Podcasts about Normal

When humans act like humans, it can sure make our lives difficult. Of course it would be easier if they all just did what we wanted and behaved in ways we thought were appropriate, but that's just not going to happen. Challenges and difficulties in our relationships are inevitable and a normal part of all relationships. Learning to allow and even embrace these elements of our relationships is a valuable part of growing up into middle age. Thanks for listening!  Want to learn more about this concept?  Check out these podcasts: #193 No Back-Burner Issues #216 One-Up and One-Down Relationships #217 Self-Respect and Being Wrong #244 The Relationship Circle #257 Other People's Agency #272 Stay In Your Lane #280 Living in Alignment #295 Safety In the Relationship Circle #296 Creating More Safety in Your Relationship #298 Friendship in Marriage #304 Personalities, Preferences, and Perspectives #326 Stop Being Right, Start Being Safe #331 Sense of Self #332 Sense of Self – It's All In Your Head Are you curious about what it would be like to work with me? Here are three options: Group coaching classes are available at tanyahale.com/groupcoaching Talk with Tanya is a free monthly webinar where you can ask me anything and we can have a great discussion.  You can sign up for that at tanyahale.com/groupcoaching Interested in a free 90-minute coaching/consult with me?  Access my calendar at: https://tanyahalecalendar.as.me/

 In this special audio documentary episode of the Special Chronicles Podcast, Host Daniel Smrokowski takes you behind the scenes of the 2025 Special Olympics Illinois State Summer Games in Normal, IL! From the powerful Tribute to Champions Reception, to the walk with his SEASPAR team, inspiring Opening Ceremony speeches, and his personal reflections after an intense Bocce competition—this episode brings you along for the full journey. Daniel placed 4th in an incredibly close match that went into overtime—coming down to just 1/8 of an inch! Hear the sounds, the emotions, and the inspiration of the Summer Games through Daniel's firsthand storytelling and audio coverage. What You'll Hear: 1:30 - Opening Segment 3:25 - Audio from the Tribute to Champions Reception 12:00 - Walking to meet Daniel's team at the dorms 23:25 - Meet SEASPAR's new Special Olympics Athletic Director Jared 28:00 - Team SEASPAR Walks into Opening Ceremony Highlights from the Opening Ceremony speeches: 35:00 - Illinois State Representatives 40:00 - Athlete Leader Board Member Colleen Costello 45:00 - SO Illinois Board Chair 50:00 - SO USA Athlete Mallory Malvin 54:00 - SO Illinois CEO 1:00:00 - Athlete Oath 1:01:20 - Law Enforcement Torch Run 1:07:00 - Intro to Drone Show 1:09:00 - Reflections on representing SEASPAR in Bocce 1:15:00 -

Episode 327: Bladder Leakage Is Common, But That Doesn't Mean It's Normal — with Dr. Alex Rogers I'm joined this week by my brilliant colleague and fellow urologist, Dr. Alex Rogers, for a candid, informative conversation about something way too many people silently struggle with: bladder leakage. We're two urologists talking all things pee — from stress incontinence to overactive bladder, and everything in between. Whether you're dealing with a sudden urge to run to the bathroom, leaking when you laugh or sneeze, or you're just confused about what's going on down there, this episode is for you. We break down the two most common types of bladder leakage — overactive bladder and stress urinary incontinence — and explain why they require totally different treatment approaches. We also talk about the huge impact of hormones on bladder health, especially in menopause (yes, estrogen matters here too!). Dr. Rogers and I dive into: Why bladder leakage is so common — and why we shouldn't normalize it The real science behind overactive bladder Why Botox is an underutilized but super effective treatment option How pelvic floor therapy fits into the bigger picture What's new and exciting in urology (hello, neuromodulation and telehealth) The frustrating role of insurance in limiting access to care How to find a provider who actually knows what they're doing when it comes to bladder health This isn't just a “deal with it” issue — it's a quality of life issue. And the good news? There are solutions. Real, evidence-based, life-changing options. But only if we talk about it. So let's talk. Takeaways: Bladder leakage is common but under-discussed Hormonal changes play a huge role in bladder function Overactive bladder ≠ stress incontinence — and treatments vary Botox is a powerful and underutilized option Telemedicine and new tech are changing the game Education empowers patients to advocate for better care Insurance hurdles are real — and we need to fight for better access Find the right specialist — not all care is created equal Let's stop suffering in silence and start empowering ourselves and our patients with facts, not shame.

Quarter-Bin Podcast #226Adam-12 #4, Gold Key, cover-dated August 1974."Gang War" and "Heat Wave," both by John Warner, with art by Jack Sparling. What happens when science-fiction novelist Derek Künsken joins the show to discuss a distinctly non-SF comic? How do these stories hold up, 50 years later? Listen to the episode and find out!  Click on the player below to listen to the episode:  Right-click to download episode directly You may also subscribe to the podcast through iTunes or the RSS Feed. Promo: The Fanholes PodcastLink: Derek Künsken 's author websiteLink: Buy Derek's books from Em's bookstore Next Episode: Captain America 271, Marvel Comics, cover-dated July 1982.Send e-mail feedback to relativelygeeky@gmail.com "Like" us on Facebook at https://www.facebook.com/relativelygeekyYou can follow the network on  Bluesky @relativelygeeky.bsky.social  You can follow the network on Twitter @Relatively_Geek and the host @ProfessorAlanSource: Bedrock ComicsMusic in the episode:Shimmering by Unwritten Stories | https://soundcloud.com/unwritten-storiesMusic promoted by https://www.free-stock-music.comCreative Commons / Attribution 3.0 Unported License (CC BY 3.0)   

Hasan sits down with Arizona Attorney General Kris Mayes to learn more about why she changed teams from the Republicans to the Democrats, what she thinks about the growing threats of violence towards politicians, and what her answer is to the central question behind every immigration debate: how many do we let in? Get Huel today with this exclusive offer for New Customers of 15% OFF with code HASAN at https://huel.com/HASAN (Minimum $75 purchase). Co-Creator & Executive Producer: Hasan MinhajCo-Creator & Executive Producer: Prashanth VenkataramanujamExecutive Producer/Director: Tyler BabinExecutive Producer/Showrunner: Scott VroomanCinematographer: Austin MoralesProducer: Kayla FengAssociate Producer: Annie FickEditor: Ethan BeachTalent Coordinator: Tanya SomanaderExecutive Assistant: Samuel Piland Thanks so much for listening to Hasan Minhaj Doesn’t Know. If you haven’t yet, now is a great time to subscribe to Lemonada Premium. Just hit the 'subscribe' button on Apple Podcasts, or, for all other podcast apps head to lemonadapremium.com to subscribe. That’s lemonadapremium.com.See omnystudio.com/listener for privacy information.

A Trust No1 News Special Report... Explore the mysteries of: * The Bermuda Triangle * The Bimini Road / Atlantis * Robert the (Haunted) Doll * The Coral Castle * Monstera Deliciosa * “Why did Nic do this?!” Experience the horrors of: * Travel (and Travel Anxiety) * Jetlag * Sunshine * Open Water * Social Anxiety * Basically Everything! Join us! Recorded: 13 July 2025 Edited: 17 July 2025 Released: 18 July 2025 Note: The image used for this episode's cover art was (for the very first time) not created by hand, but by AI (via far too many prompts to get something usable, TBH). (More) Links: Skeptoid Adventure: Braving the Bermuda Triangle How to Find Atlantis - Skeptoid Podcast #980 I Want to Rewatch - In Search of... “The Bermuda Triangle” I Want to Rewatch - In Search of... “Atlantis” The Upper Berth by F. Marion Crawford Coral Castle - Skeptoid Podcast #149 Billy Idol - Sweet Sixteen (original MTV version) Billy Idol - Sweet Sixteen (Official Version) Mai-Kai Restaurant and Polynesian Show Squaring the Strange - Episode 258: A ship of skeptics in the Bermuda Triangle! Music: “Dark Science” by David Hilowitz “The Truth Is What We Make of It” by The Agrarians All our episodes are at iwtrw.com (or at iwanttorewatch.com, if you want to type more letters for some reason). Links for everything else I Want To Rewatch-related (including our sweet merch) are at I Want To Rewatch | Linktree.

We'd love to have your feedback and ideas for future episodes of Retail Unwrapped. Just text us!The retail apocalypse isn't coming—it's here, and survival depends on adaptation, not market dominance. Consumer behavior has fundamentally shifted beyond price sensitivity to a complex value equation encompassing convenience, curation, and experiential factors. Consumers have restructured how they engage with brands, migrating away from traditional retail stores toward a melding of physical retail, ecommerce, vertical retail, and social commerce platforms. Join Shelley and David Katz, EVP and Chief Marketing Officer at Randa Apparel and Accessories, as they discuss today's complex consumer marketplace disrupted by geopolitical events and the new realities of artificial intelligence which presents both immediate tactical wins and transformational opportunities. While everyday AI streamlines operations, transformational AI reshapes entire business models. The companies that master this dual AI approach will emerge as tomorrow's market leaders. The key insight: stop trying to return to normal. Normal is a constraint. Disruption is your opportunity to invent a sustainable future using an entirely new strategic playbook.For more strategic insights and compelling content, visit TheRobinReport.com, where you can read, watch, and listen to content from Robin Lewis and other retail industry experts, and be sure to follow us on LinkedIn and Twitter.

⁠Assessoria esportiva online e cursos⁠⁠ | ⁠⁠E-book "Dieta Inteligente - Para Perder Gordura e Ganhar Massa Muscular" – só R$ 39,90⁠⁠ | ⁠⁠Curso de Treino – Monte seu próprio treino ainda hoje⁠⁠ | ⁠⁠Curso de Emagrecimento – Como emagrecer e nunca mais engordar ⁠⁠| ⁠⁠Curso Sobre Esteroides Anabolizantes – Não use esteroides antes de fazer este curso ⁠⁠| ⁠⁠Curso de Suplementação para Praticantes de Musculação⁠⁠ | ⁠⁠Grupo do Telegram com promoções⁠⁠ | ⁠⁠Instagram⁠⁠ | ⁠⁠Facebook⁠⁠ | ⁠⁠Growth⁠⁠ | ⁠⁠Oficialfarma⁠

In this episode of "Normal World," Dave Landau, 1/4 Black Garrett, and Angela unpack the rise of humanoid robots in public spaces, starting with a four-foot AI-powered android nicknamed the “Rizzbot” that was recently spotted walking through traffic in West Hollywood. The discussion shifts to Detroit, where another robot was seen roaming 7 Mile — before allegedly being robbed. The crew questions what these robot sightings say about the future of tech in daily life and how quickly novelty crosses into absurdity. They pivot to current headlines, reacting to a $3 million airport drug bust in Atlanta and Cleveland Browns running back Quinshon Judkins' arrest for domestic battery. From there, they examine a Baltimore pastor's run-in with teen carjackers and highlight Pope Francis' unexpected tweets about Spirit Airlines and Mastercard. The show circles back to Detroit, where a van crashes through a brick wall and bystanders quickly turn into opportunistic looters, raising questions about urban decay and collective impulse. Later, they revisit the case of Jacqueline Ades, an Arizona woman charged after sending over 159,000 texts to a man she met once, and reflect on what modern obsession looks like in the digital age. Today's guest on "Normal World" is Mike Rainey, author of "On Percs." Sponsors Undertac: Upgrade your gear, your mission, your impact at https://www.sierrawhiskeyco.com/, with code NORMAL20. CBDistillery: If you're struggling with sleep, stress, or other health concerns and haven't found relief, make the change. Visit https://www.thecbdistillery.com/ and use promo code NORMAL for 25% off. Learn more about your ad choices. Visit megaphone.fm/adchoices

