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Houston isn't just about the Loop — the city stretches deep into the suburbs. But which one is the best? We're settling that debate with a good old-fashioned suburb showdown. Host Raheel Ramzanali is repping his beloved Richmond. Meagan Clanahan, co-owner of HoustonMoms.com, is making the case for one of our OG suburbs, Katy. And longtime Pearland resident Phil Jacob, executive director at The Buckingham, is standing up for his turf. And our judge? Producer Carlignon Jones, who just might be ready to leave H-Town proper. Places we talked about on today's show: Pearland, Sugar Land among 8 Texas towns on U.S News' list of the best places to live A Houston Moms Guide to Katy Asian Town Pearland Town Center events Richmond Downtown events Learn more about the sponsors of this June 12th episode: Comicpalooza Jones Dairy Farm Visit Uvalde County A.D. Players Theater Looking for more Houston news? Then sign up for our morning newsletter Hey Houston Follow us on Instagram @CityCastHouston Don't have social media? Then leave us a voicemail or text us at +1 713-489-6972 with your thoughts! Have feedback or a show idea? Let us know! Interested in advertising with City Cast? Let's Talk! Learn more about your ad choices. Visit megaphone.fm/adchoices
Alex Hartley & Kate Cross speak to Richmond Cricket Club chairman Chris Goldie after THAT viral innings which saw his side bowled all out for two. Exclusively to No Balls, he reveals all that went on during the game, the circumstances behind the result, and the media attention the club received after it.Plus, they discuss Crossy reaching 100 ODI wickets in her 100th England appearance - becoming the second fastest England woman to do so. And, does Kate still have her appendix?Email us at: noballspodcast@bbc.co.uk
Contestant: Rivkah Meder calling from Richmond, Virginia
Police and Gangs, Her Battle With The Department and Court. In the gritty streets of California's Bay Area, former police officer Janelle Perez patrolled neighborhoods ravaged by gang violence, battling not only criminal organizations but also the very department she once proudly served. The Law Enforcement Talk Radio Show and Podcast episode is available for free on their website , Apple Podcasts , Spotify and most major podcast platforms. “I came into law enforcement with purpose,” Janelle shared during an interview on The Law Enforcement Talk Radio Show which is featured as a free podcast episode available on their website, Apple Podcasts, Spotify, and many podcast platforms. The episode is also promoted across their Facebook , Instagram , LinkedIn , Medium and other platforms. “But I never imagined that the hardest fight I'd face wouldn't be with the gangs, but with my own department.” Janelle Perez is a former Bay Area police officer whose career was defined by front-line encounters with violent gangs like the Sureños, Norteños, and Wah Ching, organized groups deeply rooted in California's urban corridors which also grew into the suburbs. In her role, she confronted everything from drug trafficking to gangland turf wars fueled by stolen firearms and fear. But her story doesn't end with arrests and patrols. Her memoir, The Moral Police, tells a deeper story. It chronicles her unexpected and painful descent from decorated officer to plaintiff in a courtroom battle against the police department that dismissed her. Police and Gangs, Her Battle With The Department and Court. Look for supporting stories about this and much more from Law Enforcement Talk Radio Show and Podcast in platforms like Medium , Blogspot and Linkedin . Perez was fired after eight months with the Roseville Police Department, she says for an off-duty relationship with a fellow officer during her separation. She took her case to the court, citing gender discrimination and privacy violations. Her battle stretched across seven years and reached the Ninth Circuit Court of Appeals, where she initially won. But that victory was later overturned. “It wasn't just a legal fight,” Janelle said. Janelle, a Penn State graduate in Justice Administration and Sociology, became a voice for reform and an advocate for female leadership in law enforcement. In her podcast interviews and media appearances, she says that the justice system often fails its own, especially when gender dynamics and departmental politics collide. Throughout her time in law enforcement, Perez worked in communities where gangs weren't just a threat, they were a way of life. From the Eddy Rock and Knock Out Posse gangs in San Francisco to major prison gangs like the Mexican Mafia, Nuestra Familia, and Aryan Brotherhood, she navigated a violent landscape that demanded vigilance, intuition, and resilience. “These gangs enforce their own kind of law,” Perez explained. “And when the actual justice system fails from the inside, it becomes hard to tell who you're really fighting.” Police and Gangs, Her Battle With The Department and Court. Available for free on their website and streaming on Apple Podcasts, Spotify, and other podcast platforms. Statistics underscore the challenges she faced. By the early 1990s, California had become a hub for gang activity, with thousands of organized groups and hundreds of thousands of members. Urban centers like Oakland, San Jose, and Richmond became battlegrounds where gang-related homicides and turf wars eclipsed many other forms of crime. According to national surveys, gang membership and criminal incidents surged between 1991 and 1993, peaking at over half a million members and hundreds of thousands of gang-related crimes. In these conditions, law enforcement officers walk a razor-thin line. “When you're confronting people who operate by their own rules, you expect your department to have your back,” Janelle said. “But that's not always the case. And that's what hurts the most.” The Moral Police doesn't just delve into the systemic flaws of the police system. It's a call for accountability, leadership, and reform. Through her writing, radio interviews, and podcast appearances, Janelle Perez shines a light on the importance of transparency in law enforcement—especially when those in power misuse it. You can listen to her stories and interview on our website for free in addition to platforms like Apple Podcasts and Spotify, and other major podcast platforms. Her story resonates across social platforms and professional networks, drawing attention from news outlets and discussion forums alike. The Facebook and Instagram comments are filled with encouragement. LinkedIn readers are engaging with posts about her on workplace equity and integrity. Police and Gangs, Her Battle With The Department and Court. “I wanted to inspire others not to stay silent. Whether you're in law enforcement, education, or tech, speak up when something is wrong,” she said. “You shouldn't have to lose your job to hold leadership accountable.” Now, Janelle continues to share her journey and advocate for those who feel silenced within institutions meant to protect and serve. Her podcast appearances are gaining momentum, and her book is sparking conversation in communities far beyond California. Her story is about much more than a badge. It's about courage, conviction, and confronting the battles that exist both outside and within the blue line. The full podcast episode is streaming now on Apple Podcasts, Spotify, and across Facebook, Instagram, and LinkedIn. You can follow updates and advocacy through our social media channels and find The Moral Police wherever books are sold. Listen to her full interview on the Law Enforcement Talk Radio Show and Podcast website for free, also on Spotify, Apple