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Contact us. We'd love to serve youWrite a review on Apple Podcasts or Spotify ResourcesGrow in your ministry preparation through the FREE Practically Trained Pastors Cohort.Give financially to support the work of helping pastors thrive(01:59) Big Picture of Titus 2(05:48) Why Two Men Talking About Women in Titus 2?(06:56) Positive Vision for Women's Ministry(11:04) Equal Value, Different Roles in the Church(12:25) Character Before Counsel: Qualities of Older Women(14:40) Loving Husbands and Children: Enjoyment, Not Just Duty(16:41) What About Single Women and Women Who Work?(21:57) Titus 2 Is Not Exhaustive or Anti-Work(23:13) Distinctives and the Brevity of Instructions to Young Men(25:39) Encouraging Older Women: You Are Needed(26:28) How Pastors Can Support Titus 2 Ministry (Public)(28:59) How Pastors Can Support Titus 2 Ministry (Private & Relational)(30:29) Asking and Activating Older Members(31:59) Everyone Has a Role: The Whole-Church Vision of Titus 2(33:11) Final Exhortation & Pastoral Prayer

Join the Behind the Knife Surgical Oncology Team as we discuss the PRADO and NADINA randomized control trials regarding neoadjuvant therapy in Stage III melanoma with macroscopic nodal disease!Hosts:Timothy Vreeland, MD, FACS (@vreelant) is an Assistant Professor of Surgery at the Uniformed Services University of the Health Sciences and Surgical Oncologist at Brooke Army Medical Center.Daniel Nelson, DO, FACS (@usarmydoc24) is Surgical Oncologist/HPB surgeon at Kaiser LAMC in Los Angeles.Lexy (Alexandra) Adams, MD, MPH (@lexyadams16) is a 2ndYear Surgical Oncology fellow at MD Anderson.Beth (Elizabeth) Barbera, MD (@elizcarpenter16) is a General Surgery physician in the United States Air Force station at RAF Lakenheath.Joe (Joseph) Broderick, MD, MA (@joebrod5) is a General Surgery research resident between his second and third year at Brooke Army Medical Center.Galen Gist, MD (@gistgalen) is a General Surgery research resident between his second and third year at Brooke Army Medical Center. Learning Objectives:-       Evaluate the role of Completion Lymph Node Dissection (CLND) in patients with positive sentinel lymph nodes, specifically citing the lack of melanoma-specific survival benefit vs. the improvement in regional disease control demonstrated in the MSLT-II trial.-       Determine the appropriate surgical excision margins for primary cutaneous melanoma, comparing the outcomes of 1 cm versus 2 cm margins as analyzed in the MINT trial (Lancet 2019).-       Analyze the impact of adjuvant systemic therapy (Anti-PD1/Immunotherapy) on recurrence-free survival in patients with resected high-risk Stage III melanoma.References:Reijers, I.L.M., Menzies, A.M., van Akkooi, A.C.J. et al. Personalized response-directed surgery and adjuvant therapy after neoadjuvant ipilimumab and nivolumab in high-risk stage III melanoma: the PRADO trial. Nat Med 28, 1178–1188 (2022). https://doi.org/10.1038/s41591-022-01851-xChristian U. Blank et al. Neoadjuvant nivolumab plus ipilimumab versus adjuvant nivolumab in macroscopic, resectable stage III melanoma: The phase 3 NADINA trial.. J Clin Oncol 42, LBA2-LBA2(2024). DOI:10.1200/JCO.2024.42.17_suppl.LBA2*Sponsor Disclaimer: Visit goremedical.com/btkpod to learn more about GORE® SYNECOR Biomaterial, including supporting references and disclaimers for the presented content.  Refer to Instructions for Use at eifu.goremedical.com for a complete description of all applicable indications, warnings, precautions and contraindications for the markets where this product is available. Rx only Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

In this episode of the Gut Health Gurus Podcast, Kriben Govender sits down with Dr. Catherine Clinton, a licensed naturopathic physician and expert in Quantum Biology. Dr. Clinton shares her powerful personal story of being diagnosed with Hashimoto's Thyroiditis, Ulcerative Colitis, and Lyme Disease during medical school—and how this health crisis led her to discover the profound link between our thoughts, emotions, and biology (Psychoneuroimmunology). We dive deep into the science of Quantum Biology, exploring how sound (phonons), light (photons), and electrons impact our health. Dr. Clinton explains the fascinating research behind sound healing, including how low-frequency sounds can repair red blood cells and oxygenate the body. We also discuss practical strategies for nervous system regulation, the healing power of expressing "negative" emotions like anger, and why simple practices like humming and toning can be revolutionary for your health.   In this episode, we cover: [00:00] Introduction to Dr. Catherine Clinton and her background. [01:34] The "straw that broke the camel's back": Dr. Clinton's autoimmune diagnosis in medical school. [03:09] What is Psychoneuroimmunology? Understanding the mind-body connection. [04:19] The positive feedback loop of stress, inflammation, and immunity. [07:32] Steps to healing: Diet, short-term interventions, and natural anti-inflammatories. [10:01] Why observing your thoughts is the first step to healing (you don't need to be a Zen master!). [16:33] Practical tools for nervous system regulation: Qigong, shaking, and chanting. [20:18] The healing power of safely expressing anger and grief. [24:47] Quantum Biology Explained: Electrons, Photons, and Phonons. [25:55] The Science of Sound: How sound affects cell membranes and red blood cells. [28:17] How humming/toning boosts Nitric Oxide and oxygenation. [34:27] Frequencies and the importance of "sound diversity" for health.   About Dr Catherine Clinton:  Dr. Catherine Clinton is a licensed naturopathic physician, author, and researcher specialising in gut health, autoimmunity, and psychoneuroimmunology. After being diagnosed with multiple autoimmune conditions and Lyme disease during medical school, she dedicated her career to uncovering the foundational environmental factors that drive cellular healing. She is a leading voice in the field of quantum biology, exploring how our health is shaped by subatomic interactions with the natural world—including sunlight, grounding, and the "fourth phase" of structured water. As the founder of the Quantum Biology Health Institute, Dr. Clinton bridges the gap between complex biophysics and practical wellness, teaching how to optimize mitochondrial function and the "internal terrain" through alignment with circadian rhythms. Dr. Clinton is the author of Optimize: A Groundbreaking 7-Step Plan to Health and Longevity Through Quantum Biology (2026) and the founder of Well Future, a company focused on food-based supplements for pediatric immune and gut support. She is a frequent speaker at global health summits and a contributor to peer-reviewed research on the intersection of the microbiome and environmental medicine.   About Kriben Govender: Kriben Govender is a Food and Nutrition Scientist, Registered Nutritionist, and the founder of Nourishme Organics, a company specialising in gut health and fermentation products. With over 20 years of experience in the food industry, Kriben is passionate about the intersection of diet, gut health, and well-being.

