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Target Market Insights: Multifamily Real Estate Marketing Tips
Jonathan Feniak is a business attorney and the driving force behind LLCAttorney.com. After successful careers in logistics and finance, he became a licensed attorney at 45 to help make legal protection and business formation more accessible to entrepreneurs. Jonathan now helps clients across all 50 states establish LLCs, protect their assets, and structure their businesses efficiently—with a focus on practical, cost-effective solutions that deliver real protection. Make sure to download our free guide, 7 Questions Every Passive Investor Should Ask, here. Key Takeaways Asset protection begins with proper business formation—but it doesn't end there. Many business owners form LLCs but fail to “respect” them by observing corporate formalities, rendering them ineffective in court. Wyoming is one of the best states to form a holding company due to privacy and strong charging order protection. Creating a holding company structure helps simplify asset management, estate planning, and liability isolation. Revocable living trusts are a low-cost way to ensure smooth inheritance without the burden of probate, especially across multiple states. Topics From Corporate to Counsel: A Third Career Attorney Jonathan began in logistics (UPS, DHL), then transitioned to finance and wealth management. At 45, he pursued law full-time to combine strategic advising with legal structure and protection. His mission is to democratize access to real legal solutions—without the inflated price tag. What Most People Get Wrong About LLCs Forming an LLC is just step one—maintaining it properly is where most fail. Respect your LLC by: holding meetings, documenting decisions, separating finances, and keeping the business in good standing. Improperly managed LLCs are often disregarded by courts, leaving owners personally liable. The Power of Holding Companies Use a Wyoming LLC as a holding company for privacy, asset protection, and estate efficiency. Helps shield your name from public documents and reduces the impact of being linked to failed partnerships or lawsuits. Holding companies simplify asset transfers to heirs and reduce exposure to out-of-state probate. Estate Planning and Life Events Estate plans should be revisited every five years—or after any major life change (e.g., marriage, children, death, relocation). A revocable living trust paired with an LLC holding company offers clean transitions for heirs and minimal disruption. Overcomplicated estate plans often backfire; keep it simple and update as needed. Avoiding Snake Oil and Legal Overkill Many providers push unnecessary structures—like offshore trusts or layered LLCs—on inexperienced investors. Jonathan emphasizes reasonable, effective solutions tailored to the investor's current risk and net worth. Focus on clear, scalable strategies that grow with your portfolio.
ఇంట్లో చెత్తను తీసి బయటపడేస్తే చాలు... బయట అది ఎక్కడ పేరుకుపోయినా నో ప్రాబ్లమ్ అనుకుంటే కుదరదు. ఇలా అనుకునే ప్రతి ఒక్కరూ సీరియస్గా ఆలోచించాల్సిన టైం వచ్చేసింది. ఎందుకంటే ఈ చెత్త భూమ్మీద కుప్పలుతెప్పలుగా పేరుకుపోతోంది. ఇలా పేరుకుపోయిన చెత్త పర్యావరణ ఆరోగ్యాన్నే కాదు ప్రజల ఆరోగ్యాన్ని కూడా దెబ్బ తీసే ప్రమాదం ఉంది! అందుకనే ఇంటి నుంచే పొడి, తడి చెత్తను వేరు చేసి, దాన్ని సరిగా వాడగలిగితే చెత్త బారినుండి భూమిని కాపాడిన వాళ్లవుతారు.Improperly dumping household waste outside harms both the environment and public health. Separating dry and wet waste at home is key to protecting the Earth from growing garbage piles.Host : Kiranmai#TALRadioTelugu #WasteManagement #EcoFriendlyLiving #SustainableHabits #EnvironmentalAwareness #CleanPlanet #TouchALife #TALRadio
Tommy talks with Councilmember Joe Giarrusso about development in West End and a report that Mayor Cantrell improperly interefered with the promotions process
* According to a new report, the Louisiana Department of Health failed to properly oversee some $2.4 billion in Medicaid spending. We talk with Chris Magee with the Legislative Auditor's office. * Could UNO be moved back into the LSU system? We talk with Piper Hutchinson with the Louisiana Illuminator about what some lawmakers are considering.
PREVIEW: Colleague Richard Epstein remarks that DOD is likely to be found improperly validated without a Senate-approved leader. More later. 1958
Rejected Divorce Papers? Here's How to Get Approved FAST!
In this episode of the Structure Talk podcast, hosts Reuben Saltzman and Tessa Murray interview Mark Cramer, a seasoned home inspector from Florida. They discuss Mark's journey into home inspections, the evolution of training in the field, and the challenges modern inspectors face. They also cover regional differences in home construction, particularly in Tampa, and the impact of insurance inspections on the home inspection process. This conversation delves into the complexities and challenges of home inspections, discussing the ethical dilemmas faced by inspectors, the future of the industry, and common issues found in various types of homes. They emphasize the importance of thorough inspections, the impact of construction defects, and the significance of air quality and HVAC systems in maintaining a healthy living environment. They also share insights on client interactions and the necessity for home buyers to be informed and savvy in their choices. They also discuss various challenges related to insulation, humidity control, and air conditioning systems in modern homes. They delve into the issues with mini-split systems, the management of moisture in concrete block homes, and the implications of the ASHI standards on the home inspection industry. They highlight the importance of understanding building science to address these challenges effectively.Check this link to learn more about Inspector Empire Builder:https://www.iebcoaching.com.You can find Mark at https://besttampainspector.com.TakeawaysMark Cramer began his career in home inspections in the late 80s after working in renovations.The evolution of home inspection training has significantly changed with technology.Modern home inspectors face challenges due to the vast amount of information they need to know.Regional differences in home construction can greatly affect inspection practices.Insurance inspections can complicate the inspectors' home-buying process.Learning is a continuous process for home inspectors to stay relevant.The type of housing stock in Tampa includes a variety of construction styles and materials.Stucco on wood frame homes often leads to water intrusion issues.Mark emphasizes the importance of understanding the history of homes to predict potential problems.The insurance landscape has changed, impacting the types of homes and materials seen in inspections. There is a significant amount of fraud in home inspections.Many inspectors provide clean reports without thorough checks.Good real estate agents will always refer to ethical inspectors.Older homes often have more structural issues and mold problems.Crawl spaces are a common source of indoor air quality issues.Improperly installed HVAC systems can lead to serious air quality problems.Home buyers need to be educated about potential issues in homes.Mold is prevalent in humid climates, especially in crawl spaces.Inspectors often face challenges with clients who are not handy.The construction industry is slowly improving its practices. Insulation thickness is often inadequate in many homes.Humidity control is crucial to prevent mold growth.Air conditioning systems can effectively manage humidity if sized correctly.Mini-split systems can be oversized, leading to humidity issues.Concrete block homes require careful moisture management to avoid mold.The ASHI standards are under scrutiny for clarity and relevance.Home inspectors must focus on significant defects rather than checklists.Building science knowledge is essential for effective home inspections.Energy efficiency in homes can complicate humidity control.Proper installation of insulation is vital for performance.
A short podcast updating listeners on the security news of the last few days, as prepared by Catalin Cimpanu and read by Claire Aird. You can find the newsletter version of this podcast here. Show notes Risky Biz News: Improperly patched Cleo bug exploited in the wild
Riverside's Sunday Worship Service from October 13th, 2024, by Pastor Nolan Pierce James 4:11-12 - "Radical Faith Does Not Speak or Judge Improperly” Support the Ministries at Riverside Baptist Church: https://rbcnpr.churchcenter.com/giving
In this spooky Halloween episode Tayler covers something horrifying.Helps us understand the rage in Women's Suffrage! She also tells us about some kickass ladies who fought for women's rights! Christine covers the centuries long atrocity that was the Werewolf trials in Europe. Mostly it was people misunderstanding mental illness, but sooo many people died horrific deaths. Moral of this episode is that History is kinda dark guys! Spank you for listening. Do less God bless. Gloom & Bloom out!
