floorman, and John Deer the Engineer.
In this Diving Deep episode, Dr. Robert Pearl and Jeremy Corr examine two very different healthcare debates that share a common problem: when medicine lacks good evidence and aligned incentives, patients and doctors are left with bad choices. The conversation begins with experimental peptides, a fast-growing topic on social media and in wellness circles. Dr. Pearl reviews the FDA's ongoing debate over whether six experimental peptides should be made available to licensed compounding pharmacies. Supporters argue that Americans are already buying these substances through the gray market, often from overseas suppliers, and that regulated access would be safer. Critics argue that expanded access would encourage far more people to use products whose benefits, risks, purity and long-term safety remain uncertain. For Pearl, both sides are partly right, which is why a simple yes or no is the wrong answer. Saying no would not eliminate demand. It would leave many Americans buying peptides online without reliable quality control. Saying yes without conditions would create the impression of FDA approval without the scientific evidence normally required to prove safety and efficacy. Instead, Pearl argues for a third path: pair regulated access with federally coordinated research, safety reporting and controlled studies so patients, doctors and regulators can learn whether these peptides actually work and whether they are safe. The second half of the episode turns to primary care, a specialty Pearl says is in serious trouble. Primary care physicians are overburdened, under-resourced and underpaid compared with specialists. They face growing patient panels, administrative demands, declining autonomy and less interest from medical students entering the field. Pearl acknowledges that primary care leaders are right to ask for more respect, more support and better compensation. But he argues that payers are unlikely to invest substantially more unless primary care can demonstrate better outcomes and lower total costs. That has not happened consistently under traditional fee-for-service or pay-for-performance programs, which reward isolated steps in care rather than overall clinical impact. The solution is capitation. Under this model, primary care doctors would receive a prospective payment to care for a defined population rather than being paid for each visit or service. If chronic diseases are controlled, emergency department use falls and complications decline, both patients and clinicians benefit. But capitation also requires doctors to accept financial risk, organize into larger groups, adopt common clinical standards, coordinate care and empower effective physician leaders. The episode closes with a call for national primary care societies to lead. Pearl says they can help doctors form groups, negotiate capitated contracts, purchase stop-loss protection, implement generative AI, build clinical infrastructure and spread best practices from early demonstration programs. Across both topics, Pearl returns to the same point. Whether the issue is experimental peptides or the future of primary care, patients need evidence, doctors need accountability and the system needs incentives that reward better health. For more, tune into this month's episode and check out the link below. Helpful links: The Best FDA Decision On Peptide Authorization Isn't Yes Or No (Forbes) Monthly Musings on American Healthcare (RobertPearlMD.com) * * * Dr. Robert Pearl is the author of ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine. Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on X and LinkedIn. The post FHC #226: Peptides, primary care & the false choices in American medicine appeared first on Fixing Healthcare.
Would you like to stop feeling so afraid in life? Fear can be helpful when it works to keep us safe, but after trauma, it can lie to us. In this episode, Michelle shares about the concept of time and truth that can help you to step out of the cycle of fear and into a more regulated nervous system. THERAPY WITH MICHELLE Have you been looking for a Trauma-Informed Therapist who is also a Christian? Do you want to honor your faith even in your therapy? Would you love to incorporate deep healing in a way that aligns with God's Word and evidence-based treatments for trauma healing? I offer THERAPY INTENSIVES which help you to go deeper and with faster results than weekly therapy can provide. Learn more at: www.emdrpittsburgh.com. For a Free Consultation Call: If you would like to see about working with me in an EMDR Intensive, you can schedule a free 15 minute consultation call so that we can get to know each other and see if I am a good match for your therapy needs. Go to www.calendly.com/michellecroyle to connect with me. FACEBOOK COMMUNITY: Join our free Facebook Community For Encouragement and Support: CLICK HERE FREE RESOURCE: If this episode resonated, you might be interested in my free resource. I created a free, faith-honoring guide that gently explains how healing happens in the body and why you're not failing. Free Trauma Healing Resource Guide *All content is for informational and educational purposes only and is not to be considered professional counseling. If you need professional therapy, please seek it out, and if you are in immediate danger, please contact emergency services near you.
Thank you, friends, for clicking on this episode of the Pondering Purple podcast, a source of information, insight and inspiration for those who love MKs and those who are MKs.···This episode is the audio version of Chapter Six of Pieces of Purple: Trauma. To listen to all the episodes in this series, find Pondering Purple on your preferred podcast platform. To view the episodes, including the conversations with TCKs that drop two weeks after each chapter, follow this link to the Youtube channel: https://bit.ly/pieces_channel. ...The Amazon page for Piece of Purple is HERE. For bulk order pricing of ten copies or more, please CONTACT me.To access discussion questions for each chapter, click HERE....More of my MK-related resources can be found at the following links:1. My most-read articles listed on my website. 2. My grand new book--everything I've ever taught about MKs in one place--Pieces of Purple!3. My playlist of video "nuggets" on Youtube.4. My novel about a missionary family, Of Stillness and Storm.···Four ways to make sure you don't miss an episode:1. Click subscribe after you find Pondering Purple on the podcast platform of your choice.2. Friend and follow me on Facebook--I'll announce new episodes as they release. (Make sure you hit "Follow first" under the "Follow" tab.)3. Join The MK Hub, a group on Facebook solely devoted to sharing new materials as I produce them.4. Receive email notifications by writing “subscribe to podcast” in the subject line of a message you send to shellphoenix@gmail.com. (I promise--that's all you'll receive. No newsy epistles or cat pictures!)···Please share this resource in your missionary, MK, and TCK circles. I'd love it if you also left a comment on whatever platform you use, so Pondering Purple can be less of a monologue and more of a conversation.···The title of the podcast is a nod to the complex, beautiful, sometimes confounding, always life-shaping and ideally life-enhancing effects of growing up in the color swirl of cultures and worlds.···Helpful definitions:· MK or Missionaries' Kid - the child of missionaries.· TCK or Third Culture Kid - someone who has spent a majority of his/her formative years in a culture other than his/her passport culture. This includes missionaries' kids, military kids, business kids, diplomats' kids, etc.