Podcasts, or most major podcast platforms. Because sometimes the toughest fight isn't on the street, it's in the system you trusted.Police and Gangs, Her Battle With The Department and Court. Listen and decide for yourself. Your golden years are supposed to be easy and worry free, at least in regards to finances. If you are over 70, you can turn your life insurance policy into cash. Visit LetSavings.com , LetSavings.com or call (866) 480-4252, (866) 480-4252, again that's (866) 480 4252 to see if you qualify. Learn useful tips and strategies to increase your Facebook Success with John Jay Wiley. Both free and paid content are available on this Patreon page . Time is running out to secure the Medicare coverage you deserve! Whether you're enrolling for the first time or looking for a better plan, our experts help you compare options to get more benefits, lower costs, and keep your doctors, all for free! Visit LetHealthy.com , that's LetHealthy.com or call (866) 427-1225, (866) 427-1222 to learn more. You can help contribute money to make the Gunrunner Movie . The film that Hollywood won't touch. It is about a now Retired Police Officer that was shot 6 times while investigating Gunrunning. He died 3 times during Medical treatment and was resuscitated. You can join the fight by giving a monetary “gift” to help ensure the making of his film at agunrunnerfilm.com . Get the latest news articles, without all the bias and spin, from the Law Enforcement Talk Radio Show and Podcast on Medium , which is free. Find a wide variety of great podcasts online at The Podcast Zone Facebook Page , look for the one with the bright green logo. Be sure to check out our website . Be sure to follow us on MeWe , X , Instagram , Facebook, Pinterest, Linkedin and other social media platforms for the latest episodes and news. Background song Hurricane is used with permission from the band Dark Horse Flyer. You can contact John J. “Jay” Wiley by email at Jay@letradio.com , or learn more about him on their website . Police and Gangs, Her Battle With The Department and Court. Attributions Amazon Wikipedia Kulture Vultures OJP Wikipedia
"Formed for a Purpose"How Jesus Transformed the Least into Leaders of a MovementPastor Michael MorisiJune 8, 2025NEW KIDS SPACE NOW OPEN!We have expanded with 3x more space for the babies, kids, and youth in your family. https://www.instagram.com/oasischurchva/reel/C8FqHIipr3u/Learn about this year's Kingdom Builder's project: https://www.oasischurch.online/kingdom-buildersHow should Christians think about voting and politics? https://www.youtube.com/watch?v=ak82aD16r04OUR NEW VISION STATEMENT: https://www.youtube.com/watch?v=L0WFhtL7h3ISERMON NOTES:- Formed for a Purpose - How Jesus Transformed the Least into Leaders of a Movement- Your past doesn't disqualify you from coming to Jesus- Your mistakes can be redeemed and transformed by Jesus' power- Your past doesn't stop God from using you for His Glory in the present & future- Jesus loved them through their greatest failures- Jesus came back for the same men who failed Him- God's love is rooted in His character, not our performanceOasis Church exists to Worship God, Equip the believers, and Reach the lost.We are led by Pastor Nate Clarke and are located in Henrico north of Richmond, VA.STAY CONNECTEDInstagram: https://www.instagram.com/oasischurchva/Facebook: https://www.facebook.com/OasisChurchRVA/Website: https://oasischurch.onlineOasis Church exists to Worship God, Equip the believers, and Reach the lost.We are led by Pastor Nate Clarke and are located in Richmond, VA.Stay Connected:Website: https://oasischurch.online Instagram: https://www.instagram.com/oasischurchva/Facebook: https://www.facebook.com/OasisChurchRVA/
What happens when migrants are rejected by the host society that first invited them? How do they return to a homeland that considers them outsiders? Foreign in Two Homelands: Racism, Return Migration, and Turkish-German History explores the transnational history of Turkish migrants, Germany's largest ethnic minority, who arrived as 'guest-workers' (Gastarbeiter) between 1961 and 1973. By the 1980s, amid rising racism, neo-Nazis and ordinary Germans blamed Turks for unemployment, criticized their Muslim faith, and argued they could never integrate. In 1983, policymakers enacted a controversial law: paying Turks to leave. Thus commenced one of modern Europe's largest and fastest waves of remigration: within one year, 15% of the migrants—250,000 men, women, and children—returned to Turkey. Their homeland, however, ostracized them as culturally estranged 'Germanized Turks' (Almancı). Through archival research and oral history interviews in both countries and languages, Michelle Lynn Kahn highlights migrants' personal stories and reveals how many felt foreign in two homelands. This title is also available as Open Access on Cambridge Core. Guest: Michelle Lynn Kahn (she/her), an Associate Professor of Modern European History at the University of Richmond. She is a scholar of the global and transnational history of Germany after 1945, with expertise in far-right extremism, migration, racism, gender, and sexuality. Host: Jenna Pittman (she/her), a Ph.D. student in the Department of History at Duke University. She studies modern European history, political economy, and Germany from 1945-1990. Scholars@Duke Hyperlink: https://scholars.duke.edu/pers... Linktree Hyperlink: https://linktr.ee/jennapittman Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network
Aujourd'hui, une petite histoire surprenante… Celle d'un poète anglais de la Renaissance… qui a changé notre quotidien sans que personne ou presque ne connaisse son nom. Il s'appelait John Harington. Et il est l'inventeur… de la chasse d'eau !Oui, vous m'avez bien entendu. Derrière ce geste anodin — tirer la chasse — il y a l'idée brillante d'un écrivain du XVIᵉ siècle. Mais revenons un peu en arrière.John Harington naît en 1560, dans une famille aristocratique. C'est un homme cultivé, proche de la reine Élisabeth Iʳᵉ. Il écrit des poèmes, des satires, il traduit Virgile… Bref, un pur esprit de cour. Mais un poète un peu trop espiègle : ses écrits licencieux lui valent d'être temporairement banni de la cour.Pendant cet exil, il se passionne pour un sujet bien plus terre-à-terre… l'hygiène ! Car à l'époque, les toilettes sont un véritable problème. On utilise encore des pots de chambre, des latrines puantes… même dans les palais royaux.Harington se dit qu'on peut faire mieux. Il conçoit alors un dispositif qu'il baptise malicieusement "Ajax" — un jeu de mots entre le héros grec et le mot anglais jakes, qui désigne les latrines.Le principe ? Simple et génial : une cuvette reliée à un réservoir d'eau. Quand on actionne un levier, une grande quantité d'eau est libérée… et nettoie la cuvette. Autrement dit : la première chasse d'eau moderne !Harington écrit même un livret détaillant son invention : A New Discourse upon a Stale Subject: The Metamorphosis of Ajax. Sous couvert d'humour, il décrit précisément le mécanisme.Séduite par l'idée, la reine Élisabeth elle-même fait installer un exemplaire dans son palais de Richmond. Mais à l'époque, les villes n'ont pas encore les réseaux d'égouts nécessaires. L'invention reste donc marginale.Ce n'est qu'au XIXᵉ siècle, avec l'essor de l'urbanisme moderne, que la chasse d'eau inspirée par Harington se généralisera dans les foyers.Alors, la prochaine fois que vous tirez la chasse, ayez une petite pensée pour ce poète-inventeur visionnaire. John Harington, l'homme qui a prouvé… qu'un esprit brillant pouvait vraiment s'intéresser à tout. Même… aux toilettes ! Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.