The New Year has started with 10 new or amended national policy statements intended to make it easier to mine, quarry and establish more aquaculture.  

Sunday Sermon 02/15/26Sr Pastor Kyle Widrick 

Welcome to the CavasShips Podcast with Christopher P. Cavas and Chris Servello…a weekly podcast looking at naval and maritime events and issues of the day – in the US, across the seas and around the world. This week…fresh off attending West '26, we are joined by Hudson's Bryan Clark to review and break down Chief of Naval Operations Adm. Daryl Caudle's Fighting Instructions--intended to influence everything from force posture and unit training to doctrine, capability development, force design choices, and future naval investments.  Please send us feedback by DM'ing @CavasShips or @CSSProvision or you can email chriscavas@gmail.com or cservello@defaeroreport.com.

Research years. Professional development time. Career exploration.Whatever you call it, stepping out of clinical residency can feel confusing, intimidating, and oddly hard to plan for. In this episode of Behind the Knife, our BTK Surgical Education Fellows Drs. Elizabeth Maginot, Nicole Petcka, Agnes Premkumar, Kara Button, Emma Burke, and Michelle LaBella sit down with Dr. Daniel Nussbaum, Associate Professor of Surgery at Duke University and leader in the Duke Residency Research Fellowship Program, to unpack dedicated resident profressional development time really looks like, who it helps, who it doesn't, and how to make the most of it if you choose to step out of clinical training.Together, the group tackles:·       Why “research years” are often better thought of as professional development time·       Whether taking time out of residency is actually necessary for fellowship or an academic career·       How to find the right mentor—and why there's rarely a “perfect” project·       Practical advice on setting boundaries, saying yes (and no), and managing unstructured time·       A clear, resident-level overview of funding options, including:- NIH T32 and F32 grants- NIH Loan Repayment Program (LRP)- Society, foundation, and departmental funding·       What faculty and program leadership look for when supporting resident research·       Lessons the panel wishes they'd known before starting research timeWhether you're a medical student curious about residency structure, a resident debating whether to step out, or faculty mentoring trainees through career development, this episode offers candid insight, real examples, and reassurance that there's more than one “right” path. High-Yield Takeaway: You don't need research time to be a great surgeon—but if you want to grow skills outside the OR, this may be the rare window to do it thoughtfully (and even enjoy it).Resources & Links Mentioned:NIH Funding & Training Programs·       NIH RePORTER – Explore active NIH-funded grants and training programs https://reporter.nih.gov/#/·       NIH T32 Institutional Training Grants https://grants.nih.gov/funding/activity-codes/T32·       NIH F32 Individual Postdoctoral Fellowshiphttps://grants.nih.gov/funding/activity-codes/F32·       NIH Loan Repayment Program (LRP) https://grants.nih.gov/funding/funding-categories/lrp·        Foundational & Society Grants(Not a comprehensive list; examples discussed in the episode)·       Association of Program Directors in Surgery (APDS) Job Board https://apds.careerwebsite.com/jobs/? ·       American College of Surgeons (ACS) – Resident research funding https://www.facs.org/for-medical-professionals/professional-growth-and-wellness/scholarships-fellowships-and-awards/resident/resident-research/·       Association for Academic Surgery (AAS) – Resident research funding primer https://www.aasurg.org/resident-research-funding-primer/·       American Surgical Association (ASA) – Research awards & fellowships https://americansurgical.org/awards_Fellowship.cgi·       Society of University Surgeons (SUS) – Resident Research Scholar Awards https://www.susweb.org/resident-scholar-research-awards/? ·       American Association for the Surgery of Trauma (AAST) – Scholarships & grants https://www.aast.org/professional-development/scholarships.html·       Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) – Research grants https://www.sages.org/research/research-grants/ Helpful Application Resources·       NIH Biosketch Format & Instructions https://grants.nih.gov/grants-process/write-application/forms-directory/biosketch Sponsor Link: Medical Education master's program at the University of Pennsylvania Graduate School of Education - https://www.gse.upenn.edu/btkPlease visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

What if the secret to building world-class brands isn't about outsmarting your customers, but understanding the hidden biases that drive their decisions? In this episode of World's Greatest Business Thinkers, host Nick Hague is joined by behavioural scientist and author of three bestsellers,  Richard Shotton, to unpack why the world's most successful brands win by working with human nature, not against it. Drawing on examples from Five Guys, Snickers, Guinness, Amazon Prime, and more, Richard explains how cognitive biases like the gold dilution effect, charm pricing, and the pratfall effect quietly shape everyday decisions. The conversation reveals how humour builds credibility, why focus often beats choice, and how small design or pricing tweaks can unlock disproportionate growth.  What You Will Learn: How to leverage the Gold Dilution Effect to strengthen your brand positioning  Why humor is your most credible marketing tool How to create trigger moments that convert intention into action  The power of leaning into perceived flaws through the Pratfall Effect  How to break unfavorable price comparisons through design differentiation  Why revealing product improvements secretly outperforms marketing claims  How charm pricing (prices ending in 9) compounds customer decisions at scale  Why focus on unchanging human nature, not fleeting trends  How to think in terms of habit formation, not loyalty, when facing low switching costs   If you enjoyed this episode, make sure to subscribe, rate, and review it on Apple Podcasts, Spotify, and YouTube Podcasts. Instructions on how to do this are here.   Richard Shotton Bio: Richard Shotton is the founder of Astroten and a leading expert in applying behavioural science to marketing. He advises brands including Google, Mondelez, BrewDog, and Santander through consultancy, copywriting, and training. Richard is the bestselling author of The Choice Factory, winner of the 2019 Business Book Award, and The Illusion of Choice. His latest book, Hacking the Human Mind, is scheduled for release in September. He is an honorary IPA fellow and co-hosts Behavioral Science for Brands with Michael Aaron Flicker on the podcast.   Quotes: "If you have one really strong argument, adding on slightly suboptimal arguments tends to dilute it, and tends to weaken people's belief. So the point here is that because it's a reasonable assumption in life that those who specialize become better, people take that rule of thumb and then they apply it even when it isn't relevant." "As a species, we have evolved to rationalize that deep, considered thought and most decisions, like which burger joint to go to, most decisions are made in a quick snap, reflexive way. And the way that we make those super quick decisions is to use what psychologists call rules of thumb or heuristics. And what's interesting for us as marketers is that those rules of thumb are prone to biases." "Humor is something that you can demonstrate in an ad rather than just claim. And demonstrations are always more powerful than claims. Only someone who has the genuine skills actually does it, so a viewer will always give greater credibility to a demonstration than a vague claim." "Motivation or appeal is a necessary but not sufficient condition for behavior change. What you need to do is combine appeal with a clear trigger moment. Creating this trigger moment converts vague desire into action and essentially acts as a catalyst."   Episode Resources: Richard Shotton on LinkedIn Astroten Website  Nick Hague on LinkedIn World's Greatest Business Thinkers on Apple Podcasts World's Greatest Business Thinkers on Spotify World's Greatest Business Thinkers on YouTube

