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Kiera is joined by the tooth-healer himself, Jason Dent! Jason has an extensive background in pharmacy, and shares with Kiera where his pharmaceutical experience has bled over into dentistry. This includes the difference between anti-quag and anti-platelet and which medications are probably safe, what to do to shorten the drag time in the pharmacy, how to write prescriptions most efficiently, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and today is a really awesome and unique day. It is, think the second time I've had somebody in the podcast studio with me live for a podcast and it's the one and only Jason Dent. Jason, how are you? I'm doing well. Good morning. Thanks for having me. It is crazy. I I watch Instagram real like this all the time where people are like in the podcast and they're hanging out on two chairs and couches and now look at us. We're doing it. Cheers. Cheers.   That was a mic cheer for those of you who are only listening, but yeah, Jace, how does this feel to be on the podcast? It's weird. Like I was not nervous at all talking about it. I got really nervous as soon as you hit play. So if I stumble over my words, please forgive me ahead of time. Well, Jason, I appreciate you being on the podcast because marketing had asked me to do a topic about teledentistry and I was like, oh shoot, that's like not my forte at all. so   You and I were actually chatting in the hot tub. call it Think Tank session and you and I, we have a lot of good ideas that come from that Think Tank. A lot of business. no phones. That's why. We do leave our phones out. But I was talking to Jason and this is actually a podcast we had talked about quite a while ago. Jason has a lot of information on pharmacy. And if you don't know, Jason isn't really, we were going through all of it last night. It's kind of a mock in the tub. And I think it's going to be great because I feel like this is an area, I'm working at Midwestern and   knowing about how dentists, pharmacology was surely not your favorite one. Jason actually helps a lot of dentists with their clearances. And so we were talking about it and I like it will just be a really awesome podcast for you guys to brush up on pharmacology, different things from a pharmacist's side. So Jason, welcome. Thank you. Yeah, no, we were talking about it and here's like, what should I talk about on the podcast next? I have all these different topics and she's like, what do you know? And the only real interaction I have with dentists is doing clearances for procedures. We get them all the time, which makes sense.   Lots of people are on blood thinner, I've always told Kiera, like, hey, I could talk about that. Like, that's kind of a passion of mine. I'm not a dentist. Or my name is Jason Dent. So in Hebrew, Jason means tooth. No, no, no, sorry. Nerves are getting to me. Jason means healer and Dent means tooth. So my name means tooth healer. So, here's a little set. Hold on, on, hold Can we just talk about? I brought that up before you could talk about it more. So.   My name means tooth healer but I did not become a dentist. I know you wanted me to become a dentist. did. I don't know why. I enjoy medicine. I know what you're going to get to already. The things you're going to ask me. There's been years of this. But nevertheless, that's my name. We'll get that out of the way. But you did give me a great last name. So I mean, it's OK. You're All is fair and love here. SEO's up for that. But yeah, Jason, I'm going to get you right into the show. And I'm going to be the host. And we're going to welcome to the podcast show. Jace, how are you?   Good, good, good. Good, good, good. So by getting into clearances, right? This is what you're kinda talking about with you know, before we get to clearances, I actually wanted Jason, for the listeners who don't know you, who haven't talked to you, who don't know, let's kinda just give them like, how did you go from, Kiera wanted you to be a dentist, to now Jason, you are on the podcast talking as our expert on pharmacy. fantastic. I've always really loved medicine, a ton. As a kid getting headaches and taking Excedrin, like you just feel like a miserable pile of crap.   and then you take two pills and all of a sudden you feel better. Like that's amazing, like how does that happen? Also getting ear aches as a kid, just being in so much pain and then taking some medicine and you start feeling a lot better. I always had a lot of appreciation for that. I've always been mechanically inclined. I went to, started doing my undergrad and took biology and learned about ATP synthase, which is a spinning enzyme that's inside the mitochondria, like a turbine engine. I used to work on small engines on my dirt bike and thought that is so cool. So I really got wrapped up into chemistry.   All the mechanics of chemistry really pulled me in. I'm not getting goosebumps. checking. I usually get goosebumps when I think about chemistry. But it's so cool. You think an engine's awesome, like pistons and camshafts and pressures, the cell is the same thing. It's not as loud, so it's not as cool. But it's fascinating. that's why we're like. ⁓   chemistry and really got into coagulation. So I did my residency after pharmacy school. we went to Arizona for three years. ⁓ You did and your main focus, you were never wanting to be the guy behind the counter. No, I haven't done that. Yeah. No, I love them though. I've always really want to go clinical. ⁓ But I love my retail ⁓ pharmacists. They're amazing resources. And ⁓ I use the retail pharmacist every day still to this day, but I went more the clinical route, really love the chemistry aspect of it.   did my doctorate degree and then I did my residency in Reno. Reno's kind That's how we got here everybody. Welcome to Reno. Strategically placed because I was really interested in critical medicine and where we're located we cover a huge area. So we pull in to almost clear, we go clear to Utah, clear to California, all of Northern Nevada. We get cases from all over. So we actually are kind like the first hub of care for lot of areas. So we really get an eclectic mixture of patients that come in that need-   all kinds of different cases that are coming to them. So it's what I really wanted. So I did my residency in critical care there. And then for the next 10 years, I worked in vascular medicine with my final five years being the supervisor of the clinic. Ran all the ins and outs of that. So my providers, two doctors were on our view. So when we talk about dentistry, talk about production, those kinds of things, totally get it. My doctors were the exact same way, my vascular providers. ⁓   There's some pains there, right? You wanna be seeing patients as much as possible, being able to help as many people, keeping the billing up. And had other nurse practitioners, four practitioners, a fleet of MAs, eight pharmacists. We also had that one location we had, going off the top of my head, I think we had eight locations running as well. And we took care of all the different kinds of vascular cases that came to us. Most common was blood clots, ⁓ which is just a...   which is an easier way of saying VTE. There's so many different ways to say a blood clot. Like you might hear patients say, I've had a PE or a DVT or a venous thromboembolism or a clot in my leg, right? They're all clots, but in different locations. Same with an MI, and MI can be a clot as well. ⁓ there's a lot of, everybody's kind of saying the same thing, but sometimes the nomenclature can make it sound hard, but it really is actually pretty simple.   No. And Jason, I love that you went through, you've been in like, and even in your, ⁓ when you were getting your doctorate, you were in the ER. You also worked in retail pharmacy. remember you having a little sticker on your hand. And retail pharmacy, I have a lot of respect for those guys. They have a lot of pressure on them. and then you also, ⁓ what was that test that you had to take that? I don't know. You were like studying forever for it. ⁓ board certification for, ⁓ NABP. Yeah. So I did that board certification as well.   And now you've moved out of the hospital side onto another section in your career. Now in the insurance, right? So it's really, really interesting. So now I'm on the other side reading notes and evaluating clinical appropriateness and trying to help patients with getting coverage and making those kinds of determinations. So yeah, I've really jumped all over. Really love my clinical days. I know. don't I don't I do miss them. But yeah, kind of had a good exposure to a lot of.   pharmacy a lot a lot of dentists actually with all the places that come through which Jason I really appreciate that and honestly I know you are my spouse and so it's fun to have you on but when I go into conversations like this I don't know any of this information and so finding experts and Jason I think here's me talk more about dentistry and my business than I do hear about him on pharmacy so as we were chatting about this I really realized you are a wealth of knowledge because you've been on the clinical side so you've done a lot of patient care and you've seen how   medications interact and I know you've had a few scares in your career and ⁓ you've known some physicians that have had a few scares and ⁓ you've seen plenty of patients pass away working in the ER and gosh in Arizona drownings were such a big deal. I remember when you were in the ER on your rotations I'd be like who died today? Like tell me the stories and you've really seen and now going on to the insurance side I felt like you could just be such a good wealth of knowledge because I know dentists are sometimes so   I would say like maybe just a little more anxious when it comes to medications. I know that dental students from Midwestern were like here was like four months and we had to like pass it, learn it. And Jason, you've done four years plus clinical residency, plus you've been in it. And something I really love about Nevada Medicine is they've been so collaborative with you.   like your heart, your cardiologist, they diagnose and then they send to you to treat with medicine and... Yeah, I've been really lucky being here in Reno too. The cardiology team has been amazing to work with. We started a CHF program, sorry, congestive heart failure program for patients. So we would collaborate with cardiologists. They'd see the cardiologists and then they send them to the pharmacist to really manage all the medications. So there's pillars of therapy ⁓ called guideline directed medical therapy and the pharmacist would take care of all that. So that's gonna be your...   your beta blockers, your ACEs, your ARBs, your Entresto, which would be a little bit better, spironolactone. So just making sure that all these things are dosed appropriately, really monitoring the heart, and make sure that patients are getting better. we've had real positive outcomes when the, sorry, this is totally off topic. do, talk about that study. When we looked at when patients were coming to see our pharmacists in our clinic that we started up, the patients were half as likely to be readmitted. And this was in 2018, and our pharmacists,   We're thinking about all the medications. We're usually adjusting diabetes medications too at the same time. Just kind of naturally just taking care of all the medications because we kind of got a go ahead from the providers, a collaborative practice agreement that we could make adjustments to certain medications within certain parameters. So we weren't going rogue or maverick, but we were definitely trying to optimize our medications as much as possible. And then years later, some studies came out with, I'm sure you've seen Jardins and Farseegh. not trying to, I'm not.   I don't get any kickback from them. I have no conflicts to share. But because our pharmacists were really optimizing that medication, those medications were later shown to reduce hospitalizations and heart failure, even though they're diabetes medications. Fascinating. So it wasn't really the pharmacists. It was just the pharmacists doing as much as they can with all the tools that were in front of them. And then we found out that the patients were going back to the hospital.   half as much as regular patients. So, yeah, being here, it's been so amazing to work with providers here. the providers here want help, want to help patients, don't have an ego. I mean, I just, it's awesome. I love it. I do love how much I think Jason sees me geek out about dentistry and I watching Jay's geek about his pharmacy and how much he loves helping patients. And ⁓ really that was the whole idea of, all right.   Dentistry has pharmacy as a part of it. And I know a lot of dentists are sending in clearances and I know working in a chair side, it would be like, oh no, if they're on warfarin or on their own blood clot, you guys, honestly don't even know half of what I'm talking about because this is not my jam, which is why Jason's here. But I do know that there was always like, well, we got to talk with their provider. And so having Jason come in and just kind of explain being the pharmacist that is approving or denying or saying yes or no to take them off the blood thinners in different parts, because you have seen several dental   I don't know what they're called. What is it? Clarence's? that what comes to you? don't even know. All day my mind, it's like, here is the piece of paper that gets mailed to you to the pharmacist and then you mail it back. So whatever that is. But Chase, let's talk about it because I think you can give the dentist a lot of confidence coming from a pharmacist. What you guys see on that side. When do you actually need to approve or disapprove? Let's kind of dig into that. Yeah. Well, first of all, I think I'm not a replacement for any kind of clinical judgment whatsoever. Every patient's different. But the American Diabetes Association, you   I work with diabetes a lot. American Dental Association has some really great guidelines on blood thinners and I would always reference them. I actually looked at their website today. Make sure I'm up to speed before I get back on this again. They have resources all around making decisions for blood thinners. And I think the one real important thing in putting myself in the shoes of a dentist or any kind of staff that's around a patient that's in a chair, if they say I'm on a blood thinner, right, a flag goes up. At least in my mind, that's what goes up.   Like, okay, how do we get across this bridge? And I think the important thing to really distinct right then when they say they're on a blood thinner is that is kind of a slang word for a lot of different medications, right? Like it's the overarching word that everybody pulls up saying, I'm on a blood thinner. It's like, okay, but I don't know what say. It's like, I have a car. You're like, okay, do you have a Mazda? Do you have?   Toyota, Honda, what do you have? or even worse it'd be like saying I have a vehicle, right? So when somebody says they're on a blood thinner, it opens up a whole box of possibilities of what they're Blood thinners are also, doesn't, when they're taking these types of medications that are quote unquote a blood thinner, it doesn't actually thin the blood, like adding water to the blood, if that makes sense, or like thinning paint, or like thinning out a gravy, right? It doesn't do the same thing. Blood thinners, really what they're doing is they're working on the blood, which.   