Ever feel like your home turns into a WWE ring the moment summer hits? Between the endless sibling bickering, sticky kitchen counters, and the sweltering heat turning everyone into grumps, it's enough to make any mom question her sanity—and her parenting. If you're wondering whether your kids' nonstop fighting is normal (spoiler: it is) and what you can actually do about it without losing your cool, this episode is your lifeline. Find out what's really behind all the chaos and walk away with doable strategies to calm the storm. Tune in and discover how to reclaim a little peace—and your sanity—this summer. Resources We Shared: Ready for your kids to stop constantly fighting? Get our Sibling Adventure Missions and finally see your kids stop fighting with each other and get 30 minutes of peace. Go to noguiltmom.com/sibling Join our FREE No Guilt Mom Podcast group Visit No Guilt Mom Follow us on Instagram! Check out our No Guilt Mom Amazon Shop with recommended books and books from podcast guests HERE! Rate & Review the No Guilt Mom Podcast on Apple here. We'd love to hear your thoughts on the podcast! Listen on Spotify? You can rate us there too! Check out our favorite deals and discounts from our amazing sponsors here! #parentingpodcast #parentingtips #selfcare #mentalload #kids #teenager #toddler #preschooler #baby #noguiltmom #siblingrivalry, #summerbreak, #conflictresolution, #householdmanagement, #teenbehavior, #familystructure, #siblingsfighting Learn more about your ad choices. Visit podcastchoices.com/adchoices

Send us a textCharles Eisenstein is an author and speaker whose books and essays explore themes of community, human connection, economics, and social change. He is known for works such as The More Beautiful World Our Hearts Know Is Possible.Charles joins us to explore how modern family structures have evolved and what's been lost in our transition from community-based living to isolated nuclear families. What gets lost when we accept today's idea of “normal” life? Together with Charles we discuss the shift from community to isolated nuclear families, the fading of shared caregiving, and why so many people feel something essential is missing. Charles shares his view that grief and discomfort about modern life are important signals, not problems to fix. Together, we question how community skills have eroded and what it might take to rebuild real connection. If you find yourself questioning “normal” and longing for deeper connection, this conversation offers perspective and encouragement to trust that feeling—and to look for ways, big or small, to rebuild genuine community in your own life.

Do you also like the smell of crayons? See omnystudio.com/listener for privacy information.

Chris, Molly, and Nathan take a look back at the July 15th, 2024 derecho which produced 48 tornadoes across Illinois, wind gusts over 100 mph, and flash flooding. They also take a look at the hot and stormy pattern that lies ahead and break down some of our hot weather stats.

It's Just Bodybuilding 347 Big Ron Partlow, Dusty Hanshaw, Scott McNally 1:45 Keone Pearson vs Everyone 10:00 Older Guys Vs Today 13:40 Training Techniques and Lessons Learned 18:00 Normal people strength vs What we expect of ourselves in bodybuilding 22:16 Training on Vacation: Balancing Fitness and Fun 28:00 Dealing with negative clients 32:30 Delay the gratification- Don't be satisfied 37:45 Whats Your Current Diet and Training Plan? 46:25 The Many Naked people in bodybuilding 59:00 The phenomenon of 'schmoes' in the bodybuilding 1:00:00 How did you get clients when you started coaching 1:13:25 “Light Bulb” Moments in bodybuilding 01:21:20 Training Partnerships and Their Impact 1:29:45 Natural Bodybuilding Opinions

Send us a textCatherine's Father was on the Sheriff's Department which inspired her to begin her career at 18! She started in the jail and promoted to Deputy as soon as she turned 21.Her experiences, much like all first responders and corrections officers, are on the fringe of what "Normal" folks could imagine. The shenanigans begin as she starts her career on the streets.I'm grateful to her, as I am with all my guests, that she overcame her nerves and agreed to be on the show. Give her a listen but more importantly, welcome her to The Squad and show her some love!!!Come see me on Facebook at https://www.facebook.com/choir.practice.94 or on Instagram at https://www.instagram.com/cp_sfaf/

Fresh of the heist of the century, our heroes shoot themselves in the head.   We encourage you to check out our Patreon and/or Ko-Fi, as they've got sweet sweet benefits and also you can help us get to our goals--we're making great progress towards full episode transcripts! AND Our Store is a thing, with all your t-shirts, tote bags, stickers and more!   Background music and sound effects: Tech Market Tabletop Audio https://tabletopaudio.com   Music: Lost Place Atmospheres 001 by Sascha Ende Link: https://ende.app/en/song/7664-lost-place-atmospheres-001   Catoptricon Zak   Email us at PodAgainsttheMachine@gmail.com Remember to check out https://podagainstthemachine.com for show transcripts, player biographies, and more. Stop by our Discord server to talk about the show: https://discord.gg/TVv9xnqbeW Follow @podvsmachine on Twitter Find us on Reddit, Instagram, and Facebook as well.

Sleep expert Tracy Hannigan explains why understanding sleep is so crucial to our overall well-being and how we might be complicating our relationship with rest. She brings her expertise as a qualified sleep therapist to dispel common myths while offering practical insights for anyone struggling with insomnia.• Sleep is the only major health pillar we cannot directly control, unlike nutrition, movement, and social contact• The "8-hour sleep" recommendation is merely a guideline—your personal sleep need is genetically determined and varies throughout life• Sleep trackers provide interesting data but are often inaccurate and can create unnecessary anxiety about sleep metrics• Cognitive Behavioral Therapy for Insomnia (CBT-I) should be the first intervention for insomnia, not medication• Normal sleep includes brief awakenings throughout the night—most of us just don't remember them• Screen time before bed may not be as harmful as commonly believed—phones and tablets aren't bright enough to significantly impact sleep• Creating "perfect" sleep conditions can backfire by reinforcing anxiety about sleep• Being present in the moment, especially in your body, naturally reduces sleep-disrupting anxietyIf you enjoyed this episode, please subscribe and leave a review to help others find this valuable information. Connect with Tracy at tracythesleepcoach.co.uk or find her as Tracy the Sleep Coach on major social media platforms.To learn more about Mindy CLICK HERE