Guest host Ben Mulroney speaks with Andrew Scheer - Conservative House Leader & MP for Regina—Qu'Appelle regarding the Speaker of the House of Commons' ruling to suspend all other business until the investigation into the Liberal Government's 'Green-Slush scandal' is complete. Learn more about your ad choices. Visit megaphone.fm/adchoices
Final sprint. Controversy scrambles the map. While Harris agrees to CNN's debate and Trump tries to win over women. Plus, former President Obama's chief strategist, David Axelrod, on where Harris is trailing Biden. And new reporting on Democrats' Maryland Senate candidate. Plus, face off. With just over a week until they debate, are the VP candidates helping or hurting their ticket? And 25 years. Stars of the "West Wing" celebrate at the White House. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Mayor Adams blamed the city's independent election watchdog agency Monday for stirring up “a lot of sensationalism” by releasing a draft audit that found his 2021 campaign failed to properly document $2.3 million in spending, among other alleged violations. Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode, Reuben and Tessa discuss various topics, including their summer experiences, illnesses, and home updates. They also discuss the challenges of finding contractors and the shortage of skilled trade workers. Reuben shares some interesting findings from recent home inspections, including corroded galvanized water pipes and structural issues in a garage. They emphasize the importance of getting a home inspection and preparing for potential repairs. They also discuss various home inspection findings, including problems with additions, bonus rooms, bidets, grow operations, reverse osmosis systems, and bay windows. They also touch on the challenges of dealing with water intrusion and rot. Reuben mentions that StructureTech is currently hiring home inspectors. In the next episode, they will be discussing insurance issues.TakeawaysSummer goes by quickly, so taking full advantage of it is important.Finding contractors can be challenging, and there is a need for more skilled workers in the trades.Home inspections are crucial to uncover potential issues and avoid costly repairs.Corroded galvanized water pipes can cause reduced water flow and may need to be replaced.Structural issues in garages, such as sagging headers and soffits, require professional evaluation and repair. Home inspections often uncover a variety of issues, such as problems with additions and bonus rooms.Improperly installed bidets and reverse osmosis systems can lead to water leaks and damage.Grow operations can cause humidity and mold issues in homes.Bay windows without overhangs can lead to water intrusion and rot.StructureTech is currently hiring home inspectors.The next episode will focus on insurance issues.Chapters00:00 Summer Experiences05:00 The Challenge of Finding Contractors11:44 The Importance of Home Inspections19:52 Dealing with Corroded Pipes21:20 Structural Issues in Garages25:41 Uncovering Issues with Additions and Bonus Rooms29:09 The Challenges of Bidets and Reverse Osmosis Systems35:14 The Impact of Grow Operations on Homes37:01 Dealing with Water Intrusion and Rot in Bay Windows47:48 StructureTech is Hiring for Home Inspectors48:51 Upcoming Episode: Insurance Issues
In this episode of The 1000 Hours Outside Podcast, host Ginny Yurich talks with Justin McRoberts about the profound misconceptions surrounding rest in our modern society. They delve into the misguided pressures of vacation, the true meaning of rest, and the necessity of practicing rest to achieve mental, emotional, and spiritual well-being. Justin highlights how our availability is only valuable when we are whole and healthy, and how societal systems, including social media algorithms, often work against our well-being. They also explore the transformative power of observing a Sabbath, the importance of embracing our limitations, and how rest can rescue us from the relentless demands of urgency and emergency. This insightful conversation offers a refreshing perspective on finding true rest and reclaiming our lives from the pervasive need to prove our worth. ** Get your copy of Sacred Strides here Learn more about Justin here ** Download your free 1000 Hours Outside tracker here >> https://www.1000hoursoutside.com/trackers Find everything you need to kick off your 1000 Hours Outside Journey here >> https://www.1000hoursoutside.com/blog/allthethings Order of copy of Ginny's newest book, Until the Streetlights Come On here >> https://amzn.to/3RXjBlN Learn more about your ad choices. Visit megaphone.fm/adchoices
Improperly discarded batteries leak toxic chemicals and are prone to exploding. A new program funded by the Department of Energy will prop up battery drop-off sites across the US. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Tommy talks with Rafael Goyeneche, President of the Metropolitcan Crime Commission
This saga has been ongoing for the last few weeks. https://www.lehtoslaw.com
_________________________________________________SUPPORT MY WORK:SUBSTACK: https://dersh.substack.com/ The Dershow staring Alan Dershowitz APPLE PODCAST: https://podcasts.apple.com/us/podcast/the-dershow/id1531775772SPOTIFY: https://open.spotify.com/show/7Cx3Okc9mMNWtQyKJZoqVO?si=1164392dd4144a99_________________________________________________________FOLLOW ME:TWITTER: https://twitter.com/AlanDershRUMBLE: https://rumble.com/user/Sav_saysLOCALS: https://dershow.locals.com/YOUTUBE: https://www.youtube.com/c/TheDershowWithAlanDershowitz________
Here is a three word question with profound importance: Who are we? Improperly or inadequately answered and what Jesus has done on the cross makes no sense or worse, becomes irrelevant. In this message from Psalm 14, Pastor Rick Anderson answers this question and in doing so exposes the profound importance of what Jesus has done.
Improperly managed detours can become destinations. Entering new seasons requires leaving old ones. This week Pastor David gives us 3 affirmations for when you fell like you are in a season of detour. Thanks so much for listening to the Believers Center podcast! Service Times: Sundays at 10AM (online + in-person)Tuesdays at 7PM (in-person only)Follow us on Instagram @believerscenterTo learn more about Believers Center, visit https://www.believerscenter.comTo submit a prayer request, or to get connected with a pastor, visit https://www.believerscenter.com/prayforme
Are you concerned about injuries while training? In this episode, Logan, Paul, and Doug tackle the common fears and misconceptions surrounding physical exercises, especially for rodeo athletes. Join them as they share expert tips on how to properly prepare for training sessions, avoid common mistakes, and safely progress in your fitness journey. Whether you're a beginner or a seasoned athlete, this discussion will help you train smart and with confidence. Show Notes: 03:01 Fly Hunting 08:51 April, showers, May flowers - this region rains. 12:21 College finals different, more skilled riders compete. 14:14 Champion Living app available on Google and Apple. 16:56 Overcoming fear of injury in the gym. 19:37 Improperly equipped, dangerous to attempt certain exercises. 26:33 Experience isn't the only qualification. Education matters. 29:50 Hiring a coach ensures proper form and progress. 33:21 Encouraging confidence, need for closer training to failure. 36:03 Newbies make quick progress, experienced lifters don't. 39:09 Approach workouts with perspective, intensity, and confidence. 43:17 Taking breaks and deloads lead to improvement. Learn More: Get a free fitness consult HERE: https://championlivingfitness.com/pages/athlete-form-sign-up We'd like to give a huge thanks to our partners! These folks believe in our mission to make rodeo a better place for everyone, please show them your support: Beastmaster Rodeo Gear Visit: https://beastmasterrodeo.com/?rfsn=7833357.e68191 Discount Code: championliving24 HOOEY caps, shirts, jeans and more: https://getyourhooey.com/?platform=grin&link_id=1393041&token=iAPfHJOC50rnzOonDjd6bbklg33ffAEQ&contact_id=fc9076d1-df17-439e-8fcf-386bacf6aa7d&attribution_window=45 code: CHAMPIONLIVING Colorado Craft Beef https://coloradocraftbeef.com Code: Championliving PWR PRO CBD https://pwrpro.com Discount Code: Championliving Frost Legacy Bull Riding Schools https://frostlegacybullridingschool.com/td-performance-6833?am_id=josh3 Home Gym Equipment from GetRx'd https://www.getrxd.com/#a_aid=championliving code: 10CHAMPION Icehole Coolers and drink ware: iceholecoolers.com code: CHAMPIONLIVING Learn More: Website: www.championlivingfitness.com Instagram: www.instagram.com/champion.living YouTube: https://www.youtube.com/channel/UCibo-Tq2Jb6qiMBXTxnzPdw Champion Living Private Facebook Group: www.facebook.com/groups/934793523869642
You are not an accident. God has chosen and appointed you for something significant. However, the path to your purpose will inevitably involve detours. Improperly managed detours can become destinations.Detours come from many different places, but regardless of where your detours come from, they can become seasons of preparation where God births and develops your integrity, your excellence, and your endurance.Thanks so much for listening to the Believers Center podcast! Service Times: Sundays at 10AM (online + in-person)Tuesdays at 7PM (in-person only)Follow us on Instagram @believerscenterTo learn more about Believers Center, visit https://www.believerscenter.comTo submit a prayer request, or to get connected with a pastor, visit https://www.believerscenter.com/prayforme
Also in the news: Democrats complain about increase in stamp prices; Natasha Bedingfield to perform at 2024 Chicago Pride Fest; More people are in the Loop over the weekends than before the pandemic and more.