which is really cool, try not to tangent on that. ⁓ When they're working on the blood, it's not thinning it per se, but it's making it so that the proteins or platelets that are in it can't stick together and make a cloth quite as easy. So whenever somebody's on a blood thinner, I usually ask, what's the name of the blood thinner that you're on? It's not bad that they use that slang, that's okay, on the same page, but it's really broken into two different classes. There's anticoagulant and antiplatelet.   And a way to kind of remember which is which, when residents would come through our clinics, the way that I teach them is a clot is like a brick wall. You know, it's not always a brick wall. Usually the blood is a liquid going through. But once they receive some kind of chemical message, it starts making a brick wall with the mortar, which is the concrete between the and the bricks, the two parts. When it's an anti-quagent, it's working on that mortar part. When it's an anti-platelet, it's working on the bricks part, right? You need both to make a strong clot or strong brick wall.   But if you can make one of them not work, obviously like if your mortar is just water, it's not working, right? You're not gonna make a strong brick wall. So that's kind of the two deviants right there. So that's what I do in my mind real quickly to find out because antiplatelets are usually, so that's gonna be like your Plavix, Ticagrelor, Brilinta. And hold on, antiplatelets are bricks? Good job, bricks. They're the bricks. And so the reason I was thinking you could remember this because I'm, antiplatelets, it's a plate and a plate is more like a brick.   And anti coagulant, I don't know why quag feels like mortar to me, like quag, like, know, it's like slushy in the blood, like it's coagulating. It's a little bit of that, like, honestly, I'm just thinking like coagulated blood is a little bit more mortar-ish. And so platelet is your plate, like a brick, and anti-quag is like.   the gilly between the bricks. Okay, okay, I got it. Yeah, so there's an exception to every rule, but when they're on that Don't worry, this is Kiera, just like very basic. You guys are way smarter listening to this, and that's why Jason's here. No, no, you helped me pass pharmacy school. When we were doing all the top 200, you helped me memorize all know what flexorill is, all right? That's a muscle relaxant. Cyclo? I don't know that part. It's a cyclo, because you guys are cycling and flexing. I don't actually know. just know it's a muscle relaxant, so that's about as far as I got. When we're looking at antitick platelets, so that's the brick part, so that's going to be your, you know,   Hecagrelor, Breitlingta, Clopidogrel is the most common one. It's the cheapest one, so probably see that one the most. Those, I mean, there's an exception to every rule, but that's generally being used after like a stent's placed in the heart. It can be used for VTE, there's some out there, but that's pretty rare. But also for some valves that are placed in the hearts, it can be used for that as well. So antiplatelet, really thinking more like a cardiac event, right? Like I said, there's always an exception to every rule, but that's kind of where my mind goes real quickly, because we're gathering information from the patient.   They're on anticoagulant. Those are like going to be the new ones that you see commercials for all the time. So Xeralto, Alequis, those are the two big ones right now. They're replacing the older one. And also we were supposed to do a disclaimer of this is current as of today because the ADA guidelines do change. this will be current as of today. And Jason, as a pharmacist, is always looking up on that. I had no clue that you are that up to speed on dental knowledge. so just throwing it out there that if you happen to catch his podcast,   a few years back that obviously check those guidelines for sure. But the new ones are the Xarelto and Eloquist. They're replacing the older ones of warfarin. Warfarin's been around for a really long time. We've seen that one. Those are anti-coagulants. So when you're looking, when a patient says that, generally they're on that medication because they've possibly had a clot in the past or they have a heart condition called atrial fibrillation. Those are kind of the two big ones. Like I said, there's always caveats to it, but that's kind of where my mind goes real quickly. And then,   as far as getting patients cleared, the American Dental Association has really good resources on their website. You can look at those and they're always refreshing that up. They even say in their own words that there's limited data around studying patients in the dental chair and with anticoagulants or anti-platelets. It's pretty limited. There's a few studies, some from 2015, some from 2018. There's one as recent as 2021, which is nice. But really, all of those studies come together and it's really more of an expert consensus.   And with that expert consensus, they have kind of simplified things for dentistry, which is really nice. ⁓ comparing that to, we have more data for like total hip replacement, total knee replacement. We have a lot of data and we know really what we should be doing around then. But going back to dentistry, we don't have as much information, so they always say use clinical judgment, but they do give some really great expert guidance on that. So if a patient's on an anticoagulant, ⁓   they generally recommend that it doesn't need to be stopped unless there's a high bleeding risk for a patient. as a provider or as a clinician in the practice, you can be looking at high bleeding risk. Some things that make an oral procedure a little bit lower risk is one, it's in the compressible site, right? Like we can actually put pressure on that site. That's the number one way to stop bleeding is adding pressure. It's not like it's in the abdominal cavity where we can't get in and can't apply pressure. So number one, that kind of reduces the bleeding risk.   is number one. Two, we can add topical hemostatic agents. Dentists would know that better than me. There's a lot of topical ways to do that. So not only pressure, but there's those things as well. And also, but there are some procedures that are a little bit more likely to bleed. And that's where you and dentists would come in hand in What's the word in APO? Oh, the APOectomy. I got it right. Good job. like, didn't you tell me last night that the ADA guideline was like what?   three or four or more teeth? great question. So you can extract one to three teeth is what their expert consensus One to three teeth without. Without really managing or stopping anticoagulation or doing anything like that. I think that's some good guidance from them. I'm gonna add a Jasonism on that though. So with warfarin, I do see why dentists would be a little bit more conservative or worried about stopping the warfarin because warfarin isn't as stable as these newer agents. Warfarin, the levels.   quote unquote levels can go really high, they can go really low. And if the warfarin levels are high, they're more likely to bleed. So I do think it makes sense to have a really recent INR. That's how we measure what the warfarin's doing. I think that makes a lot of sense, but the ADA guidelines really go into the simplification version of all these blood thinners. Generally, it's recommended to not stop them because the risk of stopping them outweighs the benefit of stopping them in almost every case. Almost every case.   ⁓ So when you're with that patient, right, they say I'm on a blood thinner, finding out which kind of blood thinner that they're on, you find out that they're on Xeralto, right? How long have you been on Xeralto for? I've been on it for years. You don't know exactly why, but if they haven't had any recent bleeding, you're only gonna remove one tooth. ⁓ You can do what's called a HasBlood score. That kind of looks at the bleeding risk that they'd have. That'd be kind of going a notch above, but in my mind, removing one tooth isn't a real serious bleeding risk. I'd love to hear from my dentist friends if they...   disagree, right, but ADA says one to three tooth removals, extractions, that's the fancy word. Extractions, yeah, for extracting teeth out. Is not really that invasive. Sure. It's not that high risk, so it's usually perfectly fine. So if a patient was on Xarelto, ⁓ no other, this is in a vacuum, right? I'm not looking at any other factors, which you should be looking at other factors. I would be perfectly fine to just remove one to two.   And when those clearances come in, because dentists do send them, talk about what happens. You guys were working in the hospital and you guys would get these clearances all the time. do. We get them so often. I mean, we get like four or five a day. We'd love to give it to our students, student pharmacists, and ask them what to do. And they would usually look up the American Dental Association guidelines and come up with something. We're like, yep, that's what we say too. In fact, we say it so many times a day that we have a smart phrase.   which just blows in the information real quickly and faxes it right back to the So it's like a copy paste real quick. So what I wanted to point out when Jason told me this is dentists like hearing this and learning this, this can actually save you guys a ton of time to be able to be more confident, to not need to send those clearances on. And we were actually talking last night about how I think this might be a CYA for dentists. like, as we were talking, I think Jason, you seeing so many other aspects of medicine, like you've literally seen patients die, you've seen other areas.   And so coming from that clinical vantage point, we were realizing that dentists, we are so blessed to live in an injury. I enjoy dentistry because possibly there's someone dying, not super high, luckily in dentistry. The only time that I have actually had a doctor have a patient pass away, and it was only when they were completely sedated and doing ⁓ some other things, but that was under the care of an anesthesiologist. And so that's really our high, high risk. And so hearing this, Jason,   That was one of the reasons I wanted him to come on is to give you doctors more confidence of do we have to always send to a pharmacist? I mean, hearing that on the pharmacy side, they're just sending these back and not to say to not see why a to not cover this because you might be questioning like, well, do I really need to? But you also were talking about some other ways of so number one, you guys are just going to copy back the 88 guidelines. So so 88 guidelines. Yeah. And I think that that gives a lot of confidence to a provider or a dentist is that you can go to the 88 guidelines and read them, right? Like you're listening to some   nasally monotone pharmacist on a podcast. Rumor has it, people love him at the hospital. were like, you're the voice, he's been told he has a good radio So for the clinic, I was the voice. Like, yeah, you've reached the vascular clinic, right? And they're like, oh my gosh, you're the voice. But sorry, you me distracted. That'll be your next career, Jace. You're going to be a radio host. OK. I would love that. I love music. But you're hearing from a nasally guy, but you can actually read the ADA guidelines. You just go right to the ADA, click on Resources, and under Resources, it has the   around anticoagulants, I think that's the best way to get a lot of confidence about it because they have dentists who are the experts making calls on these. I'm just reiterating what they say, but I think it makes a lot of sense to help providers. And the reason why my heart goes out to you as well is having the providers that used to work underneath me, they're always looking for our views, which is a fancy way of making sure that they're drilling and filling. Can I say that? Yeah, can say drilling and filling. They're being productive, right? They're being productive, right?   They're always looking to make sure if a patient's canceling, like get somebody in here. Like I need to be helping people all day long. That's how I, we keep the lights on. That's how I help as many people. And so if you have a patient coming in the chair and it has an issue, they say I'm on Xeralto. Well, you can ask real quickly, why are you on Xeralto? I had a clot 10 years ago. my gosh. Well, yeah, we're pretty good to go. Then I'm not worried. We're only removing one tooth or we're just doing a cavity or a cleaning. Something like that. Shouldn't be an issue whatsoever because there's experts in the dental. ⁓   in the dental society, the ADA guidelines that recommend three teeth or less, minimally invasive. They really recommend if it's gonna be really high bleeding risk. And clinically, that's where you would come in, ⁓ or yourself. know, apioectomy is one that's like on the fence line. I don't know where implants set. though, and like we were talking, implants aren't usually like a date of procedure. Most people aren't popping in, having tooth pain, and we're like, let's do an implant. Now sometimes that can be the case, but typically that one's gonna have   a few other pieces involved. And so that is where you can get a clearance if you want to. ⁓ But we were really looking at this of like so many dentists that I know that you've seen will just send in these clearances because they are. And I think maybe a way to help dentists have more confidence is because you know, I love routines. I love to not have to remember things. So why don't we throw it in, have the team member set it up where every quarter we just double check the ADA guidelines. Are there any updates? Are there any other things that we need to do on that? That way you can just see like   getting into the language of this, of what do I need to do? Because honestly, you guys, know pharmacy was not a big portion for it, so, recommending different parts, but I think this is such a space where you can have confidence, and there's a few other things I wanna get to, and I you- I some pearls too. Okay, go. I'm so when she get me into talking about drugs, I'm not gonna stop. So, some other things around that too is these newer blood thinners like Xarelto Eloquist, they now have reversal agents, so a lot of providers in the past were really worried about bleeding because we can't turn it off. We can turn those off. Warfarin has reversal as well, right?   