Normal pressure hydrocephalus (NPH) is a pathologic condition whereby excess CSF is retained in and around the brain despite normal intracranial pressure. MRI-safe programmable shunt valves allow for fluid drainage adjustment based on patients' symptoms and radiographic images. Approximately 75% of patients with NPH improve after shunt surgery regardless of shunt type or location. In this episode, Aaron Berkowitz, MD, PhD, FAAN, speaks with Kaisorn L. Chaichana, MD, author of the article “Management of Normal Pressure Hydrocephalus” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Berkowitz is a Continuum® Audio interviewer and a professor of neurology at the University of California San Francisco in the Department of Neurology in San Francisco, California. Dr. Chaichana is a professor of neurology in the department of neurological surgery at the Mayo Clinic in Jacksonville, Florida. Additional Resources Read the article: Management of Normal Pressure Hydrocephalus Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @LyellJ Guest: @kchaichanamd Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Berkowitz: This is Dr Aaron Berkowitz, and today I'm interviewing Dr Kaisorn Chaichana about his article on management of normal pressure hydrocephalus, which he wrote with Dr Jeremy Cutsforth-Gregory. The article appears in the June 2025 Continuum issue on disorders of CSF dynamics. Welcome to the podcast, and please introduce yourself to our audience. Dr Chaichana: Yeah, thank you for having me. I'm Kaisorn Chaichana. I'm a neurosurgeon at Mayo Clinic in Jacksonville, Florida. Part of my practice is doing hydrocephalus care, which includes shunts for patients with normal pressure hydrocephalus. Dr Berkowitz: Fantastic. Well, before we get into shunt considerations and NPH specifically, which I know is the focus of your article, I thought it would be a great opportunity for a neurologist to pick a neurosurgeon's brain a bit about shunts. So, to start, can you lay out for us the different types of shunts and shunt procedures, the advantages, disadvantages of each type of shunt, how you think about which shunt procedure should be used for which patient, that type of thing? Dr Chaichana: Yeah. So, there are different types of shunts, and the most common one that is used is called a ventricular peritoneal shunt. So, it has a ventricular catheter, it has a catheter that tunnels underneath the skin and it goes into the peritoneum where the fluid goes from the ventricular system into the peritoneum. Typically, the shunts are in the ventricle because that is the largest fluid-filled space in the brain. Other terminal areas include the atrium, which is really the jugular vein, and those are called ventricular atrial shunts. You can also have ventricular pleural shunts, which end in the pleural space and drain flui into the pleural space. Those are pretty much the most common ventricular shunts. There's also a lumboperitoneal shunt that drains from the lumbar spine, similar to a lumbar drain into the peritoneum. For the lumbar shunts, we don't typically have a lumbar pleural or lumbar atrial shunt just because of the pressure dynamics, because the lumbar spine is below the lung and as well as the atrium. And so, the drainage pattern is very different than ventricular peritoneal which is top to bottom. The most common shunt, why we use the ventricular peritoneal shunt the most, is because it has the most control. So, the peritoneum is set at a standard pressure in the intraabdominal pressure, whereas the ventricular atrial shunt depends on your venous return or venous pressure and your ventricular pleural shunt varies with inspiration and expiration. So, the easiest way for us to control the fluid, the ventricular system is through the ventricular peritoneal shunt. And that's why that's our most common shunt that we use. Dr Berkowitz: Fantastic. So, as you mention in the article, neurologists may be reluctant to offer a shunt to patients with NPH because many patients may not improve, or they improve only transiently; and out of fear of shunt complications. So, of course, as neurologists, we often only hear about a patient's shunt when there is a problem. So, we have this sort of biased view of seeing a lot of shunt malfunction and shunt infection. Of course, we might not see the patient if their shunt is working just fine. How common are these complications in practice, and how do you as a neurosurgeon weigh the risks against the often uncertain or transient benefits of a shunt in a patient with NPH who may be older and multiple medical comorbidities? How do you think about that and talk about it with patients? Dr Chaichana: When you hear about shunt complications, most of the shunt complications you hear about are typically in patients with congenital hydrocephalus. Those patients often require several shunt revisions just from either growing or the shunt stays in for a long time or the ventricular caliber is a lot less than some with normal pressure hydrocephalus. So, we don't really see a lot of complications with normal pressure hydrocephalus. So that shunt placement in these patients is typically pretty safe. The procedure's a relatively short procedure, around 30 minutes to 45 minutes to place a shunt, and we can control the pressure within the shunt setting so that we don't overdrain---which means too much fluid drains from the ventricular system---which can cause things like a subdural, which is probably the most common complication associated with normal pressure hydrocephalus. So, to obviate those risks, what we do is typically insert the shunt and then keep the shunt setting at a high setting. The higher the setting, the less it drains, and then we bring it slowly down based on the patient's symptoms to try to minimize the risk of this over drainage in the subdural hematoma while at the same time benefiting the patient. So, there's a concern for shunt in patients with normal pressure hydrocephalus. The concern or the complication risks are very low. The problem with normal pressure hydrocephalus, though, is that over time these patients benefit less and less from drainage or their disease process takes over. So, I do recommend placing this shunt as soon as possible just so that we can maximize their quality of life for that period of time. Dr Berkowitz: So, if I'm understanding you, then the risk of complication is more sort of due to the mechanical factors in patients with congenital hydrocephalus or sort of outgrowing the shunt, their pressure dynamics may be changing over time. And in your experience, an older patient with NPH, although they may have more medical comorbidities, the procedure itself is relatively quick and low-risk. And the actual complications due to mechanical factors, my understanding, are just much less common because the patient is obviously fully grown and they're getting one sort of procedure at one point in time and tend to need less revision, have less complication. Is that right? Dr Chaichana: Yeah, that's correct. The complication risk for normal hydrocephalus is a lot less than other types of hydrocephalus. Dr Berkowitz: That's helpful to know. While we're talking about some of these complications, let's say we're following a patient in neurology with NPH who has a shunt. What are some of the symptoms and signs of shunt malfunction or shunt infection? And what are the best studies to order to evaluate for these if we're concerned about them? Dr Chaichana: Yeah. So basically, for shunt malfunction, it's basically broken down into two categories. It's either overdrainage or underdrainage. So, underdrainage is where the shunt doesn't function enough. And so basically, they return to their state before the shunt was placed. So that could be worsening gait function, memory function, urinary incontinence are the typical symptoms we look for in patients with normal pressure hydrocephalus and underdrainage, or the shunt is not working. For patients that are having overdrainage, which is draining too much, the classic sign is typically headaches when they stand up. And the reason behind that is when there's overdrainage, there's less cerebrospinal fluid in their ventricular system, which means less intracranial pressure. So that when they stand up, the pressure differential between their head and the ground is more than when they're lying down. And because of that pressure differential, they usually have worsening headaches when standing up or sitting up. The other thing are severe headaches, which would be a sign of a subdural hematoma or focality in their neurological symptoms that could point to a subdural hematoma, such as weakness, numbness, speaking problems, depending on the hemisphere. How we work this up is, regardless if you're concerned about overdrainage or underdrainage, we usually start with a CAT scan or an MRI scan. Typically, we prefer a CAT scan because it's quicker, but the CAT scan will show us if the ventricular caliber is the same and/or the placement of the proximal catheter. So, what we look for when we see that CAT scan or that MRI to see the location of the proximal catheter to make sure it hasn't changed from any previous settings. And then we see the caliber of the ventricles. If the caliber of the ventricles is smaller, that could be a sign of overdrainage. If the caliber of the ventricles are larger, it could be a sign of underdrainage. The other thing we look for are subdural fluid collections or hydromas or subdural hematomas, which would be another sign of lower endocranial pressure, which would be a sign of overdrainage. So those are the biggest signs we look for, for underdrainage and overdrainage. Other things we can look for if we're concerned of the shunt is fractured, we do a shunt X-ray and what a shunt x-ray is is x-rays of the skull, the neck and the abdomen to see the catheter to make sure it's not kinked or fractured. If you're really concerned, you can't tell from the x-ray, another scan to order is a CT of the chest and abdomen and pelvis to look at the location of the catheter to make sure there's no brakes in the catheter, there's no fluid collections on the distal portion of the catheter, which would be a sign of shunt malfunction as well. Other tests that you can do to really exclude shunt malfunction is a shunt patency test, and what that is a nuclear medicine test where radionucleotide is injected into the valve and then the radionucleotide is traced over time or imaged through time to make sure that it's draining appropriately from the valve into the distal catheter into the peritoneum or the distal site. If there's a shunt malfunction that's not drainage, that radioisotope would remain stagnant either in the valve or in the catheter. There's overdrainage, we can't really tell, but there will be a quick drainage of the radioisotope. For shunt infection, we start with an imaging just to make sure there's not a shunt malfunction, and that usually requires cerebrospinal fluid to test. The cerebrospinal fluid can come from the valve itself, or it can come from other areas like the lumbar spine. If the lumbar spine is showing signs of shunt infection, then that usually means the shunt is infected. If the valve is aspirated with- at the bedside with a butterfly needle into the valve and that shows signs of shunt infection, that also could be a sign of infection. Dr Berkowitz: That's very helpful. You mentioned CT and shunt series. One question that often comes up when obtaining neuroimaging in patients with a shunt, who have NPH or otherwise, is whether we need to call you when we're doing an MRI to reprogram the shunt before or after. Is there a way we can know as a neurologists at the bedside or as patients carry a card, like with some devices where we know whether we have to call and bother our neurosurgery colleagues to get this MRI? Or if the radiology techs ask us, is this safe? And is the patient's shunt going to get turned off? How do we go about determining this? Dr Chaichana: Yeah, so unfortunately, a lot of patients don't carry a card. We typically offer a card when we do the shunt, but that card, there's two problems with it. One is it tells the model, but the second thing is it has to be updated any time the shunt is changed to a different setting. Oftentimes patients don't know that shunt setting, and often times they don't know that company brand that they use. There are different types of shunts with different types of settings. If there's ever concern as to what type of shunt they have, an x-ray is usually the best bet to see with a shunt series, or a skull x-ray. A lateral skull x-ray usually looks at the valve, and the valve has certain radio-dense markers that indicate what type of shunt it is. And that way you can call neurosurgery and we can always tell you what the shunt setting is before the MRI is done. Problem with an MRI scan if you do it without a shunt x-ray before is that you don't know the setting before unless the patient really knows or it's in the patient chart, and the MRI can need to change the setting. It doesn't usually turn it off, but it would change the setting, which would change the fluid dynamics within their ventricular system, which could lead to overdrainage or underdrainage. So, any time a patient needs MRI imaging, whether it's even the brain MRI, a spine MRI, or even abdominal MRI, really a shunt x-ray should be done just to see the shunt setting so that it could be returned to that setting after the MRI is done. Dr Berkowitz: So, the only way to know sort of what type of shunt it would be short of the patient knowing or the patient getting care at the same hospital where the shunt was placed and looking it up in the operative reports would be a skull film. That would then tell us what type of shunt is there and then the marking of the setting. And then we would be able to call our colleagues in neurosurgery and say, this patient is getting an MRI this is the setting, this is the type of shunt. And do we need to call you afterwards to come by and reprogram it? Is that right? Dr Chaichana: That's correct, yeah. Dr Berkowitz: Is there anything we would be able to see on there, or it's best we just- best we just call you and clarify? Dr Chaichana: The easiest thing to do is, when you get the skull x-ray, you can Google different types of shunts or search for different shunts, and they'll have markers that show the type of shunt it is as well as the setting that it's at. And just match it up with the picture. Dr Berkowitz: And as long as it's not a programmable shunt, there's no concern about doing the MRI. Is that right? Dr Chaichana: Correct. So, if it's a programmable shunt, even if it's MRI-compatible, we still like to get the setting before and make sure the setting after the MRI is the same. Nonprogrammable shunts can't be changed with MRI scans, and those don't need neurosurgery after the MRI scan, but it should be confirmed before the scan is done. Dr Berkowitz: Very helpful. Okay, so let's turn to NPH specifically. As you know, there's a lot of debate in the literature, some arguing, even, NPH might not even exist, some saying it's underdiagnosed. I think. I don't know if it was last year at our American Academy of Neurology conference or certainly in recent years, there was a pro and con debate of “we are underdiagnosing NPH” versus “we are overdiagnosing NPH.” What's your perspective as a neurosurgeon? What's the perspective in neurosurgery? Is this something we're underdiagnosing, and the times you shunt these patients you see miraculous results? Is this something that we're overdiagnosing, you get a lot of patients sent to that you think maybe won't benefit from a shunt? Or is it just really hard to say and some patients have shunt-responsive noncommunicating hydrocephalus of unclear etiology and either concurrent Parkinson's disease, Alzheimer's, cervical lumbar stenosis, neuropathy, vestibular problems, and all these other issues that play into multifactorial gait to sort of display a certain amount of the percentage of problem in a given patient or take overtime? What's your perspective if you're open to sharing it, or what's the perspective of neurosurgery? Is this debated as it is in neurology or this is just a standard thing you see and patients respond to shunt to some degree in some proportion of the time? And what are the sort of predictors you see in your experience? Dr Chaichana: Yeah, so, for me, I'd say it's too complicated for a neurosurgeon to evaluate. We rely on neurology to tell us whether or not they need a shunt. But I think the problem is, obviously, a part of the workout for at least the ones that I like to do, is that I want them to have a high-volume lumbar puncture with pre- and postgait analysis to see if there's really an objective measure of them improving. If they have an objective measure of improvement---and what's even better is that they have a subjective measure of improvement on top of the objective measure of improvement---then they benefit from a shunt. The problem is, some patients do benefit even though they don't have objective performance increases after a high-volume shunt. And those are the ones that make me the most worrisome to do the shunt, just because I don't like to do a procedure where there's no benefit for the patient. I do see, according to the literature as well, that there's around a 30 to 40%, even 50%, increase in gait function, even in patients that don't have large improvements following the high-volume lumbar puncture. And those are the most challenging patients for us as neurosurgeons because we'll put the shunt in, they say we're no better in terms of their gait, no better in terms of their urinary incontinence. We try to lower their shunt down to a certain setting and we're kind of stuck after that point. The good thing about NPH, though, is that, from the neurosurgery side, the shunt, like I said, is a pretty benign, low-risk procedure. So, we're not putting the patient through a very severe procedure to see if there's any benefit. So, in cases where we try to improve their quality of life in patients that don't have a benefit from high-volume lumbar puncture, we give them the odds of whether or not it's improving and say it might not improve. But because the procedure's minimally invasive, I think it's a good way to see if we can benefit their quality of life. Dr Berkowitz: Yeah, it's a very helpful perspective. Yeah, those are the most challenging cases on our side as well, right. If the patient- we think they may have NPH, or their gait and/or urinary and/or cognitive problems are- at least have a component of NPH that could be reversible, we certainly want to do the large volume lumbar puncture and/or consider a lumbar drain trial, all discussed in other articles and interviews for this issue of Continuum, But the really tough ones, as you said, there is this literature on patients who don't respond to the large-volume lumbar puncture for some reason but still may be shunt responsive. And despite all the imaging predictors and all the other ways we try to think about this, it's hard to know who's going to benefit. I think that's really a helpful perspective from your end that, as you say in the very beginning of your article, right, maybe there's a little bit too much fear of shunting on the neurology side because when we hear about shunts, it's often in the setting of complication. And so, we're not sort of getting the full spectrum of all the patients you shunt and you see who are doing just fine. They might not improve---the question is related to NPH---but at least they're not harmed by the shunt, and we're maybe overbiased and/or seeing a overly representative sample of negative shunt outcomes when they're actually not that common in practice. Is that a fair summary of your perspective? Dr Chaichana: Yeah, that's correct. So, I mean, complications can occur---and anytime you do a surgery, there are risks of complications---but I think they're relatively low for the benefit that we can help their quality of life. And the procedure's pretty short. So, the risk, it mostly outweighs the benefits in cases with normal pressure hydrocephalus. Dr Berkowitz: Very helpful perspective. So, well, thanks so much again. Today I've been interviewing Dr Kaisorn Chaichana about his article on management of normal pressure hydrocephalus, which he wrote with Dr Jeremy Cutsforth-Gregory. This article appears in the most recent issue of Continuum on disorders of CSF dynamics. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining us today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Pada awal Juli, IKAWIRIA (Ikatan Masyarakat Indonesia Victoria) mengundang Dementia Australia untuk memberikan presentasi kepada para anggotanya tentang demensia - kapan orang harus khawatir, bagaimana mengurangi risikonya, dan bagaimana mencari bantuan.

Vampire, much?See omnystudio.com/listener for privacy information.

