Podcast appearances and mentions of lisa hunt

Welcome to the 8th House, Scorpio's lair, associated with Tarot minors 5-7 of Cups and its King. This fixed water sign shares ‘Spooky Season' with Halloween, Samhain, All Soul's, Dia De Los Muertes, and the thinning of the veil. Scorpio teaches that when we walk alongside fear, navigating our own darkest shadows, we discover an uncanny power to transcend the sharp pain of grief and loss, and move towards deeper connection with Spirit.'I'm the cobwebbed stairsthe ancient bonesI'm the shadow rippling cobblestonesI'm the stagnant swampthe black lagoonI'm the branches scratching at the moonI'm the funeral servicethe unknown mournerI'm the demon cowering in the cornerI'm the sexton's spadethe new thrown clayI'm what's left when they walk awayI'm the ebony coffinthe satin liningthe pale, thin lips in the back room dyingI'm the walking deadthe fly by nightI'm the last of the fading lightI'm the unbarred doorthe open encasementI'm the steps leading down to the basementI'm the four post bedthe let down hairI'm the cross that you forgot to wearI'm the highest voltagethe shining slabthe crack of midnight in the doctor's labI'm the night beforethe morning afterthe echoing of the baron's laughterI'm Jonathan HarkerI'm Lucy's trancethe elegant count's hypnotic glanceI'm the wooden malletthe sharpened stakeI'm the precautions you forgot to takeI'm the mummy's cursethe passing bellI'm the fortune they wouldn't tellI'm pyromania, TransylvaniaI'm out of breathI'm worse than deathI'm the late night airexhilaratingI'm with you in the darkness, waiting'Silent Scream, T.S.O.L.*Episode Art: Guardian of the Night Tarot, Supra Oracle, Mary-El TarotAcknowledgments & Mentions: Aliya & Madeline; Faith, Hope & Carnage, Nick Cave; Die Wise: A Manifesto of Sanity & Soul, Stephen Jenkinson; 36 Secrets, T. Susan Chang; Pholarcos Tarot, Carmen Sorrenti; Blood Moon Tarot, Sam Guay; Dust II Onyx: A Melanated Tarot, Courtney Alexander; Wildwood Tarot; Otherkins Tarot, Siolo Thompson; The Crone & Dark Goddess Tarots, Ellen Lorenzi-Prince; The Carnival at the End of The World Tarot; Mary-El Tarot, Mary White; Blank Ink Tarot, Evvin Marin; Ghosts & Spirits Tarot, Lisa Hunt; Medicine Woman Tarot, Carol BridgesDisclaimer: Passages may be truncated or modified.8th House Healers Podcast is Eliza Harris and Sarah Cole-McCarthy. All rights reserved. Find us on Instagram and Eliza's Tarot in her Etsy shop. We'd love to hear from you! Send your questions, comments & suggestions to us at: 8thhousehealers@gmail.com. Podcast cover photography, ‘The Lovers', by Eliza/Esmerlize (esmerlize.com). Original podcast theme music, ‘Languid Stars', by Dylan McCarthy (dylanmccarthymusic.com).Support this show http://supporter.acast.com/8th-house-healers. Hosted on Acast. See acast.com/privacy for more information.

Fun, Fear, & Facilitation returns with host Logan Briggs as he has a conversation about "fear" with special guest Lisa Hunt. (Disclaimer: This episode mentions a climbing activity involving blindfolds. DO NOT ATTEMPT THIS.)

- In alignment with the global observance of World Breastfeeding Week from August 1st to 7th, Saint Lucia is extending its celebration throughout the entire month of August. To mark this important observance, the Ministry has organized a series of educational sessions and workshops at Wellness Centres Island wide.   This year's theme, “Closing the Gap: Breastfeeding Support for All,” underscores the Ministry of Health, Wellness and Elderly Affairs' steadfast commitment to promoting and supporting breastfeeding across the island.   Chief Nutritionist, Lisa Hunt, highlights the essential role of healthcare professionals in providing personalized support and information to breastfeeding mothers, “The doctor can provide help and advice to mothers on how to feed their babies. They can educate them on how breastfeeding can protect them and their babies from some health risks. Doctors can also inform pregnant women about what to expect and encourage them to seek assistance as needed. Nutritionists and dietitians can support breastfeeding by advising mothers on healthy food choices to help fuel milk production, while the nurse can provide information, guidance and support the mother during her breastfeeding journey. ”   The events aim to empower breastfeeding mothers and spotlight the extensive support systems available to them, from healthcare professionals to community support groups.   The Ministry encourages community members to support breastfeeding mothers. Whether through words of encouragement, providing a comfortable space for breastfeeding, or sharing educational resources, every effort counts in making Saint Lucia a supportive environment for breastfeeding.   Breastfeeding has profound benefits, not only nurturing the bond between mother and child but also enhancing the health of both. It reduces the risk of several diseases in children and mothers alike and has been proven to be associated with higher intelligence scores in children.

In this podcast episode, Lisa Hunt, a member of WealthBuilders since December 2022, shares her journey with WealthBuilders and network marketing, specifically with a company called Arbonne.She joined WealthBuilders with her husband, Tim, to build recurring income streams, a concept she was familiar with due to her background in network marketing and her husband's background in freelance contracting.Lisa highlights the educational curve and mindset shift they experienced in their first year with WealthBuilders.She discusses the importance of building a legacy, reducing financial stress, and creating freedom from being tied to a job. She also dives into her network marketing journey, starting with Arbonne in 2013, driven by her interest in health, wellness, and personal development.Lisa elaborates on the business model of network marketing and how it differs from traditional retail and direct sales, emphasising the importance of selling quality products and building a team to generate recurring income.She addresses common misconceptions about network marketing, particularly the stigma associated with pyramid schemes, and explains how legitimate network marketing companies focus on product sales and offer equitable compensation plans.Throughout the podcast, Lisa shares her personal growth, the supportive community within network marketing, and how the skills and mindset she developed have positively impacted other areas of her life.She touches on the challenges and rewards of building a network marketing business, the importance of product passion, and the need for due diligence when choosing a company.Lisa also discusses her income trajectory with Arbonne, the impact of the pandemic on her business, and her aspirations for the future.She highlights the benefits of multiple income streams and the support received from WealthBuilders and her mentor, Manish, in achieving her financial goals.Overall, the episode focuses on the journey of personal and financial growth through network marketing and the support systems provided by WealthBuilders.Resources In This Episode:>> Arbonne [Website]Next Steps On Your Wealth Building Journey:>> Join the WealthBuilders Facebook Community>> Become a member of WealthBuildersIf you have been enjoying listening to WealthTalk - Please Leave Us A Review!

In this conversation, Phil Brown, Lisa Hunt, and Chris Ortiz discuss the TV show 'The Bear' and its connections to the book 'The Power of Moments' by Chip and Dan Heath. They explore the key concepts of elevation, pride, insight, and connection, and how these concepts are reflected in the show and their work as facilitators. They also discuss the importance of recognizing and valuing others, the power of small gestures, and the role of charisma and sociability in building connections. The four key concepts are summarized below;   Elevation: This concept refers to moments that rise above the routine, mundane experiences of everyday life. These are the moments that make us feel lifted, inspired, or transformed. Elevation moments often involve surprise, joy, or awe, leaving a lasting impact on individuals. Pride: Pride moments are those in which individuals feel a sense of accomplishment, recognition, or validation for their efforts. These moments are characterized by a feeling of mastery, competence, or success. They often involve overcoming challenges or obstacles, leading to a boost in self-esteem and motivation. Insight: Insight moments occur when individuals gain a new understanding, perspective, or realization about themselves, others, or the world around them. These moments often come from moments of clarity, reflection, or learning, leading to personal growth, development, or transformation. Connection: Connection moments involve deepening relationships, fostering empathy, or strengthening bonds between individuals. These moments can arise from shared experiences, acts of kindness, or moments of vulnerability, leading to a sense of belonging, trust, and intimacy. Takeaways The TV show 'The Bear' provides examples of powerful moments that can be created intentionally. The concepts of elevation, pride, insight, and connection from 'The Power of Moments' book can be applied to both the show and facilitation work. Recognizing and valuing others is important in creating moments of pride. Breaking the script and creating unexpected experiences can elevate moments and engage participants. Building connections and practicing sociability are essential for effective facilitation. Contact us; Email - podcast@high5adventure.org Instagram - @verticalplaypen Music and sound effects - epidemicsound.com  

In this episode we remember and celebrate creative life of Lisa Hunt. Lisa was a graphic artist and designer. She shares her creative journey and the influences that sparked her interest in art. From her childhood experiences with her mother and aunt, to studying graphic design at Pratt Institute, to working in magazine publishing, Lisa's career was been a series of explorations and reinventions. She eventually embraced her identity as an artist and began creating screen prints and collages. Lisa's story highlights the importance of following one's interests and allowing oneself to stumble and define their own path. 00:55 Early Influences and Interest in Art 07:25 Art School and Pursuing Graphic Design 09:45 Career in Graphic Design and Magazine Publishing 13:05 Transition to Freelancing and Exploring Different Creative Paths 24:23 Transition to Full-Time Artist 28:00 Exploring Printmaking and Pattern 37:25 Promoting Artistic Work and Collaboration

The fallout from last night's Charleston City Council meeting. Councilman Larry Moore is here, plus Ashley Alford-Glance from the Putnam County Chamber of Commerce on their upcoming Dress For Success event and more on this weekend's West Virginia Auto Shoe.

