Podcasts about minimally

Minimally invasive beauty procedures offer noticeable results without the downtime, risks, and costs associated with plastic surgery. Radiance Aesthetic Medicine's experts explain the benefits. Learn more: https://radianceaesthetic.com/ Radiance Surgery & Aesthetic Medicine City: Duluth Address: 6250 Abbotts Bridge Rd #100, Duluth, GA 30097, United States Website: https://radianceaesthetic.com/ Phone: +1-678-412-0311 Email: support@radianceaesthetic.com

Summary: In this conversation, Justin Townsend and Adam Berkelmans explore the health benefits of foraging and eating wild foods with guest Arthur Haines. They discuss the nutritional advantages of wild foods compared to cultivated options, the concept of neo-aboriginal living, and the importance of reconnecting with nature for overall well-being. Haines shares insights from his background and research, emphasizing the need for a shift in mindset towards sustainable living and the benefits of hunting and gathering for both personal health and the environment. In this conversation, Arthur Haines discusses the critical role of antioxidants in our diet, particularly how a shift to agricultural diets has diminished our intake of these essential nutrients, leading to chronic diseases. He emphasizes the nutritional superiority of wild foods over cultivated ones, highlighting the importance of understanding the nutritional value of what we consume. Haines also delves into the significance of omega fatty acids, explaining how modern diets are skewed towards omega-6 fatty acids, which can lead to health issues. Finally, he advocates for a deeper connection with nature through foraging and consuming wild foods, which not only benefits our health but also fosters a greater appreciation for the ecosystems around us. - ⁠⁠Leave a Review of the Podcast⁠⁠ - ⁠⁠Buy our Wild Fish and Game Spices⁠⁠ Links: Arthur Haines Arthur Haines YouTube Facebook Books Wilder Waters Website Wilder Waters Community Instagram Takeaways: Foraging connects us to our food and the environment. Wild foods offer greater nutrient density than cultivated foods. The concept of neo-aboriginal living encourages a participatory mindset. Chronic diseases are linked to modern agricultural diets. Learning to feed oneself is a radical act of defiance. Hunter-gatherers had lower rates of tooth decay and chronic disease. Sustainable hunting and gathering can benefit the planet. The decline in dietary diversity is harmful to health. Minimally modified foods retain more nutrients and phytochemicals. Connecting with nature through foraging enhances our relationship with food. Preserving wild species is essential for ecological balance. Diverse diets, including predators, contribute to better health outcomes. Chapters: 00:00 Exploring Wild Foods and Health Benefits 04:21 Introducing Arthur Haines: A Journey into Nature 10:20 The Concept of Neo-Aboriginal Living 20:24 Foraging for Health: The Nutritional Benefits of Wild Foods 34:40 The Importance of Antioxidants in Our Diet 39:31 Understanding Nutritional Value: Wild vs. Cultivated Foods 46:57 The Role of Omega Fatty Acids in Health 53:57 Connecting with Nature: The Benefits of Wild Foods Keywords: Foraging, wild foods, health benefits, neo-aboriginal, nutrient density, gut health, wild crafted medicines, primitive skills, reconnecting with nature, sustainable living, antioxidants, wild foods, nutrition, omega fatty acids, health, chronic disease, dietary choices, natural history, foraging, ancestral skills Learn more about your ad choices. Visit megaphone.fm/adchoices

Are “contact lens veneers” just fake news? Why is the traditional 0.7mm prep approach outdated? Are you truly preserving enamel in your veneer preparations? Should you ever bond veneers to root dentin or cementum after crown lengthening? Why is the Galip Gürel technique the gold standard for minimal prep veneers? https://youtu.be/5BEFD1XaZtE Watch PDP219 on Youtube Dr. David Bloom joins Jaz for an insightful episode, sharing his 36 years of experience in cosmetic and restorative dentistry. With over two decades in the same practice, he's seen what works—and what leads to failure—when it comes to veneers. We also cover the key steps in mock-ups, planning, and veneer preparation. Protrusive Dental Pearl:  Always Wax Up for 10: When planning veneers, start with a 10-unit wax-up (even if the patient initially wants 4 or 6). This allows them to visualize their full smile with a mock-up, compare different options, and make an informed decision. It's not about upselling - most patients will appreciate the fuller look. Key Take-aways: Health and diagnosis are foundational in cosmetic dentistry. Visual try-ins are crucial for patient engagement and satisfaction. Minimally invasive techniques are preferred for cosmetic procedures. Communication with patients about their options is essential. Bonding to enamel is more reliable than bonding to dentin. Permission statements help in guiding patient expectations. The transition from veneers to crowns should be carefully considered. Staining is not the primary concern when bonding to dentin. A change in surface texture is key in modern dental preparations. Visual aids are crucial in helping patients understand their treatment options. The Gurel technique emphasizes minimal preparation for veneers. Effective communication with patients can enhance their treatment experience. Understanding occlusion is fundamental in aesthetic dentistry. Veneer thickness should be as minimal as possible for aesthetic results. Patient involvement in the design process is essential. Cementation techniques can vary based on gingival health. Maintaining a facial path of insertion is important for aesthetic outcomes. Building a good relationship with lab technicians is key to successful restorations. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 02:56  Protrusive Dental Pearl 04:15 Interview with Dr. David Bloom: Journey and Expertise 11:54 The Importance of Enamel in Veneer Longevity 13:46 Prepless Cases and Visual Try-Ins 18:54  Permission Statement 22:24 Visual Try-Ins Protocol 25:13 Decision-Making: Veneers vs. Crowns 28:35 Bonding to Root Dentine and Long-Term Outcomes 33:34 Opening Embrasures: Techniques and Tips 35:19 Visual Try-Ins and Patient Communication 38:50 Wax-up in Occlusion 41:25 The Gurel Technique Explained 47:09 Black Triangles  49:40 Guidelines for First Veneer Case 54:10 Contact Lens Veneers 56:18 Cementation Preferences and Techniques 01:00:15 Final Thoughts and Educational Resources Need expert guidance on veneers and smile design? Join Intaglio Mentoring and connect with top mentors for real-time case support and level up your Dentistry. Dr David Bloom is also a mentor on Intaglio. Watch this space for David's new educational website coming soon - he teaches Veneers hands-on too. If you loved this episode, make sure to watch How to Temporise Veneers Step by Step FULL GUIDE – PDP214 This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject Code: 780 ESTHETICS/COSMETICDENTISTRY (Tooth colored restorations) #PDPMainEpisodes #AdhesiveDentistry Aim: To provide an in-depth understanding of minimal preparation veneers, focusing on enamel preservation, diagnostic workflows, patient communication,

Male urinary dysfunction falls into three categories: voiding symptoms (affecting the bladder outlet), storage symptoms (often from an overactive bladder), and red flags requiring urgent referral Benign prostatic hyperplasia shares risk factors with cardiovascular disease and erectile dysfunction, suggesting a holistic approach to assessment and management Minimally invasive prostate surgery offers advantages, including day surgery, faster recovery, less bleeding, and better preservation of sexual function Healthcare professionals should refer patients when medical therapy fails to meet expectations or when red flags are present Early referrals and effective treatments can help patients regain their quality of life Host: Dr David Lim | Total Time: 21 mins Experts: A/Prof Eric Chung, Urological Surgeon Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEDT Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Sex. Sexual Dysfunction. You're junk just ain't working right. Don't panic gay men. But get the right help. Today, Dr. Joshua R. Gonzalez, a board-certified urologist and sexual health specialist based in West Hollywood, dives deep into the world of gay mens sexual health, hormone balance, and of course the overall biggest challenge - erectile dysfunction. Trust me this Doc delivers!!! Today we tackle... Managing erectile dysfunction (ED) and arousal disorders. The latest breakthroughs in sexual health technology, like SoftWave® therapy and penile doppler ultrasounds. Tailored care for the LGBTQ+ community and addressing unique health challenges. Minimally invasive solutions for common urological issues, including BPH and hormone imbalances. Whether you're curious about restoring vitality, enhancing intimacy, or simply learning more about your bod and sexual health as a gay man, you won't want to miss this conversation backed by science and delivered with compassionate care. About Dr. Gonzales Joshua R. Gonzalez, MD, is a board-certified and fellowship-trained urologist and sexual medicine specialist who focuses on managing sexual dysfunctions in men and women at his self-named practice, Joshua R. Gonzalez, MD, in the West Hollywood neighborhood of Los Angeles, California. At his state-of-the-art facility, Dr. Gonzalez understands the toll hormone deficiencies, menopause, arousal disorders, and erectile dysfunction (ED) can take on one's quality of life. He offers complete general urology and sexual health care at his office to patients, many of who identify as members of the LGBTQ+ community. He invests in advanced technology, such as penile doppler ultrasounds and SoftWave® therapy, to ensure that his patients receive the highest quality of care without invasive surgery. He strives to uncover the root of sexual dysfunction through comprehensive testing one-on-one time with his patients. Dr. Gonzalez uses his extensive experience to find the best treatment for every patient, whether they have a hormone imbalance or an enlarged prostate. The practice is home to a wide range of minimally invasive treatments for urology and sexual dysfunction treatments, including UroLift® for benign prostatic hyperplasia (BPH) and hormone replacement therapy (HRT). Dr. Gonzalez aims to help every patient restore their vitality and regain control over their sexual function. Connect With Dr. Gonzales Instagram Dr. Joshua's Testosterone Replacement Website Hey Guys, Check This Out! Are you a guy who keeps struggling to do that thing? You know the thing you keep telling yourself and others you're going to do, but never do? Then it's time to get real and figure out why. Join the 40 Plus: Gay Men Gay Talk, monthly chats. They happen the third Monday of each month at 5:00 pm Pacific - Learn More! Also, join our Facebook Community - 40 Plus: Gay Men, Gay Talk Community Break free of fears. Make bold moves. Live life without apologies

In this episode of the Other Side Lifestyle Podcast, Jim and Aram engage with Braydon Barrett, who shares his transformative experience of living abroad for seven months. The conversation explores themes of personal growth, the decision to embrace a minimalist lifestyle, and the symbolic act of cutting his long hair. Braydon discusses the shift in focus from physical aesthetics to mindfulness and mental clarity, emphasizing the importance of meditation and letting go of societal expectations. The discussion also touches on nutrition, training, and the often-overlooked personal responsibility in health and wellness. In this conversation, the speakers delve into the significance of identity in personal transformation, emphasizing the need for individuals to shift their self-perception to achieve lasting change. They discuss the challenges of letting go of old identities, the importance of empathy in coaching, and the resistance clients often face when confronted with deeper issues. The dialogue also highlights the necessity of setting boundaries for mental health and the struggle many have with self-care versus caring for others. Ultimately, the speakers encourage pursuing passion and authenticity over perfection, recognizing that true growth comes from within. In this conversation, the speakers discuss the evolving role of coaches in the health and fitness industry, emphasizing the importance of addressing mental and emotional aspects alongside physical training. They explore the integration of mindfulness and meditation into fitness programs, the necessity of setting standards in coaching relationships, and the balance between personal and professional growth. The conversation is infused with humor and personal anecdotes, highlighting the human side of coaching and the need for deeper connections with clients.   Follow Brayden on IG:  @looklikeyoulift   If you are a coach, sign up now for The Real Coaches Summit 2025 in Las Vegas this April, organized by yours truly - Aram Grigorian.  The speaker lineup is insane, and don't forget macro friendly breakfast, lunch, and dinner is provided, as well as a top shelf open bar happy hour each evening to network and meet the speakers.  No VIP - we are all equals at this event!     You can find us on Instagram: Aram: @4weeks2thebeach Jim: @jimmynutrition   Grab some Serenity Gummies: CuredNutrition.com Code: OSL for 20% OFF Get some t-shirts/tanks/hoodies at:   https://www.othersidelifestyle.com/shop If you'd like to reach out to Aram, you can find him at:  https://www.4weeks2thebeach.com/work-with-me If you'd like to reach out to Jim, you can find him at:  https://www.othersidelifestyle.com/schedule Go get some supplements: www.legionathletics.com, use code: ARAM

Supreme Court Upholds Law That Threatens US TikTok Ban Trumpcoin Texas Sues Allstate Over Its Collection of Driver Data Skyrocketing car-insurance premiums are pushing inflation higher Behind the Curtain — Coming soon: Ph.D.-level super-agents 4 surprise products we could see at Samsung Unpacked 2025 Apple suspends error-strewn AI generated news alerts US Finalizes Rule Banning Smart Cars With Russian, Chinese Tech Natrium 'advanced nuclear' power plant wins Wyoming permit - WyoFile Cash App parent fined $175 million for 'woefully incomplete' response to fraud FDA Proposes Significant Step Toward Reducing Nicotine to Minimally or Nonaddictive Level in Cigarettes and Certain Other Combusted Tobacco Products Host: Leo Laporte Guests: Jason Hiner, Paris Martineau, and Molly White Download or subscribe to This Week in Tech at https://twit.tv/shows/this-week-in-tech Get episodes ad-free with Club TWiT at https://twit.tv/clubtwit Sponsors: joindeleteme.com/twit promo code TWIT ziprecruiter.com/twit NetSuite.com/TWIT canary.tools/twit - use code: TWIT shopify.com/twit

Supreme Court Upholds Law That Threatens US TikTok Ban Trumpcoin Texas Sues Allstate Over Its Collection of Driver Data Skyrocketing car-insurance premiums are pushing inflation higher Behind the Curtain — Coming soon: Ph.D.-level super-agents 4 surprise products we could see at Samsung Unpacked 2025 Apple suspends error-strewn AI generated news alerts US Finalizes Rule Banning Smart Cars With Russian, Chinese Tech Natrium 'advanced nuclear' power plant wins Wyoming permit - WyoFile Cash App parent fined $175 million for 'woefully incomplete' response to fraud FDA Proposes Significant Step Toward Reducing Nicotine to Minimally or Nonaddictive Level in Cigarettes and Certain Other Combusted Tobacco Products Host: Leo Laporte Guests: Jason Hiner, Paris Martineau, and Molly White Download or subscribe to This Week in Tech at https://twit.tv/shows/this-week-in-tech Get episodes ad-free with Club TWiT at https://twit.tv/clubtwit Sponsors: joindeleteme.com/twit promo code TWIT ziprecruiter.com/twit NetSuite.com/TWIT canary.tools/twit - use code: TWIT shopify.com/twit