What happens when migrants are rejected by the host society that first invited them? How do they return to a homeland that considers them outsiders? Foreign in Two Homelands: Racism, Return Migration, and Turkish-German History explores the transnational history of Turkish migrants, Germany's largest ethnic minority, who arrived as 'guest-workers' (Gastarbeiter) between 1961 and 1973. By the 1980s, amid rising racism, neo-Nazis and ordinary Germans blamed Turks for unemployment, criticized their Muslim faith, and argued they could never integrate. In 1983, policymakers enacted a controversial law: paying Turks to leave. Thus commenced one of modern Europe's largest and fastest waves of remigration: within one year, 15% of the migrants—250,000 men, women, and children—returned to Turkey. Their homeland, however, ostracized them as culturally estranged 'Germanized Turks' (Almancı). Through archival research and oral history interviews in both countries and languages, Michelle Lynn Kahn highlights migrants' personal stories and reveals how many felt foreign in two homelands. This title is also available as Open Access on Cambridge Core. Guest: Michelle Lynn Kahn (she/her), an Associate Professor of Modern European History at the University of Richmond. She is a scholar of the global and transnational history of Germany after 1945, with expertise in far-right extremism, migration, racism, gender, and sexuality. Host: Jenna Pittman (she/her), a Ph.D. student in the Department of History at Duke University. She studies modern European history, political economy, and Germany from 1945-1990. Scholars@Duke Hyperlink: https://scholars.duke.edu/pers... Linktree Hyperlink: https://linktr.ee/jennapittman Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/german-studies
On this episode, DCMWG voices her support for the California protesters (4:10), and discusses the breakup of the White House Bromance between Elon Musk and President Donald Trump (19:30). DCMWG & Phelps dive into this week's trending topics including Kevin Gates & Brittany Renner (27:15), Coco winning the French Open (35:10), and Angel Reese & Catlin Clark (39:30). DCMWG pulls up a voicemail from a cousin with a relationship dilemma and offers her advice (42:40) and more… ------------------------- JOIN THE DCMWG PLUS COMMUNITY FOR UNCENSORED & BONUS EPISODES, AD-FREE LISTENING & OTHER EXCLUSIVE CONTENT: https://dcmwg.supportingcast.fm -------------------- This episode is sponsored by Better Help. Give online therapy a try at https://betterhelp.com/dcmwg and get 10% off your first month This episode is sponsored by Kikoff. Start building credit today, go to https://getkikoff.com/dcmwg and you can get your first month for as little as one dollar! -------------------- Get your real life advice from Mona on the show! Dial 267-225-2492 and leave a question for a chance to have your voicemail answered on an episode. The best voicemails may get a call back on our Callin' All Cousins subscription episodes. ------------------------- See Mona LIVE at these upcoming shows: 6/13 - Detroit, 6/15 - Chicago, 6/20 - Philly, 6/26 - Cincinnati, 7/31 - Richmond. Get tickets at https://linktr.ee/DontCallMeWhiteGirl ------------------------- Executive Producers for Breakbeat: Dave Mays & Brett Jeffries Executive Producer: Don't Call Me White Girl Producer: Zack James Co-Producer: Ebonie Dukes (@iammsdukes) Visual Production: Creative Mind Productions: Vernon Ray (@AllMoneyShots) & Rebel Hill Productions: Zack James (@ZJames_RHC) Instagram: @BreakbeatMedia @DontCallMeeWhiteGirl @PhelpsJugo Learn more about your ad choices. Visit megaphone.fm/adchoices
Send us a textEpisode Show Notes – The Quivercast Podcast: Taj RichmondIn this episode of The Quivercast, we sit down with Byron Bay surfer Taj Richmond @taja.richmond, a free spirit driven by something he calls the "Froth Factor." What is it exactly? You'll have to tune in to find out—but let's just say it's the fuel behind his deep passion for surfing. Taj opens up about his authentic connection to the ocean, sharing how surfing isn't about chasing clout for him—it's about the pure love of the ride.Taj also talks about his creative approach to filming and why he prefers saving clips for full movie edits instead of dropping quick hits on social media. From the mellow point breaks of Byron Bay to the tropical barrels of the Philippines, Taj's surf journey is all about flow, adventure, and keeping it real. Whether you're a hardcore surfer or just someone chasing your own version of the “froth,” this conversation is full of soul and stoke.The board at the foot of the man @mctavishsurfSupport the showBUY THE ENDLESS SUMMER BOX SET HERE!If you like the QuiverCast here are some ways to help us keep going! I always like Coffee! Buy me a Coffee! Find Us: Website: thequivercast.com Instagram: @quiver_cast Facebook: The QuiverCast Sound Editing by: The Steele Collective
This week, we chat with our friend Alejandro, a Cuban immigrant, about his incredible journey to Richmond, VA. He shares the hurdles of getting a US visa, the culture shock of abundance in America, and his efforts to support his family in Cuba.Episode Highlights: ✨Visa Interview Strategy: Alejandro shares his unique approach to a successful visa interview, emphasizing showing intent to return home. ☕️A Five-Year Visa?! Discover how Alejandro secured a rare five-year visa!
Although it’s the mid-season bye for Richmond, with the players having a break, there is no rest for Talking Tigers. In another bumper episode of the Club’s premier podcast this week, the TT team dissect the disappointing Round 13 loss to Sydney but find positives through the form of players such as Dion Prestia, Ben Miller, Seth Campbell, Luke Trainor, Kane McAuliffe and Tom Brown. The “Going up the Country” segment features an exceptionally small Victorian town that produced a triple premiership Tiger. “60 Years of MCG Memories” focuses on the greatest mark taken in Tigerland’s history. While, in “Hidden Tigerland”, the Club’s historian Rhett Bartlett reflects on the extremes of Richmond’s scoring in a match, from the lowest of lows, to a goalkicking spree – both against the same opponent. For all things Yellow and Black, make sure you tune in to Talking Tigers.See omnystudio.com/listener for privacy information.
What do you do when your church is growing but you aren't able to start a new service? How do you plan for and accommodate any new growth? In the case of Salem Baptist outside of Richmond, they decided to realize an earlier vision. They are going to actually break down the center wall of the building they currently occupy and open up major space. But Pastor Jeff Dickson believes this is just a visual representation of a bigger reality - that there are other barriers God wants to break down!
The Opportunity Zones program is on the verge of major reform. In this live panel recording from Capital Square's Opportunity Zones & Multifamily Investing Summit, Jimmy Atkinson is joined by Shay Hawkins (Sen. Tim Scott's tax counsel), Emily Lavery (Fulcrum Public Affairs), Catherine Lyons (EIG), Louis Rogers (Capital Square), and Jay Parsons (rental housing economist) to unpack the future of OZs. Recorded in Richmond, VA on June 4, 2025. Show notes & episode summary: https://opportunityzones.com/2025/06/capital-square-event-346/
Jared Richmond is back for round 2, FIVE years later. Jared is the owner of Richmond Elite Performance and Richmond Weightlifting. We talked about opening his gym, shifting from athlete to coach, why elite athletes stay healthy, and much more! Jared | REP | Jared's PodcastAngelo | Pod
VPM Host Lyndon German and BizSense Reporter Jonathan Spiers discuss the top business stories across the Richmond region.
In this episode of Rivercity 93, we unpack Richmond's frustrating 2–1 loss to Texoma—a match where all-too-familiar issues resurfaced. From sloppy passing to poor tracking and defensive lapses, the Kickers gave away another winnable game. We dive into what's going wrong, why these mistakes keep happening, and why it's perfectly valid for fans to feel annoyed at this point in the season.
Dennis and Brady recap the weekend of regionals with Algonac and Richmond softball on to the quarterfinal, Yale, Mooney, and Marine City baseball win regionals, with MC advancing to the semis, Distelrath steps down at SC and more!
Williamsburg was the thriving capital of Virginia when the dream of American freedom and independence was taking shape. From 1699 to 1780, Williamsburg was the political, cultural, and educational center of what was then the largest, most populous, and most influential of the American colonies.The seat of government in Virginia moved to Richmond in 1780. In 1926, the Rev. Dr. W.A.R. Goodwin, rector of Bruton Parish Church, joined with philanthropist John D. Rockefeller Jr. to restore the town to its 18th-century appearance.Today we know it as Colonial Williamsburg, a not-for-profit 501(c)3) educational institution and the largest U.S. history museum in the world. By researching and sharing the fascinating stories of those who built America, including people of all backgrounds, we can better understand history and shape our future. https://www.colonialwilliamsburg.org/http://www.yourlotandparcel.org
Colton Corter preaches 1 Thessalonians 5:1-11 at River City Baptist Church, a new congregation in Richmond, Virginia. For more information or to get in touch, visit https://rivercityrichmond.org.
