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Interest rates are going up! No… They're flattening out and going down. No, wait… They are going up again. What is a small self-storage person to do? How can we navigate these strange and choppy waters? Let me share with you how I am doing it. **Online Courses at The Quickstart Academy** https://TheQuickStartAcademy.com/ **Listen on Apple Podcasts** https://podcasts.apple.com/us/podcast/creating-wealth-through-self-storage/id1588425875 **5 KPIs we measure** https://creatingwealththroughselfstorage.lpages.co/top-5-kpi-ebook/ **My blog** http://creatingwealththroughselfstorage.com/ **Facebook** https://www.facebook.com/markhelmselfstorage/ **Twitter** https://twitter.com/MarkHelmSelfst **The Storage World Analyzer** http://storageworldanalyzer.com/ **The QuickStart Academy Store** https://quick-start-academy.myshopify.com
John Stossel- 9 Segments and Andrew Klavan. John Stossel- Does The Constitution Need To Be Amended? Don't Cancel Comedy How Rent Control Hurts Renters Armed Teachers Classic Stossel: Disaster Relief Classic Stossel: No They Can't Classic Stossel: Minimum Wage Stop! You Need a License Classic Stossel: Liberal Censors Andrew Klavan. 8 minutes. The Green Energy Movement Is A SCAM https://youtu.be/k8HNy_St6sY Does The Constitution Need To Be Amended? 164,529 views Jul 4, 2022 John Stossel 677K subscribers I asked lawyers and media folk like Glenn Beck, Michael Malice, Dave Rubin, how they would improve the Constitution. Surprisingly, some of the best responses came from strangers on the street. ———— To make sure you see the new weekly video from Stossel TV, sign up here: https://www.johnstossel.com/#subscribe ———— This time of year, we celebrate America's independence and the documents that made America different, like the Constitution. But is our Constitution good enough today? The people who wrote it made it possible to amend it. We asked people, some with legal and political expertise: are there things you would change? https://youtu.be/dOQ7B4rD7Ds Don't Cancel Comedy 155,539 views Jun 21, 2022 John Stossel 677K subscribers Traditional comedy shows are now preachy and smug. It's created a market for something new. ———— To make sure you see the new weekly video from Stossel TV, sign up here: https://www.johnstossel.com/#subscribe ———— "Leftists have become so...religiously zealous about their beliefs,” says Kyle Mann, Editor-in Chief of @The Babylon Bee. “We find that comedy is funnier when you just put comedy first.” The Babylon Bee is a Christian conservative comedy group. Their website now gets more views than the Onion. The establishment doesn't like that. It often “fact checks” their satire. Twitter kicked them off Twitter. I'll show you comedy the establishment wants you to ignore. https://youtu.be/Wvt5XVkOlD0 Classic Stossel: Liberal Censors 186,232 views Jun 18, 2022 John Stossel 677K subscribers How did liberals go from being the anti-censorship group to the pro-censorship group? A Classic Stossel from 2015. "The Silencing” author, Kirsten Powers, says "Liberals have typically believed in free speech debate and dissent... But now, it's I'm offended. They don't want to hear ideas that they disagree with and they don't want other people to hear ideas that they disagree with." https://youtu.be/Tc8XQGEoEpY How Rent Control Hurts Renters 169,832 views Jun 15, 2022 John Stossel 677K subscribers Everywhere it's tried, rent control harms the people it's meant to help. Yet foolish politicians continue to implement it. ———— To make sure you see the new weekly video from Stossel TV, sign up here: https://www.johnstossel.com/#subscribe ———— Rent for housing is up 11%. To “fix” that, St. Paul, Minnesota just imposed uniquely strict rent control. It applies to existing housing, and new construction. The city is repeating mistakes many have made in the past. Rent control once destroyed much of my town, New York. Because landlords couldn't make money, some set fire to their own buildings to collect insurance. The late economist Walter Williams once told me, "Short of aerial bombardment, the best way to destroy a city is through rent controls.” But the politicians don't understand that. In my new video, I confront a socialist city councilwoman from St. Paul's sister city Minneapolis. She's eager to control rents. https://youtu.be/iCSnLWI9Vuo Armed Teachers 192,209 views Jun 7, 2022 John Stossel After the shooting in Uvalde, politicians predictably demand gun control. But might trained, armed teachers be a better solution? (Not arming all teachers -- just those who volunteer.} One school district in Texas tried that: https://youtu.be/PMpY91Bp3Kc Classic Stossel: Disaster Relief 71,922 views Sep 15, 2022 John Stossel 677K subscribers A big storm does NOT require big government – people come together to help one another. After Hurricane Katrina, the New York Times ran the headline: “A Big Storm Requires Big Government.” But FEMA did an awful job. By contrast, private businesses like Walmart, and charities like Oklahoma Baptist Disaster Relief helped many people, much more quickly. A Classic Stossel from 2015 https://youtu.be/iIwPymd3Y0A Classic Stossel: No They Can't 247,249 views Aug 5, 2022 John Stossel 677K subscribers Politicians say “Yes, we can!” and claim that they solve our problems. I say “No THEY can't!” Politicians are wrong when they say “Yes, we can,” but the fact that government can't doesn't mean that we can't. Free people accomplish wonderful things. While government wastes billions on boondoggles like Solyndra, X-prize founder Peter Diamandis explains how private investors have created cars that get 100mpg, space ships, and much faster ways to clean up oil spills, all without charging taxpayers a penny. Without big government, life can be great. A Classic Stossel from 2012 https://youtu.be/Q1ZekL41BsE Classic Stossel: Minimum Wage 95,342 views Jul 7, 2022 John Stossel 677K subscribers Politicians promise that increasing the minimum wage would guarantee everyone better pay, but it actually ends up costing people jobs. Minimum wage is my Politicians' Promises Gone Wrong #9. A Classic Stossel from 2010 https://youtu.be/iuokcKGvxXM Stop! You Need a License 140,077 views Jun 30, 2022 John Stossel 677K subscribers "Bottleneckers" use occupational licensing to screw competitors and innovation in the name of keeping us safe. ———— To make sure you see the new weekly video from Stossel TV, sign up here: https://www.johnstossel.com/#subscribe ———— Whether you're a doctor, an electrician, a teacher, a cab driver, a hair stylist—even a tour guide!—the government increasingly demands that you get a license before you are allowed to work in your chosen profession. In the 1950s, only about one in 20 workers needed the government's blessing to do their jobs. Today, that figure is more than one in three. https://youtu.be/Wvt5XVkOlD0 Classic Stossel: Liberal Censors 186,556 views Jun 18, 2022 John Stossel 677K subscribers How did liberals go from being the anti-censorship group to the pro-censorship group? A Classic Stossel from 2015. "The Silencing” author, Kirsten Powers, says "Liberals have typically believed in free speech debate and dissent... But now, it's I'm offended. They don't want to hear ideas that they disagree with and they don't want other people to hear ideas that they disagree with." https://youtu.be/K14rXUMQ5D4 The Green Energy Movement Is A SCAM 8,095 views Sep 15, 2022 Andrew Klavan 404K subscribers The climate change hysteria sweeping the globe is based on flimsy predictive modeling, but that hasn't stopped the ruling class from implementing counterproductive, wasteful, and costly green energy solutions that have only made our current predicaments worse in almost every way imaginable. Watch the full episode here: https://bit.ly/3RBXVsT Stop giving your money to woke corporations that hate you. Get your Jeremy's Razors today at https://www.ihateharrys.com Save the Klavan by shopping my merch here: https://utm.io/ueSd0 #AndrewKlavan #TheAndrewKlavanShow #News #Politics #DailyWire Watch the member-exclusive portion of the show now on DailyWire+, use code PLUS for 35% off: https://utm.io/ueSuT LIKE & SUBSCRIBE for new videos every day. https://bit.ly/3PEAEoq
The Biden administration is moving ahead with repairing the damage of the prior administration. The changes course through this episode are clearly explained. There are more briefings keeping us all informed. As Dee says, "No more news via Twitter." The federal government is going "Green" with changing the fleet of vehicles it owns procuring electric vehicles that will put hundreds of people to work. Its' about time, don't you think? Buy American! The President has a chance to eliminate subsidies for oil, gas, and coal. The subsidies are pocket change, right? No They're NOT! DOJ is getting out of the private prison business and none to soon. Now with the good news: The Trump brand is stained and tarnished beyond all recognition. Reasons are given. T**** appointees to the Defense Department have been denied. The New York State Bar has kicked Rudy Giuliani to the curb. The White House 'spin' doctor has been fired. Is T**** dead politically? Can QAnon financially support T****'s fantasies? How has the BLM move from Washington D.C. worked out? Everybody was thrilled with the idea, right? Sure! Give us your thoughts on "Recurring Checks." Good idea or Bad? Amazon is getting into Machine Learning with a leading university (USC). Covid-19 and its variants are still causing problems.