Supreme Court Upholds Law That Threatens US TikTok Ban Trumpcoin Texas Sues Allstate Over Its Collection of Driver Data Skyrocketing car-insurance premiums are pushing inflation higher Behind the Curtain — Coming soon: Ph.D.-level super-agents 4 surprise products we could see at Samsung Unpacked 2025 Apple suspends error-strewn AI generated news alerts US Finalizes Rule Banning Smart Cars With Russian, Chinese Tech Natrium 'advanced nuclear' power plant wins Wyoming permit - WyoFile Cash App parent fined $175 million for 'woefully incomplete' response to fraud FDA Proposes Significant Step Toward Reducing Nicotine to Minimally or Nonaddictive Level in Cigarettes and Certain Other Combusted Tobacco Products Host: Leo Laporte Guests: Jason Hiner, Paris Martineau, and Molly White Download or subscribe to This Week in Tech at https://twit.tv/shows/this-week-in-tech Get episodes ad-free with Club TWiT at https://twit.tv/clubtwit Sponsors: joindeleteme.com/twit promo code TWIT ziprecruiter.com/twit NetSuite.com/TWIT canary.tools/twit - use code: TWIT shopify.com/twit

Supreme Court Upholds Law That Threatens US TikTok Ban Trumpcoin Texas Sues Allstate Over Its Collection of Driver Data Skyrocketing car-insurance premiums are pushing inflation higher Behind the Curtain — Coming soon: Ph.D.-level super-agents 4 surprise products we could see at Samsung Unpacked 2025 Apple suspends error-strewn AI generated news alerts US Finalizes Rule Banning Smart Cars With Russian, Chinese Tech Natrium 'advanced nuclear' power plant wins Wyoming permit - WyoFile Cash App parent fined $175 million for 'woefully incomplete' response to fraud FDA Proposes Significant Step Toward Reducing Nicotine to Minimally or Nonaddictive Level in Cigarettes and Certain Other Combusted Tobacco Products Host: Leo Laporte Guests: Jason Hiner, Paris Martineau, and Molly White Download or subscribe to This Week in Tech at https://twit.tv/shows/this-week-in-tech Get episodes ad-free with Club TWiT at https://twit.tv/clubtwit Sponsors: joindeleteme.com/twit promo code TWIT ziprecruiter.com/twit NetSuite.com/TWIT canary.tools/twit - use code: TWIT shopify.com/twit

Supreme Court Upholds Law That Threatens US TikTok Ban Trumpcoin Texas Sues Allstate Over Its Collection of Driver Data Skyrocketing car-insurance premiums are pushing inflation higher Behind the Curtain — Coming soon: Ph.D.-level super-agents 4 surprise products we could see at Samsung Unpacked 2025 Apple suspends error-strewn AI generated news alerts US Finalizes Rule Banning Smart Cars With Russian, Chinese Tech Natrium 'advanced nuclear' power plant wins Wyoming permit - WyoFile Cash App parent fined $175 million for 'woefully incomplete' response to fraud FDA Proposes Significant Step Toward Reducing Nicotine to Minimally or Nonaddictive Level in Cigarettes and Certain Other Combusted Tobacco Products Host: Leo Laporte Guests: Jason Hiner, Paris Martineau, and Molly White Download or subscribe to This Week in Tech at https://twit.tv/shows/this-week-in-tech Get episodes ad-free with Club TWiT at https://twit.tv/clubtwit Sponsors: joindeleteme.com/twit promo code TWIT ziprecruiter.com/twit NetSuite.com/TWIT canary.tools/twit - use code: TWIT shopify.com/twit

Supreme Court Upholds Law That Threatens US TikTok Ban Trumpcoin Texas Sues Allstate Over Its Collection of Driver Data Skyrocketing car-insurance premiums are pushing inflation higher Behind the Curtain — Coming soon: Ph.D.-level super-agents 4 surprise products we could see at Samsung Unpacked 2025 Apple suspends error-strewn AI generated news alerts US Finalizes Rule Banning Smart Cars With Russian, Chinese Tech Natrium 'advanced nuclear' power plant wins Wyoming permit - WyoFile Cash App parent fined $175 million for 'woefully incomplete' response to fraud FDA Proposes Significant Step Toward Reducing Nicotine to Minimally or Nonaddictive Level in Cigarettes and Certain Other Combusted Tobacco Products Host: Leo Laporte Guests: Jason Hiner, Paris Martineau, and Molly White Download or subscribe to This Week in Tech at https://twit.tv/shows/this-week-in-tech Get episodes ad-free with Club TWiT at https://twit.tv/clubtwit Sponsors: joindeleteme.com/twit promo code TWIT ziprecruiter.com/twit NetSuite.com/TWIT canary.tools/twit - use code: TWIT shopify.com/twit

Biomimetic restorative dentistry has been taught and practiced for over 20 years, with its roots linked to minimally invasive dentistry that started decades earlier. Minimally invasive dentistry sought to conserve tooth structure and restore only parts of the tooth affected by pathologies. With the invention of adhesive materials, adhesive dentistry showed promise in advancing minimally invasive principles with new materials that no longer required retention, but the adhesive restorations still fell short. Teeth are more complex than many other materials that are adhesively connected, so simply bonding the restoration to the tooth did not yield long-term success.In this episode Dr. David Alleman discusses how minimally invasive dentistry paved the way for the more conservative approaches we use today, how biomimetic dentistry made adhesives more predictable, allowing for longer-lasting bonds, and where cosmetic dentistry fits in to the adhesive dentistry spectrum.Send us a textNew 2025 training programs announced:Biomimetic Mastership - class starts February 10. Learn more and register at allemancenter.com/mastershipIn-Person SLA Workshop Dates:April 25-26August 8-9October 24-25December 12-13Learn more and register at allemancenter.com/trainingLearn more about Dr. Alleman's work at training programs at allemancenter.com.Instagram @david.alleman.dds@davey_alleman_dmd@allemancenter.comYouTube@allemancenter

Liquid biopsies and circulating tumor DNA are changing and improving the way cancer is detected and treated. In this episode, Sameek Roychowdhury, PhD, MD, explains the basics of circulating tumor DNA, how it's being used at the James, his lab's clinical trials, and the promising future. “When a normal cell and a cancer die they sheds fragments of their DNA,” he said. “Cancer can be detected in the blood by looking for these fragments and this is becoming an important research tool and treatment tool for the care of cancer patients.” For example, about 50 percent of cancer patients who have a tumor surgically removed will have a recurrence. And it's very difficult to determine which patients will have the recurrence. Minimally invasive liquid biopsies after surgery “helps us stratify and determine patients with a lesser recurrence risk who won't need chemotherapy or immunotherapy treatment versus those patients who need even more treatment than we've normally given them in the past.” Monitoring circulating tumor DNA “also becomes part of the surveillance program and we'll do a precise test every three months that measures fragments in the blood,” Roychowdhury said, adding that finding a recurrence of cancer from these fragments, months before it would appear on more traditional scans “allows us to make a diagnosis about the molecular drivers of the cancer and we can begin treatment earlier and better understand which treatment options will work best.”

Guest Thomas Karagianes | Jonathan Romano Panelist Richard Littauer Show Notes In this episode, host Richard Littauer discusses the journey and impact of Eterna with developers Jonathan Romano and Thomas Karagianes. The conversation revolves around Eterna's role in RNA research through user-contributed puzzle solutions, emphasizing community engagement and educational outreach. Topics include the integration of hybrid intelligence, where human intuition complements AI in scientific discovery, and the significance of explainable AI in motivating player participation. The episode also touches on the ethical considerations in collaborating with for-profit entities, the development of accessible COVID vaccines, and low-cost tuberculosis diagnostics. Hit download now to hear more! [00:01:24] Jonathan describes Eterna, a platform where players solve puzzles to contribute to RNA research. [00:02:12] Thomas explains that Eterna focuses on RNA complexity and its importance in modern science, like mRNA vaccines and how Eterna engages players in folding RNA sequences and testing them in labs. [00:04:36] Richard asks if the project is open source and Jonathan says its partially open source and explains the technical limitations that prevent full openness. [00:05:26] We learn about Eterna's community with around 100,000 total players, and a core group of about 30-40 who regularly engage in scientific challenges. [00:07:31] Thomas discusses ongoing efforts to make the game more accessible and increase community engagement through educational outreach and simplifying the tutorial system, and Eterna is used in classrooms as a teaching tool. [00:09:47] Jonathan explains how some Eterna players become code contributors, staff members, and even lead authors on academic papers. [00:13:32] We hear about the funding of the community. [00:15:56] Thomas discusses how Eterna integrates AI to assist players but stresses the importance of human intuition in tackling unique challenges and Jonathan explains how Eterna uses hybrid intelligence, combining AI and human input for better research outcomes. He highlights how Eterna's community has contributed to important research, including COVID-19 vaccine development and tuberculosis diagnostics. [00:22:29] Thomas shares that Eterna attracts players who enjoy breaking the model or exploring boundaries, making the game engaging and motivating for them. [00:27:48] Jonathan and Thomas discuss the ethical considerations of partnerships, especially with for-profit companies, and the need to engage the community in decision-making processes. [00:31:41] Jonathan shares how you can contribute to Eterna and how to join the developer community on GitHub. Quotes [00:10:10] “Minimally, whenever there is a scientific publication that comes out of Eterna from players contributions, there is a consortium author on the paper. That will include everyone who has submitted a solution.” [00:14:21] “There's definitely this pattern - and you can even see it in the code- where open source code passes from grad student to grad student.” [00:19:14] “Hybrid intelligence is an underused buzzword.” Spotlight [00:33:16] Richard's spotlight is The Internet Archive. [00:34:23] Jonathan's spotlight is txircd, a modular IRC daemon written in Python. [00:35:32] Thomas's spotlight is Bioconda. Links SustainOSS (https://sustainoss.org/) podcast@sustainoss.org (mailto:podcast@sustainoss.org) richard@sustainoss.org (mailto:richard@sustainoss.org) SustainOSS Discourse (https://discourse.sustainoss.org/) SustainOSS Mastodon (https://mastodon.social/tags/sustainoss) SustainOSS LinkedIn (https://www.linkedin.com/company/sustainoss/?trk=public_profile_volunteering-position_profile-section-card_full-click&originalSubdomain=in) Open Collective-SustainOSS (Contribute) (https://opencollective.com/sustainoss) Richard Littauer Socials (https://www.burntfen.com/2023-05-30/socials) Thomas Karagianes LinkedIn (https://www.linkedin.com/in/thomaskaragianes/) Jonathan Romano Website (https://luxaritas.com/) Jonathan Romano LinkedIn (https://www.linkedin.com/in/luxaritas/) Eterna (https://eternagame.org/) Eterna Project Information (https://eternagame.org/about) Eterna OpenVaccine (https://eternagame.org/challenges/10845741) Eterna OpenTB (https://eternagame.org/challenges/10845742) Eterna OpenKnot (https://eternagame.org/challenges/11843006) Eternagame-GitHub (https://github.com/eternagame) Foldit (https://fold.it/) RNA (https://en.wikipedia.org/wiki/RNA) Hybrid Intelligence (Springer Link article) (https://link.springer.com/article/10.1007/s12599-019-00595-2) Mapping Citizen Science through the Lens of Human-Centered AI (Human Computation article) (https://hcjournal.org/index.php/jhc/article/view/133) Practical recommendations from a multi-perspective needs and challenges assessment of citizen science games (PLOS ONE article) (https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0285367) Mountains Beyond Mountains by Tracy Kidder (https://en.wikipedia.org/wiki/Mountains_Beyond_Mountains) Internet Archive (https://archive.org/) txircd (https://github.com/elementalalchemist/txircd) Bioconda (https://bioconda.github.io/) Reamde by Neal Stephenson (https://en.wikipedia.org/wiki/Reamde) Credits Produced by Richard Littauer (https://www.burntfen.com/) Edited by Paul M. Bahr at Peachtree Sound (https://www.peachtreesound.com/) Show notes by DeAnn Bahr Peachtree Sound (https://www.peachtreesound.com/) Special Guests: Jonathan Romano and Thomas Karagianes.

Discover the unexpectedly craveable taste of Dixie Grace's Boiled Peanuts. Unique taste, layered in flavor and texture. Plant-based protein grown in the ground, not in a lab. Minimally processed with carefully curated ingredients. Beloved snack all around the world for centuries! Dixie joins Justin to discuss this delicious brand!