Once upon a time, things like random fingers poking your spine or unsolicited ‘camera roll surprises' weren't exactly everyday stuff. Fast forward to now — it's Tuesday, you're getting a back prod and a front-row d pic before your coffee's done brewing. AND THAT'S JUST THE BEGINNING! PLUS MUCH MORE

The menstrual cycle is as regular as clockwork, or at least it should be. But for many adolescent patients, what should be a manageable monthly event turns into a full-blown disruptor of school, sports, sleep and sanity. As we explore the world of adolescent gynecology, we take a closer look at the intricate details: how cramps can hide endometriosis and ‘normal' isn't always what it seems. These symptoms are not just part of puberty. These are signals that deserve attention, validation, and thorough evaluation. This episode was recorded live on the exhibit floor at the 2025 Pediatric Academic Societies Conference in Honolulu, Hawaii. Joining us for this episode is Elizabeth Alderman, MD, Chief of the Division of Adolescent Medicine at The Children's Hospital at Montefiore. She is also a professor at the Albert Einstein College of Medicine. Some highlights from this episode include:  First-line treatments for painful periods in adolescents  Red flags in menstrual history that could lead to further concerns  Primary care diagnostic steps before referring to gynecology  How to create a comfortable environment for discussing these uncomfortable topics for adolescents Charting Pediatrics is in the running for a People's Choice Podcast Award, and we need your help to get nominated! Starting July 1, you can head to www.podcastawards.com and nominate us for the “science and medicine” category, as well as the “people's choice” category. Listeners like you are the reason we have become one of the top pediatric podcasts for providers around the world. Your nomination could make all the difference in us receiving this recognition! Nominate us by July 31st and help Children's Hospital Colorado lead the way in pediatric podcasting. Thank you for your support!   For more information on Children's Colorado, visit: childrenscolorado.org. 

Many people discount the privilege of growing up with functional , "normal" parents. In today's episode, I read a comment from a follower which made me think about the need to do this episode on how difficult it is for adult children from nonfunctional homes, with abuse, neglect, addiction, or mental illness. Often, they compare themselves to kids from happy homes, which is a false comparison!Subscribe if you love the DPM show! https://creators.spotify.com/pod/show/drpsychmomshow/subscribe and you'll get all my awesome bonus episodes! Most recent: "Chat GPT Has MASSIVE LIMITATIONS As A Therapist."For my secret Facebook group, the "best money I've ever spent" according to numerous members: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/groups/drpsychmom⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For coaching from DPM, visit https://www.drpsychmom.com/coaching/For therapy or life coaching, contact us at https://www.bestlifebehavioralhealth.com/

In this culturally timely episode of the Nutritional Therapy and Wellness Podcast, Jamie Belz talks with Jacob Spehar—licensed mental health and addiction counselor and founder of Courageous Way Counseling. Together, they unpack the concept of “Death by Distraction”—how our dependence on screens, overstimulation, social media, hustle culture, and avoidance behaviors are not only numbing us but quietly stealing our joy and dismantling our families, physical and mental health, spiritual connection, and connections to one another.   Jake shares both clinical insights and practical tools for interrupting the dopamine loops, rewiring your life with intention, and simplifying your environment for healing and joy. Jamie gets vulnerable about her own struggles, and together, they explore what it really takes to step off the conveyor belt and start living. Expect raw call outs, practical ideas, and a push for radical change - starting with bold, countercultural choices.   This episode invites you to slow down and start leading your life and family with presence and purpose.   You're not powerless. Start small. Go countercultural. It only seems hard until you do it. It only seems weird until everyone else starts doing it, too.     Topics Covered: Screen addiction, social media, dopamine dysregulation Time as our most valuable and fleeting asset Trauma as a root cause The link between distraction and self-medication Parenting and restoring the family unit Men's mental health and community Why family meals, boredom, and silence matter Reclaiming mornings for neuroplasticity and spiritual alignment The invisible cost of overcommitment, youth sports, and the hustle How boundaries, presence, and “no” create better outcomes   Resources Mentioned: Find a PHWC or NTP The Body Keeps the Score, Dr. Bessel van der Kolk Codependent No More. Melody Beattie The Myth of Normal. Dr. Gabor Maté Raising Emotionally Healthy Kids, Eliza Huie The Mel Robbins Podcast (with Tay Gibson) The Huberman Lab Podcast (alcohol) The Anatomy of Trust, Brené Brown Dr. Gabrielle Lyon Gabe Bult   Connect with Jake: jacobspehar38@gmail.com Connect with Jamie!⁠

Music Not Diving is supported by AC55ID... head over to www.ac55id.com to check out the fastest growing electronic music marketplace, a central hub for music discovery, streaming and purchasing!--Watch the full video version of this episode over at youtube.com/@WeNotDivingWe've covered techno quite a lot over the years, but this episode is definitely one of our favourites. Originally broadcast May 2024, we were discussing the LB Dub Corp album Saturn To Home. But we talk about a lot more than that! Normal service will resume on Tuesday 29 July. --If you're into what we're doing here on the pod then you can support the show on Patreon! There are two tiers - "Solidarity" for $4 a month, which features the show without ads, regular bonus podcasts, and extra content. And "Musicality" which for a mere $10 a month gets you all the music we release on Hotflush and affiliate labels AND other music too, some of which never comes out anywhere else.You can also make a one-off donation to the podcast using a card, with Paypal, or your Ethereum wallet! Head over to scubaofficial.io/support.Plus there's also a private area for Patreon supporters in the Hotflush Discord Server... but anyone can join the conversation in the public channels.Listen to the music discussed on the show via the Music Not Diving Podcast Spotify playlist Hosted on Acast. See acast.com/privacy for more information.

Providing rescue breathing to apneic patients with a palpable pulse.Normal end tidal CO2 for patients with a pulse.Identification of cardiac arrest and our immediate actions.Providing artificial ventilations during CPR without an advanced airway vs with an advanced airway in place.Using quantitative waveform capnography to confirm placement of an advanced airway, assess the quality of CPR, and identify ROSC.The effects of hyperventilating patients in cardiac arrest. Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

Have you ever wondered — "Is this NORMAL?!" when it comes to your postpartum body? Same. There is unfortunately SO much we aren't told about postpartum physical recovery which can make us feel really alone or isolated in our experience. It can feel taboo to talk about some of these things like pain with sex, leaking, scar numbness, etc. because we feel like we might be the only one experiencing it. Spoiler: you're not alone! This episode will highlight some common postpartum body struggles and how to heal them.Links![INTEREST LIST] Rebuild After Baby Postpartum Strength ProgramPostpartum Recovery Program: Core Revival (code POD10 saves 10%)Work with me 1-on-1: Learn more and applyLearn more about my work on the ⁠⁠⁠⁠⁠website⁠⁠⁠⁠

Normal service resumes! The All Blacks knock over a depleted French outfit, the Boks batter Italy (with a side of Rassie's signature shithousery), and the Lions dish out a thumping to the AU-NZ mash-up team in a match only a mother could love. Oh—and Wales actually won a game. That's 1 win from their last 20. Momentum, baby.Grab a beer and Enjoy!

It's always exciting to watch a group of replacement heifers develop and anticipate their performance in the milking string as the top genetics of your herd. There is just about nothing more devastating than freshening them in to find mastitis or even worse, a blind quarter. When a first calf heifer calves in with a high somatic cell count she is more likely to maintain the high count, and more likely to be culled. Heifer mastitis, or intramammary infection (IMI), is a common affliction yet we know very little about what stage of production it occurs and how to best diagnosis the root of the problem.  Pamela Adkins, DVM at the University of Missouri worked with a team to capture culture samples from a variety of stages of heifer development to fabricate standard protocols for sample collection and help producers better understand how to circumvent this disease cycle for their herd. Listen in to learn how to improve heifer development and limit the tragedy of damaged replacements. Topics of discussion 1:51       Introduction of Dr. Pamela Adkins 2:26       Why is this topic important 4:17       Establishing standard sampling procedures 5:11       Cisternal puncturing 7:43       Comparison of sample collection 8:37       Grouping to determine when IMI begins in heifers 10:27     Causes and severity of infections 11:53     Feeding raw milk to hutch heifers 12:51     Normal microflora vs mastitis causing 15:36     If you have a heifer mastitis problem, what's the next steps 17:21     What's the best way to collect a sample? 18:44     Where to send aseptic samples 19:54     To freeze or not to freeze 21:48     Why were gestating heifers 8x as likely to have IMI? 23:05     What do you want “boots on the ground” dairymen to learn from this project? Featured Article: Evaluation of intramammary infection status in dairy heifers using cisternal and teat end sampling techniques #2xAg2030; #journalofdairyscience; #openaccess; #MODAIRY; #HSCC; #heifer; #milksampling; #culture; #mastitis; #IMI; #infection; #dairysciencedigest; #ReaganBluel

O Resenha Corrida é transmitido ao vivo às 20 horas das segundas-feiras, no Youtube do Canal Corredores.

Following the emergence of new evidence from messages submitted by the Department of Justice's whistleblower, Erez Reuveni, Andrew and Mary discuss its potential implications for the case of Kilmar Abrego Garcia and the confirmation process of Emil Bove III. They also examine a Southern California ruling to halt immigration stops based on race. On the other coast, they look at a temporary block of Trump's order restricting birthright citizenship—a case where Mary has particular expertise via her role in a related birthright citizenship case: CASA v. Trump. Finally, SCOTUS paves way for mass layoffs of federal workers, and DOJ opens investigations into former FBI Director James Comey and former CIA Director John Brennan.Listener Note: This podcast was recorded several hours before the Supreme Court decision allowing for the dismantling of the Department of Education. Andrew and Mary will discuss on next week's episode.Want to listen to this show without ads? Sign up for MSNBC Premium on Apple Podcasts.

Billy Joel's documentary will premiere on HBO in 2 parts. Adam Levine doesn't want anymore tattoos. Logan Paul takes on Jelly Roll at a WWE event. If you missed Post Malone and Jelly Roll in concert you might get another chance next summer. Think running a marathon sounds hard? Meet 80 year old Bob Becker. Plus, it turns out Hicksville is a real place!