In this episode, we explore the art of balancing group dynamics and safety when belaying on a ropes course while also respecting the participants awareness of tasks that are purely for behavior management. Notes from Lisa Hunt.  This exchange happened somewhere back around 2001, and I wrote it up shortly thereafter with Ken's input: The question of how to engage the most number of students at a time on a challenge course is one that is often raised in workshops.  A common approach is involving people (students) in the tasks of operations to “keep them busy.”  Years ago, my co-leader during a workshop differentiated  these tasks as “real jobs” and “fake jobs,” and challenged participants to consider the implications of both on student behavior and growth, as well as program quality over all.    That co-leader is Ken Demas,  Veteran Physical Education teacher, former Project Adventure Trainer, coach, Board Chair at NYSAHPERD, Coordinator of Adventure and an Associate Prof. at Hofstra University  – an important mentor to me.  That conversation has come with me to so many subsequent workshops, and I wanted to go back to the source to hear more about Ken's experience and thoughts.  He has generously expanded this question here:  Fake Jobs—Real Jobs: As you may recall, one of the things I did for about 16-17 years, was to act as a consultant for NY Insurance Reciprocal.  One of the adventure cases I reviewed involved too many spotters, not too few. In an effort to involve more students at low elements, teachers would over involve students in spotting jobs.  One case in particular occurred at the rear of the “Wall”. The teacher had used it as the culminating activity for the low element portion of the adventure unit. Because the entire class was involved, the teacher had placed 6 spotters at the ladder at the rear of the Wall.  When a student started to descend, she missed the step and fell backwards. Everyone was responsible and at the same time no one was responsible. No one moved. Too crowded?? Not engaged?? Not important enough?? Too many involved and therefore not a REAL JOB.  Students need to be invested in the job. See a real need for it.  Understand that what they are doing is important to the success and safety of the individual or individuals involve.  Too many spotters diminishes the significance of what they are doing.   With this concept in mind, we fall into the same problem when we assemble a belay team.  A belayer, a back-up and when needed, an anchor should be more than adequate to manage a climber.  My least favorite bogus job is that of rope tender. I fully understand that it might look like a real job, but the kids know it is not.  Has anyone taught the rope handler how to coil the rope or flake it out so that when the climber descends it does not foul in the hands of the belayer?  Probably not. Couldn't the back-up do this job if taught properly? The use of the Australian Back-up Belay involve kids in Real Jobs.  The facilitator as a ropes course manager, can engage more students in a meaningful way.  Properly trained belayers can determine whether or not the need an anchor. What weight differential is needed?  How does their position, whether near or far, alter the shear on the belay system and therefore alter resistance.  Make the job more than that of a counter weight. When the manager has competently train belayers, they have the opportunity to open more activities and thus engage more students.  A good technique I used, required that student to make journal entries right after completing a climb.  Belayers were also encouraged to make entries during class. Course design should be considered.  I mixed Australian with traditional belays.  Grigri set-up with competent kids and teams and I would belay Pamper pole events.  I was always positioned to see and control whichever elements were being used. Some folks might find this overwhelming.  But, my department at the middle school found that it worked. Note from Lisa: Ken Demas passed away in May of 2017.  He was a “once in a lifetime” kind of mentor.  At his memorial service, I met so many people who saw him in that same light.  He is deeply missed, and his adventuresome spirit and his questions of me continue to help me grow.  Music and Sound effects - epidemicsound.com Intro music - I've Found My Way by Hallman   Bridge music - This is the Right Time by Orjan Karlsson    

Hi, Welcome to the What I've Learnt podcastI am Luke, one of the producers for the show. As a producer I love our  work and helping Deborah and our team share so many wonderful stories.From food to fashion and art to music we've got you covered.In this episode, we are doing something special. As the end of the year is fastly approaching, we thought that we would highlight and showcase some of our favourite performers's from earlier in the year...Featured with in this episode are:Lisa Hunt is a Byron Bay based Soul singer and has performed with the likes of Pavarotti, Andrea Bocelli, Ray Charles, Eric Clapton, James Brown, Joe Cocker, Miles Davis, Macy Gray, Tina Turner, Bryan May, and the cranberries Dolores O'Riordan.Lisa Bolte: She danced with The Australian Ballet Company, 1986-2002, 2005-2007 and was promoted to Principal Artist by the revered Artistic Director, Maina Gielgud in 1993. Highlights with The Australian Ballet have included performing principal roles from the entire classical repertoire including Swan Lake, The Sleeping Beauty, Giselle, Romeo & Juliet, LaSylphide, Raymonda, Don Quixote, Manon, Anna Karenina, Etudes, Copellia, The Merry Widow, Onegin and Theme and Variations.Kim Krejus & Sigrid Thornton:  Kim Krejus is the Director of 16th Street Actors studio has brought some of the world's most renowned acting coaches and directors, here including Leonardo Di Caprio's acting coach, Larry Moss, Bradley Cooper's acting coach, Elizabeth Kemp and lan Rickson who directed Hugh Jackman on Broadway.Sigrid Thornton, stellar much loved actor, now starring in her new role in the Chekhov classic The Seagull at the STC. Known for work in television shows like Seachange (1998 - 2019) and Wentworth (2016 - 2018), as well as film apperences in the films Snapshot (1979) and The Man From Snowy River (1982) and many more works.Deborah's Instagram: https://www.instagram.com/what.ive.learnt/Mind, Film and Publishing: https://www.mindfilmandpublishing.com/Apple Podcast: https://podcasts.apple.com/au/podcast/what-ive-learnt/id153556330Spotify: https://open.spotify.com/show/3TQjCspxcrSi4yw2YugxBkBuzzsprout: https://www.buzzsprout.com/1365850

Welcome back to This is How We Create. My name is Martine Severin your host. I'm excited to welcome Lisa Hunt is artist and designer. Lisa has had a wide-ranging career as a creative, from doing work as a graphic designer, to becoming a magazine editor credits her aunts and mom in sparking her interests in art and in creating. In art school she sharpened her interests and while there took screen printing as an elective. Lisa says that during that time in her life, “I allowed myself to stumble and find what I was interested in.” Later that screen printing class would influence the work she would create as an artist waay down the line. Boy, did I love hearing about Lisa's life and about why she made the decisions she made to get to where she is today. I could have talked to her for ages. I hope you enjoy this conversation as much as I do! Get in touch with Lisa: https://www.lisahuntcreative.com/ https://www.instagram.com/creativehunt/?hl=en Keep up with your host Martine Severin https://martineseverin.com/ Follow This Is How We Create on IG. https://www.instagram.com/thisishowwecreate_/ Follow Martine on Instagram: https://www.instagram.com/martine.severin/ This is How We Create is produced by Martine Severin and edited by Ray Abercrombie.