NASCAR points leader William Byron came to DC to throw out a first pitch at Nats Park and talk racing at Richmond and Martinsville; TJ Oshie and the makers of “Coach” discuss the documentary about Oshie and his dad; Boog Sciambi talks Nats-Cubs and MLB storylines; NFL VP Mike North explains how the Commanders' schedule almost saw the Bears rematch in Week 1; and Doug Riley talks about his charity golf event later this year, which BMitch and Finlay will be at!
NASCAR points leader William Byron came to DC to throw out a first pitch at Nats Park and talk racing at Richmond and Martinsville; TJ Oshie and the makers of “Coach” discuss the documentary about Oshie and his dad; Boog Sciambi talks Nats-Cubs and MLB storylines; NFL VP Mike North explains how the Commanders' schedule almost saw the Bears rematch in Week 1; and Doug Riley talks about his charity golf event later this year, which BMitch and Finlay will be at!
NASCAR points leader William Byron came to DC to throw out a first pitch at Nats Park and talk racing at Richmond and Martinsville; TJ Oshie and the makers of “Coach” discuss the documentary about Oshie and his dad; Boog Sciambi talks Nats-Cubs and MLB storylines; NFL VP Mike North explains how the Commanders' schedule almost saw the Bears rematch in Week 1; and Doug Riley talks about his charity golf event later this year, which BMitch and Finlay will be at!
NASCAR points leader William Byron came to DC to throw out a first pitch at Nats Park and talk racing at Richmond and Martinsville; TJ Oshie and the makers of “Coach” discuss the documentary about Oshie and his dad; Boog Sciambi talks Nats-Cubs and MLB storylines; NFL VP Mike North explains how the Commanders' schedule almost saw the Bears rematch in Week 1; and Doug Riley talks about his charity golf event later this year, which BMitch and Finlay will be at!
Acts 2:1-11; John 14:8-17 The Rev. Dan Marotta
Welcome to Immanuel Baptist Church in Richmond, Virginia!Today's Message: Knowing Christ: Our Righteousness (Philippians 3:1-3) with Pastor Jordan FanaraIf you're new to Immanuel, please take a moment to tell us about yourself through our online connect card.We would love to connect with you this week!» https://immanuelbaptist.org/connect-cardYou can also download our Free app — which makes learning more or watching services even easier.» https://subsplash.com/immanuelbaptist/appIf you would like to join a Community Group, meeting twice a month in homes throughout metro Richmond, visit:» https://immanuelbaptist.org/community-groupsYou can learn more about us anytime at: http://immanuelbaptist.org/Giving remains available online. Thank you for your faithfulness, church family!» https://immanuelbaptist.org/give
Welcome to Immanuel Baptist Church in Richmond, Virginia!Today's Message: Knowing Christ: Our Righteousness (Philippians 3:1-3) with Pastor Jordan FanaraIf you're new to Immanuel, please take a moment to tell us about yourself through our online connect card.We would love to connect with you this week!» https://immanuelbaptist.org/connect-cardYou can also download our Free app — which makes learning more or watching services even easier.» https://subsplash.com/immanuelbaptist/appIf you would like to join a Community Group, meeting twice a month in homes throughout metro Richmond, visit:» https://immanuelbaptist.org/community-groupsYou can learn more about us anytime at: http://immanuelbaptist.org/Giving remains available online. Thank you for your faithfulness, church family!» https://immanuelbaptist.org/give
Send us a textOwen Salanger has quickly made a name for himself as a standout goalie for the University of Massachusetts men's lacrosse team.A freshman from Liverpool, New York, Salanger has demonstrated exceptional skill, composure, and leadership in the cage, earning Honorable Mention All-American honors from USA Lacrosse Magazine.His ability to make clutch saves and control the defense has been a key factor in UMass's success this season.Salanger's lacrosse journey began at Liverpool High School, where he was a dominant force in goal. His performances earned him a spot at UMass, where he wasted no time making an impact.In his freshman season, he posted an impressive 9-5 record as a starter, with a 9.36 goals-against average and a .565 save percentage. His 165 saves rank as the third-most all-time for a freshman netminder at UMass, proving his ability to handle high-pressure situations.Throughout the season, Salanger has delivered standout performances, including 16 saves against Brown, 13 saves against Albany, and 12 saves against Richmond.His consistency and ability to read the game have placed him among the top 10 goalies in the nation in save percentage and top 15 in goals-against average.His contributions were instrumental in UMass's push for success in the Atlantic 10 Conference, where he made 59 saves in five A-10 games.Off the field, Salanger continues to refine his skills and study the game, drawing inspiration from elite goalies who have come before him.His dedication to improvement and his ability to perform under pressure make him a promising talent for UMass lacrosse. As he continues to develop, Salanger is poised to become one of the premier goalies in collegiate lacrosse.Enjoy my conversation with elite freshman goalie Owen Salanger.Support the show
The Saturday Rub is back the Triple MCG for Richmond and Sydney and the boys are joined by Adelaide's Rory Laird and Sam Lalor from the Tigers. Bill believes he is on fire... well as the start he might be, Bern delivers a helping of Nuff, and The quiz descends into chaos. Triple M Footy's Saturday Rub is James Brayshaw, Billy Brownless, Bernie Vince, and Damian BarrettSee omnystudio.com/listener for privacy information.
Dennis and Brady talk about regional semi wins for Yale, Marine City, and Mooney in baseball, take a look at their regional final matchups, and preview regional Saturday for PHN, Marysville, Richmond and Algonac softball!