Do you have to be an asshole? No? They why are you? Also yeah there is an ad at the midroll point of this episode... I am broke and hell so judge me all you want but I need anything I can get. Need a VPN? Please use this link www.1201beyond.com/dromevpn and we have a Patreon as well... www.patreon.com/1201_Beyond --- This episode is sponsored by · The Colin and Samir Podcast: The Colin and Samir Podcast hosted by LA - based friends and filmmakers Colin and Samir takes a look into what it’s like to make creativity your career. https://open.spotify.com/show/5QaSbbv2eD4SFrlFR6IyY7?si=Dj3roVoJTZmOime94xhjng Support this podcast: https://anchor.fm/radiodrome/support
FamilyLife Today® Radio Transcript References to conferences, resources, or other special promotions may be obsolete. Step-Grandparenting Guest: Ron Deal From the series: Step-Grandparenting Bob: When two families merge—when they blend—and now there are stepchildren and stepsiblings—one of the forgotten parts of this equation often, is the new step-grandparents. Here is Ron Deal. Ron: Sometimes, when somebody else made a choice—and all of the sudden, you've got not just one, but maybe you've got five step-grandchildren—what if you had a bunch—what if you already thrown yourself relationship with your biological grandchildren, now you've got five more? It's like—“How do I fit all of this in? How do we do the finances?” I'm just saying—I've seen and been involved in situations where the step-grandparents just aren't terribly excited about this. That can be a disappointment to their adult child. Bob: This is FamilyLife Today for Monday, July 30th. Our host is Dennis Rainey, I'm Bob Lepine. Step-grandparenting can be tricky. We have some thoughts today from Ron Deal— 1:00 —on how to make it work more effectively. Stay with us. And welcome to FamilyLife Today. Thanks for joining us. There was a conference back last fall for grandparents. We had some friends who put this together. We helped promote this event—a national conference of grandparenting. Dennis: The Legacy Conference. Bob: That's right. One of the speakers at the conference was Ron Deal who joins us in studio today and is the leader of FamilyLife Blended®. Ron, welcome back to FamilyLife Today. Ron: Thank you. Bob: You got invited to come and speak at this conference about step-grandparenting which, Dennis, I don't know if I ever even stopped to think about that subject—but that's an issue that a lot of families that all of the sudden find themselves in with very little preparation and very little coaching. 2:00 Dennis: I would say most grandparents feel overlooked when it comes to blending a family together; and I can't imagine what it would be like—to feel like—in some regards, you may be an outsider— Ron: Yes. Dennis: —to get back in with grandkids that—at one point—you were their heros. You're hearing a lot about this subject as you speak around the country. Ron: I am, Dennis. Bob, in preparation for that Legacy Conference, I did some homework. I do this every single day, but I was a little shocked to discover that 40-percent of families in the U.S. have a step-grandparent—40-percent! By the way, that's stat is 20 years old—it's old. Dennis: So, it's likely higher. Ron: It's likely much higher. The other thing that I found was that the prediction that demographers have is that by year 2030 in the U.S.—there will be one step-grandchild for every 1.7 biological grandchildren—less than 2 to 1 ratio. It is a very common experience. It's going to continue to be— 3:00 —a common experience—and of course, it touches all three of the generations. Bob: Not just all three generations, but I'm thinking about all of the different permutations of what makes a stepfamily—and then how that expands to the grandparenting. So, if our son and daughter-in-law get a divorce, and now she is the custodial parent, where do we fit into that; right? Ron: Exactly. Bob: If there's an estrangement between our son and this daughter-in-law, we may be cut out of the picture— Ron: Right. Bob: —with our grandkids. Ron: What that means is that, at Christmastime, when you want time with your grandkids, there's probably four or five or six other sets of grandparents who, also want time with the grandkids. So, all of the sudden, life just got really complicated fast. Bob: Then, I'm thinking about the other situation which is where our son or our daughter marries somebody who has been previously married and brings grandkids in, and we didn't just become new in-laws—we became new step-grandparents—and it happened in an instant. 4:00 So, instead of watching these kids be born, we're now step-grandparents to a 13-year-old and a 15-year-old that we haven't ever known before. Ron: What if you have some real mixed feelings about that new relationship? By the way, this is one of the things we are hearing from people: “Hey, I have step-grandchildren. By the way, I also have some biological grandchildren. I've known them their whole lives, and they've known us—we have traditions and time together and all sorts of things. Now, I'm trying to figure out: “What do I do, and how do I find time for the step-grandchildren? But that relationship came about because my child”—let's say—"made some really poor decisions; and we have mixed feelings about those decisions.” “Now, those decisions have resulted in them getting married and having stepchildren—that gives us step-grandchildren—we never really wanted this. It kind of feels like if we jump in as step-grandparents and throw ourselves into those relationships, that somehow, we're saying what my son or daughter did is okay.” 5:00 “We don't feel like it's okay. We're kind of stuck between, not wanting to give approval—but at the same time—the grandchildren shouldn't be the ones that suffer.” That's the kind of difficulties that grandparents are finding themselves in—trying to wade through these waters and figure out what to do. Dennis: You outline three different kinds of step-grandparents. There are step-grandparents who step into the life of a child and actually, are in a long-term relationship helping to raise that child to maturity. Ron: Right. They've been in a long-term—we call them long-term step-grandparents, meaning maybe, they were a stepparent at a younger age; and they raised a stepchild, and that stepchild is now an adult, now married, now has children of their own. Technically, those are step-grandchildren to the grandparent; right? But you've been in their life since day-one. 6:00 That long-term step-grandparent, probably, has more of a relationship with their step-grandchildren like a biological grandparent would have with their biological grandchildren. It just feels more natural and more connected because of the length of the relationship. Bob: Of course, all of this depends on the kind of relationship that the stepchild has with the stepparent because that's step-grandparenting is all incumbent on—“Are we still friends”— Ron: That's right. Bob: —“with this child that we helped raise?” Ron: Let's just kind of walk through the possibilities. On the one hand, let's say you have a great relationship with your stepchild who, now, becomes a parent. You have step-grandchildren. Odds are you're Grandma—end of story. That's going to be a wonderful, easy ride. Maybe you have—on the other end of the continuum—a really awkward, difficult relationship with your stepchild who, now, has children. It can go one of two ways. What I see a lot is that all of the sudden, the step-grandchildren create an opportunity for connection. 