So I'm looking at these patients. It's really low risk. It's in the mouth, generally speaking. Very rarely are they a high bleeding risk. Now if you're doing maxillofacial surgery, this does not apply, right? This does not apply whatsoever. you're like general dentist, you're pediatric dentist. Yeah, yeah, and it's kind of on the fly. So just trying to really help you to be able to take care of those patients on the moment, have that confidence, look at the ADA guidelines, have that in front of you. I don't think it's a bad thing to ever...   check with their provider if you need to. If you're thinking, I feel like I should just check with the provider, I would never take that away from you. But I just want to kind of steer towards those guidelines that I have to help. But what did you want to share? No, yeah, I love that. And I think there were just a few other nuggets that we were chatting about last night that can help dentists just kind of get things passed a little bit easier. So you were mentioning that if they were named to their cardiologist, what was it? was like, who is the last? Great question. Yeah, when a patient's on a blood thinner,   It could be prescribed by the cardiologist. It could be prescribed by the family provider or could have been punted to like a vascular clinic like where I was working. It can go to any of those. And when you send that fax, right, if it goes to the cardiologist and it's supposed to go to the family care provider, like it just kind of goes, goes nowhere, right, from there. So I think it's a really good idea to find out who prescribed it last. If the patient doesn't know who prescribed their blood thinner last, you can call their pharmacy. I call pharmacies all day long.   I have noticed in the last year, they are way easier to get a hold of, which has made my job a lot easier, working on the insurance portion. So reaching out to the pharmacy, finding out who that provider is and sending it to them, because they should be able to help with that. I thought that was a good shift in verbiage that you had of asking instead of like the cardiologist, because that's who you would assume was the one. But you said like so many times you guys would take care of them, and then they go back to family practitioner, and you guys would get the clearances, but you couldn't clear because you weren't overseeing. So just asking the patient.   who prescribed their medication for them last time. That way you can send the clearance to the correct provider. then- And they might not know. You know patients, right? They're like, I don't know, my mom's or else, I don't know who gave it to me. Somebody told me I need to be on this. But at least that could be another quick thing. And then also we were talking last night about-   ⁓ What are some other things that dentists can do when like writing scripts to help them get what I think like overarching theme of everything we discussed is one how to help dentists have less I think drag through pharmacy. ⁓ Because pharmacy can take a little while and so perfect we now know the difference between anti-quag and anti-platelet. We know which medications are probably safe. We know we can check the ADA guidelines so that we were not having to do as many clearances. We also know if they're on a medication to find out and we do need a clearance.   who we can go to for the fastest, easiest result. And now, in talking about prescriptions, you had some really interesting tips that you could share with them. Yeah, so with writing prescriptions, right, pharmacies are pharmacies. So I'm not gonna say good thing or bad thing. There are challenges working with pharmacies. I'm not gonna play that down at all. ⁓ If you're writing prescriptions and having issues and kickbacks from pharmacies, there's some interesting laws around ⁓ writing prescriptions. Say that you're trying to ⁓ prescribe   augmentin, you know, 875 BID, and you tell the patient, hey, I want you to take this twice a day for seven days, and then you put quantity of seven, because you're moving fast, right? You want it for seven days, quantity of seven. Quantity would actually be 14, right? It's not that big of a deal. Anybody with common sense would say if you're taking a pill for twice a day for seven days, you need 14 tablets. But LAHA doesn't allow pharmacists to make that kind of a change, unfortunately. They have to follow what you're saying there. So you're going to get a...   An annoying callback that says, you wrote for seven tablets. I know you need 14. Is that OK? Just delays things, right? So ⁓ I really like the two letters QS. That's Q isn't queen. S isn't Sam. Yeah. It stands for quantity sufficient. So you don't have to calculate the amount of any medication that you're doing. So for me, as a pharmacist, when I was taking care of patients, I hated calculating the amount of insulin they would need for an entire month. So I would say.   Mrs. Jones needs 15, I'd say 15 units ⁓ QD daily. ⁓ And then I say QS, quantity sufficient, ⁓ 90 day supply through refills. So the pharmacy can then go calculate how much insulin that they need. I don't have to even do that. So anytime you're prescribing anything, I like that QS personally. So that lets the pharmacy use ⁓ common sense, as I like to call it, instead of giving you a call. I think that's super helpful. I also thought of one thing too.   going back to blood thinners is when it's kind of like a real quick, like they're not gonna have you stop the blood thinner at all. like you're seeing if you can stop the blood thinner for a patient, there's some instances it's just not gonna happen. And that's whenever they've been, they've had a clot or a stroke or a heart attack within the last three months. Three months. Yeah, that's kind of like the.   Because so many people are like, they had a heart thing like six years ago. And so I think a lot of my dentists that I worked with were like, we got to stop the blood thinners. But it sounds like it's within three months. Yeah, well, I'm just the time. Like this is general broad strokes. What I'm just trying to say is when you want to expect a no real quick. Got it. Right. So because benefits of stopping a blood thinner within those first three months of an event is very, very risky versus the, you know, the benefit of reducing a little bit of blood coming out of the mouth. Right. Like that's not that bad.   when somebody's had a stroke or a heart attack or pulmonary embolism, a clot in the lung, like we can't replace the lung, heart or brain very easily. We can replace blood a lot better. We've got buckets of it at most hospitals have buckets of it, right? So I'm always kind of leaning towards I'd rather replace blood than tissue at all times. So that's kind of a quick no. If they've had one those events in the last three months, we are really, really gonna watch their brain instead of getting.   root canal, right? Like really worried about them. So you'll just say no. And they could the dentist still proceed with the procedure or would you recommend like a three month wait? Or is it provider specific way the pros and cons because sometimes you need to get that tooth out. Great question. think then it's going to come into clinical. That's that's when you send in the clearance, right? Like, and it's great to reach out to the provider who's managing it for you. But I think it's kind of good to know exactly when you get a quick no quick no is going to be less than three months.   ⁓ Or when it's going to be like a kind of a typical, yeah, no problem. If it's been no greater than six months, they're on the typical anticoagulants or alto eloquence. Nothing crazy is going on for them. You're only removing two teeth. This is very, very low risk. But again, I'd urge everybody to read the ADA guidelines. That way you feel more comfortable with it. I'm not as eloquent as they do. They do a real good job. So I don't want to take any of their credit. I think they do a real good job of simplifying that and making you feel confident with providing.   more timely care for patients. Which is amazing. And Jayce, one last thing. I don't remember what it was. You were talking about the DEA and like six month rule. yeah. Let's just quickly talk about that and then we'll wrap this because this is such a fascinating thing for me last night. Yeah. So when comes to prescribing controlled substances, most providers have to have a DEA license. OK. First of all, though, what's your take on dentist prescribing controlled substances? ⁓ I don't think, you know, I worked on the insurance side of things. Right. And I look at the requirements for the   as the authorizations, what a patient, the criteria a patient needs to hit in order to qualify for certain medications. A lot of times for those controlled substances, they have pretty significant issues going on, like fibromyalgia or cancer-related pain or end-of-life care versus we don't, in all my scanning thread, I don't have a ⁓ perfect picture memory. Sure. But I don't usually see oral.   pain in there. There is some post-operative pain that can be covered for those kind of medications but I really recommend to keep those lower and in fact in a lot of our criteria it recommends you know have they tried Tylenol first, they tried, have they filled NSAIDs or are they contraindicated with the patient. So really they should be last line for patients in my two cents but there's always going to be a caveat to the rule right? Of course. comes through that has oral cancer and you're taking   like that would make sense to me. Got it, so then back to the DEA. Yeah, okay. Okay, ready. So as a provider, you should be checking the, if you're doing controlled substances, you should be checking the prescription drug monitoring program, or sometimes called the PDMP, looking to see if patients are getting ⁓ controlled substances from another provider. So it's really just a check and balance to make sure that they're not going from provider to provider to getting too many narcotics and causing self harm or harm to others.   And so with checking that PDMP before prescribing, I think a lot of providers do that. A lot of softwares that I'm aware of, EMRs, electronic medical records, sometimes have links so that you can do that more quickly. However, I don't think it's as intuitive that they need to be checking that every six months in some states. And like here in Nevada, you're supposed to be checking it every six months, not for a patient, but for your actual DEA registration to see if anybody else is prescribing underneath you. Because if you don't check that every six months, you could get in some serious trouble with...   not only DEA, but even more the Board of Pharmacy and your state. Now, I don't know all 50 states, so I check with your state to see if you need to be checking that every six months, but set an alarm just to check that real quickly, keep your nose clean. ⁓ I've had providers, I've had to remind to do that. And if somebody was using your account, prescribing narcotics, you'd never know unless you went and checked that PDMP.   Yeah, I remember last night you were like, and if that was you, I would not want to be you. The Board of Pharmacy is going to be real excited to find you. So that was something where I was like, got it. So, and we all know I'm big on let's make it easy. And Jason, I love that you love this so much and you just brought so much value today. And like also for me, it's just fun to podcast. fun. Yeah. But I got a nerd out on my world a little bit. Bring it into yours. I work with dentists or at least you know, when I was working in Vascular Clinic all day long. Great questions that would come through. Yeah.   So I think for all of us, as a recap on this is number one, I think setting yourself ⁓ some cadences. So maybe every quarter we check our ADA guidelines and we check our, what is it, PDMP. PDMP. so each state, so they call it Prescription Drug Monitoring Program. We need that. Yeah, but there are different acronyms in different states, though. That's just what it's called in Nevada. I forget what it is in California, but you can check your state's prescription monitoring program, make sure that opioids aren't being prescribed under your name. Got it. So we just set that as a cadence.   We know one to three teeth most likely if they're on a blood thinner is According to the 88 as of today is good to go You know things that are going to get a quick know are going to be within the last three months of the stroke the heart attack or the Clot I'm thinking like the pulmonary embolus. Yeah, that's what we're trying to prevent   Those are gonna be quick knows and then if we're prescribing, let's do QS. We've got quantity is sufficient so that we're not getting phone calls back on those medications that we are. And then on narcotics, just being a bit more cautious. Of course, this is provider specific and in no way, or form did Jason come on here to tell you you are the clinical expert.   Jason's the clinical expert on medications. And if you guys ever have questions, I know Jason, you geek out and you want to talk to people so that anyone wants to chat shop. Be sure to reach out and we'll be able to connect you in. we've even talked about possibly, so let me know listeners. You can email in Hello@TheDentalATeam.com of ask a pharmacist anything. I talked to Jason. I was like,   We'll just have them like send in questions and maybe get you back on the podcast or we do a webinar. But any last thoughts, Jace, you've got of pharmacy and dentistry as we as we wrap up today? No, I think that's pretty much it. So check the ADA guidelines. I think it's really good to have cross communication between professions. Right. If you're working with the pharmacy, CVS, Walgreens or something like that or Walmart, I know that it can be challenging. Right. They're under different pressures. You're under different pressure. So I think ⁓ just coming in with an understanding, not being angry at each other.   you know what mean, is super beneficial and working together. When it comes to it, every dentist that I've talked to is actually worried about their patient. Every pharmacist that I've worked with is really worried about the patient as well. So we're trying to accomplish the same thing, but we have different rules and our hands are bound in different ways that annoy each other, right? Like I know Dr. Jones, want 14 tablets, but you said seven. And I know Common Sense says I should give them 14, but I've got to make that change.   knowing that their hands are tied by the law. They can't use as much common sense, which is aggravating. I mean, that's why I love what I gotta do here. I gotta just kind of help a lot more and use common sense and improve patient care. But those kinds of things I think are really beneficial as you work together and then not being so afraid of blood thinners, right? So I think those guidelines do a great job of giving you confidence and not worrying about the side effects. And there's a lot of things that you can do locally for bleeding.   You have a lot of control over that. I think that's pretty cool, the tools they have. Yeah. And at the end of the day, yes, you are the clinician. You are the one who is responsible for this. so obviously, chat, but I think collaborating, talking to other pharmacists, talking to them in your state, finding out what are the state laws, things like that I think can be really beneficial just to give you peace of mind and confidence. And again, dentistry, are maybe a bit more risk adverse because luckily we don't have patients dying That's great thing. Yeah, that's fantastic. I want my dentists to be risk adverse. I think so too. But Jason, I appreciate you being on the podcast today.   And for all of you listening, ⁓ more confidence, more clarity, more streamline to be able to serve and help our patients better. if we can help you in any way or you've got more questions, reach out Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast.  