Send us a messageEpisode 232: How to Help Your Adult Child Feel Heard and Emotionally Safe: Helpful Therapy Words, part 2Your adult child may be telling you they don't feel heard, understood, or emotionally safe with you. And if you're a parent who genuinely loves your child and wants a close relationship, those words can be painful and confusing.You may be thinking, I am listening. I do care. Why doesn't my child see that?In Part 2 of Therapy Words That Can Actually Help, we're talking about three relationship skills that can change the way difficult conversations with your adult child feel: curiosity, attunement, and emotional safety.These words are not about agreeing with everything your adult child says or taking responsibility for every feeling they have. They are about learning how to understand your child's experience before trying to explain, correct, defend, or solve it.When an adult child feels misunderstood, criticized, dismissed, or pressured, they may begin sharing less. Over time, difficult conversations can become something both parent and adult child avoid. Curiosity, attunement, and emotional safety give you a different way to approach those moments and can help create the conditions for more honest communication and stronger connection.In this episode, you'll learn:How curiosity can improve communication with your adult child by replacing defensiveness, assumptions, and problem-solving with a genuine desire to understand what they are experiencing.What attunement means in a parent-adult child relationship and why listening to the emotion underneath your child's words can sometimes matter more than finding the perfect response.What emotional safety actually looks like between a parent and an adult child, especially when you disagree about choices, beliefs, relationships, or painful events from the past.Why making your adult child feel heard does not require you to agree with them, accept their interpretation as the only truth, or abandon your own perspective.How to have difficult conversations with your adult child without immediately defending yourself, explaining your intentions, or trying to fix the problem, so there is more room for understanding and connection.In Part 1 of this series, we talked about differentiation and acceptance: staying grounded in yourself while accepting what is actually happening in the relationship. Those skills create the foundation for what comes next. Curiosity, attunement, and emotional safety are about what happens when you turn toward your adult child and try to understand their experience.You do not have to say everything perfectly for your adult child to feel more comfortable talking with you. Often, the biggest shift begins when they sense that you are trying to understand them instead of preparing to defend yourself.And that can change the entire direction of a conversation.In Part 3, we'll take the next step and talk about repair and accountability, especially when there has already been hurt or conflict in the parent-adult child relationship.If you know another parent who is struggling in their relationship with an adult child, share this episode with them. They may need to hear it too.Click Here to download the free guide: 5 Steps to Take Before Trying to Repair the Relationship with Your Adult Child Tina Gosney is the Family Conflict Coach. She works with parents who have families in conflict to help them become the grounded, confident leaders their family needs. -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------If you want support putting what you're learning into practice, come join The Connection Community in Bridge to Connection. This is the perfect spot where you can learn, connect and get targeted help to start moving your relationship with your adult child in a different direction. Set up a Connection Clarity Call with Tina to see if this is a good fit for you: CLICK HERE TO SET UP A CALL---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Tina is certified in family relationships and a trauma informed coach. Visit tinagosney.com for more information on coaching services.
Ask Tim or Jack a question directly by joining our growing community of LCMS lay leaders and pastors: click here.Do you think hard conversations that we have publicly on Lead Time are harmful to Christian unity?Tim Ahlman, Tania Hilton, and Jack Kalleberg discuss why laypeople need a meaningful voice in the church, how leaders can create healthier feedback loops, and whether publicly questioning authority violates the Eighth Commandment—or represents necessary Christian accountability.This is an honest conversation about authority, women, institutional preservation, provocative podcasting, and a healthier future for the LCMS—one in which difficult conversations produce greater clarity and unity rather than further division.⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️Care about the future of the LCMS?Join the LCMS Current! (LCMS Current Events Newsletter)⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️To learn more, visit uniteleadership.org
As Vladimir Putin tells Iran it has Moscow’s support, what is he saying to Washington? Then: is the UAE trying to make itself indispensable around the world? Plus: has the price of gold made museum heists less sophisticated?See omnystudio.com/listener for privacy information.
Most guys who keep getting friend zoned think the problem is they're too nice. It's not. The problem is they're running the wrong business model - they're brokers.A broker makes himself useful, available, and helpful. He says yes to everything. And the moment she doesn't need what he's offering, he's gone. I break down the three forms of brokering that kill attraction, the three shifts that turn a broker into a product - a man women actually want to invest in and a real client story that shows exactly what the change looks like.If you've been doing everything right and still can't figure out why it doesn't translate into attraction, this one's for you.───────────────────────────Free Dating Protocol: https://www.innerconfidence.com/Book a call with Robbie: https://www.innerconfidence.com/community───────────────────────────Connect with Robbie:Instagram: https://www.instagram.com/robbie_kramer/TikTok: https://www.tiktok.com/@robbie.kramerYouTube: https://www.youtube.com/innerconfidence
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"The Art of Shenanigans with Rebecca Garza-Bortman and a Legion of Weird Helpers"Rebecca Garza-Bortman is a designer, musician, writer, & mother living in Berkeley. This episode features WH listeners Julia, Lauren, Erica, Meredith, another Lauren, Katie and Mike.Check out Weirdly Helpful!
Jeremy got off a treadmill stress test two hours before recording this — a family health scare sent him down a rabbit hole of chest pains, family history, and a doctor who laughed at him (kindly). That kicks off a wider conversation with Jason about the tools we use to chase longevity: EKGs that are, technically, 200-year-old technology; wearables that ping you at 2am about your heart rate; and AI check-ins that will tell you "good job, champ" no matter what you fed it. They get into a real news story about "longevity fixation syndrome," a new experimental weight-loss compound Jason is already trying to hunt down, and why AI health influencers might be exploiting the exact anxiety these tools are supposed to relieve. It closes with a genuinely wild story: Australian scientists remote-controlling live cockroaches to deliver emergency medication to people trapped in collapsed buildings.Key Moments00:01 — Jeremy's same-day stress test and the family heart scare that triggered it01:56 — Jason on EKGs: diagnostic technology that's essentially 200 years old02:25 — Jason's own 2021 EKG scare and the "widowmaker" scarring that turned out fine04:23 — How often EKGs actually get it wrong, and why nobody questions the tech05:48 — "Longevity fixation syndrome": the real clinical term for optimization gone too far08:58 — Fake AI wellness influencers and the manufactured fear they're selling11:28 — TOFA: the new experimental weight-loss compound Jason is already trying to source16:50 — "Anticipatory medicine": the AI healthcare opportunity investors are actually excited about20:12 — "Dongevity": men's health marketing, insecurity, and Dr. Facebook's fake diagnoses24:47 — Jeremy's weekly AI check-in with his wearable data, and what happens on a bad week27:26 — Where this is actually heading: AI glasses that could auto-medicate you28:33 — Cyborg cockroaches: Australian scientists' "Paraborgs" for disaster medicine
Why are we continuously surprised when we learn about the latest cruel, punitive and democracy-defying actions taken by a president who does not care about the rule of law and who has leveraged his own party in Congress to diminish human, civil, immigrant and voting rights in America? This question is particularly relevant for nonprofits whose missions are antithetical to this administration and whose leaders are the first to speak out against legislative and funding setbacks. It is understandable, but not wise, that beleaguered nonprofit leaders are looking to the mid-terms to change the course of this political moment. To better understand how nonprofits should approach their next steps I sought out veteran political strategist and crisis communications advisor Jennifer Kohl for answers. In this episode of Power Station, Jenn, CEO of Chrysalis Communications warns us that a positive outcome in the upcoming elections will only fuel the president's campaign of retribution. Jen shares what can happen when organizations stop doing business as usual and instead make an all-hands on deck plan for the inevitable next crisis. It turns out that catastrophic thinking can be transformed into a blueprint for building power.