7:00 They don't know you as anything different—they feel like you're Grandma to them or Grandpa to them. All of the sudden, it helps your relationship with your adult stepchild. They watch you be grandmother to their kids. Dennis: By the way, if you want to win a parent's heart— Ron: There you go. Bob: Yes. Dennis: —bless their child. Ron: That's it. Dennis: I mean find ways to build into their lives. I'm not talking about spoiling them with gifts. I'm talking about finding a way to encourage them, build them up, speak truth into their lives, and be an asset to them. Ron: I hear from a lot of long-term step-grandparents who say, “You know what? My salvation with my stepchild was the grandkids. That was the backdoor that improved my relationship with them.” I say, “Amen! Hallelujah! Whatever it takes.” Pour into that grandchild, and all of the sudden, their parent is more appreciative of you than they've been before. Dennis: What would you say to the person who is listening to our broadcast right now that would go—“That's me. I'm in that situation.” How can they take advantage of it? 8:00 Ron: You know it's the heart attitude of inclusion—and connectedness is always a good, positive thing. I mean, extending yourself in love generally works on your behalf—wouldn't we assume that as believers; right? Dennis: Right. Ron: Love conquers a lot of things. Now sometimes, you are not given permission to love. One of the barriers here for step-grandparents is that middle generation. Let's say you have a son or daughter or stepson—stepdaughter who blocks your ability to be a grandparent. Well, they can. They can just say, “No, the kids are not available”; “No, we're not going to come over and spend time on Sunday afternoon and have lunch. No—” They can do that, and that's really unfortunate—it's a heartbreak when that happens. What I would say to that step-grandparent is “Okay, you have limited opportunity. Make the most of what you have and don't give up.” Bob: I'd just throw in here— 9:00 —it can be our attitude: “I'm entitled to a relationship with my grandchild.” I think we've got to die to that entitlement at some point and go—“I can woo that. I can try to earn that. I can pray for that—but I'm going to have to let go of that sense of entitlement.” Dennis: If you try to cash that chip in, you can alienate even further. Ron: Yes. Yes, you certainly don't want to do that because then that just almost invites somebody to say, “Oh no you don't deserve”; right? Then, you've got them digging in their heels. Bob: So, you've got long-term grandparenting. What's a second kind of grandparenting? Ron: The second one we call inherited step-grandparents. Here is what's happened probably in your life. You've had a son or a daughter who made a choice to marry somebody who has kids. So, your son—let's just say that—your son has become a stepdad. Well, you just inherited step-grandchildren. Now notice, this was not your choice. You're just cruising along in life. Your son made a choice to marry somebody with kids. 10:00 You didn't make that choice. You may be in favor of it. You may be happy about it—but at the same time, you didn't ask for grandkids—you didn't ask for this to be brought into your life. I mean most grandparents are excited when they become grandparents. It's a little weird sometimes, to hear people say the very first-time, but—“Yes, I'm getting used to the idea.” Then they throw themselves into. Sometimes, when somebody else made a choice—and all of the sudden you've got not just one, but maybe you've got five step-grandchildren—what if you already had a bunch? What if you already had—you've already thrown yourself into relationships with your biological grandchildren—and now, you've got five more? It's like—“How do I fit all of this in? How do we do the finances?” I'm just saying—I've seen and been involved in situations where the step-grandparents just aren't terribly excited about this. That can be a disappointment to their adult child. Bob: We've got to keep in mind—you don't have an extended relationship with this new 11-year-old step-grandchild. 11:00 You don't know anything about what they like. You don't know anything about their history, for the most part. You are meeting them for the first-time at 11. They are not sure what to think about you. Ron: —And you feel a little divided. You've got three other biological grandchildren. You do know what they like. You do have a relationship with them. Now, I'm supposed to take time away from them to invest time with this 11-year-old that I don't know? Bob: —who is not sure he wants a relationship with you. The easiest thing to do for a step-grandparent in that situation is go—“Let's just back off and go where we're wanted” —but I hear you saying, “That may be the easiest thing to do, but that may not be the healthiest thing to do.” Ron: I think we should always—I mean the life and times of Jesus Christ is a guy who walked around turning outsiders into insiders. Is that not the heart of the Gospel? People who were far from God, and He brings them near to God. He extends the hand of friendship, if you will. He extends love and grace to people who don't even know that they need it or want it. 12:00 That's the heart of our Savior. I think anytime we do that in any situation—let's just paint a scenario like we were talking about before—let's say your son or daughter made a choice. It's a choice you didn't agree with. There are negative repercussions. You're not feeling great about it, but—bam!—you've got an 11-year-old step-granddaughter. I think you swallow hard, and you go—“Lord, help me be an influence in this 11-year-old's life—help us find ways of connecting—we've got to figure this out.” We don't just pull back and go—“Well, this shouldn't be, so I'm out of here.” Dennis: I like where you are going with that, Ron, because I was just sitting back and thinking, “Most grandparents—when they are finally declared grandparents—are kind of wondering, ‘What's my assignment here?'” It's not necessarily cut and dried with every one of your adult children how they want you to be the grandparent in that situation. Then, you extrapolate the step-grandparenting assignment which that's a new category for a lot of people. 13:00 They don't even know—well, it's back to being dizzy again. Ron: Yes. Dennis: “How do I relate to this person that's not biologically connected to me?” Ron: You know here's a principle that I think would apply with both biological grandparenting as well as step-grandparenting: Define the relationship—we're going to have to have some conversations. So, you go to your son or daughter; and you say, “Look, what role would you like for me to play? Here's what I would love to do. Here's where I'm interested. Here's my heart—my passion. How does that fit with you? Your schedule? Your needs? You have a wife or a husband to consider and their parents. Bring us in and give us some guidance so that we can come together and define what our role as grandparents look like.” There is one other category, and it's what we call the later-life step-grandparent. This occurs when someone later in life marries somebody who is a grandparent. So, let's just paint a scenario. 14:00 You maybe, had a 30-year marriage, and your spouse dies. A few years go by, you're in your mid-60's—early 70's—and you fall in love again. You marry somebody who is a grandparent. You instantly have adult step-children and step-grandchildren. Notice, you're the one who is motivated. You're the one who made the choice to marry this person. Typically, that step-grandparent is highly motivated to get to know all the generations—both the adult stepchildren as well the step-grandchildren—but the adult step-children and the step-grandchildren may not have any need for you whatsoever in their lives. What we often find in this scenario is it's the adult children—now adult stepchildren—who go—“You know what? You're Dad's wife. You're not my mom, and you're not the grandmother to my kids. It's fine if you show up at Christmas, and we sure want you to cook the turkey at Thanksgiving— 15:00 —but don't step into that grandmother role. My mom was grandma—end of story. That adult child has a lot to say about whether or not that step-grandparent can play any role at all in the life of the family. Bob: I just add to that—and we've talked about this before—patience—patience is a key virtue in all of this—and then grace. Keep in mind that your