In the first hour, Dave Softy Mahler, Dick Fain, and Jackson Felts discuss their nerves going into this Super Bowl on Sunday, then Brian Baldinger of the NFL Network jumps on to discuss the Seahawks offensive line before listening and reacting to Fun w/ Audio.See omnystudio.com/listener for privacy information.

Ready to being your journey of healing? It's time to reclaim your life with elite and discreet premium psychotherapy with Dr. Gregory T. Obert;

Your nerves control how you see, how you smell, how you hear. They can also regulate your body from your blood pressure and heart rate to your mood and digestion.

In this episode, we dive into what it really means to reset your nervous system and how stress shows up in both our bodies and our minds. We talk about how modern life, constant noise, distractions, and never-ending demands, can keep us stuck in chronic stress, often without even realizing it. We share someof the physical and emotional signs we've noticed in ourselves and others, and why a nervous system reset isn't a one-and-done thing, but more of a slow, ongoing process of unwinding and healing. We also get into the basics of how the nervous system works, breaking down the sympathetic and parasympathetic systems in a way that actually makes sense. Along the way, we share personal stories and practical, doable tools, like breathing, gentle movement, and mindfulness, that you can try in real life.Overall, this episode is about building awareness, prioritizing self-care, and figuring out what helps you feel more grounded and supported.Products Mentioned: Kodiak Pancake Mix, Gluten Free

Send us a textIn this New Year's episode, I explore the very real consequences of last year's Past Year Review. Most notably, I decided to retire from a beloved community mental health clinic and launch Park West Integrative Psychiatry — sparked by a desire for creativity, continued learning, and a growing belief in integrative trauma-informed approaches such as EMDR, Internal Family Systems, ketamine-assisted therapy, hypnosis, and breath-based practices.This episode reflects on how intentionally examining meaning and purpose can lead to significant life changes — changes that invite both opportunity and risk, excitement and fear.To close the episode, I share a recording of my retirement speech from the clinic, which turns into an unexpected sing-along and a fitting ritual for marking the end of one chapter and the beginning of another.Chapters0:13 — Nerves and a Big Career Pivot 0:52 — Last Year's Review and 2025 Intentions 1:46 — Leaving a Beloved Community Clinic 2:46 — Why Change Now, and What's Next 3:09 — New Directions in Trauma Treatment and Psychiatry 4:05 — Building Park West Integrative Psychiatry 5:02 — Fear, Complexity, and Finding Balance 6:00 — A Cautious Note on Year-End Reviews 6:20 — Reflections on Podcast Growth 7:06 — Upcoming Group Therapies and Retreats 7:54 — Yellowstone Lessons and Old Friends 8:40 — Gratitude, Global Listeners, and What's Next 9:11 — Retirement Speech and Sing-AlongSign up for the Developing Meaning Substack newsletter for updates and behind-the-scenes reflections.Theme music by The Thrashing Skumz. Developing Meaning is produced by Consilient Mind LLC.

Tony Massarotti joins the show to share how Boston fans are feeling heading into the AFC Championship Game. He breaks down the Patriots‑Broncos matchup, what each side must do to win, and whether Jarrett Stidham has a legitimate chance to pull off the upset. Smart analysis, local insight, and plenty of playoff energy.See omnystudio.com/listener for privacy information.

Tony Massarotti joins the show to share how Boston fans are feeling heading into the AFC Championship Game. He breaks down the Patriots‑Broncos matchup, what each side must do to win, and whether Jarrett Stidham has a legitimate chance to pull off the upset. Smart analysis, local insight, and plenty of playoff energy.See omnystudio.com/listener for privacy information.

Fall asleep with this guided sleep meditation for safety and soothed nerves, designed to help you find a deep sense of belonging within. If you struggle with anxiety or feeling like an outsider, tonight's journey on Michelle's Sanctuary will help you regulate your nervous system and find your "inner home." It's time to dream away. Original Script, Narration, Sleep Music, Sound Design, and Production by Michelle Hotaling Dreamaway Visions LLC 2026 All Rights Reserved✨ Find inner peace & healing with guided meditations. ✨Subscribe for NEW meditations regularly: ► https://www.youtube.com/channel/UCKp9S0rMUS1hrKTCV68Lk2wMichelle's Meditation Sanctuary offers FREE, calming guided meditations led by a soothing female voice.What to expect:

Joel and David react to experiencing Hilary Duff's first live show in 18 years. Coming to you giddy with pockets full of butterfly confetti from London's opening night of the "Small Rooms, Big Nerves" tour, this show kicked off what's sure to be a massive year for Our Hil, one of the defining stars of our generation. Hilary and her band delivered a flawless set of back-to-back hits including 'Why Not', 'So Yesterday' and 'Come Clean', with unexpected fan favourites from "Metamorphosis", her self-titled album, "Dignity" and "Breathe In. Breathe Out." The multiplatinum-selling global icon also performed tracks from her upcoming comeback album "luck... or something" - including the singles 'Mature' and 'Roommates'. This show truly was what dreams are made of!If you're buzzing for more Hilary Duff - Why Not check out our "Metamorphosis" and "Breathe In. Breathe Out" album deep dives?Follow Right Back At Ya!https://www.instagram.com/rightbackpod/https://twitter.com/rightbackpodhttps://www.facebook.com/rightbackpodFollow Joelhttps://www.instagram.com/dr_joelb/https://twitter.com/DR_JoelBFollow Davidhttps://www.instagram.com/lovelimmy/https://twitter.com/lovelimmyEmail us rightbackpod@gmail.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this Artist Exploration, Kevin Munhall (Broadway's Tootsie) chats with MTCA Director Charlie Murphy about:  Build breathing and regulation habits before the stakes are high. Nerves aren't the enemy; what matters is how you perform under pressure, not just in practice. Guardian angels open doors—but progress comes from saying yes, showing up, and putting in the work. Authenticity isn't people-pleasing—it's doing the work your way, even under pressure. If you have any questions about the college audition process, feel free to reach out at mailbag@mappingthecollegeaudition.com. If you're interested in working with MTCA for help with your individualized preparation for your College Audition journey, please check us out at mtca.com, or on Instagram or Facebook.  Follow Us!  Instagram: @mappingthecollegeaudition YouTube: @MTCA (Musical Theater College Auditions)  TikTok: @mtcollegeauditions  Charlie Murphy:@charmur7  About MTCA:  Musical Theater College Auditions (MTCA) is the leader in coaching acting and musical theater students through the college audition process and beyond with superlative results. MTCA has assembled a roster of expert artist-educators who can guide students artistically, organizationally, strategically, and psychologically through the competitive college audition process. MTCA provides the tools, resources, and expertise along with a vast and strong support system. They train the unique individual, empowering the artist to bring their true, authentic self to their work. MTCA believes that by helping students reveal their potential it allows each school to connect with those who are truly right for their programs, which in turn guides each student toward their best college fit.  About Charlie Murphy:  Charlie is a proud graduate of Carnegie Mellon University's BFA program. As an Actor he has performed with theaters such as: NY Public Theatre's “Shakespeare in the Park”, The Pearl Theatre Company, Hudson Valley Shakespeare Festival, Chautauqua Theatre Company, Kinetic Theatre Company, and the Shakespeare Theatre of DC. With MTCA [Musical Theater College Auditions -- mtca.com], he has been helping prospective theatre students through the college process for over 15 years. As a Teacher and Director, he is able to do a few of his favorite things in life: help students to find their authentic selves as artists, and then help them find their best fit for their collegiate journey. Through this podcast, he hopes to continue that work as well as help demystify this intricate process. This episode was produced by Meghan Cordier, Kelly Prendergast and Socials by Jordan Rice. Episode theme music is created by Will Reynolds with Additional Vocals from Elizabeth Stanley Learn more about your ad choices. Visit megaphone.fm/adchoices

Top 10 Mental Skills Every Athlete Needs to Master Grab the list here: https://t.co/yoaXVzPw9H-This Episode is Brought to you by:Champions Adjust Use code CAPod10 for 10% OFF

0:00 - Let's preview tomorrow's Broncos vs Bills divisional playoff game with a man who's played in his fair share of NFL playoff games: Chad Brown!14:44 - Brett's nervous about the Broncos game tomorrow. Not because he thinks Denver will lose. But how could you not be?? Nerves are to be expected! And think about how much is at stake for both of these teams!Also, there are only 4 NFL games this weekend...but you better believe Moser...is still...gonna LAY IT DOWN! (and yes, I left in his grunting and breathing for all the podcast sickos who enjoy it)31:23 - It's our favorite part of the week DRUNK TAKES! We take clips from throughout the week, slow em down to half speed and it makes us sound like we're hammered!