The Mindful Healers Podcast with Dr. Jessie Mahoney and Dr. Ni-Cheng Liang
Hope is deeply human. It can keep us going when life feels uncertain, painful, or out of our control. But hope is not a plan. In this solocast, Dr. Jessie Mahoney shares what she is learning while caring for her aging parents through a season of medical crises, changing needs, family decisions, and more chaos than she expected. Then she widens the conversation to the endurance races many of us are living: our own health, caregiving, medicine, work, relationships, and change we did not choose. This is an episode about accepting reality without giving up, finding agency when you cannot control the outcome, caring for your nervous system, and meeting hard moments with wisdom and grace. Jessie shares practical mindfulness tools for staying steady, including letting go, trust, presence, gratitude, generosity, helpful questions, and her guiding questions: What will I wish I had done? and What would love do? In this episode, you'll hear about: Why hope can be inspiring—and still not be an action plan Acceptance as radical honesty, not resignation How to find agency without taking over someone else's agency Why chaos can become a place to learn and grow Managing your mind, nervous system, and physiology in a long endurance season Risk mitigation instead of perfectionism Helpful questions that interrupt spiraling and return you to clarity The power of pauses, rest, nourishment, and self-compassion How sibling relationships can be both hard and unexpectedly healing "Health and wealth," "brave and bold," and "the exquisite" as practical ways to navigate change Resources and invitations: Learn about one-on-one coaching: www.jessiemahoneymd.com/physician-coaching Learn about Advanced Coaching / Deeper Connections: www.jessiemahoneymd.com/deeper-connections-advanced-coaching Explore 2027 Nicasio Creek Farm retreat dates: www.jessiemahoneymd.com/nicasio-creek-farm-coaching-immersions Connect in Nature with Dr. Ni-Cheng Liang, December 2–4: www.jessiemahoneymd.com/retreat-connect-in-nature 2027 Transition Well Group Coaching: www.jessiemahoneymd.com/transition-well Nothing shared in the Healing Medicine Podcast is medical advice. The Healing Medicine Podcast was formerly known as the Mindful Healers Podcast.
On today's episode, I talk with faith-based mentor and speaker Erin Zandstra. Today's special guest can be found here: https://www.erinzandstra.com/ If you like what you hear and want to help keep the recording light on, visit https://www.patreon.com/BSWthepodcast and become a patron today! Your episodic tithes of a dollar or more will get you early access to each episode, stickers, shirts, and even shout-outs. Stop by thebiblesayswhat.com for all things BSW related Want a more action-packed, fast-paced version of The Bible Says What!? Try The Naughty Atheist LIVE—an unfiltered rollercoaster of a call-in show, live every Sunday, Tuesday, and Thursday at 6 PM PST on TikTok and YouTube. Thanks to the cosmic powers of the internet, you can now buy me a beer online. Go to https://www.buymeacoffee.com/BSWthepodcast and click the appropriate buttons. Thank you for listening, sharing, and supporting the show. Other ways to tune in: Tik Tok: https://www.tiktok.com/@thebiblesayswhat2018?is_from_webapp=1&sender_device=pc YouTube: https://www.youtube.com/channel/UC7FrIcfAfHHRr9ZkKSR11BQ/featured?app=desktop Apple Podcast: https://itunes.apple.com/us/podcast/the-bible-says-what/id1383942979?mt=2 Follow the show on Facebook! https://www.facebook.com/groups/791536591381847/?source_id=35126706870
Ron Tester is back for a History Pop-Up. And it turns out we both spent the month reading about people dying of things nobody understood at the time. Ron's been looking at the physician who worked out cholera came from the water, while the authorities determinedly ignored his findings. I've got an ancient language we can only trace from shared words we still use today. Plus, we look at the history of paper + the shock of the Great Influenza. Better still, the teeth of the ancient people who spoke it tell us how they moved + to an amazing degree how they spent their time. Look for more History Pop-Ups roughly every month. Books discussed in this episode: The Ghost Map - Steven Johnson Pale Rider - Laura Spinney Proto - Laura Spinney The Notebook: A History of Thinking on Paper - Roland Allen Papyrus: The Invention of Books in the Ancient World - Irene Vallejo The Great Influenza - John M. Barry Ron's Website: rontestercoaching.com ==== If you'd like my help with your Business go to www.lizscully.com/endlessClients ==== And don't forget to get your reading list of the 10 essential reads for every successful biz owner - these are the books Liz recommends almost on the daily to her strategy + Mastermind clients. This isn't your usual list of biz books, these answer the challenges you've actually got coming up right now. Helpful, quick to read and very timely
Mike Matthews investigates the fascinating news from the week so far and Mike answers what is happening in the odd world of set-jetting. Join Mike as he podcasts live from Café Anyway in podCastro Valley with Benita, the Disgruntled Fiddle Player, and the Brewmaster. Next show Mike Talks to Madame Rootabega, Valentino, and Bison Bentley.
Tim Ferriss has just published his recent royalty figures - that's since AI arrived - they're grim. Ally Machate of The Writer's Ally is back to work out the knock-on effects for the rest of us. She reckons one whole category of book is dead. Not dying. Dead. But it's not all doom + gloom - business books have a future. I put both my own books on the table + ask her straight whether they'll survive. One does. The other - hmm, needs a tweak. Listen to see if your book plans need to change too. Look for more in the Your Biz Needs a Book strand. Books discussed in this episode: The 4-Hour Workweek - Tim Ferriss The 4-Hour Body - Tim Ferriss Tools of Titans - Tim Ferriss Tribe of Mentors - Tim Ferriss Ally's Website: www.thewritersally.com Ally's Linkedin: linkedin.com/in/allysonemachate ==== And don't forget to get your reading list of the 10 essential reads for every successful biz owner - these are the books Liz recommends almost on the daily to her strategy + Mastermind clients. This isn't your usual list of biz books, these answer the challenges you've actually got coming up right now. Helpful, quick to read and very timely. Click here lizscully.com/reading to get your book list
Mike Matthews investigates the fascinating news from the end of the week and Mike answers what is happening in the odd world of delivery services. Join Mike as he podcasts live from Café Anyway in podCastro Valley with Chely Shoehart, Floyd the Floorman, and John Deer the Engineer. Next show Mike Talks to Benita, the Disgruntled Fiddle Player, and the Brewmaster.
The Gen Z POV: I've got to make enough money to set my family up. But what if the extra you have isn't just for you? In this episode, Lina talks about what it means to handle money from a biblical perspective. God gives us resources not simply to raise our standard of living, but to expand our capacity for generosity. You'll discover that what God has given you is both a gift to enjoy with gratitude and a responsibility to steward well. You'll also learn why guarding your heart from the love of money matters, no matter how much or how little you have. Helpful resources:
Mike Matthews investigates the fascinating news from the middle of the week and Mike answers what is happening in the odd world of trying to eat delicious foods that don't have salt. Join Mike as he podcasts live from Café Anyway in podCastro Valley with Madame Rootabega, Valentino, and Bison Bentley. Next show Mike Talks to Chely Shoehart, Floyd the Floorman, and John Deer the Engineer.