Also in the news: Democrats complain about increase in stamp prices; Natasha Bedingfield to perform at 2024 Chicago Pride Fest; More people are in the Loop over the weekends than before the pandemic and more.
Also in the news: Democrats complain about increase in stamp prices; Natasha Bedingfield to perform at 2024 Chicago Pride Fest; More people are in the Loop over the weekends than before the pandemic and more.
Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 2694: Laura Gariepy, through her collaboration with WomenWhoMoney.com, offers practical and actionable strategies for individuals dealing with the complexities of budgeting on a variable income. Her guidance illuminates a path toward financial stability by focusing on essential expenses, optimizing savings, and strategic account management, proving that with the right approach, managing fluctuating finances can lead to successful budgeting and peace of mind. Read along with the original article(s) here: https://womenwhomoney.com/budget-variable-income/ Quotes to ponder: "Successful use of a budget gets your money working for you so you can attain your financial goals." "Improperly managed variable income can lead to severe financial stress. However, by working through the steps in this article, you can find stability using a budget." "Knowing both your real bottom line or threshold and your preferred bottom line will establish (and maintain) financial priorities." Learn more about your ad choices. Visit megaphone.fm/adchoices
Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 2694: Laura Gariepy, through her collaboration with WomenWhoMoney.com, offers practical and actionable strategies for individuals dealing with the complexities of budgeting on a variable income. Her guidance illuminates a path toward financial stability by focusing on essential expenses, optimizing savings, and strategic account management, proving that with the right approach, managing fluctuating finances can lead to successful budgeting and peace of mind. Read along with the original article(s) here: https://womenwhomoney.com/budget-variable-income/ Quotes to ponder: "Successful use of a budget gets your money working for you so you can attain your financial goals." "Improperly managed variable income can lead to severe financial stress. However, by working through the steps in this article, you can find stability using a budget." "Knowing both your real bottom line or threshold and your preferred bottom line will establish (and maintain) financial priorities." Learn more about your ad choices. Visit megaphone.fm/adchoices
Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 2694: Laura Gariepy, through her collaboration with WomenWhoMoney.com, offers practical and actionable strategies for individuals dealing with the complexities of budgeting on a variable income. Her guidance illuminates a path toward financial stability by focusing on essential expenses, optimizing savings, and strategic account management, proving that with the right approach, managing fluctuating finances can lead to successful budgeting and peace of mind. Read along with the original article(s) here: https://womenwhomoney.com/budget-variable-income/ Quotes to ponder: "Successful use of a budget gets your money working for you so you can attain your financial goals." "Improperly managed variable income can lead to severe financial stress. However, by working through the steps in this article, you can find stability using a budget." "Knowing both your real bottom line or threshold and your preferred bottom line will establish (and maintain) financial priorities." Learn more about your ad choices. Visit megaphone.fm/adchoices
The Environmental Protection Agency (EPA) has announced a further delay in the demolition of the Return to Nature Funeral Home located in Penrose, Colorado, where nearly 200 bodies were found to be improperly stored. Initially scheduled for this week, the demolition has been postponed due to logistical issues surrounding landfill access, as confirmed by EPA officials. According to the EPA's statement released on February 27, 2024, the delay stems from pending logistical issues regarding landfill access. The EPA, in collaboration with the Colorado Department of Public Health and Environment (CDPHE) and Fremont County, awaits a minor modification to the preferred landfill's ‘Certificate of Designation' to proceed with the demolition. "We regret this unfortunate delay and stand ready to initiate the demolition as soon as possible," stated EPA officials. "We will continue to work diligently together to move forward and are committed to initiating demolition and removal of the building once landfill access is secured." This delay marks another setback in the ongoing saga surrounding the Return to Nature Funeral Home, which came under scrutiny after Fremont County deputies responded to numerous community complaints about a foul odor emanating from the premises. Upon investigation, authorities discovered nearly 200 bodies stacked inside, some of which had been deceased for several years. Families, who had entrusted the funeral home with their loved ones, were misled into believing that proper burial arrangements had been made. In a related development, Carie Hallford, the second owner of the funeral home, has been released from the El Paso County Jail. Hallford, who had been incarcerated since November following her arrest alongside Jon Hallford in Oklahoma and subsequent extradition to El Paso County, bonded out of jail on Tuesday night at 8:41, as confirmed by the El Paso County Sheriff's Office. Jon Hallford, the other owner, had been released on bond in January. The Hallfords face hundreds of charges in connection with the improper storage of bodies. They are expected to appear in court on March 21 for further proceedings. The community awaits further updates as authorities work to address the logistical hurdles delaying the demolition and continue to pursue justice in this disturbing case. Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, Justice for Harmony Montgomery, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, and much more! Listen at https://www.truecrimetodaypod.com
Hidden Killers With Tony Brueski | True Crime News & Commentary
The Environmental Protection Agency (EPA) has announced a further delay in the demolition of the Return to Nature Funeral Home located in Penrose, Colorado, where nearly 200 bodies were found to be improperly stored. Initially scheduled for this week, the demolition has been postponed due to logistical issues surrounding landfill access, as confirmed by EPA officials. According to the EPA's statement released on February 27, 2024, the delay stems from pending logistical issues regarding landfill access. The EPA, in collaboration with the Colorado Department of Public Health and Environment (CDPHE) and Fremont County, awaits a minor modification to the preferred landfill's ‘Certificate of Designation' to proceed with the demolition. "We regret this unfortunate delay and stand ready to initiate the demolition as soon as possible," stated EPA officials. "We will continue to work diligently together to move forward and are committed to initiating demolition and removal of the building once landfill access is secured." This delay marks another setback in the ongoing saga surrounding the Return to Nature Funeral Home, which came under scrutiny after Fremont County deputies responded to numerous community complaints about a foul odor emanating from the premises. Upon investigation, authorities discovered nearly 200 bodies stacked inside, some of which had been deceased for several years. Families, who had entrusted the funeral home with their loved ones, were misled into believing that proper burial arrangements had been made. In a related development, Carie Hallford, the second owner of the funeral home, has been released from the El Paso County Jail. Hallford, who had been incarcerated since November following her arrest alongside Jon Hallford in Oklahoma and subsequent extradition to El Paso County, bonded out of jail on Tuesday night at 8:41, as confirmed by the El Paso County Sheriff's Office. Jon Hallford, the other owner, had been released on bond in January. The Hallfords face hundreds of charges in connection with the improper storage of bodies. They are expected to appear in court on March 21 for further proceedings. The community awaits further updates as authorities work to address the logistical hurdles delaying the demolition and continue to pursue justice in this disturbing case. Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, Justice for Harmony Montgomery, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, and much more! Listen at https://www.truecrimetodaypod.com