Laura Ramoso is here on this week’s Steph Infection! Laura and Steph talk about pre-show nerves, the life of constantly flying and touring, performing sketch and improv comedy, building a one-woman show with many characters, and much much more! Lumi Gummies are available nationwide! Go to LumiGummies.com and use code STEPH for 30% off your order. Head to Talkiatry.com/STEPH and complete the short assessment to get matched with an in‑network psychiatrist in just a few minutes. Follow @Steph_Tolev and @Steph_Infection_Podcast on Instagram. Send in your body stories to be featured on the pod! See Steph Live!! KEEPIN EM HARD 2026 Tour Get tickets at https://punchup.live/stephtolev Be sure to follow @lau_ramoso on Instagram! Steph’s new special, FILTH QUEEN is out NOW on NETFLIX!! Steph Tolev caught fire on the BILL BURR PRESENTS: FRIENDS WHO KILL, Netflix special. She was named a COMEDIAN YOU SHOULD AND WILL KNOW by Vulture, which recognized her as one of Canada’s funniest exports. She was featured on Comedy Central’s THE RINGERS stand up series, and season two of UNPROTECTED SETS. Steph has appeared in Comedy Central’s CORPORATE and starred in an episode of the Sarah Silverman-produced PLEASE UNDERSTAND ME. Steph has been well received at festivals all over the world and headlines clubs across the country. She also has a hit podcast on ALL THINGS COMEDY called “STEPH INFECTION” and appears in the feature OLD DADS.

Delanie Fischer chats with biopsychologist and Brave New You author Dr. Mary Poffenroth about how fear drives what we often label as anxiety, stress, and nerves. They explore the root causes of fear and share practical, science-backed strategies and neurohacks for calming the nervous system, navigating intimidating situations, and building trust and confidence in our ability to manage life's challenges—and accomplish cool stuff. Episode Highlights:  Fears: Internal, External, Fictional, and Nonfictional The 2 Feelings at the Root of Our Fear Response Why We Like True Crime & Scary Movies The RAIN Method + 5 Neurohacks for Quick Calm What's The Deal With Nervous Poops?! Worry and the "10 Coins Per Day" Analogy Why Cringing is Actually Fear (and What It Means) ____ A quick 5-star rating for Self-Helpless means a lot! ⁠https://podcasts.apple.com/us/podcast/self-helpless/id1251196416⁠ Free goodies like The Quote Buffet + The Doc & Book List: ⁠https://www.selfhelplesspodcast.com/⁠ Ad-free episodes (audio & video) now on ⁠Patreon: https://www.patreon.com/selfhelpless⁠ Your Host, Delanie Fischer:⁠ https://www.delaniefischer.com⁠ ____ Related Episodes: Mortality Awareness: Meaning, Motivation, and Your To-Die-For Life with Karen Salmansohn: https://www.delaniefischer.com/selfhelplesspodcast/episode/2367345e/mortality-awareness-meaning-motivation-and-your-to-die-for-life-with-karen-salmansohn Hurry Sickness And The Busy Brain Cure with Dr. Romie Mushtaq: ⁠https://www.delaniefischer.com/selfhelplesspodcast/episode/243d15fa/hurry-sickness-and-the-busy-brain-cure-with-dr-romie-mushtaq How To Approach Your Loved One About PTSD with Licensed Therapist, Nadirah Habeebullah: https://www.delaniefischer.com/selfhelplesspodcast/episode/2305ae72/self-helpless-snack-how-to-approach-your-loved-one-about-ptsd-with-licensed-therapist-nadirah-habeebullah Overcoming the Fear of Death with Kelvin Chin: https://www.delaniefischer.com/selfhelplesspodcast/episode/20d70e6d/overcoming-the-fear-of-death-with-kelvin-chin 15 Tips For Managing Stage Fright In Work And Life with Em Schulz and Delanie Fischer: https://www.delaniefischer.com/selfhelplesspodcast/episode/21e3bc9e/15-tips-for-managing-stage-fright-in-work-and-life-with-em-schulz-and-delanie-fischer Learn more about your ad choices. Visit megaphone.fm/adchoices

Welcome to Monday's Rugby Daily, with David Wilson. Coming up, Joe McCarthy on the nerves of steel shown by Harry Byrne.Tyler Bleyendaal on the competitiveness of European club rugby. And Scott Bemand receives an injury boost ahead of the 6 Nations which starts in April. Rugby on Off The Ball with Bank of Ireland | #NeverStopCompeting

Nerves are frayed and anxiety is rising. It must be Wild Card week and the reality of the Packers coming to town for a franchise-altering game is starting to hit Dan and Bill. It is almost time for Ben and Caleb to reshape the future of Chicago in their beautiful image and leave creepy Matt LaFleur and Green Bay in their wake. It's playoff week, let's go.

The new year began with a successful U.S. military operation to capture Venezuela's president. But the mission killed approximately 80 people and is being condemned by some American and international leaders as illegal. Esau McCaulley joins Phil and Skye this week to discuss the fallout from the operation. Was it legal? Was it moral? And what does it reveal about Trump's vision of America? Kaitlyn talks with author Sara Billups about her new book, "Nervous System," and how our age of anxiety is affecting Christians and the whole church. Also this week—the Trump administration celebrated the holidays with Christian memes, festive taunts, and "Ice Ice Baby."   Holy Post Plus: Ad-Free Version of this Episode: https://www.patreon.com/posts/147587950/   Bonus Interview with Sarah Billups: https://www.patreon.com/posts/147498089/   0:00 - Show Starts   2:52 - Theme Song   3:13 - Sponsor - BetterHelp - This episode is sponsored by BetterHelp. Give online therapy a try at https://www.betterhelp.com/HOLYPOST and get 10% off your first month!   4:15 - Sponsor - Our Place - Go to https://www.fromourplace.com and use code HOLYPOST to get 10% off site wide on beautiful cookware!   5:23 - Christmas   7:35 - Trump Got Venezuela?   13:46 - What Does America Want to Be?   28:34 - Trump Administration's Christmas   36:10 - Optimism and America   44:50 - Sponsor - Poncho - If you've been looking for the perfect shirt—something breathable, fits great, feels even better, and stands out in a good way—give Poncho a try. Get $10 off your first order by using this link: https://www.ponchooutdoors.com/holypost   46:02 - Sponsor - Brooklyn Bedding - Use code HOLYPOST for 30% off sitewide for a great night's sleep! Go to https://www.brooklynbedding.com/holypost   47:04 - Sponsor - DripDrop - Fast hydration in 16 original flavors! Get 20% on your first order and use promo code HOLYPOST! Go to https://www.dripdrop.com   48:05 - Interview   50:28 - Why Write About Anxiety?   56:14 - Practicing Non-Anxiousness   1:02:40 - Lasting Effects of Fundamentalist Mindsets   1:09:17 - The Church as a Non-Anxious Presence   1:18:09 - End Credits Links: Nervous Systems: Spiritual Practices to Calm Anxiety in Your Body, the Church, and Politics by Sara Billups: https://amzn.to/3N0A60t   Holy Post website: https://www.holypost.com/   Holy Post Plus: www.holypost.com/plus   Holy Post Patreon: https://www.patreon.com/holypost   Holy Post Merch Store: https://www.holypost.com/shop   The Holy Post is supported by our listeners. We may earn affiliate commissions through links listed here. As an Amazon Associate, we earn from qualifying purchases.  

Episode Title: Soothing Thunderstorm Sounds to Calm Your NervesDescription:In this episode, we immerse ourselves in the gentle, calming sounds of a thunderstorm. Discover how the natural rhythm of rain and distant thunder can help ease anxiety and bring a sense of peace to your day. We share tips on using these soothing sounds as a tool for relaxation, stress relief, and better sleep. Whether you're looking to unwind after a busy day or create a tranquil atmosphere for meditation, this episode offers an auditory escape to calm your nerves.Take a moment to breathe deeply and let the storm's peaceful melody wash over you—perfect for finding calm amid life's chaos.Stay tuned for more ways to nurture your well-being on the next episode of the Be Calm and Relax Podcast.DISCLAIMER

The Christmas break is barely a memory, Venezuela is threatening to become “the Greenland situation”, and Trump has kicked off January by delivering one of the most jaw-droppingly stupid geopolitical statements we've ever heard.Before Jemma and Marina get swept up in the next global meltdown, this episode rakes back over everything you might've missed while eating leftovers and avoiding your relatives. From Trump's extraordinary reframing of Russia's war on Ukraine, to the optics, silences and outright gaslighting surrounding Zelensky, Putin and the world's most fragile truth.They also wade into the Epstein files and why their release got so dark over Christmas, why the redactions raised serious questions, and what has (and hasn't) actually been established so far. They discuss Trump's midterm panic, the legal cases that never made it to trial, and how power keeps slipping out of reach of accountability.But because life can't be wall-to-wall bleak, the Trawl ladies also bring some positive receipts: real wins, real progress, and reasons not to spiral before January's even finished. Plus Peruvian shamans, underrated tweets of the week, and a genuinely lovely poetic pudding to send you on your way.Thank you for sharing and please do follow us @MarinaPurkiss @jemmaforte @TheTrawlPodcast Patreonhttps://patreon.com/TheTrawlPodcast Youtubehttps://www.youtube.com/@TheTrawl Twitterhttps://twitter.com/TheTrawlPodcastIf you've even mildly enjoyed The Trawl, you'll love the unfiltered, no-holds-barred extras from Jemma & Marina over on Patreon, including:• Exclusive episodes of The Trawl Goss – where Jemma and Marina spill backstage gossip, dive into their personal lives, and often forget the mic is on• Early access to The Trawl Meets…• Glorious ad-free episodesPlus, there's a bell-free community of over 3,300 legends sparking brilliant chat.And it's your way to support the pod which the ladies pour their hearts, souls (and occasional anxiety) into. All for your listening pleasure and reassurance that through this geopolitical s**tstorm… you're not alone.Come join the fun:https://www.patreon.com/TheTrawlPodcast?utm_campaign=creatorshare_creator Hosted on Acast. See acast.com/privacy for more information.