How can we create psychologically safe learning environments for our participants? In Part 1 of this 2 part episode, Phil, Lisa Hunt and Romy Alexandra discuss; - What is a psychologically safe learning environment? - How, using 4 animals, you can identify the needs of your group - Role-modeling vulnerability and asking for feedback during a program. Connect with Romy - romy@romy-alexandra.com Learn more about Romy - http://www.romy-alexandra.com/

The training team gather to discuss; - Facilitating a 1-day challenge course experience - Facilitating a multi-day challenge course experience - Advice on challenge course programming How to contact us: Phil Brown - pbrown@high5adventure.org OR @verticalplaypen on Instagram Chris Damboise - cdamboise@high5adventure.org Lisa Hunt - lhunt@high5adventure.org Hanne Bailey - hbailey@high5adventure.org Rich Keegan - rkeegan@high5adventure.org

Hi, Welcome to the What I've Learnt podcastI am Luke, one of the producers for the show. As a producer I live my work and helping Deborah and our team share so many wonderful stories.From food to fashion and art to music we've got you covered.In this episode, we are highlighting some of our favourite moments from this past March..Featured with in this episode are:Janice Breen Burns is a highly respected fashion journalist, editor and features writer of more than 30 years experience in metro daily newspapers and more recently, digital media. Lisa Hunt is a Byron Bay based Soul singer and has performed with the likes of Pavarotti, Andrea Bocelli, Ray Charles, Eric Clapton, James Brown, Joe Cocker, Miles Davis, Macy Gray, Tina Turner, Bryan May, and the cranberries Dolores O'Riordan. Dr. Lynne Burmeister is the owner and Medical Director at No. 1 Fertility with the goal to  provide the best patient care and fertility treatment at an affordable cost.  So, sit back, relax and enjoy.

In this episode, the Training team discuss; - Training and preparing your participants to belay - Your role during this process - Advice on ensuring you and your participants are ready to belay How to contact us: Phil Brown - pbrown@high5adventure.org OR @verticalplaypen on Instagram Chris Damboise - cdamboise@high5adventure.org Lisa Hunt - lhunt@high5adventure.org Hanne Bailey - hbailey@high5adventure.org Rich Keegan - rkeegan@high5adventure.org Join the Training Team!! - https://high5adventure.org/job/full-time-adventure-educator-trainer/  

Byron Bay based Soul singer Lisa Hunt has performed with Pavarotti, Andrea Bocelli, Ray Charles, Eric Clapton, James Brown, Joe Cocker, Miles Davis, Macy Gray, Tina Turner, Bryan May, and the cranberries Dolores O'Riordan.Hunt achieved fame and relative success in Italy, where she has been credited as "one of the most incredible voices of the past years.”In Italy, she is said to have performed one of the most intense interpretations of John Lennons "Imagine".Lisa began singing in that great African American tradition, the gospel church, which laid the foundation of her soulful singing style. She went on to study voice at The City College of New York where she received a BFA in music. Her debut album was ' A Little Piece Of Magic' for Universal/Polydor. She has had songs on numerous compilations around the globe, both as singer and songwriter and has sold more than a million records. As the rivers rise in Qld and NSW with worst floods in 500 years in that region Lisa's hometown of Byron Bay has been swamped literally as mother earns deluge soaks the Northern Rivers region. All her equipment and possessions are in a shed bordering the great river which has swollen while she waits it out on the Gold Coast. Her concert in Twead Heads is likely cancelled band members stuck in Mullumbimby and all this after two years of Covid .. we get real about humility in the face of nature, meditation and the power of music.

Episode 90: Paranormal & Paranoid News #22 - Holly considers dating the dead, reveals the origins of Michael Jackson's “Smooth Criminal” and goes searching for the mysterious Ogua River Monster. Credits: Watch: Eerie Viral Video Shows 'Ghost' Removing Collar From Dog's Neck | "I'm in love with a ghost": woman claims to be in a relationship with a ghost | Scooby Doo Dogs | The Immortal Woman Who Saved Millions Of Lives | Answers With Joe  | How a girl's 'death mask' from the 1800s became the face of CPR dolls  | Fishermen spot river monster in the West Fork River – Paranormal W.Va.  | Paranormal W.Va: The Ogua MonsterTarot Decks: The Ghost Tarot by Lisa Hunt and Tarot of the Divine by Yoshi Yoshitani 