The Environmental Protection Agency (EPA) has announced a further delay in the demolition of the Return to Nature Funeral Home located in Penrose, Colorado, where nearly 200 bodies were found to be improperly stored. Initially scheduled for this week, the demolition has been postponed due to logistical issues surrounding landfill access, as confirmed by EPA officials. According to the EPA's statement released on February 27, 2024, the delay stems from pending logistical issues regarding landfill access. The EPA, in collaboration with the Colorado Department of Public Health and Environment (CDPHE) and Fremont County, awaits a minor modification to the preferred landfill's ‘Certificate of Designation' to proceed with the demolition. "We regret this unfortunate delay and stand ready to initiate the demolition as soon as possible," stated EPA officials. "We will continue to work diligently together to move forward and are committed to initiating demolition and removal of the building once landfill access is secured." This delay marks another setback in the ongoing saga surrounding the Return to Nature Funeral Home, which came under scrutiny after Fremont County deputies responded to numerous community complaints about a foul odor emanating from the premises. Upon investigation, authorities discovered nearly 200 bodies stacked inside, some of which had been deceased for several years. Families, who had entrusted the funeral home with their loved ones, were misled into believing that proper burial arrangements had been made. In a related development, Carie Hallford, the second owner of the funeral home, has been released from the El Paso County Jail. Hallford, who had been incarcerated since November following her arrest alongside Jon Hallford in Oklahoma and subsequent extradition to El Paso County, bonded out of jail on Tuesday night at 8:41, as confirmed by the El Paso County Sheriff's Office. Jon Hallford, the other owner, had been released on bond in January. The Hallfords face hundreds of charges in connection with the improper storage of bodies. They are expected to appear in court on March 21 for further proceedings. The community awaits further updates as authorities work to address the logistical hurdles delaying the demolition and continue to pursue justice in this disturbing case. Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, Justice for Harmony Montgomery, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, and much more! Listen at https://www.truecrimetodaypod.com
This Day in Legal History: Louis XVI Put on TrialOn December 26, 1792, a significant event in legal history unfolded as Romain de Sèze, a dedicated defense attorney, stood before a French Revolutionary court to defend the deposed King Louis XVI. This trial was a pivotal moment during the tumultuous times of the French Revolution. Louis XVI, once a symbol of monarchical power, faced thirty-three serious charges, primarily centered around treason and crimes against the state. These accusations reflected the intense political and social upheaval of the era.De Sèze's defense was a remarkable effort under the circumstances, given the prevailing revolutionary fervor and the public's animosity towards the monarchy. His arguments focused on disputing the legitimacy of the charges and the authority of the court itself to try a king. Despite his efforts, the trial led to a conviction for Louis XVI. On January 15, 1793, the former king was found guilty.This trial and the subsequent events were a testament to the drastic changes in French society and governance. The execution of Louis XVI by guillotine on January 21, 1793, just days after his conviction, marked a profound shift in the balance of power. It signaled the end of absolute monarchy in France and the rise of revolutionary ideals.The trial of Louis XVI remains a critical study in legal history, illustrating the complexities of law and justice during times of political upheaval. It serves as a reminder of how legal processes can be deeply intertwined with the socio-political context of their times.In fiscal year 2023, the Securities and Exchange Commission (SEC) witnessed a significant decline in the number of whistleblowers receiving awards, despite an unprecedented surge in tips. The SEC received over 18,000 tips, marking a 50% increase from the previous year. However, only 68 informants were compensated, a stark contrast to the more than 100 in each of the preceding two years. This decline occurred in a period marked by a record payout to a single whistleblower, who received $279 million for exposing a $1 billion fraud at Swedish telecom LM Ericsson.The program, established under the 2010 Dodd-Frank financial reform law following Bernie Madoff's Ponzi scheme, is designed to encourage reporting of financial misconduct. Since its inception, it has recovered over $6 billion and paid out nearly $2 billion to informants. In the last year alone, nearly $600 million was awarded, with significant sums going to a few individuals, including a group of seven whistleblowers who shared $104 million.However, the program faces challenges. Attorneys and participants note it is struggling under its own success, hampered by insufficient resources and staffing despite the increasing number of tips. This has led to delays in payouts and difficulties in appeal processes for whistleblowers. Additionally, there is a lack of transparency and communication from the SEC, as evidenced by the limited information shared in its annual reports and decisions to seal critical rulings or deny Freedom of Information Act requests.A 2022 Bloomberg Law investigation revealed that the SEC often exceeded its mandate for secrecy and inconsistently applied its own rules in decision-making. The whistleblower process, involving an initial vetting by the enforcement division followed by payment determination by the Office of the Whistleblower, can be lengthy, with payouts varying between 10% and 30% of recovered funds.Calls for reform have been made, urging Congress to allocate more resources to expedite the process and address issues like non-payment in cases of corporate bankruptcy. The case of whistleblowers John McPherson and John Barr, who uncovered a $1 billion fraud but were denied awards due to the bankruptcy of the involved company, highlights this issue.The purpose of the SEC whistleblower program extends beyond protecting informants; it aims to uphold the stability of U.S. financial markets. Experts suggest improvements like providing more updates to whistleblowers during lengthy investigations and ensuring adequate resources for the program to continue its critical role in enforcing U.S. securities laws.SEC Payouts to Whistleblowers Plummet Amid Record Surge in TipsIn 2024, legislative and ballot initiatives across various U.S. states will focus on raising minimum wages, influenced by past successes in this arena. States that haven't yet reached a $15 minimum wage, like Ohio and Oklahoma, are considering ballot proposals, while Michigan faces legal battles over past and future initiatives. In contrast, states with an existing $15 minimum wage, such as California and Hawaii, are pushing for even higher rates, with California proposing an $18 minimum by 2026 and Hawaii enacting a gradual increase to the same amount by 2028.A notable development in California includes industry-specific minimum wages, with $20 for fast-food workers and $25 for health-care facility workers, a strategy that labor groups may replicate in other labor-friendly states. This trend reflects a shift in labor strategies, focusing on sector-specific wage increases. However, these rising wages present challenges for employers, especially small businesses, grappling with staffing shortages and inflation.The federal minimum wage has remained at $7.25 since 2009, leading state and local governments to take the lead in wage policy. In 2024, over 20 states and around 40 cities and counties will implement increased minimum wages. Despite these efforts, some, like Sen. Bernie Sanders, advocate for a higher nationwide minimum wage, facing resistance even within the Democratic Party.Progressive groups argue that recent wage increases are insufficient for workers, particularly in high-cost areas like New York. They urge further legislative review and adjustment, citing inflation as a factor in reassessing wage goals. The "Fight for $15" movement, once a benchmark, now seems outdated as advocates push for higher minimums in several states.Several states are set to reach or exceed $15 minimum wages in 2024, with local governments in some areas already mandating over $17 per hour. In Republican-majority states, where legislatures oppose wage hikes, voter-approved ballot measures have successfully raised minimum wages, as seen in Florida and Nebraska. Upcoming ballot measures in Ohio and Oklahoma are thus a focus for groups like the National Federation of Independent Business (NFIB), which sees these initiatives as critical battlegrounds. Meanwhile, Virginia Democrats are attempting to raise the state's minimum wage to $15 by 2026, facing potential gubernatorial opposition.Minimum Wage Hikes Primed for Ballot, Statehouse Battles in 2024On December 26, Apple Inc. appealed a U.S. International Trade Commission (ITC) decision to ban imports of its Apple Watches that infringe on patents held by medical monitoring technology company Masimo. The ban, which took effect the same day, specifically targets Apple Watches using a pulse oximeter feature for reading blood-oxygen levels, a technology incorporated since the Series 6 model in 2020. The U.S. Trade Representative Katherine Tai, after careful consultation, chose not to reverse the ban.Apple, disagreeing with the ITC's decision, stated it is taking measures to resume sales of its Apple Watch Series 9 and Apple Watch Ultra 2 in the U.S. The company has already paused sales of these models in the U.S., but they remain available through other retailers. The ban does not affect the Apple Watch SE model or previously sold watches.Masimo has accused Apple of stealing its pulse oximetry technology and incorporating it into the Apple Watch. A previous jury trial on Masimo's allegations ended in a mistrial, and Apple has countersued Masimo for patent infringement in a separate case.This ban comes amid a broader context where the Biden administration has not vetoed ITC rulings, continuing a trend since the Obama administration. The ban is significant given that Apple's