Today we are talking about Freemium Drupal Modules, The WordPress hub-bub, and Drupal, Now with AI with our hosts. We'll also cover FullCalendar as our module of the week. For show notes visit: https://www.talkingDrupal.com/471 Topics Freemium Drupal Wordpress controversy Drupal CMS and AI Resources Dries Wordpress Blog Post Non-Code Contribution: Using your passion and skills to power open source. DrupalCon Barcelona Driesnote Drupal AI Guests Hosts Nic Laflin - nLighteneddevelopment.com nicxvan John Picozzi - epam.com johnpicozzi Aubrey Sambor - star-shaped.org starshaped Martin Anderson-Clutz - mandclu.com mandclu MOTW Correspondent Martin Anderson-Clutz - mandclu.com mandclu Brief description: Have you ever wanted an interactive calendar to display your Drupal events with drag-and-drop rescheduling, and without using jQuery? There's a module for that. Module name/project name: FullCalendar Brief history How old: created in Sep 2010 by ablondeau, though I've been behind the most recent releases Versions available: 7.x-2.0 and 3.0.0-beta2 versions available, the latter of which supports Drupal 10 and 11 Maintainership Actively maintained, latest release was this morning Security coverage, though technically the 3.0.x branch will have it once it's stable Test coverage, minimal but on the roadmap Documentation - does have a user guide, but created for the D7 version, so newer documentation is needed Number of open issues: 337 open issues, none of which are bugs against the 3.0.x branch Usage stats: 3,388 sites, though the vast majority of those are for the D7 version, since the 3.0.x branch is very new Module features and usage No jQuery! Lots of configurability plus some extras specifically for Drupal Drag-and-drop to alter events Option to require confirmation Can display toast-style notifications when updates are save Double-click on a day or time to create an event at that time Can display events from different content types, even if they use different fields to store dates, and yes, even different kinds of fields, so a mixture of core and Smart Date fields will work You can set default colors and output type (block or the newer, list-item display), and the ability to override color based on content type or a taxonomy reference This module had been essentially dormant for over 4 years, but I decided to work with Jürgen Haas on reviving it after a similar and popular project called Fullcalendar View was not only marked as “Minimally maintained” and “Maintenance fixes only”, but the project page directed users to contact the maintainer to pay for a premium version, in order to use the current version of the Fullcalendar JS library, or to load events via AJAX, which as been an often-requested feature because Fullcalendar View has had common reports of performance problems on sites with lots of event data. Worse, the maintainer has closed as “won't fix” issues that had community-provided patches, because he only wanted to provide said improvements in the paid, premium version In my work on the Events recipe for Drupal CMS, I knew that having a solid calendar would be important, and I didn't feel good about relying on a module that seemed to be pushing users more and more towards a paid model. I'm grateful to Jurgen and everyone who worked on FullCalendar before us for creating such a robust and extensible code base

It has been found at the top of Mount Everest, the bottom of the ocean, and even inside the human body: plastic, once revered as a modern miracle, is now a global threat. Minimally recycled, it never fully disappears; instead, it simply breaks down into tiny particles called microplastics, which contaminate the air we breathe and the water we drink. In “A Poison Like No Other: How Microplastics Corrupted Our Planet and Our Bodies,” science journalist Matt Simon exposes the far-reaching consequences of this omnipresent material on both our environment and our health. Simon, formerly a staff writer at “WIRED” and now a senior staff writer at Grist, a non-profit media organization focused on climate solutions, joins host Alec Baldwin to discuss the alarming impact of plastic pollution, ways to reduce personal exposure, and the urgent solution he believes is needed to tackle this environmental crisis. See omnystudio.com/listener for privacy information.

In this episode, I talk about looking at all the unobvious and overlooked areas that you can improve on, why 1% daily is more substantial than you're counting, how your competitive advantage is in the things most people don't see that affect your craft, an excerpt from James Clear's Atomic Habit and more.Follow me on Instagram @mattgottesmanJump on my weekly texts for the soul here 480-530-7352My writing mattgottesman.substack.com → Apparel (The Niche is You™) - Designs by me - thenicheisyou.com→ Recommended Book List - CLICK HEREFREE WORKSHOPS:→ Need MORE clarity? - Here's the FREE… 6 Days to Clarity Workshop - clarity for your time, energy, money, creativity, work & play→ Need MORE focus? - Here's our FREE Goal Planning Workshop 1-page templates for focus, priorities & defining clear, actionable next steps→ Need MORE money? - Here's our FREE Get Paid For Your Genius Workshop - steps to align your value with what you get paidMASTERCLASSES:→ Write, Design, Build: Content Creator Studio & OS - Growing the niche of you, your audience, reach, voice, passion & incomeCOMMUNITIES:→ Need a CREW to run with? - Join our… Build 1 Thing Creator Community (Weekly Live Coaching & Monthly Workshops) - Get unstuck, avoid burnout, hack habits, create & execute fluidly… accountability & growth group for artists, creatives and entrepreneurs.OTHER RELATED EPISODES:How to Get Rich Without Getting Lucky (An Excerpt by Naval)Apple: https://apple.co/3Xl8q80Spotify: https://spoti.fi/3XkOpy9

When buying Sisit, a person should know what to ask for. Some features are integral to the Misva and some are Humrot-stringencies to enhance the Misva. The Shulhan Aruch clearly states that the strings must be spun L'shma-for the sake of the Misva. Therefore, strings manufactured by non-Jews, even if a Jew oversees the process, are invalid. However, the stages before the spinning, including the "Niputz"-the combing of the wool, do not require L'shma, according to most early authorities. However, the MaHaram M'Rotenberg did require that even the Niputz be done L'shma. Therefore, if possible, one should try to obtain strings that meet the stricter standards of the MaHaram. Such strings are available today in stores for a few extra dollars. There is a controversy whether the Sisit may be spun by machine. Hacham Bension held that such strings are invalid, and therefore one should make an effort to obtain Sisit spun by hand. The next stage in making Sisit is "Shezira"-twisting several thin strings into a single cord of Sisit. If you look closely at your Sisit, you will notice that each string is actually comprised of several thinner strings twisted together. The Rambam holds that Shezira is optional. However, Maran rules in accordance with the majority opinion that Shezira is mandatory, and it must be done L'shma. Minimally, Shezira requires only two threads be twisted into one. However, The Ramah MiPano, as well as the Ben Ish Hai (Rav Yosef Haim of Baghdad, 1833-1909) in Parashat Noach rule that it is best to have each cord made of eight thinner threads twisted together. This results in a total of 256 individual strings in every Tallit: 8 thin strings comprising each of the eight strings for each of the four corners. This corresponds to a certain mystical intention alluding to the wings of the angels, as elaborated by the Ben Ish Hai. Sometimes the strings that are twisted together become unraveled. Technically, this is not a problem as long as four centimeters remain. In order to prevent this, some have the custom to tie a little knot at the end of each string. This was the practice of the Rabbenu HaAri (Rav Yishak Luria of Safed, 1534-1572), and is cited by the Rama. However, today this is usually not necessary as our strings are generally twisted very tightly and rarely become unraveled. There is a disagreement amongst contemporary Poskim whether one may apply a bit of glue to the tip of the string to prevent it from becoming unraveled. Hacham David, in his Halacha Berura, permits it, whereas Rav Wosner, in his Shebet HaLevi, opposes this, since this was not the traditional practice in previous generations. SUMMARY The ideal Sisit should be combed and spun L'shma and be twisted with 8 thin strings.

Minimally invasive bunionectomy (MISB) has emerged as a popular approach to treat symptomatic hallux valgus deformity. Although previous studies focused on distal foot width changes postsurgery, this research introduces a novel midshaft measurement to evaluate proximal transverse midfoot width, aiming for a comprehensive understanding of foot changes post-MISB.   In conclusion, we found in this cohort of 44 patients that MISB for HV leads to an expected decrease in distal bony foot width but, on average, an increase in midshaft foot width.     Click here to read the article.

DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.       Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome back to "Ditch the Lab Coat," the podcast where we explore the fascinating world of health and medicine with a skeptical eye. I'm Dr. Mark Bonta, your host, and today's episode features an enlightening discussion with the esteemed Dr. George Oreopoulos, a renowned vascular surgeon and interventional radiologist.In this episode, Dr. Oreopoulos provides insight into the high-stakes world of vascular surgery, discussing the urgency of aortic aneurysm ruptures and the low survival rates in community settings. We delve into the complexities of managing varicose veins and venous diseases, the evolution of vein treatments, and the crucial role of specialists like Dr. Oreopoulos in addressing traumatic vascular situations.Join us as we explore the future of vascular surgery, from the potential impact of artificial intelligence and nanotechnology to the delivery of biologic therapies through interventional radiology. We also discover the intricacies of endovascular repair, the challenges of managing different types of vascular injuries, and the critical role of randomized control trials in determining treatment efficacy.Stay tuned for an insightful conversation that's both engaging and informative. And remember, while we're here to provide knowledge, always seek professional medical advice for your health concerns. Let's "ditch the lab coat" and embark on this enlightening journey!04:09 Specialist trains surgeons and radiologists, discusses surgery.09:24 What to do if someone is injured?12:53 Specialized hospital treats complex medical procedures efficiently.15:24 Vein clots may require catheter-wire treatment.17:18 Vascular surgery focuses on treating vein issues.22:46 Modern vein treatments available in Ontario. Insurance coverage.24:19 Vein surgery has evolved to outpatient treatment.28:15 Aortic aneurysm rupture risks and outcomes.32:21 Minimally invasive aneurysm treatment under local anesthetic.38:17 AI improves aneurysm prediction, but needs personalization.42:02 Interventional radiology: innovative, effective treatments for patients.44:49 Interventional procedures and accessing arteries, minimal invasiveness48:53 Innovative technology aims to improve medical procedures.50:55 Vascular surgery, veins, arteries, future, family tree.54:58 Medical expert shares fascination and future predictions.

Welcome to my podcast. I am Doctor Warrick Bishop, and I want to help you to live as well as possible for as long as possible. I'm a practising cardiologist, best-selling author, keynote speaker, and the creator of The Healthy Heart Network. I have over 20 years as a specialist cardiologist and a private practice of over 10,000 patients. Dr. Warrick Bishop, a cardiologist, discusses highlights from a medical conference he attended. He focuses on two key topics - the impact of climate change on cardiovascular health, and the treatment of patent foramen ovale (PFO), a common heart condition. Climate change is linked to increased inflammation, coagulation, heat stress, electrolyte imbalances, and air pollution - all of which can negatively impact heart health. Studies have shown that reducing secondhand smoke exposure can significantly lower heart attack risk in affected communities. PFO is a hole in the heart that typically closes at birth, but remains open in about 25% of people. This can allow blood clots to pass from the venous to arterial circulation, potentially causing strokes. Minimally invasive procedures can be used to close the PFO and prevent this complication. Doctor Bishop shares his own experience of having a PFO-related stroke, which resolved without lasting symptoms. He plans to have his PFO closed as a preventive measure.

You've stopped your coffee. You've treated your constipation. But you're still urinating too frequently. In this latest episode of Balls Deep, Dr. Joe Pazona dives deep into the various OAB treatments. Learn about the latest overactive bladder medications including their effectiveness and side effects. Minimally invasive therapies such as bladder Botox and bladder pacemakers can help slow down your bladder, and in some cases, change your life. Enjoy today's humorous and informative episode on treating an overactive bladder.

Dr. Gillett And James O'Hara NP, Discuss each others health updates. 00:00 Intro 01:22 Kyle's eye surgery 02:37 James gyno surgery 12:59 Kyles labs 18:10 Kyles Dexa discussion 20:18 Kyles HSV results 25:00 Dexas 32:34 Micro needling for scar tissue33:57 How's the recovery gone 37:42 Minimally efficacious dose of BPC40:36 James is off statins 47:15 James Heavy metal toxicity 48:55 What omega is James taking?52:00 OutroFor High-quality labs:► https://gilletthealth.com/order-lab-panels/For information on the Gillett Health clinic, lab panels, and health coaching:► https://GillettHealth.comFollow Gillett Health for more content from James and Kyle► https://instagram.com/gilletthealth► https://www.tiktok.com/@gilletthealth► https://twitter.com/gilletthealth► https://www.facebook.com/gilletthealthFollow Kyle Gillett, MD► https://instagram.com/kylegillettmdFollow James O'Hara, NP► https://Instagram.com/jamesoharanpFor 10% off Gorilla Mind products including SIGMA: Use code “GH10”► https://gorillamind.com/For discounts on high-quality supplements►https://www.thorne.com/u/GillettHealth#podcast #health #recoveryAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

We are delighted to partner with Olympus America for this episode of the Prostate Health Podcast. Minimally invasive surgical therapies (MIST) have revolutionized treatment options for men suffering from symptoms of an enlarged prostate. So, we are excited to have urologist Dr. Rahul Mehan joining us today to bring our listeners up to speed on the iTind™ procedure. Dr. Mehan is a nationally recognized expert in minimally invasive urology treatments and the Founder of East Valley Urology Center in Mesa, Arizona. In his practice, he provides state-of-the-art urologic care, using the latest technology to improve the quality of life of his patients. He led several workshops at the national meeting of the American Urologic Association in San Antonio earlier this year and frequently gets invited to teach surgery across the US. He is also a social media influencer, providing enjoyable educational content. Stay tuned as Dr. Mehan shares the low-down on the iTind™ procedure, highlighting its safety and explaining how it provides rapid symptomatic relief while preserving the sexual function of men with enlarged prostates. Disclaimer: The Prostate Health Podcast is for informational purposes only. Nothing in this podcast should be construed as medical advice. By listening to the podcast, no physician-patient relationship has been formed. For more information and counseling, you must contact your personal physician or urologist with questions about your unique situation. Pertinent disclosure for today's episode – Dr. Mehan is a paid consultant for Olympus. The following are the opinions of Dr. Mehan based upon his education and personal experiences and are not those of Olympus.   Show Highlights: Explanation of what the iTind™ device is  Dr. Mehan was one of the first urologists to utilize the iTind™ technology in his region. How men have recently been taking a stance against medications with sexual side effects Which men are ideal iTind™ candidates? What are the risks associated with theiTind™ procedure? How the iTind™differs from other currently available MIST interventions  Expectations from the iTind™procedure  What recovery looks like after the iTind™ procedure, in terms of device removal, potential limitations, and symptomatic improvement Dr. Mehan shares some of the clinical pearls he gained from his iTind™ experience. Links:  Follow Dr. Pohlman on Twitter and Instagram - @gpohlmanmd  Get your free What To Expect Guide (or find the link on our podcast website)   Join our Facebook group  Follow Dr. Pohlman on Twitter and Instagram  Go to the Prostate Health Academy to sign up.  You can access Dr. Pohlman's free mini webinar, where he discusses his top three tips to promote men's prostate health, longevity, and quality of life here. Olympus America iTind™ East Valley Urology Center, Mesa, Arizona  

Payman chats with the world-renowned professor Avijit Banerjee, who shares his journey in academia, discussing his research focused on applying scientific findings to patient care.  As you'd expect from a polymathic mind like Prof. Banerjee's, the conversation ranges far and wide, covering challenges in dental education, the role of new technologies in diagnosis and the public's perception of fluoride. Prof. Banerjee also wisdom on clinical judgement, patient communication, the value of documenting cases, and much more. Enjoy!  In This Episode 00:03:45 - Academia, research and curiosity 00:10:00 - Research, commercialisation and sharing  00:18:15 - Recent studies  00:28:11 - Oral health messaging 00:31:25 - Shift towards whole patient care and holistic dentistry in education 00:33:30 - Training: past, present, UK and abroad 00:42:20 - Advice for young dentists 00:43:20 - NHS funding  00:48:10 - International teaching and research 00:55:40 - Minimally invasive dentistry  01:16:40 - New technologies 01:20:10 - Danger of undertreatment 01:23:20 - Experimentation and evidence 01:26:05 - Bureaucracy and red tape  01:28:05 - Misunderstanding and misinformation 01:34:00 - Fluoride and fissure sealants 01:44:10 - Black box thinking  01:50:25 - Teaching style  01:51:25 - Fantasy dinner party  01:58:40 - Last days and legacy About Professor Avijit Banerjee Professor Avijit Banerjee, a global authority in minimally invasive dentistry, leads the Cariology & Operative Dentistry research program at King's College London Faculty of Dentistry, Oral & Craniofacial Sciences.  He serves as Head of Conservative & MI Dentistry, Director of Education (UG), and Programme Director for the KCL distance-learning Masters in Advanced Minimum Intervention Dentistry. Banerjee's research focuses on MI operative caries management and adhesive dental biomaterials, resulting in over 120 publications and £2.5 million in research funding. He collaborates with international Industry partners as an R&D KOL and is the primary author of the widely respected text, Pickard's Guide to Minimally Invasive Operative Dentistry. Banerjee holds editorial positions in several prominent dental journals and maintains a specialist clinical practice in Restorative Dentistry, Prosthodontics & Periodontics. He currently serves as the President of the BDA Metropolitan Branch Section.