kids—your step-kids, their kids—everybody in this scenario has a context for what they are feeling. Loss has been a part of most of these people's experience—and when loss is a factor—that can pop up in some relationally challenging ways; right? This is just where we have to be the people who say, “You know what? I'm going to give a ton of grace. When you start acting out of your loss and start getting angry”— 16:00 —“or frustrated or isolating yourself, I'm just going to go—‘Okay, there is a context for this, and I'm going to give a lot of grace here.'” Ron: This later-life step-grandparent dynamic essentially creates what we call adult step-families. The person who gets caught in the middle of the bunch is the biological parent. Let's—back to our scenario—this man has married a woman later in his life—in their early 70's—and his children—they loved Mom. She was a wonderful woman in their life—and she will always be Mom—and to the grandchildren—she will always be Grandmother. Dad can—he's got to be careful because if he's in a position of demanding that his kids welcome her as they would a mother—I just find that that backfires. He's got to be patient, too. Now, I also want the new step-grandmother in that scenario to not become so possessive. I've seen some situations where they look to their husband and say, “Look, if they don't invite me, then you can't go be with your kids either—and your grandkids.” 17:00 Oh! Wow! Dennis: Yes. Ron: That will divide really, really fast. All that does is sabotage yourself in the family. You have to make some sacrifices. Keep the connections alive so that eventually they see you as an asset—somebody new to get to know and hopefully, they do extend themselves and invite you in. Dennis: Parents in any family are gatekeepers— Ron: That's right. Dennis: —to give grandparents access to their grandkids. Bob: You've just started exploring this subject. I mean we've just touched the tip of the iceberg in talking about it today. Have you written much on this? Can you point us to where we can get additional help? Ron: Yes, actually, a number of my resources do talk about adult stepfamilies and the step-grandparent dynamic. The most recent is Daily Encouragement for the Smart Stepfamily, which is a one-year devotional for blended families that talks about a variety of subjects as you walk through the year. 18:00 The Smart Stepfamily book and our DVD series that churches can use also will talk about some of these things. Then the books, The Smart Stepmom and The Smart Stepdad, each have chapters on these subjects. Bob: Of course, we've got these resources available in our FamilyLife Today Resource Center, and listeners can go online and look for the right starting place—where would you say? The Smart Stepfamily? Ron: The Smart Stepfamily would be a good start. Bob: Yes. Dennis: I'd encourage people to look at the book of James. James, Chapter 1, verses 2 through 8 would be a great passage of Scripture for any step-family. Let me just read it carefully: “Count it all joy, my brothers, when you meet trials of various kinds for you know that the testing of your faith produces steadfastness and let steadfastness have its full effect that you may be perfect and complete, lacking in nothing.” 19:00 Let me just say here—in all this conversation of feeling dizzy—I think this next command here in Scripture is really timely: “If any of you lacks wisdom, let him ask of God who gives generously to all without reproach, and it will be given to him, but let him ask in faith with no doubting. For the one who doubts is like the wave of the sea that is driven and tossed by the wind. For that person must not suppose that he will receive anything from the Lord. He is a double-minded man, unstable in all his ways.” If you are in a step-family situation—whether you are a step-parent, a step-grandparent, a bio-parent—and you need wisdom, call on God. Ask Him to give you wisdom: “How do we handle this, Lord? This is so complex. We can't begin to sort through all the pieces of the puzzle here” —but God meets us at that point. 20:00 Bob: Yes. One of the things, Ron, that you have said is that you've got help on this subject. Folks can go to our website, FamilyLifeToday.com. You've written books and articles—and again, there is information online at FamilyLifeToday.com. You and your team are working—now—on an event that's going to take place October 24th and 25th. This is our 6th Annual Summit on Stepfamily Ministry. It's going to be happening in Little Rock. In addition to you speaking at the event, Linda Ranson Jacobs—who heads up divorce-care for kids is going to be here. Dave and Meg Robbins will be speaking—Lamar and Ronnie Tyler and others. The focus this year is on parenting in complex families. As often as not, when you're talking about blended families, the issues that people are asking you about are parenting issues. That's what the focus will be. Now, this is an event for pastors, church leaders, laymen and women— 21:00 —anybody who has a heart for step and blended families and wants to help those families thrive in local churches—they should plan to be in Little Rock on October 24th and 25th for the 2018 Summit on Stepfamily Ministry. There is information available online at FamilyLifeToday.com—or call 1-800-FL-TODAY if you have any questions. There is early-bird pricing available now—so get in touch with us quickly to take advantage of that. Again, the website, FamilyLifeToday.com—sign up for the Summit on Stepfamily Ministry happening in October. I know for some of our listeners, school has only been out for about five or six weeks now. For others of our listeners in other parts of the country, school is starting back up next week. Can you believe it? There are some folks headed back to elementary and junior high and high school as early as next week in some parts of the country. 22:00 That's why we're encouraging moms and dads now, to sign up for a 30-Day Prayer Challenge encouraging you to be praying for your children every day for the next 30 days as they head back to school—whether they are in kindergarten or whether they are in graduate school. We will send you a daily prayer-prompt via email. It'll give you Scripture and specific ideas on things to be praying for, for your children. You can sign up for the 30-Day Prayer Challenge right now at FamilyLifeToday.com, and we'll get you started immediately with your daily prayer prompts. Here at FamilyLife we are all about trying to effectively develop godly marriages and families—and praying for our kids is one of the ways that that happens. We're excited because there are a number of churches around the country who have already contacted us, and they are launching Art of Parenting™ groups this fall. In fact, some of them are kicking off the launch by showing the movie that we've put together called Like Arrows as a special church event. 23:00 If you'd like information about FamilyLife's Art of Parenting video series—or the movie, Like Arrows, again, go to our website—FamilyLifeToday.com. Maybe, talk to your church leadership about whether this is something you want to do in your local church—and then get in touch with us. You can call us at 1-800-FL-TODAY. Let me just say a word of thanks to those of you who partner with us so that all that we're doing here at FamilyLife can actually happen. Those of you who are regular, monthly Legacy Partners and those of you who will from time to time help support the ministry with a donation—we are so grateful for your partnership. 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Is it ever ok to deviate from the script? Many big box coaches will say NO They tell you to “stick to the script” always. We all know that real life scenarios make it almost impossible to actually stick to the script 100% of the time. In this [entertaining] video roleplay Jay will show you how and when to deviate from the script so you can maximize your opportunity to close the deal and get more listings.