wearables, including the Apple Watch, are a substantial revenue generator for the company.Apple Watch import ban takes effect after Biden administration passes on veto | ReutersTwitter, now known as X Corp, was found to have breached contracts by not paying millions of dollars in promised bonuses to its employees, as ruled by a U.S. federal judge. Mark Schobinger, the former senior director of compensation at Twitter, filed a lawsuit against the company in June, alleging breach of contract. He claimed that Twitter, both before and after its acquisition by Elon Musk, had committed to paying employees 50% of their 2022 target bonuses, which were never disbursed.U.S. District Judge Vince Chhabria denied Twitter's motion to dismiss the case, stating that Schobinger's claim plausibly constituted a breach of contract under California law. The judge affirmed that a binding contract was formed when Twitter offered the bonus in exchange for Schobinger's work. Twitter's argument, asserting that only an oral promise was made and that Texas law should apply, was rejected by the judge, who ruled that California law was applicable and dismissed Twitter's counterarguments.Since Musk's takeover, X Corp has faced numerous lawsuits from former employees and executives. These lawsuits include allegations of discrimination against various groups, including older employees, women, and workers with disabilities, as well as accusations of failing to provide advance notice for mass layoffs. The company has denied any wrongdoing in these cases. The ruling on the breach of contract regarding unpaid bonuses adds to the legal challenges faced by the company under its new management.Twitter violated contract by failing to pay millions in bonuses, US judge rules | ReutersIn my column this week, I discuss the proposed bills in the New York State Assembly and Senate aimed at repealing property tax exemptions for private universities. These bills primarily target large institutions such as New York University and Columbia University, which benefit significantly from these exemptions. However, I argue that without broader reforms, such repercussions would only lead to increased tuition fees, burdening students.I propose a progressive solution: linking university endowment taxes to tuition rates. This approach would compel universities to absorb the costs of property tax reforms while restraining tuition hikes. I emphasize the economic principle of incidence, highlighting how universities, like landlords, pass costs onto students, similar to tenants facing rent increases. This phenomenon has implications beyond fiscal aspects, potentially reshaping the socioeconomic landscape of campuses and threatening diversity.Considering the recent U.S. Supreme Court decision on affirmative action, universities are seeking alternative ways to maintain diversity. Increased tuition could disproportionately affect lower-income students, impacting the demographic composition of these institutions. In response, I suggest a two-pronged policy reform. Firstly, introducing a state-level tax on university endowments, akin to the federal Tax Cuts and Jobs Act of 2017, which taxes certain large endowments. Secondly, implementing a simple endowment tax that rises with tuition increases.This approach would pressure universities to find alternative funding sources instead of raising tuition. It aims to make a dollar taken from students less valuable than one sourced elsewhere. Additionally, universities should be prevented from cutting scholarships and grants as a means to counterbalance property tax expenses.Proper implementation of these reforms would require careful consideration of tuition thresholds and tax rates to discourage universities from raising tuition. The revenue generated should ideally support public university systems without disadvantaging private university students. This balanced approach seeks to ensure that tax policies do not adversely affect students' educational opportunities and financial burdens.New York College Tax Exemption Bills Need Progressive Solution Get full access to Minimum Competence - Daily Legal News Podcast at www.minimumcomp.com/subscribe
On this week's show:Happy Poetry DayThe Cookie Thief by Valerie Cox Series of bomb threats appear to be a hoaxLeaf peepers outta control - trespassing tourist leads to closure1 year in, has Vermont's legal cannabis marketplace met expectations?BETA unveils its electric aircraft production facility in South Burlington Vacation rentals a huge portion of Stowe housing stockVermont State University president recommends cutting 10 programsJudge refuses to dismiss Franklin County sheriff assault caseVermont's first conservation cemetery Improperly imprisoned man's case thrown outSchool employee exonerated of abusing autistic kidVermont kids don't read goodVt State Police want to know “How was your traffic stop?”(1:05:00) Break music: Cady Ternity - That's What You Thinkhttps://cadyternity.bandcamp.com/track/thats-what-you-think The Big Buzz Chainsaw FestivalBennington Police Department arrests Kerry Raheb on multiple chargesEthan Allen Institute suspiciously fires Myers Mermel SoBu Pizza Hut rehab hits a snagBusinessman & Notorious Drug Dealer Catches Another Break Milton residents raise objections as town pulls funding for local arts guildLambert censured by Bellows Falls Union High School BoardPlattsburgh Man Banned From Ferry for 'Disrespectful' EmailSheriff investigates swastika drawn with carrot in Putney Strafford residents step up to fill gaps in social safety net (1:53:52) Break music: Aresty - Emmahttps://aresty.bandcamp.com/track/emma Scumbag Map Ex-Brattleboro office banned from law enforcement Kids bring stolen gun to school Attempted robbery in Marshfield Men arrested with drugs in an empty apartment7th person sentenced in 2019 Burlington Murder Suspect in Burlington gunfire incident pleads not guilty to charges Montpelier man accused of throwing knife toward family member Scumbag in the air - stalking via plane Bats in Converse Hall frustrate UVM students Every state's favor ite curse wordThanks for listening!Follow us on Facebook: facebook.com/VermontCatchup Follow Matt on twitter: @MatthewBorden4 Contact the show: 24theroadshow@gmail.comIntro/Outro Music by B-Complex
This week we discussed Update 37.2 Bullroarer Beta #2, the Combe Forester Event, and our week in gaming.
The "silver tsunami" of aging Americans is here. Are the health needs of seniors different from those younger? Do medications have a different effect? "I have seen it all. I have seen the business executive swindled by the neighbor, the loving wife who now chases her husband out of the house every night thinking he is an intruder, the woman who was treated with 40 medications… but still had pain, and agitation. – Elizabeth Landsverk, MD Dr. Liz Landsverk has over twenty years of experience in providing medical care to the elders. She is board-certified in Internal Medicine, Geriatric Medicine and Palliative Care Medicine. Dr Landsverk founded ElderConsult Geriatric Medicine, a house calls practice, to address the challenging medical and behavioral issues often facing older patients and their families. Dr Landsverk was an assistant professor of Medicine at University of California, San Francisco, an adjunct professor of Medicine at Stanford University, as well as consultant to the San Francisco Elder Abuse Forensics Center and Hospice Medical Director. She is currently the Medical Director for Silverado and Kensington Dementia Care Communities, as well as on the Scientific Panel for the Alzheimer's Association. Dr. Landsverk graduated from Stanford University and trained at Cambridge Hospital, Harvard University, and Mt Sinai Medical School. As a House Calls Geriatrician, she collaborates with local physicians to address the needs of complicated vulnerable elders to alleviate pain, agitation and discomfort through the utilization of geriatric and palliative care techniques. https://www.drlizgeriatrics.com/
The town of Davidson is on a mission to get people safely across the streets.Starting Tuesday, a new town ordinance makes it improper to jaywalk or cross streets outside of sidewalks. Those who are caught improperly crossing the street could be cited.“People will usually just walk across at any part of the streets, and they don't wait for the crosswalk,” Kelly Brower, a Cornelius resident, told WCNC Charlotte's Jesse Pierre, who visited Davidson Monday.Town and community leaders have been working on initiatives to make the town safer for walkers, bikers and drivers.“What used to be maybe safe to do four or five years ago, now it's become much more difficult,” Kimber Davidson, the police chief of the town with whom he shares a name, explained. “So, we're trying to encourage through voluntary compliance, the use of the crosswalks.”Town Manager Jamie Justice supports this initiative."We want everyone to be safe. There is so much activity in these pedestrian safety zones," Justice said. "We ask that everyone use the approved crosswalks to avoid any more pedestrian injuries or fatalities." Town leaders said they adopted the "improper road crossing ordinance" after three incidents where people were hit and killed in recent years.Over the last month, Davidson police officers have been educating people about the new rule.READ MORE: https://www.wcnc.com/article/news/crime/davidson-citing-people-improperly-cross-street-jaywalk-fine/275-c7389180-f0da-44c4-8236-dafcfbbcc8c6Watch Wake Up Charlotte each weekday morning from 4:30 to 7 a.m. on WCNC Charlotte, and as always, join the conversation on social media using #WakeUpCLT!