Listen as Dr. Zoe Rodriguez shares her medical and patient-advocating expertise about life before and after hysterectomy.Episode SummaryJoin Fempower Health as we discuss hysterectomies with Dr. Zoe Rodriguez, the Assistant Professor of Obstetrics, Gynecology, and Reproductive Science at the Icahn School of Medicine at Mount Sinai. In this episode, we address the misconceptions, diverse cultural perspectives, and crucial insights surrounding hysterectomies. We talk about different hysterectomy options, recovery expectations, and the significant impact of surgical choices on women's health. Whether you are considering this procedure or seeking deeper understanding, this discussion offers valuable guidance to navigate your health decisions confidently.Key TakeawaysThe different types of hysterectomy surgery—including total, supracervical, and partial hysterectomy—and why it's so important to know the different options.How cultural backgrounds influence perceptions of healthcare and surgical decisions, particularly within the Latina community.The importance of setting realistic expectations and being well-informed about post-surgical recovery, hormonal impacts, and sexuality after hysterectomy.Debunking common misconceptions that Western physicians are “eager to perform surgeries,” plus ethical considerations and patient-centric approaches adopted by modern medicine.Minimally invasive procedures for fibroids and other conditions that can be alternatives to hysterectomy.The role of informed consent and ensuring patients are fully aware of what their surgery entails, including the potential removal of ovaries and subsequent hormonal implications.Tips for patients on how to interact effectively with healthcare providers to ensure all their concerns are addressed.Dr. Rodriguez's vision for accessible, high-quality healthcare for all, regardless of immigration or citizenship status.Quote“I need you to really pay attention to your symptoms because that's the only way I'm gonna know. And if you are having symptoms, then I can provide you with these beautiful menopausal hormone therapies.”- Dr Zoe RodriguezRelated to this episode:Resources on Pelvic Health and Peri/MenopauseLearn about ACOG (American College of Obstetricians and Gynecologists): A leading organization in women's health care, providing guidelines and practice bulletins for medical practitioners.Learn about The Menopause Society: Likely referring to The North American Menopause Society (NAMS), which provides guidance and information on menopause management.Learn about ASRM (American Society for Reproductive Medicine): An organization dedicated to advancing knowledge and expertise in reproductive medicine, including fertility preservation.If you're passionate about advancing women's health, there are many ways you can support the Fempower Health Podcast. Here's how:Subscribe and Listen: Tune in to new episodes every Tuesday by subscribing to the Fempower Health Podcast on iTunes or

Dr. Greg Aldrich, Chief Operating Officer at Nulo Pet Food, recently joined Petworking host Peter Kenseth to discuss Nulo's latest innovations in minimally processed pet foods and the brand's philosophy on optimal pet nutrition. Aldrich, who previously worked as an associate professor at Kansas State University studying pet nutrition, joined Nulo about 15 months ago after consulting with the company for over a decade. He has been working closely with Nulo founder Michael Landa on developing foods that align with an active lifestyle for both pets and their owners. A Focus on Minimal Processing A key focus for Nulo is minimizing the processing and heat applied to their foods in order to maximize nutrient retention and availability. Aldrich explained that traditional manufacturing processes like extrusion for kibble and retort canning subject all ingredients to very high heat, which can damage nutrients and create undesirable chemical interactions. Nulo is exploring techniques like cold pressing, gently cooking, air drying, and freeze drying as alternatives that apply lower temperatures for shorter periods. "We're trying to find the perfect time and temperature for each component," said Aldrich. He positions Nulo's approach between raw diets, which have food safety and shelf-life challenges, and highly-processed kibble and cans. The goal is pasteurization to control pathogens while minimizing nutrient loss. High Protein, Low Carb Philosophy In line with the idea that dogs and cats are carnivores, Nulo has adopted a nutritional philosophy focused on high animal protein and low carbohydrates from low-glycemic sources like miscanthus grass fiber. Aldrich cited research linking high protein to better lean body mass and concerns that highly-digestible starches may contribute to obesity and diabetes in pets. Partnering with Athletes To emphasize the nutrition and performance connection, Nulo has partnered with elite athletes like Simone Biles and plans to feature more Olympians heading into the Paris 2024 games. The idea is that consumers will be more receptive to nutritional advice from the athletes they admire. What's Next Nulo's latest innovations include the new cold pressed diet, gently cooked shelf-stable pouches, rebranded freeze dried, and new canned cat foods. At SuperZoo 2024, the brand plans to unveil new treat products aligned with their nutritional principles as well as updated packaging. Aldrich is aiming for continued progress toward the "perfect pet food" through optimal ingredient selection and processing tailored to each nutrient type. However, he emphasized the need for more research funding specifically for pet nutrition to advance knowledge in this area.

Welcome back to The Sports Docs Podcast!  In this episode, we're going to continue our discussion with Dr. Bonnie Chien and focus on surgical treatment for Achilles tendon ruptures.Our conversation picks back up with an article from the March 2023 issue of AJSM titled “Outcomes and Complications of Open Versus Minimally Invasive Repair of Acute Achilles Tendon Ruptures.” This Level I meta-analysis included 10 RCTs and found no difference in AOFAS scores and rate of total complications, re-ruptures, deep infections, skin necrosis, wound dehiscence, adhesions or keloid scars. But there were some significant differences between the groups.Open repair was associated with significantly longer surgical time, higher risk of superficial infections and higher risk of ankle stiffness. Minimally invasive repair was associated with a higher rate of sural nerve injury, 3.4% compared to 0% in the open group.Next up is a level I RCT from the June 2020 issue of AJSM titled “Comparison of Tendon Lengthening With Traditional Versus Accelerated Rehabilitation After Achilles Tendon Repair.” Patients were randomized to either a traditional rehab group with weightbearing at 6 weeks or an accelerated rehab group with graduated weightbearing starting at 2 weeks. All patients were found to have tendon lengthening after surgery with no significant differences found in overall lengthening between traditional and accelerated rehab groups. There were also no differences noted in ankle range of motion or outcome scores between the groups.We finished up with an article from the October 2017 issue of AJSM titled “Professional Athletes' Return to Play and Performance After Operative Repair of an Achilles Tendon Rupture.” This level III cohort study looked at return to play rates and performance among professional athletes after Achilles tendon repair in the NFL, NBA, MLB and NHL. The authors found that 30% of athletes with an isolated Achilles rupture were unable to return to play at all after surgical repair. Those that were able to return to play had significantly less play time, less game played and played significantly worse compared to their pre-op performance levels. NBA players were most affected.

In today's episode of "Practical Stoicism," I explore the concept of living simply, not in the sense of minimalism as it's often portrayed—with a focus on physical belongings and a Scandinavian design aesthetic—but in the realm of simplifying our thoughts and, by extension, our lives. While Stoicism isn't about adopting an aesthetic of minimalism, it does advocate for simplicity over complexity in many aspects of life. I delve into how living simply, in a Stoic sense, means focusing on what truly matters, reducing unnecessary mental clutter that leads to physical clutter. By reflecting on Seneca's admiration for Scipio Africanus's modest bathhouse, I illustrate the beauty of simplicity and the Stoic pursuit of focusing on essentials. This episode challenges contemporary culture's superficial grasp of ancient philosophies and invites you to embrace true simplicity by prioritizing virtue and rational choices over material excess. -- Become a Patron: https://stoicismpod.com/members Download Stoicism260: https://stoicismpod.com/app Subscribe to the newsletter: https://practicalstoicism.net/subscribe Pre-order my book: https://stoicismpod.com/book Plant some trees: https://stoicismpod.com/trees Podcast Artwork by Randy Johnson: https://originalrandy.com Letter 86 from Seneca: https://en.wikisource.org/wiki/Moral_letters_to_Lucilius/Letter_86 Learn more about your ad choices. Visit megaphone.fm/adchoices