I'm answering the question of whether or not mega-church pastors are biblical. I'm giving an in-depth teaching based on Jesus since He is our example for what a shepherd should look like. I will answer any questions you have on this.TIMESTAMPS:INTRO & Why I'm doing this: 00:00-08:30Jesus The Great Shepherd: 9:12Jesus' Instructions to Peter to pastor: 12:15What is a Pastor? : 19:50What a pastor should look like: 27:03Pastor vs a Sunday Sermon: 29:11Jesus did life with his disciples: 33:50Jesus preached and taught hard messages: 43:15SUMMARY 48:13SUBSCRIBE TO THE CHANNEL:https://www.youtube.com/@TheCombatChristianSUPPORT THE MINISTRY AND YOURSELVES:TRIVITA:Use my TRIVITA link to get started on your wellness journey: https://bit.ly/HealthyChristianCovenant Eyes:If you want to protect yourself and your loved ones from the dangers of p*rn, get Covenant Eyes: https://bit.ly/Restore-Covenant USE CODE RESTORE30 at checkout to get your first 30 days FREE when you use the link✅Other ways for you to support the ministry:

Here in the UK it's been raining for weeks on end, so today's episode is a bossy challenge to add some more light to your life!✉️ Sign up for my weekly Letters of Rebellion

(Centre Bouddhiste Vimalakirti)

(Centre Bouddhiste Vimalakirti)

What happens when the world of GLP-1s collides with the operating room? Today, we're diving into the new era of obesity care. Hosts·       Matthew Martin, trauma and bariatric surgeon at the University of Southern California/Los Angeles General Medical Center (Los Angeles, California) @docmartin2·       Adrian Dan, bariatric and MIS surgeon, program director for the advanced MIS bariatric and foregut fellowship at Summa Health System (Akron, Ohio) @DrAdrianDan·       Crystal Johnson Mann, bariatric and foregut surgeon at the University of Florida (Gainesville, Florida) @crys_noelle_·       Katherine Cironi, general surgery resident at the University of Southern California/Los Angeles General Medical Center (Los Angeles, California) @cironimacaroniLearning objectives1.          Understand the evolving role of OMMs in bariatric surgical practice·       Recognize how widespread GLP-1 and dual-incretin therapies have reshaped patient presentations, expectations, and referral patterns.·       Appreciate current evidence comparing surgery to GLP-1 therapy, including the JAMA Surgery study out of Allegheny Health (2025), noting:o   Superior weight loss with bariatric surgery (~28% TBWL vs ~10% with GLP-1s)o   Higher health-care utilization and cost in GLP-1–treated patients.·       Frame OMMs not as alternatives but as complementary tools within a chronic disease model when treating obesity.2.           Review pharmacologic classes and their expected efficacy·       Surgeons should be able to articulate the mechanisms, efficacy, and limitations of:o   GLP-1 receptor agonists – incretin-based satiety; 5–12% TBWL.o   Dual GIP/GLP-1 agonists – most potent agents; 15–22% TBWL.o   Sympathomimetics – norepinephrine-driven appetite suppression; 3–7% TBWL.o   Combination agents (bupropion-naltrexone, phentermine-topiramate) – 5–12% TBWL depending on regimen.o   Emerging therapies – retatrutide, maritide, oral GLP-1s, with promising TBWL in phase 2 trials3.          Apply OMMs strategically in the preoperative phase·       Integrate OMMs without compromising surgical eligibility—OMM-related weight loss does not negate the indication for surgery.·       Counsel patients that medication response does not equal disease resolution; surgery remains the most durable intervention.·       Manage delayed gastric emptying and aspiration risk:o   Pause weekly GLP-1 or dual agonists for ≥1 week pre-op (longer if symptomatic).o   Collaborate closely with the anesthesia/OR teams·       Screen for nutritional depletion before surgery, especially protein deficits exacerbated by appetite suppression.·       Navigate insurance barriers that may paradoxically approve surgery but deny medication continuation.4.          Implement postoperative OMMs safely and effectively·       Establish criteria for OMM introduction:o   Typical initiation at 6–12 months, once the diet stabilizes and the physiologic curve flattens.o   Earlier initiation (4–6 weeks) may be appropriate in pediatric or select high-risk populations.·       Recognize altered pharmacokinetics after sleeve and bypass:o   Injectables may be preferred due to altered absorption of oral agents.·       Prevent postoperative nutritional compromise:o   Monitor protein intake, hydration, and micronutrient status (including iron, B12, and fat-soluble vitamins).o   Titrate doses slowly to minimize nausea/vomiting that can precipitate malnutrition.·       Frame OMM use as a tool for disease persistence (plateau/regain), not as a marker of failure.5.          Identify systems-level barriers and the implementation of coordinated care·       Understand insurance inconsistencies—coverage for surgery is often not paired with coverage for long-term medical therapy.·       Clearly document disease persistence and medical necessity when appealing denials.·       Avoid fragmented care: establish shared-care pathways between bariatric surgery, obesity medicine, and primary care.·       Use patient-centered language emphasizing complementary therapy, not hierarchy or competition between surgery and medications.6.          Counsel patients ethically and accurately within a chronic disease model·       Set expectations: sustained success requires surgery + medication + behavioral change.·       Educate patients that postoperative OMM use does not imply surgical failure.·       Normalize long-term multimodal management of obesity, analogous to diabetes or hypertension models.*Sponsor Disclaimer: Visit goremedical.com/btkpod to learn more about GORE® SYNECOR Biomaterial, including supporting references and disclaimers for the presented content.  Refer to Instructions for Use at eifu.goremedical.com for a complete description of all applicable indications, warnings, precautions and contraindications for the markets where this product is available. Rx only Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

 New tax credits for Vermonters, what to do about those giant icicles hanging from your roof, and a man in Massachusetts whose non-profit converts visual LEGO-building instructions into text-based ones for the blind and visually impaired.