The town of Davidson is on a mission to get people safely across the streets. Starting Tuesday, a new town ordinance makes it improper to jaywalk or cross streets outside of sidewalks. Those who are caught improperly crossing the street could be cited. “People will usually just walk across at any part of the streets, and they don't wait for the crosswalk,” Kelly Brower, a Cornelius resident, told WCNC Charlotte's Jesse Pierre, who visited Davidson Monday. Town and community leaders have been working on initiatives to make the town safer for walkers, bikers and drivers. “What used to be maybe safe to do four or five years ago, now it's become much more difficult,” Kimber Davidson, the police chief of the town with whom he shares a name, explained. “So, we're trying to encourage through voluntary compliance, the use of the crosswalks.” Town Manager Jamie Justice supports this initiative. "We want everyone to be safe. There is so much activity in these pedestrian safety zones," Justice said. "We ask that everyone use the approved crosswalks to avoid any more pedestrian injuries or fatalities." Town leaders said they adopted the "improper road crossing ordinance" after three incidents where people were hit and killed in recent years. Over the last month, Davidson police officers have been educating people about the new rule. READ MORE: https://www.wcnc.com/article/news/crime/davidson-citing-people-improperly-cross-street-jaywalk-fine/275-c7389180-f0da-44c4-8236-dafcfbbcc8c6 Watch Wake Up Charlotte each weekday morning from 4:30 to 7 a.m. on WCNC Charlotte, and as always, join the conversation on social media using #WakeUpCLT!
Having the right leadership and a structural plan in place is vital to ensure the success of your ERP project. Improperly staffing your team will lead to project failure and significant loss of both time and resources, so don't leave your structural plan to chance, contact an expert ERP consultant today!Connect with us!https://www.erpadvisorsgroup.com866-499-8550LinkedIn:https://www.linkedin.com/company/erp-advisors-groupTwitter:https://twitter.com/erpadvisorsgrpFacebook:https://www.facebook.com/erpadvisorsInstagram:https://www.instagram.com/erpadvisorsgroupPinterest:https://www.pinterest.com/erpadvisorsgroupMedium:https://medium.com/@erpadvisorsgroup
A LOT of homeowners - in Florida. www.patreon.com/stevelehto
Episode 146: RA vs OA Future Dr. Magurany explains how to differentiate rheumatoid arthritis from osteoarthritis. Written by Thomas Magurany, MSIV, Ross University School of Medicine. Comments by Hector Arreaza, MD. You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.1. Etiology: Rheumatoid Arthritis (RA): RA is an autoimmune disease wherein the immune system mistakenly attacks healthy tissues, particularly the synovial joints, usually between the ages of 30-50. Genetic predisposition, environmental factors such as smoking or infections, hormonal imbalances, and lower socioeconomic status have been associated with an increased risk of developing RA(1).Osteoarthritis (OA): OA primarily arises due to mechanical stress on the joints over time. Factors contributing to OA include age, obesity, joint injury or trauma, repetitive joint use or overuse, genetic abnormalities in collagen structure, and metabolic disorders affecting cartilage metabolism (2).The greatest risk factor for the development of OA is age with most patients presenting after 45 years of age. The greatest modifiable risk factor for OA is weight. People with a BMI >30 were found to have a 6.8 times greater risk of developing OA. (3) Primary OA is the most common and is diagnosed in the presence of associated risk factors such as: older age, female gender, obesity, anatomical factors, muscle weakness, and joint injury (occupation/sports activities) in the absence of trauma or disease. Secondary OA occurs alongside a pre-existing joint deformity including trauma or injury, congenital joint disorders, inflammatory arthritis, avascular necrosis, infectious arthritis, Paget disease, osteopetrosis, osteochondritis dissecans, metabolic disorders (hemochromatosis, Wilson's disease), Ehlers-Danlos syndrome, or Marfan syndrome.2. Pathogenesis:Rheumatoid Arthritis (RA):In some patients, RA is triggered by some sort of environmental factor in a genetically predisposed person. The best example is tobacco use in a patient with HLA-DRB1. The immune response in RA starts at sites distant from the synovial joints, such as the lung, gums, and GI tract. In these tissues, modified proteins are produced by biochemical reactions such as citrullination. (4)In RA, an abnormal immune response leads to chronic inflammation within the synovium lining the joints. The inflammatory cytokines released cause synovitis and lead to the destruction of articular cartilage and bone erosion through pannus formation. Immune cells infiltrate the synovium causing further damage. (4) In summary: formation of antibodies to citrullinated proteins, these antibodies begin attacking wrong tissues.Osteoarthritis (OA):The primary pathological feature of OA is the degeneration of articular cartilage that cushions the joints causing surface irregularity, and focal erosions. These changes progress down the bone and eventually involve the entire joint surface. Mechanical stress triggers chondrocyte dysfunction, leading to an imbalance between cartilage synthesis and degradation that cause cartilage outgrowths that ossify and form osteophytes. This results in the release of enzymes that degrade the extracellular matrix, leading to progressive cartilage loss. As more of the collagen matrix is damaged, chondrocytes undergo apoptosis. Improperly mineralized collagen causes subchondral bone thickening; in advanced disease, bone cysts infrequently occur (5). In summary: Osteophytes formation and cartilage loss.3. Clinical Presentation:Rheumatoid Arthritis (RA):The most common and predominant symptoms include joint pain and swelling, usually starting insidiously over a period of weeks to months. RA typically affects multiple joints symmetrically, commonly involving small joints of the hands, wrists, feet and progresses to involve proximal joints if left untreated. Morning stiffness lasting more than an hour is a characteristic feature. The affected joint will be painful if pressure is applied to the joint or on movement with or without joint swelling. Synovial thickening with a "boggy" feel on palpation will be noted. The classical physical findings of ulnar deviation, metacarpophalangeal joint subluxation, swan neck deformity, Boutonniere deformity, and the "bowstring" sign (prominent and tight tendons on the dorsum of the hand) are seen in advanced chronic disease. (4) Around ¼ of patients with RA may present with rheumatoid noduleswhich are well demarcated, flesh-colored subcutaneous lumps. They are usually described as being doughy or firm and are not typically tender unless they are inflamed. They are usually found on areas susceptible to repeated trauma or pressure and include the elbows, fingers and forearms. Osteoarthritis (OA):OA primarily affects weight-bearing joints such as knees, hips, spine, and hands. Symptoms include joint pain aggravated by activity and relieved with rest, morning stiffness lasting less than 30 minutes, joint swelling due to secondary inflammation, and occasionally the formation of bony outgrowths called osteophytes (6). Tenderness may be present at joint lines, and there may be pain upon passive motion. Classic physical exam findings in hand OA include Heberden's nodes (posterolateral swellings of DIP joints), Bouchard's nodes (posterolateral swellings of PIP joints), and “squaring” at the base of the thumb (first Carpal-Metarcapal or CMC joints), bony enlargement, crepitus, effusions (non-inflammatory), and a limited range of motion. Patients may also experience bony swelling, joint deformity, and instability (patients complain that the joint is “giving way” or “buckling,” a sign of muscle weakness). (5)4. Lab findings:Rheumatoid Arthritis: Laboratory testing often reveals anemia of chronic disease (increased ferritin, decreased iron and TIBC) and thrombocytosis. Neutropenia may be present if Felty syndrome is present. RF is present in 80-90% of patients with a sensitivity of 69%. In patients who are asymptomatic or those that have arthralgias, a positive RF and especially CCP predicts the onset of clinical RA. Patients with RA with RF, ACPA, or both are designated as having seropositive RA. About 10% of RA patients are seronegative. ESR and levels of CRP are usually elevated in patients with active disease and can be used to assess disease activity. The synovial fluid in RA will also reveal low C3 and C4 levels despite elevated serum levels.