Register here for the live online event to learn about ‘Unlocking BRRRR Deals in Little Rock' on Thursday, 7/17. Keith discusses the rising cost of real estate, predicting that million-dollar homes will become common by 2033 due to: supply scarcity, demographic demand, inflation, and regulatory costs. Over half of U.S. states have cities with starter home prices over $1 million.  Hear about the challenges of investing in beach towns, citing rising insurance costs and maintenance expenses GRE Investment Coach, Naresh, joins the conversation to highlight the BRRRR strategy for income property investment. Resources: Register here for the live online event to learn about ‘Unlocking BRRRR Deals in Little Rock' on Thursday, 7/17. Show Notes: GetRichEducation.com/562 For access to properties or free help with a GRE Investment Coach, start here: GREmarketplace.com GRE Free Investment Coaching: GREinvestmentcoach.com Get mortgage loans for investment property: RidgeLendingGroup.com or call 855-74-RIDGE  or e-mail: info@RidgeLendingGroup.com Invest with Freedom Family Investments.  You get paid first: Text FAMILY to 66866 Will you please leave a review for the show? I'd be grateful. Search “how to leave an Apple Podcasts review”  For advertising inquiries, visit: GetRichEducation.com/ad Best Financial Education: GetRichEducation.com Get our wealth-building newsletter free— text ‘GRE' to 66866 Our YouTube Channel: www.youtube.com/c/GetRichEducation Follow us on Instagram: @getricheducation Complete episode transcript:   Automatically Transcribed With Otter.ai    Keith Weinhold  0:01   Welcome to GRE. I'm your host. Keith Weinhold, million dollar homes will be normal by 2033 I'll discuss why and exactly where they'll be arriving. Why are more beach towns going bust? What's in the big, beautiful bill for real estate investors? Then how to own income property with just 10% equity in it today on get rich education.    Keith Weinhold  0:28   Mid South home buyers, I mean, they're total pros, with over two decades as the nation's highest rated turnkey provider. Their empathetic property managers use your ROI as their North Star. So it's no wonder that smart investors just keep lining up to get their completely renovated income properties like it's the newest iPhone. They're headquartered in Memphis and have globally attractive cash flows and A plus rating with the Better Business Bureau and now over 5000 houses renovated, there's zero markup on maintenance. Let that sink in, and they average a 98.9% occupancy rate, while their average renter stays more than three and a half years. Every home they offer has brand new components, a bumper to bumper, one year warranty, new 30 year roofs. And wait for it, a high quality renter. Remember that part and in an astounding price range, 100 to 180k I've personally toured their office and their properties in person in Memphis, get to know Mid South. Enjoy cash flow from day one. Start yourself right now at mid southhomebuyers.com that's mid south homebuyers.com.   Speaker 1  1:53   You're listening to the show that has created more financial freedom than nearly any show in the world. This is get rich education.   Keith Weinhold  2:10   Welcome to GRE from Palm Bay Florida to Palm Springs, California and across 188 nations worldwide, you are inside one of the longest running and most listened to shows on real estate investing. This is Get Rich Education. I'm your host. Keith Weinhold, I think you know that by now, you can also find my written work in both Forbes and the USA. Today, million dollar homes could be coming to right where you live only as the average home, a typical home. Best said is the million dollar median priced home. They're increasingly common across America. We're going to look at the exact areas where this is going to happen next, and why. Though, real estate prices are only up about 2% annually. This time, a plethora of forces are conspiring to push median American home prices ever higher to a million bucks by 2033 the reasons for ever higher future prices on a national basis are supply scarcity. Though, homes aren't as scarce as they were, say three years ago, incessant demographic demand, continued inflation, tariff pressures, heightened regulatory costs, the rate lock in effect remote work and a perpetual construction labor shortage that makes it easier to find a unicorn than, say, a good plumber out there. All these things are conspiring to push long term prices up, up, up, and sadly, this will make first time home buyer dreams, well only dreams, not a reality for so many Americans. CBS News recently called first time homebuyers an endangered species for this reason. Hmm. Then I wonder if the US Fish and Wildlife Service is now protecting these beleaguered, endangered first time homebuyers. Now the typical Canadian single family home costs 779,500 Canadian dollars today. And get this now, of course, some US regions will have rising prices, and others falling prices in the shorter term, although the general direction is up, but more than half of us, states, 28 out of 50, already have at least one city where the median price for a starter home, just a starter home, is a million dollars or more. This is per realtor.com economist. More than half of states have that condition. Now I want a starter home that's defined as 80% or less of the price of an area's median Well, here we go. It is not just trophy cities anymore that are on the precipice of the million dollar club. It's these moderately priced cities that are next in line, and one trend is that they're located near already expensive markets. For example, Stockton, California is two hours inland from San Francisco, and Stockton is best known for well being two hours from San Francisco. That's about it, all right. Well, here is the 2023 median price. And it's 2033 projection, only eight years away, really, just a little over seven years away. This is where we're going. All right, Boise, from 465k up to $1,163,000 million $163,000 Boston, from 623k to 992k and again, these are 2023 median home prices, and then what they're projected to be in 2033 as these million dollar homes become typical, just in these somewhat moderately priced. US areas, let's continue Colorado Springs. 455k up to $1,020,000 I've made two trips to Colorado Springs in the past two years. I really like it. They're really livable with a nice little airport Denver. 548k up to $1,297,000 Honolulu, 638k up to $1,144,000 Portland, 501k to more than doubling to $1,052,000 Sacramento, 558 up to over $1.1 million Salt Lake City, more than doubling from 493k up to $1,064,000 Seattle, 694k up to $1,486,000 and finally, the aforementioned their Stockton, California, 579k up to $1,447,000 million dollar homes are increasingly abundant into places that are surely Not trophy cities anymore. They're projected to come to all these places by 2033 and this is very realistic, because consider this, what will a million dollars even be worth in 2033 just a little more than seven years away, what will a million dollars even be worth then at 3% inflation, just $789,400 All right. Well, what should you do with this information? It gives you perspective, waiting is not helping get comfy with million dollar homes that are like just kind of all right? And here's the thing, a million dollar home that used to be like posh that used to come with a waterfront view or a celebrity neighbor, and today you just get a popcorn ceiling in a mysterious draft in some entire counties, like I've told you before, in San Mateo County, California, the median home price is already over $2 million just an average home county wide. And I also mentioned to you that there's another California County, Santa Clara, California, where the median price is over $2 million but there are more Nantucket, Massachusetts, Pitkin, Colorado and Teton County, Wyoming, all over $2 million county wide. I mean, in places like this, a million dollar home is a gut job. I mean, it needs a renovation. In these places, a million dollar home costs less than half of the county median. So therefore it is so broken down that you might not even be able to get a conventional loan for that property. And notice that the Sun Belt is not on any of these lists for now, despite its growth, there's still vast land and cheaper housing there the southeast and the Midwest, they still feel like America's affordable housing frontier. But you've got to wonder, for how long and what else does this continued low affordability mean? It's the American. Emerging trend that few people see coming, but we've talked about here, it's that common tidal wave, this horde of new renters that are coming, priced out of million dollar homes. Your renters are coming, and what does this mean for you? Well, consider owning low cost rental property in those low cost parts of the nation. We help you do that here, completely free, at GRE investment coach.com a tidal wave of future renter demand means higher rents and higher occupancy rates. Your renters are coming.   Keith Weinhold  10:39   now, last week, on the show, I discussed the Airbnb arms race, how short term rentals really need a serious glow up and some major investment to compete in a lot of markets anymore. This week, let's discuss the trends in another real estate niche that's largely fallen on some harder times, and that is investing in beach town, something that might be more top of mind for us, as we are here in mid summer. The very best beach town for a bikini slim budget is Pascagoula, Mississippi, a gulf shore escape, where the typical listing will run you a mere 166k can you believe that now this gulf coast town of 22,000 people, it is somewhat of an aberration, though, be careful, Pascagoula is affected by a FEMA rule that really limits the amount of renovation that you can do there? Atlantic City, New Jersey, it's another beach town with a jaw droppingly Low typical list price of 242k yeah. Atlantic City, AC is the name long synonymous with gambling and Trump property port. Ritchie, Florida is another notably cheap beach town with just a 255k typical list price. And it's notable because back in 2019 GRE did a real estate field trip there where I and the property provider and a few speakers, we hosted you, and then we toured properties together in a coach, a tour bus, but those neighborhoods were actually about two miles inland, Myrtle Beach, South Carolina, still just 299k. Corpus Christi, Texas and Ocean City, Maryland, are two more notably cheap beach towns now, especially after talking about the million dollar homes and then you hearing about these cheap beach towns. You might be wondering, gosh, should I buy property for cheap in these beach towns? But, you know, buying the beach house is just the start. Rising. Insurance costs and maintenance costs have forced a lot of investors to question whether beach homes are too big of a gamble now with a few investor profiles here were interviewed first Levi Rogers, a retired Green Beret and a real estate broker in San Antonio, he recently shared how his property on the Gulf Coast went from $3,200 a year for insurance to over $11,000 and that's if you can even get coverage without bizarre exclusions, throw in new flood zone Redeterminations and wild HOA fee hikes due to inflation, and your profits are wiped out in an instant. That's what Levi Rogers says about his particular situation. Honestly, coastal property makes me more nervous than my first Million Dollar Listing. Despite loving beachfront real estate, that's what Los Angeles real estate agent Wesley Kang says he's seen changes that would shock most investors. Insurance costs broke another record at his Marina del Rey listing the owner just got hit with a $68,000 annual premium up from 15k last year, while his neighbor, two blocks inland, pays just 7k so in addition to hurricanes and slow and steady beach erosion, that has caused some homes to simply collapse and fall into the sea. Kang, the Los Angeles real estate agent, said his Malibu client just spent his entire summer rental income on mandatory seawall repairs. Another had to install $100,000 worth of water barriers just to keep his insurance. So is a beach home a good investment? Well, owning it really is not the easy, dreamy investment that it used to be. There are some investors that still think it's worth it, but they need to change their strategy. Roger said that he hasn't sold yet. He just. Had to adapt. That's the San Antonio real estate broker. He cut his rental period down to only the high season months. Raised his rates by 22% just totally ended low season bookings, and he promoted high end upgrades to make the numbers work. He says you have to run it like a hospitality business now, not a passive rental, so the ROI can still be there, but only if you're really on top of it, actively managing risk and costs and the guest experience. Otherwise, what you're doing is that you are just financing someone else's vacation. And this is along the lines of what I was discussing last week with short term rentals in general. Real Estate Investor Daniel Roberts, based in Idaho, he says beach properties are now riskier. He has reinvented his approach to stay solvent. He says we improved our rental by presenting the property as a luxury destination, adding concierge services with dining and boat tours and even fitness sessions. With this rental arrangement, we earned 18% more on rental income last year compared to the previous year, is what he says. However, still, our profits have decreased a little since we now pay so much more each month for insurance and for maintenance, if you're shopping for a beach house and hoping for a deal, it might pay to search a bit inland for cheaper properties and insurance rates, and then it's not really a beach house anymore. Elevation is your friend. Certain oceanfront areas are experiencing a steep drop in some places like Florida. I mean, can you buy the dip if you're looking for opportunities in investor areas like Florida, which saw a huge run up of people heading there during the pandemic, but their jobs require them to return to the office. If you're in the market for a vacation property that you can rent out and possibly use as a second home. There are beginning to be more and more choices. So the bottom line here is that many beach towns are in a bust. Their profitability is under attack, chiefly from these insurance premiums that have as much as 3x or more for many in the past three or four years, Hoa costs are up due to inflation, and then there's just simply the threat of more storms and more beach erosion, and just the stress and concern that causes even outside of the insurance cost, short term rentals tend to be right on the coast or A short walk from the beach. The best long term rentals tend to be inland, inland. Long term rentals are long where we have focused here on this show, and they tend to be stable and steady and frankly, kind of boring, but somehow boring in an interesting way, if that's possible, they plod along paying you five ways.    Keith Weinhold  18:05   Hey, is get rich education the number one real estate investing podcast in America. Are we number one? I've got an answer for you on an upcoming episode. It looks like the big, beautiful bill that was signed into law on the Fourth of July will be advantageous for real estate investors. It extends a lot of Trump's 2017, tax cuts and Jobs Act. There are modifications to opportunity zones in the big, beautiful bill. But the big story is that 100% bonus depreciation has been restored, reset, huge that applies to qualified property placed in service from January 20, 2025 through the end of 2029 now is the Time to accelerate acquisitions and renovations to leverage 100% bonus depreciation. I mean, this is great for investors. And what this does is it allows you to fully deduct the cost of qualifying renovations, property improvements and certain building components immediately, instead of you, having to spread the deductions out over several years. Major however, the big, beautiful bill does not do much of anything to help those beleaguered first time homebuyers that endangered species. In fact, in a previous version of the bill, it was going to open up millions of acres of public lands for new development. Now, if that happened, that could have added more housing supply and therefore kept home prices from perpetually rising, and therefore maybe helped first time home buyers. But that provision was removed from the bill before it got passed. All right, so those public. Lands will not be developed. That was not part of this bill, and that's a quick overview of what Trump's big, beautiful Bill means to real estate investors. To review what you've learned so far. Today, million dollar homes are coming to more places, and that's due to supply scarcity, demographic demand, incessant inflation, tariff pressures, heightened regulatory costs, the rate lock in effect, remote work and a perpetual construction labor shortage. More beach town properties are going bust due to surging property insurance costs and the big beautiful Bill has some serious positives for real estate investors, but not for first time home buyers.    Keith Weinhold  20:45   There is a lot happening here at GRE we, including me and our investment coaches here, are talking with you, our investors. We're talking with the nation's top property providers, as we always do, and there's just a lot of real estate news. How can you follow us to keep up on all this? Well, there are three main ways, and they're all free. There's no subscription cost. That is, firstly, through this show, the get rich education podcast. Secondly, our YouTube channel called get rich education. Yes, we are consistently branded. And the third main way to follow us is with our Don't quit your Daydream newsletter. Sign Up Free by texting GRE to 66 866, that's text GRE to 6668 66 and there you go. They're in they are the three main ways to follow us, podcast, YouTube channel and newsletter, and then also our social media channels, get rich education can be found at all the usual places, Facebook, Instagram, Tiktok and x, but our handle is Get Rich ed on x because there is a character count limit there. That's how to follow us. You can find our recommended property providers at GRE marketplace when you're getting actionable, and then to engage with us for a free strategy session to learn your goals and really put you on a financially free trajectory. You can do that with our investment coaches directly book time on their calendar at GRE investment coach.com   Keith Weinhold  22:25   what is happening with the future of the Fed and interest rates, and how can you put as little as 15% even 10% down on an income property? That's next. I'm Keith Weinhold. You're listening to get rich education    Keith Weinhold  22:39   the same place where I get my own mortgage loans is where you can get yours. Ridge lending group and MLS, 42056, they provided our listeners with more loans than anyone because they specialize in income properties. They help you build a long term plan for growing your real estate empire with leverage. Start your pre qual and even chat with President Caeli Ridge personally, while it's on your mind, start at Ridge lendinggroup.com. That's Ridge lendinggroup.com.   Keith Weinhold  23:11   You know what's crazy? Your bank is getting rich off of you. The average savings account pays less than 1% it's like laughable. Meanwhile, if your money isn't making at least 4% you're losing to inflation. That's why I started putting my own money into the FFI liquidity fund. It's super simple. Your cash can pull in up to 8% returns and it compounds. It's not some high risk gamble like digital or AI stock trading. It's pretty low risk, because they've got a 10 plus year track record of paying investors on time in full every time. I mean, I wouldn't be talking about it if I wasn't invested myself. You can invest as little as 25k and you keep earning until you decide you want your money back. No weird lockups or anything like that. So if you're like me and tired of your liquid funds just sitting there doing nothing, check it out. Text family 266, 866, to learn about freedom. Family investments, liquidity fund again. Text family to 66 866   Naresh Vissa  24:21   you this is peak prosperity. Chris Martenson, listen to get rich education with Keith Weinhold, and don't quit your Daydream.   Keith Weinhold  24:42   It's terrific to have a familiar voice back on the show. It's an in house discussion with our own GRE investment coach since 2021 he's met with you, usually over zoom or the phone completely free to learn your own personal goals. Find the market that's right for you. Two. And he even goes as far as helping connect you with the exact property address that would make your next real estate pays five ways property, like say, you find 654, Maple Street in Little Rock, Arkansas or Indianapolis, Indiana. For you, he helps you through it all. And then he even helps you if you have any trouble after owning the income property. He's got the formal education with his MBA, and he walks the talk because he's a direct real estate investor, just like I am. Hey, welcome back to the show investment coach Naresh Vissa.   Naresh Vissa  25:32   thanks for having me back on. It's always a pleasure to talk to you and the loyal GRE listenership that we have. I think   Keith Weinhold  25:40   we enjoy talking to each other more than President Donald Trump and Fed Chair Jerome Powell do for sure. And I think if anyone's been paying any attention, there's been quite a feud between Trump and Powell, and it's been pretty entertaining. Trump has referred to Powell as Mr. Too late, like too late to make a decision. He has called Powell a numbskull. He has said Powell has a low IQ for what he does. That drama has been really interesting now. Powell's term ends in May of next year, so about 10 months from now. And I think most anyone knows that Trump wants an interest rate cut badly, but Powell keeps holding tight, and what Trump says is that he wants to lower the interest costs on our national debt. That's the reason that Trump gives for lowering the rates. But Powell's been reluctant to lower rates because it might stoke inflation. In reality, I suspect that Trump wants lower rates just to juice economic growth, like that's the real reason, and then Trump sort of hopes that inflation only catches up with the next president who comes in in 2029 and interestingly, back on July 1, Jerome Powell said, if it weren't for tariffs, he would have already lowered rates. What are your thoughts?   