Bedroom Activities By Djmac1031. Listen to the Podcast at Steamy Stories. Nick crept silently back to his bedroom. He'd woken to the sounds of what he at first thought was crying. Thinking Adora / Vanda may be upset again, he'd gone to investigate. He'd stopped just short of entering her room, once he'd registered the cries coming from his daughter were not of pain or distress, but of pleasure. [[MORE]] It wasn't the first time he had ever overheard Adora masturbating; even without the enhanced hearing the Collective's experiments had given him, her bedroom was only right down the hall, of course. He'd paused to wonder what brought them to it, and what the experience must now be like for both her and the alien hitchhiker currently residing in her head. Realizing he'd lingered too long, he turned away, wanting to respect their privacy. Chloe sat up groggily as he slipped back into bed. "Everything okay?" "They're fine," Nick said softly. Another cry echoed in the distance. Chloe heard it too. "Sounds like they're, getting to know each other a little better," she smiled. "Good for them." "You're handling this whole thing pretty well," Nick chuckled, "Better than I am." "I trust Adora," Chloe shrugged. "Am I worried? Of course. I'm her mother, I can't help it. But Adora believes she can help them, and I trust her judgment. I think this could become something wonderful." "I hope you're right. For her sake. Me? I'm not so sure." Chloe gave him a concerned look. "You gonna be able to get back to sleep? Or be up all night worrying?" "I'll be fine," Nick assured her, brushing a soft strand of hair from his wife's face. "Go back to sleep." Chloe caught his hand before he pulled away. "No, you won't." Taking his hand, she guided it to her breast. "But I know a way I might distract you for a bit." Chloe, the horny MILF Despite their sweet, unhurried love-making that night, Nick still found himself up early the next morning. Leaving his wife to sleep, he quietly checked in on Adora. She was also still sleeping, tucked away under her comforter. Heading downstairs, Nick decided to start breakfast. Chloe joined him shortly after, clad in her favorite white satin robe. Her unkempt hair fell across her face beautifully as she embraced him for a good morning kiss. His arms fell naturally around her, pulling her into him. On a whim, he cupped her ass, lifting her robe just enough to confirm his suspicion that she was indeed naked beneath it. "Hey, down boy," Chloe purred. "If you wanted more of that, you should have woke me before you came down here." "I wanted to let you rest," Nick said in her ear, nibbling at her lobe. "And now?" Chloe smiled coyly, her hand dropping to the bulge rising from his sweatpants. "Not so much," Nick growled. "Are you two about to engage in intercourse?" Adora / Vanda stood in the kitchen doorway, staring curiously at the startled couple. "No, hunny," Chloe replied, adjusting her robe with an embarrassed grin, "we were just, about to finish breakfast. Are you hungry?" "I, do not know. Are we hungry?" "Yes," came Adora's reply. "Famished." Nick, who had turned away when he'd heard her voice to hide, for the second time now, his erection from his daughter, turned to find Adora, fully naked, taking a seat at their breakfast nook. "Um, sweetheart, don't you want to, um, perhaps, get dressed before you eat?" Adora laughed. "Sorry, Dad. I tried earlier, but Vanda felt clothing was too confining. Besides, aren't you both still nudists anyway? I didn't think it would bother you." Nick flushed slightly. "It doesn't bother me. I'm just surprised, that's all. You know your mother and I are fine with nudity. But you stopped walking around the house naked years ago, and we started wearing clothes around you more often after that because we thought perhaps you had grown uncomfortable with it." "I suppose I was, for a while," Adora smiled. "But Vanda is still getting used to the human experience, and I figured it might be better to just ease her into it. Besides, it's not like I completely abandoned the nudist lifestyle. I went to several nude beaches during spring break." "I am still trying to comprehend the human tendency to feel shameful about their own bodies," Vanda chimed in, "but if our current state of undress is causing you discomfort, I will try clothing again." "There's no discomfort, Vanda," Chloe answered. "In fact, now that I know Adora is okay with it again,” Slipping off her robe, Chloe threw it over the back of a chair. Slightly bewildered, Nick turned his attention back to finishing breakfast. As he cooked, he contemplated this strange new situation he found himself in. Not that there was anything unusual about the current state of undress his wife and daughter were now in, per say. Chloe and he had of course become very comfortable with nudism after their experience in the White Room, and were often naked around each other. Adora had been raised to see nudity as very natural. And it certainly wasn't the first time he'd ever seen her naked. So why was he suddenly uncomfortable, he wondered? Perhaps it was the presence of Vanda, the new and unusual being now residing in his daughter's mind and body, that made him suddenly feel self-conscious and less inclined to shrug off his clothes and join his family in comfortable nudity. Shunting those thoughts aside, he plated the food and joined his wife and daughter at the table. Vanda contemplated her dish with both nervousness and excitement. "This smells, very pleasing. It is causing an interesting sensation in our stomach." "That's called hunger pangs," smiled Chloe. "Please, eat." Vanda watched for a moment as Nick and Chloe dug into their own food with their forks, then carefully scooped up the first bite into her mouth. Using Adora's muscle memory as a guide, she chewed slowly as a plethora of sensations exploded across her taste buds. "This is, quite satisfying," she garbled. "I'm glad you like it," chucked Nick, "but don't talk with your mouth full." "My apologies." Swallowing, Vanda forked another bite into her mouth. Then another, her appetite voracious. "Slow down, dear," coaxed Chloe. "You're going to make yourself sick eating that fast." Vanda nodded, her mouth still full, and slowed her chewing, using Adora's memories to identify each new flavor; spinach omelet, turkey bacon, fruit salad, whole grain toast. Nick and Chloe watched in fascinated amusement as Vanda finished her breakfast, her face bright with excitement and joy. Without warning, she burped. "I am sorry. Is that, inappropriate behavior?" Chloe laughed. "No, not really. I suppose some people consider it rude, but it's just another natural human function. One we don't really control. So don't worry about it." "There are many bodily functions you humans have no control over," Vanda mused. "Release of excess gasses, both orally and rectally, the production of excess moisture in your nasal and oral cavities. And your waste removal process leaves much to be desired, we discovered earlier. A most unpleasant business; quite flawed. Something I will definitely wish to address with the Collective when I return." Nick tried to suppress his grin. "Well maybe you guys should have worked on that during our evolution." "Oh it was far too late for that by the time we arrived here," said Vanda. "There was only so much we could do by way of improvement at that point. We are not, as you might say, 'miracle workers.' Believe me when I tell you that before we intervened, it was far worse. Your species had absolutely no control over the release of body wastes, and would simply expel them randomly and without warning. It was quite unhygienic." "Okay, not really great breakfast conversation," Chloe broke in, trying and failing to stifle her laughter. "I understand," said Vanda, finishing her last few bites. "I also understand it is customary to express gratitude to the providers of sustenance after consuming, especially if it was particularly enjoyable. So, thank you for this wonderful, breakfast. It was most palatable. I enjoyed the experience of eating almost as much as I enjoyed the orgasms experienced last night." Nick almost choked on his coffee. "You're welcome for the food, Vanda," Chloe responded, "and while I'm glad you enjoyed your, other experience, again, it's not something we really discuss together. That's something that should remain private, between you and Adora." "Why? Is it not part of the normal human experience? "Yes," Nick answered, "it's perfectly normal. But it's not usually appropriate to discuss so casually amongst, family." Vanda looked confused. "But there are memories of discussions pertaining to it not being something shameful." "We're not trying to shame you, Vanda," said Chloe, "I know you may find it difficult to understand, but you'll have to learn that there are limits to what people share about their sexuality, and with whom." "I find it difficult indeed; the shame and guilt your species has created around your own bodies and sexual activities are unprecedented; it is not found in any other species. And from what I have witnessed throughout your history, it seems to create more problems than it professes to solve." "You're probably right," Nick nodded. "Our society has plenty of hang-ups when it comes to sex. And Chloe and I are grateful that you helped free us from many of them. But there are still things that can be, uncomfortable to talk about." "I believe I understand. It stems from your societal stance against what you call 'incest;' the concept that parents should never allow themselves to be sexually stimulated by, or drawn to, their offspring. Or to engage in any types of sexual activities with them. And for the most part, it is a correct stance, especially due to the proclivity for genetically flawed offspring stemming from problems inherent in your D N A. "In fact, it caused a lot of problems early on in your evolution; problems we rectified but could never entirely root out. It is why we ultimately had to help influence your species away from it." "So you're saying you also influenced our morality?" Chloe asked. Vanda sighed. "Minimally. It's very complicated. Your sexual desire stems from your most basic, primal instincts to procreate, to perpetuate the species. "What, or I suppose I should say who you find sexually desirable is far broader based, and stems from multiple influences. As your species evolved, forming families, tribes, societies, so did your morality; your need to develop standards of behavior that were mutually beneficial for the whole, not merely the individual. "All we influenced was a heightening of the protective nurturing instinct between parent and offspring over the more primal desire of sexual reproduction. Of course, we never truly eliminated incest from the equation. It remained prevalent throughout your history, despite the introduction of both ideologies and mythologies that taught against such acts." "So you guys helped create religion?" Nick marveled. "Oh, no," Vanda frowned, "that was entirely your own doing." "You know," Chloe mused, "there are many humans who would probably consider you and your species 'Gods.' You have powers, knowledge and abilities far beyond our own. You may not have created us, but you've certainly influenced and guided our development from behind the scenes. Perhaps we picked up on your presence subliminally." "Perhaps. Although it still leaves the question of who created the 'Gods?' On that, we have no more answers than you." "So you don't know the origins of life, or the universe?" Adora spoke up, joining the conversation. "Oh, no. Beyond the event you commonly call the 'Big Bang,' we have no further information." "So I guess the answer is still '42,'" Nick smirked. "I do not understand." "Reference my memories," Adora laughed. "Look for 'Douglas Adams." "Ah. A joke. I understand. Very, humorous." "Well, since we won't be solving the mysteries of the universe today," Chloe grinned, "what else shall we do with our day? I'm sure there is plenty we can show you." "According to Adora, there were plans made for this planetary rotation to visit the beach. I would also find that excursion acceptable. It will be beneficial to experience more of your world." A Nudist Alien at the beach Getting to the beach was more difficult than anyone expected. First, Vanda had to be convinced to put on clothes. Then there was the car ride which, while short, was utterly overwhelming for Vanda, prompting Adora to take back control after another panic attack. Things got better once they arrived, though. Vanda seemed to truly enjoy all the new sensory input; the warm sunshine, the light breeze, the salty scent of the air, the crash of the surf. Her face was a constant array of whimsy and wonder. Still, she complained about the bathing suit. "I simply do not comprehend the need for such an ineffective garment. It serves no protective purpose, and only barely covers the genital area. Also, why are the females of your species forced to cover up their mammary ducts, while the males are free to expose theirs?" Nick had to laugh. "Welcome to a male dominated society, Vanda." Vanda did not see the humor. "Male nipples serve no useful purpose; an evolutionary leftover. Female breasts provide sustenance for your young; if anything, the men should be forced to cover up their useless teats." Chloe struggled to contain her laughter. "While our society has come a long way, Nick is right; it's still predominantly run by men. Women have been fighting for equality for centuries, including body autonomy, and we've made a lot of progress. But not nearly enough." Vanda considered this. "In the Collective, all are considered equal. Of course, we are also without gender. I will make a very strong case for equality for all, regardless of gender, after we reclaim physical forms." "Good for you, Vanda," said Nick. "I truly hope your new society can actually achieve it." Vanda's nose twitched. "I smell something, appetizing? It is causing a stressful reverberation in our stomach." "You're hungry again already?" Chloe laughed. "Nick, how about you get us some hotdogs? I'm pretty sure that's what she's smelling." Nick went off to get the food. Chloe stayed behind, watching with both humor and contemplative concern as Vanda continued to take in her surroundings. A million distractions vied for her attention; a bird soaring overhead, the crash of the waves, the laughter of a child off in the distance. It was fascinating, yet frightening. The person sitting beside her was Adora, the daughter she'd raised, nurtured and loved since birth. But she was now also a brand new being, a child in her own way, with the curiosity and excitement to match. And yet, this "child" had existed for longer than Chloe could possibly imagine. "Vanda, if you don't mind, I'd like to talk to Adora for a moment." "Of course, Mom. What's up?" The change in both tone and facial expression whenever Adora took back control still startled Chloe, every time. "I just wanted to make sure you were okay. You've been, quiet." "I'm fine," Adora smiled, "I've been letting Vanda hold the reins so she can experience everything fully. She's adapting quite well, and I've been helping her to understand things she hasn't already figured out on her own. She's a fast learner." "So you two can, talk, hold conversations, within your head?" "Yes, but it's even better than that. Instead of having to completely explain something, I can point her towards the information already stored in my memory, information she can immediately absorb and process." "Yes," confirmed Vanda, "For example; I finished The Hitchhiker's Guide To The Galaxy collection during the journey to this location. Quite amusing, if highly inaccurate." Adora laughed. "Vanda still has a hard time with the concept of fiction," she explained to her mother. "I can see that," Chloe smiled. "I'm curious though; what's it like for you when Vanda is in control? Can you still, you know, see, hear, think?" "Oh yes," Adora affirmed, "I'm aware of my surroundings. Although it's kinda like I'm watching it happen on TV, or through Virtual Reality goggles. I can see and hear everything, but I lose most of the other sensory input, letting Vanda fully experience things like taste, smell and touch." "Well, as long as you're okay in there," said Chloe. "I'm happy you're so eager to help her experience the world, just remember to check in with us once in a while." "Will do." Nick returned shortly with the food. When they finished eating, Vanda decided, with coaxing from Adora, to finally brave the water. Nick went with her, holding her hand to steady her as Vanda took her first tentative steps into the cool, frothy surf. "That's deep enough for now," Nick cautioned once they'd reached waist level. "Let's take it slow until you're used to it." The tide was low, the waves gentle, yet Vanda struggled to maintain her balance as they came in, pushing her back, then pulling her forward as the water rolled back out to sea. Adora took back control just in time to save herself from toppling over face first. With both Adora and Nick's help, though, Vanda quickly got the hang of it, and soon was wading chest deep quite comfortably. While he was still uncomfortable with the fact that an alien intelligence now occupied the mind and body of his only daughter, Nick could not help but marvel at Vanda's childlike wonder as she frolicked playfully in the water, laughing as her borrowed body floated along the surface, bobbing up and down with the waves. Finding her feet, Vanda offered him the familiar smile he had come to know and love as his daughter's, even as she spoke with her own unique voice. "This is a most enjoyable experience. However, I am experiencing a drop in body temperature that is causing minor discomfort. Perhaps I need a respite to warm myself with infrared light produced by the star your planet orbits." "Of course," Nick grinned despite himself. "Maybe while you're warming yourself in the sun, you can work on accessing Adora's memories to learn how to sound more human when you speak." Ogling Hobbies "How about that one?" Vanda and Adora were currently engaged in an internal conversation about finding a potential sex partner while they basked in the sun. "Too old." "How is age difference a factor? It wasn't for your parents." Adora sighed. "I suppose it's not, but,” Vanda continued scanning the crowded beach. "How about that one? He appears to be close to your age." "Yes, but look closer. He's with someone." "Yes. But we have observed humans mating with multiple partners before quite often." Adora sighed, frustrated. "I'm sure you have. Look, Vanda, choosing a partner to have sex with isn't as easy as just picking someone at random." "But we have observed,” "I know what you've 'observed,' Vanda! But just because some people enjoy having casual sex with various partners doesn't mean all of us do. And it certainly doesn't mean I'm just going to fuck a random stranger!" "I am, sorry, Adora. I did not mean to be offensive. I merely based my suggestions off of the mental and physical responses of your body upon seeing others of your species you find attractive." "I understand that. But what you need to learn is that just because we find someone physically attractive doesn't mean we'd automatically have sex with them. Yes, there are those who choose their sexual partners strictly on appearances, and are willing to have sex with total strangers simply for fun. But I'm not one of those people. I need more of a, connection, with someone." "So you need to, fall in love? As your parents did?" "No. Not necessarily. Not everyone I've ever had sex with was because I was 'in love.' But I at least got to know them first, to develop a friendship and trust. I have to at least like someone before I fuck them." "I see. May I ask another question?" "Of course." "I see from your memory banks you have been with five different partners. Three male, two female. Is your sexual preference predominantly male?" "I, I don't know. I'm, still figuring that out." "I see." A quiet hung between them for a few moments. Then Vanda spoke again. "Do you object to my continued observations of people I find, 'fuckable?' Strictly as an, imaginative exercise?" Adora laughed out loud. "Not at all. Fantasize away." "What's so funny?" Chloe asked. Neither she nor Nick had been privy to the private conversation. "Nothing," smirked Adora. "It is what you would call an 'inside joke,'" Vanda chimed in. Grinning with self-satisfaction at her clever use of human word play, she continued to scan the beach. "What about her? She has very predominant bosoms. Even larger than yours." "Oh, yeah. She's pretty hot." "Yes. She is certainly producing excessive amounts of perspiration due to the, ah, I see. You meant the informal usage. Your colloquialisms will take some time to get used to." "I bet. But you're learning pretty fast." "Thank you. I am certainly, oh, look! Look at that one! I believe, based on the outline formed by his water soaked garment around his genitals that he has what you call a 'nice package!'" "Yep. Definitely." "Adora?" "Yeah?" "Our clitoris is engorged. May we masturbate?" "Not here, Vanda. Too public." "When we arrive home?" "Absolutely." Adora sighed inwardly. Despite all her talk about the need to get to know someone first, the fact was, it had been some time since she'd last gotten laid. And Vanda's persistent, if understandable, desire to experience sexual coupling with a partner wasn't helping to dull her own ache. Suddenly, she had an idea of how she might be able to scratch that itch for both of them. Aiden "Are you sure that's such a good idea?" Adora sat on the recliner across from the couch her parents occupied, the concern on their faces obvious. After arriving home and showering, (during which, Adora had shown Vanda the joys to be had with a handheld showerhead), she'd invited them to join her in the living room to discuss her plan. "It'll be fine, Mom. Aiden and I parted on good terms; we still stay in touch. And I happen to know he's currently single. And back in town. To be honest, I'd already been considering getting together with him again before, well, I met my new friend." Adora and Aiden had dated all through their senior year, but decided after graduation to end things since they were both going off to different colleges, neither believing a long distance relationship would work. Still, they'd remained friends, and there had even been several Skype calls over the years where they'd shared more than just some conversation. When Adora had arrived home for the summer, she'd reached out to him, discovering he'd be in town for a few weeks before heading overseas for vacation. While no definite plans had yet been made, they'd promised to make time to see each other, even if only for coffee or a meal together. Adora wasn't sure at that point if she'd wanted anything more; Aiden was a great guy, and had been a kind, caring boyfriend. But her high school crush had long since faded, and she certainly was no longer "in love" with him. Still, he'd been an attentive lover, and they'd had a great chemistry together. He would make a great candidate to give Vanda her first true sexual experience. "Do you really think it's fair to him, though?" Chloe asked, "What if he still has feelings for you? You might hurt him." "I'm sure it won't come to that," Adora smiled. "We're friends, and we've been nothing but honest with each other. We both know we have separate lives to go back to after summer break." "What about Vanda?" Nick asked, "Will you be honest with him about her? It could be more than a little, awkward, for him, her being involved." "I, I haven't decided how to address that yet," Adora admitted. "I'm not even entirely sure anything more than a simple get together will happen." "Well, if you're inviting him back here, I'm sure he'll probably be expecting a little more than conversation," Chloe smirked. She and Nick had never been squeamish when it came to the idea of their daughter having sex. They'd had "The Talk" with her, as well as teaching her about responsibility, respect and consent. They'd allowed her to have boyfriends over, believing it more practical, and safer for her, than having to sneak off somewhere to have their fun. "I suppose," Adora nodded. "Look, if you guys think it'll be too weird, I can always see if we can go back to his place, or,” "No," Nick interjected. "If you're determined to go through with this, I'd rather you do it here, in the safety and comfort of your own home. So we can be here for you, in case anything, goes wrong." "Geez, Dad, what do you think might happen?" "Adora, you're going to try having sex with him while an alien is living inside your head! anything could happen!" "Nick," Chloe said firmly, "Adora has handled all of this very well so far, and she's more than capable of taking back control if things go, awry. We've always trusted her choices before. Trust her again now." Turning to Adora, she continued, "I'm sure your father and I can find somewhere else to be for the night. Just promise you'll be careful, and to call if you need us." "I will, I promise," Adora agreed. "And please, don't worry. I'm sure everything will be fine." A Dinner Date "Is it normal to be this, anxious, before potential copulation?" Vanda had remained silent yet attentive throughout their dinner with Aiden, allowing Adora to do all the talking while she'd simply observed and studied their interactions and behavior. Now home, Adora had excused herself to "freshen up" in the bathroom. "Sure. Especially if you really like someone. Speaking of which, how do you feel about him, Vanda?" "He is a physically acceptable specimen. He would be a prime candidate for our genetic upgrade experiments." "Yes, but that's not what I asked. How do you feel about him?" There was a pause before Vanda answered. "It is, difficult to determine. I have only just come to know him, and have yet to actually interact with him personally, since you have maintained control throughout the events of our evening so far. "But he has been, most pleasant to be around. It is obvious he cares for and respects you. The attention he gives when you speak, the way his eyes meet yours with confidence, his, smile. Fascinating how such a simple facial gesture can communicate so much." "So you like him?" "I find his company, yes. Yes, I like him." "Good. Doesn't hurt that he's also drop dead gorgeous, huh?" "Drop dead, ? Ah. Yes. I see. While I'm sure my judgment is certainly biased by your personal tastes in such matters, I agree. He is quite the attractive male." "So. Shall we proceed?" "Yes. Let us, 'fuck his brains out.'" "Good. Now, remember, stick to the plan. I'll get things started, then allow you to come forward to experience things more personally. Try not to talk; it will confuse him. If you have questions, or just need to express how you're feeling, do it internally. I'll be with you, helping. Use my memories for reference. Let Aiden guide you as well, but don't be afraid to take charge, make clear what you want. Or don't want. If you feel uncomfortable at any point, tell me. We can stop." "I understand." "Good. Then let's do this." Aiden had been waiting for Adora in her room. His attention turned from the phone he'd been scrolling through aimlessly when he heard the door open. "Took you long enough. Thought maybe you fell, in?" His jaw dropped as she entered. Adora had shed the blouse and jeans she'd worn to dinner, clad now only in a black laced bra and matching silk panties. Adora met his stunned gaze with a smile. "Surprised?" Aiden gulped audibly before answering. "Um, yeah! I mean, I was hoping, but didn't wanna assume,” Adora straddled him on the bed. "Always the gentleman, you are. But I just wasn't in the mood to play coy tonight. Hope you don't mind." "Not at all! Jesus, Adora. You're as beautiful as ever." Pulling her to him, his lips found hers. Adora allowed Vanda to come forward enough to experience the feeling as their tongues danced playfully. And when Aiden's hands found her hips, pressing her down against the rising bulge in his jeans, it was Vanda who moaned, not Adora. "Oh, my. This is most, exquisite. Aiden looked startled. "What?" "Nothing," Adora quickly responded. "Just, keep doing that." "Your voice sounded different." "I, I had strep throat. A few weeks ago. Better now, but my voice still cracks sometimes." "Sounded more like an echo." Desperate to change the subject, Adora unhooked her bra. Aiden took that as an invitation, his hands quickly moving to her breasts. Again in control enough to feel his touch, Vanda struggled to contain her vocal responses, pressing her lips tight so that only a soft "Umm" escaped. Her nipples pulsed with an energy that spread through her chest into her abdomen. The panties she still wore were rapidly becoming damp from grinding against him, sending an electric sensation buzzing through every part of her sex as her hips rocked over his trapped manhood. Mindful not to speak aloud, she pleaded silently with Adora. "These feelings are beyond all expectations! I crave, more! How should I proceed?" Instead of answering, Adora took back control. "Aiden, do you remember our first time?" "You're kidding, right?" Aiden laughed. "How could I forget?" "I was wondering if we could, well, try something, different." Adora lowered herself over him, her bare breasts pressed to his chest, her face close to his. "I want you to pretend it's our first time again. That I'm still, a virgin. That I'm inexperienced. And you have to show me what to do, to take control, to, to treat me with care, like you did that night." "I'm not sure I understand," said Aiden. "What brought this on?" Adora offered what she'd hoped was an assuring smile. "Just, think of it as some fun role-play. I'm going to lay back, quiet and demure, and I want you to make love to me, gently, like it's my first time." Bewildered by her strange request, Aiden hesitated. But not for long. His throbbing cock was desperate to be freed, overriding any doubts he may have had about her suggestion. Taking her by the shoulders, he rolled her on her back, moving atop her trembling body. "Okay, Adora. We'll just take it slow, then." His lips met hers, his kiss strong and passionate. It was Vanda who kissed him back, following his lead, matching his enthusiasm. Removing his shirt, Aiden pressed his bare chest to her, kissing her neck behind the ears, a spot he knew she liked. Her breaths became rapid as he slowly kissed his way down her shoulder, moving to her breasts. Her nipples were hard pebbles atop her puffy areola. "I want to suck them now. Would you like that?" Vanda wanted to scream in affirmation, but managed to contain herself to a simple nod. As his lips found her nipple, though, his tongue running slow, torturous circles over it, she could no longer control herself. Aiden was too absorbed in his gentle suckling to notice the change in her voice, taking her increasing whimpers of delight as encouragement to continue. Vanda squirmed beneath him, her mind a blank canvas, for the first time in her long existence allowing herself to simply feel, not think. Without even realizing it, she guided his head down, her gyrating hips signaling her instinctive need. Vanda marveled as he kissed his way down her belly inch by tantalizing inch, drawing out the moment, until finally coming to a stop, his face hovering mere inches away from her hot, needy sex. "Are you okay, Adora?" he asked sweetly, his eyes shining up at her from between her legs. "Do you want this?" "Please! Please continue!" The change of voice again gave him pause, but he dismissed it, absorbed now in the strong scent wafting up from her soaked panties. "Wow, you're dripping already! I don't ever remember you getting this wet this fast!" Vanda grabbed his head, pushing his face into her. "Just do it! Stimulate me with your tongue! I beg of you!" Aiden almost objected, but with his nose now buried in her cleft, he again shook off his concerns and ceded to her demand. Her taste was strong even through the silky cloth, the heat of her radiating from beneath like a furnace. Pulling the delicate fabric aside, his tongue found her slit, hot and slick. Her swollen labia fluttered as he licked at them tenderly. Her hips rocked against his face, hands pulling at his hair, guiding him to the engorged little button now poking up from beneath its protective hood, begging for his attention. Vanda squealed as his lips engulfed her clit, his tongue fluttering like a hummingbird, and it was all he could do to hold her hips steady as she writhed in bliss beneath him. Vanda was overwhelmed. First, there were the physical reactions to contend with; the increased heart rate and blood pressure, the engorgement of her sex organs, the tightening and contractions of her pelvic floor muscles. Over top of that were her emotional responses, swirling like a typhoon of colors in her mind's eye; excitement, anxiety, desire, anticipation, fear, and abundant joy. As her orgasm approached, feelings, pure and raw, flowed like electric currents, surging from the tiny bundle of clustered nerve endings to spread like a glowing web, up through her abdomen and chest, down to her tightly curled toes. Try as she might, Vanda could not contain her involuntary vocal responses, belting out a long string of unintelligible gibberish as her rational mind completely shut down in a state of utter euphoria. Aiden looked up from between her legs with a sticky smile. "Wow! You came really hard!" Vanda could not yet respond, her body still shuddering with small aftershocks. Aiden moved up beside her, kissing her cheek. "You ready for more? Or still need a minute?" "One moment, please. I need time to, process." Something was off. He could feel it. This was not the Adora he knew. He couldn't put his finger on it, but something about her had changed. Her mannerisms, the way she spoke, that odd echo in her voice. It was disconcerting. He knew it was Adora, his friend, his former lover, lying beside him. But when she finally opened her eyes to look at him, it was like looking at a completely different person. Still, the lustful yet somehow innocent smile she gave made his heart skip a beat. "I am ready. Please, continue." "Adora, I,” Aiden froze, unsure how to express his confusion. He was suddenly hesitant, trying to work out exactly what it was that was wrong. "Aiden?" Suddenly she was his Adora again, her face, and voice, familiar. "Please. I'm, ready for you. Make love to me. I need you!" Pulling him to her, she kissed him passionately. Her hand found the bulge in his jeans, caressing it. "Let's get you out of these," she purred, undoing the button. Tugging them down, she reached into his boxers, freeing his desperate erection. Her eyes went wide at the sight of it. Suddenly her facial expression shifted, her voice changing again. "Interesting. I expected it to be larger." "Adora, what the hell is going on?" Aiden snapped. "Oh, fuck," Adora groaned. "Aiden, I'm so sorry! Look, forget I said that, I didn't mean,” "Adora, you've been acting really strange all night. There's something really OFF about you, and it's freaking me out. Maybe I should just go!" Throwing his clothes back on, he moved towards the door. "Aiden, please, wait!" Adora cried. "Look, I'm really, really sorry. I thought I could control this better, but after that orgasm, I kinda,” "Control what better?" Aiden was utterly confused. "Adora, tell me what's going on." "Okay," she sighed, pulling her blanket up around her, "I'll explain everything. But you're probably not going to believe me. Remember those dreams I told you about? The dreams where I woke up naked in a strange room? Well, they weren't exactly, dreams." To be continued in part 5. By Djmac1031 for Literotica Source: ex-plicitly-novel