(4) Some non-specific inflammatory markers such as ESR, CRP can help you guide your diagnosis of RA.Osteoarthritis:Lab findings are not significant. Clinical diagnosis if the following are present: 1) pain worse with activity and better with rest, 2) age more than 45 years, 3) morning stiffness lasting less than 30 minutes, 4) bony joint enlargement, and 5) limitation in range of motion. Blood tests such as CBC, ESR, rheumatoid factor, ANA are usually normal but usually ordered to rule out an inflammatory process. Synovial fluid should show a white blood cell count less than 2,000/microL, predominantly mononuclear cells (non-inflammatory). X-rays of the affected joint can show findings consistent with OA, such as marginal osteophytes, joint space narrowing, subchondral sclerosis, and cysts; however, radiographic findings do not correlate to the severity of the disease and may not be present early in the disease. (5)5. Treatment Approaches:Rheumatoid Arthritis (RA):There is no cure for RA.The goal of treatment in RA is inducing remission and optimizing quality of life. This is initially done by beginning DMARDs, include methotrexate, hydroxychloroquine, sulfasalazine, and leflunomide. Methotrexate is the initial DMARD of choice. Anti-TNF-alpha inhibitors include etanercept, infliximab, adalimumab, golimumab, and certolizumab may be used if DMARDs fail. NSAIDs are used to control joint pain and inflammation. Corticosteroids may be used as a bridge therapy to DMARDs in a newly diagnosed patient with a very active disease. (7) Coronary artery disease has a strong association with RA. RA is an independent risk factor for the development of coronary artery disease (CAD) and accelerates the development of CAD in these patients. Accelerated atherosclerosis is the primary cause of morbidity and mortality. There is increased insulin resistance and diabetes mellitus associated with RA and is thought to be due to chronic inflammation. When treated with specific DMARDs such as hydroxychloroquine, methotrexate, and TNF antagonists, there was a marked improvement in glucose control in these patients. (8) RA is not just a disease of the joints, it is able to affect multiple organ systems.Osteoarthritis (OA):OA treatment aims at reducing pain and improving joint function through a combination of non-pharmacological interventions like exercise programs tailored to strengthen muscles around affected joints, weight management strategies, and assistive devices like braces or walking aids if required (9). Medications including analgesics or nonsteroidal anti-inflammatory drugs may be prescribed for pain relief when necessary. Duloxetine has modest activity in relieving pain associated with OA. Intraarticular glucocorticoid joint injections have a variable response but are an option for those wanting to postpone surgical intervention. In severe cases where conservative measures fail, surgical options like joint replacement may be considered (9). Weight loss is a critical intervention in those who have overweight and obesity; each pound of weight loss can decrease the load across the knee 3 to 6-fold. (5) Summary: Medications (NSAIDs, topical, duloxetine), weight loss, PT, intraarticular injections of corticosteroids, and joint replacement.________________________________Conclusion: Now we conclude episode number 146, “RA vs. OA.” Future Dr. Magurany explained that rheumatoid arthritis is an autoimmune disease that presents with joint pain and inflammation, mostly on hands and small joints, accompanied by morning stiffness longer than 1 hour. The rheumatoid factor and ACPA may be positive in a percentage of patients but not always. The base of treatment is early treatment with disease-modifying antirheumatic drugs to induce remission of the disease. OA affects weight-bearing joints with little to no inflammation, treatment is mainly lifestyle modifications, analgesics, intraarticular injections, and joint replacement.This week we thank Hector Arreaza and Thomas Magurany. Audio editing by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Myasoedova E, Crowson CS & Gabriel SE et al. (2010). Is the incidence of rheumatoid arthritis rising?: Results from Olmsted County, Minnesota, 1955-2007. Arthritis and Rheumatism, 62(6), 1576-1582.Goldring MB & Goldring SR. (2007). Osteoarthritis. Journal of Cellular Physiology, 213(3), 626-634.King LK, March L, Anandacoomarasamy A. Obesity & osteoarthritis. Indian J Med Res. 2013;138(2):185-93. PMID: 24056594; PMCID: PMC3788203.Chauhan K, Jandu JS, Brent LH, et al. Rheumatoid Arthritis. [Updated 2023 May 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.Sen R, Hurley JA. Osteoarthritis. [Updated 2023 Feb 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.Hunter DJ, Bierma-Zeinstra S. & Eckstein F. (2014). OARSI Clinical Trials Recommendations: Design and conduct of clinical trials for primary hip and knee osteoarthritis: An expert consensus initiative of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) Task Force in collaboration with the Osteoarthritis Research Society International (OARSI). Osteoarthritis Cartilage, 22(7), 363-381.van Everdingen AA, Jacobs JW, Siewertsz Van Reesema DR, Bijlsma JW. Low-dose prednisone therapy for patients with early active rheumatoid arthritis: clinical efficacy, disease-modifying properties, and side effects: a randomized, double-blind, placebo-controlled clinical trial. Ann Intern Med. 2002 Jan 1;136(1):1-12. doi: 10.7326/0003-4819-136-1-200201010-00006. PMID: 11777359.Nicolau J, Lequerré T, Bacquet H, Vittecoq O. Rheumatoid arthritis, insulin resistance, and diabetes. Joint Bone Spine. 2017 Jul;84(4):411-416.Fernandes L, Hagen KB, Bijlsma JWJ et al. (2019). EULAR recommendations for non-pharmacological core management of hip and knee osteoarthritis. Annals of Rheumatic Diseases, 79(6), 715-722.Royalty-free music used for this episode: "Driving the Point." Downloaded on July 29, 2023, from https://www.videvo.net/
AP correspondent Lisa Dwyer reports on Cigna Lawsuit.
Two IRS investigators have blown the whistle on the probe into Hunter Biden, as questions continue to mount about the deal the President's son received in pleading guilty to two tax misdemeanors. Plus, Attorney General Merrick Garland defends U.S. Attorney David Weiss's actions in the case, and the panel takes a look at the contents of Hunter Biden's tax returns. Learn more about your ad choices. Visit megaphone.fm/adchoices
In today's episode, Andy & DJ discuss a federal judge to decide whether Joe Biden's administration violated the First Amendment by censoring users on social media, Hunter Biden's account set up with a corrupt foreign bank that was shut down for breaking money laundering rules, and Secretary of State Anthony Blinken saying that the U.S. doesn't support Taiwan breaking away from China.