Pastor Robert Castro talks the movies and videos our kids watch, the narraphor (narrative-metaphor) language that kids are immersed in.  Are we willing to the speak naraphorically that language in our churches to our youth?   Neurosurgeon Dr. Lee Warren, author of "The Life-Changing Art of Self-Brain Surgery," helps us understand how our minds works, how they can rewrite our brains, and how you can renew your mind.   The Reconnect with Carmen and all Faith Radio podcasts are made possible by your support. Give now: Click here  

Instructions Not Included | Re-Assembly Required - Part 1 | Encounter Church by Encounter Church

Audible Bleeding editor Wen Kawaji (@WenKawaji) is joined by integrated vascular surgery resident Falen Demsas, JVS editor Dr. Duncan (@ADuncanVasc), JVS-VI editor-in-chief Dr. Dua (@AnahitaDua) to discuss some of our favorite articles in the JVS family of journals. This episode hosts Dr. Huber, Dr. Fassler, Nishanth Konduru (@n_konduru), and Dr. Rao.   Articles:   Outcomes of open bypass and superior mesenteric artery endarterectomy for patients with chronic mesenteric ischemia resulting from long-segment superior mesenteric artery occlusive disease Retrograde tibiopedal access as an alternative procedural technique for genicular artery embolization    Show Guests  Dr. Huber Former Division Chief (served as Chief for 13 years) of Vascular Surgery at the University of Florida and the Edward R. Woodward Professor of Surgery at the University of Florida College of Medicine. He was also the chair of the writing committee for the SVS Guidelines on Chronic Mesenteric Ischemia. Dr. Fassler PGY-4 General Surgery resident at the University of Florida.  Nishanth Konduru Fourth year undergraduate at the University of North Carolina Chapel Hill Dr. Rao Interventional cardiologist with Vascular Solutions of North Carolina.   Founder of Rao Clinic https://www.raoclinic.org/ Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.   *Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device.  

In this introduction to Dōgen's Tenzo Kyōkun (Instructions for the Cook) during the opening days of Upaya's Winter Practice Period, the faculty explores how awakening is realized through work, care, and ordinary activity. Roshi Joan Halifax reflects on Dōgen's three minds—joyful mind, parental mind (grandmother's heart), and big mind—emphasizing care for others in the cultivation of wholesome… Source

Ephesians 6:10-17

As Jesus prepares his disciples to share the good news of salvation, he doesn't sugarcoat the negative, hostile reaction that some will have. Although Christians will be hated just as Jesus was hated, we should strive to be blameless in our conduct, trusting in our proclamation, and confident in the presence and movement of God.

This Sunday, Nate opens our practice period theme, "Living in Sangha". In the first of a three-part series of dharma talks, we explore sangha not as comfort or belonging alone, but as the ground that reshapes how we show up in the world. Grounding in Dogen's teachings in Tenzo Kyōkun (Instructions to the Cook), we remind ourselves how practicing fierce, attentive care together becomes both a refuge and an act of resistance.

Seeking the right instructions changes your thinking, beliefs, words, actions, and results. Enjoy!

(Dharmagiri Sacred Mountain Retreat)

I was inspired to interview Maya Jonas-Silver, because of this post she made on Bridge Winners bemoaning the lack of playing opportunities for her recent bridge initiates. After winning the 2023 20-50 Mini McKenney award Maya hasn't stopped. She has become a passionate advocate for bringing young adults into the game. Here she shares her journey from learning bridge at summer camp to becoming a bridge teacher and director at Honors Bridge Club in New York City. Her teaching philosophy, that bridge doesn't need to be intimidating or require years of study before you can actually play and enjoy the game, has helped me be more willing to introduce friends to the game using her framework. Maya believes in getting beginners to the table quickly, and no feedback! We discuss the barriers facing young bridge players, from finding affordable games to navigating the tournament scene without mentors. Maya reflects on the critical moments in her own bridge career, when someone like Yoko Sobel stepped in to encourage her and her husband Jack. She also shares her vision for growing the game, including making beginner classes more accessible, creating online teaching modules, and building a network of bridge mentors to help newcomers transition from lessons to competitive play. Plus, we touch on the joys and challenges of playing bridge with your spouse and balancing bridge with parenthood. _____________________________________________________________ Key Highlights:

In this wide-ranging conversation, we talk about James' journey from ministry to technology, the importance of critical thinking and humility, the role of ideology in political discourse, and the philosophical roots of Unitarianism. We even get into the nature of belief and behavior, and the implications of animal consciousness. Are critters dreaming all the time? We discuss the importance of detribalization in modern society and the role of love in ethical decision-making. Hope you enjoy it.James' Substack is here. I had this conversation with an interesting guy named Piero San Giorgio recently. Intro music “Brightside of the Sun,” by Basin and Range. “Temazcal,” by Monsters of Folk. Outro: “Rock Bottom,” by Colby Kent.If you buy from Amazon, my link is here. (You can click on it once, then bookmark that as your go-to Amazon link so it'll always work.)Buy some merch from my mom here.Grab a copy of my books: Sex at Dawn, Civilized to Death, Tangentially Reading, Talking Drugs, and Talking Sex here.Find other Tangentialistas around the world!Instructions for getting the paid RSS feed in apps is here.If you don't want to subscribe, but want to support this podcast with a one-time donation, please click here. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit chrisryan.substack.com/subscribe