Simple Pin Podcast: Simple ways to boost your business using Pinterest
You got the email, you're confused, let's break it downSo Tailwind sent out an email about something called an MCP server, and if you read it and thought "what does that even mean," you're not alone. Let's break it down simply. MCP stands for Model Context Protocol. Think of it as a translator between AI assistants, like Claude or ChatGPT, and the software you already use. Before this, if you wanted an AI to help with a task, you'd copy information out of one app, paste it into your AI chat, get a response, then copy that back into the other app. Clunky. MCP removes that step. It lets your AI assistant talk directly to Tailwind and actually do things inside it. So now, instead of opening the Tailwind dashboard, you can tell your AI assistant to schedule a Pin, and it happens. That's what the email was announcing.Does this fit into your existing workflow, and is it even necessary?Here's the question I'd actually ask if I got that email. If you're already using Tailwind to schedule, does this save you time? Fair question, because scheduling itself isn't really the bottleneck Tailwind already solves. The real time savings comes from cutting out the handoff between drafting your content and publishing it. Right now your workflow could look like this. You draft your pin copy somewhere, then you go open Tailwind, upload the image, paste in the title and description, pick the board, hit schedule. That's two tools and at least one copy-paste step. With MCP, drafting and scheduling happen in the same conversation. You write the pin copy with your AI, and it just does that last step for you. One less tool, one less switch.But I'll be honest with you. If you're just batch pinning of pre-made images with no copy to write, Tailwind's own scheduler is already fast, and this won't feel meaningfully different. It shines when content creation and scheduling are two separate steps you're doing back to back. This collapses them into one. So is it necessary? No. Is it useful if your workflow already starts with writing? Yes.How to leverage AI for your Pinterest marketingIf you're going to use AI for Pinterest at all, the highest value spot isn't the scheduling piece, it's the content piece. Use it to draft pin titles and descriptions, brainstorm keyword variations, repurpose a blog post or podcast episode into pin copy, or review what you already have scheduled and catch gaps. The AI is most useful the moment before something needs to be written, not the moment it needs to be clicked.A few questions to ask yourself before you adopt thisBefore you add any new tool or integration to your workflow, ask yourself these:Does this remove a step I'm already doing, or does it just add a new thing to learn?Is my current bottleneck actually scheduling, or is it content creation?Will I actually use this weekly, or is it a shiny new feature I'll try once and forget?Does this fit how my team already works, or does it require retraining everyone?If you can't answer yes to at least one of those in a way that saves you real time, it's fine to let this one sit for now. Not every new AI feature needs to become part of your process.—-------Here are some helpful links from the podcast:
If you're creating content — YouTube, Instagram, TikTok, a podcast, whatever — and it's not turning into money, I want to tell you something that might sting a little: it's not an algorithm problem. It's not a consistency problem. It's a words problem. You're posting. You're showing up. But most of what's coming out of your mouth or off your keyboard isn't the kind of content that actually gets people to buy. Here's the thing nobody tells you: people don't pay for information anymore — they can get that anywhere for free. What they pay for is life. And there are three specific kinds of words that create it. Once you know what they are, you'll know exactly why your content hasn't been converting — and exactly what to say instead. Chapters 00:00 Content isn't a algorithm problem, it's a words problem02:08 Words as a tool for creating life and connection03:31 The metaphor of the tree of life in words05:12 People pay for life, not information06:04 Infusing life into relationships, health, finances, and hobbies07:25 The influence of Myron Golden and feeling alive09:07 Three types of words: healing, hopeful, helpful10:19 Healing words mend the heart and address pain12:27 The power of storytelling and emotional connection14:09 Hopeful words reignite dreams and optimism16:18 Helpful words guide action and application18:37 The role of wisdom and actionable content20:39 Encouragement and the power of small drops of hope21:49 The importance of guiding actions with helpful words23:56 Wisdom as a tree of life in content25:38 Storytelling frameworks for engaging content27:21 The importance of actionable takeaways in content28:41 The three-step content wealth machine29:50 Focusing on one person, one platform, one payoff33:55 Case study: helping Japanese speakers improve English pronunciation
Everyone asks for favors. But if you're too available, too nice, too accommodating, does that actually lower your value in other people's eyes?
Listen to Cofield & Company with Steve Cofield and Willie Ramirez! Guests for Today's Show: Steve Kim joins us in Hour 1 Jesse Merrick joins us in Hour 2 Caleb Herring joins us for Hour 3 Listen Now!See omnystudio.com/listener for privacy information.
Send us a messageEpisode 231: How to Let Go of Control Without Losing Connection: Helpful Therapy Words, part 1When your adult child is making choices you disagree with, pulling away, or asking for space, it can feel almost impossible not to step in, explain yourself, fix the problem, or try to change their mind.But what if strengthening your relationship with your adult child requires something different?In this episode, we begin a three-part series on therapy words that can actually help. We start with two concepts that can make a significant difference in strained parent-adult child relationships: differentiation and acceptance.Differentiation comes from Bowen Family Systems Theory and means learning how to stay connected to your adult child while also staying grounded in yourself. Acceptance means acknowledging the reality of your relationship as it is right now, even when you desperately wish it were different. Neither one means becoming distant, giving up, approving of everything your child does, or pretending you are not hurt.Instead, these skills can help you stop reacting from anxiety and begin responding more intentionally.In this episode, you'll learn:How to let go of control without giving up on your relationship with your adult child, especially when they make choices you would not make for them.What differentiation means in a parent-adult child relationship and how it helps you stay connected without losing yourself in your child's emotions, opinions, or disapproval.Why accepting your adult child's need for space or distance does not mean you approve of it or that you are giving up on reconciliation.How childhood family patterns can influence the way you respond to conflict with your adult child today, including people pleasing, fixing, withdrawing, arguing, or trying to keep everyone happy.Simple ways to stay grounded when your adult child is upset with you, so you can make thoughtful choices instead of reacting from fear, hurt, or anxiety.If you are trying to repair a strained relationship with your adult child, learning to separate what you can control from what you cannot control is an important place to begin.You can love your adult child deeply without managing their choices. You can disagree without disconnecting. And you can accept where the relationship is today while still hoping and working toward something better.This is the foundation for the rest of our Therapy Words That Can Actually Help series. In the next episode, we'll talk about curiosity, attunement, and emotional safety, followed by repair and accountability in part three.If this episode helped you see your relationship with your adult child differently, share it with another parent who needs to hear it.Click Here to download the free guide: 5 Steps to Take Before Trying to Repair the Relationship with Your Adult Child Tina Gosney is the Family Conflict Coach. She works with parents who have families in conflict to help them become the grounded, confident leaders their family needs. -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------If you want support putting what you're learning into practice, come join The Connection Community in Bridge to Connection. This is the perfect spot where you can learn, connect and get targeted help to start moving your relationship with your adult child in a different direction. Set up a Connection Clarity Call with Tina to see if this is a good fit for you: CLICK HERE TO SET UP A CALL---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Tina is certified in family relationships and a trauma informed coach. Visit tinagosney.com for more information on coaching services.
Mike, Ali, and Beau continue to talk about how Atlanta Falcons quarterback Michael Penix Jr. looked in his first practice yesterday where he did 11 on 11 work for the first time this season, and explain why they think Falcons Head Coach Kevin Stefanski playing starters in the preseason is a refreshing and helpful change from the last two regime's approach to the preseason.