In this special episode, long-time friend and mentor, Elaine Metcalf, reflects on her life and the various 'seasons' she has navigated. The discussion includes her early days with her husband Bob and the working and faith journey that took them from pioneering ministries in Richmond such as STEP and CBS, to leading international mission work in East Asia.Elaine discusses the challenges and rewards of making impactful choices in the midst of the everday challenges of work and raising a family.The conversation explores 'seasons of life' and emphasizes the importance of embracing change, seeking God, and boldly following Him.Elaine also opens up about her battle with cancer and how she continues to find faith and purpose during this time.Love the show? Subscribe, rate, review, and share! http://tommythompson.org
This week on Exploring the Mystical Side of Life, host Linda Lang welcomes Dr. Alisha Das—angel communicator, healer, and author—for a powerful conversation about angels and their real role in our lives. Alisha opens up about her life-changing experience with cancer that deepened her spiritual work with the angelic realms and explains how we each have angelic ancestry. Discover why angels are present with us at every moment, what differentiates angels, archangels, and the great archangels, and how you can connect and work with these powerful beings for healing, guidance, and support. Plus, Alisha channels an uplifting message directly from the archangels for all listeners.Highlights include:How angels support us—even when we don't consciously askWhat “angelic ancestry” truly means, and how it may explain feelings of not quite “fitting in” on EarthPractical advice for sensing and communicating with your angelsThe difference between angelic, archangelic, and “great” archangel energiesThe purpose of angelic language and how it serves as a bridge to higher realmsInspiring personal stories of healing, synchronicity, and angelic interventionLive channeled messages for hope and encouragement in challenging timesWhether you're seeking comfort, healing, or a deeper spiritual connection, this episode will remind you that you're never alone—and that even the angels bend a knee to the courage it takes to walk this earthly path.To learn more about Dr. Alisha Das, her upcoming books, free resources, and her angelic toolkit, visit alishadas.com.Subscribe and share if you enjoyed this uplifting dive into the mystical!Find all episodes of Exploring the Mystical Side of Life on YouTube, your favorite podcast platform or at www.ThoughtChange.com.✨ Thanks for Exploring the Mystical Side of Life with us. If you enjoy our journey into the mystical realms, please like, share, and subscribe to stay updated with our latest episodes. Your support helps us explore more dimensions of spirituality and mysticism for everyone. If you'd like to buy us a cup of coffee, contributions (any amount) can be made to https://paypal.me/thoughtchange or https://www.buymeacoffee.com/s0ycsy6sj9. Thank you! We appreciate all donations. Produced by Linda Lang, ThoughtChange, Box 551 Richmond, ON, Canada K0A2Z0Disclaimer: The opinions expressed in this podcast/video are those of the guest and do not necessarily reflect the views or positions of the host or the podcast.#angelsamongus #guardianangels #spiritualawakening #divineguidance #angelmessages #channeledwisdom #healingwithangels #mysticalpodcast #angelicrealm #exploringthemysticalsideofmonth
A small subset of the U.S. financial system called Community Development Financial Institutions, or CDFIs, supports economic growth at the local level. The industry is comprised of different types of institutions operating in different ways. Each works to achieve a common mission: improving economic outcomes for underserved communities. Research from the New York Fed shows the industry is growing and changing. In this episode we hear from Federal Reserve Governor Lisa Cook, the New York Fed team doing CDFI research, a researcher from the Federal Reserve Bank of Richmond, and CDFI leaders. Our guests speak about the impacts and challenges of mission-driven lending and opportunities to scale this work. For more, visit newyorkfed.org/podcast/cdfis-serving-the-underserved-and-making-missing-markets
AWadd brings us into The Richmond Commander on the show next as we talk about Washington in the offseason as the now sophomore Jayden Daniels has brought belief to the fanbase. Stub gives an update on the show next as to the status of his Nintendo Switch 2 before we break down the biggest story lines in football on NFL Hits. We go out on The Fastbreak with AWadd on the show next talking about all things NBA as the Pacers shocked the world by taking game one last night. Around the NBA as we continue to break game one of the NBA finals as one team in particular continues to own the clutch.
AWadd is joined by Brandon Katz on the show next for some movie and tv news as AWadd wants to wrap his head around the confusing world of streaming. AWadd and Stub talk more about movies on the show as AWadd wants to know why he can't watch any of his favorite movies on streaming. Mike Barber with us on the show next talking about all things local sports in Richmond and in DC. GAMEDAY as we close out the show as AWadd and Stub highlight the events both local and in sports that they are most excited about this upcoming weekend.
Quint Kessenich is joined by ESPN's Anish Shroff on the latest episode of the Quintessential Podcast to break down the end of the college lacrosse season. From Cornell's championship run to Richmond's rise and plenty more in between, the two dive deep into the stories that shaped 2025.
Matt and Tyler give out their 2nd annual Transfer Awards from best incoming drop down transfer to transfer out who will best succeed to the Baraka Okojie Award.Then, Jimmy James of Mid-Major Madness joins to dive into Richmond's four incoming transfers and a potential breakout returner.Follow us on Twitter! @3BidLeaguePodEmail: 3bidleague@gmail.comFollow Jimmy: @JimmyJames143
Plus: The special election to replace Rep. Gerry Connolly is set; license plate readers in Charlottesville stay put – for now; and other stories In the podcast: Boil water advisories will now come directly to phones in Richmond; Watchdog agency considers improvements to Virginia's youth criminal justice system.
Explore how the StoryBrand framework can transform your real estate business. In Garrett's Skool call he unpacks how storytelling connects with clients, how to position yourself as a guide—not the hero—and why clarity in your messaging is critical for both impact and growth.From identifying your ideal client to crafting a clear action plan, Garrett shares real-life insights on how to serve first responder families and niche markets with empathy, authority, and Gospel-centered purpose.Whether you're just starting out or looking to level up, this episode will help you simplify your marketing, clarify your message, and lead clients with confidence.
A group of teenage lesbians finds comfort, support and even love with one another in late 90's Richmond, Virginia. The harmonious environment is disturbed however when love triangles emerge, lies blend with truth and friendships turn deadly.Sources:Burrows, Thomas. “Stacey Hanna's Mom's Anger after Discovering Stephanie Cull Is Released Early | Daily Mail Online.” Mail Online, Daily Mail, 28 July 2015, https://www.dailymail.co.uk/news/article-3177594/Mother-s-anger-discovering-woman-killed-daughter-lesbian-slaying-released-early-anniversary-death.html.Chew, Sally. A Fatal Lie. Macmillan, 1999.Davis, Patricia. Washington Post, 29 Sept. 1997.Murder Among Friends. 2017.The Roanoke Times, 31 July 1997.The Roanoke Times, 2 May 1998.This Week's Episode is Brought To You By:Shopify - The Platform Commerce is Built On - $1 per month trial https://shopify.com/lovemurderHoneylove - Treat yourself to the best shapewear on the market and save 20% Off at honeylove.com/lovemurderFind LOVE MURDER online:Website: lovemurder.loveInstagram: @lovemurderpodTwitter: @lovemurderpodFacebook: LoveMrdrPodTikTok: @LoveMurderPodPatreon: /LoveMurderPodCredits: Love Murder is hosted by Jessie Pray and Andie Cassette, researched by Sarah Lynn Robinson and researched and written by Jessie Pray, produced by Nathaniel Whittemore and edited by Kyle Barbour-HoffmanSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Madeline McCracken, Sporting Director for Richmond Ivy, joins John and Dan to discuss all things Richmond. After, the guys break down the divisional leaders and look forward to the weekend.