Are the invisible emotional patterns from your past the real reason you're stuck in your health or relationships? In this episode, Bizzie Gold and I explore why so many of us stay stuck in patterns that no longer serve us, and why that doesn't mean there's anything wrong with you. We unpack how early conditioning shapes perception, behavior, and self-deception, and how those patterns can be decoded and rewritten at any age. Bizzie brings a refreshingly direct, data-driven perspective that challenges traditional mental-health narratives and opens the door to real, lasting change. Bizzie Gold is a behavior futurist and serial entrepreneur who's not afraid to challenge what we've been told about mental health. She created the Break Method to decode brain patterns and help people stop circling their pain and finally change for good. What you'll learn: (02:05) Why repeating the same behaviors doesn't mean you're broken, but programmed. (05:30) How childhood environments create predictable patterns in perception and behavior. (09:05) Why objective truth is nearly impossible, and how brain patterns distort reality. (14:20) How the “right amount” of early adversity can build resilience and self-trust. (20:40) What brain pattern mapping reveals about self-deception and decision-making. (26:30) How stress and exhaustion pull you back into old behavioral defaults. (32:35) Why opposites attract, and how brain patterns shape relationships. (45:10) Practical ways to interrupt unhealthy patterns and create lasting change. Love the podcast? Here's what to do: Subscribe to the podcast. Leave a review. Text a screenshot to me at 813-565-2627 and wait for a personal reply because your voice is so important to me. Want to listen to the show completely ad-free? Go to http://subscribetojj.com Click “TRY FREE” and start your ad-free journey today! When you're ready, enjoy the VIP experience for just $4.99 per month or $49.99 per year (save 17%!) Full show notes (including all links mentioned): https://jjvirgin.com/bizzie Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Weird Studies, we turn to the fifth Major Arcanum, the Hierophant, symbolizing tradition, instruction, and the exoteric aspect of spiritual practice. Drawing on Meditations on the Tarot and other sources, we question the easy opposition between tradition and revolution, exploring instead how inherited forms can foster genuine inner growth, and how an interior revolutions may renew traditions from within. To reserve seats for Weird Academia events, visit the website of the Center for Possible Minds. References Johann Sebastian Bach, F# minor Fugue from The Well Tempered Clavier Book 1 (played by Rosalyn Tureck)  Richard Wilhelm (trans.), The I Ching J. R. R. Tolkein, The Lord of the Rings P. D. Ouspensky, The Symbolism of the Tarot  The Catechism of the Catholic Church Our Known Friend, Meditations of the Tarot Plato, "The Seventh Letter" Alejandro Jodorowsky, The Way of Tarot Dogen, Instructions for the Cook Gilles Deleuze, Difference and Repetition Weird Studies, Live at Illuminated Brew Works  Franz Liszt, Hungarian pianist  G. K. Chesterton, Orthodoxy  Samuel Taylor Coleridge, Biographia Literaria vol. 1  Learn more about your ad choices. Visit megaphone.fm/adchoices

This talk was recorded at the Radical Kindness New Year's Retreat 12/28/25 - 1/2/26 in Bay St. Louis, MS.Mikey Noechel offers the 2nd morning instructions on metta or loving kindness meditation. Enjoy! Wild Heart Meditation Center in a non-profit Buddhist community based in Nashville, TN. https://www.wildheartmeditationcenter.orgDONATE: If you feel moved to support WHMC financially please visit:https://www.wildheartmeditationcenter.org/donateFollow Us on Socials!Facebook: https://www.facebook.com/WildHeartNashville/Instagram: https://www.instagram.com/wildheartnashville/TikTok: https://www.tiktok.com/@wildheartmeditation

In Zen, there are many styles of meditation taught through the various schools; each person has to find the approach that strikes a chord within them, one they can spend enough time to realize the fruits of their efforts. Read the Journal While Listening

(1 Thessalonians 5:12-28) - Paul began this final section of his letter by encouraging the brethren to respect and appreciate - the leaders who are accountable for the welfare of the church. As members of the family of God - they were to prop up the weak and bear with the failings of others in love. Their lives should be - characterized by rejoicing, prayer, and thanksgiving. - [46 minutes]

This new mini-series on Behind the Knife will delve into the technical aspects of the Operative Standards for Cancer Surgery, developed through the American College of Surgeons Cancer Research Program. This second episode highlights the thyroid cancer operative standard.Hosts:Tracy Wang, MD, MPH, FACS is a Professor of Surgery and Vice-Chair of Strategic and Professional Development at the Medical College of Wisconsin with a clinical focus on endocrine surgical oncology. Vladmir Neychev, MD, PhD is a Professor of Surgery at the University of Central Florida College of Medicine with a clinical focus on endocrine surgical oncology.Jack Sample, MD (@JackWSample) is a General Surgery Resident at Mayo Clinic Rochester.Guests:Elizabeth Grubbs, MD (@EGrubbsMD) is a Professor of Surgical Oncology at MD Anderson where she specializes in endocrine tumors, with expertise in cancer of the thyroid.David Hughes, MD is a Clinical Associate Professor of Surgery at University of Michigan, where he focuses on surgical diseases of the endocrine system, including a particular focus on the diagnosis and management of papillary thyroid cancer.Learning Objectives: Understand key preoperative and intraoperative aspects of the evaluation and treatment of patients with biopsy-proven papillary thyroid carcinoma (PTC) greater than or equal to 1 cm. Define factors that guide decision making regarding the extent of surgical resection (lobectomy versus total thyroidectomy) for PTC.Links to Papers Referenced in this EpisodeOperative Standards for Cancer Surgery, Volume 2: Thyroid, Gastric, Rectum, Esophagus, Melanomahttps://www.facs.org/quality-programs/cancer-programs/cancer-surgery-standards-program/operative-standards-for-cancer-surgery/purchase/Kindle edition:Amazon.com: Operative Standards for Cancer Surgery: Volume 2, Section 1: Thyroid eBook : Program, American College of Surgeons Clinical Research, Katz, Matthew HG: Kindle StoreImpact of Extent of Surgery on Survival for Papillary Thyroid Cancer Patients Younger Than 45 years. https://pubmed.ncbi.nlm.nih.gov/25337927/ Extent of Surgery Affects Survival for Papillary Thyroid Cancer. https://pubmed.ncbi.nlm.nih.gov/17717441/Sponsor Disclaimer: Visit goremedical.com/btkpod to learn more about GORE® SYNECOR Biomaterial, including supporting references and disclaimers for the presented content.  Refer to Instructions for Use at eifu.goremedical.com for a complete description of all applicable indications, warnings, precautions and contraindications for the markets where this product is available. Rx only Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Key TakeawaysWhat to expect in 2026: The industry has moved from its previous point in the "hype cycle" into a more realistic phase, where limitations of AI and agents are clearer, and new methodologies are needed to extract real business value. Robinson adds that this year's AI Agent & Copilot Summit serves as an important refresh to share what's been learned, preview what's coming, and features an exceptionally strong lineup of Microsoft AI leaders.Session selection process: Robinson, who serves on the event's Programming Committee Board, describes what he was looking for when selecting sessions: a balance of technical depth with business context, so attendees understand foundational concepts before advancing into more complex topics. The goal was to ensure attendees walk away with both the “cool” innovations and the practical know‑how needed to apply AI effectively without creating business issues.2026 sessions: Robinson details the five sessions he'll be leading, including:"From Future Proof to Future Agile," on March 18"Copilot Studio 101 & Implementation Guide," on March 18"Child Agents, Instructions, and Descriptions: A New Way of Building," on March 18"Update to Understanding Component Collections Vs Multi-Agent," on March 19"Multi-Agent AI Systems with Microsoft Foundry, Copilot Studio, Fabric, Microsoft Agent Framework," on March 19He adds that "I would love to get your insights [on] where you're having problems, challenges you're seeing... so that'll just be additional value-add on top of these great learnings in the masterclass."Final thoughts: Robinson encourages attendees to fully engage with the event's intimate, community‑focused format, noting that “these speakers are going to be available to you, so take the opportunity to interact with them.” He emphasizes following the full education track for maximum value and making time for social events to connect, learn, and share insights. Visit Cloud Wars for more.