Dr. Janet Patterson, Research Speech-Language Pathologist at the VA Northern California Healthcare System, speaks with Rob Cavanaugh of the University of Pittsburgh, about dosage in delivering aphasia treatments, and about the difference between dosage in research settings and dosage in clinical settings.       In today's episode you will hear about: The concept of voltage drop, its definition, and how it applies to aphasia rehabilitation, Opportunity cost and factors that affect the ability to deliver a treatment protocol with fidelity to the research evidence, and Mindful clinical decision-making to assure delivery of the best and most efficient treatment possible within existing clinical parameters.     Janet Patterson: Welcome to this edition of Aphasia Access Podversations, a series of conversations about community aphasia programs that follow the LPAA model. My name is Janet Patterson, and I am a Research Speech-Language Pathologist at the VA Northern California Healthcare System in Martinez, California. Today I am delighted to be speaking with my friend and an excellent researcher, Rob Cavanaugh, from the University of Pittsburgh. Rob and I have had several conversations about aspects of aphasia rehabilitation, beginning when he was a Student Fellow in the Academy of Neurologic Communication Disorders and Sciences. Our conversation today centers on a topic we both have been thinking about, dosage and aphasia treatment.    As Rob and I start this podcast, I want to give you a quick reminder that this year we are sharing episodes that highlight at least one of the gap areas in aphasia care identified in the Aphasia Access White Paper, authored by Dr. Nina Simmons-Mackie. For more information on this White Paper, check out Podversations Episode 62 with Dr. Liz Hoover, as she describes these 10 gap areas, or go to the Aphasia Access website.    This episode with Rob Cavanaugh focuses on gap area 4 - Insufficient intensity of aphasia intervention across the continuum of care. Treatment intensity is not a singular concept, but rather has several components to it, including decisions about dosage. Much has been written about intensity in aphasia rehabilitation, however, as yet there is no clear and convincing argument about what, exactly, is the best intensity for delivering an aphasia treatment to an individual with aphasia. I hope our conversation today can begin to shed some light on this topic.    Rob Cavanaugh is a third year Ph.D. candidate in the Department of Communication Sciences and Disorders at the University of Pittsburgh. Before moving to Pittsburgh, he worked as a clinical speech-language pathologist in Charlotte, North Carolina, in outpatient and inpatient rehabilitation settings. His research interests focus on identifying implementation gaps in aphasia rehabilitation, improving patient access to therapy services through technology, improving treatment outcomes, and advancing statistical methods used in aphasia research. Rob received his master's degree in Speech and Hearing Sciences from the University of North Carolina at Chapel Hill. He is currently doing interesting work at Pitt, and I look forward to our conversations, Rob, today and in the future. Welcome, Rob to Aphasia Access Podversations.   Rob Cavanaugh: Thanks Janet, it's great to be here, and I'm really excited to talk about dosage and aphasia treatment.    Janet: Great! I think the only thing I'm going to have to worry about Rob, is keeping us contained because we could probably talk for days on this subject, and our listeners would get tired of hearing us.    Rob: That is definitely true.   Janet: Today, as I said, Rob, I'd like to talk to you about dosage and aphasia treatment.  You and your colleagues recently published a paper in AJSLP that compared dosage in research papers and dosage in clinical practice. The team did great work, and I think it's an impressive paper. As we try to create an effective and efficient treatment program for our clients with aphasia, one of the elements we consider is dosage of the treatment we select. Simply defined, dosage can be thought of as the amount of treatment provided at one time, how often that treatment is provided, and the length of time the treatment lasts. We sometimes hear the terms session length, frequency and duration. Would you agree with that definition, Rob?    Rob: Thanks, Janet. I'm really excited about this work, and I want to take a minute to acknowledge the research team on this project before we really get into dosage because it really was a big team effort. Christina Kravetz is a clinical speech language pathologist here in Pittsburgh, Yina Quique, who is now a postdoctoral fellow at Northwestern, Lily Jarold who is now working on her clinical master's degree at the University of South Carolina, and Brandon Nguy who I think you had on an Aphasia Access Podversations a couple weeks ago to talk about his presentation and some of his work analyzing demographic trends in these data. I should also acknowledge our funding sources, which include the School of Health and Rehabilitation Sciences here at Pitt, and the National Center for Advancing Translational Sciences.   I think that's a good definition to get us started talking about dosage. We know that the amount of treatment is most often reported in terms of time, how many minutes in a treatment session, or how often sessions occur, or how many total sessions are there. But perhaps I can add one more dimension to our discussion about dosage, which is that it's not just how much treatment occurs in terms of time, but also what the treatment is made up of, what are the activities that we're doing within the treatment? How many times do we do them in a session? Or how many times do we do the activities per hour of treatment? As much as I'd like to think of dosage and aphasia treatment as an analogy to taking an antibiotic, such as when you have strep throat or some infection, you take 250 milligrams twice a week for two weeks. Dosage in aphasia rehabilitation is probably not that straightforward, right? Our treatments are complex and holistic and answering questions like how much of something gets really tricky really quickly.   Janet: I can imagine, and you know, when we first started talking about dosage several years ago, people used exactly that analogy. It's hard to appreciate that analogy because therapy is not this little unit of a pill or a tablet, it's a complex interaction between people. When we think about dosage, sometimes as clinicians we can decide dosage for our treatment, but sometimes it may be imposed upon us by an external source, such as our workplace or healthcare funder. And while it's important that we take guidance from the literature to determine dosage, I am not sure that that always happens. Rob, you are both an aphasia clinician and an aphasia researcher, how did you get interested in thinking about dosage as it relates to aphasia treatment?   Rob: I am a clinician by training, and that's really the viewpoint with which I started. Like you mentioned, I worked primarily in outpatient rehab settings, where most of the individuals who came into our clinic were home from the hospital, and they were working to recover from a recent stroke or traumatic brain injury or brain cancer, or some similar life-changing event. I think you're right, that practical dosage in a clinical setting like this is some combination of the clinical decision-making that we do as expert speech-language pathologists, and then all of these real-world constraints around us such as insurance, clinician availability, or the client's ability get to the clinic on a regular basis. I was fortunate to have excellent mentors and I'm going to acknowledge them. MaryBeth Kerstein, and Lisa Hunt and Missy Davis at Carolinas Rehab, were expert clinicians for me as a novice coming in. They really knew how to navigate their clinic, what they wanted to do from a clinical standpoint, and then what they were looking at in the insurance paperwork, and what to do when the patient said, “Well, I can only get here once a week”. My interest in dosage really comes from the perspective of, I've got this treatment, and it requires a lot of dosage and I want to fit it into a very narrow window of time. As a clinician you're grateful to have twice weekly sessions for six or eight weeks, and then you read a treatment study and it said that it provided treatment for 20 or 30, or even 60 hours. That's really hard to do in practice. So you know, we want to be confident that if I'm going to go with a treatment, if I'm going to choose it, I'm not wasting someone's time because I don't have enough of it for the treatment to be effective. And I'm also not wasting time by doing too much of it.   Janet: That's so important to think about Rob. You also mentioned something else, patient characteristics. Can an individual get to the clinic as much as they need to? Are they motivated to participate in this treatment? Those pieces must factor into your decision as well.   Rob: Sure, and you know, I think about some of our really high intensity treatments. Here at the Pittsburgh VA, we recently completed an ongoing study of semantic feature analysis which provides 60 hours of SFA. That's a lot of time to be doing a single treatment and so certainly motivation is a really important piece that we have to fit into the conversation about dosage.   Janet: As an aside, I'm sure you know, we're doing some investigation into motivation and what it means and how it works and how we can best use it in treatment, but it certainly is part of the decisions that you make when you when you select a treatment. I am glad that you're thinking about these pieces, because they're all focused on getting the most effective, efficient treatment that we can for a patient, and you're right, not wasting time or resources.    In your recent publication, Rob, you approach the topic of treatment dosage by identifying the gap between the dosage reported in research studies and the dosage used in clinical practice. By the way, the link to that paper is at the end of these Show Notes. It appeared in AJSLP so our listeners can access that paper and read your work for themselves. In that paper, you and your colleagues use the term voltage drop to describe this difference between research and clinical application. Will you explain the term voltage drop to us and describe how you see its relevance to aphasia treatment?   Rob: Sure, so voltage drop is this idea that when you take an intervention that worked in a controlled research setting, and we saw some good results, and then you implemented that scale in the real world. You give it to clinicians and while they might use it in their clinical practice, there can be a reduction in how effective that intervention is, right? The real world is messy, it's often hard to implement the research protocol with high fidelity, or there are good reasons to alter the protocol for individual situations, but we don't know how those alterations might affect the outcomes – this is voltage drop. This idea has been around in the implementation science literature for quite some time. I actually first heard this term on another podcast called Freakonomics, which is very different from what we're talking about today. It was in the context of how do you scale up social interventions like universal pre-kindergarten, and the challenges that come with finding something that works in one situation and trying to bring it to the whole country? And I thought, “Oh, this is exactly what I've been worrying about in our clinical practice world.” How do we take something that works in a small, controlled setting and make it work in larger settings throughout the country, in clinical settings? The term voltage drop seemed like a great way to motivate the conversation in our paper about dosage. If we can't implement the same dosage in clinical practice that we see in research, we could see a voltage drop in our treatment effectiveness for people with aphasia.   Janet: Right. I like that that term. Rob, as I was listening to you talk about this term voltage drop, it reminded me of phases in research, where you start out by demonstrating that the technique works in a research environment, and then moving it to a clinical environment to see exactly how it does work. I also thought about how we as clinicians need to be mindful that when we implement a treatment, if we can't meet the conditions in the research treatment, if we aren't taking into consideration this potential voltage drop as we implement treatment, we may not be doing the best job for patients. Does that make sense to you?   Rob: Yeah, I think it's a really hard balance as a clinician. You might have treatment which you feel like would be particularly helpful for someone. But the literature says this treatment has been implemented for 30 or 40 or 60 hours in the research lab and you're looking at the paperwork for this person which says that they have 20 visits, and you're wondering how you're going to make that work? Should you use a different treatment that doesn't seem to have as much dosage in the literature, or should you try to fit that treatment into what you have with that person? I think those are questions we don't have good answers to yet and clinicians struggle with all the time.   Janet: Which leads me to my next question for you. As clinicians recognizing the situation, how should we use this concept of voltage drop as we determine an individual's candidacy for a particular aphasia treatment technique, and determine treatment dosage in our own clinical settings? That's a loaded question, by the way!   Rob: That's a great question. I think this area of research has a long way to go before we really have any definitive answers. I think this idea of voltage drop right now perhaps is just something that can play a role in our clinical decision-making process when we go about implementing the aphasia treatment literature with our clients on a daily basis. For example, we often deviate from the evidence base in ways we think will improve our treatment outcomes, right? We personalize our treatment targets so that they're motivating and relevant for our client's goals. We might integrate multiple treatment approaches together or provide two complimentary approaches at the same time to address multiple goals. These adjustments reduce how closely our practice matches the evidence base for a treatment, but hopefully they improve the outcomes. On the other hand, we often have to make these compromises that we're talking about and deviate from published protocols because of practical constraints in ways that could reduce effectiveness. Not being able to even approximate a published treatment's dosage because of insurance or clinician availability or transportation has the potential to reduce treatment effectiveness. I think these factors probably should play a role in whether or not we choose a particular treatment approach. Maybe we use the difference in the published dosage versus what face to face time we know we're going to have to make a determination about how much home practice we suggest the person do. Or maybe we say there's just too big of a difference in what I know I can do with this person, and I need to think about other treatment options.    I'd also like to add maybe an important caveat here, which is that I don't know of any aphasia treatment, and I would love for somebody to email me and tell me what study I haven't read yet, but I don't know of any literature that has established an optimal dosage for even an average person with aphasia, and certainly none that say if you see a person with aphasia with a certain profile you need to provide at least X minutes of this treatment for it to be effective. Most of our evidence base tells us about the average effect size across participants for a single dosage. And it's really hard to extrapolate this information to make decisions about an individual person with aphasia.   Janet: I think you're absolutely right, Rob. I have not read a paper about optimal dosage for any kind of a treatment either. And one of the things that I was thinking about as you were talking is that I want to assure clinicians that we're in a messy world here trying to figure out dosage and intensity. I want clinicians to be able to continue to walk through their clinical decision-making without trying to figure out how all these pieces fit together in treatment. The words that came to my mind, as you were talking about strategies that clinicians might use as they decide whether they want to use a particular treatment or not, is mindful clinical decision-making. If you choose a treatment knowing that you cannot deliver the number of sessions that are listed in the research literature, then what are you balancing or what are you giving up in order to implement that treatment? It's mindful decision-making, as you apply a treatment. Does that make any kind of sense to you in terms of looking at dosage?   Rob: Yep. I think that makes a lot of sense. It brings up this idea to me of opportunity cost, right? Imagine a decision tree of things or directions you could go as a clinician, and every branch of that tree that you could take means that you don't get to take the other branch. This could be a paralyzing decision-making process if you try to incorporate too much, but maybe dosage is one of those key elements that you say, “I'm going to prioritize, making sure dosage is at least approximate. Maybe I can't get 30 hours, but I can get close, so I feel confident that's not going to limit my treatment's effectiveness.”   Janet: I think it is important to pay attention to dosage. Don't just proceed with random assumptions about dosage but pay attention to it as you're deciding to implement a treatment.   We've talked a lot about the background and the importance of dosage and mindful clinical decision-making from a clinical perspective. I hope our readers know by this time that that the comments you're making are based in science, so I want to talk for a little bit about your paper in AJSLP, if we can. I mentioned already that the reference is listed below in Show Notes that accompany this podcast, and our listeners can also find it by searching the ASHA publications website, and also your University of Pittsburgh website, on the Communication Sciences and Disorders page and the Language and Cognition Lab page. You have two methods in this paper, analyzing hospital billing data, and also conducting a scoping review of the literature. Without delving too far into the details, will you tell us about these methods and how they allowed you to then examine the research-practice dosage gap?9   Rob:  Sure, I'm happy to summarize. I learned, you know, halfway through this project that I bit off quite a quite a bit of research. It was a pretty large project for me as a doctoral student! Our driving research purpose for this study was to estimate how well the typical dosage that was provided in clinical practice approximated what was provided in the research literature. There are two elements here, what's typical in clinical practice and what's typical in research. In particular, I was interested in outpatient clinical practice, because this is often the last stop in our rehabilitation medical model for people with aphasia, and it's where my clinical experiences had mostly been. To estimate dosage in clinical practice, we looked at billing data from a large regional provider in western Pennsylvania. Every time an SLP sees a client they have to bill a specific code to the insurance company for that visit. These codes are attached the electronic medical record and we were able to use resources in Pitt's Department of Bioinformatics to extract these billing codes. We counted them all up for people with a diagnosis of stroke and aphasia who were seen by a speech-language pathologist. We looked to see how many were there? How often do they occur? Over how many weeks did they occur? We don't, of course, know the extent to which these specific providers match the rest of the US or certainly not international clinics, but we felt like this was a good start, given the lack of information in the literature.    Then on the research side, we wanted to estimate the typical dosage for studies that had been published recently. If we looked back 30 years, we'd probably still be reading research articles, so we used a scoping review format because our research question was really focused broadly on dosage rather than the specific study designs, the quality of the studies, or the outcomes, we just wanted an estimate of the dose. I have to give a shout out here to Rose Turner, the librarian on our team at Pitt, who guided this aspect of the study, I strongly recommend anyone use a librarian for reviews like this, we could not have done it without her. We started with over 4500 study records which matched our search terms and we whittled them down to 300 articles.   Janet: That's a lot of work, Rob.    Rob: It was definitely a lot and I will say we have a team, right? This was not me, this was a team effort. We ended up with about 300 articles, which essentially describe the aphasia treatment literature over the past 10 years or so. These were not studies that were provided in the hospital, these are mostly community-based treatment studies. They didn't have any extras, like the people receiving treatment weren't also receiving a specific medication or some kind of brain stimulation, it was just behavioral treatment. We pulled the dosage out of these studies and then we compared them to what we found from our billing data.   Janet: I read the paper a few times, and I'm not unfamiliar with a scoping review or with gathering data from clinical records. I found myself as I was reading that paper thinking this must have taken you years and years and years, which of course, I know it didn't, but your team really has, I think, produced a great paper that is going to be a good foundation for us to think about dosage.   That's a wonderful summary of the methods you used and anybody who reads your paper will appreciate the summary that you just gave. What messages did you glean from the data that you collected? I am thinking of the specific research conclusions, and also messages that maybe might help us as clinicians?   Rob: Sure, so I don't think it's a surprise to any clinician out there that there was a meaningful gap in dosage between the research studies we looked at and the billing data. This was particularly true for the number of treatment hours. Research studies provided on average about 12 more hours of treatment than we found in the clinical billing data. That's per episode of care. Think about a person who comes into the clinic, has an evaluation, receives a number of treatment sessions, and is discharged. On average, that episode of care has about 12 hours less than your typical research study. This largely confirmed our hypothesis going in that we would see a gap here. Interestingly, clinical practice seemed to provide treatment over a longer period of time. The total number of weeks was longer than what was typically done in research studies. You might take a conclusion away that in at least outpatient clinical practice, treatment might be a little bit more distributed over time and less intensive than treatment provided in our research literature.    I think it's important to highlight that this is a really rough comparison of dosage, right? Billing data are not really specific to the clinician patient interaction. It's just the code that the clinician punches into their software when they're done. We've glanced over some important aspects here that we just weren't able to look at. For example, dose form, or how many times each element of a treatment was completed, is not something our study was able to look at. These are some of the most important aspects of treatment, and what I try to do as a clinician, such as goal setting, and counseling and education, the time working on our communication goals outside of impairment focused tasks. Those elements aren't often part of treatment studies, but they're absolutely part of clinical practice, and they take a lot of time. That's an unaccounted-for difference that could mean that we've underestimated this gap and dosage. On the other hand, clinicians often assign home practice; we work on something in the face-to-face session and then I say, great, you've done an amazing job, I want you to practice this 20 minutes a day until the next time you come in, something like that. We didn't have a way of tracking home practice in our study. Perhaps home practice is an effective way of making up this dosage gap. But we're not able to understand what role it might play based on these data.   Janet: I think you're right about that, and it makes a whole lot of sense. This is a start in our direction of trying to really understand more carefully what dosage means. Does it mean this large thing? Does it mean very specifically, how many times are we delivering the active ingredient in a specific therapy? There's so much more that we need to know, and I think you have figured out by now that I think dosage matters, I think it matters a lot. I think it matters a lot more than we've ever really paid attention to. I know also, and you've certainly described this, every day in clinical practice we make decisions about an individual's candidacy for rehabilitation, including that what we think as clinicians is the best match between a treatment, a patient's personal and aphasia characteristics that they bring to the rehabilitation enterprise, and the likelihood of an optimal outcome. If we get it wrong, because of a mismatch in dosage, we may not successfully translate research into practice, and we may not make that much of a difference in our patient's life, or at least we may not make as much difference as we hope to. In the case of a potential mismatch, how do you see that affecting our clients, their families, and our healthcare system, because we do have to think about all of these pieces of the aphasia rehabilitation enterprise.     Rob: I think you're right you know, this is just a start. When I started my doctoral program at Pitt Dr. Evans and I were working on grants, and we would always write a statement like, treatment services are limited, and then I'd go try to find the citation for that line, and it's hard to find. Dr. Simmons-Mackie's White Paper is fantastic and provides a little bit of evidence to that regard but there aren't a lot of numbers. So, I think you're right that this is not the end of the story, I'm hopeful this study is a start. I think if you buy into this idea that too much of a gap in dosage could result in voltage drop in our treatment effectiveness and poor outcomes, I'm concerned that our ability to help people with aphasia and their families recover and adjust and thrive with their new reality is diminished in real world clinical practice. That's a big concern for me, and that's the reason that I am a speech-language pathologist and working with people with aphasia. I think that's something we need to understand better as a field. I'm also aware that when somebody decides to come to treatment, they're dedicating time and energy to themselves and trusting us as clinicians that we know how to best use their time and energy. The time spent coming into the clinic or doing home practice could just as easily be spent with family or friends or in other fulfilling activities, so I want to be respectful of their time.    With regard to how this could affect our health care system, I don't know that I have a great answer for you. Sometimes I wonder whether the current medical model is really a good fit for chronic conditions like aphasia. The gap in dosage might just be one manifestation of the challenges that clients and families and clinicians face every day, in figuring out how to make affordable and effective and motivating treatment options available for people long term. That's got to be a priority for us moving forward, because I'm not sure that our current model really fills that need.   Janet: Rob, I agree with you on that, and I'm thrilled that you and your colleagues are making this initial attempt to try to figure out how we can best match the treatment and the clients in terms of dosage, to achieve the optimal outcome that we possibly can.   You know, Rob, that I think that this conversation is fascinating, and we could talk all day. My belief is you and your team have just scratched the surface about treatment delivery information that we must be mindful of, in both our research and our clinical practice. A lot today that we've talked about really relates to clinical practice, but I imagine there are just as many thoughts or concerns or cares that we need to take when engaging in a research protocol to evaluate the success of a treatment.    Rob, as we draw this interview to a close, what pearls of wisdom or lessons learned do you have for our listeners, both researchers and clinicians, about dosage and aphasia rehabilitation, bridging the research-practice dosage gap, and reducing the voltage drop as we implement aphasia treatment.   Rob: Yeah, it's a tall order.   I don't think there's a quick fix, certainly, but I I'm going to summarize and expand on some of our recommendations from the paper. One thing that's important, I think, as we move forward is that, as researchers, we need to be really thoughtful about our selection of dose. As you mentioned, with regard to the stage of research, maybe our selection of dosage in early-stage research reflects our underlying research questions and issues of statistical power and funding constraints. For later stage research that's starting to think about clinical outcomes, we need to provide a clear justification for deviating from a dosage that's not attainable in clinical settings. In the same vein, I think as researchers we can do more to provide easily accessible and hopefully free materials to clinicians to facilitate home practice and to augment the limited face-to-face time that clinicians might have with their clients. Software and app development are getting there, and I think they're improving how easy it is to do home practice. To me a treatment study that you want to be out in the real world is only going to be successfully done if you really give clinicians easy access to tools where they can implement it. I know, just like many clinicians know, their time is really limited particularly between seeing patients, and so I don't want to make them do a whole lot of work to implement my intervention.    The second recommendation from our paper is that we need more research on the role of dose. We've talked about one challenge in this line of work, which is that dosage requirements are probably a function of an individual's language profile, almost certainly a function of their individual language profile, and their individual circumstances. If you compare one dose to another in some group trial, it only gives you so much information about what dose is best for a given individual. I think this is a problem our field is going to have to solve. Our lab is working on one solution that we're really excited about, which is to base treatment dosage not on the number of minutes, or how often you see someone, but on their real time performance on individual treatment items, like their ability to produce a specific sentence in script training or name a word, if you give them a picture. Our lab is not really thinking about dosage in terms of treatment time, right now we're thinking about dosage at the item level individually for each person. We're finding some strong preliminary evidence that complex algorithms can tailor item level dosage to real time performance and can make treatment potentially more effective and more efficient in terms of how much we can do in a period of time. But we have a lot more work to do, establishing this in a larger sample size and making sure that it translates well to clinical practice.    This brings me to the last recommendation, which is we need more research that looks at how can we implement our research in clinical practice. I believe there was a paper that came out in AJSLP recently (Roberts et al., 2021) which found that 1% of studies published in the Asha journals were implementation focused. I think that number is too low. We need more implementation-focused research that has contributions from all stakeholders, people with aphasia and their families and clinicians and researchers. It's going to take a team working together to ensure that we can translate our evidence base to clinical practice without voltage drop. I think that's where I would love to see our field headed.    Janet: Rob, I love the recommendations from your paper and the way that you just described them. It's exciting to be in this time in our field, where people like yourself and your team are thinking about the idea that we've got some great therapies, now how do we deliver them in ways that are sensitive to the needs of the clinician and the needs of the client and delivered in a mindful way of clinical decision-making.    Thank you for all of those recommendations and for your work. You're going to do more, right?   Rob: Thank you for having me. Yes, there will be more.   Janet: This is Janet Patterson, and I'm speaking from the VA in Northern California, and along with Aphasia Access, I would like to thank my guest, Rob Cavanaugh, for sharing his knowledge and experiences with us as he and his colleagues investigate treatment parameters, including dosage, in aphasia rehabilitation. We look forward to seeing many additional articles on this topic from Rob and his colleagues.    On behalf of Aphasia Access, we thank you for listening to this episode of The Aphasia Access Conversations Podcast. For more information on Aphasia Access, and to access our growing library of materials, please go to www.aphasiaaccess.org. If you have an idea for a future podcast topic, please email us at info@aphasiaaccess.org. Thank you again for your ongoing support of Aphasia Access.       References and links from this episode:   University of Pittsburgh Department of Communication Sciences and Disorders Language Rehabilitation and Cognition Lab https://lrcl.pitt.edu  @pittlrcl    University of Pittsburgh  Department of Communication Sciences and Disorders @PittCSD      Cavanaugh, R., Kravetz, C., Jarold, L., Quique, Y., Turner, R., & Evans, W. S. (2021). Is There a Research–Practice Dosage Gap in Aphasia Rehabilitation? American Journal of Speech-Language Pathology. https://doi.org/10.1044/2021_AJSLP-20-00257   Roberts, M. Y., Sone, B. J., Zanzinger, K. E., Bloem, M. E., Kulba, K., Schaff, A., Davis, K. C., Reisfeld, N., & Goldstein, H. (2020). Trends in clinical practice research in ASHA journals: 2008–2018. American Journal of Speech-Language Pathology, 29(3), 1629–1639. https://doi.org/10.1044/2020_AJSLP-19-00011