In this episode we will discuss Trigeminal Neuralgia with Pamela from British Columbia, Canada. This painful and rare condition has no cure but Pam gives us tips on dealing with severe facial pain. Transcript: s3e1 trigeminal neuralgia.mp3 Lita [00:00:07] Hello and welcome to another episode of podcastDX. The show that brings you interviews with people just like you whose lives were forever changed by a medical diagnosis. I'm Lita and one of our co-hosts. Ron is not with us today. Jean [00:00:22] And I'm Jean Marie. Lita [00:00:23] Collectively we are the hosts of podcastDX on today's show we are speaking with Pamela. Pamela is joining us once again from Victoria British Columbia in Canada. Jean [00:00:35] And we actually had the honor of speaking with Pamela last week regarding fibromyalgia this week. Pamela is here to tell us all about her experience with the trigeminal neuralgia. Lita [00:00:45] Well ok that's a mouth full. (Laughter) In case you missed last week's episode Pamela is happily married to her amazing husband Ray and they're the proud parents of two grown kids with three wonderful grandsons. Pamela worked for years whilst battling with pain from fibromyalgia and osteo arthritis while employed as an administrative specialist. She was also a certified event planner with her career behind her now and she is on long term disability. She is now a blogger. I've always wanted to blog. I'm not into blogging but maybe you can get me going on it (laughter) she really, I need to know. She writes about chronic pain chronic fatigue fibromyalgia an invisible illness in addition to blogging. Pamela is an active volunteer with the patient volunteer network or PVN in British Columbia. Outside of the PVN she has also done volunteer work for Island health as a patient advisor. She was on the advisory committee for opioid guidelines in Canada and volunteered this summer with the downtown Victoria Business Association Buskers Festival. Jean [00:01:56] Hello again Pamela and I, might I say that I'm just exhausted hearing about how much you do. Welcome back. Lita [00:02:03] Yes. Pamela [00:02:04] Thanks so much for having me back again. Lita [00:02:07] Pamela I was reading over the data sheets for the conditions that have placed you on the long term disability list. And I would venture to say that you have your plate full. We have.... Pamela [00:02:18] I do. Lita [00:02:19] ...(laughter). Jean [00:02:20] Yeah. Lita [00:02:21] ...Separated the two major conditions into the two separate episodes. We covered fibromyalgia last week and that leaves this week with trigeminal neuralgia. First to give our listeners an idea of exactly what we're talking about what is trigeminal neuralgia. Pamela [00:02:37] Trigeminal neuralgia is a chronic pain condition it involves the areas inerverated by the 5th cranial nerve so the area of the body involved is the face it can cause severe pain even when doing simple things like brushing your teeth shaving putting on makeup touching your face eating drinking speaking or even when something as simple as a breeze whispers across the face. Jean [00:03:04] Oh Pamela you mentioned the fifth cranial nerve and what is that exactly. Pamela [00:03:12] OK so the fifth cranial nerve is one of the most widely distributed nerves in the head. Jean [00:03:17] OK. Pamela [00:03:17] So the classic type of trigeminal neuralgia disorder called Type 1 or TM1 causes extreme sporadic sudden burning or shock like pain which may last from a few seconds to as long as two minutes per episode. Lita [00:03:32] mm mm. Jean [00:03:33] oh God. Pamela [00:03:33] And episodes can often come in a series of attacks that lasts for several hours. Jean [00:03:38] ohh. Pamela [00:03:38] But I have something called atypical TM. Jean [00:03:41] ok. Pamela [00:03:41] Which is when the pain comes in a long lasting wave... Jean [00:03:44] ohhh. Pamela [00:03:45] ...Instead of a short burst. So for me no but for me it's like a hundred little cameras there hitting the same area of my face... Lita [00:03:52] Oh my gosh. Pamela [00:03:53] ...For hour after hour. Lita [00:03:54] oh my God. Pamela [00:03:55] my episodes tend to last for eight to 12 hours at a time. Lita [00:04:00] Oh. Pamela [00:04:00] They start just under my right cheekbone and then it spreads first to my sinus cavity then down towards my jaw. And I often feel spasms in my esophagus as well. Jean [00:04:11] Oh my gosh. Lita [00:04:12] Wow. Pamela [00:04:14] Yeah. Lita [00:04:14] Wow. Pamela [00:04:15] Not fun. Lita & Jean [00:04:15] No. Jean [00:04:16] Wow. Lita [00:04:17] Wow. I mean my mouth hurts just. Pamela [00:04:20] yeah. Lita [00:04:20] Listening to you. Jean [00:04:21] That's that's awful. Pamela [00:04:22] Mmhmmm Lita [00:04:23] Pamela what causes Trigeminal neuralgia. Jean [00:04:25] And how can we avoid it. Lita [00:04:27] Yeah. Pamela [00:04:27] Well there's actually several possible causes for trigeminal neuralgia. So it sometimes begins as the result of the nerve sheath being too close to a blood vessel in the neck area where it exits the brain stem. Jean [00:04:42] ok. Pamela [00:04:42] In other cases it can be caused by things like multiple sclerosis. Lita [00:04:46] Which also takes away the sheath, right. Pamela [00:04:48] Yeah exactly. Another reason for this condition can be a tumor pressing on the nerve or it might be the result of the wearing down of the sheath of the covering on the nerve. It could be the result of physical damage to the trigeminal nerve perhaps from the sinus surgery or an oral surgery or stroke or other facial trauma. Jean [00:05:10] ok. Pamela [00:05:10] In my case we suspect that the nerve is rubbing against something based on the MRI scan that I had done. Jean [00:05:17] OK. Lita [00:05:18] Wow can you tell us. I mean you know obviously the pain right. Is that what led you to to find out what this diagnosis would be. Pamela [00:05:27] Yeah. The reason I was sought treatment was because I was suddenly having these pain episodes in my face. And after the first one or two I realized they weren't just sinus infections because I wasn't showing any other symptoms that you would typically get with an infection. Lita [00:05:42] ok. Pamela [00:05:43] So I saw my doctor and I described the pain. And I was diagnosed TM based on the description. And then when I was first put on medication it stopped the episodes from happening and that's when we knew that we'd made the right diagnosis. Lita [00:05:56] OK. Is it just a nerve pain type of a medication then. Pamela [00:06:01] Yeah. That's what we started with. One of the first drugs that they prescribed to. Yes. Lita [00:06:06] OK. Well while reading about this week's topic I read that a person with trigeminal neuralgia might feel as if they had an abscess tooth or like you were saying a sinus infection. And since it can affect the jaw area it seems like that could make it a difficult condition to diagnose. I mean like is it a tooth is it. Jean [00:06:27] Sinuses. Lita [00:06:28] Sinuses. Is it Is it the gum you know. So was it it was not that difficult for you to get the diagnosis though huh. Pamela [00:06:36] No like I said just describing the pains my doctor and how it flared into my sinuses first and then into my jaw helped him to realize that it wasn't an abscess in the jaw area. Lita [00:06:48] Yeah actually you know what about a heart attack. Jean [00:06:50] Yeah I'm you know yeah. You could have jaw pain. Lita [00:06:52] You could have had jaw pain with a heart attack. Jean [00:06:53] Sure. Lita [00:06:54] There's a lot of things that. Jean [00:06:55] Yeah. Lita [00:06:56] They could have worried about. Jean [00:06:57] well, yeah. Lita [00:06:57] I'm glad the doctor thought about it right away. Jean [00:06:59] you've had, Yeah. You had someone that really... Pamela [00:07:01] Yeah. Jean [00:07:01] ...understood what it was. Lita [00:07:01] understood it right. Jean [00:07:02] Yeah. And I understand that there are several tests that can be done to help determine the extent of the terminal neuralgia. Can you tell us a little bit more about this testing. Pamela [00:07:11] Yeah. So in most cases the doctors start by asking questions about your symptoms and ask about your medical history. Then