In this episode of Time for a Reset: Insights from Global Brand Marketers, brought to you by Overline, host Fiona Davis sits down with Andrew Smith, Senior Director of Brand at Vinted, to unpack why radical honesty and not polished purpose statements are the real engine of modern brand growth. Andrew shares lessons from leading marketing at Booking.com, VanMoof, and now Europe's fastest-growing secondhand marketplace, revealing how functional truth creates authentic distinction, sharper creative work, and deeper trust. From navigating AI-generated content to scaling globally without compromising authenticity, this conversation provides practical, grounded frameworks to help marketers build brands that resonate with consumers and hence endure.Topics Covered: How to identify your brand's functional truth before building a creative narrativeWhy utility-driven positioning is not unsexy; it's the most powerful competitive moatThe performance paradox: How constraints and mandatory brand elements actually unlock creative freedomHow to balance AI-driven efficiency with long-term brand distinctivenessWhy transparency and proof-of-impact matter more than purpose promises How to maintain authenticity and cultural relevance while scaling globallyThe leadership skill senior marketers must develop next Andrew Smith is Senior Director of Brand at Vinted, Europe's leading secondhand marketplace platform, where he leads a talented team overseeing brand positioning, messaging strategy, product marketing, creative production, and campaign operations. With over 20 years of experience spanning creative agencies, consulting, global tech companies (including Booking.com), and scaling ventures (including VanMoof), Smith has built deep expertise in bridging creativity, data, and technology to drive measurable brand and business impact.If you enjoyed this episode, be sure to subscribe, rate, and review on Apple Podcasts, Spotify, and YouTube. Instructions on how to do this are available here.Support the show

The questions piled up over the holidays and now it's time to answer them in this, the first Q&A of 2026. This month we touch on topics like the splendor Gateway 2000's cow boxes, the mystery of the ENIAC, whether a shed qualifies as off-site backup, what the heck volt-amps are (and how calculus is involved), the glory days of multi-user computing, what tech today's kids will be nostalgic for in 20 years, using LLMs for troubleshooting and command line assistance, and more. Support the Pod! Contribute to the Tech Pod Patreon and get access to our booming Discord, a monthly bonus episode, your name in the credits, and other great benefits! You can support the show at: https://patreon.com/techpod

Titus 2 Titus 2:1-10 – Instructions for various categories, continued Titus 2:5 – See I Peter 3:5. Submission should not be out of fear…

Urthy — the Atlanta‑based clean lifestyle brand known for its plant‑based home, body, and skincare essentials — announces the national launch of Feel Something, a groundbreaking sensory wellness movement designed to support emotional wellbeing, mindfulness, and human connection. Rooted in the power of scent, touch, and intentional ritual, Feel Something invites individuals and communities to slow down, reconnect, and rediscover what it means to truly feel in a world where many are overwhelmed, overstimulated, and emotionally disconnected. The National Feel Something Movement was created to help people return to themselves through simple, sensory rituals that support the mind‑body connection. At a time when burnout, numbness, and autopilot living are increasingly common, the movement encourages participants to reconnect with their breath, their bodies, and their everyday lives. Founder Jen Rotondo developed the movement after noticing how many people struggled to slow down — and in many cases, struggled to feel anything at all. “Feel Something is about remembering how to be with yourself,” Rotondo shares. “These rituals aren't about perfection — they're about intention.” Every year, January marks the start of National Feel Something Month, a 31‑day reset featuring daily micro‑rituals that help participants realign after the new year. The month culminates in National Feel Something Day™, held annually on the last Saturday of January. ⭐ National Feel Something Day™ 2026 - Saturday, January 31, 2026 A nationwide moment to pause, breathe, reconnect, and remember what it feels like to be fully alive. National Feel Something Day™ will be activated through partnerships with yoga, Pilates, barre, and wellness studios across the U.S., including locations in Los Angeles, Chicago, New York, Florida, and Georgia. Participating studios will host Feel Something–inspired classes focused on grounding, softness, strength, and emotional reconnection, incorporating Urthy's signature sensory event‑in‑a‑box rituals. To expand accessibility, Urthy also offers a virtual participation option, allowing anyone to join from home.

In this weeks podcast episode I discuss effective bible study techniques and methodologies that help us to read and understand the Bible in its proper historical, cultural, literary and linguistic context. Here are the Key Concepts we discussed.Biblical Interpretation and Context Discipleship: Emphasizes that learning is often more caught than taught, highlighting the importance of context in biblical preaching. Pericopes: Sections of Scripture read as lessons, derived from the Greek word meaning "section." Significant for understanding the oral tradition of Jesus' teachings before the gospels were written.Examples of Pericopes in the Gospels Sermon on the Mount (Matthew 5-7): Illustrates core teachings of Jesus. Instructions for Ministers (Matthew 10:5-42): Guidance for ministry. Parables of the Kingdom (Matthew 13:1-52): Illustrates the nature of God's kingdom.The Bible's Purpose The Bible is not primarily about the individual; rather, it serves as God's self-revelation, showcasing His character and attributes. It is written "for" us but not directly "to" us.Communication StylesGod uses diverse genres to communicate: narrative history, poetry, laws, parables, and letters, ensuring effective transmission of His message across different human conditions.Basic Principles of Interpretation- God's Overall Plan: Spanning from creation to the consummation of redemption, demonstrating a cohesive narrative.Understanding Background: Employ the "Five W's" (Who, What, Where, When, Why) to grasp the context of biblical books. Exegesis and HermeneuticsExegesis: Analytical study of biblical texts for interpretation. Hermeneutics: The science of interpreting texts accurately, avoiding eisegesis (reading into the text personal biases).Importance of Context - Historical and cultural contexts are essential for accurate interpretation, ensuring that meanings align with the original audience's understanding.Linguistic Nuances Different meanings of terms like "flesh" in Scripture illustrate the complexity of biblical language and the need for careful interpretation.Thanks for listening to the Greater Works Discipleship Ministries broadcast. Our mission at Greater Works is to fulfill the Great Commission (Matt. 28:19) and the Great Commandment (Matt. 22:37) through the intentional education, equipping, and empowering of healthy disciples of Jesus the Christ. For more information visit: Website: www.greaterworksdiscipleship.com - Discipleship Training: https://greaterworksdiscipleship.thinkific.com/ - Patreon: https://www.patreon.com/c/greaterworksdiscipleship- All My Socials: greaterworks.poplme.co/kevinlurrell