This week, Henno and Bryan discuss looking inward, boundaries, depression, financial worries, struggling, and more!. Hope you enjoy it! Helpful links: Suicide Prevention Lifeline dial 988 or 1-800-273-8255 https://suicidepreventionlifeline.org/ https://www.crisistextline.org/ Text HOME to 741741 for help https://www.nami.org/NAMI/media/NAMI-Media/Helpline/NAMI-National-HelpLine-WarmLine-Directory.pdf Call 211 for help or go to 211.org https://coda.org/ https://www.gamblersanonymous.org/ga/ translifeline.org Trans Lifeline 1-877-565-8860 Ways to contact the show: Website: Thecrazylifepodcast.weebly.com E-mail: thecrazylifepodcast@outlook.com Twitter/X: @thecrazylifepod Bryan's Twitter: @stewnami or @salty_language Bryan on Bluesky: @stewnami Henno's Twitter: @idahenno Henno on Bluesky: @idahenno Henno's Fb/Instagram Henno Heitur Bryan's Other Podcast: saltylanguage.com Bryan's Blog: https://stewnami.wordpress.com/ Facebook Group: https://www.facebook.com/groups/crazylifepodcast/ iHeart Radio: http://www.iheart.com/show/263-The-Crazy-Life/ Google Play: http://thecrazylife.libsyn.com/gpm Blubrry: https://www.blubrry.com/the_crazy_life/ Spotify: https://open.spotify.com/show/2irC3XxOJMEuzKtWliHiBM Apple Podcasts: https://podcasts.apple.com/au/podcast/the-crazy-life/id1008617039 Stitcher: http://goo.gl/BDeUCZ YouTube: https://www.youtube.com/channel/UCrj15dasmUUfzZz3Oeu_9uA TuneIn: https://tunein.com/podcasts/Mental/The-Crazy-Life-p1149126/ Intro Music is "Life Sux" by Henno
A scientist sails to the Arctic hunting a legendary giant jellyfish. She finds nothing but the reader can see it on every page - right next to her ship. Show regular Ron Tester is back to discuss Chloe Savage's delightful The Search for the Giant Arctic Jellyfish, which for our purposes turns out to be a book about blind spots. We discuss why your customers see your business more clearly than you ever will + the silent clients who watch you for years without ever saying hello. Rude? This is a Classics episode, where we treat a book that is absolutely not a business book as though it were. Books discussed in this episode: The Search for the Giant Arctic Jellyfish - Chloe Savage What Magic Lies Beneath - Chloe Savage Ron's Website: rontestercoaching.com ==== If you'd like my help with your Business go to www.lizscully.com/endlessClients ==== And don't forget to get your reading list of the 10 essential reads for every successful biz owner - these are the books Liz recommends almost on the daily to her strategy + Mastermind clients. This isn't your usual list of biz books, these answer the challenges you've actually got coming up right now. Helpful, quick to read and very timely.
Who added chapters and verses to the Bible? Imagine trying to find a Bible passage without chapter or verse numbers. The Bible wasn't originally written with the numbered divisions we use today. So who added them, why were they created, and could they sometimes affect how we interpret Scripture?In this episode, Tiffany Coker and Pastor Jeff Cranston uncover the history behind Bible chapters and verses. They explain why these numbers are useful but not inspired, how chapter breaks can interrupt an author's original thought, and why familiar verses like Philippians 4:13 must be read within their surrounding context.Chapters:00:24 Who Added Chapters and Verses to the Bible?The biblical authors didn't divide Scripture into numbered chapters and verses. These numbers were added centuries later to help readers locate and reference specific passages.03:14 Why Were Bible Chapters Created?As universities grew during the 13th century, teachers and students needed a consistent way to find passages. Standardized chapter divisions became a navigation system that made studying and teaching the Bible easier.06:21 Who Created the Bible's Chapter Divisions?Stephen Langton, a theologian and later Archbishop of Canterbury, helped develop and standardize the chapter system used in most Bibles today. He built upon earlier methods rather than creating the entire system from scratch.08:01 Are Chapter and Verse Numbers Inspired by God?The words of Scripture are inspired by God, but chapter numbers, verse numbers, section headings, cross-references, and study notes are human-created tools that can help us study the Bible but may also influence how we interpret it.10:28 When Were Verse Numbers Added to the Bible?Verse divisions became standardized after chapter divisions. Over time, these systems were adopted in printed Bibles, allowing pastors, teachers, and readers to locate the same passage within seconds.12:17 Why Should We Read Beyond Individual Verses?The Bible is not a collection of disconnected inspirational statements. Reading the surrounding passage helps us understand verses like Philippians 4:13 and Romans 8:28 within their proper context and follow the biblical author's complete message.“ The modern chapter system emerged in the early 13th century as universities grew and theology began to move into classrooms; Students and teachers needed a consistent way to locate passages.” – Pastor Jeff Cranston
We continue down the road of Dean and Rog. Which was a mistake.
Mike Matthews investigates the fascinating news from the week so far and Mike answers what is happening in the odd world of people realizing they got old. Join Mike as he podcasts live from Café Anyway in podCastro Valley with Chely Shoehart, Floyd the Floorman, and John Deer the Engineer. Next show Mike Talks to Benita, the Disgruntled Fiddle Player, and the Brewmaster.
We can now all spot AI slop miles off - the em dash, the bullet points, the "it's not this, it's that". Yet AI is still super handy for speeding day-to-day tasks - so how do you use AI for business writing without sounding like a bot? Communications expert Chris Fenning is back to discuss the whole thing. He explains the two jobs AI does brilliantly + the two you should never hand over. And a strange moment I had with the word 'ok'. Look for more episodes in this mini series with Chris. Books discussed in this episode: The First Minute - Chris Fenning Effective Meetings - Chris Fenning Chris's website: chrisfenning.com/ Chris's LinkedIn: linkedin.com/in/chris-fenning ==== If you'd like my help with your Business go to www.lizscully.com/endlessClients ==== And don't forget to get your reading list of the 10 essential reads for every successful biz owner - these are the books Liz recommends almost on the daily to her strategy + Mastermind clients. This isn't your usual list of biz books, these answer the challenges you've actually got coming up right now. Helpful, quick to read and very timely.
In Hour 2, Andy and Randy talk about the limited action starting QB's are seeing across the NFL in the 2nd week of preseason games, discuss the Braves playoff pitching options, visit the Backpage with Beau, and play Sports Jeopardy.
There's a question lurking in every office, boardroom, and late-night Google search: What happens when AI starts doing our jobs? Depending on who you ask, AI will eliminate 70 million jobs, replace 300 million jobs, or somehow create even more than it destroys. (Helpful, right?) Goldman Sachs estimates that, as of this spring, AI is eliminating about 16,000 jobs a month after accounting for new jobs being created. Rather than panic, we asked a better question: What can humans still do that AI simply can't? Turns out, quite a lot - much more than the literal hands-on jobs like caregiving and hospitality and construction and repair maintenance. Crina and Kirsten explore why emotional intelligence may become the most valuable skill in the workplace. AI can write an apology email, but it can't actually repair a relationship, read a room, or earn trust. And don't forget about the superhuman power of active listening—hearing not just the words, but the hesitation, the body language, and the thing someone is trying not to say. We also dive into judgment. AI shines when the answers are clear. Humans earn their keep when the waters are muddy. And then there's creativity. AI is excellent at remixing what already exists. Humans imagine what doesn't. Innovation comes from challenging assumptions, asking better questions, and occasionally ignoring the way things have always been done. AI is not accountable, it lacks moral reasoning, and it cannot exercise leadership. And whether we like it or not, us humans spend a lot of our lives honing these skills. The future probably isn't humans versus AI. It's humans who know how to use AI without surrendering the very qualities that make us human. That's still our best competitive advantage—and fortunately, it's one that can't be downloaded - because we are precious!!