Episode 68: Paranormal & Paranoid News #11 - Carol contemplates the radiant effects of a supernatural face cream, tracks Mothman's current cameo appearances, prepares for the coming swarm of genetically modified mosquitoes, and informs Apple fans of the special camera function hidden in their iPhones. Credits: What makes the iconic Crème de la Mer so expensive? | La Mer – The Estée Lauder Companies Inc. | Creme de la Mer Review With Pictures | 10 Conspiracy Theories About La Mer and Is It Worth It | The Truth About Crème de la Mer |  "Chicago Aviation Department Employee" Reports "Mothman" Sighting at O'Hare International Airport — The Singular Fortean Society | "Shuttle Bus Driver" Reports Sighting of Large, Humanoid "Owl" with "15 to 20" Foot Wingspan over O'Hare International Airport — The Singular Fortean Society | Woman Reports Sighting of "Strange Object in the Sky" over Chicago Loop — The Singular Fortean Society | A Chicago Department of Aviation employee tells of winged humanoid encounter at O'Hare International Airport |  First genetically modified mosquitoes released in US | Florida Releases Genetically Modified Mosquitoes in Hopes to Reduce Spread of Disease | Yes, your phone is taking ‘invisible' pictures of you | Rumble- Your Phone Takes A Picture Of You Every 5 Seconds             Tarot Decks:The Steampunk Tarot by John and Caitlin Matthews and illustrations by Wil KinhanGhost & Spirits Tarot by Lisa Hunt 