The Rich Zeoli Show- Full Episode (04/19/2023): 3:05pm- On Tuesday, Homeland Security Secretary Alejandro Mayorkas testified before the Senate Homeland Security and Government Affairs Committee. During questioning, Sen. Josh Hawley (R-MO) quoted a recent New York Times article documenting the Biden Administration ignoring multiple warnings that migrant children were being exploited for labor. Sen. Hawley stated that Sec. Mayorkas should resign for putting the lives of innocent children in danger. You can read Pulitzer Prize-winning investigative journalist Hannah Dreier's report here: https://www.nytimes.com/2023/04/17/us/politics/migrant-child-labor-biden.html 3:10pm- During an interview with Tucker Carlson on Fox News, billionaire Elon Musk alarmingly explained that, prior to his acquisition of Twitter, government agencies had access to the private direct messages of users on the social media platform. 3:20pm- During a House Appropriations Committee, Congressman Andrew Clyde (R-GA) asked Centers for Disease Control and Prevention (CDC) Director Dr. Rochelle Walensky about statements she made in March 2021—she had claimed, “vaccinated people don't carry the virus, they don't get sick.” Dr. Walensky explained that discrepancy between her optimistic claims in 2021 and reality were due to “an evolution of science.” 3:30pm- On Wednesday, Senator John Fetterman (D-PA) chaired the Senate Subcommittee on Food and Nutrition. Unfortunately, Sen. Fetterman seemed unwell. 3:45pm- While appearing before a House Appropriations Committee, National Institutes of Health (NIH) Director Lawrence Tabak said he believes COVID-19 originated via a zoonotic transfer that occurred naturally. Is it just us, or does he sound exactly like Frank Pentangeli from The Godfather Part II? “I don't know nothing about that!” 4:05pm- During a Homeland Security and Immigration hearing on Capitol Hill, Senator Rand Paul stated: “DHS even put out a video encouraging children to report their own family members to Facebook for disinformation if they challenged US government narratives on COVID-19. Does that not sound like something out of 1984? Does that not sound like something out of Stalin's Russia?” He went on to accuse the U.S. government of disseminating misinformation regarding COVID-19. 4:10pm- While appearing on Fox News with Laura Ingraham, Senator Josh Hawley (R-MO) accused Homeland Security Secretary Alejandro Mayorkas of having facilitated “the biggest child trafficking ring in U.S. history.” 4:15pm- Rich continues to marvel over the similarities between National Institutes of Health (NIH) Director Lawrence Tabak's answers to Congressional questions about the origins of COVID-19 and Frank Pentangeli's responses to a Senate investigation hearing in The Godfather Part II. 4:30pm- In an article on his Substack—The Disinformation Chronicle—Paul Thacker documents how Dr. Anthony Fauci and the National Institutes of Health (NIH) “created an earworm in the intelligence community with lyrics bent against a Chinese lab accident.” You can read the full article here: https://disinformationchronicle.substack.com/p/the-wuhan-road-show-forming-a-band 4:45pm- Netflix announces they will discontinue its DVD mailing business and will also begin to crack-down on password sharing. 5:05pm- The Drive at 5: Dr. Wilfred Reilly—Professor of Political Science at Kentucky State University & Author of “Taboo: 10 Facts You Can't Talk About”—joins The Rich Zeoli Show to discuss his most recent article on National Review, “We Need a Revenge of the Jocks.” Dr. Reilly writes, “Tennessee state representative Justin Pearson became famous as one of the so-called Tennessee Three, a small group of state lawmakers who led a mob into the legislative chamber during business hours. Pearson and another Justin (Jones), who disrupted the session with bullhorns, found themselves thrown out of the legislature (before being reinstated shortly thereafter). A bespectacled black dude known for his Afro hairdo and histrionic arm movements while speaking, Pearson always struck me as a Dollar General Malcolm X. But, the past few weeks have provided a deeper revelation about him: It's all an act.” Why are we incentivizing people to veer away from normalcy? Dr. Reilly argues, “[t]he focus of mainstream conservatism in the near term should be to re-normalize normalcy and to counter the institutions promoting division as a virtue.” You can read the full article right now: https://www.nationalreview.com/2023/04/we-need-a-revenge-of-the-jocks/?utm_source=recirc-desktop&utm_medium=homepage&utm_campaign=river&utm_content=featured-content-trending&utm_term=first 5:30pm- In a Wall Street Journal exclusive report, Aruna Viswanatha, Sadie Gurman, and C. Ryan Barber write, “[a]n IRS supervisor has told lawmakers he has information that suggests the Biden administration is improperly handling the criminal investigation into President Biden's son, Hunter Biden, and is seeking whistleblower protections… The supervisor has details that show ‘preferential treatment and politics improperly infecting decisions and protocols that would normally be followed by career law enforcement professionals in similar circumstances if the subject were not politically connected.'” You can read the full article here: https://www.wsj.com/articles/irs-whistleblower-says-u-s-is-mishandling-hunter-biden-probe-7cd127f2?mod=hp_lead_pos7 5:40pm- Matt reveals his favorite comedy of all time is “This is the End”—Rich yells at him, but then concedes he has never seen the film. 6:05pm- In bombshell testimony on Wednesday, John Sopko—the Special Inspector General for Afghanistan Reconstruction (SIGAR)—told the House Oversight Committee, “as I sit here today, I cannot assure this committee or the American taxpayer we are not currently funding the Taliban…Nor can I assure you that the Taliban are not diverting the money we are sending from the intended recipients, which are the poor Afghan people.” You can read more about the testimony here: https://www.cnn.com/2023/04/19/politics/afghanistan-congress-watchdog-hearing/index.html 6:30pm- While speaking in North Charleston, South Carolina as part of his Florida Blueprint tour, Florida Governor Ron DeSantis stated, “a man in a dress is not a woman.” 6:45pm- Last month, The Wall Street Journal Editorial Board documented a “strange house call” the Internal Revenue Service (IRS) made to independent journalist Matt Taibbi's home—unannounced “the same day Mr. Taibbi testified before the Select Subcommittee on the Weaponization of the Federal Government.” The WSJ Editorial Board writes, “[t]he taxman left a note instructing Mr. Taibbi to call the IRS four days later. Mr. Taibbi was told in a call with the agent that both his 2018 and 2021 tax returns had been rejected…the curious timing of this visit, on the heels of the FTC demand that Twitter turn over names of journalists, raises questions about potential intimidation.” Today, Sen. Ron Johnson (R-WI) confronted IRS Commissioner Daniel Werfel about the aforementioned “visit” during a hearing on Capitol Hill. Read the full editorial here: https://www.wsj.com/articles/irs-matt-taibbi-twitter-files-jim-jordan-daniel-werfel-lina-khan-84ee518?mod=hp_opin_pos_2#cxrecs_s
Patrick Wright is the VP of government affairs for the Mackinac Center for Pubic Policy. The Michigan Education Association Improperly Took COVID-19 Relief Funds
Facial recognition technology is here. Whether we like it or not, cameras all across the world are scanning faces and building databases. There's a popular misconception that technology is objective and unbiased. But that's not true. All systems carry the biases of the people who created them, and nowhere is that more evident than in facial recognition systems.Today's show is about how those biases come to bear, and the dangers of running recklessly forward without considering the consequences. All the way back in 2013, the University of North Carolina, Wilmington published a dataset meant for facial recognition systems. It contained more than 1 million images of trans people, pulled from YouTube, showing them at various stages of their transition.This was done without the permission of the original posters. Why? Because terrorists might take hormones to alter their face and beat border control systems.It gets weirder from there.Here to help us tell the story is Os Keyes. Keyes is a researcher and PhD candidate at the University of Washington's Department of Human Centered Design & Engineering. They're also the co-author of Feeling fixes: Mess and emotion in algorithmic audits, which is a scientific audit of the dataset we're going to be talking about today.Stories discussed in this episode:Facial Recognition Researcher Left a Trans Database Exposed for Years After Using Images Without PermissionWe're recording CYBER live on Twitch and YouTube. Watch live during the week. Follow us there to get alerts when we go live. We take questions from the audience and yours might just end up on the show.Subscribe to CYBER on Apple Podcasts or wherever you listen to your podcasts. Hosted on Acast. See acast.com/privacy for more information.