"Persistent Prayer"Luke 18:1-8Kyle Van DykeJune 1, 2025NEW KIDS SPACE NOW OPEN!We have expanded with 3x more space for the babies, kids, and youth in your family. https://www.instagram.com/oasischurchva/reel/C8FqHIipr3u/How should Christians think about politics? https://www.youtube.com/watch?v=ak82aD16r04Learn about this year's Kingdom Builder's project: https://www.oasischurch.online/kingdom-buildersOUR NEW VISION STATEMENT: https://www.youtube.com/watch?v=L0WFhtL7h3ISERMON NOTES:- Persistent Prayer- Luke 18:1-8 (NIV)- 1 Thessalonians 5:17 (NIV)- Romans 12:12 (NIV)- Matthew 7:7 (NIV)- Ephesians 6:18 (NIV)- Colossians 4:2 (NIV)- Verse 1 - The Why- Why do we lose heart in prayer? 1. Prayer is hard work. 2. We are directed away from genuine prayer. 3. We are not always convinced of the reality of the power of prayer.- Verse 2 and 3 - The Characters- The Judge Unjust No fear of God No regard for people- The widow: Powerless Persistent Bold- Verse 4 and 5 - The Appeal- Persistence in prayer reflects faith, not frustration.- “How many times we ask of God and have not because we do not wait long enough at the door? We knock a time or two at the gate of Mercy and as no friendly messenger opens the door, we go our ways. Too many prayers are like boys' runaway knocks—given and then the giver is away before the door can be opened.” (Spurgeon)- Verse 6 and 7 - The Contrast- God: Attentive Powerful Just- Jesus uses the formula of “How Much More”.- Verse 8 - The Warning- Jesus ties persistence in prayer to genuine faith.- When we persist in prayer we become petitioners of righteousness, not merely shoppers of blessings.Oasis Church exists to Worship God, Equip the believers, and Reach the lost.We are led by Pastor Nate Clarke and are located in Henrico north of Richmond, VA.STAY CONNECTEDInstagram: https://www.instagram.com/oasischurchva/Facebook: https://www.facebook.com/OasisChurchRVA/Website: https://oasischurch.onlineOasis Church exists to Worship God, Equip the believers, and Reach the lost.We are led by Pastor Nate Clarke and are located in Richmond, VA.Stay Connected:Website: https://oasischurch.online Instagram: https://www.instagram.com/oasischurchva/Facebook: https://www.facebook.com/OasisChurchRVA/
Grey Gordon and Felipe Schwartzman discuss the creation and evolution of the Federal Reserve's monetary policy framework and the Fed's current review of the framework. Gordon and Schwartzman are senior economists at the Federal Reserve Bank of Richmond. Full transcript and related links: https://www.richmondfed.org/podcasts/speaking_of_the_economy/2025/speaking_2025_06_04_fed_framework
Spontaneous intracranial hypotension reflects a disruption of the normal continuous production, circulation, and reabsorption of CSF. Diagnosis requires the recognition of common and uncommon presentations, careful selection and scrutiny of brain and spine imaging, and, frequently, referral to specialist centers. In this episode, Gordon Smith, MD, FAAN speaks with Jill C. Rau, MD, PhD, author of the article “Clinical Features and Diagnosis of Spontaneous Intracranial Hypotension” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Smith is a Continuum® Audio interviewer and a professor and chair of neurology at Kenneth and Dianne Wright Distinguished Chair in Clinical and Translational Research at Virginia Commonwealth University in Richmond, Virginia. Dr. Rau is an assistant professor of clinical neurology at the University of Arizona, School of Medicine-Phoenix in Phoenix, Arizona. Additional Resources Read the article: continuumjournal.com Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @gordonsmithMD Full episode transcript available here Interview with Jill Rau, MD Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Smith: This is Dr Gordon Smith. Today I'm interviewing Dr Jill Rau about her article on clinical features and diagnosis of spontaneous intracranial hypotension, which she wrote with Dr Jeremy Cutsworth-Gregory from the Mayo Clinic. This article appears in the 2025 Continuum issue on disorders of CSF dynamics. I'm really excited to welcome you to the Continuum podcast. Maybe you can start by just telling our listeners a little bit about yourself? Dr Rau: Hi, thanks for having me. I'm really honored to be here, and I really enjoyed writing the paper with Dr Cutsforth-Gregory. I hope you guys enjoy it. I am the director of headache medicine at the Baba Bay Neuroscience Institute at Honor Health in Scottsdale, Arizona. I'm also currently the chair of the special interest group in CSF Dynamics at the American Headache Society, and I've had a special interest in this field since I first watched Dr Linda Gray speak at a conference where she talked about spinal CSF leaks and their different presentations. And they were so different than what I had been taught in residency. They're not just the post-LP headache. They have such a wide variety of presentations and how devastating they can be, and how much impact there is on someone's life when you find it and fix it. And I've been super interested in the field and involved in research since that time. And, yeah. Love it. Dr Smith: Well, thanks for sharing your story. And as I reflected on our conversation ahead of time and have been thinking about this issue… this is a cool topic, and every time I read one of these manuscripts and have the opportunity to speak with one of the authors, I learn a ton, because this was something that wasn't even on the radar when I trained back in the 1800's. So, really looking forward to the conversation. I wonder if you could really briefly just summarize or remind for everyone the normal physiology about CSF dynamics, you know, production, absorption, and so forth? Dr Rau: So, the CSF is the fluid that surrounds the brain and the spinal cord, and it's contained by the dura, which is like a canvas or a sac that covers that whole brain and spinal cord. And within the ventricles of the brain, the choroid plexus produce CSF. It's constantly producing and then being reabsorbed by the arachnoid granulations and pushed into the venous space, the cerebral sinuses, venous sinuses. And also some absorption and push into the lymphatics that we've just learned about in the past year. This is kind of new data coming out, so always learning more and more about CSF, but we know that it bathes the brain and the spinal cord, helps keep some buoyancy of the brain as well as pushing nutrients in and pulling out metabolic waste. And it sort of keeps the brain in the state of homeostasis that's happy. And so, when there's a disruption of that flow and the amount of fluid there, that disrupts that, that can cause lots of different symptoms and problems for people. Dr Smith: One of the many new things I learned is that even the name of this---spontaneous intracranial hypotension---is misleading. And I think this is clinically relevant, as we'll probably get to in a moment, but can you talk a little bit about this? Is this really like a pressure disorder or a volume disorder? Dr Rau: Yeah. It's almost certainly a volume disorder. We do see in some people that they have low pressure, and it's still part of the diagnostic criteria. But it's there because if you have a low pressure, if you measure an opening pressure and it's below six, if you're measuring it in the spine in the right place, then you have indication that there's low volume. But there's over 50% of people's opening pressure who have a spinal CSF leak, have all the symptoms and can be fixed. So, they have normal pressure in 50% of the people. So, it is an inaccurate term, hypotension, but it was originally discovered because of the thought that it was a low-pressure situation. Some of the findings would suggest low pressure, but ultimately, we are pretty sure it's a low-volume condition. Dr Smith: Another new thing that I learned that really blew me away is how bad this can be. I did a podcast with Mark Burish about cluster, and I was reminded many cluster patients are pushed to the point of suicidal ideation or committing suicide by the severity of pain. And this sounds like for many patients it's equally severe. Can you maybe paint a picture for our listeners why this is so clinically important? Dr Rau: A large number of people, even people who are known to have leaks because they've had them before or they've releaked, they have a lot of brain fog and cognitive impairment. They often have severe headaches when they're upright. So, orthostatic headache is probably the number one most common symptom, and those headaches are one of the worst headaches out there. When people stand up, their fluid is not supporting the brain and there's an intense amount of pain. And so, they spend a large portion of their lives horizontal. And there's associated symptoms with that, it's not just headache pain and brain fog. There's neck pain. There's often subsequent disorders that accompany this, like partial orthostatic tachycardia syndrome. We don't know if that's because of deconditioning or an actual sequela of the disease, but it's a frequent comorbidity. We have patients that have extreme dizziness with their symptoms, but many patients are limited to hours, if that, upright per day, combined, total. And so they live their lives, often, just in the dark, lots of photophobia, sensitive to the light, really unable to function. It's also very hard to find and so underrecognized that a lot of patients, especially if they don't have that really clinical symptom of orthostatic headache. So, it's often missed. So, they're just debilitated. You know, treatments don't work because it's not a migraine and