In this episode, you explain how thoughts are not harmless but act as biochemical instructions that can either support healing or keep the body stuck in stress and illness. You connect mindset with physiology—stress hormones, sleep, inflammation, and even gene expression—and encourage listeners to consciously choose more supportive inner dialogue, explore epigenetics (e.g., Dr. Bruce Lipton's work), and consider coaching to rewire their neural networks.   Key Points Thoughts act as biochemical instructions in the body Chronic negative self-talk raises stress hormones (e.g., cortisol) High cortisol disrupts melatonin and healthy sleep Negative thinking keeps the body inflamed and blocks healing Inner dialogue is as important as nutrition and supplements Beliefs can shape physiological outcomes and health Thoughts and environment influence gene expression (epigenetics) The reticular activating system (RAS) filters reality to match beliefs Reframing with "What if that wasn't true?" opens new perspectives Choosing positive thoughts helps healing vs. staying sick and stuck Coaching can help rewire neural networks and shift mindset Connect with Anna: Email: annamarie@happywholeyou.com / info@HappyWholeYou.com Website: www.happywholeyou.com / https://linktr.ee/happywholeyou Personal Website: www.DrAnnaMarie.com Instagram: @happywholeyou Personal Instagram: @Dr.Anna.Marie Facebook: Happy Whole You LinkedIn: Anna Marie Frank Venmo: @happywholeyou

This talk was recorded at the Radical Kindness New Years Retreat 12/28/25 - 1/2/26 in Bay St. Louis, MS.Mikey Noechel offers the 1st afternoon instructions on training the attention to stay with a chosen object while maintaining an attitude of kindness. Enjoy!Upcoming Retreat: An Imperfect, Impersonal, Impermanent Meditation Retreat January 28th - February 1st in Sewanee, TN: https://www.wildheartmeditationcenter.org/events/an-imperfect-impersonal-impermanent-meditation-retreat-with-mikey-livid-and-andrew-chapman Wild Heart Meditation Center in a non-profit Buddhist community based in Nashville, TN. https://www.wildheartmeditationcenter.orgDONATE: If you feel moved to support WHMC financially please visit:https://www.wildheartmeditationcenter.org/donateFollow Us on Socials!Facebook: https://www.facebook.com/WildHeartNashville/Instagram: https://www.instagram.com/wildheartnashville/TikTok: https://www.tiktok.com/@wildheartmeditation

In this episode, we explore the Society for Vascular Surgery (SVS) Quality Improvement (QI) Consulting Program, a free member benefit that supports vascular surgeons in designing, executing, and refining QI projects across all stages—from problem identification to dissemination. We're joined by Dr. Samantha Minc, a vascular surgeon and faculty member at Duke University, and Dr. Ashley Vavra, an Associate Professor of Surgery at Northwestern Feinberg School of Medicine and chair of the SVS Quality Improvement Committee. Both bring extensive experience in vascular care and quality-focused clinical practice. Together, they break down how the QI Consulting Program helps clinicians: Develop SMART goals and clear project aims Identify stakeholders and select appropriate methodologies Organize timelines and communication plans Track process measures and assess intervention impact Troubleshoot challenges and prepare presentation or publication materials They also outline what the program does not provide—such as data analysis, formal instruction, or long-term mentorship—to help members understand its intended scope. The application process is straightforward: SVS members may apply during the first two weeks of each month, with up to five projects accepted per cycle. This episode stresses the value of QI in vascular surgery and offers a practical, accessible overview of how the QI Consulting Program can support meaningful improvement efforts in vascular practices. Learn more: https://vascular.org/vascular-specialists/practice-and-quality/quality/quality-improvement-consulting-program   *Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device.

DIPLOMATIC COUPS AND THE WEAK CONFEDERATION Colleague Joseph Ellis. John Jay secured a diplomatic triumph by defying instructions to consult the French, negotiating directly with Britain to establish the Mississippi River as the western border. Post-war, the government was a loose confederation of sovereign states rather than a unified nation, leaving it ill-equipped to handle slavery or indigenous rights. Robert Morris, the "Financier," personally funded the army's demobilization when Congress failed to pay the troops. NUMBER 71821

This talk was given by Gil Fronsdal on 2026.01.17 at the Insight Meditation Center in Redwood City, CA. ******* Mindfulness Daylong Retreat: Calm, Clear, Simple, and Spacious (2026-01-17 00:00:00 -0800) ******* A machine generated transcript of this talk is available. It has not been edited by a human, so errors will exist. Download Transcript: https://www.audiodharma.org/transcripts/24356/download ******* For more talks like this, visit AudioDharma.org ******* If you have enjoyed this talk, please consider supporting AudioDharma with a donation at https://www.audiodharma.org/donate/. ******* This talk is licensed by a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License

This talk was given by Gil Fronsdal on 2026.01.17 at the Insight Meditation Center in Redwood City, CA. ******* Mindfulness Daylong Retreat: Calm, Clear, Simple, and Spacious (2026-01-17 00:00:00 -0800) ******* A machine generated transcript of this talk is available. It has not been edited by a human, so errors will exist. Download Transcript: https://www.audiodharma.org/transcripts/24358/download ******* For more talks like this, visit AudioDharma.org ******* If you have enjoyed this talk, please consider supporting AudioDharma with a donation at https://www.audiodharma.org/donate/. ******* This talk is licensed by a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License

This talk was given by Gil Fronsdal on 2026.01.17 at the Insight Meditation Center in Redwood City, CA. ******* Mindfulness Daylong Retreat: Calm, Clear, Simple, and Spacious (2026-01-17 00:00:00 -0800) ******* A machine generated transcript of this talk is available. It has not been edited by a human, so errors will exist. Download Transcript: https://www.audiodharma.org/transcripts/24359/download ******* For more talks like this, visit AudioDharma.org ******* If you have enjoyed this talk, please consider supporting AudioDharma with a donation at https://www.audiodharma.org/donate/. ******* This talk is licensed by a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License