Naresh Vissa  26:55   Well this is a lot more complicated than it seems, and here's why Trump called Powell a lot of names, and I think some of those names hold true if we go back to when Biden was president, because it was in April, May 2021, that I was saying, hey, it's time to start increasing the interest rates, because inflation was going up significantly, very quickly, it was going up. And if you recall, Keith, I know you did many episodes on this, Powell kept saying, Oh, this is transitory. It's just transitory. And my whole justification was, well, look, a 25 basis point hike ain't gonna kill anybody. And they refused to do it for an entire year. Once we started seeing inflation going up. And by that point, inflation went up close to 10% that's how bad it got. That's it didn't hit the double digits, but it was very close to hitting the double digits. So yes, I do think Powell was a numbskull for not raising the rates back in 2021 but today I'm actually on Powell's side, because there are still inflationary pressures. And remember, Keith, the inflation target is 2% it's not two and a half percent. They haven't moved the goalposts. It's still 2% and last month, this is the media is not talking about this, except for get rich education today, inflation went up last month. So yes, it beat expectations, but it still went up. The expectations were that the terrorists were going to create this massive inflation and we would be back up at the three handle. And it didn't do that. But regardless, inflation still went up. So let's wait. Let's see what the CPI numbers show. I don't think we're going to be close. I don't think we're going to be under that 2% figure within the next two months, and that's why I think Powell is justified in holding to rate study. Now, with that being said, I do think because of Doge, we did an episode earlier this year on Doge, because of Doge, because of the latest ADP job numbers, the latest unemployment numbers, the private sector cuts that are happening at Microsoft and Google and a lot of other big name companies. I do think that inflation will eventually dip below 2% you look at the gas prices have hit four year lows. Look at egg prices have hit, I think four year lows or three year lows. I do think we'll dip below the 2% at some point. The question is, is, when is it going to be? You know, three months from now? Is it going to be a year from now? It all depends. So what does that mean for your question of, is Powell right? Is he wrong? Is he a numbskull? Who's right? I completely understand what you said is why Trump wants the rates cut, and that is, he wants to juice everything because he looks great, and it's a midterm election year, next year, and he doesn't want to lose his Congress. And I understand the political side of it, but the number one issue, the number one issue, according to almost every poll out there before. Election, the number one issue on voters minds was inflation. It's had things. The bleeding has not stopped, and the inflation is out of control. The groceries are too expensive. That's what's important. And I'm on Powell's side here. I think you have to be patient. On the other hand, Trump is being very aggressive, and he's looking to replace Powell, and he's going to put in his guy in there. I mean, the basic requirement for the job is you're going to get in there and slash entry. You're not even going to do a 25 basis point cut. You're going to go down to 1% fed upon rates overnight. That's what Trump wants. I don't know if you saw that, but Trump wants a 1% Fed funds rate pretty much overnight, because he's saying, oh, is going to save us all this money on the debt that we're paying, interest payments and data I get where both of these guys are coming from. I think the ideal scenario, because Powell, it looks like he's safe until maybe the end of the year. I think we hit that 2% point, definitely by the end of the year, and Powell will start cutting in September, we'll see a 25 that's what I think. I think we'll see a 25 basis point cut in September, maybe a 50 basis point cut in the next meeting after that, and and maybe even a 75 basis point cut in December. And that way, when the new guy comes in, he doesn't have to do this drastic COVID March, 2020, type of cut, of slashing rates close to zero overnight. We do it in a gradual I think that would be better for the country and for the economy and for the global economy. So that's where I see things. But regardless, regardless, we know for a fact that the interest rates, the cutting is beginning soon, and the rates are going to be very low sometime next year, if not by the end of next year, we know for a fact that the rates are going to be very, very low. And what that means for the housing market is that, and let's talk about the housing market really quickly, the inventory in the housing market is the supply side is very high. This is not 2021 2022 when homes are flying off the shelves and people were paying above asking price for homes. We're in a situation where the inventory has piled up. Home values have somewhat stagnated. If rates are going to bottom next year, then buying real estate. I don't want to say I'm not calling a bottom, but I'm saying that you can expect real estate home values to skyrocket once rates hit that 1% because of the Fed funds rate. So right now, we're seeing demand from investors because they're thinking what I'm saying, hey, the Fed is going to slash. We know that for sure because of Trump. And when that happens, institutions, individuals, they're going to start taking out debt, and the housing market's going to skyrocket just like stocks. I mean, really, most assets are going to skyrocket. So right now, I think, is an excellent, excellent time to be looking at buying real estate, and then you can just refinance later, when the rates bottom in a year or two,   Keith Weinhold  32:50   when you talk about high housing supply, I think what you mean is higher housing supply. Nationally, we're still 12% under supplied. It's just the fact that we have 30% more available housing supply in the one to four unit space than we did a year ago. At this time when we're talking about interest rates and things that have to do with the larger economy, here, you the listener should be aware that Naresh has often been tapped and interviewed by major network television on his opinions on these sort of broader economic issues, so he is qualified that way. And to give you an idea with what we're talking about with this desire to get the Fed funds rate down to 1% whether that happens or not, today's Fed funds rate is around 4.3% just to give you an idea of the magnitude of the potential cut, I don't forecast interest rates because it's very difficult to do, but it's interesting that Naresh has done some of that, and let's remember that Trump is actually the one that appointed Jerome Powell back in Trump's first term, and there's been a good bit of speculation around who the next appointee might be. In fact, if that appointee is named several months before Powell's termination of his term in May. Some people think that could be Treasury Secretary Scott Besant, that that alone could change the dynamic, that you would get someone more likely on board to make rate cuts and name them before they actually come into office.   Naresh Vissa  34:14   Well, the President decides he appoints that position, and we know for a fact 100% Trump is only going to put his person in there, man or woman, we don't know, but he's going to put his person. And the basic requirement for the job, it's not a PhD from Harvard or being a multi billionaire like Scott Besant. The basic requirement for the job is cutting the rates to 1% the Fed funds rate to 1% that's the bare minimum basic requirement for the job, and there are apparently lines of people who are lining up because they think they fit that requirement. So we know that's coming. We know it's coming at the latest, next year, like I said, Because Trump said it himself, and to be calling somebody a numbskull and all these names, he's very serious about this. It's an issue that means a lot to him. And again, I get where Trump's coming from. The government would save a lot of money on interest payments. And Trump's justification is, inflation is low, let's just try it, which I somewhat agree with. He says, Let's just try it, and if the inflation goes back up, then you just raise the rates. Don't you know, Powell was too late in 2021 the next guy won't be too late in raising rates this time around if the inflation does go back up. So it's a different strategy that would definitely juice the economy overnight. Of course, he wants that. Everyone's got their own opinions. I'm of the opinion. I think the Fed actually is for the most part. Post 2022 has done a good job. In fact, I did an episode with you, I think, a year and a half ago, saying that the Fed should have done more rate hikes, because we would have been at 2% inflation a year ago had the Fed done one or two more rate hikes, in my opinion. And we saw at the end of Biden's presidency, inflation started going back up when the Fed actually cut rates, when they should have been raising rates previously. So with that being said, this is a good opportunity for investors, because we are in that doldrum right now where we know the rate cuts are coming, at least we, you and I and GRE listeners know that the rate cuts are coming. Not everybody knows that they're coming, because they may not pay attention or follow this stuff as closely as we do. We know that they're coming, and what that means for the housing market is, like I said, juice. We can see juice in stocks. We can see juice and housing. We can see juice and Bitcoin and other commodities.   Keith Weinhold  36:35   Well, you use the word doldrum. Yes, the housing market is in somewhat of a doldrum. We have lower transaction volume than we have historically, for sure, and really that's led by we need to keep in mind as investors, that that's lower owner, occupant purchase volume, because investor purchases have stayed pretty steady.   Naresh Vissa  36:56   Yes, I'll say this, Keith, we work with a lot of different providers all around the country. I want to say we're up to something like 30 different providers in 20 different markets or so. When these partners are calling me saying, Hey, we got all these properties and send me your people and you know, let's do business together and help us find more investors, then I know that the housing market has somewhat stalled. It's not doing terrible, but I know that it's when those providers aren't calling me, or when they even cut off the relationship and say, Hey, I don't want to talk to you anymore. I don't want to work with you anymore. Then I know, hey, it's a really hot housing market. They don't really need me. And I'll tell you right now, every other day I have a partner of ours, I had to tell them to stop call. I said An email will do, or a text message will do. You don't need to call and leave me a bunch of voicemails. I have people calling me every day saying, Hey, we got all these properties, and they're amazing and they're beautiful, and send your people to us, which tells me that it could be actually a good time to start buying. Because it's not like I said, 2021 it's not 2022 it could be a good time right now, because the investor will hold more leverage, and the incentives that these partners are offering are second to none. I've never seen incentives this good. I mean, it's not just the free property management, it's not just the closing cost credit. It's negotiating prices of homes. It's getting cash back at closing, so just literally having a check overnighted to you that's in the five figures, cash back for buying property. So overall, I think it's a really, really good time right now to get into real estate, probably one of the best times, if not the best time since I joined GRE at the end of 2021   Keith Weinhold  38:40   of course, Ken McElroy was just here on the show with us a couple weeks ago, talking about what a good time it is to buy from his perspective as well. But yeah, Naresh, I appreciate that you're kind of letting the listener peek behind the curtain a little bit. We really get a good read on the pulse of the market here, and part of our job is to vet those providers that we work with, yeah, the race. Well, one property strategy that almost transcends eras is the BRRRR strategy. It's such a popular strategy with investors, because you can get in to a deal and have so little of your money left in the deal that you could end up with 10 to one levered. So the burr strategy, that's probably the most popular strategy with our investors. So tell us more about that.   Naresh Vissa  39:27   We've done several webinars already about Bert, and this has become the most popular strategy with our investors, hands down the amount of volume that we're seeing with our investors, people who keep buying more and more because the first one worked out. Now there are some that didn't work out, and that has more to do with the provider than it has to do with the strategy. The strategy is simply buy a property that needs to be completely rehabbed, refurbished. It's you buy a property, as is, you take out a hard money loan to renovate the property, to gut it, to update. It, bring it up to speed. Or you can pay cash. So a lot of people say, Oh, I don't have the cash to pay for such a property. So they're the hard money loan is there. Or you could pay cash. Our recommendation, my recommendation, personally, is take out the hard money loan, because you have that extra layer of protection, that extra body who will make sure that you're not getting taken advantage of, because that's a problem that we've seen with BRRRR, where some of the providers, some of the sellers, they'll sell the property, and then they just disappear after that. And we don't want that to happen. We want the rehab to actually get done, because the real value is by doing the rehab, making the house nice, renting it out to a tenant, and then refinancing the property, because the home value is going to appreciate so much. In some cases, some of our investors got 100% appreciation from what they bought the property at, and they were able to use that equity, 100% of that equity into the down payment, into other fees, so they didn't have to pay anything out of pocket for the property. So that's the beauty of the BRRRR strategy. And like I said, what's most important? Because we've already done two web it. We've done a Memphis burr webinar, we've done a Cleveland burr webinar. Now we're doing a little rock BRRRR webinar, and I think this is the best burr out of all the burs that we've done. And the reason is because the team we're working with, they have a legitimate company operation. They have a property management division, they have a rehab division, they have a sales division, they have a management division. This is not like a one man show or a two person company trying to do all these rehabs all at once. So they're very here's the schedule. This is what we have to do, very accurate and so yes, their pro forma numbers aren't going to be as aggressive as what our investors have seen with previous BRRRR providers. But the problem with those aggressive numbers is that a lot of the providers, they overinflate those numbers, and they don't follow through, let's say, on the rehab, or they do the rehab, and the appraisal does not come back at an amount that met the proforma. So I'm just really excited about this, because Little Rock is a new market that we've entered into. We have not done a lot of Little Rock promotion, a lot of Little Rock property. So it's a new market, number one and number two, it's the team that's there. This is the best of the best team. And if somebody came to me and said, Hey, I want to do a bur. Where should I do it? You've got all these different webinars and podcasts on burrs. Where should I do it? I would say bur Little Rock is where you want to do it, because you're going to sleep way better at night, and the process is going to be way smoother than the others. Yes, the pro forma numbers, they're not going to be as appealing, or they're not going to be as outlandishly high as those other markets, but those other markets, Memphis, Cleveland, there's a reason why those numbers are so high. And like I said, it's this team in Little Rock, amazing team, Keith, I know you've had some calls with them. We interviewed the their head Alex on last week's podcast episode. He and I are going to be doing this upcoming webinar on BRRRR little rock this Thursday, and we hope to see everybody there go to gre webinars.com, gre webinars.com, right now to register for that webinar.   Keith Weinhold  43:14   It's this Thursday, a live event that you can attend from your own home. And the benefit of you attending live is you can have your questions answered in real time. You can hear other attendees questions, which will help educate you on this process. And yes, I don't know if this will ever happen again. We do have Alex leading the bur strategy in Little Rock. He's been doing this for 15 years. He's got his vetted, proven team and a great system for doing this, so that so much of it is all done for you. And   Naresh Vissa  43:47   one more thing that I'll say, because this has become very popular with our online special event attendees, they hear podcast episodes like this, and they say, Hey, I want to jump on this before the live event, because all those other people are going to be on, and I want to jump. So I want to share, or Keith, I'll let you share our link for people to just reach out to me if you want to schedule a meeting or just email me. Just reach out to me if you don't want to wait until the webinar, the online special event this Thursday, if you want to get a head start, please absolutely reach out to me.   Keith Weinhold  44:20   That's a great thought. You can go to GRE investment coach.com right now and get on the race's calendar so that you can have a free meeting. Any last thoughts about Thursday's big event?   Naresh Vissa  44:32   like I said, it's going to be Thursday evening. The time is going to be at 8pm Eastern Time. Thursday, 8pm eastern the webinar, online special event will last about two hours. Our listeners, our followers, love these online events because they're highly interactive. We get everybody involved. They're fun, and the reason why they last two hours is because the people who attend are having such a good time. Them that they want it to last that long. I remember a long time ago when we used to do these online events, and they'd only last 30 or 40 minutes, and then that was the end. But now our file loves them so much. I think if you've never attended one of our online special events, you'll definitely want to attend this, because it is the timing is perfect before all these rate cuts, as the housing supply inventory is at a 12 month high. So the timing is is really good. The incentives are excellent. And like I said, we know interest rates are going to be slashed sometime next year, so you can always refinance later, but but getting in at these prices is going to be a true gift. So gre webinars.com, to register for this online special event.   Keith Weinhold  45:52   We are all looking forward to it this coming Thursday. Narration, it's been great having you back on the show.    Naresh Vissa  45:57   Thanks, Keith.    Keith Weinhold  45:58   Yeah. Fruitful in house chat, as always, with one of our investment coaches, Naresh, that's how you can leave as little as 10% down on an income property. When you do that, cash out refi with the burr strategy, you'll get in at today's lower prices, they tend to be 140 to 160k in Little Rock, Arkansas. You'll lock in this year's rates with that low price, with the BRRRR acronym, meaning buy, renovate, rent, refinance, repeat. Well, that refi is a little ways down the road after your initial purchase. Longer term, if interest rates go up, you'll be glad that you got today's rates. And if interest rates go down, which many expect, then you'll refi. The only thing bigger than the next Fed interest rate decision or the naming of a new Fed chair is Thursday's GRE live event itself, get ready. Really, the event presentation typically takes an hour or less. The rest of the time is your questions and conversations, so show up from the comfort of your own home, maybe with a beverage this Thursday, and since it's in the evening, probably not a stimulant, maybe a yerba mate, besides seeing real life case studies and understanding how the burst strategy works, how to optimize it and the mistakes to avoid, expect access to available Little Rock burr properties, actionable opportunities. Should you so choose? Sign Up Free at gre webinars.com Until next week, I'm your host. Keith Weinhold, don't quit your Daydream.   Unknown Speaker  47:50   Nothing on this show should be considered specific personal or professional advice. Please consult an appropriate tax, legal, real estate, financial or business professional for individualized advice. Opinions of guests are their own. Information is not guaranteed. All investment strategies have the potential for profit or loss. The host is operating on behalf of get rich Education LLC exclusively.   Keith Weinhold  48:14   You know, whenever you want the best written real estate and finance info, oh, geez, today's experience limits your free articles access and it's got pay walls and pop ups and push notifications and cookies disclaimers. It's not so great. So then it's vital to place nice, clean, free content into your hands that adds no hype value to your life. That's why this is the golden age of quality newsletters. And I write every word of ours myself. It's got a dash of humor, and it's to the point because even the word abbreviation is too long, my letter usually takes less than three minutes to read, and when you start the letter, you'll also get my one hour fast real estate video course, it's all completely free. It's called the Don't quit your Daydream letter. It wires your mind for wealth, and it couldn't be easier for you to get it right now. Just text gre 266, 866. While it's on your mind, take a moment to do it right now. Text, gre 266, 866,   Keith Weinhold  49:30   The preceding program was brought to you by your home for wealth, building, getricheducation.com  