Beth Wonson, Author of Mastering Feedback: Everything You've Never Been Told About Giving Feedback, discusses with our guest host, Lisa Hunt, all about how to give feedback, how to receive feedback and strategies that both work and also don't work. Learn more about Navigating Challenging Dialogue here: ncdsolution.com

Episode 64 Paranormal & Paranoid News #9: Carol runs around in circles with sheep, and is recruited to the gang of blue and pink dogs. The Haunted Mansion re-opens in Disneyland with some silent and stinky updates and an alien ship passes gas at a royal funeral. CREDITS: In Portugal, A Strange Boom Blows up 68 Goats! ( https://anomalien.com/in-portugal-a-strange-lightning-strike-blew-up-from-the-inside-68-goats/ ) | Hundreds Of Sheep Stand In Mysterious ‘Crop Circle’ In Field ( https://www.unilad.co.uk/animals/hundreds-of-sheep-stand-in-mysterious-crop-circle-in-field/ ) | Sheep Are Found Frozen In Bizarre Formation ( https://strangesounds.org/2021/04/flock-of-sheep-stand-bizarre-circle-pattern.html ) | Stray Dogs Are Being Found In Russia with Blue and Pink Fur ( https://www.dailymail.co.uk/news/article-9250295/Stray-dogs-turned-bright-BLUE-pollution-chemical-waste-near-Russian-factory.html ) | Russia's Stray Dogs Have Bright Colored Fur! ( https://www.bbc.com/news/world-europe-56129464 ) | Dogs Are Mysteriously Turning Blue and Pink In Russian City ( https://nypost.com/2021/02/22/why-dogs-are-turning-blue-and-pink-in-this-russian-city/ ) | Prince Philip Was Super Into Aliens and UFO's ( https://www.vice.com/en/article/n7bwbm/prince-philip-duke-of-edinburgh-royals-aliens-and-ufos ) | Prince Philip Fascinated with UFOs ( https://pagesix.com/2021/04/13/prince-philip-was-reportedly-fascinated-with-ufos/ ) | TOP 25 QUOTES BY PRINCE PHILIP (of 121) ( https://www.azquotes.com/author/11607-Prince_Philip ) | California Disneyland Re Opens with Conditions ( https://www.businesstimes.com.sg/consumer/california-disneyland-re-opens-but-you-cant-hug-mickey-mouse ) | Fact check: California Roller Coaster Banned Screaming! ( https://www.usatoday.com/story/news/factcheck/2021/03/24/fact-check-california-rollercoaster-riders-not-banned-screaming/4802158001/ ) | Haunted Mansion Home Improvements at Disneyland Park ( https://disneyparks.disney.go.com/blog/2021/04/haunted-mansion-home-improvements-at-disneyland-park/ ) | Disneyland's Haunted Mansion Updates! ( https://www.latimes.com/entertainment-arts/story/2021-04-12/disneyland-reveals-haunted-mansion-updates ) | Lizzie Borden Murder House Sells For $2M ( https://nypost.com/2021/04/05/lizzie-borden-murder-house-sells-for-2m-turned-into-bb/#:~:text=The%20supposedly%20haunted%20former%20home%20of%20Lizzie%20Borden,,it%20as%20an%20operational%20bed-and-breakfast%20for%20brave%20tourists ) | The Lizzie Borden House Is Currently Being Sold to the Owner of US Ghost Adventures ( https://www.housebeautiful.com/lifestyle/a36028092/lizzie-borden-house-us-ghost-adventures-lance-zaal/ ) | Former Director of National Intelligence Teases Blockbuster UFO Report ( https://www.vice.com/en/article/3an3b8/former-director-of-national-intelligence-teases-blockbuster-ufo-report ) Tarot Cards: Ghosts and Spirits Tarot by Lisa Hunt ( http://ghostsandspiritstarot.com ) and Zombie Tarot Oracle Deck ( https://smile.amazon.com/Zombie-Tarot-Oracle-Undead-Instructions/dp/1594745692/ref=sr_1_1?dchild=1&keywords=zombie+tarot+deck&qid=1620083945&sr=8-1 ) by Paul Kepple and Stacy Graham Photo Credit: Russia's stray dogs with bright-coloured fur - pictures ( https://www.bbc.com/news/world-europe-56129464 )

