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Hi Tradies, memory isn't that great. You can't rely on it.If you want a successful business that gives you more money, time and freedom, you need to act more like a businessperson and less like a tradie.And that means not relying on fallible memory — yours, and everyone else's: customers, staff, suppliers and partners.I see a lot of things done on handshakes and verbal agreements. Instructions, arrangements, agreements. This creates problems, of course - different recollections of what was said or agreed: forgetting to do things or not doing them properly.The answer, as usual, is systems and writing things down.I'll tell you a quick story. I once shared a memory about a friend, Ted, who I thought had done a week in jail over a dispute with a client. His wife later told me it wasn't true. He got in trouble, but he didn't do time. My memory was close — but wrong.That's how memory works. Yours is the same. So is everyone else's.Here's where your memory can cause problems in your business.1 Your Tasks. Many of you don't write things down. You trust yourself to remember. You need a system — a diary, phone notes, Outlook, Gmail, and voice notes to your admin. Pick one and use it.Your Appointments. Too many people don't put everything in their calendar or don't check it properly. All meetings and jobs should be in one synced calendar. Have a system to get “See you Thursday at 2” into your calendar straight away and another to remind you to check it.Agreements with Customers. Quotes, variations, dates, access, rules, changes — if it matters, write it down. Send a confirmation email: “Confirming we agreed…” This is important because if they don't remember it the same way you find out now and if they don't disagree now, that's now the truth. Attach it to the job.Job Instructions to Your Team. Too often it's a quick verbal briefing and everyone's expected to remember it. They won't. We all forget, misunderstand, and mix things up. Every job needs written instructions, job cards, plans, drawings, and site diaries where needed. These belong in your job management system.Agreements with staff. Contracts, pay, reviews, warnings, leave — keep proper records (and send email confirmations). Use HR software if you can.Agreements with suppliers. Same as with clients. Record what you verbally agree - prices, discounts, delivery, terms — confirm in writing and attach to your job management system.The Other S#*t. Phone calls, site conversations, ideas, things that occur to you. If it's written down, it's what happened. Put it in your diary or send it to your admin.This is part of becoming a businessperson instead of just a tradie. It stops you forgetting things, saves you time, and prevents f#*k-ups.It's a game-changer. If you don't have this in place — for you and your team — get onto it.--------------------------------------Get the Written Confirmation Worksheet for Trades and Builders here: https://pages.smallfish.com.au/business-for-trades-written-confirmation-worksheetIf you want more money (profit), more time (off work), and more freedom (from work, stress, responsibility) Book a Money Call: smallfish.com.au/tradies/money-call/FOLLOW US AT:Facebook: https://www.facebook.com/smallfishcoach/Twitter: https://twitter.com/smallfishcoachInstagram: https://www.instagram.com/smallfishbusinesscoach/YouTube channel: https://www.youtube.com/c/smallfishau
SANS Internet Stormcenter Daily Network/Cyber Security and Information Security Stormcast
Japanese-Language Phishing Emails https://isc.sans.edu/diary/Japanese-Language%20Phishing%20Emails/32734 'God-Like' Attack Machines: AI Agents Ignore Security Policies https://www.darkreading.com/application-security/ai-agents-ignore-security-policies Starkiller: New Phishing Framework Proxies Real Login Pages to Bypass MFA https://abnormal.ai/blog/starkiller-phishing-kit
Questions about the role of the Holy Spirit in our lives, advice for someone who believes in God intellectually but struggles to understand how to have a “personal relationship” with him, and resources other than Greg's that teach the wisdom model for making decisions. If the Holy Spirit doesn't give us personal instructions, what does that leave the role of the Holy Spirit to be in my life? Do you have advice for someone who believes in God intellectually but struggles to understand how to have a “personal relationship” with him? I don't understand how others “feel his presence” or “hear from God.” What resources (outside of your own) would you recommend in regard to the wisdom model for making decisions rather than a more charismatic approach of receiving impressions, whispers, etc. from God?
Victorious Living
Justin Lund: From Addiction & Rehab to Scaling a Near $100M Business with Systems That Buy Back Your Time In this episode of Leading and Growing Your Real Estate Business, host James Short interviews business systems architect Justin Lund about his journey from high-pressure sales, addiction to pain pills, arrests and rehab to rebuilding his life and learning the power of frameworks. Justin shares how rehab taught him to create “transition plans” and plan for worst days, and how those principles translate into goal setting, quarterly retreats, and building systems over relying on motivation. Justin also shares routines, mindset insights, his aim to reach 50,000 business owners, and how listeners can connect via propelyour.com and social platforms under his name, plus a free Founder Freedom Playbook via Instagram DM using “James Freedom.” Subscribe to Coach James Short's channel for more insights! 00:00 High-Ticket Sales Chaos: Addiction, Arrests & Hitting Rock Bottom 00:22 Welcome to the Show + Meet Justin Lund (Freedom Flywheel Origin Story) 02:28 Early Life Pressure: Marriage, Baby on the Way & Chasing Stability Through Sales 05:20 Rehab Breakthrough: The Missing Piece—Plan for Your Worst Day 08:31 Goal-Setting That Sticks: The ‘Beast,' Overcommitting & Quarterly Retreats 13:13 Rebuilding From Nothing: Sleeping on the Floor, Starting Over & Staying True to Yourself 15:55 Scaling Without Burning Out: Mentorship, Delegation Hacks & Explosive Growth 20:38 Scaling Lesson #1: Time Awareness & What Your Hour Is Really Worth 22:25 The Hidden Cost of Long Meetings (and the Ego Trap of “Teaching”) 24:45 Scaling Lesson #2: Inspect the Instructions, Not the Outcome 27:20 Systems Over Goals: Building Simple Habits That Stick 29:28 The “62nd Quiz”: Favorites, Routines, and Personal Reflections 34:47 Looking Ahead to 2026: Reaching 50,000 Founders & High-Leverage Wins 36:35 Where to Find Justin + Final Thanks & Wrap-Up
There's something powerful about final words. Whether from a coach, a teacher, a parent, or a friend, words can leave a mark. They shape how we see ourselves and how we move through the world. Some become so deeply embedded that we carry them for decades, and even pass them down to the next generation. As David nears the end of his life, he leaves with final words that would change the entire trajectory of Solomon's reign.