The One where we pick our favorite comics book events and Dave forgets his favorite! Plus, Rich is HELPFUL! Please support the show on Patreon! Every dollar helps the show! https://www.patreon.com/SignalofDoom Follow us on Twitter: @signalofdoom Dredd or Dead: @OrDredd Legion Outpost: @legionoutpost
Mike Matthews investigates the fascinating news from the end of the week and Mike answers what is happening in the odd world of people spending enormous amounts of money on going back to school. Join Mike as he podcasts live from Café Anyway in podCastro Valley with Madame Rootabega, Valentino, and Bison Bentley. Next show Mike Talks to Chely Shoehart, Floyd the Floorman, and John Deer the Engineer.
An adjuster has decided to level up their career by earning their PACE-P Designation. They've completed the comprehensive educational program, prepared with the study guide, and are now sitting down to take the remotely proctored exam. Are they ready for it? Are you? Notable Timestamps [ 00:00:34 ] - The podcast explores the scenario of an adjuster who has completed an educational program and a study guide, and is now preparing to sit for the remotely proctored PACE Designation Exam. [ 00:04:04 ] - The PACE Designation program begins with an onboarding curriculum, consisting of three core courses that teach foundational insurance concepts, industry jargon, and claims handling. [ 00:04:32 ] - Participants can progress to a seven-course Personal Property Lines track detailing claim evaluation and resolution, and later choose a la carte electives known as Claims Intensives for more niche topics. [ 00:11:52 ] - The exam is divided into three timed segments: a 35-minute Core Curriculum unit, a 65-minute Personal Lines Property unit, and a 35-minute Claims Intensive unit, which do not have to be taken on the exact same day. [ 00:13:03 ] - Because the exam is strictly timed, test-takers must answer and immediately move forward, as the system does not allow them to return to previous questions once a response has been selected. [ 00:15:45 ] - Helpful exam strategies recommended by the hosts include reading questions fully, identifying qualifying keywords like "best" or "always," and actively eliminating the incorrect answer options. [ 00:17:28 ] - Earning the PACE-P designation means joining a select group of recognized professionals after passing a proctored, two-and-a-half-hour exam that tests skills using authentic claim documents. Your PLRB Resources PACE Designation Program https://www.plrb.org/pace-program/ Employees of member companies also have access to a searchable legal database, hundreds of hours of video trainings, building code materials, weather data, and even the ability to have your coverage questions answered by our team of attorneys (https://www.plrb.org/ask-plrb/) at no additional charge to you or your company. Subscribe to this Podcast Your Podcast App - Please subscribe and rate us on your favorite podcast app YouTube - Please like and subscribe at @plrb LinkedIN - Please follow at "Property and Liability Resource Bureau" Send us your Scenario! Please reach out to us at 630-509-8704 with your scenario! This could be your "adjuster story" sharing a situation from your claims experience, or a burning question you would like the team to answer. In any case, please omit any personal information as we will anonymize your story before we share. Just reach out to scenario@plrb.org. Legal Information The views and opinions expressed in this resource are those of the individual speaker and not necessarily those of the Property & Liability Resource Bureau (PLRB), its membership, or any organization with which the presenter is employed or affiliated. The information, ideas, and opinions are presented as information only and not as legal advice or offers of representation. Individual policy language and state laws vary, and listeners should rely on guidance from their companies and counsel as appropriate. Music: "Piece of Future" by Keyframe_Audio. Pixabay. Pixabay License. Font: Metropolis by Chris Simpson. SIL OFL 1.1. Icons: FontAwesome (SIL OFL 1.1) and Noun Project (royalty-free licenses purchased via subscription). Sound Effects: Pixabay (Pixabay License) and Freesound.org (CC0).
In this episode of North Port Living, we sit down with Carol in the Social Services Division to discuss local resources available to North Port residents, just as our students are heading back to the classroom.We also talk about the inaugural Supply Squad program that began this year. It's a program all about working with schools in the City to proactively identify and assist those who could benefit the most from Social Services.Helpful links:NorthPortFL.gov/SocialServices: https://www.northportfl.gov/City-Services-and-Safety/Residents/Social-ServicesSocial Services Programs: https://www.northportfl.gov/City-Services-and-Safety/Residents/Social-Services/ProgramsFamily Service Center: Family Service Center
Could One Page Change Your Child's School Year? A Free Tool to Help the Adults in Their World Truly Understand Them If you're the parent of an autistic or ADHD child, you know how exhausting it can be to explain your child to every new teacher, therapist, physician, coach, tutor, or camp counselor. You hope they'll understand your child's strengths, communication style, sensory needs, executive functioning challenges, and what helps them thrive—but those conversations don't always happen the way you'd hoped. In this episode of The Autism ADHD Podcast, I'm introducing a brand-new FREE resource designed to make those conversations easier. The Get to Know My Child Snapshot is a one-page, fillable tool that helps the adults in your child's world understand who they are before assumptions, misunderstandings, or unnecessary struggles begin. Whether your child is autistic, ADHD, or both, this practical resource can help create stronger relationships, reduce anxiety, and support better outcomes at school, in therapy, at medical appointments, during extracurricular activities, and beyond. As a psychologist who has spent nearly three decades supporting neurodivergent children, teens, and their families, I've seen firsthand how understanding changes everything. When adults understand why a child communicates differently, struggles with executive functioning, experiences sensory overload, or responds in unexpected ways, they're far more likely to respond with compassion, support, and effective accommodations instead of frustration or correction. In this episode, you'll learn: Why autistic and ADHD children often begin the school day already feeling anxious or overwhelmed. How misunderstandings can increase anxiety, self-esteem challenges, and school avoidance. Why communication differences are often mistaken for defiance, disrespect, or lack of motivation. How sensory differences and executive functioning challenges affect learning, participation, and emotional regulation. Why understanding a child's strengths is just as important as understanding their challenges. How therapists can use the Get to Know My Child Snapshot to support self-awareness, self-advocacy, and collaboration with families. How one simple tool can help teachers, therapists, physicians, coaches, tutors, camp counselors, and other caregivers better support autistic and ADHD children. What's Included in the FREE Get to Know My Child Snapshot? Your download includes: Three one-page fillable PDF formats. Completed examples to make completing the Snapshot simple. Sections for strengths and interests. Communication preferences. Executive functioning. Sensory needs. Emotional regulation. Social interaction. Helpful supports and accommodations. Behavior as communication. It takes about five minutes to complete and can be updated as your child grows and their needs change. This Episode Is Perfect For: Parents of autistic and ADHD children and teens. Mental health therapists, psychologists, counselors, occupational therapists, and speech-language pathologists. Teachers, school counselors, and other educators. Pediatricians and medical professionals. Coaches, tutors, camp counselors, caregivers, and anyone who supports neurodivergent children. Download Your FREE Get to Know My Child Snapshot Parents Click Here If you're getting ready for a new school year, beginning therapy, meeting a new physician, starting a new activity, or simply want the important adults in your child's life to better understand them, download your FREE Get to Know My Child Snapshot today. Therapists, are you ready for real, neurodiversity-affirming continuing education trainings? If you thought, "YESS!" CLICK HERE. About The Autism ADHD Podcast The Autism ADHD Podcast provides neurodiversity-affirming information for parents, therapists, educators, and other professionals supporting autistic and ADHD children and teens. Each episode combines practical strategies, current research, and lived experience to help adults better understand neurodivergent children while supporting their mental health, emotional well-being, relationships, and long-term success. If This Episode Helped You... Please follow The Autism ADHD Podcast, leave a five-star review on Apple Podcasts, and share this episode with another parent, therapist, educator, physician, or coach. Every review and share helps more families discover neurodiversity-affirming support and resources. And if you know someone who's preparing for a new school year, starting therapy, or meeting new providers, please send them this episode—and don't forget to download your FREE Get to Know My Child Snapshot.