they usually perform a physical examination of the head in the neck areas including the ears the mouth the teeth and the temporal mandibular joint with the TMJ. Jean [00:07:31] Right. Pamela [00:07:31] And other disorders that may cause facial pain and mimic TM type pain. They'll ask questions about that. So these conditions need to be ruled out first before a definitive diagnosis was made. And then often what they'll do is they'll order a magnetic resonance imaging an MRI scan. Jean [00:07:53] Ok. Pamela [00:07:53] They do that to rule out the presence of a brain tumor or multiple sclerosis or other causes. Jean [00:08:00] ok. Pamela [00:08:00] And the scans can also determine whether or not a blood vessel is pressing on the nerves. And so that's what my doctor did was he ordered the MRI for me and that's where we could see how the nerve was being compressed. Lita [00:08:12] OK. Wow that's quite a few tests. I know that when we were talking last week you said that during a procedure. Jean [00:08:21] Something was leaning on a nerve. Lita [00:08:22] Something was leaning on a nerve. Now could that have caused this. Pamela [00:08:26] Yeah. Oh yeah. They they could see that the blood vessel is pressing against the nerve. Jean [00:08:34] OK. Lita [00:08:34] So it wasn't something that the doctor was leaning against. It's right now it's just a blood vessel. That’s pressing because I'm just saying like what made what made the blood vessel all of a sudden press against the nerve. Pamela [00:08:44] You see they're not really sure. Lita [00:08:46] OK . Pamela [00:08:47] They're not really sure what's what's causing it to do that. And actually until I undergo you know some type of surgery they wouldn't be able to say for certain until that happens. Lita [00:08:59] ok When I don't know if I asked when did this problem start compared to the fibromyalgia. Pamela [00:09:05] I've had the TM for probably about 14 years now. Jean [00:09:10] oh my gosh. Pamela [00:09:10] And I didn't realize that I had it in the beginning simply because I thought it was a sinus infection. Lita [00:09:18] OK. Pamela [00:09:19] When I first had it and the episodes were really infrequent in the beginning so I just brushed it off. So when I started having them on a much more frequent basis then I knew that there was a problem. And that's when I went to the doctor. Lita [00:09:33] got it. Pamela [00:09:33] So I would say 14 years in total. But you know on a more frequent basis probably over the last four years. Lita [00:09:41] OK. Jean [00:09:42] ok And Pamela you said that some medica.. Medications have helped a bit. Are there any other treatments available for patients with trigeminal neuralgia. Pamela [00:09:50] Yeah. There are treatments for trigeminal neuralgia which can help to reduce pain and improve quality of life. So what they normally do is they start off with a medication called carbamazepine which is also known as Tegretol. That's the first drug of choice. And if that doesn't work or if it stops working as it did in my case the other drugs that they use are called lamatrine gabapentin and pregablin and then sometimes use Baclofen which is a muscle relaxant. And then I also took a drug called topiramate. Lita [00:10:26] topiramate. Pamela [00:10:26] which I don't take right now. Lita [00:10:28] Yeah. Pamela [00:10:28] Yeah. It's an anticonvulsant and that worked for me for a long time actually for almost two years. But it has stopped working and I am now at a point where I am having flare ups about once a week. Lita & Jean [00:10:44] ohh. Pamela [00:10:44] So yeah. And so at this point unfortunately I have no other drug options left. I even tried botox botox is often used as a last resort where they inject botox along the hairline not into the actual area where you have the infection but they do it along the hairline and that's done to try and paralyze the muscles that are flaring up from, from the nerve. But that was unsuccessful for me as well. So now the only option left for me is a surgical option. Jean [00:11:17] Oh wow that's Yeah. You can't go back to a medication like if you're on a medication for sometime and it stops working. Pamela [00:11:24] There's. Yeah. There is once medication stopped working that stops working and you can't go back to the old again. They just. They just don't work again. Jean [00:11:35] Okay. Okay. And Pamela I really think we should let our listeners know that this is a disorder which is considered to be one of the most painful human conditions. Lita [00:11:45] Yes. Jean [00:11:46] And just reading that statement makes me really cringe. In your opinion how bad would you say the pain is. Pamela [00:11:54] Well the nickname of this condition is the suicide disease. When I'm in a full TM flare up I'll be honest I want to claw my face off. The pain is a 15 out of 10. It is absolutely unrelenting. And that's the worst of it. If I knew I was going to get relief in just a short period of time it would be easier to bear. But when I get the telltale pulse under my cheekbone that a flare is coming up. I know that I'm in for 12 hours of agony. It's the most painful thing that I have ever experienced. Jean [00:12:30] I'm so sorry. Lita [00:12:31] Oh goodness gracious. Jean [00:12:33] Yeah that’s. Lita [00:12:33] Pam. And too bad they can't have like. I know that this... Pamela [00:12:37] There's. Lita [00:12:37] ...sounds bad, like put you to sleep. You know like put you in a semi coma. Knock you, you know go in for a shot. You know like you you go in for this. Jean [00:12:44] Imitrex. Lita [00:12:46] no not Imitrex to get the sleep that I went in for the shots. Jean [00:12:49] Oh yeah. Pamela [00:12:49] Yeah there's times that I've I've debated going into the emergency room to see if there's anything that they can do to help me. Jean [00:12:58] Right. Pamela [00:12:58] And I've gone once or twice and I've said to them I am in the middle of a TM flare up and I just want something to break the cycle of pain. Lita [00:13:07] yeah. Jean [00:13:07] Right Pamela [00:13:07] . And even when they've given me something it hasn't always worked. Lita [00:13:13] The Twilight that's what I'm thinking. Jean [00:13:15] the twilight sleep yeah. Lita [00:13:16] The twilight You know like when they put you out temporarily while they're doing your procedure. Jean [00:13:21] right. Lita [00:13:21] I wonder if. Have you tried it would that break it. I know, you know they have that done the dentist's office. Pamela [00:13:26] No They won't actually do something like that. But that's what they'll do is they'll give me a shot. I'm allergic to morphine. Lita [00:13:33] Yes.so am I. Pamela [00:13:34] The best that they'll do is they'll give me a shot of fentanyl. Lita [00:13:36] . Right. Pamela [00:13:37] But even Fentanyl doesn't... Lita [00:13:38] doesn't touch. Pamela [00:13:40] ...touch the pain. Lita [00:13:40] Doesn't touch it. Pamela [00:13:41] No. Jean [00:13:41] Wow. Pamela [00:13:42] Well I know that I'm going to. And actually I have to be honest with you as we're talking I can feel a tiny pulse in my cheekbone that there's going to be flare ups coming up at some point. Jean [00:13:53] I'm so sorry. Pamela [00:13:53] in probably the next few hours. (laughter) Lita [00:13:56] Oh man. Does meditation. Does that help. Pamela [00:14:00] Nothing. Jean [00:14:00] It sounds like it's like asking someone who is in labor. "Oh have you tried this medication". Lita [00:14:03] No no. I'm thinking before it happens. Pamela [00:14:04] No Lita [00:14:05] I'm just thinking. Jean [00:14:06] Oh. Lita [00:14:06] I'm thinking before it happens. Jean [00:14:06] ok ok. Pamela [00:14:07] nope. Lita [00:14:07] yeah. I mean yeah I remember when I was first pregnant with this one over here. Right. Jean [00:14:12] Yeah. I don't remember. Lita [00:14:14] No she doesn't remember it but I remember this. And I do have Alzheimer's and I don't remember a lot of things but I remember that when I was in labor my husband at the time pulled out a deck of cards and said "Would you like to play cards." Jean [00:14:27] You know what's really funny. I remember when my sister was in labor and her husband pulled out a deck of cards. Lita [00:14:33] What is with these guys. Jean [00:14:34] I don't know but. Pamela [00:14:35] I don't even know. (laughter). Lita [00:14:36] Oh yeah. I mean who the heck wants to play cards when you're in that much pain. Pamela [00:14:42] It's not really a distraction is it. Lita [00:14:44] No it's not. I wanted to take that deck of cards and. Jean [00:14:48] OK. Lita [00:14:49] ok. Jean [00:14:49] and back to the show. Pamela [00:14:49] Put the cards there (laughter) Lita [00:14:55] (laughter) Well how has this particular disorder affected your family or friends or your interactions with them. Pamela [00:15:01] Well when I'm in the flare I can't do anything. I can't Talk. I can't be around anyone. Lita [00:15:06] sure. Pamela [00:15:06] Everyone. I mean I'm just writhing in pain. I don't want to be touched or talked to. So any contact with my husband is out and he's he's really good. He's really understanding about this. And you know he just makes himself scarce and I just go to the bedroom in the dark and just cry. Lita [00:15:23] So it's kind of like a migraine. Jean [00:15:24] It is yeah Lita [00:15:25] Yeah a little bit but then. Pamela [00:15:26] Yeah I just. Lita [00:15:27] But different Yeah. Pamela [00:15:28] I want to isolate myself. Lita [00:15:29] Right. Jean [00:15:29] Sure Pamela [00:15:30] I just want to isolate myself my attacks are becoming so more frequent that it really interferes with my life. Lita [00:15:36] Sure. Pamela [00:15:36] I mean you know I don't want to socialize I don't want to be around anyone. Lita [00:15:41] cause You don't know if it's going to happen when you're out. Pamela [00:15:42] I don't want to do anything.... Jean [00:15:43] Right. Pamela [00:15:44] Well and that's the other thing I never know when a flare is going to happen. I don't know if it's going to happen when I'm out and if I am out I just want to get home as quickly as possible so it's ruined a lot of plans.... Lita [00:15:56] Right. Right Pamela [00:15:57] ...as well. Jean [00:15:57] Sorry. Lita [00:15:58] Well I hope the. I hope the surgery option will work for you. Pamela [00:16:03] Well I'm crossing my fingers. I do have an appointment with the neurosurgeon in April so. Jean [00:16:09] oh ok good. Pamela [00:16:09] I think well we'll talk about that in a few months. Lita [00:16:11] Yes we will. Yes. We'll have to get you back out here in May. Jean [00:16:14] right. Lita [00:16:14] We'll be praying for you in the meantime. Jean [00:16:16] Yes. Are there any specific support groups for patients with terminal neurologic it sounds like. Lita [00:16:22] They should. Jean [00:16:23] The only person that can truly understand this is someone else that has the same condition. Lita [00:16:27] Yes. Pamela [00:16:28] Yes there are support groups available and you can certainly look online to find one suitable for you. Jean [00:16:35] ok. Pamela [00:16:35] In the States there's the American Association of neuromuscular and electro diagnostic medicine which offers information and assistance. Lita [00:16:44] I'll put that on the web site. Pamela [00:16:44] And they can be found, yep, It'll be on the website. They can be found at AANEM dot org. Lita [00:16:50] OK. Jean [00:16:50] OK. Pamela [00:16:51] And in Canada there's the tri geminal neuralgia Association of Canada. They're known as TNAC and they can be found at T N A C dot org... Lita [00:17:02] OK I will put it on our website. Yeah I didn't know if I told you but.... Pamela [00:17:06] ... but those are. Lita [00:17:06] yeah. We. We build web pages for you and for your particular diagnosis. on our Web site. Pamela [00:17:13] oh that's wonderful. Lita [00:17:13] So that'll be on there forever. Pamela [00:17:15] so people can find that information. Lita [00:17:16] Yeah. Pamela [00:17:16] That's great. Lita [00:17:17] We put links in resources so that people can have a one shop stop to find out more about it. Pamela [00:17:23] Yeah. That's wonderful because I mean people you know the support is just immense that you know you can connect with people who are going through the same thing and like you said nobody knows what it's like except somebody who experiences it . And so you know I think it's really important that people know that there are national associations available out there for us. Lita [00:17:46] That's good. And how about on Facebook. Are there those private groups. Pamela [00:17:50] I am not sure about Facebook, there's probably lots. Lita [00:17:54] ok. Pamela [00:17:54] Of private groups that you can look for on Facebook. Lita [00:17:56] OK. Because I know that I join a bunch of them just so that I can glean information so that I can have a little bit better idea when I'm talking to our guest and I can read all kinds of you know interactions between patients that have these different issues and you know I had this or yes we have that and oh my god do you remember when this oh yeah yeah. Jean [00:18:15] and have you tried this. Lita [00:18:17] Yes. And all kinds of handsome tips. I love those. Jean [00:18:20] right. Lita [00:18:20] Well yeah obviously we found out that this problem does not go away on its own and it can get worse over time. And you are looking for possible surgery as a cure in the future. Pamela [00:18:35] That's right. Lita [00:18:36] Have you have you been told to watch for any other symptoms or is it just an increase in the severity. Pamela [00:18:42] It's really just an increase in the severity and the frequency that I have the flare ups and stuff. Lita [00:18:48] OK. Pamela [00:18:49] Some people do achieve remission. Some people have flare ups that go away. Lita [00:18:54] Oh good. Pamela [00:18:55] And they achieve remission so that there is encouraging news. Some people like myself run out of options and need to look for treatments beyond medication. Lita [00:19:04] OK. Jean [00:19:05] OK. And as we had mentioned earlier that there may be surgical procedures to help alleviate some of the pain caused by trigeminal neuralgia. And like you said your schedule coming up. Lita [00:19:18] in April Right. Jean [00:19:18] And that's umm. Pamela [00:19:20] That's right. Pamela [00:19:20] So I have an appointment on April 30th to see a neurosurgeon and we're going to be talking about a brain surgery called Microvascular decompression. Lita & Jean [00:19:30] OK. Pamela [00:19:30] So what that means is the surgeon will make a circular incision behind my right ear and remove that part of my scalp and then using small tools. He'll find the trigeminal nerve and then place a small Teflon sponge between the nerve and whatever. Lita & Jean [00:19:46] Oh wow. Pamela [00:19:47] Is pressing which is probably another nerve or you know a tendon or whatever is in there but whatever's causing the irritation he'll place the Teflon sponge between the two. Jean [00:20:01] Ok. Pamela [00:20:01] And once that's done the bone that was cut away will be. Covered with a titanium plate instead. And then the muscles in the skin are all sewn up again and I'll spend one night in the ICU. And then one or two nights in the hospital and then home to recover. Lita [00:20:17] Ok Pamela [00:20:17] So there's an excellent success rate with this particular surgery. And the reason I've chosen this surgery is because it has the lowest rate of causing facial numbness as well. There are other surgeries including one called the sensory rhizotomy which is the irreversible cutting of the trigeminal nerve root at its connection to the brain stem. Jean [00:20:41] Ok. Pamela [00:20:41] There's Gamma Knife radio surgery which is a non-invasive outpatient procedure that uses highly focused radiation beams and it destroys some of the trigeminal nerve root fibres that produce pain and then there's peripheral peripheral neurectomy which is where a nerve branch is cut. Lita [00:20:59] Well you got to become a. Pamela [00:21:00] . Yeah right. Lita [00:21:01] You're becoming quite good with the medical terminology. Pamela [00:21:04] I really am I. Lita [00:21:05] (laughter) Pamela [00:21:06] But all three of those surgeries carries a side effect of facial numbness and some to a really high degree. And I don't want that as a side effect. Jean [00:21:16] Sure. Pamela [00:21:18] I researched all four of these different surgeries very carefully and