it's not a typical headache. It's a mechanical issue as well as a metabolic issue and not found, not a lot helps it. Dr Smith: So, you know, I have always thought about this as really primarily an orthostatic symptom. I wonder if you can talk about the complexity of this; in particular, kind of how this evolves over time, because it's not quite that simple. And maybe in doing so, you can give our listeners some pearls on when they should be thinking about this disorder? Dr Rau: A large portion of people do have headache with spinal CSF leak, in particular, spontaneous intracranial hypertension- hypotension, excuse me. And that's something to be thought about, is that there are spontaneous conditions where people have either rupture of the dural sac, or an erosion of the dural sac, or a development of a connection between the dura and the venous system. And that is taking away or allowing CSF to escape. In these instances that patients have spontaneous, there may be a different presentation than if they have, like, a postdural puncture or a chronic traumatic or iatrogenic leak. And we're not sure of that yet, but we're looking into that. Still, the largest presentation is headache, and orthostatic headache is very dominant in the headache realm. But over time, patients' brains can compensate for that lack of CSF and start overproducing---or at least we think that's probably what's happening. And you may see a reduction in the orthostatic symptoms over time, and you may see an improvement in the radiographic findings. So, there are some interesting papers that have been published that look at these changes over time, and we do see that sometimes within that first three to four months; this is the most common time to see that change. Other patients may worsen. You may actually see someone going from looking sort of normal radiographically to developing more of a SIH-type of picture on the brain. And so it's not predictable which patients have gone from orthostatic to improvement or the other way around, both radiographically and clinically. So, it can be quite difficult to tell. So, for me, if I have a patient that comes to me and they're struggling with headache… if it's orthostatic, very clearly orthostatic: I lay down, I get considerably better or my headache completely goes away. And then when I stand up, it comes on relatively quickly, within an hour. And sometimes it's a worsening-throughout-the-day type of thing, it's lowest in the morning and it worsens throughout the day. These are the times that it's most obvious to think about CSF leak. Especially if that headache onset relatively suddenly, if it onset after a small trauma. Like I've had patients that say, you know, I was doing yoga and I did some twists and I felt kind of a pop. And then I've had this headache that is horrible when I'm upright but is better when I lay down ever since, you know, since that time. That's kind of a very classic presentation of spinal CSF leak or spontaneous intracranial hypotension. Maybe a less common presentation would be someone who comes to you, they've had a persistent headache for a couple years, they kind of remember it started in March of a couple years ago, but they don't know. Maybe it's, you know, it's a little better when they lay down. It may be a little worse when they're up moving around, but so is migraine, and it's a migrainous headache. But they've tried every migraine drug you can think of. Nothing is responding, nothing helps. I'm always looking at patients who are new daily, persistent headaches and patients who aren't responding to meds even if it's not new daily, but they have just barely any response. I will always go back and examine their brain imaging and get full spine to make sure I'm not missing. And you can never be 100% sure, but it's always good to consider those patients to the best of your ability, if that- have that in the back of your mind. Dr Smith: So obviously, goes without saying, this is something people need to have on their radar and think about. And then we'll talk more about diagnostic tools here in a second. But how common is this? If you're a headache doc, you see a lot of patients who have intractable headaches. And how often do you see this in your headache practice? Now you're- this is your thing, so probably a little more than others, but, you know, how common will someone who sees a lot of headache encounter these patients? Dr Rau: If you see a lot of headache, I mean, currently the thought is it's about 5 in 100,000. That was from a study before we were finding CSF venous fistulas. I think a lot of us think it's more common than that, but it's not super common. We don't have good estimates, but I would guess between 5 and 10 for 100,000 persons, not “persons who come to a tertiary headache clinic with intractable headaches”. So, it's hard to gauge how frequent it is, but I would say it's considerably more frequent than we currently think it is. There's still a group of people with orthostatic headaches that we can't find leaks on; that, once you treat other things that can cause or look for other things that can cause orthostatic headaches. So, there may be even still a pathophysiology out there that is still a leak type. Before 2014, we didn't even know about CSF venous fistulas. And now here we are; like, 50% of them are CSF venous fistulas. So, you know, we're still in a huge learning curve right now. Dr Smith: So, I definitely want to talk about the fistulas in a second. But before moving on, one of the things that I found really interesting is the wide spectrum of clinical phenotype. And we obviously don't have a lot of time to get into all of these different ones, but the one that I was hoping you might talk about---and there's a really great case, and you're on bunch of great case, a great case of this---is brain sagging dementia, not a term I've used before. Can you really briefly just tell our listeners about that, because that's a really interesting story and a great case in your article? Dr Rau: Yeah. So, brain sag dementia is a… almost like an extreme version of a spontaneous intracranial hypotension. Where there is clear brain sag in the imaging---so that's helpful---but the patients present kind of like a frontotemporal dementia. And when this was first started to being determined, you could turn the patient into Trendelenburg, and sometimes they would improve. There are some practitioners that have introduced fluid into the thecal sac and had temporary improvement. Patching has improvement, then they leak again, sometimes not. But the clinical changes with this have been pretty tremendous to be able to identify that that's a real thing. And in some cases, out of Cedars Sinai, you know, who does a lot of the best research in this, they've had lots of cases where they can't find the leak, but there's clear brain sag that fits with our clinical picture of CSF leaks. So, we're on a learning curve. But yeah, this- they really present. They have disinhibition and cognitive impairment that is very similar to frontotemporal dementia. Dr Smith: Well, so let's talk about what causes this. You mentioned CSF venous fistulas. I mean, that was reported now just over a decade ago, it's pretty amazing. That accounts for about half of cases, if I understand correctly. What are the other causes? And then we'll talk more about therapy in a minute, but what causes this? Dr Rau: So, within the realm of spontaneous, you know, we say it's spontaneous. But the spontaneous cases we account for, they can be tears in the dura, which are usually sort of lateral tears in the dura. They can be little places that rubbed a hole, often on an osteophyte from the spine. They can come from these spinal diverticuli. So, I always describe it to my patients like those balls that have mesh and squishy, and you squeeze them in the- through the mesh, there's the extra little bubbling out. If you think of like the dura bubbling, out in some cases, through the framing of the spine, right where the spinal nerve roots come out, they should poke out like wires from the dura. But in many cases they poke out with this extra dura surrounding them, and we call that spinal diverticuli. And if you imagine like the weakening of where you squeeze that, you know, balloon through your fingers, in those locations, that's a very common place to find a CSF leak, and you can imagine that the integrity of the dura there may be less than it would be if it were not being expanded in that direction. And that's often the most common place we see these CSF venous fistulas. So, you can get minor traumas; like I said, it can be spontaneous, like someone just develops a leak one day. It can be rubbed off, and it can be a development of a connection between the dura and the venous system. There are also iatrogenic causes, but we don't consider them spontaneous. But when you're considering your patients for spontaneous cases, you should consider if they've ever had chronic---even long, long time ago---had any spinal implementation, procedures near the spine, spinal injections, LPs in the past, and especially women who've had epidurals in pregnancy. Dr Smith: All right, so we see a patient, positional severe headache, who meets the clinical criteria. Next step, MRI scan? Dr Rau: Yeah. So, the first thing is always to get the brain MRI with and without contrast. Most places will have a SIH or a spinal CSF leak protocol, but you should get contrast because one of the most pathognomonic findings on brain MRI is that smooth diffuse dural enhancement. And that's a really fantastic thing when you find it, because