Lisa Hunt, D.O., D.O.H. is a practitioner at Holtorf Medical Group in El Segundo, CA. She specializes in anti-aging treatment, natural thyroid replacement, menopause/andropause therapy (including bioidentical hormone replacement), chronic fatigue syndrome, fibromyalgia, strengthening the immune system, neurotransmitter analysis/replacement, and nutritional support guidance. Dr. Hunt is a graduate of Western University of Health Sciences and completed her residency at the San Joaquin General Hospital. She is board certified in both Family Medicine and Holistic and Integrative Medicine and brings with her over 20 years of experience as a family physician and medical director. Her mission is to build on every level of your health to achieve the best quality of life. Tune in as Dr. Hunt shares: what drew her to her practice how she handles initial appointments and testing why she lets the patient lead their care, and offers options for testing and treatment the importance of family involvement in a patient’s care how our work-lives are hindering our health why a morning routine can aid us in scheduling self-care (read: meditation!) what the healthcare system in the US is getting right the importance of extended time with patients and individualized nutrition guidance in traditional allopathic approaches why it’s helpful to find an integrative or functional medicine practitioner if you’re struggling with chronic illness other pathways to improve overall health: nutrition logs and good sleep hygiene that her job is to empower her patients to take care of themselves that care is individualized — there is no “one size fits all” approach to testing and treatment

Lisa Hunt grew up in NYC with Gospel music running through her veins, she spends her time singing around the globe. Best known for her high spirited live performance-it’s all about the dance!

Join the Chat Crew for some news you can use and much more!

Lisa Hunt, Senior Trainer and Manager of Team Development, discusses the difference between real and fake jobs that we give to our participants when operating a challenge course with the desire to manage behavior.   Find the conversation between Lisa and Ken Demas here: https://high5adventure.org/pod-casts/trainer-tips-real-vs-fake-jobs

Lisa talks to Phil about garden gnomes, her hopes for the future of this industry and our role in helping new facilitators. They also masterfully deal with a mid-interview interruption.

Episode 62 is here our most excellent friends. This episode Lisa Hunt is taking us through the circuits of time back to 2016 to watch the anime, drama, fantasy ‘Your Name’. We discuss the sheer beauty of this film, subtitles vs dubbed and whether sake could power a vehicle. If you have a moment, please give us a quick review on Itunes (a 5 star review now and maybe another in 3 years?) Email us at: sandimasfilm@gmail.com Twitter: @Sdfspod Instagram: @Sandimasfilm Facebook: www.facebook.com/sdsfpod At SDSF, we acknowledge and are grateful to our first storytellers, the Wurrunjuri people of the Kulin nation, the traditional custodians of the land we are recording on.

Join us for another joyous installment with the incomparable Sascha Alexander. Remember that time she thought she had toxic mold, in addition to interstitial cystitis, candida, and Hashimoto’s disease? Well, guess what? That toxic mold ain’t so moldy…it’s Lyme! Lauren sits down with Sascha to find out how she was ultimately diagnosed, and how she’s increasing her detox protocol to rid her body of one of the most insidious of invisible diseases: the tick-born illness, Lyme. Listen in as Sascha shares…  - that the detox protocols she had begun 5 years ago to treat toxic mold have actually given her a leg up on Lyme treatment, as some of these protocols overlap (infrared saunas, antibacterials/antimicrobials, coffee enemas)  - that she is now working with the same doctor Lauren works with for her thyroid: Dr. Lisa Hunt at Holtorf Medical Group  - that the more updated protocol for treating Lyme is to boost one’s immune system, rather than to deplete it entirely with long-term IV antibiotics  - that Sascha’s current treatment regimen includes ozone therapy, peptide therapy, and FMT (fecal microbiota transplantation)  - how Lyme works: it survives by destroying the inter- and extra-cellular nervous systems  - that Lyme and syphilis are both spirochetes, and can look similar under a microscope  - the different tests used to diagnose Lyme  - the gold standard for Lyme testing in the US: iGeneX, which is even more accurate and detailed than the Western blot test   - that Lyme thickens blood cells with biofilms (almost like an exoskeleton around the cells), and the biofilms need to be dissolved before treating the infection; this thickening of the blood is similar to HIV infection, as well  - Lyme is known as the “great imposter” because its symptoms can mimic, and it is often misdiagnosed as, one of the following: rheumatoid arthritis, lupus, MS, ALS, Parkinson’s, fibromyalgia, and CFS/ME  - her recommendation that anyone with symptoms related to RA, lupus, MS, ALS, Parkinson’s, fibromyalgia, or CFS/ME also seeks out the assistance of an LLD, or Lyme Literate Doctor, to be thoroughly tested and rule out Lyme as a root cause  - that band 58 of her Lyme testing was the definitive indicator of her infection  - the relief and vindication that came with her definitive Lyme diagnosis  - that Lyme may be one of the worst diseases of all time, BUT it’s curable  - that Lyme causes autoimmune diseases – which may include her Hashimoto’s disease diagnosis  - that her current protocol is being undertaken in steps. First, she has to kill the Lyme in her system; next, she has to repair the damage the Lyme has done to her immune system  - that her doctor recommended stem cell treatment, but it’s very expensive and she finds her current regimen is working well  - what a fecal transplant (FMT) is, how donors are selected, and how it works – including all the dirty details!  - that C. diff (Clostridium difficile) is the only infection for which FMTs are currently FDA-approved; so FMTs are difficult to get a hold of otherwise, unless you find a doctor willing to help  - what distinguishes Bartonella and Babesia co-infections in Lyme  - how ozone therapy works: using O3, it kills pathogens in your blood on contact  - the healing process of Lyme: patients tend to get worse before they get better, and the die-off period during which they feel worse (generally flu-like symptoms, because the die-off releases toxins in the body) is called a “Herxhiemer reaction”, or Herx  - the process of being more “seen” by others since she got her Lyme diagnosis – because her network understands this diagnosis more than they did the previous ones  - how she has allowed her illness experience to change her for the better: she has learned self-compassion, and to ask for support with acceptance and grace  

Thank you, as always, for your support of Ocho the Owl Radio. Your support of this content and other content like it is absolutely critical to making positivity and self empowerment louder. To rate review and subscribe creates momentum in the alleviation of suffering and the growth of peace and happiness for all beings in all worlds. Thank you for helping, I would love to rate review and subscribe to any of your passions right now! Let me see the comments and be supported! “When you establish a destination by defining what you want, then take physical action by making choices that move you towards that destination, the possibility for success is limitless and arrival at the destination is inevitable.” -Steve Maraboli --- Support this podcast: https://anchor.fm/ochotheowlradio/support