We have been given a book that tells us how to navigate this life. But you gotta read it to know what's in it.
Luke 11:17-28
Bro. Joshua GrossFebruary 22, 2026Sunday School
The MFL Ramble is a podcast series brought to you by hosts David (SRMonkey), Hoodwink, Kev & Hatton. On this weeks episode Monkey, Kev & Hoodwink were joined by BigMrK to talk about squad building and what is the optimal way to play matches on MFL.** To sign up and play MFL, please click here. **Feel free to contact us on Twitter @soraremonkey, @Hoodwink1983 , @Smoggypedro & @C_Hatton90The shows music has been kindly supplied by Stish who you can follow on Twitter @Plastician and on the excellent 'End Product' podcast.The artwork and new logo was kindly created by McGettigan.eth
Fitz and her race director, Susan Harmeling, deliver final pre-race instructions for the Publix Gasparilla Distance Classic, covering the expo, packet pickup rules, race schedules, wave starts, aid stations, finish-line procedures, and post-race festivities. The episode also highlights special events—Pepper Jack's Hot Diggity Dog Walk, the Shake-Out Run, mascot antics—parking and safety tips, medal and gear logistics, volunteer and charity impact, and practical advice to make race weekend smooth and fun. Thanks for keeping The Fitzness Show in the top 3% of all podcasts worldwide. Please subscribe, share, and leave a review. Order signed copies of You. Supercharged! The Healthy Cancer Comeback Series books at Fitzness.com are on sale now! Join the Hottie Body Fitzness Challenge group on Facebook!
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
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.
Breast cancer screening fails most often where access is constrained: limited appointments, geographic gaps, dense breast tissue, and reliance on self-exams that depend entirely on human touch. Awareness alone doesn't close those gaps.In this episode, Dr. Karny Ilan, co-founder and CEO of Feminai, shares how physician-led product design, multidisciplinary collaboration, and rigorous clinical trials shaped a new model for breast screening access. The conversation explores a shift in how breast health is managed—from episodic screening to continuous, individualized monitoring. Rather than relying on infrequent appointments alone, it examines tools designed to track changes over time, at home, while remaining connected to clinical decision-making. Timestamps(00:11) Breast cancer risk shaped by genetics and lived exposure(08:37) Limits of traditional self-breast exams(09:09) Personal experience shaping breast health urgency(10:15) How at-home breast scanning detects change over time(12:42) Designing screening tools for dense breast tissue(17:03) Addressing breast size, shape, and post-surgical variation(18:31) Clinical trials revealing real-world usability gaps(20:13) Why ease of use affects screening reliability(29:29) Access gaps amplified by pandemic-era screening delays(38:09) Broad inclusion across age, risk, and body types Guest BioDr. Karny Ilan — Co-Founder and CEO, FeminaiDr. Karny Ilan is a general surgery resident at Sheba Medical Center and the co-founder and CEO of Feminai, a breast health company developing an AI-enabled disposable wearable patch and app for at-home breast exams. With a strong family history of breast cancer, she brings clinical experience and patient-centered design to building scalable screening tools that expand access and personalization.LinkedIn: https://www.linkedin.com/in/karny-ilan/Key PointsAccess constraints drive missed detection: Feminai targets screening gaps caused by geography, capacity, and avoidance.Physician-led design builds trust: Clinical credibility accelerated adoption with providers and investors.Dense breast tissue is a priority use case: The technology is designed to perform well where mammography often struggles.Personalized baselines change detection logic: Each scan is compared against the user's own prior data.Usability directly affects accuracy: Instructions, fit, and behavior shape downstream AI performance.Deep Dives1. At-home breast exams as infrastructureDesigned for frequent, low-friction useComplements rather than replaces imaging2. Patch and app workflowRisk stratification via medical questionnaireBluetooth-enabled scan uploads to secure cloudAI analysis with physician review3. Designing for every bodyStretch materials accommodate size variationDense tissue explicitly accounted forAdditional sizes planned as rollout expands4. Clinical trials beyond performance metricsUsability drove multiple design iterationsInstruction format affected adherenceShape changes required algorithm updates5. Personalized longitudinal trackingEach woman compared only to herselfChanges flagged based on deviation, not population averages6. Leadership and multidisciplinary teamsEngineers exposed to clinical sitesPatient stories shared to reinforce missionStability in leadership communication protected executionLinks & ReferencesBreast cancer screening beyond mammography (Mayo Clinic): https://www.mayoclinic.org/tests-procedures/mammogram/in-depth/breast-cancer/art-20047233Breast cancer screening recommendations (USPSTF): https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening
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.
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:
The Daily Pep! | Rebel-Rousing, Encouragement, & Inspiration for Creative & Multi-Passionate Women
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
Do not be afraid! After warning his disciples of the danger they may face proclaiming the gospel, Jesus reassures us with the same message he gave to his original disciples: do not be afraid. Join us as we finish Jesus' evangelism instructions with 5 reasons we should not be afraid as we proclaim the good news of the kingdom.
(Centre Bouddhiste Vimalakirti)
Dharma Seed - dharmaseed.org: dharma talks and meditation instruction
(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.
(Dharmagiri Sacred Mountain Retreat)
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
(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
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
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
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