How much money is enough? It's easy to believe that the more money we make, the more we can do for God. But what if God isn't nearly as concerned with how much we have as He is with how much we trust Him? In this episode of the Gen Z Series, Lina talks about the lie that God needs our money and why contentment is about far more than settling for less. She unpacks what it looks like to trust God to meet our needs, find contentment in every season, and surrender our finances to Him one day at a time. If you've ever wondered how much money you really need—or struggled with the pressure to always have more—this conversation will help you rethink money through the lens of faith, contentment, and trust in God. Helpful resources:
How can grandparents help their adult children without overstepping? In this episode, Angela and Sharon share practical ways grandparents can support busy adult children and grandchildren beyond babysitting—from meal prep, errands and household tasks to research, appointments and emotional support. They also discuss healthy grandparent boundaries, the difference between helping versus rescuing or enabling, and ways grandparents with limited mobility can still make a meaningful difference. Plus, a few fabulous finds for busy working grandmas. Sharon's Fabulous Find - HyperChiller High Protein Iced Coffee
In today's episode, I interview Claire Boyce and Travis Bond from Upward Sports/Upward Running and the Kinda Fast podcast about running, identity, and keeping Jesus at the center of fitness—especially when injury interrupts training. If you're a faith-driven runner or fitness enthusiast who feels discouraged by injuries or even too intimidated to start, this episode is for you. What we'll cover: Imposter syndrome and defining what it means to be a runner Practical ways to avoid making fitness an idol Lessons from recurring injuries Rekindling a love for running and embracing all paces My hope is that you'll walk away with a fresh perspective on running, faith, and what "winning" means to you on your fitness journey. "Jeremiah 29:11 For I know the plans I have for you, declares the Lord, plans for welfare and not for evil, to give you a future and a hope." Helpful time stamps: 00:53 What Is Upward Running 02:51 How They Joined Upward 05:01 Adult Running and Community 06:57 Runner Identity Mindset 10:12 Injuries and Training Smarter 13:00 When Running Becomes an Idol 16:22 Practical Ways to Keep Balance 23:31 Training Plans and Defining Wins
Explore Your Personality: https://PersonalityHacker.com This episode explores the difference between criticism and calibration, and why helpful advice can sometimes land the wrong way. Joel and Antonia discuss how INFJs can balance honesty, empathy, consent, and responsibility when sharing difficult truths with others. They also explain why meaningful feedback takes time, care, and a willingness to stay involved in the process.
CardioNerds (Dr. Apoorva Gangavelli, Dr. Cory Sejo, and Dr. Joseph Kassab), discuss tricuspid regurgitation evaluation and management with Dr. Sunil Mankad. This episode was produced as part of the CardioNerds Academy curriculum by House Einthoven under the guidance of House Chief, Dr. Apoorva Gangavelli and Academy Program Director, Dr. Gurleen Kaur. A matching review article will be published in US Cardiology Review, the official journal of CardioNerds. This discussion was planned in collaboration with the Mayo Clinic Cardiovascular Board Review Course. Audio editing by CardioNerds intern Emma Winakur. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Key Points: Tricuspid regurgitation is common and associated with increased mortality at every stage, regardless of etiology. Outcomes are worse with worsening severity, so accurate grading is critical. Etiology is critical to guide treatment decisions. Etiology includes primary vs secondary (atrial or ventricular) vs CIED-related TR. 3D echocardiography can be very helpful in determining TR etiology, especially in CIED-related TR. Diuresis with the goal of euvolemia is step one. Additionally, underlying contributory conditions (eg. pulmonary HTN, HFrEF, atrial fibrillation) should be addressed, if appropriate, and then TR severity reassessed. The choice between T-TEER and TTVR hinges on anatomy, RV function, pulmonary hypertension, and the ability to tolerate anticoagulation. T-TEER is generally first line in atrial functional TR with appropriate anatomy, in patients with poor RV function who cannot tolerate a sudden increase in RV afterload, or in patients who cannot tolerate the necessary anticoagulation with TTVR. TTVR is preferred with wide coaptation gaps and CIED-related TR. This is a team sport. Multidisciplinary discussions utilizing imaging (TTE/TEE, CT), risk scores (TRI-SCORE or TRIO), patient preference, and prior institutional experience are essential for the effective treatment of severe TR. Notes: What is the clinical importance of tricuspid regurgitation? TR is very common with approximately 4% of people over 75 having moderate or greater severity. TR (even mild) is associated with increased mortality. Those outcomes worsen as the TR severity worsens, and this phenomenon is independent of the mechanism of regurgitation. What is unique about the tricuspid valve compared to the other cardiac valves? It is at an anterior location which allows it to be imaged well with transthoracic echocardiography It is the largest valve and composed generally of 3 leaflets (but very often can have 4+ leaflets). Importantly, the RV is compliant and changes size and shape readily based on loading conditions. The TV annulus similarly changes size and shape based on hemodynamic conditions such as preload. What is a good framework for approaching the causes of tricuspid regurgitation? Determine the presence and define the severity of TR. Using TTE, we want to measure the right atrial size, the RV size, and any other concomitant valvular lesions. Use TTE (2D and 3D) to characterize leaflet anatomy and characteristics. Subtypes of TR mechanisms (many times etiology is mixed). Primary: primary leaflet abnormality, occurs in ~10% of cases. Look for prolapse, flail, endocarditis, etc. Secondary/functional: leaflets normal but surrounding structures are abnormal. Atrial: RA and tricuspid annular dilation but normal RV size/shape, and can be related to arrhythmias like atrial fibrillation. Ventricular: RV dilated and/or dysfunctional with leaflet tethering. Can be related to pulmonary hypertension or primary RV disease. Cardiac implantable electronic device (CIED): Related to device (usually pacemakers or ICD) interaction with TV leaflets. Includes perforation, entanglement in subvalvular apparatus, impingement, etc. 3D TTE particularly helpful to evaluate How do we grade TR severity? It is very important to grade the severity of TR, and this is generally done with echocardiography. There are both quantitative and qualitative methods which use Doppler and various equations to estimate TR severity. Current recommendations have expanded TR severity beyond mild/moderate/severe to include “massive” and “torrential” categories. The most important parameters measured/calculated are vena contracta width, regurgitant volume, regurgitant fraction, and effective regurgitant orifice area. Helpful qualitative metrics include hepatic venous flow reversal. When should additional studies beyond transthoracic echocardiography, such as transesophageal echocardiography (TEE), cardiac computed tomography (CT), and cardiac magnetic resonance imaging (MRI) be pursued? TEE is particularly helpful if TTE views are poor. Since TEE is