Minimally invasive spine surgery isn't right for every patient but when it is used, these procedures are muscle sparing, and often have faster recovery time. Sasha Vaziri, MD, is a neurosurgeon in Sarasota trained in minimally invasive spine surgery, and discusses the advancements made to help patients have great outcomes.You can also watch the video recording on our Vimeo channel here.For more health tips & news you can use from experts you trust, sign up for Sarasota Memorial's monthly digital newsletter, Healthe-Matters.

Andrew Huberman's Science-Backed Diet: Fuel Your Body and Mind Unlocking Peak Performance Through Evidence-Based Nutrition Intrigued by Andrew Huberman's high-achieving lifestyle? Wondering what fuels his success? Look no further than his science-backed approach to diet. This article delves into the core principles that guide his choices, offering valuable insights for optimizing your own health and performance. The Science Behind the Plate: Huberman's diet isn't about fad trends; it's about strategic nutrition with a focus on:Nutrient-dense whole foods: Minimally processed protein (eggs, grass-fed meat, fish), complex carbohydrates, and diverse vegetables form the foundation.Macronutrient balance: Protein for muscle building, healthy fats for satiety, and controlled carbohydrates for sustained energy.Micronutrient support: Fruits, vegetables, and strategic supplements like AG1 ensure a full spectrum of essential vitamins and minerals.Intermittent Fasting: A Powerful Tool: Huberman incorporates time-restricted eating, typically fasting for 16 hours and eating within an 8-hour window. This practice has been linked to various benefits, including:Improved blood sugar controlEnhanced cognitive functionPotential for weight managementBeyond Food: The Role of Supplements: While whole foods are prioritized, Huberman acknowledges the complementary role of supplements. He uses specific options to target:Immune functionTestosterone levelsSleep qualityCognitive functionRemember: Supplements are not a magic bullet. A healthy lifestyle with proper sleep, exercise, and stress management is crucial for optimal well-being. Exercise and Diet: A Synergistic Duo: Huberman's workout routine is intricately linked to his diet. Post-workout meals prioritize nutrients for muscle recovery and protein synthesis. Sleep and Recovery: Huberman finishes his last meal 3 hours before bedtime to allow for proper digestion and promote restorative sleep. This aligns with research highlighting the negative impacts of late-night eating on sleep quality and metabolism. Stress Management and Dietary Choices: Certain foods and nutrients can impact stress levels. Huberman incorporates adaptogens like ashwagandha and Rhodiola rosea to support his body's stress response. Personalize Your Approach: While Huberman's diet offers valuable insights, it's crucial to adapt it to your unique needs. Consider your:Health goalsLifestyle factorsDietary preferencesExisting health conditionsListen to your body and experiment to find the right balance of foods, eating patterns, and supplements that optimize your energy, sleep, and cognitive function. Key Takeaways:Huberman's diet prioritizes evidence-based strategies for maximizing energy, sleep, and cognitive function.Nutrient-rich foods, intermittent fasting, and targeted supplements form the core principles.Personalization is key – adapt these strategies to your unique needs and preferences.By understanding the science behind Huberman's approach and tailoring it to your own circumstances, you can unlock the potential for a healthier, more productive you. Thanks for listening to Quiet Please. Remember to like and share wherever you get your podcasts. And Hey! History buffs, buckle up! Talking Time Machine isn't your dusty textbook lecture. It's where cutting-edge AI throws wild interview parties with history's iconic figures. In the Talking Time Machine podcast: History Gets a High-Tech Twist, Imagine: Napoleon Bonaparte talking French Politics with Louis the 14th! This podcast is futuristically insightful. Our AI host grills historical legends with questions based on real historical context, leading to surprising, thought-provoking, and often mind-blowing answers. Whether you're a history geek, a tech junkie, or just love a good interview, Talking Time Machine has something for you. Talking Time Machine: search, subscribe and (Listen Now!)