that's just not a side effect that I'm willing to put up with. Lita [00:21:27] Sure sure. Jean [00:21:28] Sure. Yeah. Lita [00:21:29] Well we're not. When your husband wants to give you a kiss you'd like to know if he's close. Pamela [00:21:34] Well exactly. You know and it sounds kind of funny to say it but there's a lot to be said for that sensation of touch. Lita [00:21:42] Right. Jean [00:21:42] Of course Pamela [00:21:42] I'm not willing to give that up. Lita [00:21:44] Absolutely. Absolutely. Do you have any additional tips hints or helpful advice for listeners. Pamela [00:21:50] Well my main advice is just to see your doctor as soon as possible if you're experiencing any type of facial pain. The sooner you get it diagnose the better. And if it is trigeminal neuralgia there's help available. Find a good support group. Facebook has groups available to help. And most importantly just know that you're not alone. There are lots of other people out there who are suffering so you know don't feel that you're the only one that's out there. Jean [00:22:18] Well thank you Pamela. And how can our listeners learn more about you and trigeminal neuralgia. Pamela [00:22:26] I blog at Pamela Justin dot com and I have a few posts about my TM. So just do a search on my Web site to find them and hopefully you'll get some help from reading those posts. Lita [00:22:37] OK. And we'll put a link at our Web site so that they can find you. Well thank you Pamela... Pamela [00:22:42] absolutely. Lita [00:22:42] ...Once again for joining us. This has been wonderful. Pamela [00:22:44] Oh it was a delight to be here again. Thank you so much for having me. Lita [00:22:48] You're welcome. And we will be contacting you again in May to find out the rest of the story. Jean [00:22:53] Yeah see how everything in April went. Pamela [00:22:54] Wonderful I'll certainly be happy to let you know what the surgeon has to say. Lita [00:22:59] Great. Jean [00:22:59] great. Lita [00:22:59] . And for our listeners if you have any questions or comments related to today's show you can contact us at podcast D X at yahoo dot com through our Web site podcast D X dot com on Facebook Twitter Pinterest or Instagram. Jean [00:23:15] And if you like today's episode tell a friend as always please keep in mind that this podcast is not intended to be a substitute for professional medical advice diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regime never disregard professional medical advice or delay in seeking because of something you have heard on this podcast. Lita [00:23:41] Until next week.
Stop watching and start creating! The people you watch on social media are not watching what you are doing, THEY are doing! You think the NBA star you follow got to the NBA by watching people play basketball all day? No THEY played basketball all day. What if you were able to throw out everything you do each day, your routine, your system, your computer and started from scratch? What would you change? What would you create? That is my challenge for you this week. Stop what you are doing, look at your career, training system, way of doing what you do from a 10,000 foot view. Remove the fluff and start tomorrow with a fresh new approach! Doesn’t that sound refreshing? That is exactly what I am doing with my content, systems, philosophies, and programs. This week i will take a good look at what needs to be removed to free up space to get creative again. Look out world! Follow the same program I use to train some of the world's best rotational athletes? Sign up for yourself or give it as a gift! Get for $39/month at the Next Level: https://www.jasonglassperformancelab.com/subscribe/ Full follow along 16 week training program that will help you Load…and Xplode!!!! Go to http://k-motion.com and check out their K-Coach and The Loop membership. Have you tried screening your athlete with real time accurate data collection? No more guessing, no more estimating, no more human error with K-Coach. Take the K-Vest on the range, in the bunker or out on the course. Test never guess with K-Vest! Everyone knows by now that @travismathew provides the Coach with all his fresh gear! Check out their #TMACTIVE line of clothing for the coolest pre, post and during workout gear. If you want to look fresh to death… visit https://www.travismathew.com/ Go to http://performbetter.com and check out their full line of functional training equipment and put “COACHGLASS” in the discount box for 15% of your purchase. Make sure you visit @mytpi http://www.mytpi.com/certification/seminar-calendar and check out our 2018 seminar schedule and get Level 1 TPI certified today! And as always…..#DreamBig #OverDeliver #BeUndeniable Cheers! Coach Glass
And what of the preachers in our day - those who fill the pulpits in our day. Yes - there are some good true blue men who fear and love the Lord. But overwhelmingly the majority are like the false prophets of Micah's day- They tell people what they want to hear.----There has been a divorce between doctrine and life. They keep things an inch deep and a hundred miles wide. They assure the people the Lord wants them rich, fat, and happy. There is no cry to repentance. They have literally reshaped Christianity to the mindset that God exists for them - not that they exist for God. They downplay doctrine and they live just like the world with a Jesus veneer to their life.----They enthrall the people with the theory of Christianity but want nothing to do with the practice of Christianity. True Christian doctrine must lead to Christian lives - to Christian living. He didn't just save us from something - namely sin and His wrath - but He also saved us for something - namely to serve Him in the earth.----When these pastors see the injustice and immorality being dispensed throughout the land through the capitols as Micah did in his day - they say nothing of it - virtual silence. God's Law and word impugned by the governments of men - and nothing- They don't speak the Word of the Lord to the magistrates - they have abandoned the realm of civil government - and now wicked men rule. And they chalk it all up to their prophecy charts. No- They are whores who long ago decided they love the praises of man more than faithfulness to Christ-----How can you be quiet-----43 min. MercySeat.net
We are extremely excited to bring you, for the first time, the Lead at Home (Win at Life) podcast. True winners don’t play the game of life for the money, the fame, the recognition, the promotions. No… They are after something far more valuable than that, and it can be boiled down to one simple concept. It’s all about Legacy. They understand that they might lead Fortune 500 companies, make more money than they will ever need, receive more recognition than they could ever dream of… But if they aren’t winning at home, then they are not really winning. Winners don’t make excuses, so they take ownership in their home. They learn from their failures and teach their children how to do the same. They make daily sacrifices that lead to winning marriages. Winners live with purpose much bigger than themselves, purpose that’s eternal. Winners lead with legacy. We believe that if you lead at home, you will win at life. In our first episode, we will be discussing "5 Actionable Ways to Help You Lead At Home and Win At Life". Leading at Home will help you... 1: Rethink your priorities 2: Rediscover your purpose 3: Review your time 4: Redesign your life 5: Reset your home Our goals in this podcast are threefold: 1. To help you clarify your purpose - We want to help you rethink leadership, purpose, and priorities. 2. To help ordinary homes become extraordinary - We want to help you build deeper relationships and restore culture in your home. 3. To help busy homes stay properly balanced - We want to help you grow spiritually, intellectually, and emotionally with your family. Connect with Lead At Home: www.leadathome.org www.twitter.com/leadathome www.facebook.com/leadathome www.instagram.com/leadathome Connect with Randall: www.twitter.com/randallseang www.instagram.com/randallseang www.facebook.com/randallseang Connect with Selina: www.instagram.com/selinachristineg We would love it if you would leave us a rating and review!