Hey Weight Loss Nation! It's Tuesday, and it's a Tampa Bay Tuesday! I found an awesome "Co-Op" in Lutz, Florida, called "Cheyenne's Country Thangs." Lisa & Darrel Hunt own & operate "Cheyenne's Country Thangs." Lisa has been gardening since she was a little girl.  "My knowledge of gardening was handed down by my Native American grand father. The Indians knowledge of using natural resources was all about keeping God's planet producing at it's optimal performance."  Lisa Hunt                                                                             Owner, Cheyenne's CountryThangs   What's a "Co-Op?" A Co-Op means business and residents "working together," in cooperation. Many Co-ops look just like other businesses from the outside, since their products and services are like traditional businesses. It's what's going on inside the Co-Op and behind the scenes of a Co-Op that is VERY different. Cheyenne's Country Thangs offers fresh, clean and organic produce to its members and the public. Lisa Hunt has relationships with farmers across the United States, to bring the freshest, healthiest products to "Cheyenne's Country Thangs." Cheyenne's also has "grass fed" meats as well as "wild caught" fish. If a product is not "stamped" organic at Cheyenne's Country Thangs, it's clean! Clean means, the product was grown and harvested the same way "organic" products are, but the farmer didn't "purchase" the "organic seal" from the USDA.   In order to be certified organic, you must make sure that your product is carrying the certified USDA Organic Seal.  Costs associated with applying for the "organic seal" vary, depending on the products and size of the farm. Initial applications can cost thousands of dollars. There can be other costs beyond the actual organic application. For example, during the certification process, there may be fees for inspections, assessments, and travel costs for a National Organic Program (NOP) agent. In addition, there are ongoing annual renewal fees for as long as a farm holds certification. Many farms have loyal residents, who purchase produce and meats from the farm, which are not certified organic, but are "clean."  Consumers come to know and trust their local farmers and realize the cost of applying for a "certified organic" license can be very expensive for farmers.  As I walked throughout Cheyenne's, I found a great diversity of organic and clean produce. String Beans, cucumbers, beets, onions, potatoes apples, pears and my absolute favorite.......tomatoes! There was fresh baked bread, raw honey, jellies, jams and organic body products! I saw grass-fed beef and wild caught salmon in the freezer. A huge variety of fresh, clean and organic food to satisfy any palate. Then.......there is the "buffet." Buffet in the sense of ....... having a fine assortment of fresh salads, sandwiches and soups ....... made from the fresh, clean and organic foods at Cheyenne's. Grass-fed Turkey salad, a Cajun shrimp wrap and seafood chowder were menu items I considered for lunch. I ordered the grass-fed turkey salad. I received a HUGE bed of greens, with sliced avocado, beets, onions, cucumber, melon and fresh, grass-fed turkey! What a feast! With olive oil and vinegar to coat the beautiful salad, I had a delicious, nutritious lunch! Delicious! What a different fresh ingredients make! If you are looking for fresh, clean and organic produce and products, you have to check out Cheyenne's Country Thangs! You can even become a member of the Co-op and save on products and classes! If you live in the Lutz, Florida area, you have to check out Cheyennes Country Thangs  Here's the contact info: Cheyenne's Country Thangs                                        21405 Country Line Road                                       Lutz, Florida   33548 (813) 527 - 6471 http://www.cheyennescountrythangsinc.com/home.html Hours of operation: Tuesday to Friday  11:00am - 5:30pm Saturday                 9:30am - 4:00pm Closed Sunday & Monday's Email - CheyennesWorld@Verizon.net      

For this episode we interview the classy Lisa Hunt, an artist in New York.

Elizabeth Emery talks to Team Sunweb road racer Coryn Rivera about her stella season and why this team is a good fit for her. Coryn also shares her views on what could be done to improve the status of professional female cyclists for equality and opportunity. Sport Psychologist Julie Emmerman works with professional and amateur athletes as well an non-athletes undergoing life changing events. She also offers advice on team dynamics on what makes a good team player. And Lisa Hunt who is the North West Territory Manager at 2XU, explains the benefits of compression tights. For more conversations from the world of women's sport visit us at www.wispsports.com and join us on social media @WiSP sports.

Lisa Hunt talks about bike racing, Crossfit, how hard it is to manage a cycling team, and her aggressive training schedule. A podcast about exceptional female athletes and women in sports. There are a lot of us out there. Find us, see us, hear us.

Discussion with Michelle Ashton, ACLU-TX Executive Director Terri Burke and Rev. Lisa Hunt of St. Stephens Episcopal Church about HERO(Houston Equal Rights Ordinance. Speakers discuss the proposed ordinance and its opposition, in relationship to the current state of civil rights law, including those not protected under Texas law (veterans, LGBTQ people). Burke & Hunt discuss the relation between faith and human rights, and the future of HERO & human rights in Texas

St. Stephen's Epsicopal Church Houston sermon of September 13 as delivered by The Rev. Lisa HUnt.

Sermon of August 30 at St. Stephen's Episcopal Church - Houston, as delivered by The Rev. Lisa Hunt

St. Stephen's Episcopal Church - Houston, sermon of August 16 as delivered by The Rev. Lisa Hunt.

St. Stephen's Episcopal Church, sermon of August 9 as delivered by The Rev. Lisa Hunt

St. Stephen's Episcopal Church, sermon of August 2, 2015 as given by The Rev. Lisa Hunt

Sermon of July 12 at St. Stephen's Episcopal Church Houston, delivered by Lisa Hunt

St. Stephen's Episcopal Church, Sermon from July 28, 2015.  Delivered by The Rev. Lisa Hunt

The Theology On Tap series concluded with Lisa Hunt, with her talk “Quieting the noise to meet the God who longs for you!”: Main Talk (Download)

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Rose Red and Charlie talk Tarot Tech with Caroline Kenner of the Fool's Dog about the amazing line of mobile Tarot apps she has helped create. The discussion touches on the high degree of customization, control, curation, and social features now available to a reader on the go. Also in this episode, Rose and Charlie suggest techniques to plan for the year ahead with Tarot and give a review of the classic Tarot-themed film The Red Violin. The Fool's Dog Tarot AppsCaroline KennerNew Year's ReadingsWhat to Let Go of and What to Embrace in 2014PantheaCon 2014 http://pantheacon.com/wordpress/Year in Review Reading 2013Embracing the New Year 2014The Year with An Action to get from Month to MonthAction Card for the YearThe Fool's Dog Apps http://www.foolsdog.com/Shamanic Healing http://findyourpathhome.com/ps_main.htmlJohn Matthews http://thewildwoodtarot.com/#/john-matthews/45540476220Wildwood Tarot http://thewildwoodtarot.com/Nintendo http://www.nintendo.com/?country=USTaboo Game http://en.wikipedia.org/wiki/Taboo:_The_Sixth_SenseIvo Dominguez Jr http://www.ivodominguezjr.comThe Assembly of the Sacred Wheel's http://www.sacredwheel.org/Georgetown, Delaware http://www.georgetowndel.com/Steampunk Tarot http://www.aeclectic.net/tarot/cards/steampunk-fell/Ghosts and Spirits by Lisa Hunt http://ghostsandspiritstarot.com/Graven Images Oracle http://www.gravenimagesoracle.com/index.htmlMystic Dreamer Tarot http://www.aeclectic.net/tarot/cards/mystic-dreamer/RWS Tarot http://en.wikipedia.org/wiki/Rider-Waite_tarot_deckPrairie Tarot http://www.aeclectic.net/tarot/cards/prairie/Tarot of the Holy Light http://www.aeclectic.net/tarot/cards/holy-light/Tarot of the Rabbits http://www.aeclectic.net/tarot/cards/rabbitTarot of the Trees http://www.tarotoftrees.com/Shadowscapes Tarot http://www.shadowscapes.com/Tarot/Tarot for the BlindTarot of the BellyDancers http://www.aeclectic.net/tarot/cards/bellydancers/The Red Violin http://www.imdb.com/title/tt0120802/)

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

Delivered by Rev. Lisa Hunt

We are definitely approaching the warmer months here in Hotlanta and I find I’m looking forward to the long summer evenings and the music that’s in store...While I finish up my latest mix – I wanted to add another from the vault that will hopefully stir-up some fond memories, as well as, help you to think ahead of the good times soon to come… As always your thoughts/concerns/ questions /comments/ tid-bits - never fall on deaf ears and are welcome! Track List: Superchumbo feat. Celeda – Filthy Dirty (Original Mix)Sheila Brody – U Ain’t That Good (Revenge Club Mix)Rachel Panay – Back to Love (Friscia & Lamboy Big Room Anthem Mix)Aimee- Voodoo Lovin’ (Whip Marcão Rezende Mix)D1 Feat. Lisa Hunt – This Joint is Jumpin’ (Blueroom Pumpin’ Anthem Mix)Hannah Jones – In the Name of Love (Tony Moran Mix)John Kano Project feat. Aubrey – No One in this World (John Kano Extended Mix)Monica – You Should Have Known Better (Gomi & Escape Remix)Suzanne Palmer – HOME (Offer Nissim Part 2 Remix)Whitney Houston – You’ll Never Stand Alone (Tony Moran Mix)Deborah Cox – I Never Knew (Hani remix)