One of the common procedures we do as dentists is remove teeth. And for most us, it's a fairly routine procedure. But with more research on the topic of tooth extraction and the extraction site itself, and how it all relates to implants, we're learning that minimizing the trauma to the surgical site is of utmost importance. To tell us more about this is Dr. Isaac Tawil. Dr Tawil received his Diplomate from the International Academy of Dental Implantology. He is a graduate of NYU Dental School and practices in Brooklyn NY. Thanks to our episode sponsors: GC America - https://www.gc.dental/ NSK America - https://www.nskdental.com/

Merlin conducts a deep dive on being busy versus being time-constrained, and Dan has some updates on his task management odyssey.

Host Dr. Joseph Patterson interviews paper author Dr. Josh Parry. This paper was presented at the 2023 OTA Annual Meeting. To see the abstract while listening, download the free ConveyMED App: Apple Store click here Google Play click here. For additional educational resources visit https://ota.org/ 

Today's interview is with Debbie Levitt, who is the CXO of Delta CX and the author of Customers Know You Suck. Debbie joins me today to talk about how we are in danger of over-indexing on failure and celebrating failure rather than trying to emulate what makes successful companies successful, how that is manifesting itself, why we talk about Apple and Amazon a lot but often don't really emulate them, the relationship between failure, speed and quality and what customers actually care about. This interview follows on from my recent interview – Personalization is pervasive but it's not personal – Interview with Shafqat Islam – and is number 488 in the series of interviews with authors and business leaders who are doing great things, providing valuable insights, helping businesses innovate and delivering great service and experience to both their customers and their employees.

Minimally invasive procedures are now more widely used for benign and some low-risk cancerous thyroid tumors. In certain cases of papillary thyroid microcarcinomas; and if those are positioned in a favorable location, Radiofrequency Ablation (RFA) offers a less invasive treatment option compared to traditional surgical approaches. Listen to Leonardo Guimarães Rangel, MD, Head and Neck Surgeon in Rio de Janeiro, Brazil, and international expert in minimally invasive procedures in thyroid tumors, present his Visual Vignette on Radiofrequency Ablation of Papillary Thyroid Microcarcinomas,  moderated by Sina Jasim, MD, MPH, Associate Professor of Medicine, and Endocrine Neoplasia Specialist at Washington University School of Medicine. Key topics include procedure safety, determining the right patient and nodule candidate, follow-up care, challenges, and future outcomes. Visit https://www.aaceclinicalcasereports.com/article/S2376-0605(22)00010-4/fulltext to view and read the full AACE Visual Vignette.

This episode is a special collaboration with the Minimally Millennial podcast, and we get to chat with one of the hosts, Shelby Boughton. Minimally Millennial is a podcast for young millennial adults or those stepping into adulthood for the first time and facing the question, "Why did nobody tell me this shit?" It is a safe place for where adults can admit they don't know what they are doing but are ready to learn! In this episode, we learn about Shelby's background, her initiation into solo travel, and the serendipitous connections that unfolded through her journey. She also interviews Geleen to understand her background on travel and how it has transformed her and contributed to her mission behind Travel Not to Escape.  This episode covers: Shelby's Travel Journey Shelby's perspective shifted after losing her mom to cancer, highlighting the importance of living in the moment. Post-COVID, Shelby embarked on a solo trip to Scotland, describing it as transformational and awakening. She has also explored group travel with Under 30 Experiences, including a memorable Morocco trip in May. Shelby actively seeks to recreate the feeling of aliveness with each trip and is exploring possibilities of solo travel and remote work to travel more frequently. Geleen's Travel Journey: Childhood focused on survival, discovered the joy of exploring during a study abroad experience in Rome, solo backpacking trip across Europe at 25, and continual travels that lead to full time digital nomad lifestyle. Pandemic revealed dissatisfaction with corporate lifestyle and her hiring a coach marked a turning point, leading to the decision to quit the corporate world. Mission to empower women to take control of their lives and pursue passions, especially in travel. Started a business and podcast to help women for transformation rather than use travel to escape their lives.  Transformation and Perspective Shifts: Importance of integrating positive aspects of travel into daily life for personal growth. Shelby reflects on using travel as an escape, challenges upon returning home, and incorporating travel mindset into daily life. Significant transformation from a corporate-driven desire for vacations to a more profound exploration of the world. Embracing authenticity, meaningful connections, and personal growth through full-time travel. Empowering Women and Solo Travel: Discussion on the challenges and barriers women face in solo travel and the importance of overcoming fears. Practical advice for overcoming anxiety and making solo travel accessible. Importance of self-reflection, understanding personal values, and revisiting them over time. Conclusion: Join the conversation about seizing opportunities, living authentically, and embracing the present. Whether you're an avid traveler or contemplating your first solo adventure, discover the insights and inspiration shared in this episode. To listen to the Minimally Millennial Podcast, head to https://open.spotify.com/show/6cYV9L1VLiCsPKqWKKg4hR?si=dded0530fb074ff7 Or Follow them on IG-  https://www.instagram.com/minimally.millennial.podcast/  Join the Travel Not to Escape Community - https://www.facebook.com/groups/travelnottoescape --- Send in a voice message: https://podcasters.spotify.com/pod/show/travelnottoescape/message

On today's show, we are talking about knee replacement surgery with Dawn Richardson, a friend I met in my last couple of years in the Army. Dawn is a retired Navy Captain, former restaurant manager, and former Bed and Breakfast owner who is delighted to say she's now retired and finds fulfillment in her volunteer activities and personal pursuits.  About 4% of people 50 and older have knee replacements.  At age 80, that number is above 10%. The average age is 65 and more women than men have knee replacements.  Three facts we were surprised to hear after speaking with Dawn:  You aren't supposed to travel for 6 weeks  You aren't supposed to kneel on that knee for 6 months  You shouldn't have any non-emergency dental work for 6 months to include cleanings These surgeries have evolved greatly after the use of minimally invasive scope-type surgeries.   Total knee replacement is a type of surgery to replace a damaged knee joint. A minimally invasive surgery uses a smaller cut (incision) than a traditional total knee replacement. This type of surgery typically requires special tools so that the surgery team can see and do the procedure through the smaller incision. The knee has several parts: the lower end of the thigh bone (femur), the upper end of the shin bone (tibia), and the kneecap (patella). A smooth substance called cartilage caps the ends of these bones and keeps the bones from grinding together. When there is damage to the knee joint, these bones may scrape together abnormally and cause pain. During minimally invasive total knee replacement, your surgeon makes an incision to access your shinbone and thigh bone. Next, he or she removes a portion of the bones that make up the knee joint. Your surgeon replaces these bone parts with metal components that recreate the joint surface. A layer of plastic is placed between the metal components for smooth gliding. Minimally invasive total knee replacement often takes place under general or spinal anesthesia. (credits: Johns Hopkins Medical)      

236 – Prolapse – Surgical and Non-Surgical Options This podcast is sponsored by Femselect Thanks to our sponsor Sprout Pharmaceuticals addyi.com/notbroken Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment. Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN  uberlube.com Dr. Sonya Ephraim, MD, FACOG, FPMRS, is a urogynecologist and the founder of Allure Pelvic Wellness and Aesthetic Gynecology in Deer Park, Illinois, outside of Chicago. She talks about how she decided to go back to do a fellowship in female pelvic medicine. In this episode, we talk a lot about prolapse and touch on-  ·      What is pelvic organ prolapse? ·      Why prolapse needs a rebranding – so much shame ·      Risk factors for prolapse ·      What are the signs and symptoms? ·      Our tips for treating constipation ·      Prolapse risk goes up after menopause – we discuss the likely role of hormones and decreased muscle strength. ·      The impact of prolapse on those suffering ·      Why we hate calling it “bladder prolapse” ·      How the bladder can be affected by vaginal prolapse and what may and may not improve ·      How do we know if we have prolapse ·      How do we know if we should treat prolapse ·      Risk of de novo stress urinary incontinence when prolapse is fixed, either with pessary or surgery ·      What is a pessary and what are the risks of a pessary. ·      Can you be sexually active with prolapse? ·      The role of pelvic floor physical therapy and prolapse. ·      Surgical treatment options: o   One size does not fit all. o   Obliterative surgery – colpocliesis o   Hysteropexy vs. hysterectomy o   Minimally invasive options – suture or mesh based (sacrocolpopexy) procedures o   New treatment options (EnPlace) benefits and data o   The cervix as a sexual organ for some people and the consideration of cervix/uterine preservation in prolapse surgery. ·      Modern prolapse repair is safe, effective and recovery is not too stressful for most women. ·      Post surgery instructions and rehab – vaginal estrogen and pelvic floor physical therapy ·      The risk of recurrent prolapse ·      When to consider adding a sling to your prolapse procedure ·      Just because someone or something said you have prolapse, doesn't mean you need surgery Instagram.com/allurebydrsonya https://allurepelvicwellness.com/ #EnPlace, #PelvicOrganProlapse, #WomensHealth #PelvicHealth My previous Prolapse episodes 21 – pelvic organ prolapse master class 138 – February Live – Hormones, prolapse, pelvic floor PT and more 161 – “I Just need to put something in my vagina”, Prolapse, and how PT helps Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

When it comes to saving money, it's all about simplicity. Which is why I'm sharing nine practical money habits for you to try if your budget is in need of a reset. Also, let's unpack the one question we've all asked: Will making more money solve my problems? What You Get in This Episode: ·     5 Frugal Habits to Cut Your Expenses in Half ·     4 Things Minimalists Do to Build Wealth ·     Will Making More Money Solve Your Problems?   Helpful Resources: ·      Grab Telestrations at your local Walmart. ·      Try BetterHelp today! ·      Check out Christian Healthcare Ministries. ·      Start budgeting for free with EveryDollar. ·      Get on the waitlist for Rachel's new kids book, I'm Glad for What I Have   Sponsors pay the producer of this show, The Lampo Group, LLC, advertising fees for mentioning their services or products during programming. Advertising fees are not based upon or otherwise tied to any product sale or business transacted between any consumer or sponsor. The following sponsors have paid for the programming you are viewing: Christian Healthcare Ministries, Op Games and Better Help.   Learn more about your ad choices. https://www.megaphone.fm/adchoices Ramsey Solutions Privacy Policy

In this episode of the podcast "Self Funded with Spencer," host Spencer Smith sat down with CJ Brock, the CEO of Better Way Medical Group, to discuss a range of topics related to healthcare innovations and challenges. The conversation covered groundbreaking advancements in heart transplants, the shift of surgical procedures to office settings, and the obstacles faced by healthcare providers. One of the highlights of the episode was the opening discussion on the revolutionary heart box, a device that keeps the heart alive during transportation. CJ Brock described it as "science fiction to the max." This innovative technology has the potential to increase the success rate of heart transplants by almost 50%, expanding the donor pool and saving more lives, but also costs upwards of $1,000,000! Better Way Medical Group, founded by hand and wrist surgeons Dr. Chris Bates and Dr. Nathan Leslie, focuses on providing high-quality, low-cost surgical care in the office setting. This approach has not only improved patient care but also increased revenue. By leveraging advances in medicine and anesthesia, procedures can now be performed in a more convenient location, resulting in lower costs and reduced risks of complications. The podcast delved into the challenges associated with shifting procedures from surgery centers to physician offices. CJ Brock emphasized the importance of embracing change and innovation in healthcare. He highlighted the cost savings achieved through this shift and the positive impact it has had on both physicians and patients. By performing procedures in the office setting, physicians can see more patients, improve their quality of life, and ultimately make more money. The conversation also touched on the challenges faced by healthcare providers when dealing with payers in the industry. CJ Brock acknowledged that the goal is always to achieve zero revisions, complications, and infections, but he recognized that it is not always realistic. He emphasized the need to reserve surgery for patients who truly need it and explore non-invasive, non-surgical methods for treating underlying conditions. Throughout the episode, CJ Brock shared his personal journey from being a professional golfer to becoming a healthcare professional. His adaptability and determination were evident as he discussed the importance of problem-solving and embracing change on a daily basis. He quoted a mentor who said, "Life is messy. Change is messy. Organizations have to embrace messy." This mindset allows for incremental improvements and ultimately leads to significant progress over time. The episode of "Self Funded" featuring CJ Brock and Better Way Medical Group shed light on the innovations and challenges in healthcare. It showcased the potential of groundbreaking technologies like the heart box and highlighted the benefits of shifting procedures to office settings. The conversation emphasized the importance of considering the impact on patients, physicians, and the healthcare system as a whole when making decisions about healthcare innovations. By embracing change and continuously seeking improvement, healthcare providers can deliver better care, reduce costs, and ultimately improve patient outcomes. Listen now! Chapters: 00:00:51 The Revolutionary Heart Box: Expanding Donor Pool 00:07:42 Office-Based Surgery for Hand and Wrist Procedures 00:14:08 Transitioning from Golf to Healthcare: CJ's Journey 00:17:51 Innovative In-Office Hand and Wrist Surgery 00:28:33 Shifting Procedures to Physician Offices 00:33:31 Shift to Physician Offices for Cost Savings 00:39:09 Innovative Solutions for Payer Challenges 00:47:20 Minimally invasive needle treatment for elbow pain 00:52:27 Driving change and innovation in healthcare --- Support this podcast: https://podcasters.spotify.com/pod/show/spencer-harlan-smith/support