Ready to Rewire Your Nervous System for More Pleasure, Intimacy, and Connection? Join us on this juicy episode of Shameless Sex as we dive into the world of nervous system healing with Melanie and Mark Curtis, the dynamic duo behind Coming Home Coaching. These two experts are on a mission to help you crack the code to deeper intimacy, more fulfilling relationships, and a sex life that's off the charts. Here's what you'll learn: • The surprising ways your nervous system is impacting your sex life (and how to take control) • How to recognize and release shame, and why it's the ultimate intimacy killer • The role of safety in feeling desire, and how to create a life that's safe for your wildest desires • What SomaCode is, and how it can help you unlock your full sexual potential • Practical tools and techniques for working with your nervous system, decreasing shame, and increasing your sense of worth and authentic expression Melanie and Mark bring their unique blend of somatic and subconscious expertise to the table, having navigated their own journeys of healing and growth. With their guidance, you'll learn how to move out of survival mode and into a place of safety, connection, and presence – leading to richer relationships, greater intimacy, and more fulfilling sex lives. By tuning in, you'll gain: • A deeper understanding of your nervous system and how it impacts your sex life • Practical tools for releasing shame and increasing your sense of worth • Insights into how to create a life with more sexual safety and intimacy • A new perspective on how to cultivate more pleasure, connection, and wholeness in your relationships So, are you ready to unlock the secrets to a more shameless, vibrant, and fulfilling sex life? Tune in to this episode and get ready to transform your relationships and ignite your passion. And, as a special treat, Melanie and Mark share how you can work with them to start your journey of coming home to yourself and to one another. To learn more and recevie your FREE 12 part series to unlock your subconscious patterns, go to: http://cominghomecoaching.com Follow them on IG @cominghomeglobal Do you love us? Do you REALLY love us? Then order ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠our book⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ now! Go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠shamelesssex.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ to snag your copy Support Shameless Sex by sending us gifts via our ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Amazon Wish List⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Other links: Get 10% off boosting your load with code SHAMELESS at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://loadboost.com Get 10% off + free shipping with code SHAMELESS on Uberlube AKA our favorite lubricant at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://uberlube.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get 10% off while learning the art of pleasure at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://OMGyes.com/shameless⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get 15% off all of your sex toys with code SHAMELESSSEX at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://purepleasureshop.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Jayne Storey is the founder and head coach at Chi Performance. Her unique approach employs ancient Eastern disciplines which help develop the mind-body connection and improve performance. For over two decades she has taught these Martial Arts principles and practices to golfers and other sportspeople to help them quiet their minds and perform at their effortless best.  Jayne is also an author and she has written several books, including "Breathe Golf" and "Connected Golf" and she joins OntheMark to highlight insights to help you bridge the gap between practice and performance.  She discusses: Meditation and Tai Chi The approach of abandoning certain detrimental things long believed Stillness and the mastery of motion Complete self-awareness The tenacity to train and stick to the task, The Performance Pyramid, and Creating the correct conditions within to be ready for performance - Mastering Anxiety, Reducing Mental Interference, Uniting the Mental Game and Technique, and Strengthening the Mind-body Connection. Jayne uses examples such as Tiger Woods and Jack Nicklaus as she elaborates on this interesting topic.  She also shares a drill for "Team Mind-Body" to set you on the path to a better mind-body connection. This podcast is also available as a vodcast on YouTube - search and subscribe to Mark Immelman.  

Hello Poison Friends! This episode were are covering the conclusion of the Nazi experiments series we have taken on, including more testimonies of survivors and expert witnesses. We need to cover experiments concerning muscle, bone, and nerve removal and transplantation and the murders of mostly Jewish camp inmates for the purpose of the Nazi's creating skeletons for "educational review." We are also looking into the life and actions of Dr. Josef Mengele, as well as his escape to South America. I will also be sharing the personal statements of the defendants at the Nuremberg doctor's trials, along with the verdicts and sentences. Thank you to all of our listeners and supporters! Please feel free to leave a comment or send us a DM for any questions or suggestionsPatreon:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/thepoisonersalmanac⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Merch-⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://poisonersalmanac.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠The Poisoner's Almanac IG-⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/poisoners_almanac?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw==⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Poisoner's Almanac TT-⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.tiktok.com/@poisonersalmanacp?_t=ZT-8wdYQyXhKbm&_r=1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Adam-⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.tiktok.com/@studiesshow?is_from_webapp=1&sender_device=pc⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Venezuela, small town police, and a scary library book. Welcome to 2026! Call us at (319) 849-8733! Go here for full episode notes: https://www.patreon.com/posts/147412396 https://rockhardcauc.us

In the third hour, Mac & Bone talk about the nerves they feel, and other Panther fans feel, going into the final week of the regular season, with the NFC South title on the line, Ira Kaufman joins to tell you why he thinks Carolina wins tomorrow, and they debate if Miami has emerged as the favorites to win the CFP See omnystudio.com/listener for privacy information.

If you've ever felt your heart race over a three-footer or a make-or-break sales call, imagine doing that with a camera pointed at your face and thousands of people listening… That's the world broadcaster and national champion golfer Emilia Doran lives in every week. In this episode of The Scratch Golfer's Mindset Podcast, Emilia pulls back the curtain on what it really takes to stay composed on live TV, how she manages nerves under pressure, and why the same routines, reps, and reflections that make her great on-air are the same ingredients you need to perform on the golf course and in business. She shares how she redefined success after stepping away from professional golf, the emotional cost of perfectionism, and what it's like to build a powerful personal brand as a woman in a male-dominated sport—all while keeping joy, gratitude, and perspective at the center. In this episode, you'll learn: How Emilia handles nerves and stays authentic during live broadcasts The mindset shift that helped her stop chasing perfection and start playing freer Practical ways to simulate "18th-hole pressure" in your practice and prep How routines, reps, and reflection translate from broadcasting to better golf What Emilia's identity shift from pro-track golfer to broadcaster taught her about fulfillment How she defines a "successful" broadcast (and why saying less is often more) What it really takes to stand out as a woman in golf and claim your space with confidence Get your pencils ready and start listening.  P.P.S. Curious to learn more about the results my clients are experiencing and what they say about working with me? Read more here. More About Emilia Emilia Doran is a former high-level competitive golfer turned rising star in golf media. After a decorated junior and amateur playing career—including national-level events and standout performances in women's amateur golf—Emilia transitioned into broadcasting, where she has quickly become one of the most recognizable young voices in the sport.  She covers professional golf, collegiate golf, and elite amateur events, combining storytelling, high-performance insights, and on-course experience to bring a fresh, relatable perspective to viewers. Her unique blend of competitive playing background, media experience, personal brand building, and deep understanding of the modern golf audience has positioned her as one of the game's most influential emerging personalities.  Connect with Emilia on Instagram. Play to Your Potential On (and Off) the Course Schedule a Mindset Coaching Discovery Call Subscribe to the More Pars than Bogeys Newsletter Download my "Play Your Best Round" free hypnosis audio recording. High-Performance Hypnotherapy and Mindset Coaching Paul Salter - known as The Golf Hypnotherapist - is a High-Performance Hypnotherapist and Mindset Coach who leverages hypnosis and powerful subconscious reprogramming techniques to help golfers of all ages and skill levels overcome the mental hazards of their minds so they can shoot lower scores and play to their potential. He has over 16 years of coaching experience working with high performers in various industries, helping them get unstuck, out of their own way, and unlock their full potential. Click here to learn more about how high-performance hypnotherapy and mindset coaching can help you get out of your own way and play to your potential on (and off) the course.  Instagram: @thegolfhypnotherapist  Twitter: @parsoverbogeys Key Takeaways: Treat the camera like a person and slightly exaggerate your natural personality so your true self actually comes through under pressure. Nerves don't disappear; they become more manageable when you simplify the goal—like aiming to say just one truly insightful thing each broadcast. Preparation is routine, reps, and rehearsal: organize your info, rehearse key lines, and build a repeatable process you can trust when the heat turns up. Reflection isn't just about what went wrong—intentionally review what you did well so you don't let one flub define the entire performance. Perfectionism feels like a superpower early on, but if you don't manage your expectations, it becomes emotional kryptonite that drains joy and confidence. Watching the best players closely teaches that even world-class golfers hit plenty of mediocre shots—and handle them with neutrality and grace. In both golf and broadcasting, success is often saying less with more impact and knowing when silence, presence, and emotion are more powerful than words. Key Quotes: "If I can just say one insightful thing to the audience, that's a win." "You might spend five hours on notes and only use ten percent of them—and that's okay." "Broadcasting is a job of imperfection; it's how you handle yourself when things go slightly awry that matters." "I had to accept that golf isn't my number one priority anymore—and still let that be okay." "The more I worked in golf, the more I realized I didn't want to feel emotionally exhausted all the time." "Watch a full round of one player and you'll see how many imperfect shots even the best in the world hit." "You might get an opportunity because of a box someone wants to check, but you stay because you do great work." Time Stamps: 00:00: The Art of Broadcasting: Managing Emotions Live 03:20: Nervousness and Performance: Tools for Focus 06:57: Simulating Pressure: Preparing for Live Broadcasts 11:35: Reflection and Growth: Learning from Broadcasts 14:53: Defining Success: What Makes a Great Broadcast? 18:47: Transitioning from Golfer to Broadcaster: Identity Shift 24:18: The Importance of Structure in Golf and Life 27:24: Navigating the Transition from College to Professional Golf 31:12: Emotional Maturity and Expectations in Golf 35:29: Building a Personal Brand in a Male-Dominated Sport 42:43: The Privilege of Playing Golf and Finding Joy

Weddings hit different when it's your close friends, and even more when you're part of the chaos behind the scenes.We sit down with Nathan & Annette to break down their wedding day - the planning, the emotions, the cultural expectations, family dynamics… and the moments that nearly didn't go to plan.I also reveal a big announcement of my own...We chat through everything from proposals and adrenaline, to budgets, vendors, tea ceremonies, first dances, and what it actually feels like once the day is over and married life begins.---Corey's mum's catering: msbunmeeNathan's wedding venue: Highline---Want to get in touch? Send us an email at ⁠⁠ricenmicspodcast@gmail.com⁠⁠Follow us on our socials: ⁠⁠⁠⁠⁠⁠https://linktr.ee/ricenmicspodcast⁠⁠⁠⁠⁠⁠Music: aKu - Love Shine | aKu - The Final Blow---0:00 Intro3:11 Describe the wedding in one word4:48 Tung's big announcement9:07 Which knee to get on when proposing, adrenaline14:50 Business class is crazy, having kids17:14 How did Tung design the ring, new drip, wedding season21:15 Picking the wedding venue25:20 Parental input for the wedding, food choices, styling30:54 The tea ceremony, Nathan's big reveal37:03 Getting all the vendors, Tung becoming MC40:52 What almost went wrong? Saving money45:26 Consider being a celebrant47:56 Feelings leading up to the wedding50:23 Planning, parents inviting friends54:29 The deck of cards57:07 Budget, mid, high end venues, food options1:00:28 Vendors for the wedding1:04:58 Picking the first dance song, highlights1:12:39 Would you change anything?1:18:22 Planning Tung's wedding1:20:24 How it feels to be married1:23:14 Nerves, advice for future grooms/brides1:26:54 BUDGET1:29:12 Start planning1:33:36 The photoshoot, potential destination wedding1:39:05 Questions from viewers, engagement watches1:42:54 Outro

Hey Par Pals Welcome to a cheeky little Xmas special episode where Toms take on two big topics per episode. This week: BALLS NERVES That's it, really. Thanks for listening! Toms x - Email - thetoms@golfisruiningmylife.co.uk ⁠Discord ⁠ ⁠Tik Tok⁠  ⁠Youtube⁠  ⁠Merch⁠ - New episodes every Monday & Thursday!! Learn more about your ad choices. Visit podcastchoices.com/adchoices