You've been told your labs are “normal,” but your period is MIA, ovulation's a no-show, and pregnancy is STILL not happening. In today's episode, we're busting the myth that normal labs = everything is fine. If your body is showing clear signs that something's off, you need more than a copy-paste lab report—you need real answers, and a plan that honors YOUR body's needs. We're breaking down the most important labs for period loss and fertility (like FSH, LH, Estradiol, AMH, and more), what they actually mean, and why “low-normal” isn't the green light it seems. If you're being gaslit with the phrase “everything looks fine,” this episode is exactly what you need to listen to. Mentioned in today's episode: Nourish Your Body for Fertility Series (Part 1, 2, 3 and 4) Today's episode is brought to you by our exclusive program, Premier Period Recovery for Fertility. Reach out to chat 1-1 with me to see if it's exactly what you need to get your period back and get pregnant in 2025, by applying here. Not ready yet for our premier program, but you are ready to take action to restore your fertility today? Purchase your fertility clarity package here. This period recovery method will change your life...and I've laid it all out for you in my NEW free course, Restore Your Fertility in 90 Days (or less). Download and watch it today! Please note that this podcast is not meant to be used for nutritional, medical or individualized advice and should be used for education only.

“That's just part of being a woman.” “You're just getting older.” “Maybe you're overreacting.” “It's probably all in your head.” Let's stop right there. Just because something is common doesn't make it normal. Let's break down the top five health issues that women experience far too often—and have been told to ignore. 1. Mood Swings Yes, your mood naturally shifts across your cycle—but when it becomes overwhelming, unpredictable, or makes you feel like you've lost control? That's a red flag. If you find yourself: Crying uncontrollably over small things Snapping in rage over everyday moments Feeling like your emotions are running your life …it's not just “PMS.” It's a hormonal imbalance that needs support. In Eastern medicine, we look at liver health, stress pathways, and how your body detoxes hormones to bring this back into balance. 2. Bone-Deep Fatigue You're not just tired because you're a mom. Or because you're getting older. Or because life is busy. Constant fatigue is your body screaming for help. I personally struggled with undiagnosed thyroid dysfunction after having my first baby—and doctors brushed it off. It took someone finally listening to discover I had a thyroid storm. If you're always exhausted, it's time to stop pushing and start testing. Over-exercising with cortisol dysregulation? That only makes things worse. 3. Weight Gain That Doesn't Make Sense Hormonal shifts in perimenopause and menopause require lifestyle adjustments—but they don't mean inevitable weight gain. Changes in body composition should be met with support, not shame. That means: Updating how and when you eat Increasing protein and muscle support Understanding how hormones like insulin and estrogen affect your metabolism If your weight is changing and nothing you do seems to help, it's time to look deeper than calories in/calories out. 4. Sleep Disturbances That Disrupt Your Life Struggling to fall asleep… or waking at 2am and staying awake until morning? This isn't just “stress.” Poor sleep affects everything from metabolism to detoxification, cognitive function, and weight regulation. Your body releases its highest levels of natural human growth hormone between 10pm–2am. If you're not sleeping deeply, your healing is stalling. Sometimes just a simple tincture, nervous system support, or dietary shift can unlock better sleep and—believe it or not—weight loss too. 5. Irregular Menstrual Cycles Heavy periods, skipped days, clotting, pain, spotting, disappearing and reappearing flow—these are not normal. Your period is a vital sign—a direct reflection of your hormonal health, nutrient levels, stress patterns, and more. A cycle that shifts drastically in length or severity is a major signal that your system is out of balance. A healthy cycle: Runs about 27–29 days, with a 1–2 day buffer Shouldn't feel debilitating or unpredictable Offers feedback about your health over the past 3 months Too many women are dismissed, gaslit, or told their symptoms are just a part of life. But being in pain, exhausted, anxious, or struggling with your body doesn't have to be your baseline. With the Female Hormone Solution Program, we go beyond temporary fixes to create lasting change. We walk with you for 12 weeks to support your body, decode your symptoms, and help you feel like yourself again—stronger and better than ever. And guess what? The waitlist is NOW OPEN. Get the details here: https://drbethwestie.com/waitlist/  