In this inspiring episode of the Living Brightly podcast, Paige sits down with Julia from Rich in What Matters to explore the transformative power of living minimally. Julia, a Christian wife, business owner, and mother of four, shares her personal journey of breaking free from $40,000 of consumer debt by embracing a minimalist lifestyle. Through their conversation, they dive into the profound advantages of living with less, including increased peace, improved relationships, and a life of significantly less stress. This episode goes beyond the surface-level aspects of minimalism, diving into the deep and meaningful benefits that come with embracing a minimalist mindset. Tune in for a discussion on the life-changing effects of living minimally. Sign-up for Julia's newsletter to get 50% off within your first week of being a subscriber to her most popular decluttering course here: https://richinwhatmatters.com/decluttering-courses/ Find Julia on Instagram here: @richinwhatmatters Blog post: ⁠paigeschmidt.com Join Live Brightly: paigeschmidt.com/livebrightly  Download the Your Bright Life Journaling Exercise: https://www.paigeschmidt.com/bright-life/ Connect with Paige: Instagram: ⁠@paigeschmidt⁠ Website: ⁠paigeschmidt.com⁠Email: ⁠paige@paigeschmidt.com⁠

Today we are talking about The Drupal Association with Tim Doyle. For show notes visit: www.talkingDrupal.com/408 Topics Tell us about yourself Tim Why Drupal What perspective do you bring Strategic plan Leadership Measurements Drupal the project vs Drupal the community Where will the DA be in 5 years Will Drupal be around in 20 years Favorite aspect of the strategic plan Resources Director of Philanthropy Burnout Pitch-burgh Alex Moreno New Core Product Manager Lauri Eskola (lauriii) Tenure of ED/CEOs since formation of DA Jacob Redding March 2010 - February 2013 ~3 years Holly Ross February 2013 - May 2016 3 years 3 months Megan Sanicki May 2016 - September 2018 1½ years (interim) Tim Lehnen September 2018 - June 2019 9 months Heather Rocker June 2019 - March 2022 2 years 9 months (interim) Angie Sabin March 2022 - October 2022 8 months Tim Doyle October 2022 - Present (July 2023) 9 months As of February 2026 Tim will be longest-tenured Guests Tim Doyle - @TimDoyleMPA Hosts Nic Laflin - www.nLighteneddevelopment.com @nicxvan John Picozzi - www.epam.com @johnpicozzi Tim Plunkett - @timplunkett MOTW Correspondent Martin Anderson-Clutz - @mandclu ActivityPub Brief description: Implements the ActivityPub protocol on your site, so readers can follow and respond to content on Fediverse sites like Mastodon, and in the future maybe Threads? Brief history How old: created in Feb 2019 Versions available: 1.0.0-alpha17, works with Drupal 9.4 and 10, release in Mar 2023 Actively maintained Minimally maintained Number of open issues: 43 open issues, only 2 bugs but 1 of those fixed in the past week Usage stats: 11 sites using it according to drupal.org Maintainer(s): Created and maintained by swentel, who also created a module for publishing Drupal content to the Nostr network Module features and usage Effectively allows your site to act as a Fediverse server: Mastodon, Pleroma, Picelfed, etc. Users who enable ActivityPub for their account have created @user@domain in the Fediverse At that point the Drupal UI provides some common features of a social client: notifications about subscribers, and so on Provides plugins to define user actions. Default plugins are ‘Accept', ‘Follow', ‘Delete', ‘Undo' and ‘Inbox reply', but a site could add or enable others Based on the documentation it sounds like if you update an entity (e.g. change the title) you can trigger an Update activity, which is in stark contrast to a certain bird platform There's quite a bit more in the module's README file if anyone wants to better understand its capabilities

“It's been a labor of love to get this project off the ground,” says Kristin Bixel, MD, of a new James clinical trial for a minimally invasive surgical technique for cervical cancer that she is leading. Minimally invasive surgery (also called robotic surgery) is being performed on a growing number of different types of cancer. These less invasive surgeries reduce complications and speed up the recovery process for patients. However, the first minimally invasive procedure and clinical trial for cervical cancer resulted in an increased rate of recurrence for patients – and was immediately abandoned. This spurred Bixel to think outside the box and develop a new, different technique in which the cancerous tumor in the cervix wasn't exposed to the peritoneal cavity. “My mind immediately went to the procedure itself,” Bixel said, adding she could picture the new surgical technique in her mind, as if looking through a scope, and began the long process of creating a clinical trial. The clinical trial began in February 2022 at the James, and several other leading cancer hospitals around the country have joined the trial. “If we can make this procedure safe for our patients that will be huge,” Bixel said. “One hundred percent of our patients want this type of small-incision surgery.”

Jay Feldman is back for his fourth appearance on B.rad! Jay is one of my favorite guests to have on the podcast and our episodes together are some of my all-time favorites, as I love the way he presents his compelling argument that we should rethink many of the foundational principles of ancestral health, such as intermittent fasting, low-carb, keto, and time-restricted feeding. You will hear some scientific insights in this show that will get your head spinning and inspire you to rethink many of these practices we've been indoctrinated into from a big-picture perspective, such as are these things we've been doing actually healthy? And who (and what) can we trust to lead us down the path towards a healthy, happy, balanced, and energetic life? As you will hear in this show, a lot of the science and dogma we have been fed for a long time (not just mainstream dogma, but ancestral dogma as well) can now be scrutinized as coming from flawed or dated science or misinterpreted science. We talk about a few controversial topics, such as the comparison between being a fat burner like our ancestors or prioritizing carbohydrates as the human body's preferred and most efficient source of energy, and you'll also hear about the actual causes of excess body fat and how to get it off appropriately and healthily. Finally, we wrap up with a round of quick questions: are Omega-3's really the anti-inflammatory Kings/vaunted centerpiece of our diets, or should we now avoid all forms of polyunsaturated fats?     TIMESTAMPS: We need to rethink many of the foundational principles of ancestral health. [02:35] There is much controversy among extreme health enthusiasts regarding healthy nutrition. Compare being a fat burner versus being good at burning glucose. [08:21] We must question and be open to learning new things.  In school we are taught to read this book and memorize what is in it. You have to experiment on your own for what is best for you.  [10:11] What people are the best candidates to thrive on keto, fasting, or carb restriction? [16:43] Stress can catch up to you when you are involved in some of these restrictive diets. [20:56] Fructose can go to the liver and cause fat, but there is much more to it than that.  [22:17] What is going on when the hunger is dysregulated and the obesity is occurring? [30:58] When Jay was a young athlete, he was experimenting with his diet and at one point was emphasizing starches and doing himself a disservice. [32:33] Let's talk about sugar. Good or bad? Ray Peat's work talks about preferring carbs over fats. [38:25] Our health depends on our ability to produce energy. [43:43] When we look at our evolution from our ancestors, we see that if we are in an environment that is more energetically favorable, it'll lead to greater complexity, greater brain function, greater ability to function. [45:52] Calorie restriction is not the best way to extend life span, according to Jay. [55:20] Work on not being sedentary and work on changing the foods you eat. [01:01:05] It's fats versus carbs?  Which is better? You don't have to put all your eggs in one basket. [01:04:17] Fat burning produces more reactive oxygen species and as such, it has a hormetic effect. [01:08:23] Keto, fasting, those things are beneficial in some ways despite the stress. [01:16:47] If getting fat adapted is known to have a performance benefit, is this a different paradigm than us at rest and trying to get through our life when we're going out on a four-hour bike [01:24:20] What about mixing carbs and fasts in general? [01:27:57] If you are carrying excess body fat, it is important to get healthy first by making better choices. [01:32:10] Does prescription medication have an influence on things like our hunger, satiety, energy production signals in terms of side effects? [01:33:45]   LINKS: Brad Kearns.com Brad's Shopping page Stan Efferding Ray Peat Diet Carbs vs Fat article Why I Stopped Fasting (Mutzel) Randle Cycle Energy Balance Podcasts   Join Brad for more fun on: Instagram: @bradkearns1 Facebook: @bradkearnsjumphigh Twitter: @bradleykearns YouTube: @brad.kearns TikTok: @bradkearns   We appreciate all feedback, and questions for Q&A shows, emailed to podcast@bradventures.com. If you have a moment, please share an episode you like with a quick text message, or leave a review on your podcast app. Thank you! Check out each of these companies because they are absolutely awesome or they wouldn't occupy this revered space. Seriously, Brad won't promote anything he doesn't absolutely love and use in daily life. Mito Red Light: Photobiomodulation light panels to enhance cellular energy production, improve recovery, and optimize circadian rhythm. Use code BRAD for 5% discount! NutriSense: Continuous glucose monitor and 1:1 expert support to help optimize diet choices and lifestyle behaviors. $30 B.rad discount! Marek Health: Comprehensive lab testing and expert tele-health support for peak performance. Use code “BRAD” for 10% discount! Plunge: Sensational custom-designed home cold plunge with filtered, circulating water, custom temperature setting, and sleek design. Save $150 with code BRAD LMNT Electrolyte Drink Mix: Tasty, sugar-free, scientifically formulated electrolyte drink mix with everything you need and nothing you don't. Free sample pack, just click the link! B.rad Whey + Creatine Superfuel: Premium quality, all-natural supplement for peak performance, recovery, and longevity Male Optimization Formula with Organs (MOFO): Optimize testosterone naturally with 100% grassfed animal organ supplement Brad's Macadamia Masterpiece: Mind-blowing, life-changing nut butter blend Online educational courses: Numerous great offerings for an immersive home-study educational experience Check out the my Favorites page for discounts on other great products!See omnystudio.com/listener for privacy information.

Please join Drs. Graham Skelhorne-Gross, Jordan Nantais and Ashlie Nadler from our Emergency General Surgery Team for a discussion on cirrhotic patients.   Child-Pugh Score (https://www.mdcalc.com/calc/340/child-pugh-score-cirrhosis-mortality) ·      Bilirubin, albumin, INR, ascites, encephalopathy ·      Used to predict operative mortality based on cirrhosis severity ·      Mortality in EGS: - Child-Pugh A: 10% electively and 22% emergently - Child-Pugh B: 30% electively and 38% emergently - Child-Pugh C: 80% electively and up to 100% emergently Model for End Stage Liver Disease (MELD) (https://www.mdcalc.com/calc/10437/model-end-stage-liver-disease-meld?utm_source=site&utm_medium=link&utm_campaign=meld_12_and_older) ·      creatinine, bilirubin, INR, and sodium ·      MELD < 20 – 1% increase in mortality with each point increase ·      MELD > 20 – 2% increase in mortality with each point increase Pre-operative Planning ·      Identification of cirrhosis with physical examination, bloodwork and imaging ·      Involvement of other medical services (internal medicine, hepatology, ICU) as needed ·      Cirrhosis optimization, if possible ·      Abdominal wall mapping Unexpected Intraoperative Finding Communicate unexpected findings to the operative team and think of additional adjuncts you may need such as additional ports, topical hemostatic agents or energy devices. Think about why you are in the OR. If its an elective situation and can wait, consider bailing. If its emergent, you may have to do something more definitive. Exposure may be a challenge, you may have to alter your typical approach including where the assistant grabs and retracts. Extra hands are helpful. Bleeding can be a big deal. If possible, map out the abdominal wall ahead of time with cross-sectional imaging. Stay away from varices around the umbilicus or porta Ventral Hernia + Cirrhosis ·      Ideally, control ascites pre-operatively, if you can't consider leaving drains ·      Small (< 2cm) hernias close primarily ·      Larger (>2cm) hernias repair with mesh unless infected filed (controversial) ·      Minimally invasive repairs can be performed Benign Biliary Disease + Cirrhosis ·      Incidence of gallstones is 4-5 times higher in cirrhotic patients ·      Prophylactic laparoscopic cholecystectomy (LC) generally not done ·      LC generally considered acceptable in CP A or B but not C (exceptions: HD instability, gangrenous cholecystitis, hemorrhagic cholecystitis) ·      Cholecystostomy and ERCP are safe References:  Bleszynski, M. et. Al. Acute care and emergency general surgery in patients with chronic liver disease: how can be optimize perioperative care? A review of the literature. 2018. World Journal of Emergency Surgery; 13:32 Mansour A, Watson W, Shayani V, et al. Abdominal operations in patients with cirrhosis: still a major surgical challenge. Surgery. 1997;122:730–5. Yeom SK, Lee CH, Cha SH, Park CM. Prediction of liver cirrhosis, using diagnostic imaging tools. World J Hepatol. 2015 Aug 18;7(17):2069-79. doi: 10.4254/wjh.v7.i17.2069. PMID: 26301049; PMCID: PMC4539400. Jain D, Mahmood E, V-Bandres M, Feyssa E. Preoperative elective transjugular intrahepatic portosystemic shunt for cirrhotic patients undergoing abdominal surgery. Ann Gastroenterol. 2018 May-Jun;31(3):330-337. doi: 10.20524/aog.2018.0249. Epub 2018 Mar 15. PMID: 29720858; PMCID: PMC5924855. **Fellowship application link: https://forms.gle/PiKM2MMQpE5jSAeW7 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out other Emergency General Surgery episode here: https://behindtheknife.org/podcast-category/emergency-general-surgery/