it's kind of a slam dunk. If you find it, then you will see other findings. It almost never exists alone. But if you see that, it's pretty much a spinal CSF leak. But you're also looking for subdural collections, any indication of brain sag. We do have these new algorithms that have come out in the past couple of years that are helpful. They're not exclusionary---you can have negative findings on the brain and still have spinal CSF leak---but the brain MRI is extremely helpful. If it's positive for the findings, it really does help you nudge you in the direction of further investigations and treatments. Dr Smith: And what about those further investigations and treatments, right? So, you see that there's findings consistent with low pressure, and I guess I should say low intracranial CSF volume. Be that as it may, what's the next step after that? Dr Rau: Depends on where you are and what you can do. I almost always will get a full spine MRI: so, C spine, T spine, and L spine separately. Not, you know, we don't want it all in one picture, because we want to get the full view. And you want to get that with at least T2 highly- heavily T2 weighted with fat saturation in at least the sagittal and axial planes. It's really helpful if you can get it in the coronal planes, but we have to have- often have good talks with your radiologist to get the coronal plane. I spoke about the spinal diverticuli earlier, and I want to clarify a little bit of something. The coronal image will show those really nicely. It's interesting, but 44% of people have those. So just having the spinal diverticuli does not indicate that you have a leak. But if you have a lot of those, there may be more likelihood of having leak than if you don't have any of those. So, I will get all of those and I will look at them myself, but I've been looking at them myself for a long time. But a lot of radiologists in community hospitals, especially not- nonneuroradiologists, but even neuroradiologists, this isn't something that's that everybody's been educated about, and we've been learning so much about it so rapidly in the past ten years. It's not easy to do and it's often missed. And if it's not protocoled properly, the fat saturation's not there, it's very hard to see… you can have a leak and not see it. Even the best people, like- it's not always something that's visible. And these CSF venous fistulas that we talked about are never visible on normal MRI imaging. Nonetheless, I will run those because if I can find a leak---and 90% of the ones that are found on MRI imaging are in the thoracic spine. So that's where I spend the most of my time looking. But if you find it, that's another thing to take to your team to say, hey, look, here it is, let's try and do this, or, let's try and do that, or, I've got more evidence. And there are other findings on the spine; not just the leak, but other findings, sometimes, you can see on spine that maybe help you push you towards, yes, this is probably a leak versus not. Dr Smith: So, your article has a lot of great examples and detail about kind of advanced imaging to, like, find the fistula and what not. I guess I'm thinking most of our listeners are probably practicing in a location where they don't have a team that really focuses on that. So, let's say we do the imaging of the spine and you don't find a clear cause. Is the next step to just do a blood patch? Do you send them to someone like you? What's the practical next step? Dr Rau: Yeah, if your- regardless of whether you find a leak or not, if your clinical acumen is such that you think this patient has a leak or I've treated them for everything else and it's not working and I have at least a high enough suspicion that I think the risk of getting a patch is lower than the benefit that if they got a patch and it worked, I do send my patients for non-directed blood patches, because it currently does take a long time to get them to a center that can do CT myelograms or any kind of advanced imaging to look for sort of a CSF venous fistula or to get treated outside of a nondirected patch. You know, sometimes nondirected patches are beneficial for patients, and there's some good papers out there that sort of explain the low risks of doing these if done properly versus the extreme benefit for patients when it works. And, I mean, I can't tell you how many people come in and tell me how their lives are changed because they finally got a blood patch. And sometimes it works. And it's life-changing for those people. You know, they go back to work. They can interact with their kids again. Before, they didn't know what was wrong, just had this headache that started. So it's worth doing if you have a strong clinical suspicion. Dr Smith: Yeah. I mean, that was great. And, you know, to go back to where we began, this is severe. It's something like 60% of patients with this problem have thought about suicide, right? And you take this patient and cure the problem. I feel really empowered having read the article and talked to you today. And so, I'm ready to go out and look for this. Thank you so much for a really engaging conversation. This has been terrific. Dr Rau: Thank you. I appreciate it. I enjoyed being here. Dr Smith: Again, today I've been interviewing Dr Jill Rau about her article on clinical features and diagnosis of spontaneous intracranial hypotension---which I guess I should say hypovolemia after having talked to you---which she wrote with Dr Jeremy Cutsworth-Gregory. This article appears in the most recent issue of Continuum on disorders of CSF dynamics. Please be sure to check out Continuum Audio episodes from this really interesting issue and other interesting issues. And thank you, our listeners, again for listening to us today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.
Jeff chats about it being the LAST DAY to nominate him for the voting round in the RTD Best of Richmond competition.
The PGA Tour is in Ontario this week for the RBC Canadian Open at TPC Toronto at Osprey Valley North, with first round coverage starting Thursday at 3PM ET on Golf Channel. We also look back at the 2005 Masters, where Tiger Woods defeated Chris DiMarco in a playoff to win his fourth green jacket. Premiering tonight at 9PM ET on CNBC, “Curry Inc.: The Business of Stephen Curry” dives into Curry's life on and off the court, including whether he'd ever consider joining the Senior Tour. Tyler Cashman, a visually impaired golfer and University of Richmond graduate, has been selected for the USGA Pathways Internship at the 125th U.S. Open. Live golf also returns midweek with the Good Good Golf Lone Star Shootout, featuring top creators like Matt Scharff, streaming at 4PM on YouTube and airing at 5PM on Golf Channel. That's all for Golf Today — we'll see you next time. CRISTIAN DIMARCO (0:08) ALEX SHERMAN 8:28 Tyler Cashman (15:50) Matt Scharff (21:47) ADAM CIANCIARULO (27:06)
On this episode, DCMWG recaps how a “Callin' All Cousins” episode turned into a new God Daughter (2:10) and breaks down last week's episode with Quilly (10:30). DCMWG & Phelps dive into this week's trending topics including Ray J (19:30), Roots Picnic (22:30), Pride Month (27:40) and Trump's latest pardons (25:20). DCMWG closes things out with a chat about perimenopause (38:20) and her most memorable breakup (45:40). ------------------------- JOIN THE DCMWG PLUS COMMUNITY FOR UNCENSORED & BONUS EPISODES, AD-FREE LISTENING & OTHER EXCLUSIVE CONTENT: https://dcmwg.supportingcast.fm -------------------- This episode is sponsored by Factor Meals. Visit https://factormeals.com/dcmwg50off and use code DCMWG50OFF for 50% off plus free shipping. This episode is sponsored by CashApp. Download Cash App today [https://capl.onelink.me/vFut/3xh52eut] and use my code DCMWG10 when you sign up, and you can earn $10 when you send $5 to a friend within 14 days. *Referral Reward Disclaimer: As a Cash App partner, I may earn a commission when you sign up for a Cash App account. -------------------- Get your real life advice from Mona on the show! Dial 267-225-2492 and leave a question for a chance to have your voicemail answered on an episode. The best voicemails may get a call back on our Callin' All Cousins subscription episodes. ------------------------- See Mona LIVE at these upcoming shows: 6/13 - Detroit, 6/15 - Chicago, 6/20 - Philly, 6/26 - Cincinnati, 7/31 - Richmond. Get tickets at https://linktr.ee/DontCallMeWhiteGirl ------------------------- Executive Producers for Breakbeat: Dave Mays & Brett Jeffries Executive Producer: Don't Call Me White Girl Producer: Zack James Co-Producer: Ebonie Dukes (@iammsdukes) Visual Production: Creative Mind Productions: Vernon Ray (@AllMoneyShots) & Rebel Hill Productions: Zack James (@ZJames_RHC) Instagram: @BreakbeatMedia @DontCallMeeWhiteGirl @PhelpsJugo Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode of Rivercity 93, we break down Richmond's hard-fought 1–0 loss to NCFC, decided by an 80th-minute goal that slipped through an otherwise solid defensive setup. The Kickers showed tactical flexibility, frequently dropping into a back five with Dak helping anchor the line, and Pablo Jara delivered his best performance in goal since joining the club—making multiple key saves to keep the team in it.But despite the improved defensive shape, Richmond struggled again on set pieces and couldn't convert one-on-one chances. We dig into what worked, what didn't, and what needs to change moving forward.Plus, we revisit the ongoing questions around creativity in the final third, missed opportunities, and what the team's ceiling really looks like with this system.