used during transcatheter intervention, a pre-procedure TEE to define anatomy, determine procedure candidacy, and plan for the procedure is critical. CT is also helpful for procedure planning and has particular strengths in defining annulus size and geometry. A CT is required prior to transcatheter tricuspid valve replacement (TTVR). MRI is helpful for measuring RV volumes and function, but is not generally used to assess TR severity. What is the approach to the treatment for severe tricuspid regurgitation? The first step is to try to determine the etiology. For secondary TR, treating the underlying condition is indicated. For example, pulmonary vasodilators for pulmonary HTN or guideline therapy for heart failure with reduced ejection fraction. Diuretics are the mainstay for treatment, with the goal to obtain euvolemia. This may require inpatient admission to optimize volume status and medication regimen. Once reversible etiologies are addressed, if the patient is still symptomatic from TR, additional therapies can be considered. What is the role of right heart catheterizations (RHC) in patients with severe TR? RHC is very helpful for many reasons. We use it in TR to help determine volume status, cardiac output, and RV function. Additionally, identifying and characterizing pulmonary hypertension (with pulmonary artery pressures and calculating pulmonary vascular resistance) is an important factor when choosing future therapies. With severe tricuspid regurgitation, when should we refer for intervention (either with surgery or transcatheter repair or replacement)? Once reversible etiologies are addressed and euvolemia has been achieved, if the patient is still symptomatic from TR despite aggressive medical optimization, additional therapies can be considered. Once euvolemic, a repeat TTE should be ordered to reassess the severity of the TR. Use calculators (for example, either the TRI-SCORE or TRIO score) to predict operative mortality for isolated TR surgery. What are our transcatheter treatment options in severe tricuspid regurgitation, and how do we choose between them? The primary approved transcatheter treatment options for severe TR include transcatheter tricuspid edge-to-edge repair (T-TEER) and transcatheter tricuspid valve replacement (TTVR), of which the Edwards EVOQUE valve is the only one currently approved by the FDA. There are other TTVR device under investigation. These decisions should be made with a multi-disciplinary team including representation from cardiac imaging, interventional cardiology, and cardiothoracic surgery. Factors that go into the decision between T-TEER and TTVR include anatomy (annulus width, coaptation gap, leaflet length), RV reserve, pulmonary hypertension presence, ability to tolerate anticoagulation, patient preference, and institutional experience. T-TEER is generally the first line with atrial functional and suitable anatomy. It is successful at reducing TR but does not generally eliminate it. TTVR with EVOQUE is preferred in certain anatomic considerations like a large coaptation gap or when there is CIED-related TR (as this was excluded in T-TEER trials). Patients must be suitable for anticoagulation to receive TTVR as there is risk of leaflet thrombosis without it. If moderate/severe pulmonary hypertension is present, or there is poor RV function, TTVR may be avoided as the sudden elimination of TR causes a sudden increase in RV afterload which may not be tolerated. What is the role in advanced metrics for evaluating RV function? Advanced metrics like RV/PA coupling are under investigation but have not made it into the guidelines. The clinical utility is not yet known. Assessing the RV function is important as stated above. Dr. Mankad prefers using 3D TTE to calculate an RVEF, or tracking RV longitudinal free wall strain. If you do encounter CIED-related TR, how do you treat it? Evaluate with TTE or TEE. 3D is very helpful to identify relative anatomy and leaflet-device interactions. There is no clear consensus about treatment if CIED-related TR is the primary mechanism of severe TR. If recently implanted, repositioning may be a valid option, but requires discussions with multiple teams including electrophysiology, advanced cardiac imaging, CT surgery, and interventional cardiology. References O’Gara PT, Lindenfeld J, Hahn RT, et al. 10 Issues for the Clinician in Tricuspid Regurgitation Evaluation and Management: 2025 ACC Expert Consensus Decision Pathway. J Am Coll Cardiol. 2025;S0735-1097(25)07047-0. O’Gara PT, Little SH, Badhwar V, et al. Operator and Institutional Recommendations and Requirements for Tricuspid Interventions: 2026 ACC/AHA/ASE/HRS/STS Expert Consensus Systems of Care Document. J Am Coll Cardiol. 2026;S0735-1097(26)05481-1. Hahn RT. Tricuspid Regurgitation. N Engl J Med. 2023;388(20):1876-1891. Davidson LJ, Tang GHL, Ho EC, et al. The Tricuspid Valve: A Review of Pathology, Imaging, and Current Treatment Options: A Scientific Statement From the American Heart Association. Circulation. 2024;149(22):e1223-e1238.
“If I don't have money, I can't be happy.” Money has a powerful pull on our lives. We want enough of it to feel secure, successful, and free, but what does our relationship with money reveal about our relationship with God? In this episode, Lina unpacks why money matters so much in the life of a Christian. Jesus talked about money often because it's more than a financial issue, it's a window into our hearts. If you've ever wondered how to think about money, success, security, and generosity as a follower of Jesus, this conversation is for you. And if you want to dig deeper into this topic, read chapter 9 of All Your Life. Helpful resources:
My friend Michael Young (active LDS, lives in Florida, Senior Service Missionary) joins us to share his outstanding story navigate being gay for 7+ decades: Part of the gay New York underworld in the 60s—including visiting Stonewall—but deeply closeted Career in health care Helpful therapist to get him through anger and distrust and overcome childhood trauma Believed in God—and upset with God Powerful spiritual experience in small Catholic chapel—sins forgiven and a great weight lifted Getting married to a woman—told her about being gay—good married for 39 years—but ended Along with his wife, joined the Church in 1983 (living in Ohio) after investigating Church for 18 months Navigating President Kimball's teachings about homosexuality (stuff we don't teach anymore) Extensive church service (Bishoprics, Temple, etc) Moving to Florida after his divorce Coming out to his Ward (positive experience) Great ward/stake support for LGBTQ members Wearing a pride pin to Church because “shows God loves all his creations” Powerful person revelation that God made him Gay and God loves him—he is not broken and doesn't need fixing Why he stays in the Church No one should feel shame for who they are At age 82, Michael is our oldest queer podcast guest. He takes us back to an era where being gay was much more difficult (gay bashing, fear of losing job). Yet, his story is so similar to other queer Latter-day Saints in the personal revelation they are receiving and the complexity of their journey. Michael is bright, articulate, super insightful, and has a powerful story. If you are queer or an ally, please listen and share Michael's powerful podcast—it will help all of us. You are a good man Michael—one of my new heroes. Thank you for being on the podcast. Thanks for all you have done to bless so many during your life. Links: Michael on Facebook: https://www.facebook.com/michael.young.304565
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