What if the secret to high performance isn't about fighting your nerves, but learning to embrace them? In today's episode, I sit down with Kerri Walsh Jennings, a powerhouse in both sport and business. Kerri opens up about how she channels nervous energy into success and how you can too. With a career spanning over two decades, Kerri has learned to face pressure head-on and perform at the highest level. From her first Olympic game to her work as a team owner and the co-founder of P1440, Kerri shares the strategies she's used to navigate the toughest moments. If you've ever struggled with nerves before a big moment, or if you want to elevate your mindset for greater success, you won't want to miss Kerri's blueprint. She will show you how to manage nerves, embrace the present moment, and stay grounded as you strive for excellence in all areas of your life. "You do not need to be perfect if you're sincere. " ~ Kerri Walsh Jennings In This Episode: - Meet Kerri Walsh Jennings - Pre-event rituals to overcome nerves - The importance of presence and meditation - Marriage and personal growth advice - The commitment to self-improvement - Discovering and describing your spirit - Overcoming fear and imposter syndrome - Balancing personal and professional life - Post-retirement projects and passions - Conclusion and call to action About Kerri Walsh Jennings: Kerri Walsh Jennings is a 5-time Olympian, with 3 gold medals and 1 bronze, and a graduate of Stanford University, where she was a standout student-athlete. Married for 19 years to Casey Jennings, she is a proud mother of three amazing children. Kerri is also the co-founder of P1440, an organization dedicated to promoting health and performance, and the team owner of a Major League Volleyball franchise. She's passionate about living fully and embracing the present moment. Her life is a balance of family, sport, and empowering others to live their best lives. Website: https://p1440.org/  Instagram: https://www.instagram.com/kerrileewalsh/  Where to find me: IG: https://www.instagram.com/jen_gottlieb/    TikTok: https://www.tiktok.com/@jen_gottlieb     Facebook: https://www.facebook.com/Jenleahgottlieb    Website: https://jengottlieb.com/    My business: https://www.superconnectormedia.com/     YouTube: https://www.youtube.com/@jen_gottlieb

Arsenal are through to the Carabao Cup semi-finals — but it didn't come easily.In this episode of The Non-Negotiables Podcast, we react immediately to Arsenal's penalty shoot-out win over Crystal Palace at the Emirates. A dominant first half, 25 shots, and complete territorial control somehow gave way to a familiar story: missed chances, second-half drop-off, and another late twist that forced penalties.We break down why Arsenal failed to put the game to bed, the ongoing concern around underperforming xG, and how control slipped after the break. There's discussion on Arteta's substitutions, trust in squad players, set-piece vulnerability without Gabriel, and what this result says about standards — even in victory.We also look ahead to a crucial Premier League clash with Brighton, assess where Arsenal are right now in terms of performance vs outcome, and ask whether these fine margins will finally turn — or keep biting.Plus:Immediate reaction to the Palace gamePenalties, goalkeeping, and late-game managementSquad depth, injuries, and selection debatesBrighton preview and weekend predictionsThe return of the Who Am I? quizArsenal progress — but the questions remain.Chapters:(00:00) - Arteta's Non-Negotiables Intro(01:18) - Pre Match Emotions: Wanting Everything Without the Cost(03:11) - Line-Up Calls, Midfield Balance & Selection Debate(06:34) - First-Half Control and Missed Chances(08:20) - xG Concerns and Failure to Kill the Game(09:38) - Martinelli Knock and Second-Half Shift(11:51) - Substitutions, Trust, and the Nwaneri Question(17:44) - Second-Half Drop-Off and Arteta's Frustration(21:32) - Late Corner, Own Goal, and Game State Tension(25:19) - Set-Piece Fragility Without Gabriel(27:34) - Penalties: Kepa, Nerves, and Going Through(32:40) - Match Stats: Dominance Without Ruthlessness(36:41) - PT.2 Who Am I? (Game)(38:44) - GW18 Prediction Game: West Ham vs Fulham(41:15) - GW18 Watch: Chelsea vs Aston Villa(45:39) - Brighton Preview: Stakes, Injuries, and Selection(55:05) - Who Am I? (Game) Answer & Closing Thoughts

Light sensitivity, watering eyes, ptosis, sinus pain, facial pain and migraine are all symptoms that can come from neck muscles via the TCC (Trigeminocervical Complex)     Online Courses: https://richardhazel.podia.com Black Friday Discount ends at the end of the year. BLACKFRIDAY20 for 20% all courses and bundles of courses.  

Episode Title: Peaceful Evening Storm Ambience to Soothe NervesDescription:In this episode, we invite you to unwind with the gentle sounds of an evening storm. Let the calming rain, distant thunder, and soft wind create a peaceful atmosphere that helps ease tension and soothe your nerves. Whether you're winding down after a busy day or simply need a moment of quiet, this natural ambience can bring you back to a place of calm and balance. Take a deep breath, relax, and let the storm's rhythm wash away your stress.Remember, dedicating even a few minutes to listen and relax can significantly improve your mental well-being in our fast-paced world.Join us next time for more moments designed to restore your peace and relaxation.DISCLAIMER

Tucker Wetmore stops by and walks Bobby through the nerves leading up to his CMA performance. He describes what it felt like backstage, how he calmed himself down, and why he can be his own toughest critic even when everything goes right. Tucker also opens up about the moment he dropped out of college and finally told his mom he was going all-in on music, plus the family and faith background that shaped him growing up.Then it turns into a full timeline of the grind: moving to Nashville with what he could fit in a POD, working whatever jobs he could, DoorDashing for two years, and stretching meals while he tried to make songwriting and the right meetings happen. Tucker breaks down how posting covers on TikTok helped open doors, what changed once he started writing every day, and how that momentum turned into a Nashville publishing deal. Along the way, he shares a complicated family story involving his biological dad and what it was like reconnecting as an adult. Tickets to Tucker's 'The Brunette World Tour', which kicks off in February are on sale at TuckerWetmore.com Follow on Instagram: @TheBobbyCast Follow on TikTok: @TheBobbyCast Watch this Episode on Youtube See omnystudio.com/listener for privacy information.

Eileen Collins: Through the Glass Ceiling to the Stars Colonel Eileen M. Collins, USAF (retired), earned a place in history as the first American woman to pilot, and later to command, a space mission. She flew on the space shuttle four times, twice as commander – including the 2005 “return to flight” mission after the tragic Columbia accident. She is the subject of the documentary movie Spacewoman and author of the book Through the Glass Ceiling to the Stars: The Story of the First American Woman to Command a Space Mission (Amazon, Bookshop)*. We all have times in our careers where all eyes are on us. In this conversation, Eileen and I explore the critical moments of her career and how she stayed grounded while soaring among the stars. Key Points Until we are tested, we don't know what we are capable of. Nerves creep in at times for all of us. When they do, it's helpful to think about representing your role instead of representing yourself. When decisions become difficult, always come back to, “What's the mission?” Train for the skill, not for the task. During high-stakes times, remember your family and personal life. They will help you stay grounded. Resources Mentioned Through the Glass Ceiling to the Stars: The Story of the First American Woman to Command a Space Mission by Eileen Collins (Amazon, Bookshop)* Spacewoman documentary, featuring Eileen Collins Interview Notes Download my interview notes in PDF format (free membership required). Related Episodes How to Lead and Retain High Performers, with Ruth Gotian (episode 567) The Way to Handle Q&A, with Matt Abrahams (episode 681) How to Start the Top Job, with Scott Keller (episode 752) Discover More Activate your free membership for full access to the entire library of interviews since 2011, searchable by topic. To accelerate your learning, uncover more inside Coaching for Leaders Plus.

What if your nerves before speaking weren't a problem to fix—but a sign that you care deeply about your message? In this episode, you'll learn why nervousness isn't the enemy and how to use it to bring more energy, presence, and power to your talks. I flip the script on fear and show you why your nerves might just be your greatest speaking asset. You'll learn:Why nervousness and excitement feel almost the same, and how to shift between themHow to stop letting your nerves control your deliveryWhat your body is really trying to tell you when you feel anxious before speakingHow to regulate your nervous system so you can stay grounded and presentWhy a bit of nervous energy actually helps you captivate your audienceYou'll have a completely new way to think about your nerves—and practical steps to turn them into energy, confidence, and connection when you speak.GRAB THE SPEAKER'S WARM-UP CHECKLIST!Now I'd love to hear from you! What's one thing you learned and how will you take action today? Let me know by: leaving the show a review. or sending me an email at info@emanuelahall.com YOUR NEXT STEPS:

Tate Donovan on Acting, Directing, and Nostalgia Tate Donovan stops by Reza Rifts and offers a masterclass in Hollywood longevity in this engaging interview, sharing candid career insights from his decades in the industry. He delves into stories from iconic 90s films like 'Love Potion Number Nine' and beloved TV shows like 'Friends' (as Joshua), 'Damages,' and voicing Disney's Hercules. Donovan reflects on the evolution of storytelling, the audition process, and the emotional craft of acting techniques. He also discusses his directing aspirations and the collaborative nature of filmmaking, providing a transparent look at the highs and lows of Hollywood. Tate's Socials IG @t8donon ... https://www.instagram.com/t8dono/?hl=en  Chapters 00:00 Introduction and Social Media Recovery 02:15 Welcoming Tate Donovan 06:10 Reflections on Past Roles 10:12 Love Potion Number Nine: A Classic Comedy 18:36 Navigating Relationships and Friends 20:28 The Experience of Damages 23:15 Hercules: Voice Acting and Legacy 28:44 Behind the Scenes of Argo 31:28 Auditioning and Nerves in Acting 33:54 Directing and Collaborating with Actors 35:59 Memorable Co-Stars and Learning from Others 38:21 Future Directing Aspirations and The Pyramids   Support the show on https://patreon.com/rezarifts61  Follow Keith on all social media platforms: FB: https://www.facebook.com/realkeithreza IG:https://www.instagram.com/keithreza  ALT IG:https://www.instagram.com/duhkeithreza  X:https://www.twitter.com/keithreza  TT:https://www.tiktok.com/keithreza  Book Keith on cameo at www.cameo.com/keithreza Check out my website for dates at https://www.keithreza.com/  Subscribe - Rate & Review on Apple Podcasts - Tell a friend :) Be a Rifter!               #TateDonovan #HollywoodInterview #FriendsCast #VoiceActor #ActingLife #FilmIndustry #Storytelling #DirectorGoals #BehindTheScenes #ClassicTV

Episode Title: Calm Rainfall Paired with Low Rumbling Thunder to Soothe NervesDescription:Sink into a peaceful atmosphere with this episode of Rain and Bible: Sleep, Relax and Meditate. Gentle rainfall and soft, low rumbles of distant thunder blend together to create a calming background that helps quiet your mind, ease tension, and soothe frayed nerves.Let the steady sound of rain wash away anxious thoughts while the quiet thunder adds a warm, grounding presence. This soundscape is ideal for:Relaxing after a stressful dayFalling asleep more easilyMeditating or praying in a calm environmentStudying, reading, or unwinding in quiet reflectionPress play, get comfortable, and allow this peaceful mix of rain and thunder to guide you into rest, stillness, and renewed peace.DISCLAIMER