In honor of Disneyland's 70th anniversary, DisneyChris presents his version of what would be the ultimate are music loop for the Disneyland main entrance. His idea of a perfect area loop would consist of instrumentals representing the park's currant roster of attractions, as well as many nods to the past legacy of the Happiest Place on Earth. Download (right click / Save as) 1. Disneyland Theme   0:00 2. Mickey Mouse March   3:07   3. Happy Rag   5:19 4. Raider's March   7:39 5. Heigh Ho /Whistle While You Work  9:49 6. 20K Leagues Theme / A Whale of a Tale   11:00 7. Winnie the Pooh / The Wonderful Things About Tiggers / Hip Hip Pooh Ray   13:24 8. Steamboat Bill / Turkey in the Straw   16:14 9. Baroque Hoedown  18:23 10.   When I See an Elephant Fly   19:43 11.   In the Tiki Tiki Tiki Room   22:25 12.   All Aboard the Mine Train  24:04 13.   Unbirthday Song  25:45 14.   Monorail Song   27:47 15.   Come Again   30:44 16.   Battle Hymn of the Republic   32:38 17.   Fantasy Castle Medley   34:45 When You Wish Upon a StarOnce Upon a DreamA Dream is a Wish Your Heart MakesSomeday My Prince Will Come 18.   Minnie's Yoo Hoo   40:26 19.   Hi Diddle Dee Dee   43:21 20.   Columbia the Gem of the Ocean   45:21 21.   Yo Ho Yo Ho (A Pirate's Life for Me)   46:25 22.   Space Mountain Theme   48:30 23.   Fantasmic   51:07 24.   Casey Jr.  54:04 25.   Bang Went Old Betsy   55:35 26.   Cantina Song   57:35 27.   There's a Great Big Beautiful Tomorrow  59:30 28.   Maple Leaf Rag  1:04:12 29.   Hawaiian War Chant   1:07:20 30.   Special Spice   1:08:21 31.   Zip A Dee Doo Dah   1:11:01 32.   A Spoonful of Sugar / Supercalifragilisticexpialidocious   1:12:35 33.   You Can Fly!   1:14:58 34.   Star Wars Theme   1:17:18 35.   Swisskapolka   1:19:31 36.   Meet Me Down on Main Street   1:20:59 37.   Fantasy in the Sky   1:23:58 38.   Nothing Can Stop Us Now   1:27:59 39.   The Ballad of Davy Crockett   1:29:24 40.   Down in New Orleans   1:31:05 41.   The Merrily Song   1:33:23 42.   Strange Things Are Happening to Me   1:35:13 43.   Grim Grinning Ghosts   1:38:14 44.   Serengeti Serenade   1:40:53      45.   Smile Darn Ya Smile   1:45:17 46.   Blood on the Saddle   1:47:09 47.   Hello Everybody / Welcome to the Golden Horseshoe / Can-Can   1:48:36 48.   Milenberg Joys   1:52:13 49.   March of the Cards   1:55:47 50.   It's a Small World   1:57:19YOU CAN ALSO FIND THIS TRACK ON MY WEBSITE: DISNEYCHRIS.COM - LOCATED AT THE BOTTOM OF THIS PAGE: TRACK 117 https://disneychris.com/a-day-at-disneyland.html  Please consider becoming a Patreon Subscriber and receive exclusive rewards every month. https://www.patreon.com/DisneyChrisVisit our on-line store for exclusive Jiminy Crickets and DisneyChris Website Merch!!!! https://jcpodcast.threadless.com/​ If you would like to help support the Jiminy Crickets podcasts and DisneyChris.com - 

This episode join me and the gang as we grill the first ever applicant to the PMPM PD. The much anticipated fake oral board. Please patronize and support the LEO businesses that made this podcast possible.Sunday podcasts are brought to you by my friends over at OfficerPrivacy.com OfficerPrivacy has software that allows you to quickly remove your personal information from the internet. Use their software FREE for 14 days. Or their team of LEO's will remove your info for you. Sign up and feel safe again.How are First Responders hitting huge fitness / body/ health goals? Don't miss this one! Fit Responder Fit Responder is the top remote coaching program for first responders around the US. Having support that understands the demands and stressors of the job helps when you need an effective and realistic action plan to make your goals reality  Follow FIT RESPONDER for tips, guides, memes, etc. https://fitresponder.com/ Frontline Optics is a First Responder owned and operated sunglasses company based out of San DiegoThey offer Polarized UV400 sunglasses backed by a “No Questions Asked” Replacement Program. In addition, a portion of all sales directly benefits the First Responders Children's Foundation supporting the families of our Brothers and Sisters who made the ultimate sacrifice in service to their communities. Try them risk free with free shipping and 30 day free returns or exchanges. Wear them on or off duty, beat them up, hit them up, get a new pair!⁠⁠https://frontline-optics.com/discount/PMPM15⁠⁠PMPM coins - www.ghostpatch.comPMPM Merch - https://poorly-made-police-memes.creator-spring.com/?https://linktr.ee/Poorlymadepolicememes⁠⁠⁠⁠https://www.paypal.com/ncp/payment/4MYCYDRPX8ZU4⁠⁠⁠⁠https://www.thethinlinerockstation.com/

We have on Nadim of 99 Zu Eins to talk about keyboard warriors, online discourse, and communities of spite FIND OUR GUEST: https://x.com/Nadimo1312 https://x.com/99zueins https://www.youtube.com/c/99ZUEINS HOW TO SUPPORT US: https://www.patreon.com/cornerspaeti HOW TO REACH US: Bluesky https://bsky.app/profile/cornerspaeti.operationglad.io Twitter https://twitter.com/cornerspaeti Instagram https://www.instagram.com/cornerspaeti/ Julia https://twitter.com/KMarxiana Rob https://twitter.com/leninkraft Nick https://bsky.app/profile/lilouzovert.bsky.social Uma https://bsky.app/profile/umawrnkl.bsky.social Ciarán https://bsky.app/profile/ciaran.operationglad.io

Keeping your smart phone away from your bodySee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Have you recently left your doctor's office feeling more confused than when you walked in?  Or finally worked up the courage to share the brain fog, crushing fatigue, or unexplainable mood swings—only to get brushed off with: “It's just part of getting older”?  I see you—because I was you—and I know how frustrating and lonely it can feel to navigate midlife changes when so few doctors truly understand what's happening in your body.  In this empowering episode, we dive into how to be heard at the doctor's office during perimenopause and menopause, what to track before your appointment, the right questions to ask, and the signs it might be time to find a new provider.  You deserve answers. You deserve care that sees the whole you. And you deserve to walk out of your appointments with clarity and a plan to feel your best.  Tune in to this episode to reclaim your voice and your power in this beautiful season of life! IN THIS EPISODE Navigating the knowledge gap in women's health care  Tips for confidently advocating for yourself to your doctor  Addressing common symptoms in midlife and menopause Questions to ask your doctor and labs you should test for  Finding a functional medicine doctor who will hear you out  My FREE perimenopause survival guide and more about my upcoming book: The Perimenopause Revolution  QUOTES“Even today, the average woman waits 7 to 10 years for a proper diagnosis of conditions like Hashimoto's and other autoimmune issues.” “If you feel dismissed, it's okay to find another provider. I know this can feel daunting, but your health and your quality of life is on the line. You deserve a provider who listens.” “There are so many doctors and providers out there like me who care deeply, who understand what it's like to be going through this transition, what it's like to be a woman navigating the world, particularly the healthcare system, and what it's like to struggle with symptoms, and you just desperately want answers to feel better again.” RESOURCES MENTIONED Grab the FREE Thriving in Perimenopause Guide HERE!  Preorder my new book: The Perimenopause Revolution HERE and get instant access to over $500 worth of bonuses! Try Qualia Senolytic and use code DRMARIZA to get 15% off RELATED EPISODES  #319: Red Flags: 10 Ways We Gaslight Women in Medicine Today #650: Unlock Your Health: The Ultimate Biomarker & Lab Blueprint to Thrive in Midlife and Beyond #541: Why Functional Labs Are a Game Changer for Your Health with Dr. Kela Smith 579: Hormone Replacement Options and Hormone Testing for Women in Midlife + Self Advocacy for Optimal Health with Esther Blum

Eddie shared a story about times that famous people tried to do normal people things, and it went terribly wrong. Bobby revealed what is going on with his brain and the 3 sessions he has been to after being gifted the treatment by Amy. Listeners called out Lunchbox for making his wife use the bathroom on the side of the road. Amy thinks Bobby gave her money by accident. Bobby talked about should we normalize baby showers for men? Bobby and Amy shared what inventions they thought of recently and were devastated to find out they already existed.See omnystudio.com/listener for privacy information.

This week on The Mommy Labor Nurse Podcast, I'm joined by my friend and fellow podcaster Dr. Mona Amin to chat about those quirky, confusing, and totally normal things newborns do in the early days. Dr. Mona is a board-certified pediatrician and parenting expert who's all about helping new parents feel calm, confident, and informed. Inside this episode, we're unpacking: Why your baby's hiccups are nothing to worry about What's going on with day/night confusion How much (or little!) your baby really needs to eat in those early days And 7 more newborn behaviors that might surprise you! If you're a first-time parent or you just want a little reassurance, this episode is full of validation and real talk from two mamas who've been there