Picture this: a patient with early-stage breast cancer is sitting in front of you in the clinic. You are about to offer your expert management plan. The age-old question arises—should you really perform a sentinel lymph node biopsy, or could omission actually help this patient more? Today, we're tackling one of the hottest debates in modern breast cancer care.Should we rethink sentinel lymph node biopsy for select patients, and can skipping it actually improve quality of life without sacrificing cancer control? The stakes couldn't be higher—balancing accurate cancer staging and minimizing harm is the name of the game. Together, we're breaking down the latest evidence from the SOUND and INSEMA trials. What do these landmark studies mean for your patients, your practice, and the future of axillary management? Ready for a journal review that might just change your next consult? Hosts:- Rashmi Kumar, MD, PhDResident, University of Michigan General Surgery Residency ProgramTwitter/X: @RashmiJKumar- Melissa Pilewskie, MDAttending Breast Surgical Oncologist, Co-Director of the Weiser Family Center for Breast Cancer, Michigan Medicine Twitter/X: @MPilewskie- Stephanie Downs-Canner, MDAttending Breast Surgical Oncologist & Physician-Scientist, Memorial Sloan Kettering Cancer Center, Program Director of the Breast Surgical Oncology Fellowship Training Program Twitter/X: @SDownsCannerLearning Objectives:- Understand when and for whom it is safe and beneficial to omit sentinel lymph node biopsy (SLNB) in early-stage breast cancer patients.- Identify the risks associated with foregoing SLNB, including loss of nodal staging, and analyze how this impacts treatment selection and prognosis.- Review key findings from the SOUND and INSEMA trials and their influence on axillary management.- Discuss implications for adjuvant therapy, genomic profiling, and multidisciplinary clinical practice.- Recognize which patient populations should still receive SLNB, and the importance of individualized, multidisciplinary decision-making.References:- Gentilini OD, Botteri E, Sangalli C, et al. Sentinel Lymph Node Biopsy vs No Axillary Surgery in Patients With Small Breast Cancer and Negative Results on Ultrasonography of Axillary Lymph Nodes: The SOUND Randomized Clinical Trial. JAMA Oncol. 2023;9(11):1557–1564. doi:10.1001/jamaoncol.2023.3759 https://pubmed.ncbi.nlm.nih.gov/37733364/- Reimer T, Stachs A, Veselinovic K, et al. Axillary surgery in breast cancer – primary results of the INSEMA trial. N Eng J Med. 2024. doi:10.1056/NEJMoa2412063.https://pubmed.ncbi.nlm.nih.gov/39665649/- Sparano JA, Gray RJ, Makower DF, Albain KS, Saphner TJ, Badve SS, Wagner LI, Kaklamani VG, Keane MM, Gomez HL, Reddy PS, Goggins TF, Mayer IA, Toppmeyer DL, Brufsky AM, Goetz MP, Berenberg JL, Mahalcioiu C, Desbiens C, Hayes DF, Dees EC, Geyer CE Jr, Olson JA Jr, Wood WC, Lively T, Paik S, Ellis MJ, Abrams J, Sledge GW Jr. Clinical Outcomes in Early Breast Cancer With a High 21-Gene Recurrence Score of 26 to 100 Assigned to Adjuvant Chemotherapy Plus Endocrine Therapy: A Secondary Analysis of the TAILORx Randomized Clinical Trial. JAMA Oncol. 2020 Mar 1;6(3):367-374. doi: 10.1001/jamaoncol.2019.4794. PMID: 31566680; PMCID: PMC6777230. https://pubmed.ncbi.nlm.nih.gov/31566680/- Slamon DJ, Fasching PA, Hurvitz S, Chia S, Crown J, Martín M, Barrios CH, Bardia A, Im SA, Yardley DA, Untch M, Huang CS, Stroyakovskiy D, Xu B, Moroose RL, Loi S, Visco F, Bee-Munteanu V, Afenjar K, Fresco R, Taran T, Chakravartty A, Zarate JP, Lteif A, Hortobagyi GN. Rationale and trial design of NATALEE: a Phase III trial of adjuvant ribociclib + endocrine therapy versus endocrine therapy alone in patients with HR+/HER2- early breast cancer. Ther Adv Med Oncol. 2023 May 29;15:17588359231178125. doi: 10.1177/17588359231178125. Erratum in: Ther Adv Med Oncol. 2023 Sep 29;15:17588359231201818. doi: 10.1177/17588359231201818. PMID: 37275963; PMCID: PMC10233570. https://pubmed.ncbi.nlm.nih.gov/37275963/Sponsor Disclosure: Visit goremedical.com/btkpod to learn more about GORE® SYNECOR Biomaterial, including supporting references and disclaimers for the presented content. Refer to Instructions for Use at eifu.goremedical.com for a complete description of all applicable indications, warnings, precautions and contraindications for the markets where this product is available. Rx only Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

For Tolkien, fairy stories are not stories about fairies, but stories that take place in Faerie. And in doing so, they make Faerie present. They are not escapist fantasies but disclosures of a real mode of being and invitations to live in that mode. In this episode, Phil and JF explore the great writer's radical claims about the nature of story, life, and reality. Upcoming Events Erik Davis and JF's six-week course on Herman Melville's Moby-Dick begins on January 20th. For details and to enroll, visit the Weirdosphere. For information on the upcoming Weird Academia events in Bloomington (Jan 27-29), visit the symposium web page at the Center for Possible Minds. Music in this Episode "What a Load of Gnosis," from Weird Studies: Music from the Podcast, Volume I "Springtime on Ganymede," from Weird Studies: Music from the Podcast, Volume II References J. R. R. Tolkein, “On Fairy Stories”  Immanuel Kant, Critique of Pure Reason  Arthur Schopenhauer, The World as Will and Idea  Franz Liszt, Transcendental Etude No. 4: Mazeppa (played by Lazar Berman)  Dogen, "Instructions for the Cook" Jeff Kripal, Mutants and Mystics  Eric Wargo, From Nowhere J.F. Martel, Review of “From Nowhere” for Journal of Scientific Exploration Richard Wagner, Parsifal  Learn more about your ad choices. Visit megaphone.fm/adchoices

Most of us wouldn't drink from a dirty cup — but we still expect God to pour fresh blessings into unclean vessels. In this message, Eric challenges a hard truth: freedom doesn't remove contamination — instructions do. God isn't withholding His presence. He's protecting it. This sermon unpacks why so many people feel free but still stuck, how impatience, insecurity, overthinking, jealousy, and strife quietly contaminate our lives, and why immediate obedience is often the reset we're praying for. If you're asking: “Why am I still stuck?” “Why does it feel like God isn't answering?” “What am I missing in this season?” This message is for you.