Episode Title: Rain Soundscapes Coupled with Gentle ASMR to Boost Workflow and Calm NervesDescription:In this episode, we blend the soothing sounds of rain with gentle ASMR techniques designed to enhance your focus and ease anxiety. Whether you're working, studying, or simply need a moment to unwind, these calming soundscapes can help improve concentration while relaxing your mind and body. Discover how combining natural rain sounds with subtle ASMR triggers creates an ideal environment for productivity and stress relief.Take a few minutes for yourself today—listen, breathe, and let the peaceful rhythm wash over you. Small pauses like this can have a big impact on your overall well-being.Stay tuned for more episodes that guide you toward lasting calm and balance.DISCLAIMER

Episode Title: Thunderstorm Sounds: Reducing Insomnia and Calming NervesDescription:In this episode, we dive into how the soothing sounds of thunderstorms can help ease insomnia and calm anxious nerves. Learn why many find the gentle rumble and rain to be a natural sleep aid, and discover simple ways to include these relaxing sounds in your nightly routine. Whether you struggle with falling asleep or just need a moment to unwind, the calming rhythm of a thunderstorm might be the peaceful escape you've been searching for.Make sure to set aside some quiet time for yourself, letting the soft storm sounds guide you to rest and relaxation. Small moments like these can truly help restore balance in our busy lives.Stay tuned for more episodes focused on bringing calm and peace to your day.DISCLAIMER

Send us a textWe explore why filler words exist, when they help, and how to replace the noisy ones with breath, pause, and clean sentence endings. We share fast tools to calm nerves, better mic habits, and a pacing strategy that makes you sound confident without rushing.Watch the full Huberman Labs episode: How to Speak Clearly & With Confidence | Matt AbrahamsContact Buzzcast Send us a text message Tweet us at @buzzcastpodcast, @albanbrooke, @kfinn, and @JordanPods Thanks for listening and Keep Podcasting!

Our old friend Lars Wikman returns to the show to discuss Linux distro hopping, Elixir, Nerves, embedded systems, home automation with Home Assistant, karate, and more.

Resistance training for aging nerves helps older adults improve steadiness, reaction time, and daily movement confidence by strengthening communication between nerves and muscles A four-week hand-grip training program from Syracuse University showed that simple, consistent resistance exercise helps speed up how quickly nerves send signals to muscles, even in older adults While the approach supports nerve health, it's not a cure for neuropathy or a guaranteed fall-prevention solution. Evidence remains early and based on short-term trials Do two to three resistance sessions each week at a moderate effort level. Include a short, five-minute grip routine to strengthen nerve signaling and improve coordination Pair your training with balanced, protein-rich meals to support muscle recovery and nerve function. Make sure to also prioritize safety — use proper form and stop if you feel pain, dizziness, or unusual tingling

I made a joke about Vinny being an Ewardian period dog - when I definitely meant Georgian/Regency. Ugh - it won't bother anyone else but me, but I need to correct the record. In the episode, Dawnstripe proves to be a good mentor. Tallpaw goes to his first gathering.Book: Super Edition: Tallstar's Revenge Support us on Ko-fi! WCWITCast Ko-fiFollow us on BlueSky! WCWITCastFollow us on Instagram! WCWITCastCat Fact Sources:Cat Rescued After 4 Days Stuck On Insanely Tall Pole - Atlas ObscuraCat stuck up hydro pole for 4 days finally rescued | CBC NewsYoutube - Cat Up A PoleNatalia Bosley - Social Media PostsMusic:Happy Boy End Theme Kevin MacLeod (incompetech.com)Licensed under Creative Commons: By Attribution 4.0https://creativecommons.org/licenses/by/4.0/This transformative podcast work constitutes a fair-use of any copyrighted material as provided for in section 107 of the US copyright law. Warrior Cats: What is That? is not endorsed or supported by Harper Collins and/or Working Partners. All views are our own.

(00:00-20:03) The DayQuil has kicked in. Joined by our old pal Iggy. Iggy trip to Chicago to see The Cure. Sittin' outside having a dart. The 16th annual Gobble Gowl this Saturday . Iggy only got nervous around Jenny Finch. Iggy's retirement from bowling. Some outstanding items up for auction and raffle at Gobble Bowl. What are the chances of a Bif & Show reunion. What's more impressive: a hole-in-one or bowling a perfect game?(20:11-27:31) Buffalo Bill and Tuck Tuck Goose. Jake Neighbours is back. Yankees fans aren't happy and fair warning the audio isn't great. All I got out of that was Steinbrenner. When all else fails, blame Ken.(27:41-39:57) A little treat for Doug. A texter wants the story of the Blues and Jack's Bar and Gloria. Little Big League is underrated. Runaround Sue. Over/Under 2.5 games left for Drink at Mizzou.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

My guest is Matt Abrahams, lecturer at Stanford Graduate School of Business and a world expert in communication and public speaking. He explains how to speak with clarity and confidence and how to be more authentic in your communication in all settings: public, work, relationships, etc. He shares how to eliminate filler words ("umm"-ing), how to overcome stage fright and how to structure messages in a way that makes audiences remember the information. He also shares how to recover gracefully if you "blank out" on stage and simple drills and frameworks that dramatically improve spontaneity, storytelling and overall communication effectiveness. People of all ages and communication styles will benefit from the practical, evidence-supported protocols Matt shares to help you communicate with greater confidence and impact. Read the episode show notes at hubermanlab.com. Pre-order Andrew's book Protocols: https://go.hubermanlab.com/protocols Thank you to our sponsors AGZ by AG1: https://drinkagz.com/huberman Eight Sleep: https://eightsleep.com/huberman BetterHelp: https://betterhelp.com/huberman Joovv: https://joovv.com/huberman Mateina: https://drinkmateina.com/pages/store-locator Function: https://functionhealth.com/huberman Timestamps (0:00) Matt Abrahams (3:21) Public Speaking Fear, Status; Speech Delivery (5:36) Speech, Connection, Credibility; Authenticity (9:05) Monitoring, Self-Judgement; Memorization, Tool: Object Relabeling Exercise (13:13) Sponsors: Eight Sleep & BetterHelp (15:40) Cadence & Speech Patterns; Lego Manuals, Storytelling & Emotion (19:18) Visual vs Audio Content, Length, Detail (23:19) Understanding Audience's Needs, Tool: Recon – Reflection – Research (24:25) Judgement in Communication, Heuristics (27:33) Questions, Responding to the Audience, Tool: Structuring Information (31:34) Feedback & Observation; Tools: Three-Pass Speech Review; Communication Reflection Journal (39:09) Movement, Stage Fright, Content Expertise (42:54) Sponsors: AGZ by AG1 & Joovv (45:34) Multi-Generation Communication Styles & Trust; Curiosity, Conversation Turns (50:32) Linear vs Non-Linear Speech, Tool: Tour Guide Expectations (53:21) Develop Communication Skills, Audience Size, Tools: Distancing; Practicing (1:01:43) Tool: Improv & Agility; Great Communication Examples; Divided Attention (1:09:36) One-on-One Communication vs Public Speaking (1:11:00) Sponsor: Mateína (1:12:00) Neurodiversity, Introverts, Communication Styles; Writing & Editing (1:16:30) Calculating Risk, Tool: Violating Expectations & Engaging Audience (1:21:20) Authenticity, Strengths, Growth & Improv (1:23:23) Damage Control, Tools: Avoid Blanking Out; Contingency Planning, Silence (1:30:32) Nerves, Tool: Breathwork; Spontaneous Communication; Beta-Blockers (1:34:29) Communication Hygiene, Caffeine, Tools: NSDR/Yoga Nidra; Vestibular System & Sleep (1:40:08) Conversation Before Speaking; Delivering Engaging Speeches (1:42:56) Sponsor: Function (1:44:43) Anticipation, Tool: Introduce Yourself; Connect to Environment, Phones (1:51:30) Customer Service & Kids Jobs; Tool: Role Model Communication; COVID Pandemic (1:56:04) Quiet But Not Shy, Extroverts; Social Media Presence (2:00:25) Martial Arts, Sport, Running, Presence & Connection (2:04:16) Apologizing; Communication Across Accents & Cultures (2:07:36) Interruptions, Tools: Paraphrasing; Speech Preparation (2:10:57) Public Speaking Fear, Tool: Envision Positive Outcome; Arguments & Mediation (2:13:19) Omit Filler Words, Tool: Landing Phrases; Time & Storytelling (2:16:52) Asking For a Raise; Poor Communicators & Curiosity; Memorization (2:19:49) Pre-Talk Anxiety Management; Acknowledgements (2:23:47) Zero-Cost Support, YouTube, Spotify & Apple Follow, Reviews & Feedback, Sponsors, Protocols Book, Social Media, Neural Network Newsletter Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices

Sebastian Maniscalco (The Irishman, About My Father) joins us this week for an unfiltered conversation about chasing approval, the grind of stand-up, and learning to slow down. Sebastian opens up about growing up with immigrant parents, bombing in his early sets, and the nerves of auditioning for Scorsese before eventually working with Robert De Niro and Joe Pesci. He also reflects on family life, parenting, the pressure of social media, and why he dreams of one day running a boutique hotel. Thank you to our sponsors:

Our fourth installment of music to slow the blood is a mix of all-new releases from this year, from the world-building, ambient sounds of Ozbolt and Klein to the hope, optimism and good company found in the music of Samia, Hand Habits, KeiyaA and more.NPR Music's Dora Levite and Sheldon Pearce join host Robin Hilton.Featured songs and artists:1. Kieren Hebden & William Tyler: “Secret City,” from ‘41 Longfield Street Late ‘80s'2. Cassandra Jenkins: “Only Relaxation,” from ‘My Light, My Massage Parlor'3. David Cordero & anthené: “Humedal,” from ‘Let One Bird Sing'4. KeiyaA: “stupid prizes,” from ‘hooke's law'5. Annahstasia: Unrest,” from ‘Tether'6. Klein: “it is what it is in d minor,” from ‘sleep with a cane'7. Mark Pritchard & Thom Yorke: “The Spirit,” from ‘Tall Tales'8. Hand Habits: “Jasmine Blossoms,” from ‘Blue Reminder'9. Ozbolt: “Harkerville Coastal Trail,” from ‘Chasyng Drakens'10. Samia: “Pool (Stripped),” from ‘The Baby (5th Anniversary Edition)'11. The Armed: “I Steal What I Want,” from ‘The Future Is Here And Everything Needs To Be Destroyed'12. Stars of the Lid: “Goodnight,” from ‘Music for Nitrous Oxide (30 Year Anniversary 2025 Remaster)'Enjoy the show? Send it to a friend and leave us a review on Apple, Spotify, or wherever you listen to podcasts. Questions, comments, suggestions or feedback of any kind always welcome: allsongs@npr.orgLearn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy